Type 2 Diabetes Mellitus vei enkawl i ni em? Chutiang a nih chuan i doctor chuan damdawi pahnih Linagliptin leh Metformin tih inzawmkhawm pill a pe che a ni mai thei. Hei hi kan ramah hian Jentadueto brand name hmanga hmuh a ni tlangpui. Hei hi damdawi tha tak a ni a, thisen sugar level (glucose) control nan a pui a ni. Amaherawhchu, damdawi dang ang bawkin kan hman lai hian fimkhur ngai thil engemaw zat a awm. Vawiin hian awlsam takin, i hriatthiam theih angin i sawi ang u.
Hetiang damdawi inzawmkhawm hi eng nge thleng tak tak?
Hei hi damdawi pahnih inzawmkhawm a ni ka ti a. An pahnih hian eng nge thleng tih hi a hranin i lo en ang u.
- Metformin: Hei hian i liver-in sugar a siam zat a tihtlem avangin hna a thawk ber. Tin, i taksa cell te insulin laka sensitivity a tipung bawk. A awlsam zawngin i taksain insulin a neih chu a hman tangkai theih nan a pui thin.
- Linagliptin: Hei hian chaw ei dawna taksain insulin siamchhuahna a tichak a, hei hian hna a thawk a ni.
Heng damdawi pahnih hi an thawh dun chuan i zunthlum control nan a pui thei che a ni. Mahse, he damdawi chauh hi a tawk lo tih hre reng ang che. Hemi bakah hian , ei leh in mumal leh exercise hi a pawimawh hle bawk.
Damdawi ei tan hmaa doctor hnena i hrilh tur thilte
He damdawi hi i hnena i pek hmain i doctor hian i hriselna chanchin kimchang a hriat hmasak a pawimawh hle. Hei hi a chhan chu he damdawi hi damdawi lam dinhmun thenkhat nena kan hman hian kan fimkhur hle a ngai a ni. A hnuaia condition te hi i neih chuan i doctor hnenah hriattir ngei ang che.
| Natna emaw dinhmun emaw | Engvangin nge i hriattir ang? |
|---|---|
| Kidney natna emaw, thin natna emaw | Metformin hi kal (kidney) kaltlangin taksa atangin a paih chhuak thin. Kal a thawk tha lo a nih chuan damdawi hi taksaah a pungkhawm thei a, natna khirh tak (lactic acidosis) a thlen thei a ni. |
| Lung natna emaw, lungphu chak lohna emaw | He damdawi hi thinlung vei thenkhat hnena pek dawnin a bik takin fimkhur a ngai hle. |
| Zu in fo thin | Zu leh Metformin inkawp hian natna hlauhawm tak lactic acidosis an tih chu nasa takin a tipung a ni. |
| Pancreatitis vei tawhna nei tawh | Linagliptin hian pancreatitis vei theihna a nei tlem hle. Tun hmaa hetiang dinhmun hi i lo neih tawh chuan doctor hriattir a pawimawh. |
| Vitamin B12 tlakchhamna emaw thisen tlakchhamna emaw | Hun rei tak chhung metformin hman hian taksain vitamin B12 a lakluhna a ti tlem thei a ni. |
| Naupai emaw, naupai tum emaw, nau hnute pek | He damdawi hi naupai lai leh nau hnute pek lai hian a tha lo. Enkawlna dang a awm bawk. |
| Thil awmdan dang | Diabetic Ketoacidosis, gallbladder natna, triglyceride level sang, natna khirh tak, Polycystic Ovary Syndrome (PCOS), thyroid natna, emaw damdawi emaw ei tur emaw allergy i neih chuan doctor hnenah hrilh rawh. |
Engtin chiah nge he damdawi hi ka hman ang?
- Chaw nen la rawh: Hei hi a pawimawh ber a ni. Metformin hian mi thenkhat tan pum a ti na thei a, a ti na thei bawk. Damdawi ei rual emaw, ei zawh veleh emaw ei hian heng harsatnate hi nasa takin a tiziaawm thei a ni.
- Tui glass khat nen in rawh: Tablet chu tui glass khat nen a pumin ei rawh.
- I doctor thupek zawm rawh: I doctor-in a dose a pek angin, a hun ruatah ei rawh. Nangmah chauhin dose hi tihtlem, tihpun leh tihtawp loh tur a ni.
- Dose i ei theihnghilh chuan: Dose i ei theihnghilh a nih chuan i hriatreng veleh ei nghal tur a ni. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, i dose leh tur chu a hun ruatah ei rawh. Dose pahnih chu a rualin ei ngai suh.
- Overdose: Damdawi i ei tam lutuk nia i hriat chuan Colombo National Hospital-a National Poisons Information Center-ah call nghal la , damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh. Hei hi ngaihthah suh.
A pawimawh ber chu i doctor hnenah damdawi i ei zawng zawng (vitamin, Panadol, Ayurvedic damdawi, herbal products te pawh tel) list kimchang pe la, chutiang chuan harsatna i neih leh neih loh a en thei ang.
Damdawi ei huna hriat reng tur thil
Sugar level enfiah
I doctor chuan thla 3 atanga thla 6 danah thisen test HbA1C tih chu nei turin a ti ang che. Hei hian thla 2-3 kalta chhunga i thisen sugar control zat chu a en ang. Tin, a theih chuan in lama i thisen sugar level enfiah dan zir bawk ang che.
Thisen thlum hniam (Hypoglycemia) .
A chang chuan he damdawi hi i ei hian i thisen sugar level a hniam lutuk thei. Hei hi a lan chhuah dan chu:
- Sudden thawmhnaw a chhuak
- Tremor a ni
- Thil ngaihtuah theih lohna
- Luak chhuak leh riltam lutuk
Heng symptoms te hi i neih chuan thil thlum (sugar cube, glucose tablet emaw, in tur thlum emaw) ei nghal rawh . Chuvangin sugar cube ang chi thil hi i bulah dah fo ang che. I hriatna i hloh chuan i chhungte hnenah i ka chhungah engmah dah lo turin hrilh rawh. Hetiang a nih chuan damdawi in pan nghal tur a ni.
Surgery leh scan te pawh a awm bawk
Surgery emaw, CT scan emaw, MRI scan emaw i neih chuan he damdawi hi i ei tih medical team hnenah hrilh lawk rawh . Test hma ni engemaw zat hnuah damdawi ei kha i chawlhsan a ngai mai thei.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin he damdawi hian side effect a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. A pawimawh ber chu side effect na tak chhinchhiahna hriatchhuah a, hmalak vat hi a ni.
| Side effect a awm thei | Engtin nge tih ang? |
|---|---|
| Damdawi lam pan vat ngai natna khirh tak tak | |
| Allergic Reaction: Vun vun rawng, hnim hring, hmai, hmui, lei, thawk harsa. | Damdawi inah Emergency Treatment Unit (ETU)-ah kal nghal la, enkawl vat rawh. |
| Lactic Acidosis: (a tlem hle a, mahse hlauhawm tak a ni) - taksa ruh na, pum na, thawk harsa, hah lutuk, general lethargy. | Hengte hi Metformin side effect na ber berte an ni. ER ah kal nghal rawh. |
| Pancreatitis: Pum natna nasa tak (a bik takin hnungzang thlenga radiating), ei zawh hnua na zual, luak chhuak, khawsik. | Doctor hmu nghal emaw ETU-ah emaw kal nghal rawh. |
| Heart Failure Symptoms: Thâwk harsa, ke ruh leh ke hring, rang taka taksa rihna sang, hah lutuk. | Doctor hmu nghal rawh. |
| A tlangpuiin natna khirh lo tak tak, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Kawthalo | A tir lamah chuan a lo kal a, a kal fo bawk. A awm reng emaw, a nasat emaw chuan doctor hnenah hrilh rawh. |
| Khawsik ang chi natna (hnar luang, rilru na) . | Chungte chu a buaithlak emaw, a awm reng emaw a nih chuan i doctor nen inbia ang che. |
Take-Home Thuchah a ni
- He damdawi hi engtik lai pawhinChaw ei rual emaw, ei zawhah emaw ei rawh. Hei hian pumpui natna nasa takin a tihziaawm ang.
- Doctor thurawn tel lo chuan damdawi ei kha bansan suh la, a dose pawh thlak suh.
- Damdawi dang i ei zawng zawng (vitamin leh Ayurvedic damdawi te pawh tel) i doctor hnenah hrilh rawh.
- Thisen sugar tlahniam (hypoglycemia) (thaw hah, khur, luak chhuak ) natna lan chhuah dan hre reng ang che. Chutiang dinhmun a lo thlen chuan ei tur tui tak chu i bulah dah la.
- I rilru natna nasa tak emaw thawk harsa emaw ang chi symptom na tak tak i neih chuan damdawi inah kal nghal rawh.
- A hun takah doctor hmu la, i zunthlum control theih nan HbA1C ang chi test neih tir rawh.
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