I doctor chuan i zunthlum control nan damdawi thar a pe em? Hming pahnih a nei tih i hmuh hnuah eng nge a nih i ngaihtuah tawh mai thei. Lungngai suh. Vawiin hian he pill hi kan sawi dawn a, damdawi pahnih Pioglitazone leh Glimepiride tih te inzawmkhawm a ni. Type 2 Diabetes vei te tan pek thin a ni. A atanga Z thlengin awlsam takin i hrethiam ang u, kan thianpa hnenah kan sawi ang maiin.
He damdawi hi eng nge thleng tak tak?
A awlsam zawngin, he damdawi hian i thisena sugar, a nih loh leh glucose level tihhniam leh control-na hmangin hna a thawk a ni. Hemiah hian damdawi chi hnih a awm avangin kawng hrang hrang pahnihin hna an thawk a ni.
1. Glimepiride: He damdawi hian i pancreas chu "boost" tlem a pe a, i taksa mamawh insulin hormone tlem tal a siam chhuah theih nan a pui bawk.
2. Pioglitazone: He damdawi hian i taksa cell ten insulin an siam chhuah chu tha zawka an hman theih nan a pui a ni. Chu chu cell-te insulin laka an sensitivity a tipung tihna a ni.
Mahse hei hi hre reng ang che: Hei hi magic a ni lo. He damdawi hi i ei lai hian i ei leh in leh exercise regimen i zawm chhunzawm zel tur a ni . Damdawi leh nunphung hrisel tak a kal dun chuan rah tha ber a chhuak thin.
Damdawi ei hmaa doctor hnena i hrilh tur thilte
He damdawi hi i ei tan hmain i doctor hnenah i hriselna chanchin kimchang i hrilh hmasak phawt a pawimawh hle. A hnuaia natna te hi i neih chuan doctor hnenah hrilh ngei ang che:
- Tuna damdawi lam dinhmun:
- Lung natna i neih emaw, thinlung chak lo emaw i neih chuan
- Kal natna
- Liver natna
- Bladder cancer history i neih chuan
- Diabetic ketoacidosis i vei tawh a nih chuan, zunthlum vanga natna khirh tak a ni
- Enzyme tlakchhamna G6PD tlakchhamna (Glucose-6-phosphate dehydrogenase tlakchhamna) i neih chuan .
- Thyroid lama harsatna (Thyroid natna) .
- I taksa, kut leh kea natna i neih chuan
- Infection na tak emaw, hliam emaw i neih chuan
- Allergy nei te chu:
- Pioglitazone, Glimepiride emaw sulfa damdawi dang emaw allergy i neih chuan
- Damdawi dang, ei tur dang emaw, preservative dang emaw allergy i neih chuan
- Thu bik dangte chu:
- Naupai emaw, nau pai tum emaw i nih chuan
- Nu hnute pe lai i nih chuan
Engtin chiah nge he damdawi hi i hman?
Damdawi pakhat atanga hlawkna tam ber hmuh tur chuan dik taka hman a ngai a ni.
- He pill hi tui glass khat nen ei la.
- Nitin hun inang deuhah i damdawi ei thin kha tih danah siam rawh.
- A pawimawh ber: He damdawi hi ei rual emaw, ei zawh veleh emaw ei nghal rawh . Pum ruak ah ei loh tur. Chutianga i tih chuan i thisen sugar level a tlahniam lutuk (hypoglycemia). Doctor-te chuan chawhmeh ei rualin ei turin an rawt tlangpui.
- I doctor-in chawlhsan tura a tih hma loh chuan damdawi hi ei chhunzawm zel ang che.
- Overdose: Overdose i ei nia i hriat chuan Colombo National Hospital-a National Poisons Information Center -ah call nghal la, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal nghal rawh.
- Dose i miss a nih chuan: I hriatreng veleh missed dose chu ei nghal rawh. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, a hnuaia dose chu a hun ruatah ei rawh. Dose pahnih chu a rualin ei ngai suh.
He damdawi nena inzawm thei thil dang
Damdawi dang, vitamin leh herbal remedies i ei mai thei te hian he damdawi hi a inzawm thei a ni. Chuvang chuan i ei tur zawng zawng hi doctor hnenah hrilh vek a pawimawh hle. A hnuaia tarlan te hi entirnan tlemte chauh a ni.
| Damdawi/thil chi hrang hrang | Entirna leh note te |
|---|---|
| Painkiller leh anti-inflammatory damdawi te a awm bawk | NSAID damdawi Aspirin, Ibuprofen, leh Naproxen te hi a ni. |
| Antibiotics leh antifungals te a awm bawk | Chloramphenicol, Clarithromycin, Ketoconazole, Miconazole, Rifampin te a awm bawk. |
| Thisen sang tan damdawi | Beta-blockers te chu Metoprolol, Propranolol, Nifedipine te an ni. |
| Hormone chi hrang hrang | Hmeichhe hormone (Estrogens), naupai venna damdawi, thyroid hormone, leh steroid Prednisone ang chi te. |
| Zunthlum damdawi dang | Diabetes damdawi dang i ei apiang. |
| Thildang | Gemfibrozil, Cholesterol tihhniamtu Atorvastatin, thisen zam vengtu Warfarin, Tuberculosis enkawlna atana hman Isoniazid, Zu in te. |
Hei hi list kimchang a ni lo va, chuvangin i doctor hnenah damdawi, vitamin leh herbal product i ei zawng zawngte hrilh rawh.
Damdawi ei huna hriat reng tur thil
- Regular check-up: Date pangngaiah doctor tlawh la, i dinhmun enfiah rawh. Tin, i thin (liver) hnathawh dan enfiah nan thisen test i neih a ngai mai thei bawk.
- HbA1C test: Hei hian thla 2-3 kalta chhunga i thisen sugar control zat average a test thin. I doctor chuan thla 3-6 danah he test hi neih tir turin a rawt mai thei.
- Thisen thlum zat tehna: In lama i thisen sugar level teh dan zir rawh. Thisen thlum hniam (hypoglycemia) leh thisen sugar sang (hyperglycemia) chhinchhiahna leh enkawl dan tur hriat.
- Thisen thlum i neih chuan: Sugar tlem tal i bulah dah fo ang che. Entirnan, glucose tablet, sugar cube, candy chi khat, jelly bean chi khat. Thisen thlum hniam chhinchhiahna na tak (e.g. seizures, hriatna hloh) i neih chuan i chhungte hnenah ei leh in pek che a hlauhawm tih hrilh rawh. Chutiang hunah chuan damdawi in pan nghal tur a ni.
- Chaw ei khap suh: He damdawi hi i ei a nih chuan i chaw ei ber chu a hun takah ei a pawimawh hle.
- Naupai: He damdawi hian hmeichhia thlasik hun mumal lo nei te tan ovulation chance a tipung thei a ni. Chuvangin, he damdawi hi i ei lai hian naupai venna hmanraw tha tak hman chungchang hi i doctor nen inbia ang che. Naupai i nih i rin chuan i doctor hnenah hrilh nghal rawh.
- Ni sensitivity: He damdawi hian i vun chu ni lakah tlem a ti sensitive thei a ni. Chuvang chuan ni chhuahnaah i awm dawn a nih chuan i taksa khuh thei thawmhnaw ha la, sunscreen hmang bawk ang che.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin he damdawi hian side effect a nei thei a ni. Mi zawng zawngin an hmu vek lo. Eng nge an nih i en ang u.
| Side effect na tak tak, damdawi lam pan vat ngai | |
|---|---|
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Lung natna lan chhuah dan | Thâwk harsa, ke ruh, ke emaw kut emaw a hring, rang taka taksa rihna sang, hah lutuk. |
| Liver hliam chhinchhiahna | Pum dinglam chunglam natna, chaw ei chak lohna, luak chhuak, bawlhhlawh rawng hring, zun dum emaw sen emaw, vun emaw mit emaw a sen. |
| Hypoglycemia (thisen sugar tlahniam) . | Khuh, thawk hah, lungkham lutuk, vun lum, luak chhuak, thinlung na chak tak, leh buaina. |
| Vision a danglam thin | Mit hmuh fiah lo, light chhehvel ring hmuh, mit hmuh loh. |
| Zun inthlak danglamna | Zun sen emaw dum dum emaw, zun laiin natna, zun tam. |
| A tlangpuiin ngaihtuahawm tur a awm lo (mahse a awm reng chuan doctor hnenah hrilh rawh) | |
| Disorder awm fo thin | Lu na, luak chhuak, luak chhuak, ril na, hnar luang, taksa ruh na. |
Take-Home Thuchah a ni
- He damdawi hi chaw ei rualin a hun ruatah ei fo thin ang che . Pum ruak ah ei ngai suh.
- Chaw ei hi skip suh. Chutianga tih chuan thisen sugar level hlauhawm takin a tlahniam thei a ni.
- Thisen thlum hniam (hypoglycemia) natna lan chhuah dan fimkhur hle ang che. Sugar (glucose tablets, candy chi khat) awmna thil chu i bulah dah fo ang che .
- Damdawi dang zawng zawng, vitamin leh herbal remedies i ei zawng zawngte chu i doctor hnenah hrilh rawh.
- Doctor thurawn tel lova damdawi ei khap emaw, a dose thlak emaw loh tur a ni.
- I rilru natna, thawk harsa, hriatna hloh te ang chi symptom na tak tak i neih chuan damdawi in Emergency Department (ETU) pan nghal rawh.
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