I doctor-in Type 2 Diabetes Mellitus i vei thu a hrilh che chuan damdawi pahnih Pioglitazone leh Metformin te inzawmkhawm pill an pe thei che a ni. He damdawi ei lai hian tlem a hlauthawng leh zawhna tam tak neih hi thil pangngai a ni. "Hei hian eng nge a tih tak tak ang?", "Eng nge ka ngaihtuah tur?", "A side effects hi a hlauhawm em?" Lungngai suh. Vawiin hian he damdawi chungchanga i zawhna zawng zawng kan chhang mai ang.
He damdawi hi eng nge thleng tak tak?
A awlsam zawngin, hei hi i thisen sugar, a nih loh leh glucose level control thei damdawi a ni. Damdawi pahnih inzawmkhawm a ni.
1. Pioglitazone: Hei hian i taksaa insulin hormone hnathawh thatna tura puiin hna a thawk a ni. Chu chu i taksa cell ten thisen atanga sugar an lakluh awlsam zawk nan a pui tihna a ni.
2. Metformin: Hei hian thisen sugar hi kawng hnih in a control ber a ni. Pakhat chu i liver-in sugar thar a siam chhuah tihtlem a ni a, pakhat zawk chu i ei tur atanga sugar lakluh dan control-na a ni.
He damdawi hi ei leh in tha leh exercise tha tak nen pek thin a ni tlangpui . Damdawi ringawt pawh a tawk lova, nunphung inthlak danglamna nena inkawp a ei a tha ber. Sri Lanka-ah chuan he damdawi hi brand hming `Actoplus Met XR` tih hnuaiah hmuh tur a awm.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i doctor-in i medical history kimchang a hriat hmasak a pawimawh hle. A hnuaia tarlan te hi i neih chuan doctor hnenah hrilh ngei ang che.
| Condition emaw habit emaw | Engvangin nge doctor hnenah i hriattir ang? |
|---|---|
| Lung natna emaw, thinlung tha lo emaw | Pioglitazone hian taksaa tui awm zat a tipung thei a, thinlung hnathawh chak lote tan a hlauhawm hle. |
| Kidney emaw liver emaw natna | Heng damdawi te hi kal leh thin kaltlangin taksa atanga paih chhuah a ni a, chuvangin an thatna a chhiat chuanDosage pawh thlak danglam a ngai a ni. |
| Zu in fo thin | Zu leh Metformin inkawp hian natna hlauhawm tak lactic acidosis an tih chu a tipung a ni. |
| Naupai emaw, naupai tum emaw, nau hnute pek | He damdawi hi naupai lai hian a tha lo. Ovulation a tichak thei bawk a, chuvangin fa neih i tum loh chuan i doctor nen birth control chungchang sawipui rawh. |
| Mit lama harsatna, bladder cancer history, thisen tlakchhamna, polycystic ovary syndrome nei te | Heng natnate hi damdawi hman tangkai dan emaw, a nghawng tha lo emaw a nghawng theih avangin doctor hriattir a pawimawh hle. |
| Damdawi dang, ei leh in emaw thil dang emaw allergy nei | Hei hi he damdawi emaw a thil tel emaw hi allergy i neih leh neih loh hriat a pawimawh hle. |
Engtin nge damdawi hi ka hman ang?
Doctor-in a sawi angin a hun takah dose dik tak ei a pawimawh hle.
- Chaw ei rualin ei: He damdawi hi chaw ei rualin ei fo ang che. Ni khata chaw ei ber nen ei tur a ni tlangpui.
- Tablet chu a pumin ei rawh: Tablet chu a pumin tui glass khatah ei rawh. Tablet chu gum angin tichhia ngai suh, tikehsawm ngai suh, chew ngai suh. Hei hi Extended Release (XR) tablet a ni. Chumi awmzia chu nilengin damdawi chu zawi zawiin a chhuak thei tura duan a ni tihna a ni. I tihchhiat chuan chu kalphung chu a buai a, damdawi chu vawi khatah taksaah a chhuak vek thei a, chu chuan side effect a thlen thei a ni.
- A hun takah ei rawh: Nitin i damdawi ei hun inangah ei thin ang che.
- Dose i miss a nih chuan: Dose i ei theihnghilh chuan i hriatreng veleh 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.
- Damdawi i ei tam lutuk chuan: Damdawi i ei tam lutuk nia i hriat chuan ei kha bansan nghal rawh.Colombo National Hospital-a National Poison Information Center-ah biak la, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal rawh.
A châng chuan tablet coating chu a dissolve lo thei a, i stool nen a pass out thei bawk. Hei hi thil pangngai a nih avangin lungngai suh. Damdawi damdawi lam chu i taksaah a lut tawh a ni.
Damdawi ka ei dawna ka hriat tur dang
Damdawi lam enfiah fo thin
I doctor chuan a check reng ang che. A bik takin thla 2-3 danah thisen test HbA1c an ti ang a, i thisen sugar chu engtiang chiahin nge control a nih tih an enfiah ang. I liver leh kidney hnathawh dan enfiah nan test an ti thei bawk.
I thisen sugar level kha fimkhur rawh.
In lama thisen sugar level test dan zir rawh. Tin, thisen thlum hniam (Hypoglycemia) leh thisen thlum sang (Hyperglycemia) natna lan chhuahna te pawh fimkhur hle ang che.
- Thisen sugar tlahniam chhinchhiahna: thawk hah, khur, riltam lutuk, buai, leh muhil.
- Thisen sugar sang chhinchhiahna: tuihal lutuk, zun tam, mit hmuh fiah lo, hah.
I thisen sugar a tlahniam palh hlauh chuan i ei rang thei tur thil (glucose tablet, sugar cube, toffee) i bulah dah fo ang che.
Surgery leh scan te pawh a awm bawk
Surgery, MRI emaw CT scan emaw i neih dawn 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.
Damdawi dang
He damdawi hian damdawi dang tam tak nen a inzawm thei a, a bik takin scan hmaa hman thin contrast fluid thenkhat, thinlung damdawi thenkhat, hormonal pill (birth control pill telin), antibiotics leh painkiller thenkhat te nen a inzawm thei a ni.
I himna atan chuan damdawi, vitamin leh herbal remedy i ei apiang i doctor hnena hrilh hi a pawimawh hle. List kimchang pe rawh.
Eng side effect nge ka neih theih ang?
Damdawi dang ang bawkin hei hian side effect a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. Hemi chungchang hi a hnuaia table atang hian i hre belh thei ang.
| Heng symptoms te hi i neih chuan doctor hnenah hrilh nghal la, damdawi in pan rawh. | |
|---|---|
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Lung chak lohna chhinchhiahna | Thâwk harsa, ke ruh, ke emaw kut emaw a hring, rang taka taksa rihna sang, hah lutuk. |
| Lactic Acidosis natna a ni | Hei hi thil awm lo mahse hlauhawm tak a ni. Muscle twitching emaw na emaw, pum na, thawk harsa, hah lutuk. |
| Liver hliam chhinchhiahna | Pum dinglam chunglam na, chaw ei chak lohna, luak chhuak, vun emaw mit emaw a sen, zun dum/brown. |
| Symptom na tak dang a awm bawk | Mit a inthlak (blurring, light vel ring hmuh), zun sen emaw, dum emaw, zun laiin na. |
| Heng symptoms te hi a awm reng emaw, a buaithlak emaw a nih chuan doctor hnenah hrilh rawh. | |
| Side effect awm fo thin | Diarrhea, lu na, luak chhuak, hnar luang emaw, hnar khar emaw. |
Take-Home Thuchah a ni
- Doctor zawt lovin he damdawi hi hman tawh loh tur a ni.
- Damdawi hi chaw ei rualin ei fo ang che. Tablet chu a pumin ei la, tichhia suh.
- I doctor hnenah damdawi dang, vitamin leh herb i ei zawng zawng list kimchang pe rawh.
- Thisen sugar hniam (hypoglycemia) symptoms hriat chian la, emergency a awm chuan sugar awmna thil chu i bulah dah la.
- I rilru natna, thawk harsa, pum na nasa tak ang chi side effect na tak i neih chuan doctor pan nghal rawh.
- I hriselna atan a hun taka doctor hmu a, a tul anga test neih a pawimawh hle.
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