A chang chuan riltam tlem kan neih hi thil pangngai tak a ni. Exercise nasa taka i tih ni, a nih loh leh hnathawhna hmuna ni rei tak i thawh hnua i chau lai kha han ngaihtuah teh... Chutih lai chuan, i riltam deuh a nih hmel. Mahse, i riltam em em bawk a, i ei khap thei lo va, eng ang pawhin ei mah la, ei tam lehzual i duh em? Hei hi riltam mai a ni lo. Damdawi lamah chuan hei hi Polyphagia emaw Hyperphagia emaw kan ti thin.
A awlsam zawngin sawi ila, hei hi natna a ni lo va, natna lanchhuahna a ni. He riltam lutuk hi chhan thup a awm mai thei. Thil danglam bik chu, chutiang hunah chuan chaw pangngai ei hian riltam a siam lo. Amaherawhchu, thisen sugar level a hniam laia riltam (Hypoglycemia) hi thil thlum i ei hian a tlahniam tlangpui. Hetiang Polyphagia dinhmun nen hian a chang chuan taksa rihna a sang thei a, a chang chuan taksa rihna pawh sawifiah theih lohvin a tlahniam thei bawk . Hei hi a thlentu damdawi lam dinhmun (underlying medical condition)-ah a innghat a ni.
Engvangin nge chutiang khawpa riltamna nasa tak chu a awm?
He natna polyphagia an tih hi a chhan ber leh a tam ber chu zunthlum hmuhchhuah loh emaw, control tha lo emaw (Diabetes Mellitus) a ni. Thuk takin sawi ila. Hei bakah hian a chhan dang engemaw zat a awm bawk.
Zunthlum leh riltam lutuk inzawmna
Diabetes hi kan taksain hormone insulin a siam tling lo emaw, a siam chhuah insulin a hmang tangkai thei lo emaw a ni. Insulin hi kan taksa chhunga cell awmte kawngkhar hawnsaktu chabi angin ngaihtuah teh. Kan ei leh in atanga kan hmuh glucose an tih sugar chu chakna angin cell-ah a luh theih nan he key insulin an tih hi kawngkhar hawn nan kan hmang a ngai a ni.
Insulin a awm loh emaw, a thawh that loh emaw chuan glucose hi cell chhungah a lut thei lo. Tichuan thisenah a pung khawm a, thisen sugar level (Hyperglycemia) a sang chho ta a ni. Cell te hian chakna an neih loh avangin thluak hian, "Energy ka nei tlem a, ei tur tam zawk ka mamawh" tih signal a dawng thin. Chuvangin zunthlum vei chuan riltamna nasa tak a nei thin.
Zunthlum hi chi thum a awm a, chungte chu:
- Type 1 Diabetes: Hei hi autoimmune natna a ni. Heta thil thleng hi kan taksa ngeia immune system hian pancreas chhunga insulin siamtu cells te chu a bei a, a tichhia a ni. Chuvangin, insulin siam chhuah a ni lo tak zet a ni. Cell-te hian chakna an neih loh avangin taksain chakna a neih theih nan thau leh thau a hal nghal a. Hei hian riltam nasa tak a thlen a, taksa rihna a tlahniam nghal vat bawk.
- Type 2 Diabetes: Hei hi a tam ber a ni. Taksain insulin a siam chhuah tlem emaw, a siam chhuah insulin (insulin resistance) cell-te’n a chhanna tha lo emaw a awm thin. Polyphagia hi type 1 diabetes angin a na lo thei.
- Gestational Diabetes: Naupai lai hian nausen atanga hormone chhuak hian taksaah insulin resistance a tipung a. Hei hian nu thenkhatte chu hun eng emaw chen chu zunthlum an vei tir thei a ni.
Zunthlum natna lanchhuahna lian ber pathum a awm a. Doctor-te chuan hengte hi "3Ps of diabetes" tiin an sawi. Hengte hi hriat reng a pawimawh hle.
| "P" tih hawrawp. | A lan chhuah dan (Sinhala tawngin) . | Damdawi lam hming (Mizo) . |
|---|---|---|
| 1. Thil ei tam (polyphagia) a awm | Riltam lutuk | Hunger nasa lutuk |
| 2. Polydipsia (Polydipsia) a awm thin | Tuihâl lutuk | Tuihalna nasa lutuk |
| 3. Polyuria (Polyuria) a awm thin | Zun chhuah fo thin | Zun chhuah fo thin |
Heng symptom pathumte hi i neih vek a nih chuan, a bik takin i taksa rihna tlahniam nen chuan a rang thei ang bera doctor pan rawh. Hei hi emergency a ni thei.
Hormone nena inzawm natna dang
Zunthlum bakah hian hormone kaihhnawih natna dangin polyphagia a thlen thei bawk.
- Hyperthyroidism: Hetiang dinhmunah hian thyroid gland hian thyroid hormone a siam tam lutuk a. Heng hormone te hian kan taksa metabolism an control a, chu chu chakna kan halna rate a ni. Hormone a pun chuan taksa engine a tlan chak zawk a, calorie halna rate pawh nasa takin a pung bawk. Hei hian riltam fo leh taksa rihna tlahniam a thlen thei a ni.
- Thlasik hmaa natna (PMS):Hetiang dinhmun hi hmeichhe period tan hma kar khat emaw kar hnih emaw vel a awm thei a ni. Taksaa estrogen leh progesterone hormone level inthlak danglam leh neurotransmitter serotonin tlahniam hian he hun chhung hian riltam lutuk a thlen thei a ni.
- Insulinoma: Hei hi tumor chi khat a ni lo hle. Pancreas-a insulin siamtu cell-ah a lo thang lian a ni. He tumor hian insulin a tichhuak nasa lutuk a, chu chuan thisen sugar level a ti hniam hle (hypoglycemia). Chumi chhinchhiahna ber pakhat chu riltam lutuk hi a ni.
Rilru hriselna dinhmun
Polyphagia hi rilru lam thil engemaw zat avanga lo awm thei a ni bawk.
- Atypical Depression: Hei hi depression chi khat a ni a, typical depression angin ei duhna hloh ai chuan ei duh lutuk leh taksa rihna tihpunna a ni.
- Stress: Kan stress hian kan taksa hian cortisol tih hormone a siam tam zawk thin. He hormone hian thisen sugar level a tisang thei a, riltam a thlen thei bawk.
- Lungkhamna: Lungkhamna hian cortisol level a tisang thei bawk a, chu chuan riltamna a tipung thei bawk. A châng chuan hei hi rilru lam chhân lêtna a ni. Lungngaihna emaw, lungkhamna emaw ang chi rilru put hmang i hmachhawn theih loh chuan ei leh in hi i hmachhawn theihna mechanism a lo ni thei a ni.
Hei hi enkawl turin eng nge tih theih ang?
Polyphagia hi a chhan bulpui (underlying condition) hriatchhuah leh enkawl hmanga enkawl a ni. A chhan enkawl a nih veleh he riltam lutuk hi a bo tlangpui.
Entir nan:
- Type 1 diabetes hi dam chhung zawng insulin injection a ngai a ni .
- Hyperthyroidism hi damdawi ei a ngai thei a, radioactive iodine hmanga enkawl a ngai thei a, a nih loh leh operation a ngai thei bawk .
- Hetiang dinhmun hi damdawi engemaw avanga lo awm a nih chuan i doctor chuan damdawi thlak emaw, a hman dan tur siam danglam emaw a rel ang.
A pawimawh ber chu mahni inenkawl tum ai chuan, dik taka hriat theihna turin doctor pan ngei ngei tur a ni.
Engtikah nge doctor i hmuh ngei ang?
Polyphagia hi damdawi lam harsatna avanga damdawi lam pan ngai chhinchhiahna a ni tlangpui a, chuvangin riltamna, thunun theih loh i neih chuan doctor pan a, thurawn lak a tha ber.
A bik takin ngaihven rawh!
Nangmah emaw i fa emaw hian riltam lutuk (polyphagia), tuihal lutuk (polydipsia), zun tam lutuk (polyuria), leh taksa rihna tlahniam chak lutuk ang chi natna lan chhuahna i neih chuan,Hospital emergency department (ETU) hnai ber pan nghal rawh. Hengte hi enkawl loh type 1 diabetes chhinchhiahna a ni thei. Enkawl vat loh chuan nunna atana hlauhawm complication diabetic ketoacidosis (DKA) tih a thlen thei a ni.
Chaw ei hnu pawha riltamna reh lo chu ngaihthah tur a ni lo. I emaw, i fate emaw ei duhna a danglam nghal tih i hriat chuan hlauthawng suh la, doctor pan rawh. Test tul tak tak a run thei ang a, a chhan dik tak a hmu thei ang.
Take-Home Thuchah a ni
- Polyphagia hi riltam pangngai mai a ni lo. Thunun theih loh, thil pangngai lo, riltam lutuk a ni.
- Hei hi damdawi lam dinhmun, a bik takin zunthlum chhinchhiahna a ni fo thin.
- riltam lutuk, tuihal lutuk, zun tam lutuk ("3 Ps") te hi zunthlum vei vaukhânna chhinchhiahna ber a ni.
- Heng symptoms te hi taksa rihna tlahniam nen a awm chuan emergency a ni thei a, chuvangin doctor pan nghal emaw damdawi in Emergency Treatment Unit (ETU)-ah emaw kal nghal rawh.
- Hetiang symptoms hi ngaihthah suh. Diagnose leh enkawl dik chuan harsatna lian tham a veng thei a ni.











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