A châng chuan chaw kim i ei hnuah darkar hnih emaw, darkar thum emaw chhungin i chak lo va, i chau a, i lu a ti na nghâl em? Mi thenkhat chu an thawk hah a, an kut leh ke a nghing bawk. Mi tam tak chuan hei hi thil pangngaiah an ngai. Mahse hei hi ei zawh hnua thisen sugar level tlahniam avanga lo awm a ni thei. Damdawi lamah chuan hei hi Reactive Hypoglycemia kan ti a. Vawiin hian he thu hi han sawi mai ila.
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A hmasa berah chuan hypoglycemia hi eng nge ni?
A awlsam zawngin, hypoglycemia chu i thisen sugar , a nih loh leh glucose , level chu a pangngai aia a hniam chuan a ni. Kan taksa sugar level hi nilengin eng emaw chen a sang leh tlahniam thin. Chu chu thil pangngai a ni. Mahse a hniam lutuk chuan harsatna a lo ni ta chauh a ni.
Hetiang dinhmun hi zunthlum vei zingah a tam ber a, mahse, tu pawhah hian chi hnih a awm thei a:
1. Fasting Hypoglycemia: Hei hi a tlangpuiin damdawi lam thil dang hnuaia awm vang a ni. Hemiah hian ei loh hunah thisen sugar level a tlahniam thin.
2. Reactive Hypoglycemia: Hei hi tunlaia kan sawi tak chi a ni a, mi tam zawkin an neih chi a ni. Chaw ei hnuah a thleng thin . Chuvang chuan (postprandial hypoglycemia ) an ti \hin. Chu chu “ei zawh hnua thisen sugar hniam” tihna a ni.
Reactive Hypoglycemia natna lan chhuahna chu engte nge ni?
Heng symptoms te hi chaw ei atanga darkar 4 chhungin a lang tlangpui. Chûngte chu i hriat chian em tih en rawh. Heng symptoms zinga pakhat emaw a aia tam emaw chu a rualin i tawng thei bawk.
| Symptom a ni | Engtin nge a lo awm tih |
|---|---|
| Chauh/chauh lutuk | Nunna hloh anga inhriatna rang tak. |
| A khur leh thawk hah | Ke leh ke ruh thawm, khaw lum avanga thawk ang maia thawk hah. |
| Luak chhuak leh muhil | Luak chhuak, hriatna hloh mai thei ang maia inhriatna. |
| Restlessness leh thinrimna | Hlauhna leh thinrim awlsam taka awm. |
| Lung na tak tak | Thinlung chu a thawk chak em em a, nangmah ngei pawhin i hre thei. |
| Riltam lutuk | Chaw ei hnu rei vak lovah riltam lehzual. |
| Thil dang pawh a awm | Mit hmuh fiah lo, lu na, ngaihtuahna fim thei lo, mut theih lohna. |
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
Hei hi a chhan chu a chiang lo fo a, mahse a tam zawk chu i taksain chaw tam tak ei hnuah insulin tih hormone a siam tam zawk a, chutah chuan carbohydrates tam tak a awm a ni
Vawi khatah buhfai, chhang, noodles, leh thil thlum tak tak i ei tam hle ang tih han ngaihtuah teh. Tichuan kan pancreas hian he sugar hi control turin insulin a siam chhuak ta a ni . Mahse mi thenkhat taksaah chuan chaw chu a hmin hnuah pawh he insulin hi a siam chhunzawm zel a ni. Tichuan a tul aia tam insulin chu thisenah a pungkhawm a, chu chuan thisen sugar level a ti tlahniam nghal a ni. Chu chu heng symptoms awm chhan a ni.
A awlsam zawngin hetianga thil thleng hi taksain sugar control a tumna hi tlem a "dik lo" a, a overreact a ni.
Chu bâkah, chhan dang pawh a awm thei bawk:
- Tumor chi hrang hrang.
- Zu in (a bik takin ei tur tel lo).
- Surgery thenkhat. Entirnan, gastric bypass surgery emaw, ulcers surgery emaw.
- Metabolic natna thenkhat.
- Mi thau lutuk te hian he natna hi an nei tam zawk.
Engtin nge hetiang hi a nih leh nih loh i hriat theih ang?
Heng symptoms te hi i nei mai thei nia i ngaih chuan a tha ber chu i doctor pan hi a ni . I natna lan chhuah dan te, i damdawi lam chanchin te, leh i chhungte zingah zunthlum vei an awm leh awm loh te a zawt ang che.
Doctor chuan natna hriat theih nan a hnuaia mi ang chi test hi a ti thei ang:
- Blood sugar test: I thisen sugar level chu symptoms i neih hunah i check thei a, i symptoms a bo hnua i level i lak nen i khaikhin thei bawk.
- Mixed-Meal Tolerance Test (MMTT): He test-ah hian i thisen sugar level tisang thei tur special drink (sugar tamna) pek i ni. Tichuan, i thisen chu darkar 5 chhungin vawi tam tak sample an la a, i sugar level an enfiah thin. Hei hian i sugar level a tlahniam lo em tih hriat nan a pui thei a ni.
Enkawlna leh nunphung inthlak danglamna
Enkawl dan tur chu i natna thlentuah a innghat a ni.
Damdawi lam enkawlna
Zunthlum vei tan chuan thisen sugar level 70 mg/dL aia hniam a nih chuan hypoglycemia state a ni. Chutih hunah chuan carbohydrates gram 15 (e.g., glucose thenkhat, thei tui thenkhat) ei la, minute 15 hnuah i thisen sugar i check leh tur a ni. Mahse heng thilte hi damdawi lam thurawn chauhvin tih tur a ni .
Reactive Hypoglycemia vei tam zawk chuan damdawi bik an mamawh lo. Mahse, a chhan chu tumor emaw, natna dang emaw a nih chuan doctor chuan a tul anga enkawlna (surgery emaw damdawi dang emaw) a pe ang.
In lama i tih theih thilte
Mi tam tak chuan damdawi lam enkawlna an mamawh lo a, mahse nunphung leh ei leh in lama inthlak danglamna siamin an dinhmun hi uluk takin an enkawl thei a ni.
I tih theih tur thenkhat chu hetiang hi a ni:
- Darkar 3 danah chaw tlemte emaw snack emaw ei thin ang che. Ni khata chaw lian 3 ei ai chuan chaw tenau 5 emaw 6 emaw ei hian thisen sugar level a ti nghet thei a ni.
- Ei leh in inthlau tak thlang rawh. I ei tur ah protein (nga, sa, artui, chickpeas, lentils), thei leh thlai, bawnghnute atanga siam, leh whole grains te dah tel bawk ang che.
- Sugar leh refined carbohydrates tamna ei tur i ei tlem thin ang che. Hei hian chhang var, cake, biscuit, sugary drinks, leh tea thlum tak tak te a huam a ni. Hengte hian thisen sugar a ti sang thei a, chutah chuan a tlahniam thei bawk.
- Zu i in a nih chuan pum ruak chunga in loh tur a ni.Chaw ei rualin zu in fo thin ang che.
- Exercise neih fo thin ang che. Nitin exercise awlsam tak tak pawh hian i taksain sugar a hman tangkai theih nan a pui thei a ni.
Take-Home Thuchah a ni
- Reactive Hypoglycemia symptoms te chu chaw ei zawha hah, luak chhuak, leh khur te a ni. Chûngte chu ngaihthah suh .
- A chhan ber chu carbohydrate tamna chaw ei hnuah taksain insulin a siam tam zawk vang a ni.
- Heng symptoms te hi i tawn fo chuan ngaihtuah mai mai suh la, i doctor hnenah thurawn dil ngei ang che.
- He dinhmun hi a tam zawkah chuan chaw tlemte, chaw ei tam te, ei leh in inthlau (protein, thlai leh thei te pawh tel) neih te, leh sugar tamna ei tur tihtlem te hian a thunun theih a ni .
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