I doctor chuan type 2 diabetes tan sitagliptin leh metformin inkawp a pe che em? Kan ramah chuan he damdawi hi Janumet tih brand name hnuaiah a awm a. Diabetes hi uluk taka enkawl ngai a nih avangin i damdawi ei tur chungchangah hriatthiamna tha tak i neih a pawimawh hle. Chuvangin vawiinah hian he damdawi hi tawi te tein i taksa a tihchhiat dan te, i hman laia i fimkhur tur thil te hi han sawi ila.
He damdawi hi eng nge thleng tak tak?
A awlsam zawngin, he pill-a damdawi pahnih hian i thisen sugar level (blood glucose) chu kawng hnih in a control thei a ni.
1. Sitagliptin: Hei hian i ei zawhah i taksain hormone insulin an tih natural production a tipung thei a ni. Insulin hi thisen a sugar awm chu taksa cell-ah a lut a, chakna atan a hman theih nan a pui a ni.
2. Metformin: Hei hian i liver-in a tul lo taka sugar a siam chhuah tihtlem nan hna a thawk ber. Tin, i taksa cell te insulin laka sensitivity a tipung bawk. Hei hian insulin i neih chu a tha thei ang bera i hman theih nan a pui tihna a ni.
A pawimawh ber chu he damdawi ei ringawt hian a tawk lo. Tin , ei leh in tha tak i zawm a ngai a , exercise i tih fo a ngai bawk . Chumi hnuah chauh chuan result tha ber i hmu thei ang.
Damdawi ei tan hmaa doctor hnena i hrilh tur thilte
I doctor chuan damdawi eng pawh a pek hmain i health history kimchang a hriat hmasak a ngai ang. Chuvangin a hnuaia condition te hi i neih chuan thup lovin hrilh ngei ang che. Hei hi i himna atan a pawimawh hle.
| Heng dinhmunte hi i nei em? |
|---|
| Kidney natna emaw, thin natna emaw |
| Lung natna emaw, thinlung chak lohna emaw a awm thei |
| Pancreatitis i lo vei tawh a nih chuan |
| Thisenah triglyceride level sang tak a awm |
| Vitamin B12 level hniam emaw thisen tlakchhamna emaw |
| Zu in fo thin dan neih |
| Naupai, nau neih tum emaw, naute hnute pek emaw |
| Damdawi dang, ei tur dang emaw, thil dang emaw allergy neih |
Engtin chiah nge he damdawi hi ka hman ang?
- Pill chu tui glass khat nen ei la.
- Hei hi a pawimawh hle: He pill hi chaw ei rual emaw, ei zawhah emaw ei fo ang che . Pum ruak a ei hian pum a ti na (thinlung natna, nausea) a thlen thei.
- Dose pek ang leh doctor-in a pek hun chhung chauh ei tur a ni. I duh angin dose thlak suh.
- Damdawi lam thurawn tel lo chuan damdawi ei hi bansan nghal suh.
- 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. Double dose ei ngai suh.
- I ei tam lutuk chuan: Damdawi i ei tam lutuk nia i hriat chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. A nih loh leh Colombo National Hospital a National Poisons Information Center ah biak theih a ni bawk .
Damdawi ei huna fimkhur tur thil
- Thisen Sugar Levels: I thisen sugar level teh dan zir rawh. Thisen thlum hniam (Hypoglycemia) leh thisen thlum sang (Hyperglycemia) natna lan chhuah dan fimkhur hle ang che.
- Thisen thlum hniam (Hypoglycemia): Hei hi emergency a ni thei. I thawmhnaw hak, khuh, riltam lutuk, emaw luak chhuak ang chi i neih chuan thil thlum (sugar cube, candy, emaw glucose tablet) ei nghal rawh . I rilru a buai a nih chuan, midangte’n ei leh in tur an nawr luih loh tur thu leh damdawi inah hruai nghal tur che tih i chhungte hrilh la.
- HbA1C test: I doctor chuan thla 3 danah vawi khat vel he thisen test hi nei turin a ti ang che. Hei hian thla 2-3 kalta chhunga i thisen sugar i control that dan a teh a ni.
- Surgery leh scan te: 1.1.Surgery emaw, MRI emaw, CT scan emaw i tih dawn a nih chuan he damdawi hi i ei tih medical team hnenah hrilh lawk rawh. Damdawi hi i ei hma ni engemaw zat hmain i chawlhsan a ngai mai thei .
- Zu: Zu in hian thisen sugar level a tlakhniam thut theihna a tipung a, natna hlauhawm tak lactic acidosis an tih pawh a tipung bawk. Chuvangin i doctor nen zu chungchang sawipui rawh.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin hei hian mi thenkhatah side effect a thlen thei a ni. A tam zawkah chuan hengte hi a pawi lo hle a, mahse a bik takin i hriat chian tur symptom thenkhat a awm.
| Damdawi lam pan vat ngai symptom na tak tak a awm | |
|---|---|
| Lactic Acidosis natna lan chhuah dan | Muscle na emaw a khauh emaw, pum na, thawk hah, hah lutuk. (Hei hi Metformin side effect hmuh tur awm lo mahse hlauhawm tak a ni). |
| Pancreatitis natna a ni | Pum chunglam natna nasa tak, hnungzang thlenga darh, luak chhuak, leh khawsik. |
| Allergic avanga thil thleng | Vun vun rawng, hnim hring, hmai, hmui, lei hring, thawk harsa emaw, ei harsa emaw. |
| Symptom na tak dang a awm bawk | Ruh natna nasa tak, vun hring emaw hliam emaw, thawk harsa, ke emaw ke ruh emaw a hring, rang taka taksa rihna a pung. |
| Side effect awm fo (non-serious) te | |
| Digestive system lama harsatna awm thei | Pum natna, gas, ril\am, ril\am (enkawl tirh lamah a lo awm fo a, a hnuah a bo \hin. Hei hi chaw ei ruala ei hian tihziaawm theih a ni). |
| Thildang | Lu na, ril na, hnar luang. |
Take-Home Thuchah a ni
- Sitagliptin leh Metformin te hi type 2 diabetes enkawlna atana hman thin damdawi a ni. Hei atanga result tha ber hmuh tur chuan ei leh in tha leh exercise regimen tha tak neih a pawimawh hle.
- He tablet hi chaw ei rual emaw ei zawhah emaw ei fo thin ang che .
- Damdawi dang, vitamin emaw, hnam damdawi dang emaw i ei tur chu i doctor hnenah hrilh ngei ang che.
- Thisen thlum hniam (hypoglycemia) (khuh, thawk hah, luak chhuak) natna lan chhuah dan fimkhur hle ang che. Chutiang dinhmun a lo thlen chuan ei tur thil thlum tak chu i bulah dah la.
- I pum natna nasa tak, thawk harsatna, emaw taksa ruh na nasa tak i neih chuan Lactic Acidosis emaw Pancreatitis emaw ang chi natna khirh tak chhinchhiahna a ni thei. Hospital pakhat ETU- ah kal nghal rawh.
- Damdawi ei kha chawlhsan suh la, doctor thurawn tel lovin a dose pawh thlak suh. Thil ngaihtuah tur i neih chuan doctor nen inbia ang che.
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