"Diabetes" tih hi kan ramah hian mi tam takin an hmang nasa hle. Doctor pakhatin chhungte emaw, i thian emaw, nangmah emaw pawhin, "Diabetes i nei" tiin a hrilh mai thei. Chutih lai chuan hlauthawng deuha inhriat chu thil pangngai a ni. Mahse hei hi i hriatthiam dik chuan , chu chu nun hrisel takin i hmang thei ang. Zunthlum chi hrang hrang awm mahse, puitling zingah chuan a tam ber chu Type 2 Diabetes . Chu chu vawiina kan sawi tum chu a ni.
A awlsam zawngin, Type 2 Diabetes hi eng nge ni?
Okay, a awlsam zawngin sawi ila. Kan ei tur, a bik takin carbohydrates (starch) awmna ei tur hian kan taksa chu sugar chi khat glucose -a siam angin chakna a pe a ni. He glucose hi kan thisena a luh veleh kan taksa cell-ah a lut a, chakna a lo ni ta a ni. Kan car atana gasoline ang bawkin glucose hi kan taksa cells fuel tu a ni.
Tunah chuan he glucose hi cell chhunga thawn chhuah tur chuan ‘key’ kan mamawh a ni. Chu key chu insulin kan tih hi a ni . Insulin hi kan pancreas atanga hormone siam a ni.
Type 2 diabetes vei taksaah hian thil pawimawh pahnih a thleng thin:
1. Insulin Resistance: Taksa cell te hian rusty lock ang maiin insulin an tih key chu an chhang tha lo. Hei hian glucose chu cell chhunga luh a ti harsa hle.
2. Insulin tlakchhamna: Hun a kal zel a, he mamawh phuhruk nan hian pancreas chu a chau ta hle a, insulin a siam chhuah zat pawh a tlem ta hle.
Heng chhan pahnih avang hian cell chhunga lut thei lo glucose chu thisenah a pungkhawm tan thin. Chu chu "thisen sugar sang" kan tih chu a ni. Hetiang dinhmun hi rei tak a awm reng chuan kan taksa pum pui a nghawng thei a ni.
Nang pawhin heng symptoms te hi i nei ve em?
Type 2 diabetes chungchanga hlauhawm ber chu a chang chuan a tir lamah a lan chhuah loh vang a ni. Mi thenkhat chuan symptoms an nei a, mahse a fiah lo lutuk a, hriat lohvin a awm thei. Mahse, a hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan a, thurawn lak a pawimawh hle.
| Symptom a ni | Hrilhfiahna awlsam tak |
|---|---|
| Tuihal tuihal leh zun tam lutuk | Kidney-in thisen a sugar tam lutuk chu zun hmanga paih chhuah a tum chuan zun volume a sang chho zel a ni. Chutih rual chuan taksa atanga tui a bo zel chuan tuihalna a pung zel bawk. |
| A hma aia riltam zawka inhria | A chhan chu glucose hi cell-ah a lut lo a, taksain a mamawh chakna a hmu lo. Chuvangin thluak hian "ei tam zawk" turin signal a dawng thin. |
| Chau leh hah lutuk | Cell-te hian chakna (glucose) an dawn loh avangin taksa chu chak lo leh chau takin a inhria a. |
| Mit hmuh a fiah lo | Thisen sugar level sang chuan mit lens hi a pianzia a tidanglam thei a ni. Hei hi hun eng emaw chen atan emaw, hun rei tak chhunga chhiatna thlen tanna a ni thei bawk. |
| Ke ruh leh ke ruh (limbs) emaw, tingling emaw | Hun rei tak chhunga thisen sugar level sang chuan nerve a tichhe thei a ni. Hei hi ``Diabetic Neuropathy'' an ti a. |
| Hliam dam rei lutuk | Thisen sugar level sang chuan thisen kalna a tichhe thei a, immune system a tichak lo thei a, chu chuan hliam damna a tikhawtlai thei a ni. |
| Tum loh vanga taksa rihna tihtlem | Glucose hi chakna atana hman theih a nih loh chuan taksain taksa ruh leh thau a hal tan a, chu chuan taksa rihna a ti tlahniam a ni. |
| Hri kai fo (a bik takin zun leh vun) . | Sugar hi bacteria leh fungi te pianna hmun tha tak a ni a, immune system chak lo lutuk hian natna hrik kai awlsam zawkin min siam a ni. |
| Vun (neck, armpits) ah hian hmun dum a awm . | Hetiang dinhmun hi ``Acanthosis Nigricans.`` kan ti a. Hei hi insulin resistance chhinchhiahna pakhat a ni. |
Engtin nge zunthlum hian kan taksa peng dangte a nghawng?
Hei hi kan zavaia kan ngaih pawimawh ber a ni. Zunthlum hi thisen sugar level chauh a buaipui lo. Hun rei tak chhunga thisen sugar level sang lutuk thunun loh chuan kan thisen kalna kawngte a tichhe nasa hle. Thir pipe rust ang maiin kan thisen kalna kawngte chu a chhung lam a\angin a chhe tan zauh zauh a.
Diabetes hi thisen sugar level control nana natna mai a ni lo. Tin, i thinlung, mit, kal leh nervous system venhim dan tur ngaihtuah a ngai bawk.
Hei vang hian harsatna awm thei ber berte chu:
- Heart Disease and Stroke: Zunthlum vei chuan zunthlum vei lote aiin heart attack emaw stroke emaw a vei theihna hi a let hnih in a tam zawk. Dik tak chuan zunthlum vei te thihna thlentu ber chu rilru lam natna (cardiovascular disease) a ni.
- Kidney Disease: Kan thisen filter tu kan kal chhunga thisen kalna kawng nalh tak takte chu a chhe thei a, hun kal zelah kal hi a tha lo thei bawk.
- Vision Loss: Mit retina supply tu thisen kalna kawng a chhiat chuan mitdelna a thlen thei a, a tawpah chuan mitdelna a thlen thei bawk.
- Nerve Damage: Nerve chhiat, a bik takin keah te hian rilru hahna, inflammation, leh hriatna hloh te a thlen thei a ni. Hei hian kea hliam hriat lohvin a awm thei a, a hring chhuak thei a, natna khirh tak tak a thlen thei bawk.
Chuti a nih chuan engtin nge he dinhmun hi kan thunun theih ang?
Hei hi i tan chuan hlauhawm takin a ri mai thei. Mahse thu lawmawm tak chu heng harsatna zawng zawng hi kan veng thei emaw kan tikhawtlai thei emaw a ni . I tih tur chu i zunthlum hi uluk taka control mai a ni. Hei hi mahni chauha tih theih a ni lo. Nang leh i doctor te inkara team effort a ni .
Thil pawimawh tak tak ngaihven tur tlemte a awm a:
- Ei leh in hrisel: Sugar, flour, leh eitur thau te tihtlem la, thlai, thei, legumes leh whole grains te ei tam rawh. Hemi chungchangah hian doctor emaw nutritionist emaw hnen atangin thurawn i la thei ang.
- Exercise neih fo: Exercise awlsam tak, brisk walking ang chi, ni khatah minute 30 tal, kar khatah ni 5 chhung tih hi a pawimawh hle.
- Damdawi pek tur: 1.1.I doctor-in damdawi a pek chu, a hun takah, a zat dik takah ei a pawimawh. I damdawi ei kha titawp ngai suh la, i doctor thurawn tel lo chuan a dose pawh thlak ngai suh.
- Regular checkup: A hun takah Doctor tlawh la, i thisen sugar level, cholesterol level, blood pressure, etc. te enfiah thin ang che.
Take-Home Thuchah a ni
- Type 2 diabetes hi taksain hormone insulin a hman dik theih loh avangin thisen sugar level a san chhoh dan a ni.
- Be aware of symptoms like frequent thirst , zun tam, hahna, leh mitdelna te. Hengte hi ngaihthah suh.
- Zunthlum thunun loh hian i thinlung, kal, mit leh nerve te nasa takin a tichhe thei a ni.
- I doctor nena thawhhona tha tak hmang hian nunphung thlak danglam (ei leh in, exercise) leh damdawi pek te hmangin he natna hi i control tha zawk thei ang.
- Zunthlum hi thihna thupek a ni lo. I enkawl tha chuan nang pawh nun famkim leh hrisel takin i nung thei ang.
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