Zunthlum vei i nih chuan i thisen sugar level tlahniam (damdawi lamah chuan hypoglycemia kan tih) hi i ngaihtuah mai thei. Hei hi insulin i ei tam lutuk emaw, ei dik loh emaw, a hma aia nasa zawka exercise i tih chuan a thleng thei a ni. A châng chuan, i zunthlum hi eng ang pawhin i thunun ṭhat pawhin hetiang hi a thleng thei a ni. Chuvang chuan thisen sugar tlahniam vaukhânna chhinchhiahna hriat a pawimawh hle. Hemi chungchang hi nangmah chauh ni lovin chhungte leh thiante hriattir reng a pawimawh.
Sugar hi engtiang chiahin nge a hlauhawm tak tak?
Mi tam zawk chuan an thisen sugar level 70 mg/dL (milligrams per deciliter) emaw a aia hniam emaw a tlahniam chuan symptoms an nei tan thin. Mahse hei hi mi zawng zawng tan a inang lo. A chang chuan i thisen sugar level chu chu aia sang tlem pawh nise i nghing thei. I thisen sugar level tha ber chu eng nge ni tih leh hlauhawmna hmun chu khawi atanga tan nge tih i doctor nen inbiakna neih a tha ber.
Chûng vaukhânna chhinchhiahnate chu engte nge ni?
I thisen sugar level tlemte pawh a tlahniam tan meuh chuan i lungkham a, i rilru a hah thei a, i nghing thei bawk. Hei hi a chhan chu i thisen thlum a tlak hniam chuan kan taksa hian hormone adrenaline a siam chhuak thin. Hei hi "fight or flight" hormone kan tih chu a ni. Hei hi taksa invenna (natural defense mechanism) a ni.
Heng basic symptoms bakah hian symptoms na lo leh na lo tak tak dang engemaw zat a awm bawk. Eng nge an nih i en ang u.
| Symptom a ni | I rilru put hmang |
|---|---|
| Crankiness a ni | Chhan awm lovin i thinrim a, thil tenau ber pawh i ti na bawk. |
| Shakiness a ni | I kut, ke emaw, taksa pum emaw a nghing ang maiin a lang. |
| Luak chhuak thei(Lung hahna) . | Ka lu a buai a, ding harsa ka ti bawk. |
| Thinlung thawk chak tak | Ka thinlung chu a na hle tih ka hria. |
| Riltamna | Vawikhatmah i ril a tam hle mai. |
| Chau | Ka chau hle a, nunna nei loin ka inhria. |
| Concentration lama harsatna a awm | Ka thil tihah hian ka rilru ka pe thei lo, ka lu chu a fuzzy hle. |
| Thawmhnaw hak leh chills | Ka thawmhnaw hak thut a, mahse ka taksa chu a vawt hle. |
| Chaklohna | Ka taksaah chakna nei tawh lo ang maiin ka inhria. |
Thil awmdan a nasat chuan...
Heng symptoms hmasa te hi i hriat veleh i thisen sugar level siamthat i tum loh chuan i symptoms chu a zual thei hle. Hei hian hetiang hi i tawng thei tihna a ni:
- Blurred vision: Chiang taka hmuh theih loh.
- Thusawi thiam lo: Thusawi thiam lo, tawng thei lo.
- Seizures: Fit ang maiin a lo thleng thei.
- Passing out: I muhil thei a, i tlu thei bawk.
Hetiang symptom na tak tak hi natna hlauhawm tak a ni a, emergency medical treatment a ngai a ni.Hetih lai hian Emergency Department (ETU) hnai ber pan nghal tur a ni. I chhungte, i thiante leh i thawhpui te hnenah heng natna langsar tak takte hi hrilh la, a lo awm a nih chuan eng nge i tih tur tih i hrilh a pawimawh hle.
Mi thenkhat chuan mut laiin thisen sugar a tlahniam bawk a, chu chuan mumang hlauhawm tak tak, muthilh laiin au chhuahpui, thawk hah, emaw, zing thawh veleh chhan awm lovin thinrimna a thlen thei bawk.
Hypoglycemia Unawareness (thisen sugar hniam mahse symptoms a awm lo) .
Hei hi kan hriat chian tur a ni. Mi thenkhat chuan an thisen sugar hniam mahse symptom an nei lo. Hei hi `(Hypoglycemia Unawareness)` kan ti a. Thisen sugar i hniam fo chuan hun kal zelah i taksa chuan heng vaukhânna chhinchhiahnate hi a ngaihthah ṭan a ni. Chu chu taksa hian he dinhmun hi a thiam ta tihna a ni. Hun rei tak chhung zunthlum i vei tawh a nih chuan, emaw, i thisen sugar khauh taka control tu i nih chuan, he natna hi a awm a rinawm zawk.
`Hypoglycemia Unawareness` hi a hlauhawm em em a ni. A chhan chu vaukhânna tel lovin rang takin i hriatna i hloh thei a ni. Hetiang dinhmun hi i neih chuan i thisen sugar level enfiah fo a pawimawh hle. Chutiang mite tan chuan nitin sugar level enfiahtu `Continuous Glucose Monitor` hi a tangkai hle thei a ni. He device hian i sugar level a tlahniam chuan alarm a pe che a ni.
I taksa chu heng thisen sugar tlahniam chhinchhiahnate hi hre leh turin i zirtir thei bawk. I doctor chuan chutiang tih dan tur a zirtir ang che.
I thisen sugar a tlahniam chuan eng nge tih nghal tur
Hei hi a pawimawh ber a ni. Thisen sugar tlahniam symptoms i hriat veleh "15-15 rule" hmangin i thisen sugar level chu rang takin i siam leh thei ang.
1. Carbohydrates gram 15 ei: Chumi atan chuan glucose tab, thei tui glass chanve, raisins thenkhat, jelly bean tlemte, emaw, tuiah sugar teaspoon 3 hmin emaw ei tur a ni. Chocolate leh ice cream ang chi thil hi tun dinhmunah chuan a tha lo hle. Thau an neih avangin sugar chu taksain a hip lut rei zawk a ni. Kan sugar level tisang thuai thei tur thil kan duh a ni.
2. Minute 15 nghah: Chaw ei zawhah minute 15 chhung dawhthei takin nghak rawh.
3. I thisen sugar enfiah leh rawh: I thisen sugar chu i glucometer hmangin enfiah leh rawh. 70 mg/dL hnuai lam a la nih chuan carbohydrates gram 15 dang ei leh tur a ni.
Mahse thil pakhat hre reng ang che. Vawi khatah ei tam lutuk suh. Chutianga i tih chuan i sugar level chu a sang nghal thei a ni. Chuvangin, i sugar level a normal leh hma loh chuan vawi khatah gram 15 ei zel ang che.
I thisen sugar a hniam lutuk a nih chuan, emaw, 15-15 rule hian hna a thawk lo a nih chuan, glucagon an tih hormone injection emaw nasal spray emaw i mamawh mai thei. Hei hian i thisen sugar level a tihsan thuai avangin hna a thawk a ni. Glucagon chhanchhuahna hmanrua i keng tel tur em tih doctor zawt rawh. Tin, i hriatna hloh palh hlauh chuan i chhungte leh i thiante hman dan zirtir a pawimawh bawk.
Thisen thlum i neih apiangin, a bik takin a nasat chuan doctor hnenah hrilh thin ang che. Hei hi a lo thleng leh tawh loh nan thurawn a pe thei che a, i enkawlnaah pawh a tul anga tihdanglamna a siam thei bawk.
Take-Home Thuchah a ni
- I taksain thisen sugar a tlahniam tih hriattirna (inkhing, thawk hah, leh luak chhuak ang chi) te chu hre rawh.
- I chhungte leh i thiante hnai tak takte chu heng natna lan chhuah dan leh a lo awm a nih chuan eng nge tih tur tih hriattir zel ang che.
- Thisen sugar tlahniam symptoms hmasa ber i hmuh veleh "15-15 rule" zawm nghal rawh.
- Hypoglycemia na tak i neih chuan glucagon rescue kit hman tur i mamawh leh mamawh loh i doctor nen sawiho rawh.
- Thisen sugar tlahniam a awm chuan doctor hnenah hrilh la, a bik takin a nasat chuan.
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