Tun hma chuan naupang pakhatin type 2 diabetes a vei tih hmuhchhuah a nih chuan mak a ti hle. Doctor-te pawhin naupang tê tê chauhvin type 1 diabetes an vei niin an ngai a. Mahse tunah chuan thil awmdan chu a danglam vek tawh. Ei leh in \ha lo leh exercise lak loh avangin tunah chuan type 2 diabetes hi naupang tê tê zingah pawh a hluar chho ta hle a ni. I doctor-in i fain he natna hi a nei tih a hrilh che chuan hlau suh. Vawiin hian a hriat chian dan tur leh uluk taka enkawl dan tur kan sawi dawn a ni.
Type 2 Diabetes hi eng nge ni tak tak?
Zunthlum kan ngaihtuah hian ‘sugar’ tih thumal hi kan rilruah a lo lang thin. Awle, hei hian taksa chhungah engtin nge hna a thawh tih i en ang u. A awlsam zawngin sawi ila, kan ei tur, a bik takin carbohydrates awmna ei tur (buhfai leh chhang ang chi) te hi kan chaw ei kawngah glucose an tih sugar awlsam takah a inthlak thin. He glucose hi kan taksa cell-te chakna petu fuel ang a ni.
Mahse he glucose hi thisen atang hian cell chhungah direct-in a kal thei lo. Lirthei a mamawh a ni. Chu lirthei chu insulin an tih hormone a ni a, chu chu kan pancreas atanga siam a ni. Insulin hian glucose a la a, cell chhungah a dah a ni.
Type 2 diabetes-a thil thleng chu hetiang hi a ni: Naupang taksa chhunga cell-te hian insulin an dawng tha lo. Car in kawngkhar a kik ang mai a ni a, mahse cell chhung lam atang chuan kawngkhar chu a hawng dawn lo. Hetiang dinhmun hi ‘insulin resistance’ kan ti a ni. Chuti a nih chuan eng nge thleng? Chu cell chhunga lut thei lo glucose zawng zawng chu thisenah a pungkhawm vek a, thisen sugar level pawh a sang hle.
Hetianga thisen sugar level rei tak a awm hian nakin lawkah lung natna, mitdelna, kal natna te ang chi harsatna lian tak tak a thlen thei a ni. Chuvangin hei hi hriat hmasak leh thunun a pawimawh hle.
He natna hi tuin nge vei tam ber?
Zirna hrang hrangah chuan thau lutuk hi naupang type 2 diabetes thlentu ber a ni tih hmuhchhuah a ni. Hei bakah hian risk factor dang engemaw zat a awm bawk.
| Risk factor a ni | Hrilhfiahna |
|---|---|
| A thau lutuk | Hei hi naupang zunthlum thlentu ber a ni. A bik takin pum chhungah thau a tam thei hle. |
| Chhungkaw chanchin | Nu leh pa emaw, unau emaw zunthlum vei neih pawh hi naupang tan chuan risk factor a ni. |
| Insulin laka invenna a ni | Naupang thenkhat chuan an cell-te’n insulin an dawn lohna dinhmun an nei thei a, chu chu an pian tirh atang emaw, chhan dang vang emaw pawh a ni thei. |
| Inactive nunphung | Taksa exercise neih loh leh nilengin TV emaw phone emaw-a inkhung tlat hian taksa rihna a tipung a, zunthlum a thlen bawk. |
| Ei leh in hrisel lo | Fast food leh sweet drinks sugar leh thau tamna ei fo. |
Hei hi eng symptoms nge ni?
A tir lamah chuan symptoms a awm lo thei. Mahse, hun kal zelah i fa hian a hnuaia chhinchhiahna pakhat emaw, a aia tam emaw a lantir thei a ni. Hengte hi fimkhur hle ang che.
- Chhan awm lova taksa rihna tihtlem: Chaw ei tha mahse taksa rihna tihtlem.
- Riltam leh tuihal reng reng: I ril a tam vat a, ei leh in hnuah pawh tuihalna i nei thin.
- Kawng vawt: I hmui a vawt reng ang tih hriat.
- Zun tam: A pangngai aia tam zun a ngai.
- Chauh reng: Hna tlemte i thawh hnuah pawh i chau nghal vat a, i muhil thei bawk.
- Mit hmuh fiah lo (blurred vision): Mit pahniha mit hmuhna chu a fiah deuh deuh thin.
- Hliam dam tlai: Hliam te tak te pawhin a dam theih nan hun rei tak a mamawh.
- Itchy skin: Vun itchy, a bik takin groin leh armpits ang chi hmunah te.
- Numbness: Kut emaw ke emaw a tingling emaw numbness emaw a awm.
I fain heng symptoms te hi a neih chuan doctor pan nghal rawh .
Engtin nge enkawl a nih?
A hmasa ber atan i fa chu doctor hnena hruai a ni. Doctor chuan i fa chu a thau em tih chu a san zawng, a rih zawng leh a kum a zirin a hre ang. Tichuan thisen thlum test an nei ang. Hei hian zunthlum emaw prediabetes emaw an neih leh neih loh hriat theih nan a pui dawn a ni.
- Nunphung thlak danglam: Hei hi enkawlna kawng pawimawh ber leh hmasa ber a ni. Ei leh in hrisel leh nitin exercise neih hi a pawimawh hle.
- Damdawi: Nunphung tihdanglam ringawt hian i thisen sugar level control nan a tawk lo a nih chuan i doctor chuan damdawi a pe thei ang. Naupangte hnena damdawi pek tam ber chu metformin a ni . A then phei chuan insulin injection pawh a ngai thei bawk.
- Regular check-up: I fa thisen sugar level enfiah fo tur a ni. Tin, thla 3 danah hemoglobin A1c test neih tir tur a ni bawk. Hei hian thla 2-3 kalta chhunga i fa thisen sugar level average chu a hriat theih ang.
Engtin nge in lama i fate sugar level i enfiah ang?
Doctor chuan nang leh i fate pahnih chu glucometer hmangin an thisen sugar enfiah dan tur a zirtir ang a, chu chuan i kut zungtang atanga thisen tla pakhat a hmang a ni. I fain insulin a ei chuan ni khatah vawi thum emaw a aia tam emaw an thisen sugar enfiah turin an ti ang. Naupang dangte chu check tlem zawk tura tih an ni thei a, a bik takin chaw ei kham hnuah.
Nu leh pa anga i tih theih tur
He zinkawngah hian i chanvo a pawimawh hle.
- Chhungkaw pum pui chu inzawmkhawm rawh: Hei hi naupang chauh hremna atan siam suh. Chhungkaw angin chaw hrisel ei leh exercise neih dun tan rawh. Chuti a nih chuan naupang chu amah chauhin a inhria lovang.
- I chaw ei tur ruahman rawh: Ni khatah chaw ei tur pawimawh 3 leh snack 2 chu hun pangngaiah ei thin ang che. I plate lian leh te kha ngaihtuah la. Carbohydrates, buhfai leh chhang te hi nitin a ruala dah tum ang che.
- School lunch box: I fate lunch box chu nangmah ngeiin buatsaih rawh. Chhûng chi, thlum leh hriak tamna chaw ei ai chuan thlai, thei, rah, leh buhfai hmanga siam ei tur te pawh telh ang che.
- Emergency atana inbuatsaih rawh: I fate thisen sugar a tlahniam (hypoglycemia) a nih chuan i pek tur thilte (glucose tablet, sugar packet, biscuit) dahna box te tak te siam la, pakhat chu naupang hnenah pe la, pakhat chu school zirtirtu emaw nurse emaw hnenah pe rawh.
- Exercise fuih rawh: Ni khatah darkar khat tal khel la, i fa chu tlan leh zuang theihna hun pe rawh. Phone/TV hun hi ni khatah darkar 2 aia tam lo turin tihhniam.
He hnaah hian i fa pawh tel tir bawk ang che.
Hei hi an natna a ni tih hrethiam a, enkawl dan tur zirtir a pawimawh hle. Naupangin an kum a zirin an tih theih thenkhatte han thlir ila.
| Kum hrang hrang | Naupangin a tih theih thilte |
|---|---|
| Kum 3-7 chhung a ni | - Sugar check nan thisen pe tur finger thlang rawh. - Insulin inject tur hmun thlan. |
| Kum 8-11 inkar a ni | - I nghah laiin insulin self-injection practice. - Thisen thlum tlahniam chhinchhiahna leh enkawl dan tur mipui zirtir. - Chaw ei tur a carbohydrates awm dan tur hriat awlsam tak pek leh miten ei tur tha an thlan theih nan tanpui. |
| Kum 12+ (thalai) . | - I thisen sugar level enfiah a, mahni chauha insulin ei thin. - Chaw ei tur a carbohydrates chhiar dan zir. - I phone-ah i damdawi ei hun tur hriattirna set la, i thisen sugar enfiah rawh. |
Naupang tê tête ngaihven bik
I upat deuh deuh chuan hormone inthlak danglamna hian i thisen sugar level control a ti harsa thei hle. Tin, i ṭhiante nawrna leh i hmel lan dân ngaihtuah hian i fa chu a ti lungngai thei bawk. I fate nungchang, lungngaihna , a nih loh leh lungkhamna a inthlâk tih i hriat chuan, chu chu i doctor hnênah sawi hreh suh.
Take-Home Thuchah a ni
- Tunah chuan naupangin type 2 diabetes a vei hi thil awmze nei tak a ni. Chuvangin hlauthawng suh la, chumi chungchang chu uluk takin hriattir rawh.
- Symptoms i hriat veleh doctor rawn rawh. I detect hma poh leh control a awlsam zawk.
- Enkawlna atana thil pawimawh pahnih chu ei leh in hrisel leh nitin exercise lak hi a ni . Hei hi naupang tan chauh ni lovin, chhungkaw pum tan pawh a tha hle.
- Heng natnate enkawlnaah hian naupang chu tel tir rawh. Naupang inrintawkna a siam a ni.
- He zinkawng hi nangmah chauhin i paltlang a ngai lo. I doctor, nutritionist leh chhungte puihna dil ngei ang che.
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