Type 2 Diabetes i vei bawk em? A awlsam zawngin sawi ila.

Nang pawhin i chau reng em, tuihal i ni em? Nge zun tam a ngai em? Chûngte chu thil pangngaiah i ngai mai thei. Mahse, hengte hi kan taksa chhunga inthlak danglamna lian tak thleng chhinchhiahna a ni thei a, chu chu Type 2 Diabetes a ni. Ngaihtuah buai suh, hei hi Sri Lanka-ah hian kan zingah hian a awm fo thin. Hemi chungchang hi vawiin hian awlsam tak leh hlim takin i sawi dawn nia.

A awlsam zawngin, Type 2 Diabetes hi eng nge ni?

Hei hi dam chhung zawnga awm tur a ni a, mahse uluk taka enkawl a nih chuan nun pangngai tak, hrisel tak neih theihna tur engmah a awm lo.

Hetiang hian han ngaihtuah teh, kan taksaah hian hormone pakhat a awm a, chu chuan kan ei tur a sugar (glucose) chu cell-te chu chaknaah a chantir thei a, chu chu insulin an ti a ni. He insulin hi kan pancreas an tih organ atanga siam a ni. Type 2 diabetes-ah hian thil pawimawh pahnih a thleng thin:

1. Insulin Resistance: I taksain insulin siam chhuak mah se, i cell-te hian an chhân lêt ṭha lo. Chabi awm ang mai a ni a, mahse chabi chu lock chhungah a tang tlat mai. Chuvangin thisena sugar chu cell chhungah a lut thei lo va, thisenah a pungkhawm thin.

2. Insulin siam chhuah tlem: Hun a kal zel a, he insulin resistance hian pancreas chu hna a thawk nasa zawk a, insulin a siam tam zawk bawk. Hun engemaw chen hnuah chuan pancreas chu a "chau" a, insulin a siam tling thei lo.

Hei hi "adult-onset diabetes" an ti thin. Mahse tunlai hian a bik takin naupang thau lutuk vangin hetiang dinhmun hi tleirawl, naupang tê têah pawh a thleng thei a ni.

Nang pawhin heng symptoms te hi i nei ve em? han en teh.

Type 2 diabetes symptoms hi a chang chuan a fiah lo hle. Chuvang chuan mi thenkhat chuan zunthlum an vei tih pawh an hre lo. Heng symptoms te hi fimkhur rawh.

Type 2 diabetes vei chhan leh risk factor te chu engte nge ni?

Hei hi chhan pakhat mah a awm lo. Thil hrang hrang inzawmkhawm avanga lo awm a ni. Heng risk factor engemaw zat i neih chuan zunthlum i vei theihna a sang zawk.

Thil i thlak danglam theih loh

• Kum:Kum 45 chunglam i nih chuan a hlauhawmna a sang zawk.
• Chhungkaw chanchin: I nu, i pa, i unaupa emaw, i unaunu emaw hian zunthlum a vei a nih chuan nang pawh i hlauhawmna a sang zawk.
• Genes: Genetic influence thenkhat hian insulin siam leh hnathawh a tibuai thei a.

Thil i thlak danglam theih (hengte hi a pawimawh ber!)

• Thau lutuk emaw thau lutuk: Taksa i rihna a tam poh leh insulin resistance i neih theihna a sang zawk.
• Exercise neih loh: Taksa tihchak loh hian zunthlum a thlen thin.
• Thisen sang: Damdawi hmanga control a nih pawhin thisen sang hi risk factor a ni.
• Cholesterol level: Thisenah cholesterol "tha" (HDL) a tlahniam a, triglycerides a sang bawk.
• Diet: Sugar, oil leh flour tamna ei tur ei fo.
• Meizial zuk.
• Stress leh mut tlakchhamna.

Hriselna lama harsatna dangte

• Prediabetes: Thisen sugar level pangngai aia sang, mahse zunthlum anga ngaih theih khawpa sang lo natna a ni. Hei hi vaukhânna hnuhnung ber ang a ni.
• Gestational Diabetes: Naupai laiin zunthlum i vei chuan a hnuah Type 2 diabetes i vei theihna a sang hle.
• Polycystic Ovary Syndrome (PCOS): Hmeichhiaah hian a awm fo thin hi insulin resistance nen pawh a inzawm tlat a ni.

Engtin nge zunthlum hi dik taka hriat theih?

A chunga kan sawi tak symptoms emaw risk factors emaw i neih chuan doctor pan a, thisen test neih a tha ber. Test hi ni hnih chhung a ni tlangpui a, a natna hmuhchhuah a ni.

• A1c test: Hei hian thla 2-3 kalta chhunga i thisen sugar level average a teh a ni. Hei hi test hman tlanglawn ber a ni.
• Fasting Plasma Glucose (FPG): Hei hi chaw nghei hnua thisen test (darkar 8 vel ei loh, tui chauh in) tih a ni.
• Oral Glucose Tolerance Test (OGTT): He test-ah hian chaw nghei laiin thisen lak hmasak a ni a, chumi hnuah sugary drink pek a ni a, darkar hnih hnuah thisen lak lehin, taksain sugar a chhân lêt dan en a ni.

Enkawl dan leh enkawl dan: Hei hi kan hneh dan chu a ni!

Type 2 diabetes enkawl hi nunphung thlak danglam leh a tul chuan damdawi hmanga enkawl a ni.

1. Nunphung inthlak danglam (hei hi a lungphum a ni!) .

Damdawi tel lovin i thisen sugar level chu i control thei mai thei a, nunphung tihdanglam mai mai a ni.

• Ei leh in hrisel tak:
• Calorie tihtlem:Chaw ei zat kha control la. Kan buhfai bawm chu tlem te tein siam la, thlai, thlai leh thei chi hrang hrangin khat rawh.
• Sweets leh flour tihtlem: Sugar, sweetened drinks, cake, biscuit, leh chhang ang chi te chu a theih ang angin tihtlem rawh.
• Fiber tamna ei tur: Thei, thlai, whole grains, oats, leh nuts te ei tam rawh.
• Insawizawi:
• Ni khatah minute 30 tal kea kal chak tak, cycle khalh emaw, tui chawi emaw ang chi thil ti rawh.
• Hei bakah hian kar khatah ni engemaw zat chakna siamna exercise yoga leh weight lifting te pawh i belh thei a nih chuan a tha zawk ang.
• Rihna tihtlem: 1.1.
• I taksa rih zawng 5% - 7% tihtlem pawhin thisen sugar level, cholesterol, leh thisen sangah nghawng tha tak a nei thei a ni.

2. Damdawi ei tur

Nunphung tihdanglam ringawt hian i thisen sugar level a thunun thei lo a nih chuan i doctor chuan damdawi a pe ang che.

Damdawi hman tlanglawn thenkhat:

• Metformin: Hei hi damdawi pek hmasak ber a ni fo thin. Liver-in sugar a siam chhuah a ti tlem a, taksain insulin a chhân lêt ṭhat phah bawk.
• Sulfonylureas: Hengte hian taksain insulin tam zawk a siam chhuah theih nan a pui thin.
• DPP-4 inhibitor, SGLT2 inhibitor, GLP-1 receptor agonists: Hengte hi damdawi thar zawk an ni a, thisen sugar level control nan kawng hrang hrangin an pui a ni.
• Insulin: A then phei chuan damdawi dang a tlem chuan insulin injection a ngai mai thei. Hei hi zunthlum tawpna a ni lo va, a thununna kawng dang a ni.

Zunthlum vanga harsatna awmte i veng ang u.

Engvangin nge zunthlum thunun tumin kan thawhrim em em? A chhan chu hun rei tak chhunga thisen sugar level sang hian kan taksa peng pawimawh tak takte a tichhe thei a ni.

• Lung leh thisen kalna kawng: Heart attack leh stroke hlauhawmna chu a let hnih a ni.
• Kidney: Kal a chhiat theihna leh a hlawhchham theihna a awm.
• Mit: Mit chhunga thisen kalna kawngte hi a chhe thei a, mitdelna (Diabetic Retinopathy) hial a thlen thei a ni.
• Nerves: Nerve a chhiat chuan ke ruh chhunga hriatna hloh leh chaw ei lama harsatna (Diabetic Neuropathy) a thlen thei.
• Ke: Thisen kal tlem leh nerve chhiat avangin kea hliam a dam loh theihna chance a sang a, natna kai a awm thei bawk.

Heng zawng zawng hi hlau suh. I zunthlum i control tha chuan heng harsatna tam tak hi i veng thei a ni. I tih theih ṭhenkhat chu hetiang hi a ni:

• Damdawi a hun taka ei.
• Ei leh in hrisel neih reng.
• Exercise neih fo thin.
• Doctor-in a tih angin i thisen sugar level enfiah fo ang che.
• Doctor thurawn angin i mit, kal leh ke te enfiah fo ang che.