Type 1 diabetes kan ngaihtuah hian naupang tê tê leh puitling tleirawlte vei thei natna angin kan ngai a. Hmanlai chuan "juvenile diabetes" an ti thin. Mahse, he natna vei mi pali zinga pakhat chu puitling anga hmuhchhuah a ni tih i hria em? A châng chuan, kum 80 emaw, kum 90 emaw aṭanga hriat chhuah theih a ni. Hetiang dinhmun hi damdawi awm lo mah se, puitling anga i nunpui theihna tur thil tam tak i tih theih a awm. Kan sawi dawn nia.
I tanpui tur team tha ber siam rawh.
Zunthlum vei zawng zawng hian anmahni tana thil danglam bik, mimal ruahmanna (personalized plan) an mamawh vek a ni. Chu ruahmanna tihlawhtlingtu chu nangmah ni mah la, nangmah chauhin i tih vek a ngai lo. He zinkawngah hian pui turin team tha tak i mamawh a ni. Cricket team ang bawkin team captain i ni a, mahse puitu tur player tha engemaw zat i mamawh a ni.
Heng mite hi i team-ah telh a pawimawh hle:
- I chhungkaw doctor (General Physician): I hriselna tlangpui enkawltu leh hre chiang bertu che.
- Endocrinologist: Zunthlum hi hormone kaihhnawih harsatna a nih avangin chutiang specialist tanpuina chu a pawimawh hle.
- Nutritionist/Dietitian: He mi hian i tana tha tur meal plan siam turin a pui thei che a, chuvang chuan i thisen sugar level i control thei a ni.
- Diabetes Educator: He mi hian thil tangkai tak tak a zirtir thei che a, chu chu zunthlum natna nena nun that dan te, insulin hman dan te, leh i thisen sugar level enfiah dan te a ni.
- Specialist dang: Podiatrist emaw mit lam doctor emaw ang chi pawh i hmuh a ngai mai thei.
He team hi biak fo thin ang che . I dinhmun inthlak danglamna leh harsatna i tawh theih apiang hriattir zel ang che. Chumi hnuah chauh chuan a tha berin an pui thei ang che.
Harsatna awm thei te chu hre reng ang che
Hun rei tak chhunga thisen sugar level sang chuan i taksa peng hrang hrang a tichhe thei a ni. I zunthlum hi eng ang pawhin thunun tha mah la, harsatna thenkhat chu hun kal zelah zawi zawiin a lo awm thei a ni. Chuvang chuan medical checkup neih fo a pawimawh hle. Tin, vaukhânna chhinchhiahna eng pawh fimkhur bawk ang che.
| Taksa peng/system | Vaukhânna chhinchhiahna fimkhur tûr |
|---|---|
| Nerves a awm | Kut leh kea rilru hahna, kang, natna, emaw hriatna hloh emaw. |
| Mit | Mit hmuh fiah lo, thil chi hnih a hmuh, mit hmaa hmun dum a lo inhnim pil ang maia hriat. |
| Vun | Hliam te tak te phei chuan a dam nan hun rei tak a daih a, vun a vawt vek bawk. |
| Kidney a ni | Ke emaw ke ruh hmun emaw a hring chhuak. |
Heng symptoms te hi i hmuh chuan i doctor nen inbiakna neih nghal hreh suh . Heng symptoms te hi i hriat hma chuan a chhiatna chu i tihtlem thei a, i titawp thei bawk.
Kan ei leh inah i fimkhur ang u - ei fo ang u, zawi zawiin
Ni khatah chaw bulpui pathum kan ei tlangpui. Mahse, Type 1 diabetes vei tan chuan chaw lian pathum ei ai chuan nilengin chaw te zawk ei a tha zawk mai thei. Hei hian thisen sugar spike control a ti awlsam hle.
I tana ei tur tha ber berte chiang taka hriat tumin i nutritionist nen inbia ang che. A tlangpuiin heng ei tur te hi i ei leh in ah telh a tha:
- Thau hrisel: Nuts te chu cashew, peanut, leh almond te hi a ni.
- Protein: sa thau lo (vawk), sangha, bean, peas, lentils.
- Carbohydrates buaithlak tak tak: Brown rice, oats, leh lentils te.
- Thlai chi hrang hrang: spinach, kale, broccoli, sweet potato, carrot, beetroot, pumpkin.
- Calorie tlem in tur: tea thlum loh, thei chi khat tui.
Exercise i tih hian ‘smart’ tak i nih a ngai a ni.
Taksa tihchak fo hian hlawkna tam tak a nei a. I taksa rihna tihtlem nan a pui a, thisen sugar level hrisel tak a vawng reng a, thisen sang a tihniam bawk. I mit leh kal chhiatna laka a venghim bawk.
Mahse, exercise i tih dawnin i fimkhur hle a ngai a ni. A chhan chu exercise hian i thisen sugar level a tisang leh a, a tlahniam nghal thei a ni. AchanginThisen sugar level hlauhawm taka tlahniam thei, hypoglycemia an tih pawh a awm thei bawk.
Chuvangin exercise i tih hma, exercise i tih lai leh exercise i tih zawh hnua i thisen sugar level enfiah a pawimawh. I doctor hnenah i tana exercise plan dik tak leh chutih laia i ei tur emaw damdawi emaw ei dan tur zawt rawh.
Meizial zuk loh tur a ni!
Hei hi chiang taka hriat reng a ngai a ni. Meizial zuk hian i zunthlum control a ti harsa hle. Tin, nerve chhiatna leh mitdelna ang chi harsatna i neih theihna pawh nasa takin a tipung bawk.
A chhan chu cigarette-a chemical nicotine an tih hian i thisen sugar level a tisang a ni. Research atanga a lan dan chuan buaina chu nicotine-ah a awm a ni. Chumi awmzia chu nicotine patch emaw chewing gums emaw, meizuk bânsan nana hman ṭhin pawh i tan a ṭha lo tihna a ni.
Vaccine tulte chu a hun takah la rawh.
Diabetes hian i immune system a tichak lo thei a, chu chuan infection a do thei lo. Infection thenkhat, flu ang chi te hian i thisen sugar level a tisang thei bawk.
Chuvang chuan type 1 diabetes vei puitling zawng zawngte tan a hun taka vaccine pek ngai an lak a pawimawh hle. Chung zingah chuan:
- Kum tin flu shot lak thin ang che.
- Hepatitis B vaccine pek a ni
- Pneumonia vaccine pek a ni
- Chickenpox nena inzawm natna , shingles vaccine pek a ni
- Tetanus, Diphtheria, leh Whooping Cough te tan TDAP vaccine pek a ni
Heng vaccine chungchang hi i doctor nen sawiho la, i lak theih dan tur zawng rawh.
He zinkawngah hian nangmah chauhin kal suh - rilru hahdamna hi a pawimawh hle
Nitin i ei tur ngaihtuah te, ni khatah vawi tam tak i thisen sugar test te, insulin inject te... Kum tam tak chhung heng zawng zawng i tih tawh hian a chang chuan a hahthlak tak zet a, a boring tak zet thei a ni lawm ni? Hei hi "diabetes burnout" an ti bawk.
A châng chuan engkim a kal sual ang maiin a lang thei. Insulin injection na hmuna inthlak danglamna tlem emaw, i ei leh in lama inthlak danglamna tlem emaw chuan i thisen sugar level a tidanglam thei a ni. Heng thilte hi thil pangngai a ni tih pawm rawh. 100% in i thunun thei reng reng lo. Ni khat chu i ruahmanna zawng zawng chu kawng dik lo zawh tir suh.
He zinkawngah hian taksa hriselna hi rilru hriselna ang bawkin a pawimawh tih hre reng ang che.
A châng chuan, nangmah ang bawka dinhmun inang nei mi dangte biak pawh hi a ṭangkai hle. I doctor emaw diabetes counselor emaw hnenah support group chungchang zawt rawh .
Tin, heng symptoms te hi i neih chuan professional tanpuina lak a pawimawh hle bawk.
- Tûn hmaa i hlim ṭhin thilte chu i ngaihven tawh lo em ni?
- Nun hi beiseina nei loin i inhria a, engkim a thim ang maiin i hria em?
- I chau tawh a, engmah ti thei loin i inhria em?
Hengte hi lungngaihna chhinchhiahna a ni thei . Hetiang hian i inhriat chuan i doctor nen pawh hemi chungchang hi sawipui ngei ang che.
Take-Home Thuchah a ni
- Type 1 diabetes hi naupang chauh a vei lo a, kum eng pawha puitlingah hriat theih a ni.
- He zinkawng hi nangmah chauha kal tum suh. Medical team tha tak siam la, doctor leh nutritionist te pawh tel la, anmahni nen inbiak reng rawh.
- Chaw lian ei ai chuan nilengin chaw te te, hrisel tak tak ei thin ang che.
- Exercise i tih hian fimkhur hle ang che. Exercise hma, exercise neih lai leh exercise zawhah i thisen sugar level enfiah thin ang che.
- Meizial leh nicotine awmna thil zawng zawng chu pumpelh vek tur a ni.
- I vaccine mamawh chu a hun takah la rawh. Hemi chungchang hi doctor zawt rawh.
- Stress leh lungkhamna nei hi thil pangngai a ni. Hemi hun chhung hian chhungte, ṭhiante, support group emaw, i doctor emaw nen inbiakna neihpui rawh.
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