Zunthlum i nei em? A nih loh leh, chhûngkaw member emaw, ṭhian emaw chuan he natna hi a tuar em? Chuti a nih chuan ‘Blood Sugar’ tih thunun a pawimawh zia i hre tawh ngei ang, chu chu thisena sugar level a ni. Mahse, a châng chuan eng ang pawhin bei mah ila, thunun theih lohvin a chhuak thei a ni. Chuti a nih chuan, chutiang thil a thlen chuan eng nge thleng tak tak? Hei hi thil awlsam taka ngaih theih a ni em? He thupui pawimawh tak hi vawiinah hian han sawi ila.
He thisen sugar control hloh hian eng nge a awmzia?
A awlsam zawngin, hei hian i thisen glucose level a sang lutuk emaw, a hniam lutuk emaw tihna a ni a, chu chu a hlauhawm hle.
Ngaihtuah teh, kan taksaa cell te hian an hnathawh theih nan chakna an mamawh a ni. He chakna atana fuel ber chu glucose a ni a, chu chu sugar a ni. He glucose hi kan ei leh in atang hian kan hmu a, a bik takin carbohydrates (starches) awmna ei atang hian kan hmu thin. Kan ei hian kan taksa hian insulin tih hormone a siam chhuak a. He insulin hian chabi angin hna a thawk a, chu chuan glucose chu cell chhunga luh theihna kawngkhar a hawng a ni.
Zunthlum vei chuan hetiang kalphung hi harsatna a nei a. Type 1 Diabetes veiah chuan taksain insulin a siam tling lo. Type 2 Diabetes veiah chuan taksain insulin a siam chhuak a, mahse cell-te hian an chhang let tha lo. A chhan pahnih avang hian thisenah sugar a pung a, a level a sang bawk.
Hun rei tak chhunga thisen sugar level sang lutuk control loh chuan hriselna lama harsatna lian tak a thlen thei a ni. Hei hi zunthlum vei leh nei lote pawhin an ngaihtuah tur a ni.
Thisen sugar level engzat nge hlauhawm thei?
I doctor chuan i tan thisen sugar level hrisel chu eng nge ni tih chiang takin a hrilh ang che, mahse a tlangpuiin zunthlum vei tan chuan a hlauhawm thei level te hi i hre chiang ang u.
| Dinhmun | Thisen Sugar Level (mg/dL) 100 a ni. | Hrilhfiahna |
|---|---|---|
| Thisen thlum sang (Hyperglycemia) 1.1. | 180 mg/dL aia tam (ei atanga darkar 2 hnuah) . | Hei hi ngaihtuah tur level a ni. Level a san poh leh a hlauhawmna a nasa zawk. |
| Thisen thlum hniam (Hypoglycemia) . | 70 mg/dL aia tlem lo | Hei pawh hi ngaihtuah ngai level a ni. |
| Hlauhawmna level sang (sang) 1.1. | 600 mg/dL aia sang a ni | Hei hi nunna atana hlauhawm thei dinhmun a ni a, emergency medical treatment a ngai a ni. |
| Hlauhawmna level sang (hniam) . | 40 mg/dL aia tlem lo | Hei hian nunna a tichhe thei bawk a, enkawl vat a ngai a ni. |
Thisen sugar a san (Hyperglycemia) hian engtin nge a awm?
I thisen sugar a san chuan danglamna lian tham i hmu lo mai thei. Symptoms a lan theih nan ni tam tak emaw, kar tam tak emaw a ngai thei. A lan chhuah dan ber chu:
- A hma aia tuihal zawka inhria
- Mit hmuh a fiah lo
- Zun chhuah a ngai fo thin
- A hma aia riltam zawka inhria
- Chau lutuk tih hriatna
- Vun natna a awm fo thin
- Hliam dam nan hun a duh thin.
Thisen sugar hniam (hypoglycemia) hi engtin nge a awm?
Insulin emaw, sugar tihhniamna damdawi dang emaw i ei chuan thisen thlum hniam theihna a hlauhawm hle. Hei hi a chhan ber chu exercise lak te, a hun taka ei loh te, zu in te ang chi te hi a ni. Hetiang dinhmun hi zunthlum vei loah pawh a awm thei. A lan chhuah dan chu:
- I taksa a nghing ang maia inhriatna
- Paleness , thawk hah
- Lungkhamna , beidawnna
- riltam hlein ka hria
- Chauh lutuk
- Feeling dizzy , inher, emaw, inher chhuah emaw
- Lung na tak tak
Hetiang hunah hian sugar tlemte (thei in tur, in tur thlum) nena thil in emaw, glucose tablet ei emaw hian hahdamna a pe thei a ni.
Thisen sugar hi rei tak control a nih loh chuan complication awm thin
Hei hi game tak tak a ni lo. Hun rei tak chhung thisen sugar level sang i neih chuan lu atanga ke thlengin a nghawng thei che a ni.
- Heart Disease/Attack: Thisen kalna kawng a chhiat chuan heart attack hlauhawmna a tipung.
- Stroke: Thluak lam panna thisen kalna kawng a chhiat chuan paralysis a thlen thei.
- Kidney Damage: Hun a kal zel a, kal (kidney) hi a fail thei a ni.
- Nerve Damage: Hei hian ke ruh a ti na thei a, a ti na thei a, hriatna a hloh thei bawk.
- Mit chhiatna: Mit a tichhe thei a, mitdel pawh a awm thei.
- Vun lama harsatna: Vun natna leh hliam dam lo a awm thei.
Engtikah nge Doctor i hmuh nghal tur?
Thisen sugar level sang leh hniam hi medical emergency a ni. Enkawl vat loh chuan hriatna hloh (diabetic coma) a thlen thei a ni. Zunthlum vei, nikhaw hre lo i hriat chuan damdawi in emergency room (ETU)-ah hruai nghal rawh.
A bik takin a hnuaia emergency pahnih hi hre reng ang che.
| Emergency dinhmun a ni | Sawifiahna leh mizia |
|---|---|
| Diabetic Ketoacidosis (DKA) natna vei te hi a ni. | Insulin a awm tawk loh chuan cell te hian sugar an hmang thei lo. Chumi hnuah taksa chuan chakna atan thau a hal thin. Hei hian chemical ketones an tih a siam chhuak thin . Chungte chu thisenah an pungkhawm a, thisen chu acidic a siam a, nunna atana hlauhawm tak a ni thei bawk. A lan chhuah dan: Thâwk harsa, luak chhuak, hah lutuk, thei rimtui, vun ro, tuihal lutuk. |
| Hyperosmolar Hyperglycemic Syndrome (HHS) a awm a, a chhuahna tur hmun leh a hmanna tur a awm lo. | Hetah hian thisen sugar level chu 600 mg/dL aia sangin a sang a ni. Hei hi a hlauhawm hle mai. Ziarang:Tuihâl lutuk (a hnuah a bo mai thei), khawsik, mutthilh, buai, taksa sir khata chak lohna, mit hmuhna hloh, thil hmuh theih loh. |
| Hetiang hunah hian eng nge i tih thin? | |
I thisen sugar level 240 mg/dL aia sang a nih chuan urine ketone test strip hmang ang che. Level a medium emaw high emaw a nih chuan doctor ko nghal rawh. DKA emaw HHS emaw symptom i neih chuan hreh lova Emergency Department (ETU) ah kal la. | |
Engtin nge heng dinhmun hlauhawm tak takte hi pumpelh theih ang?
Hei hi mahni chauha tih theih a ni lo. Nang leh i chhungte leh i doctor-in in tih dun a ngai a ni.
- I doctor nen hna thawk ho rawh: I thisen sugar tum chu eng nge ni tih chiang takin zawt la, a hniam lutuk a nih chuan eng nge i tih tur tih leh i damloh chuan eng nge i tih tur tih te zawt rawh. An thupekte chu dik takin zawm rawh.
- I thisen thlum zat enfiah fo ang che: Doctor-in a sawi angin ni khatah vawi eng emaw zat i thisen sugar level enfiah thin ang che. Tunlai technology thar kan neih tawh avangin thisen sugar level tehna hmanrua (Continuous Glucose Monitors) pawh a awm ta.
- I damdawi ei tur chu a pek ang chiah khan hmang rawh: Insulin emaw damdawi dang emaw chu a hun takah, a zat dik takah ei thin ang che. Damdawi skip emaw ei tam lutuk hi emergency tam tak thlentu a ni.
- I taksa chungchang zir rawh: I ei leh in te, exercise i tih te, leh stress te ang chi thilte hian i thisen sugar level a nghawng dan hrethiam rawh. Tichuan, chutiang chuan i insiamrem thei ang.
- I ei leh in ngaihtuah reng ang che: Eng ei tur nge thisen sugar tipungtu leh eng ei tur nge control (e.g., fiber tamna ei tur) tih hre rawh. A hun taka chaw ei pawh a pawimawh hle.
Take-Home Thuchah a ni
- Control loha thisen sugar level sang (hyperglycemia) leh hniam (hypoglycemia) te hi a hlauhawm hle.
- Hun kal zelah thisen sugar level control loh chuan harsatna lian tak tak, thinlung natna, kal natna, stroke, nerve chhiatna, leh mitdelna te a thlen thei a ni.
- Thisen sugar sang leh hniam (tuhal, khur, mit fim lo ang chi) vaukhânna chhinchhiahnate chu hre reng ang che.
- DKA leh HHS ang chi emergency dinhmunah chuan damdawi in pakhata Emergency Treatment Unit (ETU) pan nghal a pawimawh hle.
- I zunthlum hi uluk takin enkawl rawh. Doctor thupek zawm la, i thisen thlum test fo la, i damdawi ei tur a tih angin ei la, nunphung hrisel tak nei rawh.
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