I fate hian eng ang pawhin ei mah se, "Ka pu lo, a tam zawk ka duh?" Chaw a ngaihtuah reng a, ei tur a zawng reng a, a chang chuan tumah an awm loh laiin ei tur a rukbo thin tih i hmu ngai em? Hei hi a hmutu nu emaw pa emaw tan harsatna lian tak leh lungngaihna thlentu a ni thei. A tam zawkah chuan hei hi naupang chaw ei duhna niin kan ngai. Mahse chutiang chu a ni reng reng lo. Hetiang riltam lutuk chhan hi thlahtute atanga lo chhuak , Prader-Willi Syndrome tih hi a ni thei. Vawiin hian he thu hi, a kaihhnawih riltam lutuk (`hyperphagia`), leh a enkawl dan awlsam leh friendly takin kan sawi dawn a ni.
Prader-Willi Syndrome hi eng nge ni?
A awlsam zawngin Prader-Willi Syndrome hi kan DNA inthlak danglamna avanga lo awm, genetic condition awm lo tak a ni. A chang chuan, lu hliam na tak vang pawh a ni thei.
Hetiang dinhmun hian kan thluak peng pakhat hypothalamus a nghawng ber a ni. Hypothalamus hi kan taksaa switch angin han ngaihtuah teh. Kan ei a, kan chaw ei hian he part hian "Okay, enough is enough" tih signal min thawn thin. Mahse Prader-Willi Syndrome vei thluak ah chuan he "switch" hian hna a thawk tha lo. Chuvang chuan eng ang chaw ei pawh ni se, an chaw ei kham lo.
Hei vang hian heng naupangte hi an riltam fo thin. An sualna a ni lo va, duhâmna a ni hek lo. Natna ngei pawh a tel ve a ni.
Hetianga riltam reng reng (`hyperphagia`) avang hian ei tur an zawng reng a ni.
- Mi pangngai aiin ei tur tam zawk an ei thin.
- Nakin lawka ei tur ei tur an thup thin.
- Thil thleng nasa tak ṭhenkhatah chuan, chaw hmin (frozen food) ei tûra thlêmna i nei thei a, bawlhhlawh bawm aṭanga ei tûr pawh a ni mai thei.
Hetiang dinhmun hi control a nih loh chuan thau lutuk leh a kaihhnawih hriselna lama harsatna dang (zunthlum leh thinlung natna ang chi) neih theihna a sang hle.
He riltam lutuk hi enkawlna tur a awm em?
Awle. He riltam lutuk hi thunun thei damdawi a awm. Vykat XR (diazoxide choline) hi chutiang damdawi pakhat a ni. He damdawi hian kan thluaka riltam leh ei duhna thununtu hormone leh neurotransmitter te a nghawng a, chu riltamna awm reng chu a ti tlem a ni.
Mahse hei hi damdawi duhthusam anga ei theih a ni lo. He enkawlna hi specialist enkawlna hnuaiah chauh tan tur a ni.
He damdawi hi engtin nge i hman?
Hei hi ni khatah vawi khat ei thin pill a ni tlangpui. Chaw ei rual leh ei loh pawhin ei theih a ni. Mahse , tablet chu a pumin a ei tur a ni a, a chhe lo va, a tikehsawm lo va, a ei loh tur a ni.
I doctor chuan he damdawi hi a dose tlem hlein a tan tir ang che. Tichuan, kar hnih danah zawi zawiin an dose an tipung ang. Hei hi `titration' an ti a. Hei hi i tana tha tur leh i symptoms control tha ber tur maintenance dose zawn nan tih a ni. Kar khat emaw a aia rei emaw chhung damdawi i ei theih loh chuan i doctor chuan a dose hniam zawkin a tan leh thei che a, zawi zawiin a tipung thei bawk.
Engtin nge damdawi hian hna a thawk em tih i hriat theih ang?
He damdawi hian hna a thawh tan chuan nangmah emaw, i fa emaw chuan ei duhna reng reng, ei duhna, leh riltam lutuk ang chi thilte chu zawi zawiin a tlahniam tih i hmu ang. He damdawi hian a taka a thawh theih nan hun engemaw chen a mamawh avangin kar hmasa lamah hian inthlak danglamna lian tak a awm beisei suh.
Mahse, damdawi ei chung pawha i ei duhna a la ṭha lo a nih chuan i doctor nen inbiakna neihpui ngei ang che. Damdawi chu a chawlhsan thei a, a tul chuan enkawlna dang a rawt thei bawk.
Side effects awm tam ber chu engte nge ni a, eng nge tih theih ang?
Damdawi dang ang bawkin side effect a nei thei bawk. Mahse, mi zawng zawngin an hmu vek lo. Side effect awm tam ber leh enkawl dan tur i lo en ang u.
| Side Effect a awm thei | Engtin nge kan enkawl ang |
|---|---|
| Taksa sam sei lutuk (hypertrichosis) . | Hei hi a tlangpuiin enkawl theih a ni. A tul chuan sam tihfai dan i hmang thei bawk. Mahse, thunun a nuam lo lutuk a nih chuan doctor nen inbia ang che. |
| Taksa chhunga tui awmkhawm avanga hliam (edema) . | I ke, ke ruh, ke ruh hring, thawk harsa tih ang chi symptoms i neih chuan doctor hnenah hrilh nghal rawh . I doctor chuan damdawi chu rei lo te atan a chawlhsan a ngai mai thei a, a dose a tihtlem a ngai mai thei a, damdawi dang, diuretics ang chi a pe bawk thei bawk. |
| Thisen sugar level a sang | Hei hi hriat reng tur a ni. I doctor chuan damdawi i ei tan hma leh i ei lai hian i thisen sugar level a enfiah fo ang. A tul chuan i thisen sugar tihtlem nan damdawi dang an pe thei che a ni. |
| Skin Rash a awm | Sahbawn rimtui lo, mild tak tak hmang rawh. Itching a awm chuan doctor-in a tih angin ointment pawh hnawih theih a ni. Itching a pung emaw, a reh lo emaw a nih chuan doctor hnenah hriattir tur a ni. |
Condition na tak tak, enkawl bik ngai!
He damdawi hian thisen sugar level a tisang thei tih min hrilh tawh bawk. A tlem berah chuan hei hian natna hlauhawm tak Diabetic Ketoacidosis (DKA) tih a thlen thei a ni. Hei hi taksain insulin a neih tlem avangin thisenah thil tha lo, ketones an tihte a lo punkhawm hian a ni. Hei hi medical emergency a ni.
Sugar level sang lutuk chhinchhiahna:
- Thil danglam tak a tuihal tih hriatna
- Zun chhuah fo thin
- A hma aia riltam zawka inhria
- Tum loh vanga taksa rihna tihtlem
Diabetic Ketoacidosis (DKA) vei vaukhânna chhinchhiahna:
- Nausea emaw, luak chhuak emaw
- Pum a na
- Chauhna nasa tak emaw, buaina emaw
- Thâwk harsa
- Thâwk chungah rah rim a nam
- Thisen sugar level sang tak nei (e.g., 300 mg/dL aia tam) .
Heng symptoms zinga pakhat tal i neih chuan doctor pan nghal vat la, reilote lovah. A nih loh leh, damdawi in hnai ber Emergency Department (ETU)-ah kal rawh. Hei hi a pawimawh hle.
Damdawi dang nena inzawmna (interaction) hriat reng tur.
Damdawi dang i ei hian Vykat XR hnathawh dan a nghawng thei a ni. Damdawi thenkhat chuan Vykat XR side effects a tipung thei a, thenkhat erawh chuan a thatna a ti tlem thei thung.
Chuvangin, i fain damdawi i ei zawng zawng (prescription medicines, over-the-counter medicines, vitamins, traditional medicines, herbal products te pawh) i doctor hnenah chiang takin hrilh rawh. A dose a siamrem ang a, a tul chuan damdawi a thlak ang. Damdawi engmah hi doctor zawt hmasa lovin tan leh titawp suh.
Take-Home Thuchah a ni
- Prader-Willi Syndrome hi genetic condition hmuh tur awm lo tak a ni a, chu chuan fullness feeling a hloh thin.
- I fate riltam lutuk leh ei tur zawng lutuk hi a sualna a ni lo va, natna hrim hrim chhinchhiahna a ni tih hrethiam rawh.
- Vykat XR ang damdawi hian he riltam lutuk hi a thunun thei a, mahse specialist enkawlna hnuaiah chauh tih tur a ni .
- Side effects, a bik takin thisen sugar sang chhinchhiahna te chu fimkhur fo ang che. Diabetic Ketoacidosis (DKA) symptoms i neih chuan damdawi in Emergency Department (ETU) ah kal nghal rawh.
- Damdawi dang leh supplement i ei tur zawng zawng doctor hnenah hriattir a pawimawh hle.











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