Zunthlum natna atana thil tul leh hmanraw mamawh te chu engte nge ni? (Diabetes Supplies) Hemi chungchang hi chiang takin i hre chhuak ang u!

I doctor i hmuh hnu leh in i thlen hnua thuthang i ei theih nan hun rei tak a la ngai thei: Zunthlum i nei a , tunah chuan i thisen sugar level i control a ngai tawh a ni. He nunphung thar i insiamrem lai hian i dinhmun enkawl dan tur leh nakin lawka harsatna lo thleng tur venna atana pui theitu hmanrua leh thil dangte i lo thlir ang u. Heng zawng zawng hian i zunthlum enkawlna kawngah hian chanvo hrang hrang an nei vek a ni .

Insulin leh a pek dan tur

I doctor chuan i thisen sugar level sang lutuk control nan insulin ei turin a rawt mai thei. A awlsam zawngin sawi ila, insulin hi kan taksa peng pakhat, pancreas an tih atanga siam hormone a ni. Kan ei tur a sugar awm chu chakna atana hman emaw, dahkhawmna atan emaw a pui thin.

Type 1 Diabetes i neih chuan i pancreas hian insulin siam a titawp vek tawh a ni. Mahse Type 2 Diabetes i vei chuan i pancreas hian insulin a la siam reng a, mahse i taksain a hmang dik lo.

I dinhmun azirin i doctor chuan insulin chi hrang hrang a pe thei bawk. Ṭhenkhatin hna an thawk thuai a, ṭhenkhat erawh chuan zawi zawiin hna an thawk a, thisenah rei zawk an awm thung.

A tlangpuiin ni khatah vawi khat atanga vawi li thleng insulin inject a ngai mai thei. Hei hi i doctor-in a rel ang. Chutianga tih theih dan kawng hrang hrang a awm a:

• Syringe: Syringe hmang hian bottle atanga insulin dose dik tak lak chhuah a, inject theih a ni.
• Insulin Pen: Hei hi hman a awlsam hle. Pen thenkhat chu insulin pre-filled a lo thleng a, thenkhat erawh chuan cartridge kan dah a ngai thung.

Insulin Pump chu eng nge ni?

A châng chuan, ni khatah vawi tam tak injection ei ai chuan, i doctor chuan insulin pump hman a rawt mai thei. Hei hian nitin insulin chu i taksaah zawi zawiin a pe chhuak thin. I thisen sugar i la enfiah a ngai a, mahse mi thenkhat chuan an thisen sugar level control nan a pui tih an hmuchhuak.

He pump hi a te hle a. awlsam takin waistband-ah emaw, sock-ah emaw, i underwear-ah emaw i dah thei a ni. Tube te tak te ``catheter'' an tih nen a inzawm a ni. He tube hi i vun hnuaiah needle hmangin dah a ni.

He pump hian nitin insulin chu a tlem berah a pe chhuak a, i mamawh ang zela programme a ni. Tin, chaw i ei hian pump-a button pakhat i hmet thei a, chu chaw ei chhunga carbohydrates halralna atana mamawh insulin dose dang i hmu thei bawk.

Thisen Sugar Meter a ni

Blood glucose meter (or glucometer) hi electronic device te tak te, i thisen sugar level sang lutuk leh hniam lutuk enfiahna atana hman thin a ni.

Hei hi hman dan tur chu a awlsam hle:

1. A hmasa berin i kut zungtang chu ``Lancet'' tih hming pu needle te tak te hmangin chhum la, thisen tlem te te chu la khawm rawh.

2. Thisen tla chu test strip (Diabetic Test Strip)-a hmun ruat saah dah tur a ni.

3. Tichuan strip chu meter chhungah dah la, second tlemte chhungin i thisen sugar level chu screen-ah a lang ang.

Heng result te hi lehkhabuah ziah chhuah a pawimawh hle. Hei hian i doctor chu i enkawlna ruahmanna chu a thawk tha em tih a hriat chian theih nan a pui ang. I doctor chuan i thisen sugar i check fo tur zat a hrilh ang che. A bik takin i nghing a, i lungkham a, i lu a na a, i rilru a na a, i thawk a, i riltam hle a, i muhil a nih chuan hengte hi thisen sugar tlahniam (hypoglycemia) chhinchhiahna a ni thei. Chutiang hunah chuan i thisen sugar kha enfiah ngei ngei tur a ni.

Glucose Monitor (CGM) hmanga enkawl chhunzawm zel a ni.

Hei hi advanced device dang a ni bawk. Minute tlemte danah i thisen sugar level chu automatic in a teh a, nitin darkar 24 chhung a teh thin. Hei hian i thisen sugar level a sang lutuk emaw a hniam lutuk emaw a hriat lawk thei a ni.

Vun hnuaia sensor te tak te dah hian i kutphah a device emaw i phone emaw ah data a thawn thin. He data hmang hian i thisen sugar level pattern leh trends te chu i track thei a ni. He thu hian nang leh i doctor te chu enkawlna tur ruahmanna tha ber siam turin a pui thei che a ni.

Ketone Test Strip hmanga siam a ni

I taksain sugar hman tur insulin a neih tlem chuan chakna atan thau a hal tan thin. Hetiang hian ketones an tih thil a siam chhuak thin . I zun a ketones level sang hi i zunthlum hi a thunun theih lohzia tilangtu hlauhawm tak a ni .

I doctor chuan a hnuaia symptoms te hi i neih chuan ketone test neih a rawt thei ang:

• I thisen sugar level 240 mg/dL aia sang a nih chuan
• Natna emaw, chau emaw i tih reng chuan
• I hmui a vawt a, i tuihal reng a nih chuan
• I buai nia i hriat chuan
• Thâwk harsa i neih chuan

He test hi in lama tih tur hian zun tlem te chu cup fai takah la khawm la, test strip chu dip rawh. Zun tam lutuk chu hrual la, a thupek angin strip rawng a inthlak hun nghak rawh. Tichuan, strip rawng chu kit-a color chart nen khaikhin rawh. I ketone level a hniam emaw a sang emaw a nih chuan doctor pan nghal rawh. A tul chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.

Thil tul dang leh emergency-a inbuatsaihna

Diabetes i enkawl dawn hian thil dang tlemte i neih reng a pawimawh. Chu thilte chu he table-ah hian eng nge awm tih hi han en ila.

Sri Lanka ramah hian heng device zawng zawng hi kan tan a awlsam em?

Device hmasawn tak tak kan sawi tawh thenkhat, entirnan insulin pump leh CGM device te hi Sri Lanka ramah hian a awm vak lo. Tin, an man to hle bawk.

Glucometer te, test strip te, lancet te, insulin chi hrang hrang te hi a tlangpuiin kan ram damdawi dawr atang hian awlsam takin kan hmu thei a. Mahse, technology lama hmanraw changkang tak tak hmuh kawngah harsatna engemaw zat a awm thei.

Zunthlum, zunthlum hmanrua, insulin, glucometer, thisen thlum, hypoglycemia, zunthlum enkawl dan