Tarte hnena damdawi pek chungchangah ngaihtuahna i nei em? ‘Beers Criteria’ chungchang hi han sawi ila!

I in chhungah tar i nei a, i nu, i pa, i pi, i pi ang chi i neih chuan, i damdawi i pekte hi tlem i ngaihtuah mai thei, a dik em? A châng chuan doctor kan pan hian damdawi chi hrang hrang min pe ṭhin . Mahse kan tar chhoh zel chuan kan taksain damdawi a dawn dan a danglam a, damdawi thenkhat chu an tan a tha lo thei bawk. Chutiang thilte enkawl tura doctor-te tanpui thei tur kaihhruaina list a awm a. Chu chu ‘Beers Criteria’ kan tih chu a ni. Vawiin hian he thu hi han sawi mai ila.

He ‘Beers Criteria’ hi eng nge ni?

A awlsam zawngin, hei hi American Geriatrics Society , puitling kum upa lam hriselna lama mithiam pawl pakhatin kaihhruaina list a siam a ni. Kum 65 chunglam tan eng damdawi nge chhiatna thlen thei tih min hrilh a, eng damdawi nge a hlawkna aiin side effect nei tam zawk thei tih min hrilh bawk. He list hi ‘Beer’s List’ tia hriat a ni bawk. Ngaihtuah teh, survey-ah chuan kum 65 chunglam zinga 90% aia tam chuan thla khatah damdawi pakhat tal an hmang a, 66% aia tam chuan damdawi pathum aia tam an hmang bawk. Chuvangin hetiang hun lai hian he list hi doctor-te tan damdawi him taka pek theihna turin a \angkai hle ang.

‘Beers Criteria’-a thil pawimawh pangate chu engte nge ni?

He list hi thil pawimawh panga aṭanga siam a ni a, chu chu doctor-te chuan kum upa lam damdawi an pek hunah a bik takin an ngaihtuah a ni:

• Kum 65 chunglamte hnena pek loh tur damdawi , a bik takin hospice emaw palliative care ang chi end-of-life care dawng lote tan .
• Damdawi lam natna thenkhat (entir nan, kal natna, thinlung natna) nei te tana hlauhawm thei damdawi te.
• Damdawi dang nena ei a nih chuan damdawi inzawmna siamin harsatna thlen thei damdawi.
• Damdawi side effect avanga a thatna aiin a tichhe thei zawk .
• Kidney function tichhe thei damdawi (i.e., renal impairment nei) te hi a tlem berah pek tur a ni a, tihtawp vek tur a ni.

‘Beers Criteria’ list-ah hian eng ang damdawi nge awm?

He list-ah hian damdawi chi hrang hrang 100 vel a awm a. An chanchin sawi vek a harsa a, mahse ngaihtuahna pe turin category engemaw zat atanga entirnan tlemte han en ila. Chutih rual chuan, chu damdawi te chu a hlauhawm theih chhan te pawh han en ila.

• Analgesics: Entirnan, damdawi `(meperidine)` ang chi te. Chungte chu nervous system tan toxic a ni thei (`(Neurotoxicity ()) leh delirium (`(delirium)`) te pawh a awm thei bawk.
• Antibiotics: Antibiotics thenkhat, entirnan ciprofloxacin te hi warfarin (thisen tithianghlimtu) nena ei chuan thisen chhuah theihna a tipung thei a ni .
• Antiseizure damdawi: Carbamazepine ang damdawi hian SIADH - Syndrome of inappropriate antidiuretic hormone secretion tih natna a thlen thei a, chu chuan taksa tui leh chi balance a tibuai a ni.
• Antihistamines (chi hlui zawk): Brompheniramine ang damdawi hian buaina a thlen thei a, hriatna a tichhe thei a, delirium a thlen thei bawk.
• Thisen sang damdawi thenkhat (Antihypertensives): Damdawi thenkhat, `(alpha-blockers),` te hian thisen sang a ti tlahniam nghal thei (`(Hypotension)`) .
• Antiplatelets emaw anticoagulants: Edoxaban ang damdawi hian a chang chuan kal (renal impairment) a nghawng thei .
• Antipsychotics: He class-a damdawi eng pawh hi puitling kum upa zawkte hnena pek a nih chuan stroke, cognitive decline, leh delirium hlauhawmna a tipung thei a ni.
• Anxiolytics: Benzodiazepines group-a damdawi (e.g. diazepam) hian taksain damdawi a tihchhiat a tikhawtlai thei a, fimkhur lohna a thlen thei a, kea kal laiin a nghing thei bawk
• Cardiac damdawi thenkhat: Disopyramide ang chi damdawi hian heart failure a ti na zual thei .
• Central nervous system agents: Dimenhydrinate (antiemetics thenkhatah hmuh tur) hian buaina a siam thei a, hriatna a tlahniam thei a, delirium a thlen thei bawk .
• Zunthlum damdawi thenkhat: Chlorpropamide ang chi damdawi hlui zawk hian thisen sugar level hlauhawm takin a tihhniam thei (hypoglycemia) .
• Gastrointestinal damdawi: ``H2-blocker'' class-a damdawi thenkhat hian delirium a ti na zual thei a, a bik takin mi pakhatin a neih tawh chuan .
• Hormones: Estrogen hi pawn lam atanga pek a nih chuan hmeichhe thenkhat chu hnute cancer leh uterine cancer vei theihna a sang hle thei a ni .
• Mutna damdawi thenkhat (hypnotics): Barbiturates ang chi ruihhlo addiction a awm thei a, overdose hian dinhmun hlauhawm tak a thlen thei bawk .
• Musculoskeletal agents (muscle relaxers): Chûngte chuan buaina, hmui vawt, leh chaw ei kham ang chi thil a thlen thei a ni .
• Non-steroidal anti-inflammatory drugs (NSAIDs): Aspirin ang damdawi (ni khatah milligram 325 aia tam) hian natna khirh tak tak, pum ulcer, thisen chhuah, emaw, perforation emaw a thlen thei a ni
• Thâwkna damdawi ṭhenkhat: Atropine ang chi damdawi hian buaina a thlen thei a, hriatna a tichhe thei a, delirium a thlen thei bawk .
• Zun damdawi thenkhat: ``(desmopressin)`` hian thisenah sodium level a ti hniam thei (``(hyponatremia)``) , hei pawh hi a hlauhawm hle.
• Thisen kalna kawng tizau thei damdawi thenkhat (vasodilators): `(ergoloid mesylates)` ang chi damdawi hian beisei angin result a pe lo thei .

Pawimawh: Hengte hi entirnan tlemte chauh a ni. I doctor chuan eng damdawi nge i tan a tha ber tih a rel ang. He list-a damdawi pek i nih pawhin a chhan a awm thei. Chuvangin hlauthawng suh, i doctor nen inbia fo ang che.

He ‘Beers Criteria’ list hi engzat nge update a nih dawn? Engtin nge tih a nih?

Hei hi vawi khata tih tur list, dah bo mai mai a ni lo. American Geriatrics Society chuan he list hi kum thum danah velin an enfiah a, an update thin.

Engtin nge tih a nih? Hei hi medical research thar leh clinical trial atanga thu thar ber ber hmanga tih a ni. Damdawi lama mithiam pawl pakhat chu an inkhawm a, list hlui chu an enfiah a, damdawi ṭhenkhat chu an paih chhuak thei a, a thar an dah belh thei a, a nih loh leh finfiahna thar aṭanga rawtna awmsa chu an thlak danglam thei bawk.

Doctor ten ‘Beers Criteria’ hi engtikah nge an hman?

He list hi doctor-te’n kum 65 chunglam damdawi an pek huna an hman tlanglawn tak a ni a, mahse i en mai mai leh thutlukna siam mai mai a ni lo. I doctor chuan i medical history kimchang, i hriselna awm mek, leh damdawi dang, vitamin, leh supplement i ei zawng zawngte chu a ngaihtuah ang . Chumi hnuah chuan damdawi thar emaw, damdawi hman mek dose emaw chu i tan a him em tih an rel ang. He list a\ang hian damdawi, a dose, a nih loh leh an pek \hin dan pawh an thlak danglam a ngai thei bawk.

‘Beers Criteria’ hman hunah eng thil nge ngaihtuah tur?

Hei hi zawhna pawimawh tak a ni. ‘Beers Criteria’ hi eng nge ni?Mipui tam tak tan duan a ni. Chuvangin, ``mihring bik'' a ni lo . Chu chu, he list hian mi pakhat hriselna tlangpui te, natna dang a neih theih dan te, doctor-in damdawi pakhat a thlan chhan bikte a sawi lo tihna a ni.

Chuvangin hei hi Doctor-te hmanraw tha tak mai a ni. Doctor thiam leh tawnhriat ngah tak tan thutlukna a siam lo.

Entîr nân, doctor pakhatin he list-a damdawi, chhiatna thlen thei nia ngaih chu a pêk duh che a nih chuan, thil tam tak a ngaihtuah ang a, chutah chuan i hrisêlna leh i enkawlna hmunte pawh a tel ang. Chumi hnuah chauh chuan damdawi chu i tan a him em tih thutlukna hnuhnung ber a siam ang. A tam zawkah chuan doctor-te chuan he list-a damdawi aiah hian a dang an thlang thei a ni. Mahse, he list-a damdawi pakhat hi pek a nih chuan doctor chuan uluk takin a enkawl ang che , a side effect a awm leh awm loh a en ang.

Engvangin nge damdawiin kan taksa a nghawng dan hi kan upat deuh deuh hian a danglam thin?

Hei hi thil pawimawh tak a ni. Kan tar chhoh zel chuan kan taksa hian inthlak danglamna tam tak a tawk a. Heng inthlak danglamna te hian damdawi ei luh dan leh kan taksaa an hnathawh dan a nghawng thei a ni. Entirna thenkhat chu hetiang hi a ni:

• Taksa a chhe (metabolize) a, damdawi a paih chhuah theih nan hun a duh rei zawk. Chumi awmzia chu damdawi chu i taksaah rei zawk a awm thei tihna a ni. Hei vang hian doctor-te chuan kum upa zawkte hnenah damdawi dose tlem zawk an pe \hin.
• Condition pakhat damdawi chuan natna dang a nghawng thei a ni. Damdawi thenkhatin kan taksa chhân lêt dân a tihdanglam avângin, enkawlna dangte hnathawh ṭhat dân pawh a nghawng thei bawk.
• Nunphung a inthlak danglam thin. I activity level leh i ei leh in ang chi thilte hian damdawi thenkhat hnathawh that dan a nghawng thei a ni. Chuvangin Doctor i hmuh hian i nitin nunphung, i ei leh in leh exercise i tih leh tih loh te sawi chhuah a pawimawh. Chutiang chuan i tana tha ber tur enkawlna chu a thlang thei ang.

Doctor-te hian kan taksa hi an hre chiang hle a, kum upat dan azira a inthlak dan pawh an hre chiang hle. Damdawi an pek che chuan i taksain a chhan dan an enfiah ang a, a him em tih an enfiah ang.

Chuti a nih chuan, he thawnthu atang hian eng thil nge kan hriat reng tur?

Okay, chuvangin tunah chuan kan sawi ‘Beers Criteria’ hi kum 65 chunglam damdawi an pek huna doctor-te tanpui thei tur kaihhruaina pawimawh tak tak list a ni tih i hrethiam tawh mai thei.

Hei hian doctor-te chu kum upa lam tana hlauhawm thei damdawi lam ngaihtuah a, a dang him zawk thlang turin a pui a ni.

Hei hi doctor-te tana hmanraw a ni tih hre reng ang che, nangmah ngeiin damdawi i tihtawp emaw, i ei tan emaw tur thil a ni lo.Damdawi i ei tur chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inbia ang che. Thurawn dik tak pe thei tur che chu a tha ber a ni. Mahni rilru put hmang ngaihthlak hi hrisel taka awm theihna kawng tha ber a ni.

` Beers Criteria, Puitling hriselna, Damdawi, Side Effect, Damdawi him, Tar