I kawr chhungah taksa ruh (muscle spasm) na tak tak, na tak tak i nei fo thin em? A nih loh leh i kut leh kut zungtang ruh (muscle spasm) vangin nitin hna thawh harsa i ti em? I hmaiah wrinkles awm tur ngaihtuah mi i ni mai thei. Vawiin hian hetiang dinhmun enkawlna atana doctor ten an hman thin special injection kan sawi dawn a ni. Hei hi vaccine pakhat AbobotulinumtoxinA tih a ni. Brand name `(Dysport)` tih hmangin i hre tawh mai thei.
A awlsam zawngin, he vaccine hi eng nge ni?
Hei hi ``Neuro-muscular blocker'' chi damdawi a ni. Chu chu, nerve leh muscle inzawmnaah nghawng tlem a nei tihna a ni . Kan thluak atanga signal lo kal chu muscle pakhatah "contract" turin han ngaihtuah teh. He injection hian a tih chu hun engemaw chen chu muscle-a signal kal chu a tichak lo a ni. Hun engemaw chen switch off ang mai a ni. Hei hian a tul lo taka taksa ruh tight leh twitching te chu a ti hahdam deuh thin.
Hei hi a bik takin:
- Kawng ruhte chu a inzawm tlat a nih chuan: Mi thenkhat chuan an kawr chu a sir khatah an hrual ang maiin an inkhai niin an hria. Hei hi hei hi enkawlna a ni.
- Puitling kut ruhte roll turin: elbows, wrists , leh fingers te chu a tight thin.
- Naupang kawng roll over tur: Doctor-te pawhin naupang kum 2 chunglam thenkhatin an kawr ruh a khauh chuan hetiang hi an hmang thin.
- Cosmetic atan: Mi tam takin an hriat angin mitmeng inkara frown line awmte tihziaawmna atan pawh hman a ni.
A pawimawh ber chu hei hi Doctor thiam tak, damdawi inah emaw, clinic-ah emaw chauh pek tur vaccine a ni. Nangmah emaw, mi tling lo emaw pek tur a ni ngai lo.
Vaccine lak hmaa doctor hnena hrilh tur thil
I himna atan he vaccine i dawn hmain i doctor hnenah i health history kimchang hrilh hmasak a pawimawh hle . Thil tenau ber pawh thup suh. He vaccine hi condition thenkhat nen a inmil lo mai thei.
| Situation i report tur a ni | Engvangin nge chu chu? (A awlsam zawngin) |
|---|---|
| Thâwk lama harsatna (asthma ang chi) . | He vaccine hian thawkna thau a tichak lo hle a, chuvangin harsatna a awm tawh chuan a hlauhawmna a sang zawk. |
| Nerve emaw taksa ruh natna (e.g. Myasthenia Gravis, ALS) . | Heng natna vei tan chuan he vaccine hian taksa ruh chak lohna nasa tak a thlen thei a, symptoms a ti na zual thei bawk. |
| Allergy nei te pawh a awm | Botox, bawnghnute protein, albumin, emaw damdawi/chaw dang emaw allergy i neih tawh chuan doctor hnenah hrilh ngei ang che. |
| Naupai emaw, fa neih/nau hnute pek tum emaw | He vaccine hian nu naupai leh nau hnute pe lai a nghawng dan data kimchang a la awm loh avangin a tlangpuiin a tha lo. |
| Injection na hmuna natna hrik emaw hliam emaw a awm | Infection awmna hmunah i inject chuan a darh thei a ni. Chuvangin vun a dam hma chu i nghah a ngai a ni. |
| Lung natna emaw, zunthlum emaw | Doctor tan chuan i hriselna dinhmun zawng zawng a hriat chian a pawimawh hle. |
Vaccine lak hnua fimkhur tur thil
Okay, tunah chuan vaccine i dawng tawh a, darkar leh ni engemaw zat lo awm tur chu a pawimawh hle.
Heng thilte hi a lo thleng a nih chuan tlai suh!
Hengte hi emergency anga ngaih a ni . Heng symptoms zinga pakhat tal i neih chuan doctor rawn la emaw, Emergency Department (ETU)-ah pawh tlai lovin kal la.
- Thâwk harsa i neih emaw, i rilru a tikhauh tih i hriat emaw chuan .
- Thusawi harsatna i neih emaw, i aw a inthlak emaw (aw bengchheng taka thusawi ang chi) a nih chuan .
- Ei leh in ei harsatna i neih chuan (tui tlem in pawhin i rilru a buai ang tih i hriat chuan).
Heng thilte hi vaccine-in a nghawng chu taksa peng pawimawh dang a darh chuan a thleng thin. Hei hi a thleng tlem hle a, mahse fimkhur a pawimawh hle.
Thil dang ngaihven tur
- Extreme weakness: Injected muscle chu a chak lo hle tura ngaih a ni. Mahse, chak lohna tlangpui emaw, hahna danglam tak emaw i neih chuan i doctor hnenah hrilh rawh .
- Mit a inthlak danglam: Mit hmuh fiah lo, mit pahnih, mitmeng tlak hniam i neih chuan khawngaihin lirthei khalh suh la, machine hlauhawm tak tak hmang suh.
- Mit a vawt : Mi thenkhat chuan mit vawt an nei thei. Hei hi contact lens i vuah chuan a nuam lo zawk thei. I doctor hnenah mittui tlakna tur lubricating chungchang zawt rawh .
- Zun control harsat : Hei pawh hi thil awm lo tak a ni. Hetiang a nih chuan doctor hnenah hrilh nghal rawh.
Eng side effect nge i beisei theih ang?
Damdawi dang ang bawkin he vaccine hian side effect a nei thei a ni. Mi zawng zawngin an hmu vek lo. A tam zawkah chuan a side effects te hi a tlem hle.
| Side effect chi hrang hrang | Entirnan |
|---|---|
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
| Allergy natna a awm thei | Skin rash, itching, hmai, hmui, lei hring. |
| Thâwk lak leh ei harsat | Thâwk harsa, ei harsa, tawng harsa. |
| Heart rate a inthlak danglam thin | Thinlung thawk chak, mumal lo, rilru na. |
| Symptom na tak dang a awm bawk | Mit hring, mitmeng tla, taksa chak lohna, rilru hah, zun control theih lohna. |
| Side effects a tlangpuiin a na lo (mahse a awm reng chuan doctor hnenah hriattir tur a ni) . | |
| Injection pekna hmun chu | Natna, hliam ang maia sen hring. |
| Thiltih dan tlangpui | Lu na, luak chhuak, hmui ro, hnar luang. |
Damdawi dang nen a inzawm thei em?
Awle. Damdawi thenkhat chu he vaccine nen hian an inzawm thei a ni. A bik takin:
- Aminoglycoside antibiotics damdawi - e.g. gentamicin, neomycin tih a ni.
- Muscle relaxant dang.
- Botulinum toxin injection dangte pawh a awm bawk.
Chuvangin, i damdawi ei zawng zawng (vitamin, hnam damdawi, leh supplement te pawh tel) i doctor hnenah hrilh rawh.
I theihnghilh suh, he damdawi hi i ei tam lutuk nia i hriat chuan hlauthawng suh la, Colombo National Hospital-a National Poisons Information Center ah call nghal la, a hnai ber Emergency Treatment Unit (ETU) ah kal nghal bawk ang che.
Take-Home Thuchah a ni
- AbobotulinumtoxinA (Dysport) hi injection bik a ni a, doctor-in taksa ruh tikhauh leh wrinkle tihziaawmna ang chi thil atan chauh a pe thin.
- Vaccine i lak hmain i doctor hnenah i damdawi lam dinhmun zawng zawng, allergy zawng zawng leh i damdawi ei zawng zawngte chu hrilh kim vek ang che.
- Vaccine i dawn hnua thawk harsatna, ei leh in, tawng harsa i neih chuan emergency a ni. Damdawi lam thurawn zawng nghal rawh.
- I mit a fiah lo emaw, i lu a hah emaw a nih chuan, i dam leh hma loh chuan lirthei khalh emaw, thil hlauhawm tak tak tih emaw chu pumpelh rawh.
- He vaccine chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh.
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