A châng chuan, natna tihdamna damdawi pangngai hmanga thunun theih loh natna nasa tak i neih chuan i doctor chuan natna tidamtu bik a pe thei a ni. He liquid medicine hi Acetaminophen leh Codeine an tih damdawi pahnih inzawmkhawm a ni a, chutiang zinga pakhat chu a ni. A tlangpuiin natna tidamtu dang i tuar theih loh emaw, natna a tihziaawm loh chuan emaw a ni. Chuvangin vawiin hian he damdawi hi chipchiar deuhin leh a hman huna fimkhur tur thilte chauh sawi ila.
Hei hi eng damdawi nge ni?
A awlsam zawngin sawi ila, hei hi damdawi chi hnih lian tak tak inzawmkhawm a ni.
1. Acetaminophen: Painkiller tlanglawn tak, mi tam takin ‘Panadol’ ang damdawi atanga kan hriat, khawsik leh natna a tiziaawm.
2. Codeine: Hei hi natna tidamtu chak tak a ni a, opioid class-ah a tel a ni. Thluak-ah direct-in hna a thawk a, natna signal thawn chhuah a tikhawlo a ni.
Heng pahnih hi an inzawm khawm chuan natna hniam lam atanga natna khirh tak takah control tha tak an pe a ni. He damdawi hi solution-a awm a nih avangin a bik takin pill ei harsa tan chuan hman a awlsam hle.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
I doctor-in i hriselna a kimchang taka a hriat a pawimawh hle. Chuvangin, he damdawi hi i ei tan hmain a hnuaia natna te hi i neih chuan doctor hnenah hrilh hmasa phawt ang che:
- Acetaminophen, codeine emaw opioid dang, damdawi dang, ei tur, dye emaw preservatives emaw allergy i neih tawh chuan.
- Zu in fo thin i nih chuan.
- Liver emaw kidney emaw natna i neih chuan .
- Lung natna, thawhah, a nih loh leh thawk lama harsatna dang i neih chuan .
- Lu hliam, thluaka tumor, emaw seizures ang chi natna i neih chuan.
- Ruihhlo ngawlvei history i neih chuan .
- Adrenal gland hnathawh a tlahniam.
- Pum emaw, intestine emaw lama harsatna i neih chuan.
- Naupai emaw, nau pai tum emaw i nih chuan.
- Nu hnute pe mek i nih chuan.
- Ni 14 kalta chhunga MAOI (Monoamine Oxidase Inhibitor) antidepressant Marplan, Nardil, Parnate te i ei tawh a nih chuan.
Heng thute a\ang hian i doctor chuan he damdawi hi i tan a tha em tih emaw, a dose thlak a ngai em tih emaw a rel ang.
Engtin nge damdawi hi ka hman ang?
He damdawi hi i hman hunah i fimkhur hle a ngai a ni.
- Dik takin teh rawh:Hei hi liquid a nih avangin i doctor-in a dose dik tak i teh a ngai a ni. Chumi atan chuan damdawi nena rawn kal special spoon emaw cup emaw hmang rawh. In lama i neih teaspoon emaw tablespoon emaw hmang suh , an tehna dik lo a nih avangin.
- Chaw nen ei: Mi thenkhat chuan he damdawi hi an ei hian pum a na thei. Chutiang a nih chuan damdawi chu chaw ei rualin emaw ei zawhah emaw ei tur a ni.
- A hun ruatah chauh ei tur a ni: Doctor-in a sawi aia tam ei loh tur a ni a, a hun ruat aia hmain ei tur a ni hek lo.
Naupangte hnena thilpek pek dawnin fimkhur hle ang che.
He damdawi hi naupang kum 12 hnuai lam tan hman a tha lo. Tin, naupang kum 18 hnuai lam, tonsils emaw adenoids emaw lakchhuahna tur operation nei tawhte hnenah pawh he damdawi hi pe suh. Naupangte hi he damdawi avanga side effects an neih theihna chance a sang zawk.
Damdawi i ei tam lutuk chuan engtin nge i tih ang? (Overdose) a ni.
He damdawi hi i ei tam lutuk nia rinhlelhna i neih chuan ngaihthah suh. Colombo National Hospital-a National Poisons Information Center-ah phone nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh. He damdawi hi i tan chauh a ni. I damdawi hi midang hnenah pe ngai suh.
He damdawi nena inzawm thei damdawi dang (Drug Interactions) .
He damdawi hian damdawi dang nen a inzawm a, side effect hlauhawm tak a nei thei bawk. Chuvangin i damdawi ei zawng zawng (vitamin leh herbal remedies te pawh tel) i doctor hnenah hrilh vek a pawimawh.
A bik takin, he damdawi hi a hnuaia damdawi te nen hian ei ngai suh:
- Linezolid a ni
- MAOI-te (e.g. Marplan, Nardil, Parnate) te chuan an rawn ti a.
- Methylene blue a ni
- Ozanimod chuan a rawn ti a
- Samidorphan chuan a rawn ti a
Tin, a hnuaia damdawi te hi i ei a nih chuan i doctor hnenah hriattir la, harsatna a thlen thei a ni:
- Zu
- Antihistamines (khawsik, khuh, leh allergy damdawi) .
- Depression, lungkhamna emaw, mut emaw damdawi
- Hriselna atana hman tur damdawi (e.g. carbamazepine, phenytoin) .
- Antifungals (e.g. ketoconazole) te hi a tha hle.
- Antibiotics thenkhat (e.g. erythromycin) .
- Muscle tih hahdamna a ni
- Acetaminophen (paracetamol) awmna natna tidamtu dang eng pawh.
He list hi a kim lo a, chuvangin i damdawi ei zawng zawng chu doctor hnenah hrilh rawh.
Damdawi ei huna ngaihtuah tur pawimawh ber berte
Natna a reh loh chuan engtin nge ni ang?
He damdawi hi rei tak i ei chuan i taksain a hmang thiam thei a ni. Hei hi ‘tolerance’ kan ti a. Chumi awmzia chu natna tihziaawmna atana i ei thin dose kha a tawk tawh lo mai thei tihna a ni. Hei hi thil pangngai a ni. Chutiang a nih chuan i natna a tlahniam emaw, a san loh emaw chuan nangmah ngeiin dose hi tipung suh la, i doctor nen inbia ang che.
Addiction leh taksa tihhmasawn
Mi tam tak chuan chutiang natna tidamtu chak tak takte chu addict an nih an hlau hle. Amaherawhchu, taksa lama innghahna (physical dependence) leh ruihhlo ngawlvei (addiction) tih hi thil pahnih a awm. Damdawi lam thila natna ang chi damdawi i ei hian hun kal zelah i taksain a hmang thiam thin. Addiction a ni lo. Doctor thurawn tel lo chuan damdawi ei kha bansan ngai suh. Chutianga tih chuan withdrawal symptoms a awm thei. Damdawi ei i chawlhsan a ngaih hunah chuan i doctor chuan a dose chu a tihtlem zauh zauh ang a, i ei loh dan tur a hrilh ang che.
Acetaminophen damdawi dang lakah fimkhur rawh.
Hei hi a pawimawh hle. He damdawi hian Acetaminophen a pai tawh a. Chuvangin hei hi i ei lai hian Acetaminophen (paracetamol) awmna damdawi dang ei loh tur a ni. Over-the-counter cold leh painkiller tam takah chuan hengte hi a awm thei. Label chu ngun takin chhiar la. Acetaminophen ei tam lutuk hian thin (liver) a tichhe nasa thei hle.
Mutthilh leh luak chhuak
He damdawi hian muthilh emaw, luak emaw a siam thei che a ni. Chuvangin, a nghawng dan i hriat hma chuan lirthei khalh emaw, machinery emaw hmang suh. A bik takin tar i nih chuan thut atanga tho thut suh.
Constipation leh hmui vawt
He damdawi hian side effect a neih tlangpui chu constipation a ni. Ni 3 vel hnua ril i neih loh chuan doctor hnenah hrilh rawh. Tin, i hmui a vawt nia i hriat chuan tui tam tak in la, sugar-free gum pawh chew rawh.
Damdawi avanga side effect lo awm thei
| Side effect category ah hian a awm thei | Ziarang |
|---|---|
| Side effects te chu doctor hnenah hriattir nghal tur a ni | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Central nervous system tihchhiatna (CNS tihchhiatna) . | Thâwk zawi emaw, thawk lo emaw, thawk harsa, mutthilh lutuk, hriat lohna, buai. |
| Liver hliam a awm | Pum dinglam chunglam na, chaw ei chak lohna, luak chhuak, bawlhhlawh rawng hring, zun dum emaw sen emaw, mit emaw vun emaw a sen. |
| Thisen sang hniam | Luak chhuak, muhil, mit hmuhna fiah lo. |
| Vun a hring emaw, a hring emaw a hring chhuak | Vun a sen, a hring, a hring (ka chhungah pawh). |
| Hei hi thil pangngai a ni a, mahse a awm reng emaw, a buaithlak emaw chuan doctor hnenah hrilh rawh. | |
| Side effect awm fo thin | Constipation, luak chhuak, mutthilh, hmui vawt, luak emaw luak emaw, pum na, mut theih lohna. |
Take-Home Thuchah a ni
- Dose chu i doctor-in a tih ang chiah chiah, a hun takah ei rawh. Dose hi nangmah chauhin thlak ngai suh.
- He damdawi hi i tan chauh a ni. Eng vang pawhin midang hnenah pe suh. Dan kalh a ni a, a hlauhawm hle bawk.
- Damdawi dang zawng zawng, vitamin leh hnam damdawi i ei zawng zawngte chu i doctor hnenah hrilh rawh.
- He damdawi hi ei dawnin Acetaminophen (paracetamol) awmna damdawi dang ei loh tur a ni.
- Doctor thurawn tel lova damdawi ei kha chawlhsan nghal mai loh tur.
- Driving leh ngaihven ngai hna thawh loh tur, mut a awm thei a ni.
- Damdawi hi hmun him, naupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Acetaminophen leh Codeine (Acetaminophen; Codeine / Tylenol 3/4) hi eng nge ni?
‘Damdawi pahnih inzawmkhawm’ inzawmkhawm chak tak, natna hniam tak atanga natna nasa tak (e.g. ha lakchhuah hnuah/operation zawh hnu) atanga tihdam nghal thei, Panadol pangngai (Acetaminophen/Paracetamol) hmanga tihdam loh. Hemi chhunga ‘Codeine’ hi Morphine group atanga damdawi chak tak (Opioid) a ni! Chuvangin damdawi dawr atanga lei theih a ni lo va, damdawi lam atanga lei theih a ni lo.
💬 Heng damdawi pahnih (Acetaminophen + Codeine) inkawp hian engtin nge natna nasa tak i tihziaawm theih ang?
Attacks pain chu a sir lehlamah chuan! 1. Acetaminophen - Hei hian thluaka natna leh khawsik thlentu chemicals (COX / Prostaglandins) a tiziaawm a, general aches a titawp bawk. 2. Codeine - Hei hi kan ei zawh hian liver chuan ‘Morphine’ chak takah a chantir thin. Chumi hnuah thluak lamah a kal nghal a, chutah chuan natna control tu gate (Mu-opioid receptor) zawng zawng chu a khar vek a, thluak chu ‘comfort/euphoria’ dik lo a pe a ni.
💬 He damdawi (Codeine) hian addictive a ti em? Risk hlauhawm ber (Black Box Warning) chu eng nge ni?
Awle! Hei hi addictive painkiller sang tak a ni! Thihna thlen thei dang dang chu ‘Respiratory depression’ a ni. He pill hi zu/muthilhna damdawi nen ei a nih chuan, naupangte hnena pek a nih chuan thluak a tichhe thei a, thawk a chawlhsan vek thei a, thihna a thlen thei bawk (Naupang te tan chuan Codeine hi khap tlat a ni). Thil dang chu Acetaminophen (Paracetamol) hi a tam lutuk a, liver failure chance 100% a awm!











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