I doctor khan COPD (Chronic Obstructive Pulmonary Disease) i neih avangin inhaler thar a pe che em? Aclidinium leh Formoterol an ti em? Duaklir brand hming hnuaiah pawh a ni mai thei. Chutiang a nih chuan he thuziak hi i tan a pawimawh hle ang. Hei hi damdawi buaithlak deuh a nih avangin, engkim hi awlsam takin i sawifiah ang u, kan thianpa nen kan inbia ang maiin.
He inhaler hi eng nge thleng tak tak?
A awlsam zawngin, he inhaler hi COPD control nan hman a ni . I lung chhunga thawkna kawng a zau a, a ti hahdam a, thawk a ti awlsam bawk. Pipe khar kha phelh ang maiin han ngaihtuah teh.
Damdawi chi hnih a awm a. Pakhat chu Aclidinium a ni a, ``Anticholinergic`` tih pawlah a tel a ni. A dang chu Formoterol a ni a, chu chu ``Bronchodilator`` a ni. Heng pahnih hian i thawkna kawng hawn reng turin an thawk dun a ni.
Pawimawh tak: Hei hi thawk harsat thut (COPD flare-up) huna hman tur damdawi a ni lo . Hei hi ``Controller Inhaler'' a ni a, nitin hman thin a ni a, symptoms control nan hman thin a ni. I doctor chuan ``Reliever/Rescue'' inhaler hran a pe che mai thei a, chu chu emergency-a hman tur inhaler chak tak a ni.
Damdawi ei hmaa doctor hnena i hrilh tur thilte
He inhaler hi i hman tan hmain i doctor nen i hriselna chanchin kimchang chungchang zalen taka inbiakna neih a pawimawh hle a, a bik takin a hnuaia thil awmte hi i neih chuan:
- Asthma natna a ni
- Zunthlum
- Glaucoma, mit a pressure sang lutuk natna a ni
- Lung natna emaw, thisen sang emaw
- Lungphun mumal lo
- Kidney emaw Liver natna emaw
- Prostate lama harsatna nei
- Seizures a awm thin
- Thyroid natna a ni
- Heng damdawi, Aclidinium, Formoterol, Atropine , emaw, bawnghnute proteins te hi allergy i neih chuan.
- Damdawi dang, ei tur dang emaw, dye dang emaw allergy i neih chuan.
- Naupai emaw, nau pai tum emaw i nih chuan.
- Nu nau hnute pe mek i nih chuan.
Heng thute hi thup lova sawi hi i himna atan a pawimawh hle.
Engtin nge inhaler hi hman dik ang?
Hei hi inhaled medication a ni. Doctor-in a tih ang chauhin hmang la, a tih ang chauhin hmang bawk ang che.
- Nitin hun khatah hman tum ang che . Hei hi i tih danah i siam tawh chuan i theihnghilh tlem tawh ang.
- I doctor-in a tih hma loh chuan damdawi ei kha bansan suh . I natna lan chhuah dan a reh pawhin ei chhunzawm zel ang che.
- A pek zat aia tam hmang suh . Chutianga tih chuan i rilru a ti hahdam thuai dawn lo va, mahse side effect a tipung thei thung.
Dose a san chuan (overdose) eng nge tih tur?
Overdose i ei nia i hriat chuan Colombo National Hospital-a National Poisons Information Center-ah call nghal rawh . A nih loh leh damdawi in hnai ber Emergency Department (ETU) -ah kal nghal rawh.
Dose pakhat ka miss a nih chuan engtin nge ni ang?
Dose i ei theihnghilh chuan i hriatreng veleh ei nghal rawh. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, a hnuaia dose chu a hun ruatah ei rawh. Dose pahnih chu a rualin ei ngai suh.
Hei hian damdawi dang nen a inzawm thei em?
Ni e, hei hi zawhna pawimawh tak a ni. He inhaler hian damdawi dang thenkhat nen a inzawm thei bawk. Chuvangin i damdawi ei zawng zawng, i doctor-in a pek ang chauh ni lovin, damdawi dawr atanga i lei te, vitamin te, hnam damdawi (Sinhala damdawi), leh i ei leh in (zu, meizuk) thlengin i doctor hnenah hrilh rawh.
| He inhaler hmanga harsatna thlen thei damdawi te | |
|---|---|
| Hengte hi hming nen hmang ngai suh. | |
| LABA inhaler dangte pawh | Ex: Indacaterol, Olodaterol, Salmeterol te chu a rawn chhuak leh ta a ni |
| Lung natna damdawi thenkhat | Cisapride, Dofetilide, Dronedarone, Pimozide, Thioridazine te hi a awm a, hei hi a tha hle |
| Hengte hi i ei a nih chuan doctor hnenah hrilh rawh. | |
| Allergy, khuh, leh khawsik damdawi | Antihistamines a ni |
| Rilru natna leh lungngaihna damdawi | A chi hrang hrang, MAOI te pawh a tel |
| Anticholinergic class-a damdawi dangte | Ipratropium, Tiotropium, Glycopyrrolate te a awm bawk |
| Thildang | Atropine, Theophylline, damdawi thenkhat, bladder natna, Parkinson natna, leh pum lam harsatna te |
Hman huna fimkhur tur thil leh side effects te
He damdawi i hman lai hian i natna lan chhuah dan a tha lehzual em tih hi ngaihven fo ang che. Hemi chungchang hi i tlawh hunah doctor hnenah hrilh rawh.
He inhaler hi emergency atan hmang suh. Emergency a nih chuan i `(Rescue)` inhaler chu i bulah dah la . I `(Rescue)` inhaler i hman fo a ngai a nih chuan i dinhmun chu control theih a ni lo tihna a ni. Chutiang a nih chuan doctor ko nghal rawh.
A châng chuan, he inhaler hi i hman hnuah thawk hah emaw, thawk hah emaw a tipung thei bawk. Hei hi eng emaw chen chu beisei loh tak a ni. Chutiang a nih chuan inhaler hman kha bansan nghal la, doctor nen inbia ang che.
| Side effect chi hrang hrang | Natna |
|---|---|
| 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. |
| Heart rate a inthlak danglam thin | Thinlung thawk chak emaw, mumal lo emaw, luak chhuak, rilru na, thawk harsa. |
| Vision a danglam thin | Mit na tak, mit hmuhna fiah lo, light chhehvel ring hmuh. |
| Symptom na tak dang a awm bawk | Thisen sang sang, taksa ruh na emaw, cramping emaw, zun harsatna. |
| Thâwk harsa zual zel | Inhaler hman hnua thawk harsa emaw, thawk harsa zual emaw. |
| A awm reng emaw, a buaithlak emaw chuan doctor hnenah hrilh rawh. | |
| Side effect awm fo thin | Kawng vawt, ril na, khuh, lu na, hnungzang na, chaw ei kham, mut theih lohna, kut nghing. |
Engtin nge inhaler hi i vawn tha ang?
Damdawi quality vawng reng tur chuan uluk taka dahkhawm a pawimawh.
- Naupang leh ran vulhte hmuh theih lohna hmunah dah rawh .
- Room temperature (20-25 degree Celsius inkar) ah dah tur a ni. Khua lum lutuk, khaw vawt lutuk, leh vawt lutuk atanga hla takah awm rawh.
- Inhaler hi a foil pouch atanga i lakchhuah atanga thla 2 chhungin hmang thin ang che .
- Dose counter-a "0" a lan emaw, expiry date a liam tawh emaw chuan inhaler hi hmang suh . Chutiang hunah chuan paih la, a hmasa ber chu paih rawh.
Damdawi hlui emaw, hman loh emaw him taka paih a pawimawh bawk. Hemi chungchangah hian doctor rawn rawh.
Take-Home Thuchah a ni
- He inhaler (Aclidinium; Formoterol) hi nitin i COPD controller damdawi a ni. Reliever damdawi a ni lo.
- Nitin hun khatah hmang la, i doctor-in a tih ang chiah khan hmang ang che.
- Damdawi dang zawng zawng , vitamin, leh hnam damdawi i ei zawng zawngte chu i doctor hnenah hrilh rawh.
- Damdawi i hman hnua thawk harsa zual emaw, side effect na tak emaw i neih chuan doctor ko nghal rawh.
- Damdawi lam thurawn tel lo chuan he damdawi hi hman tawh loh tur a ni .
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