I doctor khan damdawi thar a rawn pe che em? Alpha-blocker an ti em ni an ti em? I thisen sang vang pawh a ni mai thei, mipa i nih chuan prostate lian tham ang chi natna avang pawh a ni mai thei. Ngaihtuah buai suh, a hming hi a buaithlak deuhin a lang thei. Vawiin hian he damdawi chi hrang hrangte hi thu awlsam takin kan sawi dawn a, a hnathawh dan leh i hriat tur te kan sawi dawn a ni.
A awlsam zawngin, heng alpha-blocker te hi engte nge ni?
Alpha-blockers hi damdawi chi khat a ni a, thisen sang , emaw hypertension enkawlna atana hman ber a ni. Condition dang engemaw zat atan pawh an hmang bawk.
Kan taksa cell-ah hian "receptor" te tak te a awm tih han ngaihtuah teh. Kawngkhar khar ang mai a ni. Chabi i dah chuan kawngkhar chu i hawng thei. Hormone thenkhatin heng receptor te hi an binding hian thiltih thenkhat a awm thin. He damdawi hian a tih chu "alpha" receptor te chu rei lo te chhung atan a block a ni. Lock chhunga thil dah a, chabi dah loh ang mai a ni. Hei hian thiltih ṭhenkhat chu a titawp a ni.
I doctor-in damdawi a pek zingah hian doxazosin, prazosin, terazosin tih ang chi hming a tel em tih enfiah rawh. Hengte hi alpha-blocker chi hrang hrang pek chhuah tam ber an ni.
Kan taksaa Alpha-Receptor chi hrang hrang
Kan taksaah hian alpha receptor chi hnih a awm a. He damdawi hian engtin nge hna a thawh tih hrethiam turin hemi chungchang hi tlem tal hriat a tha.
| Receiver chi hrang hrang | Hna thawh mekte chu |
|---|---|
| Alpha-1 receptor a ni | Hengte hi kan thisen kalna kawng, prostate, leh bladder muscle-ah te a awm tam ber. Hengte hi activate a nih chuan thisen kalna kawngte chu a inzawm khawm thin. Tichuan pressure a sang chho zel a. Prostate muscle te pawh a tikhauh bawk. |
| Alpha-2 receptor a ni | Hengte hi thluak leh nervous system-ah a awm tam ber. Nervous system hnathawh dan tur a tifel a, taksa a ti muang bawk. |
Alpha-blocker damdawiin alpha-1 receptor a block chuan, prostate gland-a thisen kalna leh taksa ruhte chu a relax . Thisen kalna kawng a relax chuan thisen a luang awlsam zawk a, chu chuan thisen sang a ti hniam a ni. Prostate gland-a taksa ruhte a relax chuan zun a awlsam phah a ni.
Alpha-Blockers hi eng chi nge ni?
Heng damdawi te hi chi hnih ah then theih a ni.
1. Alpha-Blockers thlan bik te
Hengte hi sniper ang mai an ni. Target chu direct-in an kap chauh a ni. Chu chu he damdawi chi hian alpha-1 receptor a target ber tihna a ni . Chuvangin, side effects hi a tlem hle. Entirna thenkhat chu:
- Alfuzosin a ni
- Doxazosin a ni
- Prazosin a ni
- Silodosin a ni
- Tamsulosin a ni
- Terazosin a ni
2. Alpha-Blockers thlan chhuah loh
Hengte hi a danglam deuh hlek a ni. Shotgun ang mai an ni. Alpha-1 leh alpha-2 receptor pahnih an block vek a ni. Hei hian taksaah nghawng lian zawk an nei tihna a ni a, side effect pawh an nei tam zawk tihna a ni . Alpha-2 receptor te pawh an block avangin kan taksaa stress hormone norepinephrine awm zat a pung a, chu chuan heart rate a tisang a, rilru hahdamna a thlen thei bawk. Phenoxybenzamine leh phentolamine te hi hetiang chi entir nan hman a ni.
He damdawi hi thisen sang leh prostate lama harsatna nei tan chauh pek a ni em?
No. He damdawi hi damdawi dang engemaw zat tan pawh a tangkai hle.
- Benign Prostatic Hyperplasia (BPH): Hei hi mipa kum upat deuh deuha prostate gland a lo hring chhuak thin a ni. Hei hian zun a ti harsa thin. Alpha-blockers hian prostate gland chhunga taksa ruhte a ti hahdam a, zun chu awlsam zawkin a luang chhuak thei a ni.
- Tumor chi hrang hrang: Adrenaline ang chi hormone tam lutuk siamtu tumor control.
- Post-traumatic Stress Disorder (PTSD): Stress, a bik takin mumang tha lo, traumatic event na tak tak hnua lo awm thin te chu enkawl thin ang che.
- Raynaud’s phenomenon: Khawsik a nih chuan kut zungtang leh ke ruh te chu a sen, a sen leh a hring vek thin. He damdawi hian thisen kalna kawng a ti hahdam thei a ni.
- Kidney Stones: Lung te tak te, ureter, kidney atanga bladder thlenga zun phurtu tube-a tangte chu awlsam taka kal theih turin a pui thin.
- Prostatitis: Prostate gland a natna a ni.
He damdawi hi eng chen nge ka ei a ngaih?
He damdawi hi eng damdawi nge i pek danah a innghat a ni. Thisen sang emaw BPH ang chi dinhmun atan chuan he damdawi hi hun rei tak i ei a ngai mai thei . Kidney stone ang chi harsatna rei lo te tan chuan hun rei lote chhung ei a ngai mai thei.Hman tur chauh a ti.
A pawimawh ber chu: Eng thil vang pawha doctor rawn hmasa lovin he damdawi hi ei nghal vat suh . Chutianga tih chuan harsatna lian tak a thlen thei a ni. I thisen sang chu hlauhawm takin a tisang nghal thei hial a ni.
Nunphung tihdanglamna (exercise, ei leh in hrisel) hmanga i thisen sang i control chuan, i prostate gland lakchhuahna tur surgery i neih chuan i doctor chuan he damdawi hi ei tawh lo turin a hrilh thei che a ni. Heng zawng zawng hi damdawi lam thurawn hnuaiah chauh tih tur a ni.
Side effect leh risk te pawh i zir ang u.
Damdawi dang ang bawkin alpha-blocker hian side effect a nei thei a, mahse mi zawng zawngin an vei vek lo.
Side effects awm tam ber (a bik takin selective):
- Luak chhuak leh lu hah: Thisen sang hniam (orthostatic hypotension) hian mit a ti fiah lo thei a, a bik takin thut atanga ding nghal a nih chuan.
- First-dose effect: Hetiang rilru hahna leh thisen sang tlahniam hi damdawi ei tan atanga ni hmasa berah a langsar zawk thei.
- Lu na
- Chau lutuk
- Priapism: Hei hi natna khirh tak leh emergency tak a ni. Darkar 4 aia rei penis erection na tak a ni. Hetiang a nih chuan damdawi in pakhat emergency room (ETU)-ah i kal nghal tur a ni.
Non-selective medications i ei chuan heart rate sang leh muscle tremor i nei thei bawk.
He damdawi hian zu, citrus tui thenkhat leh damdawi dangte nen pawh a inzawm thei bawk. Chuvangin damdawi dang i ei zawng zawng chu i doctor hnenah hrilh rawh.
He damdawi hi tuin nge ei loh tur?
Alpha-blockers hi hriselna lama harsatna nei tan chuan a tha lo hle.
- Cataract surgery neih i tum a nih chuan: He damdawi hian mitdel a nghawng thei a, chu chuan surgery a ti buai thei hle. Chuvangin he thil hi mit doctor hnenah hriattir ngei ang che.
- Nu nau hnute pe: Damdawi thlan chhuah loh hi a bik takin a tha lo hle.
- Orthostatic Hypotension history i neih chuan: Hei hian a awmzia chu thut atanga i ding chhuah hian i lu a hah fo a nih chuan he damdawi hian i dinhmun a ti na zual thei tihna a ni.
- Erectile dysfunction damdawi i ei a nih chuan: Damdawi thenkhat chuan hengte nen hian an inrem thei a, thisen sang hlauhawm takin a tlahniam thei bawk.
- Kidney natna emaw, circulatory system natna emaw i neih chuan:Damdawi thlan chhuah loh chu a tha lo mai thei.
Damdawi ei tan a nih veleh side effects tihtlem nan eng nge tih theih ang?
Awle. Thurawn pawimawh tak pakhat a awm a. I doctor chuan selective alpha-1-blocker hmang tan turin a hrilh che a nih chuan zanah mut hmain pill hmasa ber ei thin ang che.
A chhan chu "first-dose effect" hi dose hmasa ber atanga a nghawng i hriat tan hmasak ber a ni. Zana mut hmaa damdawi i ei chuan i mut laiin thisen sang tlahniam leh luak chhuak ang chi thil a thleng ang a, chuvang chuan chutiang chuan i hre lo ang. Hei hi thurawn pawimawh tak a ni.
Engtikah nge Doctor i hmuh ang?
I natna lan chhuah dan a inthlak thut a nih chuan, a bik takin i nitin hnathawh a tiharsa che a nih chuan i doctor ko la. Mahse, a hnuaia thilte hi a lo awm a nih chuan damdawi lam pan nghal tur a ni:
| Emergency medical treatment mamawhna dinhmun | |
|---|---|
| Thil hriatna hloh emaw, muhil emaw | Faint emaw, pass out emaw |
| A rilru natna (angina) . | A rilru a na |
| Thâwk harsa | Thâwk a tawi |
| Thinlung thawk chak emaw, mumal lo emaw | Thinlung thawk chak emaw, mumal lo emaw |
| Priapism (darkar 4 aia rei erection natna) . | Darkar li chhung zet erection na tak a ni |
| Allergy na tak (anaphylaxis) a lan chhuah dan - e.g. hives, itching, swelling, ei harsa. | Allergy na tak a neih chhinchhiahna |
Damdawi thar ei tan tirh hian tlem a hlauthawng emaw, lungkhamna emaw a awm hi thil pangngai a ni. Alpha-blockers hi damdawi chi khat hman lar tak a ni a, natna tam tak enkawlna kawngah a tangkai hle. I doctor-in he damdawi hi a pe a nih chuan i ngaihtuahna emaw zawhna emaw i neih chuan i doctor nen sawiho rawh. Hei hian damdawi hman dan dik tak i hriatthiam theih nan a pui ang che.
Take-Home Thuchah a ni
- Alpha-blockers hi damdawi chi khat a ni a, mipa thisen sang leh prostate lian zawk enkawltu a ni ber.
- Damdawi lam thurawn tel lo chuan he damdawi hi ei nghal mai ngai suh. A hlauhawm thei hle.
- Damdawi ei tan tirh hian mut hmaa a hmasa ber ei hian luak chhuak leh mutthilh ang chi side effects a ti tlem thei a ni.
- I rilru natna, hriatna hloh, thawk na tak, darkar 4 aia rei i neih chuan damdawi in Emergency Department (ETU) ah kal nghal rawh.
- Damdawi dang, vitamin emaw, supplement emaw i ei tur chu i doctor hnenah hriattir a pawimawh hle.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh