He damdawi bik, naute piang thar thinlunga pek thin - Alprostadil chungchang hi i zir dawn teh ang

Doctor-te’n i naute piang thar hian thinlung lam natna khirh tak a nei tih an hrilh che chuan nu leh pa anga i hlauhthawn leh i mangangzia chu thuin sawi chhuah a harsa hle. Khawthlang lamah chuan i naute tan lungngaihna leh hlauhna i nei a. Kawng lehlamah chuan Doctor-te sawi thumal pakhat mah leh damdawi hmingte pawh hrethiam lo ang maiin i inhria. Chutiang hunah chuan hming hriat hlawh tak pakhat chu ‘Alprostadil’ tih hi a ni. Chuvangin vawiinah hian he damdawi hi eng nge a nih, engvangin nge naute hnena pek a nih, leh a chungchanga hriat tur i neihte chu awlsam tak leh zahawm takin i sawi dawn nia.

Engvangin nge he damdawi hi nausen hnenah pek a nih? Hei hi i hrethiam phawt ang u.

He damdawi chungchang kan sawi hma hian tlem tal kan hriatthiam a ngai a ni. Ngaihtuah teh, naute chu nu pum chhunga a awm lai chuan a lungin hna a thawk lo a ni lawm ni? A mamawh oxygen chu umbilical cord atang hian a hmu thin. Chuvangin hetih lai hian, ‘bypass’ path ang maiin, thinlung atanga lung atanga thisen phurtu thisen kalna (Pulmonary Artery), leh taksaa thisen phurtu thisen kalna bulpui (Aorta) inkarah hian inzawmna te tak te a awm a ni. Hei hi Ductus Arteriosus kan tih chu a ni. Naute a lo piang a, mahni chauha thawk a tan chuan he ‘bypass’ kawng hi a ngai tawh lo. Chuvangin darkar tlemte chhungin a mah chauhin a khar ta a ni. Chu chu thil kalphung pangngai a ni.

Mahse, naute thenkhat chu thinlung lama harsatna (Congenital Heart Defects) neiin an piang a. Entirnan, lung lama thisen phurtu thisen kalna kawng chu a insiam tha lo thei a, a nih loh leh thisen kalna bulpui inzawm danah danglamna a awm thei bawk. Hetiang a nih chuan a hmaa kan sawi tawh ‘bypass’ path Ductus Arteriosus an tih kha a lo inkhar a nih chuan naute taksa leh lungin oxygenated thisen a dawng tlem hle ang. Hei hi naute nunna atan a hlauhawm hle.

Chuti a nih chuan, Alprostadil hi eng nge ni tak tak?

A awlsam zawngin sawi ila, alprostadil hi damdawi siam chhuah a ni a, kan taksaah hian pianphung atanga siam chhuah ‘Prostaglandin’ an tih chemical nen a inang a ni. Kan ramah hian brand name Prostin VR hmanga hman a ni ber .

Hei hian a hnathawh ber chu ductus arteriosus khar loh leh hawn reng a ni. Kawngkhar inhawng reng turin thingpui te tak te a laiah dah ang mai a ni. He damdawi hian naute taksa chu heart surgery neih hma loh chuan a mamawh thisen a pe chhuak reng a ni. Chuvangin hei hi damdawi pawimawh tak a ni a, temporary bridge ang mai a ni .

Engtin nge he damdawi hi naute hnenah i pek ang?

Hei hi in lama hman tur damdawi a ni lo. Alprostadil hi damdawi inah pek thin a ni a, a bik takin Neonatal Intensive Care Unit (NICU) emaw Pediatric Intensive Care Unit (PICU)-ah emaw pek thin a ni.

Hei hi a chhan chu he damdawi hi vein-ah direct-a pek a ngai a, saline solution (intravenous infusion) ang maiin , uluk takin, chhunzawm zel tur a ni. Tin, he damdawi hi pek a nih lai hian naute lungphun, thisen sang, oxygen level ang chi thilte chu doctor leh nursing staff ten darkar 24 chhungin hmanraw bik hmangin uluk takin an enfiah thin . Chuvangin i naute hi a him hle tih hre reng ang che.

Doctor hnena hriattir tur pawimawh

He damdawi hi i tan hmain i naute chungchang hi i medical team te nen sawiho hmasak a pawimawh hle. A tlangpuiin doctor ten hetiang hian an zawt ang che, mahse hei pawh hi i hriat chian a tha.

• Naute hian thisen chhuah harsatna a neih chuan (entir nan, thisen chu awlsam taka a inzawm lohna dinhmun).
• Naute hian thawk harsatna a neih chuan .
• Damdawi emaw ei tur emaw allergy i neih tawh chuan.
• Damdawi lam harsatna dang i neih chuan.

He damdawi hian eng side effect nge a neih theih?

Damdawi dang ang bawkin alprostadil hian side effect engemaw zat a nei thei a ni. Mahse lungngai suh, naute chu intensive care unit-ah a awm avangin, heng zinga pakhat tal chu hriatchhuah leh enkawl nghal turin thawktute chuan an inpeih reng a ni.

Damdawi dose tihpun a nih chuan eng nge tih tur?

Hei hi damdawi inah, trained medical staff ten pek a ni a, special machine (infusion pump) hmangin an pe thin a, chuvangin overdose chance a tlem hle. Mahse, rinhlelhna i neih chuan i fa enkawltu doctor emaw nurse emaw nen inbia nghal rawh. Damdawi emaw, rimchhia emaw chungchanga hriat tur tlangpui hriat duh chuan Colombo National Hospital-a National Poisons Information Center-ah biak theih a ni. Emergency a nih chuan damdawi in Emergency Treatment Unit (ETU) ah direct in i kal tur a ni.