A châng chuan natna hrik, khawsik emaw, flu emaw ang ni lo, mahse a nasat deuh deuh, taksa chhûnga darh zelte kan hmachhawn a ngai ṭhin. A bik takin fungal infection thenkhat emaw yeast infection emaw taksa chhungril lama a darh chuan damdawi pangngaiin a tidam thei lo mai thei. Vawiin hian damdawi bik, thiltithei tak, hetiang natna khirh tak takah doctor ten an hman thin chungchang kan sawi dawn a ni.
He damdawi hi eng nge Amphotericin B Liposomal an tih?
A awlsam zawngin, antifungal damdawi a ni . Chumi awmzia chu natna thlentu fungi taksaa lut tawhte a that thei tihna a ni. Hei hi i vunah fungal infection tenau te tan damdawi i pek tlangpui mai a ni lo. I thisen, lung, thluak, emaw chhungril taksa peng dang emawa fungal infection na tak leh nunna atana hlauhawm tak tak enkawl nan hman a ni.
"Liposomal" tih thumal hian he damdawi siam dan bik a kawk a ni. Damdawi molecule chu thau bubble te tak te (liposome) chhungah a inkhuh ang mai a ni. Hetiang hmang hian damdawi hian taksaa natna kai awmna hmun chu awlsam takin a thleng thei a, kal ang chi taksa peng hrang hranga side effect awm thei te pawh a ti tlem thei a ni. Sri Lanka-ah chuan he damdawi hi `AmBisome` tih brand name hmangin an lei thei a ni.
He damdawi hi i ei tan hmaa i doctor hnena hrilh tur thil
Hei hi damdawi chak tak a nih avangin enkawl tan hmain doctor hnenah i hriselna chanchin kimchang hrilh hmasak a pawimawh hle. Heng thilte hi a bik takin sawi tel ngei ang che.
- If you have a weakened immune system , natna do theihna (e.g. HIV, cancer enkawlna) i do theihna tichhe thei dinhmun.
- Natna dang (e.g. zunthlum, kal natna) i neih chuan.
- Amphotericin B emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih tawh chuan.
- Naupai emaw naupai tum emaw i nih chuan .
- Nu hnute pe lai i nih chuan .
He thu hi doctor hnena pek hian a him thei ang bera enkawl turin a pui ang che.
He damdawi hi engtin nge i hman?
Hei hi i ei thin pill a ni lo. Amphotericin B Liposomal hi injection (infusion) a ni a, chu chu i taksaah vein kaltlangin pek a ni . Hei hi damdawi in emaw clinic emaw-ah tih a ni tlangpui a, medical staff-te enkawlna hnuaiah tih a ni. Damdawi hi i taksaah cannula hmangin i kut a vein pakhatah dah a ni a, chu chu saline bottle ang mai a ni.
A tlem hle a, damlo thenkhat chu he damdawi hi in lama ei turin an fuih thin. Chutiang a nih chuan inbuatsaih dan leh pek dan tur uluk taka zirtir i ni ang. Damdawi chu a tih ang chiah, a hun takah ei a pawimawh . Dose pek aia tam emaw a tlem emaw ei ngai suh.
Pawimawh: In lama injection i hman chuan needle leh syringe hman tawhte chu bawlhhlawh bawmah paih ngai suh. A bik taka ruat ‘sharps container’ ah dah tur a ni. I neih loh chuan i doctor hnen atangin i la thei ang.
He damdawi hi naupang te te tan pek theih a ni em?
Ni e, a tul chuan he damdawi hi naupang enkawltu enkawlna hnuaiah pek theih a ni. Mahse, fimkhur bik leh a dose dik taka chhut a ngai a ni.
Damdawi dose a san chuan engtin nge ni ang?
Dose rawt aia tam i ei nia i hriat chuan damdawi in Emergency Department (ETU)-ah kal nghal rawh . A nih loh leh Colombo National Hospital-a National Poisons Information Center-ah thurawn dil turin phone la.
He damdawi nena inzawm thei damdawi dang (Interactions) .
He damdawi hi i ei dawnin damdawi dang i ei lai te pawh i fimkhur tur a ni. Damdawi thenkhat chuan he mi nen hian an inzawm thei a, side effect a tipung thei bawk.
| Ruihhlo nena inzawmna (Drug Interactions) te | |
|---|---|
| He damdawi nena ei ngai loh tur damdawi te: | |
| - Cidofovir (virus infection damdawi) . | |
| Damdawi dang harsatna thlen thei leh doctor hnena hriattir tur: | |
| |
He list hi a kim lo. Chuvangin i damdawi ei zawng zawng (vitamin, herbal remedies, leh Ayurvedic damdawi te pawh tel) te chu i doctor hnenah hrilh rawh . Tin, zu i in emaw, zu i in emaw chuan doctor hnenah hrilh bawk ang che.
Enkawl laiin side effect awm thei
He damdawi i ei lai hian i dinhmun hi medical staff ten uluk takin an enfiah ang. Mahse, side effect thenkhat a awm thei. Ṭhenkhat chu serious an ni a, ṭhenkhat erawh chu mild an ni thung.
| Side Effect a awm thei | Engtin nge tih ang? |
|---|---|
| Side effect na tak tak, doctor emaw nurse emaw hnenah hriattir nghal tur a ni | |
| Allergic reaction hrang hrang, vun rawng, vun hring, hmui/k/le/thlah hring | Damdawi lam thurawn zawng nghal rawh. |
| Thâwk harsa emaw, rilru a tight emaw | |
| Kidney-a nghawng (zun tam leh rawng inthlak) . | |
| Heart rhythm mumal lo, thisen sang inthlak danglam dan pangngai lo | |
| Khawsik sang, khawsik, leh khur | |
| Thil danglam tak, hliam, thisen chhuak | |
| Chauhna nasa tak, seizures, hriatna hloh | |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Lu na, taksa na | Hengte hian a la awm reng emaw, a tibuai che emaw a nih chuan i doctor hnenah hriattir rawh. |
| Nausea, luak chhuak, pum na, luak chhuak | |
| Vun sen (flushing), cannula dahna hmun na | |
| Khuh, mut harsa | |
He list-a tarlan loh symptom dang danglam tak i neih chuan i doctor hnenah pawh hrilh la.
Take-Home Thuchah a ni
- Amphotericin B Liposomal (LAmB) hi antifungal injection chak tak a ni a, pill angin ni lovin thisenah pek a ni. Infection na tak, systemic infection enkawlna atan hman a ni.
- Enkawlna i tan hmain i damdawi lam dinhmun zawng zawng leh damdawi dang i ei zawng zawng (Sinhala damdawi te pawh tel) i doctor hnenah i hrilh hmasak phawt a pawimawh hle.
- Thâwk harsa, allergy na tak, zun thlak danglam ang chi side effect na tak i neih chuan medical staff te hriattir nghal rawh.
- He damdawi hi damdawi inah damdawi in enkawlna hnuaiah pek thin a ni. Dose pek chu thlak suh la, eng thil vang pawhin dose skip suh.
- He damdawi chungchanga zawhna dang i neih chuan i doctor nen inbia ang che.
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