I hnaih bertu mi pakhat chu accident emaw, operation lian tak emaw, natna kai nasa tak avang emawin intensive care unit (ICU)-ah a awm ang tih han ngaihtuah teh. A châng chuan heng dinhmunah hian thisen sang chu hlauhawm takin a tlahniam thei a ni. Vawiin hian damdawi bik, chak tak, doctor-te’n hetiang nunna chhanhimna beihnaa an hman thin chungchang kan sawi dawn a ni. Chu chu Angiotensin II a ni.
Angiotensin II hi eng nge ni tak tak?
A awlsam zawngin sawi ila, hei hi kan taksa chhunga thisen kalna kawngte a tikhawlo, a nih loh leh a zim tirtu damdawi a ni. Damdawi lamah chuan hei hi ‘vasoconstrictor’ kan ti a. Tui pipe tlem i hrual chuan a chhunga tui luang chhuak pressure a sang chho zel tih han ngaihtuah teh, a dik em? Chutiang bawkin thisen kalna kawngte a inzawm khawm chuan an chhunga thisen luang chhuak, chu chu thisen sang (blood pressure) chu a sang chho zel a ni .
Damdawi inah hman a ni tlangpui a, a bik takin intensive care unit (ICU)-ah chuan thisen sang chu nunna atana hlauhawm, enkawlna dang hmanga thunun theih loh khawpa tlahniam a nih chuan hman a ni . Hei hi brand hming chu GIAPREZA a ni.
He damdawi hi a pek hmain doctor in eng nge a hriat tur?
Hei hi damdawi in hmuna medical team enkawlna hnuaia pek thin ni mahse, damlo medical history kimchang doctor nen sawiho a pawimawh hle. A bik takin, a hnuaia thute hi hriattir an ni tur a ni:
- Allergy: He damdawi (Angiotensin II) emaw, damdawi dang emaw, ei tur emaw, dye emaw, preservative dang emaw allergy i neih chuan i doctor hnenah i hrilh tur a ni.
- Naupai: Damlo chu naupai a nih chuan, a nih loh leh naupai tum a nih chuan doctor hriattir a pawimawh hle .
- Nu nau hnute enkawltu a nih chuan: Damlo chu nau hnute enkawltu a nih chuan doctor hnenah hriattir tur a ni.
He thu hi pek hian medical team te chu damlo tan enkawlna him ber leh hlawk ber pe turin nasa takin a pui ang.
He damdawi hi engtin nge kan hman ang?
Hei hi pill i ei emaw, i vunah injection i dah emaw a ni lo. Hei hi damdawi a ni a, saline ang maia vein-a pek chhunzawm zel a ni. Vein chhunga infusion kan ti a. Hei hi damdawi in pakhata health care professional trained-in a pe thin a ni. Damlo thisen sang leh heart rate ang chi thilte an enfiah ang a, uluk takin a dose an control ang.
Hei hi naupang tan i hmang em?
He damdawi hi naupang tê tête hnena pek dawnin a bik takin fimkhur a ngai. Heng thutlukna te hi naupang enkawltu doctor thurawn anga siam tur a ni.
Dose a san chuan engtin nge ni ang (overdose)?
Hei hi damdawi inah pek a nih avangin, damdawi lam enkawlna hnuaiah pek a nih avangin, ‘overdose’ chungchangah ngaihtuahna sen a ngai lo tlangpui. Medical team chuan damlo hi an enkawl reng a ni. Damdawi hman tam lutuk nia rinhlelhna a awm chuan damdawi in hian a tul anga hmalak theihna tur facility a nei a ni. Emergency a awm chuan damdawi in Emergency Treatment Unit (ETU) hnenah hriattir nghal tur a ni. Tin, drug poisoning chungchanga hriat duh nei chuan Colombo National Hospital-a National Poisons Information Center-ah pawh i call thei bawk.
He damdawi nena inzawm thei damdawi dang (Drug Interactions) .
Damdawi thenkhat an hman dun chuan an hnathawh dan a nghawng thei a ni. Hei hi ‘drug interaction’ kan ti a. Angiotensin II hi damdawi dang nen a inzawm thei a, a bik takin thisen sang emaw lung natna damdawi thenkhat nen a inzawm thei a ni. Entir nan:
- ACE inhibitor tia koh pawla damdawi te chu: `benazepril`, `candesartan`, `enalapril`, `lisinopril`, `ramipril` te an ni
- ARB-te chu: `irbesartan`, `losartan`, `valsartan` tih te hi a ni
He list hi a kimchang lo hle. Chuvangin, damloin damdawi a ei zawng zawng (prescribed, over-the-counter, traditional medicine, vitamins, nutritional supplements) list kimchang tak doctor hnenah pek a pawimawh hle. Tin, meizuk leh zu in chungchangah pawh hriattir bawk ang che.
Damdawi ei hunah side effect na tak tak hriat tur
He damdawi an pek lai hian medical team chuan damlo hi uluk takin an enfiah ang. Mahse, a hnuaia symptoms te hi i neih chuan doctor emaw nurse emaw hnenah report nghal tur a ni. Hengte hi side effect na tak tak chhinchhiahna a ni thei.
| Side effect/symptom a awm thei | Thil fimkhur tur |
|---|---|
| Allergic Reaction awm thei te | Skin rash, itching or hives, hmai, hmui emaw lei emaw a hring. |
| Thisen zam (Blood Clot) a lan chhuah dan | Thâwk harsa; mit hmuhna a inthlak danglam a; rilru natna; lu na tak, na tak; ke na, hring, lum; tawng harsa; hmai, kut leh ke ruh natna emaw chak lohna emaw. |
| Thisen Sugar a sang | Luak chhuak ; hmui vawt; vun vawt; thei thaw rimtui; luhai; pum natna; riltam emaw tuihal emaw a pung; zun chhuah fo thin. |
| Taksaah Acidity a tipung | Thâwk rang tak; thinlung thawk chak tak; lu na; rilru tibuai; chak lo emaw, chau emaw anga inhriatna; nausea, luak chhuak. |
| Thisen chhuah dan pangngai lo | Taksa hmun dangah pawh chhan awm lova hliam lo lang emaw, hliam tenau tak atanga pawha tawp lo thisen chhuak emaw. |
He list-ah hian side effect awm thei zawng zawng a tel lo. Hemi chungchanga zawhna dang i neih chuan i doctor nen inbia ang che.
Take-Home Thuchah a ni
- Angiotensin II hi damdawi chak tak a ni a, damdawi inah chuan thisen sang tihsan nan chauh pek thin a ni a, chu chu nunna atana hlauhawm tak a nih chuan a tlahniam a ni.
- Hei hian thisen kalna kawng a ti zim a, thisen sang a tisang bawk.
- Damloin allergy a neih zawng zawng, naupai leh damdawi dang a ei zawng zawngte chu doctor hriattir a pawimawh hle.
- Hei hi damdawi, vein hmanga pek a ni a, medical team enkawlna hnuaiah pek a ni.
- Side effect na tak tak, thisen zam leh allergy te hriat chian a pawimawh a, hetiang thil i hriat chuan medical staff te hriattir nghal a pawimawh bawk.
- Hei hi damdawi bik a nih avangin in lama hman leh dahkhawm phal a ni lo.
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