I thisen sang atana ARB damdawi (Angiotensin II Receptor Blockers) chungchang zawng zawng

Thisen sang, a nih loh leh kan hriat vek angin "pressure" tih hi tun dinhmunah kan rama mi tam takin an tawn mek a ni. Hemi atan hian damdawi i ei ve bawk a ni mai thei, a nih loh leh i chhungte zinga mi tu emaw chuan he natna hi a nei thei bawk. Doctor-in i thisen sang damdawi a pek che hian chutiang damdawi chu chi hrang hrang a awm a. Chuvangin vawiin hian damdawi class hman tlanglawn leh pawimawh ber pakhat kan sawi dawn a ni. Chu chu ARBs, a nih loh leh Angiotensin II Receptor Blockers te hi a ni.

A awlsam zawngin, he ARB hi eng nge ni?

ARBs (Angiotensin II Receptor Blockers) hi damdawi chi khat a ni a, thisen sang chauh ni lovin, natna dang engemaw zat, thinlung natna leh kal natna te pawh enkawl nan hman a ni. Pill angin an lo awm a, chu chu ka atanga ei a ni tihna a ni. A hming hi a buaithlak deuhin a lang thei a, mahse a awmzia erawh a awlsam khawp mai. I tichhia ang u.

• Angiotensin II hi kan taksaa hormone siam chhuah a ni. A hnathawh ber chu kan thisen kalna kawngte tihkhawtlai (tighten) hi a ni .
• Receptor chu thisen kalna kawngkhar hmun bik, he hormone hian a inzawm theihna hmun a ni. Chabi blade ang mai a ni.
• Blocker chu thil block tu a ni.

He damdawi hian a tih chu thisen kalna kawng chhunga hormone (key) chu receptor (plate) nena inzawm lo turin a block a ni. Tichuan thisen kalna kawngte chu a inkhar lo va, a inhawng tha hle a, chuvangin thisen chu awlsam takin a che thei a, pressure pawh a tlahniam bawk. Doctor-te’n hetiang ARB damdawi an pek tlangpui dan thenkhat hi a hnuaia mi hi han thlir ila.

ARB damdawi an pek tlangpuite chu engte nge ni?

ARB class-a tel damdawi chi hrang hrang a awm a. Anmahni hriat chian dan awlsam tak a awm. Heng damdawi hmingte hi “-sartan” tia tawp a ni tlangpui. I doctor-in damdawi bawm a pek che kha check la, hetiang hming pawh hi a nei thei bawk. A hnuaia table-ah hian ARB hman tam ber thenkhat tarlan a ni.

Awle, tunah chuan he damdawi hian taksa chhungah engtin nge hna a thawh tih i en ang u.

Hei hi hrethiam tur chuan entirnan tlem han la ila. Tui pipe a awm tih han ngaihtuah teh, pipe lai takah i hrual a, i vawn tlat chuan eng nge thleng ang? Pipe chhunga tui pressure a sang chho zel a ni lawm ni? Kan thisen kalna kawngte chu chutiang chu a ni. Kan taksaa hormone `Angiotensin II` hian tui pipe a hrual ang maiin kan thisen kalna kawng a tikhawlo a ni. Thisen kalna kawngte a inzawm khawm chuan thisen kalna tur hmun a tlem phah a ni. Tichuan thinlung hian thisen chu chak zawkin a pump a ngai a ni . Hei hi thisen sang, a nih loh leh pressure kan tih chu a ni. He `Angiotensin II` hormone hian a hna a thawh theih nan thisen kalna hmun bikah a inzawm a ngai a, chu chu ``receptor`` a ni. ARB damdawi hian thil awlsam tak a ti a. Chu receptor-ah chuan an kal a, an thu a. Tichuan `Angiotensin II` hormone hian khawiah mah inzawmna a nei tawh lo. Chair-a ṭhut tura i kal a, mi dang an thut lai chuan i thu thei lo ang mai a ni.

He damdawi hian side effect a nei em?

Damdawi dang ang bawkin ARB hian side effect tenau engemaw zat a thlen thei a ni. Mahse, mi tam zawk chuan side effect engmah an tawk lo. A lo awm thei tlangpui chu:

• Luak chhuak thei
• Chau tih hriatna ( Fatigue ) .
• Lu na
• Hmai leh lei hring - Hei hi a tlem hle.

Lung hahna chhan ber chu i taksain thisen hniam lam a insiamrem theih nan hun a duh vang a ni. Hetiang dinhmun hi ni engemaw zat chhungin a bo tlangpui. Kidney lam ngaihven bik:A tlem hle a, ARB hian kal (kidney)-a thisen kal dan a nghawng thei a ni. He risk hi a bik takin renal artery disease i neih tawh chuan a sang hle. Mahse, lungngai suh. He damdawi i ei tan hnu hian i doctor chuan a hun hunah i kal hnathawh dan enfiah turin thisen test (Serum Creatinine test) a ti ang. Chuvangin, doctor-in a tih angin heng test te hi tihsak a pawimawh hle.

He damdawi hi eng chen nge ka ei a ngaih?

Hei hi mi tam takin an zawh thin a ni. Thisen sang hi dam chhung zawnga natna a ni fo thin. I damdawi i ei tawh loh chuan i thisen sang chu a hmaa a awm tawh angin a kir leh thei a ni. Chuvangin doctor thurawn tel lo chuan i damdawi ei kha bansan ngai suh. I dam chhung zawngin ARB emaw thisen sang damdawi dang emaw i ei a ngai mai thei.

ACE inhibitor leh ARBs te hi eng nge an danglamna?

ACE inhibitors tih damdawi chi khat pawh i hre tawh mai thei. Heng damdawi chi hnih hian angiotensin nghawng tihziaawmna hmangin hna an thawk a ni. Mahse kawng hrang hrang pahnihin hna an thawk thung.

• ACE inhibitors : Hengte hian harsatna thlentu hormone `Angiotensin II` siam chhuah tihtlem nan hna an thawk a ni. Factory-a thil siam chhuah tihtlem ang mai a ni a, chu chuan buaina thlentu mi a siam a ni.
• ARBs: Hengte hian hormone `Angiotensin II` siamchhuahna a titawp lo va, thisen kalna kawnga hormone inzawm theihna a tikhawlo zawk a ni.

ACE inhibitor-te side effect lian ber leh tlanglawn ber pakhat chu dry cough awm reng, na tak hi a ni. ACE inhibitor (e.g., Enalapril, Lisinopril) i ei laiin hetiang khuh hi i nei a nih chuan i doctor chuan damdawi chu a titawp mai thei a, chu ai chuan ARB a ei tan tir mai thei.

ARB ka ei dawnin damdawi dang leh ei tur dang ka fimkhur a ngai em?

Ni e, a dik tak zet. Thisen sang damdawi i ei lai hian damdawi dang, vitamin dang, supplement dang i ei a nih chuan doctor hrilh a pawimawh hle.

Damdawi dang

Khawsik, khuh leh allergy damdawi thenkhat over-the-counter hian i thisen sang a tisang thei a ni. Tin, natna tidamtu damdawi, a bik takin NSAID (ibuprofen, diclofenac, naproxen ang chi) ei hian ARBs te hnathawh a ti tlem thei a, i kal a tichhe thei bawk. Chuvangin natna tidamtu damdawi eng pawh i hman hmain doctor zawt hmasa phawt ang che.

A bik takin potassium chungchangah fimkhur hle ang che.

ARB damdawi hian thisenah potassium level a tisang thei a ni. Chuvangin,

• Doctor thurawn lo chuan potassium supplement ei loh tur a ni.
• Salt control diet-a miten an hman "salt substitute" thenkhatah chuan potassium chloride a awm a. Hengte hi i hman hmain label hi uluk takin chhiar hmasa phawt ang che.

Thisenah potassium level a san chuan natna hlauhawm tak tak, thinlung thawk mumal lo ang chi a thlen thei a ni.

Zu hi engtin nge ni ang?

Zu i in fo a, a tam lutuk chuan i thisen sang a tisang lehzual thei a ni. Tin, vawi khata zu i in tam chuan i thisen sang chu a tlahniam nghal thei a, i muhil thei bawk. Chuvangin zu i in chuan a tlem berah ti thin ang che.

Naupai laiin ARB damdawi ei hi a him em?

Ni lo, a him lo tak zet a ni. ARB leh ACE inhibitor damdawi pahnih hi naupai laiin ei a nih chuan nausen piang lai tan harsatna nasa tak a thlen thei a ni.

• Nau piangsualna
• Kidney tha lo a awm
• Potassium level sang tak a awm
• Thisen sang hniam
• Nau piang thi tawh

Heng harsatna lian tham tak takte hi a thleng thei a ni. Thisen sang i nei a, nau i pai emaw, nau neih i tum emaw a nih chuan i doctor hnenah hrilh nghal rawh. I doctor chuan nang leh i naute tana him tur damdawi danglam tak a pe ang che.

ARB hi ‘tui pill’ (Diuretics) chi khat a ni em?

No. ARBs hi diuretics, emaw kan tih tlangpui angin "water pills" emaw an ni lo. Tui pill hian taksain zun chhunga tui leh chi tam zawk a paih chhuah theih nan a pui thin. Mahse, a châng chuan doctor-te chuan ARB leh diuretic (a tam zâwk chu thiazide diuretic) chu pill khatah an pe ang . I damdawi chu "Losartan H" emaw "Valsartan HCT" emaw tih a nih chuan ARB leh diuretic pahnih a awm tihna a ni. Thisen sang damdawi chi hrang hrang a awm a, chuvangin eng nge i tan a tha tih hriat a harsa thei hle. ARB hi doctor-te’n damdawi an pek hmasak ber a ni a, mi tam zawk tan chuan a thawk tha hle. Heng damdawi chungchangah hian zawhna emaw, ngaihtuahna emaw i neih chuan i doctor zawt hreh suh. ARB in sinhala, Angiotensin II Receptor Blockers, Thisen sang, Pressure Damdawi, Losartan, Valsartan, Lung lam natna te a awm thei