I chhungkuaa mi tu emaw, nangmah ngei pawhin ‘thisen tithianghlimtu’ i ei mai thei. I doctor-in he damdawi hi a rawn pek che khan i hlauthawng deuh mai thei. "Hei hian thisen a tipung ang em?", "Ka tihsual chuan eng nge thleng ang?" rilruah lo kal turin. Chuvangin, hlau suh. Vawiin hian heng thisen tithianghlimtu damdawi, a nih loh leh damdawi lama an tih angin, `(Anticoagulants)`, engkim chiang zawka hriat theih nan sawi ila.
A awlsam zawngin, heng anticoagulants te hi engte nge ni?
Anticoagulants hi damdawi chi khat a ni a, chu chuan i thisen a tikhawlo thei lo. Mi thenkhat chuan ‘thisen tithianghlimtu’ an ti thin. Mahse an tih tak tak chu thisen chu tui angin ‘thin’ a ni lo va, thisen zam lo awm zat tihtlem zawk a ni . Heng damdawi te hian thil pawimawh pahnih a ti a. Pakhat chu i taksain thisen zam awmsa a tihthianghlim theih nan tanpui hi a ni. A dang chu thisen zam thar, duh loh zawng a lo awm loh nan a ni.
Heng damdawi te hi injection, intravenous (IV) fluid, leh oral tablet angin a awm a.
Engvangin nge hetiang damdawi hi kan mamawh?
A tlangpuiin kan taksain hliam a tuar hian thisen a tikhawlo tan a tha. Hei hian thisen chhuah a titawp a, hliam chu a dam leh ta a ni. Mahse, han ngaihtuah teh, chhan awm lovin kan thisen zam chhungah thisen zam a lo awm a nih chuan engtin nge ni ang?
Truck lian tak, lirthei tlan lohna kawngpuiah a tang nghal mai ang mai a ni. Tichuan, kawngpuiah lirthei dangte pawh an paltlang thei lo, a chhan chu he thisen zam hian thisen kal a tikhawlo a ni.
Chutianga thisen zam lo awm chu thisen kalna kawngah a kal a, thluak, lung emaw, thinlung emaw ang chi taksa peng pawimawh takah thisen kalna kawng te tak teah a tang a nih chuan, dinhmun hlauhawm tak a thlen thei a ni.
- Stroke: Thisen zam, thluaka kal a, a block avanga lo awm a ni.
- Pulmonary Embolism (PE): Thisen zam, lung chhunga thisen kalna kawng lian tak tikhawlotu . Hei hi dinhmun hlauhawm tak a ni a, thihna thlen nghal thei a ni.
- Heart Attack: Thisen zam in thinlunga thisen petu thisen kalna kawng a block avanga lo awm a ni.
Chuvangin, doctor-te chuan heng ``Anticoagulants'' damdawi te hi chutiang dinhmun hlauhawm tak nei thei tura hlauhawmte hnenah an pe thin.
| Anticoagulants hman dan tlangpui | |
|---|---|
| Thinlung thawk mumal lo (Atrial Fibrillation) . | A chhan chu thinlung chunglam chamber te hi a pump tha lo a, thisen a inzawm khawm thei a, a clot thei bawk. Heng clots te hi thluak lamah an kal chuan paralysis a thlen thei a ni. |
| Lung Valve Surgery neih a ni | Artificial heart valve thenkhat dah a nih hnuah chuan valve-ah thisen zam a awm theihna a awm. |
| Hip/Knee thlak a ni | Heng surgery an neih hnu hian ke ruh thuk takah thisen zam a lo awm thei a ni. Hetiang dinhmun hi Deep Vein Thrombosis (DVT) an ti a. He DVT atanga thisen zam lo chhuak chu lungah a kal thei a ni. |
| Thisen zam natna (Blood Clotting Disorders) a awm | Mi thenkhat chuan genetic diseases an nei a, chu chuan an thisen a tikhawlo awlsam hle. He damdawi hi an mamawh bawk. |
He damdawi hian taksa chhungah engtin nge hna a thawh?
Kan taksa hian thisen zam leh thisen zam venna inkara inthlauhna a vawng reng thin. Anticoagulants hian he balance hi a nghawng tlem a, thisen clotting side a tichak lo bawk. Hei hian duh loh thisen zam (blood clots) siam a titawp a ni. Heng damdawi te hian hna an thawk dan a inang lo.
Injection leh IV damdawi te
Hengte hi damdawi inah an hmang tlangpui a, result rang tak a mamawh hunah an hmang thin.
- Heparin: Hei hian taksaa thisen zam a vengtu protein pakhat `(Antithrombin)` tih activate-in hna a thawk a ni. Hei hi chi hnih a awm a. Pakhat chu a rang hle a, mahse i thisen hi a dose dik leh dik loh enfiah fo a ngai a ni. A chi dang `(Low-Molecular-Weight Heparin - LMWH)` hian hna a thawk zawi deuh a, mahse a thatzia chu ngaihtuah a awl hle. Chuvang chuan i thisen endik fo a ngai lo.
- Direct Thrombin Inhibitors: Hengte hian thisen zam tura puitu protein `(Thrombin)` an tih chu direct in a inactivate a.
Oral pill chi hrang hrang
Hengte hi doctor ten hun rei tak hman tur atana an pek thinte chu an ni.
- Warfarin: Hei hi damdawi hlui deuh deuh, kan rama mi tam takin an hman thin a ni. Thisen zamna atana pawimawh vitamin K hmanna a tikhawlo a, a thawk a ni. Warfarin ei hian a dose hi a pawimawh hle. Tlem i kal thui chuan thisen chhuah theihna a sang thei. Chuvangin i doctor chuan i thisen test (INR test) a ti fo ang a, a dose pawh a siamrem ang.
- Direct Oral Anticoagulants (DOACs): Hengte hi damdawi thar zawk an ni. Entirnan, `(Dabigatran)`, `(Apixaban)`, `(Rivaroxaban)` te hi a ni. Hengte hi Warfarin angin thisen test fo a ngai lo.
Thil hlauhawm ber chu! Side effect leh complication te chu engte nge ni?
Anticoagulant damdawi eng pawh ei avanga hlauhawm ber leh awm tam ber chu thisen chhuah hi a ni. Chumi awmzia chu, hliam tenau tak pawh hian thisen chhuah tihtawp nan hun a duh rei thei a, awlsam takin i hliam thei tihna a ni. Tin, damdawi tin hian side effect hrang hrang a nei vek bawk.
| Damdawi chi hrang hrang | Side effect/complication bik awm thei |
|---|---|
| Warfarin a ni |
|
| Heparin a ni | |
| Direct Oral Anticoagulants (DOACs) hmanga tihdam theih a ni. |
Engtikah nge damdawi lam thurawn i lak nghal ang?
He damdawi ei thin mi i nih angin he thil hi i fimkhur hle a ngai a, a chhan chu accident tenau tak pawh hi a hlauhawm thei a ni.
Heng symptoms te hi i neih chuan doctor nen inbia ang che:
- Gums, hnar, emaw hliam te tak te atanga thisen chhuak a tawp loh chuan .
- A tlangpui aia awlsam zawka i hliam emaw, chhan awm lova hliam i hriat chuan.
- Thil danglam tak i luak chhuak, i chak lo, a nih loh leh i chau tih i hriat chuan .
Heng symptoms te hi i neih chuan damdawi in Emergency Treatment Unit (ETU) ah kal nghal rawh:
Hei hi a pawimawh hle mai! He damdawi eitu tu emaw a tlu a nih chuan, a bik takin a lu a deng a nih chuan pawnah thisen chhuak lo pawh ni se, thluak chhungah thisen a chhuak thei a ni. Hei hi nunna atana hlauhawm tak a ni!
- Tlu chi hrang hrang, a bik takin i lu i vuak chuan ETU-ah report nghal tur a ni a, hliam hmuh theih a awm lo a nih pawhin.
- Car accident i neih emaw thil na tak i tawk a , hliam lian tak i neih chuan .
- Lu na tak tak emaw, pum na tak emaw.
- Thisen chhuah (a bik takin coffee grounds ang maia lang) emaw thisen khuh emaw.
- Zun-a thisen (zun chu orange, sen, emaw brown-ah a chang) emaw, ek chhungah thisen a awm (storol chu tar ang maiin a sen emaw, dum dum emaw a ni).
Take-Home Thuchah a ni
- Anticoagulants hi damdawi pawimawh tak a ni a, nunna chhanhim thei a ni. I doctor chuan chhan tha tak neiin a rawn pe che a ni.
- Heng damdawi te hi a hlauhawm ber chu thisen chhuah hi a ni. Thisen chhuah vaukhânna chhinchhiahnate chu fimkhur reng ang che.
- I damdawi ei kha titawp ngai suh la, doctor rawn hmasa lovin a dose pawh thlak ngai suh.
- Doctor i hmuh hunah, natna dang avanga ha enkawltu i hmuh hunah emaw, operation i neih hunah emaw, he damdawi hi i ei tih hrilh ngei ang che.
- I tlu emaw, i lu i vuak emaw chuan damdawi in Emergency Department (ETU)-ah kal nghal la, hrehawmna i nei lo a nih pawhin.
- Warfarin i ei a nih chuan i doctor-in a sawi angin ni ruat saah INR thisen test neih a pawimawh hle.
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