I thawkrim bawk em? Zingkar i thawh chuan hnar a luang chhuak thin em? A nih loh leh i mit a sen a, a hrual em? A châng chuan rang takin i taksa chu i hrual a, i hrual ṭan bawk. Hengte hi "allergies" kan tih thin symptoms te hi an ni. Hetiang hunah hian damdawi dawrah kan kal fo thin a, "allergy pill" kan dil fo thin. Chu chu damdawi chi khat kan ei thin antihistamines an tih chu a ni. Chuvangin vawiinah hian heng damdawi te, a hnathawh dan te, a chi hrang hrang te, a side effect te, leh a hman laia fimkhur tur thil te hi han sawi ila.
A awlsam zawngin, heng antihistamines te hi engte nge ni?
Antihistamines hi damdawi chi khat a ni a, paracetamol leh aspirin te hi a ni. Allergy nena inzawm symptoms control nan an hmang ber a ni . A chunga kan sawi tawh, hnar luang, thawk hah, mit leh vun na tak tak te tan hian an prescribe tlangpui.
Mahse he damdawi chi hi allergy tan chauh ni lovin, hriselna lama harsatna dang thenkhat tan pawh hman a ni. Entirnan, he category-ah hian ei leh in lama harsatna thenkhat, gastritis ang chi damdawi a awm.
Doctor hnen atanga prescription tel lovin damdawi dawrah antihistamine tam tak i lei thei a ni. (Over-the-counter - OTC) damdawi kan ti a. Tin, doctor-in a pek antihistamine chak zawk pawh a awm bawk. Hengte hi damdawi dawrah chauh kan lei thei lo.
Hei bakah hian khawsik leh khuh tan damdawi leh tablet kan ei \henkhatah hian antihistamines a awm bawk.
He damdawi hian taksa chhungah engtin nge hna a thawh?
Hei hi hrethiam tur chuan histamine chu eng nge a nih kan hriat hmasak a ngai a ni.
Histamine hi kan taksaah hian palai tlemte angin han ngaihtuah teh. Kan immune system hian he messenger hi a siam chhuak thin. A hnathawh ber pakhat chu taksa tana chhiatna thlen thei emaw, hlauhawm emaw thil pakhat cell dangte hnena thuchah thlen hi a ni.
Tunah chuan, engtin nge allergy i neih tih hi han en ila. I allergy nei thil (heng allergen kan ti thin) i taksaah a luh chuan i immune system chuan, "Wow, hetah hian hmelma lian tak a awm!" Tichuan system chu overdrive ah a lut a, heng messenger tam tak histamines an tih te hi vawi khatah a release vek a ni.
He histamine hian kal a, taksa hmun hrang hranga cell-te hnenah thuchah a thawn thin.
- "Hnar chhunga cell awmte chu, 'Tlui siam thuai rawh!'
- "Vuna chhunga cell te hnenah, 'Start scratching!'
- "Mit hnenah, 'A sen, mittui siam rawh!'
Anti-histamine a niHe thumal tak tak hi "histamine do" tihna a ni. He damdawi hian a tih chu chu thuchah phurtu histamine an tih chu cell-te hnena a thlen loh nan a block a ni. Call a rawn luh chuan tihtawp ang mai a ni a, chutah chuan chu allergic symptoms chu zawi zawiin a tlahniam ta a ni.
A awlsam zawngin, histamine hi allergy "cause" a ni. Antihistamines chu chu thil avanga "symptoms" awmte control tu damdawi a ni.
Antihistamine chi hrang hrangte chu engte nge ni?
Doctor-te chuan antihistamine hi chi hnihah an ṭhen a, histamine receptor an block dan a zirin. Kan taksaah hian heng histamine message te hi pick up thei antenna chi hnih awm ang maiin han ngaihtuah teh.
1. H1 receptor-a thawk antihistamines
2. H2 receptor-a thawktu antihistamines
Tunah chuan heng chi hrang hrangte hi a hranin han en ila.
Allergy nei tan H1 antihistamines a ni
Heng H1 receptor te hi kan taksa pum puiah a darh zau hle a, a bik takin nerve cell, thawkna kawng leh thisen kalna kawng hrang hrangah te a darh zau hle. Allergy-ah chuan histamine hian heng H1 receptor te hi a binding a. Chutah chuan allergy symptom kan hriat zawng zawng chu a lo chhuak ta a ni. Chuvangin, H1 antihistamines te hian an tih chu heng H1 receptor te hi block hi a ni.
Heng H1 antihistamines hmanna berte chu:
- Allergic rhinitis - Thlasik hun nena lo awm common cold ang chi kan ti a.
- Mit natna (Allergic conjunctivitis) avanga mit natna (Allergic conjunctivitis) .
- Vun allergy, eczema leh vun natna (Atopic dermatitis) .
- Sinus infection (Sinusitis) a awm chuan a chhuak thei lo.
- Hives (hives) a awm
- Motion sickness - He damdawi chi hi bus emaw van emawa zin laia luak leh luak chhuak tan pawh pek thin a ni.
- Insomnia - A châng chuan doctor-te pawhin i mut theih nân hetiang damdawi hi an rawt bawk.
Heng H1 antihistamines te hi subgroup hnih ah then leh a ni. Hei hi a pawimawh hle a, a chhan chu eng damdawi chi nge i hman tih hriat a tha.
1. H1 antihistamines thlah hmasa ber
Hengte hi antihistamine hmuhchhuah hmasak berte an ni. An mizia ber chu mutthilh tir an ni. Hei hi a chhan chu heng damdawi te hian awlsam takin kan thluak vengtu thisen leh thluak inkharkhip chu a pel a, thluak chhungah a lut thei a ni. Chuvang chuan kan ei hian kan chau a, kan muhil bawk.
- Entirnan: Chlorpheniramine - (Sri Lanka rama mi tam takin ‘Piriton’ tia an hriat damdawi hi he category-ah hian a tel ve a ni), Diphenhydramine, Hydroxyzine.
2. H1 antihistamines thlah hnihna
Hengte hi antihistamine thar leh siam that a ni. Chungte thatna lian ber chu mutthilh hi nasa takin a tlahniam emaw, a bo vek emaw a ni.Chungte chuan thisen leh thluak inkharkhip chu awlsam takin an pel thei lo va, chuvangin a tlangpuiin him zawka ngaih an ni.
- Entirnan: Cetirizine, Loratadine, Fexofenadine, Desloratadine te hi a tha hle.
H2 antihistamines hian pum natna a tidam thei
H2 receptor hi kan pum chhunga acid chhuak cell-ah hian a awm ber a. Stomach acid a san chuan gastritis, heartburn, leh acid reflux ang chi condition a awm thin.
H2 antihistamines hian heng H2 receptor te hi a block a, stomach acid siamchhuahna a ti tlem bawk.
Chungte hmanna ber chu:
- Peptic ulcer natna a ni
- Gastritis leh GERD (chronic acid reflux) te hi a awm lo.
- Zollinger-Ellison natna a ni
- Entirnan: Famotidine, Cimetidine tih te hi a ni.
Antihistamine i hman hian heng thilte hi hre reng ang che!
Antihistamine tam tak chu counter atanga lei theih ni mahse, kan hman dawnin kan fimkhur hle a ngai a ni. A hman dik loh chuan harsatna lian tak a thlen thei a ni.
| Eng nge tih tur | Eng nge tih loh tur (a pawimawh hle) . |
|---|---|
| I doctor thupek ang chiah kha zawm rawh. Damdawi dawr atanga counter atanga damdawi i lei pawhin a thupek chu ngun takin chhiar la. | Dose pek zat chu a let hnih vel a ni ngai lo . "Tlem ka in tam chuan ka dam thuai ang" tih ngaihtuah suh. |
| Damdawi ei hun leh ei tam dan chiang takin hria ang che. Damdawi thenkhat chu ni khatah vawi khat ei thin a ni a, thenkhat erawh chu vawi tam tak ei a ngai thung. | Doctor thurawn tel lo chuan antihistamine chi hnih a rualin ei loh tur a ni. |
| Mutthilh tir thei damdawi thlah khatna a nih chuan zan mut hmain ei a tha ber . | Naupang kum 4 hnuai lam chu doctor thurawn lo chuan over -the-counter khuh leh khawsik damdawi antihistamines awmna pe suh. |
| Damdawi dang i ei tur chu i doctor hnenah hrilh rawh. | First-generation antihistamines ei lai hian lirthei khalh emaw, machinery emaw hmang suh, mut theih loh. Hei hian accident na tak tak a thlen thei a ni. |
Kum 65 chunglam leh naupang tête chu antihistamines-in a nghawng dan hi an hrethiam zawk a ni. Chuvangin he damdawi hi i pek hmain doctor rawn hmasa phawt ang che.
Antihistamines hian eng side effect nge a neih?
Damdawi zawng zawng ang bawkin antihistamine hian side effect a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. Heng side effects te hi damdawi chi hrang hrang a zirin a inang lo.
| Antihistamine chi hrang hrang | Side effect awm thei tlangpui |
|---|---|
| H1 antihistamine (allergy nei tan) a ni. | |
| Thla hmasa ber (Mutthilh tir thei chi hrang hrang) . |
|
| Thla hnihna a ni (muthilh tam lo chi hrang hrang) . |
|
| H2 antihistamines (riltam natna tan) . | |
| H2 antihistamine a ni (e.g. Famotidine) tih a ni. |
|
Thil awmdan leh hlauhawmna, ngaihven bik ngai
A hnuaia thil awmte hi i neih chuan antihistamine i ei hmain i doctor nen inbiakna neih hmasak phawt ang che.
- Zunthlum
- Prostate lian emaw zun harsa emaw
- Epilepsy natna a ni
- Lung natna
- Thisen sang a sang
- Glaucoma (mit a pressure sang) 1.1.
- Hyperthyroidism natna (Hyperthyroidism) a awm
Overdose a ni
Antihistamines ei tam lutuk, a bik takin first-generation type, mut theih lohna thlentu te hi a hlauhawm hle thei a ni. Hei hi tihsual palh emaw, damdawi dang, mutna damdawi ang chi te nena ei a nih pawhin a thleng thei.
Overdose a nih chuan a lan chhuah dan:
- Mutthilh lutuk
- Thil hmuh theih loh (Hallucinations) te
- Naupangte rilru hah lutuk leh thinrim lutuk
- Mit hmuh a fiah lo
- Lung natna chak tak (Tachycardia) .
- Seizures a awm thin
Nangmah emaw i fa emaw hian heng symptoms te hi i neih chuan damdawi in hnai ber Emergency Department (ETU) ah hruai nghal rawh. A nih loh leh, Colombo National Hospital-a National Poison Information Center-ah phone rawh .
Hengte hi nu naupai leh nau hnute pe lai tan a tha em?
Naupai, nau pai tum emaw, nau hnute i pe emaw a nih chuan damdawi eng pawh i ei hmain doctor rawn hmasak phawt a pawimawh. Zirna hrang hrangah antihistamine thenkhat chu naupai laiin a him tih hmuhchhuah ni mahse, i doctor chuan nang leh i naute tan eng nge tha ber tih a rel ang.
Take-Home Thuchah a ni
- Antihistamines hi allergic symptoms control nana hman thin damdawi chi khat a ni a, natna dang, gastritis te enkawlna atan pawh hman a ni.
- A chi hnih a awm a, chungte chu H1 (allergy tan) leh H2 (riltam tan) te an ni.
- H1 type pawh hi chi hnih ah a awm a: first generation te hian muthilh an thlen a , second generation te erawh chuan muthilh an nei tlem hle thung.
- Mutthilh tir thei antihistamines ei hnuah lirthei khalh ngai suh.
- I doctor emaw package insert emaw dosage leh instruction pek angin zawm fo ang che. Ei tam lutuk suh.
- Damdawi lam harsatna dang i neih emaw, naupai emaw, nau hnute pe lai emaw i nih chuan antihistamines i ei hmain doctor rawn hmasa phawt ang che.
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