Kan taksa khawi hmunah pawh hliam emaw, hliam emaw kan neih chuan thisen chhuahna chu rei vak lo hnuah a tawp mai thin a ni lawm ni? A nihna takah chuan kan taksaah hian venhimna mak tak a ni. Thisen chhuahna chu a tawp a ni a , a chhan chu thisen a chhuak thin . Mahse, he thisen zam hi chhan awm lovin kan taksa chhunga thisen kalna kawng chhungah lo awm ta se eng nge thleng ang tih han ngaihtuah teh? Chu chu dinhmun hlauhawm deuh a ni. A chhan chu chutiang thisen zam ṭul lo chuan nunna atana hlauhawm natna, heart attack leh stroke ang chi a thlen thei a ni . Chuvangin, vawiinah hian damdawi chi khat, doctor-te’n hetiang thisen zam ṭul lo siam chhuah tihtawp nan an hman ṭhin chungchang kan sawi dawn a ni.
A awlsam zawngin, he antiplatelet damdawi hi eng nge ni?
Antiplatelet damdawi chi khat a ni a, thisen zam a awm loh nan a veng a ni. Anni chuan platelet , thisen cell chi hrang hrang, an inzawm khawm leh inzawm khawm loh nan an titawp a ni.
Tunah chuan heng platelet te hi eng nge an nih i ngaihtuah mai thei. Tlem a awlsam zawkin han sawifiah teh ang. Kan thisen hi hmun engemaw zat atanga siam a ni ber a:
- Thisen sen (red blood cells) : Hengte hi taksa pum puia oxygen phurtu an ni.
- White blood cells : Hengte hian kan taksaa natna hrik awmte an do thin.
- Platelets: Hengte hi kan taksaa thisen chhuah tihtawp nan thisen zam siamna atana puitu cell te an ni.
I kut emaw, i ke emaw-ah hliam te tak te i nei niin han ngaihtuah teh. Chutih lai chuan heng platelet te hi hliam vel chu rang takin an inzawm khawm a, an inzawm khawm a, plug an siam a, thisen chhuah chu a titawp ta a ni. Hei hi kan taksaa thil awm dan pangngai a ni. Mahse buaina chu, natna thenkhat avang hian heng platelet te hi thisen kalna kawng chhungah an inzawm khawm tan thin . Chutah chuan antiplatelet damdawi te hian min pui thin. Heng damdawi te hian an tih chu chu platelet te chu an inzawm khawm theihna a tihtlem hi a ni. Tichuan a tul lova thisen zam a lo piang lo.
Antiplatelets leh Anticoagulants (Blood Thinners) te hi eng nge an danglamna?
Hei hi mi tam tak buaina hmun a ni. Heng damdawi pahnihte hian thisen zam tihtlem nan hna an thawk a ni. Mahse kawng hrang hrang pahnihin hna an thawk thung. Hei hi hriatthiam a pawimawh.
A awlsam zawngin sawi ila, antiplatelet hian platelet te chu a inzawm khawm loh nan a titawp a ni. Anticoagulants (“blood thinners” tia hriat bawk) hian thisen zam chhuahna kawnga inrawlh protein dangte hnathawh chu a titawp a ni.
He inthlauhna hi chiang zawka hriat theih nan heng chipchiar tak takte hi han thlir ila.
| Damdawi chi hrang hrang | A hnathawh dan | Entirnan |
|---|---|---|
| Antiplatelets a ni | Thisen chhunga platelet te hi an inzawm khawm a, an inzawm khawm a, clot siam a veng bawk. | Aspirin, Clopidogrel, Ticagrelor te a ni |
| Anticoagulants (Thisen tithianghlimtu) . | Thisen zam chhuahna cascade-a inrawlh protein hrang hrang (clotting factors) a nghawng a ni. | Warfarin, Heparin, Apixaban, Rivaroxaban te pawh a awm bawk |
Heng damdawi te hi tute nge mamawh?
Kan taksa tan thisen zam hi a pawimawh viau nachungin, mi thenkhat chuan an thisen zam (vein)-ah thisen zam (blood clots) an neih theihna chance a sang zawk a ni. Chuvang chuan doctor ten antiplatelet damdawi an pe thin. A bik takin a hnuaia dinhmun nei te tan chuan an pawimawh thei hle:
- Angina: Thinlung a thisen kal tlem vanga rilru natna.
- Atrial Fibrillation: Thinlung a thawk mumal lo tihna a ni.
- Coronary Artery Disease: Thinlung thisen petu thisen kalna kawng (arteries) te chu a tawi emaw, a block emaw a ni.
- Tun hmaa heart attack emaw stroke emaw nei tawhte tan: He natna hi a lo awm leh tawh loh nan.
- Peripheral Vascular Disease: Thinlung pawn lama thisen kalna kawng (veins) a block a, a bik takin keah a awm.
- Surgery thenkhat hnuah: Entîr nân, coronary artery bypass surgery, stent dahna hmanga angioplasty, leh heart-valve surgery nei tawhte.
Antiplatelet damdawi chi hrang hrang nge awm?
Antiplatelet damdawi chi hrang hrang a awm a. Kan hriat leh hman tlanglawn ber chu aspirin a ni . A chi dang engemaw zat a awm bawk. Type tin hian kawng hrang hrangin hna an thawk a.
| Ruihhlo chi hrang hrang | Eng nge tih tur awlsam tak | Entirnan |
|---|---|---|
| Adenosine diphosphate (ADP) receptor hi a titawp thei a ni | Platelets stickiness a ti tlem. | Clopidogrel, Ticagrelor, Prasugrel te a awm bawk |
| Adenosine reuptake tihkhawtlai a ni | Thisen zam chhuahna atana enzyme inrawlh te a block thin. | Dipyridamole a ni |
| Glycoprotein platelet titawp thei a ni | Thisen zam inzawmkhawmtu thilte a block. | Abciximab, Eptifibatide tih a ni |
| Phosphodiesterase tihkhawtlai a ni | Thisen kalna kawng a tizau a, platelet a inzawm khawm loh nan a veng bawk. | Cilostazol a ni |
He damdawi hi engtin nge kan hman ang?
Antiplatelet damdawi tam zawk hi pill angin a awm a. Chumi awmzia chu kâa ei an ni tihna a ni. Thil bik thenkhatah chuan thisen kaltlangin an pe bawk.
- Heng pills te hi chaw ei hma emaw ei zawhah emaw i ei thei bawk. Amaherawhchu, mi thenkhat chuan he damdawi hi an ei zawh hian pum a na emaw, thinlung na emaw an nei thei a ni. Chutiang a nih chuan damdawi chu ei tur nen ei a tha ber .
- Dose i ei theihnghilh chuan i hriatreng veleh ei nghal rawh. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, i dose leh tur chu a hun ruatah ei rawh. Eng thil vang pawhin vawi khatah vawi hnih ei loh tur.
- A pawimawh ber chu Doctor-in a sawi ang chiaha damdawi ei hi a ni.I rilru a hahdam a nih pawhin doctor zawt lovin damdawi ei kha bansan suh emaw, eng thil vang pawhin a dose thlak emaw suh.
Heng damdawi te hian eng nge a thatna leh a hlauhawmna?
Damdawi dang ang bawkin heng antiplatelet damdawi te hian hlawkna a neih bakah hlauhawmna engemaw zat a nei thei bawk.
A thatna ber
Heng damdawi te hlawkna ber chu heart attack leh stroke ang chi natna hlauhawm tak tak a veng thei a ni. A bîk takin, a hmaa a lo vei tawhte chunga chutiang dinhmun lo awm leh tûr venna kawngah an ṭangkai hle. Tin, rilru natna, taksaa thisen kal tlem vanga lungawi lohna, thawk harsa tih ang chi symptoms te pawh tihziaawmna atan an pui bawk.
Risk lian ber
Heng damdawi te hi a hlauhawm ber chu thisen chhuah tam lutuk hi a ni . Hei hi a chhan chu heng damdawi te hian thisen zam (blood clots) siam a titawp vang a ni. Chuvangin, a tul lo taka thisen zam bakah kan taksa mamawh thisen zam a titawp bawk.
Entirnan, hliam tenau i neih chuan thisen chhuah chu a pangngai aia rei a ngai thei. Tin, chhungril lama thisen chhuah hi a hlauhawm thei bawk. Chuvangin he damdawi hi i ei tan hmain i doctor nen heng hlauhawmnate hi sawipui hmasa phawt ang che. In lama tlu leh hliam laka inven dan tur sawiho a pawimawh bawk.
Side effect leh fimkhur tur thil
He damdawi ei hian side effect thenkhat a awm thei bawk. Ṭhenkhat chu thil pangngai an ni a, ṭhenkhat erawh chu natna khirh tak chhinchhiahna an ni thei thung. Chuvangin hengte hi fimkhur a pawimawh hle.
| Side effects leh risk factors te | |
|---|---|
| Common side effects hmuh tur awm thei | |
| |
| Symptom na tak tak, doctor hnena hriattir nghal tur | |
|
A pawimawh ber chu he damdawi hi a rawt aia tam i ei chuan, chu chu i ei tam lutuk chuan nunna atana hlauhawm tak a ni thei tihna a ni. Chuvangin , i doctor-in a pek zat aia tam ei ngai suh. Hetiang a nih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal tur a ni.
Damdawi dang nena inzawmna (interaction) te pawh i zir dawn nia.
Antiplatelet damdawi hian damdawi dang nen a inzawm thei a, chuvangin i damdawi ei zawng zawng chu i doctor hnenah hrilh vek a pawimawh. Chung zingah chuan:
- Damdawi dang doctor-in a pek.
- Damdawi lei theih loh.
- Vitamin, mineral, herbs, leh supplement dangte pawh a awm.
- Ayurvedic emaw hnam damdawi dang emaw.
Heng zawng zawng hi i doctor hnenah hrilh la, chutiang chuan a enkawl dan tur dik ber leh him ber a pe thei ang che.
He damdawi hi tuin nge ei loh tur?
Antiplatelet damdawi hi damdawi lam harsatna thenkhat nei tan chuan a tha lo hle a, a then phei chuan hman loh tur a ni.
- Ni engemaw zat chhunga operation emaw ha lakchhuah emaw tur te (hemi chungchangah hian i doctor emaw dentist emaw in thurawn a pe ang che).
- Naupai, nau pai tum emaw, nau hnute pe mek emaw.
- Tun hmaa thluaka thisen chhuak tawhte.
- Tun hmaa heng damdawi ei avanga allergy nei tawhte.
- Thisen zam natna nei, hemophilia ang chi nei te.
- Kidney emaw liver natna vei te.
- Mite chu pum chhunga ulcer nei emaw nei tawh emaw.
Hetiang dinhmun i neih chuan doctor hnenah hrilh ngei ang che.
Take-Home Thuchah a ni
- Antiplatelet damdawi hi damdawi chi khat pawimawh tak a ni a, duh loh zawng thisen zam siam a veng a, chu chuan natna khirh tak tak, heart attack leh stroke te a thlen thei a ni.
- Heng damdawi tam tak hi hun rei tak chhung ei a ngai a ni. Doctor thurawn tel lo chuan ei kha bansan ngai suh la, a dose pawh thlak ngai suh.
- Heng damdawi te hi a hlauhawm ber chu thisen chhuah tam lutuk hi a ni. Thil danglam tak, hnar thisen chhuak, leh bawlhhlawh dum te chu en reng ang che. Chung zinga pakhat tal i hriat chuan doctor hnenah hrilh nghal rawh.
- I doctor hnenah damdawi dang i ei zawng zawng (vitamin leh Ayurvedic damdawi te pawh tel) kimchang takin pe rawh.
- Surgery emaw ha enkawlna emaw i neih hmain doctor emaw dentist emaw hnenah heng damdawi te hi i ei tih hrilh hmasak a pawimawh hle.
Antiplatelet damdawi, thisen zam, heart attack, stroke, Aspirin, Clopidogrel, thisen tithianghlimtu, platelet, thinlung natna
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