Doctor-in nangmah emaw, i chhungte tan emaw thisen zam venna tur damdawi a pe em? Aspirin ang chi thil hriat lar tak a ni thei. A nih loh leh Clopidogrel ang chi pawh a ni thei bawk. Heng damdawi te hi Antiplatelet damdawi kan ti tlangpui. Vawiin hian hengte hi eng nge an nih tak tak te, kan taksaa an hnathawh dan te, kan hman huna fimkhur dan tur te chu awlsam tak leh zahawm takin kan sawi dawn a ni.
Antiplatelet damdawi hi eng nge ni? Engtin nge hna an thawh?
Hei hi hrethiam tur chuan kan thisen chungchang tlem kan hriat hmasak a ngai a ni. Kan thisenah hian thisen sen (oxygen kengtu), thisen var (hei dotu), leh cell te tak te chi dang, platelet kan tihte a awm ber a ni.
I kut chu chemte hmanga i tan angin han mitthla teh. Thisen chu rei vak lo a luang a, chutah chuan a tawp mai mai a ni lawm ni? Chu chu heng platelet te vang a ni. Hmun pakhat a hliam chuan heng platelet te hi a hliamna hmunah an tlan lut nghal a, an inzawm khawm a, mesh an siam a, clot an siam a ni. He clot hian ‘plug’ angin a thawk a, thisen chhuah a titawp a ni. Hei hi kan taksaah hian natural defense mechanism mak tak a ni.
Mahse, hetah hian buaina chu a awm. Hetiang thisen zam hi kan thisen kalna kawng chhungah hliam awm lovin a lo awm a nih chuan eng nge thleng ang? Chu chu a hlauhawm hle mai. Chutiang thisen zam chu thinlunga thisen petu vein-ah a lo awm chuan heart attack a thlen thei a ni . Thluak lama kal vein-a a lo awm chuan stroke a thlen thei .
Antiplatelet damdawi hian thisen zam (vein)-a platelet inzawm khawm loh nan hna a thawk a, hei hian thisen zam a siam loh nan a veng a ni. A awlsam zawngin sawi ila, heng damdawi te hian platelet ‘stickiness’ a ti tlem a ni.
Antiplatelets leh Anticoagulants te hi eng nge an danglamna?
Mi tam tak chuan heng damdawi chi hnih hi an buaipui nasa hle. An pahnih hian "thisen tithianghlimtu" tia koh ni mah se, an hnathawh dan erawh a inang lo deuh. An pahnih rah chhuah chu thisen zam tihtlem ni mah se, a hnathawhna hmun chu a danglam hle. Hei hi chiang takin i hrethiam ang u.
| Damdawi chi hrang hrang | A hnathawh dan |
|---|---|
| Antiplatelets a ni (e.g. Aspirin, Clopidogrel) te hi a tha hle a ni. | Eng nge thisen zam siam turin a inzawm khawm hmasa ber?Platelet inzawmkhawm loh nan a veng. |
| Anticoagulants a awm bawk (e.g. Warfarin, Apixaban) te hi a tha hle a ni. | Platelet te hi an inzawm khawm hnu chuan thisen chhunga protein bik (clotting factors) te hnathawh a tibuai a, chu chuan thisen zam tichak turin a pui a ni. |
Heng damdawi te hi tute nge mamawh?
Mi hrisel chuan he damdawi hi a mamawh lo tlangpui. Mahse damdawi lam harsatna thenkhat nei te chu an thisen zam (vein) ah thisen zam (blood clots) a awm theihna chance a sang zawk. I doctor-in he damdawi a pek theih chhan ber thenkhat chu hetiang hi a ni:
- Heart attack emaw stroke emaw i lo vei tawh a nih chuan a lo let leh loh nan veng rawh.
- Coronary artery disease i neih chuan , chu chu i thinlung chhunga thisen kalna kawngte chu a tawi tawh tihna a ni.
- Angina , chu chu i rilru natna i neih chuan a ni.
- Peripheral Vascular Disease , chu chu ke ruh lam panna vein te a block tihna a ni.
- Heart rhythm irregularities i neih chuan atrial fibrillation ang chi hi a ni .
- Bypass surgery (Coronary Artery Bypass) i neih tawh chuan .
- Angioplasty , i neih tawh chuan, chu chu i thisen kalnaah stent dah i nih chuan.
- Heart valve surgery i neih tawh chuan.
Antiplatelet damdawi hman huna hriat tur thil
Damdawi ei dan tur
Antiplatelet damdawi tam zawk hi pill anga ei a ni. Special case-ah chauh damdawi thisen kaltlanga hman thin a ni. Pill i ei laiin i pum a na emaw, i thinlung a na emaw i neih chuan, chaw ei rualin damdawi ei hi a tha ber.
A pawimawh ber: Dose i miss a nih chuan i hriatreng veleh ei nghal rawh. Mahse, i dose tur nen a inhnaih hle a nih chuan (e.g., darkar tlemte chauh a la awm) a nih chuan, i dose loh chu skip la, i dose lo awm tur chu a hun ruatah ei rawh. Eng thil vang pawhin vawi khatah vawi hnih ei loh tur. Tin, heng damdawi (Aspirin telin) te hi doctor thurawn tel lovin ei nghal vat suh. Chutianga tih chuan thisen zam a siam nghal thei a, a rah chhuah hlauhawm tak a nei thei bawk.
Risk leh side effect a awm thei
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 duh loh zawng chu thisen zam a siam loh nan a veng a, hliam a awm tak tak huna thisen chhuah tihtawp nana mamawh thisen zam siam a tikhawtlai bawk.
| Side effect awm dan (nature) a ni | Hrilhfiahna |
|---|---|
| Side effect hmuh tur awm fo | |
| Hriselna te tak te nei pawhin blue-ah a chang | Taksa hmun hrang hrangah awlsam takin hliam hi a lo lang thin. |
| Hnar thisen chhuak | Chhan awm lovin hnar thisen tlem a chhuak. |
| Hliam atanga thisen chhuak | Hliam te tak te atanga lo chhuak pawh nise, a tawp theih nan hun rei tak chhung thisen chhuak. |
| Hmeichhia thlasik lai | A tlangpui aia thisen chhuak. |
| Symptom na tak tak, doctor hnena hriattir nghal tur | |
| Thisen chu zun chhungah a awm | Zun sen, pink, emaw brown emaw a awm. |
| Thisen chhuak chu stool ah a awm | Stool sen emaw tarry emaw a awm. |
| Thisen chhuak | Thisen khuh emaw, coffee ground ang maia thisen chhuak emaw. |
| Pum natna nasa tak | Pum natna rang tak, na tak, awm reng. |
| Thisen zam lian tak, hlim lo tak | Vun hnuaia thisen zam (hematoma) lian tak, oval ang maia siam a ni. |
Hetiang symptom na tak tak i hmuh chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.
Damdawi dang nena inzawmna
He damdawi hi i ei dawnin i doctor hnenah damdawi dang i ei tur zawng zawng hrilh vek a pawimawh. Damdawi thenkhat chuan he antiplatelet damdawi nen hian an inzawm thei a, thisen chhuah theihna a tipung thei bawk. Chuvangin heng thilte hi i doctor hnenah hrilh ngei ang che:
- Natna dang damdawi.
- Damdawi, painkiller ang chi, damdawi dawr atanga lei theih tur prescription tel lova.
- Vitamin, mineral emaw thil dang emaw ei tur a ni.
- A bik takin, Ayurvedic emaw Sinhala emaw damdawi i ei apiang chu i doctor hnenah hriattir ngei ang che.
He damdawi ei tur hian tu nge tling lo?
Mi thenkhat chu he damdawi atan hian an tha lo mai thei. Hei hi i doctor chuan a rel ang.
- Mite chu ni engemaw zat chhunga zai emaw, ha lak chhuah emaw tura ruahmante.
- Naupai, nau pai tum emaw, nau hnute pe mek emaw.
- Tun hmaa thluaka thisen chhuak tawhte.
- Thisen zam natna nei, hemophilia ang chi nei te.
- Kidney emaw liver natna na tak nei te.
- Mite chu pum chhunga ulcer nei emaw nei tawh emaw.
He damdawi hi damdawi chi pawimawh tak a ni a, heart attack leh stroke ang chi natna khirh tak tak atanga nunna chhanhim thei a ni. Chuvangin doctor thupek dik taka zawm a, a hlauhawm theih dan tur hriat chian a pawimawh hle.
Take-Home Thuchah a ni
- Antiplatelet damdawi hi nunna atana hlauhawm natna, heart attack leh stroke laka invenna atana pek a pawimawh hle.
- He damdawi hi i doctor thurawn tel lo chuan chawlhsan ngai suh la, a dose pawh thlak ngai suh.
- Heng damdawi te hi a hlauhawm ber chu thisen chhuah tam lutuk hi a ni. Nitin hnathawh laiin hliam tuar lo turin fimkhur rawh.
- Thisen chhuak nasa tak chhinchhiahna, i zun emaw, i ek emaw-a thisen, thisen luak emaw, pum na lutuk emaw i hmuh chuan doctor hnenah hriattir nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
- Damdawi dang zawng zawng, vitamin leh Ayurvedic damdawi i ei zawng zawngte chu i doctor hnenah hriattir a pawimawh hle.
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