I pum a na fo em? I pum chhungah squeezing pain, i pum chhungah fullness feeling i nei fo em? A nih loh leh, thlasik laiin natna nasa tak lo thleng thin hi i chau em? Chutiang dinhmunah chuan doctor pan tura i kal chuan hetiang natna tihziaawmna tur hian damdawi class khat pek theih che a awm a. Chu damdawi class, chu chu antispasmodics tihna a ni a, vawiinah hian he thuziak hian kan sawi dawn a ni.
A awlsam zawngin, heng antispasmodics te hi engte nge ni?
Awle, hetiang hian han sawi ila. Kan taksa chhunga taksa peng hrang hrang, entirnan, intestines, pum, bladder, uterus te hi taksa ruh chi khat bik atanga siam a ni. Hengte hi smooth muscles kan ti a . Hengte hi kan kut leh ke ruh, kan rilru hmanga kan thunun ang kha an ni lo, hengte hi automatic-a che thinte an ni.
A châng chuan chhan hrang hrang avangin heng ruh smooth te hi a tul lovah emaw, a tul aia chak zawkin emaw (spasm emaw cramp) an inzawm tan thin. Chutah chuan hei hi pum na emaw, hrual emaw angin kan hre thin.
Antispasmodics hian duh loh zawng tight, contracted smooth muscles te chu a ti relax a. Muscle te a relax chuan a natna leh hrehawmna a tihziaawm thin.
Doctor-te hian eng dinhmun chi hrang hrangah nge he damdawi hi an hman?
Antispasmodics hi digestive system leh urinary system-a muscle contraction avanga natna enkawlna atan hman a ni ber. Heng damdawi hman dan tlanglawn ber berte hi han thlir ila.
| Condition/Hun awm dan | A sawifiahna awlsam tak |
|---|---|
| Irritable Bowel Syndrome (IBS) a awm a, a rilru a buai em em a, a rilru a hah em em bawk. | A natna, a natna chi hrang hrang, pum na, pum na, pum na, leh chaw ei kham (constipation) te. He damdawi hi intestine chhunga muscle te overactive lutuk avanga natna tihziaawmna atana pek a ni. |
| Colon a lo chhuak thin | Chhan hrang hrang avanga colon ruh te tight contraction avanga natna. |
| Menstrual cramps a awm thin | Thlasik laiin nausen ruh (uterine muscles) chak taka inzawmkhawm vanga natna nasa tak tihziaawmna turin. |
| Biliary colic / Gallbladder natna | Gallstone emaw thil dang emaw avanga gallbladder-a taksa ruh inzawmkhawm avanga natna nasa tak. |
| Bladder a thawk nasa lutuk | Thil awmdan hrang hrang, zun tam lutuk leh zun control harsat avanga bladder muscles inkharkhip fo thin te. |
Chu bâkah, he damdawi hi damdawi lam test ṭhenkhat, endoscopy ang chi hmaa chaw ei kawng ruhte tih hahdam nân injection anga pek a nih hun pawh a awm bawk.
Okay, chuti a nih chuan he damdawi hian taksa chhungah engtin nge hna a thawh?
Antispasmodic damdawi hian hna a thawh dan kawng hrang hrang a awm. A bulpui berte han thlir ila.
1. Muscarinics dodalna lam hawi
Hei hi kan ram leh khawvela antispasmodic chi khat hman lar ber a ni. Hengte hi anticholinergics an ti bawk .
A awlsam zawngin kan thluak leh kan nervous system hian kan taksa peng hrang hrangah chemical message (neurotransmitter) a thawn a, "contract" turin. Heng damdawi te hian an tih chu chu thuchah kengtu parasympathetic nervous system atanga signal lo lut chu a block a ni. Phone call a lo luh chuan signal tihtawp ang mai a ni a, chutah chuan a tul lo taka taksa ruh inzawmkhawm chu a reh a, a natna chu a tlahniam ta a ni.
2. Damdawi taksa ruh tichhe thei direct (Direct smooth muscle relaxants) .
Heng damdawi chi hrang hrangte hian kan intestines-a muscle cells te chu direct-in a nghawng a ni. Calcium hi taksa ruh (muscle contraction) atan a pawimawh hle. Heng damdawi te hian an tih tur chu calcium chu taksa ruh cell chhunga lut tur a titawp a ni. Calcium tel lo chuan taksa ruh te hi chutiang chuan a inzawm tlat thei lo va, chuvang chuan an relax thin. Peppermint oil capsules hi hetiang taka hnathawk thei natural thil entir nan a tha hle.
3. Calcium channel tikhawlo thei
Hetiang damdawi chi hian calcium luh a tikhawlo bawk a, chu chu taksa ruh inzawmkhawmna atana mamawh a ni. Amaherawhchu, hengte hian kan thisen kalna ruh (muscle) te pawh a nghawng avangin Sri Lanka ramah chuan lung natna, thisen sang ang chi tan an hmang nasa ber a ni.Hengte hi pum na tan pek a tlem hle.
Antispasmodic damdawi an pek tam berte chu engte nge ni?
Doctor-in a pek theih antispasmodic damdawi hman tlanglawn tak tak thenkhat chu hetiang hi a ni:
- Dicyclomine a ni
- Hyoscyamine a ni
- Atropine a ni
- Scopolamine hmanga siam a ni
- Tolterodine a ni
- Oxybutynin a ni
A pawimawh ber: Hengte hi doctor rawtna anga ei tur chauh a ni. Hengte hi doctor thurawn tel lo chuan hmang ngai suh, i thianin a hrilh che vang emaw, i lo enchhin tawh vang emaw pawh nise. A chhan chu i doctor-in i natna lan chhuah dan tur damdawi leh a dose tha ber tur a ruat tur a ni.
He damdawi hian side effect a nei em?
Damdawi dang ang bawkin he damdawi hian mi thenkhatah side effect tenau te a thlen thei a, mahse mi zawng zawngin an vei vek lo.
| Damdawi chi hrang hrang | Side effect awm thei te |
|---|---|
| Antimuscarinic te hi a ni | Kawng leh mit a vawt, luak chhuak, lu na, mit a fiah lo deuh, zun a retention, thinlung na rang. Constipation i neih chuan he damdawi hi i ei hmain doctor i hrilh hmasa phawt tur a ni. |
| Peppermint hriak a ni | Side effects hi a tlem hle. Mi thenkhat chuan thinlung natna emaw, luak chhuak emaw an nei thei. |
Heng side effects te hi mi zawng zawngah a thleng vek lo. Tin, an serious lo tlangpui bawk. Mahse he damdawi hi i ei hnua thil danglam emaw, nuam lo emaw i neih chuan i doctor hnenah hrilh nghal rawh.
Antispasmodics leh Antispastics te hi thil inang an ni em?
Ni e, hetah hian mi tam tak an buai thin. Heng damdawi pahnihte hi taksa ruh tizautu ni mah se, kan taksa ruh chi hnih a nghawng a ni.
- Antispasmodics: He thuziak-a kan sawi tawh ang khan hengte hian taksa chhunga pianphung anga thawk, kan intestines leh uterus ang chi smooth muscles te a nghawng a ni.
- Antispastics: Hengte hian kan kut, ke leh taksa tizau tura min puitu leh rilru lama kan thunun thei ruhro (skeletal muscles) te a nghawng a ni. Entirnan, hengte hi accident hnua hnungzang na, taksa ruh na leh taksa ruh nghet lo tan damdawi pek a ni.
Chuvangin heng damdawi chi hnih hi a danglam vek a ni.
I pum na, pum na, kan sawi tawh ang chi i neih fo chuan i duh angin damdawi ei mai mai suh la, doctor thiam tak hnenah thurawn dil ngei ang che. A enfiah ang che a, i mamawh enkawlna a pe ang che.
Take-Home Thuchah a ni
- Antispasmodics hi kan taksa chhunga taksa peng hrang hranga ruh hring (smooth muscles) ti hahdamtu damdawi chi khat a ni.
- Hengte hi pum na, IBS, thlasik natna, leh bladder lama harsatna te tan hman a ni ber.
- Heng damdawi hi chi hrang hrang a awm a, mahse a hman tam ber chu antimuscarinics te hi an ni.
- He damdawi hi damdawi lam thurawn tel lo chuan hmang ngai suh. I dinhmun atana damdawi tha ber chu i doctor chauhvin a hria.
- Damdawi dang (a bik takin constipation, heart disease) atana damdawi i ei a nih chuan doctor hnenah hriattir ngei ang che.
- Damdawi i ei hnua side effect na tak emaw, danglam bik emaw i neih chuan doctor rawn nghal rawh.
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