Nangmah emaw, i hmangaih tak emaw cancer enkawl tan dawnin tlem chuan hlauhna leh hlauthawng deuha inhriat hi thil pangngai a ni. A bik takin damdawi pakhat ‘chemotherapy’ tih i hriat hian i rilruah thil tam tak a lo lang thin. Vawiin hian hetiang cancer enkawlna atana hman tur special injection chungchang kan sawi dawn a ni. Chu chu damdawi Asparaginase Erwinia Chrysanthemi (Recombinant) tih chu Rylaze brand hminga lo awm chu a ni. He hming hi a buaithlak deuh avangin Rylaze kan ti mai ang. He thuziak hian he damdawi chungchanga i zawhnate chu awlsam takin chhan a tum ang.
Rylaze (Asparaginase) hi eng nge ni?
A awlsam zawngin sawi ila, hei hi chemotherapy damdawi, cancer cell tihhlumna atana pek a ni. Cancer zawng zawng tan hman a ni lo va, a bik takin thisen kaihhnawih cancer chi hnih tan hman a ni. Chungte chu:
- Acute Lymphoblastic Leukemia (ALL) a awm a, a chhuak leh ta a ni.
- Lymphoblastic Lymphoma natna a ni
He damdawi hian mak tak maiin hna a thawk a. Cancer cell te hian an thanlen theih nan amino acid asparagine an mamawh a. Kan taksaa cell hrisel pangngai te hian anmahniin he asparagine hi an siam thei a ni. Mahse heng leukemia leh lymphoma cancer cell te hian chutiang theihna chu an nei lo. Chuvangin he Rylaze damdawi hian a tichhia a, thisena awm he asparagine hi a tichhia a ni. Tichuan cancer cell te hian an mamawh ei tur an hloh a, an thi ta a ni. Cell hrisel tak takte hian an mamawh asparagine an siam thei a, chuvangin an tichhe vak lo.
Damdawi ei tan hmaa doctor hnena i hrilh tur thilte
He enkawlna hi i tan hmain i hriselna chanchin kimchang i doctor hriattir hmasak phawt a pawimawh hle . A hnuaia condition te hi i neih chuan hrilh ngei ang che:
| I hriselna dinhmun | Engvangin nge a chungchang hriattir a pawimawh? |
|---|---|
| Thisen chhuahna lama harsatna emaw thisen zam harsatna emaw | He damdawi hian thisen zam (blotting process) a nghawng thei a ni. |
| Zunthlum | Damdawi hian thisen sugar level a tisang thei a ni. |
| Pancreatitis i neih chuan | He damdawi hian pancreatitis a thlen tam lo hle. |
| Liver natna | Damdawi hian liver function a nghawng thei a ni. |
| Damdawi, ei tur emaw, dye emaw allergy nei | Damdawi avanga allergy awm theihna tur tehfung atan. |
| Naupai emaw, nau pai tum emaw i nih chuan | Hei hi a pawimawh hle a ni . Damdawi hian nausen piang lai chu a tichhe thei a ni. |
| Naute chu hnute pek a nih chuan | Damdawi hi nu hnute tui hmangin naute hnenah a kal thei a ni. |
Engtin nge he damdawi hi ka pek theih ang che?
Hei hi damdawi in lama hruai theih a ni lo. Hospital emaw clinic emaw a trained medical staff ten an pe che a ni . A tlangpuiin taksa ruh chhunga injection angin pek thin a ni .
I damdawi ei tur ni ruat saah i ei a pawimawh hle . Heng ni hi eng vang pawhin skip suh. Eng emaw chhan vanga i damdawi ei tur ruat ni-a i ei theih loh chuan i doctor ko nghal la, hriattir rawh.
He damdawi hi doctor enkawlna hnuaia pek a nih avangin ‘overdose’ theihna chance a awm lo. Amaherawhchu, damdawi i ei hnua i rilru hahdamna danglam tak i neih chuan damdawi lam thawktute hriattir nghal rawh. Emergency-ah chuan Colombo National Hospital-a National Poison Information Center-ah pawh i call thei bawk .
Enkawl laia ngaihtuah tur thil
Damdawi lam enkawl reng reng
He damdawi i ei chhung zawng hian doctor te chuan i dinhmun hi uluk takin an enfiah ang. Thisen test mumal tak neih tir an ti ang . Damdawi hian hna a thawk em tih te, i thin (liver) a nghawng em tih te, i thisen sugar level a awm dan te an enfiah ang.
Naupai leh nau hnute pek
Hei hi ngaihtuahawm tak a ni.
He damdawi ei lai hian naupai loh tur a ni. Damdawi i chawlhsan hnuah thla 3 tal naupai loh tur a ni.
Hormonal birth control pills hman tlanglawn tak takte hian he damdawi hi a thawk tha lo mai thei. Chuvangin, i doctor nen hian i tana tha tur birth control dan him dang chungchang hi sawipui ngei ang che. He damdawi hian nausen piang lai tan harsatna nasa tak a thlen thei a ni.
Tin, damdawi i ei lai leh i ei zawh hnu kar khat chhung chu naute hnute pek loh tur a ni.
Damdawi dang hriat chian
Damdawi i ei zawng zawng chu i doctor hnenah hrilh rawh. Hei hian natna dang damdawi, vitamin, natna tidamtu, herbal damdawi, Ayurvedic damdawi, leh supplement te a huam a ni. Damdawi thenkhat chu Rylaze nen an inzawm thei. Entir nan:
- Corticosteroid (e.g. Prednisolone) te hi a tha hle.
- Methotrexate hmanga siam a ni
- Vincristine chuan a rawn ti a
- Zonisamide hmanga siam a ni
- Cytarabine hman a ni
- Thyroid hormone a awm a
He list hi a kim lo a, chuvangin i ei tur zawng zawng hi doctor hnenah hrilh vek a pawimawh hle.
Damdawi avanga side effect lo awm thei
Damdawi dang ang bawkin hei hian side effect a thlen thei a ni. Mi zawng zawngin an hmu vek lo. Mahse, hei hi hriat chian a pawimawh a, chutiang chuan symptoms eng emaw a awm chuan i che nghal vat thei ang.
| Side effect a awm thei | Symptoms i tawn mek te |
|---|---|
| Side effect na tak tak, doctor emaw damdawi ina thawktute hnena hriattir nghal tur | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei, thawk harsa. |
| Thisen chhuah dan pangngai lo | Thianghlim dum emaw thisen chhuak emaw, zun sen/brown dum, coffee ground ang maia luak chhuak, hnar/hnung atanga thisen chhuak, vunah hmun sen. |
| Thisen chhuak | Chhung na, thawk hah, ke na, hring, emaw lum emaw. |
| Pancreatitis natna a ni | Pum chunglam natna nasa tak, hnungzang thlenga radiate, khawsik, luak chhuak, leh luak chhuak. |
| Liver hliam a awm | Mit leh vun sen (jaundice), zun dum/brown, pum dinglam chunglam na, hah lutuk. |
| Thisen sugar sang | Unusually increased riltam, tuihal lutuk , zun tam, mit hmuh lohna, hah lutuk. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Lu na | Lu na tlangpui. |
| Chaw chakna | Chaw ei chakna hloh. |
| Muscle na a na | Taksa a na. |
| Kawngkhar natna | Ka chhunga hliam te te. |
He list-a tel lo symptom dang danglam tak i neih chuan i doctor hnenah pawh hrilh bawk ang che.
Take-Home Thuchah a ni
- Rylaze (Asparaginase) hi chemotherapy injection a ni a, thisen cancer leukemia leh lymphoma tih te enkawlna atana hman thin a ni.
- He damdawi hi damdawi in emaw clinic emaw-ah damdawi lam enkawlna hnuaiah pek thin a ni.
- I damdawi lam dinhmun zawng zawng leh damdawi dang i ei zawng zawngte chu i doctor hnenah hrilh rawh.
- Allergy symptoms, thisen chhuak danglam tak, pum na nasa tak ang chi side effect na tak i neih chuan doctor rawn la nghal rawh.
- Enkawl lai leh a hnu thla 3 chhung chu naupai loh vek tur a ni .
- Zawhna emaw, harsatna emaw i neih chuan i doctor biak pawh hlau ngai suh. I tanpui turin an awm reng a ni.
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