Kan nu te, kan pa te, kan pi leh pu te, "Aw, tunah chuan ka taksa a chak lo tawh," leh "Ka ruh a chhe tawh," an tih te kha i hre tawh ngei ang. Dik tak chuan kan upat deuh deuh hian kan taksa chakna a tlahniam a, kan ruh chakna pawh a tlahniam zauh zauh bawk. A châng chuan, he natna hi a nasat chuan, tlu tlem emaw, khum aṭanga tho emaw pawh ni se, kut emaw, ke emaw a tliak theihna a sang hle thei a ni. Hetianga ruh chak lo leh chhe thei dinhmun hi osteoporosis an ti a . Chuvangin, vawiin hian doctor-te’n he ruh chak lohna chi hrang hrang control nana an hman thin damdawi class pawimawh tak tak kan sawi dawn a ni.
A awlsam zawngin, heng bisphosphonates te hi engte nge ni?
Bisphosphonates hi ruh natna leh ruh chakna tihziaawmna atana hman thin damdawi chi khat a ni. Chumi awmzia chu he hming pu damdawi pakhat chauh a awm lo va, damdawi engemaw zat inzawmkhawm a ni tihna a ni. Osteoporosis bakah hian doctor-te chuan thisena calcium level hlauhawm tak (hypercalcemia) sang tak nei thenkhat tan pawh he damdawi hi an pe bawk.
He category hnuaia damdawi chi hrang hrangte hi han thlir ila. Chûngte chu chi hnih a awm a. Pakhat chu oral (pills kâa ei) a ni a, pakhat chu intravenous (IV) (vein-a tui pek) a ni.
| Damdawi pek dan tur | Damdawi entirnan (Sri Lanka rama hman tlanglawn tak) . |
|---|---|
| Bisphosphonates ei theih a ni | Alendronate, Risedronate, Ibandronate te an ni |
| Thisen chhunga tui (IV Bisphosphonates) . | Zoledronic acid, Pamidronate tih a ni |
He damdawi hian engtin nge taksa a nghawng?
Hei hi hrethiam tur chuan kan ruhte hnathawh dan tlem kan hriatthiam hmasak phawt a ngai a ni. Kan ruhte hi building siam that reng angin han ngaihtuah teh. Kan taksa hi a pianphungah a chhe a, ruh hlui, chak lo tawh chu a paih chhuak thin. Hetiang kalphung hi ruh resorption an ti a.Chutih rual chuan ruh thar, chak zawk chu a lakchhuahna hmunah a lo piang bawk. Heng thil pahnih hi a inthlau chhung chuan kan ruhte hi a nghet reng a ni.
Mahse, kan tar chhoh zel a, a bik takin hmeichhiaah chuan menopause hnuah chuan he balance hi a bo ta a ni. Thil thleng chu ruh hlui siam aiin ruh hlui a chhe chak zawk hle . Chumi rah chhuah chu ruhte chu a hring zauh zauh a, a porous zawk a, a chak lo zawk bawk.
Chuvangin, heng bisphosphonates te hian an tih chu ruh resorption rate nasa takin control leh tihhniam hi a ni. Tichuan, ruh thar siam laiin ruh hlui chu a chak avangin ruh zawng zawng density leh chakna chu a pung ta a ni. A awlsam zawngin ruh hloh an titawp thin.
Bisphosphonate hi eng condition atan nge hman a nih?
Doctor-te chuan he damdawi hi a hnuaia dinhmunte tan hian an rawt ber a ni:
- Osteoporosis hi hmeichhiaah menopause hnua awm thin a ni.
- Mipaah ruh natna (osteoporosis) a awm.
- Osteoporosis lo awm tur ven nan.
- Damdawi steroid (glucocorticoids) hman chhunzawm zel avanga ruh natna (osteoporosis) a awm thin.
- Paget’s disease of the bone hi ruh a lo thang lian lo hle a, a natna a ni.
- Cancer chi hrang hrang (e.g. Multiple Myeloma) leh cancer cell ruh thlenga a darh (Bone Metastasis)-a harsatna awmte chu control rawh.
- Cancer kaihhnawih hypercalcemia (cancer vanga thisena calcium level sang) control nan.
He damdawi hi engtin nge ka hman ang? Hei hi a pawimawh hle mai!
Damdawi hlawkna kimchang hmuh theih nan leh a nghawng tha lo tih tlem nan heng thupekte hi zawm dik a pawimawh hle .
Damdawi ei tur
Heng pills ei dan hi a chiang hle. Doctor thupek dik takin i zawm tur a ni.
- Pill hi zing lamah ei tur a ni a, engmah ei leh in hmain (rilru ruak ah) ei tur a ni .
- Pill hi tui glass khat khat (tui pangngai) nen chauh ei tur a ni . He damdawi hi tea, coffee, bawnghnute, thei in tur ang chi thil nen ei khap tlat a ni .
- A pawimawh ber: Damdawi i ei hnuah minute 30 atanga 60 tal i thut emaw, ding emaw tur a ni . Eng thil vang pawhin inbeng kang lo la, mu suh la, mu suh.
- A chhan chu he damdawi hian chaw kawng a tichhe thei a ni. Chu hlauhawmna chu i ding chhuah chuan a bo vek a, a chhan chu damdawi chu pum chhungah a kal nghal vat a ni.
- He minute 30-60 chhung hian thil dang ei leh in hi a tha lo. Chu hun a tawp hnuah chuan a hma ang bawkin chawhmeh i ei thei tawh ang.
IV Damdawi te
Hei hi in lamah i ti thei lo. He enkawlna hi damdawi inah emaw, damdawi inah emaw pek thin a ni. I dinhmun azirin he injection (infusion) hi kum khatah vawi khat emaw, thla engemaw zat danah emaw pek thin a ni tlangpui.
He damdawi hi i ei lai hian i doctor chuan calcium tamna ei tur (milk, yogurt, cheese, sangha te) ei tur leh vitamin D supplement ei turin a rawt fo ang che , an pahnih hian ruh chakna atan a pawimawh vek a ni.
Bisphosphonates hian eng side effect nge a neih?
Damdawi dang ang bawkin, side effect engemaw zat a awm thei bawk. Mahse, lungngai suh, a tam zawk hi chu minor an ni.
| Damdawi chi hrang hrang | Side effect awm thei te |
|---|---|
| Damdawi ei tur | Gastrointestinal problems, heartburn, GERD, esophagitis, pum na, leh ulcer te a awm thei. (Hengte hi i damdawi ei dan dik zawm chuan a tam zawkah chuan ven theih a ni.) |
| Damdawi thisen (IV) hmanga pek | Khawsik emaw, flu emaw ang chi, khawsik, taksa na, lu na, leh ruh leh ruh natna te hi damdawi ei hnuah ni khat emaw ni hnih emaw chhung chu a awm thei a ni. Hengte hi ni engemaw zat chhungin a bo tlangpui. |
Side effects awm lo tak tak mahse hriat hlawh tak tak
Hengte hi a tlem hle nachungin , fimkhur a pawimawh hle.
- Osteonecrosis of the jaw: Hetiang hlauhawmna hi a tlem hle a, a bik takin ha lak chhuah ang chi operation hnuah. Chuvangin he damdawi hi i ei a nih chuan i dentist i hmuh apiangin hrilh thin ang che.
- Atypical femur fractures: Hei hi he damdawi hi rei tak (kum 3-5 aia tam) ei thin zingah a awm lo.
- Mit lama harsatna: Mit hmun hrang hrangah inflammation (uveitis, scleritis) a awm thei.
A pawimawh ber chu he damdawi hi i ei loh chuan ruh natna avanga ruh tliak theihna hi heng side effects hlauhawmna tlemte tak tak aiin a let sangin a tam zawk a ni. Chuvang chuan doctor thupek zawm a pawimawh hle.
Engtikah nge doctor i hmuh leh duh?
He damdawi hi i ei a nih chuan a hun takah i doctor pan a pawimawh a, damdawi hian hna a thawk em tih leh side effect a awm em tih enfiah a pawimawh. Ruh lam thiam (Endocrinologist emaw Rheumatologist) hnenah pawh hruai theih i ni bawk.
I doctor chuan i ruhte chu engtiang chiahin nge a dense tih hriat nan DXA scan neih a rawt thei bawk.
Special Note: He damdawi hi kum thum aia rei i hman tawh a, i kawr emaw i kekawrte emaw-ah natna thar i neih chuan ngaihthah suh la, i doctor hnenah hriattir nghal rawh.
Take-Home Thuchah a ni
- Bisphosphonates hi damdawi tha tak a ni a, ruh natna avanga chak lo ruh tichaktu a ni.
- Heng damdawi te hian ruh hloh rate tihziaawmna hmangin hna an thawk a ni.
- Damdawi ei lai hian pum ruak, tui chauh nena in a pawimawh a, damdawi ei hnuah minute 30-60 chhung ding emaw, thut emaw a awm a pawimawh hle.
- Side effect tenau tak tak awm thei mahse, side effect na tak tak erawh a tlem hle. Damdawi hlawkna chu a hlauhawmna aiin a tam zawk daih.
- He damdawi chungchangah hian zawhna, ngaihtuahna, rinhlelhna i neih chuan i doctor nen inhawng takin sawi rawh. Damdawi lam thurawn tel lo chuan i damdawi ei kha bansan ngai suh.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment