I lung natna khirh tak i nei bawk em, chu chu damdawi lama COPD (Chronic Obstructive Pulmonary Disease) kan tih hi a ni? Chutiang a nih chuan i doctor hian hetiang hian inhaler a pe che a ni mai thei. Hei hi a takah chuan damdawi pathum inzawmkhawm a ni. A hmasa berah chuan a buaithlak deuhin lang mah se, a hman dan leh a chungchanga hriat tur thilte chu a awlsam hle. Chuvangin vawiin hian he thu hi chiang takin sawi ila, thian tha tak nen kan inbia ang maiin.
He inhaler hi eng nge thleng tak tak?
A awlsam zawngin sawi ila, he inhaler hian i lung a thawk awlsam zawk a ni. Damdawi lian pathum a awm a, chungte chu Budesonide , Glycopyrrolate , leh Formoterol te an ni. Heng zinga pakhat zel hian eng nge an tih tih hi han thlir ila.
- Budesonide: Hei hi inhaled steroid a ni. I thawkna kawng a swelling leh inflammation tihziaawmna hmangin hna a thawk a ni. He swelling hi a tlahniam chuan i thawkna kawng chu a zau deuh deuh thin.
- Glycopyrrolate leh Formoterol: Heng damdawi pahnih hi bronchodilators an ti a. Chumi awmzia chu thawkna kawng zim leh hrual, a chhehvela taksa ruhte tih hahdam a, a zau zawka siamin hna an thawk tihna a ni. Tube tawi tak tihzauh ang mai a ni.
Heng damdawi pathumte hi an thawh dun avangin he inhaler hian nitin thawk hahdam takin a pui thei che a ni. Chuvangin "controller inhaler" kan ti a ni. Chu chu symptoms control nan, nitin enkawl nan hman a ni tihna a ni a, emergency rang tak atan hman a ni lo.
Pawimawh tak: He inhaler hi COPD flare-up nghal tur chuan hman ngai lo tur a ni . I doctor chuan chutiang thila hman tur "rescue inhaler" hran a pe che a ni mai thei.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i doctor-in a pek hmain i hriselna dinhmun a hriat chian a pawimawh hle. A hnuaia condition te hi i neih chuan i doctor hnenah hrilh ngei ang che.
| I damdawi lam dinhmun |
|---|
| Bladder lama harsatna emaw, zun harsatna emaw |
| Ruh lama harsatna (e.g. ruh natna) . |
| Zunthlum |
| Mit natna (e.g. glaucoma, mitdel) emaw, mit lama harsatna nei emaw |
| Lung natna emaw, thisen sang emaw |
| Heart rhythm mumal lo a awm tawhna history |
| Immune system chak lohna emaw infection emaw a awm |
| Kal natna |
| Prostate natna te |
| Thyroid natna a ni |
| Heng damdawi (budesonide, formoterol, glycopyrrolate), damdawi dang, ei tur, a nih loh leh preservatives te hi a danglam bik emaw, allergy emaw i neih tawh chuan |
| Naupai i nih chuan, nau pai tum i nih chuan, nau hnute i pe a nih chuan |
Engtin nge he inhaler hi i hman dik ang?
Hei hi a hlawk ber tur chuan a hman dan tur dik tak hriat a pawimawh hle.
- A hun takah ei rawh: Nitin hun khatah ei rawh , i doctor-in a tih angin. Ni khatah vawi hnih (zing leh tlai) ei tura tih a ni tlangpui.
- Shake tha: Inhaler hi hman hmain vawt tha rawh.
- I hmui silfai (a pawimawh ber): Damdawi i ei zawh hnuah i ka chhungah tui tlem la la, i hmui chu uluk takin silfai la, ei lovin i chil chhak chhuak ang.Hei hi a pawimawh hle a ni, a chhan chu he damdawi chhunga steroid damdawi hi i ka chhungah a tlakbuak chuan fungal infection (thrush) a thlen thei a, chu chuan i ka chhungah white patches a siam thei a ni. I hmui silfai hi chutiang laka invenna kawng a ni.
- A pek zat aia tam ei loh tur: I doctor-in a pek aia tam ei loh tur (e.g., ni khatah vawi hnih puff a nih chuan pahnih chauh).
- Titawp suh: Doctor-in chawlhsan tura a tih hma loh chuan hmang chhunzawm zel ang che. I rilru a hahdam viau pawhin chawlhsan thut suh.
I inhaler hman danah rinhlelhna i neih chuan zak suh la, i doctor hnenah zawt nawn leh la, a chiang zawk ang.
Damdawi ka hman sual lutuk chuan engtin nge ni ang?
I ngaihtuah aia tam i ei nia i ngaih chuan Colombo National Hospital-a National Poisons Information Center-ah call nghal rawh . A nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal rawh.
He damdawi nena inzawm thei damdawi dang
Damdawi i ei zawng zawng hi he inhaler nen hian a inmil vek lo. Damdawi thenkhat hian side effect a tipung thei a, he inhaler nena ei hian he damdawi hian hna a thawh that dan a tidanglam thei bawk.
| He inhaler nena ei ngai loh tur damdawi |
|---|
| Damdawi chi hrang hrang Cisapride, Dronedarone, Pimozide, Thioridazine te hi a ni |
| MAOI hi rilru lam natna enkawlna atana hman thin damdawi a ni. |
| Hei leh inhaler dangte, long-acting bronchodilators (LABAs) awmna te hi . |
Chu bakah damdawi dang tam tak chuan hei hi a inzawm thei bawk. Entir nan:
- Lung natna leh thisen sang damdawi thenkhat (e.g., beta-blockers Atenolol leh Metoprolol ang chi) .
- Depression ang chi condition damdawi thenkhat
- Damdawi Ketoconazole leh Itraconazole ang chi, fungal infection enkawlna atana hman thin
- HIV emaw Hepatitis emaw tan antiviral damdawi thenkhat
- Damdawi Oxybutynin leh Tolterodine ang chi te, bladder lama harsatna nei te tan hman thin a ni
- Diuretics (taksa atanga tui paih chhuaktu damdawi) .
- Steroid dang pawh a awmPills (e.g. Prednisolone) hmanga tihdam theih a ni.
He list hi a kim lo. Chuvangin, i doctor hnenah damdawi, vitamin, herbal remedies leh supplement i ei zawng zawng list kimchang pe rawh. Zu i in emaw, zu i in emaw chuan doctor hnenah hrilh ngei ang che.
Side effects beisei tur chu engte nge ni?
Damdawi dang ang bawkin he damdawi hian mi thenkhatah side effect a nei thei a ni. Ṭhenkhat chu a serious a, a then chu a common. Hengte hi hriat chian a pawimawh.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei hring, thawk harsa emaw, ei harsa emaw. |
| Inhaler hman zawh veleh thawk hah nghal | Damdawi ei zawh veleh thawk harsatna a pun nghal chuan. |
| Heart rate a inthlak danglam thin | Lung natna, lungphu mumal lo, rilru na, luak chhuak. |
| Mit lama harsatna nei | Mit na tak, mit hmuhna fiah lo, leh light chhehvela halo awm. |
| Ka chhunga fungal natna (Thrush) . | Kawng chhungah emaw, leiah emaw hmun dum a awm. |
| Zun harsatna | Zun laiin harsatna emaw, natna emaw hriat. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Thlarau na, ri bengchheng | Hoarseness, Kawngkhar na |
| Lu na, khuh, hmui a vawt | Lu na, Khuh, Kawng a vawt |
| Mut theih lohna, taksa khur | Mut harsatna, Tremors |
Engtin nge damdawi chu i dahkhawm leh i paih thin?
- A dahna: He inhaler hi room temperature (15-30 Celsius inkar), hmun vawt takah dah tur a ni. Naupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni. Khua lum lutuk emaw, meialh emaw bulah dah ngai suh. Canister chu a puak thei. Refrigerator-ah dah suh.
- Expiration: Inhaler hi aluminium packet i hawn ni atanga thla 3 chhung (120 puff canister tan) emaw kar 3 (28 puff canister tan) emaw i hmang tur a ni. Chutiang a nih loh chuan dose indicator-ah zero (0) a lan hunah inhaler chu paih mai rawh.
- Disposal: I inhaler hman tawh emaw, expired emaw him taka paih dan tur i doctor hnenah thurawn zawt rawh.
Take-Home Thuchah a ni
- He inhaler hi i asthma control nan nitin i ei thin "controller inhaler" a ni. Thâwk hahna rang tak atan hmang suh . Chumi atan chuan i "rescue inhaler" hmang rawh.
- I hman apiangin i hmui chu tuiin uluk takin silfai la, ei lovin i chil chhak chhuak thin ang che. Hei hi ka chhunga fungal infection awm lo turin a pawimawh hle.
- Damdawi dang zawng zawng, vitamin leh hnam damdawi i ei tur zawng zawng chu i doctor hnenah hrilh rawh.
- I natna lan chhuah dan a zual emaw, i "reliever inhaler" i hman tam a ngai emaw a nih chuan i doctor ko nghal rawh.
- Inhaler hi dik takin dah la, a expire hnuah him takin paih rawh.
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