Nangmah emaw, i hmangaih tak emaw chemotherapy i tan dawn chuan hlauhna leh hlauthawng tlem i neih hi thil pangngai a ni. Mahse enkawl dan leh damdawi chungchang kimchang taka hriat hi chu hlauhna hneh theihna kawng tha ber a ni. Vawiin hian chutiang chemotherapy damdawi bik pakhat, Busulfan chungchang kan sawi dawn a ni. Hei hi damdawi lian tak tak, stem cell transplant ang chi, a bik takin Chronic Myelogenous Leukemia (CML) ang chi leukemia vei tan chuan damlote buatsaihna atana pek thin a ni.
A awlsam zawngin Busulfan chu eng nge ni?
Busulfan hi chemotherapy damdawi chak tak a ni. A hna ber chu cancer cell tihchhiat hi a ni. A bik takin bone marrow transplant hmain he damdawi hian taksa atanga natna nei emaw cancer nei emaw bone marrow cells te chu a paih chhuak a, stem cell hrisel thar transplant theihna tur hmun a siamsak thin.
He damdawi hi in lama i hruai theih tur pill a ni lo. Injection chu vein hmanga pek a ni a, saline (infusion) ang chi a ni. Tin, damdawi in emaw clinic emaw-ah chauh specially trained medical staff ten an pe thin. Chuvangin kut him takah i awm tih hre reng ang che.
Enkawlna i tan hmaa i doctor hnena i hrilh tur thilte
Busulfan enkawlna i tan hmain i doctor hnenah i hriselna kimchang tak i hrilh hmasak phawt a pawimawh hle. He thu hian i tan enkawlna tha ber leh him ber tur a hriat theih nan a pui ang. A hnuaia mi hi i tan a hman theih chuan i doctor hnenah hrilh ngei ang che.
| Situation i report tur a ni | Hrilhfiahna |
|---|---|
| Naupai emaw, nau hnute pek emaw | Naupai i nih chuan, naupai tum i nih chuan, naupai i rinhlelh chuan doctor hnenah hrilh ngei ang che. Tin, i hnute i pek chuan i doctor hnenah hrilh bawk ang che. |
| Allergy nei te pawh a awm | Busulfan emaw chemotherapy damdawi dang emaw, damdawi dang emaw, ei tur dang emaw, dye emaw allergy i neih chuan min hrilh rawh. |
| Lu hliam emaw, seizure emaw | Tun hmaa lu hliam na tak i neih tawh emaw, seizures i neih tawh emaw chuan. |
| Infection awm tawh te | Tunah hian natna (a bik takin virus infection chickenpox emaw herpes emaw) i neih chuan. |
| Liver emaw lung natna emaw | Liver natna, lung emaw thawkna lam natna, asthma ang chi i neih chuan. |
| Thisen lama harsatna a awm | I thisenah thisen sen, thisen var emaw, platelet emaw i neih tlem chuan emaw, thalassemia ang chi natna i neih chuan. |
| Radiation hmanga enkawlna a ni | Tun hnaia radiation treatment i dawng emaw, i dawng mek emaw a nih chuan. |
Enkawl lai hian a bik takin i fimkhur tur thilte
He damdawi i ei lai hian i taksa hian a nungchang a danglam deuh thei a, chu chu hriat chian a pawimawh hle.
Infection lakah fimkhur hle ang che.
Busulfan hian i taksaa thisen var, natna dotu a tihtlem thei a ni. Hei hian natna hrik i kai awlsam zawk tihna a ni.
- Khawsik, khawsik, taksa na, leh ril na ang chi symptom nei te lakah a theih ang angin hlat rawh.
- I khawsik, khawsik, khuh, emaw, i rilru natna neia lo chhuk ang maia i inhriat chuan mahni invenna nei suh la, i doctor emaw, i enkawl lai damdawi in emaw hriattir nghal rawh.
Thisen chhuak leh hliam tuar lo turin fimkhur rawh.
He damdawi hian thisen zam tura puitu platelet a tihtlem thei a ni. Chuvangin,
- A tlangpui aia awlsam zawkin i bruise em tih en rawh.
- Gums thisen chhuak, hnar thisen chhuak, zun chhunga thisen chhuak, leh bawlhhlawh dum te ngaihven rawh.
- Hetiang thil i hmuh chuan doctor hnenah hrilh nghal rawh.
Naupai leh Naupai theihna
Hei hi thil pawimawh tak a ni. Hei hi a bik takin ngaihven rawh u.
Hmeichhia tan: He damdawi ei lai leh enkawlna chawlhsan hnu thla 6 chhung chu naupai loh vek a pawimawh hle. Nausen piang lai tan hian harsatna lian tham a thlen theihna a sang hle.
Mipa tan: He damdawi hi i ei lai leh enkawlna i chawlhsan hnu thla 3 chhung chu fa neih loh tur a ni.
He damdawi hi eng thil vang pawha i ei lai hian nau hnute pe suh. Tin, he enkawlna hian nakin lawka fa i neih theihnaah nghawng a nei thei bawk. Hemi chungchangah hian ngaihtuahna emaw hlauhna emaw i neih chuan i doctor nen inhawng takin sawi rawh.
Damdawi hian eng side effect nge a neih theih?
Damdawi chak tak ang bawkin Busulfan hian side effect a nei thei a ni. Chung zinga ṭhenkhat chu report nghal tur a ni a, ṭhenkhat erawh chu a pawi lo hle thung. I ti chhe vek ang u.
| Side effects te chu doctor hnenah hriattir nghal tur a ni | |
|---|---|
| Allergic avanga thil thleng | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring. |
| Thâwk lak harsat | Thâwk harsa, rilru na. |
| Seizures a awm thin | A seizure nghal zat. |
| Liver chhiatna chhinchhiahna | Mit emaw vun emaw a sen, zun dum/brown, pum dinglam chunglam na, luak chhuak, ei duh loh. |
| Thisen cell count tlahniam chhinchhiahna | Infection symptoms: khawsik, khawsik, ril na. Thisen chhuah chhinchhiahna: hliam danglam tak, vun hnuaia hmun sen, bawlhhlawh dum. Anemia chhinchhiahna: hah lutuk, vun rawng, muhil. |
| Pum natna nasa tak emaw, luak chhuak emaw | Pum natna nasa tak emaw, luak chhuak emaw tihtawp theih loh. |
| Thil hlauhawm lo tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
|---|---|
| Kawthalo | Pum natna |
| Lu na | A chang chuan lu na |
| Hlauhthawnna | Lungkham, rilru hahdam lo tih hriatna |
| Kawngkhar natna | Kawng chhungah emaw, hmuiah emaw hliam na tak tak |
| Mu thei lo | Zana mut harsa |
Damdawi dang nena harsatna awm thei
Damdawi dang i ei hian Busulfan nen an inzawm thei. Chuvangin damdawi i ei zawng zawng hi uluk taka enfiah vek tur a ni.I damdawi ei tur chungchang doctor hnenah hrilh rawh. Hei hian i doctor-in a pek damdawi chauh ni lovin, over-the-counter pain reliever (e.g., acetaminophen), vitamin, herbal emaw Ayurvedic/Sinhala damdawi, leh dietary supplement te pawh a kawk a ni. A hnuaia damdawi i ei tur hi i doctor hnenah hrilh ngei ang che:
- `Acetaminophen` (Panadol ang chi) a ni.
- `Itraconazole` (fungal dotu) a ni.
- `Metronidazole` tih a ni
- Phenytoin (seizure damdawi) 1.1.
- Vaccine nung tak tak te
Damdawi hman dan tur chungchang
He damdawi hi damdawi inah pek a nih avangin ni ruat chhunga enkawl i dawng thei lo a nih chuan i doctor phone nghal la, hriattir nghal rawh. Eng thil vang pawh nise, duh duhin enkawlna chu tihtawp emaw, thlak emaw suh. Overdose i rinhlelh chuan Colombo National Hospital-a National Poisons Information Center call nghal la, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal nghal rawh.
Take-Home Thuchah a ni
- Busulfan hi chemotherapy damdawi chak tak a ni a, ruhro thlak hmaa pek thin a ni. Damdawi in pakhatah trained staff ten pek thin a ni.
- I damdawi lam dinhmun zawng zawng leh i damdawi ei zawng zawng chu enkawl hmain i doctor hnenah hrilh hmasa phawt ang che.
- Enkawl lai hian hri kai chhinchhiahna (khawsik, khuh) leh thisen chhuak (hrisel lohna danglam tak, bawlhhlawh dum) a awm leh awm loh fimkhur tur a ni. Eng emaw i rinhlelh chuan doctor hnenah hrilh nghal rawh.
- Pawimawh tak: Hmeichhiain enkawl hnu thla 6 chhung chu nau pai loh vek tur a ni a, mipain thla 3 chhung nau pai loh tur a ni.
- Zawhna, hlauhthawnna, leh ngaihtuahna i neih apiang chu i doctor nen zalen takin sawipui rawh. Nangmah chauh i ni lo tih hre reng ang che.
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