A chang chuan lu na nasa tak i nei thin em, i lu chu a sir lehlamah a hrual ang maiin i awm thin em, i kawr ruh te pawh a nghet lo em ni? Painkiller regular i ei hnuah pawh nilengin a la tibuai che em? Ni e, vawiinah hian damdawi dangin a tihdam theih loh huna he lu natna nasa tak (Tension Headache) chi hrang hranga doctor-te’n an rawt damdawi bik kan sawi dawn a ni. Hei hi damdawi chi hrang hrang inzawmkhawm a ni.
A awlsam zawngin, he damdawi hi eng nge ni?
Hei hi damdawi pakhat tak tak a ni lo va, thil pawimawh pali inzawmkhawm a ni. Hna hrang hrang an thawk vek a.
1. Butalbital: Hei hi damdawi chi khat, barbiturates an tih zinga mi a ni. A awlsam zawngin i central nervous system a ti reh thei. I lu leh kawr chhunga thau (tense muscles) te chu a ti hahdam a, lu natna thlentu tension chu a tiziaawm a ni.
2. Aspirin: Hemi hi i hre tawh ngei ang. NSAID (Nonsteroidal Anti-inflammatory Drug) class-a natna tidamtu a ni. Natna leh hliam a tiziaawm.
3. Caffeine: Caffeine hi tea leh coffee-a awm chi khat a ni. Hetah hian caffeine hian natna tidamtu dang pahnih aspirin leh codeine te natna tihziaawmna a tichak a ni.
4. Codeine: Hei hi natna tidamtu chak tak a ni a, opioid class-ah a tel a ni. I thluak thleng tur pain signal a block avangin hna a thawk a ni.
A pawimawh ber chu he damdawi hi lu natna awm tawh enkawlna atan chauh hman a ni. Lu na laka inven nan hman a ni lo.
Damdawi ei hmaa doctor hnena i hrilh tur thilte
Hei hi damdawi inzawmkhawm chak tak a nih avangin i doctor-in i hriselna dinhmun a hriat chian a pawimawh hle. A hnuaia tarlan te hi i neih chuan he damdawi hi i ei tan hmain i doctor hnenah hrilh hmasa phawt ang che .
| I dinhmun | Engvangin nge i hriattir ang? |
|---|---|
| Brain tumor, lu hliam | He damdawi hian thluaka pressure a nghawng thei a ni. |
| Lung natna, thin emaw kal emaw natna | Damdawi te hi heng taksa peng hrang hrang hmang hian taksa atanga chhuak a nih avangin an hnathawh a pawimawh hle. |
| Thisen chhuahna lama harsatna (Hemophilia), platelet tlahniam | Damdawi chhunga aspirin awm hian thisen chhuah theihna a tipung thei a ni. |
| Asthma emaw thawk lama harsatna dang emaw a awm thei | Codeine leh butylbital hian thawk a ti slow thei. |
| Zu emaw ruihhlo ngawlvei emaw | He information hi he damdawi enkawlna atan hian a pawimawh hle a, addiction hlauhawmna a keng tel avangin. |
| Naupai lai te, nau pai tum te, nau hnute pek te | He damdawi hian nausen piang lai leh nausen hnute pe lai a nghawng thei a ni. |
| Damdawi emaw ei tur thenkhat allergy nei | Allergy i neih chuan doctor hriattir a pawimawh hle a, a bik takin aspirin leh codeine te hi a ni. |
He damdawi hi engtin nge i hman?
- I doctor-in a tih ang chiah khan dose hi ei rawh. A zat aia tam ei ngai suh.
- Tui glass khat khat la, chu chuan tablet/capsule chu ei rawh.
- I pum a na emaw, i rilru a na emaw i neih chuan damdawi hi chaw ei emaw, bawnghnute glass khat emaw nen ei thin ang che.
- He damdawi hi naupang kum 12 hnuai lam tan a tha lo . Tin, naupang kum 18 hnuai lam tan pawh tonsils emaw adenoids emaw lakchhuah nan operation an neih hnuah pek a ni lo.
Emergency a awm chuan engtin nge ni ang?
Overdose i tih chuan tihkhawtlai suh. Colombo National Hospital-a National Poisons Information Center-ah (telephone number 0112 686 143) call nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh.
He damdawi hi i tan chauh pek a ni. I symptoms chu i symptoms nen a inang a nih pawhin midang hnenah share suh. A hlauhawm hle mai thei.
Ruihhlo nena inzawmna (Drug Interactions) te
He damdawi hian damdawi dang thenkhat nen a inzawm thei a, chuvangin i damdawi ei zawng zawng (vitamin, herbal remedies, leh supplement te pawh tel) list kimchang tak doctor hnenah pek a pawimawh hle .
A bik takin he damdawi hi a hnuaia damdawi chi hrang hrang nen ei loh tur a ni a, doctor thurawn chauh ei tur a ni.
| Heng damdawi te hi ei loh tur a ni | |
|---|---|
| Ruihhlo chi hrang hrang | Entirnan |
| MAOI hmanga lungngaihna tidanglamtu a ni | Marplan, Nardil, Parnate (hengte ei atanga kar 2 a liam loh chuan) |
| Damdawi dang thenkhat | Ketorolac, Linezolid, Methylene blue te a ni |
| Heng damdawi te hi i doctor hnenah chiang takin hrilh la. | |
| Zu | Mut tam lutuk leh thawk hah lutuk hi a sang hle. |
| Damdawi dang, mutthilh tir thei | Mut damdawi, lungkhamna damdawi (e.g. Diazepam), leh natna tidamtu chak tak dangte. |
| Thisen tithianghlimtu | Warfarin, Apixaban, Rivaroxaban te pawh a awm bawk |
| Natna tidamtu dang (NSAIDs) . | Ibuprofen, Naproxen tih te hi a ni |
Damdawi ei huna ngaihtuah tur thil
- Mutthilh: He damdawi hian mutthilh emaw, luak emaw a siam thei. Chuvangin, he damdawi hian engtin nge a nghawng che tih i hriat hma chuan fimkhur ngai thil, lirthei khalh emaw, machinery hman emaw te chu pumpelh rawh.
- Zu: He damdawi hi eng thil vang pawha i ei lai hian zu in loh tur a ni. Mutthilhna nasa tak a thlen thei a, thawk a tikhawtlai thei a, thihna thlengin a thlen thei bawk.
- Pum thisen chhuak: He damdawi-a aspirin awm vang hian pum ulcer emaw thisen chhuah emaw a awm thei tlem hle. I pum na nasa tak i neih a, coffee ground ang maia i luak emaw, black tarry stool i pass emaw chuan doctor pan nghal tur a ni.
- Tolerance & Dependence: He damdawi hi rei tak i ei chuan i taksain a lo thiam tawh thei. Chumi awmzia chu natna inang (Tolerance) control nan dose sang zawk i mamawh mai thei tihna a ni. Tin, damdawi i ei loh thut chuan withdrawal symptoms i nei thei bawk. Hei hi addiction a ni lo. I doctor-in damdawi ei tawh loh turin a duh che a nih chuan, zawi zawiin a dose tihhniamna hmangin an ti ang.
- Constipation: Constipation hi codeine hian a side effect awm fo thin a ni. Ni 3 chhung chawl i la chhuak lo a nih chuan doctor hnenah hrilh rawh. Tui tam tak in leh fiber tamna ei hian hei hi a pui thei a ni.
Side effect awm thei ber ber
| Side effect na tak tak, damdawi lam pan vat ngai | |
|---|---|
| Allergic avanga thil thleng | Skin rash, itching, hmai, hmui, lei hring. |
| Thâwk chhuah zawi (CNS Depression) . | Thâwk hi a zawi hle a, mut a tam lutuk a, hriatna a hloh bawk. |
| Thisen chhuahna symptoms a awm | Thinrim dum, thisen chhuak, zun dum dum, vunah sen/purple rawng a awm. |
| Liver chhiatna chhinchhiahna | Pum dinglam chunglam a na a, mit/vun a sen, zun dum/brown. |
| Common side effects te chu a awm reng chuan doctor hnenah hriattir tur a ni | |
| Ek khal | Luak chhuak thei |
| Mutthilh theih lohna | Kawng a vawt |
| Nausea/luak chhuak | Pum natna |
Take-Home Thuchah a ni
- Hei hi painkiller combination chak tak a ni. Doctor-in a pek zat aia tam ei ngai suh.
- I doctor hnenah damdawi dang zawng zawng, vitamin leh traditional medicine i ei zawng zawng list kimchang pe rawh.
- He damdawi ei lai hian zu in loh vek tur a ni. A hlauhawm hle mai.
- Mut hah lutuk, thawk harsa, bawlhhlawh dum, emaw vun natna nasa tak i neih chuan doctor pan nghal rawh.
- He damdawi hian ruihhlo a tihbuai theih avangin naupang leh midangte hmuh theih lohna hmun him takah dah la. Midang hnenah share ngai suh.
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