Kidney lama harsatna i nei em? A nih loh leh i doctor chuan i calcium level a hniam tih a hrilh che em? Tichuan he damdawi ‘Calcitriol’ tih hi i lo pe tawh ngei ang. Mi tam tak chuan he hming an hriat hian harsatna tlem an nei a, "He damdawi hi eng nge ni? Engvangin nge hetiang hi min pek?" Chuvangin heng i zawhnate chhanna zawng turin vawiin hian i sawiho ang u. A awlsam zawngin, he damdawi chungchang zawng zawng hi i hriatthiam theih angin kan sawi dawn a ni.
He Calcitriol hi eng nge ni?
A awlsam zawngin sawi ila, calcitriol hi vitamin D special, active form a ni a, kan ei tlangpui vitamin D hi taksain direct-in a hmang thei lo. Kan kal (kidney) hian a active form, calcitriol-ah a chantir a ngai a ni.
Amaherawhchu, kal natna neiah chuan an kal (kidney) hian hna a thawk tha tawk lo a, chuvang chuan he kalphung hi a thleng dik lo. Tichuan taksaa calcium level a tlahniam ta a ni. Chu chu doctor-te chuan direct-in he active vitamin D hi an pe che a, chu chu damdawi calcitriol an tih a ni.
Chuta tang chuan thil danglam bikte chu:
- I taksaa calcium level hniam tihpun.
- Parathyroid gland disorder nei te a pui thin. He damdawi hian heng glands atanga hormone chhuak level control nan a pui bawk.
He damdawi hi brand name ‘Rocaltrol’ hnuaiah pawh i hmu fo mai thei bawk.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i ei tan hmain doctor hnenah i hriselna dinhmun kimchang tak i hrilh hmasak phawt a pawimawh hle . A bik takin a hnuaia mite hi i sawi tel tur a ni.
| Situation i report tur a ni | Engvângin nge chu chu a pawimawh? |
|---|---|
| Kidney disease i nei tawh a ni. | He damdawi hi kal natna atana pek a nih ber avangin i natna awm dan a zirin a hman dan tur chu i ruat tur a ni. |
| Parathyroid gland natna nei. | He damdawi hian parathyroid hormone level a nghawng avangin i doctor hian i dinhmun a hriat chian a pawimawh hle. |
| Dialysis hmanga enkawl i nih chuan. | Dialysis hmanga enkawl damlote zingah calcium leh phosphorus level a inthlak danglam fo avangin damdawi hman dan tur pawh a zirin siamrem a ngai a ni. |
| Thil pakhata allergy neih. | Calcitriol, vitamin D, damdawi dang, ei tur, preservative, emaw coloring emaw allergy i neih chuan min hrilh ngei ang che. |
| Naupai emaw, nau pai tum emaw i nih chuan. | Damdawi eng pawh hi naupai laiin fimkhur hle tur a ni. Chuvang chuan hemi chungchang hi Doctor hnenah hriattir a pawimawh hle. |
| Nu hnute pe lai i nih chuan. | Damdawi chhunga thil awmte hi nu hnute hmangin naute hnenah a kal thei a, hei hi i doctor nen pawh sawipui rawh. |
Engtin chiah nge he damdawi hi i hman?
Hei hi hman dan tur chu a awlsam hle.
- He damdawi hi tui glass khat nen ei la.
- Damdawi i pek tur label a inziak angin dik takin zawm rawh .
- Nitin i damdawi chu a hun ruala ei tum ang che. Hei hian dose pakhat hloh theihna a ti tlem ang.
- Doctor-in a pek zat aia tam ei ngai suh.
He damdawi hi naupangte hnena i pek chuan...
He damdawi hi doctor-in naupang, a bik takin kum khat chunglam tan, damdawi lam dinhmun thlan bik thenkhat tan a pe thei a ni. Mahse fimkhur tak leh damdawi lam thurawn chauha tih tur a ni. Chuvangin he damdawi hi i fa hnenah i pe dawn a nih chuan i doctor nen uluk takin inbia la, a chipchiar zawkin i hre thei ang.
Damdawi i ei tam lutuk chuan engtin nge i tih ang?
He damdawi hi i ei tur aia tam i ei tawh nia i ngaih chuan tihkhawtlai suh . I tih nghal tur thil pahnih a awm.
1. Colombo National Hospital-a National Poisons Information Center-ah biak theih a ni .
2. Damdawi in hnai ber Emergency Treatment Unit (ETU) ah kal rawh .
A pawimawh ber: He damdawi hi i tan chauh pek a ni. Nangmah ang bawka symptom nei midang hnenah pe suh. A hlauhawm hle mai thei.
Damdawi dose i ei loh chuan engtin nge i tih ang?
Damdawi dose pakhat hloh hi tu chungah pawh a thleng thei. Dose i miss a nih chuan i hriatreng veleh ei nghal rawh. Mahse, i hriatreng hunah i dose leh tur hun a lo thleng tawh a nih chuan, i dose loh chu skip la, i dose leh tur chu a hun ruatah ei rawh . Eng thil vang pawhin double dose ei loh tur.
He damdawi nena inzawm thei thil dang (Interactions) .
Calcitriol hi damdawi leh supplement dang thenkhat nen a inzawm thei a, chuvangin hei hi hriat a pawimawh hle.
| Hengte nen hian Calcitriol hi ei loh tur a ni. | |
|---|---|
| Burosumab a ni | Vitamin D tihpunna tur a ni |
| Heng damdawi te hi i ei a nih chuan doctor hnenah hriattir tur a ni. | |
|---|---|
| Calcium tihpunna tur a ni | Cholestyramine a ni |
| Corticosteroids - e.g. Prednisolone a ni | Digoxin a ni |
| Ketoconazole a ni | Magnesium tihpunna tur a ni |
| Phenobarbital, Phenytoin tih a ni | Phosphate inzawmkhawmna hmanrua te |
| Anticids thenkhat | Thiazide diuretics - (tui chi hrang hrang) . |
He list hi a kim lo mai thei a, chuvangin i doctor hnenah damdawi, vitamin leh herb i ei zawng zawngte hrilh rawh. Zu i in emaw, zu i in emaw a nih chuan doctor hrilh theihnghilh suh.
Damdawi ei huna fimkhur tur thil
He damdawi ei lai hian a hun taka doctor pan a pawimawh hle. I doctor chuan i thisena calcium leh phosphorus awm zat enfiah turin thisen test a ti fo ang. Heng test te hi skip suh.
Tin, ei leh in bik zawm turin an fuih bawk ang che.
Damdawi dang emaw supplement dang vitamin D, phosphorus, magnesium, calcium awmna doctor thurawn lo chuan ei suh. Anticid (lungphun damdawi) thenkhatah pawh hengte hi a awm thei bawk. Chutianga tih chuan side effects a thlen theihna a tipung thei a ni.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin calcitriol hian mi thenkhatah side effect a nei thei a ni. Chung zinga ṭhenkhat chu ngaihven vat a ngai a, ṭhenkhat erawh chu a pawi lo hle thung.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| Heng symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh. | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Heart rate a inthlak danglam thin | Thinlung thawk chak emaw, mumal lo emaw, luak chhuak, muhil, rilru na, thawk harsa. |
| Thisenah calcium level sang tak a awm | Tuihâl emaw, a tlangpui aia tam zun emaw, luak chhuak, luak chhuak, buai, danglam taka chau tih leh ruh na. |
| Thisenah phosphorus level sang tak a awm | Muscle emaw joint emaw a na, ka chhehvel a na. |
| Hengte hi a hlauhawm lo tlangpui a, mahse a awm reng chuan doctor hnenah hrilh rawh. | |
| Kawng a vawt | Lu na |
| Chaw chakna | Ka chhunga metallic taste a awm |
| Pum natna | |
Damdawi hi engtin nge kan dahkhawm ang?
- Naupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni.
- Room temperature (15 leh 30 degree Celsius inkar) ah dah tur a ni.
- Eng lakah venghim rawh.
- Damdawi bottle/tablet chu khar tlat tur a ni.
- Damdawi expire tawh chu paih vek rawh.
He information sheet hi a tawi zawng chauh a ni. He damdawi chungchanga zawhna dang i neih chuan i doctor nen inbiakna neih hreh suh.
Take-Home Thuchah a ni
- Calcitriol hi vitamin D active form a ni a, a bik takin kal natna avanga taksaa calcium level hniam emaw parathyroid glands lama harsatna nei te tan pek thin a ni.
- Damdawi i ei tan hmain i doctor hnenah damdawi dang zawng zawng, supplement leh i damdawi ei tur zawng zawngte hrilh hmasa phawt ang che.
- I doctor-in a pek ang chiah, a hun takah ei tur a ni. Vawi khatah vawi hnih ei ngai suh.
- Thisena calcium level sang (tuihal lutuk, luak chhuak, luak chhuak, ruh na) chhinchhiahna te fimkhur hle ang che. Heng symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh.
- Thisen test neih reng a pawimawh hle. Tin, damdawi lam thurawn tel lo chuan calcium emaw vitamin D supplement dang ei loh tur a ni.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Calcitriol (Calcitriol / Rocaltrol) hi eng atan nge hman?
Hei hi damdawi dawr pangngaia i lei theih ‘Vitamin D’ eng pawh a ni lo! Hei hi ‘Active form of Vitamin D3’ a ni a, chu chu kan kal (kidney) atanga siam a ni. A bik takin kal chhiatna nasa tak nei (CKD/Dialysis) tan chuan kal hian he active vitamin D hi a siam thei lo a, chuvangin an taksaah calcium siam nan leh ruh hloh loh nan he calcitriol pill hi an ei a ngai a ni.
💬 Engtin nge he pill (Calcitriol) hian intestines atanga calcium a hip a, ruh a tihchak?
A tlangpuiin kan taksain kan eitur a calcium awm chu kan intestine atanga kan lakluh a harsa hle. Mahse he ‘active vitamin D (Calcitriol)’ hi intestines-ah a luh chuan intestine chhunga cell te chu ‘calcium phalna kawngkhar zawng zawng hawn’ (Stimulates calcium absorption) turin a nawr a ni. Tichuan, chawa calcium tam tak chu thisenah a lut a, chuta tang chuan ruh chhungah a lut a, a khauh a, ruhte chu a tichak zawk a ni.
💬 He synthetic vitamin D hian side effect (toxicity) lian ber leh hlauhawm ber chu eng nge ni?
Vitamin pangngai ang a ni lo! He damdawi (Calcitriol) hi tlem tal pawha tihpun a nih chuan i thisena calcium awm zat chu tuar theih loh khawpin a pung ang (Hypercalcemia)! Tichuan chu calcium chu kal in thinlung leh thisen kalna kawngah a awm ang a, lung (Vascular calcification) a siam ang a, chu chuan damlo chu a that nghal thei hial a ni. Tin, pum na na tak, luak chhuak, zun lung, leh rilru buai te a awm thei bawk.
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