Mi tam takin harsatna an neih chu he ‘pressure’ emaw thisen sang hi a ni. Doctor hnena an kal a, "Ka thisen sang damdawi ka ei a ngai" an tih hian mi thenkhat chu an hlauthawng deuh thin. Zawhna "Ka dam chhung zawng damdawi ka ei a ngai dawn em?" leh "Hengte hian side effect a nei dawn em?" rilruah lo lang rawh. Mahse heng damdawi chi hrang hrangte hi uluk taka hriattir i nih chuan chu hlauhna chu a tam zawkah chuan tihbo theih a ni. Vawiin hian damdawi chi hrang hrang pawimawh tak, mi tam takin an pek thin Calcium Channel Blockers chungchang kan sawi dawn a ni.
A awlsam zawngin, heng Calcium Channel Blockers te hi engte nge ni?
Hei hi i thisen sang tihhniamna damdawi a ni. Kan thinlung leh thisen kalna kawnga cell awmte hi han ngaihtuah teh. Heng cell te hian ‘gate’ te te an nei a, chu chuan mineral calcium chu a luh tir a, a chhuah tir bawk. Hengte hi calcium channel kan ti a.
Calcium Channel Blocker damdawi hian chutiang ‘gate’ thenkhat chu block in hna a thawk a ni. Hei hian cell chhunga calcium lut thei zat a tihtlem phah a ni. Hei hian thil pawimawh pahnih a ti a:
1. Vasodilation: Thisen kalna kawng bang chhunga ruh (muscle) te chu tlem a hahdam deuh thin. Hei hian thisen kalna kawng a tizau a, thisen a kal awlsam phah a ni. Hei hian thisen sang a tihniam a ni.
2. Lung hnathawh dan (control of heart function): Lung cell-a calcium lut chu control a nih chuan heart rate leh a beat tam dan a tlahniam thin. Hei hian thinlunga phurrit a tihtlem bakah a hnathawh a ti tha hle.
He damdawi hi eng dinhmunah nge hman a nih?
Doctor-te chuan he damdawi chi hi thinlung leh thisen kalna kawng nena inzawm natna tan an rawt ber a ni. Tin, natna dang atan pawh an hmanna a awm bawk. Eng nge an nih i en ang u.
| Dinhmun | A sawifiahna awlsam tak |
|---|---|
| Thisen sang lutuk | Hei hi he damdawi hi pek a nih hun lai ber a ni. Hei hi ‘the pressure’ kan tih chu a ni. |
| Thinlung thawk mumal lo (Arrhythmias) . | He damdawi hian heartbeat mumal lo control turin a pui a ni. |
| Angina (rilru na) . | He damdawi hian thinlungin thisen a hmuh tlem huna rilru natna lo awm thin chu a thunun thei a ni. |
| Coronary Artery Spasm a awm thin | Chûngte chuan thinlunga thisen petu thisen kalna kawngte chu a zim thut loh nân a ṭanpui a ni. |
| Thil dang (Off-label) hmanna | |
| Raynaud-a Phenomenon a ni | Khua a vawt avanga kut zungtang leh ke ruh chhunga thisen kalna kawng (blood vessels) a inkharkhip a, a hring vek thin. |
| Migraine natna laka invenna | Hengte hi mi thenkhat tan chuan migraine tihtlem nan a tha hle. |
| Anal Fissures a awm | Anus vel muscle te tih hahdam nan leh a dam theih nan. |
Calcium Channel Blockers hi chi hnih a awm a, chungte chu:
Heng damdawi hi chi hnih lian tak a ni. I doctor-in eng chi nge a pek che tih hriat a pawimawh.
1. Dihydropyridines (DHP): He chi hian kan thisen kalna kawng a target ber a ni . An tih chu thisen kalna kawngte tih hahdam leh tihzauh hi a ni. Chuvangin thisen sang tan pawh an tangkai hle. Damdawi pek chhuah tlangpui Amlodipine, Nifedipine, leh Felodipine te hi he pawlah hian an tel a ni.
2. Non-dihydropyridines (Non-DHP): He chi hian thisen kalna kawng bakah thinlung ruh pawh a nghawng nghal vek a ni . Chuvangin heart rate leh rhythm ang chi thil control nan an hmang thin. He pawla damdawi entirnan Verapamil leh Diltiazem te hi an ni.
He damdawi hi eng chen nge ka ei a ngaih?
Hei hi mi tam takin zawhna an neih a ni. Chumi chhanna chu he damdawi hi i pek chhan damdawi lam dinhmunah a innghat a ni.
Entirnan, thisen sang tan he damdawi hi i pek chuan, i ei leh in i thunun a, exercise i tih chuan, i taksa rihna i tihtlem a, nun hrisel i hmang a nih chuan, damdawi i hman zat chu i tihtlem thei a, a nih loh leh i chawlhsan vek thei bawk.
Mahse hriat reng tur pawimawh tak chu he damdawi hi ei nghal mai loh tur a ni. Zawi zawiin, i doctor kaihhruaina hnuaiah chauh i ti tur a ni. I ei loh thut chuan i thisen sang chu a sang nghal mai thei.
Mahse he damdawi hi arrhythmia (irregular heartbeat) ang chi natna atana pek i nih chuan he damdawi hi rei tak i ei a ngai mai thei.
Eng nge a thatna leh a side effect?
Damdawi dang ang bawkin hengte hian hlawkna a neih bakah side effect tenau te pawh a nei thei bawk.
A thatna ber chu:
- A hlawk hle: He damdawi hian thisen sang control nan a thawk tha hle.
- Targeted therapy: I doctor chuan i dinhmun nena inmil ber Calcium Channel Blocker chi chu a thlang thei ang.
- Damdawi dang nen pawh pek theih a ni: A châng chuan hengte hi pill khatah a awm a, cholesterol damdawi nen a inkawp bawk. Chu chuan damdawi ei a ti awlsam hle.
Side effect awm thei te:
Heng side effects te hi mi zawng zawngah a thleng vek lo. Mi thenkhatah chauh an thleng thin. Tin, chuti chung pawh chuan damdawi ei tirh lamah chuan an tam zawk tlangpui.
- Dihydropyridine (Amlodipine, Nifedipine ang chi) chi hrang hranga a nghawng dan:
- Dizziness , damlo tih hriatna
- Ankle leh ke a hring chhuak
- Lu na
- Hmai sen, khawih pawhin a lum tih hriat
- Dihydropyridine ni lo (Verapamil, Diltiazem ang chi) type side effects:
- Ek khal
- Chau tih hriatna
- Thinlung thawk zawi zawiin
Tin, mi thenkhat chuan he damdawi avang hian gum overgrowth emaw gastritis (GERD) symptoms pung emaw an nei thei bawk. Chung zinga pakhat tal i tawn chuan doctor hnenah hrilh rawh.
Doctor pan nghal tur dinhmunte
He damdawi hi i ei a, a hnuaia symptoms te hi i neih chuan damdawi in Emergency Department (ETU) ah kal nghal la , i doctor pan rawh.
- Thâwk harsa
- A rilru a na hle
- Lung natna (thinlung thawk mumal lo, thinlung thawk chak, emaw, chawlhsan tawh ang chi) .
- Fainting a ni
- Luak chhuak nasa tak fo thin
- Allergy symptoms, hmai, ke ruh, emaw, vun rawng emaw a hring
Damdawi dose pakhat i ei loh chuan engtin nge i tih?
Hei hi a pawimawh hle. Damdawi vawi hnih ei ngai suh, dose khat i ei theihnghilh vang mai mai a ni. Chutianga tih chuan overdose a thlen thei a, chu chuan i thisen sang chu hlauhawm takin a tlahniam thei a, i thinlung hnathawh a tichhe thei bawk.
Thil tih dan pangngai chu missed dose kha theihnghilh a, a hnuaia dose chu a hun ruat saah ei hi a ni. Mahse, hemi chungchang hi doctor zawt la, thurawn chiang tak lak a tha ber.
Damdawi dang leh ei tur dangah harsatna a awm em?
Awle. Calcium Channel Blockers hian damdawi dang nen a inzawm thei a ni. Thisen sang tihhniamna damdawi dang emaw, heart rate tichhe thei damdawi dang emaw nen i ei dawnin i fimkhur tur a ni.
Calcium Channel Blocker thenkhat chu grapefruit (grapefruit tui pawh tel) nen an inzawm thei tih hriat a pawimawh hle. Chuvangin he damdawi hi i ei a nih chuan grapefruit ei/in loh tur a ni.
I damdawi dang zawng zawng (condition dang damdawi leh vitamin te pawh tel) te chu i doctor hnenah hrilh rawh. Hemi chungchangah hian thurawn pe tur che chu a tha ber ang.
Take-Home Thuchah a ni
- Calcium Channel Blockers hi thisen sang leh lung natna tan damdawi chi khat, a tha hle a, a tlangpuiin a tha hle.
- Doctor thurawn tel lo chuan he damdawi hi ei nghal mai ngai suh.
- Dose i miss a nih chuan a hnuaia dose chu a hun ruatah ei thin ang che. Dose pahnih chu a rualin ei ngai suh.
- Side effect tenau tak tak, ke ruh natna leh luak chhuak te pawh a awm thei. Hemi chungchang hi doctor hnenah hrilh rawh.
- I rilru natna nasa tak leh thawk harsa tih ang chi symptom i neih chuan damdawi in Emergency Department (ETU) ah kal nghal tur a ni.
- Damdawi dang i ei zawng zawng doctor hnenah hrilh la, grapefruit ei loh tur.
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