Nangmah emaw, i chhungte zinga tu emaw hian Parkinson natna hi i nei em? Chutiang a nih chuan i doctor chuan heng damdawi pathumte hi inzawmkhawma siam pill a pe che a ni mai thei. He damdawi hming hi a buaithlak deuhin lang mahse, a hnathawh dan i hriatthiam chuan a awlsam hle. Vawiinah hian he damdawi hi, a hnathawh dan te, fimkhur a ngaihna te, friendly leh simple takin i sawi dawn nia.
Heng damdawi pathumte hi an inzawm khawm chuan eng nge thleng?
A awlsam zawngin, hei hi damdawi pathum inzawmkhawm a ni: Carbidopa, Levodopa, leh Entacapone . He pill hero ber chu Levodopa a ni. Parkinson natna hi kan thluaka chemical ‘Dopamine’ a tlakhniam vang a ni. Levodopa tih damdawi hian thluaka kal a, he dopamine tlahniam hi siam thar lehna tura puitu hmangin hna a thawk a ni.
Chuti a nih chuan ruihhlo dang pahnih chu engtin nge an awm? Levodopa hi thuchah pawimawh tak kengtu a ni ang tih han ngaihtuah teh.
- Carbidopa hi bodyguard ang mai a ni a, chu chuan mi chu a kalkawngah harsatna (thluak a thlen hmaa taksa hmun danga a chhiat) atanga mi chu a venghim a ni.
- Entacapone hi bodyguard hnathawh tichaktu leh Levodopa hnathawh rei zawk leh tha zawka thawk theitu tanpuitu dang ang a ni.
Heng pathumte hi an inzawm khawm chuan Parkinson natna lanchhuahna (khuh, khur, leh kal zawi zawia kal ang chi) control-na kawngah nasa takin an pui thei a ni.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i doctor-in a pek hmain i medical history kimchang a hriat hmasak a pawimawh hle. Hei hi a chhan chu he damdawi hi damdawi lam dinhmun thenkhat nena kan hman hian kan fimkhur hle a ngai a ni. A hnuaia tarlan te hi i neih chuan i doctor hnenah hrilh ngei ang che.
| Natna emaw, dinhmun emaw | Engvangin nge i hriattir ang? |
|---|---|
| Depression emaw rilru lam natna dang emaw a awm thei | He damdawi hian a chang chuan rilru dinhmun a nghawng thei a ni. |
| Zunthlum | Damdawi hian thisen sugar level a tichhe thei a ni. |
| Glaucoma natna a awm | A chhan chu mit pressure a nghawng thei a ni. |
| Lung natna, thinlung natna history, thinlung thawk mumal lo | Heart rate leh thisen sang a nghawng thei a ni. |
| Kidney emaw liver emaw natna | A chhan chu taksa atanga damdawi paih chhuah dan a nghawng avangin. |
| Lung natna chi hrang hrang, Asthma | A châng chuan thawkna kawng a nghawng thei bawk. |
| Sleep apnea emaw narcolepsy emaw a awm thei | A chhan chu he damdawi hian mutthilhna a thlen thei a ni. |
| Pum ulcer emaw, intestinal natna emaw a awm thei | Side effect thenkhat awm theihna a sang thei hle. |
| Naupai i nih chuan, nau pai tum i nih chuan, nau hnute i pe a nih chuan | I fa chunga nghawng a neih theih dan tur chu i doctor nen in sawipui tur a ni. |
| Damdawi dang, ei leh in emaw thil dang emaw allergy nei | He damdawi hi allergy a awm theih dan tur hre reng ang che. |
He damdawi hi engtin nge i hman?
- Pill chu tui glass khat nen ei la. Doctor-in a sawi ang chiah chiah, a hun takah ei rawh.
- A pawimawh ber: Tablet hi tichhia suh, tikehsawm suh, chew suh. A pumin ei rawh.
- Chaw ei chungchangah fimkhur rawh: He damdawi hi ei rual emaw ei loh pawhin ei theih a ni. Amaherawhchu, damdawi ei dawnin fimkhur hle ang che.Thau, calorie, leh protein tamna ei tur (sa, sangha, artui, leh bawnghnute atanga siam) ei loh tur a ni , heng ei tur hian Levodopa hi a lakluhna a ti tlem thei a ni. I ei leh in chungchang doctor nen sawiho rawh.
- Dose pakhat pawh hloh suh: I damdawi chu a hun takah ei thin ang che. Dose ruat aia tam ei suh emaw, doctor thurawn tel lo chuan ei nghal mai loh tur a ni. Chutianga tih chuan rah chhuah pawi tak a nei thei a ni.
- Dose i miss a nih chuan: I hriatreng veleh missed dose chu ei nghal rawh. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, a hun ruatah pill dang ei rawh. Dose pahnih chu a rualin ei ngai suh.
Pawimawh: He damdawi hi i ei tam lutuk nia i hriat chuan Colombo National Hospital-a National Poisons Information Center -ah call nghal la, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal nghal rawh.
He damdawi nena inzawm thei thil dang
I damdawi ei zawng zawng (vitamin, herbs, leh supplement te pawh tel) doctor hnenah hrilh a pawimawh hle a, damdawi thenkhat hian he damdawi nen hian an inzawm thei a ni.
A bik takin rilru lam natna atana MAOI (Monoamine Oxidase Inhibitors) damdawi (e.g. Marplan, Nardil, Parnate) hi he damdawi nen hian ei ngai lo tur a ni.
Chu bakah, he damdawi hian a hnuaia mite nen hian a inzawm thei bawk:
- Zu
- Iron supplement - Iron supplement i ei a nih chuan he damdawi hi ei hma emaw ei zawh hnu darkar 2 chhungin ei tur a ni.
- Thisen sang damdawi thenkhat
- Rilru natna, lungkhamna leh mutna damdawi
- Antibiotics thenkhat (e.g. ampicillin, erythromycin, rifampin) te hi a tha hle.
- Narcotic damdawi te chu natna tan a ni
- Warfarin (thisen zawrh tur venna atana hman thin damdawi) .
He list hi a kim lo a, chuvangin i ei zawng zawng chu doctor hnenah hrilh rawh.
Damdawi ei laia ngaihtuah tur bik point
Mutthilh leh mutthilh thut
He damdawi hian muthilh emaw, luak emaw a siam thei che a ni. A châng chuan, vaukhânna tel lovin , lirthei i khalh lai emaw, i thusawi laiin emaw i muhil thei a ni. Chuvangin, he damdawi hian engtin nge a nghawng che tih i hriat hma chuan lirthei khalh emaw, machinery emaw hmang suh. A bik takin tar i nih chuan ṭhut emaw, ding emaw aṭangin tho vat suh. Hei hian luak chhuak leh tlu hlauhawmna a tiziaawm thei a ni.
Thiltihtheihna leh nungchang danglam tak tak
A tlem hle a, he damdawi ei thin thenkhat hian duhthusam danglam tak an nei tih an sawi bawk. Entîr nân, khelh duhna nasa tak an nei thei a, mipat hmeichhiatna hman duhna nasa tak an nei thei a, ṭûl lova sum hman duhna an nei thei a, ei tam lutuk an nei thei bawk. Heng inthlak danglamna te hi nangmah emaw i chhungte emaw in hriat chuan doctor hnenah hrilh nghal rawh.
‘Wearing-off’ leh ‘On-Off’ effect a ni
A châng chuan damdawi dose lo awm tur a hnaih deuh deuh chuan damdawi chu a thawhrimna a hloh tawh ang maiin a lang thei a, i Parkinson natna lan chhuah dan pawh a lo lang leh tawh ang. Hei hi ‘wearing-off’ effect an ti a. A châng dangah chuan damdawi chu a thawk lo tak tak angin a lang thei (‘off’ period) a ni thei a, rei vak lo hnuah (‘on’ period) a thawk leh thei bawk. Hetiang hi i chungah a lo thleng a nih chuan doctor hnenah hrilh rawh. I dose chu a siamrem thei mai thei.
Zun leh thawmhnaw rawng inthlak danglam
He damdawi hian i zun, i hmui, i thawmhnaw chu a dum, a sen, a dum emaw a tidanglam thei a ni. Hei hi ngaihtuahawm tur a ni lo. Mahse, thawmhnaw a ti bawlhhlawh thei avangin fimkhur rawh.
I vun enkawl tha rawh.
He damdawi hi i ei lai hian i vun hi i moles awmsaah danglamna emaw, moles thar lo lang emaw a awm leh awm loh enfiah fo ang che. Thil danglam i hmuh chuan doctor hnenah hrilh rawh.
Eng side effect nge ka neih theih ang?
Damdawi dang ang bawkin he damdawi hian side effect engemaw zat a nei thei. A tam zawk hi chu an serious lo. Mahse thil engemaw kan hriat chian ngai a awm.
| Side effects te chu doctor hnenah hriattir nghal tur a ni | |
|---|---|
| • Allergy avanga vun rawng, vun hring, hmai, hmui emaw lei emaw a hring | • Kut, hmai, hmui, kawr, taksa chunglam chetna thunun theih loh |
| • Mutthilh nghal vat | • Rilru dinhmun emaw nungchang emaw inthlak danglamna, hallucinations |
| • Thinlung thawk chak, mumal lo | • Pum na, khawsik, thau na |
| • Luak chhuak, luak chhuak | • Zun harsatna emaw, zun tam dan inthlak danglam emaw |
| A tlangpuiin a na lo (mahse a awm reng chuan doctor hnenah hrilh rawh) . | |
| • Ek khal | • Lu na |
| • Chaw ei chakna hloh | • Pum natna, rilru hahna |
| • Mut harsat | • Kawng a vawt |
Take-Home Thuchah a ni
- He damdawi hi doctor-in a pek ang chiah chiah, a hun takah leh a dose dik takah ei tur a ni. Pill chu tichhia emaw, tikehsawm emaw suh.
- He damdawi hi doctor thurawn tel lo chuan eng chhan pawha ei nghal vat suh.
- Damdawi dang zawng zawng, vitamin leh damdawi dang i neih zawng zawngte chu i doctor hnenah hrilh rawh.
- Damdawi i ei laiin mutthilh thut emaw, rilru hahna danglam tak emaw i neih chuan doctor hnenah hrilh nghal rawh.
- Damdawi i ei hun hnaihah protein leh iron tamna ei tur ei loh tur. Hemi chungchang hi i doctor nen sawiho rawh.
- I hriselna chungchanga zawhna emaw, harsatna emaw i neih chuan i doctor biak pawh hlau suh.
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