I doctor chuan Cinacalcet tih damdawi a pe che a ni mai thei. Hei hi a bik takin kal natna rei tak avanga dialysis i neih chuan, emaw, i parathyroid glands-a harsatna avanga thisenah calcium level sang tak i neih chuan a dik hle. Chuvangin, he damdawi hi eng nge a nih, engtin nge a hman ang, eng nge i hriat chian a ngai tih hi tawi te tein i sawi dawn nia.
Cinacalcet hi eng damdawi nge ni?
A awlsam zawngin sawi ila, Cinacalcet hi kan taksaa calcium level control thei damdawi a ni. Kan kawr chhunga parathyroid glands te hian parathyroid hormone an tih hormone an siam chhuak thin. He hormone hian kan thisena calcium awm zat a control a.
Entîr nân, damdawi lam dinhmun ṭhenkhatah chuan, kal (kidney) te chu a thawk tha lo a, heng parathyroid gland te hi an thawk nasa lutuk a, thisenah calcium tam lutuk a awm khawm thin tih han ngaihtuah teh. Hei hi Hypercalcemia kan ti a. Hei hi damdawi Cinacalcet hian a puih lai a ni. He damdawi hian a tih chu parathyroid glands te sensitivity a tipung a, "Okay, tunah hian taksaah calcium a awm tawh a, siam chhuak tawh suh," tih signal a pe a ni. Chuvang chuan hormone siam chhuah a tlahniam a, thisen a calcium level chu a pangngaiin a awm leh ta a ni. He damdawi hi brand name `(Sensipar)` hmanga lei tam ber a ni.
Damdawi ei tan hmaa doctor hnena i hrilh tur thilte
Hei hi a pawimawh hle. He damdawi hi i pek hma hian i hriselna chanchin kimchang i doctor hnenah i hrilh hmasak phawt a pawimawh hle. Engmah thup suh. A bik takin heng thilte hi hrilh ngei ang che:
- Lung natna emaw, thinlung thawk mumal lo emaw i neih tawh chuan.
- Liver natna i neih chuan .
- Tun hmaa i thisenah calcium level hniam tih hmuhchhuah i nih chuan.
- Seizures i neih tawh chuan.
- I pum emaw, i intestine emaw-ah harsatna i neih chuan (e.g. ulcers).
- Cinacalcet emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih tawh chuan.
- Naupai emaw naupai tum emaw i nih chuan .
- Nu naupai lai i nih chuan .
Heng thute a\ang hian doctor chuan he damdawi hi i tan a tha em tih leh a dik a nih chuan eng dose nge pek tur tih a rel ang.
Damdawi hman dan dik tak
Damdawi pakhat atanga hlawkna tam ber hmuh tur chuan dik taka hman a ngai a ni.
- Pill chu tui glass khat nen ei la.
- A pawimawh ber: He damdawi hi ei rualin emaw ei zawh veleh ei nghal tur a ni.La rawh. Pum ruak ah ei loh tur. Damdawi hi chaw ei ruala ei chuan taksain a hip lut tha zawk.
- Tablet chu tichhia suh, chew suh, tikehsawm suh. Tablet chu a pumin ei rawh.
- Doctor-in a pek hun takah a dose ruat chu ei tur a ni. Dose hi skip suh.
- I damloh vang mai maia doctor thurawn tel lova i damdawi ei kha titawp thut suh.
Damdawi i ei tam lutuk chuan engtin nge i tih ang?
I ngaihtuah aia tam i ei nia i hriat chuan damdawi in hnai ber Emergency Department (ETU) -ah kal nghal rawh . A nih loh leh Colombo National Hospital-a National Poisons Information Center-ah thurawn dil turin phone la. Hei hi ngaihthah suh, calcium level tlahniam nghal chu a hlauhawm thei a ni.
Damdawi dose khat ka ei loh chuan engtin nge ni ang?
Dose i miss a nih chuan i hriatreng veleh ei nghal rawh. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, i dose leh tur chu a hun ruatah ei rawh. Dose hloh tawh chu tihpun nan vawi khatah pill pahnih ei suh.
Cinacalcet hmanga harsatna thlen thei damdawi dang
Hei vang hian i damdawi ei zawng zawng hi doctor hnenah hrilh vek a pawimawh. Damdawi thenkhat chu Cinacalcet nen an inzawm a, harsatna a thlen thei bawk.
| Damdawi / thil chi hrang hrang | Thil ngaihven bik tur |
|---|---|
| Thioridazine a ni | Hei hi rilru lam natna damdawi a ni. Hei hi Cinacalcet nen hian eng vang pawhin hmang suh. |
| Antifungals (e.g. ketoconazole, itraconazole) te hi a tha hle. | Hengte hian Cinacalcet hnathawh dan a tidanglam thei a ni. |
| Antibiotics te chu Erythromycin te hi a ni | Hei hian damdawi thatna a nghawng thei bawk. |
| Lung damdawi (e.g. flecainide) . | Doctor hnenah hriattir a pawimawh hle. |
| Depression leh lungkhamna damdawi | Heng thilte hi Doctor hnenah pawh hrilh bawk ang che. |
| Grapefruit tui tak a ni | He damdawi hi i ei lai hian grapefruit ei leh a tui in loh tur a ni. |
He list hi a kim lo. Vitamin, herbal products, supplement i ei zawng zawng chu i doctor hnenah hrilh rawh.
Damdawi ei hunah side effects hriat reng tur
Damdawi dang ang bawkin Cinacalcet hian side effect a nei thei a ni. Ṭhenkhat chu serious tak an ni a, ṭhenkhat erawh chu an awm fo. A pawimawh ber chu heng symptoms te hi hriat chian a, a tul chuan hmalak vat hi a ni.
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
|---|---|
| Allergy natna lan chhuah dan | Vun vun rawng, hnim hring, hmui, lei emaw hmai emaw a hring, thawk harsa. |
| Calcium level tlahniam chhinchhiahna | Ke leh ke ruh emaw, ka chhehvel emawa rilru hah, taksa ruh hring, thinlung na rang, leh seizures. |
| Thisen sang tlahniam chhinchhiahna | Luak chhuak, lu hah, muthilh, tlu. |
| Internal bleeding symptoms te | Black, tarry stools, coffee grounds ang chi thil, emaw thisen emaw ang maia luak chhuak. |
| Rilru lam inthlak danglamna | Depressed mood nasa tak a awm. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Digestive system lama harsatna awm thei | Nausea, luak chhuak, luak chhuak, chaw ei chak lohna. |
| Taksa a na | Ruh na, ruh na. |
Damdawi hi engtin nge him taka kan dahkhawm ang?
- Naupangte hmuh theih lohna hmunah dah rawh.
- Room temperature (15-30 degree Celsius inkar) ah dah tur a ni. Khua lum leh vawt lutuk lakah venghim rawh.
- Damdawi expired hman loh tur . Anni chu uluk takin paih rawh.
He damdawi hi i tan chauh a ni. I tana hna a thawh vang mai maiin midang hnenah pe suh. A hlauhawm thei hle.
Take-Home Thuchah a ni
- Cinacalcet hi kal natna leh parathyroid gland lama harsatna nei te thisen calcium level control nana hman thin a ni.
- He damdawi hi ei rual emaw ei zawhah emaw ei fo thin ang che . Tablet te hi tichhia lo la, chew suh.
- Damdawi dang i ei zawng zawng leh natna dang i neih zawng zawng, a bik takin thinlung natna leh thin natna te chu doctor hnenah hrilh rawh.
- I taksaa calcium level hniam (kut leh ke ruh tliak, taksa ruh tliak), thisen sang hniam emaw, allergy emaw i neih chuan doctor hnenah hrilh nghal rawh.
- Doctor thurawn tel lo chuan damdawi ei kha bansan suh la, a dose pawh thlak suh. I thisen test a hun takah tihsak rawh.
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