Nangmah emaw, i chhungte zinga tu emaw hian Multiple Sclerosis (MS) i nei em? Chutiang a nih chuan i doctor chuan Cladribine tih pill ei tan turin a fuih che a ni mai thei. He hming i hriat hian zawhna tam tak i nei mai thei. "Hei hi eng damdawi nge a nih?", "Eng nge a nih ang?", "Side effect a awm em?" I ngaihtuah mai thei. Hlau suh ang che. Vawiin hian he thuziak ah hian heng Cladribine pills chungchang hi awlsam tak leh chiang takin kan sawi dawn a, i thian ang maiin kan sawi dawn a ni.
A awlsam zawngin Cladribine hi eng nge ni?
Cladribine hi multiple sclerosis (MS) tih natna enkawlna atana hman thin pill a ni. Mahse, MS vei zawng zawng tan chuan prescribed a ni tlangpui lo. Doctor-te chuan he damdawi hi enkawlna dangin a hlawhtlin loh lai emaw, tuar harsa lutuk emaw a nih chuan an pe fo thin.
Chuti a nih chuan engtin nge he damdawi hian hna a thawh? Ngaihtuah teh, kan taksa hian defense system a nei a, chu chu immune system kan ti a ni . A hna chu hnam dang natna hrik do a, natna laka min humhim hi a ni. Mahse MS ang natnaah chuan he immune system hi tlem a active lutuk (overactive) a, taksa cell tha tak tak te chu a bei tan ta a ni. Cladribine pills hian a tih theih chu overactive immune system chu tlem a ti slow a, a ti reh thei bawk.
Hei hian eng hlawkna nge a neih?
- Symptoms na zual zel chu a titawp emaw, a tikhawtlai emaw.
- Flare-up awm zat a tihtlem.
He damdawi hi Sri Lanka leh khawvel hmun hrang hrangah MAVENCLAD tih brand name hmanga hmuh tam ber a ni.
He damdawi hi i ei tan hmaa i doctor hnena i hrilh tur thilte:
Hei hi a pawimawh hle a ni. Cladribine hi damdawi chak tak a ni. Chuvang chuan hriselna lama harsatna dang i neih chuan i doctor hian a hriat chian a pawimawh hle. A hnuaia table hi en rawh. Heng natna te hi i neih chuan damdawi i ei tan hmain doctor hnenah hrilh hmasa phawt ang che .
| I hriselna dinhmun | Engvangin nge doctor hnenah i hrilh ang? (A awlsam zawngin) |
|---|---|
| Cancer i vei tawh emaw, i vei mek emaw a nih chuan | He damdawi hian taksa hriselna a nghawng avangin cancer vei theihna chungchangah fimkhur bik a ngai a ni. |
| Heart failure emaw, heart defect dang emaw a awm thei | Mi thenkhat tan chuan he damdawi hian thinlung hnathawh a tichhe thei a ni. |
| HIV emaw AIDS natna emaw a awm thei | Cladribine hi damlo, heng natna avanga an taksa hriselna chak lo tawhte tan hman a tha lo hle. |
| Hri kai awm tawh (e.g. TB (TB), fungal, bacteria emaw virus emaw infection) . | Cladribine hian immune system a titawp avangin taksaa infection awm tawh chu a na hle thei a ni. |
| Kidney emaw liver emaw natna | Heng taksa peng hrang hrangte hi taksa atanga damdawi lakchhuahna kawngah an inrawlh avangin an natna dinhmun hian damdawi thatna a tidanglam thei a ni. |
| Tun hnaia vaccine i dawng emaw, nakin lawkah i dawng tura ruahman emaw i nih chuan | He damdawi nen hian live virus vaccine lak hi a hlauhawm zual hle. |
| Cladribine emaw damdawi dang, ei tur emaw, dye dang emaw allergy nei | Hei hi allergy i neih theih chuan hriat lawk a pawimawh. |
| Nangmah emaw i kawppui emaw naupai tum emaw, naupai tawh emaw a nih chuan | He damdawi hian pum chhunga naute tan harsatna nasa tak a thlen thei a ni. Hei hi a pawimawh hle. |
| Naute i hnute i pek chuan (Breastfeeding) . | Damdawi hian nu hnute a paltlang thei a, naute a tichhe thei a ni. |
Engtin chiah nge heng pills te hi i hman thin?
A pawimawh ber chu Doctor thupek zawm hi a ni. Mahse he damdawi hi a tlangpuiin hman dan tur hi i fimkhur ang u.
- He pill hi tui glass khat nen ei tur a ni.
- Nitin hun khata ei tum ang che.
- A pawimawh ber: Tablet hi tichhia suh, tikehsawm suh, chew suh. Tablet pumpui chu vawi khatah ei vek rawh.
- Chaw ei hma emaw ei zawhah emaw i ei thei a, mahse pum na i neih chuan chaw ei ruala ei a tha ber.
- Damdawi hi doctor-in chawlhsan tura a tih hma loh chuan a tih angin ei thin ang che.
Damdawi ei dan ‘Cycle’
He damdawi hi i ei reng reng tur a ni lo. ‘cycle’-a lak a ni. A awlsam zawngin, damdawi i ei ni engemaw zat a awm a, i ei loh ni engemaw zat a awm bawk. He schedule hi dik taka zawm a pawimawh hle. I doctor thupek ang chiah kha zawm rawh. Thil i hriatthiam loh chuan i doctor hnenah chiang zawka hriattirna zawt la. A zat aia tam ei hian side effect na tak a thlen thei a ni.
Pawimawh: Damdawi dang i ei a nih chuan Cladribine nen hian ei rualin ei loh tur. Cladribine i ei hnu darkar engzat nge damdawi dang i ei tur tih doctor zawt rawh.
Damdawi i khawih dawnin fimkhur hle ang che.
He damdawi hman dan pawh hi fimkhur taka tih tur a ni. Pill i hman hma leh i khawih hnuah pawh sahbawn leh tui hmangin uluk takin kut sil thin ang che. Hemi chungchangah hian i doctor chuan thupek chiang tak a pe ang che.
Overdosage a ni
He damdawi hi i ei tam lutuk nia i inhriat thut chuan tihkhawtlai suh. 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.
Damdawi dose i ei loh chuan engtin nge i tih 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 double dose ei ngai suh.
Eng damdawi dang nge Cladribine nen hian inzawmna nei thei?
Cladribine nena damdawi dang thenkhat ei hi a hlauhawm thei hle.
Hengte hi Cladribine nen ei loh tur:
- Virus nung vaccine: Measles, mumps, rubella (MMR), leh oral polio ang chi vaccine te hi he category-ah hian an tel a ni. A chhan chu heng vaccine te hi i dawn hian immune system a chak lo hle a, i lak chuan natna hi i la vei thei tho a ni.
Cladribine hian heng damdawi te nen hian a inzawm thei bawk:
- HIV emaw Hepatitis emaw tan antiviral damdawi thenkhat pek thin.
- Immune system titawptu damdawi dang (e.g., cancer dona damdawi, taksa peng thlak tawhte hnawlna tur damdawi).
A pawimawh ber chu i damdawi ei zawng zawng (vitamin, Ayurvedic emaw herbal remedies, leh painkillers te pawh tel) list kimchang tak i doctor hnenah pek hi a ni. Tichuan, i tan enkawlna tur ruahmanna him ber a siam thei ang.
Damdawi ei huna fimkhur bik tur thil
He damdawi i ei lai hian i taksa hi tlem tal i ngaihven a ngai a ni.
- Damdawi lam enfiah fo: I doctor-in a hmuh fo a ngai dawn a ni. Tin, he damdawi i ei lai hian i thisen cell (a bik takin lymphocyte) awm zat enfiah nan thisen test neih fo a ngai bawk ang.
- Infection hlauhawmna: A hmaa kan sawi tawh ang khan he damdawi hi i ei hian i taksain natna a do theihna (immunity) a tlahniam deuh thin. Chuvangin awlsam takin natna hrik i kai thei a ni. Khawsik, khawsik, ril na, khuh, khawsik ang chi symptoms i neih chuan mahni indam lo la , doctor ko nghal rawh. Damlote inkhuarna hmun atanga a theih ang anga inthiarfihlim hi a finthlak hle bawk.
- Cancer hlauhawmna: Zirna hrang hrangah he damdawi ei hian cancer chi thenkhat vei theihna a tisang deuh thei tih hmuhchhuah a ni. Hei hian hlau suh la, mahse he hlauhawmna hi i doctor hnenah inhawng takin sawi rawh.
- Naupai leh nau hnute pek (a pawimawh hle): .
- Hmeichhia tan: Naupai tum emaw, naupai emaw, nau hnute i pe a nih chuan he damdawi hi ei loh tur a ni. He damdawi hi i tan hmain naupai test i neih hmasak phawt a ngai a, chu chuan i naupai lo tih i hriat chian theih nan. Damdawi i ei lai leh pill hnuhnung ber i ei hnu thla 6 chhung chu naupai venna hmanraw tangkai tak i hmang tur a ni .
- Mipa tan: I kawppui hian nau a pai thei a nih chuan he damdawi hi i ei lai leh i ei hnuhnung ber atanga thla 6 chhung chu sex hman laiin condom i hmang tur a ni . Hei hian damdawi chu semen hmangin i kawppui hnenah a kal lo ang a, nausen piang lai chu a tichhe thei lo ang.
- Naupai: He damdawi i ei lai leh a ei hnuhnung ber atanga ni 10 chhung chu naute hnute pe suh .
Side effect awm thei te chu engte nge ni?
Damdawi zawng zawng ang bawkin Cladribine hian side effect a nei thei a, mi zawng zawngin an vei lo nachungin. A hnuaia tarlan te hi a side effect awm thei te chu a ni.
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
|---|---|
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring, thawk harsa. |
| Lung lam chak lohna | Thâwk harsa, ke ruh, ke emaw kut emaw a hring, rang taka taksa rihna sang, hah lutuk. |
| Kaichhawng | Khawsik, khawsik, khuh, ril na, hliam dam lo, zun laiin na, leh taksa hahdam lohna. |
| Liver hliam chhinchhiahna | Pum dinglam chunglam na, chaw ei chak lohna, luak chhuak, bawlhhlawh rawng hring, zun dum emaw sen hring emaw, vun emaw mit emaw a sen. |
| Nervous system nena inzawm mizia | Luak chhuak, balance hloh, buai, tawng harsa. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Lu na | Hnung lam natna |
| Luhai | Hrawk thip |
| Hnar luang emaw, hnar khar emaw | |
He list-ah hian side effect awm thei zawng zawng a tel lo. Symptom danglam dang i neih chuan i doctor nen pawh sawipui rawh.
Engtin nge i damdawi i venhim a, i dahkhawm?
- Naupang leh ran vulhte hmuh theih lohna hmunah dah rawh .
- Room temperature (20 leh 25 degree Celsius inkar) ah dah tur a ni.
- Damdawi chu a lo dawnna original bottle emaw packet emaw-ah dah tur a ni.
- Moisture lakah venghim rawh. Bottle cap chu khar nghet takin dah la.
- Damdawi expired hman loh tur. Damdawi hun kal tawh emaw, mamawh tawh lo emaw chu him taka paih dan tur i doctor zawt rawh.
Take-Home Thuchah a ni
- Cladribine hi damdawi chak tak a ni a, multiple sclerosis (MS) enkawlna atana hman a ni. Hei hi damdawi lam thurawn hnuaiah chauh hmang fo ang che.
- I doctor-in ‘cycle’ schedule a pek ang chiah kha zawm rawh. A zat aia tam ei ngai suh.
- Damdawi dang i neih leh damdawi dang i ei zawng zawngte chu i doctor hnenah hrilh rawh.
- Damdawi ei lai hian hri kai chhinchhiahna, khawsik leh khuh te hi fimkhur hle ang che. Chutiang symptoms i neih chuan doctor hnenah hrilh nghal rawh.
- Naupai venna atana thurawn (hmeichhia leh mipa tan) zawm ngei ngei tur a ni. Hei hi a pawimawh hle.
- He damdawi hi i tan chauh a ni. He damdawi hi midang hnenah share ngai suh.
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