I doctor chuan Cyclosporine tih damdawi a pe che a ni mai thei . Hei hi organ transplant hnuah, kidney transplant hnuah emaw, rheumatoid arthritis emaw psoriasis ang chi natna atan emaw a dik hle . Hei hi damdawi chak tak a nih avangin i rilruah zawhna tam tak i nei thei a, chu chu, “Hei hian eng nge a tih?”, “Engtin nge ka hman ang?”, “ A side effects a awm em ?” Ngaihtuah buai suh, vawiinah hian he damdawi chungchang hi chiang tak leh awlsam takin kan sawi dawn a ni.
He damdawi hi eng nge thleng tak tak?
A awlsam zawngin, cyclosporine hi kan taksa immune system hnathawh control leh tihtlemtu damdawi a ni . Kan taksa hriselna (immune system) chu natna thlentu hrik dotu kan taksa sipai ang a ni . Mahse a chang chuan he sipai hi tlem chuan a thawkrim lutuk thin.
- Organ Transplant: Kidney transplant thar i nei ang tih han ngaihtuah teh. I taksa immune system chuan kidney thar hi ‘foreign organism’ angin a hmu a. Chuvangin a bei a, hnawl a tum ( organ rejection ). Cyclosporine hian chu thiltih chu a titawp a, i taksain taksa peng thar chu a pawm theih nan a pui a ni.
- Rheumatoid Arthritis leh Psoriasis : Hetiang dinhmunah hian kan taksa hriselna (immune system) hian kan taksa ruh leh vun hi a rawn bei sual a ni. Chuvangin he damdawi hian chu overactivity chu a control a, symptoms a ti tlem bawk.
Damdawi ei tan hmaa doctor hnena i hrilh tur thilte
Hei hi a pawimawh hle. He damdawi hi i ei tan hmain heng thilte hi i doctor nen in inbia ngei tur a ni. Heng thilte hi thup suh, i himna tur a nih avangin.
- Cancer i neih emaw, i vei tawh emaw a nih chuan.
- Thisen sang i neih chuan .
- Kidney natna emaw, thin natna emaw i neih chuan.
- Infection awm tawh a awm chuan.
- Tun hmaa PUVA hmanga enkawlna, coal tar, ultraviolet light, emaw radiation therapy emaw i lo dawng tawh a nih chuan.
- Naupai emaw naupai tum emaw i nih chuan .
- Nu hnute pe lai i nih chuan .
- Cyclosporine emaw damdawi dang emaw ei tur dang emaw allergy i neih chuan.
Engtin chiah nge he damdawi hi ka hman ang?
Hei hi oral solution a nih avangin a hman danah fimkhur bik a ngai a ni.
1. Dose teh: Damdawi tehna atan hian damdawi nena rawn kal special dosing syringe chauh hmang ang che. Kitchen hmanrua teaspoon emaw syrup cup emaw hmang suh.
2. Mixing method: Hei hi i hman dan tur brand pek dan azirin a danglam deuh thei. Chuvangin damdawi label chu uluk takin enfiah thin ang che.
- Sandimmune® brand: Room temperature-a bawnghnute, chocolate hnute, emaw orange tui emaw nen chawhpawlh ang che.
- Neoral® ang brand dang tan chuan: Room temperature-a orange juice emaw apple juice emaw nen chauh mix tur.
3. A pawimawh ber: He damdawi hi grapefruit tui nen chawhpawlh ngai suh. Tin, plastic cup aiah glass cup hmang bawk ang che .Hmang.
4. Damdawi ei kim: Damdawi chu a tui nen uluk takin chawhpawlh la, in vat vat rawh. I in zawh chuan chu glass khatah chuan tui tlem tal dah belh la, hrual la, chu pawh chu in rawh. Chutiang chuan damdawi tlemte pawh a bo lo vang.
5. Syringe tihfai dan: Syringe hman zawh chuan a pawn lam chauh puan fai leh vawt hmangin phihfai tur a ni. Tui hmangin sil suh. Syringe chhungah tui a lut chuan damdawi nen hian a inrem thei a ni.
6. A hun taka ei: Damdawi hi nitin hun khatah ei thin tur a ni a, chaw ei nen khaikhin chuan a inang reng tur a ni (chaw ei hma a nih chuan ei hmain ei thin tur a ni a, chaw ei zawh hnuah pawh ei thin tur a ni).
Pawimawh: Damdawi ei kha bansan suh, a dose thlak danglam suh, i doctor thurawn tel lovin damdawi brand thlak suh.
Naupang leh puitling tan
He damdawi hi naupang hnena pek a nih chuan a bik taka enkawl a ngai a ni. Tin, kum 65 chunglamte chu he damdawi hian a nghawng dan hi an hrethiam zawk thei a, chuvangin a dose hniam zawk pawh an pe thei bawk.
I ei tam lutuk emaw, dose i ei loh emaw chuan engtin nge i tih ang?
- Overdose: Dose pek aia tam i ei nia i hriat chuan Colombo National Hospital-a National Poisons Information Center-ah zawh nghal rawh. A nih loh leh, damdawi in hnai ber Emergency Department (ETU)-ah kal rawh.
- Missed Dose: I hriatreng veleh missed dose kha ei nghal rawh. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, a hnuaia dose chu a hun ruatah ei rawh. Dose pahnih chu a rualin ei ngai suh.
He damdawi nena inzawm thei damdawi dang
Cyclosporine hi damdawi dang tam tak nen a inzawm thei a, chuvangin i damdawi ei zawng zawng, vitamin, herbs leh supplement te pawh i doctor hnenah hrilh vek a pawimawh.
| Bosentan, Cidofovir, Cisapride, Tacrolimus, St. John’s wort, buhfai sen hring (Red yeast rice) te pawh a awm bawk | Hengte hian cyclosporine nghawng chu hlauhawm takin a tidanglam thei a ni. |
| Antibiotics damdawi a ni | Ex: Ciprofloxacin, Gentamicin, Erythromycin, Rifampin te hi a tha ber pawl a ni |
| Thisen sang damdawi | Ex: Diltiazem, Enalapril, Losartan te an ni |
| Cholesterol tihhniamna damdawi (Statins) . | Ex: Lovastatin, Simvastatin, Atorvastatin tih te hi a ni |
| Natna tidamtu (NSAIDs) . | Entirnan: Ibuprofen, Naproxen, Diclofenac te hman a ni |
| Antifungals a ni | Ex: Fluconazole, Ketoconazole te hman a ni |
| Thildang | Allopurinol, Digoxin, Colchicine, Methotrexate, naupai venna damdawi, steroid chi hrang hrang, leh thil dang tam tak. |
*Hei hi list kimchang a ni lo. Chuvangin i damdawi ei zawng zawng chu i doctor hnenah hriattir vek rawh.*
Eng side effect nge hmuh theih?
Damdawi dang ang bawkin cyclosporine hian side effect a nei thei a ni. Chung zinga ṭhenkhat chu a pawi hle a, ṭhenkhat erawh chu a awm fo thung.
| Damdawi lam pan vat ngai side effects |
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| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni |
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Damdawi hi engtin nge kan dahkhawm ang?
- Naupangte hmuh theih lohna hmunah dah rawh .
- Neoral® hi room temperature 20-25 degree Celsius inkar ah dah tur a ni a, Sandimmune® hi 30 degree Celsius hnuai lamah dah tur a ni.
- Refrigerah emaw freeze emaw ah dah ngai suh.
- A châng chuan, he damdawi hian 20 degree Celsius hnuai lam temperature-ah gel (gel formation) a siam thei bawk. Hetiang a lo thlen chuan lungngai suh. Room temperature (25 degree vel) a thlen thlengin thut tir rawh. Tichuan a pangngaiin a kir leh ang.
- Bottle chu hawng la , thla hnih hnuah damdawi la awm zawng zawng chu paih vek rawh .
Take-Home Thuchah a ni
- Dose pek chu, a hun ruatah, i doctor-in a tih angin ei rawh.
- He damdawi hi grapefruit tui nen hian eng vang pawhin ei loh tur a ni.
- Damdawi dang i ei zawng zawng, vitamin pawh i doctor hnenah hrilh rawh.
- He damdawi hi i ei lai hian ni chhuahna hmuna i chhuah dawnin i vun enkawl tha ang che.
- Khawsik emaw, natna hrik emaw, side effect na tak tak i neih chuan doctor pan nghal tur a ni.
- Damdawi lam thurawn tel lo chuan he damdawi hi tihtawp nghal loh tur a ni.











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