I doctor hian thisen zam venna atan Pradaxa ang damdawi a pe che em? A nih loh leh chhungte emaw, thian emaw hian he damdawi hi a hmang em? Hei hi damdawi pawimawh tak, nunna chhanhim thei tak tak a ni. Mahse, chutih rual chuan kan hman dawnin kan fimkhur hle tur thil tlemte a awm. Chuvangin vawiin hian he damdawi, Dabigatran, kan ramah hian Pradaxa tia hriat mai mai hi han sawi ila.
Dabigatran (Pradaxa) tih hi eng nge ni?
A awlsam zawngin, hei hi thisen tithianghlimtu a ni . Damdawi lam hawi chuan hei hi ``Anticoagulant'' kan ti a. Kan thisen hian clotting property a nei a. Chuvang chuan hliam a awm chuan thisen chhuah a reh thin. Mahse a chang chuan taksa chhungah, thisen zam chhungah, a tul lovah thisen zam a lo awm thei. Hei hi dinhmun hlauhawm tak a ni.
Dabigatran hian thisen zam duh loh lo awm tur venna hmangin hna a thawk a ni. A hman ber chu:
- Stroke ven: Thinlung thawk mumal lo (Atrial Fibrillation) nei damlote thluaka thisen zam leh stroke awm theihna a tihziaawm.
- Thisen zam enkawl: Lung (Pulmonary Embolism) emaw ke ruh thuk tak (Deep Vein Thrombosis - DVT)-a thisen zam lo awm tawh chu tihthianghlim.
- Thisen zam venna: He damdawi hi operation hnua thisen zam a lo awm leh loh nan emaw, hip thlakna emaw, tun hmaa thisen zam lo nei tawh emaw hnenah pek a ni.
He damdawi hi i ei tan hmaa i doctor hnena i hrilh tur thilte
I doctor-in Dabigatran a pek hmain i hriselna chanchin kimchang a hriat hmasak a pawimawh hle. A hnuaia tarlan te hi i neih chuan doctor hnenah hrilh ngei ang che .
| Hriselna dinhmun emaw remchang emaw | Engvângin nge i ngaihsak ang? |
|---|---|
| Thisen chhuahna lama harsatna nei | He damdawi hian thisen chhuah theihna a tipung thei a ni. |
| Mechanical heart valve i neih chuan | Hetiang damlo tan chuan he damdawi hi a tha lo. |
| Kal natna | Damdawi hi kal hmanga taksa atanga paih chhuah a nih avangin a hman dan tur pawh siam danglam a ngai mai thei. |
| I pum thisen chhuak tawh i nih chuan | Thisen chhuah leh theihna a sang thei hle. |
| Tun hnaia spinal emaw epidural emaw procedure i neih tawh emaw, i tih dawn emaw a nih chuan | Spinal cord-ah thisen chhuah theihna a awm. |
| Naupai, nau pai tum emaw, nau hnute petu i nih chuan | Hetiang a nih chuan i doctor nen damdawi himna chungchang i sawipui tur a ni. |
| Damdawi dang, ei leh in emaw thil dang emaw allergy i neih chuan | Hei hi dabigatran allergy i nei thei em tih hriat a pawimawh hle. |
Engtin chiah nge he damdawi hi ka hman ang?
He damdawi hi a hlawk ber tur leh hlauhawmna awm lo tur chuan dik taka hman a pawimawh hle.
A pawimawh ber: Capsule hi tichhia suh, tikeh suh, chew suh, hawng suh la, he damdawi chhunga thil awmte hi eng chhan pawh in in suh. Chutianga tih chuan damdawi tam lutuk taksaah vawi khatah a lut thei a, chu chuan thisen chhuah hlauhawm tak a thlen thei a ni. Capsule chu a pumin ei tur a ni.
- Ei dan: Damdawi chu tui glass khat nen a pumin ei tur a ni.
- Chaw ei ruala ei: Hei hi chaw ei hma emaw ei zawhah emaw ei theih a ni. Mahse, chaw ei kham loh emaw, pumpui natna emaw i neih chuan chaw ei ruala damdawi ei hian a tihziaawm thei a ni.
- Dose skip suh: I damdawi ei tur chu a pek ang chiah, a hun takah leh a dose dik takah ei thin ang che. Dose skip emaw, doctor thurawn tel lova i damdawi ei khap emaw hian thisen zam emaw stroke emaw i neih theihna a tipung nghal thei a ni.
- Chaw ei i ei loh chuan:Dose i ei theihnghilh chuan i hriatreng veleh ei nghal rawh. Mahse, i dose leh tur thleng darkar 6 aia rei lo a nih chuan missed dose kha skip la, i dose leh tur chu a hun ruatah ei rawh. Vawi khatah vawi hnih ei ngai suh.
- He damdawi hi i ei tam lutuk chuan: He damdawi hi i ei tam lutuk nia i hriat chuan hun khawhral lo la , damdawi in hnai ber Emergency Department (ETU) pan nghal rawh. A nih loh leh Colombo National Hospital-a National Poisons Information Center-ah thurawn dil turin phone la.
He damdawi ei huna hriat reng tur thil
He damdawi i ei lai hian a bik takin i himna tur i ngaihtuah a ngai a ni.
- Hliam pumpelh: Infiamna (e.g. rugby, football) leh taksa hliam thlen thei hnathawh a\angin inthiarfihlim rawh. Tlu tlemte pawh hian chhungril lama thisen chhuahna nasa tak a thlen thei.
- Hmanraw nalh tak tak: Hmanraw nalh tak tak, chemte leh scissors ang chi i hman hmain vawi hnih ngaihtuah hmasa phawt ang che. Shaving i tih chuan blade ai chuan electric razor hman a him zawk.
- Ha sil: I ha silfai leh flossing-ah i hmui hliam lo turin fimkhur rawh.
- Surgery: Surgery i neih dawn emaw, ha lakchhuah i tum emaw a nih chuan i doctor emaw dentist emaw hnenah Dabigatran i ei tih hrilh ngei ang che. Operation hma ni engemaw zat hnuah he damdawi hi ei tawh lo turin an ti tlangpui ang che.
- Doctor tlawh: Ni ruat saah clinic tlawh la, doctor hmu rawh. I dinhmun a enfiah ang a, a tul angin thurawn a pe ang che.
Damdawi avanga side effect lo awm thei
Damdawi dang ang bawkin Dabigatran hian side effect a nei thei a ni. Ṭhenkhat chu a serious a, a then chu a common. Hengte hi fimkhur a pawimawh hle.
| Side effect na tak tak, damdawi lam pan vat ngai | |
|---|---|
| Allergic avanga thil thleng | Skin rash, itching, hmui/lei/hma hring, thawk harsa. |
| Thisen chhuak chhinchhiahna | Thianghlim dum emaw thisen chhuak emaw; zun sen dum emaw, sen emaw; coffee ground ang maia thil chil chhuah; hnar, hmui, mit atanga thisen chhuak danglam tak; taksaah hliam lian tak tak emaw, hmun sen emaw; thisen chhuah tihtawp theih loh. |
| Stroke natna lan chhuah dan | Mit hmuhna a danglam nghal vat a; thusawi thiam lo, thusawi harsa leh hriatthiam harsa; lu na na tak; hmai, kut emaw ke emawa rilru hah emaw, chak lohna emaw; kal harsa, luak chhuak. |
| Thisen zam natna lanchhuahna | A rilru a na a; thawk harsa; ke pakhat (a bik takin ke hnuai lam) natna, hring, emaw lumna emaw. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Pum natna | Pum na, chaw ei kham loh, riltam (hei hi damdawi ei ruala ei hian tihziaawm theih a ni). |
Dabigatran nena inzawm thei damdawi dang
I damdawi ei zawng zawng chu i doctor hnenah i hrilh vek tur a ni a, i doctor-in a pek ang chauh ni lovin, over-the-counter painkiller, vitamin, herbal products, leh Sinhala damdawi thlengin i hrilh tur a ni. Damdawi thenkhat chu Dabigatran nen an inzawm thei a, thisen chhuah theihna a tipung thei bawk.
Damdawi chi hrang hrang fimkhur tur a awm a, chungte chu:
- He group-ah hian aspirin leh damdawi dangte
- Thisen tithianghlimtu dang (e.g. Warfarin, Heparin, Enoxaparin, Apixaban, Rivaroxaban) .
- Natna tidamtu (NSAIDs) (e.g. Ibuprofen, Naproxen, Diclofenac) te hi a tha hle.
- Thisen tithianghlimtu dang, Clopidogrel ang chi te
- Antibiotics thenkhat, Rifampin (TB enkawlna atana hman thin damdawi) te .
- Antifungals te chu ketoconazole te hi a ni
He list hi a kim lo va, chuvangin i ei tur eng pawh i doctor hnenah hrilh la a tha ber fo .
Take-Home Thuchah a ni
- Dabigatran (Pradaxa) tablet hi tichhia ngai suh, tikehsawm ngai suh, ei ngai suh. A pumin ei rawh.
- Doctor thurawn lo chuan damdawi ei kha bansan suh. Dose i miss a nih chuan lungngai suh, i dose lo awm tur thleng darkar 6 aia rei a nih chuan missed dose kha ei mai rawh.
- Damdawi dang i ei zawng zawng , a bik takin natna tidamtu te chu i doctor hnenah hrilh rawh.
- Tlu leh hliam lakah a theih ang anga fimkhur rawh. Thisen chhuah theihna a sang hle.
- Thisen chhuahna chhinchhiahna i hmuh chuan , bawlhhlawh dum emaw, hliam danglam tak emaw i hmu a nih chuan, i doctor hnenah hriattir nghal la emaw, damdawi in ETU-ah kal rawh.
- Eng surgery emaw ha lakchhuah hmain doctor/dentist hnenah he damdawi hi i ei tih hriattir hmasa phawt ang che.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Ramipril (Ramipril / Altace) tablet/capsules hi eng natna atan nge hman?
Hei hi khawvela ACE Inhibitor blood pressure pill lar leh hlawhtling ber a ni! Thisen sang a tihniam mai bakah, kum 55 chunglam, zunthlum/cholesterol vei, leh heart attack hlauhawmna sang tak nei te tan nakin lawka ‘heart attack and stroke’ (cardiovascular events) laka invenna atan doctor-te’n an pe bawk.
💬 Engtin nge he blood pressure pill (Ramipril) ei hian thisen sang a tihniam a, thinlung a chhanhim?
Kan thisen kalna kawngte hi a zim/chak lo a, chemical hlauhawm tak ‘Angiotensin II’ an tih vangin pressure a sang chho zel bawk! Ramipril taksaa a luh chuan chu chemical (ACE enzyme) siamtu factory chu a block/khar vek a, a lock vek bawk! Tichuan thisen kalna kawng zawng zawng chu a lo chhuak vek (Vasodilation) a, pressure a tlahniam ta a ni. Pressure a tlahniam chuan thinlung hnathawh/thawh a awlsam phah a, chuvangin lung natna vei theihna chu 100% in a tlahniam a ni.
💬 He damdawi (Ramipril) ei hian eng nge a tihbuai leh hlauhawm (Black Box Warning) a neih?
A tir atanga hriat tur hlauhawm ber chu ‘Pregnancy’ nu (Pregnancy) (nausen thihna thlen thei) tan khap tlat a nih vang a ni! Buaina lian dang chu damdawi ei ruala lo awm 'Dry cough' hi a ni a, i tuar thei lo a nih chuan pill dang (ARB) lama inthlak a ngai a ni. Tin, mi thenkhatin ‘Swelling of the face/lips and shortness of breath’ (Angioedema - Black people are at higher risk) an neih chuan damdawi in pan vat a ngai a ni.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh