Cancer enkawlna i tan dawn lai hian tlem chuan hlauhna leh hlauthawng deuha inhriat hi thil pangngai tak a ni. Mahse i damdawi ei tur leh i taksa a nghawng dan i hriat chian chuan chu hlauhna chu nasa takin a tihziaawm thei a ni. Vawiin hian damdawi pakhat Dacarbazine tih kan sawi dawn a, chu chu hetiang cancer enkawlna atana hman thin a ni. Hemi chungchang hi i hriatthiam theih nan awlsam takin sawi ila.
Dacarbazine hi eng damdawi nge ni?
A awlsam zawngin, dacarbazine hi chemotherapy damdawi chi khat a ni . Chemotherapy hi damdawi chak tak chi khat a ni a, cancer cell te thang chak lohna tur emaw, tihhlum nan emaw pek thin a ni.
He damdawi hi enkawlna atana hman ber a ni:
- Skin cancer tan chuan
- Hodgkin natna enkawlna atana damdawi dang nena hman dun a ni
He damdawi hi in lamah pek a ni lo. Damdawi in emaw clinic emaw-ah doctor emaw nurse emaw pe tura a bik taka zirtirna pek a ni. Damdawi chu taksaah thisen zam (vein)-a injection emaw, saline ang chi vein-a infusion emaw hmangin pek a ni.
Enkawlna i tan hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i tan hmain i doctor hian i hriselna dinhmun a hriat chian a pawimawh hle. Chuvangin, a hnuaia mi hi i neih chuan i doctor hnenah hrilh ngei ang che .
| Situation i report tur a ni | Engvângin nge chu chu a pawimawh? |
|---|---|
| Tuna hri kai mek (e.g., virus infection chickenpox, herpes ang chi) . | He damdawi hian taksa invenna a tihtlem avangin natna hrik awm tawhte chu a zual thei hle. |
| Kidney emaw liver emaw natna | Heng taksa peng hrang hrangte hi taksa atanga damdawi lakchhuahna kawngah an inrawlh avangin an hnathawh dan hriat a pawimawh hle. |
| Thisen sen hniam, thisen var, platelet te ang chi dinhmun | Dacarbazine hian heng cell te hi a ti tlem lehzual thei a, chuvangin tun dinhmun hriat chian a pawimawh hle. |
| Tun hnaia radiation therapy i lo dawng tawh a nih chuan | Radiation therapy leh chemotherapy pahnih hian taksa a nghawng avangin doctor chuan hei hi a hriat a ngai a ni. |
| He damdawi emaw damdawi dang emaw ei tur dang emaw allergy i neih chuan | Hei hi allergy na tak a awm loh nan a pawimawh hle. |
| Naupai emaw, nau pai tum emaw i nih chuan | Hei hi a pawimawh hle. He damdawi hian nausen piang lai tan harsatna nasa tak a thlen thei a ni. |
| Nu hnute petu i nih chuan | Enkawlna lak lai hian nau hnute pek loh tur a ni a, damdawi hian nu hnute a paltlang thei a, naute a tichhe thei a ni. |
He damdawi ei huna kan ngaihven bik tur thilte:
Treatment hun chhung zawng hian i taksa hi tlem tal i enkawl belh a ngai a ni.
Thisen test fo thin
He damdawi i ei lai hian i doctor chuan thisen test mumal turin a ti ang . Chungte chu damdawi hian i taksa leh i thisen cell a nghawng dan enfiah nan a ni. Heng test te hi skip suh.
Hrisel lohna
Chemotherapy lak hian nuam lo leh chau tih hi thil pangngai a ni. Hei hi a chhan chu heng damdawi te hian cancer cell leh cell hrisel te hi eng emaw chen a nghawng vang a ni. Chuvangin, i dam loh vang mai maia enkawlna kha titawp suh. Doctor in titawp tura a tih loh chuan enkawlna cycle pek tawh chu tihfel a pawimawh .
Infection lakah fimkhur rawh.
He damdawi hian taksaa natna dotu thisen var (white blood cells) a tihtlem thei a, natna hrik kai theihna a tipung thei a ni .
Khawsik, khawsik, ril na, khuh, hnar luang ang chi symptoms i neih chuan mahni indam lo la , doctor ko nghal rawh.. Hemi hun chhung hian damlo awmna hmun leh mipui tamna hmuna kal chu a theih ang angin tih tlem phawt ang che.
Thisen chhuak leh hliam tuar
Thisen zam tura puitu platelet zat hi a tlahniam thei a ni. Hei hian thisen chhuah leh hliam natna a tipung thei a ni . Thisen chhuahna danglam tak i hmuh chuan i doctor hnenah hrilh rawh, chu chu sawifiah theih loh khawpa hliam, vunah hmun sen te te, i bawlhhlawh chhunga thisen emaw, i zun-a thisen emaw te hi a ni.
Naupai hi pumpelh rawh!
A pawimawh ber chu he enkawlna chhung leh enkawlna hnu hian i doctor-in a tih chhung chu naupai vek loh tur a ni . He damdawi hian nausen piang lo chu nasa takin a tichhe thei a ni. Tin, nu hnute pe mekte pawhin he damdawi an ei lai hian naute hnute pek loh tur a ni. Hemi chungchanga zawhna i neih chuan i doctor nen zalen takin sawi rawh.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin dacarbazine hian side effect a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. A hnuaia table hian hengte hi a chiang zawkin a tarlang a ni.
| Dacarbazine hian side effect a neih theih dan | |
|---|---|
| 🚨 Doctor hnena report nghal tur thil | |
| Allergic Reaction awm thei te | Skin rash, itching, hmui/lei/hma hring, thawk harsa. |
| Hri kai lan chhuah dan | Khawsik, khawsik, khuh, ril na, zun laiin na. |
| Platelets hniam emaw thisen chhuahna symptoms emaw a awm thei | Taksaah sawifiah theih loh khawpa hliam, vunah sen, hnah te tak te, bawlhhlawh dum, leh zun chhunga thisen awm. |
| Thisen zam (red blood cell) tlem (anemia) 1.1. | Chau danglam tak, nunna nei lo, rilru hah, mit sen hring tih hriatna. |
| Symptom na tak dang a awm bawk | Thâwk harsa, taksa ruh na, damdawi injectna hmuna na, luak, mit emaw vun emaw a sen, zun i siam chhuah zat a inthlak danglam. |
| 🙂 Thil awm fo, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Digestive system lama harsatna awm thei | Nausea, pum na, ril\am, chaw ei chak lohna. |
| A nghawng tenau dangte | Sam tlakchham, ni êng laka vun sensitivity. |
He list-a tarlan loh symptom dang danglam tak i neih chuan i doctor hnenah pawh hrilh la.
Dose pakhat ka miss a, damdawi ka ei tam lutuk chuan engtin nge ni ang?
Chemotherapy damdawi hi ni ruat leh hun ruatah ei a pawimawh hle. Chutianga tih loh chuan enkawlna hlawhtlinna a nghawng thei a ni. I ni ruat saah i kal thei lo a nih chuan i doctor ko nghal rawh .
He damdawi hi in lama hman a nih loh avangin overdose theihna a tlem hle. Mahse, engti kawng pawhin i tawk tawh nia i hriat chuan Colombo National Hospital-a National Poisons Information Center -ah i call nghal tur a ni a, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal nghal tur a ni.
Take-Home Thuchah a ni
- Dacarbazine hi cancer dona damdawi chak tak a ni a, damdawi inah specially trained personnel ten thisenah an pe thin.
- Enkawlna i tan hmain i damdawi lam dinhmun zawng zawng, i damdawi ei zawng zawng leh allergy i neih zawng zawngte chu i doctor hnenah hrilh hmasa phawt ang che.
- Khawsik, thisen chhuahna danglam tak, leh hliam natna ang chi symptoms te chu fimkhur reng ang che. Chung zinga pakhat tal i hriat chuan doctor pan nghal rawh.
- Inenkawl lai hian naupai leh nau hnute pek loh vek tur a ni .
- Hrisel lohna hi thil pangngai ni mah se, a nghawng na tak emaw, a awm reng emaw a awm chuan doctor hnenah hrilh rawh.
- Doctor thupek dik taka zawm hi enkawlna hlawhtlinna atan a pawimawh hle.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Dacarbazine (DTIC-Dome) hi eng atan nge hman?
Hei hi pill pangngai a ni lo! Hei hi chemotherapy (Alkylating agent) damdawi chak tak a ni a, cancer damdawi inah damlo thisen (IV Injection)-ah direct-a inject a, ‘Hodgkin’s Lymphoma’ na tak a tihchhiat bakah vun cancer (Metastatic Melanoma) nasa taka a darh theihna tur a ni!
💬 Engtin nge he chemical vaccine (Dacarbazine / Chemo) hian kan taksaa a luh hian cancer cells te chu a tihchhiat vek theih?
Cancer cell pakhatin a inthen/a lo piang chhuak tur chuan ‘DNA’ thar a siam a ngai a ni. He damdawi hi kan thisenah a lut a, liver hian a then chu a tichak a (Active metabolite - MTIC). Tichuan cancer cell-ah direct-in a lut a, DNA siamtu chain (GC base pairs) chu a loop a, a lock (Alkylation / Cross-linking) a ni. DNA chu a hit/a darh chuan cancer cell chu a puak a, chutah tak chuan kah ang maiin a thi ta a ni.
💬 Cancer avanga thihna He vaccine pek a nih hian damloin a hmachhawn tur hlauhawm ber (Black Box Warnings) te chu engte nge ni?
Damlo tana hlauhawm ber chu hei hian thisen siamtu marrow (Bone Marrow Suppression) 100% in a tichhia a ni! Thisen cell a bo chuan khawsik tê tê pawh hian pneumonia/thisen chhuak a thlen thei a, damlo chu a thi thei a ni. Hlauhawm ber dang chu hei hian thin chhunga thisen kalna kawng a tikhawlo (Hepatic Necrosis / VOD) a, thin a ti ro thin. Tin, he injection ni hian tuar theih loh khawpa ril\am/nausea a awm ngei ang.
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