Iron overload chinfel dan: Deferasirox tablet chungchanga hriat tur awmte!

I taksaa iron awm zat hi a chang chuan a mamawh aia tam a ni thei. Hei hi iron overload kan ti a. Chutiang a lo thlen chuan hriselna lama harsatna chi hrang hrang a awm thei a ni. Chuvangin, chutiang thila doctor-te’n damdawi an pek pawimawh tak pakhat chu `Deferasirox` hi a ni. Vawiin hian he damdawi hi kan sawi dawn a, a hman dan tur te, a side effects te, fimkhur tur thil te kan sawi dawn a ni.

He damdawi hi Deferasirox an tih hi eng nge ni?

A awlsam zawngin sawi ila, Deferasirox hi i thisen atanga iron tam lutuk paih chhuahna tur damdawi a ni. Magnet angin ngaihtuah la, mahse thir chauh a hip thin. He damdawi brand name hman tlanglawn ber chu Exjade a ni. Brand hming dang hnuaiah pawh i hmu thei bawk.

He damdawi hi ka hman hmaa doctor hnena ka hrilh tur te chu engte nge ni?

Deferasirox i ei tan hmain a hnuaia natna te hi i neih chuan i doctor hnenah i hrilh hmasa tur a ni :

• Cancer i neih chuan.
• Mit natna emaw, mit lama harsatna emaw i neih chuan.
• Hriatna lama harsatna i neih chuan.
• Tun hmaa thisen natna i neih tawh chuan.
• Kidney natna i neih chuan.
• Liver natna i neih chuan.
• Test-naah i thisenah thisen var, platelet, emaw red blood cells (thisen chhiar tlem) i nei tlem tih hmuhchhuah a nih chuan.
• He damdawi `Deferasirox` an tih hi, damdawi dang emaw, ei tur emaw, dye emaw, preservatives emaw allergy i neih tawh chuan.
• Naupai i nih chuan ``naupai'' a ni a, naute i beisei a nih chuan ``naupai tum'' a ni.
• Nu hnute pe lai i nih chuan.

Heng thilte hi i doctor hnena i hrilh hian he damdawi hi i tan a tha em tih chiang takin a hre thei a, eng fimkhurna nge i neih a ngai tih a hre thei bawk.

He damdawi hi engtin nge i hman?

He damdawi hi dik taka hman a pawimawh hle.

• Hei hi pill i ei thin a ni. I doctor-in a pek che prescription label-a tarlan ang chiah khan ei rawh.
• A pawimawh ber chu he damdawi hi pum ruak chunga ei hi a ni. Chu chu chaw ei hma minute 30 tal, emaw, chaw ei hnu darkar hnih tal tihna a ni. He damdawi hi ei tur nen ei ngai suh.
• Nitin damdawi hi hun inang deuhah ei tum ang che. Chutiang chuan damdawi hman tangkai dan chu i vawng reng thei ang.
• I doctor-in a tih zat aia tam emaw, tlem emaw in suh.
• He damdawi hi i dam leh a nih pawhin i doctor-in chawlhsan tura a tih hma loh chuan chawlhsan thut suh.

He damdawi hi naupang te te hnenah pek tur em ni?

He damdawi hi naupang kum hnih mi lek tan pawh dinhmun thlan bik thenkhatah pek theih a ni. Mahse, naupang enkawltu doctor nen sawiho a, uluk taka zawm tur a ni. Naupangte hnena pek dawnin ngaihtuah tur bik engemaw zat a awm.

Damdawi i ei tam lutuk chuan engtin nge i tih ang?

He damdawi hi i ei tam lutuk nia i hriat chuan damdawi in hnai ber emergency room emaw poison control center emaw call nghal rawh. A nih loh leh damdawi inah kal nghal mai rawh.

Pawimawh: He damdawi hi i tan chauh pek a ni. He damdawi hi midang hnenah share suh, an symptoms chu i symptoms nen a inang a nih pawhin.

Damdawi dose i ei loh chuan engtin nge i tih ang?

A châng chuan damdawi dose khat pawh ei loh theih a ni. Chutiang a nih chuan:

• I hriatreng veleh missed dose kha ei nghal rawh.
• Mahse, i dose leh tur hun a lo thleng tawh a nih chuan (entir nan darkar tlemte chhungin) dose hloh chu skip la, i dose tur chu a hun ruat saah ei mai rawh.
• Eng thil vang pawhin vawi khatah damdawi dose hnih ei loh tur a ni. Chutianga tih chuan side effect a nei thei.

He damdawi nena inzawm thei damdawi dang (Drug Interactions) .

Deferasirox hian damdawi dang thenkhat nen a inzawm thei bawk. Damdawi dang i ei a nih chuan Doctor hnena hrilh a pawimawh hle.

Deferasirox hi heng damdawi te nen hian hmang suh :

• `dasabuvir tih a ni a; ombitasvir, paritaprevir tih te hi a awm a; ritonavir` (hengte hi Hepatitis C ang chi liver natna atana hman tlanglawn damdawi inzawmkhawm a ni)
• Iron supplement (ngaihtuah teh: Deferasirox hian taksa atanga iron tam lutuk a paih chhuak thin. Chuvangin iron pill i ei leh chuan a thawk lo ang, a dik em?)
• `ombitasvir tih hi a ni a; paritaprevir tih hi a ni a; ritonavir` (hei pawh hi a chunga kan sawi ang tho a ni) .

Deferasirox hian a hnuaia damdawi te nen hian a inzawm thei bawk:

A hnuaia damdawi tarlan te hi i hman chuan i doctor hnenah pawh hrilh bawk ang che :

• Pum natna leh gastritis te tan anticids a awm
• Naupai venna damdawi
• Cholesterol tihhniamna damdawi thenkhat (e.g., `cholestyramine`, `colesevelam`, `colestipol`, `simvastatin`)
• Ruh natna damdawi thenkhat (e.g. alendronate, risedronate) .
• Seizure /fits enkawlna atana hman damdawi thenkhat (e.g., phenobarbital, phenytoin) .
• Thisen zam control thei damdawi (e.g. `warfarin`) .
• `conivaptan` tih a ni
• `cyclosporine` (cyclosporine) tih a ni.
• NSAIDs hi natna tidamtu leh natna tidam thei damdawi (e.g. ibuprofen, naproxen) pawl pakhat a ni
• Paclitaxel (cancer enkawlna atana hman thin damdawi) .
• `repaglinide` (zunthlum damdawi) .
• `rifampin` (Tuberculosis ang chi natna hrik tan damdawi pek thin) .
• `ritonavir` (ritonavir - HIV hrik kai enkawlna atana hman thin damdawi) .
• Steroid awmna damdawi (e.g. prednisone, cortisone) .
• `theophylline` (thluak lam natna, asthma ang chi damdawi) .

Damdawi dang, thing leh mau, vitamin, herbal remedies, emaw dietary supplement i ei zawng zawng chu hetah hian tarlan ni lo mah se, i doctor hnenah hrilh rawh. Tin, zu i in emaw, zu i in emaw, ruihhlo dang i hman emaw chuan i doctor hnenah hrilh bawk ang che. Hengte hian Deferasirox nen hian an inzawm thei a ni.

Damdawi ei huna fimkhur tur thil bik

He damdawi hi i ei lai hian a bik takin a hnuaia mite hi i fimkhur tur a ni:

• I natna lan chhuah dan a ṭhat loh chuan, a nih loh leh a na zual nia a lan chuan doctor hnenah hrilh nghal rawh.
• Vun natna khirh tak: He damdawi hian mi thenkhatah vun natna khirh tak a thlen thei a ni. Hengte hi damdawi ei tan atanga kar emaw thla emaw hnuah a thleng thei a ni. Khawsik, khawsik, a hnua vun rawng (a bik takin sen emaw, sen emaw) a lo chang a, a hring chhuak a, a hring chhuak a, a nih loh leh i hmai, hmui, emaw, i kawr emaw, i kawrfual emawa lymph node hring hring emaw, vun sen emaw i neih chuan doctor pan nghal rawh
• Test: I doctor chuan he damdawi i ei hma leh i ei chhung hian i mit, i hriatna leh i thisen iron level te, thisen test dangte pawh a enfiah fo ang.
• Internal bleeding chhinchhiahna: Thin dum, tarry stools, emaw coffee grounds ang maia vomit i neih chuan i pum emaw, i intestines-a thisen chhuak ulcer a ni thei. Chutiang a nih chuan doctor hnenah hrilh nghal rawh.
• Luak chhuak: He damdawi hian luak chhuak emaw, mutthilh emaw a siam thei. Chuvangin, he damdawi hian engtin nge a nghawng che tih i hriat hma chuan lirthei khalh te, machine rit tak tak hman te, fimkhur ngai thil eng pawh tih loh tur a ni. Thut emaw, ding emaw atanga tho thut loh tur, a bik takin tar i nih chuan. Hei hian luak chhuak hlauhawmna a tiziaawm thei a ni.
• Naupangte tui tlakchhamna: I fain he damdawi hi a ei a, ril\am, luak chhuak, luak chhuak, emaw, thawk hah lutuk emaw a neih chuan doctor hnenah hrilh rawh. Hei hi a chhan chu taksa atanga tui leh chi tam lutuk a bo (dehydration) hian he damdawi ei hi a hlauhawm thei a ni.

He damdawi avanga side effects awm thei te

Damdawi dang ang bawkin Deferasirox hian side effect engemaw zat a nei thei a ni.

Side effects doctor hnena hriattir nghal tur:

• Allergic reaction: Vun vun rawng, hnim hring, hmai, hmui, lei, thawk harsa.
• Mit hmuhna lama inthlak danglamna (e.g. mit hmuh lohna (blurred vision).
• Hriatna hloh emaw beng chhunga ri emaw.
• Khawsik, khawsik, leh rilru na.
• Vun natna, khawsik, leh lymph node hring.
• Vun sen, vun a hring, leh vun a hring (ka chhungah pawh a awm thei).
• Thisen chhuak chhinchhiahna: Ekk dum emaw thisen chhuak emaw; coffee ground ang maia thil dum (brown substance) luak chhuak.
• Liver hliam chhinchhiahna leh lan chhuah dan: Zun dum emaw, sen emaw; general malaise emaw, khawsik emaw; pale stools a awm a; chaw ei chakna hloh; luhai; pum dinglam chunglam natna; chak lohna emaw, hahna emaw danglam tak; mit emaw vun emaw a sen (yellowing) thin.
• Zun harsatna emaw, zun tam dan inthlak danglam emaw.
• Thisen chhuah emaw, hliam emaw danglam tak.

Damdawi lam thurawn mamawh lo tlangpui (mahse, a awm reng emaw, a buaithlak emaw chuan doctor hnenah hrilh rawh):

• Kawthalo
• Nausea, luak chhuak
• Pum natna
• Mut harsatna

He list-a tarlan loh symptom dang danglam tak i neih chuan i doctor hnenah pawh zawt la.

Engtin nge damdawi chu i dahkhawm thin?

• He damdawi hi naupangte hmuh theih lohna hmun sang takah dah la .
• Room temperature (15 leh 30 degree Celsius inkar; 59 leh 86 degree Fahrenheit inkar)-ah dah tur a ni. Khua lum leh vawt lutukah dah suh.
• Damdawi package-a expiry date tarlan pel tawh damdawi hmang suh. Anni chu uluk takin paih rawh.

A tawp berah chuan take-home message

Chuvangin, `Deferasirox` hi damdawi pawimawh tak a ni a, i taksaa iron tam lutuk control turin a pui a ni.

Mahse, heng thilte hi hre reng ang che:

* Damdawi hi Doctor-in a sawi ang chiah chiah, a zat dik tak, a hun takah ei a pawimawh hle.

* Damdawi dang i ei lai leh i damdawi lam harsatna dang i neih te chu i doctor hnenah hrilh theihnghilh suh.

* Side effects te fimkhur reng tur a ni. Thil danglam bik i hriat chuan doctor pan nghal rawh.

* He thuziak hian he damdawi chungchangah hian ngaihdan engemaw zat a pe thei che a, mahse a sawifiahna kimchang erawh a ni lo. Zawhna dang i neih chuan i doctor, pharmacist emaw, healthcare provider dang emaw zawt la.

Hriselna tha neih duhsakna kan hlan e!

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