Natna thenkhat, entirnan, Thalassemia ang chi, chutiang natna vei te chuan thisen pek reng a ngai thin. Chutianga thisen kan dawn chhunzawm zel chuan kan taksaa iron level chu a mamawh aia tam a kal thei a ni. Hetianga taksaa iron tam lo awmkhawm hian kan thinlung leh thin ang chi taksa peng pawimawh tak takte a tichhe thei a ni. Chuvangin, taksa atanga he iron tam lutuk paih chhuahna atana injection bik pek thin chu Deferoxamine an ti a. Vawiin hian he damdawi hi thumal awlsam takin kan sawi dawn a ni.
Deferoxamine hi eng damdawi nge ni?
A awlsam zawngin sawi ila, Deferoxamine hi kan taksaa iron tam lutuk hipna tur magnet ang maia thawk a ni. He damdawi hi taksaa a luh chuan iron particle tam lutuk chu a binding a ni. Tichuan, kan kal (kidney) hian he bound iron hi zun hmangin a paih chhuak thin. Hei hian taksaa iron level a tihhniam bakah taksa peng hrang hrang chhiatna a titawp bawk. Hei hi ‘chelation therapy’ an ti a.
He damdawi hi i hman hmaa i doctor hnena i hrilh tur thilte
Deferoxamine i ei tan hmain a hnuaia thute hi i doctor hnenah hrilh hmasa phawt tur a ni a, heng natna te nen hian he damdawi hi i hman hunah fimkhur hle tur a ni.
| I dinhmun | Engvangin nge doctor hnenah i hriattir ang? |
|---|---|
| Kidney natna emaw, zun harsatna emaw | He damdawi hi kal hmanga taksa atanga paih chhuah a nih avangin kal hnathawh dan hriat a pawimawh hle. |
| Lung natna (Heart failure) . | Doctor chuan damdawi in a nghawng dan a hriat chian a ngai a, iron tam lutuk hian thinlung a nghawng thei a ni. |
| Liver natna | Liver function hriat hi enkawl dan tur ruahmanna siam nan a pawimawh hle. |
| Infection chi hrang hrang | Infection thenkhat chu he damdawi hian a ti na zual thei. |
| Naupai emaw, nau pai tum emaw i nih chuan | Hei hi naupai laia naute tichhe thei damdawi a nih avangin sawi chhuah a pawimawh hle . |
| Nuin a fa hnute a pek chuan | Damdawi chu i naute hnena a kal leh kal loh chu i doctor nen in sawiho tur a ni. |
| Damdawi dang, ei leh in emaw thil dang emaw allergy nei | Deferoxamine emaw thil dang emaw allergy i neih chuan enkawl hmain hei hi hriat a pawimawh hle. |
Damdawi hi engtin nge hman ang?
He damdawi hi injection angin pek a ni. Kawng hnihin pek theih a ni:
1. Into a vein: Vein chhunga injection pek angin.
2. Vun hnuai lam: Vun hnuaia injection pek angin.
He vaccine hi damdawi inah emaw, clinic-ah emaw pek thin a ni tlangpui. Mahse, a chang chuan damlo chu in lama damdawi ei dan tur zirtir an ni. Hetiang a nih chuan pump bik (infusion pump) hman a ni. He pump hmang hian damdawi chu darkar eng emaw zat chhung chu taksaah zawi zawiin a lut a.
He damdawi hi in lama i hman chuan i doctor emaw nurse emaw-in a pek angin dik takin zawm rawh . Dose, pek hun leh pek dan pawh thlak danglam suh.
Pawimawh: Needle leh syringe hman tawhte chu bawlhhlawh bawmah paih ngai suh. A bik takin container (sharps container) pekah dah tur a ni. I neih loh chuan i doctor emaw nurse emaw hnenah pakhat dil rawh.
Hun bik atan
- Naupang tê tê: Naupang tê tête hnêna pêk a nih chuan, a bîk takin a tam zâwk leh hun rei tak chhûnga pêk a nih chuan naupang ṭhanlennaah nghawng tlem a nei thei a ni. Chuvangin doctor chuan naupang san zawng leh rih zawng a enfiah fo ang.
- Kum 65 chunglam: Kum upa zawkte chuan he damdawi hian nghawng a nei nasa zawk thei a, chuvangin a dose tlem zawk an pe tlangpui.
Damdawi i ei tam lutuk chuan eng nge thleng ang?
Damdawi i ei tam lutuk nia i hriat chuan hlauthawng suh la, hma la nghal rawh. A rang thei ang bera.Colombo National Hospital-a National Poison Information Center-ah biak theih a ni. A nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal rawh.
Damdawi dangah harsatna a awm thei em? (Inbiakpawhna) .
Ni e, damdawi thenkhat hi Deferoxamine nen hian an inzawm thei a ni. Chuvangin, i damdawi ei zawng zawng, vitamin, herbal remedies, leh supplement te pawh i doctor hnenah i hrilh tur a ni.
- Ei ngai suh: He damdawi hi i ei a nih chuan eng thil vang pawhin iron supplement ei suh . A chhan chu he damdawi hi taksa atanga thir tam lutuk paih nan kan ei vang a ni.
- Hengte hi fimkhur rawh:
- Vitamin C (Ascorbic acid) a awm a, a chhuahna tur hmun leh a hmanna tur a awm lo.
- Prochlorperazine (riltamna damdawi) .
- Gallium-67 (scan thenkhata hman thin thil) .
A bik takin vitamin C chungchang sawi dawn chuan doctor-in a tih loh chuan mahni chauhin vitamin C ei suh. A châng chuan, iron lakchhuahna kawng a awlsam zawk nan deferoxamine nena vitamin C tlemte ei hi a tha hle. Mahse hei hi doctor thurawn hnuaiah chauh tih tur a ni.
Damdawi ei huna ngaihtuah tur thil
- Check-up neih fo: I medical team chuan i enkawlna chhung zawngin uluk takin an enkawl ang che. Thisen test neih reng a ngai dawn a ni.
- Mit leh hriatna: I mit leh hriatna chu enkawl hma leh enkawl lai hian enfiah theih a ni. I mit emaw, i hriatnaah emaw danglamna i hmuh chuan, i beng a ri i neih chuan i 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 emaw, machinery khalh emaw ang chi thil hlauhawm tak takte chu pumpelh rawh. Luak chhuak lo turin thut atanga tho emaw, khum atanga tho emaw chuan zawi zawiin ding rawh.
- Zun rawng: He damdawi hi i ei lai hian i zun chu a sen-a rawng a lo chang thei a ni. Hei hi thil pangngai a ni a, hlauhawm tur a ni lo.
- Naupai leh naupai venna: Hei hi a pawimawh hle . He damdawi hian naupai laia ei a nih chuan nausen piansualna na tak a thlen thei a ni. Chuvangin, enkawl lai leh enkawlna chawlhsan hnu thla khat chhung atan nau tihtlak dan rintlak tak hman a pawimawh hle. Hemi chungchang hi i doctor nen inbia la, a hman dan tur dik tak thlang rawh.
Damdawi hmansualna (side effects) te
Damdawi dang ang bawkin Deferoxamine hian side effect a nei thei a ni. Ṭhenkhat chu serious tak an ni a, ṭhenkhat erawh chu an awm tlangpui thung.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| Side effects te chu doctor hnenah hriattir nghal tur a ni | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Vision a danglam thin | Blurred vision, rawng hmuh dan inthlak danglam. |
| Hriatna lama harsatna nei | Hriatna hloh, beng chhunga ri. |
| Hri kai theihna chhinchhiahna | Khawsik, khawsik, khuh, ril na. |
| Kidney chhiatna chhinchhiahna | Zun chhuah tlem, ke ruh, kut leh ke ruh hring. |
| Thisen sang hniam | Luak chhuak, muhil, mit hmuhna fiah lo. |
| Thâwk harsa | Thâwk a tawi, thawk harsa. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Injection na hmuna natna/sen chhuak | Injection pekna hmuna sen, hring, emaw natna emaw. |
| Pum na, luak chhuak | Pum na, pum na. |
| Luak chhuak thei | Luak chhuak na lo deuh tih hriatna. |
Take-Home Thuchah a ni
- Deferoxamine damdawi a ni a, zun hmangin taksa atanga iron tam lutuk a paih chhuak thei a ni.
- Natna dang, damdawi i ei leh allergy i neih apiang chu i doctor hnenah hrilh fo ang che.
- He damdawi hi ei lai hian iron tablet ei loh tur a ni . Damdawi lam thurawn tel lo chuan vitamin C ei loh tur a ni.
- I mit hmuhna, i hriatna, allergy symptoms, emaw thawk harsatna i neih chuan i doctor hnenah hriattir nghal rawh .
- He damdawi hi i ei lai leh i ei zawh hnu thla khat chhung chu naupai venna kawng dik tak hmang ngei ang che .
- Zawhna emaw, lungkhamna emaw i neih chuan i doctor nen sawiho hlau ngai suh.
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