Nang emaw, i fa emaw hian tuihalna i nei reng em? Tin, i zun fo em? I fa hian zanah khum a hnim a ni mai thei. Chutiang hunah chuan i doctor chuan ‘Desmopressin’ tih pill a pe thei ang. He damdawi hi hman a nih fo avangin, leh a hman hunah fimkhur hle a ngai a, vawiin hian he Desmopressin pill hi thu awlsam takin kan sawi dawn a ni.
Desmopressin hi eng nge ni?
A awlsam zawngin sawi ila, Desmopressin hi kan taksain a pianphung a siam chhuah hormone ‘Vasopressin’ nen a inang lab-a siam, synthetic hormone a ni. Kan taksaa hormone Vasopressin hian thluak atanga kal (kidney)-ah signal a thawn a, chu chuan taksa atanga tui chhuak chu zun angin a control a ni. Chuvangin, he Desmopressin pill hian chutiang bawk chu a ti a ni.
A hna ber chu kal atanga zun chhuah zat control hi a ni. Chu chu taksa a\anga tui \ul lova hloh tur a tihziaawm a, taksa tui inthlauhna vawng reng turin a pui tihna a ni. Sri Lanka ramah chuan he damdawi hi brand name DDAVP hnuaiah i hmu mai thei.
He damdawi hi eng nge a hman tangkai dan?
Doctor-te chuan he damdawi hi thil awmdan engemaw zat atan an pe ber a ni.
- Central Diabetes Insipidus: Hei hi thluaka hormone Vasopressin a siam tlem zawkna a ni. Chumi avang chuan zun tam lutuk leh tuihal lutuk a awm thin. Desmopressin hian he natna hi a thunun thei hle.
- Bed-wetting / Nocturnal Enuresis: He harsatna atan hian doctor-te chuan he damdawi hi an rawt a, a bik takin naupang kum 4 chunglam tan. Zanah zun a chhuak tlem a, naupang khum a hnim loh nan a pui bawk.
- Lu hliam emaw, zai emaw hnuah: Lu hliam na tak emaw, thluak zai thenkhat emaw hnuah chuan hormone vasopressin hnathawh chu hun engemaw chen a tichhe thei a ni. Chutiang hun laia zun tam lutuk control nan pawh hman a ni.
Damdawi ei hmaa doctor hnena i hrilh tur thilte
Desmopressin i pek hmain i hriselna chanchin kimchang i doctor hriattir hmasak a pawimawh hle a , a bik takin heng natna zinga pakhat tal i neih chuan.
- Tun hmaa thisen zam i neih tawh chuan
- Cystic Fibrosis ang chi natna i neih chuan
- Lung natna emaw, thisen sang emaw i neih chuan
- Kidney natna chi hrang hrang i neih chuan
- Tun hmaa thisen sodium level hniam tih hmuhchhuah i nih chuan (hei hi a pawimawh hle) .
- Desmopressin, Vasopressin emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan
- Naupai emaw, nau pai tum emaw i nih chuan
- Nuin a fa hnute a pek chuan
Heng thute a\ang hian doctor chuan he damdawi hi i tan a tha em tih leh a pek tur zat a rel ang.
Engtin chiah nge he damdawi hi ka hman ang?
He damdawi hman dan dik tak hriat a pawimawh hle.
- He pill hi tui glass khat nen ei tur a ni.
- Damdawi hi doctor-in a tih ang chiah chiah ei a pawimawh hle. Ni khatah vawi khat i ei chuan nitin (a tlangpuiin zan mut hmain) hun khatah ei thin ang che.
- Doctor-in a tih aia tam in ngai suh .
- He damdawi hi naupang hnena pek dawnin: He damdawi hi naupang hnena pek dawnin naupang enkawltu thupek dik tak zawm tur a ni.
- I ei tam lutuk chuan: He damdawi hi i ei palh avanga i ei tam lutuk 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.
He damdawi hi i tan chauh pek a ni. Midang hnenah pe suh, i natna lan chhuah dan ang chiah kha nei mahse. A hlauhawm hle mai thei.
Damdawi dose i ei loh chuan engtin nge i tih ang?
Dose i ei theihnghilh chuan i hriatreng veleh ei nghal rawh. Mahse i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, i dose leh tur chu a hun ruatah ei rawh. Double dose ei ngai suh.
Damdawi ei huna fimkhur bik tur thil
Hei hi a pawimawh ber a ni. He damdawi i ei hian i nunphung thenkhatah fimkhur hle a ngai a ni.
Fluid Intake - Ngaihtuahna Number One!
Hei hi a pawimawh ber a ni . Desmopressin hian taksaah tui a tikhawlo a, chuvangin tui i in zat hi i fimkhur hle a ngai a ni.
Doctor-te chuan, "Tui hmangin tuihalna tihreh rawh" tiin an fuih tlangpui. Chhiar la, la chhuak rawh, la rawhSil la, silfai rawh Hrilh la, la rawh Hrilh la, la rawhTake it easy, take Hlo la, la chhuak rawh, la rawh Chhiar la, la chhuak rawh, la rawhRelax la, relax rawhChu chu paih bo la, get Hlo rawh, get Hboral rawh, la rawhChu chu paih bo la, "Ngawi rawh, ngawi rawh.". Tui in tam emaw, in tlem lutuk emaw hian a pawi thei hle. He damdawi hian i taksain tui a vawn tlat avangin tui i in tam chuan i thisen sodium level chu hlauhawm takin a tlahniam thei a ni.
Natna te
I pum na, luak chhuak emaw, luak chhuak emaw i neih chuan, khawsik leh natna i neih chuan he damdawi hi ei kha bansan nghal la, doctor rawn rawh. Hei hi a chhan chu he hun chhung hian taksa a\angin tui tam tak a bo thei a, damdawi hman chhunzawm chuan Sodium level-ah nasa takin a tidanglam thei a ni.
He damdawi avanga side effects awm thei te
Damdawi dang ang bawkin Desmopressin hian side effect a nei thei a ni. Ṭhenkhat chu tenau tak ni mah se, ṭhenkhat chu ngaihven bik a ngai a ni.
| Side Effect a awm thei | Description leh tih tur |
|---|---|
| Side effects te chu doctor hnenah hriattir nghal tur a ni | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring. Damdawi lam thurawn zawng nghal rawh. |
| Taksa chhunga sodium level tlahniam chhinchhiahna | Lu na nasa tak, mutthilh, luak chhuak, buai, luak chhuak, luak chhuak, taksa ruh hring, rilru hah, emaw, seizures. Hei hi emergency a ni. ETU ah kal nghal rawh. |
| A taksa rihna sang emaw, a hring emaw | Ke emaw ke ruh emaw a hring, rang taka taksa rihna a pung. Hei hi taksaa tui awm rengna chhinchhiahna a ni. |
| Thâwk harsa | Thâwk harsa, rilru na emaw, tightness emaw. |
| Heart rate a inthlak danglam thin | Thinlung thawk chak emaw, mumal lo emaw. |
| I doctor hnena hrilh tur thilte chu a awm reng emaw, a buaithlak emaw a nih chuan | |
| Lu na | Lu na deuh a awm thei. |
| Kawng a vawt | Kawng a vawt tih hriatna. |
| Nausen natna (mild nausea) a awm | Ṭhenkhat chu pum natna emaw, rilru hahna emaw. |
Engtin nge damdawi hi him taka i vawn reng?
- Naupangte hmuh theih lohna hmunah dah ngei ngei tur a ni .
- Room temperature (20-25 degree Celsius inkar) ah dah tur a ni. Khua lum lutuk leh ni êng direct lakah venhim rawh.
- Damdawi expire tawh chu hmang lovin paih mai rawh.
Take-Home Thuchah a ni
- Desmopressin hi kal atanga zun chhuah zat control thei damdawi a ni a, damdawi lam thurawn chauha hman tur a ni.
- He damdawi i ei lai hian tui i in zat hi fimkhur hle ang che. Doctor-in a tih aia tam emaw, tlem emaw tui in suh.
- Lu na nasa tak, luak chhuak, buai, emaw luak chhuak ang chi symptoms i neih chuan thisenah sodium level tlahniam chhinchhiahna hlauhawm tak a ni thei. Doctor pan nghal rawh.
- Damdawi ei kha bansan la, ril\am, pum na, khawsik i neih chuan doctor rawn rawh.
- He damdawi hi i tan chauh a ni. Eng vangin pawh midang hnenah share suh.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Desmopressin / DDAVP tablet hi eng atan nge hman?
Hei hi naupang 'diabetes insipidus' leh 'bedwetting' tam lutuk tihtawp nan damdawi tha tak a ni! Kan thluak siam natural hormone (ADH) chu artificial takin taksaah a inject a, zun anga chhuak tui chu a la lut leh thin.
💬 He synthetic hormone (Desmopressin) hmang hian engtin nge zun chak lohna/khum hnim na tak chu tihtawp theih ang?
A tlangpuiin thluak hian kan kal (kidney)-ah hormone ‘ADH’ hmangin ‘taksa chhunga tui awm reng’ turin thupek a thawn thin! Mi thenkhat thluak hian hei hi a siam chhuak lo. He damdawi (pill/spray) hi taksaa a luh chuan kal (kidney-a V2 receptor)-ah direct-in a kal a, tui luh theihna gate zawng zawng a khar vek a, tap off ang chi, zun siam chhuah 100% a titawp a ni.
💬 Zun siam chhuah titawptu pill (Desmopressin) ei hian eng nge hlauhawm (Black Box Warning) lo awm thei?
Hei hi a hlauhawm ber chu ‘Hyponatremia / Water Intoxication’ a ni! I zun loh avangin he pill i ei hnua tui/tui tam tak i in chuan chu tui zawng zawng chuan i taksa a luah khat vek ang a, i thisena chi 100% chu a bo vek ang. Salt a tlak chuan damlo chuan seizures a nei nghal thei a, coma-ah a lut a, a thi thei bawk! (Chuvangin tui i tuihal em em a nih chuan hei hi in suh).
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