I doctor-in damdawi chi khat ‘water pills’ an tih chu a rawn pe che em? I thisen sang emaw, i swelling emaw vang pawh a ni mai thei. Mi tam tak chuan heng damdawi te hi an ei hian a nuam lo deuh niin an hria a, a chhan chu zun tam zawk an mamawh vang a ni. Chuti a nih chuan, heng tui pill te hi eng tak nge ni? Damdawi lam hawi chuan diuretics kan ti a. Taksa chu engtin nge an tih? Heng zawng zawng hi i hriatthiam theih tur awlsam takin sawi ila.
Diuretics chu eng nge ni? Engtin nge hna an thawh?
A awlsam zawngin, diuretics hi i taksain tui leh chi tam lutuk chu zun hmanga a paih chhuah theihna tura puitu damdawi a ni . Hei vang hian ‘tui pill’ an ti bawk.
Sponge tuiah a hnim tawh tih han mitthla teh. Kan hrual chuan tui tam lutuk zawng zawng a chhuak vek a ni lawm ni? Chu chu heng damdawi te hian kan taksaah an ti thin.
Heng damdawi te hian kan kal (kidney) te hi direct-in a nghawng a ni. Kidney-te chu "thisenah chi leh tui tam zawk dah la, zun-ah paih chhuak turin" signal an pe a ni. Hetiang thil a lo thlen hian eng nge thleng?
1. I thisen kalna kawnga tui awm zat a tlahniam: I taksain tui a hloh chuan i thisen kalna kawnga thisen kal zat pawh a tlahniam deuh bawk.
2. Thinlung chunga hna thawh tur a tlahniam: Thisen kalna kawnga tui a tlakhniam chuan thinlungin hna a pump tur zat a tlahniam a. Tui pump-a pipe te tak te i bun ang bawkin a chunga hnathawh tur chu a tlahniam a ni. Hei hi heart failure ang chi natna nei tan chuan a pawimawh hle .
3. Thisen sang a tihniam: Lung chunga hna thawh tur a tlahniam a, thisen kalna kawng a tlahniam chuan i thisen sang chu a thunun thei a ni. Diuretics thenkhat chuan thisen kalna kawng a tizau bawk. Hei hian pressure a tihhniam bawk.
He damdawi hi pill anga ei a ni tlangpui. Mahse a chang chuan damdawi inah saline solution (IV) hmangin pek theih a ni. I zun fo dawn avangin a theih phawt chuan zing lamah he damdawi hi ei a tha ber . Chutiang a nih loh chuan zanah i tho a ngai dawn a ni.
Diuretics chi hrang hrangte chu engte nge ni?
Diuretics hi chi hrang hrang a awm a. An vai hian kal hmun hrang hrangah nghawng neiin hna an thawk vek a ni. I doctor chuan i damdawi lam dinhmun a zirin i tana tha ber tur chi chu a ruat ang.
| Diuretic chi hrang hrang | Ruihhlo hman tlanglawn tak tak | Point bikte chu |
|---|---|---|
| Thiazide hmanga inthiar chhuak thin | Hydrochlorothiazide, Chlorthalidone hmanga siam a ni | Hei hi thisen sang tan chuan damdawi chi khat a ni. |
| Loop diuretics hmanga siam a ni | Furosemide, Bumetanide hmanga siam a ni | Chungte chu thiltithei tak an ni. Hengte hi kal hnathawh hniam (GFR hniam - Glomerular Filtration Rate) nei te tan pek thin a ni. |
| Potassium tlem thei tur diuretics | Triamterene, Amiloride hmanga siam a ni | Hengte hian taksaa potassium level a tul lova a tlahniam loh nan a veng ang. |
| Combination pills hmanga siam a ni | Triamterene leh Hydrochlorothiazide te hi a inzawm khawm a ni | Tablet pakhatah hian chi hnih a awm a. Hei hian potassium level inthlau tak a awm theih nan a pui thin. |
He damdawi hi eng dinhmunah nge hman a nih?
Diuretics hi damdawi chi khat a ni a, natna hrang hrang tan a tangkai hle. An hman ber chu:
- Thisen sang: Hei hi a chhan ber a ni.
- Heart failure: Lung chunga hnathawh tur tihtlem.
- Edema: Tui tam lutuk avanga ke, kut leh ke ruh a hring .
- Cardiomyopathy: Lung ruh chak lohna hmunah.
- Pulmonary edema: Hei hi emergency a ni.
- Ascites: Ascites chu thin natna ang chi natna avanga pum chhunga tui awmkhawmna a ni .
- Kidney failure: Kal hnathawh that loh chuan.
- Nephrotic syndrome: Protein tam lutuk chu zun atanga chhuak a ni.
- Tin, thil dang bik, mit pressure sang leh thluaka pressure sang te tan pawh hman a ni.
A pawimawh ber chu he damdawi hi doctor-in a pek loh chuan hman ngai loh tur a ni. Tin, mi dangin an pek che i hmuh avang leh nangmah pawhin symptoms inang i nei nia i ngaih vang mai maiin la suh.
Chuvangin side effects a awm lo em ni?
Damdawi dang ang bawkin, side effect awm thei engemaw zat a awm. Mahse, mi tam zawk chuan side effect na tak an tawk lo. Hengte hi a tlangpuiin:
- Zun tam (hei hi side effect tak tak a ni lo, damdawi hnathawh dan chauh a ni) .
- Luak chhuak , hahna
- Tui tlakchhamna (dehydration). Hei hi tui i in tlem chuan a thleng thei.
- Muscle a ti na hle. Hei hi taksaa potassium level hniam vang a ni thei.
- Pum natna, pum na emaw, pum na emaw
- Chaw chakna
- Mi thenkhat chuan gout an vei thei bawk .
- Zunthlum vei zingah chuan sugar level a sang deuh thei
- Mipain sexual dysfunction an neih theihna chance tlem a awm bawk.
He damdawi hi i ei lai hian i doctor chuan i kal hnathawh leh electrolyte level, potassium ang chi enfiah nan thisen test mumal tak neih a ti mai thei. Heng test te hi tih fo a pawimawh hle.
He damdawi hi ka ei dawnin eng thil nge ka fimkhur ang?
Diuretics i ei hian thil tenau tlemteah pawh fimkhur a ngai bawk.
1. Chi ei tlem: Chi i ei tam chuan he damdawi thatna a tibuai thei a ni. Chuvangin i ei tur a chi (salt) chu tihtlem rawh.
2. Tui tam tak in la, tui tlakchham loh nan: Zun fo hian i taksa a ti tui lo thei. Chuvang chuan ni khatah tui dik tak in tur a ni. I doctor hnenah ni khatah tui engzat nge i in tur tih zawt rawh.
3. Damdawi hman dan tur thlak danglam suh: I rilru a hahdam a nih pawhin i doctor-in a tih hma loh chuan damdawi ei kha bansan suh emaw, thlak danglam emaw suh.
4. Damdawi lam test leh appointment neih loh tur: Doctor-in a tih angin a hun takah thisen leh zun test tir rawh. Tin, i scheduled appointment-ah pawh kal ngei ang che.
5. Naupai emaw, nau neih i tum emaw a nih chuan: Doctor hnenah hrilh nghal rawh, naupai lai hian damdawi \ha tak tak a danglam thei a ni.
Engtik hunah nge Doctor ka hmuh ang?
A hnuaia mi hi i tawng a nih chuan i doctor nen inbiakna neih a tha ang:
- I thinlung a na lutuk (heart palpitations) i hriat chuan .
- I luak chhuak reng a nih chuan (Dizziness) .
- Dehydration tilang thei symptom i neih chuan, hmui leh hmui a vawt , zun chhuah tlem leh zun dum, emaw, chau lutuk tih te.
Damdawi thar i hman tan tirh hian tlem a hlauthawng tih hi thil pangngai a ni. ‘Tui pill’ hi hman thiam theih nan ni engemaw zat a ngai. Mahse, zun tam lutuk hian damdawi chu a thawk tha tihna a ni tih hre reng ang che. Side effects i neih chuan i doctor nen damdawi dang hman dan tur sawipui rawh.
Take-Home Thuchah a ni
- Diuretics, a nih loh leh ‘water pills’ tih hi zun hmanga taksa atanga tui leh chi tul lo tak tak paih chhuaktu damdawi chi khat a ni.
- Hengte hi thisen sang, lung natna, leh taksa vulhna atan te hman tlanglawn tak a ni.
- He damdawi ei hian zun tam hi a awm fo thin. Chuvang chuan damdawi ei tur chu zing lamah ei a tha ber.
- Side effects te, dehydration leh potassium level hniam te hi hre reng ang che. I doctor thupek ang chiah kha zawm rawh.
- Side effect nuam lo tak i neih chuan doctor hnenah hrilh nghal rawh. Damdawi ei kha bansan ngai suh la, nangmah chauhin a dose pawh thlak ngai suh.
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