I doctor khan thisen sang i nei tih a hrilh che em? A nih loh leh, a châng chuan i ke, i kut, a nih loh leh i pum a hring ang maiin i inhria em? Chutiang a nih chuan i doctor chuan "water pills" tih damdawi a pe che a ni mai thei. Damdawi lam hawi chuan hengte hi diuretics kan ti a. Mi tam takin heng damdawi te hi an hre chiang lo. Chuvangin vawiin hian he thu hi awlsam takin, i hriatthiam theih dan tur angin i sawi dawn nia.
A awlsam zawngin, diuretics chu eng nge ni?
Diuretics hi damdawi chi khat a ni a , chu chuan i taksain tui leh chi tam lutuk chu zun hmangin a paih chhuak thei a ni . Heng damdawi i ei hian zun tam a ngai a ni. Hei hi an hnathawh dan chu a ni. Chuvang chuan doctor-te chuan zing lama ei tur an rawt tlangpui. Zanah i la a nih chuan, muthilh lohvin bathroom-ah i tlan chhuak mai ang tih han ngaihtuah teh!
Tunah chuan hei hian engtin nge hna a thawh tih i en ang u. He damdawi hian i kal (kidney) a nghawng nghal vek a ni. He damdawi hnathawh ber chu kal (kidney)-ah ‘signal’ pek a ni a, thisen chhunga chi leh tui tam zawk chu filter chhuakin zun angin a paih chhuak thin.
Chutianga i taksaa tui tam zawk chu a tlahniam chuan i thinlungin thisen a pump tur zat pawh a tlahniam bawk. Hei hian thinlunga hnathawh tur a tihtlem phah a ni. Tin, thisen kalna kawng chhunga pressure a tihniam bawk. Hei hi thisen sang control na chhan ber a ni.
He damdawi hi pill anga ei a ni tlangpui a, mahse emergency thenkhatah chuan damdawi inah saline line hmangin thisenah (IV) pek 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 dinhmun a zirin i tana tha ber chi chu a ruat ang.
| Diuretic chi hrang hrang | Hrilhfiahna leh entirnan awlsam tak |
|---|---|
| Thiazide hmanga zun chhuah thin | Hei hi thisen sang tan chuan hman tlanglawn ber a ni. Entirnan: hydrochlorothiazide, chlorthalidone te hi a ni. |
| Loop diuretics hmanga siam a ni | Hengte hi damdawi chi khat chak deuh deuh a ni. Kidney function hniam (low GFR) leh heart failure nei te hnenah pek an ni tlangpui. Entirnan: furosemide, bumetanide tih te hi a ni. |
| Potassium tlem thei tur diuretics | A chi dang chuan taksaa potassium level a tihniam thei a ni. Mahse he chi hian taksa atanga potassium lakchhuahna a control a ni. Entirnan: triamterene, amiloride tih te hi a ni. |
| Combination pills hmanga siam a ni | A châng chuan potassium level inthlauhna atan a chunga kan sawi pahnih hi an inzawm khawm a, pill pakhat angin an pe ṭhin. Entirnan: triamterene leh hydrochlorothiazide te hi a ni. |
Diuretics hi eng condition atan nge hman?
Doctor-te chuan he damdawi hi natna hrang hrang enkawlna atan an pe thin. Chung zinga a tam ber chu:
- Thisen sang: Hei hi hman tlanglawn ber a ni.
- Heart failure: Thinlung hnathawh a chhiat chuan taksaah tui a lo pungkhawm (ke ruh hring ang maiin). Chûngte chuan chu tui chu tihtlem nân a ṭanpui thei a ni.
- Cardiomyopathy: Lung ruh tichhe thei natna.
- Pulmonary edema: Lung chhunga tui awmkhawm avanga thawk harsa.
- Ascites: Liver natna ang chi dinhmun avanga pum chhunga tui awmkhawm .
- Kidney failure: Kidney-in zun a filter tha loh chuan.
- Nephrotic syndrome: Protein tam lutuk zun atanga chhuak thin natna.
- Hengte hi special case-ah pawh hman a ni a, chu chu intraocular pressure sang leh intracranial pressure sang te a ni.
He damdawi hian side effect a nei em?
Damdawi dang ang bawkin diuretics hian side effect engemaw zat a nei thei a ni. Mahse, lungngai suh, heng zawng zawng hi mi zawng zawngah a thleng vek dawn lo.Mi tam zawk chuan hengte hi harsatna awm lovin an hmang thei a, mahse hei hi hriat chian a pawimawh hle.
- Pum natna, pum na, emaw, ril\am emaw
- Chaw chakna
- Lu na leh hah lutuk
- Sam tlakchham (a tlem) .
- A chi thenkhat chuan taksaah potassium level a hniam tir thin.
- Muscle a ti na hle
- Zunthlum vei te thisen sugar level tlem a sang
- Taksa chhunga electrolytes awm zat inthlauhna
- Gout tih hi a ni
- Erection neih harsat
A pawimawh ber chu he damdawi hi i ei lai hian i doctor chuan i kal hnathawh leh potassium level ang chi thil te chu thisen leh zun test hmangin a enfiah fo ang. Chuvangin, chu test te chu i doctor-in a tih angin i tihsak a pawimawh hle.
Naupai, nau hnute i pek emaw, kal emaw, thin emaw natna khirh tak i neih chuan he damdawi hi i hman hmain i doctor i biak hmasak phawt a ngai a ni.
He damdawi hi ka ei dawnin engtin nge ka fimkhur ang?
Diuretics ei lai hian hriat tur tlemte a awm.
1. Tui in tam: He damdawi hian taksa a tui tlakchham avangin dehydration a thlen thei a ni. Chuvangin nilengin tui tling in in thin ang che. Mahse, lung natna ang chi natna i neih chuan doctor hnenah ni khata tui i in tur zat zawt la.
2. Control salt: I chaw eiah chi i dah zat tihtlem. A chhan chu chi (salt) hi i taksain tui a vawng tlat a ni. Damdawi hmanga tui i paih chhuah lai hian i chaw eiah chi (salt) telh chu awmzia a nei lo.
3. I damdawi ei tur chu a pek ang chiah chiah ei rawh: Damdawi hi a pek ang chiah chiah ei la, i doctor-in a hrilh che hunah. Engtik lai pawhin damdawi hi tihpun leh tihhniam ngai suh, ei kha titawp ngai suh.
4. A hun takah clinic-ah kal: Doctor nena in appointment te chu skip suh. Chumi hnuah chauh chuan i dinhmun chu dik taka enfiah theih a ni a, a tul anga tihdanglam theih a ni bawk.
Engtikah nge Doctor ka hmuh ang?
He damdawi hi a tlangpuiin a him a, mahse a hnuaia symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh.
- Heart rate dik lo (heart palpitations) i hriat chuan .
- I luak chhuak fo thin a nih chuan
- Dehydration symptoms i neih chuan, hmui a vawt, mit a pil, emaw, zun chhuah a tlahniam nasa hle
- Thil dang danglam tak, na tak tak a awm chuan
Damdawi thar i hman tan tirh hian tlem a hlauthawng tih hi thil pangngai a ni. Zun tam zawk a ngai thin hi a thiam theih nan hun rei tak a ngai a ni. Mahse chu chu damdawi chuan hna a thawk tihna a ni. I damdawi ei chungchangah harsatna i neih chuan i doctor nen sawiho la, chi dang pan dan tur.
Take-Home Thuchah a ni
- Diuretics hi damdawi chi khat, zun hmanga taksa atanga tui leh chi tam zawk paih chhuaktu a ni a, thisen sang leh heart failure ang chi natna enkawlna atan hman a ni.
- Doctor-te chuan he damdawi hi zing lamah a theih ang anga ei turin an fuih a, zun tam a thlen theih avangin.
- He damdawi hi i ei lai hian i doctor-in a sawi angin thisen leh zun test ngei ngei tur a ni .
- I doctor thurawn tel lo chuan a dose thlak ngai lo la, damdawi ei kha titawp ngai suh.
- Simptom danglam tak tak, luak chhuak emaw, heart rate sang emaw i neih chuan doctor rawn nghal tur a ni.
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