Lung natna atana stent dah hnua heng damdawi pahnih pek chungchang hi chiang takin kan hre tur em ni? (Dual Antiplatelet Therapy hmanga enkawlna) tih a ni.

Tun hnaiah heart attack i nei tawh em? A nih loh leh i thinlung chhunga artery pakhatah stent dah i nei tawh em? I doctor chuan damdawi chi hnih a pe che a ni mai thei. Pakhat chu aspirin a ni mai thei. A dang chu hming dang nei pill a ni mai thei. Chuvangin, "Engvangin nge natna inang chiah atan damdawi hrang hrang pahnih min pek?" Hei hi mi tam takin zawhna an neih a ni. Vawiin hian DAPT, a nih loh leh Dual Antiplatelet Therapy chungchang kan sawi dawn a, hei hi mi tam tak tan chuan damdawi pawimawh tak, nunna chhanhim thei tak a ni.

DAPT chu eng nge ni? A awlsam zawngin i hrethiam ang u.

Hei hi hrethiam tur chuan kan thisen chungchang tlem kan hriat hmasak a ngai a ni. Kan thisenah hian thisen sen (red blood cells) te, thisen var (white blood cells) leh cell chi hrang hrang te te a awm a. Chungte chu platelet an ti a . Heng platelet te hna ber chu kan taksa hmun dangah hliam a awm chuan thisen chhuah tihtawp a ni a, chu hmunah chuan an tlan nghal a, an inzawm khawm a, thisen chhuah tihtawp nan mesh an siam a ni. Pipe chhe tawh chungah rang taka plaster dah ang mai a ni. Hei hi thisen zam kan tih chu a ni . Hei hi kan nunna chhanhimna atana thil pawimawh tak a ni. Mahse, buaina chu he thisen zam hi a thlen tur loh a\angin a intan a, chu chu kan thisen kalna kawng pakhat chhunga a thlen chuan a ni. Thinlung thlenga thisen phurtu vein-ah thisen zam a lo awm a nih chuan eng nge thleng ang tih han ngaihtuah teh? Chu thisen kalna chu a inkhar a, thinlunga thisen kal chu a titawp a, heart attack (Myocardial Infarction) a thlen a ni. Tin, he thisen zam hi thluaka a kal chuan stroke a thlen thei bawk . Chuvangin, Dual Antiplatelet Therapy (DAPT) hi chutiang thisen zam hlauhawm tak takte chu thisen zam chhunga lo awm tur titawptu damdawi a ni. Hemiah hian damdawi chi hnih "Antiplatelet" an tih chu pek khawm a ni. Antiplatelet hi damdawi a ni a, chu chuan platelet a inzawm khawm loh nan a veng a, chu chu thisen zam a siam loh nan a veng tihna a ni. "Dual" tih hi pahnih tihna a ni. Chuvangin, hei hi Dual Antiplatelet Therapy an ti a, a chhan chu damdawi chi hnih pek dun a nih vang a ni.

He DAPT enkawlna hi tute nge mamawh?

Doctor ten he enkawlna hi mi zawng zawng hnenah an pe lo. An thisen kalna kawng (vein)-a thisen zam (blood clots) awm theihna chance sang tak nei te tan chauh pek a ni. He enkawlna hi a hnuaia mi ang hian pek a ni tlangpui.

DAPT tan hian eng damdawi nge pek thin?

DAPT enkawlnaah hian damdawi chi hnih pek khawm a ni kan ti. Chu damdawi chi hnih chu: 1. Aspirin: Hei hi mi tam takin in hriat tawh damdawi a ni. Painkiller atan hian a tam zawka hman ni mah se, thinlung natna vei te thisen zam a awm loh nan a tlem em em a pek thin a ni. 2. P2Y12 Inhibitor group-a damdawi pakhat: Hei hi damdawi pahnihna a ni. He pawla tel ruihhlo chi hrang hrang a awm a.

• Clopidogrel a ni
• Prasugrel a ni
• Ticagrelor a ni

I doctor chuan heng damdawi pathum zingah hian eng damdawi nge pek tur che tih leh eng dose nge pek tur che tih a rel ang .Thil tam takah a innghat a, chu chu i damdawi lam dinhmun, kum, leh damdawi dang i neih leh neih loh te hi a ni.

DAPT enkawlna hian eng hlawkna leh hlauhawmna nge a neih?

Enkawlna dang ang bawkin DAPT enkawlna hian hlawkna a nei a, hlauhawmna engemaw zat a nei bawk. A pahnih hi hriat chian a pawimawh.

Thisen chhuah theihna tur tlem tal...

"Risk of bleeding" tih i hriat hian hlau suh. Hei hian thil tenawm tak tak atanga thil pawi tak thlengin a kawk thei a ni.

• Thisen chhuah tenau: Ha sil laiin ha zung thisen chhuah te, hnar thisen chhuak te, hliam tenau i neih hnua rawn sen nghal vat te hi a awm fo thin.
• Thisen chhuahna nasa tak: A tlem hle nachungin, pum emaw, intestines emaw-ah thisen chhuah (Gastrointestinal bleeding ) a awm thei. Hei hian ek chhungah thisen a thlen thei a, ek a dum thei bawk. Chu aia tlem zawk chu thluak chhungah thisen a chhuak thei a ni.

Side effect leh damdawi dang nena inzawmna

DAPT ei thin thenkhat chuan side effect tenau te an nei thei bawk.

• Thâwk harsa
• Zun chhunga thisen (Haematuria) .
• Bruising a awm
• Thisen a platelet awm zat tlahniam ( Thrombocytopenia ) .
• Hnar polyps a awm
• Hnar thisen chhuak (Epistaxis) .

Tin, DAPT i ei dawnin i damdawi ei tur dang i doctor hnenah i hriattir tur a ni. A chhan chu damdawi thenkhat hian DAPT thatna a tibuai thei a ni. A bik takin heng damdawi te hi fimkhur hle ang che.

• Thisen tithianghlimtu damdawi dang ( Anticoagulants ): Warfarin ang damdawi i ei a nih chuan thisen chhuah theihna a sang zawk hle.
• Painkillers (NSAIDs): Damdawi Ibuprofen leh Diclofenac te hman fo hian pum thisen chhuah theihna a tipung thei a ni.
• Depression damdawi thenkhat (Antidepressants).
• Gastritis damdawi (Proton Pump Inhibitors): Omeprazole ang chi damdawi.

Chuvangin i doctor hnenah i ei zawng zawng, pill, vitamin leh traditional medicines te pawh sawi chhuah theihnghilh suh.

He damdawi hi eng chen nge ka ei a ngaih?

Hei hi mi tam tak tan pawh harsatna a ni. DAPT ei hun chhung hi mi zawng zawng tan a inang vek lo. Mi tin a inang lo.

• Mi thenkhat chuan hun rei lote chhung atan an pe thei a, thla khat emaw thla hnih emaw vel ang chi hi a ni.
• Mi tam tak chuan kum khat emaw a aia rei emaw chhung an in a ngai thin.
• DAPT enkawlna i chawlhsan hnuah pawh i doctor chuan i dam chhung zawng aspirin chauh ei turin a hrilh thei che a ni.

He hun hi i doctor-in a ruat a ni. A nghawngtu thil engemaw zat a awm a:

• DAPT (heart attack? Stent dah a nih vang?) i hman tan chhan chu eng nge ni.
• I kum leh i hriselna zawng zawng.
• Thisen chhuah theihna risk engzat nge i neih?
• Nakin lawkah heart attack emaw stroke emaw neih leh theihna a awm.

DAPT i ei hian i inven nan eng nge i tih tur?

Hetiang enkawlna i neih lai hian i himna tur pawh i ngaihtuah a ngai bawk. Hengte hi tanpui theihna tur thil awlsam tak tak i tih theihte chu a ni.

• I damdawi chu a hun takah ei rawh: I damdawi chu i doctor-in a tih ang chiah khan ei la , ni engmah skip lovin . Dose i miss chuan thisen zam a siam thei. Doctor zawt lovin i damdawi ei kha bansan ngai suh.
• Medical ID card vuah tur a ni:A theih chuan DAPT i ei tih ziakna bracelet emaw card emaw keng fo ang che. Emergency a lo thlen chuan hei hian i enkawltu te chu thisen tithianghlimtu i ei tih an hriat theih nan a pui ang.
• I doctor zawng zawng hnenah hrilh rawh: Ha enkawltu i pan dawn emaw, operation dang i nei dawn emaw pawh nise, DAPT i ei thu i hrilh tur a ni, surgery thenkhatah chuan he damdawi hi rei lo te chhung atan i chawlhsan a ngai a ni.

Damdawi lam pan vat ngai symptoms te chu engte nge ni?

Heng symptoms te hi i neih chuan thisen chhuahna nasa tak a ni thei. Chuvangin, tihkhawtlai suh la, doctor ko nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh. Tin, damdawi i ei tam lutuk nia i rinhlelh chuan doctor ko nghal rawh. Anih loh chuan,Colombo National Hospital-a National Poison Information Center-ah pawh thurawn dil theih a ni bawk. DAPT, Dual Antiplatelet Therapy, thisen zam, heart attack, stroke, stent, aspirin, clopidogrel, Clopidogrel, thinlung natna, thisen tithianghlimtu