Thisen zam venna tur damdawi chi hnih? Dual Antiplatelet Therapy (DAPT) chungchang hi han sawi ila

Heart attack i nei tawh em, a nih loh leh stent i dah tawh em, a nih loh leh bypass surgery i nei tawh em, i doctor-in damdawi pahnih a ruala ei turin a hrilh che em? Hemi chungchangah hian mi tam tak chuan an buai deuh a ni. "Engvangin nge damdawi pahnih min pek?" leh "Hei hian harsatna a thlen dawn em?" rilruah lo kal turin. Chuvangin, vawiin hian he damdawi hmanga enkawl dan, Dual Antiplatelet Therapy (DAPT) chungchang kan sawi dawn a ni.

A awlsam zawngin, DAPT chu eng nge ni?

DAPT hi combination therapy a ni a, thisen tithianghlimtu damdawi chi hnih hman a ni. A bik takin, aspirin chu damdawi dang P2Y12 inhibitor tih nen pek i ni.

Tunah en teh, kan taksa khawi emaw laiah hliam kan neih chuan thisen chhuah chu a reh a, a chhan chu thisen a tla a, hliam chu a khar a ni. Chu chu thil tha tak a ni. Mahse, chhan awm lovin kan thisen kalna kawngah thisen zam a lo awm a nih chuan eng nge thleng ang? Kawngpuiah traffic jam awm hi han mitthla teh, motor inzawm khawm ang maiin, heng thisen zamte hi kan thisen kalna kawngah a tang thei a ni. Chutiang thisen zam chu thinlung lam panna thisen kalna kawngah a tlakbuak chuan heart attack a awm thin. Thluak lam panna thisen kalna kawngah a tlakbuak chuan stroke a awm thin.

Chuvangin he DAPT enkawlna hian a tih chu kan thisena platelet, cell te te te chu an inzawm khawm a, an inzawm khawm loh nan a veng a ni. Chutiang chuan he enkawlna hian thisen zam (thrombosis) hlauhawm tak tak siam chu a titawp thei a ni.

Tute nge DAPT enkawlna mamawh ber?

Doctor-te chuan hriselna lama thil thleng hnuah leh a lo thleng leh theihna tur hlauhawma awmte tan he damdawi hi an pe tlangpui. A hnuaia table hi en rawh.

DAPT enkawlna hian eng hlawkna leh hlauhawmna nge a neih?

Enkawlna dang ang bawkin hei hian hlawkna a neih bakah hlauhawmna engemaw zat a nei bawk.

• A hlawkna ber: Thisen zam venna hmangin heart attack emaw stroke emaw neih leh theihna chu nasa takin a tlahniam a ni . He damdawi hi nunna chhanhimtu a ni a, a bik takin stent dah tawh tan chuan nunna chhanhimtu a ni.

• Risk ber: Heng damdawi te hian thisen zam a veng avangin thisen chhuah theihna a awm.
• A lan chhuah dan tlangpui chu gastrointestinal bleeding a ni .
• Hliam tenau emaw, hliam tenau emaw pawh hian a tlangpui aia thisen a chhuah tam thei.
• A tlem hle a, thluak chhunga thisen chhuak ang chi natna khirh tak tak a awm thei.

Damdawi dang hmanga side effect leh harsatna awm thei

Side effect hmuh tur awm fo

Mi thenkhat chuan he damdawi hi an ei lai hian a hnuaia mite hi an tawng thei a ni:

• Thâwk harsa
• Zun chhunga thisen (Hematuria) .
• Taksaah hian sawifiah theih lohvin hliam a awm
• Hnar thisen chhuak (Epistaxis) .
• Thisen a platelet awm zat tlahniam (Thrombocytopenia) .
• Hnar polyps a awm

Hetianga a awm zel chuan doctor nen inbia ang che.

He damdawi nena inzawm thei damdawi dang

DAPT i ei a nih chuan damdawi dang i ei dawnin fimkhur hle a ngai a, a bik takin hengte hi:

• Anticoagulants (thisen tithianghlimtu dang):Damdawi Warfarin leh Apixaban ang chi te. Hengte hi kan ei khawm chuan thisen chhuah theihna a sang hle.
• NSAIDs (painkillers): Lu na leh taksa na tan kan ei tlangpui Ibuprofen, Diclofenac, leh Mefenamic Acid ang chi damdawi te. Hengte hian DAPT nena an hman dun chuan pum thisen chhuah theihna a tipung a ni.
• Antidepressant: Damdawi thenkhat chu depression tan ei thin a ni.
• Proton Pump Inhibitors (PPIs): Gastritis natna atana kan hman fo thin Omeprazole ang damdawi.

DAPT hi eng chen nge hman tur?

Hei hi mi zawng zawng tan a inang lo. I doctor chuan eng chen nge DAPT i mamawh tih a rel ang. Hei hi nghawng nei thil engemaw zat a awm a:

• I kum leh i hriselna zawng zawng.
• Thisen chhuah theihna i neih theihna chu eng nge ni?
• Heart attack emaw stroke emaw neih leh theihna.
• A tir atanga DAPT tan chhan (stent vang? heart attack vang?).

Mi ṭhenkhat chuan thla khat emaw thla hnih emaw chhûng he enkawlna hi an mamawh laiin, mi tam tak chuan kum khat emaw a aia rei emaw chhûng chu an mamawh thei a ni . I doctor chuan i dam chhung chauh aspirin ei turin a rawt mai thei a, DAPT i chawlhsan hnuah pawh.

Damdawi lam thurawn lak nghal tur

DAPT ei mi chu thisen chhuah hlauhawm a nih avangin a hnuaia symptoms te hi i fimkhur hle tur a ni. Chung zinga pakhat tal i neih chuan doctor pan nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.