Nangmah emaw, i hmangaih tak emaw cancer vei nia hriat a nih chuan, a enkawlna atana damdawi pek chungchangah zawhna lian tak tak leh hlauhna neih hi thil pangngai tak a ni. Vawiin hian hetiang cancer enkawlna atana hman thin damdawi bik Erlotinib chungchang kan sawi dawn a ni. Brand hming Tarceva hmangin i hre mai thei. He damdawi hi eng nge a nih leh i hman huna i fimkhur a ngai tih hi han thlir thuai ila.
A awlsam zawngin Erlotinib chu eng nge ni?
Erlotinib hi damdawi chi khat ‘targeted therapy’ an tih a ni. A danglam bik hle mai. Damdawi pangngai ang lo takin cancer cell-a awm protein bikte chu a target a, chu chuan an lo thang lian leh a darh zel loh nan a titawp a ni. Hmelma chu tu nge tih hriat a, anmahni chauh beih ang mai a ni.
He damdawi hi non-small cell lung cancer leh pancreatic cancer tih te enkawlna atan hman a ni ber . Mahse, a chang chuan i doctor chuan cancer chi dang tan pawh a pe thei bawk.
He damdawi hi i ei tan hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i pek hmain i doctor hnenah i hriselna chanchin kimchang tak i hrilh hmasa phawt a pawimawh hle. A chhan chu chu information chuan he damdawi hi i tan a tha em tih leh a dose tur chu a hril dawn a ni. A bik takin a hnuaia dinhmunte hi i doctor hnenah hrilh ngei ang che.
| I dinhmun | Engvangin nge notification hi a pawimawh? |
|---|---|
| Liver natna | He damdawi hi thin kaltlangin taksa atanga paih chhuah a nih avangin thin natna i neih chuan a hman dan tur siamrem a ngai mai thei a, a nih loh leh test tam zawk i mamawh thei bawk. |
| Kal natna | Kidney hnathawh a chhiat chuan damdawiin a nghawng dan a danglam thei. |
| Mit natna emaw, mit lama harsatna emaw | Erlotinib hian mit a nghawng thei a, chuvangin a ngaihtuahawm theih dan hriat a pawimawh hle. |
| Pum emaw, intestinal lama harsatna (e.g. ulcer) . | He damdawi hian a chang chuan intestinal problem na tak a thlen theih avangin a hmaa history hriat a pawimawh hle. |
| Naupai tum emaw, naupai tum emaw | He damdawi hian nausen piang lai tan harsatna nasa tak a thlen thei a, chuvangin hemi chungchang hi doctor nen inbiakna neih a pawimawh hle. |
| Nau hnute pek | Damdawi hi nu hnute tui hmangin naute hnenah a kal thei a ni. Chuvangin nau hnute i pek chuan doctor hnenah hriattir tur a ni. |
| Damdawi dang, ei tur dang emaw, dye dang emaw allergy nei | Hei hi Erlotinib emaw a thil tel emaw allergy i neih leh neih loh hriat a pawimawh hle. |
Damdawi hman dan dik tak
Hetiang damdawi hi a hlawk ber tur chuan dik taka ei a pawimawh hle.
- Tui glass khat nen in rawh: Tablet chu tui glass khat nen a pumin ei rawh.
- Pum ruak chunga ei a pawimawh: Hei hi a pawimawh ber a ni. Damdawi hi pum ruak ah ei tur a ni . Chu chu chaw ei hma darkar khat (1) emaw, chaw ei hnu darkar hnih (2) emaw tihna a ni. Chaw ei rualin ei ngai suh.
- Grapefruit tui in loh tur: He damdawi hi i ei lai hian grapefruit emaw grapefruit tui emaw in loh tur. Damdawi hnathawh dan a nghawng thei a ni.
- A hun takah ei rawh: Nitin i damdawi ei hun inangah ei tum ang che. Doctor-in a tih aia tam ei suh, a nih loh leh doctor-in ei loh tur a tih loh chuan ei kha bansan rawh.
Damdawi dose i ei loh chuan engtin nge i tih ang?
Dose i miss a nih chuan i hriatreng veleh ei nghal rawh. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan (entir nan, darkar tlemte chauh a la awm a nih chuan) missed dose kha skip la, i dose lo awm tur chu a hun ruat saah ei rawh. Dose pahnih chu a rualin ei ngai suh. Ringhlel i neih chuan doctor zawt la.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
Damdawi i ei tam lutuk nia i hriat chuan hlauthawng suh, Colombo National Hospital-a National Poisons Information Center-ah zawh nghal rawh.Ko. 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 share ngai suh.
Erlotinib nena inzawm thei damdawi dang
Damdawi dang i ei hian Erlotinib hnathawh dan a nghawng thei a ni. Chuvangin, i damdawi ei zawng zawng (vitamin, herbal remedies, leh supplement te pawh tel) i doctor hnenah hrilh rawh . A bik takin a hnuaia damdawi te hi fimkhur hle ang che.
| Ruihhlo chi hrang hrang | Entirnan |
|---|---|
| Pum natna/gastritis damdawi | Omeprazole, Lansoprazole, Famotidine, Cimetidine te a ni |
| Fungal infection damdawi | Ketoconazole, Itraconazole, Voriconazole te a awm bawk |
| Antibiotics thenkhat | A rilru a buai em em a, a rilru a hah em em bawk a |
| Epilepsy/ seizures damdawi | Carbamazepine, Phenytoin, Phenobarbital te a awm bawk |
| Tuberculosis natna damdawi | Rifampin, Rifabutin tih a ni |
| Thisen zam laka invenna damdawi | Warfarin a ni |
| HIV/AIDS natna damdawi | Antiviral damdawi a ni |
| Herbal atanga siam chhuah a ni | Mithianghlim Johana Wort |
Damdawi ei huna fimkhur tur thil
Skin reaction na tak tak awm thei te chu hre reng ang che.
Mi thenkhat chuan he damdawi hi an hman lai hian vun natna khirh tak tak an nei thei a ni. Hengte hi damdawi ei tan atanga kar engemaw zat hnuah pawh a thleng thei. Khawsik emaw, khawsik emaw ang chi symptoms neia rash i neih chuan i doctor hnenah hrilh nghal rawh. Heng vun te hi a sen emaw, a sen emaw a lo ni thei a, chutah chuan blister a awm a, vun chu a hring tan thei bawk. Tin, i hmai, i hmui, i kawr leh i armpit-a lymph node hring hring awm chu ngaihthah suh.
Meizial i zu a nih chuan tunah hian bansan rawh.
Hei hi a pawimawh hle. Meizial zuk hian Erlotinib hman tangkai dan a ti tlem hle. Chumi awmzia chu i zuk chuan damdawi hlawkna kimchang i hmu dawn lo tihna a ni. Damdawi i ei laiin meizuk i chawlhsan tawh a nih chuan i doctor hnenah hrilh ngei ang che.
Naupai leh nau hnute pek
He damdawi i ei lai leh damdawi i ei zawh hnu thla khat chhung chu naupai loh tur a ni. Nausen piang lai tan harsatna nasa tak a thlen thei a ni. Tin, he damdawi hi i ei lai leh damdawi i ei zawh hnu kar hnih chhung chu nau hnute pek loh tur a ni. Hemi chungchang hi doctor zawt la.
Point dang pawh
- I natna lan chhuah dan a tha lo emaw, a zual emaw chuan doctor hnenah hrilh rawh.
- A hun ruatah doctor hmu la, a tul anga thisen test neih tir rawh.
- I mit hmuhnaah inthlak danglamna (e.g., blurriness, pain) i neih chuan report nghal rawh.
- He damdawi i ei lai hian dehydration hi a hlauhawm thei a, chuvangin riltam na tak, luak chhuak, luak chhuak, thawk hah lutuk i neih chuan doctor hnenah hrilh rawh.
Damdawi avanga side effect lo awm thei
Damdawi dang ang bawkin Erlotinib hian side effect a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. A pawimawh ber chu hengte hi hriat chian a, thil pawi tak i hriat chuan doctor hnenah hrilh nghal tur a ni.
| Side effect a awm thei | Description / Eng nge i tih tur? |
|---|---|
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei, thawk harsa. |
| Thisen chhuahna symptoms a awm | Thisen emaw dum emaw bawlhhlawh, coffee grounds ang maia luak chhuak, zun sen/dark brown, vunah hmun sen, hnar/hnung atanga thisen chhuak danglam tak. |
| Liver chhiatna chhinchhiahna | Mit emaw vun emaw a sen, zun dum/brown, pum dinglam chunglam na, bawlhhlawh hring, hah lutuk, rilru hahna. |
| Stroke natna lan chhuah dan | Hmai, kut emaw, ke emaw rang taka rilru hah/hriat lo, tawng/hriatthiam harsa, lu na na tak, kal harsa, muthilh. |
| Thâwk harsa, khuh | Thâwk harsa emaw, khuh emaw, thawk hah emaw, a zual emaw. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Kawthalo | Hei hi a awm fo thin. A nasat emaw, a awm reng emaw chuan doctor hnenah hrilh rawh . |
| Vun vawt, hmai vun ang maia bawlhhlawh, hnim hring | Chungte chu a thleng fo thei. I doctor hnenah ointment tha tak tak zawt rawh. |
| Chaw ei chakna hloh, taksa rihna tlahniam | I ei leh in chungchang doctor nen sawiho rawh. |
| Kawng na, luak chhuak, luak chhuak | Chungte enkawl dan tur chu doctor rawn rawh. |
Damdawi hi engtin nge kan dahkhawm ang?
He damdawi hi naupangte hmuh theih lohna hmunah dah la . Room temperature (15-30 Celsius inkar) ah dah tur a ni. Damdawi expire tawh chu paih vek rawh.
Take-Home Thuchah a ni
- Erlotinib tablets hi chaw ei hma darkar khat emaw, chaw ei hnu darkar hnih emaw-ah ei fo ang che.
- He damdawi hi ei lai hian grapefruit ei leh grapefruit tui in loh tur.
- Damdawi dang zawng zawng, vitamin leh herbal product i ei zawng zawng chu i doctor hnenah hrilh rawh.
- Meizial zuk hian damdawi thatna a ti tlem a, chuvangin titawp vek rawh.
- Vun natna khirh tak tak, thawk harsa, mit hmuh dan inthlak danglam ang chi side effect na tak i neih chuan doctor pan nghal rawh.
- Pill ei lai leh a chawlh hnu thla khat chhung chu naupai loh tur a ni.
- He damdawi hi i tan chauh a ni. Midang hnenah share suh.
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