I doctor chuan folic acid injection a pe che em? I naupai a ni mai thei, a nih loh leh hriselna lama harsatna dang avanga damdawi pek i ni pawh a ni thei. He hming kan hriat hian zawhna tam tak a siam ngei ang. "Hei hi eng atan nge?", "Eng nge a nih ang?", "A him em?" rilruah lo kal turin. Chuvangin vawiinah hian he injection chungchang te, a pawimawhna te, leh a hman laia fimkhur tur thil te, awlsam tak leh friendly takin kan sawi dawn nia.
A hmasain, folic acid hi eng nge ni?
A awlsam zawngin sawi ila, folic acid hi B vitamin a ni a, kan taksa tana pawimawh tak a ni. A dik tak chuan vitamin B9 siam chhuah (synthetic form) a ni. Kan taksa hi in ang maiin han ngaihtuah teh. He in sak tur hian brick chi hrang hrang kan mamawh a ni lawm ni? Chutiang bawkin heng vitamin te hi kan taksaa thil pawimawh ber ber siam leh vawn that nan a mamawh a ni.
Folic acid hian kan taksaah hna pawimawh engemaw zat a thawk a:
- Thisen sen siam dan: Folic acid hi thisen sen siam nan a pawimawh hle a, chu chuan kan taksa pum puiah oxygen a phur a ni. Chungte chu a tlakchham chuan thisen tlakchhamna (anemia) tih kan nei a.
- Thluak hriselna: Hei hian thluak hnathawh thatna tur a pui bawk.
- Naupai lai: Folic acid hi nu leh nausen piang lai tan pawh a pawimawh hle. A bik takin naute thluak leh ruhro (spinal cord) hmasawnna atan a pawimawh hle. Folic acid tlakchhamna hian nervous system-a nau piangsualna lian tak awm theihna a ti tlem hle.
Hei hi pill angin kan hmu tlangpui. Mahse a then phei chuan ei leh in hmanga taksain a hip tha thei lo a, a nih loh leh i taksaa folic acid level rang taka tihpun a ngaih hunah doctor-te chuan injection atan an rawt a ni.
Vaccine i lak hmaa i doctor hnena i hrilh tur thilte
Hei hi vitamin ni mahse, i doctor hnenah i hriselna chungchang kimchang taka hriattir a pawimawh a, a bik takin a hnuaia mite hi:
| I dinhmun | Engvângin nge chu chu a pawimawh? |
|---|---|
| Kal natna | Damdawi hi kal hmanga taksa atanga paih chhuah a nih avangin a hman dan tur pawh siam danglam a ngai mai thei. |
| Pernicious anemia emaw vitamin B12 tlakchhamna emaw a awm thei | Hei hi a pawimawh hle. Folic acid hian vitamin B12 tlakchhamna symptoms a titawp thei a ni. Mahse a hnuaia nerve chhiatna chu a la chhunzawm zel a ni. Chuvangin, doctor-in dik taka a hriat theih nan he information hi a pawimawh hle. |
| Allergy nei te pawh a awm | Folic acid, B vitamin dang, vaccine-a thil dang (e.g. benzyl alcohol), emaw damdawi emaw ei tur dang emaw allergy i neih chuan doctor hnenah hrilh rawh. |
| Naupai emaw, nau pai tum emaw | Naupai lai hian hei hi tih tur ni fo mahse, i doctor-in i dinhmun a hriat chian a pawimawh hle. |
| Nau hnute pek | Nau hnute pek laiin damdawi hman chungchang doctor nen inbiakna neih a pawimawh. |
He vaccine hi engtin nge hman a nih?
Folic acid vaccine hi damdawi in emaw clinic emaw-ah pek a ni tlangpui. Doctor emaw nurse emaw pek a ni. Vaccine lak dan kawng hrang hrang a awm a:
- Intravenous (IV) - `(Vein pakhatah)`
- Intramuscular (IM) hmanga tih a ni.
- Vun hnuai lam - `(Subcutaneous emaw SC)`
A châng chuan, i doctor chuan in lama vaccine pek dan tur a hrilh thei che a ni. Chutiang a nih chuan, thupêkte chu zawm dik rawh . A hun takah dose dik tak ei a pawimawh hle.
Pawimawh tak: Needle leh syringe hman tawhte chu bawlhhlawh bawmah paih ngai suh. Midang tan hlauhawm tak an ni thei. An tan hian sharps container bik a awm bawk. I neih loh chuan i doctor hnenah zawt la.
Damdawi i ei tam lutuk chuan engtin nge i tih ang?
He damdawi hi accident-a i ei tam lutuk nia i hriat chuan damdawi in hnai ber Emergency Department (ETU) -ah kal nghal rawh . A nih loh leh Colombo National Hospital a National Poisons Information Center ah biak theih a ni bawk .
Damdawi ei tur appointment ka neih loh chuan engtin nge ni ang?
I hriatreng veleh dose chu ei nghal rawh. Mahse i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, a hnuaia dose chu a hun ruatah ei rawh. Vawi khatah vawi hnih ei ngai suh.
He damdawi nena inzawm thei thil dang
Damdawi thenkhat i ei hian folic acid hnathawh dan a nghawng thei a, folic acid hian chu damdawi te chu a nghawng thei bawk. Entirna thenkhat chu:
- Chloramphenicol (antibiotic) 10. A rilru a hah lutuk chuan a rilru a buai em em a.
- `Colestyramine` (Cholesterol tihhniamna damdawi) .
- Seizures damdawi thenkhat
- `Methotrexate` (cancer leh natna dang atana hman thin damdawi) .
- Nitrofurantoin (antibiotic pakhat) a ni.
- Pyrimethamine (malaria ang chi natna enkawlna atana hman thin damdawi) .
He list hi a kimchang lo hle. Chuvangin, damdawi dang, vitamin, herbal remedies, emaw dietary supplement i ei lai te chu i doctor hnenah hrilh ngei ang che. Tin, zu i in emaw, zu i in emaw chuan doctor hnenah hrilh bawk ang che.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin folic acid injection hian mi thenkhatah side effect a thlen thei a ni. Mahse, hengte hi a tam vak lo. Heng side effects te hi eng nge ni tih han thlir ila.
| Side effect chi hrang hrang | Natna |
|---|---|
| Heng symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh. | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Thâwk harsa | Thâwk harsa, thawk hah, etc. |
| Neurological symptoms a awm thei | Ke ruh natna, rilru hahna emaw, hriatna hloh emaw. |
| Hengte hi a pawi lo tlangpui a, mahse a awm reng chuan doctor hnenah hrilh rawh. | |
| General discomfort | Nunna nei lo leh chau tawh anga inhriatna. |
| Anorexia a awm | Ei duhna a tlahniam. |
| Luhai | Luak chhuak ang maia hriatna. |
He list-a tel lo symptom dang danglam tak i neih chuan i doctor nen pawh chutiang lam chu sawipui rawh.
Take-Home Thuchah a ni
- Folic acid (vitamin B9) hi kan taksa tan a pawimawh hle a, a bik takin thisen sen (red blood cells) siamchhuahna atan te, thluak hnathawhna atan te, naupai laia naute thanlenna atan te a pawimawh hle.
- Damdawi dang i ei zawng zawng leh damdawi dang i neih zawng zawng (a bik takin kal natna, vitamin B12 tlakchhamna) te chu i doctor hnenah hrilh ngei ang che.
- Damdawi i ei tam lutuk nia i inhriat chuan Emergency Department (ETU) ah kal nghal rawh.
- Allergic reaction symptoms (vun vun rawng, hnim hring, hmai/thar hring, thawk harsa, thawk harsa) i neih chuan doctor rawn nghal rawh.
- Hei hi vitamin ni mahse, doctor thurawn hnuaiah chauh hmang la, a zat tur ruahman angin hmang ang che. I ngaihtuahna chu i doctor nen zalen takin sawipui rawh.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Dofetilide (Dofetilide / Tikosyn) tablets/capsules hi eng natna atan nge hman thin damdawi chak tak a ni em?
Hei hi damdawi pangngai a ni lo! Hei hi damdawi chak ber leh a hnuhnung ber (Class III Antiarrhythmic) a ni a, doctor-te’n engtin emaw takin damlo upper chambers chu a pangngai lo taka a beat nghal chuan ‘Normal Sinus Rhythm’-ah a hruai kir leh thin (Atrial Fibrillation / Atrial Flutter), hei hi thil hlauhawm tak a ni a, chu chu heart chambers chu rang tak leh thunun theih lohvin a beat abnormally fast a ni!
💬 Thinlung hi mi â ang maia a nat lai hian engtin nge he damdawi (Dofetilide) hian thinlung rhythm a normalize theih ang?
Thinlung hi electrical signal (Action Potentials) hmangin a thawk thin. A beat nasa lutuk chuan electrical cells te chu an charge rang hle! He pill (Potassium channel blocker) hian thinlung chhunga a luh dawna a tih chu thinlung electrical cell-te charge leh reset/rest leh hun chhung chu tharum hmanga tihzauh leh tihkhawtlai (Repolarization phase / QT interval) a ni! Tichuan heart rate chu a dawt leh ah a thawk rang thei lo va, heart rate chu rang takin a normal (slow) ah a lo let leh ta a ni.
💬 He damdawi (Tikosyn) i ei tan tirh hian engvangin nge ‘Damdawi inah ni 3 i awm a ngai (Black Box Warning)’ a tih?
Chu chu hlauhawm leh thihna lian ber a ni! Hei hi heart rhythm siam ang mai a ni a, pill pahnih khat i ei veleh ‘new deadly heart rhythm (Torsades de pointes / Proarrhythmia)’ a lo awm thei a, damlo chu rang takin a thi/coma-ah a awm thei! Chuvangin, ni 3 hmasa berah chuan doctor-te chuan damlo chu ECG-ah an dah ngei ang a, a dose an siamrem hmain a kal (kidney) an enfiah hmasa thin.
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