Cancer enkawl, a nih loh leh chemotherapy hi thil awlsam a ni lo tih kan hre vek. Mi tam takin rilru leh taksa lamah pawh an rilru hahdam lohna tirtu pakhat chu luak chhuak leh luak chhuak hi a ni. Chuvangin, vawiinah hian doctor-te’n he harsatna hi thunun nan an hman thin injection bik, chak tak kan sawi dawn a ni. A hming chu Fosaprepitant a ni .
A awlsam zawngin Fosaprepitant chu eng nge ni?
Fosaprepitant hi chemotherapy i neih laiin i rilru hahna leh luak chhuak lo tur venna atana pek a ni. Damdawi pawl pakhat, antiemetics an tih zingah a tel a ni.
Ngaihtuah teh, kan taksaah hian chemicals a awm a, chu chuan kan thluak hnenah signal a thawn a, "tunah chuan min ti na thei ta a ni." He injection hian a tih chu chu signal thawn chhuah chu a titawp a ni. A dik tak chuan chu signal pathways chu a `block` a ni. Chuvang chuan chemo treatment hnua i rilru hahna chu nasa takin a tlahniam a ni. He damdawi hi brand name `Emend` hmanga hmuh tam ber a ni.
A pawimawh ber chu hei hi a lo awm hmaa nausea leh vomiting ven nan pek a ni . I luak chhuak tawh a nih chuan hei hi a enkawlna dik a ni lo. Chutih hunah chuan i doctor hnenah eng nge tih tur tih i zawt tur a ni.
He damdawi hi i doctor-in a pek hmaa a hriat tur thilte
He enkawlna i tan hma hian doctor hnenah i hrilh ngei ngei tur thil tlemte a awm. Heng thilte hi thup suh, i himna tur a nih avangin. I medical team te hian heng thilte hi an hriat a pawimawh hle.
- Liver disease: Liver natna i neih chuan min hrilh ngei ang.
- Allergy: He damdawi, fosaprepitant emaw aprepitant emaw i allergy i neih chuan doctor hnenah hrilh rawh. Tin, damdawi dang, ei tur, preservative emaw, dye dang emaw allergy i neih chuan i doctor hnenah hrilh bawk ang che.
- Naupai: Naupai emaw, nau neih thuai tum emaw i nih chuan doctor hnenah hrilh rawh.
- Nu hnute pe i nih chuan: Nu hnute pe i nih chuan chu chu i fate pawh i hriattir ngei tur a ni.
He damdawi hi engtin nge i hman?
He damdawi hi vein pakhata injection angin pek thin a ni. Damdawi in emaw clinic emaw-ah chauh damdawi lam enkawlna hnuaiah pek a ni. Chuvangin, he damdawi hi in lama hruai turin pek i ni lovang.
Hei hi naupang tê tête hnenah i pe em?
Ni e, a chang chuan doctor ten naupang thla 6 te tan he damdawi hi an pe thin. Mahse fimkhur bik a ngai a ni. Chuvangin hei hi naupang hnenah i pek chuan i doctor chauhin a rel thei ang.
Damdawi dose a san chuan engtin nge ni ang?
Hei hi damdawi inah pek a nih avangin overdose chance a tlem hle. Mahse, thil thleng nia i rinhlelh chuan doctor emaw nurse emaw hnenah hrilh nghal rawh . Emergency a nih chuan Colombo National Hospital-a National Poisons Information Center-ah pawh thurawn dil theih a ni bawk.
Fosaprepitant nena inzawm damdawi dang
He damdawi nena inzawm thei damdawi dang pawh a awm. Damdawi thenkhat chu hman khap tlat a ni . Damdawi dang atan chuan doctor nen inbia la, a tul chuan a dose pawh siamrem rawh.
Chuvangin, i doctor hnenah damdawi i ei zawng zawng list kimchang pe la, vitamin, herbal remedies, leh supplement te pawh a tel .
| Fosaprepitant nena inzawm damdawi te | |
|---|---|
| Fosaprepitant hi ei loh tur a ni: | |
| Cisapride chuan a rawn ti a | Pimozide a ni |
| Flibanserin a ni | Lomitapid a ni |
| Hengte chungchang hi i doctor nen sawiho rawh: | |
| Warfarin (thisen tithianghlimtu) . | Naupai venna damdawi (estrogen/progestin) . |
| Antibiotics damdawi - e.g. clarithromycin, erythromycin tih te hi a ni | Antifungals - e.g. ketoconazole, itraconazole tih a ni |
| Epilepsy/ seizures damdawi - e.g. carbamazepine, phenytoin tih a ni | HIV damdawi hman dan tur |
| Mut tirtu emaw, i rilru ti hahdam thei damdawi - e.g. alprazolam, diazepam, midazolam te a awm bawk | Diltiazem, Ranolazine (lung natna tan) . |
| Paroxetine, Nefazodone (lungngaihna tan) . | Steroid chi hrang hrang - e.g. dexamethasone, methylprednisolone tih te hi a ni |
| Chemo damdawi dang - eg: etoposide, vinblastine | Rifampin (TB natna damdawi) . |
Enkawlna neih huna ngaihtuah tur thil
Naupai venna chungchangah a bik takin awareness!
Hei hi a pawimawh hle. Birth control pill (estrogen leh/ emaw progestin hormone awmna) i ei a nih chuan, Fosaprepitant i ei lai hian chu pill te chu a thatna a tlahniam thei a ni . Chumi awmzia chu naupai hlauhawmna i nei tihna a ni.
Chuvangin, he injection i ei lai hian leh i ei hnuhnung ber atanga thla khat chhung chu naupai venna dang, condom emaw diaphragm emaw i hmang tur a ni . Hemi chungchang hi i doctor nen sawiho la, i tana hmanraw him ber tur chungchangah thurawn chiang tak la rawh.
Point dang pawh
- He damdawi hi hun rei tak hman chhunzawm zel atan a tha lo.
- I doctor chuan hun bi neiin a check ang che. He damdawi hian i liver function test-ah a tidanglam thei a ni.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin hei hian mi thenkhatah side effect a thlen thei a, mahse mi zawng zawngin an vei vek lo.
| Side effect a awm thei | Engtin nge tih ang? |
|---|---|
| I medical team hnenah hriattir nghal rawh: | |
| Allergy natna a awm thei Vun vun rawng, hnim hring, hives, hmai, hmui, lei emaw kawr emaw a hring, thawk harsa. | Hengte hi symptom na tak tak a ni. Damdawi lam thurawn zawng nghal rawh. A tul chuan Emergency Treatment Unit (ETU) ah kal la. |
| A awm reng emaw, a buaithlak emaw chuan i doctor hnenah hrilh rawh: | |
| Kawthalo | Heng symptoms te hi a nasat loh tlangpui a, mahse a awm reng emaw, a tibuai nasa emaw a nih chuan doctor hnenah hrilh rawh. |
| Chau | |
| Injection pekna hmuna natna, sen, emaw, hring emaw | |
| Kut leh kea natna, rilru hahna | |
| Taksa chak lohna danglam tak | |
| Pum natna/fullness | |
He list hi side effect awm thei zawng zawng a ni lo. Symptom danglam tak tak i neih chuan doctor rawn la.
Take-Home Thuchah a ni
- Fosaprepitant hi damdawi a ni a, chemotherapy avanga nausen leh luak chhuak venna atana pek a ni a, vawi khat a lo awm tawh chuan enkawl nan a ni lo.
- I doctor hnenah i damdawi lam dinhmun zawng zawng leh i ei tur damdawi dang zawng zawng (traditional medicines te pawh tel) kimchang takin pe rawh.
- Birth control pill i ei a nih chuan he damdawi hi i ei lai leh a hnu thla khat chhung chu birth control chi dang (e.g. condom) hmang ngei ang che.
- Allergy symptoms (vun hring, hring, thawk harsa) i neih chuan doctor rawn la nghal rawh.
- He damdawi chungchanga zawhna i neih chuan i doctor zawh hreh suh.
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