I fanu emaw, i fapa emaw hian an pian hun hmaa puitlin theihna chhinchhiahna an lantir dawn tih i ngaihtuah em? Entirnan, hmeichhe naupang kum 8 an tlin hmaa hnute a lo thang lian emaw, mipa naupang kum 9 a tlin hmaa aw a thuk zawk emaw. Hei hi damdawi lam chuan ``Central Precocious Puberty'' tia hriat a ni. Ngaihtuah buai suh, he natna hi thunun thei tur enkawlna tha tak tak a awm. He thuziak ah hian vun hnuaia dah, chutiang enkawlna atana hman tur special implant chungchang kan sawi dawn a ni.
He Histrelin implant (Supprelin LA) hi eng nge ni?
A awlsam zawngin, tube te tak te, te tak te, Histrelin tih damdawi awmna a ni. He implant hi doctor in naupang kut chunglam vun hnuaiah kawng awlsam takin a dah a ni.
Tunah chuan hei hian engtin nge hna a thawh tih i en ang u. I fa puitlin hun hi thluak atanga hormone bik chhuakin a thunun a ni. Chu chu `(Gonadotropin-Releasing Hormone)` emaw `(GnRH)` emaw an ti a. He damdawi Histrelin an tih hian chu `(GnRH)` hormone ang bawkin hna a thawk a ni. He implant hi taksaa a luh chuan damdawi Histrelin a chhuah tir thin. Chumi avang chuan taksaa puitlin hun (puberty) control tu hormonal process chu rei lo te chhung atan a tawp ta a ni. Thil engemaw titawp tura ‘pause’ button hmet ang mai a ni. Chumi avang chuan naupang taksaa puitlin hma (premature puberty process) chu a thunun thei a ni.
Enkawlna i tan hmaa i doctor hnena i hrilh tur thilte
I fa tana he enkawlna hi i tan hmain i fa leh i chhungte hriselna chanchin thenkhat doctor nen sawiho hmasak a pawimawh hle . He thu hian he enkawlna hi i fa tan engtiang chiahin nge a remchan tih hriat theih nan a pui ang.
| Thil awmdan ngaihtuah tur | Engvangin nge doctor hnenah i hriattir ang? |
|---|---|
| Zunthlum | A chhan chu he damdawi hian thisen sugar level a nghawng thei a ni. |
| Rilru natna | He damdawi hian a chang chuan rilru dinhmun a nghawng thei a ni. |
| Epilepsy / Seizures natna a awm | Damdawi leh damdawi lam dinhmun inkara inzawmna awm thei leh awm loh enfiah turin. |
| Mahni intihhlum tumna emaw (chhungkaw chhungah emaw naupangah emaw) . | He damdawi hian mood a tidanglam thei a, chuvangin a bik takin fimkhur rawh. |
| Allergy nei te pawh a awm | Histrelin, damdawi dang, ei tur, dye emaw preservatives emaw allergy i neih chuan. |
| Naupai emaw, nau hnute pek emaw | Hei hi naupang enkawlna ni mah se, doctor tan chuan medical history kimchang hriat a pawimawh hle. |
Engtin nge he implant hi ka hman ang?
Hei hi in lama tih theih a ni lo. Hei hi clinic emaw damdawi in emaw a doctor in a tih dan awlsam tak a ni .
- Implantation: Hei hi naupang kut chunglam vun hnuaiah dah a ni a, surgeon-in a dah a ni. Hei hi surgery lian tak a nih loh avangin naupang chuan a na vak lovang.
- Aftercare: Implant dah hnuah darkar 24 chhung chu a hmun chu fai leh vawt taka dah tur a ni . Tin, kar khat chhung chu thil rit phurh emaw, exercise nasa tak emaw tih loh tur a ni .
- Plaster: Surgical strip (plaster ang chi) implant na hmuna hnawih te chu ni engemaw zat hnuah a mah chauhin a tla thla ang. Tharum hmanga paih chhuah tum suh.
- Hun chhung: He implant hi thla 12 chhung a hman theih tlangpui . Kum khat hnuah chuan Doctor chuan a hlui chu a la chhuak ang a, enkawl a la ngai a nih chuan a thar a dah ang.
Hei hi naupang kum 2 mi lek tan pawh pek theih a ni tih hre reng ang che, damdawi lam thil bik atan. Mahse chu zawng zawng chu i doctor-in a rel tur a ni.
Enkawl laia ngaihtuah tur thil
- Kar hmasa lama inthlak danglamna: Enkawlna kar hmasa berah hian puitlin chhinchhiahna a pung deuh thei.Chu chu rilru lian deuh leh aw inthlak danglam ang chi thil tihna a ni. Ngaihtuah buai suh. A pangngai a ni. Ni engemaw zat hnuah chuan chu natna lan chhuah dan chu a reh ang a, chu natna chu a thunun tan ang. Kar engemaw zat hnuah heng symptoms te hi a reh lo a nih chuan doctor nen inbia ang che.
- Implant slippage: A tlem hle a, implant chu insertion site atang hian a chhuak thei. I hmu thei mai thei, a nih loh leh i hriat loh pawhin a rawn chhuak thei bawk. I implant a chhuak nia i hriat chuan i doctor ko nghal rawh.
- Thisen thlum: He damdawi hian thisen thlum a tisang thei. I fain zunthlum a vei a nih chuan doctor hnenah an ei leh in emaw, zunthlum damdawi emaw tihdanglam a ngai em tih zawt la.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin he damdawi hian side effect a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. A hnuaia symptoms te hi fimkhur rawh.
| Side effect hrang hrangte thliar hranna | |
|---|---|
| 🚨 Doctor hnena report nghal tur thil | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring. |
| Lu na na tak | Lu na pangngai aia na zawk, tuar theih loh. |
| Rilru lam inthlak danglamna | Depression, lungkhamna, mahni intihhlum tumna emaw, rilru lam inthlak danglamna danglam tak emaw. |
| Seizures a awm thin | A seizure nghal zat. |
| Luak chhuak, mit a danglam | Luak chhuak reng emaw, mit hmuh lohna emaw. |
| Implant na hmuna natna | Natna nasa tak emaw, a hring emaw, a level pangngai aia tam. |
| Thisen sugar sang chhinchhiahna | Tuihâl lutuk, zun tam lutuk, riltam lutuk, hah lutuk. |
| 🙂 A tlangpuiin a serious lo (mahse a awm reng chuan doctor hnenah hrilh rawh ) | |
| Implant hmuna inthlak danglamna tenau te | A hmuna sen, a hring deuh emaw, a nuam lo emaw. |
Damdawi dangah harsatna a awm thei em?
Ni e, damdawi thenkhat hi Histrelin nen hian an inzawm thei a ni. Chuvangin, i fain a ei tur damdawi, vitamin, herbal remedies, leh supplement zawng zawng te doctor hnenah hrilh vek a pawimawh hle. A bik takin a hnuaia mite hi:
- Hmeichhe hormone (birth control pill, patch, etc.) .
- Mipa hormone (testosterone ang chi) te .
- Rilru natna damdawi
- DHEA ang chi hormone awmna Supplement
Hei hi doctor-in a pek injection a nih avangin overdose theihna chance a awm lo. Mahse, thil thleng nia i rinhlelh chuan Colombo National Hospital-a National Poisons Information Center -ah call nghal la, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal nghal rawh.
Take-Home Thuchah a ni
- Naupangte central precocious puberty control nan histrelin injection hi damdawi tha tak a ni.
- Hei hi implant te tak te a ni a, vun hnuaiah dah a ni a, thla 12 chhung a daih.
- Enkawlna i tan hmain i fa hriselna chungchang leh damdawi zawng zawng doctor hnenah hrilh hmasa phawt ang che.
- Inenkawlna kar hmasa berah puberty symptoms hi hun eng emaw chen a pung hi thil pangngai a ni a, chuvangin lungngai suh.
- Lu na nasa tak, rilru lam inthlak danglamna, emaw, seizure ang chi side effect na tak tak i neih chuan doctor lam pan nghal rawh.
- A hun ruatah Doctor hmuh a, naupang dinhmun enfiah a pawimawh hle.
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