Immunosuppressants chungchanga hriat tur awmte

Keimahni taksa ngeia kan invenna, natna laka min vengtu system hian a chang chuan kan chungah hna a thawk tih i hre ngai em? A nih loh leh mi pakhatin kal ang maia transplant a dawn hnuah an taksain taksa peng thar chu hnawl a tum tihna em ni? Vawiin hian hetiang natna khirh tak takah hian kan taksa hriselna (immune system) hnathawh dan tur control nana doctor-te’n damdawi chi hrang hrang an pek dan tur kan sawi dawn a ni.

Heng immunosuppressant te hi engte nge ni?

A awlsam zawngin, hengte hi i taksa immune system hnathawh tihtlem emaw, titawp emaw thei damdawi an ni. A tlangpuiin kan immune system hi ram venghimtu sipai ang a ni. Ram dang hmelma, virus, bacteria, cancer cell te a hmuh hian he sipai hian min bei a, min venghim thin.

Mahse, a chang chuan, he sipaite hian tihsual an nei a, kan cell leh tissue hrisel tak takte chu an rawn bei tan a, "Hengte pawh hi hmêlma an ni," tiin an ngaihtuah ṭhin. Chutiang hunah chuan sipai chak lutuk tihreh nan heng immunosuppressants te hi kan pe thin.

Eng dinhmunah nge heng damdawi te hi hman a nih?

Doctor-te chuan heng damdawi te hi thil awmdan pahnih ah an rawt ber a ni.

1. Autoimmune Diseases tan chuan

Hei hi kan taksa hriselna (immune system) ngeiin min beih nana dinhmun a ni. Chutiang a nih chuan taksaa cell hrisel tak takte chu a chhe vek a, inflammation a lo awm tan ta a ni. Heng damdawi te hian immune system-in duh loh zawng a beih chu a titawp a, a natna lan chhuah dan pawh a control bawk. Heng damdawi te hian natna thenkhat chu a control vek thei a, symptom awm lovin remission-ah a dah thei bawk.

He damdawi hi autoimmune natna atana hman tlanglawn tak tak thenkhat chu:

• Sam hring hring (Alopecia areata) .
• Inflammatory bowel disease, Crohn natna leh ulcerative colitis te hi a ni
• Lupus a ni
• Multiple sclerosis (MS) natna a awm thei a ni.
• Psoriasis leh a kaihhnawih arthritis te
• Rheumatoid arthritis (RA) , ruh natna tia hriat bawk

2. Organ leh Stem Cell Transplant-ah te

Mi pakhatin taksa peng pakhat, kal, thin, a nih loh leh thinlung ang chi chu thlak a ni ang tih han ngaihtuah teh. Taksa immune system chuan he taksa peng thar hi "ram dang mi" angin a hmu a. Chuvangin hnam dangah a ngai a, a bei a, hnawl a tum (organ rejection). Chu chu ven nan, chu chu taksain taksa peng thar a pawm theih nan, he (Immunosuppressant) damdawi hi pek a ni.

Chutiang bawkin thisen cancer, leukemia leh thalassemia te tan pawh stem cells transplant a ni. Heng cell thar atanga lo piang immune system hian taksa hlui chu a bei thei a ni. Hei hi (Graft-versus-host disease - GvHD) an ti a. He damdawi hi he natna laka invenna atan pawh a pawimawh hle.

Engtin nge he damdawi hi ka lak theih ang a, eng chen nge ka lak ang?

Heng damdawi te hi pill, liquid, injection, emaw intravenous (IV) angin ei theih a ni. I dinhmun azirin heng damdawi te hi thla engemaw zat, kum khat emaw, i dam chhung zawng emaw i ei a ngai mai thei. A bik takin organ transplant i neih tawh chuan i doctor-in a hrilh che chhung chu heng damdawi te hi i ei chhunzawm zel a ngai mai thei.

Immunosuppressant chi hrang hrang hman tam berte chu engte nge ni?

Damdawi chi hrang hrang a awm a. I dinhmun azirin i doctor chuan i tana tha ber damdawi emaw, damdawi inkawp emaw a thlang ang.

Heng damdawi te hian eng nge a thatna te, a side effect te leh a hlauhawmna te?

Heng damdawi te hian nunna chhanhimna hlawkna a thlen rualin, side effect leh risk engemaw zat a thlen thei bawk.

Side effect awm thei te

Hengte hi damdawi chak tak tak an ni a, side effect hrang hrang a thlen thei a ni. Mi zawng zawng hian heng zawng zawng hi an tawng vek dawn lo.

• Acne a lo awm thin
• Zunthlum vei theihna a awm
• Taksa hah lutuk
• Sam tlakchham emaw, duh loh zawnga sei emaw
• Lu na
• Thisen sang a sang
• Kawngkhar natna
• Ruh natna (Osteoporosis) a awm
• Tremors a awm
• A taksa rihna a tipung
• Pum natna, luak chhuak, leh luak chhuak

Risk leh harsatna bik a awm thei

1. Damdawi ei loh

Hei hi thil pawi tak a ni. He damdawi hi eng thil vang emaw, doctor thurawn tel lo emaw pawhin skip suh. Autoimmune disease nei miin hetiang hian a tih chuan natna chu a zual nghal thei a ni. Mi pakhatin taksa peng dang thlak tawhin damdawi a ei tawh loh chuan taksain chu taksa peng chu a hnawl tan ang.

2. Hri kai theihna a sang

Kan sawi tawh ang khan heng damdawi te hian immune system a tichak lo hle. Chumi awmzia chu i taksa invenna a tlahniam tihna a ni. Hei hian (immunocompromised) a siam che a, chu chu i immune system a chak lo tihna a ni. Chumi awmzia chu mi pangngai aiin natna khirh tak tak i kai awlsam zawk tihna a ni. Entirnan:

• Sepsis (thisen natna hrik kai) .
• Fungal natna (e.g., thrush) 1.1.
• Vun natna (Cellulitis) .
• Thluak lam natna (e.g., khawsik, pneumonia) .

Enkawl lai hian hrisel taka awm turin eng nge ka tih theih ang?

Tun tumruh taka immunity tihhniam hun lai hian i himna tur hi a hma aia nasa zawkin i ngaihtuah a ngai a ni.

• Sahbawn leh tuiin kut sil fo thin ang che. Hei hi hri kai laka invenna tha ber a ni.
• Vaccine pek dan tur chungchangah i doctor nen inbiakna neihpui rawh. Eng vaccine nge i lak tur leh i lak loh tur tih zawt rawh.
• Chaw tha tak tak ei rawh. Thlai, thei, whole grains leh proteins tui tak tak te nen ei leh in inthlau tak ei rawh.
• Mut tawk rawh. Mut tha neih hian immune system a thlawp a ni.
• Mipui tamna hmun leh damlo awmna hmunte chu a theih ang anga pumpelh tur a ni.

Naupai lai hian heng damdawi te hian nghawng a nei em?

Ni e, a ti thei ngei ang. He damdawi ei leh nau neih tum tu pawhin an doctor nen inbiakna neih hmasak phawt tur a ni. Damdawi thenkhat chu nausen pum chhunga naute tan a chhiat phah thei a, piansualna a thlen thei bawk. Tin, nau hnute pek lai hian damdawi thenkhat chu a tha lo hle bawk. Chuvangin i doctor-in a duh chuan damdawi him zawk, naupai atana tha zawkah a thlak thei che a ni.