COPD (Chronic Obstructive Pulmonary Disease) vei tawh phawt chuan thawk hah ang chi natna neia nun chu a harsatzia an hria. Hetiang dinhmun hi i neih chuan i doctor chuan i lungte thawk awlsam zawk nan inhaler special a rawn pe mai thei. Vawiin hian inhaler pakhat, powder ang chi, damdawi pahnih, Indacaterol leh Glycopyrrolate inzawmkhawm a awm chungchang kan sawi dawn a ni.
A awlsam zawngin, he damdawi hi eng nge ni?
Hei hi damdawi pahnih inkawp a ni. An pahnih hian i lung chhunga thawkna kawng tlem a zau a, congestion a tihziaawm a, thawk awlsam zawkin hna an thawk a ni. Hei hi maintenance medication a ni a, nitin i ei tur a ni.
Pawimawh tak: He inhaler hi COPD hun rei tak control nan a ni. Thâwk hahna lo thleng nghal mai atan hmang suh. Chutiang hunah chuan i doctor-in a pek che ang chi, short-acting blue inhaler i hmang tur a ni.
He damdawi hi i ei tan hmaa i doctor hnena i hrilh tur thilte
I himna atan he damdawi hi i hman hmain i doctor hnenah i hriselna chanchin kimchang i hriattir hmasak phawt a pawimawh hle. A hnuaia condition tarlan te hi i neih chuan hrilh ngei ang che.
| Hriselna dinhmun, doctor hnena hriattir ngai | |
|---|---|
| Zunthlum | Glaucoma natna (Glaucoma) a awm |
| Lung natna chi hrang hrang | Thisen sang a sang |
| Lungphun mumal lo | Kidney emaw liver emaw natna |
| Prostate lama harsatna emaw, zun harsatna emaw | Seizures a awm thin |
| Thyroid natna a ni | Bawnghnute emaw damdawi emaw ei tur dang emaw allergy nei |
| Naupai tum emaw, naupai emaw i nih chuan | Nu hnute petu i nih chuan |
Engtin nge inhaler hi hman dik ang?
Hei hian inhaler device bik a mamawh a, chuvangin i doctor emaw pharmacist emaw chuan hman dan tur a hrilh dan dik tak i hriatthiam ngei ngei tur a ni.
- Capsule te hi ei loh tur: Hei hi a pawimawh ber a ni. He damdawi hi capsule te tak te angin a awm a. Hengte hi kaa ei tur damdawi an ni lo. He capsule hi a kaihhnawih inhaler chhungah dah a ni a, a chunga button i hmet chuan capsule chu a puncture a, a chhunga damdawi powder chauh i inhale (inhale) thei a ni.
- Spacer hmang suh: He inhaler nen hian spacer device hman a ni lo.
- A hun takah ei rawh: Damdawi hi doctor-in a pek angin a pek hun leh a zat chauh ei tur a ni. A pek zat aia tam hmang ngai suh.
- Vawikhatah chawlhsan suh: Doctor thurawn tel lo chuan hetiang hi hmang tawh suh.
- I kâ chhunga capsule chi hrang hrang lo lut: A châng chuan damdawi i inhnim hian capsule aṭanga gelatin chi hrang hrang te chu i kâah a rawn lut thei a ni. Hei hi thil pangngai a nih avangin lungngai suh.
- Naupang tan a tha lo: He damdawi hi naupang tan hman phal a ni lo.
Damdawi i ei tam lutuk chuan engtin nge i tih ang?
Dose pek aia tam i ei nia i hriat chuan Colombo National Hospital-a National Poisons Information Center-ah zawh nghal rawh. A nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal rawh. Hei hi tikhawtlai suh.
Damdawi dose khat ka ei loh chuan engtin nge ni 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 missed dose kha skip la, i dose leh tur chu a hun ruatah ei rawh. Dose hloh tawh chu vawi khatah vawi hnih ei ngai suh.
He damdawi nena inzawm thei damdawi dang (Drug Interactions) .
Damdawi i ei lai thenkhat chu he inhaler-a damdawi nen hian a inzawm thei a ni. Hei hian duh loh zawng side effect a thlen thei a, damdawi hnathawh dan pawh a tidanglam thei bawk. Chuvangin, i damdawi ei zawng zawng, vitamin, nutritional supplements, Sinhala damdawi, leh Ayurvedic damdawi te pawh i doctor hnenah hrilh rawh .
Heng damdawi te hi i ei a nih chuan min hrilh ngei ang:
- Hun rei tak chhunga thawk thei bronchodilator chi dangte (long-acting beta-2 agonists - LABAs) .
- Lung natna thenkhat damdawi
- Rilru natna leh lungngaihna damdawi (MAOI ang chi) .
- Diuretics hmanga chaw ei thin
- Allergy, khuh, leh khawsik damdawi te
- Anticholinergic damdawi dang (e.g. ipratropium, tiotropium) te hi a tha hle.
- Steroid chi hrang hrang (e.g. prednisone) .
He list hi a kim lo a, chuvangin i ei zawng zawng doctor hnenah hrilh vek a him ber.
Damdawi ei laia fimkhur tur thilte
- Checkup neih fo: Doctor-in a tih angin clinic-ah hun bi neiin kal thin ang che.
- Symptoms ngaihven rawh: I symptoms a lo tha lo a nih chuan, emaw, a na zual ang tih a hriat chuan doctor hnenah hrilh nghal rawh.
- I quick-relief inhaler hmangin fimkhur rawh: I emergency (short-acting) inhaler chu a hma aia tam hman a ngai tih i hriat chuan i dinhmun chu i control tha lo tih chhinchhiahna a ni thei. I doctor hnenah hrilh nghal rawh.
- He damdawi hi i mitah lut suh: He damdawi hi i mitah lut suh. Chutianga tih chuan mit a ti na thei a, a kang thei a, mit a ti fiah lo thei bawk.
- Luak chhuak: Mi thenkhat chuan he damdawi an hman hian luak an nei thei. Chuvangin, he damdawi hian engtin nge a nghawng che tih i hriat hma chuan fimkhur ngai thil, lirthei khalh emaw, machinery hman emaw te chu pumpelh rawh. A bik takin tar i nih chuan ṭhutna atanga i tho emaw, khum atanga i tho emaw hian zawi zawiin ding rawh.
- Inhaler tihfai dan: Damdawi nena rawn kal instruction-a tarlan angin inhaler chu thianghlim takin vawng reng ang che.
Side effects te pawh i zir ve ang u.
Damdawi dang ang bawkin he damdawi hian side effect engemaw zat a nei thei. Ṭhenkhat chu serious an ni a, ṭhenkhat chu common tak an ni.
| Symptom na tak tak, doctor hnena hriattir nghal tur | |
|---|---|
| Allergic reactions: vun rawng, vun hring, hmai, hmui, lei hring. | Thâwk harsa zual: Damdawi ei hnua thawk a harsat deuh chuan. |
| Heart rate inthlak danglamna: rilru na, luak chhuak, i thinlung chu a thawk chak emaw, a thawk mumal lo emaw ang maia inhriatna, muhil. | Mit inthlak danglamna: mit hmuhna fiah lo, mit na. |
| Zun harsatna: zun laiin natna, zun tam dan inthlak danglam. | Muscle na emaw, a nghet lo emaw, khur emaw. |
| Thisen sugar sang chhinchhiahna: hmui a vawt, tuihal lutuk emaw, riltam emaw, zun tam ngai. | |
| Symptoms ngaihtuah tur awm lo, mahse a awm reng chuan doctor hnenah i hrilh tur a ni. | |
| Hnung lam natna | Khuh |
| Khawsik ang chi natna (hnar luang) . | Hrawk thip |
Damdawi hi engtin nge dik taka kan dahkhawm ang?
Damdawi quality vawng reng tur chuan dik taka dah a ngai a ni.
- Naupangte hmuh theih lohna hmunah dah rawh.
- Room temperature-ah dah la, hmun vawt takah dah rawh. Moisture lakah venghim rawh.
- Capsule te hi aluminum foil packet ah hian i hman theih hma loh chuan dah la. Capsule te hi la chhuak suh la, inhaler chhungah dah suh.
- Damdawi pack thar i dawn apiangin a kaihhnawih inhaler thar kha hmang thin ang che.
Take-Home Thuchah a ni
- He inhaler hi maintenance medication a ni a, hun rei tak chhunga COPD control nana hman thin a ni. Thâwk hahna rang tak atan hmang suh.
- Damdawi capsule te hi ei ngai suh. Inhaler hmanga inhaled mai tur an ni.
- Damdawi dang i neih leh damdawi i ei zawng zawngte chu i doctor hnenah hrilh rawh.
- I rescue inhaler i mamawh fo chuan doctor pan nghal rawh.
- Side effect na tak tak (rilru na, thawk harsa zual, allergic reaction) symptoms a awm chuan doctor lam pan nghal tur a ni.
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