Nangmah emaw i hriat tu emaw hian Multiple Sclerosis (MS) i vei a nih chuan enkawlna awm thei te hriat a pawimawh. I doctor chuan Interferon Beta-1a tih vaccine a lo pe tawh mai thei. A hming i hriat veleh hlauhna leh hriat duhna tlem a awm chu thil pangngai a ni. Chuvangin vawiin hian he damdawi chungchang hi awlsam takin kan sawi dawn a, kan thianpa nen kan inbia ang maiin kan sawi dawn a ni.
Interferon Beta-1a hi eng nge ni tak tak?
A awlsam zawngin sawi ila, Interferon Beta-1a hi Multiple Sclerosis (MS) control-na atana puitu damdawi a ni. MS damdawi a ni lo va , mahse thil pawimawh tak tak a ti a ni.
MS hi natna, i taksa nervous system bei chhunzawm zeltu a ni tih han ngaihtuah teh. He damdawi hian chutiang attack tamna leh hun kal zelah natnain taksa chak lohna a thlen thin chu a tihtlem phah a ni. Phên dangin sawi ila, natna kal zel tur titawp turin a pui a ni. He damdawi hi brand hming hrang hrang hmanga siam a ni a, Avonex leh Rebif te pawh a awm.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i ei tan hmain i doctor nen i hriselna chanchin kimchang sawipui a pawimawh hle a , a bik takin a hnuaia tarlan te hi i neih chuan.
| Hriselna dinhmun emaw harsatna emaw | I hriattir tur chu |
|---|---|
| Rilru hriselna | Depression i neih emaw, tun hmaa i lo neih tawh emaw, i nun tihtawp tumna i neih chuan. |
| Lung natna | Lung natna, thinlung natna ang chi i neih chuan. |
| Liver natna te | Liver natna eng emaw i neih chuan. |
| Thisen lama harsatna a awm | Natna i neih chuan thisenah thisen var, thisen sen (red blood cells) emaw, platelets te a tlahniam thei a ni. |
| Immune system a ni | Immune system nena inzawm natna dang i neih chuan. |
| Allergy nei te pawh a awm | He damdawi hi allergy i neih chuan, interferon chi dang, albumin emaw, damdawi dang emaw, ei tur emaw, dye dang emaw i allergy a nih chuan. |
| Naupai leh nau hnute pek | Naupai i nih chuan, naupai tum i nih chuan, nau hnute i pe a nih chuan. |
Engtin nge he injection hi dik taka i pek theih ang?
Injection a nih avangin pek dan tur training mumal tak pek i ni ang. Injection thenkhat, Rebif ang chi chu vun hnuaiah inject a ni a, thenkhat erawh Avonex ang chi chu taksa ruh pakhatah inject a ni thung.
A pawimawh ber chu, doctor emaw nurse emawin a tih dan tur dik taka a zirtir hma loh chuan nangmah chauhin hetiang hi ti ngai suh.
Damdawi buatsaih dan tur te, khawiah nge inject tur tih te, inject dan tur te chiang takin an entir ang che. Tin, bawlhhlawh bawm pangngaiah needle leh syringe hman tawh dah kha khap tlat a ni bawk. I doctor emaw clinic emaw hnenah i dah theihna tur "sharps container" bik chungchang zawt rawh. I himna atan leh midangte himna atan a pawimawh hle.
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 a hun tawh dawn a nih chuan missed dose kha skip la, i dose lo awm tur chu a hun pangngaiah ei rawh. Double dose ei ngai suh. A tlangpuiin, dose inkar darkar 48 vel inkar a awm tur a ni. A zawna dose hnih i ei palh a nih chuan doctor ko nghal rawh.
Damdawi i ei tam lutuk chuan engtin nge i tih ang?
Damdawi i ei tam lutuk nia i hriat chuan hlauthawng suh la, hma la nghal rawh. Colombo National Hospital-a National Poisons Information Center-ah biak theih a ni. A nih loh leh, i damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal la.
Damdawi ei laia fimkhur tur thilte
He damdawi hi i ei dawnin doctor nen inbiak hnaih reng a pawimawh.
- I natna lan chhuah dan a ṭhat loh emaw, a zual emaw chuan doctor hnenah hrilh rawh .
- Doctor chuan i liver hnathawh leh thisen dinhmun enfiah nan thisen test ang chi thil a tih a ngai dawn a ni.
- He damdawi hian a chang chuan side effect hmuh tur awm lo tak, mahse na tak Thrombotic Thrombocytopenic Purpura (TTP) tih a thlen thei a, hei hi thisen zam harsatna a ni. Hei hian thihna a thlen thei a, chuvangin a hnuaia symptoms te hi i neih chuan doctor rawn la nghal rawh :
- Vun emaw ka chhungah emaw purple spot awm
- Mit emaw vun emaw a sen (yellowing) thin
- A natna lan chhuah dan chu khawsik, malaise, leh chills te hi a ni
- Pum a na
- Thil danglam tak a chau tih hriatna
- Chhung na, thawk harsa
- Ke na, a hring emaw, a lum emaw
- Buaina, lu na na tak, tawng leh kal harsa, mit a inthlak danglam thin
Damdawi avanga side effect awm thei te
Damdawi dang ang bawkin he damdawi hian side effect a nei thei a ni. Ṭhenkhat chu a serious a, a then chu a common. I ti chhe vek ang u.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| Side effects te chu doctor hnenah report nghal tur a ni | |
| Allergy natna a awm thei | Skin rash, itching, hmai, hmui, lei hring. |
| Rilru lam inthlak danglamna | Depression, mahni intihhlum duhna, mood inthlak danglam. |
| Lung lam natna lan chhuah dan | Thâwk harsa, thinlung thawk chak emaw, mumal lo emaw, taksa rihna sang nghal, ke ruh leh ke ruh hring, hah lutuk. |
| Liver chhiatna chhinchhiahna | Dark yellow/brown urine, lethargy, ei duh lohna, pum dinglam chunglam na, mit/vun sen. |
| Symptom na tak dang a awm bawk | Thisen chhuah emaw, hliam emaw, seizures, dum/blue inthlak danglam, injection na hmuna hring, emaw, zun emaw. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Khawsik | Injection hnua khawsik leh natna nei. |
| Lu na leh taksa ruh na | Lu na, taksa ruh na emaw, na emaw. |
| Injection pekna hmun | Injection na hmunah a sen, a na, a hring deuh bawk. |
| Thildang | Mut theih lohna, hahna, thlasik hun inthlak danglam. |
Engtin chiah nge damdawi chu i dahkhawm?
Hei hi a pawimawh hle. Damdawi quality vawng reng tur chuan uluk taka dahkhawm a ngai a ni.
- Naupang leh ran vulhte hmuh theih lohna hmunah dah fo ang che.
- He damdawi hi a tlangpuiin refrigerator-ah dah tur a ni a, 2 leh 8 degree Celsius inkar ah dah tur a ni. Freezer-ah dah ngai suh. Chutianga tih chuan damdawi chu a vawt ang a, a chhe ang.
- Eng lakah venghim rawh. Chumi awmzia chu box chhungah dah a tha ber tihna a ni.
- Refrigerator tel lova zin i nih chuan chi thenkhat (Rebif ang chi) chu room temperature (25 degree Celsius hnuai lam)-ah ni 30 thleng dah theih a ni a, chi thenkhat (Avonex ang chi) chu ni 7 thleng dah theih a ni bawk. Mahse, thil chiang tak tak hriat duh chuan i doctor hnenah zawt rawh.
- Damdawi expired hman loh tur. I doctor hnenah an paih dan tur him tak zawt rawh.
Take-Home Thuchah a ni
- Interferon Beta-1a hi MS damdawi a ni lo a, mahse natna thunun thei tur leh i nunphung tha vawng reng thei tur enkawlna pawimawh tak a ni.
- Enkawl i tan hmain i damdawi lam dinhmun leh allergy zawng zawng doctor hnenah hrilh hmasa phawt ang che.
- Injection dik taka pek dan practice rawh. Needle hman tawhte chu him takin paih vek tur a ni.
- Side effect na tak tak (a bik takin rilru lam inthlak danglamna, thinlung lam natna, thin lam harsatna) te chu en reng ang che. Heng zinga pakhat tal i tawn chuan doctor hnenah hrilh nghal rawh.
- He damdawi hi i tan chauh a ni. Midang hnenah share ngai suh.
- Damdawi chu a lumna dik takah dah la, êng laka venhimna hmunah dah la, naupangte hmuh theih lohna hmunah dah rawh.
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