Cancer dona hi zinkawng awlsam a ni lo tih kan hre vek. He zin chhung hian doctor hian nangmah emaw, i chhungte tu emaw hnenah damdawi bik ‘Ipilimumab’ tih hi a hrilh tawh em? He hming hriat hi a buaithlak deuhin a lang thei a, i hlauthawng pawh a ni thei. Mahse, lungngai suh. Vawiin hian he damdawi chungchang te, a hnathawh dan te, fimkhur a ngaihna te, awlsam tak leh friendly takin kan sawi dawn a ni.
Ipilimumab (YERVOY) hi eng damdawi nge ni?
A awlsam zawngin Ipilimumab hi immunotherapy a ni . Traditional chemotherapy ang a ni lo. Kan taksa chakna (immune system) tichakin cancer cell a hriat theih nan leh a beih theih nan a thawk a ni. A bik takin, a bik taka siam protein a ni. Damdawi lamah chuan hei hi `monoclonal antibody' kan ti thin.
He damdawi hi cancer chi hrang hrang enkawlna atan hman a ni ber. Entir nan:
- Colorectal cancer a ni
- Chaw ei kawng cancer a ni
- Kidney cancer a ni
- Liver cancer a ni
- Lung cancer a ni
- Melanoma, vun cancer chi khat na tak a ni
- Kan taksa chhunga cancer (Mesothelioma) .
I doctor chuan damdawi lam thil dang atan pawh he damdawi hi a rawt thei bawk.
Enkawlna i tan hmaa i doctor hnena i hrilh tur thilte
He enkawlna hi i tan hmain i doctor hnenah i hriselna chanchin kimchang hrilh hmasak a pawimawh hle . A hnuaia condition te hi i neih chuan hrilh ngei ang che:
- Immune system natna: Autoimmune diseases i neih chuan, Crohn’s disease, ulcerative colitis, emaw lupus, i taksa immune system-in i taksa peng thenkhat a rawn bei sual a nih chuan.
- Organ transplant: A hmaa organ transplant i neih tawh chuan.
- Stem cell transplant: Midang hnen atanga allogeneic stem cell transplant i neih tawh emaw, neih i tum emaw a nih chuan.
- Nervous system natna: Nervous system natna `Myasthenia gravis` emaw `Guillain-Barre syndrome` emaw i neih chuan.
- Allergy: He damdawi (Ipilimumab) emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan.
- Naupai: Naupai, nau pai tum emaw, rinhlelhna emaw i neih chuan.
- Nu naupai lai i nih chuan: Nu nau hnute pe mek i nih chuan.
He thu hi thup lova doctor nena inbiakna hi i himna tur leh i enkawlna hlawhtlinna atan a pawimawh hle.
Engtin nge he damdawi hi taksaah pek a nih?
Hei hi in lama i hruai thin pill emaw capsule emaw a ni lo. Hei hi injection a ni a, chu chu vein-ah pek a ni a, saline ang chi a ni . He enkawlna hi damdawi in emaw clinic emaw-ah pek a ni a, doctor emaw trained nursing staff emaw enkawlna kimchang hnuaiah pek a ni.
He damdawi hi taksaah minute 30 atanga minute 90 chhung pek thin a ni tlangpui. Treatment session apiangin he damdawi chungchangah hian special information leaflet (MedGuide) pek i ni ang. A hun apiangah ngun taka chhiar leh hriatthiam a pawimawh.
Dose pakhat hloh hi harsatna lian tak a ni thei. Chuvangin i scheduled appointment-ah i kal thei lo a nih chuan i doctor emaw hospital emaw call nghal la , hriattir la, eng nge i tih tur tih thurawn la rawh.
Enkawl laia fimkhur bik tur thil
- Naupai leh nau hnute pek: Hei hi a pawimawh ber a ni. He damdawi ei lai leh enkawlna chawlhsan hnu thla 3 chhung chu naupai kim loh tur a ni. Nausen piang lo chu nasa takin a tichhe thei a ni. Tin, enkawl lai leh a hnuhnung ber atanga thla 3 chhung chu hnute pek loh tur a ni.
- Damdawi lam enkawlna: I doctor chuan i enkawlna chhung zawngin i dinhmun chu uluk takin a enfiah ang a, thisen test mumal (thisen hnathawh) order pawh a tel ang.
- I overdose chuan: Damdawi inah pek a nih avangin hei hi a rinawm loh hle. Mahse, i overdose nia i rinhlelh chuan Colombo National Hospital-a National Poisons Information Center-ah zawh nghal la, a hnai ber Emergency Department (ETU) -ah kal nghal rawh.
Side Effect awm thei te
Damdawi dang ang bawkin Ipilimumab hian side effect engemaw zat a nei thei a ni. Chung zinga ṭhenkhat chu report nghal tur a ni a, ṭhenkhat erawh chu chutiang chuan a pawi lo hle thung. Hei hi a hnuaia table atang hian chiang takin i hrethiam ang u.
| Side effect a awm thei | A sawifiahna leh a lan chhuah dan |
|---|---|
| I doctor hnena hrilh nghal tur thil | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring, thawk harsa. |
| Pum na leh luak chhuak | Pum natna nasa tak, bawlhhlawh chhuak emaw thisen chhuak emaw, leh bawlhhlawh dum, tarry tak tak te. |
| Liver chhiatna chhinchhiahna | Mit emaw vun emaw a sen, zun dum/brown, bawlhhlawh hring, pum dinglam chunglam na, ei duh loh, rilru hah, hah lutuk. |
| Vun lama harsatna nei | Vun a sen, a hring, a hring (ka chhungah pawh). |
| Nervous system lama harsatna a awm | Ke leh ke ruh natna, natna, mit danglam, mit na, luak chhuak nasa lutuk, leh muhil. |
| Heart rate a inthlak danglam thin | I thinlung chu a thawk chak emaw, a thawk mumal lo emaw ang maia inhriatna, rilru na. |
| Thil a awm reng emaw, a buaithlak emaw a nih chuan doctor hnena hrilh tur thilte | |
| Lu na | Lu na tlangpui. |
| Chaw chakna | Ei duhna a tlahniam. |
| Mu thei lo | Zana mut harsa. |
He list-a tarlan loh symptom dang danglam tak i neih chuan i doctor hnenah pawh hrilh la.
Take-Home Thuchah a ni
- Ipilimumab hi damdawi bik a ni a, taksa ngeia immune system-in cancer cells a beih theih nan a pui a ni.
- Enkawl i tan hmain i damdawi lam dinhmun leh allergy zawng zawng doctor hnenah hrilh hmasa phawt ang che.
- Inenkawl lai leh a tawp hnu thla 3 chhung chu naupai leh nau hnute pek loh vek tur a ni.
- Side effect na tak tak, riltam na tak, vun hring na tak, mit sen, thawk harsa i neih chuan doctor hnenah hrilh nghal rawh.
- Enkawlna hun ruat sa chu tlawh loh tur a ni. Eng thil vang pawha i kal thei lo a nih chuan damdawi inah hriattir hmasak phawt tur a ni.
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