Hun rei tak chhunga thawk lama harsatna, chu chu COPD (Chronic Obstructive Pulmonary Disease) ang chi natna i nei bawk em? Chutiang hunah chuan i doctor chuan nebulizer hmanga damdawi ei turin a ti che a ni mai thei. Hetianga pek leh thawk hahdamna damdawi ber pakhat chu Ipratropium a ni. Hei hi brand name Atrovent hmangin i hmu thei fo. Chuvangin vawiinah hian he damdawi hi awlsam takin sawi ila, a hman dan tur leh fimkhur tur thilte hi han sawi ila.
Ipratropium hi eng damdawi nge ni?
A awlsam zawngin Ipratropium hi i lung chhunga thawkna kawng chhunga thau awmte ti hahdamtu damdawi a ni a, a tizau a, thawk luh leh chhuah a awlsam phah a ni. COPD ang chi thawkna lama hun rei tak chhunga awm thei enkawlna atan hman a ni ber.
Mahse hei hi a pawimawh hle: Ipratropium hi damdawi a ni lo va, natna hrik lo chhuak nghal mai enkawlna atana hman a ni lo. Chumi atan chuan i doctor chuan "reliever" inhaler hran, fast-acting a pe che a ni mai thei. He damdawi hi i natna lan chhuah dan control nan leh a lo lang leh tawh loh nan hman a ni.
Damdawi ei hmaa doctor hnena i hrilh tur thilte
He damdawi hi i hman tan hmain natna dang leh allergy i neih apiang doctor hnenah hriattir hmasak a pawimawh a , hei hi natna thenkhat nen he damdawi hi kan hman hian kan fimkhur hle a ngai a ni.
| Situation i report tur a ni | Engvângin nge chu chu a pawimawh? |
|---|---|
| Glaucoma (mit a pressure tihpun) . | He damdawi hi i mitah a lut a nih chuan i glaucoma natna chu a zual thei hle. Chuvangin nebulizer mask hi uluk takin vuah tur a ni a, damdawi vapor chu i mitah a luh loh nan fimkhur tur a ni. |
| Zun harsatna emaw, prostate lama harsatna emaw | He damdawi hian i zun i vawn theihna a nghawng thei a, chuvangin hetiang harsatna i neih tawh chuan doctor hrilh a pawimawh. |
| Lung natna emaw, thinlung thawk mumal lo emaw | A tlem hle nachungin he damdawi hian heart rate a nghawng thei a ni. Chuvang chuan thinlung natna history i neih chuan min hriattir dawn nia. |
| Allergy chi hrang hrang (Allergies) . | Allergy i neih chuan min hrilh ngei tur a ni, a bik takin Ipratropium, Atropine, soy protein, emaw peanuts ang chi thil te hi. |
| Naupai i nih chuan, nau pai tum i nih chuan, nau hnute i pe a nih chuan | Hetiang hunah hian damdawi eng pawh i hman hmain i doctor nena inbiakna neih a pawimawh hle a, a thatna leh a hlauhawmna hriatthiam a pawimawh hle. |
Engtin nge he damdawi hi nebulizer nen hian dik taka i hman?
Nebulizer chu damdawi tui tak chu mist tha takah a chantir thei machine a ni. He hnim hring hi i ka atanga emaw, i hmui leh hnar hmanga (mask hmanga) i thawk chuan damdawi chu i lung chhungah a lut nghal vek a ni.
Step awlsam tak tak zawm tur:
1. A hmasa berin sahbawn hmangin i kut uluk takin silfai ang che.
2. Doctor-in Ipratropium liquid damdawi a pek zat chu nebulizer chhunga cup te tak te (nebulizer cup) chhungah dah la.
3. Nebulizer hmun dang (mask emaw mouthpiece leh tube) te chu uluk takin connect rawh.
4. Mask a nih chuan i hmaiah i hnar leh hmui a khuh tha turin dah la. Kawngkhar a nih chuan i hmui hmangin nghet takin chelh rawh.
5. Tunah chuan nebulizer kha on la, thawk pangngaiin thawk rawh. Hetiang hian damdawi vapor a bo hma loh chuan thawk chhunzawm zel ang che (minute 10-15 vel).
6. A zawh chuan nebulizer chu phelh la, a siamtu thupek angin tifai rawh.
A pawimawh ber chu doctor-in a pek zat leh a pek tam dan chauh hman hi a ni. Duh duh angin a dose hi thlak ngai suh la, a pek aia tam hmang ngai suh.
I overdose emaw, dose i miss emaw a nih chuan engtin nge i tih ang?
Dose tihpun a nih chuan
I ngaihtuah aia tam damdawi i ei nia i hriat chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh . A nih loh leh Colombo National Hospital-a National Poisons Information Center-ah zawhfiah theih a ni bawk.National Poisons Information Center-ah thurawn dil theih a ni.
Chaw ei i tlakchham chuan
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.
Eng damdawi dang nge he damdawi nen hian inzawm thei?
Ipratropium hian damdawi dang i ei lai nen a inzawm thei a ni. Chuvangin i doctor hnenah i damdawi ei zawng zawng list kimchang pe la, vitamin, herbal remedies, leh supplement te pawh a tel. A bik takin a hnuaia damdawi te hi fimkhur rawh:
- Atropine a ni
- Khawsik leh allergy tan antihistamine thenkhat
- Bladder lama harsatna nei damdawi (e.g. oxybutynin, tolterodine) .
- Rilru natna damdawi thenkhat
- Pum natna damdawi thenkhat (e.g. dicyclomine) .
- Khualzinnaah riltamna atana damdawi ei tur (e.g. scopolamine) .
- Parkinson natna damdawi thenkhat
He list hi a kim lo. Chuvangin , nebulizer ah hian damdawi engmah mix suh la, doctor zawt lovin a thar tan tir suh.
Damdawi ei laiin side effects a awm thei
Damdawi dang ang bawkin Ipratropium hian side effect engemaw zat a nei thei a ni. Chung zinga ṭhenkhat chu a pawi hle a, ṭhenkhat erawh chu a awm fo thung.
| Side effect a awm thei | Description leh tih tur |
|---|---|
| Side effect na tak tak, damdawi lam pan vat ngai | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. Doctor pan nghal rawh. |
| Mit na nghal emaw, mit a danglam emaw | Thil hmuh theih loh, light chhehvela ring hmuh, mit hmuh loh ang chi te. Doctor pan nghal rawh. |
| Zun harsatna | I zun tlem emaw, harsatna i neih chuan doctor hnenah hriattir tur a ni. |
| Damdawi ei hnua thawk harsa zual | Hei hi thil thleng tlemte (paradoxical bronchospasm) a ni. Hetiang a nih chuan damdawi hi hmang nawn tawh lo la , Doctor pan nghal mai tur a ni. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Kawng a vawt | Tui tlem in leh sugar-free gum ei hian hahdamna i hmu thei ang. |
| Khuh | Hei hi ni engemaw zat chhungin a reh tlangpui. A awm reng chuan i doctor hnenah hrilh rawh . |
| Lu na | Hahchawl. A tul chuan Doctor nen inbiain painkiller engemaw zat i la thei bawk. |
| Ek khal | Tui tam tak in la, fibrous foods (thei, thlai chi hrang hrang) ei tam rawh. |
Take-Home Thuchah a ni
- Ipratropium hi hun rei tak chhunga thawkna lam natna, COPD ang chi enkawlna atana hman a ni a, emergency atana hman tur damdawi a ni lo.
- He damdawi hi i ei tan hmain i damdawi lam dinhmun zawng zawng leh damdawi dang i ei zawng zawngte chu i doctor hnenah hrilh hmasa phawt ang che.
- Doctor-in a sawi ang chiah khan nebulizer hi hmang ang che. Dose hi tihpun ngai suh.
- Damdawi i ei hnua a side effect na tak, mit na, mit a inthlak, allergy na tak, emaw, thawk harsatna nasa tak i neih chuan doctor pan nghal rawh.
- He damdawi hi i tan chauh a ni. Mi dangin eng thil vang pawha hman tir suh.
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