Gout hi hriselna lama harsatna leh hrehawm tak a ni tak zet a ni lawm ni? Vawilehkhatah ke ruh lian emaw, khup lian emaw ang chi ruh chu a sen a, a hring a, chu chuan tuar harsa tak, natna nasa tak a thlen a ni. A chhan ber chu taksaa uric acid level a san vang a ni. Chuvangin, i doctor chuan he gout natna hi control turin damdawi Lesinurad tih a pe che a ni mai thei. Chuvangin, vawiin hian he damdawi hi eng nge a nih, kan taksa a nghawng dan, leh a hman lai hian eng nge a bik takin kan fimkhur a ngai tih te chu awlsam takin kan sawi dawn a ni.
Lesinurad chu eng nge ni? Engtin nge a thawh?
A awlsam zawngin sawi ila, Lesinurad hi i thisena uric acid level tihhniamna damdawi a ni. Uric acid hi kan taksain a siam chhuah bawlhhlawh a ni. Hengte hi a tlangpuiin kal (kidney)-in a filter a, zun-ah a paih chhuak thin. Mahse mi thenkhat chuan an taksaah uric acid an siam tam lutuk a, a nih loh leh an paih chhuak tha lo. Tichuan he uric acid hi taksaah a pung khawm a, crystal angin ruh (joint)-ah a inkhung khawm ta a ni. Chutah chuan gout natna a awm thin.
Lesinurad hian a tih chu kal atanga uric acid chhuahna a tipung a ni. Mahse hetah hian thil pawimawh tak a awm.
Lesinurad hi amah chauhin hman a ni ngai lo. Gout damdawi dang, allopurinol emaw febuxostat emaw nen hman a ni fo thin. Heng damdawi te hi xanthine oxidase inhibitor an ti a. Taksa a uric acid siamchhuahna an ti tlem a ni. Lesinurad hian a tlem zawk chu a paih chhuak thei a ni.
Chumi awmzia chu heng damdawi pahnih hian i gout condition control nan an thawk dun tihna a ni.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
Lesinurad i ei tan hmain i doctor hnenah i hriselna dinhmun kimchang taka sawi hmasak a pawimawh hle. Heng thilte hi a bik takin hrilh ngei ang che.
- Kidney natna i neih emaw , kidney transplant i neih tawh emaw , dialysis treatment i neih mek emaw a nih chuan .
- Liver natna i neih chuan .
- Cancer i neih chuan .
- Uric acid nena inzawm natna, pian tirh atanga lo awm, Lesch-Nyhan syndrome ang chi i neih chuan.
- He damdawi, Lesinurad, damdawi dang, ei tur, emaw dye emaw allergy i neih chuan.
- Naupai i nih chuan , naupai tum i nih chuan , nau hnute i pe a nih chuan .
- Dehydration ang chi condition i neih chuan .
Heng thute atang hian doctor chuan he damdawi hi i tan a tha em tih te, a dose thlak a ngai em tih te a rel ang.
Engtin nge damdawi hi ka hman dik ang?
Damdawi pakhat atanga hlawkna tam ber hmuh tur chuan a thupek anga hman a pawimawh hle.
- Hun: He pill hi zing tin ei tur a ni .
- Ei dan: He damdawi hi chaw ei rualin tui glass khat nen ei thin ang che .
- Pawimawh: I doctor-in a pek gout damdawi dang (allopurinol emaw febuxostat emaw) nen ei thin ang che. Lesinurad chauh hi ei ngai suh.
- Dosage: Doctor-in a tih aia tam ei loh tur.
- Bawlh: Doctor thurawn tel lo chuan damdawi ei kha titawp thut suh.
Damdawi dose i ei loh chuan engtin nge i tih ang?
Zingah i damdawi ei kha i theihnghilh ta ang u. Chutiang a nih chuan chumi ni chuan la tlai lamah la suh. Chu hun chu skip la, a tuk zingah i damdawi chu i hun pangngaiah ei rawh. Double dose ei ngai suh.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
He damdawi hi i ei tam lutuk nia i hriat chuan hlauthawng suh la, Colombo National Hospital-a National Poisons Information Center call nghal la, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal nghal rawh.
He damdawi nena inzawm thei damdawi dang (Interactions) .
Damdawi dang i ei hian Lesinurad nen a inzawm thei. Chuvangin i damdawi ei zawng zawng (vitamin leh herbal supplement te pawh tel) i doctor hnenah hrilh rawh. A bik takin heng damdawi chi hrang hrangah hian fimkhur hle ang che.
| Ruihhlo chi hrang hrang | Entirnan |
|---|---|
| Aspirin leh a ang chi natna tidamtu te | Aspirin a ni |
| Antibiotics thenkhat | Rifampin a ni |
| Thisen sang leh lung natna damdawi | Amiodarone, Amlodipine tih a ni |
| Cholesterol tihhniamna damdawi | Atorvastatin a ni |
| Antifungals a ni | Fluconazole a ni |
| Seizure tan damdawi | Carbamazepine, Valproic acid hmanga siam a ni |
| Hmeichhe hormone leh naupai venna | Birth control pill, injection, patch, ring te pawh a awm bawk |
| Thildang | Sildenafil a ni |
Damdawi ei laia fimkhur bik tur thil
- Gout flare: He damdawi hi i ei tan tirh hian i gout chu a na zual thei. Hei hian natna leh hliam i nei thei tihna a ni. Hei hi gout flare an ti a . Mahse damdawi ei kha bansan hlau suh. Hei hi thil pangngai a ni. I doctor chuan a natna control turin damdawi dang a pe ang che.
- Tui in tam: Hei hi a pawimawh hle. Uric acid flush out pui turin ni khatah tui litre 2 (glas 8-10) tal in tur a ni. Diarrhea emaw, luak chhuak emaw i neih chuan doctor hnenah hrilh rawh. Hei hian tui tlakchhamna a thlen thei a ni.
- Thisen test: He damdawi i ei lai hian i kal (kidney) hnathawh dan enfiah turin i doctor chuan thisen test a ti thei ang. Anni chu tihfel tir ngei ang che.
- Birth control: Hei hi hmeichhia tan a pawimawh zual hle. Hormonal birth control method, pill, injection emaw patch emaw i hman chuan Lesinurad ei hian a ti hlawhtling lo thei. Chuvangin, naupai ven i duh chuan i doctor nen birth control dang (condom ang chi) hman chungchang hi sawipui ngei ang che.
Damdawi hmansualna (side effects) te
Damdawi dang ang bawkin a side effect pawh a awm thei. Ṭhenkhat chu a serious a, a then chu a common.
| Heng symptoms te hi i neih chuan doctor pan nghal tur a ni. | |
|---|---|
| Allergy na tak tak a awm | Vun vun rawng, hnim hring, hmai, hmui, lei, thawk harsa. |
| Lung natna lan chhuah dan | Chhung na emaw, nuam lo emaw, thawk harsa, luak chhuak, luak chhuak, muhil, hmui emaw hnungzang emaw na. |
| Kidney chhiatna chhinchhiahna | Zun harsatna, zun chhuah tlem, flank na. |
| Stroke natna lan chhuah dan | Mit a inthlak danglam, buaina, tawng leh hriatthiam harsa, lu na nasa tak, hmai, kut leh ke ruh natna emaw chak lohna emaw. |
| Symptoms nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Harsatna tlangpui | Lu na, pum na, hrisel lohna (khawsik ang chi). |
Take-Home Thuchah a ni
- Lesinurad chauh hi ei ngai suh. I doctor-in a pek gout damdawi dang (Allopurinol/Febuxostat) nen ei fo ang che.
- Damdawi hi zing tin ei tur a ni a, chaw ei rualin ei tur a ni.
- Nilengin tui tam tak in thin tur a ni (litre 2 tal).
- Damdawi i ei tan tirh khan i gout natna a zual a nih pawhin hlauthawng suh la, ei kha bansan rawh. Chumi chungchang chu i doctor nen sawiho rawh.
- Hmeichhia birth control hmang i nih chuan i doctor hnenah extra safe method chungchang zawt rawh.
- Side effect na tak i hmuh chuan doctor lam pan nghal rawh.
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