I doctor-in damdawi thar a hrilh che chuan, a bik takin cancer enkawlna ang chi thil engemaw takah chuan hlauhna leh hriat duhna tlem a awm hi thil pangngai a ni. "Hei hi eng nge ni?", "Engvangin nge he thil hi min pek?", "Hei hi eng nge thleng ang?" I rilruah zawhna tam tak i nei ngei ang. Chuvangin vawiin hian vaccine Leucovorin tih kan sawi dawn a, chu chu hetiang huna i tanpui nan pek che a ni. Hemi chungchang hi awlsam takin kan sawi dawn a, i hriatthiam theih tur angin.
Leucovorin hi eng nge ni tak tak?
A awlsam zawngin sawi ila, Leucovorin hi "helper" drug a ni. Natna pakhat direct-a tihdam ai chuan, enkawlna dang pui tura pek a ni. Hna pawimawh tlemte a nei a.
1. Cell hrisel humhalh: Cancer ang natna tan damdawi chak tak, methotrexate ang chi pek i ni ang tih han ngaihtuah teh. He damdawi hian cancer cell a tihlum rualin kan taksaa cell tha, hrisel tak takte pawh a tichhe thei bawk. Chutih lai chuan he "helper" Leucovorin an tih hi a rawn lut a, i cell hriselte tan shield ang maia venhimna a pe a ni. Chu chu taksaa folate level tihsan hmangin a ti a ni.
2. Anemia enkawl dan: A chang chuan taksain nutrient folate a tlakchham chuan thisen tlakchhamna a thlen thin. He vaccine hi folate tlakchham vanga thisen tlakchhamna (anemia) enkawlna atan pek a ni bawk.
3. Cancer damdawi dangte thatna tihpun: Colorectal cancer enkawlnaah hian damdawi dang fluorouracil an tih hi hman a ni. He leucovorin injection hian fluorouracil hian cancer cell a tihlum theihna a tichak a ni . Chu chu damdawi bulpui hna thawk tha zawk turin a pui tihna a ni.
Chuti a nih chuan i hrethiam em? Hei hi direct-a cancer enkawlna (chemotherapy) a ni lo. Mahse cancer enkawlna leh thil dang dangah pawh hmun pawimawh tak a chang a, adjuvant drug a ni.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i tan hmain i doctor tan i hriselna chanchin kimchang hriat a pawimawh hle. Hei hian enkawlna him ber i dawng thei ang. Chuvangin a hnuaia mi hi hrilh ngei ang che:
- Vitamin B12 tlakchham vanga thisen tlakchhamna (anemia) i neih chuan: Hei hi a pawimawh zual hle. Leucovorin hian he B12 tlakchhamna chhinchhiahna thenkhat hi a titawp thei a ni. Mahse, a enkawl dan erawh a danglam thung. Chuvangin chutiang dinhmun i neih chuan doctor hnenah i hriattir tur a ni.
- Allergy i neih te chu:Leucovorin, folic acid, damdawi dang, ei tur, dye emaw, preservative emaw i allergy i neih chuan doctor hnenah hrilh rawh.
- Naupai emaw, naupai tum emaw i nih chuan: Hemi chungchang pawh hi i doctor nen inbiakna neih a pawimawh hle.
- Nu naupai lai i nih chuan: Hemi chungchang pawh hi hriattir ngei ang che.
Engtin nge he vaccine hi pek i nih ang?
He damdawi hi in lama hruai theih a ni lo. Damdawi in emaw clinic emaw a doctor emaw trained nurse emaw in a pe che a ni . He injection hi i vein (intravenous injection) emaw muscle emaw ah pek thin a ni tlangpui.
Damdawi i ei tam lutuk chuan engtin nge i tih ang?
Hei hi damdawi in hmuna pek a nih avangin hetiang thil thleng theihna chance hi a tlem hle. Mahse, he damdawi hi i ei tam lutuk nia i hriat chuan hlauthawng suh. Mahse damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh . A dang pawhin Colombo National Hospital-a National Poisons Information Center-ah thurawn dil theih a ni bawk.
Damdawi dose khat ka ei loh chuan engtin nge ni ang?
Medical team chuan he vaccine hi i dawn hun leh hun tur an pe ang che. Heng appointment te hi lo thlir ve suh. Eng emaw chhan hmanhmawh vanga ni ruat saah i kal thei lo a nih chuan i doctor emaw clinic emaw call nghal la, hriattir rawh . I tih leh tur chu an hrilh ang che.
He damdawi nena inzawm thei damdawi dang
Damdawi i ei lai thenkhat chu Leucovorin nen an inzawm thei. Damdawi i ei zawng zawng hi doctor hnenah hrilh vek a pawimawh hle. Hei hian i doctor-in a pek damdawi chauh ni lovin, over-the-counter damdawi, vitamin, nutritional supplements, Ayurvedic, emaw herbal remedies te pawh a huam tel bawk.
A hnuaia table-ah hian he damdawi nena inzawm thei damdawi lian thenkhat tarlan a ni.
| Damdawi chi hrang hrang | Thil awmdan hman tlanglawn tak tak te |
|---|---|
| Capecitabine hman a ni | Cancer dona damdawi a ni |
| Fluorouracil hmanga siam a ni | Cancer dona damdawi a ni |
| Phenobarbital a ni | Epilepsy ang chi dinhmun |
| Phenytoin a ni | Epilepsy ang chi dinhmun |
| Primidone a ni | Epilepsy ang chi dinhmun |
| Trimethoprim;sulfamethoxazole hman tur a ni | Antibiotic a ni |
Enkawl laia hriat tur thil leh side effects te
He damdawi i dawn chhung zawng hian medical team chuan uluk takin i dinhmun an enfiah ang.
Side effect thenkhat chu a pung thei a, a bik takin cancer damdawi fluorouracil nen Leucovorin pek i nih chuan. Diarrhea emaw, hmui natna emaw i neih chuan a bo lo emaw, a na zual emaw a nih chuan i doctor emaw nurse emaw hnenah hrilh nghal rawh .
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
|---|---|
| Side effect a awm thei | Hrilhfiahna |
| Allergic Reaction na tak tak a awm thei |
|
He list-ah hian side effect i tawn theih tam ber leh na ber berte a tel a ni. Mahse, he list-a tel lo, thil mak nia i hriat thilte chu i doctor hnenah sawipui hlau suh. I ngaihtuahna i neih chuan ngaihtuah a pawimawh.
Take-Home Thuchah a ni
- Leucovorin hi natna direct-a tidamtu damdawi aiin "auxiliary" drug a ni zawk.
- Hei hian a bik takin cell hriselte chu cancer dona damdawi chak tak lakah a venghim a, folate tlakchhamna avanga thisen tlakchhamna a tidam a, cancer damdawi dangte pawh a ti chak bawk.
- Enkawl i tan hmain i doctor hnenah i allergy zawng zawng leh damdawi dang i ei zawng zawngte hrilh hmasa phawt ang che.
- He vaccine hi damdawi in emaw clinic emaw-ah doctor enkawlna hnuaiah pek thin a ni.
- Allergic reaction na tak (hmai, kawr, thawk harsa, vun hring) symptoms i neih chuan doctor rawn nghal rawh.
- Zawhna i neih apiang, eng ang pawhin tlem pawh ni se, i doctor zawh hreh ngai suh.
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