I doctor chuan nangmah emaw, i chhungte zingah emaw Cushing’s Disease an nei tih a hrilh tawh em? Surgery hmanga tihdam kim loh vang emaw, operation tih theih loh vang emaw pawh nise, i doctor chuan Levoketoconazole tih damdawi a pe che a ni mai thei. He damdawi brand hming chu Recorlev a ni. Chuvangin, he damdawi chungchanga rinhlelhna emaw hlauhna emaw i neihte tihfel nan, chipchiar tak leh awlsam takin i sawi dawn nia.
Levoketoconazole hi eng nge ni tak tak?
A awlsam zawngin sawi ila, Levoketoconazole hi Cushing’s Disease enkawlna atana hman thin damdawi a ni. Cushing natna hi kan taksaa adrenal glands ten hormone cortisol an siam tam lutuk vang a ni. He damdawi hian chu cortisol hormone tam lutuk siam chhuah chu control-in hna a thawk a ni.
He damdawi hi zai theih loh te, emaw, zai hnua natna thunun theih loh te hnenah pek a ni fo. Hei hi Doctor enkawlna hnuaiah chauh hman tur damdawi a ni.
Damdawi ei hmaa doctor hnena i hrilh tur thilte
I doctor chuan he damdawi hi i tan a tha em tih leh a him em tih a rel hmain i health history kimchang a hriat hmasak a ngai ang. Chuvangin, a hnuaia tarlan te hi i neih chuan i doctor hnenah hrilh ngei ang che .
- Lung natna: Lung natna eng emaw, thinlung thawk mumal lo emaw, QT interval rei tak neia harsatna i neih chuan.
- Liver Disease: Liver natna eng emaw i neih chuan.
- Bleeding Disorder: Thisen hi awlsam taka a inzawm lohna hmuna harsatna a awm chuan.
- Low Adrenal Gland Function: I doctor-in he natna hi a hrilh che a nih chuan.
- Thisen mineral level: I thisena potassium emaw magnesium level a hniam tih hrilh i nih chuan.
- Low Stomach Acid: I pum acid a hniam tih i hriat chuan.
- Zu in hman dan: Zu in fo thin i nih chuan.
- Naupai emaw, naupai tum emaw: Naupai emaw, nau pai tum emaw, nau hnute petu i nih chuan.
- Allergy: Levoketoconazole, Ketoconazole, emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan i sawi chhuak tur a ni bawk.
Damdawi hman dan dik tak
- He damdawi hi pill anga ei tur a ni. Doctor-in a tih ang chiah chiah, a hun takah leh a dose dik takah ei rawh.
- Hei hi ei tur nen emaw ei loh pawhin i la thei. Mahse, pum natna i neih chuan chaw ei ruala ei a tha ber .
- I doctor-in chawlhsan tura a tih hma loh chuan he damdawi hi ei chhunzawm zel ang che. Nangmah duh danin titawp suh.
- Pawimawh tak: He Levoketoconazole tablet hi ei hnu darkar hnih tal chu gastritis emaw, pum natna emaw, antacids ang chi damdawi engmah ei loh tur a ni. Heng damdawi te hian Levoketoconazole absorption a ti tlem thei a ni.
Damdawi dose khat ka ei loh chuan engtin nge ni ang?
Lungngai suh. Dose i miss a nih chuan skip vek rawh. I dose leh tur chu a hun pangngaiah ei rawh. Dose hloh tawh chu vawi khatah vawi hnih ei suh.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
I ngaihtuah aia tam damdawi i ei nia i rinhlelh chuan Colombo National Hospital-a National Poisons Information Center-ah phone nghal rawh. A nih loh leh, damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal rawh. He damdawi hi nangmah tan chauh pek a ni a, chuvangin midang hnenah pe suh.
Levoketoconazole nena inzawm thei damdawi dang (Drug Interactions) .
Hei hi fimkhur hle tur a ni. Levoketoconazole hi damdawi dang engemaw zat nen a inzawm thei a ni. Chuvangin, i damdawi ei zawng zawng (vitamin, herbal remedies, leh supplement te pawh tel) i doctor hnenah hrilh vek a pawimawh hle.
| Levoketoconazole nena ei ngai loh tur damdawi | |
|---|---|
| Ruihhlo chi hrang hrang | Entirnan |
| Lungkhamna emaw, mut emaw damdawi thenkhat | Alprazolam, Triazolam tih a ni |
| Cholesterol damdawi thenkhat | Cerivastatin, Lovastatin, Simvastatin, Lomitapide te hi a awm bawk |
| Heartbeat mumal lo damdawi | A rilru a buai em em a, a rilru a hah em em bawk a. Disopyramide, Dofetilide, Dronedarone, Quinidine |
| Ergot class damdawi a ni | Dihydroergotamine, Ergotamine tih a ni |
| Thildang | Cisapride, Colchicine, Methadone, Pimozide, Ranolazine, Sirolimus, Tolvaptan, buhfai sen yeast te a awm bawk |
A chunga damdawi tarlan te hi Levoketoconazole nena ei dun chuan side effect na tak a nei thei a ni. Chuvangin hengte hi lakkhawm loh tur a ni ngei ang.
| Levoketoconazole hmanga harsatna thlen thei damdawi dang | |
|---|---|
| Zu, HIV/AIDS damdawi, steroid (e.g. Dexamethasone), Zunthlum tan Metformin, Thisen sang tan Amlodipine, Nifedipine, thisen zam tan Warfarin, Rivaroxaban, Cholesterol atan Atorvastatin, Tuberculosis tan Rifampin, Isoniazid. | |
| Tin, cancer, lungngaihna, seizures , natna, leh pum lam harsatna enkawlna atana hman damdawi dang tam tak chuan hei hi a inzawm thei bawk. | |
He list hi a kim lo a, chuvangin i doctor hnenah damdawi leh supplement i ei zawng zawngte hrilh rawh.
Damdawi ei laiin side effect awm thei
Damdawi dang ang bawkin he damdawi hian side effect engemaw zat a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. Ṭhenkhat chu serious an ni a, ṭhenkhat erawh chu mild an ni thung.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| Side effect na tak tak, damdawi lam pan vat ngai | |
| Liver chhiatna chhinchhiahna | Pum dinglam chunglam na, chaw ei chak lohna, luak chhuak, vun emaw mit emaw a sen, zun dum/brown, bawlhhlawh dum. |
| Heart rate a inthlak danglam thin | Thâwk harsa, rilru na, luak chhuak, thinlung na rang, chak lo anga inhria. |
| Adrenal function tlahniam | Nausea, luak chhuak, ei duh lohna, hah lutuk, luak chhuak. |
| Allergic Reaction awm thei te | Skin rash, itching, hmai, hmui, lei hring. |
| Thisen chhuah dan pangngai lo | Black stools, coffee grounds ang maia luak chhuak, zun sen/dark brown, vunah red/purple spot awm. |
| Side effects nasat loh tlangpui, mahse a buaithlak chuan doctor hnenah hriattir tur a ni | |
| Lu na | Nausea leh luak chhuak |
| Pum natna | Pum natna |
Damdawi ei laia thil dang ngaihtuah tur
- Test neih fo thin:He damdawi i ei lai hian i dinhmun (follow-up) enfiah turin doctor i pan fo a ngai dawn a ni. Tin, thisen test pawh a hun takah i neih a ngai bawk ang a, chu chuan liver function ang chi thil te chu i enfiah thei ang. Heng test zinga pakhat mah hi skip suh.
- Zu: He damdawi ei lai hian zu in hi tihtlem vek tur a ni . Zu hian thin (liver) chhiatna a tipung thei a ni.
- Fertility: He damdawi hian rei lo te chhungin fa neih theihna a nghawng thei a ni. Hemi chungchangah hian ngaihtuahna i neih chuan i doctor nen inbia ang che.
- Nau hnute pek: He damdawi ei lai leh damdawi ei chawlhsan ni 1 chhung chu hnute pek loh tur a ni .
Take-Home Thuchah a ni
- Levoketoconazole hi Cushing natna damdawi bik a ni a, doctor enkawlna hnuaia ei tur a ni.
- Damdawi dang (vitamin telin) i ei tur zawng zawng doctor hnenah hriattir a pawimawh hle.
- I pum dinglamah natna, mit sen, emaw, i thinlung chakna inthlak danglam te ang chi, nghawng na tak i neih chuan doctor pan nghal rawh.
- Doctor thurawn tel lo chuan damdawi ei kha bansan ngai suh la, a dose pawh thlak ngai suh.
- Medical checkup leh thisen test hun ruat saah tel ngei ngei tur a ni.
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