Thisen sang i nei em? A nih loh leh thinlung natna bakah thisen sang vangin stroke i nei thei em? I doctor hian he damdawi hi a rawn pe che a ni mai thei. He pill hi hming pahnih a awm a ni lawm ni? Pakhat chu Losartan a ni a, pakhat chu Hydrochlorothiazide a ni. Vawiin hian heng damdawi pahnih inzawmkhawma siam pill i ei hian eng nge thleng tak tak tih te, i hman huna i fimkhur tur te kan sawi dawn nia.
He damdawi hi eng nge thleng tak tak?
A awlsam zawngin, hei hi damdawi pahnih inzawmkhawm a ni. Kan ramah hian he damdawi hi `Hyzaar` brand name hnuaiah hmuh theih a ni. Heng damdawi pahnih hian kawng hnih in i thisen sang control turin an thawk dun a ni.
1. Losartan: Hei hi damdawi chi khat, ARB (Angiotensin Receptor Blocker) an tih zinga mi a ni. I thisen kalna kawngte chu tui phurtu pipe angin ngaihtuah rawh. He pipe hi a inkhar chuan tui chhunga pressure a sang a, kan thisen kalna kawng a inkharkhip chuan kan thisen sang pawh a sang bawk. Chuvangin, he damdawi Losartan an tih hian a tih chu i thisen kalna kawng a tizau a, a ti hahdam a ni. Tichuan, thisen chu an chhungah awlsam takin engmah tikhawlo lovin a luang lut thei a, chu chuan i thisen sang a ti hniam a ni.
2. Hydrochlorothiazide: Hei hi damdawi chi khat `diuretic` an tih a ni. ``Tui pill'' kan ti fo thin.I kal (kidney) te chu i taksaa tui leh chi tam lutuk te chu zun hmanga paih chhuah tir turin a pui thin. I taksaa tui awm zat a tlahniam chuan i thisen kalna kawng chhunga pressure pawh a tlahniam bawk.
Heng mechanism pahnih hian hna an thawh dun avangin he damdawi hian thisen sang control-na kawngah a thawk tha hle a ni. Lung natna nei te stroke hlauhawmna tihziaawmna atan pawh hman a ni.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i ei tan hmain a hnuaia thute hi i doctor hnenah hrilh hmasak a pawimawh a, heng dinhmun hnuaia he damdawi hi pek hunah hian fimkhur bik a ngai a ni.
| I dinhmun | Engvangin nge doctor hnenah i hrilh ang? |
|---|---|
| Naupai emaw, nau pai tum emaw i nih chuan | Hei hi a pawimawh hle.He damdawi hian naupai laiin naute tan harsatna nasa tak a thlen thei a ni. |
| Nuin a fa hnute a pek chuan | He damdawi hi hnute hnute hmangin naute hnenah a kal thei a, chuvangin doctor thurawn lak a pawimawh hle. |
| Zunthlum | He damdawi hian thisen sugar level a nghawng theih avangin zunthlum damdawi hman dan tur hi siamrem a ngai mai thei. |
| Kidney natna i neih emaw, zun chhuah tlem emaw i neih chuan | Kal (kidney) hian hna a thawk tha lo a nih chuan he damdawi hian taksa a nghawng dan hi a danglam thei a ni. |
| Liver natna | Liver function a chhiat chuan damdawi hman dan tur pawh thlak a ngai mai thei. |
| Immune system natna, lupus ang chi te | He damdawi hian lupus a ti na zual thei a, chuvangin doctor hriattir a pawimawh. |
| Salt tlem ei thin i nih chuan | Doctor hriattir a pawimawh a, hei hian taksa chi balance a nghawng thei a ni. |
| Damdawi dang, ei tur dang emaw, dye dang emaw allergy nei | He damdawi emaw a thil tel emaw allergy i neih chuan a hlauhawm thei hle. |
Engtin nge damdawi hi ka hman ang?
- I doctor thupek zawm rawh: I doctor-in a tih ang chiah chiah hian ei tur dik tak ei rawh. Nitin hun khatah ei tum ang che .
- Chaw ei lai emaw ei tel lo emaw: He pill hi chaw ei hma emaw ei zawhah emaw ei theih a ni. Amaherawhchu pum na i neih chuan chaw ei ruala ei a tha ber.
- Ti tawp suh:I doctor-in a hrilh che chhung chu damdawi hi ei chhunzawm zel ang che. I rilru a hahdam viau pawhin chawlhsan thut suh.
- Dose i miss a nih chuan: Dose i ei theihnghilh 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 pahnih chu a rualin ei ngai suh.
- I overdose chuan: Pill i ei tam lutuk 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 thurawn dil turin phone la.
He damdawi hi i tan chauh pek a ni. Midang hnenah pe ngai suh, i symptom ang chiah kha nei mahse.
He damdawi nena inzawm thei damdawi dang
Damdawi dang, vitamin emaw, herbal remedies emaw i ei tur i doctor hnenah hrilh a pawimawh hle a, damdawi thenkhat hian he damdawi nen hian a inzawm thei a ni.
| He damdawi nena ei loh tur damdawi te | |
|---|---|
| Cidofovir a ni | Dofetilide hmanga tihdam a ni |
| Tranylcypromine a ni | |
| He damdawi nena inzawm thei damdawi dang | |
| Thisen sang damdawi dang | Natna tidamtu (NSAIDs) - entirnan: Ibuprofen, Naproxen, Celecoxib |
| Zunthlum damdawi | Lithium a ni |
| Diuretics dang (tui pill) - entirnan: Triamterene, Spironolactone | Potassium tihpunna tur a ni |
| Barbiturates (e.g. Phenobarbital) te hi a tha hle a ni. | Steroids - e.g. Prednisone, Cortisone tih a ni |
| Cholesterol tihhniamna damdawi - e.g. Cholestyramine, Colestipol tih a ni | Rifampin a ni |
He list hi a kim lo a, chuvangin i ei zawng zawng chu doctor hnenah hrilh rawh.
Damdawi ei huna hriat reng tur thil
- I thisen sang enfiah: I thisen sang enfiah fo thin ang che. I doctor hnenah i thisen sang pangngai chu eng nge ni tur tih zawt rawh. Tin, i doctor hmuh awlsam theih nan lehkhaah number te ziak bawk ang che.
- Dehydration pumpelh rawh: He damdawi hian i taksain tui a hloh zat a tipung a ni. Chuvangin i damlo hle a, i luak chhuak a, i thawkrim lutuk a nih chuan , i taksa atanga tui tam lutuk i hloh thei a, tui i tlachham thei bawk. Hei hi a hlauhawm thei hle. Chuvangin nilengin tui tling in in thin ang che. I damlo tih i hriat chuan doctor phone la, thurawn la rawh.
- Luak chhuak leh muhil: He damdawi hian lu a ti na thei a, a bik takin ṭhutna aṭanga i tho chuan. Chuvangin , thut emaw, mu emaw atanga i tho chuan zawi zawiin tho rawh. He damdawi hian engtin nge a nghawng che tih i hriat hma chuan lirthei khalh emaw, machinery emaw hmang suh. Zu in hian he dinhmun hi a ti na zual thei a ni.
- Ni laka inveng rawh: He damdawi hian i vun chu ni lakah tlem a ti sensitive thei a ni. Chuvangin, a theih ang anga ni chhuahna hmun kha tihtlem rawh. I chhuah chuan invenna thawmhnaw ha la, sunscreen hmang bawk ang che. Sun lamp leh tanning bed hman loh tur. Tin, i doctor nen pawh vun cancer i vei theihna tur chungchang sawipui bawk ang che.
- Salt substitute: Doctor-in a hrilh che loh chuan salt substitute (potassium tamna) hmang suh.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin hei hian mi thenkhatah side effect a thlen thei a ni.
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
|---|---|
| Allergy nei te pawh a awm | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Dehydration natna lan chhuah dan | Tuihal tuihal lutuk, hmui vawt, muhil, zun dum emaw sen hring emaw. |
| Kidney a chhiat phah | Zun chhuah tlem, ke ruh, kut leh ke ruh hring. |
| Thisen sang tlahniam lutuk | Luak chhuak, muhil, mit hmuhna fiah lo. |
| Potassium level a tlahniam | Muscle na emaw, a nghet lo emaw, chak lohna danglam tak, thinlung thawk mumal lo. |
| Mit na emaw, mit a danglam emaw | Mit na tak, mit hmuhna fiah lo, light chhehvel ring hmuh. |
| Gout tih hi a ni | Natna nasa tak, sen, leh hring, a bik takin ke ruh lian ang chi ruhroah te. |
| Side effects nasat loh tlangpui (mahse a awm reng chuan doctor hrilh rawh) . | |
| Luak chhuak thei | Lu na |
| Pum a na | Hnar congestion emaw hnar luang chhuak emaw |
| Mipat hmeichhiatna lama duhna emaw, thiltih emaw a inthlak danglam | |
He list-a tarlan loh symptom dang danglam tak i neih chuan i doctor hnenah pawh hrilh bawk ang che.
Take-Home Thuchah a ni
- He damdawi hi damdawi chi hnih (losartan leh hydrochlorothiazide) hmanga thisen sang control nana hman a ni.
- Doctor-in a sawi ang ngeiin nitin i damdawi chu a rualin ei thin ang che. Nangmah ngeiin dose hi thlak ngai suh, titawp ngai suh.
- Damdawi dang zawng zawng, vitamin leh herbal product i ei zawng zawng chu i doctor hnenah hrilh rawh.
- Naupai, naupai tum emaw, nau hnute i pe emaw a nih chuan he damdawi hi i tan hmain doctor hnenah hrilh hmasa phawt ang che.
- Side effect na tak tak, luak chhuak, muthilh, riltam na tak, luak chhuak, vun rawng i neih chuan doctor pan nghal rawh.
- He damdawi hi naupang leh ran vulhte hmuh theih lohna hmunah, room temperature-ah leh êng atanga hla takah dah tur a ni.
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