Nangmah emaw, i hnaih ber emaw chu cancer ‘Multiple Myeloma’ tih chu enkawl mek i ni mai thei. Chutiang a nih chuan i doctor chuan ‘Melphalan Flufenamide’ tih damdawi a pe thei che a ni. Hei hi a takah chuan ‘Chemotherapy’ chi khat a ni. A hming hi a hlauhawm deuhin a lang thei a, mahse he damdawi hi eng nge a nih chiang taka i hriat chuan enkawlna hun chhung chu awlsam zawka i paltlang theih nan a pui ang che. A awlsam zawngin sawi ila.
He damdawi hi eng chiah nge ni?
A awlsam zawngin sawi ila, Melphalan Fluphenamide hi cancer cells thattu damdawi chak tak a ni. Chu chu chemotherapy hmanga enkawlna a ni tihna a ni . A bik takin multiple myeloma , cancer chi khat, ruhroa lo awm thin enkawlna atan hman a ni. He damdawi hi bazarah `Pepaxto` tia hriat a ni bawk.
Hei hi pill emaw capsule emaw in lama i hruai theih tur a ni lo. Hospital emaw clinic emaw-ah chuan doctor emaw, nursing staff trained emaw chuan saline line hmangin i vein-ah an inject ang. Chuvangin ngaihtuahawm tur a awm lo, i him a, medical supervision hnuaiah i awm.
Enkawlna i tan hmaa i doctor hnena i hrilh tur thilte
He enkawlna hi him taka i hnena pek theih nan i doctor hian i hriselna chungchang kimchang takin a neih a ngai a ni. Chuvangin, a hnuaia mite hi hriattir ngei ang che:
| Situation i hriat chian a ngai | Engvângin nge chu chu a pawimawh? |
|---|---|
| Tuna hri kai mek dinhmun (e.g. khawsik, khuh, khawsik, zun kawng natna) . | He damdawi hian taksa hriselna a tichak lo thei a ni. Infection i neih tawh chuan a na zual thei. |
| Allergy nei te pawh a awm (He damdawi atan hian damdawi dang, ei tur, in tur emaw, dye emaw) | He information hi damdawi pek laiin allergy na tak a awm loh nan a pawimawh hle. |
| Naupai emaw, nau pai tum emaw | He damdawi hian nausen piang lai tan harsatna nasa tak a thlen thei a ni. Chuvangin he hun chhung hian naupai loh tur a ni. |
| Nuin a fa hnute a pek chuan | Damdawi thil telte hi nu hnute hmangin naute hnenah a kal thei a ni. Chuvangin, enkawl lai hian nau hnute pek hi tihtawp a ngai a ni. |
Damdawi i ei tam lutuk chuan eng nge thleng ang? (A tam lutuk) .
Hei hi damdawi inah pek a nih avangin, damdawi lam enkawlna hnuaiah chuan overdose chance a tlem hle. Mahse, thil thleng nia i rinhlelh chuan i doctor emaw nursing staff emaw hnenah hrilh nghal rawh. Thil dang, in lama hman damdawi hman tam lutuk ang chiah chuan Colombo National Hospital-a National Poisons Information Center -ah biak theih a ni. Chutih rual chuan damdawi in hnai ber Emergency Department (ETU) a rang thei ang bera kal a pawimawh hle.
Ni ruat saah damdawi ka ei thei lo a nih chuan engtin nge ni ang?
He enkawlna hi cycle hrang hrangah pek thin a ni a, ni bik ah pek thin a ni. Chuvangin ni ruat saah enkawlna lak a pawimawh hle . Eng emaw chhan vanga ni ruat saah i lo kal thei lo a nih chuan i doctor call nghal la, hriattir rawh. A hnua i tih tur a hrilh ang che.
Enkawlna neih huna ngaihtuah tur thil
Chemotherapy hi hun harsa tak a ni thei a, mahse a dikna i hriat chuan enkawl a awlsam thei hle.
A pawimawh ber chu chemotherapy damdawi hian cancer cell leh rang taka inthen darh cell hrisel te a nghawng vek a ni. Hei vang hian side effect tam tak a awm thin. Chuvangin nuam lo tih hi thil pangngai a ni.
1. Infection lakah inveng rawh
He damdawi hian i taksaa natna dotu thisen var (white blood cells) a tihtlem thei a ni. Hei hian i immune system a chak lo tihna a ni a , infection i vei tam zawk tihna a ni .
- Khawsik, khawsik, rilru na, khuh, emaw khawsik ang chi symptoms i neih chuan mahni invenna nei suh la, i doctor ko nghal rawh .
- Mipui tamna hmun (bus, rel, movie theater) tlawhna chu a theih ang angin tihtlem rawh.
- Damlo (khawsik, khuh) te lakah inthiarfihlim rawh.
- Sahbawn hmangin kut sil fo thin ang che.
2. Thisen chhuak leh hliam tuar lo turin fimkhur rawh.
He damdawi hian platelet a tihtlem thei bawk a, chu chu taksaa thisen zam tura puitu cell a ni. Chuvangin:
- Bruises chu taksaah blue a lang mai thei.
- Hliam te tak te pawh hian thisen a chhuah loh nan hun rei tak a la ngai thei .
- Gums leh hnar thisen chhuah theihna a awm.
- Ek chu a dum emaw, thisen a chhuak emaw a nih chuan, emaw, a luaknaah coffee ground a awm chuan thisen chhuah dan pangngai lo a ni thei.
Hetiang thisen chhuahna danglam tak i hmuh chuan doctor hnenah hrilh nghal rawh. I doctor chuan enkawl laiin i thisen zat enfiah turin thisen test a ti fo ang.
3. Naupai, nau hnute pek leh nau neih theihna
Hei hi thil pawimawh tak a ni.
- Hmeichhia: He damdawi hi i ei lai leh enkawlna i chawlhsan hnu thla 6 chhung chu naupai loh vek tur a ni . Nau neih dan tur dik tak chungchangah i doctor nen inbia ang che.
- Mipa: He damdawi hi i ei lai leh enkawlna i chawlhsan hnu thla 3 chhung pawh fa neih loh tur a ni .
- Nau hnute pek: I naute enkawl lai leh damdawi i chawlhsan hnu kar khat chhung chu hnute pek loh tur a ni.
- Fertility: He damdawi hian nakin lawka fa neih theihna a nghawng thei a ni. Hemi chungchangah hian ngaihtuahna i neih chuan enkawlna i tan hmain i doctor nen zalen takin sawipui hmasa phawt ang che.
Damdawi avanga side effect awm thei te
Mi zawng zawng hian side effect zawng zawng hi an tawk vek dawn lo a, mahse a awm thei tur erawh hriat a pawimawh.
| Side effect a awm thei | Description leh tih tur |
|---|---|
| Side effect na tak tak, damdawi lam pan vat ngai | |
| Allergic Reaction na tak tak a awm thei | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring, thawk harsa. Doctor hnenah hrilh nghal rawh. |
| Hri kai theihna chhinchhiahna | Khawsik (100.4°F emaw 38°C aia sang), khawsik, ril na, khuh. I doctor hnenah hrilh nghal rawh. |
| Thisen chhuah dan pangngai lo | Bruising, ha/hnar thisen chhuak, bawlhhlawh dum/thisen chhuak, zun dum/sen. Doctor hnenah hrilh nghal rawh. |
| Thisen sen (Red blood cells) tlahniam (Anemia) . | Thâwk harsa, hah lutuk, paleness, fainting. Doctor hnenah hrilh nghal rawh. |
| Side effects a tlangpuiin a na lo hle a, mahse a buaithlak chuan doctor hnenah hriattir tur a ni | |
| Nausea leh luak chhuak | Hei hi control turin doctor chuan damdawi a pe ang che. |
| Chaw chakna | Chaw tha tam thei ang ber ei tum ang che. |
| Kawthalo | Tui leh tui ang chi tui tam tak in la, chu chuan dehydration a veng ang. A nasat chuan doctor hnenah hrilh rawh . |
| Lu na, khuh | Chûngte chu a awm reng emaw, a tibuai emaw a nih chuan i doctor chu sawipui rawh. |
He list-a tel lo thil danglam tak i hmuh chuan i doctor nen inbiakna neih hlau suh.
Take-Home Thuchah a ni
- Melphalan Flufenamide hi multiple myeloma cancer enkawlna chemotherapy a ni a, damdawi inah thisenah pek thin a ni.
- Enkawl i tan hmain i hriselna dinhmun zawng zawng, damdawi dang i ei tur leh allergy i neih zawng zawngte chu doctor hnenah hrilh hmasa phawt ang che.
- Infection chhinchhiahna, khawsik, khawsik, leh thisen chhuah danglam tak takte chu fimkhur reng ang che. If you notice any of these , damdawi lam thurawn zawng nghal rawh.
- Enkawl lai leh a hnua hun engemaw chen naupai loh tur (hei hi hmeichhia leh mipa tan pawh a hman theih).
- I doctor nen i rilru hahna emaw, side effect emaw i neih theih apiang chu zalen takin sawipui rawh. He zinkawngah hian tanpui turin a inpeih reng a ni.
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