A châng chuan kan natna hi a na lutuk thei a , chu chu natna tidamtu pangngai hmanga thunun theih a ni lo . Surgery lian tak hnua natna lo thleng, a nih loh leh accident na tak hnua lo awm thin chu han ngaihtuah teh. Vawiin hian hetiang natna khirh tak, na tak hi control nana pek thin painkiller injection bik, chak tak kan sawi dawn a ni. I hre tawh mai thei a, Meperidine an ti bawk. Mi thenkhat chuan brand name `(Demerol)` hmangin an hre thin.
Meperidine hi eng nge ni?
A awlsam zawngin sawi ila, meperidine hi natna tidamtu chak tak a ni. Doctor-te chuan natna tidamtu dang i tuar theih loh hunah emaw, i natna an thunun loh hunah emaw an pe tlangpui.
Hei hi damdawi pawl pakhat `(Opioids)` an tih zinga mi a ni. A dik tak chuan he damdawi hian thluaka natna signal lo lutte chu a block a, hna a thawk a ni. Natna signal te thluaka thawn chhuah a nih tawh loh chuan natna kan hre tawh lo. A chang chuan he injection hi medical test emaw surgery emaw hmaa mutthilh tir nan pawh hman thin a ni.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
Hei hi damdawi chak tak a nih avangin damdawi dang i neih theih dan tur i doctor hriattir a pawimawh hle . A hnuaia table-a condition tarlan te hi i neih chuan sawi tel ngei ang che.
| I damdawi lam dinhmun | Engvangin nge i hriattir ang? |
|---|---|
| Brain tumor emaw lu hliam emaw | A chhan chu heng damdawi te hian thluaka pressure a tisang thei a ni. |
| Kidney emaw liver emaw natna | Damdawi taksa atanga lak chhuah a harsat theih avangin a dose pawh tihdanglam a ngai mai thei. |
| Asthma, lung natna emaw, thawk harsatna emaw | Heng damdawi te hian thawk a tikhawlo thei a, chu chu a hlauhawm thei hle. |
| Seizures a awm thin | He damdawi hian seizures hlauhawmna a tipung thei a ni. |
| Zu emaw ruihhlo emaw hman duhna | Hei hi ruihhlo addiction hlauhawm tak a nih avangin fimkhur bik a ngai a ni. |
| Ni 14 kalta chhunga MAOI damdawi (e.g. Marplan, Nardil) i ei tawh chuan | Heng damdawi pahnih hian an insiamrem thei a, natna khirh tak, nunna atana hlauhawm tak pawh a thlen thei a ni. |
| Naupai, nau pai tum emaw, nau hnute petu i nih chuan | He damdawi hian naute a nghawng thei a, chuvangin doctor nen pawh sawiho ngei ngei tur a ni. |
| Damdawi dang, ei leh in emaw thil dang emaw allergy nei | He damdawi emaw a thil tel emaw hi allergy i neih leh neih loh hriat nan. |
He damdawi hi engtin nge ka hman ang?
Vaccine a nih avangin damdawi in emaw, clinic-ah emaw doctor emaw nurse emaw in pek che a ni tlangpui. Vaccine hi i taksa ruh chhungah emaw, vun hnuaiah emaw, thisen zam chhungah emaw pek theih a ni .
A tlem hle a, damlo thenkhat chuan in lamah he vaccine hi an dawng a ngai mai thei. Chutiang a nih chuan a buatsaih dan tur leh vaccine i pek dan tur uluk taka zirtir i ni ang. I doctor-in a tih aia tam ei ngai suh, a nih loh leh a hun ruat aia hmain ei ngai suh.
Vaukhânna: He damdawi hi i ei tam lutuk nia i hriat chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal emaw , Colombo National Hospital-a National Poisons Information Center-ah emaw call rawh. Hei hian nunna a tichhe thei a ni.
Hei hi i tan chauh damdawi pek a ni. Eng vangin pawh midang hnenah share suh.
Damdawi dang nena inzawmna eng nge awm?
Meperidine hi damdawi dang tam tak nen a inzawm thei a, chuvangin i damdawi ei zawng zawng ( vitamin leh herbal remedies te pawh tel) chu doctor hnenah hrilh rawh.
| Damdawi meperidine nena ei loh tur | |
|---|---|
Depression damdawi MAOI (e.g. Marplan, Nardil, Parnate), Linezolid, Methylene blue, Ritonavir, etc. Hengte hi ei dun chuan side effect na tak tak a thlen thei a ni . | |
| Meperidine nena ei dun hunah fimkhur hle tur thil | |
| Zu | Thâwk harsa, mut tam lutuk, hriatna hloh te ang chi natna khirh tak tak a thlen thei a ni. Engtikah mah hruai khawm suh. |
| Mut, lungkhamna leh lungngaihna damdawi | Mutthilh lutuk leh thawk zawi a tipung. |
| Allergy, khuh, leh khawsik damdawi te | Hengte hian mut a tichhuak a, chuvangin meperidine nena ei chuan a nghawng a sang hle. |
| Opioid natna tidamtu dangte | Side effect a awm theihna chance a sang hle. |
| Operation neih chhunga hman thin anesthetics leh muscle relaxants te | Operation i neih chuan meperidine i ei tih doctor hriattir a pawimawh hle. |
He damdawi ei huna hriat reng tur thil
Natna leh damdawi hman dan tur
I natna a reh loh chuan, a zual deuh a nih chuan, natna chi thar i neih chuan doctor hnenah hrilh rawh. He damdawi hi rei tak i ei hnuah i taksain a hmang thiam thei a ni. Hei hi ``Tolerance'' an ti a. Hei hian a hmaa i ei thin dose kha i natna control nan a tawk lo tihna a ni a, dose sang deuh deuh i mamawh mai thei bawk. Hei hi thil pangngai a ni.
A pawimawh ber chu i taksain damdawi a hman thiam hi a ni a, i addict vang ni lovin. Addiction chu damdawi pakhat chu rilru lam thila hman a ni a, damdawi lam chhan nei lovin. I natna avanga damdawi ei hi damdawi lam thil a ni.
He damdawi hi ei nghal vat suh. Chutianga tih chuan withdrawal symptoms na tak a awm thei . I doctor-in damdawi ei kha bansan turin a duh che a nih chuan a dose chu a tihhniam zauh zauh ang.
Thil dang a nghawng dan
- Driving leh operating machinery: He damdawi hian i alertness leh reaction time a ti tlem thei. Chuvangin, he damdawi hian engtin nge a nghawng che tih chiang taka i hriat hma chuan lirthei khalh emaw, machinery emaw hman loh tur a ni.
- Luak chhuak : Luak chhuak leh muhil i nei thei. Hei hi tihziaawmna tur chuan thutna atanga i tho emaw, khum atanga i tho emaw hian ding nghet rawh.
- Constipation: Hei hi opioid damdawi ei avanga side effect awm fo a ni. Ni 3 chhung chawl i la chhuak lo a nih chuan doctor hnenah hrilh rawh. Tui tam tak in leh fiber tamna diet ei hian a pui thei a ni.
- Kawng vawt: I hmui a vawt chuan sugar tel lo gum chewing leh tui in hian a pui thei.
Eng side effect nge ka neih theih ang?
| Side effects te chu doctor hnenah hriattir nghal tur a ni | |
|---|---|
| Allergy na tak a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Thâwk chhuah zawi (CNS depression) . | Thâwk zawi emaw, thawk thuk lo emaw, thawk harsa, mut tam lutuk, buaina. |
| Thisen sang hniam | Luak chhuak, muhil, mit hmuhna fiah lo. |
| Thil pawi lo tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Ek khal | Luak chhuak leh mut theih lohna |
| Kawng a vawt | Lu na, luak chhuak, luak chhuak |
Take-Home Thuchah a ni
- Meperidine hi natna tidamtu chak tak a ni a , natna khirh tak tan chauh pek thin a ni .
- He damdawi hi i ei tan hmain i doctor hnenah i damdawi lam dinhmun zawng zawng leh i ei tur damdawi dang zawng zawngte hrilh hmasa phawt ang che .
- He damdawi ei lai hian zu in loh vek tur a ni.
- He damdawi hi eng vangin pawh midang hnenah pe suh. A hlauhawm hle mai.
- Damdawi ei kha tihtawp nghal mai loh tur. Doctor thupek angin a dose hi tihhniam zauh zauh tur a ni.
- Mut tam lutuk leh thawk harsa ang chi natna hlauhawm tak tak a awm chuan , damdawi in Emergency Department (ETU) ah kal nghal rawh.
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