I doctor chuan Methotrexate ( DMARDs ) a pe che em? A nih loh leh i hriat mi pakhatin a la a ni mai thei? A hming hi hriat hlawh tak angin a lang thei a, mahse hei hi damdawi chak tak, damdawi lam natna hrang hrang enkawlna atana hman, uluk taka enkawl ngai a ni. Nirogi Lanka nen hian awlsam leh chiang takin i then dun ang u.
Methotrexate hi eng nge ni?
A awlsam zawngin sawi ila, Methotrexate hi taksaa inflammation tihziaawmna atan hman a ni ber. I ruh natna emaw, a hring emaw i hriat hian a hnuaia inflammation vang a ni fo tih i hre reng mai thei. He damdawi hi he inflammatory response avanga natna chi hrang hrang enkawlna atana pek thin a ni.
Entir nan:
- Arthritis : Hei hian ruh natna (inflammation) a kawk a ni. Natna a thlen a, a hring a, hun rei tak chhung ruh a tichhe thei bawk. Methotrexate hian he inflammation hi a tihziaawm a, natna a tiziaawm a, chutih rualin i ruh (joint) tihchhiat belh zel tur a veng bawk.
- Psoriasis: Hei hi vun natna a ni. I vunah hian sen, scaly patches i hmu mai thei. He natna hi enkawl nan hian Methotrexate pawh hman a ni bawk.
Heng bakah hian Methotrexate hi cancer chi hrang hrang enkawlna atan pawh hman a ni . Hetiang hunah hian damdawi hian cancer cells te thanna a ti hniam a, hna a thawk thin.
Kan hmuh angin he damdawi hi hriselna lama harsatna hrang hrang atan hman a ni. I doctor chuan he damdawi hi i tan a tha em tih leh eng condition bik atan nge a pek tih a rel ang. Zawhna i neih chuan i doctor emaw pharmacist emaw hnenah zawhfiah theih a ni.
He damdawi hi i ei tan hmain i doctor nen eng nge i sawiho tur?
Methotrexate i ei tan hmain i doctor chuan zawhna engemaw zat a zawt ang che. Tin, thil pawimawh tak tak i hrilh tur a awm bawk a, he damdawi hi mi zawng zawng tan a tha lo va, hriselna lama harsatna awm thei thenkhat nei tan pawh fimkhur a ngai a ni.
A hnuaia mi hi i neih chuan doctor hnenah hriattir tur a ni:
- Pum emaw, lung emaw-ah tui a awm khawm.
- Zu in fo thin. Hei hi a pawimawh hle.
- Active infection eng pawh emaw, immune system chak lo emaw.
- Kal natna.
- Liver natna.
- Thisen zat hniam (a bik takin thisen var, platelet, emaw thisen sen chungchangah).
- Lung natna.
- Tun hnaia emaw, radiation therapy lo awm tur emaw.
- Tun hnaia vaccine pek tur emaw, lo awm tur emaw, a bik takin virus nung vaccine pek tur.
- Pum chhunga ulcer awm.
- Inflammatory bowel condition te chu ulcerative colitis ang chi te hi a ni.
- Tun hmaa Methotrexate, damdawi dang, ei tur, dye, emaw, preservatives emaw avanga allergy nei tawh zawng zawng .
- Nau pai tum emaw, naupai mek emaw i nih chuan. Hei hi a pawimawh hle a ni .
- Nau hnute i pek chuan.
I doctor hnena inhawng leh rinawm taka awm hi i himna atan a pawimawh hle. I healthcare team te chuan i tana enkawlna tur ruahmanna tha ber an thlang thei a ni.
Engtin nge he damdawi hi pek a nih?
Methotrexate hi a tlangpuiin oral pill anga ei a ni lo va; injection angin pek a ni .
Injection dan hrang hrangah hian:
- Intravenous (IV) infusion: Saline drip-ah an pawlh fo a, zawi zawiin vein-ah an pe thin.
- Intramuscular injection: Muscle chhungah direct-a inject a ni.
- Intrathecal injection: Spinal fluid-ah inject a ni a, clinical scenario bikah chauh hman a ni.
A tam zawkah chuan he damdawi hi damdawi in emaw clinic emaw -ah damdawi lam enkawlna hnuaiah pek thin a ni.
A châng chuan i doctor chuan in lama damdawi chu mahni in pe tûrin a hrilh thei che a ni. Chutiang a nih chuan technique dik tak zirtir i ni ang. Dosage instruction dik taka zawm a pawimawh hle. A zat leh a tih tam dan tur ruahman aia tam lo.
Hriat nawn tirna bik:
Hei hi arthritis emaw psoriasis emaw tan i ei a nih chuan kar khatah vawi khat ei thin a ni (nitin LO). Hei hi a pawimawh hle. I doctor thupek kha khauh takin zawm rawh.
Injection hman hunah chuan needle leh syringe hman tawhte chu uluk taka paih a pawimawh hle . Bawlhhlawh pangngaiah paih suh. ‘Sharps container’ bik hmang rawh . I neih loh chuan i pharmacist emaw doctor emaw hnenah kaihhruaina dil rawh. Hei hi boruak himna atan leh midangte himna atan pawh a pawimawh hle.
Naupang tan hman a ni em?
Ni e, a then phei chuan doctor-te chuan he damdawi hi naupang kum 2 mi lek tan pawh dinhmun bik atan an pe thin. Hei hi i fate tan a hman theih chuan i doctor chuan a kimchangin a pe ang.
I overdose chuan eng nge thleng?
Damdawi i ei tam lutuk nia i rinhlelh chuan i awmna hmuna poison control center zawh emaw, emergency department hnai ber pan nghal emaw rawh. Nghak suh.
Note: He damdawi hi i tan chauh a ni. Midangte hnenah share ngai suh , symptoms inang nei mahse. Dosages hi personalized tak a ni.
Dose i miss a nih chuan eng nge i tih ang?
I scheduled dose kha miss loh a pawimawh hle . I scheduled appointment i tel thei lo emaw, i damdawi ei ni i pelh loh emaw chuan i doctor emaw an clinical team emaw chu biak nghal rawh.
In lama i self-administer a nih chuan i doctor nen dose i miss a nih chuan engtin nge i tih ang tih sawipui rawh. Double dose emaw extra medication emaw ei ngai suh, i miss tawh chu tihpun nan.
Eng damdawi dang nge he damdawi nen hian inzawm thei? (Inbiakpawhna) .
Hei hi section pawimawh tak a ni. Methotrexate hi damdawi dang tam tak nen a inzawm thei a ni. Hei hian damdawi dang i ei hian Methotrexate hnathawh dan a tidanglam thei tihna a ni a, a lehlamah pawh a tidanglam thei tihna a ni. Thil engemaw takah chuan heng inzawmnate hian side effect a thlen theihna a tipung thei a ni.
Methotrexate hi eng dinhmunah pawh ei suh:
- Acitretin (vun natna atana pek thin).
Tin, a hnuaia damdawi te hian Methotrexate nen an inzawm thei bawk. Heng zinga pakhat tal i ei a nih chuan i doctor hnenah hriattir nghal rawh:
- Aspirin emaw aspirin nena inzawm damdawi te, leh salicylates awmna damdawi te.
- Azathioprine a ni
- Antibiotics thenkhat , chloramphenicol, penicillin, leh tetracycline te.
- Thisen tithianghlimtu emaw, thisen tichhe thei damdawi: warfarin, apixaban, dabigatran, emaw rivaroxaban ang chi.
- Gastrointestinal damdawi: esomeprazole, omeprazole, emaw pantoprazole ang chi te.
- Cyclosporine a ni
- Dapsone a ni
- Diuretics (tui pills) hmanga siam a ni.
- Folic acid hmanga siam a ni. (Amaherawhchu, i doctor chuan a châng chuan Methotrexate rualin folic acid dose hniam tak a pe thei a, chu chu side effects tihziaawmna atan a ni. Hei hi i doctor chauhin a rel ang.)
- Gold compounds (a chang chuan arthritis chi hrang hrang atan hman thin).
- Hydroxychloroquine hmanga siam a ni
- Virus nung vaccine pek a ni
- Natna dona damdawi: acyclovir, adefovir, amphotericin B, bacitracin, cidofovir, foscarnet, ganciclovir, gentamicin, pentamidine, leh vancomycin te pawh a tel.
- Mercaptopurine hmanga siam a ni
- NSAIDs (Non-Steroidal Anti-Inflammatory Drugs): ibuprofen emaw naproxen emaw ang chi te.
- Pamidronate a ni
- Pemetrexed a ni
- Penicillamine hmanga siam a ni
- Phenylbutazone a ni
- Phenytoin a ni
- Probenecid a ni
- Pyrimethamine a ni
- Retinoids (Vitamin A atanga chhuak): isotretinoin leh tretinoin te ang chi te.
- Steroids: prednisone emaw cortisone emaw ang chi te.
- Sulfonamides: sulfasalazine leh trimethoprim/sulfamethoxazole te ang chi te hi a ni.
- Theophylline a ni
- Zoledronic acid hmanga siam a ni
He list hi a kimchang lo mai thei. Chuvangin, i damdawi ei apiang (prescription, over-the-counter, herbal remedies, leh dietary supplements) chungchangah i doctor hnenah chiang takin sawi rawh. Chu bâkah, zuk leh hmuam, zu emaw, thil dang emaw i hman dân chu sawi chhuak la, hengte hian Nirogi Lanka-a i enkawlna ruahmanna nen pawh a inzawm thei a ni.
He damdawi ei lai hian ngaihtuah tur pawimawh
Methotrexate ei lai hian a dam lo emaw, hah deuh emaw a awm hi thil mak a ni lo, he damdawi hian cancer leh hrisel cell te a nghawng thei a ni. Side effect a neih chuan doctor hnenah report tur a ni. I dam lo pawhin i doctor-in a bik taka a hrilh loh chuan i damdawi pek chu titawp suh.
He damdawi hmanga i enkawl chhung hian i doctor chuan i hriselna chu uluk takin a enfiah ang a, i himna tur test pangngai tih a ti mai thei bawk.
- Zu in loh tur. Hei hi a pawimawh hle a, zu hian he damdawi nena ei hian liver chhiatna nasa takin a tipung thei a ni.
- He damdawi hian side effect nasa tak a nei thei a ni. Heng hlauhawmnate tihziaawm nan hian i doctor chuan Methotrexate nen hian damdawi dang a pe thei bawk. I doctor thupek kha chiang takin zawm rawh.
- He damdawi hian i vun chu ni êng lakah a ti sensitive zawk thei a ni . Direct sun-a hun hman tlem ber. Pawn lama awm a ngai a nih chuan invenna thawmhnaw, sunglass vuah la, sunscreen hmang bawk ang che. Sun lamp emaw tanning bed/booth emaw hmang suh.
- I mutthilh emaw, i lu a buai emaw pawh a ni thei . He damdawi hian engtin nge a nghawng che tih i hriat hma chuan lirthei khalh te, machine rit tak tak hman te, leh ngaihtuahna zawng zawng mamawh hna thawh te chu pumpelh suh. Thut emaw, mut emaw a\angin zawi zawiin tho la, a bik takin puitling upa zawk i nih chuan, luak chhuak leh tlu lo turin.
- He damdawi i ei lai hian thisen test mumal i neih a ngai dawn a ni. I doctor-in a ruahman angin hengte hi i tihfel ngei ngei tur a ni.
- Khawsik, khawsik, rilru na, emaw, khawsik ang chi symptoms i neih chuan i doctor hnenah thurawn dil nghal rawh. Mahni indahdam suh. This drug may reduce your body’s ability to fight infections , chuvangin mimal damlote nena inzawmna hnai tak neih loh tum ang che.
- He damdawi hian thisen chhuah emaw, hliam emaw i neih theihna a tipung thei a ni. Thisen chhuak danglam tak i hmuh chuan (eg, hnar thisen chhuak, hmui thisen chhuak, emaw, bawlhhlawh dum/tarry) i doctor hnenah hriattir nghal rawh.
- Brush, flossing, emaw toothpick hman hunah fimkhur hle ang che , natna hrik emaw thisen chhuah emaw i vei awlsam zawk avangin. Ha enkawl hna eng emaw i mamawh chuan he damdawi hi i ei tih i ha enkawltu hnenah hrilh rawh.
- I riltam na tak, i rilru a hah, i luak chhuak a, a nih loh leh i thawmhnaw hak lutuk i neih chuan i doctor rawn rawh . Fluid nasa taka hloh hian he damdawi ei hi a hlauhawm tir thei a ni.
- Cancer vei theihna tur chu doctor nen sawiho rawh. Zirna thenkhat chuan he damdawi hi hun rei tak hman hian cancer chi hrang hrang vei theihna a tipung deuh thei niin an sawi. I ngaihtuahnate ngaihtuah turin doctor hnenah thu chiang tak zawt hreh suh.
Naupai, Naupai leh Naupai chungchanga Ngaihtuah Tur bik
Hei hi a pawimawh hle.
- He damdawi hi i ei lai leh i chawlh hnu thla 6 chhung chu naupai loh tur a ni. Naupai i tum emaw, naupai i rinhlelh emaw chuan doctor hnenah hriattir nghal rawh.
- Mipa i nih chuan he damdawi hi i ei lai leh i ei zawh hnu thla 3 chhung chu fa nei suh.
- He damdawi hian nausen piang lai tan harsatna nasa tak a thlen thei a ni . Chipchiar zawka hriat duh chuan i doctor nen inbia ang che.
- Enkawl lai leh i dose hnuhnung ber hnu kar khat chhung chu hnute pe suh.
- He damdawi hian i nau neih theihna a nghawng thei a ni . I naupai theihna chungchangah ngaihtuahna i neih chuan i doctor nen sawiho rawh.
Hêng thupêkte hi a zau hlein a lang thei a, mahse i himna atân a pawimawh hle. Thil chiang lo a awm chuan i doctor hnenah chiang zawka hriattirna zawt la.
He damdawi hian eng side effect nge a neih theih?
Damdawi zawng zawng ang bawkin Methotrexate hian side effect a nei thei a ni. Mi zawng zawngin an tawng vek dawn lo. Some side effects are serious and require immediate medical attention , thenkhat erawh chu a na lo zawk a, mahse a awm reng emaw, a buaithlak emaw a nih chuan i doctor nen sawiho tur a ni tho.
Damdawi lam pan vat ngai side effects:
- Allergic reactions: Vun vun rawng, hnim hring, hives, emaw hmai, hmui, lei emaw, kawr emaw a hring.
- Thisen zam: Ke na, a hring emaw, a lum emaw, thawk hah emaw, rilru na emaw.
- Dry cough, thawk harsa, thawk hah lutuk.
- Infection: Khawsik, khawsik, khuh, ril na, hliam dam lo, zun na, emaw, a tlangpuiin damlo tih hriatna.
- Kidney injury: Zun chhuah tlem emaw, ke ruh, kut leh ke ruh a hring.
- Liver injury: Pum dinglam chunglam natna, ei duh lohna, luak chhuak, bawlhhlawh hring, zun rawng dum, jaundice (vun emaw mit sen emaw), emaw hah lutuk.
- Anemia (Low red blood cell count): Chauhna danglam tak, chak lohna, luak chhuak, lu na, thawk hah lutuk.
- Skin reactions: Vun a sen, a hring, a hring emaw, a hring chhuak emaw; hei hian ka chhung lam a nghawng thei bawk.
- Seizures a awm thin.
- Thil danglam tak, hliam emaw thisen chhuak emaw.
Side effect tlangpui, enkawl vat ngai lo mahse a awm reng chuan report tur:
- Kawthalo
- Luak chhuak thei
- Sam tlakchham (Hei hian mi zawng zawng a nghawng lo; sam sei leh hi a tlangpuiin damdawi ei tihtawp hnuah a thleng thin.)
- Luhai
- Kawng emaw, kawr emawa hliam, natna, sen, emaw, hring emaw nena inzawm .
- Luak chhuak
He list hi a kimchang lo hle. He damdawi i ei lai hian thil danglam bik i tawk a nih chuan i doctor rawn tur a ni. Emergency dinhmunah i awm a nih chuan 911 call emaw, emergency department hnai ber pan nghal emaw.
He damdawi hi engtin nge ka dahkhawm ang?
A tlangpuiin he damdawi hi damdawi in emaw, clinic emaw-ah professional enkawlna hnuaiah pek a ni a, chuvangin in lama dah a ngai lo mai thei. Home administration pek i nih chuan i doctor emaw pharmacist emaw chuan dahna chungchangah thupek chiang tak (eg, refrigeration emaw room temperature emaw) a pe ang che.
Nirogi Lanka hnen atanga Take-Home Thuchah hnuhnung ber
Tunah chuan Methotrexate hi damdawi tha tak a ni tih i hre tawh mai thei a, mahse uluk taka enkawl ngai a ni.
- I doctor thupek kha khauh takin zawm rawh. Dose, hun bituk leh pek ni bik (a bik takin arthritis emaw psoriasis ang chi natnaah chuan, kar khatah vawi khat ei fo thin) te chu chiang takin zawm rawh.
- Engkim puang chhuak rawh. I damdawi dang zawng zawng, damdawi lam dinhmun awmsa, leh allergy hriat tawh zawng zawngte chu i doctor hnenah hrilh rawh.
- Naupai leh nau hnute pek dan tur hriattirna. Naupai i nih chuan, nau pai i tum a, nau i hnute i pe a nih chuan doctor hrilh a pawimawh hle. Hei hi i himna leh i naute hriselna atan a pawimawh hle.
- Side effects awm leh awm loh enfiah thin ang che. Fimkhur takin awm la, a side effects ngaihtuahawm emaw, na tak emaw a awm chuan doctor hnenah report nghal rawh.
- Zu hi pumpelh vek rawh.
- Thisen test hun ruat emaw, doctor appointment emaw pawh pelh ngai suh.
- Zawhna zawt rawh. Ringhlelna leh ngaihtuahna i neih chuan i doctor hnenah zawhfiah theih a ni. Nirogi Lanka nena in enkawlna tur ruahmanna chu a taka hriatthiam theihna tur dikna i nei vek a ni.
He damdawi hi i dinhmun enkawlna atana puitu hmanrua a ni tih hre reng ang che. I healthcare team te nen thawhhona tha tak kan neih hian enkawlna tha ber kan hmu thei ang. Dam leh thuai turin duhsakna kan hlan e!
👩🏽 ⚕️ Zawhna tam tak (FAQs) .
💬 Methotrexate injection hi cancer vei tan chauh hman a ni em?
Aih! Tunhma chuan chemotherapy atan dose sang takin an hmang thin a, tunah chuan Rheumatoid Arthritis na tak leh Psoriasis na tak tan pawh an hmang nasa hle. Hetiang hunah hian immune system modulate nan leh symptoms te tha taka enkawl nan kar tin pek thin a ni.
💬 Engvangin nge he damdawi rual hian Folic Acid hi pek a nih?
Methotrexate hian taksain folic acid a lakluhna a tibuaiin hna a thawk a, hei hian cell inthen darhna a tikhawtlai a ni. I cell hriselte humhim tur leh side effects—kawng natna ang chi—ven nan i doctor chuan i injection hnu ni biktea ei tur folic acid supplement a pe ang che.
💬 He damdawi ei lai hian naupai hi a hlauhawm em?
Ni e, risk sang tak a keng tel a ni. He damdawi hian nau piangsualna nasa tak a thlen thei a, nau pai theihna a thlen thei bawk. Hemi avang hian he damdawi ei thin hmeichhia leh mipa te pawhin an enkawlna chhung zawng hian naupai venna rintlak, tangkai tak tak an hmang tur a ni.
` Methotrexate, Arthritis, Psoriasis, Cancer, Injection, Side effects, Damdawi, Rheumatoid Arthritis
