Vun natna thenkhat chu pimple te tak te ang maia awlsam a ni thei a, thenkhat erawh chu a na deuh thei thung. A châng chuan hengte hi vun cancer-ah pawh a lo chang thei bawk. Amaherawhchu, tunlai damdawi lam thiamna hi a changkang em em a, heng natnate hi enkawl dan tha tak tak a awm a ni. Vawiin hian vun cancer natna bik enkawlna danglam deuh deuh kan sawi dawn a ni. He damdawi hming hi Methoxsalen a ni.
A awlsam zawngin, Methoxsalen chu eng nge ni?
Methoxsalen hi pill pangngai emaw, shot emaw ang a ni lo. Light-sensitizing damdawi a ni. A bik takin, vun tichhe thei cancer chi khat, cutaneous T-cell lymphoma (CTCL) tih lanchhuahna control nan hman a ni.
He enkawlna hi amah chauhva pek a ni lo. Ultraviolet radiation nen pawh pek a ni bawk. He enkawlna kalphung zawng zawng hming hi Extracorporeal Photopheresis (ECP) tih a ni. Hei hi thumal buaithlak tak angin lang mah se, i hriatthiam hnuah chuan a kalphung chu a awlsam hle.
Chuti a nih chuan engtin nge he ECP enkawlna hi tih a nih?
Ngaihtuah teh, hei hi damlo damdawi pek ang a ni lo. Hei hi damdawi in emaw clinic emaw-a trained medical staff-te tih dan bik a ni.
1. Thisen lakkhawm: Pakhatnaah chuan i taksa atanga thisen engemaw zat lakchhuah a, machine bik hmanga thawn chhuah a ni.
2. Cell separation: He machine hian i thisen atanga thisen var chauh a then a. Chumi hnuah thisen peng dang (Red blood cells leh plasma ang chi) te chu i taksaah dah leh a ni.
3. Damdawi dah belh: Tunah chuan thisen var inthen darh tawhah hian damdawi Methoxsalen an tih chu dah belh a ni.
4. Light therapy: A dawtah chuan he damdawi nena chawhpawlh tawh thisen var te chu machine chhungah ultraviolet A (UVA) light chi khat bik an tawk a. Damdawi Methoxsalen avang hian cancer cell te hi he êng hi an sensitive hle a, an thi tan thin.
5. Cell reinfusion: A tawp berah chuan hetianga thisen var enkawl tawhte chu i taksaah saline ang maiin an infuse leh ta a ni.
Hetiang zawng zawng hi darkar engemaw zat a daih thei a, mahse he hun chhung hian chair-ah thuin lehkhabu i chhiar thei a, hla i ngaithla thei bawk.
Enkawl hmaa doctor hnena i hrilh ngei tur thilte
He enkawlna hi i tan a tha em tih i rel hmain i doctor chuan i hriselna chanchin kimchang a hriat hmasak phawt a ngai ang. A hnuaia dinhmunte hi hrilh ngei ang che, a bik takin:
| I damdawi lam dinhmun | Engvangin nge i hriattir ang? |
|---|---|
| Mit lama harsatna (e.g. mitdel, lens lakchhuah a nih chuan aphakia) . | He damdawi hian mit chu êng lakah a sensitive avangin mit natna awm tawhte chu a tizual thei a ni. |
| Lung natna, thin natna | Enkawl dan hian taksaah harsatna engemaw zat a siam theih avangin heng taksa peng hrang hrangte hnathawh dan hi fimkhur a ngai a ni. |
| Vun natna, lupus, porphyria, leh xeroderma te | Heng dinhmunte hian vun chu light lakah a hypersensitive thei tawh a, Methoxsalen hian a tizual thei bawk. |
| Skin cancer nei tawh emaw, X-ray/arsenic hmanga enkawl tawh emaw | He thu hi nakin lawka vun cancer vei theihna tur tehna atan a pawimawh hle. |
| Naupai i nih chuan, nau pai tum i nih chuan, nau hnute i pe a nih chuan | He damdawi hi hengah hian a tha lo a, nausen piang lai a nghawng thei a ni. |
| Damdawi dang, ei tur dang emaw, thil dang emaw allergy nei | Methoxsalen emaw a thil tel emaw allergy a awm theih dan tur hre reng ang che. |
I damdawi ei zawng zawng (over-the-counter damdawi, vitamin, herbal remedies, leh dietary supplements) list kimchang tak doctor hnenah pek a pawimawh. Damdawi thenkhat chu Methoxsalen nen an inzawm thei.
Enkawl laia i ngaihven bik tur thilte
Hetiang enkawlna i neih chhung hian i himna tur thil engemaw zat zawm tur a awm.
Ni laka invenna - hei hi a pawimawh ber a ni!
Methoxsalen hian i vun chauh ni lovin i mit pawh êng lakah a sensitive hle. Chuvangin, enkawlna i dawn hnu darkar 24 chhung chu a theih ang anga ni chhuahna i pumpelh tur a ni .
- In chhuahsan suh: a theih ang angin in chhungah awm rawh.
- Pawn lama i chhuah chuan: Kawr sei, kawrfual sei, lukhum ha la, i taksa chu uluk takin khuh rawh.
- Sunscreen hi tih ngei ngei tur a ni: Vun ni chhuahna hmun zawng zawngah sunscreen tha tak hnawih thin ang che.
- Sunglasses: Hei hi a ngai a ni! Treatment hnu darkar 24 hmasa berah light tlemte pawh (in chhungah pawh, window atanga light lo lut a nih chuan) i hmuh apiangin 100% UV-blocking, wrap-around sunglass hmang thin ang che Hei hi mit tichhe thei tur venna atan a pawimawh hle.
- Artificial light hmang lo: Sun lamp leh tanning bed ang chi thil hmang suh.
Thil dang ngaihtuah tur
- Medical Checkups: Doctor-in a tih angin checkup-naah tel reng ang che.
- Mit enfiahna: I mit hmuh danah danglamna i hmuh chuan doctor hnenah hrilh nghal rawh. I mit enfiah turin mit lam doctor hnenah hunbi neiin hmu thin ang che.
- Cancer hlauhawmna: He enkawlna hian nakin lawkah vun cancer chi dang i vei theihna tur a tipung deuh thei a ni. Hemi chungchangah hian lungngai suh. I doctor chuan he hlauhawmna chungchang hi a sawipui ang che a, vun enfiah fo turin a fuih ang che.
Side effect awm thei te chu engte nge ni?
Enkawlna dang ang bawkin side effect a awm thei bawk. Ṭhenkhat chu report nghal tur a ni a, ṭhenkhat erawh chu a nasat loh tlangpui thung.
| I doctor emaw, damdawi in enkawltu emaw hnenah hriattir nghal rawh. | |
|---|---|
| Allergy natna lan chhuah dan | Vun vun rawng, hnim hring, hmui, lei emaw hmai emaw a hring. |
| Mit hmuh dan a inthlak danglam thin | Blurred vision, hmuh dan pangngai aia danglam. |
| Hri kai theihna chhinchhiahna | Khawsik, khawsik, ril na. |
| Thisen sang hniam | Dizziness , thawh chhuah dawna mit sen. |
| A tlangpuiin a na lo hle a, mahse a awm reng chuan doctor hnenah hriattir rawh. | |
| Luak chhuak , lu na | Enkawlna hnu rei vak lovah a awm thei bawk. |
| Vun a vawt, a hring | Vun eng sensitivity vang a ni thei. |
| Vun a hring, a hring (wrinkles) a awm | Hun rei tak enkawlnaah pawh hmuh tur a awm thei. |
I overdose a nih chuan engtin nge i tih ang?
Hei hi damdawi inah medical professional-te’n an pek avangin overdose theihna chance a tlem hle. Mahse, hetiang thil hi i rinhlelh chuan damdawi in Emergency Treatment Unit (ETU) hnenah hriattir nghal rawh. A tul chuan Colombo National Hospital-a National Poisons Information Center atangin thurawn i la thei ang .
Take-Home Thuchah a ni
- Methoxsalen hi injection pangngai a ni lo va, ultraviolet light nena pek dun special treatment a ni.
- Damdawi dang i ei zawng zawng leh i damdawi lam dinhmun zawng zawng chu i doctor hnenah hrilh kim vek rawh.
- Enkawlna hnu darkar 24 chhung ni laka inven a pawimawh hle. A bik takin UV rays block thei sunglass bun a pawimawh hle.
- Doctor-in thupek a pek zawng zawng zawm la, test leh clinic ruat saah pawh tel ngei ngei tur a ni.
- Harsatna emaw, side effect emaw i ngaihtuah a nih chuan, chu chu i doctor nen zalen taka inbiakna neih chu hlau ngai suh.
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