A châng chuan, harsatna lian tak, operation hnu emaw, natna chhunzawm zel emaw atâna doctor-te’n min pêk natna tidamtu, a nih loh leh opioid chak tak kan ei hian harsatna danglam takah kan tawp ṭhin a ni lawm ni? Chu chu constipation a ni . Mi thenkhat tan chuan hei hi a thinrim em em a, ei leh in pawh an ei thei lo. Chuvangin vawiin hian opioids avanga constipation awm thei tur injection bik kan sawi dawn a ni. Chu chu damdawi pakhat methylnaltrexone an tih a ni.
He damdawi hi eng nge methylnaltrexone an tih? Engtin nge a thawh?
Tunah chuan he damdawi methylnaltrexone an tih hi eng nge a nih tak tak a, engtin nge a puih theih che tih hi han thlir ila. A awlsam zawngin, natna atana i ei opioids avanga constipation awm thin enkawlna atana ruahman bik a ni.
Ngaihtuah teh, opioid i ei hian natna a tiziaawm tak zet a ni. Chu chu a dik a ni. Mahse i ril a ti slow bawk a, i intestines chu a ‘lazy’ deuh bawk. I intestines kal tlanga stool kal chakna chu a slow hle. Chutah chuan riltam a tlai a, a chang chuan ni tam tak a daih a, a harsa hle bawk.
Chuvangin, he methylnaltrexone damdawi hian thil mak tak a ti a ni. I gut-a chutiang opioids te nghawng chu a block a, chu chu bowels hnathawh lohna tur a ni. Mahse, a pawimawh ber chu, natna tihziaawm nan i thluak lamah a kal lo. I intestines-ah direct-in a thawk mai a ni. Tichuan i intestines chhunga muscle te chu a thawk tha leh tan a, chu chuan stool pass turin a pui che a ni. Darkar chanve chhungin result i hmu thei tlangpui. Hetiang damdawi hi ‘opioid blocker’ kan ti a ni. Chu chu opioids hnathawh thenkhat, a bik takin intestine-a an nghawng dan a tikhawlo tihna a ni.
He damdawi hi a chang chuan doctor-te chuan natna dang atan an pe thei a, chuvangin zawhna i neih chuan i doctor emaw pharmacist emaw zawt rawh. He damdawi hi brand name `(Relistor)` hnuaiah a awm bawk.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur te chu engte nge ni?
Methylnaltrexone i ei tan hmain i hriselna dinhmun kimchang takin doctor hnenah i hrilh hmasa phawt a pawimawh. Hei hi a chhan chu chutih hunah chauh chuan he damdawi hi i tan a tha em tih i hre thei ang. I hriat chian tur thenkhat chu hetiang hi a ni:
- Kidney natna i neih chuan . Damdawi tam tak chu kal kaltlangin taksa atanga paih chhuah a nih avangin kal lama harsatna i neih chuan damdawi hman zat tur hi ngun taka ngaihtuah a ngai a ni.
- Liver natna i neih chuan . Liver pawh hi kan taksa ruihhlo laka tifaitu organ lian tak a ni bawk. Chuvangin liver problem a awm chuan chu pawh chu sawi tel tur a ni.
- I pum emaw, i intestines emaw a thil dik lo eng emaw?A awm chuan. Entirnan, intestine-a blockage, ulcer emaw, natna khirh tak dang emaw a awm chuan. He damdawi hian intestine hnathawh a tihpun avangin chutiang natna nei tan chuan a tha lo mai thei.
- Methylnaltrexone, damdawi dang, ei tur, dye emaw, preservatives dang emaw allergy i neih tawh chuan.
- Naupai emaw, nau pai tum emaw i nih chuan hetih lai hian damdawi eng pawh i ei hmain i doctor nen inbiak hmasak phawt a pawimawh.
- Nu hnute petu i nih chuan damdawi thenkhat chu hnute hnute hmangin i naute hnenah a kal thei tih i hriat a ngai bawk.
Hengte chauh ni lovin, hriselna lama harsatna i neih apiang leh damdawi dang i ei lai te doctor hnena hrilh hi a pawimawh hle.
He damdawi hi engtin nge ka hman ang? Eng kawng nge tha ber?
He damdawi hi methylnaltrexone an tih hi vun hnuaiah injection angin pek a ni . Damdawi inah emaw, damdawi inah emaw pek a ni tlangpui.
Mahse, a chang chuan he injection hi in lamah i pe a ngai mai thei. Chutiang a nih chuan lungngai suh. I doctor emaw nurse emaw chuan a buatsaih dan tur dik tak, i vun hnuaia inject dan tur leh fai taka tih dan tur a zirtir ang che. An hrilh che ang chiah chiah, a order ang chiah chiah khan i ti tur a ni. Doctor-in a hrilh aia tam emaw, a tam emaw ei hi a tha lo.
A pawimawh ber chu, i needle leh syringe hman tawhte chu bawlhhlawh bawmah i dah tur a ni lo em ni? Chumi atan chuan sharps container bik a awm bawk. I damdawi dawr emaw doctor emaw ah i dil thei bawk. Chutah chuan heng thil hman tawhte hi i dah tur a ni. Hei hi kan zavaia himna tur leh midangte hlauhawma kan awm loh nan a ni.
He damdawi hi an pek che chuan damdawi dawr chuan thuchah bik ``MedGuide'' tih chu a pe ang che. Hei hi damdawi thar i dawn apiangin pek thin a ni a, refill i hmuh pawhin pek thin a ni. Damdawi chungchanga hriat tur pawimawh tak tak a awm a. Chuvang chuan ngun taka chhiar a pawimawh hle a ni.
Naupangte hnena he damdawi hi pek dawnin fimkhur bik tur a ni . Chuvangin he damdawi hi i fa hnena pek i duh chuan i doctor nen uluk takin sawipui la, an thupek zawm rawh.
Damdawi i ei tam lutuk chuan engtin nge i tih ang? (A tam lutuk) .
He damdawi hi i ei tam lutuk nia i hriat chuan i hnai ber poison control center emaw emergency room emaw call nghal rawh. Chutiang a nih loh chuan kal nghal mai rawh.
He damdawi hi i tan chauh a ni tih hre reng ang che. He damdawi hi midang hnenah share ngai suh.
Dose pakhat ka miss a nih chuan engtin nge ni ang?
Hei hi nitin hun khata ei thin damdawi a ni lo. Chu chu damdawi hman reng reng a ni lo tihna a ni. A tul angin pek a ni. Chuvangin damdawi lam appointment neih loh vangin lungkham a ngai lo. Mahse, i doctor-in a hman dan tur a hrilh che chungchangah zawhna i neih chuan zawt la.
He damdawi nen hian eng thil dang nge inzawm thei? (Inbiakpawhna) .
Damdawi thenkhat chu methylnaltrexone nena ei chuan harsatna thlen thei a awm. Entir nan:
- Alvimopan a ni
- Naloxone a ni
- Naltrexone a ni
He list hi a kim lo. Damdawi dang pawh a awm thei. Chuvangin, i damdawi ei zawng zawng (doctor dangin an pek emaw, damdawi dawr a i lei emaw), herbal products, vitamin leh dietary supplement i hman zawng zawngte chu i doctor hnenah hrilh rawh. Tin, zu i in emaw, zu i in emaw, ruihhlo dang i hman emaw chuan i doctor hnenah hrilh ngei ang che . Thil thenkhat chu he damdawi nen hian a inzawm a, harsatna a thlen thei a ni.
He damdawi hi kan ei dawnin eng nge kan fimkhur bik ang?
He damdawi i hman lai hian fimkhur tur tlemte a awm a, chungte chu:
- He injection i ei zawh hian a rang thei ang bera toilet i thlen theihna hmunah awm la. He damdawi hi i ei hnu rei vak lovah i bawlhhlawh paih a ngai mai thei. A châng chuan rang takin a awm thei bawk.
- He damdawi i ei lai hian i medical team te chuan i dinhmun hi uluk takin an enfiah ang. I natna lan chhuah dan a tha lo a nih chuan, emaw, a zual deuh a nih chuan, i doctor emaw, nurse emaw hnenah hrilh nghal rawh.
- He damdawi hi i ei hnuah hian mut a hah deuh emaw, a lu a hah deuh emaw pawh a ni thei. Chuvangin, he damdawi hian engtin nge a nghawng che tih chiang taka i hriat hma chuan lirthei khalh te, machinery hman te, leh ngaihtuahna seng ngai thil engmah tih loh tur a ni.
- Ding leh thut thut suh. A bik takin tar i nih chuan fimkhur rawh. Chutianga tih chuan i lu a ti buai thei a, i tlu thei bawk.
- Zu in loh tur. Zu hian he damdawi hman thatna hi a tibuai thei a ni.
He damdawi hian eng side effect nge a neih theih? (Side Effects a awm thei)
Damdawi dang ang bawkin methylnaltrexone hian side effect engemaw zat a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. Ṭhenkhat chu an serious a, ṭhenkhat chu chutiang chuan an serious lo.
Side effects i doctor hnena report nghal tur:
Heng symptoms te hi i neih chuan i healthcare team hnenah a rang thei ang bera hrilh rawh:
- Allergy avanga natna awm thei: 1.1.Vun vun rawng, hnim hring, vun rawng ang chi, hmai, hmui, lei leh kawr te a hring. Chûngte chu a hlauhawm hle thei a ni.
- Pum natna nasa tak: Chumi awmzia chu pum na pangngai aiin a na zawk, a awm reng a, a pung zel tihna a ni.
Side effects, a tlangpuiin doctor thurawn ngai lo, mahse a awm reng emaw, a buaithlak emaw a nih chuan doctor hnenah hriattir tur a ni:
Hengte hi ni rei lo te chhungin a bo tlangpui. Mahse, an nghet tlat a, an tibuai che a nih chuan i doctor hnenah hetiang hian hrilh rawh:
- Khua a vawt tih hriat (Chills) .
- Kawthalo
- Thaw hah lutuk
- Lu na
- Luhai
- Pum natna (non-specific) .
He list-ah hian side effect awm thei zawng zawng a tel lo. Thil dang list-a tel lo i hmuh chuan i doctor nen sawiho rawh. Side effects chu FDA hnenah 1-800-FDA-1088 ah i report thei ang.
He damdawi hi engtin nge kan dahkhawm ang? (Dahthatna)
Damdawi tha taka dahkhawm a pawimawh hle bawk.
- He damdawi hi naupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni.
- Room temperature (20 leh 25 degree Celsius inkar, 68 leh 77 degree Fahrenheit inkar) ah dah tur a ni. Khua lum lutuk (freezer-ah ang chi)-ah dah suh. Tin, êng lakah venghim bawk ang che.
- Damdawi expired hman loh tur. Anni chu uluk takin paih rawh.
He leaflet hi a tawi zawng chauh a ni. I mamawh zawng zawng a keng tel lo mai thei. He damdawi chungchanga zawhna dang i neih chuan i doctor, pharmacist, emaw healthcare provider dang emaw nen inbia ang che.
Hriat reng tur pawimawh ber berte (Take-Home Message) .
Okay, chuti a nih chuan, kan sawi tawh atang khan i hriat reng tur pawimawh ber berte chu kan hriat nawn tir leh ang che?
1. Methylnaltrexone hi opioids (painkillers) avanga constipation avanga injection bik pek thin a ni.
2. Hei hian intestine-ah chauh hna a thawk a, painkiller-ah pawh nghawng a nei lo.
3. Natna dang i neih leh damdawi i ei lai te chu doctor hnenah hrilh ngei ang che.
4. Doctor-in a sawi ang chiah khan injection hi hmang ang che. Needle hman tawhte chu him takin paih vek tur a ni.
5. Injection i ei zawhah toilet bulah awm rawh. Mutthilh leh luak chhuak hi fimkhur rawh, hei hi a thleng thei a ni.
6. Pum natna nasa tak emaw, allergic reaction emaw i neih chuan doctor hnenah hrilh nghal tur a ni.
He thu hi i tangkaipui ngei ka beisei. Hrisel takin awm rawh!
` Methylnaltrexone, Methylnaltrexone, opioid constipation, constipation damdawi, Relistor, damdawi side effects, injection te hi a ni
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