Asthma i nei a, chuvangin i doctor chuan nitin hman tur inhaler a pe che a ni mai thei. Chung zinga ṭhenkhat chu i asthma a zual thut a, chu chu thawk harsa i tih hunah chauh hman a ni. Mahse chi dang a awm a, chu chu nitin i hman a ngai a ni. Vawiin hian chutiang inhaler pakhat nitin i hman thin chungchang kan sawi dawn a ni. Hei hi ‘controller inhaler’ an ti a, chu chu i Asthma chu a control a, a lo awm leh tawh loh nan a veng tihna a ni. Hei hi Asthma attack i neih hunah hman a ni lo va, Asthma attack control nan hman a ni. Vawiin hian he ‘controller’ inhaler chi, Mometasone Dry Powder Inhaler (DPI) chungchang chipchiar takin kan sawi dawn a ni.
Mometasone chu eng nge ni?
A awlsam zawngin sawi ila, Mometasone hi i thawkna kawng, i lung chhunga boruak phurtu tube-a hliam leh inflammation tihziaawmna damdawi a ni. Damdawi chi khat, ‘inhaled steroids’ an tih zingah a tel a ni. Hetiang hian han ngaihtuah teh: Asthma vei chuan thawkna kawng a hring deuh a, a zim deuh bawk. Mometasone inhaler hian chu hliam chu a tihziaawm a, thawkna kawng a hawng a, thawk awlsam zawk nan a pui bawk.
A pawimawh ber: Hei hi ‘controller’ inhaler a ni. Hei hian Asthma symptoms a awm loh nan hman a ni tihna a ni. Thâwk harsa i tih thut a, Asthma attack i neih chuan hei hi i hman tur inhaler a ni lo. I doctor-in a pek che ‘rescue’ emaw ‘reliever’ inhaler (blue ang chi) kha a ni.
He damdawi hi i ei hmaa doctor hnena hrilh tur thil
Mometasone inhaler a pek hmain i doctor chuan thil engemaw zat a zawt ang che. Tin, a hnuaia natna te hi i neih chuan i doctor hnenah i hrilh ngei tur a ni.
- Glaucoma i neih chuan .
- Immune system chak lo i neih chuan .
- Viral infection chickenpox, herpes , emaw natna dang emaw i neih chuan.
- Kawngpuiah emaw, kawmah emaw hliam a awm chuan.
- Osteoporosis i neih chuan .
- Steroid dang Prednisone ang chi i hmang tawh a nih chuan, pill angin emaw, chi dang emaw pawh nise.
- Tun hnaia surgery i neih tawh chuan.
- Mometasone, steroid dang, damdawi dang, ei tur emaw, dye emaw allergy i neih tawh chuan.
- Naupai emaw naupai tum emaw i nih chuan .
- Nu hnute pe lai i nih chuan .
I himna atan heng thilte hi Doctor hnena hrilh hi a pawimawh hle.
Engtin nge inhaler hi hman dik ang?
He damdawi hi a hlawk ber tur chuan a hman dan dik hriat a pawimawh hle.
1. Inhale dik: He damdawi hi powder angin a awm a. I hmui hmangin thuk takin i inhnim a ngai a ni. Inhaler nena rawn kal INSTRUCTIONS FOR USE-a step awmte chu chhiar la, hrethiam rawh. I hriatthiam loh chuan i doctor hnenah instruction dik tak zawt la.
2. I hmui silfai (a tul!): Damdawi i inhnim zawh chuan i hmuiah tui tlem la la, i hmui chu uluk takin silfai la, chu chu chhuah rawh . He tui hi ei suh. Hei hi a pawimawh hle a, a chhan chu i ka chhunga damdawi powder awm reng hian i ka chhungah fungal infection (thrush) a thlen thei a ni. I hmui silfai hian chu hlauhawmna chu a ti bo thei a ni.
3. A hun takah ei rawh: Doctor-in a sawi angin nitin hun khata ei thin ang che. Zingah chuan zing a nih chuan, tlai lamah zan a nih chuan. Chutiang chuan damdawi thatna chu taksaah a level inangah a awm reng thei a ni.
4. Bansan suh: Doctor-in a tih hma loh chuan hei hi hmang tawh suh. I dam tawh tih i ngaihtuah tawh loh chuan i asthma chu a zual leh thei.
Naupangte hnena i pek chuan...
Doctor-te chuan naupang kum 4 hnuai lam tan he damdawi hi an rawt \hin. Mahse fimkhurna bik a awm. Chuvangin hei hi naupang hnena i pek a nih chuan doctor thupek dik takin zawm rawh.
Thil hriat tur leh side effects te
| Thil thleng / Symptom | I tih tur chu |
|---|---|
| Damdawi lam pan vat ngai side effects | |
| Allergy natna a awm thei (Van natna, vun na, hmui/lei/hma/thlah hring) | Chûngte chu thil pawi tak a ni thei. Doctor hmu nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh. |
| Ka chhunga hmun dum (Thrush) . (Kawng chhungah emaw, leiah emaw hmun var) . | Hei hi fungal infection a ni. Inenkawlna nei turin doctor hmu rawh. I inhaler i hman zawhah i hmui chu silfai fo ang che. |
| Thâwk harsa zual zel (Inhaler i hman hnua thawk hah lutuk emaw, i rilru a na lo emaw a nih chuan) | Hei hi thil thleng tlem tak a ni. I rescue inhaler hmang nghal la, i doctor hnenah hrilh rawh. |
| Adrenal gland hnathawh a tlahniam (Nausea, luak chhuak, ei duh loh, hahna danglam tak, luak chhuak) | Heng symptoms te hi i neih chuan doctor hnenah hrilh rawh. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Ka chhunga thlum inthlak danglam, khuh, lu na, ri bengchheng, ril na, hnar luang emaw hnar hrual emaw. | Hengte hi ni engemaw zat hnuah a bo tlangpui a, mahse a awm reng emaw, a buaithlak emaw chuan doctor hnenah hrilh rawh. |
Thil dang ngaihtuah tur
- Asthma Action Plan: I doctor nen thawk ho la, personalized ‘Asthma Action Plan’ siam la, chutah chuan i asthma a na zual huna i tih tur (Yellow Zone) leh damdawi lam tanpuina i mamawh huna i tih tur (Red Zone) te a tel a ni.
- Infection hlauhawmna: He damdawi hian i taksa hriselna a tichak lo deuh thei. Chuvangin, khawsik, khawsik, taksa na ang chi symptoms i neih chuan mahni indam lo la, doctor pan rawh. Damlo awmna hmunte chu pumpelh tum ang che.
- Ruh hriselna: Hetiang steroid inhalers hun rei tak hman hian ruh chakna a tlahniam deuh thei a ni. He risk chungchang hi i doctor nen sawiho rawh.
Damdawi dang nen a inzawm em?
Ni e, damdawi thenkhat chu Mometasone nen an inzawm thei. Chuvangin i damdawi ei zawng zawng chu i doctor hnenah hrilh rawh. Hei hian vitamin, herbal remedies, leh supplement thlengin a huam a ni. A hnuaia damdawi te hi i ei a nih chuan i doctor hnenah hrilh ngei ang che:
- Ṭhenkhat, Clarithromycin, Telithromycin te ang chi teAntibiotics damdawi a ni
- HIV emaw AIDS emaw tan antiviral damdawi thenkhat pek thin
- Antifungal damdawi Ketoconazole leh Itraconazole te a ni
- Cobicistat a ni
- Nefazodone a ni
He damdawi hi i ei tam lutuk chuan engtin nge ni ang? He damdawi hi i ei tam lutuk nia i hriat chuan Colombo National Hospital-a National Poisons Information Center ah call nghal rawh . A nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal rawh.
Engtin nge inhaler hi i dahkhawm a, i paih chhuah thin?
- Naupangte thlen lohna hmunah dah tur: Naupang leh ran vulhte thlen lohna hmunah dah tur a ni.
- A dahna: Room temperature (20 leh 25 degree Celsius inkar)-ah dah tur a ni. Hmun lum lutuk, vawt leh vawt lutukna hmunah dah suh.
- Disposal: Inhaler hi foil packet atanga i lakchhuah atanga ni 45 hnuah, inhaler-a dose counter-ah "0" a inziak hunah emaw, expiry date a liam hnuah emaw, a hmasa ber tur chu paih vek tur a ni .
Take-Home Thuchah a ni
- Mometasone hi Asthma ‘controller’ inhaler a ni a, a tha hle. Asthma attack atan hman theih a ni lo. Chumi atan chuan ‘rescue’ inhaler hmang rawh.
- Inhaler i hman zawh chuan i hmui chu tuiin silfai ngei ngei tur a ni a, chutiang chuan ka chhunga fungal infection a awm loh nan.
- Doctor thurawn tel lo chuan hei hi hman thut loh tur a ni.
- I asthma symptoms a zual a nih chuan, emaw, i rescue inhaler hman tam a ngai a nih chuan doctor pan nghal rawh.
- Damdawi dang i ei zawng zawng, vitamin pawh i doctor hnenah hrilh rawh.
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