I doctor hian nangmah emaw, i chhungte tu emaw tan natna nasa tak a neih avangin morphine a pe em? Painkiller chak tawk tak a nih avangin zawhna tam tak i nei mai thei. "A hman a hlauhawm em?", "Eng nge a side effects?", "Eng nge ka ei dawnin ka fimkhur tur?" Hetiang zawhna hi i nei thei bawk. Lungngai suh. Heng zawng zawng hi vawiin hian awlsam tak leh chiang takin kan sawi dawn a ni.
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He Morphine hi eng nge ni?
A awlsam zawngin, morphine hi natna tidamtu chak tak a ni a, doctor-te chuan natna nasa tak control nâna an pêk a ni . Painkiller pangngai hmanga natna tihreh theih loh hunah emaw, taksain damdawi a tuar theih loh hunah emaw hman a ni.
Hei hi damdawi chi khat, opioid an tih zinga mi a ni. He damdawi hian kan thluaka natna signal thawn chhuah a tikhawlo a, hna a thawk a ni. Chuvangin, eng ang pawhin natna chu nasa mah se, kan hre tlem zawk.
Damdawi i ei hmaa i doctor hnena i hrilh tur thilte
Morphine i hman tan hmain i doctor hnenah i hriselna dinhmun kimchang taka sawi hmasak a pawimawh hle . A hnuaia condition te hi i neih chuan hrilh ngei ang che:
| I hriselna dinhmun | Engvangin nge i hriattir ang? |
|---|---|
| Lu hliam, thluaka natna hrik awm | Morphine hian thluaka pressure a tisang thei a ni. |
| Asthma, lung natna emaw, thawk harsatna emaw | He damdawi hian thawk a tikhawtlai thei a, a hlauhawm thei hle. |
| Kidney emaw liver emaw natna | Taksa atanga damdawi lakchhuah dan pawh a nghawng thei a ni. |
| Ruihhlo emaw zu ruih hmang emaw | Hei pawh hi ruihhlo ngawlvei hlauhawm tak a nih avangin fimkhur bik a ngai a ni. |
| Pancreas emaw gallbladder emaw natna | Heng dinhmunte hi a pawi thei hle. |
| Seizures emaw convulsion emaw a awm thei | Seizures neih theihna a sang thei hle. |
| Ni 14 kalta chhunga MAOI damdawi ei | Hei hian chhanna na tak leh hlauhawm tak a thlen thei a ni. |
| Naupai, naupai tum emaw, nau hnute pe emaw an ni | He damdawi hian naute a nghawng theih avangin damdawi lam thurawn pek a pawimawh hle. |
| Damdawi dang emaw ei tur dang emaw allergy nei | Morphine allergy a awm theih dan tur hre reng ang che. |
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Hei hi hman dan dik tak zawm a pawimawh hle.
- I doctor-in a pek zat chauh ei rawh: Doctor-in a tih aia tam ei ngai suh.
- Dik takin teh rawh: He damdawi hi tui angin a lo awm avangin spoon emaw cup emaw bik hmangin teh rawh. In chhunga teaspoon hmanga teh suh, a dik loh avangin.
- A hun takah ei rawh: Damdawi hi a hun takah, darkar tlemte danah, doctor-in a tih angin ei thin ang che.
- Pum natna i neih chuan: Damdawi i ei zawha i lungawi loh chuan chaw ei emaw, bawnghnute glass khat emaw nen ei thin ang che.
- Rapthlak taka chawlhsan loh tur: Doctor thurawn tel lova damdawi ei kha titawp thut suh. Chutianga tih chuan side effect na tak (withdrawal symptoms) a thlen thei.
Pawimawh tak: He damdawi hi i tan chauh pek a ni.He damdawi hi midang hnenah share ngai suh. Dan kalh a ni a, a hlauhawm hle bawk.
Dose i miss a nih chuan engtin nge i tih ang?
Dose i miss a nih chuan i hriatreng veleh ei nghal rawh. Mahse i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, i dose leh tur chu a hun ruatah ei rawh. Dose pahnih chu a rualin ei ngai suh.
Damdawi ka ei tam lutuk chuan engtin nge ni ang? (Overdose) a ni.
Damdawi i ei tam lutuk nia i hriat chuan hma la nghal rawh. Hei hian nunna a tichhe thei a ni.
1. Colombo National Hospital-a National Poisons Information Center-ah phone nghal rawh .
2. Chutih rual chuan damlo chu damdawi in hnai ber Emergency Treatment Unit (ETU)-ah hruai tur a ni.
He damdawi nena inzawm thei damdawi dang (Drug Interactions) .
Damdawi dang, vitamin emaw, herbal remedies emaw i ei lai chu doctor hnenah hrilh a pawimawh a, damdawi thenkhat chuan morphine nen an inrem thei a, dinhmun hlauhawm tak a thlen thei a ni.
| Morphine nena ei ngai loh tur damdawi | |
|---|---|
| |
| Morphine nena inzawm thei damdawi, chuvangin doctor hnena hriattir tur | |
| Ruihhlo chi hrang hrang | Entirnan |
| Zu | Zu chi hrang hrang. |
| Khawsik leh khuh damdawi thenkhat (Antihistamines) . | Mutthilh tir thei damdawi, Piriton ang chi te. |
| Rilru lam harsatna (Depression, Anxiety) damdawi hman dan tur . | Damdawi chi hrang hrang Amitriptyline, Fluoxetine, Sertraline te hi a ni. |
| Mut theih lohna damdawi | Damdawi diazepam ang chi te. |
| Painkiller chak tak dang emaw, khuh damdawi emaw | Ruihhlo Tramadol leh Codeine ang chi te. |
*He list hi a kim lo. Damdawi i ei zawng zawng chu i doctor hnenah hrilh rawh.*
Damdawi ei dawnin heng thilte hi fimkhur hle ang che.
Tolerance leh addiction inthlauhna
Mi tam takin an hlauhthawn ber pakhat chu he damdawi chi hrang hrang hi an lo ngawih ngawih mai ang tih hi a ni. Hetah hian thil pahnih kan hriatthiam a ngai.
1. Tolerance: Morphine hi rei tak i ei chuan a hmaa i ei kha natna tihziaawm nan a tawk tawh lo mai thei. Chumi awmzia chu a natna control nan a dose sang deuh a ngai tihna a ni. Hei hi thil pangngai a ni . Hei hi addiction a ni lo.
2. Addiction: Addiction chu damdawi lam chhan awm lova rilru lam nawmna atana damdawi hman duhna hi a ni. Damdawi lam thurawn anga natna avanga i ei a nih chuan addiction a ni lo.
Naloxone hi fimkhur rawh
Naloxone hi nunna chhanhim thei damdawi a ni a, opioid damdawi, morphine ang chi overdose chu a tidanglam thei a ni. Overdose hi damdawi i ei tam lutuk emaw, zu ang chi thil nena i in emaw a awm thei. Overdose chhinchhiahnate chu thawk hah lutuk, mutthilh lutuk, leh thusawi lai pawha harh theih lohna te a ni . Hemi chungchang leh a tul chuan Naloxone hmuh dan leh hman dan tur i doctor nen sawiho rawh.
Thu pawimawh dangte
- Mutthilh leh luak chhuak: He damdawi hian mutthilh leh luak chhuak thei che a ti thei. Chuvangin , he damdawi hi ei lai hian lirthei khalh emaw, machinery emaw hmang suh.
- Zu: Morphine ei lai hian zu in loh vek tur a ni. A rah chhuah hlauhawm tak tak a nei thei a ni.
- Constipation: Constipation hi he damdawi hian side effect a nei tlangpui. Chuvangin tui tam tak in la, fiber tamna ei tur (thei, thlai chi hrang hrang) ei tam rawh.Ni 3 aia tam ek chhuah harsatna i neih chuan doctor hnenah hrilh rawh.
Damdawi avanga side effect lo awm thei
| Side effect na tak tak, i doctor emaw ETU emaw hnenah report nghal tur a ni | |
|---|---|
| Allergic Reaction awm thei te | Skin rash, itching, hmai, hmui, lei hring. |
| Thluak lama harsatna (CNS Depression) . | Thâwk muang lutuk, thawk harsa, mutthilh lutuk, harh theih lohna. |
| Thisen sang tihhniam | Luak chhuak, mit hmuh fiah lo, muhil. |
| Side effects awm fo thei, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Ek khal | A chunga kan sawi tak damdawi te hi zawm rawh. |
| Luak chhuak, mutthilh | Taksain damdawi a hman thiam deuh deuh chuan a tlahniam thei. |
| Nausea, luak chhuak | Damdawi ei rualin a tihziaawm theih. |
| Kawng a vawt | Sugar tel lo gum chewing leh tui in hian a pui thei ang. |
Damdawi hi engtin nge him taka kan vawn theih ang?
- Naupang leh ran vulh laka inthiarfihlim rawh: He damdawi hi naupang emaw, ran vulh emaw kuta a luh chuan a thihpui thei a ni.
- Hmun him takah khar rawh: Rukruk laka inven nan, tu mahin awlsam taka an hmuh theih lohna hmunah dah la.
- Damdawi la awm: Damdawi la awm i neih chuan uluk takin paih mai tur a ni. Chutiang chu a theih loh chuan toilet-ah paih thla rawh. Damdawi expired hman loh tur.
Take-Home Thuchah a ni
- Morphine hi natna tidamtu chak tak a ni a, damdawi lam enkawlna hnuaiah chauh hman tur a ni.
- Damdawi dang i ei zawng zawng leh i damdawi lam dinhmun zawng zawng chu i doctor hnenah hrilh ngei ang che.
- He damdawi hi midang hnenah share ngai suh. A hlauhawm hle mai.
- Overdose symptoms (muthilh lutuk, thawk harsa) te hriat chian la, Emergency Department (ETU) pan nghal tur a ni.
- Damdawi lam thurawn tel lova damdawi ei kha chawlhsan nghal mai loh tur.
- Damdawi hi naupang leh ran vulhte hmuh theih lohna hmun him takah khar fo ang che.
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