Nangmah emaw, i hnaih ber tu emaw chuan organ transplant, kidney emaw liver emaw i nei tawh em? Chutiang a nih chuan i doctor chuan operation zawhah damdawi bik ei turin a hrilh che a ni mai thei. Mycophenolate Mofetil hi damdawi an pek tam ber zinga mi a ni. He damdawi chungchangah hian zawhna tam tak i nei mai thei. Ngaihtuah buai suh, vawiinah hian awlsam tak leh chiang takin kan sawi dawn a ni.
He damdawi Mycophenolate an tih hi eng nge thleng tak tak?
A awlsam zawngin sawi ila, hei hi i taksa immune system hnathawh tihtlem emaw control tu emaw damdawi a ni. Hei hi `immunosuppressant` kan ti a.
Hetiang hian han ngaihtuah teh. Organ thar transplant i dawn hian i taksa "sipai" (i.e., immune cells) te chuan organ thar chu "hmêlma" angin an hmu a ni. Chuvangin organ thar chu an bei a, hnawl an tum (organ rejection). Doctor-te chuan chu "insual" chu tihtawp nan leh taksa peng thar chu i taksa nena inmil tura pui turin he damdawi hi an pe che a ni. Phên dangin sawi ila, hei hi i taksa peng thar humhimtu damdawi pawimawh tak a ni.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i ei tan hmain i hriselna dinhmun kimchang i doctor hriattir hmasak phawt a pawimawh hle. A hnuaia table-a tarlan condition-te hi i tan a hman theih chuan, hrilh ngei ang che.
| Information i hriattir tur a ni |
|---|
| Naupai i nih chuan , naupai tum i nih chuan , nau hnute i pe a nih chuan . (Hei hi a pawimawh hle) |
| Allergy i neih chuan (he damdawi, damdawi dang, ei tur, dye, etc.). |
| Cancer emaw thisen lama harsatna (e.g. anemia ) i neih chuan. |
| Infection (a bik takin viral infection chickenpox leh herpes te) i neih chuan. |
| Kidney natna , pum lam harsatna , riltam ang chi i neih chuan . |
| Tun hnaia vaccine i dawng tawh emaw, nakin lawkah vaccine pek tura ruahman i nih chuan. |
| Phenylketonuria tih hming pu genetic condition hmuh tur awm lo tak i neih chuan. |
Engtin chiah nge he damdawi hi ka hman ang?
Doctor-in a sawi angin a hun takah a dose dik tak ei a pawimawh hle.
- Hei hi suspension atana pek i nih chuan i hman hmain bottle chu uluk takin i vawt tur a ni .
- Damdawi tehna atana hman tur special measuring device (dosing dispenser) chauh hmang ang che . In chhunga teaspoon emaw syrup cup emaw hmang suh.
- He damdawi hi pum ruak a ei a tha ber . Chu chu chaw ei hma darkar khat emaw, chaw ei hnu darkar hnih emaw tihna a ni. Doctor-in ei tur nen ei tur a tih loh chuan hun dang zawng zawngah pum ruak-ah ei tur a ni.
- Damdawi ei dawnin tui glass khat in thin ang che.
- A pawimawh ber: He damdawi hi doctor thurawn tel lo chuan eng thil vang pawha ei thut loh tur a ni. Chutianga tih chuan i taksain taksa peng thar a hnawl theihna chance a tipung thei a ni.
- He damdawi hi i vun emaw mit emaw nen inzawm tir suh . Chutiang a nih chuan tui tam takin silfai nghal tur a ni.
Hriat tur pawimawh: He damdawi hi i ei tam lutuk nia i hriat chuan Emergency Department (ETU) hnai ber pan nghal rawh. A nih loh leh Colombo National Hospital a National Poisons Information Center ah biak theih a ni bawk .
Damdawi dose khat ka ei loh chuan engtin nge ni ang?
Dose i ei theihnghilh 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. Double dose ei ngai suh.
He damdawi nena inzawm thei thil dang
Mycophenolate hian damdawi dang, vitamin leh herbal remedies te nen a inzawm thei a ni. Chuvangin i damdawi ei zawng zawng (prescribed, over-the-counter, vitamins, herbal remedies) te chu doctor hnenah hrilh rawh.
He damdawi hian a bik takin a hnuaia mite hi a inzawm thei a ni:
- Vaccine nung: 1.1.He damdawi hi i ei lai hian vaccine thenkhat i dawng thei lo.
- Birth control pills: He damdawi hian birth control pill hman thatna a ti tlem thei a ni.
- Antibiotics thenkhat (e.g. ciprofloxacin, penicillin) te pawh a awm bawk.
- Gastritis natna damdawi (e.g. omeprazole, pantoprazole) te.
- Cholesterol tihhniamna damdawi (e.g. cholestyramine).
- Damdawi bik dang Acyclovir, Azathioprine, Cyclosporine te hi a ni.
He list hi a kim lo a, chuvangin i ei zawng zawng doctor hnenah hrilh vek a him ber.
Damdawi ei laia fimkhur bik tur thil
1. Naupai leh naupai venna (a pawimawh hle!) .
Hei hi he damdawi chungchanga vaukhânna pawimawh ber a ni. He damdawi hian nausen piangsual na tak a thlen thei a ni.
- Hmeichhia tan chuan:
- He damdawi hi ei lai leh ei zawh hnu kar 6 chhung chu naupai vek loh tur a ni .
- Damdawi ei tan hmain naupai test i neih hmasak phawt a, naupai loh leh naupai loh enfiah hmasa phawt tur a ni.
- Hemi chhung hian naupai venna kawng rintlak tak pahnih in hmang dun tur a ni . Birth control pill hman ringawt pawh a tawk lo mai thei. Hemi chungchang hi i doctor nen sawiho la, eng hmanraw tha ber nge tih zawt rawh.
- Mipa tan chuan:
- He damdawi hi i ei a nih chuan nau pai thei hmeichhia i sex hman apiangin condom i hmang tur a ni .
- Pill i chawlhsan hnuah pawh hetiang hian condom hi ni 90 chhung i hmang tur a ni .
- Hemi hun chhung hian sperm donation hi pumpelh vek tur a ni .
2. Hri kai laka invenna
He damdawi hian i taksa hriselna a tichak lo avangin natna hrik i kai awlsam zawk mai thei. Khawsik tenau emaw, flu emaw pawh a na thei hle. Chuvangin:
- Infection chhinchhiahna eng emaw, khawsik, taksa na, ril na, khuh emaw i neih chuan doctor ko nghal rawh.
- Mipui tamna hmun a\angin a hla thei ang bera awm rawh.
- Kut sil fo thin ang che.
3. Ni laka invenna
He damdawi hian i vun chu ni êng lakah a ti sensitive hle thei a ni. Chuvangin, ni chhuahna hmuna kan chhuah dawnin:
- A theih ang anga vun khuh thei thawmhnaw ha la .
- Sunscreen tha tak hmang rawh .
- Kawrfual ha rawh.
4. Damdawi lam test neih thin
I doctor chuan thisen test mumal tak nei turin a ti ang che. He damdawi hian i taksa a nghawng dan hriat nan heng test te hi a pawimawh hle. Chuvangin clinic appointment engmah lo thleng suh.
Eng side effect nge ka neih theih ang?
Damdawi dang ang bawkin hei hian side effect engemaw zat a thlen thei a ni. Mi zawng zawngin an hmu vek lo.
| Damdawi lam pan vat ngai side effects | |
|---|---|
| Allergy symptoms te chu vun rawng , hnim hring, hmai, hmui, lei emaw a hring | Khawsik, khawsik , emaw, natna kai chhinchhiahna dang emaw a awm thei |
| Thisen chhuak emaw vun hliam emaw danglam tak | Thianghlim dum emaw thisen chhuak emaw |
| Chauhna danglam tak emaw hahna emaw , luak chhuak | Vision a danglam thin |
| I doctor hnena hrilh tur thilte chu a awm reng emaw, a buaithlak emaw a nih chuan | |
| Diarrhea emaw constipation emaw a awm thei | Nausea, luak chhuak |
| Chaw ei chakna hloh | Mut harsatna |
Take-Home Thuchah a ni
- Mycophenolate hi damdawi pawimawh tak a ni a, i taksa peng thlak (transplanted organ) a venghim a, i taksa hriselna (immune system) a control bawk.
- Doctor thurawn tel lo chuan he damdawi hi ei kha bansan ngai suh.
- Hmeichhia leh mipa pawhin he damdawi ei lai hian naupai loh nan birth control dan khauh tak an zawm a ngai a ni.
- Infection chhinchhiahna eng emaw, khawsik emaw, khawsik emaw i neih chuan doctor hnenah hriattir nghal rawh.
- Ni laka inven nan sunscreen leh khuhna thawmhnaw ha la.
- I doctor hnenah damdawi dang i ei zawng zawng kimchang takin pe rawh.
- Ni ruat saah medical clinic-ah kal a, a tul anga test neihpui thin ang che.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Trandolapril (Trandolapril / Mavik) hi eng natna atan nge hman?
Hei hi damdawi tha tak (ACE Inhibitor) a ni a, ‘High Blood Pressure’ a control a, damlo heart attack/myocardial infarction nei tawh leh thinlung chak lo/chak lo tawhte chu a hnathawh dan pangngaia thawk leh turin a pui thin! Enalapril nen chhungkaw khata awm ni mah se, taksaah rei zawk awm rengtu leh darkar 24 chhung venhimna pe thei damdawi a ni.
💬 He blood pressure pill (Trandolapril) ei hian engtin nge thisen sang leh lung natna a tihziaawm?
Chemical hlauhawm tak ‘Angiotensin II’ an tih hian kan taksa chhunga thisen kalna kawng zawng zawng a ti zim/tight vek a, pressure a tisang bawk! Chu chemical chu ‘ACE’ (Angiotensin-Converting Enzyme) an tih machine hmanga siam a ni. He pill hi taksaa a luh chuan chu ACE machine chu a block/closed a, 100% in a lock a ni. Chu chemical hlauhawm tak chu siam chhuah a nih tawh loh avangin thisen kalna kawngte chu a zau/relh (Vasodilation) a, pressure a tlahniam nghal a, thinlunga phurrit chu a tlahniam ta a ni.
💬 He thisen sang damdawi (ACE Inhibitor) ei hian eng nge a tihbuai leh thihna thlen thei (Black Box Warning)?
A hlauhawm ber chu thisen sang pill dang ang bawkin hei hi hmeichhe naupai tan khap tlat a ni (Pregnancy/Fetal toxicity)! Hei hian naute kal (kidney) a ti ro a, a thi thei a ni. Side effect dang tibuaitu leh tlanglawn ber (ACE) chu ‘dry persistent cough’, mucus tel lo hi a ni. Tin, mi thenkhat chuan hmui, hmai leh kawr a hring nghal thei a, thawk harsatna an nei thei bawk (Angioedema - mipa hring an hlauhawm zawk).
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