A châng chuan i taksa ruhte chu a chak lo zauh zauh a, nunna nei lo ang maiin i inhria em? A bik takin mitmeng tla, tawng harsa, ei tur ei, emaw, kut leh ke hloh te ang chi symptoms i nei em? Hengte hi taksa chak lohna chhinchhiahna emaw, damdawi lama kan sawi thin `(Myasthenia Gravis)` emaw pawh a ni thei. Chuvangin he natna hi i neih chuan i doctor chuan `Neostigmine` tih pill a pe che a ni mai thei. Vawiin hian he damdawi, a hnathawh dan te, a hman laia fimkhur tur thil te, a side effect te kan sawi dawn nia.
Neostigmine chu eng nge ni?
A awlsam zawngin sawi ila, Neostigmine hi i taksa ruh chakna tichaktu damdawi a ni. Kan nerve leh muscle te hi chemical hmangin an inbiakpawhna a ni. `Myasthenia Gravis` chungchangah chuan he inbiakpawhna hi a thleng dik lo. Neostigmine hian thuchah kengtu chemical chu rei zawk a awm tir a, chu chuan nerve leh muscle inzawmna a tichak a ni. Hei hian taksa ruhte chu chakna a neih leh theih nan a pui a, nitin hna thawh a awlsam phah bawk.
He damdawi hi a chang chuan damdawi lam thil dang atan pawh hman theih a ni a, chuvangin hemi chungchanga zawhna dang i neih chuan i doctor zawh a tha ber.
Damdawi ei tan hmaa doctor hnena i hrilh tur thilte
Neostigmine i ei tan hmain i doctor hnenah damdawi lam harsatna dang emaw allergy i neih apiang hriattir a pawimawh hle a, he damdawi hian damdawi lam harsatna thenkhat nen a inzawm thei a ni.
| Heng natna te hi i neih chuan doctor hnenah hrilh rawh. |
|---|
| - Asthma emaw, thawk lama harsatna dang emaw a awm |
| - Zun harsatna |
| - Lung natna, a bik takin thinlung thawk mumal lo emaw, a thawk mumal lo emaw |
| - Pum natna emaw peritonitis emaw a awm thei |
| - Kal natna |
| - Seizures awm thei |
| - Pum inkhar emaw, ulcer emaw a awm |
| - Thyroid natna |
| - Vagotonia natna a awm |
| - Neostigmine, bromides emaw damdawi dang, ei tur emaw, dye emaw avanga allergy nei |
| - Naupai i nih chuan, naupai tum i nih chuan, nau hnute i pe a nih chuan |
He damdawi hi engtin nge ka hman ang?
Hei hi a awlsam hle.
- He pill hi tui glass khat nen ei la.
- Dose pek zat chauh ei la, i doctor-in a tih hun takah. Dose hi skip suh.
- I rilru a hahdam a nih pawhin doctor thurawn tel lo chuan damdawi ei kha bansan lo la.
- Naupangte hian he damdawi an hman hian enkawlna bik an mamawh thei a, chuvangin naupang enkawltu doctor nen thurawn dil rawh.
Damdawi dose tihpun a nih chuan eng nge tih tur?
Dose pek aia tam i ei palh nia i hriat chuan Colombo National Hospital-a National Poisons Information Center chu tihkhawtlai lovin call la, a nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal rawh. Hei hi emergency angin en rawh.
A pawimawh ber chu he damdawi hi i tan chauh a ni. I damdawi hi midang hnenah share ngai suh.
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.
Damdawi nena inzawm thei damdawi dang (Interactions) .
Neostigmine i ei laiin damdawi dang i ei a nih chuan i doctor hnenah pawh i hrilh tur a ni a, damdawi thenkhat hian a inzawm thei a ni.
| Damdawi chi hrang hrang, harsatna thlen thei |
|---|
| - Antibiotics thenkhat (e.g. kanamycin, neomycin, streptomycin) te hi a tha hle. |
| - Allergy, khuh, khawsik, leh mut tan antihistamines |
| - Lungphung lama harsatna nei tan damdawi |
| - Muscle tih hahdamna tur |
| - Damdawi thenkhat, anesthesia emaw, zai laia natna tihdamna atana hman thin |
He list hi a kim lo. Chuvangin i doctor hnenah damdawi i ei zawng zawng (vitamin leh hnam damdawi te pawh tel), i zuk leh zuk leh zu in te chu i doctor hnenah hrilh rawh.
Damdawi ei huna ngaihtuah tur thil
- Checkup turin doctor hmu fo ang che. I natna lan chhuah dan a na zual emaw, a tha zawk emaw a nih chuan doctor hnenah hrilh rawh.
- Myasthenia Gravis i vei tih ziakna medical ID card emaw bracelet emaw keng reng a pawimawh hle a, damdawi i ei tur leh a hman dan tur pawh i keng tel reng a pawimawh hle. Emergency-ah i nunna a chhanhim thei a ni.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin Neostigmine hian mi thenkhatah side effect a nei thei a ni. Chung zinga ṭhenkhat chu a serious a, a then chu chutiang chuan a serious lo.
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
|---|---|
| - Allergy (vun vun rawng, natna, hmai, hmui, lei hring) . | - Thâwk harsa |
| - Mit hmuh dan a inthlak danglam | - A rilru a na |
| - Chak lo, kal harsa | - Luak chhuak, luak chhuak |
| - Lungphun mumal lo emaw, a na lutuk emaw | - Thisen sang a tlahniam |
| - Kaih | - Taksa chak lohna pangngai lo |
| Side effects te chu a awm reng emaw, a buaithlak emaw a nih chuan doctor hnenah hriattir tur a ni | |
| - Kawthalo | - Zun chhuah a ngai fo |
| - Ka chhunga hmui chhuak tam lutuk | - Thawmhnaw a tipung |
| - Muscle a inthlak danglam | - Nausea, pum na, luak chhuak |
He list-ah hian side effect awm thei zawng zawng a tel lo. Heng bakah hian thil danglam bik i hmuh chuan i doctor nen sawiho rawh.
Engtin nge damdawi chu ka dahkhawm ang?
He damdawi hi naupangte hmuh theih lohna hmunah dah la . Room temperature (15-30 degree Celsius inkar) ah dah a tha ber. Damdawi expire tawh zawng zawng chu paih vek rawh.
Take-Home Thuchah a ni
- Neostigmine hi taksa ruh tichaktu damdawi pawimawh tak a ni a, Myasthenia Gravis natna tan pek thin a ni.
- I doctor-in a pek dose chu ei la, a hun takah ei rawh. Thurawn tel lo chuan damdawi ei kha bansan ngai suh.
- Damdawi dang i ei zawng zawng leh i damdawi lam dinhmun dang zawng zawng chu i doctor hnenah hrilh rawh.
- Side effect na tak tak (thâwk harsa, rilru na, seizures ang chi) i neih chuan doctor rawn la nghal rawh.
- He damdawi hi i tan chauh a ni. Midang hnenah share ngai suh.
- Medical checkup neih fo hian i hriselna dinhmun chu uluk takin i enkawl thei a ni.
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