I doctor-in nangmah emaw, i chhungte zinga tu emaw chuan lung natna, hliam tuar thei an nei tih a hrilh tawh em? `Idiopathic Pulmonary Fibrosis (IPF)` ang chi a ni thei a, chu chu a chhan chiang tak hmuh theih loh natna a ni. Chutiang thila hman thin damdawi `Nintedanib` (brand name `Ofev` tia hriat fo) chu i hre tawh mai thei. Hei hi fimkhur deuha hman ngai damdawi a nih avangin awlsam tak leh hlim takin kan sawi dawn a ni.
He damdawi hi eng nge Nintedanib an tih?
A awlsam zawngin sawi ila, Nintedanib hi i lung tissue-a hliam awm lo tur venna leh tihkhawtlai thei damdawi a ni. Thil engemaw zat enkawlna atan hman a ni ber.
- Idiopathic Pulmonary Fibrosis (IPF): Hei hi natna a ni a, a chhan hriat lohvin zawi zawiin lung a nghet a, a hliam a awm bawk.
- Chronic progressive fibrosing interstitial lung diseases: Hei hian natna chi hrang hrang, hun rei tak chhunga awm thei, lung natna zual zel thlentu a kawk a ni.
- Systemic sclerosis-associated interstitial lung disease: He damdawi hi natna `systemic sclerosis` nena inzawm lung harsatna tan pawh hman a ni.
He damdawi hian natna hi a tidam kim lo va, natnain lung a tihchhiat chu a control a, a ti hniam zawk a ni.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
Nintedanib i tan hmain i doctor hnenah i health history kimchang hrilh hmasak a pawimawh hle. A hnuaia condition te hi i neih chuan doctor hnenah hrilh ngei ang che.
| Hriselna dinhmun emaw tih dan emaw | Engvângin nge chu chu a pawimawh? |
|---|---|
| Thisen chhuahna lama harsatna emaw, chhungkaw history-a chutiang thil nei emaw | He damdawi hian thisen chhuah theihna a tipung thei a ni. |
| Lung natna emaw thisen zam emaw history nei | Heart attack leh thisen zam a awm theihna tur i hriat a ngai. |
| Liver natna | Liver function a nghawng thei a, chuvangin enfiah fo tur a ni. |
| Zun chhunga protein awm | Kidney-a nghawng a neih theih dan tur i hriat a ngai. |
| Tun hnaia operation a neih tawh avangin | Hliam dam dan pawh a nghawng thei. |
| Zuk leh hmuam emaw, cigarette emaw zuk | Meizial zuk hian damdawi hman thatna a ti tlem thei a ni. |
| Pum emaw, intestinal emaw lama harsatna nei | Intestinal tears awm theihna chance tlem a awm. |
| Naupai emaw, naupai tum emaw | Pawimawh tak: He damdawi hian nausen piang lai tan harsatna nasa tak a thlen thei a ni. |
| Naute hnute pek | Damdawi hi hnute hnute hmangin naute hnenah a kal theih avangin a tha lo. |
| Damdawi dang, ei leh in leh dye dang allergy nei | Hei hi he damdawi hi i allergy pawh i nei dawn em tih hriat nan a pawimawh hle. |
Engtin nge damdawi hi ka hman ang?
- He damdawi hi tui glass khat nen ei tur a ni .
- Damdawi hi chaw ei rualin ei a tha ber . Hei hian pum natna tihziaawmna kawngah a pui thei a ni.
- Capsule chu a pumin ei rawh. Tihchhiat suh, tikehsawm suh, chew suh.
- I doctor-in chawlhsan tura a tih hma loh chuan a sawi angin hmang chhunzawm zel ang che.
- I kut a capsule chhunga damdawi powder i hmuh palh chuan sahbawn leh tui hmangin i kut chu uluk takin sil nghal rawh.
- Overdose i ei nia i rinhlelh chuan tihkhawtlai suh. Colombo National Hospital a National Poisons Information Center ah phone nghal rawh . A nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal rawh.
Damdawi dose i ei loh chuan engtin nge i tih ang?
Dose i ei theihnghilh chuan skip rawh. Dose hloh tawh chu phuhruk nan a hun ruat dangah pill pahnih ei suh. I dose lo awm tur chu i hun pangngaiah ei mai rawh.
Damdawi dangah harsatna a awm thei em? (Drug nena inzawmna) .
Ni e, damdawi thenkhat chu Nintedanib nen an inzawm thei. Chuvângin, i damdawi ei zawng zawng, vitamin, thing leh mau, leh supplement te pawh tiamin, i doctor hnênah hrilh rawh.
- Aspirin leh a ang chi damdawi te
- Thisen zam venna damdawi (e.g. Warfarin, Apixaban, Rivaroxaban ) .
- Antibiotics thenkhat (e.g. Erythromycin, Clarithromycin ) te hi a tha hle.
- Seizure atana hman damdawi thenkhat (e.g. Carbamazepine, Phenytoin ) .
- Ketoconazole (fungal dotu) a ni.
- Rifampin (TB natna damdawi) .
- St. John’s Wort (rilru hriselna atana hman thin thinghnah) .
He list hi a kim lo a, chuvangin i ei zawng zawng doctor hnenah hrilh vek a him ber.
Nintedanib ei huna ngaihtuah tur thil
Naupai chungchangah ngaihven bik: Hei hi a pawimawh ber a ni. Nintedanib ei lai hian naupai suh. Damdawi i chawlhsan hnu thla 3 chhung chu birth control rintlak i hmang tur a ni. He damdawi hian nausen piang lo chu nasa takin a tichhe thei a ni. Naupai i nih i rin chuan i doctor hnenah hrilh nghal rawh. Tin, he damdawi hi i ei lai hian nau hnute pe suh.
- Damdawi lam enfiah fo: I doctor chuan i dinhmun enfiah turin a hmu fo ang che. I liver hnathawh dan enfiah turin thisen hnathawh a ti bawk ang.
- Luak leh luak chhuak: He damdawi hian pum a ti na thei a, luak a ti na thei a, ril a ti na thei bawk. If this happens , tui leh tui tam tak in rawh. Fluid hloh tam lutuk hi a hlauhawm thei hle. Hetiang dinhmun hi i thunun thei lo a nih chuan doctor hnenah hrilh rawh.
- Thisen chhuah theihna: 1.1.He damdawi hian hliam a thlen thei a, thisen chhuah theihna a tipung thei bawk. Thisen chhuak danglam (e.g., i hmui, hnar atanga) emaw, hliam emaw i neih chuan doctor hnenah hrilh rawh.
- Meizial zuk: Meizial i zuk chuan damdawiin a thawk tha lo nia i hriat chuan doctor hnenah hrilh la. Meizial zu bânsan i tum a nih pawhin i doctor hnenah hrilh rawh.
Side effect na tak tak awm thei te chu engte nge ni?
A hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal rawh. A then phei chuan damdawi in hnai ber Emergency Department (ETU) pan a ngai mai thei.
| Side effect a awm thei | A lan chhuah dan ber |
|---|---|
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Thisen chhuak | Thinrim dum emaw thisen chhuak emaw, coffee grounds ang maia luak chhuak, zun sen emaw, dum emaw, vunah hmun te te, sen/purple, hliam danglam tak tak te. |
| Thisen chhuak | Ke na, a hring emaw, a lum emaw, thawk harsa, rilru na. |
| Lung natna | Chhung, kekawr, kut, emaw hmuiah tight/na na, luak chhuak, thawk harsa, khawsik hriat, muhil. |
| Liver hliam a awm | Pum dinglam chunglam natna, chaw ei chak lohna, luak chhuak, bawlhhlawh rawng hring, zun dum/brown, vun emaw mit sen emaw, hahna danglam tak. |
| Thai | Hmai, kut, ke ruh rang/chak lo, tawng harsa, buai, kal harsa, lu na na tak. |
| Pum/intestinal mittui tla | Khawsik, pum na, riltam inthlak danglam thut. |
| Luak chhuak lutuk emaw, luak chhuak emaw | Thunun theih loh riltam emaw, luak chhuak emaw. |
A tlangpuiin, side effect na lo zawk a awm thei
Hengte hi hun kal zelah a reh tlangpui a, mahse a awm reng emaw, a buaithlak emaw chuan doctor hnenah hrilh rawh.
- Lu na
- Chaw ei chakna hloh leh taksa rihna tlahniam
- Nausea (i pum thlenga natna hriat) .
Engtin nge damdawi chu i dahkhawm leh i paih thin?
- Naupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni.
- Room temperature (20-25 degree Celsius inkar) ah dah tur a ni. Khua lum leh vawt lutuk lakah venghim rawh.
- Damdawi expired te chu paih bo rawh. Chutianga tih theih dan tha ber chu damdawi in emaw damdawi dawr emaw hnenah damdawi take-back program-a hruai turin hrilh hi a ni. Hei hi a theih loh chuan doctor rawn tur a ni.
Take-Home Thuchah a ni
- Nintedanib hi damdawi bik a ni a, chu chuan lung hliam (scarring) a control a ni. Natna tihdam ai chuan natna kal zel dan a tikhawtlai zawk a ni.
- He damdawi hi i ei tan hmain i hriselna dinhmun zawng zawng leh damdawi dang i ei zawng zawngte chu doctor hnenah hrilh hmasa phawt ang che.
- Pawimawh tak: Damdawi ei lai leh ei zawh hnu thla 3 chhung chu naupai loh tur a ni. Nausen pum chhunga awm tan chuan a pawi hle.
- Liver chhiatna, thisen chhuah, leh thinlung chak lohna te ang chi side effect na tak tak chhinchhiahna te chu hre reng ang che. Ringhlel i neih chuan doctor thurawn la nghal rawh.
- I doctor nen inbiak reng tur a ni. Zawhna leh ngaihtuahna eng emaw an neih chuan sawipui hlau suh.
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