I chhungkuaa mi tu emaw, i pa emaw, i pi emaw pawh nise, thinlung natna damdawi a ei mek a ni. Chutiang mite tan chuan doctor chuan an rilru natna emaw, an tightness emaw an hriat thut hunah an lei hnuaia dah turin tablet te tak te a pe a ni mai thei, a dik em? Vawiin hian chu damdawi pawimawh tak, chu chu Nitroglycerin emaw kan hriat vek angin GTN tablet emaw kan sawi dawn a ni. A hman dan dik hriat hian i nunna leh i hmangaih tak takte nunna a chhanhim thei a ni.
GTN (Nitroglycerin) hi eng nge ni tak tak?
A awlsam zawngin sawi ila, hei hi angina an tih natna enkawl leh venna atana pek a ni. Angina hi rilru natna nasa tak a ni a, chu chu thinlungin thisen, a nih loh leh oxygen a neih tlem chuan a thawk thei lo.
Kan thinlung hi pump, non-stop-a thawk angin ngaihtuah rawh. He pump-a thisen phurtu thisen kalna kawngte hi a zim a nih chuan thinlung hian nasa zawkin hna a thawh a ngai a ni. GTN pill hian thinlung leh taksa chhunga thisen kalna kawngte a ti hahdam a, thisen kal a awlsam phah a ni. Hei hian thinlunga hnathawh tur a tihtlem phah a ni. Hei hi damdawi chi khata nitrates an tih a ni.
He damdawi hi i hman hmaa doctor hnena hrilh tur thilte
He damdawi i pek hma hian heng natna te hi i neih chuan doctor hriattir hmasak a pawimawh hle a, damdawi lam harsatna thenkhat nena he damdawi hman hi a hlauhawm thei a ni.
- Anemia i neih chuan .
- Tun hnaia lu hliam, lu hliam, stroke, emaw thluaka thisen chhuak i neih chuan .
- Liver natna i neih chuan .
- A hmain heart attack i lo nei tawh a nih chuan .
- Nitroglycerin emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan.
- Naupai emaw naupai tum emaw i nih chuan .
- Nu naupai lai i nih chuan .
He thu hi dik taka i doctor hnena hrilh hi i himna atan a pawimawh hle.
He pill hman dan dik tak hi eng nge ni?
Hei hi a pawimawh ber a ni. He damdawi hi a hlawk ber tur chuan dik taka hman a ngai a ni.
1. Thut: Damdawi ei hmain hahdam takin thu emaw, mu emaw. Hei hian damdawi avanga luak chhuak avanga tlu lo turin a pui thei a ni.
2. Lei hnuaiah dah: He pill hi tui nen ei loh tur a ni. Pill chu la la, lei hnuaiah dah la, a hmin tir rawh.Hei hi i hmuiah chil i awm chuan a bo nghal vat ang. I ei sual palh chuan i lei hnuaiah tablet dang dah la.
3. Engtikah nge hman tur:
- I rilru na, i tight emaw, i tight (angina) i hriat veleh i lei hnuaiah tablet pakhat dah la.
- Tin, he pill hi rilru natna thlen thei thil (e.g., exercise, stairs chhoh, sex hman) tih hma minute 5-10 chhungin hman theih a ni bawk.
4. Nghah hun: Tablet chu i lei hnuaia a awm lai hian ei leh in, zuk leh hmuam ei loh tur.
Emergency-ah eng nge tih tur
Hei hi a pawimawh hle a, hre reng ang che.
- Tablet hmasa ber i lei hnuaia i dah atanga minute 5 chhungin hahdamna i nei tur a ni.
- Minute 5 hnuah a natna a reh loh chuan , i lei hnuaiah tablet dang dah leh rawh.
- Chutiang chuan minute 5 danah pill pakhat i ei thei a, a tam berah pill 3 (total time 15 minutes) thleng .
- Pawimawh tak: Pill hmasa ber ei hnua natna a reh loh emaw, a natna a zual zel ang tih emaw a nih chuan pill dang ei nghak suh la, 1990 ah ambulance call nghal emaw, i bula mi emaw chu damdawi in Emergency Department (ETU)-ah kal tir nghal rawh. Hei hi heart attack chhinchhiahna a ni thei.
He damdawi hi i ei tam lutuk palh a nih chuan Colombo National Hospital-a National Poisons Information Center-ah phone nghal la, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal nghal rawh.
He damdawi nena hman loh tur leh fimkhur tur damdawi te
Hei hi nunna himna chungchang a ni. GTN nena damdawi thenkhat ei hi a hlauhawm hle.
| He damdawi nen hian GTN (Nitroglycerin) hman loh tur a ni. | |
|---|---|
| Mipat hmeichhiatna lama harsatna nei damdawi | Damdawi Sildenafil, Tadalafil, leh Vardenafil (marka-a hming hrang hranga awm) te hi an ei dun chuan thisen sang hlauhawm takin a tlahniam thei a ni. |
| Migraine damdawi thenkhat | Damdawi Ergotamine leh Dihydroergotamine (DHE) ang chi te. |
| Riociguat a ni | Pulmonary hypertension damdawi a ni. |
| Hengte hi i hman chuan doctor nen inbia ang che. | |
| Damdawi dang | Damdawi aspirin, heparin, thisen sang damdawi dang, antidepressant, leh phenothiazines te. |
Damdawi, vitamin leh herbal product i ei zawng zawngte chu i doctor hnenah hrilh rawh.
Damdawi hman huna fimkhur tur thil
- I hnenah vawng reng ang che: Hei hi emergency-a i mamawh theih damdawi a nih avangin i kalna apiangah keng la.
- Luak chhuak: He damdawi hi i ei zawh hian i luak chhuak emaw, i lu a hah lo emaw a ni thei. Chuvang chuan thut lai emaw, mut lai emawa hman a tha. I luak chhuak tih i hriat chuan thawk thûk deuh la, i ke kha dah la, mu rawh.
- Ding leh thut: A bik takin kum upa lam i nih chuan vawi khatah ding leh thut vek suh. Hei hian muthilh leh tlu hlauhawmna a ti tlem a ni.
- Zu: Hei hi zu nena in hian mut a tipung thei a, luak a tipung thei bawk. Chuvangin zu in loh tur.
- Condition dang damdawi: He damdawi i ei lai hian over-the-counter khuh, khawsik, natna damdawi i ei hmain i doctor zawt hmasa phawt ang che. Damdawi thenkhat chuan i thisen sang a tisang thei.
Damdawi avanga side effect lo awm thei
Damdawi dang ang bawkin he damdawi hian side effect engemaw zat a nei thei.
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
|---|---|
| Allergy nei te pawh a awm | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Thisen sang hniam | Luak chhuak nasa tak, mitdelna, leh lu hah lutuk. |
| Thinlung thawk zawi zawiin | Fainting, thawk harsa, chak lohna danglam tak. |
| A rilru natna a tipung | A rilru, kawr, hnungzang emaw, kut emaw a na emaw, a nghet lo emaw tihpun. |
| Methemoglobinemia natna lan chhuah dan | Lu na nasa tak, chak lohna danglam tak, thawk harsa, luak chhuak, thinlung na rang, vun emaw hmui sen emaw. |
| Side effects, a tlangpuiin ngaihtuah tur awm lo, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Lu na | Hei hi hmuh fo thin thil a ni. |
| Luak chhuak/vertigo | A bik takin ding lai hian a thleng thei. |
| Flushing a ni | Hmai leh kawr a sen leh lumna hriatna. |
Engtin nge he damdawi hi ka dahkhawm ang?
- Naupangte hmuh theih lohna hmunah hmun him takah dah tur a ni.
- Room temperature (20-25 Celsius inkar) ah dah tur a ni.
- A bottle hmasa berah dah la, light leh moisture laka venhim la, khar nghet takin dah rawh.
- Damdawi a hman zawh hnua a la awm zawng zawng chu paih vek rawh.
Take-Home Thuchah a ni
- GTN (Nitroglycerin) hi nunna chhanhimna damdawi a ni a, rilru natna (angina) rapthlak tak tak tan a ni.
- He tablet hi i lei hnuaiah dah fo la, a hmin tir thin ang che. Tui nen ei ngai suh.
- Damdawi i hman dawnin thu emaw, mu emaw reng rengin .
- Pill hmasa ber atanga minute 5 chhunga hahdamna a awm loh emaw, a natna a zual emaw chuan damdawi in Emergency Department (ETU) pan nghal tur a ni.
- GTN hi erectile dysfunction damdawi (Sildenafil ang chi) nen hmang ngai suh. Nunna atan a hlauhawm hle.
- Damdawi i ei zawng zawng chu i doctor hnenah hrilh rawh.
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