I doctor hian nangmah emaw, i chhungte tan emaw cancer enkawlna atan Nivolumab vaccine hi a rawn rawt tawh em? Chuvangin, he damdawi hi eng nge a nih, eng nge a tih, leh i hriat chian a ngai tih hi tawi te tein i sawi dawn nia. Hei hi damdawi buaithlak tak, mahse a hmasawn hle a, chuvangin i tan chuan hriatthiamna tha tak neih a pawimawh hle.
He vaccine hi Nivolumab an tih hi eng nge ni?
A awlsam zawngin, Nivolumab (brand name Opdivo tia hriat fo) hi vaccine a ni a, damdawi chi khat , monoclonal antibodies tih hming pu a ni. Chumi awmzia chu kan taksain a taksain a taksa a venghimna (immune system) a tichak a, cancer cell a hriat theihna tur, a beih theihna tur leh a tihchhiat theih nan a puitu tur protein bik a ni tihna a ni. Chemotherapy ang a ni lo va, kawng dangin hna a thawk thung.
He damdawi hi cancer chi hrang hrang enkawlna atan hman a ni ber. Chung zinga ṭhenkhat chu:
- Colon cancer a ni
- Lu leh kawng cancer a ni
- Hodgkin lymphoma natna a ni
- Lung cancer a ni
- Melanoma, vun cancer chi khat
I doctor chuan he damdawi hi cancer chi dang, he list-a tel lo tan pawh a pe thei a, chuvangin hei hi i tan a tha em tih i doctor nen sawiho rawh.
Enkawlna i tan hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i tan hma hian i hriselna dinhmun kimchang takin doctor hnenah i sawi hmasak phawt a pawimawh hle . A chhan chu damdawi lam dinhmun thenkhatah chuan he damdawi hman hian fimkhur bik a ngai a ni. A bik takin heng thilte hi hrilh ngei ang che:
- Autoimmune diseases , Crohn natna, ulcerative colitis , emaw lupus ang chi i neih chuan.
- Tun hmain allogeneic stem cell transplant i lo nei tawh emaw, neih i tum emaw a nih chuan.
- Tun hmain i rilru area-ah radiation treatment i lo dawng tawh a nih chuan.
- Organ transplant i neih tawh chuan .
- Nervous system natna i neih chuan , myasthenia gravis emaw Guillain-Barre syndrome emaw ang chi.
- Nivolumab emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih tawh chuan.
- Naupai i nih chuan, naupai tum i nih chuan, nau hnute i pe a nih chuan , hei hi a pawimawh hle.
He damdawi hi engtin nge kan pek ang tih leh eng nge fimkhur tur tih te
He damdawi hi vein (vein-a inject) hmanga pek che a ni. Hei hi in lama tih theih a ni lo va, damdawi in emaw, clinic emaw-ah medical staff-te enkawlna hnuaia tih a ni .
Enkawlna i tan hmain he damdawi chungchang hi ziakna lehkhabu bik (MedGuide) pek i ni ang. Treatment session apiangah uluk taka chhiar leh hriatthiam a pawimawh.
Damdawi dose khat i ei loh chuan eng nge i tih ang tih ngaihtuah rawh. Doctor appointment-ah an pek ni dik takah kal a pawimawh hle. Eng emaw chhan vanga i kal thei lo a nih chuan i medical team te call nghal la, hriattir nghal rawh.
He damdawi hi i ei tam lutuk nia i hriat chuan damdawi in Emergency Treatment Unit (ETU) ah kal nghal rawh. A nih loh leh Colombo National Hospital-a National Poisons Information Center-ah thurawn dil turin phone la.
Enkawl laia fimkhur bik tur thil
He damdawi i ei lai hian i doctor chuan i dinhmun chu uluk takin a enfiah ang. Thisen test pawh neih fo a ngai bawk ang .
Naupai leh hnute pek chungchangah ngaihven bik:
- Hmeichhia tan: He damdawi ei lai leh damdawi ei khap hnu thla 5 chhung chu naupai loh tur a ni. Hei hian naute hriselna nasa takin a tichhe thei a ni. Naupai i tum emaw, naupai nia i rinhlelh emaw chuan doctor hnenah hrilh nghal rawh.
- He damdawi hi i ei lai leh i ei zawh hnu thla 5 chhung chu naute hnute pek vek loh tur a ni.
He damdawi hmanga side effect awm thei te
Damdawi dang ang bawkin Nivolumab hian side effect a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. A pawimawh ber chu heng symptoms te hi hriat chian a, symptom na tak i neih chuan doctor hnenah hrilh nghal a ni.
| Side effect chi hrang hrang | Natna |
|---|---|
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Digestive system lama harsatna awm thei | Pum natna nasa tak, ril\am, ek chhunga thisen chhuak, emaw, ek dum, tarry emaw a awm. |
| Thâwk lak harsat | Sawifiah loha khuh vawt, thawk harsa. |
| Liver hliam a awm | Pum dinglam chunglam na, chaw ei chak lohna, luak chhuak, bawlhhlawh rawng hring, zun dum emaw sen emaw, mit emaw vun sen emaw, hahna danglam tak. |
| Kidney hliam a awm | Zun chhuah tlem, ke ruh, kut leh ke ruh hring. |
| Hormonal glands lama harsatna awm thei | Thyroid hormone pung (Hyperthyroidism): Thinlung thawk chak, taksa rihna tlahniam, thawk hah lutuk, khur, hahdam loh. Hypothyroidism: Chauhna danglam tak, khawsik tuar thei lo, chaw ei kham, sam tlakchham, vun ro, taksa rihna sang, lungngaihna. |
| Thisen thlum sang (Hyperglycemia) . | Tuihalna nasa tak nei, zun tam ngai, danglam taka chau, mit hmuhna fiah lo. |
| Symptom na tak dang a awm bawk | Chhung natna, mit hmuh dan danglam, mit na, ke ruh natna emaw, taksa peng hrang hranga natna emaw, taksa ruh chak lohna, balance hloh, vun, hmuiah pawh a hring emaw, a hring emaw, a danglam bik taka hliam emaw thisen chhuah emaw. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Chau lutuk | Chau lutuk |
| Nausea leh luak chhuak | Nausea leh Luak chhuak |
| Chaw chakna | Chaw ei chakna hloh |
| Ek khal | Ek khal |
| Ruh a na | Ruh natna |
He list-ah hian side effect awm thei zawng zawng a tel lo. Thil dang dang emaw, danglam bik emaw i hriat chuan i doctor nen sawiho rawh.
Take-Home Thuchah a ni
- Nivolumab hi vaccine bik, changkang tak a ni a, taksa ngeiin cancer cell a tihchhiat theih nan a pui a ni.
- Enkawlna i tan hmain i damdawi lam dinhmun leh damdawi i ei zawng zawngte chu i doctor hnenah hrilh hmasak a pawimawh hle.
- Side effect na tak tak (a bik takin thawk harsa, ril\am na tak, vun/mit sen, vun hring) chhinchhiahna te chu en reng ang che. Heng zinga pakhat tal i hriat chuan damdawi lam thurawn zawng nghal rawh.
- He damdawi ei lai leh kan chawlhsan hnu thla 5 chhung chu naupai leh nau hnute pek loh vek a pawimawh hle.
- Doctor-in date a pekte chu tlawh lo la, enkawlnaah tel ve rawh. Zawhna emaw harsatna emaw i neih chuan doctor nen inbiakna neih hlau suh.
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