A chang chuan kan rilru a na a, kan luak duh thin a ni lawm ni? Hetiang dinhmun hi operation lian tak hnuah emaw, cancer damdawi (chemotherapy emaw radiation therapy ang chi) kan ei lai hian a tam zawk. Chuvangin, hetiang huna min pui turin doctor-te’n damdawi bik min pek a awm a. Vawiin hian chutiang damdawi pakhat Ondansetron chungchang kan sawi dawn a ni.
Ondansetron hi eng damdawi nge ni?
A awlsam zawngin sawi ila, Ondansetron hi damdawi a ni a, chu chuan rilru hahna leh luak chhuak a veng thei a ni. Medical lamah chuan hei hi ``Antimetic'' class of medicine kan ti a . Damlo ṭhenkhat tân chuan chemotherapy, radiation therapy, a nih loh leh surgery an tih hnuah rilru hahna leh luak chhuak hi thil awmze nei tak a ni tih i hre reng mai thei. He damdawi hi chutiang harsatna tihziaawm nan hman a ni ber. Chemotherapy i ei hian i lungawi loh theih dan hi han ngaihtuah teh, chutih lai chuan hetiang damdawi hi tanpuitu ropui tak a ni.
He damdawi hian engtin nge kan taksaah hna a thawh?
A awlsam khawp mai, mahse science tlem a awm. Kan taksaah hian chemical thenkhat a awm a, chu chuan kan thluak ah signal a thawn a, "Ka rilru a buai a, ka luak chhuak turin inbuatsaih rawh" tih a ni. He damdawi, Ondansetron hian a tih chu chu chemicals (a bik takin, neurotransmitter serotonin an tih) hnathawh chu a block a ni . A dik tak chuan chu signal te chu thluak leh intestines-a kal chu a titawp a ni. Tichuan, nausea leh vomiting chu a tam zawk chu control a ni. Hrethiam e?
He damdawi hming dang hi market-ah a awm em?
Ni e, he damdawi hi `(Zofran)` brand name hnuaiah i hmu tawh mai thei. Chu chu hming tlanglawn tak a ni. Mahse, i doctor-in a pek che prescription kha en la, chutah chuan chiang takin i hre thei ang. A châng chuan he damdawi hi hming dang pawhin a awm thei bawk.
He damdawi hi ka ei hmaa doctor hnena ka hrilh tur te chu engte nge ni?
Hei hi thil pawimawh tak a ni a, theihnghilh suh . Ondansetron i ei tan hmain doctor hnenah i hrilh ngei ngei tur thil tlemte a awm. A chhan chu he damdawi hi hriselna lama harsatna thenkhat nen a inmil lo thei a, a nih loh leh fimkhur bik i mamawh mai thei bawk.
Chung thilte chu hetiang hi a ni:
- Lung lam natna i nei em ? (Entirnan, thinlung hnathawh chak lo, thinlung thawk chak ang chi).
- Thinlung thawk mumal lo i nei ngai em ? Chumi awmzia chu i thinlung chu mumal lo takin, a chang chuan rang takin, a chang chuan slow takin, a nih loh leh skipping pattern-in a na tihna a ni.
- Liver natna i nei em ?
- Doctor in magnesium emaw potassium emaw i hniam tih a hrilh tawh che em ? Hengte hi kan taksa tana mineral pawimawh tak tak an ni.
- He damdawi, Ondansetron, Granisetron ( chu pawh chu damdawi ang chiah a ni), damdawi dang, ei tur, dye, emaw, preservative emaw allergy i nei tawh em?
- Naupai i ni em? A nih loh leh naupai i beisei em?
- Nu hnute pe thin i ni em?
Heng thilte hi i doctor hnenah chiang taka i hrilh chuan a remchan dan angin a enkawl thei che a ni. Hei hi nangmah himna tur a ni.
He damdawi hi engtin nge ka hman ang?
He damdawi hi tablet angin a awm tlangpui. Liquid angin emaw, oral disintegrating tablet angin emaw pek theih a ni bawk.
- He pill hi tui glass khat nen ei tur a ni. (Dissolving pill a nih chuan i hmuiah vawn la, a mah chauhin a hmin tir ang che.)
- Damdawi hi i doctor-in a tih ang chiah chiah, a hun laia ei tur leh a zat inang chiah ei tur a ni tih hre reng ang che.
- I damdawi chu a hun takah, a hun takah ei rawh . I doctor-in a tih aia tam ei suh, a nih loh leh ei tam zawk rawh. Entirnan, ni khatah vawi thum ei tura tih i nih chuan darkar 8 vel inthlauhna ei a tha ber.
He damdawi hi engtikah nge naupang te te hnenah pek tur?
Ni e, a châng chuan doctor-te chuan naupang tê tê tan he damdawi hi an rawt ṭhin. Mahse, enkawlna bik a ngai a ni . Doctor chuan naupang kum leh a rihna ang chi thilte a zirin a dose tur a rel thin. Chuvang chuan he damdawi hi naupang hnenah i pe dawn a nih chuan Doctor hnenah pawh sawipui ngei ngei tur a ni. Naupang tê tê chu puitling ang zat pe ngai suh.
Damdawi i ei tam lutuk chuan engtin nge i tih ang? (A tam lutuk) .
Chutiang a nih chuan, chu chu i ngaihtuah aia tam damdawi i ei tawh nia i hriat chuan damdawi in hnai ber emergency department-ah kal nghal emaw, poison information center (Sri Lanka-ah chuan 1926-ah i call thei) emaw a ni. Hun khawhral suh.
Pawimawh: He damdawi hi i tan chauh pek a ni. He damdawi hi i thian emaw, chhungte emaw hnenah i sem chhuak suh, nangmah ang bawka natna lanchhuahna nei pawh nise. Mi tin tan damdawi dik tak chu a danglam thei.
Damdawi dose i ei loh chuan engtin nge i tih ang?
Chutiang a nih chuan i hriatreng veleh missed dose kha ei nghal rawh. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan (i.e. darkar hnih atanga darkar thum chhungin) missed dose chu skip la, i dose leh tur chu a hun ruatah ei rawh. Vawi khatah vawi hnih (`double dose`) ei ngai suh. Chutianga tih chuan damdawi a tipung thei a, side effect a nei thei bawk.
He damdawi nen hian eng thil dang nge inzawm (conflict) thei?
Hei pawh hi fimkhur hle tur a ni. Ondansetron nena hman a nih chuan harsatna thlen thei damdawi thenkhat a awm. Chuvangin,Damdawi i ei zawng zawng (doctor-in a pek chauh ni lovin, damdawi dawr atanga i lei te, vitamin, hnam damdawi, leh herbal products te pawh) i doctor hnenah hrilh vek a pawimawh hle. Tin, zu i in emaw, zu i in emaw, ruihhlo dang i hman chuan doctor hnenah hrilh bawk ang che.
Ondansetron hi a hnuaia damdawi te nen hian ei loh turin kan fuih tak zet a ni:
- Apomorphine (Parkinson natna damdawi) .
- Fungal natna damdawi thenkhat (e.g., fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole) .
- Cisapride chuan a rawn ti a
- Dronedarone (lung natna damdawi) .
- Pimozide (rilru lam natna damdawi) .
- Thioridazine (rilru lam natna damdawi) .
Tin, Ondansetron hian side effect a thlen thei damdawi dang pawh a awm bawk. Entirna tlemte chu hetiang hi a ni:
- Carbamazepine (seizure damdawi) 1.1.
- Depression, lungkhamna emaw, rilru lam natna dang emaw damdawi thenkhat
- Fentanyl (natna tidamtu chak tak) .
- Linezolid (antibiotic damdawi) 1.1.
- MAOI damdawi (e.g. Carbex, Eldepryl) (depression atana hman thin damdawi hlui) .
- Methylene blue (damdawi thisen chhunga pek thin) .
- Heart rhythm dik lo thlen thei damdawi dang (QT interval ti rei thei damdawi - e.g. dofetilide, ziprasidone)
- Phenytoin (seizure damdawi) 1.1.
- Rifampicin (TB natna damdawi) .
- Tramadol (natna tidamtu) .
He list hi a kim lo. Chuvangin i doctor hnenah i ei tur zawng zawng hrilh vek turin kan fuih a, chutiang chuan damdawi chu him takin a pe thei che a ni.
He damdawi hi kan hman hunah eng nge kan fimkhur bik ang?
He damdawi i hman lai hian allergic reaction chhinchhiahna eng emaw i neih chuan, vun rawng, vun rawng, vun sen, hmai, hmui, lei emaw, kawr emaw a hring chhuak a nih chuan doctor pan nghal rawh. Hei hi emergency a ni thei.
He damdawi hian eng side effect nge a neih theih?
Damdawi dang ang bawkin ondansetron hian side effect engemaw zat a nei thei a ni. Ṭhenkhat chu an serious a, ṭhenkhat chu chutiang chuan an serious lo.
Side effects i doctor hnena report nghal tur:
Heng symptoms te hi i neih chuan doctor rawn nghal tur a ni :
- Allergic reaction: vun vun rawng, hnim hring, hmui, hmai, lei, kawr, thawk harsa.
- Bowel obstruction (`Bowel blockage`) symptoms: Pum natna nasa tak, pum na, bawlhhlawh paih emaw gas pass theih loh, ei duh loh, luak chhuak.
- Chest pain (`Angina`): Hnung, kawr, hnungzang, kutphah natna, tight emaw, tightness emaw hriatna.
- Heart rhythm inthlak danglam: Thinlung thawk chak emaw, mumal lo emaw, luak chhuak, muhil, rilru na, leh thawk harsa.
- Serotonin Syndrome hi: rilru hahdam lo, buai, thinlung thawk chak emaw, mumal lo emaw, taksa ruh khauh, taksa ruh hrual, thawk hah lutuk, khawsik sang, ril\am, khawsik, luak chhuak, leh ril\am te a ni thei. Heng symptoms zinga pakhat aia tam a ruala a awm chuan Serotonin Syndrome a ni thei. Dinhmun hlauhawm tak a ni.
Side effects, a tlangpuiin doctor thurawn mamawh lo (mahse a awm reng chuan doctor hnenah hriattir tur):
Hengte hi ni engemaw zat chhungin a reh tlangpui. Mahse, an awm reng emaw, an tihbuai che emaw chuan i doctor hnenah hetiang hian hrilh rawh:
- Thil tihbuai
- Kawthalo
- General discomfort leh hahna
- Lu na
He list-ah hian side effect awm thei zawng zawng a tel lo. Thil dang i hriat chuan doctor nen sawipui rawh.
He damdawi hi engtin nge ka dahkhawm ang?
- Naupang tê leh ran vulhte hmuh theih lohna hmunah dah rawh . Hei hi a pawimawh hle. Damdawi hi infiamna a ni lo.
- He damdawi hi 2 leh 30 degree Celsius (36 leh 86 degree Fahrenheit) inkar ah dah tur a ni. Chu chu room temperature-ah, a lum lutuk emaw, a vawt lutuk emaw tihna a ni. Hmun hnim, bathroom-ah dah loh tur a ni.
- Damdawi expired hman loh tur . Damdawi dawrah hruai la, paih dan tur dik tak zawt rawh.
A tawp berah chuan hriat reng tur (Take-Home Message) .
Ondansetron hi natna leh luak chhuak tihreh nan damdawi tangkai tak a ni a, a bik takin chemotherapy, radiation therapy, leh surgery ang chi enkawlna nei mek tan chuan a tangkai hle. Amaherawhchu, he damdawi hi i hman dawnin doctor thupek dik tak zawm a pawimawh hle a, natna dang i neih leh damdawi dang i ei lai te doctor hnenah hrilh chian a pawimawh hle. Tichuan him tak leh hlawhtling takin he damdawi hi i hlawkpui thei ang. Harsatna emaw, side effect emaw i neih chuan doctor nen inbiakna neih hreh suh. Dam leh thuai turin duhsakna ka hlan e!
` Ondansetron, Ondansetron, luak chhuak, luak chhuak, cancer enkawlna, chemotherapy, radiation therapy, surgery, side effects, Zofran, antiemetic, damdawi
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