Nangmah emaw, i hnaih ber emaw cancer vei tih i hriat chuan, enkawlna kawng hrang hrangte hriat duhna, leh hlauthawng pawh a ni mai thei, chu thil pangngai tak a ni. A hlauhawm thei hle a, a bik takin damdawi thar, buaithlak tak tak i hriat hian. Vawiin hian chutiang cancer enkawlna thar pakhat, Pembrolizumab chungchang kan sawi dawn a ni. Thil thleng tak tak leh kan hriat chian a ngaihte chu awlsam tak, friendly takin i sawi ang u.
Pembrolizumab hi eng nge ni?
A awlsam zawngin sawi ila, Pembrolizumab hi cancer chi hrang hrang enkawlna atana hman thin damdawi a ni . Market-ah chuan ``Keytruda`` tia hriat a ni. Hei hi damdawi pangngai ang a ni lo va, ``monoclonal antibody`` chi khatah a tel a ni.
Ngaihtuah teh, keimahni taksa ngei hian natna laka min vengtu sipai a nei a, chu chu immune system kan ti a. A chang chuan cancer cell te hi an fing hle a, he immune army atang hian an inthup thin. Pembrolizumab hian kan taksa hriselna (immune system) chu, "Harh rawh, hetah hian hmelma a awm," tih signal a pe a, cancer cell zawng chhuakin a beih theih nan a pui a ni. Chu chu, cancer dona atana mahni invenna (defence system) hman dan a ni tihna a ni.
Enkawlna i tan hmaa i doctor hnena i hrilh tur thilte
I hriselna chanchin kimchang doctor hnenah hrilh a pawimawh hle a , he damdawi hi mi zawng zawng tan a inang vek lo. A bik takin heng thilte hi i doctor hnenah hrilh ngei ang che:
- Immune system natna: Autoimmune natna i neih chuan, Crohn’s disease, ulcerative colitis, emaw lupus, taksa immune system-in a cell a bei thin.
- Organ transplant: Tun hmaa organ transplant i lo neih tawh emaw, allogeneic stem cell transplant i neih tawh emaw, neih tum emaw i nih chuan.
- Damdawi lam thil dang: I rilru lam hmuna radiation hmanga enkawlna i neih tawh chuan, emaw, nervous system natna, myasthenia gravis emaw Guillain-Barre syndrome emaw i neih chuan.
- Allergy: He damdawi, Pembrolizumab, emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan.
- Naupai leh nau hnute pek: Naupai, nau pai tum emaw, nau hnute pek emaw i nih chuan i doctor hrilh a pawimawh. Hei hi a pawimawh hle.
Engtin nge he damdawi hi ka pek theih ang che?
He damdawi hi in lama hruai theih a ni lo.
Hei hi `infusion` a ni a, chu chu vein-ah pek a ni a, saline ang maiin. Chu chu damdawi in emaw clinic emaw-a trained medical staff ten an pek che tihna a ni.
Treatment session apiangin he damdawi chungchangah hian special information leaflet (MedGuide) pek i ni ang. I himna atan ngun taka chhiar leh hriatthiam reng a pawimawh hle.
He damdawi hi naupang thla 6 chunglam tan pawh special case thenkhatah chuan a tha hle. Amaherawhchu, a bik takin fimkhur a ngai a, chuvangin doctor nen uluk takin sawipui rawh u.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
Hei hi damdawi ina damdawi a nih avangin hetiang thil hi a thlen theihna chance a tlem hle. Mahse, he damdawi hi i ei tam lutuk nia i hriat chuan damdawi in Emergency Unit (ETU) -ah kal nghal rawh . A nih loh leh Colombo National Hospital- a National Poisons Information Center- ah thurawn dil turin phone la.
Treatment session ka neih loh chuan engtin nge ni ang?
He damdawi hi ni leh hun ruat saah ei a pawimawh hle. Damdawi inah i kal thei lo a nih chuan i doctor call nghal la, a hnua i tih tur thurawn an pek theih nan hriattir nghal rawh.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin Pembrolizumab hian side effect a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. Hengte hi hriat chian a pawimawh. Hengte hi chi hnih ah then ila.
| Side effect a awm thei | Description leh tih tur |
|---|---|
| I doctor hnena hrilh nghal tur thil | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring. |
| Thâwk harsa | Khuh, rilru na, thawk harsa. |
| Digestive system lama harsatna awm thei | Pum natna nasa tak, luak chhuak, ek chhunga thisen, emaw, ek dum emaw. |
| Liver lama harsatna a awm | Mit emaw vun emaw a sen, zun dum, pum dinglam chunglam na, luak chhuak. |
| Kidney lama harsatna nei | Zun chhuah tlem emaw zun harsatna emaw. |
| Thisen sugar level a sang | Tuihalna nasa tak, hmui vawt, zun tam, leh thei rimtui rimtui. |
| Symptom na tak dang a awm bawk | Lu na na tak, mit a danglam, ruh na, taksa ruh chak lo, ke ruh natna, khawsik, lymph node hring. |
| A tlangpuiin a na lo (mahse a awm reng chuan doctor hnenah hrilh rawh) . | |
| Chau lutuk | A tlangpuiin hahdamna. |
| Chaw chakna | Ei duhna a tlahniam. |
| Sam tlakchhamna | Sam tlakchhamna. |
He damdawi hi ka ei dawnin eng thil dang nge ka ngaihven tur?
I doctor chuan i enkawlna chhung zawngin i dinhmun chu uluk takin a enkawl ang. Tin, damdawi hian i taksa a nghawng dan hriat nan thisen test (blood work) neih fo a ngai bawk ang.
Hei hi a pawimawh hle: He damdawi i ei lai leh enkawlna i chawlhsan hnu thla 4 chhung chu naupai loh vek tur a ni. Tin, he hun chhung hian nau hnute pek loh tur a ni . Hei hian pum chhunga naute chu nasa takin a tichhe thei a ni. Chuvangin he thu hi i doctor nen sawiho rawh.
A tawp berah chuan he damdawi hi nangmah tan chauh a ni. Midang hnenah share ngai suh.
Take-Home Thuchah a ni
- Pembrolizumab hi tunlai damdawi a ni a, kan taksa ngei pawh hi cancer cells bei turin a tichak a ni.
- Enkawlna i tan hmain i doctor hnenah i hriselna chanchin kimchang hrilh hmasak a pawimawh a, a bik takin natna dang, allergy leh naupai chungchang te hrilh hmasak a pawimawh hle.
- He damdawi hi damdawi inah vein kaltlangin pek thin a ni. A hun taka enkawl hi a pawimawh hle.
- Naupai leh enkawl hnu thla 4 chhung chu naupai leh nau hnute pek vek loh a pawimawh hle.
- Thawk harsa, riltam na tak, vun sen emaw ang chi side effect na tak i neih chuan doctor hnenah hriattir nghal rawh.
- He zinkawngah hian nangmah chauh i awm lo. I doctor leh medical team te chu i hnenah an awm reng a ni. Zawhna emaw, ngaihtuahna emaw i neih chuan sawipui hreh suh.
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