Nangmah emaw, i hmangaih tak emaw cancer vei nia hriat a nih chuan eng ang nge a nih tih thumal hmanga sawi a harsa hle. Mahse, chutih rual chuan doctor-te chuan enkawl dan an sawi hian damdawi thar chungchang an sawi thin. Pemetrexed tih hming hi i hre tawh mai thei. Hei hi damdawi bik, cancer cell tihchhiatna atana pek a ni. Chuvangin vawiinah hian he damdawi chungchang te, a hnathawh dan te, kan fimkhur a ngaihna te hi awlsam tak leh friendly takin i sawi ang u.
Pemetrexed hi eng nge ni?
A awlsam zawngin sawi ila, Pemetrexed hi cancer cells dotu damdawi a ni . A dik tak chuan chemotherapy damdawi a ni. A hna ber chu cancer cell rang taka inthen darh te lo thang chakna tihtawp a, tihchhiat a ni.
He damdawi hi a bik takin lung cancer chi hnih enkawlna atan hman a ni.
- Lung cancer chi thenkhat (Non-small cell lung cancer) .
- Mesothelioma hi cancer a ni a, chu chu lung leh rilru bang inkar a awm a ni.
Chu bakah, i doctor chuan cancer chi dang tan he damdawi hi a pe thei bawk. He damdawi hi bazarah `Alimta` emaw `PEMFEXY` tih hmingin i hmu thei.
Enkawlna i tan hmaa i doctor hnena i hrilh tur thilte
He enkawlna hi i tan hmain hriselna lama harsatna i neih apiang i doctor hriattir hmasak a pawimawh hle a , heng dinhmunte hian he damdawi hian taksa a nghawng dan a tidanglam thei a ni.
| Situation i report tur a ni | Engvângin nge chu chu a pawimawh? |
|---|---|
| Tunah hian natna i neih chuan (e.g., virus infection chickenpox emaw herpes emaw) . | He damdawi hian taksa invenna a tihtlem avangin natna hrik awm tawh chu a na zual thei a ni. |
| Kidney natna i neih chuan | Damdawi hi kal kaltlangin taksa atanga paih chhuah a nih avangin kal hnathawh danah fimkhur a pawimawh hle. |
| Thisen zat hniam (thisen var, thisen sen, emaw platelet hniam) . | Chemotherapy hian i thisen cell a ti tlem lehzual thei a, chuvangin i tan hmain hei hi hriat chian a pawimawh hle. |
| Lung emaw thawkna lam natna (asthma ang chi) i neih chuan . | Damdawi avanga thawk lama harsatna awm thei chu doctor chuan a hriat a ngai a ni. |
| Radiation therapy i dawng emaw, tun hnaia i dawng tawh emaw a nih chuan | Radiation therapy leh he damdawi hi inkawp hian side effect a tipung thei a ni. |
| Pemetrexed emaw damdawi dang emaw ei tur dang emaw allergy i neih chuan. | Hei hi damdawi allergy na tak a awm loh nan a pawimawh hle. |
| Naupai i nih chuan, nau pai tum i nih chuan, nau hnute i pe a nih chuan | He damdawi hian nausen piang lai a tichhe thei a, hnute hnute hmangin naute hnenah pawh a kai thei bawk. |
Engtin nge he damdawi hi taksaah pek a nih?
He damdawi hi in lama hruai theih a ni lo. Injection (infusion) a ni a, chu chu vein-ah pek a ni a, saline ang chi a ni . Damdawi in emaw clinic emaw-ah hemi lama training bik nei tawh medical professional-in a pe thin.
A pawimawh ber chu he damdawi hi i tan chauh a ni. Eng vangin pawh midang hnenah share suh.
I overdose nia i rinhlelh chuan Colombo National Hospital-a National Poisons Information Center emaw, damdawi in hnai ber Emergency Treatment Unit (ETU) emaw-ah kal nghal rawh.
Enkawl laia ngaihtuah tur thil
Chemotherapy hi hun harsa tak a ni thei. Hei hi a chhan chu heng damdawi te hian kan taksaa cancer cell leh cell hrisel te a nghawng vek a ni. Chuvangin tlem a nuam lo leh lethargic tih hi thil pangngai a ni. Mahse, i rilru a hah hle a nih pawhin, i doctor-in titawp tûra a tih hma loh chuan enkawlna chu titawp suh .
Infection lakah inveng rawh
He damdawi hian i taksain natna a do theihna (immunity) a ti tlem a, chuvangin awlsam zawkin natna hrik i kai thei a ni.
- Khawsik, khawsik, taksa na, emaw, rilru na ang chi symptoms i neih chuan mahni invenna nei suh la, i doctor ko nghal rawh.
- Mipui tamna hmun leh damlote nena in inhriat tawnna chu a theih ang angin ti tlem rawh.
Thisen chhuak leh hliam tuar lo turin fimkhur rawh.
He damdawi hian platelet a ti tlem thei a, chu chuan thisen a tikhawlo thei a ni. Chuvangin,
- I ha kha na lutuk suh , brush nem tak hmang rawh.
- I taksaah hliam danglam tak tak, vun hnuaia hmun sen, i hmui thisen chhuak, i zun emaw, i bawlhhlawh emawa thisen i neih chuan doctor hnenah hrilh nghal rawh.
Painkiller lakah fimkhur rawh.
Painkiller thenkhat, ibuprofen te hian he damdawi nen hian an inzawm thei a ni. Tin, damdawi aspirin leh paracetamol te hian khawsik a titawp thei bawk. Khawsik hi natna kai hmasa ber a nih avangin doctor thurawn tel lovin natna tidamtu damdawi engmah ei suh . I damdawi ei zawng zawng (vitamin leh herbal remedies te pawh tel) doctor hnenah hrilh rawh.
Naupai leh nau neih chungchang
Hei hi thil pawimawh tak a ni.
- Hmeichhia: He damdawi ei lai leh enkawlna chawlhsan hnu thla 6 chhung chu naupai loh tur a ni.
- Mipa: He damdawi ei lai leh enkawlna chawlhsan hnu thla 3 chhung fa neih loh tur.
- He damdawi hian nausen piang lai tan harsatna nasa tak a thlen thei a ni. Nu nau hnute pe mekte pawhin damdawi an ei lai leh damdawi an chawlhsan hnu kar khat chhung chu naute hnute pek loh tur a ni.
Eng side effect nge ka neih theih ang?
Damdawi dang ang bawkin Pemetrexed hian side effect a nei thei a ni. Ṭhenkhat chu ngaihven vat a ngai a, ṭhenkhat erawh chu a awm fo.
| Side effects te chu doctor hnenah report nghal tur a ni | |
|---|---|
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring, thawk harsa. |
| Hri kai theihna chhinchhiahna | Khawsik, khawsik, khuh, ril na, leh zun huna na. |
| Thisen chhuak chhinchhiahna | Thianghlim dum emaw thisen chhuak emaw, zun dum emaw sen emaw, coffee ground ang maia luak chhuak, vunah hmun sen, leh sawifiah theih loha hliam. |
| Vun lama harsatna lian tak tak a awm | Vun a sen, a hring, a hring (ka chhungah pawh). |
| Kidney chhiatna chhinchhiahna | Zun chhuah tlem emaw zun harsatna emaw. |
| Liver chhiatna chhinchhiahna | Mit emaw vun emaw a sen, zun sen/brown dum, ek dum, pum dinglam chunglam na, luak chhuak. |
| Thil hlauhawm lo tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Ek khal | Toilet kal harsat. |
| Kawngkhar natna | Ka chhunga hliam na tak tak. |
| Nausea leh luak chhuak | Nausea leh luak chhuak. |
| Chauhna danglam tak | Chauhna nasa tak leh nunna nei lo anga inhriatna. |
He list-a tarlan loh symptom dang danglam tak i neih chuan i doctor nen pawh chutiang lam chu sawipui hlau suh.
Take-Home Thuchah a ni
- Pemetrexed hi chemotherapy damdawi chak tak a ni a, cancer enkawlna atana hman thin a ni. Doctor thupek zawm fo ang che.
- Enkawl i tan hmain i damdawi lam dinhmun zawng zawng leh damdawi dang i ei zawng zawngte chu i doctor hnenah hrilh hmasa phawt ang che.
- Enkawl lai hian khawsik leh thisen chhuak ang chi vaukhânna chhinchhiahnate fimkhur hle ang che. Harsatna i neih chuan doctor hnenah hriattir nghal tur a ni.
- Enkawl lai leh doctor-in a tih hma loh chuan naupai emaw, fa neih emaw loh tur a ni.
- Zawhna emaw, harsatna emaw i neih chuan doctor zawh hreh ngai suh. Nangmah chauh i ni lo tih hre reng ang che.
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