I doctor hian nangmah emaw i chhungte tan emaw epilepsy/seizure disorder nei tan Phenytoin suspension a pe em? Hei hi damdawi pawimawh tak leh hun rei tak atanga lo awm tawh a ni a, Sri Lanka leh khawvel hmun hrang hrangah seizure control nan an hmang thin. Chuvangin he damdawi hi hman hunah hian a taka hriat a pawimawh hle. Vawiin hian awlsam tak leh i hriatthiam theih tur angin kan sawi dawn a ni.
Phenytoin hi eng nge ni tak tak?
A awlsam zawngin, phenytoin hi i thluaka nerve cell-te hnathawh tam lutuk control tu damdawi a ni . Seizure hi thluaka nerve te hnathawh a tihpun thut, thunun theih loh avanga lo awm a ni. Chuvangin he damdawi hian chu nerve te chu a ti reh a, seizure chu a veng a, a control bawk. Damdawi lam thil dang atan pawh hman theih a ni. I doctor chuan hei hi a hrilhfiah ang che.
He damdawi hi ka ei tan hmaa doctor hnena ka hrilh tur te chu engte nge ni?
Phenytoin i hman tan hmain i hriselna chanchin kimchang doctor hnenah hrilh hmasak a pawimawh hle . A hnuaia mi hi i neih chuan doctor hnenah hrilh ngei ang che:
- Zu ruih hmang i neih chuan .
- Asian hnam i nih chuan (genetic factor thenkhat chuan damdawi i dawn dan a nghawng thei).
- Thisen natna emaw thisen zam harsatna i neih chuan.
- Diabetes mellitus i neih chuan .
- Lung natna emaw, lung lam harsatna emaw i neih chuan.
- Kidney natna i neih chuan .
- Liver natna i neih chuan .
- Porphyria tih hming pu natna hlauhawm tak i neih chuan .
- Cancer natna avanga radiation therapy i dawng a nih chuan .
- If you are having thoughts of ending your life , i lo tum tawh a nih chuan, a nih loh leh chhungkaw history i neih tawh chuan.
- Thyroid natna i neih chuan .
- Phenytoin emaw damdawi dang emaw, ei tur emaw, preservative emaw allergy i neih chuan.
- Naupai emaw naupai tum emaw i nih chuan .
- I naute hnute i pek chuan .
He thu hi thup hian harsatna lian tak a thlen thei a ni. Chuvangin heng zawng zawng hi i doctor nen chiang takin sawiho rawh.
Damdawi hi engtin nge dik taka hman ang?
Hei hi liquid medicine a nih avangin a dose dik tak teh a pawimawh hle.
- Shake tha: Damdawi bottle hman hmain.Damdawi chi hrang hrang chu bottle hnuaiah a awm thei a, chu chu vawt tha fo ang che.
- Measurement dik: I damdawi tehna atan i doctor emaw pharmacy emaw-in a pek special measuring cup, syringe, emaw oral syringe/spoon/dropper chauh hmang ang che. In chhunga teaspoon emaw tablespoon emaw hmangin teh suh. An dik lo hle.
- A hun takah: Nitin hun khata i damdawi ei tum ang che . Hei hian i thisena damdawi level chu a inmil theih nan a pui ang.
- Chaw ei lai emaw ei tel lo emaw: Hei hi chaw ei hma emaw ei zawhah emaw ei theih a ni. Mahse, pum na i neih chuan ei tur nen ei dun a tha ber .
- Bansan suh: I doctor-in a tih loh chuan damdawi ei kha titawp thut suh . Chutianga tih chuan fit lo kir leh theihna a tipung a ni.
He damdawi hi naupang i pek a nih chuan i doctor nen thupek bik i neih chuan sawipui rawh.
Awh! Damdawi ka ei tam lutuk chuan engtin nge ni ang? (Overdose) a ni.
I ngaihtuah aia tam i nei tawh nia i ngaih chuan tihkhawtlai suh .
Damdawi in hnai ber Emergency Treatment Unit (ETU) ah kal nghal rawh. Tin, a theih chuan Colombo National Hospital-a National Poisons Information Center- ah pawh thurawn dil turin phone la. Hei hi a pawimawh hle.
Damdawi dose i ei loh chuan engtin nge i tih ang?
Dose i ei theihnghilh chuan i hriatreng veleh ei nghal rawh. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan, i dose loh chu skip la, i dose leh tur chu a hun ruatah ei rawh . Double dose ei ngai suh .
He damdawi nena inmil lo damdawi dang a awm em? (Drug nena inzawmna) .
Ni e, a dik tak zet. Phenytoin hi damdawi dang tam tak nen a inzawm thei a ni. Chumi awmzia chu damdawi dang nena ei a nih chuan phenytoin thatna a tlahniam thei a, a tipung thei a, a side effect pawh a sang thei tihna a ni.
I damdawi ei zawng zawng (vitamin, herbal remedies, leh supplement te pawh tel) i doctor hnenah hrilh rawh . A hnuaia tarlan te hi phenytoin lama harsatna thlen thei damdawi thenkhat an ni.
- Antiviral damdawi thenkhat (HIV emaw Hepatitis emaw atana pek thin) .
- Antifungals (e.g. `(fluconazole)`, `(ketoconazole)`) te hi a tha hle.
- Seizure damdawi dang (e.g., carbamazepine, valproic acid) 1.1.
- Thisen zam venna damdawi (e.g. warfarin, aspirin) .
- Cholesterol tihhniamna damdawi (e.g., atorvastatin, simvastatin) .
- Depression emaw lungkhamna emaw damdawi
- Antibiotics (e.g. `(doxycycline)`, `(chloramphenicol)`) te hi a tha hle.
- Pum natna/gastritis damdawi (e.g. antacids, omeprazole) .
- Birth control pills hormone awmna
- Steroid chi hrang hrang (e.g. `(prednisone)`) .
- Zu
He list hi a kim lo a, chuvangin damdawi i ei zawng zawng chu doctor hnena hrilh hi a him ber.
Damdawi ei huna fimkhur bik tur thil
- Regular checkup: I doctor chuan thisen test neih fo turin a ti ang che. Hei hian i thisena phenytoin level a enfiah ang a, a dose tihpun emaw tihhniam emaw a ngai em tih a hriat theih ang. Heng test te hi skip suh.
- Vun natna khirh tak: Mi thenkhat chuan he damdawi hi an ei tan atanga kar engemaw zat emaw, thla engemaw zat emaw hnuah vun natna khirh tak tak an nei thei. I khawsik, taksa na, vun sen emaw, sen emaw, i hmui chhunga hliam, emaw, hliam emaw, i hmai emaw, i hmui emaw a hring emaw, i kawr emaw, i kawrfual emaw a hring emaw i neih chuan i doctor hnenah hrilh nghal rawh
- Mutthilh leh luak chhuak: He damdawi hian mutthilh leh luak chhuak a thlen thei. Chuvangin , i taksain damdawi a insiamrem hma chuan lirthei khalh emaw, machinery emaw hmang suh . Thutna atanga i tho thut hian fimkhur hle ang che, a bik takin kum upa lam i nih chuan.
- Birth control pills: Phenytoin ei hian birth control pill hmanna a ti tlem thei. Chuvangin nau neih i tum loh chuan i doctor nen birth control dang (e.g., condom) hman chungchang sawipui rawh.
- Gum swelling: Hei hi phenytoin side effect awm fo a ni. Gums hi a pangngai lo takin a thang thei. Chuvangin nitin i ha uluk takin silfai la , i ha enkawltu hnenah pawh hmu fo ang che .
- Vitamin tlakchhamna: He damdawi hi hun rei tak hman chuan vitamin D leh folic acid a tlahniam thei. Chuvangin, i doctor hnenah ei leh in tha tak ei chungchang leh a tul chuan vitamin supplement ei chungchang sawipui rawh.
Damdawi avanga side effect lo awm thei
Damdawi dang ang bawkin phenytoin hian side effect a nei thei a ni. Ṭhenkhat chu serious tak an ni a, ṭhenkhat erawh chu an awm tlangpui thung.
| Side effect a awm thei | Description leh tih tur |
|---|---|
| Doctor emaw ETU emaw hnena report nghal tur thil | |
| Allergy na tak tak a awm | Skin rash, itching, hmai/ hmui/lei hring, thawk harsa. |
| Liver chhiatna chhinchhiahna | Pum dinglam chunglam na, chaw ei chak lohna, luak chhuak, mit/vun sen, zun dum. |
| Vun natna khirh tak tak | Fever, vunah hian red/purple blisters, vun peeling, leh hmui natna te a awm bawk. |
| Phenytoin Poisoning (Toxicity) natna lan chhuah dan . | Mit chet dan thunun loh, kal harsa (balance hloh), tawng harsa, mut hah lutuk, luak/ luak chhuak. |
| Rilru lam inthlak danglamna | Mahni intihhlum tumna, lungngaihna a tipung. |
| Thisen chhuah dan pangngai lo | Chhan awm lovin vun a hliam emaw thisen a chhuak emaw. |
| I doctor hnena hrilh tur thilte chu a awm reng emaw, a buaithlak emaw a nih chuan | |
| Side effect awm fo thin | Mutthilh, luak chhuak, lu na, ngaihtuahna seng harsa. |
Take-Home Thuchah a ni
- Phenytoin hi damdawi pawimawh tak a ni a, fits control tu a ni. I doctor-in a sawi ang chiah chiah, a dose dik takah, a hun takah ei rawh.
- Damdawi i ei tan hmain i doctor hnenah i damdawi lam dinhmun zawng zawng leh damdawi dang i ei zawng zawngte hrilh hmasa phawt ang che.
- Damdawi ei lai hian thil hlauhawm tak tak tih loh tur a ni a, mutthilh leh luak chhuak thei a ni. Zu hi pumpelh vek rawh.
- Vun natna khirh tak tak, hmui natna, mit sen, mut tam lutuk ang chi side effect na tak tak i neih chuan doctor lam pan nghal rawh.
- Damdawi ei kha titawp nghal suh la, doctor thurawn tel lo chuan a dose pawh thlak suh.











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