I chhungkuaa mi tu emaw, i pa emaw, i nu emaw, i hriat mi emaw pawh ni se, thinlung natna avang emaw, thil dang vang emawa Warfarin ang thisen tithianghlimtu a ei niin han ngaihtuah teh. He damdawi hi a pawimawh hle. Mahse, accident a lo thleng nghal a, thisen a chhuak tam a nih chuan, a nih loh leh zai vat a ngai a nih chuan engtin nge ni ang? Thisen a thim avangin thisen chhuah kha tihtawp a har a ni lawm ni? Vawiin hian damdawi pawimawh tak, nunna chhanhim thei tak, chutiang emergency, serious case-a thisen chhuah chu rang taka control theihna tur kan sawi dawn a ni.
A awlsam zawngin, Prothrombin Complex Concentrate (PCC) hi eng nge ni?
Hei hi a tlangpuiin i ei tur pill emaw capsule emaw a ni lo. Prothrombin Complex Concentrate, a nih loh leh PCC hi protein engemaw zat inzawmkhawm a ni a, chu chuan kan thisen a tikhawlo thei a ni. Hengte hi clotting factors kan ti a ni .
Thisen tithianghlimtu Warfarin (damdawi lamah chuan heng Vitamin K antagonists kan ti) ang chi hian kan liver-in heng clotting factors a siam loh nan hna a thawk a ni. Chuvang chuan thisen a thim thin. Mahse thisen chhuak nghal a nih chuan heng clotting factors te hi taksaah kan pe let leh vat a ngai a ni. Chutah chuan he damdawi PCC an tih hi hman a ni. Warfarin hnathawh chu rang takin a tidanglam a, thisen chhuah tihtawp nan a pui bawk. Kcentra hi he damdawi brand name lar tak a ni.
He damdawi hi engtikah nge hman a nih?
Hei hi thisen chhuak pangngai damdawi a ni lo. Nausen leh emergency case ah chauh hman a ni .
- Warfarin ang blood thinner ei mi pakhatin accident emaw thil dang emaw avanga thisen chhuahna nasa tak a neih chuan.
- Warfarin ei mi pakhatin emergency surgery a neih a ngaih hunah . He damdawi hi zai hmaa pek thin a ni a, thisen chhuah theihna tur a tihziaawm nan.
A pawimawh ber chu i enkawltu doctor chauhvin he damdawi hi pek leh pek loh tur te, engtikah nge pek tur tih te, engzat nge pek tur tih te a rel thei a ni.
He enkawlna i dawn hmaa i doctor hnena i hrilh tur thilte
Hei hi damdawi chak tak a nih avangin i taksaa natna dang i neih apiang i doctor hriattir a pawimawh hle. A chhan chu he damdawi hi damdawi lam dinhmun thenkhat nena i hman hunah fimkhur hle a ngai a ni. A hnuaia dinhmunte hi i neih chuan engmah thup lovin doctor hnenah hrilh rawh .
| Medical condition i report tur a ni | Hrilhfiahna awlsam tak |
|---|---|
| Lung natna emaw, tun hnaia thinlung natna emaw | PCC hian thisen zam a tihpun avangin thinlung natna nei tawh tan hriattir a pawimawh hle. |
| Stroke emaw TIA (Transient Ischemic Attack) emaw a vei tawh a ni. | A hmaa stroke emaw mini-stroke (TIA) i lo neih tawh chuan thisen zam (blood clots) i neih theihna a hlauhawm hle. |
| DIC (Disseminated Intravascular Coagulation) a awm tawh tih hriat a ni. | Hei hi natna khirh tak a ni a, taksa pum puiah thisen zam leh thisen chhuah a rualin a awm thin. |
| Heparin-induced thrombocytopenia (HIT) a vei tawhna chanchin . | Thisen tithianghlimtu dang heparin tih allergy avanga thisen platelet a tlem theihna dinhmun. |
| Ke ruh natna (Peripheral vascular disease) . | Chutiang dinhmunah chuan thisen zam a awm theihna a sang zawk. |
| Allergy dang a awm bawk | He damdawi hi allergy i neih chuan heparin, damdawi dang, ei tur emaw, dye emaw allergy i neih chuan. |
| Naupai emaw, naute beisei emaw | Doctor hian a bik takin nu naupai leh nau hnute pe mekte hnenah hei hi pek a ngaihtuah mek a ni. |
Engtin nge he damdawi hi taksaah pek a nih?
Hei hi in lama ei theih damdawi a ni lo. He damdawi, PCC tia koh hi damdawi in emaw, clinic emaw-ah chauh pek a ni . Saline angin taksaah intravenous infusion angin a pe a, chu chu doctor emaw nurse emaw trained takin a pe a ni.
He damdawi hi naupang i pek a nih chuan naupang enkawltu doctor i pan ngei ngei tur a ni.
He damdawi hi a overdose palh a nih chuan damdawi in emergency a nih avangin medical staff te chuan hma an la nghal ang. Mahse, hetiang thil hi i rinhlelh chuan damdawi in Emergency Treatment Unit (ETU) hnenah hriattir nghal a pawimawh. A tul chuan Colombo National Hospital-a National Poisons Information Center-ah pawh thurawn dil theih a ni.
Eng side effect nge beisei theih ang?
Damdawi dang ang bawkin he damdawi hian side effect a nei thei a ni. Ṭhenkhat chu serious an ni a, ṭhenkhat chu mild an ni. A pawimawh ber chu he damdawi i ei lai leh a ei hnua i doctor-in uluk taka a enkawl che hi a ni. Symptom danglam bik i neih chuan report nghal tur a ni.
| Side effect chi hrang hrang | |
|---|---|
| Side effect na tak tak, i doctor emaw nurse emaw hnenah hriattir nghal tur a ni | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring. |
| Thisen zam natna lan chhuah dan | Thâwk harsa, rilru na, ke ruh hring (Deep Vein Thrombosis - DVT), hmai, kut emaw ke emaw a rang emaw chak lo emaw (stroke symptoms), tawng harsa, lu na na tak, kal harsa, luak chhuak. |
| Symptom na tak dang a awm bawk | Hri kai chhinchhiahna, mit danglam, buai, khawsik emaw, khawsik emaw, khuh te. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Lu na | Lu na tlangpui a awm thei. |
| Nausea leh luak chhuak | Pum natna emaw, luak chhuak emaw a awm thei. |
| Mu thei lo | Mut a buai thei. |
Damdawi dangah harsatna a awm thei em?
Ni e, PCC hian damdawi thenkhat nen a inzawm thei. Hei hian damdawi dang nena hman a nih chuan harsatna a thlen thei a, a bik takin Factor VIIa hian thisen a tikhawlo thei a ni.
Chuvangin, i damdawi ei zawng zawng hi i doctor hnenah hrilh vek a pawimawh. Hei hian i doctor-in a pekte chauh ni lovin, damdawi dawr atanga i ei te, vitamins, nutritional supplements, Sinhala damdawi, Ayurvedic damdawi , etc. Tin, zu i in emaw, zu i in emaw chuan hriattir bawk ang che.
Take-Home Thuchah a ni
- Prothrombin Complex Concentrate (PCC) hi damdawi bik, nunna chhanhim thei a ni a, Warfarin ang chi thisen tithianghlimtu damdawi ei thin damlote thisen chhuak nghal, na tak tihtawp nan pek thin a ni.
- Hei hi pill a ni lo va, damdawi inah chauh thisen kal tlanga pek thin damdawi a ni. In lamah hman a ni lo.
- I damdawi lam chanchin kimchang, a bik takin thinlung natna, stroke leh allergy te chu i doctor hnenah hriattir ngei ang che.
- Damdawi i ei dawnin, thawk harsatna, rilru na, ke hring, emaw, stroke symptoms te ang chi side effect na tak i neih chuan medical staff te hriattir nghal tur a ni.
- He damdawi chungchangah hian ngaihtuahna i neih chuan i doctor nen sawiho rawh. Internet-a thu zawn ai chuan i enkawltu doctor hnen atanga thu dik tak lak a pawimawh zawk.
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