He damdawi bik (Sacubitril; Valsartan) heart failure atana pek thin hi i zir chiang ang u.

Thâwk harsa i nei bawk em, thawhrimna tlemte pawh nise i muhil mai ang tih i hria em? A nih loh leh i doctor chuan heart failure chi khat i nei tih a hrilh che em? Chutiang a nih chuan Sacubitril tih damdawi an pe che a ni mai thei; Valsartan (---‍; --) a, a chhuahna hmun hi a nuam hle. Brand name `Entresto` hnuaiah a awm tlangpui. Chuvangin, vawiinah hian he damdawi chungchang te, a hman dan tur te, fimkhur tur te kan sawi dawn a ni. I thianpa hnena i sawi ang chiah khan.

Hei hi eng damdawi nge ni? Engvangin nge hetiang hi pek a nih?

A awlsam zawngin, he `Sacubitril; Valsartan` hi damdawi pahnih inkawp a ni. Pakhat chu `Sacubitril` க்ய-஬ி-ட்ரில்),-க்ய-஬ி-ட்ரில் - க்ய-஬ி-ட்ரில்), hei hi `(neprilysin inhibitor)` group-a tel damdawi a ni. A dang chu `Valsartan` கா-தன்),-வலஸாட் -ஸாட்ரில் - க்ய-஬ி-ட்ரில்), hei hi damdawi belong a ni `(angiotensin II receptor blocker - ARB)` group-ah a kal ta a ni. Heng damdawi pahnih hian hna an thawk dun a ni. He damdawi hi heart failure nei te tan pek a ni ber . Heart failure hi thinlungin taksaah thisen a pump tling thei lo tihna a ni. Ngaihtuah teh, thinlung hi tui pump ang mai a ni. A thawk tha lo a nih chuan taksa pum puiah tui a luang lo ang mai a ni a, taksa pum puiah thisen a luang lo ang mai a ni. Chutah chuan hahna leh thawk hahna ang chi thil a lo thleng thin. Chuvangin, he damdawi hian a tih chu thinlung pump theihna a pui a, thinlunga phurrit a tihtlem bawk. A châng chuan doctor-te chuan he damdawi hi damdawi lam thil dang atan pawh an hmang thei bawk. Chu chu i doctor-in a rel tur a ni.

He damdawi hi ka ei tan hmain ka doctor hnenah eng nge ka hrilh ang?

Hei hi a pawimawh hle. He damdawi hi i ei tan hmain `Sacubitril; Valsartan`, heng thilte hi i doctor emaw nurse emaw hnenah i hrilh ngei ang. Engmah thup suh.

• Diabetes ( Diabetes Mellitus) i neih chuan doctor hnenah hrilh la, a bik takin damdawi aliskiren i ei a nih chuan.
• I thisen potassium level a sang tih i hriat chuan .
• Kidney natna i neih chuan .
• Liver natna i neih chuan .
• Thisen sang (` blood pressure` ) i neih chuan .
• Hei hi `Sacubitril a ni a; Valsartan`, emaw `(ACE inhibitor an tih damdawi (e.g., enalapril, lisinopril), angiotensin II receptor blocker (ARBs) an tih damdawi (e.g., losartan, telmisartan), damdawi dang eng pawh, ei tur, ei tur rawng, a nih loh leh preservatives te allergy i neih tawh chuan
• Naupai i nih chuan, emaw naupai tum i nih chuan . Hei hi a pawimawh hle a, hemi chungchang hi nakinah kan sawi leh ang.
• Nu hnute pe lai i nih chuan .

Heng thilte hi i rilruah i neih tawh chuan i doctor chuan he damdawi hi i tan a tha em tih chiang takin a rel thei a, engtin nge i pek ang tih pawh a rel thei bawk.

He damdawi hi engtin nge dik taka i hman?

Damdawi kan ei dawnin a pawimawh ber chu a hman dan dik a ni. Chutiang a nih loh chuan a thawk tha lo ang.

• Ei dan: Hei hi pill angin a awm. Kawnga ei tur a ni. I doctor-in a sawi ang chiah chiah, nitin hun inangah a dose pek chu ei tum ang che . Chutiang chuan damdawi pawh chutiang bawk chuan hna a thawk ang.
• Chaw ei lai emaw ei tel lo emaw?: He pill hi ei tur nen emaw ei tel lovin emaw i ei thei. Amaherawhchu, mi thenkhat chuan chaw ei loha an ei chuan pum na an nei thei. Chutiang a nih chuan chaw ei ruala lak a tha ber.
• Titawp: I doctor-in a tih hma loh chuan he damdawi hi hmang chhunzawm zel ang che. Tih thut mai mai suh. I chawlhsan a ngai a nih chuan i doctor nen inbia la, a thupek zawm rawh.
• He damdawi hi naupangte hnenah pek theih a ni em?: Ni e, a chang chuan he damdawi hi naupang kum khat mi lek tan pawh thinlung natna thlan bikte tan pek theih a ni. Mahse, enkawlna bik leh damdawi lam enkawlna a mamawh tak zet a ni.
• I ei tam lutuk chuan eng nge tih tur: He damdawi hi i ei tam lutuk nia i inhriat chuan, emaw, pill i ei tam lutuk a nih chuan, damdawi in hnai ber emergency room-ah kal la, poison control center call nghal rawh. Hun khawhral suh.
• Insem suh: Hei pawh hi hriat reng tur a ni. He damdawi hi nangmah tan chauh, i dinhmun enkawlna atan pek a ni. Chuvangin, he damdawi hi i thiante, i chhungte emaw, i chhungte dang emaw hnenah pe ngai suh, nangmah ang bawka harsatna an nei tih an sawi pawhin pe ngai suh.

Damdawi ei tur appointment i neih loh chuan engtin nge i tih?

Kan damdawi ei hi a chang chuan kan theihnghilh thin. Chutiang a nih chuan lungngai suh.

• I hriatreng veleh i damdawi ei nghal rawh.
• Mahse, i hriatreng hunah i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, a hun ruatah dose dang ei mai rawh.
• Dose hloh tawh chu tihpun nan double dose ei ngai suh.Chutianga tih chuan side effect a nei thei.

He damdawi nen hian eng damdawi dang nge hman loh tur, a nih loh leh a side effect awm thei?

Hei pawh hi thil pawimawh tak a ni. He damdawi hi `Sacubitril; Valsartan` hi damdawi dang thenkhat nena ei chuan harsatna a thlen thei. Chu chu, he damdawi hman tangkai dan hi a tlahniam thei a, a nih loh leh a tipung thei a, a nih loh leh side effect thar a awm thei tihna a ni.

`Sacubitril hi ei suh; Valsartan` te nen hian heng damdawi te hi:

* Zunthlum i neih chuan damdawi `(aliskiren)` nen.

* Damdawi `(Angiotensin-converting enzyme - ACE inhibitors)` tih te nen. Entirnan, damdawi `benazepril`, `captopril`, `enalapril`, `fosinopril`, `lisinopril`, `ramipril` ang chi te hi a ni. Chutiang damdawi chu ni engemaw zat ei tawh loh pawhin `Sacubitril; Valsartan` tih a ni. Chumi chungchang chu i doctor nen sawiho rawh.

* Damdawi `(tranylcypromine)` nen.

A hnuaia damdawi te hian `Sacubitril; Valsartan` tih a ni. Chuvangin, i doctor hnenah hengte pawh hi hrilh la:

• Angiotensin II receptor blocker (ARBs) chi dangte pawh a awm bawk. Entirnan: azilsartan, candesartan, eprosartan, irbesartan, losartan, olmesartan, telmisartan, emaw valsartan (he damdawi-a valsartan bakah hian valsartan a hranpaa i ei a nih chuan).
• Damdawi `(celecoxib)` ang chi te.
• `(lithium)` (rilru natna damdawi pek thin).
• `(NSAIDs)` - Heng damdawi te hi natna leh invenna enkawlna atana hman thin a ni. Entirnan: `ibuprofen`, `naproxen` tih te hi a ni. Hengte hi damdawi dawrah counter atanga lei theih a ni fo a, chuvangin i hman chuan sawi rawh.
• Potassium tlem thei tur diuretics. Entirnan: amiloride, spironolactone, triamterene te hi a ni.
• Potassium supplement emaw potassium tamna chi aiah emaw.

He list-ah hian damdawi zawng zawng a tel vek lo thei. Damdawi i ei zawng zawng, vitamin, herbal remedies, over-the-counter damdawi, leh traditional medicines te pawh i doctor hnenah hrilh vek a pawimawh. Tin, i damdawi ei tur eng pawh, i zuk leh hmuam, zu, a nih loh leh dan bawhchhiatna dang te pawh tiamin, i doctor hnenah rinawm takin sawi bawk ang che. Hengte hian he damdawi hian hna a thawh that dan a nghawng thei a ni.

He damdawi hi ka ei dawnin eng nge ka fimkhur bik ang?

He damdawi i hman lai hian heng point te hi ngaihven la, i himna tur leh damdawi atanga hlawkna tam ber i hmuh theih nan.

• A lan chhuah dan en reng rawh: He damdawi i ei zawh hnua i thinlung natna lanchhuahna (thâwk hah, hah, i ke hring) a ṭhat loh chuan, a nih loh leh a na zual nia a lan chuan doctor hnenah hrilh nghal rawh.
• Naupai (hei hi a pawimawh hle!):

Sacubitril ei lai hian naupai suh; Valsartan a ni. He damdawi hian nausen piang lai tan harsatna nasa tak a thlen thei a, nunna atana hlauhawm pawh a ni thei. Chuvangin nau pai i tum a nih chuan, emaw, naupai a nih i ring a nih chuan, he damdawi hi ei kha bansan nghal la, i doctor hnenah hrilh rawh. I doctor chuan thurawn dik tak a pe ang che. I doctor hnenah thu belhchian dawl zawk zawt rawh.

• Mutthilh emaw, luak chhuak emaw: Mi thenkhat chuan he damdawi hi an ei hian tlem a muhil emaw, luak emaw an nei thei. Chuvangin, he damdawi hian engtin nge a nghawng che tih chiang taka i hriat hma chuan lirthei khalh te, machine rit tak tak hman te, ngaihtuahna leh fimkhur ngai thil eng pawh tih loh tur a ni . Thut atanga tho emaw, ding atanga thu thut emaw suh. A bik takin tar i nih chuan fimkhur hle ang che. Position thlak fo hian luak chhuak leh tlu hlauhawmna a ti tlem thei a ni.
• Zu: He damdawi ei lai hian a theih ang anga zu in loh tur. Zu hian he damdawi hman thatna a tibuai thei a, side effect a tipung thei bawk.
• Salt substitute: Salt substitute thenkhatah chuan potassium a awm a. He damdawi i ei lai hian i potassium level i fimkhur tur a ni a, chuvangin i doctor-in a bik taka a hrilh loh chuan chi thlakna hmang suh.

He damdawi hian eng side effect nge a neih theih?

Damdawi zawng zawng ang bawkin Sacubitril; Valsartan hian mi thenkhatah side effect a nei thei. Mi zawng zawngin kan hmu vek lo a, mahse fimkhur a tha. A hnuaia side effects te hi i neih chuan a rang thei ang bera doctor emaw damdawi in emaw hrilh rawh:

• Allergy avanga natna awm thei: 1.1.
• Vun natna, eczema ang chi, itching, hives.
• Hmai, hmui, lei emaw, kawr emaw a hring (hei hian thawk harsatna a thlen theih avangin a hlauhawm hle).
• Thisenah potassium level sang tak a awm:
• Chest na ang maia hriatna.
• Heartbeat chu rang tak leh mumal lo tak a lo ni ta thut mai.
• Taksa chak lohna leh taksa peng hrang hranga rilru hahna awm.
• Kidney hliam: 1.1.
• Zun harsa tih hriat.
• A tlangpui aia zun tlem emaw tam emaw pass.
• Zun rawng a inthlak danglam.
• Thisen sang hniam: 1.1.
• Luak hahna, a bik takin ding chhuakin.
• A rilru a hah a, mit a sen vek bawk.
• Ding chungin tlu mai tur ang maia inhriatna.
• Chak lo leh chau lutuk anga inhriatna.

A hnuaia side effect tarlan te hi a tlangpuiin i ngaihtuah tur a ni lo. Mahse an beih tlat emaw, an tihbuai che emaw chuan i doctor hnenah hetiang hian hrilh rawh:

• Khuh: Mi thenkhat chuan he damdawi hi an ei hian khuh hring (dry cough) an nei thei.

Heta tarlan loh symptom danglam tak emaw, side effect emaw i neih chuan i doctor nen sawiho rawh. Lungngai suh, heng thil tam zawk hi chu enkawl theih a ni.

Engtin nge he damdawi hi him taka i vawn reng?

Damdawi him taka vawn reng a pawimawh hle bawk.

• Naupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni. Hei hi damdawi zawng zawngah a awm ve vek.
• Room temperature (20 leh 25 degree Celsius inkar, 68 leh 77 degree Fahrenheit inkar) ah dah tur a ni. Khua lum lutuk, eng leh tui lutuk lakah venghim rawh. Hei hian bathroom ang hmunah dah loh tihna a ni.
• Damdawi awmna bottle emaw packet emaw chu khar tlat tur a ni.
• Damdawi expired hman loh tur. Package-ah hian expiry date tarlan a ni.

Damdawi hman loh emaw, hun tawp tawh emaw chu engtin nge i paih thin?

• A tha ber chu damdawi chu ``take-back program''-ah pek hi a ni.I damdawi dawr emaw, police station hnai ber emaw-ah hetiang program an neih leh neih loh en rawh.
• Chutiang chu a theih loh chuan damdawi label emaw, packet emaw-ah chuan damdawi chu bawlhhlawh bawmah paih dan tur emaw, toilet-a paih dan tur emaw hrilhfiahna a awm em tih en rawh.
• I chiang lo a nih chuan i doctor emaw pharmacist emaw zawt la.
• Bawlhhlawh chhunga paih theih damdawi a nih chuan, a bawm atang chuan la chhuakin, ui bawlhhlawh, lei emaw, coffee ground emaw hman tawh nen chawhpawlh la, sealable bag emaw container emaw-ah dah la, bawlhhlawh bawmah paih rawh. Hei hi naupang te emaw, rannung te emaw a chhunga lut a, accident thlen loh nan a ni.

Thil pawimawh tak tak hriat reng tur (Take-Home Message) .

Okay, chuvangin he damdawi `Sacubitril; Valsartan` (Entresto), kan ti lo maw? A tawp berah chuan hetiang hi kan hriat reng tur pawimawh tak tak te chu:

• He damdawi hi damdawi pawimawh tak a ni a, i heart failure control nan a pui a ni.
• Dose ruat chu a hun ruatah ei fo la, i doctor-in a tih angin ei thin ang che. Chaw ei chu skip suh la, i mamawh aia tam ei suh.
• Damdawi dang i ei leh natna dang i neih apiang chu doctor hnenah hrilh ngei ang che.
• Naupai emaw, nau pai tum emaw i nih chuan he damdawi hi ei loh tur a ni. A bik takin fimkhur rawh.
• Side effects te chu fimkhur rawh. Thil danglam tak i hriat chuan doctor hnenah hrilh rawh.
• Zawhna emaw rinhlelhna emaw i neih chuan i doctor emaw pharmacist emaw zawh zak suh.

Heng step te hi dik taka i zawm chuan he damdawi hian i thinlung hriselna atan rah tha tak a pe thei dawn a ni. Dam leh thuai turin duhsakna ka hlan e! Sacubitril, Valsartan, Entresto, Lung natna, Lung natna, Lung damdawi, Thisen sang