Cyclosporine: He damdawi chungchanga i hriat tur

I doctor hian organ transplant hnuah nangmah emaw, i chhungte tan emaw he damdawi hi a lo pe tawh em? A nih loh leh he damdawi hi taksa hriselna tichhe thei natna dang atan i hmang em? Hei hi damdawi pawimawh tak a nih avangin chiang tak leh awlsam taka hriat chian a pawimawh hle. Vawiin hian he damdawi Cyclosporine an tih hi han sawi ila.

He damdawi Cyclosporine an tih hi eng nge thleng tak tak?

A awlsam zawngin, Cyclosporine hi i taksa immune system hnathawh control emaw, tlem a tihtlem emaw thei damdawi a ni .

Mi tuemaw chu kal, thin, a nih loh leh thinlung ang chi taksa peng dang thlak a ni ang tih han ngaihtuah teh. Kan taksa hriselna (immune system) hna chu taksaa lut hnam dang (germ ang chi) hriatchhuah leh beih hi a ni. Chuvangin, taksa chuan taksa peng thar chu "ram dang thil" angin a hmu a ni. Chumi hnuah taksa chuan taksa peng thar chu hnawl a tum ta a ni.

He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte

He damdawi hi i ei tan hmain i doctor hnenah i hriselna chanchin kimchang i hrilh hmasak phawt a pawimawh hle . A hnuaia natna te hi i neih chuan doctor hnenah hrilh ngei ang che:

• Cancer dinhmun: Tunah hian cancer i vei emaw, a hmaa i lo vei tawh emaw a nih chuan.
• Thisen sang: He damdawi avang hian thisen sang a sang thei.
• Kal natna: He damdawi hi kal kaltlangin taksa atangin a paih chhuak thin. Chuvangin kal natna eng emaw i neih chuan i dose hi tihdanglam a ngai mai thei.
• Liver natna: Liver function a chhiat chuan doctor pawhin chu chu a hriat chian a ngai a ni.
• Infection eng pawh: Khawsik, khuh, khawsik ang chi natna i neih chuan doctor hnenah hrilh rawh. He damdawi hian immune system a titawp a, chu chuan infection a ti na zual thei a ni.
• Enkawlna bik i dawng tawh a nih chuan: Tun hmaa coal tar, PUVA, ultraviolet light, emaw radiation therapy ang chi thil i tawk tawh a nih chuan.
• Naupai emaw, nau pai tum emaw i nih chuan.
• Nu hnute pe mek i nih chuan.
• Damdawi dang, ei tur dang emaw thil dang emaw allergy i neih chuan:A bik takin Cyclosporine, corn oil emaw thil dang emaw allergy i neih chuan.

Engtin nge damdawi hi ka hman ang?

Heng thupekte hi dik takin zawm rawh.

1. Tui glass khat nen in rawh: He capsule hi tui glass khat khat nen in la.

2. Grapefruit tui nen ei loh tur: He damdawi hi grapefruit tui nen ei loh tur a ni. Chutianga tih chuan taksain damdawi a hip dan a tidanglam thei a, damdawi chu hlauhawm takin a tam thei a ni.

3. Capsule chu ei rawh: Capsule chu chew la, tikehsawm suh, tikehsawm suh. A pumin ei rawh.

4. A hun takah ei: Nitin a hun ruala i damdawi ei thin kha tih danah siam rawh. Tin, chaw ei (chaw ei hma emaw ei zawh hnu emaw) nena inzawm hian nitin hun khatah ei thin ang che. Hei hian i taksaa damdawi level chu a inmil reng theih nan a pui ang.

5. Dose tlachham suh: Damdawi hi doctor-in a pek ang chiah chiah ei tur a ni. Doctor thurawn tel lo chuan damdawi ei kha bansan suh.

Naupang tê tê leh puitling tan

He damdawi hi natna thenkhatah chuan pek theih a ni a, naupang thla 6 mi tan pawh pek theih a ni. Mahse, chumi chungchang chu i fa doctor nen sawiho rawh. Kum 65 chunglamte chuan he damdawi hian a nghawng hi an hrethiam zawk mai thei a, chuvangin a dose tlem zawk an mamawh mai thei.

Damdawi i ei tam lutuk chuan engtin nge i tih ang?

Damdawi i ei tam lutuk nia i hriat chuan Colombo National Hospital-a National Poisons Information Center-ah phone nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal nghal rawh.

Damdawi dose khat ka ei loh chuan engtin nge ni ang?

I hriatreng veleh missed dose kha ei nghal rawh. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, a hnuaia dose chu a hun ruatah ei rawh. Vawi khatah vawi hnih ei ngai suh. Dose i miss fo chuan i doctor nen sawiho rawh.

He damdawi nena inzawm thei thil dang (Interactions) .

Cyclosporine hi damdawi dang, herbal product leh ei tur nena inzawm thei damdawi a ni. Chuvangin i doctor hnenah damdawi i ei zawng zawng (vitamin, herbal products, leh natna tidamtu te pawh tel) list kimchang pe rawh.

A bik takin he damdawi hi a hnuaia mite nen hian ei loh tur a ni:

• Bosentan a ni
• Cidofovir a ni
• Tacrolimus tih hi a ni
• St. John’s wort (herbal atanga siam) a ni.
• Red yeast buhfai

Tin, he damdawi hian thil tam tak nen a inzawm thei a, chu chu thisen sang damdawi, cholesterol tihhniamna damdawi (statins), antibiotics thenkhat, antifungals, natna tidamtu (NSAIDs - e.g. ibuprofen), naupai venna damdawi, leh epilepsy damdawi te hi a ni.

Damdawi ei laia fimkhur tur thilte

• Medical checkup neih fo: I doctor chuan i hmasawnna a enfiah reng a ngai ang. Thisen test a order ang . Hengte hi skip suh. Heng test te hian i damdawi level leh kidney function ang chi thil te a enfiah thin.
• Infection lakah inveng rawh: He damdawi hian i immunity a tihniam a, chuvangin infection awlsam takin i kai thei a ni. Khawsik emaw, flu emaw i neih chuan mahni invenna nei lo la, doctor nen inbia ang che.
• Mutthilh leh luak chhuak: Mutthilh emaw, luak chhuak emaw i nei thei. He damdawi hian engtin nge a nghawng che tih i hriat hma chuan lirthei khalh emaw, machinery emaw hmang suh.
• Ni eng lakah fimkhur rawh: He damdawi hian i vun chu ni êng lakah a ti sensitive zawk thei. Ni chhuahnaah i awm dawn a nih chuan i vun khuh thei thawmhnaw ha la, sunscreen hmang bawk ang che.
• Gum problems: Mi thenkhat chuan he damdawi avang hian gum hring emaw thisen chhuak emaw an nei thei. Chuvangin ha i sil leh floss hian fimkhur rawh. Oral hygiene tha tak vawng reng ang che.
• Zu in loh: Zu hian he damdawi hman thatna hi a tibuai thei a ni.

A side effects te chu engte nge ni?

Damdawi dang ang bawkin Cyclosporine hian side effect a nei thei a ni. A hnuaia mite hi hre reng ang che:

He list-ah hian side effect zawng zawng a tel lo. Thil danglam tak i tawn chuan i doctor nen sawiho rawh.