Nangmah emaw i hriat mi emaw cancer vei nia hriat a nih a, i doctor-in Sorafenib tih damdawi ei tan turin a tih che chuan hlauhna leh hriat duhna tlem i neih hi thil pangngai a ni. Hei hi eng damdawi nge ni? Engtin nge a thawh? Side effect a awm em? Hetiang zawhna hi i rilruah a tam hle mai thei. Chuvangin vawiin hian he damdawi Sorafenib tih hi i zir vek ang u, i thianpa nen in inbia ang maiin.
A awlsam zawngin, Sorafenib chu eng nge ni?
Sorafenib hi chemotherapy damdawi kan hriat tlangpui ang a ni lo. Damdawi chi khat bik targeted therapy an tih a ni . Chemotherapy damdawi pangngai ang maiin ngaihtuah la, khawpui pum pui bomb ang mai a ni a, cell tha pawh a tichhe thei bawk. Mahse targeted therapy chu hmêlma awmna hmun dik tak zawn chhuah a, chu hmun chauh beih ang mai a ni.
Sorafenib hian cancer cells te tihpun leh thisen kalna kawng siamtu protein bikte hnathawh a tikhawlo a ni. Hei hian cancer cell te chu an lo thang lian a, an darh zel loh nan a veng a ni.
Liver cancer , kidney cancer leh thyroid cancer enkawlna atan hman a ni ber . Sri Lanka ramah chuan he damdawi hi brand name Nexavar hmangin i hmu thei ang.
He damdawi hi i ei tan hmaa i doctor hnena i hrilh tur thilte
Sorafenib hi damdawi chak tak a nih avangin i hriselna dinhmun kimchang takin doctor hnenah pek a pawimawh hle. A bik takin a hnuaia condition te hi i neih chuan hrilh ngei ang che.
| I hriselna dinhmun | Engvangin nge doctor hriattir a pawimawh? |
|---|---|
| Thisen chhuahna lama harsatna nei | He damdawi hian thisen chhuah theihna a tipung thei a ni. |
| Lung natna emaw, thinlung thawk mumal lo emaw | He damdawi hian heart function leh heart rate a nghawng thei a ni. |
| Thisen sang a sang | Sorafenib hian thisen sang a tisang lehzual thei a, chuvangin control a pawimawh hle. |
| Thin natna dang | Liver problem i neih tawh chuan damdawi in a nghawng dan a danglam thei. |
| Tun hnaia operation i neih tawh emaw, i neih dawn emaw a nih chuan | He damdawi hian hliam damna a tikhawtlai thei a ni. |
| Naupai emaw, nau pai tum emaw i nih chuan | Hei hi a pawimawh hle. He damdawi hian nausen piang lai tan harsatna nasa tak a thlen thei a ni. |
| Naute chu hnute pek a nih chuan | Damdawi hian nu hnute a paltlang thei a, naute a tichhe thei a ni. |
| Damdawi dang, ei leh in emaw thil dang emaw allergy nei | Sorafenib emaw a thil tel emaw allergy i neih leh neih loh hriat a pawimawh. |
Damdawi ei dan dik tak chu eng nge ni?
He pill hi tui glass khat nen ei tur a ni.
- Tablet chu tichhia suh, tikehsawm suh, chew suh . A pumin ei rawh.
- A pawimawh ber: Hei hi chaw ei loh laiin ei tur a ni . Chu chu chaw ei hma darkar khat tal emaw, chaw ei hnu darkar hnih emaw tal tihna a ni. Chaw ei ruala ei chuan damdawi taksaa a luh theihna a ti tlem ang.
- I damdawi chu i doctor-in a tih ang chiah chiah, a pek hun takah ei rawh. Mahni chauha ei kha bansan suh. Damdawi lam thurawn tel lova damdawi ei kha tihtawp loh tur.
Fimkhur tur: Damdawi i ei tam lutuk nia i hriat chuan hun khawhral suh la , Emergency Treatment Unit (ETU) hnai ber pan nghal rawh . A nih loh leh Colombo National Hospital a National Poisons Information Center ah biak theih a ni bawk .
Damdawi dose i ei loh chuan engtin nge i tih ang?
Dose i miss a nih chuan i hriatreng veleh ei nghal rawh. Mahse i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, i dose leh tur chu a hun ruatah ei rawh. Vawi khatah vawi hnih ei ngai suh.
Damdawi dangah harsatna a awm thei em? (Drug nena inzawmna) .
Ni e, Sorafenib hi damdawi dang nena inzawm thei damdawi a ni. Chuvangin, i damdawi ei tur zawng zawng, i doctor-in a pek te, damdawi dawr atanga i lei te, hnam damdawi, vitamin leh herbal supplement te pawh i hrilh vek tur a ni.
A bik takin Sorafenib hi a hnuaia damdawi te nen hian ei loh tur a ni:
- Cisapride chuan a rawn ti a
- Dronedarone a ni
- Pimozide a ni
- Thioridazine a ni
Tin, a hnuaia damdawi te hi i ei a nih chuan doctor hriattir a pawimawh hle a, Sorafenib nen hian an inzawm thei a ni.
- Hriselna atana hman tur damdawi (e.g. Carbamazepine, Phenobarbital, Phenytoin) .
- Antibiotics chi hrang hrang (e.g. Rifampin, Rifabutin) 1.1.
- Dexamethasone (steroid chi khat) a ni.
- Digoxin (lung natna damdawi) .
- St. John’s Wort thinghnah atanga siam a ni
- Heart rate tichhe thei damdawi dang (QT interval tichhe thei) .
- Vinblastine (cancer dona damdawi dang) 1.1.
He list hi a kim lo a, chuvangin i damdawi ei zawng zawng chu doctor hnenah hrilh rawh.
Damdawi ei huna hriat reng tur thil
Naupai leh nau neih lai
Hei hi fimkhur tur pawimawh ber a ni.
- Hmeichhia: He damdawi ei lai hian naupai loh tur . Damdawi chawlhsan hnu thla 6 thleng naupai hi a tha lo. Naupai venna hmanraw tangkai ber chungchang chu i doctor nen sawiho rawh.
- Mipa: He damdawi hi i ei a nih chuan damdawi i ei lai leh i ei loh hnu thla 3 chhung fa neih loh tur a ni. Nang leh i kawppui hian naupai venna hmanraw tangkai tak tak in hman a pawimawh.
He damdawi hian nausen piang lai tan harsatna nasa tak leh chatuan atan a thlen theih avangin he damdawi hi i ei lai hian nau hnute pek hi i pumpelh vek tur a ni .
Surgery leh hliam damna
Surgery emaw ha lam hna emaw i neih dawn chuan Sorafenib i ei thu i doctor emaw dentist emaw hnenah hrilh hmasa phawt ang che. He damdawi hian damna a tikhawtlai avangin major surgery atanga kar 2 hnuah a tan tlangpui thin.
Thisen chhuah leh natna hrik kai
He damdawi hian awlsam takin hliam leh thisen a chhuah tir thei a, taksain natna a do theihna a ti tlem thei bawk.
- Thisen chhuahna danglam tak (e.g. hmui, hnar atanga) i hmuh chuan doctor hnenah hrilh rawh.
- Ha sil leh toothpick hman hunah fimkhur hle ang che.
- Khawsik, khawsik, ril na ang chi symptoms i neih chuan mahni indam lo la, doctor nen inbia ang che. Damlo inkhawmna hmunte chu pumpelh rawh.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin Sorafenib hian side effect a nei thei a ni. Mi zawng zawngin kan hmu vek lo a, mahse fimkhur a pawimawh.
| Side effect chi hrang hrang | Natna |
|---|---|
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei, thawk harsa. |
| Thisen chhuak chhinchhiahna | Thinrim dum, tarry tak tak; thisen chhuak emaw, coffee ground ang maia bawlhhlawh emaw. |
| Lung natna lan chhuah dan | Chest na emaw tightness emaw, heartbeat chak emaw, mumal lo emaw. |
| Liver lama harsatna a awm | Mit emaw vun emaw a sen, zun dum, pum dinglam chunglam na. |
| Vun symptom na tak tak a awm | Kut leh kephah sen, na, blister emaw, hliam emaw a awm. Kawng chhunga hliam. |
| Symptom na tak dang a awm bawk | Pum natna nasa tak, luak chhuak, rilru hah lutuk. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Chaw ei dan (digestive system) a ni | Diarrhea, chaw ei chak lohna. |
| Taksa a inthlak danglam thin | Sam tlakchham, hah, taksa rihna tlahniam. |
Take-Home Thuchah a ni
- Sorafenib hi targeted therapy a ni a, cancer cells te tihpunna a titawp a ni.
- He damdawi hi chaw ei hma darkar khat emaw, chaw ei hnu darkar hnih emaw tihna a ni.
- Damdawi dang i ei zawng zawng chu i doctor hnenah hriattir ngei ang che.
- Side effect na tak tak, rilru na, vun natna nasa tak, emaw thisen chhuah dan danglam tak i neih chuan doctor pan nghal rawh.
- He damdawi hi i ei lai leh i ei zawh hnu thla engemaw zat chhung chu naupai vek loh tur a ni. Hei hi hmeichhia leh mipa tan pawh a hman theih.
- I damdawi ei kha titawp ngai suh la, i doctor thurawn tel lo chuan a dose pawh thlak ngai suh. Harsatna an neih chuan sawipui rawh.
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