Tacrolimus tablet chungchang i zir dawn teh ang: I doctor-in he damdawi hi a lo pe tawh a nih chuan

Nang pawhin organ transplant, kidney, liver, a nih loh leh thinlung ang chi i nei tawh a, doctor chuan organ thar chu i taksain a hnawl loh nan damdawi bik a pe che a ni. A tam zawkah chuan chu damdawi chu Tacrolimus an ti thin. Hei hi damdawi pawimawh tak a ni a, eng emaw chen fimkhur taka hman a ngai a ni. Chuvangin, i thian ka nih angin, he damdawi chungchanga i hriat tur zawng zawng hi i hriatthiam theih tur, Sinhala tawng awlsam tak hmanga hrilh turin ka rawn kal a ni.

A awlsam zawngin, Tacrolimus hi eng nge ni?

Kan taksa invenna (immune system) hi ram venghimtu sipai angin han ngaihtuah teh. He sipai hian pawn lam atanga lo chhuak hrik leh virus ang chi hmelma te chu a tichhe vek a ni. Tunah chuan taksa peng thar i thlak chuan kan taksaa he "sipai" hian chu taksa peng thar chu "hmêlma" angin a hmu ta a ni. A chhan chu taksa tana thil thar a nih vang a ni. Chuvangin he sipaite hian organ thar chu an bei tan ta a ni. Hei hi "organ rejection" kan tih chu a ni.

Tacrolimus hi chu "sipai" hnathawh ti reh thei damdawi a ni. Damdawi lamah chuan heng immunosuppressants te hi kan ti a ni. A awlsam zawngin, he damdawi hian kan immune system hnenah, "Lungngai suh, he taksa peng thar hi kan thian a ni a, bei suh," a ti a. Chuvangin taksa peng thar chu harsatna awm lovin i taksa peng pakhat angin hna a thawk tan ta a ni.

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

He damdawi hi i doctor-in a pek hmain i hriselna dinhmun a hriat chian a pawimawh hle. Chuvangin, a hnuaia tarlan te hi i neih chuan i doctor hnenah hrilh ngei ang che .

• Diabetes i neih chuan .
• Lung natna i neih chuan .
• Thisen sang i neih chuan .
• Immune system-ah harsatna dang a awm chuan.
• Infection awm tawh (khawsik, khawsik, khuh ang chi pawh) i neih chuan.
• Kidney natna i neih chuan .
• Liver natna i neih chuan .
• Nakin lawka vaccine dawng tura ruahman i nih emaw, tun hnaia i dawng tawh emaw a nih chuan.
• Tacrolimus emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih tawh chuan.
• Naupai tum emaw naupai emaw i nih chuan .
• Nu hnute pe lai i nih chuan .

Heng thute hi thup lova sawi hi i himna atan a pawimawh hle.

Damdawi ei dan dik tak chu eng nge ni?

He damdawi hi a hlawk ber tur chuan a tih ang chiah chiah i ei a ngai a ni.

• Damdawi chu tui glass khat nen a pumin ei rawh.
• He damdawi hi grapefruit emaw grapefruit tui nen hian eng vang pawhin ei loh tur a ni. Hei hi a pawimawh hle. Grapefruit tui hian taksaah Tacrolimus hlauhawm takin a tisang thei a ni.
• Nitin i damdawi ei hun inangah ei thin ang che. Zing dar 8 a nih chuan nitin zing dar 8-ah la rawh. Hei hian i taksaa damdawi level chu a inmil reng theih nan a pui ang.
• Damdawi chu tikehsawm suh, tikehsawm suh, ei suh . A pumin ei rawh.
• He damdawi hi chaw ei hma emaw ei zawhah emaw i ei thei. Mahse, nitin hun khata ei thin hi i tih dan tur a ni. Chaw ei hmaa i ei chuan nitin chaw ei hmain ei thin ang che. Chaw ei zawha i ei chuan nitin chaw ei zawhah ei thin ang che.
• I doctor-in chawlhsan tura a tih hma loh chuan he damdawi hi hmang chhunzawm zel ang che. Tih thut mai mai suh.

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

Damdawi pek zat aia tam i ei tawh nia i hriat chuan hlauthawng suh la, hma la nghal rawh.

• A theih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal tur a ni.
• A nih loh leh Colombo National Hospital-a National Poison Information Center-ah thurawn dil turin phone la.

Ka damdawi ka ei theihnghilh a nih chuan engtin nge ni ang?

Thil kan theihnghilh vek. I damdawi i ei theihnghilh a nih chuan i tih tur chu hetiang hi a ni:

• I hriatreng veleh missed dose kha ei nghal rawh.
• Mahse, i hriatreng hunah i dose leh tur hun a lo thleng tawh dawn a nih chuan (e.g., darkar tlemte chauh a la awm) a nih chuan, i dose loh chu skip la, i dose lo awm tur chu a hun ruatah ei rawh.
• Dose hloh tawh leh a hnua dose lo awm tawhte phuhruk nan double dose ei ngai suh.

Tacrolimus nena inzawm thei damdawi dang

Tacrolimus hian damdawi dang tam tak nen a inzawm thei a ni. Chuvangin, i damdawi ei zawng zawng (prescription damdawi, over-the-counter pain reliever, vitamin, herbal remedies, leh herbal supplement, St. John’s wort ang chi) te chu i doctor hnenah hrilh rawh. Hemi chungchang hi a hnuaia table-ah hian i hmu thei ang.

He damdawi i ei dawna i fimkhur bik tur thilte:

Tacrolimus i ei lai hian i nunphungah inthlak danglamna tenau engemaw zat i siam a ngai dawn a ni. Hengte hi i himna atan a pawimawh hle.

Damdawi lam test hun ruat sa

I doctor hian a rawn en reng a ngai dawn a ni. Tin, i Tacrolimus level leh kidney function enfiah nan thisen test mumal tak neih a ti bawk ang. Heng appointment leh thisen test te hi ti lo ngai suh.

Infection lakah inveng rawh

He damdawi hian i immune system hnathawh a tihtlem avangin natna, a bik takin infection i nei tam zawk.

• Mipui tamna hmuna kal chu a theih ang anga tihtlem rawh.
• Khawsik leh khawsik ang chi natna nei te lakah inthiarfihlim rawh.
• Sahbawn hmangin kut sil fo thin ang che.
• Infection symptoms, khawsik, khawsik, ril na, khuh, emaw zun laiin kang emaw i neih chuan mahni invenna nei lo la, doctor ko nghal rawh.

Naupai leh nau neih dan tur

• Hmeichhia: He damdawi ei laia naupai hian naute piansualna nasa tak a thlen thei a ni. Chuvangin, damdawi i ei tan hma leh i ei chhung zawng hian naupai venna rintlak hman a pawimawh hle. Hemi chungchang hi i doctor nen sawiho rawh.
• Mipa: He damdawi hi i ei a nih chuan sex hman laiin condom hman a pawimawh. I kawppui chu nau a pai a nih chuan doctor hnenah hriattir nghal tur a ni.

Ni lakah fimkhur rawh.

Tacrolimus hian i vun chu ni lakah a ti sensitive thei a, vun cancer vei theihna a tipung deuh thei bawk.

• A theih ang anga ni chhuahna hmuna chhuah loh tur.
• Ni chhuahna hmuna i chhuah chuan thawmhnaw kut sei tak, lukhum ha la, sunscreen ṭha tak hmang bawk ang che .

Thisen sugar level a ni

He damdawi hian thisen sugar level sang (hyperglycemia) a thlen thei . He risk hi a bik takin zunthlum i neih chuan a sang hle. Tuihâl tam, zun tam, mit hmuh fiah loh ang chi symptoms te chu en reng ang che.

Damdawi avanga side effect lo awm thei

Damdawi dang ang bawkin Tacrolimus hian side effect a nei thei a ni. Ṭhenkhat chu serious an ni a, ṭhenkhat erawh chu mild an ni thung. A pawimawh ber chu heng symptoms te hi hriat chian a, a tul chuan hmalak vat hi a ni.

Engtin nge damdawi hi uluk taka i dahkhawm leh i paih thin?

• Damdawi hi naupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni .
• Room temperature pangngai (20-25 degree Celsius inkar) ah dah tur a ni. Bathroom ang chi hmun lumna hmunah dah suh.
• Damdawi expired hman loh tur.
• Damdawi hman loh emaw, hun tawp tawh emaw paih tur chuan damdawi inah emaw, damdawi dawrah emaw hlan a tha ber. Chutiang a nih loh chuan damdawi capsule chu a bawm atang chuan la chhuakin, coffee ground, lei emaw, ui bawlhhlawh hman tawh ang chi thil nen chawhpawlh la, bag khar tha takah dah la, bawlhhlawh bawmah paih rawh.