Hlawhtling takin kal transplant i nei tawh a, beiseina thar nen nun thar i tan mek a ni mai thei. He zinkawng tharah hian kan tum ber chu chu i taksain a dawn kidney hlu tak chu humhim hi a ni. Tacrolimus hi damdawi pawimawh tak a ni a, taksain he kal thar a hnawl loh nan a pui a ni. Chuvangin, vawiinah hian he damdawi hi kan sawi dawn a, a hman dan dik leh fimkhur ngai thilte kan sawi dawn a ni.
He damdawi hi eng nge thleng tak tak?
A awlsam zawngin kan taksaah hian immune system kan nei vek a. Ram humhalhtu sipai ang mai a ni. He system hian pawn lam atanga lo chhuak hmêlma hrik, bacteria, leh virus te dovin natna laka min humhim a ni.
Mahse, kan taksaah taksa peng thar, kal (kidney) ang chi kan dah luh hian immune system chuan "ram dang hmelma" angin a hmu a ni. Chuvangin, system chuan a duty pangngai angin kidney thar chu a bei tan ta a ni. Hei hi "organ rejection" kan ti a ni.
He damdawi, tacrolimus tia koh hian i immune system hnathawh chu eng emaw chen control-in hna a thawk a, a "calming" a ni. Tichuan, kal thar chu a beih tawh lo va, i taksa peng pakhat ang maiin hna a thawk tan ta a ni.
Damdawi ei hmaa doctor hnena hrilh tur thil
He damdawi hi i doctor-in i health history kimchang a hriat hmasak a pawimawh hle. Chuvangin engmah thup suh la, heng thilte hi i doctor nen inhawng takin sawipui rawh.
- Diabetes i neih chuan .
- Lung natna emaw thisen sang emaw i neih chuan .
- I immune system ah harsatna dang i neih chuan .
- Infection awm tawh a awm chuan .
- Liver emaw kidney emaw natna dang i neih chuan.
- Tun hnaia vaccine i dawng emaw, nakin lawkah i dawng tura ruahman emaw i nih chuan.
- (Tacrolimus) , , (allergic reaction) .
- Naupai i nih chuan , naupai tum i nih chuan , nau hnute i pe a nih chuan .
He damdawi hman dan dik tak
He damdawi hlawhtlinna hi i ei dik leh dik lohah a innghat a ni. Chuvangin heng thupekte hi dik takin zawm rawh.
- Nitin hun khata ei thin tur: He damdawi hi nitin hun khata ei thin tur a ni. Zing dar 8 a nih chuan nitin zing dar 8-ah la rawh. Hei hi tih danah siam rawh.
- Pum ruak chungah ei rawh:A tha ber tur chuan damdawi hi ei hma darkar khat emaw ei zawh hnu darkar hnih tal ei tur a ni.
- Capsule chu a pumin ei rawh: Capsule chu tichhia suh, tikehsawm suh, chew suh . Tui glass khat nen a pumin ei rawh.
- Grapefruit Juice: He damdawi hi eng thil vang pawha i ei lai hian grapefruit emaw grapefruit tui emaw in loh tur a ni. Damdawi taksain a hip luh dan a tidanglam thei a, side effect hlauhawm tak tak a thlen thei bawk.
- I doctor-in a tih hma loh chuan chawlhsan suh: Engtiang pawhin i rilru a hahdam a, i doctor-in a tih hma loh chuan i damdawi ei kha titawp suh.
Damdawi dose tihpun a nih chuan (Overdose) .
Dose pek aia tam i ei palh nia i rinhlelh chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. A nih loh leh Colombo National Hospital- a National Poisons Information Center- ah thurawn dil turin phone la.
Damdawi dose khat ka ei loh chuan engtin nge ni ang?
Damdawi ei loh hi thil tha a ni lo, mahse i ei loh chuan lungngai suh.
Zing dar 8-a i pill ei thin kha han ngaihtuah teh. I theihnghilh a ni. Darkar 14 chhunga (i.e. zan dar 10 hmaa i hriatreng chuan) i hriatreng veleh missed dose chu ei nghal rawh. A tuk atang chuan zing dar 8 ah a hma ang bawkin la rawh.
Mahse, darkar 14 aia rei (entir nan, zan dar 11-ah) i hriatreng chuan missed dose chu skip vek rawh. Dose dang chu a hun pangngaiah ei tur a ni a, chu chu zing dar 8 a ni. Double dose ei ngai suh.
He damdawi hmanga harsatna thlen thei damdawi leh thil dang
Tacrolimus hi damdawi sensitive tak a ni. Damdawi dang, natna tidamtu, vitamin, leh herbal product i ei mek nen pawh a inzawm thei. Chuvangin i ei zawng zawng, damdawi dawr atanga i hmuh natna tidamtu awlsam tak pawh hi i doctor hnenah hriattir a pawimawh hle.
A hnuaia tarlan te hi heng thil thenkhat te hi a ni. Hei hi list kimchang a ni lo tih hre reng ang che.
| Material chi hrang hrang | Entirna leh hriat tur bikte |
|---|---|
| I lak ngai loh tur thilte | Grapefruit tui, cyclosporine, cidofovir, antifungal thenkhat (e.g. Ketoconazole, Voriconazole) te pawh a awm bawk. |
| Damdawi lam thurawn chauh lak tur thil |
|
Damdawi ei laiin fimkhur tur thilte
- Infection laka invenna: He damdawi hian i immune system a tihniam a, chuvangin infection i kai tam zawk. Chumi awmzia chu khawsik, flu, leh khuh te hi awlsam takin a darh thei tihna a ni. Chuvangin mipui tamna hmun leh damlo awmna hmun a tam thei ang ber pumpelh tur a ni. Khawsik, taksa na, kawr na ang chi symptoms i neih chuan mahni indam lo la, doctor hnenah hriattir nghal rawh.
- Naupai laka invenna: He damdawi ei lai hian naupai loh tur a ni. Nausen piang lai tan pawh a pawi thei hle. Hmeichhia leh mipa pawhin an doctor thurawn angin birth control dan dik tak an hmang tur a ni .
- Cancer hlauhawmna: Heng immunosuppressant damdawi te hi hun rei tak hman a nih chuan cancer chi hrang hrang (a bik takin vun cancer leh lymphoma) vei theihna a pung tlem hle thei. Hei hi hlauh tur a ni lo va, fimkhur tur a ni. I doctor chuan uluk takin a lo enkawl ang che.
- Ni laka invenna: He damdawi hian i vun chu ni êng lakah a ti sensitive zawk thei. Chuvang chuan ni chhuahna hmuna kan chhuah dawnin thawmhnaw kawr sei, lukhum, leh sunscreen tha tak bun a pawimawh.
- Thisen thlum level: He damdawi hian thisen sugar level a tisang thei. Zunthlum i vei a nih chuan i thisen sugar level enfiah fo ang che.
- Damdawi lam enfiah fo: Clinic leh thisen test i doctor-in a tih zawng zawng chu skip suh. Heng test te hi i taksaa damdawi awm zat leh i kal hnathawh dan enfiah nan a pawimawh hle.
Eng side effect nge ka neih theih ang?
Damdawi dang ang bawkin tacrolimus hian side effect engemaw zat a nei thei a ni. A hnuaia symptoms te hi fimkhur rawh.
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
|---|---|
| Allergy nei te pawh a awm | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring. |
| Lung lam harsatna a awm | Chhung na, thawk harsa, luak chhuak, thinlung thawk chak emaw, mumal lo emaw. |
| Thisen sugar sang | riltam lutuk, tuihal lutuk, zun tam lutuk, hah lutuk, mitdel lutuk. |
| Kidney a chhiat phah | Zun harsatna emaw, i zun chhuah zat inthlak danglam emaw. |
| Nervous system lama harsatna a awm | Lu na, buai, seizures, mit a danglam, khur. |
| Hri kai theihna chhinchhiahna | Khawsik, khawsik , khuh, ril na. |
| Common side effects te chu a awm reng chuan doctor hnenah hriattir tur a ni | |
| Digestive system lama harsatna awm thei | Constipation, luak chhuak, pum na. |
| Mu thei lo | Zana mut harsa. |
| Taksa hring (Edema) . | Ke ruh, ke, leh kut ang chi hmuna hring, taksa rihna sang nghal. |
Take-Home Thuchah a ni
- Tacrolimus hi nitin hun khatah ei thin tur a ni a, pum ruak ah ei thin tur a ni.
- Grapefruit emaw grapefruit tui emaw eng vang pawhin in loh tur.
- Dose i miss a nih chuan darkar 14 chhungin ei thin ang che. Mahse vawi khatah dose hnih ei ngai suh.
- Damdawi dang zawng zawng, vitamin leh herbal product i ei zawng zawng chu i doctor hnenah hrilh rawh.
- Infection symptoms, khawsik emaw, khawsik emaw i neih chuan doctor hnenah hriattir nghal rawh.
- Clinic appointment zawng zawng leh thisen test i doctor-in a tih zawng zawngah tel vek tur a ni. I hriselna leh himna chu i doctor nen inlaichinna tha takah a innghat a ni.
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