Kidney transplant hi nunah thil thleng lian tak a ni. Tacrolimus hi damdawi pawimawh tak a ni a, i nun thar venhimna atan a pui a, i taksain kal thar a hnawl loh nan a pui bawk. He damdawi hi Envarsus brand hming hnuaiah i hmu mai thei. Chuvangin vawiinah hian he damdawi chungchang te, a hman dan tur te, fimkhur a ngaihna te kan sawi dawn nia.
He Tacrolimus hi eng damdawi nge ni?
A awlsam zawngin, he damdawi hian i taksa immune system tlem a control a, i kidney thar chu "ram dang" anga a ngaih loh nan leh a beih loh nan a thawk a ni. Hetianga immune system control thei damdawi te hi ‘immunosuppressants’ an ti a. Hei hi i kal thar venhimna atan leh a hnathawh dan tur dik taka enkawl nan a pawimawh hle.
Damdawi ei tan hmaa doctor hnena i hrilh tur thilte
Hemi chungchang hi i doctor nen in inbiaknaah hian a hnuaia condition tarlan te hi sawi tel a pawimawh a, hei hian dosage leh thil dang pek tur che a hril dawn a ni.
- Zunthlum (Diabetes Mellitus) i neih chuan .
- Lung natna i neih chuan
- Thisen sang i neih chuan
- Immune system lama harsatna dang i neih chuan
- Infection awm tawh a awm chuan
- Kidney natna emaw, thin natna emaw i neih chuan
- Tun hnaia vaccine i dawng emaw, nakin lawkah i dawng tura ruahman emaw i nih chuan
- Tacrolimus emaw damdawi dang, ei tur emaw, dye dang emaw allergy i neih chuan
- Naupai i nih chuan, emaw naupai tum i nih chuan
- Nu hnute pe lai i nih chuan
Damdawi hi engtin nge kan ei ang? Heng thupekte hi dik takin zawm rawh.
He damdawi hi a hlawk ber tur chuan dik taka hman a pawimawh hle.
1. Tablet chu tui glass khat nen ei la .
2. Nitin i damdawi chu hun khatah ei thin ang che . Hei hi tih danah siam rawh. Phone ah alarm set a tha.
3. Tablet chu a pumin ei rawh . Tablet hi tichhia ngai suh, tikehsawm ngai suh, chew ngai suh.
4. A pawimawh hle: He damdawi hi zing lamah chaw ei lohvin ei fo ang che . Chu chu chawhmeh ei hma darkar khat tal, chawhmeh ei hnu darkar hnih tal tihna a ni.
5. Doctor-in chawlhsan tura a tih hma loh chuan damdawi ei chhunzawm zel ang che.
Pawimawh tak: He damdawi hi eng thil vang pawha i ei lai hian grapefruit tui in suh . Damdawi hnathawh dan nasa takin a nghawng thei a ni.
Damdawi dose i ei loh chuan engtin nge i tih ang?
Zing dar 8-ah i pill i ei tur a ni tih han ngaihtuah teh. I ei theihnghilh a, darkar 15 chhung, chu chu zan dar 11 hmaa i hriatreng chuan i hriatreng veleh la nghal rawh. Mahse darkar 15 hnu, chu chu zan dar 11 hnu lama a nih chuan missed dose chu ei loh tur a ni. Skip vek la, a tuk zingah a hma ang bawkin zing dar 8-ah pill dang ei rawh. Double dose ei ngai suh.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
I ngaihtuah aia tam damdawi i ei tawh nia i hriat chuan Colombo National Hospital-a National Poisons Information Center-ah phone nghal rawh. A nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal rawh.
Tacrolimus nena inzawm thei damdawi dang
Tacrolimus hian damdawi dang tam tak nen a inzawm thei a, chuvangin i damdawi ei zawng zawng, i doctor-in a pek te, over-the-counter damdawi, herbal products leh vitamin te pawh i hrilh tur a ni.
| Ruihhlo chi hrang hrang | Entirnan |
|---|---|
| Hengte hi engmah nen la suh. | |
| Fungal infection damdawi thenkhat | fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole te a ni |
| Immune regulator dangte pawh a awm bawk | cyclosporine a ni |
| Damdawi dang | astemizole, cidofovir, cisapride, dronedarone, pimozide, thioridazine, ziprasidone te hman a ni |
| Ei leh in tur | Grapefruit tui tak a ni |
| Chûngte’n an chhân lêt theih angin damdawi lam thurâwn zawng rawh | |
| Antibiotics damdawi a ni | clarithromycin, erythromycin, rifampin tih te hi a awm a |
| Thisen sang tan damdawi | diltiazem, nifedipine, verapamil tih te hi a awm a |
| Gastritis damdawi | omeprazole, lansoprazole, cimetidine te a ni |
| Seizure tan damdawi | carbamazepine, phenobarbital, phenytoin tih te hi a awm a |
| Steroid chi hrang hrang | prednisone, methylprednisone tih a ni |
| Herbal atanga siam chhuah a ni | St. John-a rulhut a ni |
He list hi a kim lo a, chuvangin damdawi thar i ei tur chu i doctor hnenah hrilh a pawimawh hle.
Damdawi i ei dawna i fimkhur tur thilte
Damdawi lam test hun ruat sa
Doctor-in a tih angin clinic-a kal hi a pawimawh hle. Hetih lai hian i thisenah Tacrolimus level, kidney function, leh sugar level te chu enfiah fo a ngai dawn a ni. Heng test te hi skip suh.
Infection lakah inveng rawh
He damdawi hian i immune system hnathawh a tihtlem avangin awlsam takin natna hrik i kai thei a ni. Chuvangin, khawsik, khawsik, khuh, leh ril na ang chi symptom nei te lakah inthiarfihlim tur a ni. Tin, infection symptoms i neih chuan khawsik, khawsik, rilru na, emaw, zun laiin kang emaw i neih chuan, mahni invenna nei suh la, i doctor hnenah hriattir nghal rawh.
Naupai leh chhungkaw ruahmanna
Hei hi thil pawimawh tak a ni.
- Hmeichhia tan chuan:He damdawi hi i ei lai hian naupai suh . Hei hian nausen piang lai tan harsatna nasa tak a thlen thei a ni. Chuvangin, he damdawi hi i ei lai leh i ei loh hnua i doctor-in a rawt chhung chu naupai venna hmanraw dik tak i hmang tur a ni. Hemi chungchang hi i doctor nen sawiho rawh.
- Mipa tan: He damdawi hi i ei a nih chuan naupai thei hmeichhia i sex hman chuan condom hmang ngei ang che . I kawppui a rai chuan naute tan harsatna a thlen theihna a awm.
Cancer hlauhawmna leh ni eng
Heng immune-suppressing damdawi te hi hun rei tak i ei hian cancer chi hrang hrang, vun cancer leh lymphoma te i vei theihna a tipung deuh thei a ni. He damdawi hian i vun chu ni eng lakah a ti sensitive thei bawk. Chuvangin:
- Ni na tak chu a theih ang anga pumpelh rawh.
- Ni chhuahnaah i awm dawn a nih chuan i vun khuh tur thawmhnaw leh lukhum zau tak ha la.
- Sunscreen tha tak hmang ngei ang che.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin Tacrolimus hian side effect a nei thei a ni. Chung zinga ṭhenkhat chu a pawi hle a, report nghal tur a ni.
| Side effects te chu doctor hnenah report nghal tur a ni | |
|---|---|
| Allergy natna lan chhuah dan | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring. |
| Heart rate a inthlak danglam thin | Chhung na, thawk harsa, luak chhuak, i thinlung a thawk chak emaw, a thawk mumal lo emaw ang maia inhriatna. |
| Thisen sang a sang | Doctor in a en chuan a thisen sang a sang hle a. |
| Thisen sugar sang chhinchhiahna | riltam tam zawk, tuihal tam zawk, zun tam zawk, hah lutuk, mit hmuh lohna. |
| Kidney-ah nghawng a nei | Zun chhuah tlem emaw zun harsatna emaw. |
| Nervous system lama harsatna a awm | Lu na na tak, buai, seizure, mit a danglam, nungchang danglam, ke ruh a khur. |
| Ke ruh leh ke ruh (limbs) a natna (numbness) a awm | Kut emaw ke emaw natna, rilru hahna emaw, kang emaw. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Pum natna | Constipation emaw riltam emaw. |
| Mu thei lo | Zana mut harsa. |
| Taksa hring (Edema) . | Ke ruh, ke, kut, emaw, taksa rihna sang nghal ang chi hmuna hring. |
Take-Home Thuchah a ni
- Tacrolimus tablets hi nitin hun khatah ei thin tur a ni a, chaw ei khama ei thin tur a ni.
- He damdawi hi grapefruit tui nen hian eng vang pawhin ei loh tur a ni.
- Clinic appointment emaw, i doctor-in thisen test a pek che zawng zawngte chu tlawh loh tur a ni.
- Infection chhinchhiahna eng emaw, khawsik emaw khuh emaw i neih chuan doctor hnenah hriattir nghal rawh.
- Hmeichhia emaw mipa emaw i nih pawhin he damdawi hi i ei lai hian naupai loh nan naupai venna hmanraw rintlak tak hmang ngei ang che.
- Damdawi thar, herbal product, vitamin pawh i ei hmain i doctor zawt hmasa phawt ang che.
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