Nang emaw i fa emaw hian eczema i vei em? A châng chuan i doctor chuan he natna hi a thunun theih nân cream bik a pe thei bawk. Tacrolimus hi chutiang cream zinga mi a ni. Mi tam tak chuan brand name `Protopic` hmangin an hre chiang hle. Chuvangin vawiin hian Tacrolimus cream chungchang te, a hman dan tur te, eng fimkhurna nge i tih tur tih te tawi te tein kan sawi dawn a ni.
He damdawi hi i hman hmaa i doctor hnena i hrilh tur thilte
I doctor-in he damdawi a pek hma hian i hriselna dinhmun kimchang taka i pek hmasak phawt a pawimawh hle . A hnuaia condition tarlan zawng zawng hi hrilh ngei ang che.
| I dinhmun | Engvangin nge i hriattir ang? |
|---|---|
| Vun cancer (e.g., vun atanga lo chhuak T-cell lymphoma) . | He damdawi hi vun cancer natna thenkhat tan chuan a tha lo hle. |
| Immune system chak lohna emaw harsatna emaw a awm | A chhan chu he damdawi hian immune system hnathawh a tidanglam lehzual thei a ni. |
| Viral infection chickenpox leh herpes te pawh a awm thei | He damdawi hi natna hrik awmna hmuna hnawih chuan a tizual thei a ni. |
| Vun kang emaw, chhia emaw awmna hmun zau tak neih | Vun chhia hmangin taksaah damdawi tam zawk a luh theihna a awm. |
| Genetic vun natna, Netherton’s syndrome ang chi te | Hetiang dinhmun bik ah hian he damdawi hman dan hi uluk taka ngaihtuah tur a ni. |
| Tun hnaia radiation therapy nei emaw, enkawl tawh emaw | He damdawi leh radiation therapy inkarah hian inzawmna a awm thei. |
| Tacrolimus emaw damdawi dang emaw, ei tur emaw, preservative dang emaw allergy nei | Hei hi allergic reaction ven nan a pawimawh hle. |
| Naupai lai te, nau pai tum te, nau hnute pek te | Chutiang hunah chuan naupang chunga nghawng a neih theih dan tur chu i doctor nen inbiakna neihpui tur a ni. |
Engtin chiah nge he hriak hi i hman?
He damdawi hi a hlawk ber tur chuan dik taka hman a pawimawh hle.
He damdawi hi topical use atan chauh a ni . Eng vangin pawh ka ei loh tur.
- Kut sil: Damdawi i hnawih hma leh i hnawih zawhah i kut sil fai tur a ni. Amaherawhchu, damdawi hi kut pahnih ah i hnawih a nih chuan i hnawih hmain kut sil hmasa phawt ang che.
- I mitah lut suh: I mitah i lut palh a nih chuan tui thianghlim hmangin i mit chu uluk takin silfai ang che.
- Thin layer hnawih: Doctor-in a tih angin damdawi chu a natna hmunah chauh hnawih la. Damdawi i hnawih hmain a natna hmunah tui a awm chuan puan fai takin phihfai la, vawt turin dah la.
- Damdawi chu a hun takah ei rawh: Doctor-in a tih angin nitin a hun khatah i damdawi ei tum ang che. A pek zat aia tam ei loh tur.
- Bandage suh: Damdawi hnawih na hmun chu dressing/bandage hmangin khuh suh. Amaherawhchu, thawmhnaw pangngai inbel erawh chuan harsatna a awm lo.
- I hnawih zawhah inbual loh tur: Damdawi i hnawih zawh veleh inbual loh tur, tui chawi tur leh tui chawi nghal tur a ni lo. Chutianga tih chuan damdawi chu a silfai thei a ni.
- Titawp suh: I vun a lo tha tawh a nih pawhin i doctor-in a tih hma loh chuan damdawi hman kha bansan suh.
Naupang tan hman a nih chuan...
Doctor ten naupang kum 2 chunglam hnenah he damdawi hi a chang chuan an pe thin. Mahse chutiang tur chuan chhan bik a awm ngei ang. Hei hi naupang tan i hmang a nih chuan Doctor thupek dik taka zawm a pawimawh.A pawimawh hle mai.
Damdawi i ei tam lutuk chuan engtin nge i tih ang?
He damdawi hi accident-a i ei tam lutuk nia i hriat chuan, emaw, mi pakhatin a ei a nih 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.
He damdawi hi i tan chauh a ni tih hre reng ang che. I damdawi hi midang hnenah pe ngai suh.
Ka damdawi ka ei theihnghilh a nih chuan engtin nge ni ang?
I damdawi ei i theihnghilh 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, a hnuaia dose chu a hun ruatah ei rawh. Double dose ei ngai suh.
He damdawi nena inzawmna awm thei te chu engte nge ni?
He hriak i hman hian a nghawng chu damdawi dang i ei te nen a danglam thei a, in tur thenkhat nen pawh a danglam thei bawk. Chuvangin i hman zawng zawng chu i doctor hnenah hrilh rawh.
| Eng inpawhna nge thleng thei? | Ngaihtuah tur thilte |
|---|---|
| Zu in tur te | Zu in hian hmai emaw vun emaw a sen a, a ti na thei bawk. |
| Thisen sang damdawi thenkhat (e.g. Diltiazem, Nifedipine) . | Heng damdawi te hian Tacrolimus hi taksain a lakluh dan a thlak danglam thei a ni. |
| Fungal damdawi (e.g. Itraconazole, Ketoconazole) te hi a tha hle. | Hengte hian Tacrolimus nghawng pawh a tidanglam thei bawk. |
| Damdawi Cimetidine, Erythromycin te ang chi te | Hengte hian inzawmna a thlen thei bawk a, chuvangin doctor hnenah hriattir rawh. |
| Vaccine pek dan tur | Vaccine eng pawh i dawn hmain i doctor hnenah Tacrolimus i hman thu hrilh hmasa phawt ang che. |
He list hi a kim lo a, chuvangin i damdawi ei zawng zawng (vitamin leh herbal remedies te pawh tel) doctor hnenah hrilh vek a tha ber.
Hman huna hriat reng tur thil dang
- Ni êng lakah fimkhur rawh: He damdawi i hman lai hian i vun hi ni êng lakah a sensitive deuh mai thei. Chumi awmzia chu a sen a, a kang awlsam thei tihna a ni. Chuvangin a theih ang angin ni atanga hla takah awm rawh. I chhuah chuan invenna thawmhnaw ha la, sunscreen tha tak hmang bawk ang che. Sun lamp emaw tanning bed emaw hman loh tur.
- Vun siamthat: Damdawi i hman atanga kar tlemte chhungin i vun dinhmun a tha chho tih i hmu mai thei. Mahse, doctor-in a hrilh che chhung chu hmang chhunzawm zel ang che. Kar tlemte hnuah pawh hmasawnna a awm loh chuan, emaw, i dinhmun a chhe zawk a nih chuan, i doctor hnenah hrilh ngei ang che .
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin hei hian mi thenkhatah side effect a thlen thei a, mahse mi zawng zawngin an vei vek lo.
| Side effects te chu doctor hnenah report nghal tur a ni | |
|---|---|
| Chickenpox emaw herpes (khawsik natna, shingles) natna hrik kai | Hei hian immunity a nghawng thei a, chuvangin hriattir nghal rawh. |
| Glands a lo hring chhuak | Hei hi natna hrik emaw, natna khirh tak dang emaw chhinchhiahna a ni thei. |
| Vun atanga thisen chhuak, vun hmel danglam (spot, mole, emaw, a lo piang thar emaw rawng inthlak) . | Vun thlak danglam a awm chuan doctor hnenah hriattir nghal tur a ni. |
| Vun natna emaw, sam natna (Infection of hair follicles) . | I natna lan chhuah dan, a sen emaw, a hring emaw i neih chuan i doctor hnenah hrilh rawh . |
| Chau lutuk nia inhria | Hei hi damdawiin taksa a nghawng dan chhinchhiahna a ni thei. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Damdawi hnawih na hmuna kang, natna, natna, emaw, rilru hahna emaw | Hei hi a tir lamah chuan a awm fo thei a, a tlangpuiin ni engemaw zat chhungin a reh thin. |
| Lu na, taksa ruh na, luak chhuak | Hengte hian a awm reng emaw, a tibuai che emaw a nih chuan doctor hnenah hrilh rawh. |
| Vun chu a tlangpui aia lum leh vawt lakah a sensitive zawk | Hei pawh hi side effect awm fo a ni. |
He damdawi hi engtin nge ka dahkhawm ang?
- Naupangte hmuh theih lohna hmunah dah rawh. Hei hi a pawimawh ber a ni.
- Room temperature (15-30 degree Celsius inkar) ah dah tur a ni.
- Damdawi a hman zawh hnua a la awm zawng zawng chu paih vek rawh.
Take-Home Thuchah a ni
- Tacrolimus hi topical cream a ni a, vun natna, eczema ang chi enkawlna atana hman thin a ni. Doctor thurawn hnuaiah chauh hman tur a ni.
- Damdawi i ei hmain i natna dang, damdawi i ei leh allergy te chu i doctor hnenah hrilh hmasa phawt ang che.
- Damdawi i hnawih dawnin layer te tak teah hnawih la, ni êng laka venghim turin hre reng ang che.
- Eng emaw swelling, vun thar inthlak danglam, chickenpox ang chi infection i neih chuan doctor pan nghal tur a ni.
- He damdawi chungchanga zawhna dang i neih chuan i doctor nen inbiakna neih hlau suh.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Tacrolimus (Tacrolimus / Protopic) ointment/cream hi engzat nge a man?
Hei hi steroid cream pangngai a ni lo! Hei hi damdawi chi khat (Topical Calcineurin Inhibitor) chak tak a ni a, damdawi in pakhatin ‘Severe Eczema / Atopic Dermatitis’ vei tan a pek a ni a, chutih lai chuan damdawi dang (steroid pawh) engmahin vun natna a tihziaawm loh laiin! Hei hian steroid cream angin vun a ti hring lo a, hei hi hetah hian a thatna lian ber a ni.
💬 Cream dang zawng zawng a hlawhchham lai hian engtin nge he (Tacrolimus) hmang chauh hian eczema i tihdam theih ang?
Eczema hi keimahni immune system 'T-cells' te a â a, vun a inflammation/inflammation a siam vang a ni! Cream dangte chuan a hnung an zui laiin, he ointment hian chutiang ‘T-cell’ rilru na tak takte thinlungah a kal nghal a, chutih laia hnathawk tur enzyme (Calcineurin) chu a block/lock down a ni. Thuchah thlen theihna tur kawng a awm loh avangin vun sen leh hnim hring chu a bo nghal vek a ni.
💬 He cream hi eng nge a thihpui ber (Black Box Warning)?
Chu chu he cream hman hlauh ber chu a ni! He damdawi hi hun rei tak hmangtu thenkhat chuan ‘vun cancer leh lymph node cancer (Lymphoma / Skin Cancer)’ an nei tih an sawi a! Chuvangin naupang kum 2 hnuai lam hnawih khap a ni a, chubakah he hnawih lai hian ‘ni/ni eng (UV Light)’ ah hian chhuak ngai suh, vun a kang nghal mai thei a, cancer hlauhawmna a sang thei bawk!
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