I doctor hian nangmah emaw i hriat mi emaw hnenah hnute cancer damdawi Tamoxifen a pe che em? Chutiang a nih chuan zawhna nei leh hlauhna tlem a awm chu thil pangngai a ni. "Eng nge thleng ang?", "Eng nge a side effects?", "Eng nge ka hriat tur?", etc. I rilruah zawhna tam tak i nei ngei ang. Chuvangin vawiin hian chu zawng zawng chu awlsam tak leh chiang takin, i thianpa nen in inbia ang maiin i sawi dawn nia.
Tamoxifen chu eng nge ni?
A awlsam zawngin sawi ila, tamoxifen hi damdawi bik a ni a, hnute cancer cell te tihpunna tur leh cancer awm tawh enkawlna atana pek a ni. Hnute cancer chi thenkhat chuan thlai hian tui a mamawh ang bawkin kan taksaa pianphung atanga lo chhuak hormone estrogen an mamawh a.
Heng cancer cell te hi hmêlma te tak te, estrogen an tih "chaw" zawngtu angin ngaihtuah rawh. Tamoxifen damdawi hian a tih chu hnute tissue chhungah a lut a, he hormone estrogen hian cancer cell-te nena inzawmna kawng a tikhawlo a ni. Phên dangin sawi ila, cancer cell-te "chaw" an hmuh loh nan a titawp a ni. Tichuan chu cell te chu an darh thei lo va, an lo thang lian thei lo bawk.
I doctor chuan hnute cancer tih loh natna dang atan he damdawi hi a pe thei bawk. Chuvangin i doctor thupek zawm fo ang che.
Damdawi ei tan hmaa doctor hnena i hrilh tur thilte
He damdawi hi i ei tan hmain i doctor hnenah i hriselna dinhmun kimchang tak i pek hmasak phawt a pawimawh hle . A chhan chu chu thu hriatna chuan he damdawi hi i tan a remchan dan leh pek dan tur a hril dawn a ni. A hnuaia condition te hi i neih chuan doctor hnenah hriattir ngei ang che.
| Situation i report tur a ni | Engvângin nge i ngaihsak ang? |
|---|---|
| Tun hmaa thisen zam emaw, stroke emaw i neih tawh chuan | Tamoxifen hian thisen zam a tipung deuh thei a ni. |
| Uterine cancer, uterine fibroids, endometriosis ang chi natna te | Hei hi hriat a pawimawh a, a chhan chu he damdawi hian nausen pum chhunga lining a nghawng thei a ni. |
| Liver natna | Liver hian taksa atanga damdawi paih chhuah a puih avangin a hnathawh dan hriat a pawimawh hle. |
| Thisenah cholesterol level sang tak a awm | He damdawi hian a chang chuan cholesterol level a nghawng thei bawk. |
| Naupai, nau pai tum emaw, nau hnute petu i nih chuan | Hei hi a pawimawh hle. He damdawi hian nausen piang lai a tichhe thei a, nu hnute hmangin naute hnenah a kai thei bawk. |
| Damdawi dang, ei leh in emaw thil dang emaw allergy i neih chuan | Hei hi Tamoxifen emaw a thil tel emaw allergy i neih leh neih loh hriat a pawimawh hle. |
Engtin chiah nge he damdawi hi ka hman ang?
- I doctor thupek zawm rawh: I doctor-in a pek ang chiah chiah hian ei tur dik tak ei rawh. Dose hi tihpun leh tihhniam loh tur.
- A rualin ei rawh: I damdawi chu a theih ang angin nitin hun khata ei tum ang che. Hei hi nitin tih danah i siam tawh chuan i theihnghilh a rinawm loh.
- Chaw ei lai emaw ei tel lo emaw: He damdawi hi chaw ei hma emaw ei zawhah emaw ei theih a ni. Amaherawhchu, pum na emaw, lungpui na emaw i neih chuan chaw ei ruala ei a tha zawk.
- Titawp suh: Doctor-in a tih hma loh chuan i damdawi ei kha titawp suh. Damdawi pek dan tur chu i ei zawh a pawimawh a, i rilru a hahdam a nih pawhin.
Damdawi dose i ei loh chuan engtin nge i tih ang?
Dose i ei theihnghilh chuan i hriatreng veleh ei nghal rawh. Mahse, i hriatreng hunah 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. Dose hloh tawh chu vawi khatah vawi hnih ei ngai suh.
Damdawi i ei tam lutuk chuan engtin nge ni ang? (Overdose) a ni.
Damdawi i ei tam lutuk nia i inhriat chuan hlauthawng suh. RangtakinColombo National Hospital-a National Poisons Information Center-ah biak la, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal rawh.
He damdawi nena inzawm thei damdawi dang (Drug Interactions) .
Damdawi thenkhat ei dun a nih chuan a thawh thatna a nghawng ve thei a ni. Hei hi Drug Interaction'' kan tih chu a ni. Chuvangin, i damdawi ei zawng zawng (vitamin, herbal remedies, leh supplement te pawh tel) i doctor hnenah hrilh vek a pawimawh hle.
| He damdawi nen hian Tamoxifen hi ei ngai suh. | |
|---|---|
| - Cisapride a ni | - Dronedarone a ni |
| - Pimozide hmanga siam a ni | - Thioridazine a ni |
| Heng damdawi te hi i ei a nih chuan doctor hnenah hrilh rawh. | |
| - Cancer damdawi dang Anastrozole, Letrozole te | - Thisen tithianghlimtu Warfarin ang chi |
| - Antidepressant damdawi Paroxetine ang chi te | - Epileptic damdawi Carbamazepine leh Phenytoin te |
| - Rifampin (TB natna damdawi) . | - Heart rhythm tichhe thei damdawi dang (QT interval) . |
Tamoxifen ei huna hriat tur thil
- Damdawi lam enfiah fo thin:I doctor hnena i follow-up appointment te kha vawng reng ang che. I hmasawnna an enfiah ang a, hnute enfiahna, mammogram leh pelvic exam te chu hunbi neiin an ti ang.
- Naupai loh tur: Hei hi a pawimawh hle . He damdawi hi i ei lai leh i ei zawh hnu thla 2 chhung chu naupai vek loh tur a ni. Nausen piang lai tan hian harsatna lian tham a thlen theihna a awm. Chuvangin i doctor nen birth control tha tak chungchang sawipui rawh.
- Nau hnute pek loh tur: He damdawi hi i ei lai leh i ei zawh hnu thla 3 chhung chu naute hnute pek loh tur a ni.
- Fertility: He damdawi hian hmeichhe thenkhat fertility a nghawng thei. Hemi chungchangah hian ngaihtuahna i neih chuan i doctor nen inbia ang che.
Side effects chungchang i zir chiang ang u.
Damdawi dang ang bawkin Tamoxifen hian side effect a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. Ṭhenkhat chu serious tak an ni a, ṭhenkhat erawh chu an awm fo. A pawimawh ber chu anmahni hriat chian a, a tul chuan hmalak vat hi a ni.
| I doctor emaw, damdawi in Emergency Department (ETU) hnenah kal nghal rawh. | |
|---|---|
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring. |
| Thisen zam natna lanchhuahna | Ke na, a hring emaw, lumna hriatna, thawk harsa, rilru na. |
| Stroke natna lan chhuah dan | Hmai, kut emaw, ke emaw-ah rang taka rilru hah emaw, chak lohna emaw, tawng harsa, buai, kal harsa, lu na, mit hmuh dan inthlak danglam. |
| Liver hliam chhinchhiahna | Pum dinglam chunglam na, chaw ei chak lohna, luak chhuak, vun emaw mit emaw sen, zun dum. |
| Symptom na tak dang a awm bawk | Menopause hnuah natna lan chhuah dan, vaginal bleeding, pelvic pain, danglam taka hliam emaw thisen chhuak emaw, khawsik, leh khawsik te. |
| Hengte hi a awm reng emaw, a buaithlak emaw a nih chuan doctor hnenah hrilh rawh. | |
| Hot flash a rawn chhuak ta | Sudden extreme heat. |
| Mood a inthlak danglam thin | Mood inthlak fo thin. |
| Vaginal atanga chhuak | Vaginal atanga chhuak. |
Take-Home Thuchah a ni
- Tamoxifen hi hnute cancer damdawi pawimawh tak a ni a, hormone estrogen block-in hna a thawk a ni.
- Damdawi i ei tan hmain i doctor hnenah i damdawi lam dinhmun zawng zawng leh damdawi dang i ei zawng zawngte hrilh hmasa phawt ang che.
- Damdawi hi i doctor-in a sawi ang chiah chiah, a hun takah ei tur a ni. Dose pahnih chu a rualin ei ngai suh.
- Thisen zam emaw, stroke emaw chhinchhiahna te, side effect na tak tak awm thei te chu fimkhur rawh. Chung zinga pakhat tal i tawn chuan doctor thurawn la nghal rawh.
- He damdawi hi i ei lai leh i ei zawh hnu thla 2 chhung chu naupai loh tur a ni.
- I doctor nena hun ruat test leh appointment-a tel fo hi i hriselna atan a pawimawh hle.
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