A châng chuan operation emaw, damdawi lam thil dang emaw avângin kan ril tê (small intestine) ṭhenkhat chu lak chhuah a ngai ṭhin. Hei hian kan ei leh in atanga kan taksain nutrients leh fluids te a hip thei lo thei a, kan ei leh in a\angin a hip thei lo a ni. Hei hi short bowel syndrome, `Short Bowel Syndrome (SBS) kan tih chu a ni. Chutiang dinhmuna tanpui thei tur damdawi bik chu `Teduglutide` a ni. Chuvangin vawiinah hian he `Teduglutide` injection chungchang te, a hman dan tur te, eng thil nge fimkhur tur tih te han sawi ila.
Teduglutide chu eng nge ni?
A awlsam zawngin sawi ila, `Teduglutide` hi `Short Bowel Syndrome` vei enkawlna atana hman thin damdawi a ni. I intestines a tawi zawk avangin ei tur atanga nutrients te chu a pangngaia lakluh a harsa hle. I intestines chu sponge angin ngaihtuah rawh. Operation hnuah chuan chu sponge lian tham tak chu a lo tlem ta a ni. Chu sponge te tak te chu `boost` pek nan `Teduglutide` hman a ni a, chutiang chuan tui leh nutrients te chu a hip tha zawk thei a ni.
Hei hian i taksain ei leh in atanga nutrient leh fluid tam zawk a lakluh theih nan a pui thin. Chuvang chuan mi thenkhat chuan intravenous nutrition (tube hmanga chaw pek) an mamawh tlem thei hle. Sri Lanka-ah chuan he damdawi hi `Gattex` tih brand name hmangin an lei thei a ni.
Damdawi ei tan hmaa doctor hnena i hrilh tur thilte
He enkawlna hi i tan hmain i doctor nen i hriselna chanchin kimchang sawipui a pawimawh hle . I himna atan heng thilte hi sawi chhuah a pawimawh hle.
| Heng dinhmunte hi i nei em? | Engvangin nge notification hi a pawimawh? |
|---|---|
| Cancer emaw, cancer vei tawh emaw | He damdawi hi cancer hlauhawmna thenkhat nen a inzawm thei a, chuvangin doctor hian hei hi a hriat a pawimawh hle. |
| Colon polyps a awm | Damdawi ei tan hmain heng polyp te hi paih vek a pawimawh hle. |
| Gallbladder natna a ni | A chhan chu he damdawi hian gallbladder lama harsatna thlen theihna chance tlem a nei a ni. |
| Pancreatic natna a ni | A chhan chu pancreatitis vei theihna a awm vang a ni. |
| Lung natna emaw kal natna emaw | Hetiang dinhmunah hian damdawi hman dan emaw, hman dan emaw thlak danglam a ngai mai thei. |
| Naupai emaw, nau pai tum emaw i nih chuan | Nausen piang lai chunga nghawng a neih theih dan tur chu i doctor nen in sawiho tur a ni. |
| Nuin a fa hnute a pek chuan | Damdawi hi nu hnute hmanga naute hnena a kal leh kal loh chungchangah doctor thurawn lak a pawimawh hle. |
| Damdawi dang, ei tur dang emaw, thil dang emaw allergy | Damdawi allergy a awm loh nan. |
Engtin chiah nge he vaccine hi hman a nih?
He damdawi hi vun hnuaiah injection angin pek thin a ni. Lungngai suh, i doctor emaw, nurse trained emaw chuan in lama he injection hi i pek dan tur a kawhhmuh ang che. Damdawi buatsaih dan atanga injection pek dan thlengin an hrilhfiah vek ang.
A pawimawh ber chu, needle leh syringe hman tawhte chu bawlhhlawh bawmah paih ngai suh. Sharps container bik ah dah tur a ni. I neih loh chuan i doctor hnenah i neih dan tur zawt la.
Damdawi dose i ei loh chuan engtin nge i tih ang?
Dose i miss a nih 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, i dose leh tur chu a hun ruatah ei rawh. Dose pahnih chu a rualin ei ngai suh.
Ka ei sual lutuk chuan engtin nge ni ang?
He damdawi hi i ei tam lutuk nia i hriat chuan hlauthawng suh la, Colombo National Hospital-a National Poisons Information Center ah call nghal rawh . A nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal rawh.
He damdawi ei huna hriat reng tur thil
He enkawlna chhung zawng hian doctor nen inzawmna nghet tak neih a pawimawh hle.
- Damdawi lam enfiah fo: Ni pangngaiah doctor hmu la, i dinhmun enfiah rawh. I natna lan chhuah dan a tha lehzual emaw, a na zual emaw a nih chuan doctor hnenah hrilh rawh.
- Thisen test: I doctor chuan enkawl laiin i taksa hnathawh dan enfiah nan thisen test (thisen hnathawh) eng emaw zat a ti thei ang.
- Cancer hlauhawmna hre reng ang che: He damdawi hi i ei lai hian cancer chi hrang hrang (a bik takin colon cancer) i vei theihna tur chungchangah i doctor nen zalen takin sawi rawh. Hlauh tur a ni lo, mahse fimkhur a pawimawh.
- Polyps: Hei hi a pawimawh hle. Damdawi ei tan hmain i colon chu polyp a awm leh awm loh enfiah hmasa phawt tur a ni. A awm a nih chuan paih mai tur a ni. Damdawi i ei lai hian i doctor chuan hengte hi a enfiah chhunzawm zel ang.
Damdawi avanga side effect awm thei te
Damdawi dang ang bawkin Teduglutide hian side effect a nei thei a ni. Ṭhenkhat chu serious an ni a, ṭhenkhat erawh chu an awm fo. Hengte hi fimkhur a pawimawh hle.
| Side effect hrang hrangte thliar hranna | |
|---|---|
| 🚨 Side effect na tak tak a awm chuan doctor hnenah hriattir nghal tur a ni. | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring, thawk harsa. |
| Bowel blockage a awm | Pum natna nasa tak, bawlhhlawh paih emaw boruak pass theih lohna, ei duh lohna, luak chhuak. |
| Gallbladder lama harsatna a awm | Pum dinglam chunglam natna nasa tak, luak chhuak, luak chhuak, khawsik. |
| Pancreas natna (Pancreatitis) . | Natna nasa tak chu pum lai tak atanga tan a, hnungzang thlenga radiate, chaw ei hnu emaw, pum khawih emaw a na zual, khawsik, rilru hahna, leh luak chhuak te. |
| ✅ Thil pawi lo tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Pumpui na/ pum na lo | Nausea leh luak chhuak |
| Injection na hmunah a sen, a hring emaw, a na emaw a awm | Kut, ke emaw, ke ruh emaw a hring chhuak |
| Khawsik ang chi natna (common cold) . | |
Teduglutide nena inzawm thei damdawi dang
He damdawi hian i intestine-in damdawi dang a hip dan a tidanglam thei a ni. Chuvangin, i damdawi ei zawng zawng (vitamin leh herbal remedies te pawh tel) i doctor hnenah hrilh rawh . A bik takin a hnuaia damdawi te hi i ei a nih chuan:
- Damdawi thenkhat, rilru hahdamna emaw, mutthilh tir emaw
- Epilepsy natna damdawi (`carbamazepine`, `phenobarbital`, `phenytoin` ang chi)
- Immunosuppressant damdawi te chu `Cyclosporine`, `Sirolimus`, `Tacrolimus` te hi a ni
- Lung natna damdawi `Digoxin` leh `Quinidine` te
- Thisen tithianghlimtu `Warfarin` ang chi te
- `Lithium` tih a ni
- `Theophylline` emaw `aminophylline` emaw a ni
He list hi a kim lo a, chuvangin i ei zawng zawng doctor hnenah hrilh vek a tha ber.
Take-Home Thuchah a ni
- Teduglutide hi injection bik a ni a, Short Bowel Syndrome vei te tan taksain ei tur tha a lakluh theih nan a pui a ni.
- Enkawl i tan hmain i doctor hnenah cancer, colon polyp emaw, damdawi lam natna dang emaw i neih apiang hrilh hmasa phawt ang che.
- Vaccine hman dan dik tak zir rawh. Needle hman tawhte chu him takin paih vek tur a ni.
- Pum natna nasa tak emaw, allergy symptoms (vun hring, vun hring) i neih chuan doctor thurawn la nghal rawh.
- He damdawi hi i tan chauh a ni. Midang hnenah share ngai suh.
- He damdawi chungchanga zawhna i neih chuan i Doctor nen inbiak pawh hlau suh.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Teduglutide / Gattex vaccine hi eng natna atan nge hman?
Hei hi vaccine hmuh tur awm lo tak, mahse nunna chhanhim thei tak a ni! ‘Short Bowel Syndrome (SBS)’ vei tan a ni. Chumi awmzia chu natna/surgery engemaw vanga an intestine hmun tam tak lakchhuah tawhte chu ei zawh hnuah pawh ei tur an hip theih loh avangin thisenah (IV/TPN) pek chhunzawm zel a ngai tihna a ni. He vaccine hi nitin pum chhungah inject a ni a, small intestine a tizau a, a tipung a, ei tur lakluh dan a tidanglam bawk.
💬 He damdawi (Teduglutide) hian engtin nge intestine la awm chu a tizau/ti lian?
He vaccine hi kan intestines atanga pianphung atanga hormone (GLP-2) siam nen a inang vek! Hei hi vawi khat pek a nih chuan small intestine-a cell la awmte chu ‘mucosal growth tichak’ turin a nawr a ni. Hei hian intestine chhunga surface area a tipung a, a ti thick bawk. Hei hian taksain kan ei tur leh tui 100% a hip lut thei a, vein (TPN) kaltlangin chaw pek kan chawlhsan thei bawk.
💬 He intestinal growth vaccine (Gattex) maktaduai tam tak senga inject tute tan hian eng hlauhawm nge awm?
Hlauhawm ber chu hei hian intestine a ‘grow abnormally’ a, chu chuan intestine-a ‘cancer thar (Cancer / Polyps)’ neih theihna chance sang takah a dah che a ni! Chuvangin, hetiang procedure nei te hian thla 6 danah colonoscopy an nei ngei tur a ni a, camera hmanga intestine an enfiah thin. Thil hlauhawm dang chu hei hian intestine/gallbladder-ah lung a siam a, intestine a block vek thei (Intestinal Obstruction).
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