Thisen sang, a nih loh leh kan hriat vek angin, "pressure" tih hi kan ramah hian mi tam tak zingah hriselna lama harsatna awm fo a ni. A châng chuan damdawi pakhat chauh hmanga pressure control a harsa ṭhin. Chutiang hunah chuan i doctor chuan damdawi pahnih emaw a aia tam emaw inkawp a pe thei a ni. Vawiin hian chutiang damdawi pahnih, Telmisartan leh Amlodipine te inzawmkhawm hman tlanglawn tak pakhat kan sawi dawn a ni.
A awlsam zawngin, hei hi eng damdawi nge ni?
Hei hi damdawi chi hnih inzawmkhawm a ni ka ti a. Chu chi hnih chu eng nge ni a, taksa a nghawng dan hi han en ila.
1. Telmisartan: Hei hi damdawi chi hrang hrang ``Angiotensin II receptor blockers'' an tih zingah a tel a ni. A awlsam zawngin kan taksaa chemical angiotensin II an tih hian kan thisen kalna kawng (thisen kalna kawng) te chu a tikhawlo a ni. Tui pipe hrual hian tui a luang chak zawk ang bawkin, thisen kalna kawng a inkharkhip chuan a chhunga thisen luang chhuak pressure a sang chho zel a ni. He damdawi telmisartan an tih hian chu chemical hnathawh chu a titawp a ni. Tichuan thisen kalna kawngte chu a zalen a, a hahdam a, chuvangin thisen chu awlsam zawkin a che thei a ni. Hei hian pressure a ti tlem a ni.
2. Amlodipine: Hei hi ``Calcium channel blocker'' tih pawla mi a ni. Hei hian thisen kalna kawngte tih hahdamna hmangin hna a thawk bawk a, mahse kawng dangin a thawk thung. He damdawi hian thisen kalna kawng bang leh thinlung ruh chhunga calcium lut chu a tikhawtlai a ni. Calcium a tlahniam chuan taksa ruh (muscle contraction) pawh a tlahniam bawk. Hei hian thisen kalna kawngte chu a ti hahdam zual a, chu chuan thinlungin thisen a pump awlsam zawk a ni.
Chuvangin heng damdawi pahnih hi an inkawp chuan result tha tak a awm fo thin a, a chhan chu kawng hnih ah thisen sang an control avangin. He damdawi hi brand name Twynsta hmangin market-ah pawh a awm bawk.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i doctor-in a pek hmain i hriselna chanchin kimchang taka a hriat hmasak a pawimawh. A hnuaia dinhmunte hi hrilh ngei ang che, a bik takin:
- Lung natna: Lung natna (Heart attack) i lo nei tawh a nih chuan, Lung lam natna i nei tawh a, lung lam natna dang i nei tawh a nih chuan.
- Kal natna: Kal natna eng emaw i neih chuan.
- Liver natna: Liver chak lohna emaw natna emaw i neih chuan, a chhan chu he damdawi taksa atanga lakchhuahna kawngah hian thin hian hmun pawimawh tak a chang a ni.
- Allergy nei te chu:Heng damdawi pahnih (Telmisartan, Amlodipine), damdawi dang, ei tur, emaw, preservatives emaw allergy i neih chuan min hrilh rawh.
- Naupai: Naupai i nih chuan, naupai tum i nih chuan, naupai i rinhlelh chuan hei hi a pawimawh hle . He damdawi hian nausen piang lai tan harsatna nasa tak a thlen thei a ni.
- Nu hnute petu i nih chuan: Nu hnute petu i nih chuan doctor hnenah pawh hrilh bawk ang che.
Engtin nge damdawi hi ka hman ang?
- Dosage dik: I doctor-in a tih angin dosage dik tak hmang rawh. Engtik lai pawhin a dose hi tihtlem, tihpun leh tihtawp ngai suh.
- Hun pangngai: Nitin hun khata i damdawi ei thin kha tih danah siam rawh. Hei hian i damdawi ei theihnghilh a ti tlem ang a, i taksaa damdawi level inang reng reng a awm theih nan a pui bawk ang.
- Chaw ei lai emaw ei tel lo emaw: He damdawi hi ei hma emaw ei zawhah emaw ei theih a ni. Amaherawhchu, mi thenkhat chuan chaw ei ruala ei a nih chuan pum a na thei hle.
- I theihnghilh chuan: Pill i ei 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, i dose leh tur chu a hun ruatah ei rawh. Eng thil vang pawhin vawi khatah pill pahnih (double dose) ei loh tur a ni.
- Overdose: Damdawi i ei tam lutuk nia i hriat chuan Colombo National Hospital-a National Poisons Information Center -ah call nghal la, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal nghal rawh.
A pawimawh ber chu he damdawi hi i tan chauh a ni. He damdawi hi nangmah ang natna lan chhuah dan inang nei midang hnenah pe suh.
He damdawi nena inzawm thei thil dang
He damdawi hi i ei lai hian damdawi dang, vitamin, emaw herbal products (Ayurvedic damdawi, decoction ang chi) i ei a nih chuan doctor hrilh a pawimawh. Thil thenkhat chu he damdawi nen hian a inzawm a, nghawng tha lo a nei thei bawk.
| Harsatna thlen thei thil | A sawifiahna awlsam tak |
|---|---|
| Potassium tihpunna tur a ni | He damdawi hian taksaa potassium level a tisang thei a ni. Pawn lam atanga potassium ei hian chutiang level chu hlauhawm takin a tisang thei a ni. |
| Salt aiah a awm | Salt substitute tam takah hian potassium chloride a awm a, chuvangin hengte hi pumpelh rawh. |
| Diuretics thenkhat | Diuretics thenkhat, ‘tui pill’ tia hriat te hian potassium level a tichhe thei a ni. |
| Thisen sang damdawi dang | Thisen sang damdawi dang nena ei hian i thisen sang a ti hniam lutuk thei. |
| Rifampin, St. John’s Wort ang chi thil te | Hengte hian Telmisartan/Amlodipine thatna a ti tlem thei a ni. |
Damdawi ei laiin side effect awm thei
Damdawi dang ang bawkin he damdawi hian mi thenkhatah side effect a nei thei a ni. Chung zinga ṭhenkhat chu a pawi lo hle a, mahse ṭhenkhat chu ngaihven vat a ngai a ni.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
| Allergy na tak a nei | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring, thawk harsa. |
| Luak chhuak/vertigo | Mit sen, luak chhuak, leh muhil (a bik takin thawh chhuah hunah). |
| A rilru a na | Chest na thar emaw, na zual emaw. |
| Vung | Kut, ke ruh emaw, ke emaw a hring chhuak. |
| Heart rate a inthlak danglam thin | I thinlung chu a thawk chak emaw, a thawk mumal lo emaw ang maia inhriatna. |
| Zun chhuahnaah inthlak danglamna | Zun harsatna emaw, zun chhuah tlem emaw. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Khuh | Mi thenkhat chuan khuh hring (dry cough) an nei thei bawk. |
| Lu na | Damdawi ei tirh lamah a lo awm thei. |
| Pum natna | Gas , puak chhuak, rilru hahna. |
| Chauhna/chauhna | Taksa a nuam lo tih hriatna. |
Damdawi ei huna ngaihtuah tur dang
- Luak chhuak: He damdawi hian muthilh emaw, luak emaw a siam thei. Chuvangin, he damdawi hian engtin nge a nghawng che tih i hriat hma chuan fimkhur ngai thil, lirthei khalh emaw, machinery hman emaw te chu pumpelh rawh. Zawi zawiin tho la, a bik takin kum upa lam i nih chuan khum atanga i tho emaw, thutthleng atanga i tho emaw hian tho rawh.
- Zu: Zu in hian he damdawi avanga luak chhuak a tipung thei a, a tul lova thisen sang a tihniam thei bawk. Chuvangin zu in loh hi a finthlak hle ang.
- Surgery: Surgery i neih dawn chuan he damdawi hi i ei tih hi surgeon leh anesthesiologist hnenah hriattir ngei ang che.
Take-Home Thuchah a ni
- He damdawi hi doctor-in a pek ang chiah chiah, a hun takah leh a dose dik takah ei thin ang che.
- Damdawi ei kha chawlhsan ngai suh la, doctor thurawn tel lovin a dose pawh thlak ngai suh.
- Damdawi dang i ei zawng zawng (Ayurvedic pawh tel) leh i damdawi lam dinhmun eng pawh i doctor hnenah hrilh rawh.
- Naupai, nau pai tum emaw, nau hnute i pe emaw a nih chuan he damdawi hi i ei hmain doctor hriattir hmasak a pawimawh hle.
- Hmai, ke ruh, rilru natna, emaw, luak chhuak nasa lutuk ang chi side effect na tak i neih chuan doctor pan nghal rawh.
- In lamah i thisen sang teh la, doctor nen inbiak reng rawh.
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