Damdawi pangngai hmanga thunun harsa tak, persistent diarrhea i nei bawk em? Ni khata vawi eng emaw zat bathroom kal a ngaih te, pum na lo neih te, nitin thil tih theih loh te hi a buaithlak hle. A chang chuan he natna hi kan taksaa tumor chi khat bik lo awm vang a ni. Damdawi lam hawi chuan hengte hi ‘carcinoid tumors’ kan ti a. He thuziak ah hian heng tumor avanga ril\am (diarrhea) control nana damdawi bik pek chungchang kan sawi dawn a ni.
A awlsam zawngin, Telotristat Ethyl chu eng nge ni?
I taksaa heng carcinoid tumor te hi factory tlemte angin ngaihtuah rawh. He factory hian a mamawh aia tam serotonin an tih chemical a siam chhuak a ni. He serotonin tam lutuk hi kan intestine hnathawh ti chaktu a ni a, chu chuan kan rilru a buai fo emaw, kan riltam emaw a thlen fo thin.
Chuvangin, he damdawi Telotristat Ethyl (brand name: Xermelo) tih hian chu factory production process chu tlem a thunun thei a ni. A bik takin serotonin siamchhuahna a ti tlem a ni. Hei hian a tul lo taka intestine hnathawh chakna a ti tlem a, i diarrhea leh a kaihhnawih symptom dangte pawh a control bawk. Hei hi general diarrhea damdawi a ni lo va, he natna bik atana doctor-in a pek damdawi a ni.
He damdawi hi i hman hmaa doctor hnena hrilh tur thilte
He damdawi hi i pek hmain i doctor chuan i medical history kimchang tak a la hmasa tur a ni. A hnuaia natna te hi i neih chuan doctor hnenah hrilh ngei ang che:
- Constipation emaw stool pass harsa: Ekk vawt, khauh emaw, stool pass harsa emaw i neih tawh chuan doctor hnenah i hrilh tur a ni, he damdawi hian a chang chuan constipation a thlen thei a ni.
- Pum emaw, intestinal lama harsatna dang: Intestinal surgery emaw, damdawi dang emaw i neih tawh chuan min hrilh rawh.
- Naupai emaw, naupai tum emaw i nih chuan: Naupai laia he damdawi hi a him leh him loh hriat chian a la ni lo. Chuvang chuan naupai emaw, nau pai tum emaw i nih chuan Doctor nen inbiakna neih a pawimawh hle.
- Nu hnute petu i nih chuan: He damdawi hi nu hnute tuiah a kal em tih hriat chian a ni lo. Chuvangin nu hnute petu i nih chuan i doctor hnenah hriattir tur a ni.
- Damdawi dang, ei tur dang emaw, dye dang emaw allergy nei: Telotristat Ethyl emaw, thil dang emaw allergy i neih chuan i doctor hnenah hrilh rawh.
Engtin nge damdawi hi ka hman ang?
Dosage dik tak, a hun dik takah, doctor-in a tih angin ei a pawimawh hle.
- He damdawi hi tui glass khat nen ei la .
- A pawimawh ber chu he pill hi chaw ei rualin ei fo tur a ni. Pum ruak ah ei loh tur.
- Damdawi hi doctor-in hun bituk a pek angin ei tur a ni. Entirnan, ni khatah vawi thum pek a nih chuan darkar 8 danah ei chuan a thatna level inang a vawng reng ang.
- Damdawi lam thurawn tel lo chuan eng thil vang pawha damdawi ei kha bansan suh. Damdawi hi i natna lan chhuah dan a ṭhat pawhin a hun bituk chhung zawng chu ei chhunzawm zel ang che.
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 hloh tawh chu vawi khatah vawi hnih ei ngai suh.
Overdose a ni
A dose pek aia tam i ei palh a nih chuan Emergency Department (ETU) hnai ber pan 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 pek a ni. He damdawi hi nangmah ang natna lan chhuah dan inang nei midang hnenah pe suh.
Damdawi dangah harsatna a awm thei em? (Drug nena inzawmna) .
Ni e, Telotristat Ethyl hian damdawi dang i ei lai nen a inzawm thei a ni. Chuvangin i doctor hnenah damdawi i ei zawng zawng (prescribed, over-the-counter, vitamins, herbal products) list kimchang pe rawh.
| Ruihhlo chi hrang hrang | Ngaihtuah tur thilte |
|---|---|
| Cholesterol tihhniamna damdawi | Damdawi chi hrang hrang Atorvastatin, Lovastatin, Simvastatin te hi a ni. |
| HIV emaw AIDS emaw laka antiretroviral damdawi | Chûngte chuan an performance a nghawng thei a ni. |
| Rilru natna, lungngaihna emaw, lungkhamna emaw damdawi | Hei hian rilru lam damdawi chi hrang hrang a huam a ni. |
| Thisen sang leh lung natna damdawi | A bik takin heart rhythm tichhe thei damdawi te chu fimkhur hle ang che. |
| Pum natna, gastritis ang chi damdawi | Damdawi chi hrang hrang Omeprazole, Pantoprazole, Famotidine te hi a ni. |
| Damdawi dang | Antifungals (Ketoconazole), convulsants (Carbamazepine), steroids (Prednisone), natna tidamtu (Opioids), leh hormone (Estrogen/Progestin) te a awm bawk. |
He list hi a kim lo a, chuvangin i damdawi ei zawng zawng doctor hnenah hrilh vek a him ber.
A side effects te chu engte nge ni?
Damdawi zawng zawng ang bawkin Telotristat Ethyl hian side effect a nei thei a, mi zawng zawngin an vei vek lo nachungin.
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
|---|---|
| Allergic Reaction awm thei te | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring (thâwk harsa). |
| Pum natna nasa tak | Pum natna pangngai aia na zawk natna khirh tak. |
| Side effects, a tlangpuiin ngaihtuah tur awm lo, mahse a awm reng chuan doctor hnenah i hrilh tur a ni. | |
| Ek khal | A chang chuan diarrhea enkawl a nih angin constipation a awm thei bawk. |
| Flatulence/Gas a awm thin | Digestive system inthlak danglam vang pawh a ni thei. |
| Lu na | Lu na tlem a awm thei bawk. |
| Chaw chakna | Chaw ei chakna hloh. |
| Luhai | Luak chhuak ang maia hriatna. |
| Kut, ke leh ke ruh a hring | Taksa chhunga tui awm (fluid retention) vang a ni thei. |
Engtin nge i damdawi i dahkhawm ang?
He damdawi hi naupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni. Room temperature (15 leh 30 degree Celsius inkar)-ah dah a tha ber. Damdawi expired hman loh tur.
Take-Home Thuchah a ni
- Telotristat Ethyl (Xermelo) hi damdawi bik a ni a, carcinoid tumor avanga riltam enkawlna atana hman thin a ni.
- He damdawi hi chaw ei rualin ei fo tur a ni .
- Damdawi dang i ei zawng zawng chu i doctor hnenah hrilh rawh.
- Vun natna, thawk harsa, pum na nasa tak ang chi symptom i neih chuan doctor pan nghal rawh.
- Damdawi hi i doctor thurawn tel lo chuan bansan suh.
- He damdawi hi i tan chauh a ni. Midang hnenah share ngai suh.
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