Ngaihtuah teh, rang takin rilru na na tak... thawk hah, leh thawk harsa. Heart attack i nei tih i hriat chuan engtiang chiahin nge i hlauhawm? Vawiin hian hetiang emergency, nunna hun pawimawh takah damlo nunna chhanhim thei tur injection bik kan sawi dawn a ni. Hei hi damdawi pakhat Tenecteplase an tih a ni.
A awlsam zawngin, Tenecteplase chu eng nge ni?
Tenecteplase, a nih loh leh TNK-tPA hi damdawi chak tak a ni a, thisen zam a tithianghlim a ni. Doctor te pawhin "clot-buster" an ti bawk.
Tunah chuan heart attack a lo awm dan hi han en ila. Kan thinlunga thisen petu thisen kalna kawng (coronary artery)-ah thisen zam a lo awm nghal chuan thinlung ruh thisen pek chu a tawp a, chu hmun chu a thi tan ta a ni. Chutah chuan he damdawi hi hman a ni. Tenecteplase injection hian thisen zam khap chu rang takin a tithianghlim a, thinlunga thisen kal chu a siam tha leh a ni. Hei hi kawngpui atanga inkharkhip lian tak paih chhuah a, motor kal tlang phalsak ang a ni.
He damdawi hi pek hmaa doctor hriattir tur thil
Hei hi damdawi chak tak a nih avangin i taksaa dinhmun thenkhat nen hman a hlauhawm thei hle. Chuvangin, he damdawi hi i ei hmain a hnuaia natna te hi i neih chuan i doctor hnenah hriattir ngei ngei tur a ni:
| I dinhmun emaw, remchang emaw i neih theih dan tur | Engvangin nge kan hriattir ang? |
|---|---|
| Aneurysm (thluak emaw hmun dangah emaw thisen kalna kawng bang chak lo) . | Thisen chhuah theihna a sang hle. |
| Thisen chhuahna lama harsatna, thisen zam chungchanga harsatna | Damdawi hian thunun theih loh thisen a chhuah tir thei a ni. |
| Diabetic Retinopathy (zunthlum avanga mit a thisen chhuak) . | Mit a thisen chhuah a pung thei. |
| Lung kawng (Endocarditis) atanga natna hrik awm a ni. | Infected part atanga thisen chhuah theihna a awm. |
| Tun hnaia lu hliam, thluak natna emaw, tumor emaw | Thluaka thisen chhuah theihna a sang hle. |
| Thisen sang thunun theih loh | Thisen sang hian vein a puak a, thisen a chhuak thei bawk. |
| Tun hnaia operation emaw, nau neih emaw, biopsy emaw, hliam na tak emaw a awm | Surgery hmun atang hian thisen a chhuak leh thei bawk. |
| Tun hnaia stroke a awm | Thluak thisen chhuak dang a awm thei bawk. |
| Pumpui ulcer emaw thisen chhuak ulcer emaw | Pum emaw, intestine emaw atanga thisen chhuak a pung thei. |
| Naupai lai te, nau pai tum te, nau hnute pek te | Doctor chuan nu leh naute tana hlauhawm thei tur chu a hriat chian a ngai a ni. |
| Damdawi dang emaw ei tur dang emaw allergy nei | Allergic reaction awm loh nan. |
He damdawi hi engtin nge i hman?
Hei hi damdawi dawr atanga i lak a, in lama i hruai theih tur damdawi a ni lo. Tenecteplase hi damdawi in emaw clinic emaw-ah chauh hman theih a ni., doctor emaw, health professional trained emaw-in a pek vaccine a ni. Chu chu emergency-ah chauh hman a ni tihna a ni a, damlo damdawi ina awm tan a ni.
Hei hi vein chhunga injection a nih avangin a nghawng chu a rang hle.
Naupang tê tê i neih a, he damdawi hi i pek a ngai a nih chuan enkawlna bik a ngai a ni. Hemi chungchang hi i doctor nen inbia la, thurawn i la tur a ni.
He damdawi hi damdawi inah a dose dik taka pek a nih avangin ‘overdose’ chungchangah harsatna a awm lo. Mahse, ruihhlo kaihhnawih poisoning i rinhlelh chuan Colombo National Hospital-a National Poisons Information Center -ah zawh nghal la, a hnai ber Emergency Treatment Unit (ETU)-ah kal nghal rawh.
He damdawi nena inzawm damdawi dang (Drug Interactions) .
Damdawi dang i ei lai hian he damdawi nen hian a inzawm thei a, chuvangin i damdawi ei zawng zawng hi i doctor hnenah hrilh vek a pawimawh hle.
- He damdawi hi ei loh tur: Damdawi Aminocaproic acid, Aprotinin, Tranexamic acid te hi he damdawi nen hian hman loh tur a ni.
- A bik takin he damdawi hi i ei a nih chuan fimkhur hle ang che:
- Antiplatelet damdawi - entirnan `clopidogrel`, `ticlopidine`
- Aspirin leh a ang chi damdawi te
- Thisen tithianghlimtu - entirnan `warfarin`, `heparin`, `enoxaparin`
- Painkiller leh anti-inflammatory drugs (NSAIDs) - entirnan `ibuprofen` emaw `naproxen` emaw
He list hi a kim lo. I damdawi ei zawng zawng, vitamin, herbal remedies leh supplement te pawh i doctor hnenah hrilh rawh. Tin, zu i in emaw, zu i in emaw chuan doctor hnenah hrilh bawk ang che.
Damdawi ei zawha fimkhur tur thilte
He damdawi hi pek i nih hnu hian medical staff ten uluk takin an lo thlir reng ang che.
He damdawi hian a side effect ber chu thisen chhuah theihna a tipung a ni . He effect hi ni engemaw zat a awm thei.
Chuvangin he hun chhung hian fimkhur hle a ngai a ni.
- Brush leh flossing i tih hian i hmui a tihchhiat loh nan zawi zawiin ti thin ang che.
- I taksa khawi hmunah pawh inhliam lo turin theihtawp chhuah rawh.
- I doctor-in bed rest la turin a tih che chuan khauh takin zawm rawh. Hei hian a tul lo taka chetna avanga thisen chhuak thei tur venna kawngah a pui thei a ni.
- Tunlai hian damdawi lam thurawn tel lovin natna tidamtu aspirin leh ibuprofen te ei loh tur a ni.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin he damdawi hian side effect a nei thei bawk. Ṭhenkhat chu a pawi hle a, report nghal tur a ni.
| Side effect awm dan (nature) a ni | Natna |
|---|---|
| I doctor emaw nursing staff emaw hnenah hriattir nghal rawh. | |
| Allergic Reaction awm thei te | Vun vun rawng, hnim hring, hmai, hmui, lei hring, thawk harsa. |
| Thisen chhuahna chhinchhiahna | Thianghlim dum emaw thisen chhuak emaw; zun sen emaw, a dum emaw; coffee ground ang maia thil awmte luak chhuak; vunah a sen hring a awm a; mit, hmui, hnar atanga thisen chhuak danglam tak. |
| Stroke a awm tih chhinchhiahna | Vision a inthlak danglam a; rilru tibuai; thusawi emaw, hriatthiam harsa emaw; lu na na tak; hmai, kut emaw, ke emaw-a rilru hah emaw, chak lohna emaw; kal harsa, luak chhuak. |
| Heart rate a inthlak danglam thin | Heart rate pangngai lo taka slow emaw fast emaw. |
| A awm reng emaw, a buaithlak emaw chuan doctor hnenah hrilh rawh. | |
| Luak chhuak thei | Lightheaded tih hriatna. |
| Khawsik | Taksa lumna. |
| Nausea, Luak chhuak | Pum natna leh luak chhuak. |
He list-ah hian side effect awm thei zawng zawng a tel lo. Hemi chungchanga zawhna i neih chuan i doctor zawh hreh suh.
Take-Home Thuchah a ni
- Tenecteplase hi damdawi chak tak, nunna chhanhimtu a ni a, heart attack vanga thisen zam tihthianghlim nan pek a ni. Damdawi inah chauh pek a ni.
- He damdawi ei avanga hlauhawm ber leh pawi ber chu thisen chhuah hi a ni. Chuvangin damdawi ei hnu ni engemaw zat chu hliam tuar lo turin fimkhur hle ang che.
- I damdawi lam dinhmun dang (a bik takin thisen chhuah, tun hnaia operation, thisen sang) leh damdawi i ei zawng zawngte chu i doctor hnenah hrilh ngei ang che.
- Thisen chhuak danglam tak, allergy chhinchhiahna (hmai hring ang chi), emaw, stroke chhinchhiahna (sudden numbness ang chi) i hmuh chuan medical staff-te hriattir nghal rawh.
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