Cancer enkawlna atan chemotherapy i tan dawn tih an hrilh che hian hlauthawng leh hlauthawng deuh i neih hi thil pangngai a ni. Mahse he inenkawlna chungchang leh damdawi pek dante hi dik taka hriattir kan nih chuan chu hlauhna chu nasa takin a tihziaawm thei a ni. Vawiin hian ‘Thiotepa’ kan sawi dawn a, chutiang cancer enkawlna atana injection bik pek thin a ni. Hei hi nangmah emaw, i hmangaih tak emaw hnena pek a nih chuan he thuziak hi i tan a tangkai hle ang.
Thiotepa chu eng nge ni?
A awlsam zawngin Thiotepa hi cancer cells dotu chemotherapy damdawi a ni. He damdawi hnathawh ber chu kan taksaa cancer cells te inthen darh chak leh thang chak lutuk control hi a ni.
He damdawi hi cancer chi hrang hrang enkawlna atan hman a ni. Entir nan:
- Hnute cancer a ni
- Ovarian cancer a ni
- Bladder cancer a ni
Tin, he damdawi hian cancer thenkhat avanga taksa chhunga tui awmkhawm chu a control thei bawk. Naupang tê thalassemia vei bone marrow transplant hnua graft rejection tihziaawmna atan pawh hman a ni.
Enkawlna i tan hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i pek hmain i medical team te hian i hriselna dinhmun hi an hriat chian a pawimawh hle. Chuvangin, heng thilte hi i neih chuan doctor hnenah hrilh ngei ngei tur a ni.
- Infectious condition awm tawh (a bik takin viral infection chickenpox leh herpes te).
- Kidney emaw liver emaw natna.
- Thisen lama harsatna , platelet hniam, thisen sen, emaw thisen var emaw te.
- Tun hnaia emaw radiation therapy kalpui mek emaw .
- Thiotepa, cancer dona damdawi dang, damdawi dang, ei tur, dye emaw preservatives emaw allergic reaction .
- Naupai i nih chuan, naupai tum i nih chuan, nau hnute i pe a nih chuan .
Engtin nge he damdawi hi taksaah pek a nih?
Hei hi damdawi in lama hruai theih a ni lo. Hospital emaw clinic emaw-ah he lam hawia training bik dawng tawh healthcare professional-in a pe thin a ni.
A tam zawkah chuan hei hi vein-a infusion angin pek a ni a, saline ang chi hi a ni . A then phei chuan bladder chhungah direct-in emaw body cavity-ah emaw pek theih a ni bawk.
He damdawi hi i fa hnenah i pe a nih chuan i naupang enkawltu doctor nen sawiho rawh. Thil thlan bik thenkhatah chuan naupang thla khat lek tan pawh pek theih a ni a, mahse ngaihtuah tur bik a awm.
I overdose a nih chuan engtin nge i tih ang?
Hei hi damdawi in hmuna pek a nih avangin a thleng a rinawm loh. Mahse, overdose i ei tawh nia i hriat chuan Colombo National Hospital-a National Poisons Information Center-ah zawh nghal la, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal nghal rawh.
Damdawi ei tur appointment ka neih loh chuan engtin nge ni ang?
He damdawi hi a hun taka ei a pawimawh hle. Damdawi in pan hun ruat saah i kal thei lo a nih chuan i doctor call nghal la, hriattir nghal rawh.
He damdawi nena inzawm thei thil dang
Pawimawh tak: He damdawi hi ei lai hian eng vangin virus nung vaccine lak loh tur a ni.
Tin, a hnuaia damdawi te hian hei hi a inzawm thei bawk.
- Clarithromycin hmanga siam a ni
- Cyclophosphamide hmanga siam a ni
- Itraconazole a ni
- Phenytoin a ni
- Rifampin a ni
- Ritonavir a ni
He list hi a kim lo mai thei a, chuvangin i damdawi ei zawng zawng (vitamin, herbs, leh supplement te pawh tel), i zuk leh in loh leh zu i in leh in loh te chu i doctor hnenah hrilh ngei ang che.
Enkawl laia ngaihtuah tur thil
Chemotherapy hian cell hrisel te pawh a nghawng avangin, i tan chuan i rilru hahna leh natna engemaw zat i neih hi thil pangngai a ni. Mahse, side effect i neih chuan doctor hnenah hriattir tur a ni. Doctor-in chawlhsan tura a tih hma loh chuan enkawl loh tur a ni a, a nuam lo a nih pawhin.
- Infection lakah inveng rawh: Khawsik natna lanchhuahna, khawsik, khawsik, leh ril na te i neih chuan mahni indam lo la, doctor nen inbia ang che. He damdawi hian i taksain natna a do theihna (immunity) a tihniam thei a ni. Chuvangin damlote lakah inthiarfihlim tum ang che.
- Thisen chhuah laka fimkhur rawh: He damdawi hian thisen chhuah emaw, hliam emaw i neih theihna a tipung thei a ni. Thisen chhuah emaw, hliam emaw danglam tak i hmuh chuan doctor hnenah hrilh rawh.
- Thisen test: I enkawlna chhung zawng hian thisen hnathawh i neih a ngai ang. Hengte hi skip suh.
Naupai leh nau neih dan chungchangah special awareness
He section hi a pawimawh hle. Uluk takin lo ngaihven rawh u.
Hmeichhiain he damdawi an ei lai leh an ei zawh hnu thla 6 chhung chu naupai loh tur a ni. Mipa pawhin he damdawi hi an ei lai leh an ei hnu kum khat (1) chhung fa neih loh tur a ni.
Hei hi a chhan chu he damdawi hian nausen piang lo tan harsatna nasa tak a thlen theih vang a ni. Hemi chungchang hi doctor zawt la. He damdawi hi i ei lai hian naute hnute pe suh.
Tin, he damdawi hian nau neih theihna a nghawng thei bawk. Hemi chungchangah hian ngaihtuahna i neih chuan enkawlna i tan hmain doctor nen inbiakna neih hmasa phawt ang che.
Eng side effect nge ka neih theih ang?
Mi zawng zawng hian side effect an nei vek lo a, mahse mi thenkhat chuan an nei ve tho. Hengte hi hriat chian a pawimawh.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| Doctor hnena report nghal tur thil | |
| Hri kai lan chhuah dan | Khawsik emaw, khawsik emaw, khawsik, khuh, ril na, zun laiin na. |
| Thisen chhuak chhinchhiahna | Hrisel lohna danglam tak, vunah hmun sen te te, zun chhunga thisen chhuak, coffee ground ang maia luak chhuak, bawlhhlawh dum emaw thisen chhuak emaw, ha/hnar atanga thisen chhuak. |
| Thisen sen tlahniam chhinchhiahna | A danglam bik taka chau emaw chak lo emaw, muhil emaw, tlu emaw. |
| Liver chhiatna chhinchhiahna | Dark yellow/brown urine, mit emaw vun emaw yellow, pum dinglam chunglam na, luak chhuak, ei duh loh. |
| Vun lama harsatna nei | Vun a sen, a hring, a hring (ka chhungah pawh). |
| Symptom na tak dang a awm bawk | Seizures, buaina, hallucinations, leh mutthilh lutuk. |
| A awm reng emaw, a buaithlak emaw chuan doctor hnenah hrilh rawh. | |
| Side effect awm fo thin | Injection na hmuna riltam, hmui na, natna, sen, emaw, a hring emaw. |
Take-Home Thuchah a ni
- Thiotepa hi chemotherapy damdawi a ni a, cancer cells te than dan tur a control a ni.
- Enkawl i tan hmain i damdawi lam dinhmun leh damdawi i ei zawng zawngte chu i doctor hnenah hrilh hmasa phawt ang che.
- He damdawi i ei lai hian natna hrik leh hliam lakah fimkhur hle ang che. Khawsik emaw, thisen chhuah emaw ang chi symptom i neih chuan doctor thurawn la nghal rawh.
- Naupai chungchanga thurawn (hmeichhia leh mipa tan) khauh takin zawm rawh. Hei hi tih ngei ngei tur a ni.
- I doctor hnenah side effect emaw harsatna i tawh theih dan tur sawipui hlau suh.
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