Toilet-ah pawh i kal fo a ngai em? A châng chuan zun chhuah duhna i nei nghâl a, thunun theih lohvin i inhria em? Hei hi dinhmun tibuaitu leh lungngai tak a ni tak zet. Ṭhiante nen zin chhuak tur emaw, party-a tel tur emaw pawh nise, "Toilet-a ka kal a ngai a nih chuan engtin nge ni ang?" Tolterodine hi he natna atana i doctor-in a pek thin damdawi a ni a, "Overactive Bladder" tih a ni. Hemi chungchang hi i hriatthiam theih tur awlsam takin sawi ila.
Tolterodine chu eng nge ni? A awlsam zawngin...
Kan bladder hi tuiin a khat balloon angin han ngaihtuah teh. Kan kal (kidney) atanga zun siam chu zawi zawiin he bawm (bladder) an tih ah hian a awm khawm thin. A khat tawk chuan bladder walls-a muscle te chu a inzawm khawm a, "tunah toilet-ah kal rawh" tiin min signal a ni.
Mahse, he "overactive bladder" an tih dinhmunah hian bladder chhunga ruh te chu a sensitive lutuk a, a khat vek hmain a inzawm tan thin. Chuvang chuan zun tam leh hmanhmawh taka i zun a ngai a ni.
He damdawi, Tolterodine tia koh hian i bladder chhunga taksa peng hrang hrang, overactive tak takte chu a ti hahdam a ni. He damdawi hi damdawi chi khat ``antispasmodics'' an tih zingah a tel a, taksa ruhte a relax chuan i bladder hian zun tam zawk a vawng rei thei a ni. Hei hian toilet kal duhna i nei tlem zawk dawn tihna a ni a, i zun pawh control a awlsam zawk dawn tihna a ni.
He damdawi hi i ei tan hmaa i doctor hnena i hrilh tur thilte
I doctor-in Tolterodine a pek hmain i hriselna thlalak kimchang tak a neih a ngai a ni . Chuvangin, a hnuaia tarlan te hi i neih chuan i doctor hnenah hrilh ngei ang che. Thup suh. Hei hian he damdawi hi i tan a tha em tih te, enkawlna dang i mamawh em tih te, a dose thlak a ngai em tih te an rel thei ang.
| Hriselna dinhmun emaw, thudik emaw | Hrilhfiahna |
|---|---|
| Zun harsatna | Zun harsa i neih tawh emaw, zun kim loh duhna i neih tawh emaw chuan chutiang chuan sawi rawh. |
| Glaucoma natna a awm | He damdawi hian glaucoma i neih chuan a nghawng thei che a, hei hian mit pressure a tisang a ni. |
| Intestinal lama harsatna a awm | Intestinal obstruction ang chi condition i neih chuan. |
| Lung natna | Heart rhythm irregularities, emaw chhungkaw zinga mi pakhatin chutiang history a neih chuan. |
| Kidney emaw liver emaw natna | I kal emaw, i thin (liver) hnathawh a chhiat chuan i taksa atanga damdawi lakchhuah dan a nghawng thei a ni. |
| Myasthenia gravis natna (myasthenia gravis) a ni | Hei hi taksa ruh tichak lotu condition a ni. |
| Allergy nei te pawh a awm | Tolterodine emaw, a ang chi damdawi (fesoterodine), damdawi dang, ei tur emaw, preservative emaw i allergy i neih chuan. |
| Naupai emaw, nau hnute pek emaw | Hei hi naupai emaw, naupai tum emaw, nau hnute i pek emaw chuan sawi tel ngei ngei tur a ni. |
Engtin chiah nge he damdawi hi i hman?
Hei hi a awlsam hle.
- He pill hi tui glass khat nen ei la .
- Nitin i damdawi chu hun khatah ei tum ang che , i doctor-in a tih angin. Hei hian i taksaah damdawi thatna chu a level inang reng turin a pui ang.
- I doctor-in "tunah hian titawp rawh" a tih hma loh chuan damdawi hi hmang chhunzawm zel ang che.Tlemin i rilru a hahdam deuh nia i inhriat pawhin, tawp thut suh.
- Naupangte hian he damdawi hi an ei hian enkawlna bik an mamawh mai thei a, chuvangin chu pawh chu i doctor nen sawiho rawh.
A pawimawh ber: He damdawi hi nangmah tan chauh pek a ni. I thian emaw chhungte emaw, nangmah ang bawka natna lanchhuahna nei te hnenah pe suh. A hlauhawm thei hle.
Damdawi i ei tam lutuk chuan engtin nge i tih ang? (A tam lutuk) .
He damdawi hi i ei tam lutuk angin han ngaihtuah teh. Hetiang a nih chuan , damdawi in hnai ber Emergency Department (ETU) ah tihkhawtlai lovin kal rawh. A nih loh leh Colombo National Hospital a National Poisons Information Center ah biak theih a ni bawk . Hei hi ngaihthah suh, damdawi eng pawh ei tam lutuk hian side effect a thlen thei a ni.
Damdawi dose khat ka ei loh chuan engtin nge ni ang?
Engkim kan hre reng lo va, kan damdawi ei pawh kan theihnghilh mai thei.
- I hriatreng veleh missed dose chu in nghal rawh .
- Mahse, i hriatreng hunah i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, i dose tur chu a hun ruat saah ei mai rawh.
- Eng thil vang pawhin vawi khatah vawi hnih ei loh tur. Hei hian side effect leh overdose a thlen theihna a tipung ang.
He damdawi nena inzawm thei damdawi dang (Interactions) .
Tolterodine i ei hian i ei mek damdawi dang thenkhat nen a inzawm thei bawk. Chuvangin, i damdawi ei zawng zawng, vitamin, herbal remedies, leh supplement te pawh tiamin, i doctor hnenah hrilh rawh .
A hnuaia tarlan te hi Tolterodine nena inzawm thei damdawi thenkhat an ni:
- Antibiotics thenkhat Clarithromycin leh Erythromycin te
- Cyclosporine a ni
- Depression damdawi, Fluoxetine ang chi te
- Fungal natna damdawi (e.g. fluconazole, itraconazole, ketoconazole) 1.1.
- Hriatrengna lama harsatna nei damdawi (e.g. galantamine, donepezil) .
- Vinblastine a ni
He list hi a kim lo a, chuvangin i ei tur zawng zawng doctor hnenah hrilh mai a him ber.
Damdawi ei huna hriat reng tur thil
- Medical test: Doctor appointment-ah kal la, in enfiah rawh. He damdawi result hi a lan chhuah theih nan hun engemaw chen a la ngai mai thei. Chuvangin dawhthei takin awm rawh.
- Nunphung inthlak danglamna: Tea, coffee, caffeinated drinks, leh zu te chu i hria emI bladder harsatna a zual zel mai thei tih i hlau em? Chuvangin he damdawi ei lai hian hengte hi tlem tal control a tha. Tin, i rilru natna (constipation) awm lovin i rilru a thawk tha reng chuan bladder symptoms a ti tlem thei bawk.
- Mutthilh leh fimkhur: He damdawi hian mi thenkhatah luak chhuak, mutthilh leh mitdelna a thlen thei. Chuvangin, chu chuan engtin nge a nghawng che tih chiang taka i hriat hma loh chuan, lirthei khalh emaw, machinery hman emaw ang chi fimkhur ngai thil tih hi pumpelh rawh. Thutna atanga i tho chuan zawi zawiin ding rawh. Zu in hian heng side effects te hi a tipung thei a ni.
- Dry mouth: Dry mouth hi he damdawi hian side effect a nei tlangpui. Sugar-free gum chewing te, sugar-free candy ei te, leh nitin tui tam tak in te hian a pui thei a ni. Hei hi a awm reng emaw, a nasat emaw chuan doctor hnenah hrilh rawh.
- Mit ro: Mit a vawt emaw, mit a fiah lo emaw i nei thei. Contact lens i vuah chuan harsatna engemaw zat i nei thei. Lubricating drop pawh i hmang thei bawk. Buaina a awm reng chuan doctor pan tur a ni.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin Tolterodine hian mi thenkhatah side effect a nei thei a. Chûng zînga ṭhenkhat chu a pawi hle a, ṭhenkhat erawh chu a nêm hle thung. A pawimawh ber chu hengte hi hriat chian a, a tul chuan hmalak vat hi a ni.
| Side effect na tak tak, doctor hnenah report nghal tur a ni | |
|---|---|
| Allergic reaction (Allergic reaction / angioedema) a awm chuan a chhuak thei lo. | Vun vun rawng, hnim hring, hmai, mit, hmui, lei, kut emaw ke emaw a hring, ei leh thawk harsa. |
| Heart rhythm a danglam thin | Thinlung thawk chak emaw, mumal lo emaw, luak chhuak, muhil, rilru na, thawk harsa. |
| A natna lan chhuah dan na tak dang `(Anticholinergic toxicity)` | Hmai sen, mit a fiah lo, hmui leh vun a vawt lutuk, buai, zun harsa, chaw ei kham. |
| A tlangpuiin a na lo (mahse a awm reng emaw, a buaithlak emaw chuan doctor hnenah hrilh rawh) | |
| Luak chhuak thei | Mutthilh theih lohna |
| Mit a vawt | Lu na |
| Luhai | Pum natna |
He list-a tel lo symptom dang danglam tak i neih chuan i doctor hnenah sawi hlau suh.
Engtin nge damdawi hi him taka i dahkhawm leh i paih theih ang?
- Damdawi hi naupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni .
- 15 leh 30 degree Celsius (15-30°C) inkarah dah la, chu chu room temperature pangngai a ni. Khua lum leh vawt lutuk atanga hla takah dah tur a ni.
- Damdawi expired hmang ngai suh .
- Damdawi expired emaw, mamawh tawh lo emaw paih dan tur doctor zawt la a tha ber. Damdawi thenkhat chu bawlhhlawh bawmah paih a rem lo. Chuvangin i Doctor thupek angin paih mai tur a ni.
Take-Home Thuchah a ni
- Tolterodine hi damdawi a ni a, zun a mamawh fo thin leh overactive bladder avanga zun control harsat thin te enkawlna atan hman thin a ni.
- He damdawi hi i ei tan hmain i doctor hnenah damdawi dang i neih leh i damdawi ei zawng zawngte kha hrilh hmasa phawt ang che.
- I damdawi chu i doctor-in a tih ang chiah chiah, a hun takah ei rawh. Nangmah chauhin a dose thlak ngai suh la, damdawi ei kha titawp nghal suh.
- Hmai natna, thawk harsa, thinlung na chak tak ang chi side effect na tak i neih chuan doctor pan nghal rawh.
- Damdawi hian mutthilh emaw, luak chhuak emaw a thlen theih avangin, a nghawng dan i rin tlat hma chuan lirthei khalh leh thil hlauhawm tak tak tih loh tur a ni.
- He damdawi hi i tan chauh a ni. Midang hnenah share ngai suh.
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