Cancer enkawlna dawn hi zinkawng awlsam a ni lo tih kan hre vek. Chu zin chhung chuan damdawi chi hrang hrang i hman a ngai a. Trabectedin hi injection chak tak a ni a, a bik takin cancer chi khat ‘Sarcoma’ an tih tan pek thin a ni. He damdawi chungchangah hian i rilruah zawhna tam tak i nei mai thei. Chu chu thil pangngai a ni. Chuvangin vawiinah hian he thuziak ah hian he damdawi chungchang te, a chunga thil thleng te, kan fimkhur tur te kan sawi dawn a ni.
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Trabectedin hi eng damdawi nge ni?
A awlsam zawngin, trabectedin hi cancer cells thattu damdawi a ni . A dik tak chuan chemotherapy regimen-a tel a ni. A hna ber chu taksaa cancer cell inthen chak tak takte lo thang chakna tihtawp a, tihchhiat a ni. He damdawi hi Yondelis brand name hmanga hmuh tam ber a ni.
He damdawi hi vein chhunga infusion angin pek che a ni. Hei hi in lama tih theih a ni lo. Hospital emaw clinic emaw a medical professional trained ten an pe che a ni . Tin, enkawlna apiangah he damdawi chungchangah hian special information leaflet (MedGuide) pek i ni bawk ang. A hun apiangah ngun taka chhiar leh hriatthiam a pawimawh hle.
Enkawlna i tan hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i ei tan hmain i doctor hnenah i hriselna dinhmun kimchang taka sawi hmasak a pawimawh hle. A hnuaia dinhmunte hi hrilh ngei ang che, a bik takin i neih chuan:
| I dinhmun | Engvangin nge doctor hnenah i hrilh a ngaih? |
|---|---|
| Lung natna | He damdawi hian a chang chuan thinlung hnathawh a tichhe thei a ni. |
| Kal natna | Kidney hi taksain bawlhhlawh a filter dan a ni. Kidney lama harsatna i neih chuan damdawi in a side effect a tipung thei a ni. |
| Liver natna | He damdawi hi taksa atanga lakchhuahna kawngah hian thin (liver) hian hmun pawimawh tak a chang a ni. Liver-ah harsatna a awm chuan damdawiin a nghawng chu a tul lovah a tipung thei a ni. |
| Thisen zat a hniam | I thisen sen, thisen var, platelet a tlahniam tawh a nih chuan he damdawi hian i dinhmun a ti na zual thei a ni. |
| Muscle na emaw chak lohna emaw | He damdawi hian taksa ruh a nghawng theih avangin doctor chuan harsatna awm tawh zawng zawng a hriat chian a ngai a ni. |
| Naupai tum emaw, naupai tum emaw | He damdawi hian nausen piang lai tan a tichhe thei hle a, chuvangin a chanchin hi hrilh ngei ngei tur a ni. |
| Nau hnute pek | Damdawi chhunga thil awmte hi nu hnute hmangin naute hnenah a kal thei a ni. Hei hian naute tan a pawi hle. |
| Damdawi dang emaw ei tur dang allergy nei | Allergy i neih apiang chu doctor hnenah hrilh rawh. |
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Naupai leh nau neih dan tur
Hei hi thil pawimawh tak a ni.
- Hmeichhia tan: He damdawi ei lai leh enkawlna chawlhsan hnu thla 2 chhung chu naupai loh tur a ni.
- Mipa tan: Naupai venna hmanraw rintlak tak hmang la, enkawl lai leh a hnuhnung ber pek hnu thla 5 chhung hman tur a ni.
He damdawi hian nausen piang lo chu nasa takin a tichhe thei a ni. Tin, he damdawi hi i ei lai hian nau hnute pek vek loh tur a ni.
Hri kai laka invenna
He damdawi hian i taksa immune system a tichak lo a, chu chu i natna a hlauhawm zawk tihna a ni.
- Khawsik leh flu vei te lakah inthiarfihlim rawh.
- Khawsik, khawsik, ril naHetiang symptoms i neih chuan paracetamol ang damdawi hi nangmah chauhin ei suh. Doctor call nghal rawh.
- Ha sil leh toothpick hman hunah fimkhur hle ang che. Gums thisen chhuak leh infection a awm tam zawk. Ha enkawlna eng emaw i neih chuan i ha enkawltu hnenah he damdawi hi i ei tih hrilh rawh.
Damdawi leh ei tur dang nena inzawmna
Trabectedin hian i ei tur damdawi dang thenkhat nen a inzawm thei bawk. Chuvangin, i damdawi ei zawng zawng (vitamin leh herbal remedies te pawh tel) i doctor hnenah hrilh rawh . A bik takin a hnuaia mite hi fimkhur hle ang che:
- Painkillers: Damdawi aspirin leh ibuprofen ang chi hi Doctor thurawn lo chuan ei loh tur a ni. Chungte chuan khawsik a titawp thei a, natna hrik hriat a harsat phah bawk.
- HIV emaw AIDS emaw damdawi
- Antibiotics thenkhat: Entirnan, clarithromycin, telithromycin.
- Antifungals: Damdawi ketoconazole leh itraconazole ang chi te.
- Epilepsy damdawi: carbamazepine leh phenytoin te ang chi.
- St. John’s Wort hi thing leh mau atanga siam a ni.
- Grapefruit tui: He damdawi ei lai hian grapefruit tui in loh tur a ni a, damdawi in a nghawng dan a tidanglam thei a ni.
Eng side effect nge awm thei?
Cancer damdawi dang ang bawkin Trabectedin hian side effect a nei thei a ni. Hei hi a chhan chu he damdawi hian cancer cell leh cell hrisel te pawh eng emaw chen a nghawng vang a ni. A pawimawh ber chu heng symptoms te hi hriat chian a, a tul hunah doctor hriattir hi a ni.
| Side effect/symptom a awm thei | Engtin nge i tih ang? |
|---|---|
| Hengte hi a pawi thei hle: doctor hnenah hrilh nghal rawh. | |
| Allergic reaction: vun rawng, vun hring, hmai/ hmui hring. | Damdawi lam thurawn zawng nghal rawh. |
| Liver chhiatna chhinchhiahna: mit emaw vun emaw a sen, zun dum/brown, pum dinglam na, ei duh loh. | Hengte hi symptom na tak tak a ni. Doctor hnenah hrilh nghal rawh. |
| Muscle chhiatna chhinchhiahna: zun dum, zun harsa, taksa ruh natna nasa tak. | Doctor hnenah hrilh nghal rawh. |
| Thisen chhuah chhinchhiahna: vun hnuai lama sen te te, hliam, bawlhhlawh dum, leh zun chhunga thisen awm. | Doctor hnenah hrilh nghal rawh. |
| Infection symptoms: khawsik, khawsik, khuh, ril na. | Doctor hnenah hrilh nghal rawh. |
| Thâwk harsa, ril na, ke/kut/ ke ruh a hring. | Doctor hnenah hrilh nghal rawh. |
| Thil awmze nei mahse a awm reng a nih chuan i doctor hnena i hrilh tur thilte | |
| Nausea, luak chhuak | Hengte hi control turin doctor hnenah damdawi i dil thei bawk. |
| Constipation, lu na, chaw ei chak lohna | Hengte hi a awm reng chuan doctor hnenah hrilh rawh. |
| Chauh lutuk, mut theih lohna | Hengte hi enkawlnaah hian a tel thei a, mahse tuar theih loh khawpa tam a nih chuan doctor nen inbia ang che. |
He damdawi hi 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.
Enkawl lai hian natna emaw, nuam lo emaw tih hi thil pangngai tak a ni. Mahse doctor-in a tih loh chuan enkawlna chu titawp suh. I ngaihtuahna eng pawh chu tlang takin sawipui rawh.
Take-Home Thuchah a ni
- Trabectedin hi damdawi chak tak a ni a, cancer chi khat sarcoma tih enkawlna atana hman a ni. Damdawi inah doctor enkawlna hnuaiah pek a ni.
- Enkawl i tan hmain i damdawi lam dinhmun zawng zawng leh i damdawi ei zawng zawngte chu i doctor hnenah hrilh hmasa phawt ang che.
- He damdawi hi ei lai hian naupai leh nau hnute pek hi pumpelh vek tur a ni. Birth control rintlak hmang rawh.
- Khawsik, vun sen, vun sen ang chi side effect na tak i neih chuan doctor hnenah hriattir hmasak phawt tur a ni.
- Enkawl lai hian hrehawm tih hi thil pangngai a ni. Mahse, nangmah chauhin enkawlna tihtawp tum ngai suh. I doctor nen inbia fo ang che.
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