Thâwk harsa , asthma , emaw chronic obstructive pulmonary disease (COPD ) vei tu pawhin nunpui chu a harsat theihzia an hria a ni. Nilengin i rilru a khauh ang maia inhriatna te, hna tenau i tih lai pawha luak chhuak tih hi i nitin nunah daltu lian tak a ni thei. Chuvangin vawiin hian hetiang dinhmun control nana doctor ten an pek thin inhaler chi khat bik kan sawi dawn a ni. He inhaler hmangtu zinga mi i ni mai thei.
He inhaler hi eng nge ni? A dik tak chuan...
Hei hi special dry powder inhaler a ni a, damdawi pathum inzawmkhawm a ni. Damdawi pathumte chu fluticasone, umeclidinium, leh vilanterol te an ni. I doctor chuan brand name `TRELEGY ELLIPTA` tiin a ko mai thei.
A awlsam zawngin, heng damdawi pathumte hian an thawk dun a, i lungte chu hahdamna a pe a ni.
1. Fluticasone: Hei hi inhaled steroid a ni a, thawkna kawng a swelling a ti tlem a ni . I thawkna kawng a inflamed leh a hring ang maiin ngaihtuah rawh. He damdawi hian a thawk a, a hring (swelling) a tihziaawm a, i thawkna kawng a hawng bawk.
2. Umeclidinium: Hei hi anticholinergic drug a ni a, thawkna kawng chhehvela taksa ruh te a ti hahdam a ni . Heng taksa peng hrang hrangte hi an tihkhauh chuan thawk a harsa thin. He damdawi hian chu tightness chu a ti relax a, thawkna kawng a tizau bawk.
3. Vilanterol: Hei hi bronchodilator rei tak a ni bawk a, thawkna kawng zau tak a awm theih nan a pui bawk .
Chung pathumte chu an inzawm khawm chuan i thawk hah lutuk chu an thunun a, nilengin thawk hahdam turin an pui bawk.
A pawimawh ber: Hei hi “controller inhaler” an ti a. Hei hian nitin i symptoms control nan leh asthma emaw COPD flare-ups ven nan hman a ni tihna a ni.Hei hi asthma attack nghal emaw, COPD flare-up na tak emaw a awm chuan hman tur a ni lo. I doctor chuan chutiang emergency atan chuan “rescue inhaler” hran a pe che a ni mai thei.
He damdawi hi i hman hmaa i doctor hnena i hrilh tur thilte
He inhaler hi a pek hmain i doctor chuan medical history kimchang tak a la hmasa tur a ni . Hei hi a chhan chu he damdawi hman hian dinhmun thenkhatah hian fimkhur bik a ngai a ni. A hnuaia tarlan te hi i neih chuan i doctor hnenah hrilh ngei ang che.
| I damdawi lam dinhmun emaw, i dinhmun emaw | Engvangin nge ka hriattir ang? (a tawi zawngin) |
|---|---|
| Zunthlum | He damdawi hian thisen sugar level a nghawng thei a ni. |
| Lung natna emaw, thisen sang emaw | Heart rate emaw thisen sang emaw a danglam thei. |
| Mit natna (a bik takin glaucoma) . | Mit pressure a sang thei. |
| Taksa chhunga natna hrik kai theihna | Steroid a awm avangin infection control a nghawng thei a ni. |
| Ruh natna (Osteoporosis) a awm | Hun rei tak hman chuan ruh a nghawng thei. |
| Thyroid, seizure, kal, emaw prostate lama harsatna nei | Heng natna lan chhuah dan hi a inang lo thei hle. |
| Naupai emaw, naupai tum emaw | Nausen chunga nghawng a neih theih dan tur chu i doctor nen in sawipui tur a ni. |
| Nau hnute pek | Damdawi hi bawnghnute hmangin naute hnenah a kal em tih hriat a pawimawh. |
| Bawnghnute emaw lactose emaw allergy nei | He inhaler-a powder hian lactose a pai a. |
He inhaler hi engtin nge dik taka hman theih ang?
Hei hi hman dan hi a pawimawh hle. I hman dik loh chuan damdawi hlawkna kimchang i hmu lovang.
1. Nitin hun khatah: Hei hi nitin hun khatah hmang la, i doctor-in a sawi angin. Hei hi tih danah siam rawh.
2. Inhaler buatsaih dan: Inhaler khuhna chu a sir khatah nawr rawh. “Clic” i hriat hma loh chuan i nawr a ngai a ni. Tunah chuan inhaler chu hman theih turin a inpeih tawh.
3. Thâwk chhuah: Inhaler hi i kâa i dah hmain thûk takin thawk chhuah hmasa phawt ang che. Mahse, inhaler chhungah chuan thawk chhuah suh.
4. Damdawi inhaling: Tunah chuan inhaler hmui chu i hmui hmangin khar nghet takin khar la, i hmui hmangin thawk thuk tak, rei tak la rawh.
5. Thâwk vawn: I kâ aṭanga inhaler chu la chhuakin, i thawk chu second 3-4 emaw, i theih ang tawkin emaw vawng tlat ang che.
6. Thâwk chhuah: Tunah chuan thawk chhuak rawh.
7. Cover khar: I hman zawh chuan cover chu a awm ang angin khar tur a ni.
8. I hmui silfai (a tul!): Hei hi a pawimawh ber a ni. Inhaler hman zawh veleh, .I hmui chu tuiin uluk takin silfai la, chil chhak chhuak rawh. Tui chu ei ngai suh. Hei hi thrush venna atan a ni.
Dose ka miss a nih chuan engtin nge ka 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 (e.g., darkar tlemte chhungin) dose hloh chu skip la, i dose lo awm tur chu a hun ruatah ei rawh. Eng thil vang pawhin vawi khatah vawi hnih ei loh tur.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
I ngaihtuah aia tam damdawi i ei nia i hriat chuan Colombo National Hospital-a National Poisons Information Center-ah phone nghal la, a nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal nghal rawh.
He damdawi nena inzawm thei damdawi dang (Drug Interactions) .
Damdawi i ei zawng zawng, i doctor hnena hrilh vek a pawimawh hle a, chutah chuan prescription damdawi, over-the-counter damdawi, herbs, leh vitamin te pawh a tel. Damdawi thenkhat chuan he inhaler hi an inzawm khawm thei a, side effect a thlen thei a, inhaler thatna a ti tlem thei bawk.
| Ruihhlo chi hrang hrang | Entirnan |
|---|---|
| Damdawi ei dun ngai loh tur | |
| Heart rhythm control damdawi thenkhat | Cisapride, Dronedarone, Pimozide, Thioridazine te a awm bawk |
| MAOI ang chi antidepressant damdawi a ni | Marplan, Nardil, Parnate te an ni |
| Damdawi dang fimkhur taka hman tur | |
| Beta-blockers (lung natna/thisen sang tan hman thin) . | Metoprolol, Propranolol tih a ni |
| Fungicide leh antibiotics thenkhat | Ketoconazole, Itraconazole, Clarithromycin te a awm bawk |
| HIV/AIDS natna atana hman tur ruihhlo | Ruihhlo Ritonavir ang chi te |
| Thluak lam natna dang atana hman thin inhaler | Ipratropium, Tiotropium tih a ni |
Hman huna fimkhur tur thil
- Symptoms ngaihven rawh: I symptoms a lo tha lo a nih chuan, emaw, a na zual ang tih a hriat chuan doctor hnenah hrilh nghal rawh.
- Emergency-ah inbuatsaih rawh: Kan sawi tawh ang khan hei hi emergency damdawi a ni lo. I rescue inhaler kha i bulah dah reng ang che. I hman fo a ngai tih i hriat chuan i dinhmun chu thunun theih loh a nihzia tilangtu a ni thei. Hetiang a nih chuan doctor nen inbia ang che.
- Hman hnu lawka thawk hah: A tlem hle a, mi thenkhat chuan he inhaler hi an hman hnu lawkah thawk hahna a pung thei. Chutiang a nih chuan he inhaler hi hman kha bansan nghal la, i reliever inhaler hmang la, i doctor nen inbia ang che.
- Infection lakah inveng rawh: He damdawi hian i immune system a tichhe deuh thei. Chuvangin, khawsik emaw, khawsik emaw nei te lakah inthiarfihlim tum ang che . Khawsik, taksa na, emaw, kawr na emaw ang chi symptom i neih chuan doctor hnenah hrilh rawh.
Eng side effect nge ka neih theih ang?
Damdawi zawng zawng ang bawkin he damdawi hian side effect a nei thei a, mahse mi tam zawk chuan side effect na tak an nei lo.
| Allergic Reaction awm thei te | Skin rash, itching, hmai, hmui, lei hring. |
| Heart rate a inthlak danglam thin | I thinlung na tak ang maia inhriatna, rilru na, luak chhuak. |
| Vision a danglam thin | Mit hmuh fiah lo, mit na nghal, light vel ring hmuh. |
| Ka chhunga hmun dum (Thrush) . | Ka emaw, kawchhunga fungal infection (kawng silfai hian a veng thei). |
| Zun harsatna | Zun a harsat emaw, a na emaw. |
| Lu na | Thlarau na emaw, ri bengchheng emaw |
| Kawng a vawt | Khuh |
| Mut harsat | Kut chhunga tremors (subtle tremors) a awm |
Take-Home Thuchah a ni
- He inhaler hi nitin natna control nana hman thin "controller inhaler" a ni a, rang taka beih nana hman thin "reliever inhaler" a ni lo.
- I hman apiangin i hmui chu tuiin uluk takin silfai la, tui chu paih chhuak rawh. Hei hi tih ngei ngei tur a ni.
- Damdawi dang i ei zawng zawng leh i damdawi lam dinhmun dang zawng zawng chu i doctor hnenah hrilh rawh.
- I natna lan chhuah dan a zual emaw, a danglamna danglam tak i neih chuan doctor thurawn la nghal rawh.
- He inhaler hi nangmah tan chauh pek a ni. Midang hnenah share ngai suh.
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