AYURVEDIC PHARMACOVIGILANCE CHUNGCHANGA KAN HRIATTUR PAWIMAWH TE

Dr. R. Lalrinsangi
Junior Research Fellow
PPVC, Civil Hospital
Aizawl

Dr. Laltlankimi Ralte
Co- ordinator
PPvC, Civil Hospital
Aizawl

“A poison, when used in very small, controlled amounts, can sometimes become a medicine. Similarly, even a good thing or a medicine can turn into poison if overused or misused”.
Mizoram pawh kan lo changkang chho ve zel a. Network-marketing te kan hmelhriat hnuah phei chuan, a hmaa kan hriat ngai loh Ayush (ramhmul?) damdawi te nen kan inchiahpiah nasa ve ta hle mai.
Ayush damdawite hi Pharmacopoeia (Damdawi siam leh hman dan tur inziahna bik) tlawhchhana siam vek an ni a. Chumi hnuah a chawh turin he lama zirna bik nei (AYUSH Doctor) rawn hnua ei chauh tur an ni. Heng zawng zawng hnuah pawh mihring taksa kan inan loh avangin harsatna eng emaw kan chungah a la thleng ve thei cheu bawk.
Chung harsatna thleng thei te chu:-
Adverse Drug Reaction( ADR) :-
Kan tumlawk vang ni miah si lova kan damdawi ei avanga kan taksaa harsatna lo thleng, damdawi ei zat leh ei dan bituk anga ei hnu pawha harsatna lo thleng si te; Allergy emaw kan taksaa a thawh dan danglam bik vanga a reaction dang deuh lo awm vang te emaw, kan ei dan dik hlel deuh vangte leh chhan hriat loh vangte in kan taksaah harsatna a lo thleng thin hi ani.
He ADR kan tih hi chi hrang hrang a awm a, chungte chu-
1. Augmented – Damdawi hnathawh (Pharmacological action) lo danglam deuh vangte a ni tlangpui thin a. Damdawi ei dose tih danglam hreta reh leh mai thei chi an ni a, case report neih tamna ber an ni bawk.
E.g – Damdawi inang company dang siam ei vangte, damdawi dang nena ei pawlh vanga a hnathawh tur aia nasa a lo thawk te emaw ei dan tur a pek dose dik lova ei palh vangtea harsatna lo thleng hi an ni.
2. Bizzare- Sawifiah theih loha mak taka harsatna lo thleng sawina a ni. Kan taksa danglam bik vangtea damdawi ngeih loh bik kan neih thin te hi a ni tlangpui a, damdawi ei dan (dose) dik leh dik loh vang lam a ni lo tlangpui.
E.g – Damdawi allergy entirnan Penicillin te, sulpha drugs kan tih ho te ngeih loh vanga taksaah vung etc. lo awm thin ang ho sawina kha a ni.
3. Chronic – Damdawi rei tak ei/hman tawh vanga harsatna kan tawh te hi hemi hian a huam.
E.g – Nachawkna etc. te ei nasat lutuk avanga pum tha lo kan neih ang te, mutna damdawi kan ei rei tawh lutuk avanga a ngawl vei/ a tel loa awm theih lohna thleng te hi an ni.
4. Delayed – A la thleng dawn tih hriat tho si, mahse rei tak tih/ei hnu chauha harsatna kan tawh ang hi.
E.g – Zial zu nasa mi chuan chuap cancer te anla vei thei tih kan hriat lawksa ang te hi ani.
5. End of Dose related ADR – Damdawi ei tawh thin reng pawh a course kan ei zawh tawh dawn hnu lam emaw ei lai ei chawlhah chauh harsatna lo thleng thin hi a awm ve.
E.g – BP sang te, zunthlum damdawi ei lai kan chawlh thut hian BP/Zunthlum han san zual thut emaw buai phah te a awm ve thin.
AYUSH Damdawi chanchin tlangpui:
AYUSH tih hi system hrang hrang hlawm khawm a ni a. System hrang an nih angin damdawi leh a ei dan te, a chawh dan te pawh a hrang hlak an ni a. Tun tumah hian AYUSH hnuai ami Ayurvedic damdawi bik hi han thlur bing dawn ta ila.
Ayush damdawi kan tih hian mizote chuan hnim hnah/thlai hring atanga siam tih hi kan ngaihdan a ni tlangpui thin a. Ayurvedic damdawi te hi siam dan hlawm lian a then ni in –
Herbal (Thlai/Hnimhring) atanga siam te
e.g : Tab Ashwagandha
Herbo-Minerals (Ransa/Leilung hausakna leh herbal ho pawlh)
e.g : Yogaraj Guggulu
Rasa (Minerals- leilung hausakna hlang)
e.g : Rasa Sindoor
te atanga siam an ni.
Heng bakah hian Ayurvedic damdawite hi chi hnih (2)a then hran dang a awm leh a –
1. Classical Medicines (From Ancient Ayurvedic Books) – hmanlai atang tawha lehkhabu pawh a lo ziah luh tawh chhawm nun ho.
e.g : Triphala etc..
2. Proprietary Medicine (Company products) – Tunlai a an zawrh kan hmuh tam ber company-in hming a siamsak (Brand Name) hmang tea zawrh thin ho.
e.g : Liv 52 etc..
A damdawi bul ber (main ingredients) bakah hian a damdawi tichaktu tur leh vawngtu tur pawlhsawp an nih bawk thin avangin a chang chuan Poly herbals tiin kan sawi mai thin a. Tin, Herbals kan tihah pawh hian chi hrang hrang awmin Poisonous leh Non-Poisonous (Tur pai leh pai lo thlai) te an awm leh a. Plants chikhat Aconitum Ferox kan tih hi tur hlauhawm Aconite an pai a, mahse hei hi a nih tur anga processed (sawngbawl) an nih hnuah chuan damdawi tangkai takah a chhuak ta thin a. Heng damdawite hi tha tak si fimkhur taka hman ngai an ni tlangpui. Heng kan thai lan te hi a nihna anga hman tawp ni lovin, damdawia chantir tur khan Purification Process (Tih thianghlimna) leh siam danglamna tam tak an paltlang hnua Damdawi atana hman chauh an ni ta thin a ni.
Ayush Pharmacovigilance:-
Mi tam tak ngaihdanah chuan AYUSH damdawite hi Side effects awm lova sawi thin an ni a. Mahse thil reng reng hi Effects an awm dawn chuan Side effects an awm ve a ni tih hi hriat tel a tha.
Heng a him tih changchawia quality tha an ni nge ni lo hre lova lo ei ve ngawt te, a pawlhsawp a dik em tih te, a thianghlim tawk em, kan hman dan a dik em tih zawng zawng hi hriatchian phawt a tul a. A nihna tur ang taka kan hmang lo a nih chuan Side effects emaw Adverse Drug Reaction chu a awm thei dawn lutuk a ni tih hi kan hriat a tul a ni. Tunlai hian damdawi thenkhatah Ayurvedic tih inziak si mahse Chemical hlauhawm (Steroids emaw) lo pawlh tawk pawh an awm ve tih kan hriat a tha.
Ayush/Ayurveda chuan engkim hi zirchian tlak/ chhui chian dawl (Scientific base) a chhawp chhuah zel a duh tawh avangin, damdawi lama a bika chhui zui/zir chianna turin National Pharmacovigilance Program for AYUSH (NPP-AYUSH) chu kum 2008 khan Ministry of AYUSH-in a din a. Mizoram-ah pawh AYUSH Directorate hnuaiah hian Pharmacovigilance cell hial a lo din phah ta a ni. Eng nge chu chu kan tih chuan India ram chhung, a bikin phai lam atanga chah luh damdawite hi a lar hle a, company tam tak awmin damdawi siamchhuah a tam hle. Hengah te hian Pharmacopiea-a dan awmte zawm tha tawk lo awm ve thinin market lama zawrh chhuah a tam si a, danin a phal chin bak bak a fak uchuakna hmuh tur a tam tak em vangin Ministry of AYUSH chuan AYUSH damdawi te a lo him zawk nan, mipui te lo him zawk nan leh AYUSH damdawi siamchhuahna kawngah te hma kan sawn theih nan he program hi a lo din ta a ni.
Dan leh dun lam :-
He Pharmacovigilance hnuaiah hian damdawi siamchhuah lam leh ei dan chauh ni loin zawrh chhuahna kawnga mipuite himna atana hmalakna tura hnathawhna a keng tel a. The Drugs and Magic Remedies (Objectionable Advertisements) Act, 1954 hnuaiah hian heng AYUSH damdawi nia inchhal te reng reng chu hmansual a awm loh nan tiin zawrhchuahna kawngah hian dan leh dun a siam nual a. Damdawi a nihna bak baka fak te, a tih theih ni miah lo ti theia chhuah te, magic ang maia natna enkawl reng ngai kan tih mai entirnan zunthlum dam theihna etc.. tia fak te khapna dan a siam a. Hemi hnuaia dan bawhchhiaa zuarte chu hremna pek theih an nih thu te leh medical mi leh sa nisa tan pawah license cancel theihna hial te a dah a ni.
Mipuite hriat tur pawimawh:-
Heng Ayush damdawi chungchangah hriatchian/zawh tur nei chuan AYUSH OPD, Civil Hospital, BLOCK ‘D’ 1st Floor-ah zawhfiah theih reng a ni.
AYUSH Damdawi zuar nazawng hi AYUSH mi leh sa anni kher lo tih hriat a tha. Khaw thenkhat leh khawi emaw laia Ayush hming chhala mi ina kal kual (door to door)-a damdawi zuar thin an awm hi Ayush Pharmacovigilance chuan pawi a ti a, mipuite fimkhur turin kan inngen nghal a ni.
AYUSH damdawi report duh nei tan kan inhawng reng a, te lua awm lovin Ayush damdawi ei hnua pum nuam lo, vun thak etc. leh Allopathy damdawi nen ei kawp ngam a ni em tih zawhna zawng zawng pawh kha report emaw zawhfiah theih a ni.
AYUSH doctor-in damdawi min chawh te sawiselna leh zawh fiah duh kan neih chuan midang hnena kal mai lovin, Ayush Doctor ngei i rawn thin ang u.