Digoxin: Nea ɛsɛ sɛ wuhu fa koma aduru yi ho

So wo duruyɛfo akyerɛw aduru a wɔfrɛ no Digoxin ama wo anaa w’abusua mu bi? Sɛ saa a, ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wopɛ sɛ wuhu aduru yi ho asɛm kakra, na ebia wo ho yeraw wo mpo. Efisɛ eyi yɛ aduru a ɛho hia yiye, na ɛsɛ sɛ wɔde ahwɛyiye kɛse di dwuma. Enti mma ɛnhaw wo. Wɔ saa asɛm yi mu no, yɛbɛka nea Digoxin yɛ pɛpɛɛpɛ, nea ɛyɛ, ne nea ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde redi dwuma no ho asɛm.

Sɛ yɛbɛka no tiawa a, dɛn ne Digoxin?

Digoxin yɛ aduru a akyɛ yiye. Wɔde afifide bi a ɛsow nhwiren a wɔfrɛ no foxglove na ɛyɛ. Ɛka nnuru bi a wɔfrɛ no cardiac glycosides ho .

Mpɛn pii no, sɛ nnuruyɛfo fi ase sa komayare a, wodi kan kyerɛw nnuru afoforo. Yɛfrɛ wɔn ‘nnuru a edi kan.’ Sɛ saa nnuru no ntumi nyɛ adwuma sɛnea wɔhwɛɛ kwan, anaasɛ sɛ ɛho hia sɛ wɔnom nnuru foforo a, wɔkyerɛw digoxin.

Oduruyɛfo no kamfo aduru yi kyerɛ titiriw ma komayare a edidi so yi:

• Koma a entumi nyɛ adwuma yiye: Eyi ne bere a koma no ntumi mfa mogya a ɛdɔɔso nkɔ nipadua no mu.
• Atrial flutter: Tebea a ɛma koma no atifi (atria) no bɔ ntɛmntɛm yiye.
• Atrial fibrillation (Afib): Tebea a ɛma koma no atifi dan no bɔ ntɛmntɛm na ɛyɛ ntɛmntɛm.

Dɛn na digoxin yɛ yɛn koma?

Fa yɛn koma sɛ nsu pɔmpɛ. Ɛtɔ da bi a, saa pɔmpɛ yi yɛ mmerɛw na entumi mfa nsu nkɔ yiye. Aduru a wɔfrɛ no digoxin no yɛ nneɛma atitiriw abien.

1. Ɛboa ma koma ntini no twetwe denneennen: Eyi ma koma a ayɛ mmerɛw no tumi de mogya pii kɔ nipadua no mu prɛko pɛ. Ɛte sɛ nea wɔma pɔmpɛ a ayɛ mmerɛw no ahoɔden pii.

2. Ɛma koma no bɔ yiye na ɛma ɛyɛ brɛoo: Titiriw wɔ tebea horow te sɛ Afib mu no, koma no bɔ ntɛmntɛm yiye na ɛnyɛ nea ɛkɔ so daa. Digoxin yɛ adwuma denam anyinam ahoɔden nsɛnkyerɛnne a ɛma koma no bɔ brɛoo no so. Eyi ma koma no bɔ brɛoo na ɛbɔ daa.

Mfaso bɛn na ɛwɔ saa aduru yi so?

Digoxin wɔ mfaso pii ma ayarefo sɛ wɔde di dwuma yiye a.

• Ebetumi atew nnipa dodow a wɔde wɔn kɔ ayaresabea esiane komayare nti no so.
• Ɛboa ma komayare ho sɛnkyerɛnne te sɛ ɔbrɛ ne ahome a ɛyɛ tiaa no so tew.
• Ebetumi ama ayarefo asetra atu mpɔn.
• Wobetumi adi koma a ɛbɔ so wɔ nnipa a wɔwɔ tebea horow te sɛ Afib mu.

So yenim nea efi mu ba no nso?

Te sɛ nnuru biara no, digoxin betumi anya nkɛntɛnso bɔne. Ɛnyɛ obiara na onya bi, nanso ɛho hia sɛ wohu wɔn.

Digoxin Toxicity - Baabi a ɛsɛ sɛ yɛhwɛ yiye kɛse!

Sɛ yɛreka digoxin ho asɛm a, ade biako a ɛsɛ sɛ yehu ankasa ne digoxin awuduru ho . Eyi ba bere a digoxin dodow a ɛwɔ mogya no mu kɔ soro sen nea nipadua no betumi agyina ano no.

Nneɛma a ebetumi ama digoxin dodow akɔ soro

Nnuan bi, nnuru afoforo, ne akwahosan tebea horow bi betumi asakra digoxin dodow a ɛwɔ yɛn nipadua mu.

• Aduandi: Nnuan a ahoɔdennuru pii wom a wubedi anaasɛ ahoɔdennuru a wɔde ma a wobɛnom.
• Nnuru afoforo: Nnuru a wɔde sa nyarewa bi (macrolides), metoclopramide a wɔde sa akisikuru, antacids a wɔde sa yafunu mu yare, ne nnuru bi a ɛma mogya mu srade so tew.
• Asaabo dwumadi: Asaabo titiriw na eyi digoxin fi nipadua no mu, enti obi a ɔwɔ asaabo mu yare no wɔ asiane kɛse mu sɛ digoxin awuduru bɛba no.

Bere a yɛrenyin no, yɛn asaabo dwumadi so tew kakra fi awosu mu. Enti, egye bere tenten ansa na aduru yi afi obi a ne mfe akɔ anim nipadua mu. Enti, oduruyɛfo no besusuw eyinom nyinaa ho bere a ɔrekyerɛ dodow a wɔde bɛma no no.

Ɔkwan bɛn so na wɔhwɛ digoxin dodow?

Bɛyɛ dapɛn biako akyi a wufi ase nom digoxin no, wo duruyɛfo bɛka akyerɛ wo sɛ wɔnyɛ wo mogya mu nhwehwɛmu. Eyi bɛma woahu sɛnea digoxin dodow a ɛwɔ wo mogya mu no te. Wɔtaa yɛ saa sɔhwɛ yi nnɔnhwerew 6-8 wɔ aduru no a wɔanom akyi. Ɛho behia sɛ woyɛ sɔhwɛ yi daa wɔ ɛno akyi. Mma nntwa sɔhwɛ ahorow yi so. Ɛho hia paa ma w’ahobammɔ.

Dɛn ne awuduru ho sɛnkyerɛnne?

Sɛ digoxin dodow a ɛwɔ mogya no mu boro 2.0 ng/mL (nanograms wɔ mililita biara mu) a, asiane a ɛwɔ hɔ sɛ awuduru betumi ayɛ kɛse. Oduruyɛfo nso betumi anya eyi ho adwene denam nsakrae a ɛba koma no anyinam ahoɔden dwumadi mu a ɔde ECG (electrocardiogram) bɛhwɛ so .

Nsɛnkyerɛnne atitiriw a ɛkyerɛ sɛ obi anya awuduru:

• Akisikuru a emu yɛ den ne ɔfe
• Anisoadehu sesa (nneɛma da adi kɔkɔɔ/ahabammono, ɛyɛ kusuu, hu halo ahorow a atwa akanea ho ahyia) .
• Koma a ɛbɔ a ɛnteɛ (koma a ɛbɔ ntɛmntɛm anaasɛ ɛbɔ denneennen, koko mu yaw) .
• Adwene mu naayɛ a emu yɛ den
• Ɔbrɛ ne nna a ɛtra so

Sɛ saa sɛnkyerɛnne ahorow yi ba a, ebetumi akum obi. Enti, ɛsɛ sɛ wokɔ ayaresabea a ɛbɛn wo no dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ (ETU) mu ntɛm ara. Ɛtɔ mmere bi a, potassium dodow a ɛwɔ mogya no mu no betumi akɔ soro wɔ ɔkwan a ɛyɛ hu so. Yɛfrɛ eyi hyperkalemia .

Sɛ wususuw sɛ digoxin awuduru ahyɛ wo mu a, ɛsɛ sɛ:Wubetumi nso anya afotu denam frɛ a wobɛfrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no so.

Nneɛma a wubetumi ayɛ na ama ayaresa ayɛ mmerɛw

Ɛho nhia sɛ aduru yi a wode bɛtra ase no yɛ asɛnnennen. Sɛ wohwɛ nneɛma nketenkete kakraa bi so a, biribiara betumi ayɛ mmerɛw.

• Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ: Fa dodow a wɔakyerɛw ama wo no, wɔ bere a wɔakyerɛw ama wo no mu. Mma nnuru no so ntew, nnyɛ kɛse, anaa nnyae da nom sɛnea w’ankasa wopɛ.
• Mma mogya mu nhwehwɛmu nmpa wo ti so: Kɔ wo duruyɛfo nkyɛn kɔyɛ wo mogya mu nhwehwɛmu. Eyi bɛboa wo ma woahu sɛ ebia wo digoxin dodow no wɔ anohyeto a ahobammɔ wom mu anaa.
• Hwɛ yiye wɔ nnuru afoforo ho: Ka nnuru foforo biara, vitamin, ne nhabannuru a wonom ho asɛm kyerɛ wo duruyɛfo. Nnuru bi a wɔtɔn a wɔmfa nnuru nhyɛ mu mpo betumi ne digoxin adi nkitaho.

Digoxin yɛ aduru a ɛsom bo a sɛ wɔde di dwuma yiye a, ebetumi agye nnipa nkwa. Nanso ɛyɛ w’asɛyɛde sɛ wode bedi dwuma dwoodwoo. Sɛ wowɔ nsɛm bi a ɛhaw wo anaa nsɛmmisa bi a, wo ne wo duruyɛfo nka ho asɛm pefee.