He ʻano lāʻau lapaʻau e hoʻoikaika ai i ka puʻuwai: E aʻo kākou i nā mea āpau e pili ana i nā Cardiac Glycosides ma ke ʻano maʻalahi!

Ke lawe nei paha kekahi o kou ʻohana, ʻo kou makuahine paha, kou makuakāne, a i ʻole kou mau kūpuna, i ka lāʻau lapaʻau no ka maʻi puʻuwai. Ma waena o ia mau lāʻau lapaʻau, aia kekahi ʻano lāʻau lapaʻau i hoʻohana ʻia no ka manawa lōʻihi a hāʻawi i ka ikaika kūikawā i ka puʻuwai. I kēia lā e kamaʻilio mākou e pili ana i kahi hui o nā lāʻau lapaʻau i kapa ʻia ʻo Cardiac Glycosides. ʻOiai he mea huikau iki ka inoa, he mea nui loa ke ʻano o kēia mau hana a me nā ʻoiaʻiʻo e pono ai mākou e ʻike.

I ka ʻōlelo maʻalahi, he aha kēia mau glycosides cardiac?

ʻO nā glycosides Cardiac kahi hui o nā lāʻau lapaʻau e kōkua i nā poʻe me kekahi mau maʻi puʻuwai. Hiki iā lākou ke hele mai ma ke ʻano o nā papa, syrup, a i ʻole capsules. ʻO ka maʻamau, kuhikuhi nā kauka i kēia mau lāʻau lapaʻau e lawe ʻia i hoʻokahi manawa i ka lā, i ka manawa like i kēlā me kēia lā.

He mea kupanaha loa ka ʻike mua ʻia ʻana o kēia ʻano lāʻau lapaʻau mai kahi mea kanu pua i kapa ʻia ʻo "Digitalis" a i ʻole "foxglove." ʻO ia ke kumu i kapa ʻia ai kekahi o nā lāʻau lapaʻau o kēia hui ma muli o kēlā mea kanu.

Pehea e hana ai kēia lāʻau lapaʻau i loko o ke kino?

Aia kekahi mau ʻoiaʻiʻo ʻepekema e hoʻomaopopo ai i kēia, akā e wehewehe maʻalahi wau iā ʻoe.

E noʻonoʻo i nā pūnaewele i loko o ko kākou ʻiʻo puʻuwai e like me nā pamu liʻiliʻi. Aia i loko o kēia mau pūnaewele nā ​​mea i kapa ʻia ʻo sodium a me calcium. He mea nui loa ke kaulike o kēia mau mea no ka puʻuwai e paʻi pono.

1. Kaohi ʻana i ka sodium: Ke lawe ʻoe i kahi lāʻau glycoside cardiac, kaohi iki ia i ka pamu ʻana o ka sodium mai loko mai o nā hunaola o ka puʻuwai. I ka pololei, hoʻōki ia i kēlā kaʻina hana no kekahi manawa.

2. Hoʻonui ʻia ka calcium: Ke piʻi ka nui o ka sodium i loko o nā cell, e piʻi koke ka nui o ka calcium i loko o nā cell i ka pane ʻana.

3. Hoʻoikaika ʻia ka helu o ka puʻuwai: Me kēlā me kēia puʻuwai, hoʻokuʻu ʻia kēia calcium keu. Hoʻoulu kēia i ka ʻūlū ʻana o ka ʻiʻo o ka puʻuwai me ka ikaika. ʻO ke ʻano kēia, ʻo ka nui o ke koko i hoʻopili ʻia i loko o ke kino me kēlā me kēia kuʻi (ka mea a mākou e kapa nei he Stroke Volume ma ka lāʻau lapaʻau) e piʻi aʻe.

4. Hoʻonui i ka hana holoʻokoʻa: Ke piʻi ka nui o ke koko i paʻi ʻia i hoʻokahi kuʻi, piʻi ka nui o ke koko i paʻi ʻia e ka puʻuwai (i kapa ʻia ʻo cardiac output ). He mea hōʻoluʻolu nui kēia no kekahi me nā maʻi e like me ka hāʻule ʻana o ka puʻuwai.

Eia kekahi, hana kēia mau lāʻau i kahi mea nui ʻē aʻe. Aia kahi wahi kūikawā kahi e hele ai nā hōʻailona uila e kāohi ana i ka puʻuwai, i kapa ʻia ʻo ka Atrioventricular (AV) node . Hiki i kēia mau lāʻau ke hoʻolohi i ka wikiwiki o ka hele ʻana o kēlā mau hōʻailona. Hoʻolohi kēia i ka helu o ka puʻuwai. Nā maʻi ʻōhumu o ka puʻuwai, e like me Atrial FibrillationHe mea nui kēia no ka poʻe me ia mau kūlana.

He aha nā ʻano glycosides cardiac a ʻo wai ka mea i hoʻohana nui ʻia?

Aia kekahi mau lāʻau lapaʻau e pili ana i kēia papa o nā lāʻau lapaʻau.

• ʻO Digoxin
• Nā Digitalis
• ʻO Digitoxin

ʻO kēia mau mea, ʻo ka mea āu, ʻo wau, a me nā mea ʻē aʻe a pau i lohe ai, a ʻo ka mea i hoʻohana nui ʻia ma Sri Lanka a puni ka honua, ʻo ia ʻo Digoxin . E nānā e ʻike inā aia kēia inoa ma kāu palapala kauoha.

ʻO wai ka mea i kuhikuhi ʻia i kēia mau lāʻau lapaʻau? No ke aha ʻaʻole lākou ke koho mua?

Hoʻohana ʻia nā glycosides cardiac no nā kumu nui ʻelua.

1. Ka Hāʻule ʻana o ka Puʻuwai: He kūlana kahi i hiki ʻole ai i ka puʻuwai ke pamu i ke koko lawa i ke kino.

2. Nā ʻano kuʻi puʻuwai kūpono ʻole (Arrhythmias): ʻOi loa aku no nā hihia kahi e piʻi ai ka helu o ka puʻuwai me ke kāohi ʻole ʻia, e like me ka Atrial Fibrillation.

Akā eia kahi mea nui loa e pono ai kākou a pau e ʻike. I kēia mau lā, ʻaʻole ʻo Cardiac Glycosides ka lāʻau lapaʻau mua a nā kauka. 20-30 mau makahiki i hala aku nei, ua hoʻohana nui ʻia lākou. Akā i kēia manawa, aia nā lāʻau hou i ʻoi aku ka palekana, ka liʻiliʻi o nā hopena ʻaoʻao, a loaʻa.

E ho'āʻo mua ke kauka i kēia mau ʻano lāʻau lapaʻau:

• Nā mea pale beta
• Nā mea hoʻopaʻa ACE
• Nā lāʻau diuretic (nā lāʻau lapaʻau e hoʻemi i ka wai i loko o ke kino)
• Nā ARB

Inā ʻaʻole hiki i kēia mau lāʻau lapaʻau ke kaohi i ka maʻi a inā he mau pilikia ʻē aʻe ko ka mea maʻi, e hoʻohana ke kauka i nā Cardiac Glycosides, ʻoiai ʻo Digoxin, ma ke ʻano he ʻelua a ʻekolu paha ka hana.

Ua ʻike pū anei mākou i nā pilikia a me nā hopena ʻaoʻao?

I ke kamaʻilio ʻana e pili ana i kēia lāʻau lapaʻau, hoʻokahi mea e makaʻala ai, ʻo ia ka pilikia. Aia kahi ʻokoʻa liʻiliʻi ma waena o ka nui o ka lāʻau lapaʻau a me ka nui o ka lāʻau ʻawahia o kēia lāʻau lapaʻau. ʻO ke ʻano kēia, ʻoiai inā ʻoe e lawe i kahi mea ʻoi aku ma mua o ka nui i ʻōlelo ʻia, hiki nō iā ʻoe ke ʻike i nā hopena ʻaoʻao.

ʻO kēia ke kumu e nānā mau ai kāu kauka i kou koko (pae digoxin serum) e ʻike inā aia ka pae lāʻau lapaʻau i loko o kou kino ma ka pae kūpono.

E ʻoluʻolu e hoʻomaopopo: Inā haʻahaʻa kou pae potassium, ʻoi aku ka nui o kou pilikia o nā hopena ʻaoʻao mai kēia lāʻau lapaʻau. No laila, e nānā pinepine kāu kauka i kou pae potassium.

Āhea ʻoe e pono ai e ʻike koke i ke kauka?

Inā ʻoe e lawe ana i kahi glycoside cardiac, ʻoiai ʻo Digoxin, pono ʻoe e hoʻokaʻaʻike koke aku i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona. Inā koʻikoʻi nā hōʻailona, ​​e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

ʻEhia ka lōʻihi o ka hana ʻana o ka lāʻau lapaʻau?

Ma hope o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, hiki ke hala kekahi mau pule, a i ʻole hoʻokahi a ʻelua paha mahina, ma mua o ka hoʻomaka ʻana o kāu mau hōʻailona e hoʻomaikaʻi. No laila e hoʻomanawanui a hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe.

ʻO ka mea nui loa: Mai ho'ōki i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka, no ka mea ua manaʻo ʻoe ua ʻoi aku kou maikaʻi. Eia kekahi, mai lawe ʻoe ma mua o ka nui i kuhikuhi ʻia. E kamaʻilio mau me kāu kauka e pili ana i ke ʻano o ka hopena o ka lāʻau lapaʻau iā ʻoe.