Ua kuhikuhi anei kāu kauka iā ʻoe a i ʻole kekahi o kou ʻohana i ka lāʻau Digoxin? Inā pēlā, he mea maʻamau ke manaʻo iki i ka hoihoi, a malia paha he hopohopo, e pili ana i kēia lāʻau. No ka mea, he lāʻau koʻikoʻi loa kēia, a pono e hoʻohana ʻia me ke akahele nui. No laila, mai hopohopo. Ma kēia ʻatikala, e kamaʻilio mākou e pili ana i ke ʻano o Digoxin, kāna hana, a me nā mea e pono ai mākou e makaʻala i ka wā e hoʻohana ai.
I ka ʻōlelo maʻalahi, he aha ka Digoxin?
He lāʻau kahiko loa ʻo Digoxin. Hana ʻia ia mai kahi mea kanu pua i kapa ʻia ʻo foxglove. No loko ia o kahi papa o nā lāʻau i kapa ʻia ʻo cardiac glycosides .
ʻO ka maʻamau, i ka hoʻomaka ʻana o ka mālama ʻana no ka maʻi puʻuwai, kuhikuhi mua nā kauka i nā lāʻau lapaʻau ʻē aʻe. Kāhea mākou iā lākou he 'nā lāʻau lapaʻau laina mua.' Kuhi ʻia ʻo Digoxin inā ʻaʻole hana kēlā mau lāʻau e like me ka mea i manaʻo ʻia, a inā pono kekahi lāʻau lapaʻau ʻē aʻe.
ʻO ke kauka ke kuhikuhi nui nei i kēia lāʻau lapaʻau no nā maʻi puʻuwai penei:
- Ka hāʻule ʻana o ka puʻuwai: ʻO kēia ka manawa hiki ʻole i ka puʻuwai ke pamu i ke koko kūpono i ke kino.
- ʻO ke kahe ʻana o ka atrial: He kūlana kahi e kuʻi wikiwiki ai nā keʻena o luna o ka puʻuwai (atria).
- ʻO ka fibrillation atrial (Afib): ʻO kahi kūlana kahi e kuʻi ai nā keʻena o luna o ka puʻuwai me ka wikiwiki a me ke ʻano ʻole.
He aha ka hana a ka digoxin i ko mākou puʻuwai?
E noʻonoʻo i ko kākou puʻuwai e like me ka pamu wai. I kekahi manawa, lilo kēia pamu i nāwaliwali a ʻaʻole hiki ke pamu pono i ka wai. ʻElua mau mea nui a ka lāʻau digoxin e hana ai.
1. Kōkua i ka ʻūmiʻi ikaika o ka ʻiʻo puʻuwai: ʻAe kēia i ka puʻuwai nāwaliwali e pamu i ke koko hou aku i ke kino i ka manawa hoʻokahi. Ua like ia me ka hāʻawi ʻana i ka mana hou aku i ka pamu nāwaliwali.
2. Hoʻoponopono a hoʻolohi i ka helu o ka puʻuwai: ʻOi loa aku i nā kūlana e like me Afib, kuʻi wikiwiki loa ka puʻuwai a me ke ʻano ʻole. Hana ʻo Digoxin ma ka hoʻolohi ʻana i nā hōʻailona uila e kaohi ana i ka helu o ka puʻuwai. ʻAe kēia i ka puʻuwai e kuʻi lohi a me ke ʻano maʻamau.
I ka ʻōlelo maʻalahi, ua like ka digoxin me kahi luna akamai e hoʻonui ai i ka pono o ka pumping o ka puʻuwai a kāohi i kona wikiwiki.
He aha nā pono o kēia lāʻau lapaʻau?
He nui nā pono o ka Digoxin no nā maʻi inā hoʻohana pono ʻia.
- Hiki iā ia ke hōʻemi i ka nui o nā haukapila ma muli o ka maʻi puʻuwai.
- Kōkua ia i ka hoʻēmi ʻana i nā hōʻailona o ka hāʻule ʻana o ka puʻuwai, e like me ka luhi a me ka pōkole o ka hanu.
- Hiki iā ia ke hoʻomaikaʻi i ka maikaʻi o ke ola o nā maʻi.
- Hiki ke hoʻomalu ʻia ka helu o ka puʻuwai i nā poʻe me nā maʻi e like me Afib.
Ua ʻike pū anei mākou i nā hopena ʻaoʻao?
E like me nā lāʻau lapaʻau āpau, hiki i ka digoxin ke loaʻa nā hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau, akā he mea nui e makaʻala iā lākou.
| ʻAno o ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | ʻŌpū ʻeha, nausea, luaʻi, palahēhē. |
| Nā pilikia o ka ʻōnaehana nerve | Pōniuniu , poʻo māmā, hiamoe, ʻeha poʻo. |
| Nā loli o ka ʻike | He ʻano palalulu, melemele, a ʻōmaʻomaʻo paha nā mea. He hōʻailona paha kēia o ka lāʻau make. |
| Nā hopena ʻaoʻao ʻē aʻe | ʻO ka ʻili ʻili, ka hoʻonui ʻana o ka umauma i nā kāne (gynecomastia). |
| Nā pilikia e pili ana i ka puʻuwai | Nā ʻano puʻuwai ʻē aʻe (arrhythmias), nā puʻuwai lohi loa (pale puʻuwai). Hiki i kēia ke lilo i mea koʻikoʻi. |
Ka ʻawahia o ka Digoxin - Ma hea mākou e pono ai e makaʻala loa!
I ke kamaʻilio ʻana e pili ana i ka digoxin, hoʻokahi mea e pono ai mākou e ʻike e pili ana i ka ʻawahia o ka digoxin . Hana ʻia kēia i ka wā e piʻi ai ka nui o ka digoxin i loko o ke koko ma mua o ka mea hiki i ke kino ke ʻae.
Ua like kēia me ka hele ʻana ma ke kaula paʻa. He ʻokoʻa liʻiliʻi loa ma waena o ka pae o ka pono o ka lāʻau lapaʻau a me ka pae o kona ʻawahia i ke kino. No laila, he mea nui loa ka lawe ʻana i ka nui e like me ke kauoha a ke kauka.
Nā mea e hiki ai ke hoʻonui i nā pae digoxin
Hiki i kekahi mau meaʻai, nā lāʻau lapaʻau ʻē aʻe, a me nā kūlana olakino ke hoʻololi i nā pae o ka digoxin i loko o ko mākou kino.
- ʻAi: ʻAi ʻana i nā meaʻai kiʻekiʻe i ka fiber a i ʻole ka lawe ʻana i nā mea hoʻopihapiha fiber.
- Nā lāʻau lapaʻau ʻē aʻe: Nā lāʻau lapaʻau no kekahi mau maʻi (macrolides), metoclopramide no ka nausea, nā antacids no ka gastritis, a me kekahi mau lāʻau hoʻohaʻahaʻa cholesterol.
- Hana puʻupaʻa: Hoʻopau ʻia ka Digoxin mai ke kino e nā puʻupaʻa, no laila ʻoi aku ka nui o ka pilikia o ka mea me ka maʻi puʻupaʻa i ka ʻawahia o ka digoxin.
I ko kākou ʻelemakule ʻana, emi iki ka hana a ko kākou mau puʻupaʻa. No laila, ʻoi aku ka lōʻihi o ka hoʻopau ʻia ʻana o kēia lāʻau mai ke kino o ke kanaka ʻelemakule. No laila, e noʻonoʻo ke kauka i kēia mau mea a pau i ka hoʻoholo ʻana i ka nui.
Pehea e nānā ʻia ai nā pae digoxin?
Ma kahi o hoʻokahi pule ma hope o kou hoʻomaka ʻana e lawe i ka digoxin, e noi aku kāu kauka iā ʻoe e hana i kahi hoʻāʻo koko. E nānā kēia i ka pae o ka digoxin i loko o kou koko. Hana pinepine ʻia kēia hoʻāʻo ma hope o 6-8 mau hola ma hope o ka lawe ʻana i ka lāʻau lapaʻau. Pono ʻoe e hana i kēia hoʻāʻo ma nā manawa maʻamau ma hope o kēlā. Mai haʻalele i kēia mau hoʻāʻo. He mea nui loa ia no kou palekana.
He aha nā hōʻailona o ka lāʻau make?
Inā ʻoi aku ka nui o ka digoxin i loko o ke koko ma mua o 2.0 ng/mL (nanograms no ka milliliter), aia kahi piʻi ʻana o ka pilikia o ka ʻawahia. Hiki i ke kauka ke loaʻa kahi manaʻo o kēia ma ka nānā ʻana i nā loli i ka hana uila o ka puʻuwai me kahi ECG (electrocardiogram) .
ʻO nā hōʻailona nui o ka lāʻau make:
- Ka luaʻi nui a me ka luaʻi ʻana
- Nā loli o ka ʻike (ʻike ʻia nā mea he melemele/ʻōmaʻomaʻo, blurred, ʻike ʻia nā halo a puni nā kukui)
- Nā ʻano ʻino o ka puʻuwai (wikiwiki loa a kuʻi paha ka puʻuwai, ʻeha ka umauma)
- Huikau nui
- Luhi nui a me ka hiamoe
Inā loaʻa kēia mau hōʻailona, hiki ke make. No laila, pono ʻoe e hele koke i ka lumi pilikia (ETU) o ka haukapila kokoke loa. I kekahi manawa hiki i ka pae potassium i loko o ke koko ke lilo i mea kiʻekiʻe loa. Kāhea mākou i kēia hyperkalemia .
I ka hanana o ka lāʻau make digoxin, aia kahi lāʻau lapaʻau kūikawā e hiki ke hoʻohuli i kona hopena. Ua kapa ʻia ʻo ia he digoxin immune fab . No laila, hiki i ka hoʻokipa mua ʻana ke hoʻōla i ke ola.
Inā kānalua ʻoe i ka lāʻau make digoxin, pono ʻoe:Hiki iā ʻoe ke loaʻa ka ʻōlelo aʻoaʻo ma ke kelepona ʻana i ke Kikowaena ʻIke Lāʻau Lapaʻau ma ka Halemai Lahui ʻo Colombo.
Nā mea hiki iā ʻoe ke hana e maʻalahi ai ka mālama ʻana
ʻAʻole pono ka noho ʻana me kēia lāʻau lapaʻau he paʻakikī. Inā ʻoe e mālama i kekahi mau mea liʻiliʻi, hiki ke maʻalahi nā mea āpau.
- E hahai pono i nā ʻōlelo a kāu kauka: E lawe i ka nui i kuhikuhi ʻia, i ka manawa i kuhikuhi ʻia. Mai hōʻemi, hoʻonui, a hoʻōki paha i ka lawe ʻana i ka lāʻau lapaʻau ma kāu manaʻo ponoʻī.
- Mai poina i nā hoʻāʻo koko: E hele i nā manawa a kāu kauka a e hoʻāʻo ʻia kou koko. E kōkua kēia iā ʻoe e hoʻoholo inā aia kāu mau pae digoxin i loko o nā palena palekana.
- E makaʻala me nā lāʻau lapaʻau ʻē aʻe: E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā lāʻau lapaʻau āu e lawe nei. Hiki i kekahi mau lāʻau lapaʻau ma luna o ke kūʻai aku ke launa pū me ka digoxin.
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka! | |
|---|---|
| Paʻakikī ka hanu ʻana | Ka nalowale o ka makemake, ka nausea, a i ʻole ka luaʻi ʻana |
| Ka pehu ʻana o nā lima a i ʻole nā wāwae | Nā loli i ka ʻike (blurring, hoʻololi kala) |
He lāʻau waiwai nui ʻo Digoxin e hiki ke hoʻōla i nā ola inā hoʻohana pono ʻia. Akā, na ʻoe ke kuleana no ka hoʻohana palekana ʻana. Inā he mau hopohopo a nīnau paha kāu, e kamaʻilio ākea me kāu kauka e pili ana iā lākou.
Leka Lawe-Home
- He lāʻau ikaika ʻo Digoxin i hoʻohana ʻia no nā maʻi puʻuwai e pono e mālama pono ʻia.
- He ʻokoʻa loa ka ʻokoʻa ma waena o nā lāʻau kūpono a me nā lāʻau ʻawahia o kēia lāʻau, no laila he mea nui loa e hahai i ka ʻōlelo aʻoaʻo a ke kauka.
- Mai hoʻololi i ka nui o ka lāʻau a hoʻōki paha i ka lawe ʻana i ka lāʻau me ka ʻae ʻole ʻia e kāu kauka.
- Mai poina i nā manawa kauka a me nā hoʻāʻo koko i nā lā i hoʻonohonoho ʻia e nānā i ka pae o ka digoxin i loko o kou koko.
- Inā loaʻa nā hōʻailona o ka lāʻau make e like me ka nausea, ka luaʻi ʻana, nā loli o ka ʻike, a i ʻole nā ʻano ʻē o ka puʻuwai, e ʻimi koke i ke kōkua lapaʻau a i ʻole e hele i ka haukapila kokoke loa i ka Emergency Department (ETU).
- E hoʻomaopopo mau i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a me nā mea hoʻopihapiha āu e lawe nei.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo