Ua kuhikuhi ʻia anei ʻoe e kāu kauka i ka Digoxin no ka maʻi puʻuwai? Inā pēlā, he mea nui loa kēia ʻatikala iā ʻoe. No ka mea, he lāʻau ikaika loa ia e pono e hoʻohana ʻia me ke akahele nui. E kamaʻilio maʻalahi kākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Digoxin?
He lāʻau lapaʻau ʻo Digoxin i hoʻohana ʻia e mālama i kekahi mau maʻi puʻuwai. Hoʻomaʻamaʻa pinepine nā kauka iā ia ke ʻole e hana nā lāʻau lapaʻau laina mua a i ʻole ke pono kahi lāʻau lapaʻau hou. Aia ke kumu no kēia.
I ka ʻōlelo maʻalahi, aia kahi ʻokoʻa liʻiliʻi loa ma waena o ka nui o kēia lāʻau lapaʻau e kōkua iā ʻoe a me ka nui e weliweli ai, ʻo ia hoʻi, ʻawahia, iā ʻoe. ʻO ia ke kumu e hāʻawi ai nā kauka me ke akahele nui.
Hana ʻia kēia lāʻau lapaʻau mai kahi mea kanu pua i kapa ʻia ʻo "foxglove". No loko ia o kahi hui o nā lāʻau lapaʻau i kapa ʻia ʻo "cardiac glycosides". Hoʻohana nui ʻia kēia lāʻau lapaʻau no kēia mau kūlana:
- Ka Holo ʻole o ka Puʻuwai: He kūlana kahi i hiki ʻole ai i ka puʻuwai ke pamu i ke koko lawa i ke kino.
- ʻO ke kahe ʻana o ka atrial: ʻO ke ʻano kahi e kuʻi wikiwiki ai nā keʻena o luna o ka puʻuwai (atria).
- ʻO ka Atrial Fibrillation (Afib): He kūlana kahi e lilo ai ka puʻuwai i mea kūpono ʻole a wikiwiki hoʻi.
He aha ka mea e hana ʻia i loko o ke kino me kēia lāʻau lapaʻau?
Ke komo ka digoxin i loko o ko kākou kino, hana ia i ʻelua mau mea nui.
1. Kōkua ia i ka ʻiʻo puʻuwai e pamu i ke koko me ka ikaika hou aku. E noʻonoʻo e like me kahi motika wai. ʻO ka hana a kēia lāʻau lapaʻau, ʻo ia ka hoʻonui iki i ka mana o kēlā motika a hoʻolilo iā ia i mea e pamu ai i ka wai hou aku.
2. Hoʻolohi i ka helu o ka puʻuwai. Hoʻolohi kēia lāʻau lapaʻau i ka wikiwiki o ka hele ʻana o nā hōʻailona uila e kāohi ana i ka puʻuwai. Kōkua kēia i ka kāohi ʻana i ka helu o ka puʻuwai.
Hāʻawi kēia mau hana ʻelua i ka ikaika i ka puʻuwai o kekahi me ka hāʻule ʻana o ka puʻuwai, ʻoiai e kaohi ana i ka puʻuwai o kekahi me ka puʻuwai kiʻekiʻe.
E makaʻala hoʻi kākou i nā hopena ʻaoʻao a me nā pilikia.
E like me nā lāʻau lapaʻau āpau, hiki i ka digoxin ke hana i nā hopena ʻaoʻao. He mea maʻamau kekahi o kēia, aʻo kekahi he ʻoi aku ka koʻikoʻi. No laila he mea nui e makaʻala i kēia mau mea.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| ʻO ka ʻeha o ka ʻōpū | Nā mea e like me ka nausea, ka luaʻi ʻana, ka ʻeha o ka ʻōpū. |
| Nā loli o ka ʻike | Nā mea e like me ka ʻike ʻana i nā mea i pōwehiwehi, ke nānā aku nei he melemele a he ʻōmaʻomaʻo paha. He hōʻailona koʻikoʻi loa kēia. |
| Pōʻino | Pōniuniu , nā maka polū, me he mea lā e hāʻule ana ʻoe ke kū aʻe. |
| Nā hiʻohiʻona ʻē aʻe | Hiamoe, ʻeha poʻo, ʻulaʻula o ka ʻili. |
| Nā maʻi koʻikoʻi | Puʻuwai wikiwiki loa (Atrial Tachycardia), puʻuwai lohi loa (Heart Block). |
| ʻO ke kino wahine | He mea kēia i ʻike pinepine ʻole ʻia. ʻO ia hoʻi, ua hoʻonui ʻia nā umauma o nā kāne . |
Ka Pae Digoxin a me ka ʻawahia
ʻO kēia ka ʻāpana koʻikoʻi loa i ke kamaʻilio ʻana e pili ana i kēia lāʻau lapaʻau. ʻO "nā pae Digoxin" ka nui o ka digoxin i loko o kou koko. Ana ʻia kēia me kahi hoʻāʻo koko.
- Pae Maʻamau: Ma keʻano laulā, ua manaʻo ʻia kahi pae ma waena o 0.5 a me 2.0 nanograms i kēlā me kēia lita (0.5 - 2.0 ng/mL) he pae palekana a pono hoʻi.
- ʻAkika Digoxin: Inā ʻoi aku ka nui o ka digoxin i loko o ke koko ma mua o 2.0 ng/mL, hoʻomaka ia e lilo i mea ʻawahia i ke kino. Hiki i kēia ke lilo i kūlana weliweli loa . Hiki i kēia ke hoʻololi nui i ka ʻōʻō o ka puʻuwai a hiki ke hoʻoweliweli i ke ola.
He aha nā mea e hoʻopilikia ai i nā pae digoxin?
ʻOiai inā like ka nui o ka pila āu e lawe ai, hiki i nā mea aʻe ke hoʻopilikia i ka pae o ka digoxin i loko o kou kino:
- Hana o nā puʻupaʻa: Hoʻopau ʻia ka Digoxin mai ke kino ma o nā puʻupaʻa. Inā nāwaliwali kou mau puʻupaʻa, hoʻomaʻemaʻe mālie ʻia ka lāʻau mai ke kino. Hiki i kēia ke alakaʻi i nā pae kiʻekiʻe o ka digoxin i loko o ke koko. Hoʻemi maoli ka hana o nā puʻupaʻa me ka ʻelemakule , no laila ʻoi aku ka nui o ka pilikia o ka poʻe ʻelemakule.
- Nā lāʻau lapaʻau ʻē aʻe: ʻO nā lāʻau lapaʻau ʻē aʻe āu e lawe ai (e like me kekahi mau antibiotics, nā lāʻau hoʻohaʻahaʻa cholesterol, antacids) hiki ke launa pū me ka digoxin a hoʻonui i kona mau pae.
- ʻAi a me ka mea inu: ʻO ka ʻai ʻana i nā meaʻai kiʻekiʻe i ka fiber a i ʻole ka lawe ʻana i nā mea hoʻopihapiha fiber e hōʻemi i ka omo ʻana o ka digoxin i loko o ke kino.
- Nā pae potassium i loko o ke kino: Inā haʻahaʻa ka pae potassium i loko o ke koko (Hypokalemia), kiʻekiʻe loa ka pilikia o ka ʻawahia ʻana o ka digoxin.
No kēia mau kumu, he mea nui e hoʻāʻo pinepine ʻia kou koko a nānā i kāu mau pae digoxin e like me ke kauoha a kāu kauka.
Pehea e hoʻohana ai au i kēia lāʻau lapaʻau me ka palekana?
Mai hopohopo. Inā ʻoe e hahai pono i kēia mau kuhikuhi, hiki iā ʻoe ke hoʻohana palekana i ka digoxin.
1. 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.
2. Mai poina i nā hoʻāʻo koko: E hōʻoia e hele i nā manawa o ke kauka a e hoʻāʻo ʻia kou koko. He mea nui loa ia no kou palekana.
3. E makaʻala me nā lāʻau lapaʻau ʻē aʻe: Ma mua o kou hoʻomaka ʻana i kekahi lāʻau lapaʻau hou (inā he huaora, he mea hoʻomaha ʻeha, a he lāʻau Ayurvedic paha), e haʻi i kāu kauka e lawe ana ʻoe i ka digoxin.
4. E makaʻala i nā hopena ʻaoʻao: Inā ʻike ʻoe i kekahi mau loli i kou kino, e makaʻala iā ia.
I ka wā e pono ai ʻoe e kāhea koke i ke kauka
I ka wā e hoʻohana ai i ka digoxin, hiki i kekahi mau hōʻailona ke lilo i pilikia inā loaʻa. He mau hōʻailona paha kēia o ka ʻawahia o ka digoxin.
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e haʻi koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila. |
|---|
| - Paʻakikī ka hanu ʻana |
| - Ka nalowale o ka makemake e ʻai, ka nausea, a i ʻole ka luaʻi mau ʻana/ka maʻi pākīkī |
| - Ka pehu ʻana o nā lima, nā wāwae, a i ʻole nā kuʻekuʻe wāwae |
| - Nā loli o ka ʻike (ʻike ʻia nā mea he melemele/ʻōmaʻomaʻo, ʻike pōwehiwehi) |
| - Huikau a i ʻole ka poniuniu nui |
Inā loaʻa ka lāʻau make digoxin, aia kahi lāʻau lapaʻau i loaʻa ma ka haukapila. Hiki ke hāʻawi ʻia kahi lāʻau pale i kapa ʻia ʻo "digoxin immune fab" e hoʻohuli i nā hopena o ka lāʻau. No laila, he mea nui e ʻike i nā hōʻailona a ʻimi koke i ka lāʻau lapaʻau.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo Digoxin nona ka hopena ikaika loa i ka puʻuwai a pono e hoʻohana ʻia me ke akahele.
- E lawe i ka lāʻau i kuhikuhi ʻia e kāu kauka i ka manawa kūpono. Mai hoʻololi i ka lāʻau no ʻoe iho no kekahi kumu.
- E like me ka ʻōlelo a kāu kauka, e hana i nā hoʻāʻo koko maʻamau a e makaʻala i kāu mau pae digoxin.
- Inā ʻike ʻoe i nā hōʻailona e like me nā loli o ka ʻike, ka nausea nui, a i ʻole ka paʻakikī o ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau no ka mea he hōʻailona paha kēia o ka ʻawahia digoxin.
- Ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau ʻē aʻe (me nā huaora, nā mea ʻeha), he mea nui e hoʻomaopopo i kāu kauka e lawe ana ʻoe i ka digoxin.
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