Muaj ib tug neeg hauv koj tsev neeg, tej zaum koj niam, koj txiv, lossis koj yawg koob yawm txwv, tej zaum noj tshuaj rau mob plawv. Ntawm cov tshuaj no, muaj ib hom tshuaj uas tau siv ntev lawm thiab muab zog tshwj xeeb rau lub plawv. Hnub no peb yuav tham txog ib pawg tshuaj hu ua Cardiac Glycosides. Txawm hais tias lub npe yuav tsis meej pem me ntsis, txoj kev ua haujlwm no thiab qhov tseeb uas peb yuav tsum paub yog qhov tseem ceeb heev.
Hauv lus yooj yim, cov glycosides hauv lub plawv no yog dab tsi?
Cov tshuaj glycosides hauv lub plawv yog ib pawg tshuaj uas pab cov neeg uas muaj tej yam mob plawv. Lawv tuaj yeem muaj cov ntsiav tshuaj, kua txiv hmab txiv ntoo, lossis tshuaj ntsiav. Cov kws kho mob feem ntau sau ntawv kom noj cov tshuaj no ib zaug ib hnub, tib lub sijhawm txhua hnub.
Nws yog qhov xav tsis thoob heev uas hom tshuaj no tau pom thawj zaug los ntawm cov nroj tsuag paj hu ua "Digitalis" lossis "foxglove." Yog vim li ntawd qee cov tshuaj hauv pawg no tau muab lub npe tom qab cov nroj tsuag ntawd.
Cov tshuaj no ua haujlwm li cas hauv lub cev?
Muaj qee qhov tseeb txog kev tshawb fawb kom nkag siab qhov no, tab sis kuv yuav piav qhia rau koj yooj yim heev.
Xav txog cov hlwb hauv peb cov leeg nqaij plawv zoo li cov twj me me. Hauv cov hlwb no muaj cov khoom hu ua sodium thiab calcium. Qhov sib npaug ntawm cov no yog qhov tseem ceeb heev rau lub plawv dhia kom zoo.
1. Kev tswj cov sodium: Thaum koj noj tshuaj glycoside hauv lub plawv, nws tswj tau qhov kev nqus cov sodium tawm ntawm cov hlwb plawv. Yog hais kom meej, nws yuav nres qhov txheej txheem ntawd ib pliag.
2. Muaj calcium ntau ntxiv: Thaum cov sodium hauv cov cell ntau ntxiv, cov calcium hauv cov cell yuav nce ntxiv raws li qhov teb.
3. Ua kom lub plawv dhia ceev zog: Txhua zaus lub plawv dhia, cov calcium ntau dhau no yuav raug tso tawm. Qhov no ua rau cov leeg nqaij plawv nruj zog dua. Qhov no txhais tau tias cov ntshav uas raug nqus mus rau hauv lub cev nrog txhua zaus lub plawv dhia (uas peb hu ua Stroke Volume hauv tshuaj) yuav nce ntxiv.
4. Kev ua tau zoo dua tag nrho: Thaum cov ntshav uas lub plawv nqus tau ntau ntxiv hauv ib lub sijhawm, tag nrho cov ntshav uas lub plawv nqus tau (hu ua cardiac output ) yuav ntau ntxiv. Qhov no yog ib qho kev pab zoo rau ib tus neeg uas muaj mob xws li lub plawv tsis ua haujlwm.
Hais yooj yim xwb: cov tshuaj no ua haujlwm los ntawm "txhawb" lub plawv lub peev xwm nqus dej.
Ntxiv mus, cov tshuaj no ua lwm yam tseem ceeb. Muaj ib qho chaw tshwj xeeb uas cov teeb liab hluav taws xob uas tswj lub plawv dhia mus ncig, hu ua Atrioventricular (AV) node . Cov tshuaj no tuaj yeem ua rau qeeb qeeb uas cov teeb liab ntawd mus ncig. Qhov no ua rau lub plawv dhia qeeb. Cov teeb meem plawv dhia tsis zoo, xws li Atrial FibrillationQhov no muaj txiaj ntsig zoo rau cov neeg uas muaj cov mob zoo li no.
Cov hom glycosides hauv lub plawv yog dab tsi thiab cov twg yog cov uas siv ntau tshaj plaws?
Muaj ntau yam tshuaj uas koom nrog pawg tshuaj no.
- Digoxin
- Cov Digitalis
- Digitoxin
Ntawm cov no, ib qho uas koj, kuv, thiab txhua tus neeg tau hnov txog, thiab ib qho uas siv ntau tshaj plaws hauv Sri Lanka thiab thoob plaws ntiaj teb, yog Digoxin . Xyuas kom paub seb lub npe no puas muaj nyob rau ntawm koj daim ntawv qhia tshuaj.
Cov tshuaj no yog leej twg tau sau ntawv kom siv? Vim li cas cov tshuaj no ho tsis yog cov tshuaj uas neeg xaiv ua ntej?
Cov tshuaj glycosides rau lub plawv feem ntau yog sau tseg rau ob qho mob tseem ceeb.
1. Mob Plawv Tsis Ua Haujlwm: Ib qho mob uas lub plawv tsis muaj peev xwm tso ntshav txaus rau lub cev.
2. Lub plawv dhia tsis xwm yeem (Arrhythmias): Tshwj xeeb tshaj yog rau cov xwm txheej uas lub plawv dhia nce siab tsis tuaj yeem tswj tau, xws li Atrial Fibrillation.
Tiam sis ntawm no yog ib qho tseem ceeb heev uas peb txhua tus yuav tsum paub. Niaj hnub no, Cardiac Glycosides tsis yog thawj kab kev kho mob ntawm cov kws kho mob. 20-30 xyoo dhau los, lawv tau siv dav heev. Tab sis tam sim no, muaj cov tshuaj tshiab uas muaj kev nyab xeeb dua, muaj tsawg dua cov kev phiv, thiab muaj.
Tus kws kho mob yuav sim cov tshuaj no ua ntej:
- Cov tshuaj beta-blockers
- Cov tshuaj ACE inhibitors
- Cov tshuaj diuretics (cov tshuaj uas txo cov dej hauv lub cev)
- Cov ARB
Tsuas yog tias cov tshuaj no tsis tswj tau tus kab mob lossis yog tias tus neeg mob muaj lwm yam teeb meem, tus kws kho mob yuav siv Cardiac Glycosides, tshwj xeeb tshaj yog Digoxin, ua kauj ruam thib ob lossis thib peb.
Qhov ntawd puas txhais tau tias cov tshuaj no tsis zoo? Tsis yog, tsis yog li. Cov tshuaj no yog ib yam tshuaj uas tseem ceeb heev, uas cawm tau tib neeg txoj sia rau qee tus neeg mob. Tab sis vim nws muaj qee yam kev pheej hmoo, cov kws kho mob thiaj li sau ntawv kom zoo thiab tsuas yog rau cov neeg uas xav tau tiag tiag xwb.
Peb puas paub txog tej kev pheej hmoo thiab tej yam tshwm sim tsis zoo?
Thaum tham txog cov tshuaj no, ib qho uas yuav tsum paub yog qhov txaus ntshai. Muaj qhov sib txawv me me ntawm cov tshuaj kho mob thiab cov tshuaj lom ntawm cov tshuaj no. Qhov no txhais tau tias txawm tias koj noj ntau dua li qhov pom zoo me ntsis los xij, koj tseem yuav muaj cov kev mob tshwm sim.
Qhov no yog vim li cas koj tus kws kho mob yuav tshuaj xyuas koj cov ntshav (serum digoxin theem) kom pom tias cov tshuaj hauv koj lub cev puas nyob rau theem raug.
| Hom kev phiv tshuaj | Cov tsos mob uas tuaj yeem muaj |
|---|---|
| Cov kev mob tshwm sim feem ntau |
|
| Cov tsos mob hnyav ntawm kev lom tshuaj |
Thov nco ntsoov: Yog tias koj cov potassium qis, koj muaj feem yuav muaj kev phiv ntau dua los ntawm cov tshuaj no. Yog li ntawd, koj tus kws kho mob kuj yuav kuaj xyuas koj cov potassium tsis tu ncua.
Thaum twg koj yuav tsum mus ntsib kws kho mob tam sim ntawd?
Yog koj noj tshuaj cardiac glycoside, tshwj xeeb yog Digoxin, koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no. Yog tias cov tsos mob hnyav heev, mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws.
| Cov tsos mob uas yuav tsum tau saib xyuas | Yuav ua li cas? |
|---|---|
| Ua pa nyuaj | Nrhiav kev pab kho mob tam sim ntawd. |
| Kev o ntawm cov ceg lossis cov ceg | Qhia rau tus kws kho mob. |
| Mob plab heev, xeev siab, lossis raws plab | Nrhiav kev pab kho mob tam sim ntawd. |
| Kev ntshaw noj mov | Qhia rau tus kws kho mob. |
| Lub plawv dhia qeeb lossis ceev tsis zoo li qub, lossis xav tias dhia tsis dhau ib lub plawv dhia | Nrhiav kev pab kho mob tam sim ntawd. |
Cov tshuaj yuav siv sijhawm ntev npaum li cas thiaj ua haujlwm tau?
Tom qab pib noj cov tshuaj no, tej zaum yuav siv sijhawm ob peb lub lis piam, lossis ib hlis lossis ob hlis, ua ntej koj cov tsos mob pib zoo dua. Yog li ua siab ntev thiab txuas ntxiv noj cov tshuaj raws li koj tus kws kho mob qhia koj.
Qhov tseem ceeb tshaj plaws: Tsis txhob tsum noj cov tshuaj no yam tsis tau sab laj nrog koj tus kws kho mob, tsuas yog vim koj xav tias koj zoo dua. Tsis tas li ntawd, tsis txhob noj ntau tshaj li qhov tau teev tseg. Ib txwm tham nrog koj tus kws kho mob txog seb cov tshuaj cuam tshuam li cas rau koj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov tshuaj glycosides hauv lub plawv yog ib hom tshuaj uas tau siv ntev los ua kom lub plawv muaj peev xwm nqus dej ntau ntxiv thiab tswj lub plawv dhia.
- Txawm hais tias cov no tsis tau siv ua cov tshuaj thawj kab niaj hnub no, lawv yog cov tshuaj tseem ceeb rau qee tus neeg mob.
- Vim tias qhov sib txawv ntawm cov tshuaj uas tau muab thiab cov tshuaj uas ua rau muaj kev phiv me me, nws yog ib qho tseem ceeb heev uas yuav tsum noj cov tshuaj raws nraim li tus kws kho mob tau hais.
- Yog tias koj muaj cov tsos mob xws li xeev siab, pom kev hloov pauv (pom kev daj/ntsuab), lossis lub plawv dhia tsis xwm yeem, qhia rau koj tus kws kho mob tam sim ntawd.
- Tsis txhob tsum noj tshuaj lossis hloov qhov ntau npaum li cas yam tsis tau kev qhia los ntawm kws kho mob rau txhua qhov laj thawj. Nws yog ib qho tseem ceeb heev uas yuav tsum mus rau cov chaw kho mob thiab kuaj ntshav raws sijhawm.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus