Wan kayn mɛrɛsin we de mek di at strɔng: Lɛ wi lan ɔltin bɔt Cardiac Glycosides insay wan simpul we!

Sɔntɛm sɔmbɔdi na yu famili, sɔntɛm yu mama, papa, ɔ grani ɛn granpa, de tek mɛrɛsin fɔ wan at sik. Pan dɛn kayn mɛrɛsin ya, wan kayn mɛrɛsin de we dɛn dɔn de yuz fɔ lɔng tɛm ɛn we de gi spɛshal trɛnk to di at. Tide wi go tɔk bɔt wan grup fɔ drɔgs we dɛn kɔl Cardiac Glycosides. Pan ɔl we di nem kɔnfyus smɔl, di we aw dɛn tin ya de wok ɛn di tru tin dɛn we wi nid fɔ no rili impɔtant.

Fɔ tɔk am simpul wan, wetin na dɛn kadyak glycosides ya?

Cardiac glycosides na wan grup fɔ mɛrɛsin wae de ɛp pipul dɛm wae gɛt sɔm kayn hat sik. Dɛn kin kam lɛk tablɛt, srɔp, ɔ kapsul. Dɔktɔ dɛn kin tɛl dɛn fɔ tek dɛn mɛrɛsin ya wan tɛm insay di de, di sem tɛm ɛvride.

I rili sɔprayz fɔ no se dɛn bin fɔs fɛn dis kayn mɛrɛsin frɔm wan plant we gɛt flawa we dɛn kɔl "Digitalis" ɔ "foxglove." Na dat mek dɛn gi sɔm pan di mɛrɛsin dɛn we de na dis grup in nem to da plant de.

Aw dis mɛrɛsin de wok insay di bɔdi?

Sɔm sayɛns tru tin dɛn de fɔ ɔndastand dis, bɔt a go ɛksplen am to una rili simpul wan.

Tink bɔt di sɛl dɛn we de na wi at mɔsul lɛk smɔl smɔl pɔmp dɛn. Insay dɛn sɛl ya, tin dɛn de we dɛn kɔl sɔdiɔm ɛn kalsiɔm. Di balans pan dɛn tin ya rili impɔtant fɔ mek di at bit fayn.

1. Sodium kontrכl: We yu tek wan kadyak glycoside dכg, i de kכntro sכmtεm di pכmp fכ sodium kכmכt na di at sεl dεm. Fɔ tɔk di kɔrɛkt tin, i kin stɔp da tin de fɔ sɔm tɛm.

.

3. fכ mek di at rεt strכng: εvri at bit, dis εksyכs kalsiכm de kכmכt. Dis kin mek di at mɔsul kɔntrakt mɔ pawa. Dis min se di bכdi we dεn de pכmp insay di bכdi wit εvri bit (we wi kכl Stroke Volume insay mεdikal) de inkrεs.

4. di כvala pכrfomans we de bכku: we di bכdi we dεn de pכmp insay wan bit de inkrεs, di tכtal blכd we di at de pכmp (dεn kכl am kadyak autput ) de inkrεs. Dis na big rilif fɔ pɔrsin wae gɛt sik lɛk at pwɛl hat.

Apat frɔm dat, dɛn drɔgs ya kin du ɔda impɔtant tin. wan spɛshal ples de usay di ilɛktrik signal dɛn we de kɔntrol di at bit de travul, we dɛn kɔl di Atrioventricular (AV) node . Dɛn drɔgs ya kin mek di spid we dɛn signal dɛn de travul slo. Dis kin mek di at rit slo. Di prɔblɛm dɛn we kin mek pɔsin gɛt at ritm, lɛk Atrial FibrillationDis kin rili bɛnifit pipul dɛn we gɛt dɛn kayn sik ya.

Wetin na di kayn kadyak glycosides ɛn uswan dɛn kin yuz mɔ?

Bɔku mɛrɛsin dɛn de we de insay dis klas ɔf mɛrɛsin.

• Digoxin we dɛn kin yuz
• Digitalis we dɛn kɔl dijital
• Digitɔksin we dɛn kɔl

Pan dɛn wan ya, di wan we yu, mi, ɛn ɔlman dɔn yɛri bɔt, ɛn di wan we dɛn kin yuz mɔ na Sri Lanka ɛn ɔlsay na di wɔl, na Digoxin . Chek fɔ si if dis nem de pan yu prɛskrishɔn.

Udat dɛn kin gi dɛn mɛrɛsin ya? Wetin mek dɛn nɔto di fɔs pɔsin we dɛn kin pik?

di kadyak glycoside dεm dεn kin jεnarali prεskrib fכ tu men kכndyushכn dεm.

1. Hat Failure: Na tin we de mek di at nɔ ebul fɔ pamp inof blɔd to di bɔdi.

2. Di at bit we nɔ de bit (Arrhythmias): Ɛspɛshali fɔ di kes dɛm we di at rit de go ɔp we yu nɔ ebul fɔ kɔntrol, lɛk Atrial Fibrillation.

Bɔt na wan impɔtant pɔynt we wi ɔl nid fɔ no. Naw, Cardiac Glycosides nɔto di fɔs layn tritmɛnt fɔ dɔktɔ dɛn. 20-30 ia bifo, dɛn bin de yuz dɛn bɔku bɔku wan. Bɔt naw, nyu mɛrɛsin dɛn de we nɔ bad, we nɔ gɛt bɛtɛ sayd ɛfɛkt, ɛn we de.

Dɔktɔ go tray fɔ yuz dɛn kayn mɛrɛsin ya fɔs:

• Beta-blɔk dɛn
• ACE inhibito dɛn we de mek pɔsin nɔ ebul fɔ du am
• Diuretics (mɛrɛsin dɛn we de ridyus wata na di bɔdi) .
• ARB dɛn

Na if dɛn mɛrɛsin ya nɔ ebul fɔ kɔntrol di sik ɔ if di pɔsin gɛt ɔda prɔblɛm dɛn, na in dɔktɔ go yuz Cardiac Glycosides, mɔ Digoxin, as sɛkɔn ɔ tɔd step.

Wi no bak bɔt di bad tin dɛn we kin apin ɛn di bad tin dɛn we kin apin to wi?

We yu de tɔk bɔt dis mɛrɛsin, wan tin we yu fɔ no bɔt na di prɔblɛm we i gɛt. Na smɔl gap de bitwin di tritmɛnt doz ɛn di pɔyzin doz fɔ dis mɛrɛsin. Dis min se ivin if yu tek smɔl mɔ pas di doz we dɛn se yu fɔ tek, yu stil go gɛt sɔm bad bad tin dɛn.

Dis na di rizin we mek yu dɔktɔ go de chɛk yu blɔd ɔltɛm (sɛrum digoxin lɛvɛl) fɔ si if di mɛrɛsin lɛvɛl na yu bɔdi de na di kɔrɛkt lɛvɛl.

Duya notis: If yu potassium lɛvɛl smɔl, yu de pan ay risk fɔ gɛt sayd ɛfɛkt frɔm dis mɛrɛsin. So, yu dɔktɔ go chɛk yu potashɔm lɛvɛl bak ɔltɛm.

Ustɛm yu nid fɔ go to dɔktɔ wantɛm wantɛm?

If yu de tek wan kadyak glycoside, mɔ di Digoxin, yu fɔ kɔntak yu dɔktɔ wantɛm if yu gɛt ɛni wan pan dɛn sik ya. If di sik bad bad wan, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.

Aw lɔng i kin tek fɔ mek di mɛrɛsin wok?

Afta yu dɔn bigin fɔ tek dis mɛrɛsin, i kin tek sɔm wik, ɔ ivin wan ɔ tu mɔnt, bifo yu sik bigin fɔ bɛtɛ. So peshɛnt ɛn kɔntinyu fɔ tek di mɛrɛsin lɛk aw yu dɔktɔ tɛl yu.

Di tin we impɔtant pas ɔl: Nɔ ɛva stɔp fɔ tek dis mɛrɛsin we yu nɔ go to yu dɔktɔ, jɔs bikɔs yu tink se yu de fil fayn. Dɔn bak, nɔ tek pas di doz we dɛn tɛl yu fɔ tek. Tɔk to yu dɔktɔ ɔltɛm bɔt aw di mɛrɛsin de afɛkt yu.