Yu ɔ sɔmbɔdi na yu famili gɛt at prɔblɛm? Ɔ sɔntɛnde, yu at kin bit fast we nɔrmal? If na so, yu dɔktɔ kin dɔn tɛl yu bɔt wan kayn mɛrɛsin we dɛn kɔl `Cardiac Glycosides`, ɛn sɔntɛm i kin ivin gi yu am. Pan ɔl we dis nem kin tan lɛk se i kɔmplikt smɔl, nɔ wɔri. Tide, wi go tɔk bɔt dis kayn mɛrɛsin insay wan we we rili simpul ɛn we gɛt padi biznɛs wit pipul dɛn.
Fɔ tɔk am simpul wan, wetin na dɛn kadyak glycosides ya?
Fɔ tɔk am simpul wan, dis na grup fɔ mɛrɛsin wae de ɛp pipul dɛm wae gɛt sɔm kayn hat sik. Dɛn kin kam lɛk pils, kapsul, ɔ wata. Yu dɔktɔ go ɔltɛm tɛl yu fɔ tek dɛn wan tɛm insay di de, di sem tɛm ɛvride.
Di `Cardiac Glycoside` we wi sabi pas ɔl ɛn we dɛn kin yuz mɔ na Sri Lanka na Digoxin . Sɔntɛm dɛn dɔn gi yu dis mɛrɛsin.
Aw dis mɛrɛsin de wok insay di bɔdi?
Pan ɔl we i kin tan lɛk se dis nɔ izi fɔ ɔndastand, lɛ wi ɔndastand am wit wan simpul ɛgzampul.
Tink bɔt di mɔsul dɛn na wi at lɛk wan bɔnch smɔl smɔl wata pɔmp dɛn. Dɛn pɔmp dɛn ya nid ɛnaji fɔ wok fayn fayn wan. Dis enaji de kɔmɔt frɔm wan minral we dɛn kɔl kalsiɔm .
di kadyak glycoside dεm de wok bay we dεn de kip sכm sכdiכm ayכn dεm insay di at sεl dεm. we di sכdiכm we de insay di sεl dεm de inkrεs, di amount of kalsiכm we de insay di sεl dεm de inkrεs bak fכ ansa.
We di kalsiɔm mɔ de, di at mɔsul kin kɔntrakt wit mɔ pawa . Dis min se di bכdi we dεn de pכmp insay di bכdi wit εvri bit de bכku. Insay mɛrɛsin, wi kin kɔl dis fɔ mek di at we de kɔmɔt na di at bɔku . Dis na impɔtant tin fɔ pɔrsin wae gɛt at pwɛl hat.
Apat frɔm dat, dis mɛrɛsin de du ɔda tin.
Di at in ritm na wan sistɛm we gɛt ilɛktrik signal dɛn de kɔntrol am. dis mεdisin de wok bay we i de slo di spid we dεn ilektrikal signal dεm de travul, spεshal wan we dεn de pas na di AV node na di at. Dis kin mek di at rit slo. Dis kin rili ɛp fɔ pipul dɛm wae gɛt sik lɛk atrial fibrillation, wae kin mek di at bit kwik kwik wan.
Udat dɛn kin gi dɛn mɛrɛsin ya?
Dis na pɔynt we rili impɔtant. Trade, bɔku pipul dɛn bin de yuz dɛn mɛrɛsin ya fɔ gɛt at sik. Bɔt nɔto so i bi naw .
Naw, `Cardiac Glycosides` nɔto fɔs layn drɔg. Dat min se, nɔto dɛn fɔs pɔsin we dɔktɔ kin pik fɔ gɛt at atak ɔ at ritm disɔda.
Bɔku tɛm, dɔktɔ go fɔs gi dɛn kayn mɛrɛsin ya:
- Beta-blɔk dɛn
- ACE inhibito dɛn we de mek pɔsin nɔ ebul fɔ du am
- Diuretics - Dis na wetin wi kin kɔl "wata pills".
- ARB dɛn (Angiotensin II Risɛptɔ Blɔka dɛn) .
Di rizin we mek dɛn gi dɛn mɛrɛsin ya fɔs na bikɔs dɛn sef pas di kadyak glycosides ɛn dɛn nɔ gɛt bɛtɛ siriɔs sayd ɛfɛkt.
So, udat dɛn gi `Cardiac Glycosides`?
Fɔ sɔm sik pipul dɛn we di mɛrɛsin dɛn we wi bin dɔn tɔk bɔt nɔ ebul fɔ kɔntrol dɛn sik, di dɔktɔ kin gi dɛn dis mɛrɛsin. Dat min se, na if di bɛnifit dɛn we di pɔsin go gɛt pas di prɔblɛm dɛn we i go gɛt.
Wetin na di risk ɛn sayd ɛfɛkt dɛm?
Lɛk ɛni mɛrɛsin, dis mɛrɛsin kin mek pɔsin gɛt sayd ɛfɛkt. Bɔt wi nid fɔ tek tɛm smɔl wit dis mɛrɛsin. Di rizin na dat, nɔr big gap de bitwin di doz wae de mɛn ɛn di pɔyzin doz wae de kɔz sayd ɛfɛkt.
Fɔ tɔk am simpul wan, if yu inkrisayz di doz ivin smɔl, di chans fɔ gɛt sayd ɛfɛkt go bɔku. So nɔ ɛva chenj di doz fɔ yu mɛrɛsin if yu nɔ go to yu dɔktɔ .
Lɛ wi luk di prɔblɛm dɛn we dis mɛrɛsin kin kam wit na tebul.
| Prɔblɛm | Karakta |
|---|---|
| Kɔmɔn sayd ɛfɛkt dɛn (bɔku tɛm i nɔ kin siriɔs) |
|
| Simptom dɛm fɔ drɔg pɔyzin (Toxicity) . ( Go to dɔktɔ wantɛm wantɛm! ) |
|
Bikɔs dis mɛrɛsin kin de na di bɔdi fɔ sɔm tɛm, i kin bɔku as tɛm de go. Na dat mek yu dɔktɔ go de chɛk yu blɔd ɔltɛm ɛn chɛk yu digoxin lɛvɛl.
Ustɛm a fɔ go to di dɔktɔ wantɛm wantɛm?
If yu de tek dis mɛrɛsin ɛn yu gɛt ɛni wan pan dɛn sik ya, go to yu dɔktɔ ɛn nɔ de te.
- If yu gɛt prɔblɛm fɔ blo
- If yu an ɔ yu fut bigin fɔ swel
- If yu bɛlɛ nɔ de wok fayn, yu gɛt dayarɛa, ɔ yu de vɔmit kɔntinyu
- If yu lɔs ɔl di want fɔ it
If di sayn dɛm fɔ pɔyzin de, i impɔtant fɔ go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm. If yu nid mɔ infɔmeshɔn, yu kin kɔl bak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ gɛt advays.
Mɛsej we dɛn kin kɛr go na os
- Cardiac Glycosides (e.g. Digoxin) na dεn dεm we de εp wan wik at fכ pכmp bכdi bכku bכku wan εn kכntrכl di at bit we de bit kwik kwik wan.
- Naw, dɛn nɔ de yuz am as fɔs layn mɛrɛsin bikɔs ɔf di risk ɛn sayd ɛfɛkt dɛn we i gɛt.
- Di doz we dɛn gi yu rili impɔtant. Nɔ chenj di doz fɔ ɛni rizin we yu nɔ go to yu dɔktɔ.
- Tɔksisiti na rial risk. Wach fɔ sɔm sayn dɛm lɛk we yu de si chenj (yɔlɔ/grin vishɔn), we yu de slip bad bad wan, ɔ we yu bɛlɛ at pwɛl. If dis apin, go to dɔktɔ wantɛm wantɛm.
- I nɔ mata aw yu fil fayn, i rili impɔtant fɔ tek yu mɛrɛsin fɔ di tɛm we dɛn dɔn tɛl yu fɔ go na klinik dɛn di de dɛn we yu dɔn plan fɔ du lɛk aw yu dɔktɔ tɛl yu.
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