Yu dɔktɔ dɔn gi yu ɔ pɔsin na yu famili di mɛrɛsin we dɛn kɔl Digoxin? If na so, i nɔmal fɔ fil smɔl fɔ no bɔt dis mɛrɛsin, ɛn sɔntɛm yu kin ivin fred. Bikɔs dis na wan mɛrɛsin we rili impɔtant, ɛn wan we dɛn fɔ tek tɛm yuz. So nɔ wɔri. Insay dis atikul, wi go tɔk bɔt di rayt tin we Digoxin bi, wetin i de du, ɛn wetin wi nid fɔ tek tɛm wit we wi de yuz am.
Fɔ tɔk am simpul wan, wetin na Digoxin?
Digoxin na wan drɔg we rili ol. Dɛn mek am wit wan plant we gɛt flawa we dɛn kɔl fɔksglɔv. I de pan wan klas ɔf drɔgs we dɛn kɔl kadyak glycosides .
Bɔku tɛm, we dɛn bigin fɔ trit pɔsin we gɛt at sik, dɔktɔ dɛn kin gi ɔda mɛrɛsin dɛn fɔs. Wi kin kɔl dɛn ‘fɔs layn drɔgs.’ Dɛn kin gi yu digoxin if dɛn mɛrɛsin dɛn de nɔ wok lɛk aw dɛn bin de tink, ɔ if dɛn nid ɔda mɛrɛsin.
Di dɔktɔ kin tɔk mɔ bɔt dis mɛrɛsin fɔ dɛn at sik ya:
- At nɔ de wok fayn: Dis na we di at nɔ ebul fɔ pɔmp inof blɔd to di bɔdi.
- Atrial flutter: Na di kכndyushכn we di כp chεmba dεm na di at (atria) de bit bכku bכku wan.
- atrial fibrillation (Afib): na kכndyushכn we di כp chεmba dεm na di at de bit rεgulεr εn kwik.
Wetin digoxin de du to wi at?
Tink bɔt wi at lɛk wata pɔmp. Sɔntɛnde dis pɔmp kin wik ɛn i nɔ kin ebul fɔ pɔmp wata fayn fayn wan. Di drɔg we dɛn kɔl digoxin de du tu men tin dɛn.
1. I de ɛp di at mɔsul fɔ kɔntrakt mɔ strɔng wan: Dis de mek di at we wik fɔ pɔmp mɔ blɔd to di bɔdi wan tɛm. I tan lɛk se yu de gi di pɔmp we wik mɔ pawa.
2. I de rigul ɛn slo di at rit: Ɛspɛshali pan kɔndishɔn lɛk Afib, di at de bit rili fast ɛn i nɔ de bit ɔltɛm. digoxin de wok bay we i de slo di ilektrikal signal dεm we de kכntro di at rεt. Dis kin mek di at kin bit sloslo ɛn ɔltɛm.
Fɔ tɔk am simpul wan, digoxin tan lɛk smat manija we de mek di at ebul fɔ pamp ɛn kɔntrol in spid.
Wetin na di bɛnifit dɛn we dis mɛrɛsin de gi?
Digoxin gɛt bɔku bɛnifit fɔ di sik pipul dɛn if dɛn yuz am fayn fayn wan.
- I kin ridyus di nɔmba fɔ pipul dɛn we de na ɔspitul bikɔs ɔf at sik.
- I kin ɛp fɔ ridyus di sayn dɛm wae de sho se yu at nɔr de woke fayn, lɛk wae yu taya ɛn nɔr de blo fayn.
- I kin mek di sik pipul dɛn layf bɛtɛ.
- Dɛn kin kɔntrol di at rit pan pipul dɛm wae gɛt kɔndishɔn lɛk Afib.
Wi no bak bɔt di bad tin dɛn we kin apin to wi?
Lɛk ɛni mɛrɛsin, digoxin kin gɛt sayd ɛfɛkt. Nɔto ɔlman kin gɛt dɛn, bɔt i impɔtant fɔ no bɔt dɛn.
| Tayp fɔ di sayd ɛfɛkt | Tɔk bɔt |
|---|---|
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Bɛlɛ de at, nɔs, vɔmit, flatulɛns. |
| Prɔblɛm dɛn we de na di nervɔs sistɛm | Diziz , layt ed, slip, ed pen. |
| Vishɔn kin chenj | Tin dɛn kin tan lɛk se dɛn nɔ klia, dɛn yɔlɔ, ɔ grɛn. Dis kin bi sayn fɔ pɔyzin. |
| Ɔda sayd ɛfɛkt dɛn | Skin rash, di brɔst we de big pan man dɛn (gynecomastia). |
| Prɔblɛm dɛn we gɛt fɔ du wit at | di at ritm dεm we nכ nכmal (arrhythmias), di at bit dεm we de sכmtεm sכmtεm (at blכk). Dɛn tin ya kin rili siriɔs. |
Digoxin Toxicity - Usay wi nid fɔ tek tɛm pas ɔl!
We wi de tɔk bɔt digoxin, wan tin we wi rili nid fɔ no na bɔt digoxin toxicity . dis kin apin we di lεvεl fכ di digoxin na di bכdi de inkrεs pas wetin di bכdi kin tכleret.
Dis tan lɛk we yu de waka wit tayt rop. Na smɔl difrɛns de bitwin di lɛvɛl we wan mɛrɛsin de bɛnifit ɛn di lɛvɛl we i pɔyzin to di bɔdi. So, i rili impɔtant fɔ tek di doz jɔs lɛk aw di dɔktɔ tɛl yu fɔ tek am.
Tin dɛm we kin mek di digoxin lɛvɛl go ɔp
Sɔm it, ɔda mɛrɛsin, ɛn wɛl bɔdi prɔblɛm kin chenj di lɛvɛl we di digoxin de na wi bɔdi.
- Di it: Fɔ it it dɛn we gɛt bɔku fayv ɔ tek fayv sɔpɔtmɛnt.
- Ɔda mɛrɛsin dɛn: Mɛrɛsin fɔ sɔm infɛkshɔn (macrolides), mɛtoklɔpramid fɔ nɔs, antasid fɔ gastritis, ɛn sɔm mɛrɛsin dɛn we de mek pɔsin nɔ gɛt bɔku kɔlɔstrel.
- di kidni fכ wok: di kidni dεm de kכmכt na di bכdi fכs, so pכsin we gεt kidni sik de pan hכy risk fכ digoxin tכksisiti.
As wi de ol, natin nɔ de fɔ mek wi kidni dɛn wok go dɔŋ smɔl. So, i kin tek lɔng tɛm fɔ mek dɛn pul dis mɛrɛsin kɔmɔt na pɔsin we dɔn ol in bɔdi. So, di dɔktɔ go tek ɔl dis na kɔna we i de disayd di doz.
Aw dɛn kin chɛk di digoxin lɛvɛl?
Lɛk wan wik afta yu bigin fɔ tek digoxin, yu dɔktɔ go aks yu fɔ mek dɛn du blɔd tɛst. Dis go chɛk di lɛvɛl we di digoxin de na yu blɔd. Dɛn kin du dis tɛst 6-8 awa afta dɛn dɔn tek di mɛrɛsin. Yu go nid fɔ gɛt dis tɛst ɔltɛm afta dat. Nɔ skip dɛn tɛst ya. I rili impɔtant fɔ mek yu sef.
Wetin na di sayn dɛm fɔ pɔyzin?
if di digoxin lεvεl na di bכdi pas 2.0 ng/mL (nanogram pan wan mililita), di risk fכ tכksisiti de bכku. Dɔktɔ kin gɛt aidia bak bɔt dis bay we i luk di chenj dɛn we de apin na di ilɛktrik aktiviti na di at wit ECG (ilɛktrokadiogram) .
Di men tin dɛn we kin sho se pɔsin gɛt pɔyzin:
- Siriɔs nɔs ɛn vɔmit
- Vishɔn de chenj (tin dɛn de sho yɔlɔ/grin, blur, si halos rawnd layt)
- Di at bit abnɔmaliti (at de bit kwik ɔ we de paund, pen na yu chɛst) .
- Big big kɔnfyushɔn
- Taya pasmak ɛn slip
If dɛn sik ya apin, i kin kil pɔsin. So, yu fɔ go wantɛm wantɛm na di imejensi rum (ETU) na di ɔspitul we de nia yu. Sɔntɛnde, di potashɔm lɛvɛl na di blɔd kin go ɔp bad bad wan. Wi kin kɔl dis haypakalemia .
If digoxin pɔyzin apin, spɛshal antidote de we kin rivɛns di ifɛkt dɛn we i gɛt . Dɛn kɔl am digoxin immune fab . So, fɔ go na ɔspitul kwik kwik wan kin sev in layf.
If yu sɔspɛkt se yu gɛt digoxin pɔyzin, yu fɔ:Yu kin gɛt advays bak bay we yu kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital.
Tin dɛn we yu kin du fɔ mek i izi fɔ yu
Fɔ liv wit dis mɛrɛsin nɔr nid fɔ bi prɔblɛm. If yu tek kia ɔf sɔm smɔl smɔl tin dɛn, ɔltin kin izi.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan: Tek di doz we dɛn tɛl yu fɔ tek, di tɛm we dɛn tɛl yu fɔ tek. Nɔ ɛva ridyus, inkrisayz, ɔ stɔp fɔ tek di mɛrɛsin bay yu yon sɛns.
- Nɔ mis blɔd tɛst: Go to yu dɔktɔ in apɔntinmɛnt ɛn mek dɛn tɛst yu blɔd. Dis go ɛp yu fɔ no if yu digoxin lɛvɛl de insay sef limit.
- Tek tɛm wit ɔda mɛrɛsin dɛn: Tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin, vaytamɛn, ɛn ɛbul mɛrɛsin we yu de tek. Ivin sɔm mɛrɛsin dɛn we dɛn kin bay na kɔt kin miks wit digoxin.
| If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm! | |
|---|---|
| I nɔ kin izi fɔ yu fɔ blo | I nɔ kin want fɔ it igen, i kin nɔs, ɔ i kin vɔmit |
| An ɔ fut kin swel | Ɛni chenj na di vishɔn (blurring, kɔlɔ chenj) . |
Digoxin na valyu drɔg we kin sev pipul dɛn layf if dɛn yuz am fayn fayn wan. Bɔt na yu gɛt di wok fɔ yuz am sef wan. If yu gɛt ɛni wɔri ɔ kwɛstyɔn, tɔk to yu dɔktɔ bɔt am opin wan.
Mɛsej we dɛn kin kɛr go na os
- Digoxin na pawaful mɛrɛsin we dɛn kin yuz fɔ at sik we dɛn fɔ tek tɛm manej.
- Na smɔl margin de bitwin di ifektiv ɛn pɔyzin dos fɔ dis mɛrɛsin, so i rili impɔtant fɔ fala di dɔktɔ dɛn advays.
- Nɔ ɛva chenj di doz ɔ stɔp fɔ tek di mɛrɛsin if yu dɔktɔ nɔ gri fɔ tek am.
- Nɔ mis di dɔktɔ apɔntinmɛnt ɛn blɔd tɛst pan di de dɛn we dɛn dɔn sɛtul fɔ chɛk di lɛvɛl we digoxin de na yu blɔd.
- If sɔm sayn dɛm fɔ pɔyzin lɛk fɔ nɔs, fɔ vɔmit, fɔ chenj di we aw yu de si, ɔ fɔ mek yu at nɔ de wok fayn, go to dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
- Ɔltɛm tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek.
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