Yu dɔktɔ dɔn ɛva gi yu Digoxin fɔ at sik? If na so i bi, dis atikul go rili impɔtant to yu. Na bikɔs na drɔg we rili pawaful ɛn yu fɔ tek tɛm yuz am bad bad wan. Lɛ wi tɔk bɔt am simpul wan, di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Digoxin?
Digoxin na wan mɛrɛsin wae dɛn kin yuse fɔ trit sɔm kayn hat sik. Bɔku tɛm, dɔktɔ dɛn kin gi am we fɔs layn mɛrɛsin nɔ de wok ɔ we dɛn nid ɔda mɛrɛsin. Na rizin de fɔ dis.
Fɔ tɔk am simpul wan, smɔl difrɛns de bitwin di doz fɔ dis mɛrɛsin we go ɛp yu ɛn di doz we go denja, dat na, pɔyzin, to yu. Na dat mek dɔktɔ dɛn kin tek tɛm gi am.
Dis mɛrɛsin na wan plant we gɛt flawa we dɛn kɔl "foxglove". i de pan wan grup fכ dכg dεm we dεn kכl "cardiac glycosides". Dɛn kin yuz dis mɛrɛsin mɔ fɔ dɛn tin ya:
- Hat Failure: Na sik wae de hat nɔr kin ebul fɔ pɔmp inof blɔd to di bɔdi.
- Atrial flutter: Na tin we di ɔpa chɛmba dɛn na di at (atria) de bit tumɔs.
- Atrial Fibrillation (Afib): na kכndyushכn we di at ritm de bi rεgulεr εn rεpid.
Wetin kin apin insay di bɔdi wit dis mɛrɛsin?
We digoxin kam insay wi bɔdi, i de du tu men tin dɛn.
1. I de ɛp di at mɔsul fɔ pɔmp blɔd wit mɔ pawa. Tink bɔt am lɛk wata motoka. Wetin dis mɛrɛsin de du na fɔ mek da motoka de gɛt pawa smɔl ɛn mek i pɔmp mɔ wata.
2. I de slo di at rit. Dis mɛrɛsin de slo di spid we ilɛktrik signal dɛn we de kɔntrol di at bit de travul. Dis kin ɛp fɔ kɔntrol di at rit.
Dɛn tu wok ya de gi trɛnk to pɔrsin in at we gɛt at pwɛl, pan ɔl we dɛn kin kɔntrol di at bit fɔ pɔsin we gɛt ay at rit.
Lɛ wi no bak bɔt di bad tin dɛn we kin apin to wi ɛn di bad tin dɛn we kin apin to wi.
Lɛk ɛni mɛrɛsin, digoxin kin mek yu gɛt sayd ɛfɛkt. Sɔm pan dɛn tin ya kin apin, ɛn ɔda wan dɛn kin rili siriɔs. So i impɔtant fɔ no bɔt dɛn tin ya.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Bɛlɛ nɔ kin fil fayn | Tin dɛm lɛk nɔs, vɔmit, bɛlɛ at. |
| Vishɔn kin chenj | Tin dɛn lɛk fɔ si tin dɛn we nɔ klia, we de luk yɔlɔ ɔ grɛn . Dis na wan sayn we rili impɔtant. |
| Diziz we pɔsin kin gɛt | Diziz , blu yay, fil lɛk se yu go fɔdɔm we yu tinap. |
| Ɔda tin dɛn we de apin | Drowsiness, ed pen, skin rash. |
| Siriɔs dizayd dɛn | di at bit we nɔrmal fast (Atrial Tachycardia), at bit we nɔrmal sloslo (Hat Blɔk). |
| Gynekomastia we dɛn kin gɛt | Dis na sɔntin we pipul dɛn nɔ kin si bɔku tɛm. I min se man dɛn bɔdi kin big . |
Digoxin Level ɛn Tɔksisiti
Dis na di pat we impɔtant pas ɔl we yu de tɔk bɔt dis mɛrɛsin. "Digoxin levels" na di amount of digoxin na yu bכdi. Dɛn kin mɛzhɔ dis wit blɔd tɛst.
- nכmal lεvεl: jεnarali, lεvεl bitwin 0.5 εn 2.0 nanogram pan wan lita (0.5 - 2.0 ng/mL) dεn kin tek am sef εn bεnεfit lεvεl.
- Digoxin Toxicity: If di lεvεl fכ digoxin na di bכdi pas 2.0 ng/mL, i kin bigin fכ tכxik to di bכdi. Dis kin bi wan sik we rili denja . Dis kin mek di at ritm chenj bad bad wan ɛn ivin kin mek pɔsin in layf de pan denja.
Us tin dɛn kin afɛkt di digoxin lɛvɛl?
Ivin if di doz fɔ di pil we yu de tek stil de di sem, dɛn tin ya kin afɛkt di lɛvɛl we di digoxin de na yu bɔdi:
- di kidni dεm we de wok: Digoxin de kכmכt na di bכdi mεntal wan tru di kidni dεm. If yu kidni dɛn wik, di mɛrɛsin kin kɔmɔt na di bɔdi sloslo . Dis kin mek di digoxin gɛt bɔku bɔku denja na di blɔd. di kidni fכnshכn nכmal wan kin dכn wit di ej , so ol pipul dεm kin de pan big risk.
- Ɔda mɛrɛsin dɛm: Ɔda mɛrɛsin dɛm wae yu de tek (e.g., sɔm antibayɔtik dɛm, mɛrɛsin dɛm wae de mek yu nɔr gɛt bɔku bɔku kɔlɔstrel, mɛrɛsin dɛm wae de mek yu nɔr gɛt asid) kin intarakt wit digoxin ɛn inkrisayz in lɛvɛl.
- Fɔ it ɛn drink: If yu it it dɛn we gɛt bɔku fayv ɔ yu tek fayv sɔpɔtmɛnt, dat kin mek di digoxin nɔ go insay di bɔdi.
- di potashכm lεvεl na di bכdi: If di potashכm lεvεl na di bכdi lכw (Hypokalemia), di risk fכ digoxin tכksisiti de bכku.
Fɔ dɛn rizin ya, i impɔtant fɔ mek dɛn tɛst yu blɔd ɔltɛm ɛn chɛk yu digoxin lɛvɛl lɛk aw yu dɔktɔ tɛl yu.
Aw a go yuz dis mɛrɛsin sef wan?
Nɔ wɔri. If yu tek tɛm fala dɛn instrɔkshɔn ya, yu kin yuz digoxin sef wan.
1. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn ɛksaktɔli: Tek di doz we dɛn tɛl yu fɔ tek, di tɛm we dɛn tɛl yu. Nɔ ɛva ridyus, inkrisayz, ɔ stɔp fɔ tek di mɛrɛsin bay yu yon sɛns.
2. Nɔ mis blɔd tɛst: Mek shɔ se yu go na di dɔktɔ in apɔntinmɛnt ɛn mek dɛn tɛst yu blɔd. I rili impɔtant fɔ yu sef.
3. Tek tɛm wit ɔda mɛrɛsin: Bifo yu bigin fɔ tek ɛni nyu mɛrɛsin (ilɛksɛf na vaytamɛn, mɛrɛsin we de mek yu fil pen, ɔ Ayurveda mɛrɛsin), tɛl yu dɔktɔ se yu de tek digoxin.
4. No bɔt di bad tin dɛn we kin apin to yu: If yu notis ɛni chenj na yu bɔdi, no bɔt am.
We yu nid fɔ kɔl di dɔktɔ wantɛm wantɛm
We yu de yuz digoxin, sɔm sayn dɛn kin bi imejensi if dɛn apin. dis kin bi sayn dεm fכ digoxin tכksisiti.
| If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU). |
|---|
| - I nɔ izi fɔ blo |
| - Yu nɔ go want fɔ it, yu nɔ de fil fayn, ɔ yu de vɔmit/dayarɛa ɔltɛm |
| - Di an, fut, ɔ ankles de swel |
| - Vishכn de chenj (tin dεm de apin yכlכ/grin, blכr vishכn) |
| - Kɔnfyushɔn ɔ diziz pasmak |
If digoxin poisoning apin, tritmɛnt de we dɛn kin gɛt na ɔspitul. wan antidote we dεn kכl "digoxin immune fab" kin gi fכ rivεs di ifekt dεm we di dכg de gi. So, i impɔtant fɔ no di sayn dɛm ɛn go to tritmɛnt kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- Digoxin na wan drɔg we gɛt pawaful ifɛkt pan di at ɛn dɛn fɔ tek tɛm yuz am.
- Tek di doz we yu dɔktɔ tɛl yu fɔ tek di rayt tɛm. Nɔ chenj di doz yusɛf fɔ ɛni rizin.
- As yu dɔktɔ advays, du blɔd tɛst ɔltɛm ɛn no bɔt di digoxin lɛvɛl we yu gɛt.
- If yu gɛt sɔm sayn dɛn lɛk we yu de si chenj, we yu nɔ de si bad bad wan, ɔ we yu nɔ ebul fɔ blo, go to dɔktɔ wantɛm wantɛm bikɔs dis kin bi sayn fɔ se digoxin gɛt pɔyzin.
- Bifo yu bigin fɔ tek ɛni ɔda mɛrɛsin (inklud vaytamɛn, pen kil), i impɔtant fɔ mek yu tɛl yu dɔktɔ se yu de tek digoxin.
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