I chhûngkaw zînga mi tu emaw, i nu emaw, i pa emaw, i pi leh pute emaw pawh ni se, thinlung natna damdawi a ei a ni mai thei. Chutiang damdawi zingah chuan damdawi chi khat, hun rei tak chhunga hman tawh, thinlung chakna bik pe theitu a awm a. Vawiin hian damdawi pawl pakhat Cardiac Glycosides tih kan sawi dawn a. A hming hi tlem a buaithlak viau nachungin, hengte hnathawh dan leh kan hriat tur thudikte hi a pawimawh hle.
A awlsam zawngin, heng cardiac glycosides te hi engte nge ni?
Cardiac glycosides hi damdawi chi khat a ni a, thinlung natna thenkhat nei te tanpuitu a ni. Tablet, syrup emaw capsule emaw angin an lo awm thei bawk. Doctor-te chuan heng damdawite hi ni khatah vawi khat ei tur, nitin hun khata ei tur a ni tlangpui.
Hetiang damdawi chi hi pangpar chi khat "Digitalis" emaw "foxglove" emaw atanga hmuhchhuah a nih hmasak ber hi thil mak tak a ni. Chuvang chuan he pawla damdawi thenkhatte hi chu thlai hming chawia an vuah a ni.
He damdawi hian taksa chhungah engtin nge hna a thawh?
Hei hi hrethiam tur chuan scientific facts thenkhat a awm a, mahse awlsam takin ka hrilhfiah ang che.
Kan thinlung ruh chhunga cell te hi pump te tak te angin ngaihtuah rawh. Heng cell chhungah hian sodium leh calcium an tih te hi a awm a. Chungte inthlauhna hi thinlung thawk tha tur chuan a pawimawh hle.
1. Sodium control: Cardiac glycoside damdawi i ei hian heart cells atanga sodium pump chhuah chu eng emaw chen a control thin. A dik tak chuan chu process chu rei lo te chhung atan a titawp a ni.
2. Calcium tihpun: Cell chhunga sodium awm zat a pun chuan a chhanna atan cell chhunga calcium awm zat chu a pung nghal mai thin.
3. Lung chakna (heart rate) chakna: Lungphun a thawh apiangin he calcium tam lutuk hi a chhuak thin. Hei hian heart muscle chu chak zawkin a ti contract thin. Chumi awmzia chu beat apiangin taksa chhunga thisen pump luh zat (damdawi lamah chuan Stroke Volume kan tih) a pung tihna a ni.
4. Increased overall performance: Beat khata thisen pump zat a san chuan thinlungin thisen pump zawng zawng ( cardiac output an tih) chu a pung a ni. Hei hi heart failure ang chi condition nei tan chuan hahdamna ropui tak a ni.
A awlsam zawngin: he damdawi hian thinlung pump theihna "boosting" hmangin hna a thawk a ni.
Chu bâkah, heng ruihhlote hian thil pawimawh dang a ti bawk. Heartbeat control tu electrical signal te kalna hmun bik a awm a, chu chu Atrioventricular (AV) node an ti a ni. Heng damdawi te hian chu signal kal chakna chu a ti hniam thei a ni. Hei hian heart rate a ti hniam a ni. Lungphung lama harsatna, Atrial Fibrillation ang chi teHei hian chutiang dinhmun neite tan hlawkna nasa tak a thlen a ni.
Cardiac glycosides chi hrang hrangte chu engte nge ni a, engte nge hman tam ber?
Hetiang damdawi chi hrang hranga tel damdawi engemaw zat a awm.
- Digoxin a ni
- Digitalis a ni
- Digitoxin a awm bawk
Chung zingah chuan nang leh kei leh midang zawng zawngin kan hriat tawh, Sri Lanka leh khawvel hmun hrang hranga hman tlanglawn ber chu Digoxin a ni. He hming hi i prescription-ah a awm em tih enfiah rawh.
Heng damdawi te hi tute nge an pek? Engvangin nge duhthlanna hmasa ber an nih loh?
Cardiac glycosides hi a tlangpuiin condition lian pahnih atan an pe thin.
1. Heart Failure: Thinlung hian taksaah thisen a pump tling thei lo tihna a ni.
2. Heartbeat irregularities (Arrhythmias): A bik takin heart rate control theih loha a sanna, Atrial Fibrillation ang chi te tan.
Mahse hetah hian kan hriat chian ngai pawimawh tak pakhat a awm. Tunlai hian Cardiac Glycosides hi doctor-te enkawlna hmasa ber a ni lo. Kum 20-30 kalta khan an hmang nasa hle a. Mahse tunah chuan damdawi thar zawk, him zawk, side effect nei tlem zawk leh hmuh theih a awm ta.
Doctor chuan heng damdawi chi hrang hrangte hi a lo enchhin hmasa ang:
- Beta-blockers te pawh a awm
- ACE inhibitor te hi a ni
- Diuretics (taksa chhunga tui tihziaawmna damdawi) .
- ARB te hi an ni
Heng damdawi te hian natna a thunun theih loh emaw, damloin harsatna dang a neih emaw chauhvin doctor chuan Cardiac Glycosides, a bik takin Digoxin chu step hnihna emaw pathumna emaw atan a hmang ang.
He damdawi hi a tha lo tihna em ni? Ni lo, a ni lo tak zet. He damdawi hi damlo thenkhat tan chuan damdawi hmanraw pawimawh tak, nunna chhanhim thei tak a ni. Mahse hlauhawmna engemaw zat a neih avangin doctor-te chuan uluk takin an pe a, a mamawh tak takte tan chauh an pe thin.
A hlauhawmna leh a side effect pawh kan hre em?
He damdawi chungchang kan sawi hian hriat tur pakhat chu a hlauhawmna hi a ni. He damdawi hi therapeutic dose leh toxic dose inkarah hian gap tlemte chauh a awm a ni. Hei hian a awmzia chu a rawt aia tlem lo i ei pawhin side effect i la nei thei tho tihna a ni.
Hei vang hian i doctor chuan i thisen (serum digoxin level) chu i taksaa damdawi level dik tak a nih leh nih loh a enfiah fo ang.
| Side effect chi hrang hrang | Symptoms awm thei te |
|---|---|
| Side effect awm fo thin |
|
| Drug toxicity symptom na tak tak a awm |
Khawngaihin hre reng ang che: I potassium level a hniam chuan he damdawi atanga side effect i neih theihna a sang zawk. Chuvangin i doctor pawhin i potassium level a enfiah fo ang.
Engtikah nge doctor pan vat a ngaih?
Cardiac glycoside, a bik takin Digoxin i ei a nih chuan a hnuaia symptoms te hi i neih chuan doctor i pan nghal tur a ni. A natna lanchhuahna a nasat chuan damdawi in hnai ber Emergency Department (ETU)-ah kal tur a ni.
| Symptoms fimkhur tur | Engtin nge tih ang? |
|---|---|
| Thâwk harsa | Damdawi lam thurawn zawng nghal rawh. |
| Ke ruh emaw ke emaw a hring chhuak | Doctor hnenah hriattir rawh. |
| Pum natna nasa tak, luak chhuak emaw, luak chhuak emaw | Damdawi lam thurawn zawng nghal rawh. |
| Chaw chakna | Doctor hnenah hriattir rawh. |
| Lungphun danglam tak, slow emaw fast emaw, emaw, beat skip ang maia hriatna emaw | Damdawi lam thurawn zawng nghal rawh. |
Damdawi hian eng chen nge hna a thawh theih?
He damdawi hi i ei tan hnuah hian i natna lan chhuah dan a lo tha chho tan hmain kar engemaw zat, thla khat emaw thla hnih emaw pawh a la ngai thei. Chuvangin dawhthei la, i doctor-in a sawi angin damdawi chu ei chhunzawm rawh.
A pawimawh ber: Doctor rawn hmasa lovin he damdawi hi ei kha bansan ngai suh, i rilru a hahdam nia i ngaih vang chauh a ni. Tin, a dose pek aia tam ei loh tur a ni. Damdawi hian engtin nge a nghawng tih i doctor nen sawiho fo ang che.
Take-Home Thuchah a ni
- Cardiac glycosides hi damdawi chi khat a ni a, hun rei tak chhung chu heart pumping ability tihpun nan leh heart rate control nan hman a ni.
- Tunlai hian hengte hi first-line drug atan hman ni lo mah se, damlo thenkhat tan chuan damdawi mamawh tak a ni.
- Damdawi pek zat leh side effect thlentu dose inkar hi a tlem avangin doctor-in a pek ang chiah chiah ei hi a pawimawh hle.
- Nausea, mit a danglam (yellow/green vision), emaw heart rhythm mumal lo ang chi symptoms i neih chuan doctor hnenah hriattir nghal rawh.
- Damdawi ei kha chawlhsan suh la, eng thil vang pawh nise doctor thurawn tel lovin a dose thlak loh tur a ni. Clinic kal a, a hun taka thisen test neih a pawimawh hle.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh