Nang emaw, i chhungkuaa tu emaw hian heart failure i nei em? A nih loh leh, a chang chuan thinlung thawk chak lo tak i nei thin em? Chutiang a nih chuan i doctor chuan damdawi chi khat `Cardiac Glycosides` tih chu a hrilh che a, a pe che pawh a ni mai thei. He hming hi a buaithlak deuhin a lang thei a, mahse lungngai suh. Vawiin hian he damdawi chi hrang hrang hi awlsam tak leh friendly takin kan sawi dawn a ni.
A awlsam zawngin, heng cardiac glycosides te hi engte nge ni?
A awlsam zawngin, hengte hi thinlung natna thenkhat nei te tanpui thei damdawi pawl an ni. Pill, capsule emaw liquid emaw angin an lo awm thei bawk. I doctor chuan ni khatah vawi khat, nitin hun khata ei turin a pe tlangpui ang.
Sri Lanka rama kan zinga `Cardiac Glycoside` hriat lar leh hman tlanglawn ber chu Digoxin a ni. He damdawi hi i lo pe tawh mai thei.
He damdawi hian taksa chhungah engtin nge hna a thawh?
Hei hi hriatthiam harsa deuh angin lang mahse, entirnan awlsam takin i hrethiam ang u.
Kan thinlunga ruh (muscle) te hi tui pump te tak te pawl ang maiin han ngaihtuah teh. Heng pump te hian tha taka hna an thawh theih nan chakna an mamawh a ni. He chakna hi mineral pakhat calcium atanga lo chhuak a ni .
Cardiac glycosides hian heart cells chhunga sodium ion tlemte a vawn tlat avangin hna a thawk a ni. Cell chhunga sodium awm zat a san chuan cell chhunga calcium awm zat pawh a chhanna atan a pung bawk.
Calcium a tam chuan thinlung ruh chu chak zawkin a inzawm khawm thin . Chumi awmzia chu beat apiangin taksa chhunga thisen pump lut zat a pung tihna a ni. Damdawi lamah chuan hei hi cardiac output tihpunna kan ti a ni . Hei hi heart failure nei tan chuan a pawimawh hle.
Tin, he damdawi hian thil dang a ti bawk.
Thinlung rhythm hi electrical signal system hmanga control a ni. He damdawi hian chu electrical signal-te kal chakna chu a ti hniam a, a bik takin thinlung chhunga AV node an paltlang chuan a thawk a ni. Hei hian heart rate a ti hniam a ni. Hei hi atrial fibrillation ang chi natna nei tan chuan a \angkai hle thei a, chu chuan thinlung chu a ti na thei lo hle.
Heng damdawi te hi tute nge an pek?
Hei hi thil pawimawh tak a ni. Tun hma chuan heng damdawi te hi lung natna atan an hmang nasa hle a. Mahse tunah chuan chutiang chu a ni tawh lo .
Tunah hian `Cardiac Glycosides` hi first-line damdawi a ni lo. Chu chu heart attack emaw heart rhythm disorder emaw avanga doctor thlan hmasak ber an ni lo tihna a ni.
A tlangpuiin doctor chuan heng damdawi chi hrang hrangte hi a pe hmasa ang:
- Beta-blockers te pawh a awm
- ACE inhibitor te hi a ni
- Diuretics - Hei hi "tui pills" kan tih chu a ni.
- ARBs (Angiotensin II Receptor Blockers) te hi a tha hle a ni.
Heng damdawi te hi pek hmasak a nih chhan chu cardiac glycosides aiin a him zawk a, side effect na tak a nei tlem zawk bawk.
Chuti a nih chuan, tute nge `Cardiac Glycosides` pek?
Damlo thenkhat, a hmaa kan sawi tawh damdawi hmanga an natna lan chhuah dan a thunun tawk loh tan chuan doctor chuan he damdawi hi a pe thei a ni. Chu chu damlo tana hlawknain a hlauhawmna aiin a tam zawk a nih chauhvin tihna a ni.
A hlauhawmna leh a side effect te chu engte nge ni?
Damdawi dang ang bawkin he damdawi hian side effect a nei thei a ni. Mahse he damdawi hi tlem kan fimkhur a ngai hle. A chhan chu therapeutic dose leh side effect thlentu toxic dose inkarah hian inthlauhna lian tak a awm lo .
A awlsam zawngin sawi ila, a dosage hi tlem tal pawh i tihpun chuan side effects a awm theihna a sang hle. Chuvangin doctor rawn hmasa lovin i damdawi ei tur hi thlak ngai suh .
He damdawi avanga harsatna awm thei te hi table pakhatah han thlir ila.
| Harsatna | Ziarang |
|---|---|
| Side effect awm fo thin (a tlangpuiin serious lo) . |
|
| Ruihhlo avanga natna lan chhuah dan (Toxicity) . ( Damdawi lam thurawn zawng nghal rawh! ) |
|
He damdawi hi taksaah hun engemaw chen a awm avangin hun kal zelah a pungkhawm thei a ni. Chuvangin i doctor chuan i thisen a enfiah fo ang a, i digoxin level pawh a enfiah fo ang.
Engtikah nge Doctor ka hmuh nghal ang?
He damdawi hi i ei a, a hnuaia symptoms te hi i nei a nih chuan doctor pan hmasa phawt ang che.
- Thâwk harsa i neih chuan
- I kut emaw i ke emaw a hring tan chuan
- Pum natna, ril\am, emaw, luak chhuak emaw a awm reng chuan
- Ei duhna zawng zawng i hloh chuan
Toxicity symptoms a lo awm chuan damdawi in Emergency Department (ETU) pan vat a pawimawh. Thu belhchian dawl zawk i mamawh chuan Colombo National Hospital-a National Poisons Information Center-ah pawh thurawn dil theih a ni.
Take-Home Thuchah a ni
- Cardiac Glycosides (e.g. Digoxin) hi lung chak lo zawk thisen pump tha zawk leh thinlung thawk chak zawk control thei damdawi a ni.
- Tunlai hian a hlauhawmna leh a side effect vangin first-line drug atan hman a ni lo.
- Dose pek che hi a pawimawh hle. Doctor rawn hmasa lovin eng vang pawhin dose thlak loh tur a ni.
- Toxicity hi a hlauhawm tak zet a ni. Mit a danglam (yellow/green vision), mutthilh nasat, emaw, pum na emaw ang chi symptoms te chu en reng ang che. Chutiang a lo awm chuan damdawi lam thurawn la nghal rawh.
- Engtiang pawhin i rilru a hahdam a, i damdawi ei tur chu a hun bituk chhunga ei a, i doctor-in a tih angin ni ruat saah clinic-a kal a pawimawh hle.
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