Digoxin: He thinlung damdawi chungchanga i hriat tur

I doctor hian nangmah emaw, i chhungte tu emaw chuan Digoxin damdawi hi a pe che em? Chutiang a nih chuan he damdawi hi tlem tal hriat duhna, leh hlauthawng pawh a ni mai thei, chu thil pangngai a ni. A chhan chu hei hi damdawi pawimawh tak a ni a, fimkhur taka hman tur a ni bawk. Chuvangin lungngai suh. He thuziak ah hian Digoxin hi eng nge a nih chiang takin kan sawi dawn a, a hnathawh dan leh kan hman huna kan fimkhur tur te kan sawi dawn a ni.

A awlsam zawngin, Digoxin chu eng nge ni?

Digoxin hi damdawi hlui tak a ni. Foxglove an tih pangpar chi atanga siam a ni. Damdawi chi khat cardiac glycosides an tih zingah a tel a ni .

A tlangpuiin lung natna enkawl tan dawnin doctor-te chuan damdawi dang an pe hmasa thin. ‘First-line drugs’ kan ti thin. Digoxin hi chu damdawi te chu beisei angin a thawk lo a nih chuan emaw, damdawi dang mamawh a nih chuan emaw pek thin a ni.

Doctor chuan he damdawi hi a hnuaia thinlung natna hrang hrangte tan a rawt ber a ni:

• Heart failure: Hei hi thinlungin taksaa thisen a pump tam theih loh vang a ni.
• Atrial flutter: Thinlung (atria) chunglam pindan (atria) te chu a thawk chak em em thin.
• Atrial fibrillation (Afib): Thinlung chunglam chamber-te chu mumal lo leh rang taka thawk thei dinhmun a ni.

Digoxin hian kan thinlungah eng nge a tih?

Kan thinlung hi tui pump ang maiin han ngaihtuah teh. A chang chuan he pump hi a chak lo va, tui a pump tha thei lo. Damdawi digoxin hian thil pawimawh pahnih a ti a.

1. Lung ruh (heart muscle) chak zawk nan a pui: Hei hian thinlung chak lo zawk chuan vawi khatah taksaah thisen tam zawk a pump thei a ni. Pump chak lo zawk chu chakna tam zawk pek ang mai a ni.

2. Heart rate a tidanglam a, a ti hniam bawk: A bik takin Afib ang dinhmunah chuan thinlung hi a thawk chak hle a, a mumal lo hle bawk. Digoxin hian heart rate control tu electrical signals te chu a ti hniam a, a thawk a ni. Hei hian thinlung chu zawi zawi leh mumal zawkin a thawk thei a ni.

He damdawi hian eng hlawkna nge a neih?

Digoxin hi a hman dan dik a nih chuan damlo tan hlawkna tam tak a nei a ni.

• Lung natna avanga damdawi ina awm zat a ti tlem thei a ni.
• Heart failure symptoms, hahna leh thawk hah te tihziaawmna a ni.
• Damlote nunphung tihchangtlun theih a ni.
• Afib ang chi natna nei tan chuan heart rate hi control theih a ni.

Side effects pawh kan hre ve em?

Damdawi dang ang bawkin digoxin hian side effect a nei thei a ni. Mi zawng zawngin kan hmu vek lo a, mahse fimkhur a pawimawh.

Digoxin Toxicity - Fimkhur a ngaihna ber hmun!

Digoxin chungchang kan sawi hian kan hriat tur pakhat chu digoxin toxicity chungchang hi a ni . Hei hi thisena digoxin level taksain a tuar theih aia tam a san chuan a thleng thin.

Digoxin level tisang thei thil

Chaw thenkhat, damdawi dang, leh hriselna lam thilte hian kan taksaa digoxin awm zat a tidanglam thei a ni.

• Diet: Fiber tamna ei emaw, fiber supplement ei emaw.
• Damdawi dang: Infection thenkhat tan damdawi (macrolides), metoclopramide, nausea tan antacids, leh cholesterol tihhniamna damdawi thenkhat.
• Kidney function: Digoxin hi taksa atangin a paih chhuak ber a, chuvangin kal natna nei chuan digoxin toxicity a vei theihna a sang zawk.

Kan tar chhoh zel chuan kan kal (kidney function) hi a pianphungah a tlahniam deuh thin. Chuvangin he damdawi hi kum upa lam taksa atanga paih chhuah a nih theih nan hun rei zawk a ngai a ni. Chuvangin, doctor chuan a dose a tihfel hunah heng zawng zawng hi a ngaihtuah vek ang.

Engtin nge digoxin level hi an enfiah thin?

Digoxin i ei tan atanga kar khat vel hnuah i doctor chuan thisen test tir turin a ti ang che. Hei hian i thisena digoxin level a enfiah ang. He test hi damdawi ei atanga darkar 6-8 hnuah tih thin a ni tlangpui. Chumi hnuah chuan he test hi a hun takah i neih a ngai dawn a ni. Heng test te hi skip suh . I himna atan a pawimawh hle.

Poisoning symptoms te chu engte nge ni?

Thisenah digoxin level 2.0 ng/mL (nanograms per milliliter) aia tam a nih chuan toxicity a awm theihna a sang hle. Doctor pawhin ECG (electrocardiogram) hmanga thinlung electrical activity inthlak danglamna a en hian hei hi a hre thei bawk .

Poisoning chhinchhiahna ber berte chu:

• Nausen nausea leh luak chhuak
• Vision a inthlak (thil chu yellow/green-a lang, blurring, light chhehvela halo hmuh) .
• Heartbeat abnormalities (heartbeat chak lutuk emaw pounding emaw, rilru na) .
• Buaina nasa tak a awm
• Chauhna nasa tak leh mutthilh lohna

Heng symptoms te hi a lo awm chuan thihna a thlen thei a ni. Chuvangin damdawi in hnai ber emergency room (ETU) ah i kal nghal tur a ni. A chang chuan thisena potassium level hi hlauhawm takin a sang thei bawk. Hei hi hyperkalemia kan ti a ni .

Digoxin poisoning i rinhlelh chuan:Colombo National Hospital-a National Poison Information Center-ah pawh phone-in thurawn i dawng thei bawk.

Enkawlna awlsam zawka i tih theih tur thilte

He damdawi hmanga nun hi thil harsa tak a ni kher lo. Thil tenawm tlemte i enkawl chuan engkim a awlsam phah thei a ni.

• I doctor thupek dik takin zawm rawh: Dose pek zat, a hun ruatah ei rawh. Damdawi hi i duh angin tihtlem ngai suh, tipung suh, titawp ngai suh.
• Thisen test loh loh tur: Doctor appointment-ah kal la, i thisen test tir rawh. Hei hian i digoxin level chu safe limits chhungah a awm leh awm loh hriat theih nan a pui ang che.
• Damdawi dang lakah fimkhur rawh: Damdawi dang, vitamin leh herbal remedies i ei lai te chu i doctor hnenah hrilh rawh. Over-the-counter damdawi thenkhat pawh hian digoxin nen an inzawm thei.

Digoxin hi damdawi hlu tak a ni a, a hman dik chuan nunna a chhanhim thei a ni. Mahse him taka hman chu nangmahin i mawhphurhna a ni. Thil ngaihtuah leh zawhna i neih chuan i doctor nen inhawng takin sawi rawh.