Kua tohua koe e tō tākuta ki te Digoxin mō te mate ngakau? Mena koinā, he mea nui tēnei tuhinga ki a koe. Nā te mea he rongoā tino kaha tēnei, me tino tupato te whakamahinga. Me kōrero noa iho, kia mārama ai koe.
He aha te Digoxin?
He rongoā te Digoxin hei rongoā i ētahi mate manawa. He maha ngā tākuta e tohu ana i tēnei rongoā ina kore e whai hua ngā rongoā tuatahi, ina hiahiatia rānei he rongoā tāpiri. He take anō tēnei mō tēnei.
He iti noa te rerekētanga i waenganui i te horopeta o tēnei rongoā hei āwhina i a koe me te horopeta ka kino, arā, ka paitini, ki a koe. Koia te take ka tino tupato ngā tākuta ki te hoatu i tēnei rongoā.
He mea hanga tēnei rongoā i tētahi tipu puāwai e kiia nei ko "foxglove". Nō tētahi rōpū rongoā e kiia nei ko "cardiac glycosides". Ko te nuinga o te wā ka whakamahia tēnei rongoā mō ēnei āhuatanga e whai ake nei:
- Te ngoikore o te ngākau: He āhuatanga e kore ai e taea e te ngākau te pupuhi i te toto e ranea ana ki te tinana.
- Te wiri o te atria: He āhuatanga e tere rawa ai te pā o ngā rūma o runga o te ngākau (atria).
- Te Whakapūngao o te Atrial (Afib): He āhuatanga e tere haere ai, e koretake ai hoki te manawataki o te ngakau.
He aha ngā mea ka tupu i roto i te tinana me tēnei rongoā?
Ina uru te digoxin ki roto i ō tātou tinana, e rua ngā mahi matua ka mahia.
1. Ka āwhina i te uaua o te ngākau ki te pupuhi toto me te kaha ake. Whakaarohia he rite ki te motuka wai. Ko tā tēnei rongoā he whakanui ake i te kaha o taua motuka, ā, ka nui ake te wai e pupuhihia ana e ia.
2. Ka whakaroa i te tere o te manawa. Ka whakaroa tēnei rongoā i te tere o te haere o ngā tohu hiko e whakahaere ana i te pao o te manawa. Ka āwhina tēnei i te whakahaere i te tere o te manawa.
Ka whakakaha ēnei mahi e rua i te ngākau o te tangata e pāngia ana e te ngoikore o te ngākau, me te whakahaere anō hoki i te pao o te manawa o te tangata he tere te pao o te manawa.
Kia tūpato hoki tātou ki ngā pānga taha me ngā mōrearea.
Pērā i ngā rongoā katoa, ka pā mai pea ngā pānga taha o te digoxin. He mea noa ētahi o ēnei, ko ētahi he kino ake. Nō reira, he mea nui kia mōhio koe ki ēnei.
| Pānga taha | Whakaahuatanga |
|---|---|
| Te mamae o te puku | Ngā mea pēnei i te whakapairuaki, te ruaki, te mamae o te puku. |
| Ngā huringa tirohanga | Ngā āhuatanga pēnei i te kite i ngā mea pōuriuri, te āhua kōwhai, te āhua kakariki rānei . He tohu tino nui tēnei. |
| Pōuriuri | Pōuriuri , kanohi kikorangi, me te āhua kei te hinga koe ina tū koe. |
| Ētahi atu āhuatanga | Te hiamoe, te ānini, te mākūkū o te kiri. |
| Ngā mate kino | Te tere o te manawa o te ngakau (Atrial Tachycardia), te puhoi o te manawa o te ngakau (Heart Block). |
| Te wahinetanga | He mea tēnei e kitea onge ana. Ko tōna tikanga he nui haere ngā ū o ngā tāne . |
Te Taumata me te Paitini o te Digoxin
Koinei te wāhanga tino nui ina kōrerohia tēnei rongoā. Ko ngā "taumata Digoxin" te nui o te digoxin i roto i tō toto. Ka inehia tēnei mā te whakamātautau toto.
- Taumata Noa: I te nuinga o te wā, ko te taumata i waenga i te 0.5 me te 2.0 nanogram ia rita (0.5 - 2.0 ng/mL) e kiia ana he taumata haumaru, he taumata whai hua hoki.
- Te Paitini o te Digoxin: Mena ka neke atu te taumata o te digoxin i roto i te toto i te 2.0 ng/mL, ka tīmata te paitini ki te tinana. He āhuatanga tino morearea tēnei. Ka taea e tēnei te whakaputa i ngā huringa nui ki te manawataki o te ngakau, ā, ka morearea pea te ora.
He aha ngā āhuatanga e pā ana ki ngā taumata digoxin?
Ahakoa ka noho tonu te horopeta o te pire ka tangohia e koe, ka pā pea ēnei mea ki te taumata o te digoxin i roto i tō tinana:
- Te mahi a ngā whatukuhu: Ka tukuna te Digoxin mai i te tinana mā roto i ngā whatukuhu. Mena he ngoikore ō whatukuhu, ka puhoi ake te tango i te rongoā mai i te tinana. Ka taea e tēnei te arahi ki te taumata tiketike rawa o te digoxin i roto i te toto. Ka heke noa te mahi a ngā whatukuhu i te pakeketanga , nō reira he nui ake te mōrearea o te hunga kaumātua.
- Ētahi atu rongoā: Ka taea e ētahi atu rongoā e tangohia ana e koe (hei tauira, ētahi paturopi, rongoā whakaheke cholesterol, antacids) te taunekeneke me te digoxin me te whakanui ake i ōna taumata.
- Kai me te inu: Mā te kai i ngā kai he nui te muka, te tango rānei i ngā tāpiringa muka ka whakaiti i te mimiti o te digoxin ki roto i te tinana.
- Ngā taumata pāhare pāporo i roto i te tinana: Mena he iti te taumata pāhare pāporo i roto i te toto (Hypokalemia), he tino tiketike te mōrearea o te paitini digoxin.
Mō ēnei take, he mea nui kia whakamātauria tō toto i ia wā, me te tirotiro i ō taumata digoxin e ai ki te whakahau a tō tākuta.
Me pēhea te whakamahi haumaru i tēnei rongoā?
Kaua e manukanuka. Ki te whai koe i ēnei tohutohu me te āta whakaaro, ka taea e koe te whakamahi haumaru i te digoxin.
1. Whāia ngā tohutohu a tō tākuta kia tika: Tangohia te horopeta kua tohua, i te wā kua tohua. Kaua rawa e whakaiti, e whakanui, e whakamutu rānei i te tango i te rongoā i runga i tāu ake whakaaro.
2. Kaua e mahue ngā whakamātautau toto: Kia mahara ki te haere ki ngā wā whakarite ki te tākuta, kia whakamātauria hoki tō toto. He mea tino nui tēnei mō tō haumaru.
3. Kia tūpato ki ētahi atu rongoā: I mua i te tīmatanga o tētahi rongoā hou (ahakoa he huaora, he rongoā mamae, he rongoā Ayurvedic rānei), me kī atu ki tō tākuta kei te tango koe i te digoxin.
4. Kia tūpato ki ngā pānga taha: Ki te kite koe i ētahi huringa i roto i tō tinana, kia tūpato ki tēnā.
Ina hiahia koe ki te waea atu ki te tākuta tonu
Ina whakamahia te digoxin, tera pea ētahi tohu e pāngia ai e te āhuatanga ohorere. He tohu pea ēnei o te paitini o te digoxin.
| Ki te puta mai ēnei tohu, me kōrero tonu atu ki tō tākuta, me haere rānei ki te Tari Ohotata (ETU) o te hōhipera. |
|---|
| - Te uaua ki te manawa |
| - Te kore hiahia kai, te whakapairuaki, te ruaki/korere rānei e mau tonu ana |
| - Te pupuhi o ngā ringa, o ngā waewae, o ngā pona rānei |
| - Ngā panonitanga o te tirohanga (ka puta te kōwhai/kākāriki, ka pōuri te tirohanga) |
| - Pōhēhē, pōuri rawa rānei |
Mena ka pāngia e te paihana digoxin, kei te wātea he maimoatanga i te hōhipera. Ka taea te hoatu he rongoā ārai mate e kiia nei ko te "digoxin immune fab" hei whakakore i ngā pānga o te rongoā. Nō reira, he mea nui kia mōhio ki ngā tohu me te rapu maimoatanga wawe.
Karere Tangohia ki te Kāinga
- He rongoā te Digoxin he tino kaha te pānga ki te ngākau, nō reira me tino tupato te whakamahinga.
- Tangohia te horopeta i tohua e tō tākuta i te wā tika. Kaua e whakarerekē i te horopeta mō tetahi take.
- E ai ki ngā tohutohu a tō tākuta, me whakamātau toto auau, me te noho mōhio ki ngā taumata o tō digoxin.
- Ki te pāngia koe e ngā tohu pēnei i te panoni o te tirohanga, te whakapairuaki nui, te uaua rānei ki te manawa, rapua tonutia he tohutohu hauora nā te mea he tohu pea tēnei o te paitini o te digoxin.
- I mua i te tīmatanga o tētahi atu rongoā (tae atu ki ngā huaora, ngā rongoā whakamamae), he mea nui kia whakamōhio koe ki tō tākuta kei te tango koe i te digoxin.
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