Kodi inuyo kapena wina m'banja mwanu ali ndi vuto la mtima? Kapena nthawi zina mtima wanu umagunda mofulumira kwambiri? Ngati ndi choncho, dokotala wanu mwina anakuuzani za mtundu wa mankhwala otchedwa `Cardiac Glycosides`, ndipo mwina anakupatsani mankhwalawo. Ngakhale kuti dzinali lingamveke lovuta pang'ono, musadandaule. Lero, tikambirana za mtundu uwu wa mankhwala m'njira yosavuta komanso yochezeka.
Mwachidule, kodi ma glycosides a mtima awa ndi chiyani?
Mwachidule, awa ndi gulu la mankhwala omwe amathandiza anthu omwe ali ndi matenda ena a mtima. Angabwere ngati mapiritsi, makapisozi, kapena madzi. Dokotala wanu nthawi zambiri amalemba kuti amwe kamodzi patsiku, nthawi yomweyo tsiku lililonse.
Mankhwala odziwika bwino komanso ogwiritsidwa ntchito kwambiri a `Cardiac Glycoside` pakati pathu ku Sri Lanka ndi Digoxin . Mwina munapatsidwa mankhwala awa.
Kodi mankhwalawa amagwira ntchito bwanji m'thupi?
Ngakhale izi zingawoneke zovuta kumvetsetsa, tiyeni timvetse ndi chitsanzo chosavuta.
Taganizirani minofu ya mumtima mwathu ngati timipope tating'onoting'ono ta madzi. Timipopeti timafunika mphamvu kuti tigwire ntchito bwino. Mphamvu imeneyi imachokera ku mchere wotchedwa calcium .
Ma glycoside a mtima amagwira ntchito posunga ma ayoni ochepa a sodium mkati mwa maselo a mtima. Pamene sodium mkati mwa maselo ikuwonjezeka, calcium mkati mwa maselo imawonjezekanso.
Ngati pali calcium yochuluka, minofu ya mtima imachepa mwamphamvu . Izi zikutanthauza kuti kuchuluka kwa magazi omwe amaponyedwa m'thupi nthawi iliyonse kumawonjezeka. Mu zamankhwala, timatcha izi kuwonjezeka kwa kutulutsa kwa mtima . Izi ndizofunikira kwambiri kwa munthu amene ali ndi vuto la mtima.
Kuphatikiza apo, mankhwalawa amachita china chake.
Kayendedwe ka mtima kamayendetsedwa ndi njira ya zizindikiro zamagetsi. Mankhwalawa amagwira ntchito pochepetsa liwiro lomwe zizindikiro zamagetsizo zimayendera, makamaka pamene zikudutsa mu AV node mumtima. Izi zimachepetsa kugunda kwa mtima. Izi zitha kukhala zothandiza kwambiri kwa anthu omwe ali ndi matenda monga atrial fibrillation, zomwe zimapangitsa mtima kugunda mofulumira kwambiri.
Ndani amapatsidwa mankhwala awa?
Iyi ndi mfundo yofunika kwambiri. Kale, mankhwala awa ankagwiritsidwa ntchito kwambiri pa matenda a mtima. Koma sizili choncho masiku ano .
Pakadali pano, `Cardiac Glycosides` si mankhwala oyamba. Izi zikutanthauza kuti, si mankhwala oyamba omwe dokotala angasankhe ngati munthu ali ndi vuto la mtima kapena vuto la mtima.
Kawirikawiri, dokotala amalemba mankhwala awa poyamba:
- Beta-blockers
- Zoletsa za ACE
- Mankhwala Ochepetsa Kutuluka kwa Madzi M'thupi - Ichi ndi chomwe timachitcha "mapiritsi amadzi".
- Ma ARB (Angiotensin II Receptor Blockers)
Chifukwa chomwe mankhwalawa amaperekedwa koyamba ndichakuti ndi otetezeka kuposa ma glycoside a mtima ndipo alibe zotsatirapo zoyipa zambiri.
Ndiye, ndani amapatsidwa `Cardiac Glycosides`?
Kwa odwala ena omwe zizindikiro zawo sizikulamuliridwa mokwanira ndi mankhwala omwe atchulidwa kale, dokotala angakupatseni mankhwala awa. Izi zikutanthauza kuti, pokhapokha ngati phindu kwa wodwalayo likuposa zoopsa zake.
Kodi zoopsa ndi zotsatira zake ndi ziti?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zoyipa. Koma tiyenera kusamala kwambiri ndi mankhwalawa. Chifukwa chake n'chakuti palibe kusiyana kwakukulu pakati pa mlingo wochiritsira ndi mlingo woopsa womwe umayambitsa zotsatirapo zoyipa.
Mwachidule, ngati muwonjezera mlingo ngakhale pang'ono, mwayi woti zotsatirapo zake zibwere umawonjezeka. Chifukwa chake , musasinthe mlingo wa mankhwala anu popanda kufunsa dokotala wanu .
Tiyeni tiwone mavuto omwe angayambitsidwe ndi mankhwalawa patebulo.
| Vuto | Makhalidwe |
|---|---|
| Zotsatira zoyipa zofala (nthawi zambiri sizikhala zozama) |
|
| Zizindikiro za poizoni wa mankhwala (Poison) ( Fufuzani upangiri wa dokotala nthawi yomweyo! ) |
|
Popeza mankhwalawa amakhala m'thupi kwa kanthawi, amatha kudziunjikira pakapita nthawi. Ichi ndichifukwa chake dokotala wanu nthawi zonse amafufuza magazi anu ndikuwunika kuchuluka kwa digoxin m'magazi anu.
Kodi ndiyenera kupita kwa dokotala nthawi yomweyo liti?
Ngati mukumwa mankhwalawa ndipo mukukumana ndi zizindikiro zotsatirazi, pitani kwa dokotala mwamsanga.
- Ngati mukuvutika kupuma
- Ngati manja kapena mapazi anu ayamba kutupa
- Ngati m'mimba mukuvutika, kutsegula m'mimba, kapena kusanza kukupitirira
- Ngati mutaya chilakolako chonse chofuna kudya
Ngati zizindikiro za poizoni zikuwonekera, ndikofunikira kupita ku chipatala mwamsanga ku Emergency Treatment Unit (ETU) . Ngati mukufuna zambiri, mutha kuyimbiranso National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri.
Uthenga Wopita Nawo Kunyumba
- Mankhwala otchedwa Cardiac Glycosides (monga Digoxin) ndi mankhwala omwe amathandiza mtima wofooka kupompa magazi bwino komanso kulamulira kugunda kwa mtima mofulumira.
- Masiku ano, sigwiritsidwa ntchito ngati mankhwala oyamba chifukwa cha zoopsa zake komanso zotsatira zake zoyipa.
- Mlingo womwe mwapatsidwa ndi wofunika kwambiri. Pewani kusintha mlingo pazifukwa zilizonse popanda kufunsa dokotala wanu.
- Kuopsa kwa poizoni ndi vuto lenileni. Samalani zizindikiro monga kusintha kwa masomphenya (masomphenya achikasu/obiriwira), kugona kwambiri, kapena kusokonezeka m'mimba. Ngati izi zitachitika, funsani upangiri wa dokotala nthawi yomweyo.
- Kaya mukumva bwino bwanji, ndikofunikira kwambiri kumwa mankhwala anu nthawi yomwe mwapatsidwa komanso kupita kuzipatala pa masiku omwe dokotala wanu wakupatsani.
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