Dokotala wanu akamakulangizani kuti mulandire 'Digoxin' ( Digoxin ) ngati jakisoni wa vuto la mtima wanu, n'zachibadwa kukhala ndi nkhawa kapena kutopa. Dziwani kuti izi ndi zachilendo. Komabe, Digoxin ndi mankhwala ofunikira omwe akhala akuyesedwa kwa nthawi yayitali omwe amasintha kwambiri magwiridwe antchito a mtima. Tiyeni tikambirane za izi kuti tipeze mayankho a mafunso aliwonse omwe mungakhale nawo.
Nchifukwa chiyani mukupatsidwa Digoxin?
Mwachidule, Digoxin nthawi zambiri imagwiritsidwa ntchito pazifukwa ziwiri zazikulu:
1. Kulephera kwa Mtima : Ganizirani mtima wanu ngati pampu yomwe imayang'anira kufalikira kwa magazi m'thupi lanu lonse. Nthawi zina, pampu iyi imakhala yofooka ndipo singathe kufalitsa magazi bwino momwe iyenera kukhalira. Digoxin imagwira ntchito popatsa minofu ya mtima yofookayo mphamvu, ndikuwonjezera mphamvu zake. Mofanana ndi kupereka mphamvu kwa munthu wotopa, mankhwalawa amalola mtima wanu kufalitsa magazi bwino m'thupi lanu lonse.
2. Kusakhazikika kwa Miyendo ya Mtima ( Arrhythmia ): Anthu ena amakumana ndi kugunda kwa mtima kosakhazikika, monga Atrial Fibrillation (AFib) . Izi zimachitika pamene vuto la magetsi a mtima limapangitsa kuti lizigunda mofulumira komanso mosakhazikika. Digoxin imathandiza powongolera zizindikiro zamagetsi zosakhazikika, zomwe zimapangitsa kuti kugunda kwa mtima wanu kukhale kokhazikika komanso kwathanzi.
Kupatula izi, dokotala wanu angasankhe kugwiritsa ntchito Digoxin pa matenda ena a mtima .
Zimene muyenera kuuza dokotala wanu musanalandire chithandizo
Digoxin imafuna kuperekedwa mosamala. Ndikofunikira kwambiri kuti mudziwitse gulu lanu lachipatala za izi:
| Mkhalidwe woti uwululidwe | Chifukwa chake ndikofunikira |
|---|---|
| Matenda ena a mtima kapena matenda a mtima aposachedwa | Mlingo ndi zotsatira za mankhwala zingafunike kusinthidwa. |
| Matenda a impso | Digoxin imachotsedwa m'thupi makamaka ndi impso; kusagwira bwino ntchito kwa impso kungayambitse kusonkhanitsa poizoni. |
| Matenda a chiwindi | Kugwira ntchito kwa chiwindi kungakhudze momwe thupi lanu limagwirira ntchito mankhwalawa. |
| Matenda a ziwengo | Uzani dokotala wanu za ziwengo zilizonse zomwe zingachitike chifukwa cha Digoxin, mankhwala ena, kapena chakudya. |
| Mimba kapena kuyesera kutenga pakati | Chitetezo ndi zotsatira za mankhwalawa ziyenera kukambidwa ndi dokotala wanu. |
| Kuyamwitsa | Ndikofunikira kumvetsetsa ngati mankhwalawa alowa mu mkaka wa m'mawere ndi zotsatira zake zomwe zingachitike. |
Kodi mankhwalawa amaperekedwa bwanji?
Jakisoni wa Digoxin si wogwiritsidwa ntchito kunyumba. Umaperekedwa kuchipatala kapena kuchipatala ndi dokotala kapena namwino wophunzitsidwa bwino , kaya kudzera mu mtsempha (IV) kapena kudzera mu infusion . Chitetezo chanu chimayang'aniridwa panthawi yonseyi.
Chenjezo: Ngati mwamwa mopitirira muyeso! Ngakhale kuti chiopsezocho n'chochepa kwambiri mukachipereka kuchipatala, ngati mukukayikira kuti mwamwa mopitirira muyeso kapena mukukumana ndi zotsatirapo zoyipa, chonde funsani ogwira ntchito zadzidzidzi (911) kapena pitani ku Dipatimenti Yodzidzimutsa yapafupi (ED/ETU) .
Kumbukirani, mankhwalawa aperekedwa kwa inu, kutengera thanzi lanu, kulemera kwanu, ndi momwe impso zanu zimagwirira ntchito. Musagawire mankhwalawa ndi wina aliyense.
Mankhwala ena omwe angagwirizane ndi Digoxin
Iyi ndi mfundo yofunika kwambiri. Digoxin ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena ambiri. Chifukwa chake, ndikofunikira kuti mudziwitse dokotala wanu za mankhwala aliwonse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera zakudya.
Mankhwala ena odziwika bwino omwe angagwirizane ndi Digoxin ndi awa:
- Mankhwala ochepetsa nkhawa kapena mankhwala oletsa nkhawa monga Alprazolam.
- Maantibayotiki ena, monga clarithromycin ndi erythromycin.
- Mankhwala enieni a kuthamanga kwa magazi ndi matenda ena a mtima.
- Mankhwala ena ochepetsa cholesterol (monga atorvastatin).
- Mankhwala enieni a matenda a shuga.
- Mankhwala oletsa bowa, monga ketoconazole.
- Mankhwala a gastritis monga omeprazole ndi esomeprazole.
- Mankhwala ochepetsa ululu (NSAIDs) monga ibuprofen ndi naproxen.
- Zowonjezera za zitsamba monga St. John's Wort .
Mndandandawu si wokwanira. Njira yotetezeka kwambiri ndiyo kulankhula momveka bwino ndi dokotala wanu za chilichonse chomwe mumachita.
Kodi Zotsatirapo Zotani Zomwe Zingakhalepo?
Monga mankhwala ena aliwonse, Digoxin ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zazing'ono. Chofunika kwambiri ndikudziwa za zizindikirozi ndikudziwitsa gulu lanu lachipatala nthawi yomweyo ngati mukukumana ndi nkhawa iliyonse.
| Gulu la Zotsatira Zam'mbali | Zizindikiro Zoyembekezeredwa |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, kapena lilime. |
| Kuopsa kwa Digoxin | Izi ndizofunikira kwambiri. Kusokonezeka maganizo, kusowa chilakolako cha chakudya, nseru, kusanza, kutsegula m'mimba, kusawona bwino kapena kukhala ndi utoto wachikasu , kutopa kwambiri, kapena kugunda kwa mtima mofulumira/kosakhazikika. |
| Bradycardia (kugunda kwa mtima pang'onopang'ono kwambiri) | Chizungulire, mutu wopepuka, kupuma movutikira, komanso kutopa kwambiri. |
| Chizungulire | Kubwerezabwereza kwa chizungulire. |
| Kusasangalala m'mimba | Kupweteka pang'ono m'mimba kapena kusapeza bwino. |
| Kukula kwa minofu ya m'mawere | (Mwa amuna ndi akazi) Kukula kosayembekezereka kwa minofu ya m'mawere. |
Ngati mukukumana ndi zizindikiro zachilendo zomwe sizinatchulidwe pano, chonde kambiranani ndi dokotala wanu.
Mfundo Zofunika Kuziganizira (Uthenga Wopita Nawo Kunyumba)
- Digoxin ndi mankhwala ofunikira omwe amagwiritsidwa ntchito pochiza kulephera kwa mtima kapena kayimbidwe ka mtima kosasinthasintha (AFib).
- Ngati jakisoni aperekedwa ngati jakisoni, nthawi zonse amachitidwa moyang'aniridwa ndi madokotala ndi anamwino kuchipatala, kotero palibe chifukwa chodera nkhawa.
- Muyenera kuuza dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa panopa.
- Ngati mukukumana ndi mavuto aakulu monga kusokonezeka kwa maso (monga kuona zinthu zachikasu), chisokonezo, kapena kusintha kwakukulu kwa kugunda kwa mtima wanu, funsani ogwira ntchito zadzidzidzi kapena gulu lanu lachipatala nthawi yomweyo.
- Musazengereze kufunsa dokotala wanu ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwalawa.
