Digoxin: Zomwe muyenera kudziwa zokhudza mankhwala a mtima awa

Kodi dokotala wanu wakupatsani mankhwala a Digoxin kapena wina m'banja mwanu? Ngati ndi choncho, ndi zachilendo kukhala ndi chidwi pang'ono, komanso mwina mantha, okhudza mankhwalawa. Chifukwa ichi ndi mankhwala ofunikira kwambiri, ndipo ayenera kugwiritsidwa ntchito mosamala kwambiri. Choncho musadandaule. M'nkhaniyi, tikambirana za Digoxin, zomwe imachita, komanso zomwe tiyenera kusamala nazo tikamagwiritsa ntchito.

Mwachidule, kodi Digoxin ndi chiyani?

Digoxin ndi mankhwala akale kwambiri. Amapangidwa kuchokera ku chomera chotulutsa maluwa chotchedwa foxglove. Ndi m'gulu la mankhwala otchedwa cardiac glycosides .

Kawirikawiri, akayamba kulandira chithandizo cha matenda a mtima, madokotala amayamba apereka mankhwala ena. Timawatcha kuti 'mankhwala oyamba.' Digoxin imaperekedwa ngati mankhwalawo sakugwira ntchito monga momwe amayembekezera, kapena ngati pakufunika mankhwala ena.

Dokotala amalimbikitsa kwambiri mankhwalawa pa matenda a mtima awa:

• Kulephera kwa mtima: Apa ndi pamene mtima sungathe kupompa magazi okwanira kupita m'thupi.
• Kugwedezeka kwa mtima: Matenda omwe zipinda zapamwamba za mtima (atria) zimagunda mofulumira kwambiri.
• Kugunda kwa mtima (Afib): Matenda omwe zipinda zapamwamba za mtima zimagunda molakwika komanso mwachangu.

Kodi digoxin imachita chiyani ku mitima yathu?

Taganizirani mtima wathu ngati pompu yamadzi. Nthawi zina pompu iyi imakhala yofooka ndipo singathe kupompa madzi bwino. Mankhwala a digoxin amachita zinthu ziwiri zazikulu.

1. Zimathandiza kuti minofu ya mtima igwire mwamphamvu: Izi zimathandiza kuti mtima wofooka upompe magazi ambiri kupita m'thupi nthawi imodzi. Zili ngati kupatsa mphamvu pampu yofookayo.

2. Amachepetsa kugunda kwa mtima: Makamaka m'mikhalidwe ngati Afib, mtima umagunda mofulumira kwambiri komanso mosasinthasintha. Digoxin imagwira ntchito pochepetsa mphamvu yamagetsi yomwe imalamulira kugunda kwa mtima. Izi zimathandiza mtima kugunda pang'onopang'ono komanso nthawi zonse.

Kodi ubwino wa mankhwalawa ndi wotani?

Digoxin ili ndi ubwino wambiri kwa odwala ngati igwiritsidwa ntchito moyenera.

• Zingachepetse chiwerengero cha anthu ogonekedwa m'chipatala chifukwa cha matenda a mtima.
• Zimathandiza kuchepetsa zizindikiro za kulephera kwa mtima, monga kutopa ndi kupuma movutikira.
• Moyo wa odwala ukhoza kusinthidwa.
• Kugunda kwa mtima kumatha kulamulidwa mwa anthu omwe ali ndi matenda ngati Afib.

Kodi tikudziwanso za zotsatirapo zake?

Monga mankhwala ena aliwonse, digoxin ikhoza kukhala ndi zotsatirapo zake. Si aliyense amene amalandira, koma ndikofunikira kudziwa za izo.

Kuopsa kwa Digoxin - Kumene tiyenera kusamala kwambiri!

Ponena za digoxin, chinthu chimodzi chomwe tiyenera kudziwa ndi cha poizoni wa digoxin . Izi zimachitika pamene kuchuluka kwa digoxin m'magazi kukukwera kuposa momwe thupi lingapiririre.

Zinthu zomwe zingawonjezere kuchuluka kwa digoxin

Zakudya zina, mankhwala ena, ndi thanzi zimatha kusintha kuchuluka kwa digoxin m'thupi lathu.

• Zakudya: Kudya zakudya zokhala ndi ulusi wambiri kapena kumwa zowonjezera ulusi.
• Mankhwala ena: Mankhwala a matenda ena (macrolides), metoclopramide ya nseru, mankhwala oletsa asidi a gastritis, ndi mankhwala ena ochepetsa cholesterol.
• Kugwira ntchito kwa impso: Digoxin imachotsedwa m'thupi makamaka ndi impso, kotero munthu amene ali ndi matenda a impso amakhala pachiwopsezo chachikulu cha poizoni wa digoxin.

Pamene tikukalamba, ntchito ya impso zathu imachepa pang'ono mwachibadwa. Chifukwa chake, zimatenga nthawi yayitali kuti mankhwalawa achotsedwe m'thupi la munthu wamkulu. Chifukwa chake, dokotala adzaganizira zonsezi akamasankha mlingo.

Kodi kuchuluka kwa digoxin kumayesedwa bwanji?

Patatha pafupifupi sabata imodzi mutayamba kumwa digoxin, dokotala wanu adzakufunsani kuti muyezedwe magazi. Izi zidzayang'ana kuchuluka kwa digoxin m'magazi mwanu. Kuyezetsa kumeneku nthawi zambiri kumachitika maola 6-8 mutamwa mankhwala. Muyenera kuchita mayesowa nthawi ndi nthawi mukatha kumwa. Musadumphe mayesowa. Ndikofunikira kwambiri kuti mukhale otetezeka.

Kodi zizindikiro za poizoni ndi ziti?

Ngati kuchuluka kwa digoxin m'magazi kupitirira 2.0 ng/mL (nanograms pa milliliter), pali chiopsezo chowonjezeka cha poizoni. Dokotala amathanso kupeza lingaliro la izi poyang'ana kusintha kwa ntchito yamagetsi ya mtima pogwiritsa ntchito ECG (electrocardiogram) .

Zizindikiro zazikulu za poizoni:

• Kusanza kwambiri ndi kusanza
• Kusintha kwa masomphenya (zinthu zimaoneka zachikasu/zobiriwira, zosawoneka bwino, kuona kuwala kozungulira magetsi)
• Kusagwira bwino ntchito kwa mtima (kugunda kwa mtima mofulumira kwambiri kapena kogunda kwambiri, kupweteka pachifuwa)
• Kusokonezeka kwakukulu
• Kutopa kwambiri ndi kugona tulo

Ngati zizindikirozi zichitika, zimatha kupha. Chifukwa chake, muyenera kupita kuchipatala chadzidzidzi (ETU) nthawi yomweyo. Nthawi zina potaziyamu m'magazi imatha kukwera kwambiri. Timatcha izi hyperkalemia .

Ngati mukuganiza kuti muli ndi vuto la digoxin, muyenera:Mungapezenso upangiri poyimbira foni ku National Poison Information Center ku Colombo National Hospital.

Zinthu zomwe mungachite kuti chithandizo chikhale chosavuta

Kukhala ndi mankhwala awa sikuyenera kukhala kovuta. Ngati mutasamalira zinthu zing'onozing'ono, chilichonse chingakhale chosavuta.

• Tsatirani malangizo a dokotala wanu molondola: Imwani mlingo wolembedwa, panthawi yolembedwa. Musachepetse, kuonjezera, kapena kusiya kumwa mankhwalawo monga momwe mukufunira.
• Musaphonye mayeso a magazi: Pitani kwa dokotala wanu kuti mukayeze magazi anu. Izi zikuthandizani kudziwa ngati kuchuluka kwa digoxin m'magazi anu kuli mkati mwa malire otetezeka.
• Samalani ndi mankhwala ena: Uzani dokotala wanu za mankhwala ena aliwonse, mavitamini, ndi mankhwala azitsamba omwe mukumwa. Ngakhale mankhwala ena omwe amagulitsidwa kunja kwa chipatala amatha kusokonezana ndi digoxin.

Digoxin ndi mankhwala ofunika kwambiri omwe angapulumutse miyoyo ngati agwiritsidwa ntchito moyenera. Koma muli ndi udindo wogwiritsa ntchito mosamala. Ngati muli ndi nkhawa kapena mafunso, lankhulani ndi dokotala wanu za iwo momasuka.