Kodi dokotala wanu adakupatsani Digoxin chifukwa cha matenda a mtima? Ngati ndi choncho, nkhaniyi idzakhala yofunika kwambiri kwa inu. Chifukwa ndi mankhwala amphamvu kwambiri omwe ayenera kugwiritsidwa ntchito mosamala kwambiri. Tiyeni tikambirane mwachidule, m'njira yomwe mungamvetse.
Mwachidule, kodi Digoxin ndi chiyani?
Digoxin ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda ena a mtima. Madokotala nthawi zambiri amalemba mankhwalawa ngati mankhwala oyamba sakugwira ntchito kapena ngati pakufunika mankhwala ena. Pali chifukwa chake.
Mwachidule, pali kusiyana kochepa pakati pa mlingo wa mankhwala awa womwe ungakuthandizeni ndi mlingo womwe ungakhale woopsa, womwe ndi poizoni, kwa inu. Ichi ndichifukwa chake madokotala amaupereka mosamala kwambiri.
Mankhwalawa amapangidwa kuchokera ku chomera chotchedwa "foxglove". Ndi a gulu la mankhwala otchedwa "cardiac glycosides". Mankhwalawa amagwiritsidwa ntchito makamaka pazifukwa zotsatirazi:
- Kulephera kwa Mtima: Matenda omwe mtima umalephera kupompa magazi okwanira kupita m'thupi.
- Kugwedezeka kwa mtima: Matenda omwe zipinda zapamwamba za mtima (atria) zimagunda mofulumira kwambiri.
- Kugwedezeka kwa mtima (Afib): Matenda omwe mtima umayenda molakwika komanso mwachangu.
Kodi chimachitika ndi chiyani m'thupi ndi mankhwalawa?
Digoxin ikalowa m'thupi lathu, imachita zinthu ziwiri zazikulu.
1. Zimathandiza minofu ya mtima kupopa magazi mwamphamvu kwambiri. Taganizirani ngati injini yamadzi. Chomwe mankhwalawa amachita ndikuwonjezera mphamvu ya injiniyo pang'ono ndikupangitsa kuti ipope madzi ambiri.
2. Amachepetsa kugunda kwa mtima. Mankhwalawa amachepetsa liwiro lomwe zizindikiro zamagetsi zomwe zimalamulira kugunda kwa mtima zimayendera. Izi zimathandiza kuwongolera kugunda kwa mtima.
Ntchito ziwirizi zimalimbitsa mtima wa munthu amene ali ndi vuto la mtima, komanso zimalamulira kugunda kwa mtima kwa munthu amene ali ndi vuto la mtima.
Tidziwenso za zotsatirapo zake ndi zoopsa zake.
Monga mankhwala ena aliwonse, digoxin ingayambitse zotsatirapo zina. Zina mwa izi ndizofala, pomwe zina zimakhala zoopsa kwambiri. Chifukwa chake ndikofunikira kudziwa izi.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Kusasangalala m'mimba | Zinthu monga nseru, kusanza, kupweteka m'mimba. |
| Kusintha kwa masomphenya | Zinthu monga kuona zinthu zosawoneka bwino, zooneka zachikasu kapena zobiriwira . Ichi ndi chizindikiro chofunikira kwambiri. |
| Chizungulire | Chizungulire , maso abuluu, kumva ngati kuti ugwa ukaimirira. |
| Zina mwazinthu | Kugona, mutu, kutupa pakhungu. |
| Matenda aakulu | Kugunda kwa mtima mofulumira kwambiri (Atrial Tachycardia), kugunda kwa mtima pang'onopang'ono kwambiri (Heart Block). |
| Gynecomastia | Ichi ndi chinthu chomwe sichimaoneka kawirikawiri. Zimatanthauza kuti mabere a amuna amakula . |
Mlingo wa Digoxin ndi Poizoni
Iyi ndi gawo lofunika kwambiri polankhula za mankhwalawa. "Kuchuluka kwa Digoxin" ndi kuchuluka kwa digoxin m'magazi mwanu. Izi zimayesedwa ndi mayeso a magazi.
- Mulingo Wabwinobwino: Kawirikawiri, mulingo wa pakati pa 0.5 ndi 2.0 nanograms pa lita imodzi (0.5 - 2.0 ng/mL) umaonedwa kuti ndi mulingo wotetezeka komanso wopindulitsa.
- Kuopsa kwa Digoxin: Ngati kuchuluka kwa digoxin m'magazi kupitirira 2.0 ng/mL, kumayamba kukhala poizoni m'thupi. Izi zitha kukhala vuto loopsa kwambiri . Izi zingayambitse kusintha kwakukulu mu kayendedwe ka mtima komanso ngakhale kuopseza moyo.
Ndi zinthu ziti zomwe zimakhudza kuchuluka kwa digoxin?
Ngakhale mlingo wa mapiritsi omwe mumamwa utakhalabe womwewo, zinthu zotsatirazi zingakhudze kuchuluka kwa digoxin m'thupi lanu:
- Kugwira ntchito kwa impso: Digoxin imachotsedwa m'thupi makamaka kudzera mu impso. Ngati impso zanu zili zofooka, mankhwalawa amachotsedwa m'thupi pang'onopang'ono . Izi zingayambitse kuchuluka kwa digoxin m'magazi. Kugwira ntchito kwa impso kumachepa mwachibadwa ndi ukalamba , kotero okalamba amakhala pachiwopsezo chachikulu.
- Mankhwala ena: Mankhwala ena omwe mumamwa (monga maantibayotiki ena, mankhwala ochepetsa cholesterol, mankhwala oletsa asidi) amatha kuyanjana ndi digoxin ndikuwonjezera kuchuluka kwake.
- Chakudya ndi zakumwa: Kudya zakudya zokhala ndi ulusi wambiri kapena kumwa zowonjezera ulusi kungachepetse kuyamwa kwa digoxin m'thupi.
- Kuchuluka kwa potaziyamu m'thupi: Ngati kuchuluka kwa potaziyamu m'magazi kuli kochepa (Hypokalemia), chiopsezo cha poizoni wa digoxin chimakhala chachikulu kwambiri.
Pazifukwa izi, ndikofunikira kuti magazi anu aziyesedwa nthawi zonse ndikuwunika kuchuluka kwa digoxin monga momwe dokotala wanu wanenera.
Kodi ndingagwiritse ntchito bwanji mankhwalawa mosamala?
Musadandaule. Ngati mutsatira malangizo awa mosamala, mutha kugwiritsa ntchito digoxin mosamala.
1. Tsatirani malangizo a dokotala wanu molondola: Imwani mlingo wolembedwa, panthawi yolembedwa. Musachepetse, kuonjezera, kapena kusiya kumwa mankhwalawo monga momwe mukufunira.
2. Musaphonye mayeso a magazi: Onetsetsani kuti mwapita kwa dokotala ndi kukayezetsa magazi anu. Ndikofunikira kwambiri kuti mukhale otetezeka.
3. Samalani ndi mankhwala ena: Musanayambe mankhwala atsopano (kaya ndi vitamini, mankhwala ochepetsa ululu, kapena mankhwala a Ayurvedic), uzani dokotala wanu kuti mukumwa digoxin.
4. Dziwani zotsatirapo zake: Ngati muwona kusintha kulikonse m'thupi lanu, dziwani.
Mukafunika kuyimbira dokotala nthawi yomweyo
Mukamagwiritsa ntchito digoxin, zizindikiro zina zimatha kukhala zadzidzidzi ngati zitachitika. Izi zitha kukhala zizindikiro za poizoni wa digoxin.
| Ngati muli ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala. |
|---|
| - Kuvuta kupuma |
| - Kusowa chilakolako cha chakudya, nseru, kapena kusanza/kutsegula m'mimba kosalekeza |
| - Kutupa kwa manja, mapazi, kapena akakolo |
| - Kusintha kwa masomphenya (zinthu zimaoneka zachikasu/zobiriwira, kusawona bwino) |
| - Kusokonezeka kapena chizungulire chachikulu |
Ngati pali poizoni wa digoxin, pali chithandizo chomwe chikupezeka kuchipatala. Mankhwala otchedwa "digoxin immune fab" angaperekedwe kuti athetse zotsatira za mankhwalawa. Chifukwa chake, ndikofunikira kuzindikira zizindikiro ndikupempha chithandizo mwachangu.
Uthenga Wopita Nawo Kunyumba
- Digoxin ndi mankhwala omwe ali ndi mphamvu kwambiri pamtima ndipo ayenera kugwiritsidwa ntchito mosamala.
- Imwani mlingo womwe dokotala wanu wakupatsani panthawi yoyenera. Musasinthe mlingo nokha pazifukwa zilizonse.
- Monga momwe dokotala wanu amalangizira, pitani kukayezetsa magazi nthawi zonse ndipo dziwani kuchuluka kwa digoxin m'magazi anu.
- Ngati mukuona zizindikiro monga kusintha kwa masomphenya, nseru, kapena kupuma movutikira, funsani upangiri wa dokotala nthawi yomweyo chifukwa izi zitha kukhala chizindikiro cha poizoni wa digoxin.
- Musanayambe mankhwala ena aliwonse (kuphatikizapo mavitamini, mankhwala ochepetsa ululu), ndikofunikira kuti mudziwitse dokotala wanu kuti mukumwa digoxin.
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