Chiremba wako akakunyorera iwe kana mumwe munhu wemumhuri mako mushonga weDigoxin here? Kana zvakadaro, zvakajairika kunzwa uchida kuziva, uye pamwe kutotya, nezvemushonga uyu. Nekuti uyu mushonga unokosha zvikuru, uye unofanirwa kushandiswa nekungwarira kukuru. Saka musazvidya mwoyo. Muchinyorwa chino, tichataura nezve Digoxin chaiyo, zvainoita, uye zvatinofanira kungwarira patinenge tichiushandisa.
Zvichitaurwa zviri nyore, chii chinonzi Digoxin?
Digoxin mushonga wekare zvikuru. Unogadzirwa kubva pamuti une maruva unonzi foxglove. Uri weboka remishonga inonzi cardiac glycosides .
Kazhinji, pavanotanga kurapa chirwere chemwoyo, vanachiremba vanotanga vanyora mimwe mishonga. Tinoidaidza kuti 'mishonga yekutanga.' Digoxin inonyorerwa kana mishonga iyoyo isingashande sezvaitarisirwa, kana kana paine mumwe mushonga unodiwa.
Chiremba anonyanya kukurudzira mushonga uyu kune zvinotevera zvirwere zvemoyo:
- Kukundikana kwemoyo: Apa ndipo apo mwoyo unotadza kupomba ropa rakakwana mumuviri.
- Kufamba-famba kwemoyo: Chirwere chekuti makamuri epamusoro emoyo (atria) anorova nekukurumidza.
- Atrial fibrillation (Afib): Chirwere chekuti makamuri epamusoro emoyo anorova zvisina kurongeka uye nekukurumidza.
Chii chinoitwa ne digoxin pamoyo yedu?
Funga nezvemwoyo yedu sepombi yemvura. Dzimwe nguva pombi iyi inoshaya simba uye haigone kupomba mvura zvakanaka. Mushonga we digoxin unoita zvinhu zviviri zvikuru.
1. Inobatsira tsandanyama dzemwoyo kuti dzibatane zvakasimba: Izvi zvinobvumira mwoyo usina simba kupomba ropa rakawanda mumuviri panguva imwe chete. Zvakafanana nekupa simba guru kupomba isina simba.
2. Inodzora uye inoderedza kurova kwemoyo: Kunyanya mumamiriro ezvinhu akaita seAfib, moyo unorova nekukurumidza uye zvisina kurongeka. Digoxin inoshanda nekuderedza masaini emagetsi anodzora kurova kwemoyo. Izvi zvinobvumira moyo kurova zvishoma nezvishoma uye nguva dzose.
Zvichitaurwa zviri nyore, digoxin yakafanana nemaneja akangwara anowedzera kushanda zvakanaka kwemoyo uye anodzora kumhanya kwawo.
Ndezvipi zvakanakira mushonga uyu?
Digoxin ine mabhenefiti akawanda kuvarwere kana ikashandiswa nemazvo.
- Zvinogona kuderedza huwandu hwevanhu vanopinda muchipatara nekuda kwechirwere chemwoyo.
- Zvinobatsira kuderedza zviratidzo zvekushaya simba kwemoyo, zvakaita sekuneta uye kushaya mweya.
- Hupenyu hwevarwere hunogona kuvandudzwa.
- Kurova kwemoyo kunogona kudzorwa muvanhu vane zvirwere zvakaita seAfib.
Tinozivawo here nezvemigumisiro yacho?
Kufanana nemishonga yese, digoxin inogona kuva nemigumisiro yakaipa. Haasi munhu wese anowana, asi zvakakosha kuti uzvizive.
| Rudzi rwemhedzisiro yakaipa | Tsananguro |
|---|---|
| Matambudziko ekugaya chikafu | Kushungurudzika kwemudumbu, kuda kurutsa, kurutsa, kuzvimba kwedumbu. |
| Matambudziko ehurongwa hwetsinga | Dzungu , kusuruvara, hope, musoro. |
| Kuchinja kwemaonero | Zvinhu zvinoita sezvisina kujeka, yero, kana girini. Izvi zvinogona kuva chiratidzo chemuchetura. |
| Mimwe migumisiro yakaipa | Mapundu eganda, kukura kwemazamu muvarume (gynecomastia). |
| Matambudziko ane chekuita nemoyo | Kurira kwemoyo kusina kujairika (arrhythmias), kurova kwemoyo kunononoka (heart block). Izvi zvinogona kuva zvakakomba. |
Kukuvadza Digoxin - Kwatinofanira kungwarira zvikuru!
Kana tichitaura nezve digoxin, chimwe chinhu chatinofanira kuziva ndechekuti digoxin ine chepfu mumuviri . Izvi zvinoitika kana huwandu hwe digoxin muropa hukawedzera kupfuura hunogona kushivirirwa nemuviri.
Izvi zvakafanana nekufamba netambo yakakandwa. Pane musiyano mudiki pakati pehuwandu hwemushonga hunobatsira uye huwandu hwemushonga hune chepfu mumuviri. Saka, zvakakosha zvikuru kutora mushonga wacho sezvakarairwa nachiremba.
Zvinhu zvinogona kuwedzera mazinga e digoxin
Zvimwe zvekudya, mimwe mishonga, uye mamiriro ehutano zvinogona kuchinja huwandu hwe digoxin mumuviri wedu.
- Kudya: Kudya chikafu chine fiber yakawanda kana kutora mishonga yekuwedzera fiber.
- Mimwe mishonga: Mishonga yezvirwere zvakasiyana-siyana (macrolides), metoclopramide yekuda kuda kurutsa, mishonga inorwisa asidhi yemudumbu, uye mimwe mishonga inoderedza cholesterol.
- Kushanda kweitsvo: Digoxin inobviswa mumuviri kunyanya neitsvo, saka munhu ane chirwere cheitsvo ari panjodzi huru yekukuvadzwa neitsvo.
Patinokura, mashandiro eitsvo dzedu anodzikira zvishoma. Saka, zvinotora nguva yakareba kuti mushonga uyu ubviswe mumuviri wemunhu mukuru. Saka, chiremba achafunga nezvese izvi paanenge achisarudza mushonga.
Mazinga e digoxin anoongororwa sei?
Vhiki imwe chete mushure mekunge matanga kutora digoxin, chiremba wenyu achakukumbirai kuti muongororwe ropa. Izvi zvichaongorora huwandu hwe digoxin muropa renyu. Kuongororwa uku kunowanzoitwa maawa matanhatu kusvika masere mushure mekutora mushonga. Muchafanirwa kuita bvunzo iyi nguva nenguva mushure meizvozvo. Musarega bvunzo idzi. Zvakakosha zvikuru kuti muve vakachengeteka.
Ndezvipi zviratidzo zvemuchetura?
Kana huwandu hwe digoxin muropa hukadarika 2.0 ng/mL (nanograms pa milliliter), pane njodzi yakawedzera yekukuvadzwa. Chiremba anogonawo kuwana pfungwa yeizvi nekutarisa shanduko mukushanda kwemagetsi kwemoyo neECG (electrocardiogram) .
Zviratidzo zvikuru zvemuchetura:
- Kusvotwa kwakanyanya uye kurutsa
- Kuchinja kwemaonero (zvinhu zvinoita seyero/girini, kusajeka, kuona magirazi akatenderedza mwenje)
- Kusarongeka kwekurova kwemoyo (kurova kwemoyo nekukurumidza kana kurova, kurwadziwa kwechipfuva)
- Kuvhiringidzika kwakanyanya
- Kuneta kwakanyanya uye hope
Kana zviratidzo izvi zvikaitika, zvinogona kuuraya. Saka, unofanira kuenda kuchipatara che emergency (ETU) nekukurumidza. Dzimwe nguva huwandu hwe potassium muropa hunogona kukwira zvine njodzi. Tinoti izvi hyperkalemia .
Kana paine chepfu ye digoxin, kune mushonga chaiwo unogona kuchinja mhedzisiro yayo . Inonzi digoxin immune fab . Saka, kuendeswa kuchipatara nekukurumidza kunogona kuponesa hupenyu.
Kana uchifungidzira kuti une chepfu ye digoxin, unofanira:Unogonawo kuwana mazano nekufonera National Poison Information Center kuColombo National Hospital.
Zvinhu zvaunogona kuita kuti kurapwa kuve nyore
Kurarama nemushonga uyu hazvifanirwe kuve dambudziko. Kana ukaita zvinhu zvidiki, zvese zvinogona kuitwa nyore.
- Tevedzera mirairo yachiremba wako nemazvo: Inwa mushonga wakanyorwa, panguva yakatarwa. Usambofa waderedza, wakawedzera, kana kurega kutora mushonga iwe pachako.
- Usapotsa kuongororwa ropa: Enda kuna chiremba wako wonoongororwa ropa rako. Izvi zvichakubatsira kuona kana huwandu hwe digoxin yako huri mukati memiganhu yakachengeteka.
- Chenjererai nemimwe mishonga: Udza chiremba wenyu nezvemimwe mishonga, mavhitamini, uye mishonga yemiti yamuri kutora. Kunyangwe mimwe mishonga inotengeswa muzvitoro inogona kushanda pamwe chete ne digoxin.
| Kana uine zviratidzo izvi, zivisa chiremba wako nekukasika! | |
|---|---|
| Kuoma kufema | Kurasikirwa nechido chekudya, kuda kurutsa, kana kurutsa |
| Kuzvimba kwemaoko kana tsoka | Chero shanduko mukuona (kusviba, kuchinja kwemavara) |
Digoxin mushonga unokosha unogona kuponesa hupenyu kana ukashandiswa nemazvo. Asi une basa rekushandisa mushonga uyu zvakachengeteka. Kana uine zvinokunetsa kana mibvunzo, taura nachiremba wako nezvazvo pachena.
Mharidzo Yekuenda Nayo Kumba
- Digoxin mushonga une simba unoshandiswa pakurapa chirwere chemwoyo unofanirwa kutarisirwa nokungwarira.
- Pane musiyano mudiki pakati pemishonga inoshanda uye ine chepfu yemushonga uyu, saka zvakakosha zvikuru kutevedzera mazano echiremba.
- Usambofa wakachinja mushonga kana kurega kutora mishonga usina mvumo yachiremba wako.
- Usapotsa nguva yekusangana nachiremba uye kuongororwa ropa pamazuva akarongwa kuti uone huwandu hwe digoxin muropa rako.
- Kana zviratidzo zvekurwara nepfungwa zvakaita sekusvotwa, kurutsa, kuchinja kwemaonero, kana kusagadzikana kwemoyo, tsvaga rubatsiro rwechiremba nekukasika kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU).
- Gara uchizivisa chiremba wako nezvemimwe mishonga yese, mavhitamini, uye zvimwe zvinovaka muviri zvauri kutora.
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