Wakambonyorerwa Digoxin nachiremba wako here kuti ubatsire pazvirwere zvemwoyo? Kana zvakadaro, chinyorwa chino chichava chakakosha kwauri. Nekuti mushonga une simba kwazvo unofanira kushandiswa nekungwarira kukuru. Ngatitaurei nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi Digoxin?
Digoxin mushonga unoshandiswa kurapa mamwe matambudziko emwoyo. Vanachiremba vanowanzounyora kana mishonga yekutanga isingashande kana paine imwe mishonga inodiwa. Pane chikonzero cheizvi.
Zvichitaurwa zviri nyore, pane musiyano mudiki pakati pemushonga uyu uchakubatsira nemushonga une njodzi, kureva kuti, une chepfu, kwauri. Ndosaka vanachiremba vachiupa nekungwarira kukuru.
Mushonga uyu unogadzirwa kubva pamuti une maruva unonzi "foxglove". Uri weboka remishonga inonzi "cardiac glycosides". Mushonga uyu unonyanya kushandiswa pazvirwere zvinotevera:
- Kukundikana kwemoyo: Chirwere chekuti moyo haugone kupomba ropa rakakwana mumuviri.
- Kufamba-famba kwemoyo: Kufamba-famba kwemoyo: Kurova kwemakamuri epamusoro emoyo (atria) nekukurumidza.
- Atrial Fibrillation (Afib): Mamiriro ezvinhu apo rhythm yemoyo inova isina kurongeka uye inokurumidza.
Chii chinoitika mumuviri nemushonga uyu?
Kana digoxin ikapinda mumiviri yedu, inoita zvinhu zviviri zvikuru.
1. Inobatsira tsandanyama dzemwoyo kupomba ropa nesimba rakawanda. Funga nezvayo semota yemvura. Mushonga uyu unowedzera simba remota iyoyo zvishoma uye kuita kuti ipombe mvura yakawanda.
2. Inoderedza kurova kwemoyo. Mushonga uyu unoderedza kumhanya kunoita masaini emagetsi anodzora kurova kwemoyo. Izvi zvinobatsira kudzora kurova kwemoyo.
Mabasa maviri aya anopa simba kumoyo wemunhu ane chirwere chemwoyo, ukuwo achidzora kurova kwemoyo kwemunhu ane kurova kwemoyo kwakanyanya.
Ngatiziveiwo nezvemigumisiro nenjodzi.
Kufanana nemishonga yese, digoxin inogona kukonzera migumisiro yakaipa. Mimwe yacho inowanzoonekwa, asi mimwe yakanyanya kuipa. Saka zvakakosha kuziva nezvazvo.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Kusagadzikana kwedumbu | Zvinhu zvakaita sekuda kurutsa, kurutsa, kurwadziwa nemudumbu. |
| Kuchinja kwemaonero | Zvinhu zvakaita sekuona zvinhu zvisina kujeka, zvikaita seyero kana girini . Ichi chiratidzo chakakosha zvikuru. |
| Dzungu | Dzungu , maziso ebhuruu, kunzwa sekunge uchadonha paunomira. |
| Zvimwe zvinhu | Kurara, musoro, mapundu paganda. |
| Matambudziko akakomba | Kurova kwemoyo kusingawanzoitiki (Atrial Tachycardia), kurova kwemoyo kunonoka zvisingaite (Heart Block). |
| Gynecomastia | Izvi hazviwanzoonekwa. Zvinoreva kuti mazamu evarume akakura . |
Huremu hweDigoxin uye Huturu
Ichi ndicho chinhu chinonyanya kukosha kana tichitaura nezvemushonga uyu. "Mazinga eDigoxin" huwandu hwe digoxin muropa rako. Izvi zvinoyerwa nekuongororwa kweropa.
- Mwero Wakajairika: Kazhinji, mwero uri pakati pe0.5 ne2.0 nanograms pa litre (0.5 - 2.0 ng/mL) unoonekwa semwero wakachengeteka uye unobatsira.
- Huturu hweDigoxin: Kana huwandu hwe digoxin muropa hukadarika 2.0 ng/mL, hunotanga kuva chepfu mumuviri. Ichi chinogona kuva chirwere chine njodzi zvikuru . Izvi zvinogona kukonzera shanduko dzakakomba mumoyo uye zvinogona kutoisa hupenyu panjodzi.
Ndezvipi zvinhu zvinokanganisa huwandu hwe digoxin?
Kunyangwe kana piritsi raunotora rikaramba rakafanana, zvinhu zvinotevera zvinogona kukanganisa huwandu hwe digoxin mumuviri wako:
- Kushanda kweitsvo: Digoxin inobviswa mumuviri kunyanya kuburikidza neitsvo. Kana itsvo dzako dzisina simba, mushonga unobviswa mumuviri zvishoma nezvishoma . Izvi zvinogona kukonzera huwandu hwakanyanya hwe digoxin muropa. Kushanda kweitsvo kunodzikira nekukura , saka vanhu vakwegura vari panjodzi huru.
- Mimwe mishonga: Mimwe mishonga yaunotora (semuenzaniso, mimwe mishonga inorwisa mabhakitiriya, mishonga inoderedza cholesterol, mishonga inorwisa mabhakitiriya) inogona kushanda pamwe chete ne digoxin uye kuwedzera huwandu hwayo.
- Chikafu nechinwiwa: Kudya chikafu chine fiber yakawanda kana kutora mishonga yekuwedzera fiber kunogona kuderedza kupinda kwe digoxin mumuviri.
- Mazinga ePotassium mumuviri: Kana mazinga ePotassium muropa ari mashoma (Hypokalemia), njodzi yekukuvadzwa ne digoxin yakanyanya.
Nekuda kwezvikonzero izvi, zvakakosha kuti ropa rako riongororwe nguva dzose uye kuti utarise huwandu hwe digoxin yako sezvakarairwa nachiremba wako.
Ndingashandisa sei mushonga uyu zvakachengeteka?
Usazvidya moyo. Kana ukanyatsotevera mirairo iyi, unogona kushandisa digoxin zvakachengeteka.
1. Tevedzera mirairo yachiremba wako nemazvo: Inwa mushonga wakanyorwa, panguva yakatarwa. Usambofa waderedza, wakawedzera, kana kurega kutora mushonga iwe pachako.
2. Usapotsa kuongororwa ropa: Iva nechokwadi chekuenda kuna chiremba kunoongororwa ropa rako. Zvakakosha zvikuru kuti uchengetedzeke.
3. Chenjererai nemimwe mishonga: Usati watanga chero mushonga mutsva (ingava vhitamini, mushonga unoderedza marwadzo, kana mushonga weAyurvedic), udza chiremba wako kuti uri kutora digoxin.
4. Ziva migumisiro: Kana ukaona shanduko mumuviri wako, ziva nezvazvo.
Kana uchida kufonera chiremba nekukasika
Pakushandisa digoxin, zvimwe zviratidzo zvinogona kunge zviri zvekukurumidzira kana zvikaitika. Izvi zvinogona kunge zviri zviratidzo zvekukuvadzwa ne digoxin.
| Kana uine zviratidzo izvi, taura nachiremba wako nekukasika kana kuti enda kuchipatara cheEmergency Department (ETU). |
|---|
| - Kuomerwa nekufema |
| - Kushaya chido chekudya, kuda kurutsa, kana kurutsa/manyoka nguva dzose |
| - Kuzvimba kwemaoko, tsoka, kana zvitsitsinho |
| - Kuchinja kwemaonero (zvinhu zvinoita seyero/girini, kuona zvisinganzwisisike) |
| - Kuvhiringidzika kana dzungu rakanyanya |
Kana paine chepfu ye digoxin, kune mushonga unowanikwa muchipatara. Mushonga unonzi "digoxin immune fab" unogona kupihwa kuti udzore mhedzisiro yemushonga. Saka, zvakakosha kuziva zviratidzo uye kutsvaga kurapwa nekukurumidza.
Mharidzo Yekuenda Nayo Kumba
- Digoxin mushonga une simba guru pamoyo uye unofanira kushandiswa nokungwarira.
- Inwa mushonga wawakanyorerwa nachiremba wako panguva yakakodzera. Usachinje mushonga wacho iwe pachako nekuda kwechikonzero chipi zvacho.
- Sezvakataurwa nachiremba wako, gara uchiongororwa ropa uye gara uchiziva huwandu hwe digoxin mumuviri wako.
- Kana ukaona zviratidzo zvakaita sekuchinja kwemaonero, kuda kurutsa kwakanyanya, kana kuoma kufema, tsvaga rubatsiro rwechiremba nekukasika sezvo izvi zvingava chiratidzo chekuva nechirwere che digoxin.
- Usati watanga mimwe mishonga (kusanganisira mavhitamini, mishonga inoderedza marwadzo), zvakakosha kuti uudze chiremba wako kuti uri kutora digoxin.
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