Ngaba wena okanye umntu ohlala nawe kusapho lwakho unesifo sentliziyo? Okanye ngaba ngamanye amaxesha ubetha ngesantya esingaqhelekanga? Ukuba kunjalo, ugqirha wakho usenokuba ukuxelele ngohlobo lweyeza elibizwa ngokuba yi-'Cardiac Glycosides', mhlawumbi wade walinika. Nangona eli gama lisenokuvakala linzima kancinci, ungakhathazeki. Namhlanje, siza kuthetha ngolu hlobo lweyeza ngendlela elula neyobuhlobo.
Ngamafutshane, zithini ezi glycosides zentliziyo?
Ngamafutshane, la liqela lamayeza anceda abantu abaneengxaki ezithile zentliziyo. Angafika ngendlela yeepilisi, iikhaphu, okanye ulwelo. Ugqirha wakho uya kuyalela ukuba athathwe kanye ngemini, ngexesha elifanayo yonke imihla.
Eyona `Cardiac Glycoside' eyaziwayo nesetyenziswa kakhulu phakathi kwethu eSri Lanka yiDigoxin . Usenokuba unikwe eli yeza.
Eli yeza lisebenza njani emzimbeni?
Nangona oku kungabonakala kunzima ukukuqonda, masiqonde ngomzekelo olula.
Cinga ngemisipha esentliziyweni yethu njengeqela leempompo zamanzi ezincinci. Ezi mpompo zifuna amandla ukuze zisebenze kakuhle. La mandla avela kwiminerali ebizwa ngokuba yicalcium .
Ii-glycosides zentliziyo zisebenza ngokugcina inani elincinci lee-ion zesodium ngaphakathi kweeseli zentliziyo. Xa inani lesodium ngaphakathi kweeseli lisanda, inani le-calcium ngaphakathi kweeseli nalo liyakhula xa liphendula.
Xa kukho i-calcium eninzi, izihlunu zentliziyo ziyancipha ngamandla . Oku kuthetha ukuba inani legazi elimpontshelwa emzimbeni ngokubetha ngakunye liyakhula. Kwizonyango, oku sikubiza ngokuba kukunyuka kokuphuma kwentliziyo . Oku kubaluleke kakhulu kumntu onesifo sentliziyo.
Ukongeza, eli yeza lenza enye into.
Isingqisho sentliziyo silawulwa yinkqubo yemiqondiso yombane. Eli yeza lisebenza ngokunciphisa isantya esihamba ngaso ezo miqondiso zombane, ingakumbi njengoko zidlula kwi -AV node entliziyweni. Oku kunciphisa isantya sentliziyo. Oku kunokuba luncedo kakhulu kubantu abaneemeko ezifana ne -atrial fibrillation, ebangela ukuba intliziyo ibethe ngokukhawuleza ngendlela engaqhelekanga.
Ngubani onikwa la mayeza?
Eli linqaku elibaluleke kakhulu. Ngaphambili, la mayeza ayesetyenziswa kakhulu kwizifo zentliziyo. Kodwa oko akusenjalo ngoku .
Okwangoku, i-'Cardiac Glycosides' ayiloyeza lokuqala. Oko kukuthi, ayilokhetho lokuqala lukagqirha xa unesifo sentliziyo okanye isifo sentliziyo.
Ngokwesiqhelo, ugqirha uya kuqala anike olu hlobo lwamayeza:
- Ii-Beta-blockers
- Izithinteli ze-ACE
- I-Diuretics - Oku sikubiza ngokuba "ziipilisi zamanzi".
- Ii-ARB (ii-Angiotensin II Receptor Blockers)
Isizathu sokuba la mayeza anikwe kuqala kukuba akhuselekile kunee-glycosides zentliziyo kwaye aneziphumo ebezingalindelekanga ezimbalwa.
Ngoko ke, ngubani onikwa 'iiCardiac Glycosides'?
Kwabanye abaguli abaneempawu ezingalawulwa ngokwaneleyo ngamayeza akhankanyiweyo ngaphambili, ugqirha unokuyalela eli yeza. Oko kukuthi, kuphela xa iingenelo kwisigulana zingaphezulu kweengozi.
Zithini iingozi kunye nemiphumo emibi?
Njengalo naliphi na iyeza, eli yeza linokubangela iziphumo ebezingalindelekanga. Kodwa kufuneka silumke ngakumbi ngeli yeza. Isizathu kukuba akukho msantsa mkhulu phakathi kwedosi yonyango kunye nedosi enobuthi ebangela iziphumo ebezingalindelekanga.
Ngamafutshane, ukuba unyusa umthamo kancinci, amathuba okuba nemiphumo emibi ayanda. Ngoko ke , ungaze utshintshe umthamo wamayeza akho ngaphandle kokubonisana nogqirha wakho .
Makhe sijonge iingxaki ezinokubangelwa leli yeza kwitheyibhile.
| Ingxaki | Iimpawu |
|---|---|
| Iziphumo ebezingalindelekanga eziqhelekileyo (ngesiqhelo ayisiyonto inzulu) |
|
| Iimpawu zokutyhefwa ziziyobisi (Ubuthi) ( Fumana iingcebiso zonyango ngoko nangoko! ) |
|
Ngenxa yokuba eli yeza lihlala emzimbeni okwethutyana, linokuqokelelwa ngokuhamba kwexesha. Yiyo loo nto ugqirha wakho eza kujonga igazi lakho rhoqo aze ajonge nenqanaba le-digoxin yakho.
Ndifanele ndimbone nini ugqirha ngoko nangoko?
Ukuba usebenzisa eli yeza kwaye ufumana naziphi na iimpawu ezilandelayo, bona ugqirha wakho ngaphandle kokulibazisa.
- Ukuba unengxaki yokuphefumla
- Ukuba izandla okanye iinyawo zakho ziqala ukudumba
- Ukuba isisu siphazamisekile, urhudo, okanye ukuhlanza kuyaqhubeka
- Ukuba ulahlekelwa yiminqweno yokutya
Ukuba kuvela iimpawu zetyhefu, kubalulekile ukuya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) yesibhedlele ngoko nangoko. Ukuba ufuna ulwazi oluthe kratya, ungafowunela iZiko loLwazi lweTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Umyalezo Wokuya Ekhaya
- IiGlycosides zeCardiac (umz. iDigoxin) ngamayeza anceda intliziyo ebuthathaka ukuba ipompe igazi ngokufanelekileyo kwaye ilawule ukubetha kwentliziyo ngokukhawuleza.
- Kule mihla, ayisetyenziswa njengeyeza lokuqala ngenxa yemingcipheko yayo kunye nemiphumo emibi.
- Idosi oyinikweyo ibaluleke kakhulu. Kuphephe ukutshintsha idosi nangasiphi na isizathu ngaphandle kokubonisana nogqirha wakho.
- Ubuthi buyingozi yokwenyani. Lumka kwiimpawu ezinje ngokutshintsha kombono (umbono otyheli/oluhlaza), ukozela okukhulu, okanye isisu esibuhlungu. Ukuba oku kuyenzeka, funa ingcebiso kagqirha ngoko nangoko.
- Nokuba uziva uphilile kangakanani na, kubaluleke kakhulu ukusela amayeza akho ngexesha elimiselweyo kwaye uye kwiikliniki ngemihla emiselweyo njengoko ugqirha wakho eyalele.
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