Ngaba ugqirha wakho ukunike wena okanye umntu osapho lwakho iyeza iDigoxin? Ukuba kunjalo, kuqhelekile ukuba uzive unomdla, kwaye mhlawumbi uxhalabile, ngeli yeza. Kuba eli liyeza elibaluleke kakhulu, kwaye lifanele lisetyenziswe ngononophelo olukhulu. Ngoko ke ungakhathazeki. Kweli nqaku, siza kuthetha ngento eyiyo iDigoxin, into eyenzayo, kunye nento ekufuneka siyilumkele xa siyisebenzisa.
Ngamafutshane, yintoni iDigoxin?
I-Digoxin liyeza elidala kakhulu. Lenziwe ngesityalo esidubulayo esibizwa ngokuba yi-foxglove. Likwiqela lamayeza abizwa ngokuba yi-cardiac glycosides .
Ngokwesiqhelo, xa beqala unyango lwesifo sentliziyo, oogqirha baqala ngokunika amanye amayeza. Siwabiza ngokuba 'ngamayeza okuqala.' I-Digoxin inikwa ukuba loo mayeza asebenzi njengoko bekulindelwe, okanye ukuba kufuneka elinye iyeza.
Ugqirha ucebisa kakhulu eli yeza kwezi meko zentliziyo zilandelayo:
- Ukusilela kwentliziyo: Oku kwenzeka xa intliziyo ingakwazi ukupompa igazi elaneleyo emzimbeni.
- Ukuphaphazela kwentliziyo: Imeko apho amagumbi aphezulu entliziyo (i-atria) abetha ngokukhawuleza kakhulu.
- I-Atrial fibrillation (Afib): Imeko apho amagumbi aphezulu entliziyo abetha ngokungacwangciswanga nangokukhawuleza.
Yintoni eyenziwa yi-digoxin ezintliziyweni zethu?
Cinga ngentliziyo yethu njengempompo yamanzi. Ngamanye amaxesha le mpompo iba buthathaka kwaye ingakwazi ukupompa amanzi ngokufanelekileyo. I-digoxin yeziyobisi yenza izinto ezimbini eziphambili.
1. Inceda izihlunu zentliziyo ziqine ngakumbi: Oku kuvumela intliziyo ebuthathaka ukuba ipompe igazi elingakumbi emzimbeni ngaxeshanye. Kufana nokunika ipompo ebuthathaka amandla angakumbi.
2. Ilawula kwaye inciphisa izinga lentliziyo: Ingakumbi kwiimeko ezifana ne-Afib, intliziyo ibetha ngokukhawuleza kakhulu nangokungacwangciswanga. I-Digoxin isebenza ngokunciphisa isantya semiqondiso yombane elawula izinga lentliziyo. Oku kuvumela intliziyo ukuba ibethe kancinci kwaye rhoqo.
Ngamafutshane, i-digoxin ifana nomphathi okrelekrele onyusa ukusebenza kakuhle kwentliziyo kwaye ulawula isantya sayo.
Zithini iingenelo zale yeza?
I-Digoxin ineengenelo ezininzi kwizigulane ukuba isetyenziswa ngokufanelekileyo.
- Kunganciphisa inani labantu abalaliswa esibhedlele ngenxa yesifo sentliziyo.
- Inceda ekunciphiseni iimpawu zokungasebenzi kakuhle kwentliziyo, njengokudinwa kunye nokuphefumla nzima.
- Umgangatho wobomi bezigulane unokuphuculwa.
- Isantya sentliziyo sinokulawulwa kubantu abaneengxaki ezifana ne-Afib.
Ngaba nathi siyazi ngemiphumo emibi?
Njengayo nayiphi na imithi, i-digoxin inokuba nemiphumo emibi. Asinguye wonke umntu oyifumanayo, kodwa kubalulekile ukuba uzazi.
| Uhlobo lwesiphumo esibi | Inkcazo |
|---|---|
| Iingxaki zenkqubo yokugaya ukutya | Ukuphazamiseka kwesisu, isicaphucaphu, ukuhlanza, ukurhawuzelela. |
| Iingxaki zenkqubo yemithambo-luvo | Ukudinwa , ukuba nentloko ebuhlungu, ukozela, intloko ebuhlungu. |
| Utshintsho lombono | Izinto zibonakala zingacacanga, zimthubi, okanye ziluhlaza. Oku kungaba luphawu lokuba kukho ityhefu. |
| Ezinye iziphumo ebezingalindelekanga | Ukuqhambuka kolusu, ukwanda kwamabele kumadoda (i-gynecomastia). |
| Iingxaki ezinxulumene nentliziyo | Izingqisho zentliziyo ezingaqhelekanga (arrhythmias), ukubetha kwentliziyo okucothayo kakhulu (ukuvimba kwentliziyo). Ezi zinokuba zizinto ezinzulu. |
Ubuthi beDigoxin - Apho kufuneka silumke khona!
Xa sithetha nge-digoxin, into enye ekufuneka siyazi kukuba ityhefu ye-digoxin iyanda xa inqanaba le-digoxin egazini lisanda ngaphezu koko umzimba unokukunyamezela.
Oku kufana nokuhamba ngentambo eqinileyo. Kukho umahluko omncinci kakhulu phakathi kwenqanaba eliluncedo ngayo iyeza kunye nenqanaba eliyingozi emzimbeni. Kungoko ke, kubaluleke kakhulu ukuthatha idosi kanye njengoko ugqirha emyalele.
Izinto ezinokunyusa amanqanaba e-digoxin
Ukutya okuthile, amanye amayeza, kunye neemeko zempilo zinokutshintsha amanqanaba e-digoxin emizimbeni yethu.
- Ukutya: Ukutya ukutya okune-fiber eninzi okanye ukuthatha izongezo ze-fiber.
- Amanye amayeza: Amayeza osulelo oluthile (ii-macrolides), i-metoclopramide yokunyanga isicaphucaphu, i-antacids ye-gastritis, kunye namanye amayeza okwehlisa i-cholesterol.
- Umsebenzi wezintso: I-Digoxin ikhutshwa emzimbeni ikakhulu zizintso, ngoko ke umntu onesifo sezintso usengozini enkulu yokuba netyhefu ye-digoxin.
Njengoko sikhula, ukusebenza kwezintso zethu ngokwemvelo kuyehla kancinci. Ngenxa yoko, kuthatha ixesha elide ukuba eli yeza lisuswe emzimbeni womntu omdala. Ngenxa yoko, ugqirha uya kukuqwalasela konke oku xa egqiba umthamo.
Ajongwa njani amanqanaba e-digoxin?
Emva kweveki emva kokuba uqale ukusebenzisa i-digoxin, ugqirha wakho uza kukucela ukuba uvavanye igazi. Oku kuya kujonga inqanaba le-digoxin egazini lakho. Olu vavanyo ludla ngokwenziwa emva kweeyure ezi-6-8 emva kokuba usele iyeza. Kuya kufuneka wenze olu vavanyo rhoqo emva koko. Musa ukulibazisa olu vavanyo. Lubaluleke kakhulu kukhuseleko lwakho.
Zithini iimpawu zetyhefu?
Ukuba inqanaba le-digoxin egazini lidlula i-2.0 ng/mL (ii-nanograms nge-milliliter), kukho umngcipheko okhulayo wetyhefu. Ugqirha unokufumana umbono woku ngokujonga utshintsho kumsebenzi wombane wentliziyo nge- ECG (electrocardiogram) .
Iimpawu eziphambili zetyhefu:
- Isicaphucaphu esinzima kunye nokuhlanza
- Utshintsho lombono (izinto zibonakala zimthubi/ziluhlaza, zifiphale, zibona ii-halos zijikeleze izibane)
- Ukubetha kwentliziyo okungaqhelekanga (ukubetha kwentliziyo okukhawulezayo okanye okuhlabayo, iintlungu zesifuba)
- Ukudideka okukhulu
- Ukudinwa kakhulu kunye nokozela
Ukuba ezi mpawu ziyenzeka, zingabulala. Ngoko ke, kufuneka uye kwigumbi likaxakeka (ETU) lesibhedlele esikufutshane. Ngamanye amaxesha amanqanaba e-potassium egazini anokuba phezulu ngendlela eyingozi. Oku sikubiza ngokuba yi-hyperkalemia .
Xa kukho ityhefu ye-digoxin, kukho iyeza elikhethekileyo elinokuguqula imiphumo yayo . Libizwa ngokuba yi -digoxin immune fab . Ke ngoko, ukulaliswa esibhedlele kwangethuba kunokusindisa ubomi.
Ukuba ukrokrela ukuba unetyhefu ye-digoxin, kufuneka:Ungafumana neengcebiso ngokufowunela iZiko loLwazi ngeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo.
Izinto onokuzenza ukuze unyango lube lula
Ukuphila ngale mithi akufuneki kube nzima. Ukuba unyamekela izinto ezimbalwa ezincinci, yonke into ingenziwa lula.
- Landela imiyalelo kagqirha wakho ngokuchanekileyo: Sela idosi emiselweyo, ngexesha elimiselweyo. Ungaze unciphise, wandise, okanye uyeke ukuthatha amayeza ngokubona kwakho.
- Ungaphoswa kuvavanyo lwegazi: Yiya kugqirha wakho uze uvavanye igazi lakho. Oku kuya kukunceda ubone ukuba amanqanaba akho e-digoxin akwimida ekhuselekileyo na.
- Lumka ngamanye amayeza: Xelela ugqirha wakho ngamanye amayeza, iivithamini, kunye namayeza esintu owasebenzisayo. Kwanamanye amayeza athengiswa ngaphandle kwemvume kagqirha anokusebenzisana ne-digoxin.
| Ukuba unale mpawu, yazisa ugqirha wakho ngoko nangoko! | |
|---|---|
| Ubunzima bokuphefumla | Ukulahlekelwa ngumdla, isicaphucaphu, okanye ukuhlanza |
| Ukudumba kwezandla okanye iinyawo | Naluphi na utshintsho embonweni (ukufiphala, utshintsho lombala) |
I-Digoxin liyeza elixabisekileyo elinokusindisa ubomi ukuba lisetyenziswa ngokufanelekileyo. Kodwa unoxanduva lokulisebenzisa ngokukhuselekileyo. Ukuba unemibuzo okanye iingxaki, thetha nogqirha wakho ngazo ngokukhululekileyo.
Umyalezo Wokuya Ekhaya
- I-Digoxin sisiyobisi esinamandla esisetyenziselwa isifo sentliziyo ekufuneka siphathwe ngononophelo olukhulu.
- Kukho umda omncinci kakhulu phakathi kweedosi ezisebenzayo nezinobungozi zale chiza, ngoko ke kubaluleke kakhulu ukulandela icebiso lezonyango.
- Ungaze utshintshe idosi okanye uyeke ukuthatha amayeza ngaphandle kwemvume kagqirha wakho.
- Ungaphoswa kukudibana nogqirha kunye novavanyo lwegazi ngemihla ecwangcisiweyo ukujonga inqanaba le-digoxin egazini lakho.
- Ukuba kukho iimpawu zokutyhefa ezifana nokucaphuka, ukuhlanza, utshintsho embonweni, okanye ukungasebenzi kakuhle kwesingqisho sentliziyo, funa ingcebiso kagqirha ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane.
- Soloko wazisa ugqirha wakho ngazo zonke ezinye iziyobisi, iivithamini, kunye nezongezo ozithathayo.
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