Ngaba wakha wamiselwa iDigoxin ngugqirha wakho ngenxa yesifo sentliziyo? Ukuba kunjalo, eli nqaku liza kuba libaluleke kakhulu kuwe. Kuba liyeza elinamandla kakhulu ekufuneka lisetyenziswe ngononophelo olukhulu. Masithethe ngalo ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, yintoni iDigoxin?
I-Digoxin liyeza elisetyenziselwa ukunyanga izifo ezithile zentliziyo. Oogqirha badla ngokulinika xa amayeza okuqala engasebenzi okanye xa kufuneka elinye iyeza. Kukho isizathu soku.
Ngamafutshane, kukho umahluko omncinci kakhulu phakathi kwedosi yale yeza eya kukunceda kunye nedosi eya kuba yingozi, oko kukuthi, ityhefu, kuwe. Yiyo loo nto oogqirha beyinika ngononophelo olukhulu.
Eli yeza lenziwe ngesityalo esidubulayo esibizwa ngokuba yi "foxglove". Likwiqela lamayeza abizwa ngokuba yi "cardiac glycosides". Eli yeza lisetyenziswa kakhulu kwezi meko zilandelayo:
- Ukusilela kwentliziyo: Imeko apho intliziyo ingakwazi ukupompa igazi elaneleyo emzimbeni.
- Ukuphaphazela kwentliziyo: Imeko apho amagumbi aphezulu entliziyo (i-atria) ebetha ngokukhawuleza kakhulu.
- I-Atrial Fibrillation (Afib): Imeko apho isingqisho sentliziyo siba singaqhelekanga kwaye sikhawuleza.
Kwenzeka ntoni emzimbeni ngale mithi?
Xa i-digoxin ingena emizimbeni yethu, yenza izinto ezimbini eziphambili.
1. Inceda izihlunu zentliziyo zipompe igazi ngamandla angakumbi. Yicinge njengemoto yamanzi. Le nto yenziwa leli yeza kukwandisa amandla aloo moto kancinci kwaye iwenze upompe amanzi angakumbi.
2. Yehlisa isantya sentliziyo. Eli yeza lehlisa isantya esihamba ngaso imiqondiso yombane elawula ukubetha kwentliziyo. Oku kunceda ekulawuleni isantya sentliziyo.
Le misebenzi mibini inika amandla entliziyweni yomntu onesifo sentliziyo, ngelixa ilawula ukubetha kwentliziyo yomntu onesifo sentliziyo esiphezulu.
Masiqaphele nemiphumo emibi kunye neengozi.
Njengayo nayiphi na imithi, i-digoxin inokubangela iziphumo ebezingalindelekanga. Ezinye zezi ziqhelekile, ngelixa ezinye zimbi kakhulu. Ngoko ke kubalulekile ukuba uzazi ezi zinto.
| Imiphumela | Inkcazo |
|---|---|
| Ukungonwabi kwesisu | Izinto ezifana nokugabha, ukuhlanza, iintlungu zesisu. |
| Utshintsho lombono | Izinto ezifana nokubona izinto zingacacanga, zibonakala zimthubi okanye ziluhlaza . Olu luphawu olubaluleke kakhulu. |
| Isiyezi | Ukuba nesiyezi , amehlo aluhlaza okwesibhakabhaka, ukuziva ngathi uza kuwa xa usukuma. |
| Ezinye iimpawu | Ukozela, intloko ebuhlungu, ukurhawuzelela kwesikhumba. |
| Iingxaki ezinzulu | Ukubetha kwentliziyo okukhawulezayo ngendlela engaqhelekanga (i-Atrial Tachycardia), ukubetha kwentliziyo okucothayo ngendlela engaqhelekanga (i-Heart Block). |
| I-Gynecomastia | Le yinto engabonakaliyo rhoqo. Oku kuthetha ukuba amabele amadoda ayanda . |
Inqanaba leDigoxin kunye nobuTyhefu
Le yeyona nto ibalulekileyo xa uthetha ngale mithi. "Amanqanaba eDigoxin" bubungakanani be-digoxin egazini lakho. Oku kulinganiswa ngovavanyo lwegazi.
- Inqanaba Eliqhelekileyo: Ngokubanzi, inqanaba eliphakathi kwe-0.5 kunye ne-2.0 nanograms ngelitha (0.5 - 2.0 ng/mL) lithathwa njengenqanaba elikhuselekileyo neliluncedo.
- Ubuthi beDigoxin: Ukuba inqanaba le-digoxin egazini lidlula i-2.0 ng/mL, liqala ukuba yityhefu emzimbeni. Oku kungaba yimeko eyingozi kakhulu . Oku kunokubangela utshintsho olukhulu kwisingqisho sentliziyo kwaye kube yingozi nakubomi.
Zeziphi izinto ezichaphazela amanqanaba e-digoxin?
Nokuba idosi yepilisi oyithathayo ihlala ifana, ezi zinto zilandelayo zinokuchaphazela inqanaba le-digoxin emzimbeni wakho:
- Umsebenzi wezintso: I-Digoxin ikhutshwa emzimbeni ikakhulu ngezintso. Ukuba izintso zakho zibuthathaka, iyeza lisuswa emzimbeni kancinci kancinci . Oku kunokukhokelela kumanqanaba aphezulu e-digoxin egazini. Umsebenzi wezintso uyancipha ngokwendalo njengoko abantu abadala bekhula , ngoko ke abantu abadala basengozini enkulu.
- Amanye amayeza: Amanye amayeza owasebenzisayo (umz., amanye amayeza okubulala iintsholongwane, amayeza okwehlisa i-cholesterol, amayeza alwa ne-asidi) anokusebenzisana ne-digoxin aze anyuse amanqanaba ayo.
- Ukutya neziselo: Ukutya ukutya okunefayibha eninzi okanye ukuthatha izongezo zefayibha kunokunciphisa ukufunxwa kwe-digoxin emzimbeni.
- Amanqanaba ePotassium emzimbeni: Ukuba amanqanaba ePotassium egazini aphantsi (iHypokalemia), umngcipheko wetyhefu ye-digoxin uphezulu kakhulu.
Ngenxa yezi zizathu, kubalulekile ukuba igazi lakho lihlolwe rhoqo kwaye ujonge amanqanaba akho e-digoxin njengoko kumiselwe ngugqirha wakho.
Ndingayisebenzisa njani le yeza ngokukhuselekileyo?
Ungakhathazeki. Ukuba ulandela le miyalelo ngononophelo, ungasebenzisa i-digoxin ngokukhuselekileyo.
1. Landela imiyalelo kagqirha wakho ngokuchanekileyo: Sela idosi emiselweyo, ngexesha elimiselweyo. Ungaze unciphise, wandise, okanye uyeke ukuthatha amayeza ngokubona kwakho.
2. Ungaphoswa kuvavanyo lwegazi: Qiniseka ukuba uya kugqirha kwaye uvavanye igazi lakho. Kubaluleke kakhulu kukhuseleko lwakho.
3. Lumka ngamanye amayeza: Ngaphambi kokuba uqale naliphi na iyeza elitsha (nokuba livithamini, isithomalalisi sentlungu, okanye iyeza le-Ayurvedic), xelela ugqirha wakho ukuba usebenzisa i-digoxin.
4. Lumka ngemiphumo emibi: Ukuba ubona naluphi na utshintsho emzimbeni wakho, lumka.
Xa kufuneka ufowunele ugqirha ngoko nangoko
Xa usebenzisa i-digoxin, iimpawu ezithile zinokuba yingxaki xa zisenzeka. Ezi zisenokuba ziimpawu zetyhefu ye-digoxin.
| Ukuba unale mpawu, xelela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele. |
|---|
| - Ubunzima bokuphefumla |
| - Ukulahlekelwa ngumdla wokutya, isicaphucaphu, okanye ukuhlanza/urhudo olungapheliyo |
| - Ukudumba kwezandla, iinyawo, okanye amaqatha |
| - Utshintsho lombono (izinto zibonakala zimthubi/ziluhlaza, umbono ofipheleyo) |
| - Ukudideka okanye isiyezi esigqithisileyo |
Ukuba kukho ityhefu ye-digoxin, kukho unyango olufumanekayo esibhedlele. Iyeza elibizwa ngokuba yi-"digoxin immune fab" linokunikwa ukuze kulungiswe imiphumo yeyeza. Ke ngoko, kubalulekile ukuqaphela iimpawu kwaye ufune unyango ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- I-Digoxin sisiyobisi esinamandla kakhulu entliziyweni kwaye kufuneka sisetyenziswe ngononophelo.
- Sela idosi oyinikwe ngugqirha wakho ngexesha elifanelekileyo. Musa ukuyitshintsha ngokwakho idosi nangasiphi na isizathu.
- Njengoko ugqirha wakho ekucebisa, yenza uvavanyo lwegazi rhoqo kwaye uhlale uqaphela amanqanaba akho e-digoxin.
- Ukuba ufumana iimpawu ezifana nokutshintsha kombono, isicaphucaphu esiqatha, okanye ubunzima bokuphefumla, funa ingcebiso kagqirha ngoko nangoko kuba oku kunokuba luphawu lwetyhefu ye-digoxin.
- Ngaphambi kokuba uqale naliphi na elinye iyeza (kuquka iivithamini, iintlungu zokudambisa iintlungu), kubalulekile ukuba wazise ugqirha wakho ukuba usebenzisa i-digoxin.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment