Uma udokotela wakho encoma ukuthi uthole i-'Digoxin' ( Digoxin ) njengomjovo wesifo senhliziyo yakho, kungokwemvelo ukuzizwa ukhathazekile noma ukhungathekile. Sicela wazi ukuthi lokhu kuyindlela evamile yokusabela. Kodwa-ke, i-Digoxin umuthi obalulekile ovivinywe isikhathi eside othuthukisa kakhulu ukusebenza kwenhliziyo. Ake sixoxe ngakho ukuze siphendule noma yimiphi imibuzo ongase ube nayo.
Kungani unikezwa i-Digoxin?
Kalula nje, i-Digoxin ivame ukusetshenziswa ngezizathu ezimbili eziyinhloko:
1. Ukwehluleka Kwenhliziyo : Cabanga ngenhliziyo yakho njengephampu ephethe ukujikeleza kwegazi emzimbeni wakho wonke. Ngezinye izikhathi, le phampu iba buthakathaka futhi ayikwazi ukujikeleza igazi kahle njengoba kufanele. I-Digoxin isebenza ngokunikeza lowo mucu wenhliziyo obuthakathaka amandla, ithuthukise ukusebenza kwayo kokumpompa. Njengokunikeza amandla kumuntu okhathele, lo muthi wenza inhliziyo yakho ikwazi ukujikeleza igazi kahle emzimbeni wakho wonke.
2. Ukungalingani Kwesigqi Senhliziyo ( i-Arrhythmia ): Abanye abantu babhekana nokushaya kwenhliziyo okungajwayelekile, njenge- Atrial Fibrillation (AFib) . Lokhu kwenzeka lapho inkinga ohlelweni lukagesi lwenhliziyo ibangela ukuba ishaye ngokushesha kakhulu futhi ngokungajwayelekile. I-Digoxin isiza ngokulawula lezo zimpawu zikagesi ezixakile nezisheshayo, okwenza ukushaya kwenhliziyo yakho kube yisigqi esizinzile nesinempilo.
Ngaphandle kwalokhu, udokotela wakho angase anqume ukusebenzisa i-Digoxin nakwezinye izifo zenhliziyo .
Okumele wabelane ngakho nodokotela wakho ngaphambi kokwelashwa
I-Digoxin idinga ukunikezwa ngokucophelela. Kubaluleke kakhulu ukuthi wazise ithimba lakho lezokwelapha ngalokhu okulandelayo:
| Isimo okufanele sidalulwe | Kungani kubalulekile |
|---|---|
| Ezinye izimo zenhliziyo noma ukuhlaselwa yinhliziyo muva nje | Isilinganiso kanye nemiphumela yemithi kungadingeka kulungiswe. |
| Isifo sezinso | I-Digoxin isuswa emzimbeni ngokuyinhloko yizinso; ukusebenza kabi kwezinso kungaholela ekuqongeleleni okunobuthi. |
| Isifo sesibindi | Ukusebenza kwesibindi kungathinta indlela umzimba wakho ocubungula ngayo lo muthi. |
| Ukungezwani komzimba | Yazisa udokotela wakho nganoma yikuphi ukungezwani komzimba ne-Digoxin, eminye imithi, noma ukudla. |
| Ukukhulelwa noma ukuzama ukukhulelwa | Ukuphepha nemiphumela yomuthi kumele kuxoxwe nodokotela wakho. |
| Ukuncelisa | Kubalulekile ukuqonda ukuthi umuthi udlulela yini obisini lwebele kanye nemiphumela yawo engaba khona. |
Lo muthi unikezwa kanjani?
Umjovo we-Digoxin awusetshenziselwa ekhaya. Unikezwa esibhedlela noma emtholampilo ngudokotela noma umhlengikazi oqeqeshiwe , kungaba ngomjovo we-intravenous (IV) noma ngokufakwa . Ukuphepha kwakho kubhekwa kuyo yonke inqubo.
Isexwayiso: Uma kwenzeka ukudlula umthamo! Nakuba ingozi iphansi kakhulu uma unikezwa esibhedlela, uma usola ukuthi ukudlula umthamo noma uhlangabezana nokusabela okubi, sicela uxhumane nezinsizakalo eziphuthumayo zasendaweni (911) noma uqhubekele ngokushesha eMnyangweni Wezimo Eziphuthumayo (ED/ETU) oseduze .
Sicela ukhumbule, lo muthi unikezwe wena ngqo, ngokusekelwe kuphrofayela yakho yezempilo ehlukile, isisindo, kanye nokusebenza kwezinso. Ungalokothi wabelane ngalo muthi nanoma ubani omunye.
Eminye imithi engase ihlangane ne-Digoxin
Leli iphuzu elibalulekile. I-Digoxin umuthi ongasebenzisana neminye imithi eminingi. Ngakho-ke, kubalulekile ukuthi wazise udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, imithi yamakhambi, kanye nezithasiselo zokudla.
Eminye imithi evamile engasebenzisana ne-Digoxin ihlanganisa:
- Imithi yokudambisa ukucindezeleka noma imithi yokulwa nokukhathazeka efana ne-Alprazolam.
- Ama-antibiotic athile, njenge-clarithromycin ne-erythromycin.
- Imithi ethile yokwelapha umfutho wegazi ophakeme kanye nezinye izifo zenhliziyo.
- Imithi ethile yokwehlisa i-cholesterol (isib. i-atorvastatin).
- Imithi ethile yesifo sikashukela.
- Imithi yokulwa nesikhunta, njenge-ketoconazole.
- Imithi ye-gastritis, njenge- omeprazole ne-esomeprazole.
- Ama-painkiller (ama-NSAID) njenge-ibuprofen ne-naproxen.
- Izithasiselo zemithi efana ne- St. John's Wort .
Lolu hlu aluphelele. Indlela ephephile kakhulu ukucacisela udokotela wakho ngakho konke okuthathayo.
Yiziphi Imiphumela Engase Ibe Khona?
Njenganoma yimuphi umuthi, i-Digoxin ingabangela imiphumela emibi. Eminye iyingozi, kanti eminye incane. Into ebaluleke kakhulu ukuhlala unolwazi ngalezi zimpawu futhi wazise ithimba lakho lezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi izinkinga.
| Isigaba Somphumela Ongemuhle | Izimpawu Ezilindelekile |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, noma ulimi. |
| Ubuthi be-Digoxin | Lokhu kubaluleke kakhulu. Ukudideka, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuhlanza, isifo sohudo, umbono ofiphele noma ophuzi , ukukhathala okukhulu, noma ukushaya kwenhliziyo okusheshayo/okungajwayelekile. |
| I-Bradycardia (ukushaya kwenhliziyo okuhamba kancane kakhulu) | Isiyezi, ikhanda elikhanyayo, ukuphelelwa umoya, kanye nokukhathala okukhulu. |
| Isiyezi | Ukuzizwa unesizungu njalo. |
| Ukungakhululeki esiswini | Ubuhlungu besisu noma ukungakhululeki okuncane. |
| Ukukhula kwezicubu zebele | (Kubesilisa nabesifazane) Ukuthuthukiswa okungalindelekile kwezicubu zebele. |
Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ezingabhalwanga lapha, sicela uxoxe ngazo nodokotela wakho.
Izinto Ezibalulekile Okufanele Uzithathe (Umyalezo Wokuya Nawe Ekhaya)
- I-Digoxin umuthi obalulekile osetshenziselwa ukuphatha ukwehluleka kwenhliziyo noma ukungalingani kwenhliziyo (i-AFib).
- Uma inikezwa njengomjovo, ihlala yenziwa ngaphansi kokuqondisa kochwepheshe kodokotela nabahlengikazi esibhedlela, ngakho-ke asikho isidingo sokukhathazeka.
- Kumelwe wazise udokotela wakho ngayo yonke imithi, amavithamini, kanye nemithi yamakhambi oyithathayo njengamanje.
- Uma uhlangabezana nemiphumela emibi kakhulu njengokuphazamiseka kokubona (isib. ukubona izinto ziphuzi), ukudideka, noma izinguquko ezibalulekile ekushayeni kwenhliziyo yakho, xhumana nezinsizakalo eziphuthumayo noma ithimba lakho lezokwelapha ngokushesha.
- Ungalokothi unqikaze ukubuza udokotela wakho uma unemibuzo noma ukukhathazeka mayelana nalomuthi.
