Ingabe udokotela wakho ukunike wena noma othile emndenini wakho umuthi i-Digoxin? Uma kunjalo, kuyinto evamile ukuzizwa unelukuluku, futhi mhlawumbe novalo, ngalo muthi. Ngoba lo muthi ubaluleke kakhulu, futhi kufanele usetshenziswe ngokuqapha okukhulu. Ngakho ungakhathazeki. Kulesi sihloko, sizoxoxa ngokuthi i-Digoxin iyini, yenzani, nokuthi yini okudingeka siyiqaphele lapho siyisebenzisa.
Kalula nje, iyini i-Digoxin?
I-Digoxin umuthi omdala kakhulu. Wenziwe ngesitshalo esiqhakazayo esibizwa ngokuthi i-foxglove. Ungowesigaba semithi ebizwa ngokuthi i-cardiac glycosides .
Ngokuvamile, lapho beqala ukwelashwa kwesifo senhliziyo, odokotela baqale banikeze eminye imithi. Siyibiza ngokuthi 'imithi yokuqala.' I-Digoxin inikezwa uma leyo mithi ingasebenzi njengoba kulindelekile, noma uma kudingeka omunye umuthi.
Udokotela uncoma kakhulu lo muthi ezimweni zenhliziyo ezilandelayo:
- Ukwehluleka kwenhliziyo: Lokhu kwenzeka lapho inhliziyo ingakwazi ukupompa igazi elanele emzimbeni.
- Ukuphaphazela kwe-Atrial: Isimo lapho amakamelo aphezulu enhliziyo (i-atria) eshaya khona ngokushesha okukhulu.
- I-Atrial fibrillation (Afib): Isimo lapho amakamelo aphezulu enhliziyo eshaya khona ngokungajwayelekile nangokushesha.
Yini i-digoxin eyenzayo ezinhliziyweni zethu?
Cabanga ngenhliziyo yethu njengephampu yamanzi. Ngezinye izikhathi le phampu iba buthakathaka futhi ingakwazi ukupompa amanzi kahle. I-digoxin yesidakamizwa yenza izinto ezimbili eziyinhloko.
1. Kusiza imisipha yenhliziyo ukuthi ifinyele ngamandla: Lokhu kuvumela inhliziyo ebuthakathaka ukuthi ipompe igazi eliningi emzimbeni ngesikhathi esisodwa. Kufana nokunikeza ipompo ebuthakathaka amandla engeziwe.
2. Ilawula futhi yehlisa izinga lokushaya kwenhliziyo: Ikakhulukazi ezimweni ezifana ne-Afib, inhliziyo ishaya ngokushesha kakhulu futhi ngokungajwayelekile. I-Digoxin isebenza ngokunciphisa ijubane lezimpawu zikagesi ezilawula izinga lokushaya kwenhliziyo. Lokhu kuvumela inhliziyo ukuthi ishaye kancane futhi njalo.
Kalula nje, i-digoxin ifana nomphathi ohlakaniphile owandisa ukusebenza kahle kwenhliziyo futhi ulawula ijubane layo.
Ziyini izinzuzo zalo muthi?
I-Digoxin inezinzuzo eziningi ezigulini uma isetshenziswa kahle.
- Kunganciphisa inani labantu abalaliswa esibhedlela ngenxa yesifo senhliziyo.
- Kuyasiza ekunciphiseni izimpawu zokwehluleka kwenhliziyo, njengokukhathala nokuphelelwa umoya.
- Izinga lempilo yeziguli lingathuthukiswa.
- Isilinganiso senhliziyo singalawulwa kubantu abanezimo ezifana ne-Afib.
Ingabe siyazi nemiphumela emibi?
Njenganoma yimuphi umuthi, i-digoxin ingaba nemiphumela emibi. Akuwona wonke umuntu oyitholayo, kodwa kubalulekile ukuyiqaphela.
| Uhlobo lomphumela ongemuhle | Incazelo |
|---|---|
| Izinkinga zesistimu yokugaya ukudla | Ukuphazamiseka kwesisu, isicanucanu, ukuhlanza, ukuqunjelwa. |
| Izinkinga zesistimu yezinzwa | Isiyezi , ikhanda elibuthakathaka, ukozela, ikhanda elibuhlungu. |
| Izinguquko zombono | Izinto zibonakala zifiphele, ziphuzi, noma ziluhlaza. Lokhu kungaba uphawu lokuthi kukhona ubuthi. |
| Eminye imiphumela emibi | Ukuvuvukala kwesikhumba, ukukhula kwamabele kwabesilisa (i-gynecomastia). |
| Izinkinga ezihlobene nenhliziyo | Izigqi zenhliziyo ezingavamile (ama-arrhythmia), ukushaya kwenhliziyo okuhamba kancane kakhulu (ukuvimba kwenhliziyo). Lokhu kungaba kubi kakhulu. |
Ubuthi be-Digoxin - Lapho kudingeka siqaphele khona kakhulu!
Uma sikhuluma nge-digoxin, into eyodwa okudingeka siyazi ngokuqinisekile ukuthi imayelana nobuthi be-digoxin . Lokhu kwenzeka lapho izinga le-digoxin egazini likhuphuka ngaphezu kwalokho umzimba ongakubekezelela.
Lokhu kufana nokuhamba ngentambo eqinile. Kunomehluko omncane kakhulu phakathi kwezinga umuthi owusizo ngalo kanye nezinga oyingozi ngalo emzimbeni. Ngakho-ke, kubaluleke kakhulu ukuthatha umthamo njengoba nje udokotela ewushilo.
Izinto ezingakhuphula amazinga e-digoxin
Ukudla okuthile, eminye imithi, kanye nezimo zempilo kungashintsha amazinga e-digoxin emizimbeni yethu.
- Ukudla: Ukudla ukudla okune-fiber eningi noma ukuthatha izithasiselo ze-fiber.
- Eminye imithi: Imithi yokutheleleka okuthile (ama-macrolides), i-metoclopramide yesicanucanu, imithi yokunciphisa i-asidi ye-gastritis, kanye neminye imithi yokwehlisa i-cholesterol.
- Umsebenzi wezinso: I-Digoxin ikhishwa emzimbeni ikakhulukazi yizinso, ngakho-ke umuntu onesifo sezinso usengozini enkulu yokuba nobuthi be-digoxin.
Njengoba sikhula, ukusebenza kwezinso zethu ngokwemvelo kwehla kancane. Ngakho-ke, kuthatha isikhathi eside ukuthi lo muthi ukhishwe emzimbeni womuntu omdala. Ngakho-ke, udokotela uzokucabangela konke lokhu lapho enquma umthamo.
Ahlolwa kanjani amazinga e-digoxin?
Cishe ngemva kwesonto uqale ukuthatha i-digoxin, udokotela wakho uzokucela ukuthi uhlolwe igazi. Lokhu kuzohlola izinga le-digoxin egazini lakho. Lokhu kuhlolwa kuvame ukwenziwa emahoreni angu-6-8 ngemva kokuthatha umuthi. Kuzodingeka wenze lokhu kuhlolwa ngezikhathi ezithile ngemva kwalokho. Ungayeki lokhu kuhlolwa. Kubaluleke kakhulu ekuphepheni kwakho.
Ziyini izimpawu zokufaka ubuthi?
Uma izinga le-digoxin egazini lidlula u-2.0 ng/mL (ama-nanograms nge-milliliter), kunobungozi obukhulu bokutholakala kobuthi. Udokotela angathola nombono walokhu ngokubheka izinguquko emsebenzini kagesi wenhliziyo nge- ECG (electrocardiogram) .
Izimpawu eziyinhloko zoshevu:
- Isicanucanu esikhulu nokuhlanza
- Ukushintsha kombono (izinto zibonakala ziphuzi/ziluhlaza okotshani, ziyafiphala, ukubona ama-halo azungeze izibani)
- Ukuphazamiseka kokushaya kwenhliziyo (ukushaya kwenhliziyo okusheshayo noma okushaya ngamandla, ubuhlungu besifuba)
- Ukudideka okukhulu
- Ukukhathala okukhulu kanye nokozela
Uma lezi zimpawu zivela, zingabulala. Ngakho-ke, kufanele uye ngokushesha egumbini lezimo eziphuthumayo (i-ETU) lesibhedlela esiseduze. Ngezinye izikhathi izinga le-potassium egazini lingaba phezulu ngendlela eyingozi. Lokhu sikubiza ngokuthi i-hyperkalemia .
Uma kwenzeka ubuthi be-digoxin, kukhona umuthi okhethekile ongaguqula imiphumela yawo . Ubizwa ngokuthi i-digoxin immune fab . Ngakho-ke, ukulaliswa esibhedlela kusenesikhathi kungasindisa impilo.
Uma usola ukuthi une-digoxin, kufanele:Ungathola futhi iseluleko ngokufonela iNational Poison Information Center eColombo National Hospital.
Izinto ongazenza ukuze ukwelashwa kube lula
Ukuphila nalo muthi akudingeki kube yinselele. Uma unakekela izinto ezimbalwa ezincane, konke kungenziwa kube lula.
- Landela imiyalelo kadokotela wakho ngqo: Thatha umthamo onqunyiwe, ngesikhathi onqunyiwe. Ungalokothi wehlise, wandise, noma uyeke ukuthatha umuthi ngokubona kwakho.
- Ungaphuthelwa ukuhlolwa kwegazi: Iya kudokotela wakho bese uhlola igazi lakho. Lokhu kuzokusiza ukuthi ubone ukuthi amazinga akho e-digoxin angaphakathi kwemingcele ephephile yini.
- Qaphela eminye imithi: Tshela udokotela wakho nganoma yimiphi eminye imithi, amavithamini, kanye nemithi yamakhambi oyithathayo. Ngisho neminye imithi ethengiswa ngaphandle kwemithi kadokotela ingasebenzisana ne-digoxin.
| Uma unalezi zimpawu, yazisa udokotela wakho ngokushesha! | |
|---|---|
| Ubunzima bokuphefumula | Ukulahlekelwa yisifiso sokudla, isicanucanu, noma ukuhlanza |
| Ukuvuvukala kwezandla noma izinyawo | Noma yiziphi izinguquko embonweni (ukufiphala, izinguquko zombala) |
I-Digoxin iyisidakamizwa esiwusizo esingasindisa izimpilo uma sisetshenziswa kahle. Kodwa unesibopho sokuyisebenzisa ngokuphephile. Uma unemibuzo noma ukukhathazeka, khuluma nodokotela wakho ngakho ngokukhululekile.
Umlayezo Wokuya Nawe Ekhaya
- I-Digoxin isidakamizwa esinamandla esisetshenziselwa izifo zenhliziyo okumele siphathwe ngokucophelela okukhulu.
- Kukhona umkhawulo omncane kakhulu phakathi kwemithamo esebenzayo neyingozi yalo muthi, ngakho-ke kubaluleke kakhulu ukulandela iseluleko sezokwelapha.
- Ungalokothi ushintshe umthamo noma uyeke ukuthatha imithi ngaphandle kwemvume kadokotela wakho.
- Ungaphuthelwa ukuqokwa udokotela kanye nokuhlolwa kwegazi ngezinsuku ezihleliwe ukuze uhlole izinga le-digoxin egazini lakho.
- Uma kuvela izimpawu zobuthi ezifana nesicanucanu, ukuhlanza, ukushintsha kombono, noma ukungasebenzi kahle kwesigqi senhliziyo, funa iseluleko sezokwelapha ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Yazisa udokotela wakho njalo ngayo yonke eminye imithi, amavithamini, kanye nezithasiselo ozithathayo.
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