Wake wanikezwa i-Digoxin ngudokotela wakho ngenxa yesifo senhliziyo? Uma kunjalo, lesi sihloko sizoba sibaluleke kakhulu kuwe. Ngoba umuthi onamandla kakhulu okufanele usetshenziswe ngokucophelela okukhulu. Ake sixoxe ngawo kalula, ngendlela ongayiqonda.
Kalula nje, iyini i-Digoxin?
I-Digoxin umuthi osetshenziselwa ukwelapha izifo ezithile zenhliziyo. Odokotela bavame ukuwunikeza uma imithi yokuqala ingasebenzi noma uma kudingeka umuthi owengeziwe. Kunesizathu salokhu.
Kalula nje, kunomehluko omncane kakhulu phakathi komthamo walo muthi ozokusiza kanye nomthamo ozoba yingozi, okungukuthi, ubuthi, kuwe. Yingakho odokotela bewunikeza ngokucophelela okukhulu.
Lomuthi wenziwe ngesitshalo esiqhakazayo esibizwa ngokuthi "i-foxglove". Ungoweqembu lemithi ebizwa ngokuthi "i-cardiac glycosides". Lomuthi usetshenziswa kakhulu kulezi zimo ezilandelayo:
- Ukwehluleka Kwenhliziyo: Isimo 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 isigqi senhliziyo siba esingajwayelekile futhi sishesha khona.
Kwenzekani emzimbeni ngalo muthi?
Uma i-digoxin ingena emizimbeni yethu, yenza izinto ezimbili eziyinhloko.
1. Kusiza imisipha yenhliziyo ukuthi ipompe igazi ngamandla amakhulu. Cabanga ngakho njengenjini yamanzi. Lo muthi okwenziwa yilo muthi ukwandisa amandla aleyo njini kancane futhi uwenze upompe amanzi amaningi.
2. Yehlisa ijubane lokushaya kwenhliziyo. Lo muthi wehlisa ijubane lapho izimpawu zikagesi ezilawula ukushaya kwenhliziyo zihamba khona. Lokhu kusiza ukulawula ijubane lokushaya kwenhliziyo.
Le misebenzi emibili inikeza amandla enhliziyweni yomuntu onesifo senhliziyo, kuyilapho ilawula ukushaya kwenhliziyo komuntu onesifo senhliziyo esiphezulu.
Masiqaphele nemiphumela emibi kanye nezingozi.
Njenganoma yimuphi umuthi, i-digoxin ingabangela imiphumela emibi. Eminye yale miphumela ivamile, kanti eminye iyingozi kakhulu. Ngakho-ke kubalulekile ukuqaphela lokhu.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Ukungakhululeki kwesisu | Izinto ezifana nokucanuzela kwenhliziyo, ukuhlanza, ubuhlungu besisu. |
| Izinguquko zombono | Izinto ezifana nokubona izinto zingacacile, zibukeka ziphuzi noma ziluhlaza . Lokhu kuyimpawu ebaluleke kakhulu. |
| Isiyezi | Isiyezi , amehlo aluhlaza okwesibhakabhaka, uzizwa sengathi uzowa uma usukuma. |
| Ezinye izici | Ukozela, ikhanda elibuhlungu, ukuqubuka kwesikhumba. |
| Izinkinga ezinkulu | Ukushaya kwenhliziyo okusheshayo okungajwayelekile (i-Atrial Tachycardia), ukushaya kwenhliziyo okuhamba kancane ngokungajwayelekile (i-Heart Block). |
| I-Gynecomastia | Lokhu kuyinto engavamile ukubonwa. Kusho ukuthi amabele amadoda akhulisiwe . |
Izinga le-Digoxin kanye nobuthi
Lena yingxenye ebaluleke kakhulu uma ukhuluma ngalo muthi. "Amazinga e-Digoxin" yinani le-digoxin egazini lakho. Lokhu kulinganiswa ngokuhlolwa kwegazi.
- Izinga Elijwayelekile: Ngokuvamile, izinga eliphakathi kwama-nanogram angu-0.5 no-2.0 ngelitha (0.5 - 2.0 ng/mL) libhekwa njengezinga eliphephile nelinenzuzo.
- Ubuthi be-Digoxin: Uma izinga le-digoxin egazini lidlula u-2.0 ng/mL, liqala ukuba yingozi emzimbeni. Lokhu kungaba yisimo esiyingozi kakhulu . Lokhu kungabangela izinguquko ezinkulu emgudwini wenhliziyo futhi kube yingozi ngisho nokuphila.
Yiziphi izici ezithinta amazinga e-digoxin?
Ngisho noma umthamo wephilisi olithathayo uhlala ufana, izinto ezilandelayo zingathinta izinga le-digoxin emzimbeni wakho:
- Umsebenzi wezinso: I-Digoxin ikhishwa emzimbeni ikakhulukazi ngezinso. Uma izinso zakho zibuthakathaka, umuthi ukhishwa emzimbeni kancane kancane . Lokhu kungaholela emazingeni aphezulu kakhulu e-digoxin egazini. Umsebenzi wezinso uyancipha ngokwemvelo ngokuguga , ngakho-ke abantu asebekhulile basengozini enkulu.
- Eminye imithi: Eminye imithi oyithathayo (isib., eminye imithi elwa namagciwane, imithi yokwehlisa i-cholesterol, imithi elwa namagciwane) ingasebenzisana ne-digoxin futhi inyuse amazinga ayo.
- Ukudla Nokuphuza: Ukudla ukudla okune-fiber eningi noma ukuthatha izithasiselo ze-fiber kunganciphisa ukumuncwa kwe-digoxin emzimbeni.
- Amazinga e-potassium emzimbeni: Uma izinga le-potassium egazini liphansi (i-Hypokalemia), ingozi yobuthi be-digoxin iphezulu kakhulu.
Ngenxa yalezi zizathu, kubalulekile ukuthi igazi lakho lihlolwe njalo futhi uhlole amazinga akho e-digoxin njengoba kunqunywe udokotela wakho.
Ngingawusebenzisa kanjani lo muthi ngokuphephile?
Ungakhathazeki. Uma ulandela le miyalelo ngokucophelela, ungasebenzisa i-digoxin ngokuphephile.
1. Landela imiyalelo kadokotela wakho ngqo: Thatha umthamo onqunyiwe, ngesikhathi onqunyiwe. Ungalokothi wehlise, wandise, noma uyeke ukuthatha umuthi ngokubona kwakho.
2. Ungaphuthelwa ukuhlolwa kwegazi: Qiniseka ukuthi uya kudokotela futhi uhlole igazi lakho. Kubaluleke kakhulu ekuphepheni kwakho.
3. Qaphela eminye imithi: Ngaphambi kokuthi uqale noma yimuphi umuthi omusha (kungaba yivithamini, umuthi wokuqeda izinhlungu, noma umuthi we-Ayurvedic), tshela udokotela wakho ukuthi uthatha i-digoxin.
4. Qaphela imiphumela emibi: Uma ubona noma yiziphi izinguquko emzimbeni wakho, qaphela lokho.
Uma udinga ukushayela udokotela ucingo ngokushesha
Uma usebenzisa i-digoxin, izimpawu ezithile zingaba yisimo esiphuthumayo uma zivela. Lezi zingaba izimpawu zobuthi be-digoxin.
| Uma unalezi zimpawu, tshela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela. |
|---|
| - Ubunzima bokuphefumula |
| - Ukulahlekelwa yisifiso sokudla, isicanucanu, noma ukuhlanza/uhudo okuqhubekayo |
| - Ukuvuvukala kwezandla, izinyawo, noma amaqakala |
| - Ukushintsha kombono (izinto zibonakala ziphuzi/ziluhlaza okotshani, umbono ofiphele) |
| - Ukudideka noma isiyezi esikhulu |
Uma kwenzeka ubuthi be-digoxin, kukhona ukwelashwa okutholakalayo esibhedlela. Umuthi obizwa ngokuthi "i-digoxin immune fab" unganikezwa ukuze kulungiswe imiphumela yomuthi. Ngakho-ke, kubalulekile ukuqaphela izimpawu bese ufuna ukwelashwa ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Digoxin iyisidakamizwa esinamandla kakhulu enhliziyweni futhi kufanele isetshenziswe ngokuqapha.
- Thatha umthamo obekwe udokotela wakho ngesikhathi esifanele. Ungawushintshi umthamo ngokwakho nganoma yisiphi isizathu.
- Njengoba udokotela wakho ekweluleka, thola ukuhlolwa kwegazi njalo futhi uhlale uqaphela amazinga akho e-digoxin.
- Uma uhlangabezana nezimpawu ezifana nokushintsha kombono, isicanucanu esinzima, noma ubunzima bokuphefumula, funa iseluleko sezokwelapha ngokushesha ngoba lokhu kungaba uphawu lobuthi be-digoxin.
- Ngaphambi kokuqala noma yimuphi omunye umuthi (kufaka phakathi amavithamini, ama-painkiller), kubalulekile ukuthi wazise udokotela wakho ukuthi uthatha i-digoxin.
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