Icyo Digoxin ari cyo: Ibyo ikoreshwa, urugero rwo gufata, ingaruka zayo n'ibindi

Digoxin ni umuti w'umutima ufasha umutima wawe gutera imbaraga kandi buri gihe. Ni umwe mu miti ya kera y'umutima igikoreshwa uyu munsi, yabanje gukomoka ku gihingwa cyitwa foxglove. Uyu muti ukora uhindura uburyo ibimenyetso by'amashanyarazi bigenda mu mutima wawe, bituma utera neza iyo urimo urwana.

Niba muganga wawe yaraguhaye digoxin, birashoboka ko urimo urwana n'umutima wananiwe cyangwa umutima utera nabi witwa atrial fibrillation. Nubwo bishobora kumvikana biteye ubwoba gukenera umuti w'umutima, digoxin yafashije abantu babarirwa muri za miliyoni kubaho neza bafite indwara z'umutima mu myaka myinshi.

Digoxin ni iki?

Digoxin ni mu cyiciro cy'imiti yitwa cardiac glycosides. Ni umuti wandikirwa na muganga ukomeza imitsi y'umutima wawe kandi ufasha kugenzura umuvuduko w'umutima wawe. Tekereza nk'uko uha umutima wawe imbaraga zoroheje ariko zihamye kugira ngo ukore neza.

Uyu muti uza mu buryo bw'ibinini kandi akenshi ufashwa rimwe ku munsi. Uyu muti ufite urugero ruto rwo kuvura, bivuze ko itandukaniro riri hagati y'urugero rukora neza n'urugero rwinshi rushobora kuba ruto. Icyo nicyo gituma muganga wawe azagenzura urugero rw'amaraso yawe buri gihe kugira ngo yemeze ko urimo kubona urugero rukwiye.

Digoxin izwi kandi ku mazina y'ubucuruzi nka Lanoxin, nubwo abantu benshi bafata verisiyo rusange. Umuganga wawe w'imiti ashobora guhinduranya hagati y'abakora imiti batandukanye, ariko umuti ubwawo uguma kimwe.

Digoxin ikoreshwa mu iki?

Digoxin ivura indwara ebyiri z'ingenzi z'umutima: umutima wananiwe na atrial fibrillation. Mu mutima wananiwe, umutima wawe ntushobora gusukura amaraso neza nk'uko bikwiye, bigatuma wumva unaniwe kandi ufite umwuka muke. Digoxin ifasha umutima wawe gukomera cyane buri gihe, ituma amaraso atembera neza mu mubiri wawe.

Ku bijyanye na atrial fibrillation, digoxin ifasha kugenzura umuvuduko w'umutima wawe igihe ibice byo hejuru by'umutima wawe bikubita mu buryo butari bumwe kandi vuba cyane. Ntigarura umuvuduko utari uwo, ariko itinda uburyo ibimenyetso bigera ku bice byo hepfo by'umutima wawe.

Muganga wawe ashobora kandi gutegeka digoxin kubera izindi ngorane z'umuvuduko w'umutima, nubwo izi nshingano zitamenyerewe cyane. Uyu muti ufasha cyane abantu bagifite ibimenyetso nubwo bafata indi miti y'umutima.

Digoxin ikora ite?

Digoxin ikora ibara umwuka wihariye mu ngirangingo z'umutima wawe witwa sodium-potassium pump. Iki gikorwa cyongera umubare wa calcium uboneka imbere mu ngirangingo z'umutima, bigatuma imitsi y'umutima wawe ikubita cyane. Bimeze nk'ugahereza umutima wawe imbaraga zo gukubita.

Muri icyo gihe, digoxin igira ingaruka ku buryo amashanyarazi akora mu mutima wawe itinda ibimenyetso bigenda biva mu bice byo hejuru bigana mu bice byo hepfo. Iki gikorwa cyombi gituma gifasha haba ku mutima wananiwe no ku ngorane zimwe na zimwe z'umuvuduko.

Digoxin ifatwa nk'umuti w'umutima ukomeye. Ntabwo ikomeye nk'imiti mishya yo kuvura umutima wananiwe, ariko ifite akamaro kadasanzwe gatuma ifasha abarwayi bamwe na bamwe. Uyu muti wiyongera mu mubiri wawe uko igihe kigenda, niyo mpamvu bishobora gufata iminsi myinshi kugirango wumve ingaruka zayo zose.

Nkwiriye gufata digoxin nte?

Fata digoxin nkuko muganga wawe abitegeka, akenshi rimwe ku munsi ku gihe kimwe buri munsi. Abantu benshi bayifata mu gitondo, ariko igihe ntacyo gitwaye cyane ugereranije no kuyifata buri gihe. Urashobora gufata digoxin hamwe cyangwa utayifatanije n'ibiryo, ariko gerageza gukurikiza uburyo bumwe buri munsi.

Mimina urupapuro rwose hamwe n'ikirahure cyuzuye cy'amazi. Niba ugira ingorane zo kumira ibinini, ganira na farumasiye wawe niba urupapuro rushobora gutemwa cyangwa niba hariho ubundi buryo bwa liquid. Ntukigere na rimwe uvunagura cyangwa urya ibinini bya digoxin keretse ubitegetswe.

Ibifungurwa bimwe na imiti birashobora kugira ingaruka ku buryo umubiri wawe wakira digoxin. Ibifungurwa birimo fibre nyinshi bishobora kugabanya gusa imikorere yayo, mugihe imiti imwe na imwe yica mikorobi ishobora kongera urwego rwa digoxin. Muganga wawe na farumasiye bazasuzuma ibi bikorwa hamwe nawe.

Niba ufata indi miti y'umutima, uyitandukanye nkuko byategetswe. Imiti imwe ikora neza iyo ifashwe mu bihe bitandukanye, kandi ikipe y'ubuzima bwawe izakora gahunda ikora neza kubibazo byawe byihariye.

Mbona Nzamara Igihe Kingana Giki Ndafata Digoxin?

Abantu benshi bafata digoxin mu mezi kugeza kumyaka, kandi bamwe bashobora kuyikeneye ubuzima bwabo bwose. Igihe biterwa n'uburwayi bw'umutima bwawe bw'ibanze n'uburyo wakira neza imiti. Kugabanuka k'umutima na atrial fibrillation mubisanzwe ni indwara zirambye zisaba imicungire ikomeje.

Muganga wawe azagenzura buri gihe niba ugikeneye digoxin. Rimwe na rimwe, mugihe indi miti y'umutima ihindurwa cyangwa ubuzima bwawe bwongera imbaraga, urashobora kugabanya urugero cyangwa ukayihagarika rwose. Ariko, ntuzigere uhagarika gufata digoxin ako kanya udafashijwe n'abaganga.

Abantu bamwe bahangayikishwa no gufata imiti y'umutima igihe kirekire, ariko digoxin yakoreshejwe neza mumyaka mirongo myinshi iyo igenzurwa neza. Muganga wawe azateganya ibizamini by'amaraso bisanzwe kugirango arebe urwego rwa digoxin na imikorere y'impyiko, akemeza ko imiti iguma itekanye kandi ikora neza kuri wewe.

Ni Iyihe Ngaruka Ziterwa na Digoxin?

Ingaruka zisanzwe za digoxin mubisanzwe ziroroshye kandi zirimo isesemi, kubura ubushake bwo kurya, cyangwa kumva unaniwe. Ibi bimenyetso akenshi birakosoka mugihe umubiri wawe wimenyereza imiti. Abantu bamwe barwara umutwe cyangwa isereri, cyane cyane mugihe batangira kuvurwa.

Hano hari ingaruka zikunze kuvugwa ushobora guhura nazo:

• Isememi cyangwa kurwara inda
• Kubura ubushake bwo kurya
• Kunanirwa cyangwa kunanuka
• Umutwe
• Isereri
• Impiswi
• Uruhu rurashya

Ibi bimenyetso bigaragara kenshi ntibisaba guhagarika imiti, ariko ubivuge kwa muganga wawe mu gihe cyo gusuzumwa ubutaha.

Ingaruka zikomeye zirashobora kubaho niba urugero rwa digoxin ruzamutse cyane mu maraso yawe. Ibi byitwa uburozi bwa digoxin, kandi niyo mpamvu ibizamini by'amaraso bya buri gihe bifite akamaro kanini. Ibimenyetso byo kwitondera birimo isesemi idahoraho no kuruka, urujijo, impinduka mu iyerekwa, cyangwa kubona imirabyo ikikije amatara.

Ingaruka zidakunze kugaragara ariko zikomeye zisaba ubufasha bwihutirwa bw'abaganga zirimo:

• Isesemi ikabije no kuruka bitahagarara
• Ibyangiza mu iyerekwa nk'ukubona imirabyo y'icyatsi kibisi cyangwa iyerekwa ritagira umwimerere
• Urujijo cyangwa impinduka zo mu mutwe
• Umutima utagenda neza cyangwa kubabara mu gituza
• Umunaniro ukabije cyangwa guta ubwenge

Niba ubonye kimwe muri ibi bimenyetso bikomeye, hamagara muganga wawe ako kanya cyangwa ushake ubufasha bwihutirwa. Ibi bimenyetso bishobora kwerekana urugero rwa digoxin ruri mu rwego rwo hejuru mu mubiri wawe.

Ninde utagomba gufata Digoxin?

Abantu bamwe bagomba kwirinda digoxin cyangwa bakayikoresha bitonze cyane. Ntugomba gufata digoxin niba uyirwaye cyangwa izindi glycosides za cardiac. Abantu bafite ibibazo bimwe na bimwe by'umutima, nk'uburwayi bwa ventricular fibrillation cyangwa guhagarara kw'umutima, mubisanzwe ntibashobora gufata uyu muti.

Muganga wawe azitonda cyane mu gutanga digoxin niba ufite ibibazo by'impyiko, kuko impyiko zawe zikura uyu muti mu mubiri wawe. Abantu bakuze bakunze gukenera imiti mike kuko batunganya digoxin gahoro. Ibibazo bya thyroid nabyo bishobora kugira ingaruka ku buryo umubiri wawe witwara kuri digoxin.

Kugira inda no konsa bisaba kwitonderwa byihariye. Mugihe digoxin ishobora gukoreshwa mugihe cyo gutwita iyo inyungu ziruta ibyago, yinjira mu mata. Muganga wawe azagereranya inyungu n'ibyago bishoboka kuri wowe no ku mwana wawe.

Abantu bafite ibibazo by’imyunyu ngugu, cyane cyane urugero rwa potasiyumu cyangwa magineziyumu, bahura n’ibibazo byinshi byo guhumanya digoxin. Muganga wawe azagenzura uru rwego buri gihe kandi ashobora kugusaba ibiyongera niba bikenewe.

Amazina y'ubwoko bwa Digoxin

Izina rizwi cyane rya digoxin ni Lanoxin, imaze imyaka myinshi iboneka. Ariko, abantu benshi uyu munsi bafata digoxin rusange, ifite akamaro kimwe kandi ihendutse. Ushobora kubona amazina atandukanye y'abakora ku icupa ryawe kuva ku kwezi kugeza ku kandi.

Andi mazina y'ubwoko arimo Digitek, nubwo ibi bitandukanye cyane. Umuganga wawe w'imiti ashobora guhinduranya hagati y'abakora rusange batandukanye, ariko ibikoresho bikora biracyasa. Niba ubonye impinduka iyo ari yo yose uko wumva nyuma yo guhindura abakora, menyesha muganga wawe.

Niba ufata izina ry'ubwoko cyangwa digoxin rusange, umuti unyura mu igenzura ryingenzi rya leta. Ingero rusange zigomba kwerekana ko zikora neza nk'izina ry'ubwoko mu mubiri wawe.

Uburyo bwa Digoxin

Hariho ubundi buryo bwinshi bwo gufasha umutima no gufata umutima, nubwo guhitamo biterwa n'uburwayi bwawe bwihariye n'ibindi bintu. Kubijyanye no gufasha umutima, abahagarika ACE, beta-blockers, n'imiti mishya nka sacubitril / valsartan akenshi bikundwa nk'imiti ya mbere.

Kugenzura urugero rwa atrial fibrillation, beta-blockers nka metoprolol cyangwa calcium channel blockers nka diltiazem ni ubundi buryo busanzwe. Iyi miti ikora mu buryo butandukanye na digoxin ariko irashobora kugera ku kugenzura urugero rw'umutima.

Muganga wawe ashobora guhitamo digoxin kurusha ubundi buryo niba ufite ibimenyetso byihariye cyangwa ibibazo bituma indi miti idakwiriye. Rimwe na rimwe, digoxin yongerwa ku yindi miti y'umutima aho kuyisimbuza, ikora gahunda yuzuye yo kuvura.

Ntugasimbuze imiti wenyine. Igituma ikora neza biterwa n'uburwayi bw'umutima bwawe bwite, izindi ngorane z'ubuzima, n'uko witwara ku miti itandukanye. Muganga wawe azagufasha kubona umuti ukora neza kandi utekanye cyane ku miterere yawe.

Ese Digoxin iruta Metoprolol?

Digoxin na metoprolol bikora mu buryo butandukanye kandi bikunze gukoreshwa mu ntego zitandukanye, bityo kubigereranya mu buryo butaziguye ntibiba bifite icyo bisobanuye buri gihe. Metoprolol ni umuti wa beta-blocker ukunze gukoreshwa cyane mu gufasha abarwayi b'umutima kuko ushobora kuzamura urwego rwo kubaho, naho digoxin ifasha cyane cyane mu gukemura ibimenyetso.

Mu kugenzura umuvuduko w'umutima mu gihe cya atrial fibrillation, imiti yombi irashobora kugira akamaro. Metoprolol ishobora guhitwamo mbere kuko ifite imiti mike ihura kandi ntisaba gukurikiranwa urugero ruri mu maraso. Ariko, digoxin ishobora gukora neza kuri bamwe, cyane cyane abatajyana na beta-blockers.

Abantu benshi bafata imiti yombi icyarimwe. Buzuza neza kuko bakora banyuze mu buryo butandukanye. Muganga wawe azatekereza ku burwayi bw'umutima bwawe bwihariye, izindi ngorane z'ubuzima, n'uko witwara ku muti wose.

Icyemezo cyiza cyane giterwa n'imiterere yawe bwite. Muganga wawe azatekereza ku bintu nk'umuvuduko w'amaraso yawe, imikorere y'impyiko, indi miti, n'uko umutima wawe witwara ku miti itandukanye.

Ibikunze Kubazwa Kuri Digoxin

Ese Digoxin iratekanye ku ndwara z'impyiko?

Digoxin irashobora gukoreshwa ku ndwara z'impyiko, ariko bisaba gukurikiranwa neza kandi akenshi doze nto. Impyiko zawe zikuramo digoxin mu mubiri wawe, bityo iyo zitagikora neza, umuti ushobora kwiyongera ukagera ku rwego rw'akaga. Muganga wawe azahindura doze yawe bitewe n'imikorere y'impyiko zawe.

Niba urwaye indwara y'impyiko, uzakenera gukorerwa ibizamini by'amaraso kenshi kugira ngo barebe urugero rwa digoxin mu maraso yawe. Muganga wawe ashobora gutangira urugero ruto hanyuma akarongera buhoro buhoro akurikiza uko umubiri wawe witwara. Ubu buryo bwitonda bufasha kwirinda uburozi mugihe ukibona inyungu z'umutima ukeneye.

Nkwiriye gukora iki niba nanyoye digoxin nyinshi bitunguranye?

Niba unyoye digoxin nyinshi bitunguranye, vugana na muganga wawe cyangwa abashinzwe ubutabazi bwihutirwa ako kanya, kabone niyo wumva umeze neza. Kunywa doze zinyongera bishobora gutera urugero ruteje akaga mu maraso yawe, rishobora kutagaragaza ibimenyetso ako kanya. Ntukegere kugira ngo urebe niba ugaragaza ibimenyetso.

Ibimenyetso byo kunywa digoxin nyinshi birimo isesemi ikabije no kuruka, urujijo, impinduka mu mbono, cyangwa umutima utera nabi. Niba ubonye kimwe muri ibi bimenyetso, shaka ubufasha bwihutirwa bw'ubuvuzi ako kanya. Zana icupa ry'imiti yawe kugira ngo abaganga bamenye neza icyo wanyoye n'urugero rwangana gute.

Nkwiriye gukora iki niba nirengagije kunywa doze ya digoxin?

Niba wibagiwe kunywa doze ya digoxin, yinywe ako kanya wibukire, keretse igihe cyo kunywa doze ikurikira kigeze. Muriyo mimerere, reka doze wibagiwe hanyuma ukomeze gahunda yawe isanzwe. Ntukigere unywa doze ebyiri icyarimwe kugira ngo usimbure doze wibagiwe.

Niba ukunda kwibagirwa doze, tekereza gushyiraho alarme ya buri munsi cyangwa gukoresha umuteguro w'imiti. Kunywa imiti buri munsi bihoraho ni ngombwa kugira ngo digoxin ikore neza. Niba ukunda kwibagirwa doze, vugana na muganga wawe kuri gahunda zo kugufasha kwibuka.

Nshobora kureka kunywa digoxin ryari?

Ntuzigere ureka kunywa digoxin utabanje kuvugana na muganga wawe. Guhagarika ako kanya bishobora gutera ibimenyetso byo kunanirwa k'umutima gusubira cyangwa umuvuduko w'umutima wawe ukongera kutagengwa. Muganga wawe azagabanya buhoro buhoro doze yawe niba ari byiza guhagarika umuti.

Muganga wawe ashobora gutekereza guhagarika digoxin niba indwara yawe y'umutima ikize cyane, niba ugize ingaruka zitabasha gucungwa, cyangwa niba izindi miti zikora neza zonyine. Iyi myanzuro iterwa n'uko ubuzima bwawe bwifashe kandi bisaba isuzuma ryitondewe.

Nshobora kunywa inzoga nkanwa digoxin?

Kunywa inzoga mu rugero ruto muri rusange birakwiriye hamwe na digoxin, ariko ugomba kubiganiraho na muganga wawe. Inzoga ntigirana imikoranire ya ngombwa na digoxin, ariko ishobora kugira ingaruka ku mutima wawe kandi ikongera ibimenyetso byo kunanirwa k'umutima. Muganga wawe azatekereza ubuzima bw'umutima wawe muri rusange igihe agira inama ku birebana n'inzoga.

Niba unywa inzoga, bikore mu rugero ruto kandi witondere uko wumva. Abantu bamwe basanga inzoga zibatera kumva bananiwe cyangwa bagahumeka nabi iyo bafite indwara z'umutima. Buri gihe ujye ubwiza ukuri muganga wawe ku birebana no kunywa inzoga kugira ngo baguhe inama nziza.