Yini i-Digoxin: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokuningi

I-Digoxin ngumuthi wenhliziyo osiza inhliziyo yakho ukuba ishaye ngamandla nangokujwayelekile. Ngunye wemithi yenhliziyo endala esasetshenziswa namuhla, eyaqala ukutholakala esitshalweni se-foxglove. Lo muthi usebenza ngokushintsha indlela amasignali kagesi ahamba ngayo enhliziyweni yakho, okwenza ipompe ngempumelelo uma ilwa.

Uma udokotela wakho ekunikeze i-digoxin, cishe ubhekene nokuhluleka kwenhliziyo noma ukushaya kwenhliziyo okungajwayelekile okubizwa nge-atrial fibrillation. Ngenkathi kungase kuzwakale kukhathaza ukudinga umuthi wenhliziyo, i-digoxin isize izigidi zabantu ukuba ziphile ngokunethezeka nezimo zenhliziyo amashumi eminyaka.

Yini i-Digoxin?

I-Digoxin ingeyeqembu lemithi ebizwa ngokuthi ama-cardiac glycosides. Ngumuthi kadokotela oqinisa ukuncipha kwenhliziyo yakho futhi osiza ukulawula izinga lokushaya kwenhliziyo yakho. Cabanga ngayo njengokunikeza inhliziyo yakho ukukhuthaza okumnene kodwa okuqhubekayo ukuze isebenze kahle.

Lo muthi uza ngesimo samaphilisi futhi uvame ukuthathwa kanye ngosuku. Lo muthi unohlu oluncane lwe-therapeutic, okusho ukuthi umehluko phakathi komthamo osebenzayo nokuningi kakhulu ungaba mncane. Yingakho udokotela wakho ezoqapha amazinga egazi lakho njalo ukuze aqinisekise ukuthi uthola inani elifanele.

I-Digoxin yaziwa nangamagama emikhiqizo afana ne-Lanoxin, nakuba abantu abaningi bethatha inguqulo ejwayelekile. Umthengisi wakho wemithi angashintsha phakathi kwabakhiqizi abahlukene, kodwa umuthi ngokwawo uhlala unjalo.

Yini i-Digoxin Esetshenziselwa Yona?

I-Digoxin iphatha izimo ezimbili eziyinhloko zenhliziyo: ukuhluleka kwenhliziyo kanye ne-atrial fibrillation. Ekuhlulekeni kwenhliziyo, inhliziyo yakho ayikwazi ukumpompa igazi kahle njengoba kufanele, ikushiye uzizwa ukhathele futhi uphefumula kanzima. I-Digoxin isiza inhliziyo yakho ukuba icindezele ngamandla ngokuqina ngakunye, ithuthukisa ukugeleza kwegazi emzimbeni wakho wonke.

Nge-atrial fibrillation, i-digoxin isiza ukulawula izinga lenhliziyo yakho lapho amagumbi angaphezulu enhliziyo yakho eshaya ngokungajwayelekile futhi ngokushesha kakhulu. Ayilungisi isigqi esingajwayelekile, kodwa yehlisa ukuthi amasignali afinyelela ngokushesha kangakanani emagumbini angezansi enhliziyo yakho.

Udkt wakho angase futhi anikeze i-digoxin kwezinye izinkinga zesigqi senhliziyo, nakuba lezi zinto ezisetshenziswa kakhulu. Umuthi ulusizo ikakhulukazi kubantu abahlala benemiphumela nakuba bethatha eminye imithi yenhliziyo.

Isebenza Kanjani I-Digoxin?

I-Digoxin isebenza ngokuvimba iphampu ethile emangqamuzaneni enhliziyo yakho ebizwa nge-sodium-potassium pump. Lesi senzo sikhulisa inani le-calcium elitholakala ngaphakathi kwamangqamuzana enhliziyo, okwenza imisipha yenhliziyo yakho iqine kakhulu. Kufana nokunika isenzo sokucindezela kwemvelo kwenhliziyo yakho.

Ngesikhathi esifanayo, i-digoxin ithinta uhlelo lukagesi lwenhliziyo yakho ngokwehlisa amasignali ahamba esuka emagumbini angaphezulu aya emagumbini angezansi. Lesi senzo esiphindwe kabili senza sisebenze kokubili ukwehluleka kwenhliziyo nezinkinga ezithile zesigqi.

I-Digoxin ithathwa njengomuthi wenhliziyo olungile. Ayinamandla njengeminye imithi emisha yokwehluleka kwenhliziyo, kodwa inezinzuzo eziyingqayizivele eziyenza ibaluleke ezigulini ezithile. Umuthi wakha ohlelweni lwakho ngokuhamba kwesikhathi, yingakho kungathatha izinsuku eziningana ukuzwa imiphumela yawo ephelele.

Kufanele Ngiyithathe Kanjani I-Digoxin?

Thatha i-digoxin ngendlela eqondile udkt wakho ayiyalayo, ngokuvamile kanye ngosuku ngesikhathi esifanayo nsuku zonke. Abantu abaningi bayithatha ekuseni, kodwa isikhathi sibaluleke kancane kunokuvumelana. Ungathatha i-digoxin ngaphandle noma ngaphandle kokudla, kodwa zama ukunamathela endleleni efanayo nsuku zonke.

Gwinya ithebhulethi yonke ngengilazi yamanzi egcwele. Uma unenkinga yokugwinya amaphilisi, khuluma nomuthi wakho mayelana nokuthi ithebhulethi ingahlukaniswa yini noma ngabe amafomu oketshezi ayatholakala. Ungalokothi uchoboze noma uhlafune amathebhulethi e-digoxin ngaphandle uma utshelwe ngqo ukuthi wenze kanjalo.

Ezinye izidlo nemithi kungathinta ukuthi umzimba wakho umunca kahle kangakanani i-digoxin. Ukudla okunefayibha ephezulu kunganciphisa ukumuncwa kancane, kanti ama-antibiotics athile angakhuphula amazinga e-digoxin. Udokotela wakho nomuthi bazobukeza lezi zinto ezihlangene nawe.

Uma uthatha eminye imithi yenhliziyo, yihlukanise ngesikhathi njengoba kuqondisiwe. Eminye imithi isebenza kangcono uma ithathwa ngezikhathi ezihlukene, futhi ithimba lakho lezempilo lizokwenza isimiso esisebenzela kangcono isimo sakho esithile.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Digoxin?

Abantu abaningi bathatha i-digoxin izinyanga kuya eminyakeni, futhi abanye bangayidinga impilo yabo yonke. Ubude besikhathi sincike esimweni senhliziyo yakho esiyisisekelo nokuthi usabela kahle kangakanani ekwelashweni. Ukuhluleka kwenhliziyo kanye ne-atrial fibrillation ngokuvamile yizimo zesikhathi eside ezidinga ukuphathwa okuqhubekayo.

Udokotela wakho uzobukeza njalo ukuthi usayidinga yini i-digoxin. Ngezinye izikhathi, njengoba eminye imithi yenhliziyo ilungiswa noma isimo sakho sithuthuka, ungase ukwazi ukunciphisa umthamo noma uyeke ngokuphelele. Kodwa-ke, ungalokothi uyeke ukuthatha i-digoxin kungazelelwe ngaphandle kwesiqondiso sezokwelapha.

Abanye abantu bakhathazeka ngokuthatha imithi yenhliziyo isikhathi eside, kodwa i-digoxin isetshenziswe ngokuphepha amashumi eminyaka uma iqashwe kahle. Udokotela wakho uzohlela ukuhlolwa kwegazi njalo ukuze ahlolisise amazinga akho e-digoxin nomsebenzi wezinso, eqinisekisa ukuthi imithi ihlala iphephile futhi isebenza kuwe.

Yiziphi Imiphumela Eceleni Ye-Digoxin?

Imiphumela ejwayelekile ye-digoxin ivame ukuba mnene futhi ingabandakanya isicanucanu, ukulahlekelwa isifiso sokudla, noma ukuzizwa ukhathele. Lezi zimpawu zivame ukuthuthuka njengoba umzimba wakho ujwayela imithi. Abanye abantu baba nekhanda elibuhlungu noma isiyezi, ikakhulukazi lapho beqala ukwelashwa.

Nawa amanye imiphumela eceleni ebikwa kaningi ongase uyithole:

• Isicanucanu noma isisu esibuhlungu
• Ukwelahlekelwa isifiso sokudla
• Ukukhathala noma ubuthakathaka
• Ikhanda elibuhlungu
• Isiyezi
• Ukuqunjelwa
• Ukuqubuka kwesikhumba

Lezi zimo ezingezinhle ezivamile ngokuvamile azidingi ukuyeka imithi, kodwa zitshele udokotela wakho ngakho ekuhambeni kwakho okulandelayo.

Imiphumela emibi kakhulu ingenzeka uma amazinga e-digoxin eba phezulu kakhulu egazini lakho. Lokhu kubizwa ngokuthi ubuthi be-digoxin, futhi yingakho ukuhlolwa kwegazi okuvamile kubaluleke kangaka. Izimpawu zokuxwayisa zihlanganisa isicanucanu esiqhubekayo nokuhlanza, ukudideka, izinguquko zombono, noma ukubona ama-halos ezungeze izibani.

Imiphumela emibi engavamile kodwa engathi sína edinga ukunakekelwa kwezempilo ngokushesha ihlanganisa:

• Isicanucanu esibi nokuhlanza okungayeki
• Ukuphazamiseka okubonakalayo njengokubona ama-halos aphuzi-luhlaza noma umbono ongacacile
• Ukudideka noma izinguquko zengqondo
• Ukushaya kwenhliziyo okungajwayelekile noma ubuhlungu besifuba
• Ubuthakathaka obukhulu noma ukuquleka

Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezingathi sína, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa okuphuthumayo. Lezi zimpawu zingabonisa amazinga ayingozi e-digoxin ohlelweni lwakho.

Ubani Ongafanele Athatha I-Digoxin?

Abantu abathile kufanele bagweme i-digoxin noma bayisebenzise ngokuqapha okukhulu. Akufanele uthathe i-digoxin uma unokungezwani nayo noma amanye ama-glycosides enhliziyo. Abantu abanezinkinga ezithile zesigqi senhliziyo, njengokushaya kwenhliziyo okungajwayelekile noma ukuvinjelwa okuphelele kwenhliziyo, ngokuvamile abakwazi ukuthatha lo muthi.

Udokotela wakho uzocophelela ngokwengeziwe ukunquma i-digoxin uma unezinkinga zezinso, ngoba izinso zakho zikhipha lo muthi emzimbeni wakho. Abantu abadala ngokuvamile badinga imithamo ephansi ngoba bacubungula i-digoxin kancane. Izinkinga ze-thyroid nazo zingathinta indlela umzimba wakho osabela ngayo ku-digoxin.

Ukukhulelwa nokuncelisa ngamabele kudinga ukucatshangelwa okukhethekile. Ngenkathi i-digoxin ingasetshenziswa ngesikhathi sokukhulelwa lapho izinzuzo zidlula izingozi, idlulela obisini. Udokotela wakho uzokala izinzuzo ngokumelene nezingozi ezingaba khona kuwe nakumntwana wakho.

Abantu abanezinkinga ezithile ze-electrolyte, ikakhulukazi amazinga aphansi e-potassium noma i-magnesium, babhekene nobungozi obukhulu bokuba nobuthi be-digoxin. Udokotela wakho uzoqapha la mazinga njalo futhi angase ancome izithasiselo uma kudingeka.

Amagama Omkhiqizo we-Digoxin

Igama lomkhiqizo elaziwa kakhulu le-digoxin yi-Lanoxin, ebelitholakala amashumi eminyaka. Kodwa-ke, abantu abaningi namuhla bathatha i-digoxin ejwayelekile, esebenza kahle ngokulinganayo futhi eshibhile. Ungase ubone amagama abakhiqizi abahlukene ebhodleleni lakho ngenyanga nenyanga.

Amanye amagama omkhiqizo afaka i-Digitek, nakuba lokhu kungajwayelekile ukunconywa. Umkhemisi wakho angashintsha phakathi kwabakhiqizi abahlukene abajwayelekile, kodwa isithako esisebenzayo sihlala sifana. Uma uqaphela noma yiziphi izinguquko endleleni ozizwa ngayo ngemva kokushintsha abakhiqizi, yazisa udokotela wakho.

Noma ngabe uthatha igama lomkhiqizo noma i-digoxin ejwayelekile, umuthi udlula kulawulo oluqinile lwekhwalithi. Izinhlobo ezijwayelekile kumele zifakazele ukuthi zisebenza kahle njengegama lomkhiqizo emzimbeni wakho.

Ezinye izindlela ze-Digoxin

Kukhona ezinye izindlela zokwelapha kokubili ukuhluleka kwenhliziyo kanye ne-atrial fibrillation, nakuba ukukhetha kuncike esimweni sakho esithile nezinye izinto. Ekuhlulekeni kwenhliziyo, ama-ACE inhibitors, ama-beta-blockers, kanye nemithi emisha efana ne-sacubitril/valsartan ngokuvamile akhethwa njengokwelashwa kokuqala.

Ukuze kulawulwe izinga le-atrial fibrillation, ama-beta-blockers afana ne-metoprolol noma ama-calcium channel blockers afana ne-diltiazem ayizindlela ezivamile. Le mithi isebenza ngendlela ehlukile kune-digoxin kodwa ingafinyelela ukulawulwa okufanayo kwesilinganiso senhliziyo.

Udokotela wakho angase akhethe i-digoxin ngaphezu kwezinye izindlela uma unezimpawu ezithile noma izimo ezenza eminye imithi ingafaneleki. Ngezinye izikhathi, i-digoxin ingezwa kweminye imithi yenhliziyo kunokuthi ithathelwe indawo yiyo, idale uhlelo lokwelapha olubanzi.

Ungashintshi imithi ngokwakho. Okusebenza kahle kakhulu kuncike esimweni senhliziyo yakho, ezinye izinkinga zempilo, nokuthi usabela kanjani ekwelashweni okuhlukene. Udokotela wakho uzokusiza ukuthi uthole inketho esebenza kahle kakhulu nephephile kakhulu ngesimo sakho.

Ingabe i-Digoxin ingcono kune-Metoprolol?

I-Digoxin ne-metoprolol zisebenza ngendlela ehlukile futhi zivame ukusetshenziselwa izinhloso ezihlukene, ngakho ukuqathanisa ngqo akusho lutho ngaso sonke isikhathi. I-Metoprolol iyi-beta-blocker evame ukukhethwa ukwelapha ukuhluleka kwenhliziyo ngoba ingathuthukisa amazinga okuphila, kuyilapho i-digoxin isiza ikakhulukazi ngezimpawu.

Ukuze kulawulwe izinga lenhliziyo ekushayeni kwenhliziyo okungajwayelekile, yomibili le mithi ingasebenza kahle. I-Metoprolol ingase ikhethwe kuqala ngoba inokuxhumana okuncane kwemithi futhi ayidingi ukuqapha izinga legazi. Kodwa-ke, i-digoxin ingasebenza kangcono kwabanye abantu, ikakhulukazi labo abangakwazi ukubekezelela ama-beta-blockers.

Abantu abaningi empeleni bathatha yomibili le mithi ndawonye. Ziyazwana kahle ngoba zisebenza ngezindlela ezihlukene. Udokotela wakho uzocabangela isimo sakho senhliziyo esithile, ezinye izinkinga zempilo, nokuthi usabela kanjani emithini ngayinye.

Ukukhetha

Uma unesifo sezinso, uzodinga ukuhlolwa kwegazi okuvamile ukuze uhlole amazinga akho e-digoxin. Udokotela wakho angase aqale ngomthamo ophansi bese ewunyusa kancane kancane ngenkathi eqapha ukuthi umzimba wakho usabela kanjani. Le ndlela eqaphelayo isiza ekuvikeleni ubuthi ngenkathi usathola izinzuzo zenhliziyo ozidingayo.

Kufanele ngenzeni uma ngisebenzisa i-Digoxin eningi ngengozi?

Uma ngengozi uthatha i-digoxin eningi, xhumana nodokotela wakho noma ukulawulwa kobuthi ngokushesha, ngisho noma uzizwa ulungile. Ukuthatha imithamo eyengeziwe kungaholela emazingeni ayingozi egazini lakho, okungenzeka kungabangeli izimpawu ngokushesha. Ungalindi ukubona ukuthi ngabe uba nezimpawu.

Izimpawu zokweqisa kwe-digoxin zihlanganisa isicanucanu esibi kakhulu nokuhlanza, ukudideka, izinguquko zombono, noma ukushaya kwenhliziyo okungajwayelekile. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, funa ukunakekelwa kwezempilo okuphuthumayo ngokushesha. Letha ibhodlela lakho lemithi nawe ukuze abahlinzeki bezempilo bazi kahle ukuthi uthatheni ini nokuthi ungakanani.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Digoxin?

Uma uphuthelwa umthamo we-digoxin, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuyisikhathi somthamo wakho olandelayo. Kulokho, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe.

Uma uvame ukukhohlwa imithamo, cabanga ukusetha i-alamu yansuku zonke noma usebenzise umhleli wamaphilisi. Ukulinganisa kwansuku zonke okuqhubekayo kubalulekile ukuze i-digoxin isebenze ngempumelelo. Uma uphuthelwa imithamo njalo, khuluma nodokotela wakho ngamasu okukusiza ukuthi ukhumbule.

Ngingayeka nini ukuthatha i-Digoxin?

Ungalokothi uyeke ukuthatha i-digoxin ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka kungazelelwe kungabangela ukuthi izimpawu zakho zokuhluleka kwenhliziyo zibuye noma izinga lokushaya kwenhliziyo yakho libe ngaphandle kokulawulwa futhi. Udokotela wakho uzonciphisa kancane kancane umthamo wakho uma kuphephile ukuyeka imithi.

Udktela wakho angase acabange ukuyeka i-digoxin uma isimo senhliziyo yakho sithuthuka kakhulu, uma uba nemiphumela engemihle engalawuleki, noma uma eminye imithi isebenza kahle yodwa. Lesi sinqumo sincike esimweni sakho somuntu ngamunye futhi sidinga ukuhlolwa ngokucophelela.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Digoxin?

Ukuphuza utshwala ngokulinganisela kuvamile ukuthi kulungile nge-digoxin, kodwa kufanele uxoxe ngalokhu nodokotela wakho. Utshwala abuhlangani ngqo ne-digoxin, kodwa bungathinta inhliziyo yakho futhi bungase benze izimpawu zokuhluleka kwenhliziyo zibe zimbi kakhulu. Udokotela wakho uzocabangela impilo yakho yonke yenhliziyo lapho eluleka ngotshwala.

Uma uphuza utshwala, kwenze ngokulinganisela futhi unake indlela ozizwa ngayo. Abanye abantu bathola ukuthi utshwala bubenza bazizwe bekhathele kakhulu noma bephelelwa umoya lapho benesifo senhliziyo. Hlala uqotho nodokotela wakho mayelana nokusetshenziswa kwakho utshwala ukuze bakwazi ukukunikeza iseluleko esingcono kakhulu.