Digitalis kawopsedwe

Digitalis ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda ena amtima. Poizoni wa Digitalis amatha kukhala zoyipa zamankhwala a digitalis. Zitha kuchitika mukamamwa mankhwala ochulukirapo nthawi imodzi. Zitha kuchitika pomwe milingo yamankhwala imamangirira pazifukwa zina monga mavuto ena azachipatala omwe muli nawo.

Fomu yodziwika bwino kwambiri ya mankhwalawa imatchedwa digoxin. Digitoxin ndi mtundu wina wa digito.

Poizoni wa Digitalis amatha kuyambitsidwa ndi kuchuluka kwa ma digito m'thupi. Kulekerera pang'ono kwa mankhwala kungayambitsenso poizoni wa digito. Anthu omwe amalekerera pang'ono amatha kukhala ndi digito yamagazi m'magazi awo. Amatha kukhala ndi poizoni wa digito ngati ali ndi zifukwa zina zowopsa.

Anthu omwe ali ndi vuto la mtima omwe amatenga digoxin amapatsidwa mankhwala omwe amatchedwa okodzetsa. Mankhwalawa amachotsa madzimadzi owonjezera mthupi. Ma diuretics ambiri amatha kuyambitsa potaziyamu. Kuchuluka kwa potaziyamu mthupi kumatha kuonjezera chiopsezo cha poizoni wa digito. Poizoni wa Digitalis amathanso kukhala mwa anthu omwe amatenga digoxin ndikukhala ndi magnesium yochepa mthupi lawo.

Mutha kukhala ndi izi ngati mutatenga digoxin, digitoxin, kapena mankhwala ena a digito pamodzi ndi mankhwala omwe amagwirizana nawo. Zina mwa mankhwalawa ndi quinidine, flecainide, verapamil, ndi amiodarone.

Ngati impso zanu sizigwira ntchito bwino, ma digito amatha kukhala mthupi lanu. Nthawi zambiri, imachotsedwa mumkodzo. Vuto lililonse lomwe limakhudza momwe impso zanu zimagwirira ntchito (kuphatikiza kusowa kwa madzi m'thupi) zimapangitsa kuti poizoni wa digito akhale wowopsa.

Zomera zina zimakhala ndimankhwala omwe angayambitse zizindikiro zofananira ndi poizoni wa digito ngati akadya. Izi zikuphatikizapo nkhandwe, oleander, ndi kakombo wa chigwa.

Izi ndi zizindikiro za kawopsedwe ka digito:

• Kusokonezeka
• Kugunda kosasintha
• Kutaya njala
• Nseru, kusanza, kutsegula m'mimba
• Kugunda kwamtima
• Masomphenya amasintha (zachilendo), kuphatikiza mawanga akhungu, kusawona bwino, kusintha kwamitundu, kapena kuwona mawanga

Zizindikiro zina zitha kuphatikiza:

• Kuchepetsa chidziwitso
• Kuchepetsa mkodzo
• Kuvuta kupuma mukamagona pansi
• Kukodza kwambiri usiku
• Kutupa kwathunthu

Wothandizira zaumoyo wanu adzakuyesani.

Kugunda kwanu kungakhale kofulumira, kapena kosachedwa komanso kosafanana.

ECG yachitika kuti ifufuze kugunda kwamtima kosasinthasintha.

Kuyesa magazi komwe kudzachitike ndikuphatikizapo:

• Magazi amadzimadzi
• Kuyesa kwa impso, kuphatikiza BUN ndi creatinine
• Digitoxin ndi digoxin kuyesa kuti muwone milingo
• Mulingo wa potaziyamu
• Mulingo wa magnesium

Ngati munthuyo wasiya kupuma, itanani 911 kapena nambala yanu yadzidzidzi, kenako yambani CPR.

Ngati munthuyo akuvutika kupuma, itanani 911 kapena nambala yanu yadzidzidzi yakomweko.

Kuchipatala, zizindikilo zidzachitiridwa moyenera.

Mulingo wamagazi wa Digitoxin amathanso kutsitsidwa ndimiyala yamakala mobwerezabwereza, yomwe imaperekedwa pambuyo pochotsa m'mimba.

Njira zoyambitsa kusanza nthawi zambiri sizimachitika chifukwa kusanza kumatha kuyipitsitsa mtima pang'onopang'ono.

Zikakhala zovuta kwambiri, atha kupatsidwa mankhwala otchedwa digoxin-antibodies. Dialysis ingafunike kuti muchepetse kuchuluka kwa ma digito m'thupi.

Momwe munthu amachitila bwino zimadalira kuopsa kwa kawopsedwe ndipo ngati zadzetsa kusakhazikika kwa mtima.

Zovuta zingaphatikizepo:

• Nyimbo zosasinthasintha zamtima, zomwe zitha kupha
• Mtima kulephera

Itanani omwe akukuthandizani ngati mukumwa mankhwala a digitalis ndipo muli ndi zizindikiro zakupha.

Ngati mumamwa mankhwala a digitalis, muyenera kuyezetsa magazi anu pafupipafupi. Kuyesa magazi kuyeneranso kuchitidwa kuti muwone ngati zinthu zomwe zimapangitsa kuti kawopsedweyu azifala kwambiri.

Zowonjezera potaziyamu zitha kuperekedwa ngati mutenga ma diuretics ndi ma digitalis limodzi. Mankhwala oteteza potaziyamu atha kuperekedwanso.

• Foxglove (Digitalis purpurea)

Cole JB. Mankhwala amtima. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 147.

Goldberger AL, Goldberger ZD, Shvilkin A. Digitalis kawopsedwe. Mu: Goldberger AL, Goldberger ZD, Shvilkin A, olemba., Eds. Goldberger's Clinical Electrocardiography. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 20.

Nelson LS, Ford MD. Pachimake poyizoni. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 110.

Waller DG, Sampson AP. Mtima kulephera. Mu: Waller DG, Sampson AP, eds. Medical Pharmacology ndi Therapeutics. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 7.