Mtima bongo glycoside

Ma glycosides amtima ndi mankhwala ochizira kulephera kwa mtima komanso kugunda kwamtima kosafunikira. Ndi amodzi mwamankhwala angapo omwe amagwiritsidwa ntchito pochiza mtima ndi zofananira. Mankhwalawa ndi omwe amafala poyizoni.

Kutsekemera kwa mtima kwa glycoside kumachitika pamene wina amamwa mankhwala ochulukirapo kapena ovomerezeka. Izi zitha kuchitika mwangozi kapena mwadala.

Ma glycosides amtima amapezeka m'mitengo ingapo, kuphatikiza masamba a chomera cha digitalis (foxglove). Chomerachi ndiye gwero loyambirira la mankhwalawa. Anthu omwe amadya masamba ochulukirachulukira amatha kukhala ndi zizindikilo za bongo.

Kupha kwa nthawi yayitali (kwanthawi yayitali) kumatha kuchitika mwa anthu omwe amatenga glycosides yamtima tsiku lililonse. Izi zitha kuchitika ngati wina atenga vuto la impso kapena ataya madzi (makamaka m'miyezi yotentha yotentha). Vutoli nthawi zambiri limapezeka mwa anthu achikulire.

Nkhaniyi ndi yongodziwa zambiri. Musagwiritse ntchito pochiza kapena kuyendetsa bongo. Ngati inu kapena munthu amene mwadya mopitirira muyeso, itanani nambala yanu yadzidzidzi (monga 911), kapena malo omwe muli poizoni kwanuko atha kufikiridwa mwachindunji poyimbira foni ya nambala yaulere ya Poison Help (1-800-222-1222) kulikonse ku United States.

Cardioac glycoside ndi mankhwala omwe amakhudza mtima, m'mimba, matumbo, ndi dongosolo lamanjenje. Ndicho chogwiritsira ntchito mu mankhwala osiyanasiyana a mtima. Ikhoza kukhala chakupha ngati mutamwa kwambiri.

Mankhwala a digoxin ali ndi glycosides amtima.

Kupatula chomera cha foxglove, ma glycosides amtima amapezeka mwachilengedwe m'mitengo monga Lily-of-the-Valley ndi oleander, pakati pa ena ambiri.

Zizindikiro zimakhala zosamveka bwino, makamaka kwa anthu okalamba.

Zitha kuchitika m'magulu osiyanasiyana amthupi. Omwe ali ndi asterisk ( *) pafupi nawo nthawi zambiri amapezeka pokhapokha mopitirira muyeso.

MASO, MAKUTU, MPhuno, NDI THOSO

• Masomphenya olakwika
• Ma Halos mozungulira zinthu (zachikaso, zobiriwira, zoyera) *

Khungu

• Zomwe zimayambitsa matendawa, kuphatikizapo matenda a Stevens-Johnson (kuthamanga kwakukulu ndi kuvutika kumeza ndi kupuma)
• Ming'oma
• Kutupa

MIMBA NDI MITIMA

• Kutsekula m'mimba
• Kutaya chilakolako *
• Nseru ndi kusanza
• Kupweteka m'mimba

MTIMA NDI MWAZI

• Kugunda kwamtima (kapena kugunda kwamtima pang'ono)
• Kusokonezeka (kuthamanga kwambiri kwa magazi)
• Kufooka

DZIKO LAPANSI

• Kusokonezeka
• Matenda okhumudwa
• Kusinza
• Kukomoka
• Ziwerengero *
• Mutu
• Kulephera kapena kufooka

UTHENGA WAMAGANIZO

• Mphwayi (osasamala za chilichonse)

Pitani kuchipatala nthawi yomweyo. Osamupangitsa munthuyo kuti azitaya pokha pokhapokha ngati atamupha poyizoni kapena wothandizira zaumoyo atakuwuzani kuti muchite motero.

Dziwani izi:

• Msinkhu wa munthu, kulemera kwake, ndi momwe alili
• Dzina la malonda (ndi mphamvu, ngati zikudziwika)
• Nthawi yomwe idamezedwa
• Kuchuluka kumeza

Malo anu oletsa poizoni kwanuko atha kufikiridwa mwachindunji mwa kuyimbira foni nambala yaulere ya dziko lonse (1800-222-1222) kuchokera kulikonse ku United States. Nambala yoyimbira iyi ikulolani kuti mulankhule ndi akatswiri pankhani yakupha. Akupatsani malangizo ena.

Uwu ndi ntchito yaulere komanso yachinsinsi. Malo onse oletsa poizoni ku United States amagwiritsa ntchito nambala iyi. Muyenera kuyimba ngati muli ndi mafunso aliwonse okhudzana ndi poyizoni kapena kuchepetsa poyizoni. SIYENERA kukhala mwadzidzidzi. Mutha kuyimba pazifukwa zilizonse, maola 24 patsiku, masiku 7 pasabata.

Tengani chidebecho kuchipatala, ngati zingatheke.

Woperekayo amayesa ndikuwunika zizindikilo zofunika za munthu, kuphatikiza kutentha, kugunda, kupuma, komanso kuthamanga kwa magazi.

Mayeso omwe angachitike ndi awa:

• Kuyesa magazi ndi mkodzo
• X-ray pachifuwa
• ECG (electrocardiogram, kapena kutsata mtima)

Chithandizo chingaphatikizepo:

• Madzi amadzimadzi (operekedwa kudzera mumitsempha)
• Mankhwala ochizira zizindikiro, kuphatikiza mankhwala (osinthira othandizira)
• Makina oyambitsidwa
• Mankhwala otsekemera
• Pacemaker ya mtima chifukwa cha kusokonezeka kwakanthawi kwamitima
• Chithandizo chopumira, kuphatikiza chubu kudzera pakamwa kupita m'mapapu komanso cholumikizidwa ndi makina opumira (chopumira)
• Renal dialysis (makina a impso) pamavuto akulu

Kuchepetsa mtima kugwira ntchito komanso kusokonezeka kwamitima ya mtima kumatha kuyambitsa zovuta. Imfa imatha kuchitika, makamaka kwa ana ndi akulu akulu. Anthu okalamba makamaka amakhala ndi vuto lakukhala ndi poizoni wa mtima wa glycoside wa nthawi yayitali.

Digoxin bongo; Digitoxin bongo; Mankhwala osokoneza bongo a Lanoxin; Mankhwala osokoneza bongo a Purgoxin; Allocar bongo; Mankhwala osokoneza bongo a Corramedan; Crystodigin bongo

Aronson JK. Ma glycosides amtima. Mu: Aronson JK, mkonzi. Zotsatira zoyipa za Meyler za Mankhwala Osokoneza bongo. Wolemba 16. Waltham, MA: Zotsalira; 2016: 117-157.

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