Ubuthi be-Digitalis

I-Digitalis ngumuthi osetshenziselwa ukwelapha izimo ezithile zenhliziyo. Ubuthi be-Digitalis bungaba umphumela ohlangothini wokwelashwa kwe-digitalis. Kungenzeka uma uthatha izidakamizwa eziningi kakhulu ngasikhathi sinye. Kungenzeka futhi lapho amazinga omuthi akha ezinye izizathu njengezinye izinkinga zezokwelapha onazo.

Indlela ejwayelekile kakhulu kadokotela yalo muthi ibizwa nge-digoxin. I-Digitoxin ingenye indlela ye-digitalis.

Ubuthi be-Digitalis bungabangelwa amazinga aphezulu we-digitalis emzimbeni. Ukubekezelelana okuphansi komuthi nakho kungadala ubuthi be-digitalis. Abantu abanokubekezelelana okuphansi bangaba nezinga elijwayelekile lama-digitalis egazini labo. Bangakhula ubuthi be-digitalis uma banezinye izinto eziyingozi.

Abantu abanokwehluleka kwenhliziyo abathatha i-digoxin bavame ukunikezwa imithi ebizwa nge-diuretics. Le mithi isusa uketshezi oluningi emzimbeni. Ama-diuretics amaningi angadala ukulahleka kwe-potassium. Izinga eliphansi le-potassium emzimbeni lingakhuphula ubungozi be-digitalis toxicity. Ubuthi be-Digitalis bungakhula futhi kubantu abathatha i-digoxin futhi babe nezinga eliphansi le-magnesium emzimbeni wabo.

Kungenzeka ukuthi ube nalesi simo uma uthatha i-digoxin, i-digitoxin, noma eminye imithi ye-digitalis kanye nezidakamizwa ezisebenzisana nayo. Eminye yale mithi i-quinidine, i-flecainide, i-verapamil ne-amiodarone.

Uma izinso zakho zingasebenzi kahle, ama-digitalis angakha emzimbeni wakho. Imvamisa, isuswa ngomchamo. Noma iyiphi inkinga ethinta indlela izinso zakho ezisebenza ngayo (kufaka phakathi ukuphelelwa amanzi emzimbeni) yenza ubuthi be-digitalis bube lula kakhulu.

Ezinye izitshalo zinamakhemikhali angadala izimpawu ezifana nobuthi be-digitalis uma zidliwe. Lokhu kufaka phakathi i-foxglove, i-oleander, nomnduze wesigodi.

Lezi yizimpawu zobuthi be-digitalis:

• Ukudideka
• I-pulse engavamile
• Ukuphelelwa isifiso sokudla
• Isicanucanu, ukuhlanza, isifo sohudo
• Ukushaya kwenhliziyo okusheshayo
• Izinguquko zombono (ezingajwayelekile), kufaka phakathi izindawo ezingaboni, ukungaboni kahle, izinguquko zendlela imibala ebukeka ngayo, noma ukubona amabala

Ezinye izimpawu zingafaka:

• Ukwehla kokuqonda
• Ukwehla kokukhishwa komchamo
• Kunzima ukuphefumula lapho ulele phansi
• Ukuchama ngokweqile ebusuku
• Ukuvuvukala sekukonke

Umhlinzeki wakho wezokunakekelwa kwempilo uzokuhlola.

Ukushaya kwenhliziyo yakho kungashesha, noma kwehle futhi kungajwayelekile.

Kwenziwa i-ECG ukubheka ukushaya kwenhliziyo okungajwayelekile.

Ukuhlolwa kwegazi okuzokwenziwa kufaka phakathi:

• Amakhemikhali egazi
• Ukuhlolwa kokusebenza kwezinso, kufaka phakathi i-BUN ne-creatinine
• I-Digitoxin nokuhlolwa kwe-digoxin ukuhlola amazinga
• Izinga le-potassium
• Izinga le-Magnesium

Uma umuntu eyekile ukuphefumula, shayela ku-911 noma inombolo yakho ephuthumayo yasendaweni, bese uqala i-CPR.

Uma umuntu enenkinga yokuphefumula, shayela ku-911 noma inombolo yakho ephuthumayo yasendaweni.

Esibhedlela, izimpawu zizophathwa ngendlela efanele.

Izinga legazi le-Digitoxin lingehliswa ngamanani amalahle aphindaphindiwe, anikezwe ngemuva kokuhlanzwa kwesisu.

Izindlela zokubangela ukuhlanza ngokuvamile azenziwa ngoba ukuhlanza kungadala isigqi senhliziyo esihamba kancane.

Ezimweni ezimbi kakhulu, kungabhalwa imithi ebizwa ngama-antibodies aqondene ne-digoxin. I-Dialysis ingadingeka ukunciphisa izinga lama-digitalis emzimbeni.

Ukuthi umuntu wenza kahle kangakanani kuncike ebukhulwini bobuthi futhi uma kubangele isigqi senhliziyo esingajwayelekile.

Izinkinga zingafaka:

• Isigqi senhliziyo esingajwayelekile, esingabulala
• Ukwehluleka kwenhliziyo

Shayela umhlinzeki wakho uma uthatha umuthi we-digitalis futhi unezimpawu zobuthi.

Uma uthatha umuthi we-digitalis, kufanele uhlolwe izinga lakho legazi njalo. Ukuhlolwa kwegazi kufanele futhi kwenziwe ukubheka izimo ezenza lobu buthi buvame kakhulu.

Izithako ze-potassium zingahle zinqunywe uma uthatha isisu kanye ne-digitalis ndawonye. I-poture-sparing diuretic nayo ingabekwa.

• I-Foxglove (Digitalis purpurea)

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