Cardiac glycoside ovhadhozi

Cardiac glycosides mishonga yekurapa kukundikana kwemoyo uye zvimwe zvisina kujairika kurova kwemoyo. Ivo ndeimwe yemakirasi akati wandei emishonga inoshandiswa kurapa moyo nemamiriro akafanana. Iyi mishonga ndiyo inonyanya kukonzera huturu.

Cardiac glycoside ovhadhozi inoitika kana mumwe munhu akatora zvinopfuura zvakajairwa kana zvakakurudzirwa huwandu hwemushonga uyu. Izvi zvinogona kuitika netsaona kana nechinangwa.

Cardiac glycosides inowanikwa mune dzinoverengeka zvirimwa, kusanganisira mashizha eiyo digitalis (foxglove) chirimwa. Iyi simiti ndiyo sosi yekutanga yemushonga uyu. Vanhu vanodya huwandu hwakawanda hwemashizha aya vanogona kukura zviratidzo zvekuwedzeredza.

Yenguva refu (isingaperi) chepfu inogona kuitika muvanhu vanotora glycosides yemoyo mazuva ese. Izvi zvinogona kuitika kana mumwe munhu akave nezvinetso zveitsvo kana kupera mvura (kunyanya mumwedzi inopisa yezhizha). Dambudziko iri rinowanzoitika kuvanhu vakura.

Ichi chinyorwa ndechekuziva chete. Usashandise iyo kurapa kana kubata yakanyanyisa kudarika. Kana iwe kana mumwe munhu waunenge uine overdoses, fonera yako yemunharaunda emergency emergency (yakadai se911), kana nzvimbo yako yepfu chepfu inogona kusvikwa yakananga nekufonera iyo yenyika isingabhadhariswe Inotya Inobatsira hotline (1-800-222-1222) kubva chero kupi muUnited States.

Cardiac glycoside kemikari ine zvinokanganisa moyo, dumbu, ura, uye tsinga system. Icho chinhu chinoshanda mune akawanda akasiyana mishonga yemoyo. Inogona kuva muchetura kana ikatorwa yakawanda.

Mushonga digoxin une glyacosides yemoyo.

Kunze kwechirimwa chefoxglove, glycosides yemoyo inoitikawo zvakasikwa mumiti yakadai saLily-of-the-Valley uye oleander, pakati pevamwe vanoverengeka.

Zviratidzo zvinogona kunge zvisina kujeka, kunyanya kune vanhu vakuru.

Zvinogona kuitika munzvimbo dzakasiyana dzemuviri. Iwo ane asterisk ( *) padhuze navo anowanzoitika chete mune zvisingapfuure ovhadhi.

MAZISO, Nzeve, MHUMO, NEHOSI

• Kuona kwakashata
• Halos dzakakomberedza zvinhu (yero, girini, chena) *

GANDA

• Allergic reaction, kusanganisira inokwanisika Stevens-Johnson syndrome (yakakomba rash uye kunetseka kumedza nekufema)
• Mikoko
• Mapundu

Dumbu uye INTESTINES

• Manyoka
• Kurasikirwa nechido *
• Kusvotwa uye kurutsa
• Dumbu kurwadziwa

MOYO NEROPA

• Kusagadzikana kwemoyo (kana kunonoka kurova kwemoyo)
• Shock (yakanyanya kuderera BP)
• Kushaya simba

ZVINONZI SYSTEM

• Kuvhiringidzika
• Kushungurudzika
• Kukotsira
• Kufenda
• Hallucinations *
• Kutemwa nemusoro
• Kuneta kana kushaya simba

HUTANO HWEPFUNGWA

• Kusava nehanya (kusava nehanya nezve chero chinhu)

Tsvaga rubatsiro rwechiremba ipapo. Usaite kuti munhu arase kumusoro kunze kwekunge uturu hwehuturu kana mupi wezvehutano akakuudza iwe kuti udaro.

Iva neruzivo urwu rwakagadzirira:

• Zera remunhu, huremu, uye mamiriro
• Zita rechigadzirwa (uye simba, kana zvichizivikanwa)
• Nguva yakamedzwa
• Mari yakamedzwa

Yako nzvimbo inodzora chepfu inogona kusvikwa yakananga nekufonera iyo yepasirose-isina muripo Poison Rubatsiro nhare (1800-222-1222) kubva chero kupi muUnited States. Iyi hotline yenyika inokurega iwe uchitaura nenyanzvi mune chepfu. Ivo vanozokupa iwe kumwe kuraira.

Iri ibasa remahara uye rakavanzika. Nzvimbo dzese dzemunharaunda dzekudzora chepfu muUnited States dzinoshandisa iyi nhamba yenyika. Iwe unofanirwa kufona kana iwe uine chero mibvunzo nezve chepfu kana chepfu kudzora. Hazvidi kuti ive emergency. Iwe unogona kufona chero chikonzero, maawa makumi maviri nemana pazuva, mazuva manomwe pavhiki.

Tora mudziyo uende nawo kuchipatara, kana zvichibvira.

Iye mupi anoyera uye nekucherechedza akakosha emunhu zviratidzo, zvinosanganisira tembiricha, kupomba, kufema, uye kuwedzerwa kweropa.

Miedzo inogona kuitwa inosanganisira:

• Ropa uye weti kuongororwa
• Chest x-ray
• ECG (electrocardiogram, kana moyo wekutsvagisa)

Kurapa kunogona kusanganisira:

• Intravenous fluids (inopihwa kuburikidza nemutsinga)
• Mushonga wekurapa zviratidzo, kusanganisira antidote (reversal mumiriri)
• Yakagadziriswa marasha
• Laxatives
• Pacemaker yemoyo wekukanganisa moyo rhythm kusagadzikana
• Kufema kwekutsigira, kusanganisira chubhu kuburikidza nemuromo mumapapu uye kwakabatana nemuchina wekufema (ventilator)
• Renal dialysis (itsvo muchina) mumatambudziko akakomba

Kuderedzwa kwemoyo mashandiro uye kusagadzikana kwemoyo mutinhimira zvinogona kukonzera mhedzisiro. Rufu runogona kuitika, kunyanya muvana vadiki uye vakuru vakuru. Vanhu vakura vanonyanya kusangana nematambudziko enguva refu (isingagumi) yemoyo glycoside chepfu.

Digoxin ovhadhozi; Digitoxin ovhadhozi; Lanoxin ovhadhozi; Kudarika kwepurosixin; Allocar ovhadhozi; Corramedan ovhadhozi; Crystodigin ovhadhozi

Aronson JK. Cardiac glycosides. Mune: Aronson JK, ed. Meyler's Side Migumisiro yeMishonga. 16 ed. Waltham, MA: Elsevier; 2016: 117-157.

Cole JB. Mishonga yemwoyo. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 147.