Idijithali yetyhefu

I-Digitalis liyeza elisetyenziselwa ukunyanga iimeko ezithile zentliziyo. Idijithali yetyhefu inokuba sisiphumo secala lonyango lwedijithali. Inokwenzeka xa uthatha iziyobisi kakhulu ngexesha elinye. Inokwenzeka kwakhona xa amanqanaba eyeza esakha ngenxa yezinye izizathu ezinje ngezinye iingxaki zonyango onazo.

Eyona ndlela iqhelekileyo yonyango yeliyeza ibizwa ngokuba yi-digoxin. I-Digitoxin lolunye uhlobo lwedijithali.

Idijithali yetyhefu inokubangelwa ngamanqanaba aphezulu edigitalis emzimbeni. Ukunyamezeleka okuncinci kwichiza kunokubangela ityhefu yedijithali. Abantu abanonyamezelo olusezantsi banokuba nenqanaba eliqhelekileyo ledijithali egazini labo. Banokuphuhlisa ityhefu yedijithali ukuba banobunye ubungozi.

Abantu abanesifo sentliziyo abathatha i-digoxin bahlala benikwa amayeza abizwa ngokuba yi-diuretics. La machiza asusa ulwelo oluninzi emzimbeni. I-diuretics ezininzi zinokubangela ilahleko ye-potassium. Inqanaba eliphantsi le potassium emzimbeni unokunyusa umngcipheko wetyhefu yedijithali. Idijithali yetyhefu inokuphinda ikhule ebantwini abathatha i-digoxin kwaye babe nenqanaba eliphantsi lemagniziyam emzimbeni wabo.

Kungenzeka ukuba unale meko ukuba uthatha i-digoxin, i-digitoxin, okanye amanye amayeza edijithali kunye namachiza asebenzisana nayo. Amanye ala machiza yi-quinidine, i-flecainide, i-verapamil kunye ne-amiodarone.

Ukuba izintso zakho azisebenzi kakuhle, i-digitalis inokwakha emzimbeni wakho. Ngokwesiqhelo isuswa ngomchamo. Nayiphi na ingxaki echaphazela indlela ezisebenza ngayo izintso zakho (kubandakanya ukuphelelwa ngamanzi emzimbeni) yenza ityhefu yedijithali ibe nokwenzeka.

Ezinye izityalo zinemichiza enokubangela iimpawu ezifanayo nobutyhefu bedijithali ukuba ziyatyiwa. Oku kubandakanya i-foxglove, i-oleander, kunye nenyibiba yasentilini.

Ezi ziimpawu zetyhefu yedijithali:

• Ukudideka
• Ukubetha okungaqhelekanga
• Ukuphelelwa ngumdla wokutya
• Isicaphucaphu, ukugabha, urhudo
• Ukubetha kwentliziyo okukhawulezayo
• Umbono utshintsho (ongaqhelekanga), kubandakanya amabala angaboniyo, ukungaboni kakuhle, utshintsho kwindlela imibala ebonakala ngayo, okanye ukubona amabala

Ezinye iimpawu zingabandakanya:

• Ukuhla kwengqondo
• Ukuncipha kwemveliso yomchamo
• Kunzima ukuphefumla xa ulele phantsi
• Ukuchama okugqithisileyo ebusuku
• Ukudumba ngokubanzi

Umboneleli wakho wezempilo uyakukuvavanya.

Inqanaba lentliziyo yakho linokukhawuleza, okanye licothe kwaye lingaqhelekanga.

I-ECG yenziwa ukukhangela ukubetha kwentliziyo okungaqhelekanga.

Uvavanyo lwegazi oluya kwenziwa lubandakanya:

• Ikhemesti yegazi
• Uvavanyo lwezintso, kubandakanya i-BUN kunye ne-creatinine
• I-Digitoxin kunye novavanyo lwe-digoxin ukujonga amanqanaba
• Inqanaba lePotassium
• Inqanaba leMagnesium

Ukuba umntu uyekile ukuphefumla, tsalela umnxeba ku-911 okanye inombolo yakho yongxamiseko yendawo, emva koko uqalise iCPR.

Ukuba umntu unengxaki yokuphefumla, tsalela umnxeba ku-911 okanye inombolo yakho yongxamiseko yasekuhlaleni.

Esibhedlele, iimpawu ziya kunyangwa ngokufanelekileyo.

Inqanaba legazi le-Digitoxin linokwehliswa ngeedosi eziphindiweyo zamalahle, ezinikezwe emva kokuhlanjwa kwesisu.

Iindlela zokubangela ukugabha zihlala zingenziwa kuba ukugabha kunokuba mandundu isingqi sentliziyo esicothayo.

Kwiimeko ezinzima, amayeza abizwa ngokuba zii-antibox ezikhethekileyo ze-digoxin anokuchazwa. I-Dialysis inokufuneka ukunciphisa inqanaba ledigitalis emzimbeni.

Ukusebenza kakuhle komntu kuxhomekeke kubukrakra betyhefu kwaye ukuba ibangele isigqi sentliziyo esingaqhelekanga.

Iingxaki zinokubandakanya:

• Isingqisho sentliziyo esingaqhelekanga, esinokubulala
• Ukumelwa yintliziyo

Fowunela umboneleli wakho ukuba uthatha iyeza ledigitalis kwaye uneempawu zetyhefu.

Ukuba uthatha iyeza ledigitalis, kufuneka ujonge igazi lakho rhoqo. Uvavanyo lwegazi kufuneka lwenziwe ukukhangela iimeko ezenza ukuba le tyhefu ixhaphake.

Izongezo zePotassium zinokumiselwa ukuba uthatha i-diuretics kunye ne-digitalis kunye. I-potassium-sparing diuretic inokumiselwa nayo.

• I-Foxglove (iDigitalis purpurea)

UCole JB. Iziyobisi zentliziyo. Ku: Iindonga RM, Hockberger RS, Gausche-Hill M, et al, eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; Ngo-2018: isahluko 147.

IGoldberger AL, iGoldberger ZD, uShvilkin A. Idijithali yetyhefu. Ku: Goldberger AL, Goldberger ZD, Shvilkin A, ii-eds. Goldberger's Iklinikhi ye-Electrocardiography. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 20.

UNelson LS, uFord MD. Ityhefu Acute. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 110.

Umgcini we-DG, uSampson AP. Ukumelwa yintliziyo. Ku: Waller DG, Sampson AP, ii-eds. Unyango lwezoNyango kunye noNyango. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2018: isahluko 7.