Pākuʻi Digitalis

ʻO Digitalis kahi lāʻau i hoʻohana ʻia e mālama i kekahi ʻano puʻuwai. Hiki i ka ʻonika Digitalis kahi hopena o digitalis therapy. Hiki paha ia ke lawe nui ʻoe i ka lāʻau i hoʻokahi manawa. Hiki iā ia ke hana ke kūkulu ʻia nā pae o ka lāʻau no kekahi kumu ʻē aʻe e like me nā pilikia olakino ʻē aʻe āu.

ʻO ka palapala kuhikuhi maʻamau o kēia lāʻau i kapa ʻia ʻo digoxin. ʻO Digitoxin kekahi ʻano o digitalis.

Hiki ke hoʻokumu ʻia ka toxis Digitalis e nā kiʻekiʻe kiʻekiʻe o digitalis i loko o ke kino. Hiki i ke ahonui haʻahaʻa i ka lāʻau ke kumu i ka digitalis toxicity. Loaʻa i ka poʻe me ka hoʻomanawanui haʻahaʻa kahi pae maʻamau o digitalis i ko lākou koko. Hiki iā lākou ke hoʻomohala i ka toxis digitalis inā loaʻa iā lākou nā kumu ʻē aʻe.

ʻO ka poʻe me ka puʻuwai puʻuwai e lawe i ka digoxin hāʻawi pinepine ʻia i nā lāʻau i kapa ʻia he diuretics. Lawe kēia lāʻau i ka wai nui mai ke kino. Hiki i nā diuretics he nui ke lilo i ka make potassium. Hiki i kahi pae haʻahaʻa o ka potassium i loko o ke kino ke hoʻonui i ka makaʻi o ka digitalis toxicity. Hoʻokumu pū paha ka Digitalis toxicity i ka poʻe i lawe i ka digoxin a loaʻa ka pae haʻahaʻa o ka magnesium i ko lākou kino.

Loaʻa paha kēia ʻano iā ʻoe inā ʻoe e lawe i ka digoxin, digitoxin, a i ʻole nā ​​lāʻau digitalis me nā lāʻau e hoʻopili pū me ia. ʻO kekahi o kēia mau lāʻau lapaʻau he quinidine, flecainide, verapamil, a me amiodarone.

Inā ʻaʻole holo pono kāu mau puʻupaʻa, hiki i nā digitalis ke kūkulu i loko o kou kino. ʻO ka maʻamau, hemo ia ma o ka mimi. ʻO nā pilikia e pili ana i ka holo ʻana o kāu mau puʻupaʻa (me ka make wai ʻana) e hoʻonui ʻia ai ka hoʻoweliweli ʻana i ka digitalis.

Aia i loko o kekahi mau mea kanu nā kemika i hiki ke hana i nā ʻōuli e like me ka ʻawahia digitalis inā ʻai ʻia lākou. Hoʻopili kēia i ka foxglove, oleander, a me nā līlia o ke awāwa.

ʻO kēia nā ʻōuli o ka toxis digitalis:

• Huikau
• Pulse kūlike ʻole
• Loaʻa ka ʻai ʻole
• Nausea, ka luaʻi, pākī
• Puʻuwai wikiwiki
• Hoʻololi ka hihiʻo (ʻano ʻē), me nā kiko makapō, ʻike maka ʻole, hoʻololi i ke ʻano o nā kala, a i ʻole ke ʻike ʻana i nā kiko

Hiki i nā ʻōuli ʻē aʻe ke:

• Hoemi i ka ʻike
• Hoʻoemi i ka puka mimi
• Hanu paʻakikī i ka moe ʻana i lalo
• Urination po nui loa
• Huina holoʻokoʻa

E nānā kāu mea mālama ola iā ʻoe.

Hikiwawe paha kāu puʻuwai puʻuwai, a lohi paha a kūpono ʻole paha.

Hana ʻia kahi ECG e nānā no nā puʻuwai puʻuwai kūlike ʻole.

ʻO nā hoʻokolohua koko e hana ʻia me:

• Ke kemika koko
• Nā hoʻāʻo ʻana o nā hakuʻiao, me BUN a me ka creatinine
• Hōʻike ʻo Digitoxin a me digoxin e nānā i nā pae
• Papa potasiuma
• Pae magnesium

Inā ua oki ka hanu ʻana o ke kanaka, e kāhea iā 911 a i ʻole kāu helu pilikia kūloko, a laila e hoʻomaka iā CPR.

Inā pilikia ka mea i ka hanu ʻana, e kāhea iā 911 a i ʻole kāu helu pilikia kūloko.

Ma ka haukapila, e mālama ʻia nā ʻōuli ma ke kūpono.

Hiki ke hoʻohaʻahaʻa ʻia i ke kiʻekiʻe o ka toto Digitoxin me nā kaomi mau o nā lānahu, hāʻawi ʻia ma hope o ka gastric lavage.

ʻAʻole hana pinepine ʻia nā hana e hana ai i ka luaʻi no ka mea hiki i ka luaʻi ke hoʻonui i nā mele puʻuwai lohi.

I nā hihia koʻikoʻi, hiki ke kuhikuhi ʻia nā lāʻau i kapa ʻia he digoxin-antibodies. Pono paha ka Dialysis e hōʻemi i ka pae o digitalis i ke kino.

Maikaʻi ka hilinaʻi ʻana o ke kanaka i ka nui o ka ʻona a inā ua hopena ia i kahi puʻuwai puʻuwai ʻole.

Komo pū nā pilikia:

• ʻO nā mele puʻuwai kūlohelohe ʻole, he mea make paha
• Hewa puʻuwai

Kāhea i kāu mea hāʻawi inā ʻoe e lawe i kahi lāʻau digitalis a loaʻa iā ʻoe nā ʻōuli o ka ʻawahia.

Inā ʻoe e ʻai i ka lāʻau digitalis, pono ʻoe e nānā pinepine i kou kiʻekiʻe o ke koko. Pono e hana i nā hoʻokolohua koko e nānā ai i nā kūlana e hana maʻamau ai kēia ʻona.

Hiki ke kuhikuhi ʻia nā mea hoʻopili pāhare potassium inā ʻoe e lawe pū i nā diuretics a me nā digitalis. Hiki ke kuhikuhi ʻia kahi diuretic potaring-sparing.

• Foxglove (Digitalis purpurea)

ʻO Cole JB. Nā lāʻau Cardiovascular. I: Nā paia RM, Hockberger RS, Gausche-Hill M, et al, eds. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 147.

ʻO Goldberger AL, ʻO Goldberger ZD, ʻO Shvilkin A. Digitalis ka hōʻona. I: Goldberger AL, Goldberger ZD, Shvilkin A, eds. ʻO Goldberger Clinical Electrocardiography. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 20.

ʻO Nelson LS, Ford MD. Lāʻau make ʻino. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 110.

Waller DG, Sampson AP. Hewa puʻuwai. I: Waller DG, Sampson AP, eds. Lapaʻau ʻo Pharmacology a me Therapeutics. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 7.