Iimeko zeentsholongwane zentliziyo kunye neenkqubo zesisulu zizona zixhaphake kakhulu kwizifo ezikhoyo. Zininzi izixhobo eziye zaphuhliswa ukuba zijongane nazo, phakathi kwazo i-cardiac glycosides ezifanelwe ingqalelo ekhethekileyo. Le yilezi zonyango ezinomdla okhethekileyo kwimisebenzi yentliziyo.
I-cardiac glycoside - yintoni na?
Eli candelo likhoyo kwizityalo ezininzi. Impembelelo ephambili yalezi zinto zenzelwe ukwandisa ubunzima okanye ukutyhafa kwezinga lentliziyo ngokuchaphazela i-myocardium. Xa kungenako ukuphelelwa komzimba, izidakamizwa zandisa isigqithiso sokubetha, ukunciphisa uxinzelelo lwentlungu kunye nokucwangcisa uxinzelelo lwegazi.
I-cardiac glycosides iquka iziyobisi:
- Adonid;
- Korglikon;
- Dikogsin;
- -Cardiolen;
- -Herbion;
- Lantozide;
- Celanide.
Iinkcazo kunye nokuchasene nokusetyenziswa kwe-glycosides yentliziyo
Ezi zixhobo zifakwe kwipilisi yokulwa nezi zifo:
- Ukungaphumeleli kwentliziyo (isisigxina kunye nesiguli);
- dystrophy;
- iintsilelo zentliziyo, kuquka ukuzalwa komntwana;
- postinfarction cardiosclerosis;
- tachycardia.
I-Glycosides ayisebenzisekanga kangangoko kwimeko ye-cardiomyopathy, i-aortic insufficiency, i-myocarditis kunye ne-thyrotoxicosis.
I-cardiac glycosides inokuphikiswa. Ungayisebenzisi kwiimeko ezilandelayo:
- nge stenosis;
- i-atrioventricular blocked of degree 2;
- sinus bradycardia;
- phambi kokungahambelani kwezixhobo zamachiza;
- kunye ne-Wolff-Parkinson syndrome;
- ukuxhatshazwa kwe-myocarditis.
Ukuchasana okuhambelanayo kubandakanya:
- ntliziyo ye hypertonic;
- i-amyloidosis yesisu senhliziyo;
- i-cardiomyopathy;
- i-myocardial infarction kwisigaba esicacileyo;
- ukukhulelwa kwegazi;
- i-pericarditis eyakhayo.
Oomama abanomso kunye nabasetyhini baxhamla bafanele basebenzise kakuhle i-glycosides, njengoko kulula ukuyifaka kwi-placenta ukuya kumntwana aze aphume ngobisi.
Ukugqithisa kwe-carlyac glycosides
Ngaphambi koku, zibandakanya ezi zinto ngocwangciso jikelele, kufuneka zihlolwe ngugqirha. Emva koko, impendulo kumachiza omzimba ngamnye ngumntu ngamnye. Ukutyhefuza ixesha elide alibonakali. Nangona kunjalo, emva kweeyure ezimbalwa, iimpawu zokuqala ziqala ukuvela:
- isicefe
- ukuhlanza;
- kulala;
- ubuthathaka.
Ukugqithisa okungapheliyo kunzima ukuxilonga ngenxa yokuphuhliswa kokuhamba ngokukhawuleza kunye nokubonakala ngokukhawuleza kweempawu eziliqela kwangoko. Apha, ngaphezu kweengxaki zesisu esiswini, ukunqongophala kweengxaki, iingxaki zokubona, iingxaki zombono, ukuphazamiseka, ukubonakala kwimibala yeziphazamiso kufuneka kuqatshelwe.
Kwakhona kubalulekile ukuba uqaphele iimpawu ezifana nokugqithisa kwe-cardiac glycosides:
- ukuphulwa kwemisebenzi yegazi;
- iiblockades zamazwe
- ukunciphisa umkhiqizo;
- i-arrhythmia (i-ventricular, i -rial);
- ukudideka kwengqondo;
- intloko.
Unyango lwe-carlyac glycoside
Ukuba ufumana iimpawu zokuqala zokuxhatshazwa, kufuneka usule ngokukhawuleza ukuthatha amayeza, supha isisu sakho uphuze amalahle. Kwakhona wasebenzisa i-laxatives, elungiselelwe ngesetyu.
Isigulane sinyuka nge-glucose (3 amagremu nganye ilitha) okanye i-potassium chloride (isisombululo se-4 grams 10%). Kwixesha elizayo, isigulane siphethwe igramu ezintathu kathathu ngosuku.
Kwiimeko ezinzulu kakhulu, ijojo enobungozi ye-lidocaine 100 ml kunye nokulawulwa okulandelelweyo nge-drip.
Ukuthintela utyhefu, kufuneka:
- Landela zonke iingcebiso zegqirha.
- Ukudibanisa ngokufanelekileyo i-glycosides kunye nezinye iziyobisi ezimiselweyo.
- Ukujonga i-ECG (ngokukodwa ukubonakala kwamagqithini kunye nokwanda kwithuba lePQ).
- Thatha ukutya okunesityebi se-potassium (iibhanana, ama-apricot omisiwe, iifatate kwifomfom).