Digoxin yog ib qho tshuaj uas siv los kho cov kab mob plawv, ntau zaus hauv daim ntawv ntawm cov ntsiav tshuaj. Nws raug xa mus rau lub chaw pharmacological ntawm plawv glycosides - tshuaj ntsuab, uas muaj cov kab mob hauv lub plawv thiab cov tshuaj tiv thaiv.
Tshuaj lom neeg muaj pes tsawg leeg thiab kho cov nyhuv ntawm cov ntsiav tshuaj Digoxin
Tus nquag muaj cov tshuaj Digoxidine yog tib yam tshuaj digoxidine, cais los ntawm nplooj ntawm cov nroj tsuag, digitalis woolly. Lwm yam khoom ntawm lub ntsiav tshuaj daim ntawv ntawm lub yeeb tshuaj yog:
- silicon dioxide colloidal;
- gelatin;
- magnesium stearate;
- talc;
- starch ntawm pob kws;
- lactose monohydrate.
Thaum noj tshuaj, lub yeeb tshuaj zoo txaus rau hauv txoj hnyuv tawm thiab kuaj nws cov nyhuv li 2-3 teev tom qab noj tshuaj. Txoj kev kho mob tsuas kav ntev li 6 teev. Cov kev khomob yog tso tawm tsuas yog nrog cov zis.
Nyob rau hauv tus ntawm lub active khoom ntawm yeeb tshuaj, cov nram qab no los yog pom:
- nce nyob rau hauv lub zog ntawm cov leeg nqaij hlav hauv kuv lub cev (zoo inotropic nyhuv);
- kev nce zuj zus ntawm cov ntshav;
- txo qis dua ntawm qhov mob ntawm cov leeg nqaij;
- yuav txo tau ntawm lub davhlau ya nyob twg systolic thiab dav hlau diastolic ntim ntawm lub plawv;
- txo cov pa oxygen ntawm tus myocardium;
- kev ua tshuaj tiv thaiv (los ntawm kev txo tus nqi ntawm cov impulses los ntawm lub atrioventricular ntawm thiab qhov ntev ntawm lub sij hawm zoo ntawm refractivity);
- vas nyhuv voos (nrog rau lub congestion rau tom qab ntawm lub plawv tsis ua haujlwm );
- me ntsis diuretic effect;
- poob qis qis;
- txo qis hauv edema, thiab lwm yam.
Cov kev qhia rau kev siv cov tshuaj Digoxin
Cov cim tseem ceeb rau kev siv cov tshuaj Digoxin yog xws li kev kuaj mob:
- kev mob plawv tsis ua haujlwm ntawm II, III thiab IV cov hoob kawm ua haujlwm (raws li ib feem ntawm txoj kev kho tshuaj);
- tachycardic daim ntawv ntawm atrial fibrillation;
- qhov atrial fibrillation paroxysmal;
- kab mob paroxysmal supraventricular tachycardia.
Ua raws li kev siv tshuaj nrog cov ntsiav tshuaj Digoxin
Raws li tag nrho cov tshuaj muaj rau pawg neeg mob plawv glycosides, qhov kev siv tshuaj Digoxin tau ua tib zoo xaiv los ntawm tus kws kho mob, ua rau tus neeg mob tus yam ntxwv ntawm tus neeg mob lub cev, qhov nyhav thiab daim ntawv ntawm kev ua haujlwm, thiab cov kev mob electrocardiogram.
Piv txwv, ib qho ntawm kev siv cov tshuaj nyob rau hauv ib daim ntawv muag tshuaj yuav tau teem caij Digoxin nyob rau ntawm ib qho ntawm 0.25 mg 4-5 zaug ntawm thawj hnub ntawm kev kho mob, thiab nyob rau hauv cov hnub tom qab - 0.25 mg peb rau ib hnub. Nyob rau hauv cov ntaub ntawv no, tus txais tos yuav tsum tau nqa tawm hauv kev saib xyuas ntawm cov kws kho mob.
Tom qab tsim nyog kho cov tshuaj tua kab mob (feem ntau tom qab 7 txog 10 hnub), cov tshuaj siv txo tsawg, kev siv tshuaj ntawm cov tshuaj no yog muab siv rau kev siv mus sij hawm ntev. Lub sij hawm ntawm cov tshuaj pleev dej kom ntaws, raws li txoj cai, yuav tsum tau yog thaum mob plawv tsis ua haujlwm.
Lwm cov teeb meem ntawm Digoxin:
- xeev siab;
- ntuav;
- quav mob;
- tsis muaj qab los noj mov;
- mob taub hau;
- kiv taub hau;
- pw tsaug zog mob;
- lub plawv tsis ua haujlwm;
- nce ntshav;
- khaus;
- urticaria;
- kev tsis muaj zog;
- qaug zog, thiab lwm yam.
Contraindications rau kev siv Digoxin:
- kev qaug cawv nrog plawv glycosides;
- mob ua paug myocardial infarction;
- unstable angina ;
- Wolff-Parkinson-Dawb Syndrome;
- atrioventricular thaiv;
- bradycardia nrog cov kev mob loj tshwm sim;
- mob rheumatic plawv;
- mitral stenosis thiab lwm tus.