Cov kab mob ntsws ntawm lub plawv thiab kab mob hauv lub plab yog qhov ntau ntawm cov kab mob uas twb muaj lawm. Muaj ntau yam cuab yeej tsim tau los nrog lawv, ntawm cov kev mob plawv glycoside tsim nyog tshwj xeeb. Cov no yog cov khoom siv tshuaj ntsuab uas muaj cov nyhuv xim rau lub luag haujlwm ntawm lub plawv.
Kev mob glycoside - nws yog dab tsi?
Qhov no tivthaiv yog tam sim no nyob rau hauv ntau nroj tsuag. Cov nyhuv tseem ceeb ntawm cov tshuaj no yog tsim los ua kom qhov kev siv lossis qaug zog ntawm lub plawv dhia los ntawm kev cuam tshuam rau myocardium. Yog hais tias tsis muaj peev xwm ntawm cov leeg nqaij, cov tshuaj ua kom lub cev muaj cwj nrag, txo qhov tso siab thiab ua rau ntshav siab.
Mob plab glycosides muaj tshuaj:
- Adonid;
- Korglikon;
- Dikogsin;
- -Cardiolen;
- -Herbion;
- Lantozide;
- Celanide.
Cov kev qhia thiab cov tshuaj tiv thaiv rau kev siv cov mob plawv glycosides
Cov khoom no muaj nyob rau hauv txoj kev kho rau tshwj kom txhob muaj mob xws li:
- plawv tsis ua hauj lwm (mob thiab mob ntev);
- myocardial dystrophy;
- lub plawv tsis xws, nrog rau kev xeeb menyuam;
- postinfarction cardiosclerosis;
- tachycardia.
Glycosides tsis ua hauj lwm zoo dua yog tias muaj cov kev mob plawv hauv lub plawv, lub cev tsis muaj zog, mob ntsws mob thiab thyrotoxicosis.
Kev mob glycosides muaj qee qhov kev tsis haum xeeb. Tsis txhob siv lawv rau hauv qab no:
- nrog rau kev mob qoob loo;
- atrioventricular blockade ntawm qib 2;
- sinus bradycardia;
- nyob rau hauv muaj incolerance ntawm lub Cheebtsam ntawm cov tshuaj;
- nrog Wolff-Parkinson Syndrome;
- raug mob los ntawm kis tus mob myocarditis.
Cov txheeb ze sib xws muaj xws li:
- hypertonic plawv;
- amyloidosis ntawm leeg nqaij;
- cardiomyopathy;
- myocardial infarction nyob rau hauv mob theem;
- anemia;
- constructive pericarditis.
Yav tom ntej leej niam thiab cov pojniam uas pub niam txiv yuav tsum ua tib zoo siv cov tshuaj glycoside, vim lawv yooj yim absorbed los ntawm lub tsho me nyuam mus rau hauv lub plab thiab sawv nrog cov mis.
Overdose ntawm plawv glycosides
Ua ntej, nrog rau cov tshuaj yeeb nyob rau hauv kev kho dav dav, yuav tsum tau kuaj xyuas los ntawm tus kws kho mob. Tom qab tag nrho, cov tshuaj tiv thaiv rau cov tshuaj ntawm txhua yam kab mob yog tus neeg. Mob lom rau qee lub sij hawm tsis qhia nws tus kheej. Tab sis, tom qab ob peb xuab moos, thawj cov tsos mob pib tshwm:
- xeev siab;
- ntuav;
- nkees nkees;
- tsis muaj zog.
Kev mob overdose ntau dua yog qhov nyuaj rau kev kuaj mob vim tias muaj kev txhim kho asymptomatic thiab muaj kev mob tshwm sim ntawm ob peb zaug. Ntawm no, ntxiv rau qhov mob ntawm txoj hlab plawv, qhov ntsej muag, kev pom kev, qhov teeb meem tsis pom kev, kev tsis pom zoo, qhov yuav tshwm sim ntawm cov xim mob.
Tsis tas li nws yog tsim nyog sau tseg xws li cov cim qhia ntawm ib qho overdose ntawm plawv glycosides:
- ua txhaum cai ntawm ntshav;
- atrioventricular blockades;
- txo cov zis tawm;
- arrhythmia (ventricular, atrial);
- tsis meej pem ntawm kev xav;
- mob taub hau.
Kev kho mob ntawm tus kab mob plawv glycoside
Yog tias koj pom thawj zaug ntawm kev qaug, koj yuav tsum tau noj tshuaj tam sim ntawd, yaug koj lub plab thiab haus dej. Kuj siv cov tshuaj tsw qab, npaj rau ntawm cov ntsev.
Tus neeg mob yog dripped nrog piam thaj (3 grams ib liter) los yog poov tshuaj chloride (4 grams 10% daws). Nyob rau hauv lub neej yav tom ntej, tus neeg mob tau txhaj 1 gram peb zaug ib hnub twg.
Hauv cov neeg mob loj, mob hnyav ntawm lidocaine 100 ml thiab tom qab kev tswj xyuas los ntawm ib tug dej.
Yuav kom tiv thaiv tau lom, koj yuav tsum:
- Ua raws li tag nrho tus kws kho mob cov lus pom zoo.
- Ua tib zoo muab cov tshuaj glycosides nrog lwm cov tshuaj kws kho mob.
- Saib xyuas lub ECG (tshwj xeeb tshaj yog cov tsos mob ntawm arrhythmias thiab nce hauv PQ caij nyoog).
- Noj cov khoom noj uas muaj kuab ntses (txiv tsawb, qoob qoob loo, qos yaj ywm hauv cov ris tsho).