Digoxin waa daawo si weyn loogu isticmaalo daaweynta cudurrada wadnaha, badanaa inta badan kiniinka. Waxaa loo gudbiyaa kooxda daaweynta cudurada wadnaha ee glycosides - daawooyinka dhirta, kuwaas oo leh saameynta wadnaha iyo isdabamarinta.
Waxyaabaha kiimikada iyo saameynta daaweynta ee kiniinada Digoxin
Qaybaha firfircoon ee daroogada ee Digoxidine waa maaddo digoxidine ah, oo ka baxsan caleemaha geedka, digitalis woolly. Qaybaha kale ee qaabka kiniinka ee daroogada waa:
- silicon dioxide colloidal;
- gelatin;
- magnesium stearate;
- talc;
- qudaag laga bilaabo galley;
- lactose monohydrate.
Marka la qaato hadal ahaan, daawada si fiican ayaa loo nuugay mareenka caloosha iyo mindhicirka waxay qiyaastii 2-3 saacadood ka dib qaadashada. Saameynta daaweynta waxay socotaa ugu yaraan 6 saacadood. Dhibaatada waxaa badanaa la saaraa kaadida.
Iyada oo saameyn ku leh walaxda firfircoon ee daroogada, waxyaabahan soo socda ayaa lagu arkay:
- korodhka xoogga muruqyada miyokardiinka (firfircoonida aan fiicnayn);
- kororka dhiigga dhiigga;
- hoos u dhaca inta jeer ee foosha muruqyada wadnaha;
- yaraynta mishiinka wadnaha iyo heerkulka maskaxda ee wadnaha;
- hoos u dhaca dalabka oksijiinta ee miyokardium;
- ficilka antiarrhythmic (iyadoo la yareeyo heerka dareen-celinta iyada oo loo marayo habka atrioventricular iyo sii dheeraynta mudada ku-ool ah ee jaban);
- Saameynaha fayraska (oo leh ciriirin xagga asalka ah ee wadnaha );
- saameyn aan caadi ahayn;
- hoos u dhicis ah neefsiga;
- hoos u dhaca bararka, iwm.
Tilmaamaha loo isticmaalo isticmaalka daroogada Digoxin
Calaamadaha ugu muhiimsan ee isticmaalka daawada Digoxin waa noocyada cudurka:
- Qalabka wadnaha ee joogtada ah ee fasalada II, III iyo IV (sida qayb ka mid ah daaweynta adag ee adag);
- qaabka taakulaynta ee fibrillada atrial;
- foosha 'atrial atrial atrial;
- qalabka istiraatiijiyadeed
U hoggaansanaanta qiyaasta isticmaalka kiniinnada Digoxin
Sida dhammaan daroogooyinka ka tirsan kooxda glycosides ee wadnaha, qiyaasta Digoxin waxaa si xushmad leh u xushay dhakhtarka ku jira, iyada oo la tixgelinayo sifooyinka shakhsi ahaaneed ee jirka bukaanka, darnaanta iyo qaabka hababka neefsiga, iyo xuduudaha wadnaha electrocardiogram.
Tusaale ahaan, mid ka mid ah hababka qaadashada daawada ee foomka kiniinka waxaa ku jira ballanka digoxin xaddiga 0.25 mg 4-5 jeer maalinta ugu horeysa ee daaweynta, iyo maalmaha soo socda - 0.25 mg saddex jeer maalintii. Xaaladdan oo kale, soo dhaweynta waa in lagu fuliyaa kormeerka dhakhaatiirta.
Kadib markii loo baahdo daaweynta lagama maarmaanka ah (badanaa 7 ilaa 10 maalmood), qiyaasta daawada waa la dhimay, qiyaasta daaweynta ee daawada ayaa loo qorey isticmaalka muddada dheer. Magacaabista irbadaha xididdada, sida caadiga ah, ayaa looga baahan yahay kaliya haddii ay dhacdo in uu ku dhaco garaacis daran.
Saameynta daawada Digoxin:
- lallabbo;
- matag;
- xanuunka saxarada;
- la'aanta cunto xumo;
- madax xanuun;
- dawakhaad;
- xanuunnada hurdada;
- Wadnaha wadnaha;
- dhiigbax kordhaya;
- cuncun;
- urtikaria;
- daciifnimada guud;
- daal, iwm.
Contraindications in isticmaalka Digoxin:
- suuxdin leh glycosides wadnaha;
- infakshanka ba'an ee miyir-qaadiga;
- angina aan degganeyn ;
- Wolff-Parkinson-White Syndrome;
- block atrioventricular;
- bradycardia oo leh muuqaal caafimaad oo muhiim ah;
- Cudurka wadnaha ee rheumatic;
- mitral stenosis iyo kuwa kale.