He ʻano ʻē anei kou puʻuwai? E kamaʻilio kākou e pili ana iā Flecainide!

Ke manaʻo nei ʻoe i kekahi manawa e kuʻi ana kou puʻuwai me he pupule lā, a i ʻole e hoʻomaka koke ana e kuʻi wikiwiki loa, a laila e pau? A i ʻole ua loaʻa i kekahi āu i ʻike ai kēia ʻike? Hiki i kēia ʻano ʻano ʻino o ka puʻuwai ke lilo i mea weliweli loa i kekahi manawa. ʻO kahi lāʻau lapaʻau kūikawā i hoʻohana ʻia i ia mau hihia ua kapa ʻia ʻo flecainide. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, ʻae?

He aha ka Flecainide?

I ka ʻōlelo maʻalahi, ʻo Flecainide kahi lāʻau lapaʻau i kauoha ʻia e ke kauka. No loko ia o kahi papa o nā lāʻau i kapa ʻia ʻo antiarrhythmics . ʻO kēia nā lāʻau lapaʻau e kōkua i ka hoʻoponopono ʻana i ke ʻano o ka puʻuwai. Hoʻohana ʻia ia e mālama i nā puʻuwai puʻuwai koʻikoʻi a hoʻoweliweli i ke ola . Ua lohe paha ʻoe iā ia ma lalo o ka inoa inoa ʻo Tambocor®.

He aha ka mea e hoʻohana ʻia ai ʻo Flecainide?

ʻAʻole no nā kānaka a pau kēia lāʻau lapaʻau. Hoʻohana ʻia ʻo Flecainide e mālama i nā maʻi puʻuwai kikoʻī loa e hoʻoweliweli ana i ke ola . Hoʻohana nui ʻia ia e mālama i kahi kūlana i kapa ʻia ʻo Paroxysmal Supraventricular Tachycardia (PSVT) .

I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o ka PSVT. ʻEhā mau keʻena nui o ko kākou puʻuwai. ʻO ka maʻamau, kuʻi kēia mau keʻena ma ke ʻano maʻamau, pili kekahi i kekahi, ʻo ia hoʻi, kuʻi lākou. Akā ma PSVT, ʻo ka mea e hana ʻia ana, aia kahi puʻuwai wikiwiki a koke e hoʻomaka ana ma kahi o nā keʻena o luna o ka puʻuwai (ʻo ia hoʻi, ma luna o ka atria). Hiki i kēia ke hiki koke mai a nalo koke pū kekahi.

ʻO kekahi mau hiʻohiʻona ʻē aʻe o PSVT:

• Fibrillation Atrial: ʻO kēia ka manawa e kuʻi wikiwiki ai nā keʻena o luna o ka puʻuwai (atria) a kū ʻole i ke ʻano, e like me ka pahu e kuʻi pupule ana.
• Atrial Flutter: Maanei ʻoi aku ka wikiwiki o ka mele atrial ma mua o ka maʻamau.
• ʻO Atrioventricular Nodal Reentrant Tachycardia (AVNRT): He puʻuwai wikiwiki hoʻi kēia i hoʻokumu ʻia e kekahi pilikia ʻē aʻe i loko o ka ʻōnaehana hōʻailona uila o ka puʻuwai.

Eia kekahi, hiki ke hoʻohana ʻia ʻo Flecainide no ka ventricular tachycardia e hoʻoweliweli ana i ke ola , kahi puʻuwai wikiwiki e hoʻomaka ana ma nā keʻena haʻahaʻa o ka puʻuwai.

Pehea ka hana a Flecainide?

I ka ʻōlelo maʻalahi, hoʻokele ʻo Flecainide i nā hōʻailona uila e hele ana ma o ko mākou puʻuwai.I mea e kuʻi ai ka puʻuwai, pono ia i kahi hōʻailona uila. Hoʻolohi kēia lāʻau i ka wikiwiki o kēlā hōʻailona, ​​a pale paha i kekahi o nā hōʻailona makemake ʻole ʻia. Penei ke ʻano o ka hoʻopaʻa ʻana o ka kuʻi ʻana o ka puʻuwai a hoʻoponopono ʻia ke ʻano kuʻi ʻole. E noʻonoʻo e like me ke kaohi ʻana i ka wikiwiki o ke kaʻa. Hana kēia lāʻau i kēia i ka ʻōnaehana uila o ka puʻuwai.

Pehea e lawe ai iā Flecainide?

Loaʻa ka Flecainide ma ke ʻano he mau papa. Pono e lawe pololei ʻia e like me ke kuhikuhi a kāu kauka . ʻO ka maʻamau maʻamau he ʻelua papa i ka lā, hoʻokahi i kēlā me kēia 12 hola . Hiki iā ʻoe ke lawe me ka ʻai a me ka ʻole. Eia nō naʻe, he mea nui e lawe iā ia i ka manawa like i kēlā me kēia lā .

Hiki ke ʻokoʻa ka nui o ka lāʻau i hāʻawi ʻia iā ʻoe i ka wā e hoʻomaka ai i ka lāʻau lapaʻau mai kēlā kanaka a kēia kanaka. ʻO ka maʻamau, hoʻomaka ʻoe me 50 milligrams (mg) a i ʻole 100 milligrams (mg). Aia kēia i ke ʻano o ka maʻi puʻuwai āu e loaʻa ai. Ma hope o kēlā, e nānā kāu kauka iā ʻoe i kēlā me kēia mau lā a e hoʻonui mālie paha i ka nui a hiki i kou loaʻa ʻana o ka nui kūpono iā ʻoe.

Aia kekahi mau kumu ʻē aʻe e hoʻoholo ai i ka nui o ka lāʻau e hāʻawi ʻia iā ʻoe:

• kou mau makahiki.
• ʻO nā maʻi ʻē aʻe āu a me kou olakino holoʻokoʻa.
• He aha nā lāʻau lapaʻau ʻē aʻe āu e lawe nei?
• Pehea e pane ai kou kino i ka lāʻau lapaʻau.
• Inā he makuahine hānai ʻoe, pili pū kēlā iā ʻoe.

E nānā pono kāu kauka iā ʻoe ke hoʻomaka ʻoe e lawe i kēia lāʻau lapaʻau a no ka lōʻihi o kou lawe ʻana . Hiki ke hoʻokomo ʻia ʻoe i ka haukapila i nā lā mua o ka mālama ʻana i hiki iā ʻoe ke loaʻa koke ka lāʻau no kekahi mau hopena maikaʻi ʻole.

He aha nā pōmaikaʻi o kēia?

ʻO ka mea nui e hoʻomanaʻo ai, ʻo ka flecainide wale nō ka hoʻohana ʻia no ka poʻe me nā maʻi puʻuwai koʻikoʻi e hoʻoweliweli ana i ke ola . Kōkua kēia lāʻau lapaʻau i ka kaohi ʻana i kēlā puʻuwai wikiwiki a kūpono ʻole, e pale ana i ka hahau ʻana a me ka make koke ʻana o ka puʻuwai . ʻO ia hoʻi, hiki ke lilo i lāʻau lapaʻau e hoʻōla ola.

He aha nā pilikia o ka hoʻohana ʻana iā Flecainide?

E like me nā lāʻau lapaʻau āpau, loaʻa iā Flecainide kekahi mau pilikia. No laila e lawe wale ʻia ma lalo o ka nānā piha ʻana o ke kauka. ʻO nā pilikia nui e hiki ke kū mai:

• Ka hopena alerika.
• ʻO ka pilikia o ka loaʻa ʻana o kahi hāʻule puʻuwai hou i kekahi mea i loaʻa mua i kahi hāʻule puʻuwai.
• Hiki ke lilo i mea ʻino aʻe kahi maʻi puʻuwai e kū nei, a i ʻole e ulu aʻe paha kahi maʻi hou .
• ʻO ka hāʻule ʻana o ka puʻuwai , i ʻike ʻia hoʻi ʻo ka hāʻule ʻana o ka puʻuwai congestive .
• Nā pilikia o ke akepaʻa.
• Nā pilikia puʻupaʻa.

No laila, nānā mau nā kauka i ka hana o ke akepaʻa a me nā puʻupaʻa i ka poʻe e lawe ana i ka flecainide.

Pono e hoʻohana ʻia kēia lāʻau lapaʻau i ka wā hāpai inā pono maoli . Inā lawe nā makuahine hānai i kēia lāʻau lapaʻau, he mea nui e ana i ka nui o ka lāʻau lapaʻau e hele i ka pēpē ma o ka waiū umauma.

He aha ka mea e hana ai inā lawe nui ʻoe i ka Flecainide?

Hiki i ka nui o ka flecainide ke make . ʻO ia ke kumu he mea nui e lawe pololei i ka nui a kāu kauka e ʻōlelo ai iā ʻoe e lawe. Inā poina ʻoe i kahi lāʻau, e lawe koke i ka wā e hoʻomanaʻo ai ʻoe. Akā pono ia i loko o ʻeono hola. Inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i poina. Mai pāpālua i ka lāʻau aʻe. Inā hana ʻia kēia, e haʻi koke i kāu kauka .

He aha nā hopena ʻaoʻao o Flecainide?

Hiki i ka Flecainide ke hana i kekahi mau hopena ʻaoʻao. He mea maʻamau kekahi o kēia a e nalo i loko o kekahi mau lā. Akā ʻoi aku ka koʻikoʻi o kekahi. Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao koʻikoʻi a ʻaʻole nalo i loko o kekahi mau lā, pono ʻoe e haʻi i kāu kauka.

Nā hopena ʻaoʻao i ʻike pinepine ʻia:

• Paʻa ʻōpū - ʻO ke ʻano kēia o ka paʻakikī i ka hele ʻana i ka lua.
• Pōʻaiʻī.
• Nā ʻeha poʻo .
• ʻEha ʻōpū.
• Nā haʻalulu - ʻO ke ʻano kēia o ka haʻalulu ʻana o nā lālā.
• Nā loli o ka ʻike - Eia kekahi laʻana, ka ʻike ʻana i nā kiko i mua o nā maka a i ʻole ka ʻike maopopo ʻole ʻana.
• Ka nāwaliwali.

Inā loaʻa iā ʻoe kekahi o kēia mau hopena koʻikoʻi, e haʻi koke aku i kāu kauka:

• ʻEha ka umauma.
• Ka huikau.
• He ʻū ʻaʻohe pau, a i ʻole he ʻū e hoʻopuka mai ana i ka huʻa koko .
• Luhi loa.
• Ka mae ʻana.
• Ka manaʻo o ka puʻuwai wikiwiki a i ʻole ke kuʻi ʻana.
• Nā hōʻailona e like me ka maʻi palū, me ke kuni.
• Ka luaʻi a i ʻole ka nalowale o ka makemake.
• Pōkole o ka hanu.
• Ka pehu ʻana ma nā lima, nā wāwae a i ʻole nā ​​​​wāwae lalo.
• Piʻi koke ke kaumaha.
• Ke kahe koko ʻana a i ʻole ka palapū maʻamau ʻole.
• ʻIli a maka paha he melemele - He pilikia paha kēia i ke akepaʻa.

He mea kākaʻikahi nā hopena allergies i ka flecainide , akā hiki ke koʻikoʻi. E haʻi koke i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• ʻIli ʻānai.
• Ka pehu ʻana o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu.
• Ke ʻūhū nei i ka wā e hanu ai.

Hiki iā Flecainide ke launa pū me nā lāʻau lapaʻau ʻē aʻe?

ʻAe, hiki. Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā ​​​​mea hoʻohui, e hōʻoia e haʻi i kāu kauka e pili ana iā lākou . Hiki i kekahi mau lāʻau lapaʻau ke launa pū me Flecainide, hiki ke hoʻololi i ke ʻano o ka hana ʻana o Flecainide a hoʻonui paha i nā hopena ʻaoʻao.

ʻO kekahi mau lāʻau lapaʻau e hiki ke launa pū me Flecainide:

• ʻO Acetazolamide - He lāʻau lapaʻau i hoʻohana ʻia e mālama i ka maʻi kiʻekiʻe a me ka glaucoma.
• Nā antacids - nā lāʻau lapaʻau i lawe ʻia no ka hoʻomaha ʻana i nā pilikia e like me ka ʻōpū a me ka indigestion.
• Nā lāʻau lapaʻau antiseizure - no ka laʻana, phenytoin, phenobarbital.
• Nā Beta-blockers - nā lāʻau lapaʻau e hoʻohaʻahaʻa i ke koko.
• Nā lāʻau lapaʻau HIV - e like me ritonavir a me tipranavir.
• Nā lāʻau lapaʻau no ka maʻi Tourette - e like me pimozide.
• Nā lāʻau lapaʻau antiarrhythmic ʻē aʻe - no ka laʻana, amiodarone, dofetilide, procainamide, quinidine, sotalol.
• ʻO kekahi mau lāʻau antibiotics - e like me ka erythromycin.
• ʻO kekahi mau lāʻau antifungal - e like me fluconazole.
• Nā lāʻau lapaʻau no nā ʻōpū ʻōpū - e like me cimetidine.

ʻAʻole i piha kēia papa inoa, no laila he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.

Pehea ka lōʻihi e pono ai iaʻu e lawe iā Flecainide?

Hiki iā Flecainide ke kāohi i kou puʻuwai puʻuwai kūpono ʻole. Eia naʻe, ʻaʻole ia e ho'ōla loa i ke ʻano . ʻO ke ʻano kēia, pono paha ʻoe e lawe i kēia lāʻau lapaʻau no ka manawa lōʻihi, malia paha no ke koena o kou ola.

Mai ho'ōki i ka lawe ʻana i ka flecainide me ke kamaʻilio ʻole ʻana me kāu kauka . Inā hoʻomau ʻoe i ka lawe ʻana i ka lāʻau lapaʻau, e ʻoi aku ka ʻino o kou puʻuwai.

ʻO wai ka mea kūpono ʻole no Flecainide?

Inā loaʻa iā ʻoe kekahi mau maʻi olakino ʻē aʻe, ʻoiai nā maʻi puʻuwai ʻē aʻe, ʻaʻole paha kūpono ka flecainide iā ʻoe. E nānā kāu kauka i kēia mau mea a pau ma mua o ka hāʻawi ʻana iā ʻoe i kēia lāʻau lapaʻau. ʻAʻole hāʻawi pinepine ʻia ka Flecainide i nā poʻe me kēia mau maʻi:

• Poloka Lālā Pūʻulu: ʻO kēia ka wā e hoʻopaneʻe ʻia ai a ālai ʻia paha nā hōʻailona uila e pono ai ke kuʻi i ka puʻuwai i ko lākou hele ʻana ma ka puʻuwai.
• ʻO nā maʻi ʻē aʻe e hoʻoulu ai i ka puʻuwai lohi: No ka laʻana, ka poloka puʻuwai, i ʻike ʻia hoʻi ʻo ka atrioventricular a i ʻole ka poloka AVUa kapa ʻia hoʻi ʻo Sick Sinus Syndrome , i ʻike ʻia hoʻi ʻo Sinus Node Dysfunction a i ʻole Sinus Node Disease , ʻo kēia mau kūlana ke kumu e lohi ai ka helu o ka puʻuwai i ke ʻano ʻē.
• Hoʻolōʻihi QT: ʻO kēia ka manawa e lōʻihi ai ka manawa o ka puʻuwai ma mua o ka maʻamau e hoʻomākaukau ai (recharge) e kuʻi hou ma hope o hoʻokahi kuʻi.
• Nā pilikia kūkulu i loko o ka puʻuwai: He mau kīnā kēia i ke ʻano o ka puʻuwai a i ʻole kona mau kiwikā.

No laila, i mea e ʻike pono ai inā palekana ka flecainide iā ʻoe, pono ʻoe e haʻi i kāu kauka e pili ana i nā kūlana olakino ʻē aʻe āu e loaʻa nei.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAe, ua kamaʻilio nui mākou e pili ana iā Flecainide. I ka pōkole, he lāʻau antiarrhythmic ʻo Flecainide. ʻOiai ʻaʻole ia e ho'ōla piha i nā puʻuwai puʻuwai kūpono ʻole, hiki iā ia ke kōkua i ka kaohi ʻana i nā puʻuwai puʻuwai kūpono ʻole a pale i ka hahau ʻana a me ka make koke.

ʻO ka mea nui loa, ʻoiai ʻoe e lawe ana i kēia lāʻau lapaʻau, e nānā mau kāu kauka iā ʻoe . ʻO kēia ke nānā inā ke kumu nei ka lāʻau lapaʻau i kekahi mau pilikia puʻuwai ʻē aʻe, a i ʻole nā ​​pilikia puʻupaʻa a akepaʻa paha. No laila, e lawe i kāu lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka iā ʻoe, a mai haʻalele i kāu mau manawa i koho ʻia. Inā he mau nīnau a kānalua paha kāu, mai makaʻu e nīnau i kāu kauka. ʻO ʻoe ka mea pono e makaʻala loa i kou olakino.

ʻO Flecainide, Nā ʻano ʻē o ka puʻuwai, Tambocor, PSVT, Atrial Fibrillation, Maʻi puʻuwai, Lāʻau lapaʻau