Kua rongo koe i te tere o te pao o tō manawa, i te koretake rānei o tō manawa? He tino whakamataku pea ina rongo koe i te mea kei te haere tetahi mea i roto i tō uma. I tēnei rā kei te kōrero tātou mō tētahi werohanga motuhake e hoatu ana i roto i te hōhipera anake hei whakahaere i tēnei momo pao tere, koretake rānei o te manawa. Ko te ingoa o tēnei werohanga ko Ibutilide.
He aha rawa te Ibutilide?
Ki te kī ngāwari, ka mahi tonu tō tātou ngākau, i runga i te manawataki, nā te mea he pūnaha hiko ngāwari kei roto. Whakaarohia he rite ki tētahi ōkestra. Ka rangona te puoro ataahua ina takaro tahi te katoa, i roto i te kotahitanga. Ā, he rite tonu te ngākau.
Heoi, i ētahi wā ka kaha rawa te mahi a tēnei pūnaha tohu hiko, ka tere rawa te patu a te ngākau, ka kore rānei e taea te matapae. I roto i te rongoā, ka kiia tēnei āhuatanga ko te 'arrhythmia' .
Nō reira, ko tā tēnei rongoā e kiia nei ko Ibutilide he whakahaere i ētahi o aua tohu hiko kaha rawa, me te whakahoki i te manawataki o te ngākau ki tōna āhua noa, hauora hoki. Nō roto tēnei i tētahi akomanga rongoā e kiia nei ko ngā 'antiarrhythmics'. Arā, he momo rongoā e whakahaere ana i te manawataki o te ngākau.
Ngā mea me kōrero e koe ki tō tākuta i mua i te hoatutanga o tēnei rongoā
He mea tino nui tēnei. I mua i te whakatau ki te hoatu i tēnei rongoā ki a koe, ka pātai atu tō tākuta ki a koe i ētahi pātai. He mea tino nui mō tō haumaru kia kōrerotia te pono me te kore e huna i tetahi mea.
| Mena kei a koe ēnei āhuatanga... | He aha te hiranga o tēnā? |
|---|---|
| Mate ate | Ka āwhina te ate i te tukanga tango i ngā rongoā mai i te tinana. Mēnā he raruraru kei te ate, ka pā ki te whai huatanga o te rongoā. |
| Ngā taumata iti o te pāhare pāporo , te konupora rānei i roto i te toto | He mea nui ēnei kohuke mō te mahi hiko o te ngākau. Mēnā he iti, ka taea e te Ibutilide te whakaputa raruraru hou mō te manawataki o te ngākau. |
| Ētahi atu mate ngakau (hei tauira, te ngoikore o te ngakau) | Me tino tupato te hoatu i tēnei rongoā ki tētahi kua pāngia kētia e ētahi atu mate manawa. |
| Mate pāwera ki te Ibutilide, ki tētahi atu rongoā, kai rānei | He mea nui ēnei mōhiotanga hei ārai i ngā mate pāwera kino. |
| Mena kei te hapu koe, kei te ngana rānei kia hapu , kei te whāngai u rānei | Me kōrero koe ki tō tākuta mō te pānga o tēnei rongoā ki te tamaiti, kāore rānei. |
Me pēhea te tuku i tēnei rongoā ki te tinana?
Ehara tēnei i te rongoā ka taea te kawe ki te kāinga, te hoko mai rānei i te whare rongoā. Ka whakamahia anake i roto i te hōhipera, i te whare rongoā rānei, i raro i te tirotiro tika a ngā kaimahi hauora.
Ka tukuna tēnei rongoā hei werohanga ā-uaua (he otinga tote) ki roto i te uaua. Ko te tikanga ka tāpirihia mārire te rongoā ki roto i tō toto mā te cannula. Ka aro turukihia tō tere o te ngakau mā te mīhini ECG puta noa i te wā e tukuna ana.
A, mehemea ka nui rawa taku rongoā e tangohia ana?
Nā te mea ka hoatu tēnei i roto i te hōhipera, he iti rawa te tūponotanga o te nui rawa o te rongoā. Heoi, ki te whakaaro koe kua pā tēnei ki tētahi āhuatanga, me whakamōhio tonu koe ki te hunga hauora. Mēnā ka nui rawa te rongoā, waea atu tonu ki te National Poisons Information Centre i te Colombo National Hospital , haere rānei ki te Emergency Treatment Unit (ETU) o te hōhipera tata.
Ētahi atu rongoā ka taunekeneke pea me tēnei rongoā
He mea tino nui anō hoki tēnei. He rongoā a Ibutilide ka taea te taunekeneke me ētahi atu rongoā maha. Nō reira, hei oranga mōu, me kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, me te kore e huna i tetahi mea.
Kei roto i tēnei:
- Ngā rongoā i whakaritea e ētahi atu tākuta
- Ngā rongoā ka hokona e koe i te whare rongoā
- Ngā huaora, ngā kohuke, me ētahi atu tāpiringa rānei
- Ngā rongoā tuku iho, ngā rongoā Ayurvedic rānei
- Mena he kaipaipa koe, he inu waipiro rānei, kōrero mai ki a mātou.
Kei te ripanga i raro nei ētahi o ngā rongoā matua ka taunekeneke pea me te Ibutilide. Kāore tēnei rārangi i te katoa, engari ka hoatu he whakaaro ki a koe.
| Kāwai rongoā | He aha koe me aro atu ai? |
|---|---|
| Ētahi atu rongoā whakahaere manawataki | Ka taea e ngā pānga ngātahi o ngā rongoā e rua te whakaputa i ngā huringa morearea o te tere o te ngakau. |
| Ko ētahi paturopi (hei tauira, Erythromycin, Clarithromycin) | Ka taea e ēnei te whakanui ake i te mōrearea o ngā pānga taha mai i te Ibutilide. |
| Ko ētahi rongoā mō te mate hinengaro (hei tauira, Phenothiazines, Tricyclic antidepressants) | He mōrearea kei reira nā te mea ka pāngia hoki ngā tukanga hiko o te ngākau e ēnei rongoā. |
| Ngā rongoā mō te malaria (hei tauira, Chloroquine) | Ka pā pea ēnei ki te manawataki o te ngākau. |
Ngā pānga taha pea o te tango i te rongoā
Pērā i ngā rongoā katoa, ka pāngia pea koe e ngā pānga taha o te Ibutilide. Kaua e manukanuka, kei raro koe i te tirotiro a te rata i te hōhipera, nō reira ka taea te rongoā wawe i ngā mea katoa.
| Ngā pānga taha me pūrongo tonu ki ngā kaimahi hauora | |
|---|---|
| Pānga taha | Whakaahuatanga |
| Ngā uruparenga mate pāwera | He ponana kiri, he mākūkū, he pupuhi o te mata, o ngā ngutu, o te arero, o te korokoro rānei. |
| Ngā huringa o te manawataki o te ngākau | Te tere, te koretake rānei o te manawa o te ngakau, te whanoke, te hemo o te ngākau, te mamae o te uma, te uaua ki te manawa. |
| Ngā mea kāore i te tino kino, engari me ripoata mēnā ka mau tonu | |
| Ānini | He ānini ngawari ki te ānini taumaha. |
| Whakapairuaki | Te āhua e hiahia ana koe ki te ruaki. |
| Te mamae i te wāhi i werohia ai | Te whero, te mamae iti, te pupuhi rānei i te wāhi i werohia ai te cannula. |
Kāore tēnei rārangi e whakauru i ngā pānga taha katoa. Mēnā ka kite koe i tētahi mea rerekē, kaua e mangere ki te kōrero ki tō tākuta, ki tō nēhi rānei.
Karere Tangohia ki te Kāinga
- He werohanga motuhake te Ibutilide ka hoatu noa i roto i te hōhipera hei whakahaere i te tere o te ngakau, te koretake rānei o te ngakau (arrhythmia).
- Ka mahi tēnei mā te whakahaere i ngā tohu hiko kaha rawa i roto i te ngākau, me te whakahoki mai i te manawataki.
- I mua i te hoatutanga o tēnei rongoā, he mea nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe me ō āhuatanga hauora katoa .
- Ka tirotirohia tatatia koe mā te mīhini ECG i te wā e hoatu ana te rongoā, nō reira kei te haumaru koe.
- Ki te pāngia koe e te whanoke, te mamae o te uma, te uaua ki te manawa, ngā tohu mate pāwera rānei i a koe e tango ana i te rongoā, me whakamōhio tonu atu ki te hunga hauora.
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