Kodi inuyo kapena munthu wina m'banja mwanu mudauzidwapo ndi dokotala kuti mtima wanu ukugunda mofulumira kwambiri, mofulumira kwambiri, kapena mosakhazikika? Ngati ndi choncho, mwina mudamvapo za mankhwala otchedwa Amiodarone. Ndi mankhwala amphamvu, koma ofunikira kwambiri. Chifukwa chake, ndikofunikira kudziwa bwino za mankhwalawa. Tiyeni tikambirane mwachidule.
Mwachidule, kodi Amiodarone ndi chiyani?
Amiodarone ndi mankhwala omwe amagwiritsidwa ntchito pochiza ndikuletsa kugunda kwa mtima mwachangu kapena kosasinthasintha (vuto lomwe limadziwika kuti arrhythmia ). Taganizirani izi, mtima wathu umayendetsedwa ndi makina ang'onoang'ono amagetsi. Nthawi zina, makina awa amatha kugwira ntchito mopitirira muyeso, zomwe zimapangitsa kuti mtima ugwire mosiyanasiyana. Pamenepo ndi pomwe kayimbidwe ka mtima kamasokonekera.
Kubayidwa kwa Amiodarone kumagwira ntchito polamulira zizindikiro zamagetsi zosafunikira ndikukhazikitsa kamvekedwe ka mtima. Ndi m'gulu la mankhwala otchedwa antiarrhythmics .
Mankhwalawa nthawi zambiri amaperekedwa ngati jakisoni m'mitsempha. Amaperekedwanso kuchipatala kapena kuchipatala kokha, moyang'aniridwa mwachindunji ndi gulu lachipatala lophunzitsidwa bwino.
Zinthu zomwe muyenera kuuza dokotala wanu musanakupatseni mankhwala
Iyi ndi gawo lofunika kwambiri. Musanayambe kumwa mankhwalawa, gulu lachipatala liyenera kukhala ndi chithunzi chonse cha thanzi lanu. Chifukwa chake, ngati muli ndi chilichonse mwa izi, onetsetsani kuti mwauza dokotala wanu osabisa .
- Matenda a chiwindi: Ngati muli ndi matenda aliwonse a chiwindi.
- Matenda a m'mapapo: Ngati pali vuto lililonse lokhudzana ndi mapapo.
- Mavuto ena a mtima: Ngati pali mavuto ena a mtima kuwonjezera pa vutoli.
- Matenda a chithokomiro: Vuto lililonse lokhudzana ndi chithokomiro.
- Ziwengo: Ngati muli ndi vuto la ziwengo ku Amiodarone, ayodini, mankhwala ena, zakudya, utoto, kapena zotetezera.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa.
Kutengera ndi izi, dokotala adzasankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi, ndipo ngati ndi choncho, momwe angawaperekere.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Mankhwalawa amaperekedwa kwa inu moyang'aniridwa ndi dokotala kuchipatala, kotero chiopsezo chogwiritsa ntchito mopitirira muyeso ndi chochepa kwambiri. Komabe, ngati mukuganiza kuti mwagwiritsa ntchito mopitirira muyeso, dziwitsani ogwira ntchito zachipatala nthawi yomweyo. Kupanda kutero, ndikofunikira kuyimbira National Poisons Information Centre ku Colombo National Hospital kapena kupita ku Emergency Treatment Unit (ETU) yapafupi.
Mankhwala ena omwe angagwirizane ndi Amiodarone
Amiodarone ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena ambiri. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, mavitamini, mankhwala azitsamba, ndi mankhwala achikhalidwe. Gome ili pansipa likuwonetsa ena mwa mankhwala odziwika bwino omwe amatha kuyanjana.
| Gulu la mankhwala | Zinthu zoti muzisamala nazo |
|---|---|
| Mankhwala Omwe Sayenera Kutengedwa ndi Amiodarone | |
| Mankhwala ena omwe amachepetsa kugunda kwa mtima | Zitsanzo: Mankhwala monga Sotalol, Dronedarone, Disopyramide. |
| Maantibayotiki ena ndi ma fungicides | Mankhwala monga Erythromycin, Levofloxacin, Ketoconazole, Fluconazole. |
| Mankhwala ena a matenda amisala | Magulu monga Pimozide, Haloperidol, Tricyclic antidepressants. |
| Mankhwala ena ndi zinthu zina zomwe zingagwirizane ndi Amiodarone | |
| Mankhwala Oletsa Kutsekeka kwa Magazi | Mphamvu ya mankhwala monga warfarin ingasinthe. |
| Mankhwala ochepetsa mafuta m'thupi | Mankhwala a 'statin' monga Simvastatin ndi Atorvastatin. |
| Mankhwala othamanga magazi | Kuyanjana kungachitike ndi mankhwala ambiri ochepetsa kuthamanga kwa magazi. |
| Madzi a mphesa | Pewani kumwa madzi a mphesa mukamamwa mankhwalawa. |
| Zogulitsa zitsamba | Zinthu monga St. John's Wort. |
Zinthu zomwe muyenera kusamala nazo mukamamwa mankhwala
- Kugona ndi chizungulire: Mungamve ngati mukugona kapena mukuzungulire. Choncho , musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Kusintha malo: Musadzuke pamalo omwe mumakhala kapena kutuluka pabedi mwadzidzidzi. Kuchita zimenezi kungayambitse chizungulire ndipo mungagwe. Samalani kwambiri ndi izi, makamaka ngati ndinu wamkulu.
- Chitetezo ku dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losakhudzidwa ndi kuwala kwa dzuwa. Choncho, samalani momwe mungathere padzuwa. Ngati mukupita panja, valani zovala zophimba thupi lanu bwino ndipo gwiritsani ntchito mafuta abwino oteteza ku dzuwa.
- Maso ouma: Mutha kukhala ndi maso ouma. Ngati muvala ma contact lens, mutha kukhala ndi vuto linalake. Kugwiritsa ntchito madontho opaka mafuta m'maso kungathandize. Ngati vutoli likupitirira, uzani dokotala wanu.
- Opaleshoni: Ngati mukufuna opaleshoni kapena njira zina zachipatala, onetsetsani kuti mwauza gulu lachipatala pasadakhale kuti mukumwa Amiodarone.
Zotsatirapo zomwe zingatheke
Monga mankhwala ena aliwonse, Amiodarone ingayambitse zotsatirapo zina. Zina zimakhala zazing'ono, pomwe zina zimakhala zoopsa kwambiri. Choncho ndikofunikira kudziwa izi.
| Zotsatira zoyipa | Kufotokozera ndi zizindikiro |
|---|---|
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala kapena gulu lachipatala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Khungu lofiirira-imvi | Kusintha kwa mtundu wa khungu, makamaka m'malo omwe amawotchedwa ndi dzuwa. |
| Kusintha kwa masomphenya | Kuona molakwika, kuwona mphete mozungulira magetsi, kutayika kwa masomphenya. |
| Zizindikiro za kulephera kwa mtima | Kuvuta kupuma, kutupa kwa akakolo, mapazi kapena manja, kunenepa mwadzidzidzi, kutopa kwambiri. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kupweteka pachifuwa, kuvutika kupuma. |
| Kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, komanso maso kapena khungu kukhala lachikasu. |
| Kuvulala kwa mapapo | Kuvuta kupuma, chifuwa, magazi otuluka m'thupi, kupweteka pachifuwa, malungo. |
| Zotsatirapo zomwe nthawi zambiri sizifuna thandizo lachipatala (koma ziyenera kunenedwa ngati zikupitirira) | |
| Kusanza | Kusamva bwino m'mimba, kumva ngati kusanza. |
| Kusanza | - |
Uthenga Wopita Nawo Kunyumba
- Amiodarone ndi mankhwala amphamvu omwe amagwiritsidwa ntchito pochiza kugunda kwa mtima kosakhazikika. Amaperekedwa kuchipatala kokha komanso moyang'aniridwa ndi dokotala.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala onse, mavitamini, ndi matenda aliwonse omwe mukumwa (makamaka chiwindi, mapapo, ndi chithokomiro).
- Ndikofunikira kwambiri kudziteteza ku dzuwa mukamamwa mankhwalawa komanso kupewa zinthu zomwe zimafuna chisamaliro, chifukwa zingayambitse kugona tulo.
- Ngati mukukumana ndi zotsatirapo zoyipa kapena zachilendo, monga khungu labuluu, kupuma movutikira, kupweteka pachifuwa, kapena kusintha kwakukulu kwa masomphenya, musataye nthawi ndipo funsani upangiri wa dokotala nthawi yomweyo kapena dziwitsani gulu lachipatala la chipatala.











💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment