Mtima wathu ndi chiwalo chomwe chimagwira ntchito bwino kwambiri, sichoncho? Koma nthawi zina kamvekedwe kameneka kamatha kugwira ntchito mopanda mphamvu. Kugunda kwa mtima kumathamanga mwadzidzidzi, kapena kumakhala kosasinthasintha. M'mawu azachipatala, timatcha vutoli kuti arrhythmia. Ngati muli ndi vutoli, dokotala wanu mwina adakupatsani mankhwala otchedwa Amiodarone. Uwu ndi mankhwala ofunikira kwambiri. Chifukwa chake, tiyeni tikambirane za mankhwalawa lero ndikupeza zomwe muyenera kusamala nazo mukamaugwiritsa ntchito.
Mwachidule, kodi Amiodarone ndi chiyani?
Amiodarone ndi mankhwala omwe amagwiritsidwa ntchito poletsa ndikuwongolera kugunda kwa mtima kosakhazikika (arrhythmias). Kunena zoona, ndi a gulu la mankhwala otchedwa ``antiarrhythmics''. Kugwira ntchito kwa mtima wathu kumayendetsedwa ndi makina osavuta amagetsi. Nthawi zina ntchito ya makina olumikizirana awa imakhala yogwira ntchito kwambiri. Pamenepo ndi pomwe kugunda kwa mtima kumakhala kosakhazikika. Amiodarone imagwira ntchito powongolera ma signal amagetsi ochulukirapo ndikukhazikitsa kugunda kwa mtima. Mwanjira imeneyi, mankhwalawa amathandizira kubwezeretsa kugwira ntchito kwa mtima kukhala kwabwinobwino.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Amiodarone ndi mankhwala amphamvu kwambiri. Chifukwa chake, ndikofunikira kudziwitsa dokotala wanu za thanzi lanu musanayambe kumwa mankhwalawa. Makamaka ngati muli ndi vuto lililonse mwa zotsatirazi, muyenera kuwauza za vutoli.
| Matenda kapena zoona zake | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Matenda a chiwindi | Amiodarone ingakhudze chiwindi, choncho ndikofunikira kudziwa matenda aliwonse a chiwindi omwe alipo kale. |
| Matenda a m'mapapo | Mankhwalawa amatha kukhudza mapapu mwa anthu ena, choncho auzeni ngati muli ndi vuto monga mphumu. |
| Mavuto ena a mtima | Ndikofunikira kuti dokotala adziwe matenda ena a mtima omwe alipo kale akamakonzekera chithandizo. |
| Matenda a chithokomiro | Popeza amiodarone ili ndi ayodini, imatha kusokoneza ntchito ya chithokomiro. |
| Matenda a ziwengo | Onetsetsani kuti mwatiuza ngati muli ndi vuto lililonse la amiodarone, ayodini, kapena mankhwala ena aliwonse kapena chakudya. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Kumwa mankhwalawa panthawi ya mimba kungakhale koopsa, choncho muyenera kulankhula ndi dokotala wanu za vutoli. |
| Ngati mayi akuyamwitsa mwana wake | Mankhwalawa amatha kupita kwa mwana kudzera mu mkaka wa m'mawere, choncho uzani dokotala wanu za zimenezo. |
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Monga momwe dokotala akunenera, ndikofunikira kwambiri kumwa mlingo woyenera panthawi yoyenera.
- Imwani piritsi ili ndi kapu ya madzi .
- Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse. Izi zithandiza kuti mankhwalawo azigwira ntchito mofanana.
- Mungathe kumwa izi muli ndi chakudya kapena ayi. Koma chofunika kwambiri ndikutenganso chimodzimodzi tsiku lililonse. Ngati mutenga ndi chakudya, tengani ndi chakudya tsiku lililonse. Ngati mutenga musanadye, tengani musanadye tsiku lililonse.
- Musasiye kumwa mankhwala popanda upangiri wa dokotala. Kuchita zimenezi kungayambitsenso vuto la mtima wanu.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri pazifukwa zilizonse.
Nanga bwanji ngati mwamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku dipatimenti yapafupi yadzidzidzi yachipatala (ETU) nthawi yomweyo .Pitani. Kapena imbani National Poison Information Center ku Colombo National Hospital . Musatenge izi mopepuka.
Zinthu zomwe zingagwirizane ndi Amiodarone
Amiodarone imatha kuyanjana ndi mankhwala ena, zakudya zina, ndi mankhwala azitsamba, choncho ndikofunikira kuuza dokotala wanu zonse zomwe mukumwa.
Mukapita kukaonana ndi dokotala wanu, lembani mndandanda wa mankhwala onse omwe mukumwa (omwe dokotala wina wakupatsani, mavitamini, mankhwala azitsamba, ndi mankhwala ochepetsa ululu). Izi zithandiza kwambiri dokotalayo.
Samalani kwambiri ndi zinthu izi:
- Mitundu ina ya maantibayotiki
- Mankhwala oletsa bowa
- Mankhwala ena ochizira kuvutika maganizo
- Mankhwala ena omwe amagwiritsidwa ntchito kuchepetsa cholesterol (monga Atorvastatin, Simvastatin)
- Mankhwala omwe amaletsa magazi kuundana (monga Warfarin)
- Mankhwala a kuthamanga kwa magazi ndi matenda ena a mtima
- Mankhwala a matenda monga HIV ndi Hepatitis C
- Pewani kumwa madzi a mphesa, chifukwa zingakhudze mphamvu ya mankhwalawa.
- Ngati mukugwiritsa ntchito mankhwala azitsamba monga St. John's Wort , tiuzeninso za zimenezo.
Mndandanda uwu sunathe, choncho lankhulani ndi dokotala wanu za chilichonse chomwe mwatenga.
Zinthu zofunika kusamala kwambiri mukamamwa mankhwala
- Kuyezetsa kuchipatala nthawi zonse: Mukayamba kumwa mankhwalawa, makamaka kumayambiriro, mutha kusungidwa kuchipatala kuti mukawonedwe. Ndikofunikira kupita ku chipatala kuti mukayezedwe masiku omwe dokotala wanu wakuuzani nthawi yonse yomwe mukumwa mankhwalawo.
- Kuyendetsa ndi kugwiritsa ntchito makina: Mankhwalawa angakupangitseni kumva chizungulire kapena kugona. Choncho, pewani kuyendetsa kapena kugwiritsa ntchito makina oopsa mpaka thupi lanu litazolowera mankhwalawo.
- Chitetezo ku dzuwa: Khungu lanu likhoza kukhala losakhudzidwa kwambiri ndi kuwala kwa dzuwa mukamamwa Amiodarone. Choncho, valani zovala za manja aatali, mafuta abwino oteteza ku dzuwa, ndi chipewa mukamapita ku dzuwa. Sikuvomerezeka kusamba padzuwa konse.
- Kuyezetsa maso: Ndikofunikira kuyang'aniridwa maso anu nthawi ndi nthawi mukumwa mankhwalawa. Uzani dokotala wanu nthawi yomweyo ngati mukuona kuti maso anu sakuoneka bwino, maso anu akuoneka ngati utawaleza m'kuwala, kapena ngati mukumva kuwala.
- Opaleshoni: Ngati mukufuna opaleshoni iliyonse, dziwitsani gulu lachipatala loyenera pasadakhale kuti mukumwa Amiodarone.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Amiodarone ingayambitse zotsatirapo zake. Komabe, si aliyense amene amalandira mankhwalawa. Ndikofunikira kusamala ndi zizindikiro zotsatirazi.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zotsatirapo pa mapapo | Kuvuta kupuma, kupweteka pachifuwa, chifuwa chopweteka, mafinya otuluka magazi, malungo. |
| Zotsatirapo pa chiwindi | Kupweteka m'mimba yakumanja, kusowa chilakolako cha chakudya, nseru, khungu kapena maso kukhala achikasu, ndi mkodzo wakuda. |
| Kusintha kwa ntchito ya mtima | Kugunda kwa mtima mofulumira kwambiri kapena pang'onopang'ono, kupweteka pachifuwa, chizungulire, kumva kukomoka. |
| Zotsatira za chithokomiro | (Hyperthyroidism): Kuchepetsa thupi, thukuta kwambiri, kunjenjemera, kusakhazikika. (Hypothyroidism): Kutopa kwambiri, kulephera kupirira kuzizira, kunenepa kwambiri, kudzimbidwa, khungu louma. |
| Zizindikiro zina zazikulu | Kusintha kwa masomphenya, khungu labuluu-imvi, dzanzi kapena kupweteka kwa miyendo, kuvutika kuyenda. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kusanza ndi kusanza | Izi zitha kuchitika kumayambiriro kwa mankhwala. |
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi vuto lililonse lachilendo, musaope kulankhula ndi dokotala wanu za vutoli.
Uthenga Wopita Nawo Kunyumba
- Amiodarone ndi mankhwala ofunikira kwambiri omwe amalamulira kayendedwe ka mtima. Musasiye kumwa popanda upangiri wa dokotala.
- Uzani dokotala wanu za mankhwala ena onse ndi mavitamini omwe mukumwa.
- Ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, kupweteka pachifuwa, kapena khungu kukhala lachikasu , funsani upangiri wa dokotala nthawi yomweyo.
- Samalani kwambiri kuti mudziteteze ku dzuwa mukamamwa mankhwalawa.
- Musamalumphe nthawi yokumana ndi dokotala kapena mayeso. Izi ndi za thanzi lanu komanso chitetezo chanu.
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