Kodi nthawi zina mumamva ngati mtima wanu ukugunda mofulumira kwambiri, kapena ngati ukugunda mopanda mphamvu? Disopyramide ndi mankhwala apadera omwe madokotala amakulemberani kuti muchiritse matenda ngati awa otchedwa arrhythmia. Ngati mwapatsidwa mankhwala awa, ndikofunikira kudziwa bwino lomwe kuti ndi otani. Tiyeni tikambirane za izi lero.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, Disopyramide ndi mankhwala omwe amalamulira kayimbidwe ka mtima. Malinga ndi zamankhwala, uwu ndi mankhwala omwe ali m'gulu la "antiarrhythmic". Mtima wathu umagunda ndi makina osavuta kwambiri amagetsi. Nthawi zina, ntchito ya makina olumikizirana awa imatha kuwonjezeka kwambiri. Pamenepo ndi pomwe mtima umagunda mofulumira, kapena kayimbidwe kake kamasokonezeka. Chifukwa chake, chomwe Disopyramide imachita ndikulamulira ma signal amagetsi awa omwe amagwira ntchito kwambiri mumtima ndikubwezeretsa kugunda kwa mtima kukhala kokhazikika komanso kolondola.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Dokotala wanu asanakupatseni Disopyramide, ayenera kudziwa mbiri yonse ya thanzi lanu. Chifukwa chake, onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
- Ngati muli ndi matenda a shuga .
- Ngati mukuvutika kukodza.
- Ngati muli ndi glaucoma, matenda omwe kuthamanga kwa magazi m'maso kumawonjezeka.
- Matenda ena a mtima, makamaka ngati mudadwalapo matenda a mtima kale.
- Ngati muli ndi matenda a impso kapena chiwindi.
- Ngati kuthamanga kwa magazi kuli kotsika.
- Ngati mukuvutika ndi kusowa zakudya m'thupi.
- Ngati muli ndi vuto lotchedwa myasthenia gravis, lomwe limayambitsa kufooka kwa minofu.
- Ngati mwakhalapo ndi vuto la disopyramide kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi amene akuyamwitsa mwana wanu.
Musabise izi kwa dokotala wanu, chifukwa izi ndizofunikira kwambiri posankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi, ndipo ngati ndi choncho, mlingo woti mupereke.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Kumbukirani mfundo izi mukamagwiritsa ntchito mankhwalawa.
- Imwani mankhwalawa ndi kapu ya madzi.
- Imwani mlingo womwe mwapatsidwa monga momwe dokotala wanenera, panthawi yomwe mwapatsidwa. Musafulumire zinthu monga kumwa mlingo wowirikiza kawiri.
- Chofunika kwambiri ndichakuti, musasiye kumwa mankhwalawa mwadzidzidzi.Kuchita zimenezi kungayambitse mavuto aakulu okhudzana ndi mtima. Ngati mukufuna kusiya kumwa mankhwala, chitani zimenezo monga momwe dokotala wanu wanenera, pang'onopang'ono kuchepetsa mlingo.
- Ngati mwaphonya mlingo: Imwani mlingo womwe mwaphonya nthawi yomweyo. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi.
- Kumwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwalawa aperekedwa kwa inu nokha. Musagawane mankhwala anu ndi ena.
Kodi pangakhale mavuto ndi mankhwala ena? (Kuyanjana)
Inde, Disopyramide imatha kuyanjana ndi mankhwala ena. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (omwe madokotala ena amalemba, mankhwala ogulitsidwa kunja kwa chipatala, mankhwala azitsamba, ndi mavitamini).
| Mankhwala omwe sayenera kumwedwa ndi Disopyramide | |
|---|---|
| Mtundu wa mankhwala | Zitsanzo |
| Mankhwala ena oletsa mavairasi omwe amagwiritsidwa ntchito pa HIV/AIDS | (Ma ARVs a HIV kapena Edzi) |
| Maantibayotiki ena | Clarithromycin, Erythromycin, Pentamidine |
| Mankhwala ena omwe amatengedwa pochiza kuvutika maganizo | Amoxapine, Maprotiline |
| Mankhwala ena omwe amatengedwa pa matenda a bowa | Fluconazole, Itraconazole, Ketoconazole |
| Mankhwala ena a kugunda kwa mtima | Dronedarone, Ranolazine, Verapamil |
| Mankhwala ena | Cisapride, Droperidol, Haloperidol, Methadone, Pimozide, Tacrolimus |
Mankhwala ena omwe angagwirizane:
- Mankhwala ena a kuthamanga kwa magazi kapena matenda a mtima (monga beta-blockers)
- Mankhwala a khunyu (monga Carbamazepine, Phenytoin)
- Mankhwala ena omwe amakhudza ntchito yamagetsi ya mtima (mankhwala omwe amakhudza nthawi ya QT)
Mndandandawu sunathe, choncho ndibwino kuuza dokotala wanu zonse zomwe mumamwa.
Zinthu zoti muzisamala nazo mukamamwa mankhwalawa
- Kuyezetsa pafupipafupi: Onetsetsani kuti mwapita kwa dokotala wanu. Akhozanso kuyitanitsa mayeso monga ECG kuti awone momwe matenda anu akuyendera.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona ndi chizungulire. Choncho, pewani zinthu zoopsa monga kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Musadzuke mwadzidzidzi kuchokera pamalo omwe mumakhala kapena pabedi. Dikirani pang'ono kenako dzukani pang'onopang'ono.
- Pakamwa pouma: Pakamwa pouma pakhoza kukhala ndi mankhwalawa. Kutafuna chingamu chopanda shuga ndi kumwa madzi ambiri kungathandize.
- Maso ouma ndi kusawona bwino: Maso anu angamve ouma ndipo maso anu angamve ngati osawona bwino pang'ono. Izi zingakhale zovuta ngati muvala ma contact lens. Funsani dokotala wanu za kugwiritsa ntchito madontho opaka mafuta.
- Chenjerani ndi kutentha kwambiri: Mankhwalawa angathandize kuchepetsa thukuta. Choncho, samalani ndi kutentha kwambiri. Kupanda kutero, kutentha kwa thupi lanu kungakwere moopsa ndipo mungadwale matenda a kutentha kwambiri.
- Kwa anthu omwe ali ndi matenda a shuga: Mankhwalawa angakhudze kuchuluka kwa shuga m'magazi. Ngati muli ndi matenda a shuga, lankhulani ndi dokotala musanasinthe zakudya zanu kapena mlingo wa mankhwala anu a shuga.
Zotsatirapo zoyipa za mankhwalawa
Monga mankhwala ena aliwonse, Disopyramide ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za kulephera kwa mtima | Kuvutika kupuma, kutupa kwa akakolo, mapazi, kapena manja, kunenepa mwadzidzidzi, kumva kutopa kwambiri. |
| Kusintha kwa kayimbidwe ka mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kukomoka, kupweteka pachifuwa, kuvutika kupuma. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Shuga wochepa m'magazi (Hypoglycemia) | Kunjenjemera, thukuta, kusakhazikika, kugunda kwa mtima mofulumira, kusokonezeka. |
| Kuvuta kukodza | Kuvuta kukodza kapena kusakodza konse. |
| Zotsatirapo zomwe nthawi zambiri sizifuna chithandizo chamankhwala (koma uzani dokotala ngati zikupitirira) | |
| Mavuto a m'mimba | Kutupa, kudzimbidwa, kudzimbidwa, nseru, kupweteka m'mimba. |
| Zina | Pakamwa pouma, maso ouma, mutu, kusintha kwa magwiridwe antchito a kugonana. |
Uthenga Wopita Nawo Kunyumba
- Disopyramide ndi mankhwala ofunikira omwe amawongolera kayendedwe ka mtima kosasinthasintha. Nthawi zonse imwani mlingo ndi nthawi yeniyeni yomwe dokotala wanu wakupatsani.
- Musasiye kumwa mankhwalawa mwadzidzidzi pazifukwa zilizonse popanda upangiri wa dokotala.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala achikhalidwe omwe mukumwa.
- Fufuzani thandizo lachipatala mwamsanga ngati pakhala zotsatirapo zoyipa (kupweteka pachifuwa, kuvutika kupuma, kukomoka).
- Sungani mankhwalawa mosamala kutentha kwa chipinda, komwe ana sangafikire.
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