Dokotala wanu mwina anakupatsani mankhwala otchedwa Flecainide chifukwa cha kugunda kwa mtima kwanu kofulumira komanso kosasinthasintha. Izi zingamveke zoopsa pang'ono. Mungakhale ndi mafunso ambiri monga, 'Kodi mankhwalawa ndi chiyani? Adzathandiza chiyani?' Musadandaule. Tiyeni tikambirane zonsezi mosavuta komanso momveka bwino.
Kodi Flecainide ndi chiyani?
Mwachidule, Flecainide ndi mankhwala omwe amagwiritsidwa ntchito poletsa kugunda kwa mtima mofulumira kapena kosasinthasintha. M'mawu azachipatala, izi zimatchedwa arrhythmia.
Taganizirani mtima wathu ngati kachipangizo kakang'ono kamagetsi. Pamene zizindikiro zake zamagetsi zikugwira ntchito bwino, mtima umagunda mozungulira. Koma nthawi zina zizindikiro zamagetsi zimenezi zimatuluka pang'ono ndikuyamba kuthamanga mofulumira kwambiri. Pamenepo ndi pamene mtima umagunda mosagwirizana, nthawi zina mofulumira kwambiri. Izi zimachitika kawirikawiri mu matenda otchedwa AFib (atrial fibrillation) .
Mankhwalawa, otchedwa flecainide, amagwira ntchito polamulira zizindikiro zamagetsi zomwe zikuyenda mofulumira kwambiri, kuzichepetsa, ndikubwezeretsa kugunda kwa mtima ku rhythm yabwinobwino. Izi zimatchedwa antiarrhythmics.
Zinthu zoti muuze dokotala wanu musanamwe mankhwalawa
Ndikofunikira kwambiri kupatsa dokotala wanu kufotokozera kwathunthu mbiri yanu ya thanzi, makamaka ngati muli ndi vuto lililonse mwa izi:
- Ngati pali zinthu zosazolowereka pa kuchuluka kwa potaziyamu m'magazi.
- Ngati muli ndi matenda ena a mtima, kugunda kwa mtima, kapena mavuto a rhythm.
- Ngati muli ndi matenda a impso kapena chiwindi.
- Ngati mwakhala ndi vuto la mtima posachedwapa.
- Ngati muli ndi vuto la ziwengo chifukwa cha mankhwala a Flecainide awa kapena mankhwala ena oletsa ululu am'deralo, mankhwala ena, zakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa.
Kukambirana mbiri yanu yonse yachipatala ndi dokotala wanu kudzamuthandiza kwambiri kukuthandizani mosamala.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Mankhwalawa ayenera kumwedwa ndi kapu ya madzi. Imwani mankhwalawo monga momwe dokotala wanenera, panthawi yoyenera. Mutha kumwa ndi chakudya kapena ayi, sizili choncho. Ingomwani mlingo womwe walembedwa.
Chofunika kwambiri ndi ichi: Musasiye kumwa mankhwalawa mwadzidzidzi. Kuchita zimenezi kungayambitse mavuto aakulu okhudzana ndi mtima. Ngati dokotala wanu akuganiza kuti muyenera kusiya kumwa mankhwalawo, adzakuuzani njira yoyenera yochitira. Nthawi zambiri, mlingo umachepetsedwa pang'onopang'ono kenako nkusiya.
Kuchuluka kwa mankhwala
Ngati mukuganiza kuti mwamwa mapiritsi ambiri mwangozi, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Nanga bwanji ngati ndaphonya mlingo?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa wotsatira panthawi yachizolowezi. Musamwe mlingo wowirikiza kawiri.
Mankhwala ena omwe sayenera kugwiritsidwa ntchito ndi mankhwalawa
Flecainide ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera. Gome ili pansipa ndi zitsanzo zochepa chabe.
| Gulu la mankhwala | Zitsanzo |
|---|---|
| Mankhwala omwe sayenera kumwedwa ndi flecainide | |
| Maantibayotiki ena | Clarithromycin, Erythromycin, Levofloxacin, Moxifloxacin |
| Mankhwala ena oletsa kuvutika maganizo | Amitriptyline, Imipramine, Amoxapine |
| Mankhwala ena oletsa kugunda kwa mtima | Disopyramide, Propafenone, Quinidine, Ranolazine, Sertindole |
| Mankhwala ena | Cisapride, Ritonavir, Pimozide, Thioridazine, Haloperidol |
| Mankhwala ena omwe angagwirizane ndi flecainide | |
| Mankhwala a kuthamanga kwa magazi kapena angina | Mwachitsanzo: Beta-blockers |
| Mankhwala ena | Amiodarone, Digoxin, Cimetidine, Ziprasidone, Dofetilide |
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Lumikizanani ndi dokotala wanu kuti mudziwe momwe zinthu zilili. Onetsetsani kuti mukupita kuzipatala. Yang'anani kuthamanga kwa magazi anu ndi kugunda kwa mtima wanu nthawi zonse. Funsani dokotala wanu kuti kuthamanga kwa magazi anu ndi kugunda kwa mtima kwanu kuyenera kukhala kotani komanso nthawi yomwe muyenera kuyimbira dokotala wanu.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona ndi chizungulire. Choncho , pewani kuchita ntchito zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe izi zimakukhudzirani.
- Kusintha malo: Osaimirira kapena kukhala tsonga mwadzidzidzi. Makamaka ngati ndinu wamkulu, sinthani malo pafupipafupi. Izi zichepetsa chiopsezo cha chizungulire ndi kugwa.
- Mowa: Kumwa mowa kungakulitse chizungulire chomwe mumamva. Choncho, pewani mowa kotheratu mukamamwa mankhwalawa.
Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa
Monga mankhwala ena aliwonse, Flecainide ingayambitse zotsatirapo zina. Zina mwa izo ndi zazikulu, pomwe zina ndizofala.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za kulephera kwa mtima | Kuvuta kupuma, kutupa kwa akakolo, mapazi, kapena manja, kunenepa mwadzidzidzi, kutopa kosazolowereka. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kukomoka, kupweteka pachifuwa, kuvutika kupuma. |
| Zizindikiro za kuvulala kwa chiwindi | Kupweteka m'mimba yakumanja, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, komanso maso kapena khungu kukhala lachikasu. |
| Ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Maso osawoneka bwino | Kusaona zinthu bwino. |
| Kudzimbidwa | Kuvuta kupita kuchimbudzi. |
| Chizungulire, mutu, kutopa | Izi nthawi zambiri zimachepa pakapita nthawi. |
| Kugwedezeka | Kumva ngati manja kapena thupi lanu likugunda. |
Uthenga Wopita Nawo Kunyumba
- Flecainide ndi mankhwala ofunikira kwambiri omwe amaletsa kugunda kwa mtima kosakhazikika.Ndikofunikira kutsatira malangizo a dokotala molondola.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa, kuphatikizapo mavitamini ndi mankhwala azitsamba, chifukwa mankhwalawa amatha kuyanjana ndi mankhwala ena.
- Musasiye kumwa mankhwala anu mwadzidzidzi popanda kufunsa dokotala wanu. Izi zingayambitse mavuto aakulu.
- Ngati mukukumana ndi mavuto aakulu monga chizungulire, kupweteka pachifuwa, kupuma movutikira, kapena khungu kukhala lachikasu, funsani upangiri wa dokotala nthawi yomweyo.
- Ngati mwamwa mankhwala ochulukirapo, pitani ku National Poison Information Center kapena ku ETU (Emergency Treatment Unit) yapafupi.
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