Kodi kugunda kwa mtima wanu sikusinthasintha? Tiyeni tiphunzire za mapiritsi a Quinidine.

Mwina mukudzifunsa kuti, 'Kodi mankhwala awa otchedwa quinidine ndi chiyani?' Mwachidule, ndi mankhwala omwe amathandiza kuti kugunda kwa mtima wanu, kapena kugunda kwa mtima wanu, kukhale koyenera. Madokotala amatcha kuti ndi mankhwala 'oletsa kupweteka kwa mtima' . Nthawi zina, mtima wanu ukayamba kugunda mofulumira kwambiri, mankhwalawa amaperekedwanso kuti alamulire. Sikuti amangogwiritsidwa ntchito pochiza mitundu ina ya malungo. Mankhwalawa amathanso kuperekedwa m'maina monga ``Quinora''. Koma angagwiritsidwenso ntchito pazinthu zina, kotero ngati muli ndi mafunso, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa?

Musanayambe kumwa mapiritsi a quinidine awa, pali zinthu zina zomwe muyenera kuuza dokotala wanu. Ndikofunikira kwambiri kuti thanzi lanu likhale loona mtima pazinthu izi.

Nazi zinthu zimenezo:

• Ngati muli ndi matenda a mtima kapena munadwalapo matenda a mtima kale .
• Ngati muli ndi matenda a impso .
• Ngati muli ndi matenda a chiwindi .
• Ngati muli ndi kuthamanga kwa magazi kotsika .
• Ngati muli ndi matenda a m'mapapo , mwachitsanzo, mphumu.
• Ngati muli ndi matenda okhudzana ndi mitsempha ndi minofu otchedwa Myasthenia Gravis .
• Ngati muli ndi pacemaker yomwe yaikidwa pachifuwa panu.
• Ngati muli ndi vuto la ziwengo chifukwa cha quinidine, quinine, mankhwala ena, zakudya, utoto wopangidwa, kapena zotetezera.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba .
• Ngati ndinu mayi woyamwitsa .

Mukauza dokotala wanu za izi pasadakhale, akhoza kusankha ngati mankhwala awa ndi oyenera kwa inu kapena ayi, komanso momwe angawaperekere.

Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?

Dokotala wanu kapena wamankhwala adzakupatsani malangizo enieni a momwe mungagwiritsire ntchito mankhwalawa. Ndikofunikira kwambiri kutsatira malangizo amenewo molondola.

• Mankhwalawa ayenera kumwedwa pakamwa , ndi kapu ya madzi.
• Tsatirani malangizo omwe ali pa chizindikiro cha mankhwala molondola.
• Mankhwalawa angatengedwe musanadye kapena mutadya . Dokotala adzakuuzani za izi.
• Chofunika kwambiri ndikumwa mlingo woyenera panthawi yoyenera . Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanenera, kapena kumwa pafupipafupi.
• Musasiye kumwa mankhwalawa mwadzidzidzi.Kuchita zimenezi kungayambitse mavuto aakulu okhudzana ndi mtima. Tangoganizirani, ngati mtima wanu wayamba kale kugwiritsa ntchito mankhwalawa ndipo mwadzidzidzi umasiya kugwira ntchito, ungamve ngati ukugwedezeka pang'ono pamtima. Ndicho chifukwa chake madokotala amanena kuti muchepetse pang'onopang'ono mlingowo ndikusiya. Dokotala wanu adzakuuzani kuchuluka kwa mankhwala omwe muyenera kumwa komanso momwe mungasiyire ngati mutatero.

Ngati mukupereka mankhwalawa kwa ana aang'ono, muyenera kulankhula ndi dokotala wa ana za mankhwalawa. Chisamaliro chapadera chingafunike.

Kuchuluka kwa mankhwala: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani Poison Control Center kapena Emergency Room nthawi yomweyo.

Chofunika kudziwa: Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi ena, ngakhale atakhala ndi zizindikiro zomwezo zomwe muli nazo.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Musadandaule. Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri. Kuchita izi kungayambitse zotsatirapo zoyipa.

Ndi mankhwala ena ati (Drug Interactions) omwe angagwirizane ndi mankhwalawa?

Izi ndizofunikira kwambiri. Mukamwa Quinidine, imatha kusokonezana ndi mankhwala ena omwe mukumwa. Ngati izi zitachitika, Quinidine singagwire ntchito bwino kapena ingayambitse zotsatirapo zoopsa.

Musamwe mankhwalawa pamodzi ndi mankhwala awa:

• `abarelix`
• `amiloride`
• `Amoxapine`
• `apomorphine`
• `arsenic trioxide`
• Mankhwala ena oyambitsa matenda a fungal - mwachitsanzo `itraconazole` kapena `ketoconazole`
• Mankhwala ena opha tizilombo a quinolone
• `cisapride`
• `droperidol`
• `haloperidol`
• `hawthorn` (iyi ndi therere)
• `levomethadil`
• `maprotiline`
• Mankhwala operekedwa a malungo - mwachitsanzo `chloroquine` ndi `halofantrine`
• Mankhwala ena ochizira kuvutika maganizo - mwachitsanzo `mankhwala ochepetsa nkhawa a tricyclic`
• `mefloquine`
• `methadone`
• Mankhwala ena oletsa kugunda kwa mtima
• `pentamidine`
• Phenothiazines - mwachitsanzo chlorpromazine, mesoridazine, thioridazine
• `pimozide`
• `ranolazine`
• `sertindole`
• `vardenafil`
• `voriconazole`

Mankhwalawa angagwirizanenso ndi mankhwala otsatirawa:

• `acetazolamide`
• Mankhwala oletsa asidi (monga mankhwala amadzimadzi a gastritis)
• Barbiturates - mwachitsanzo `phenobarbital`
• `cimetidine`
• Mankhwala ochepetsa mphamvu ya madzi m'thupi (Diuretics)
• Mankhwala ochizira kuthamanga kwa magazi kapena angina (kupweteka pachifuwa)
• Mankhwala operekedwa kuti apumule minofu kapena kuchepetsa ululu panthawi ya opaleshoni
• `methazolamide`
• `phenytoin`
• Mankhwala ochepetsa ululu omwe amaperekedwa ndi dokotala - mwachitsanzo `codeine` ndi `hydrocodone`
• `rifampin`
• `sodium bicarbonate`
• `warfarin` (mankhwala omwe amachepetsa magazi kuundana)
• `ziprasidone`

Mndandandawu sunathe. Kuyanjana kwina kungachitike. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mumamwa (olembedwa ndi dokotala, ogulitsidwa pamtengo wotsika, azitsamba, mavitamini, zowonjezera zakudya). Komanso, uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zinthu zina zingasokoneze mankhwala anu.

Ndiyenera kusamala kwambiri ndi chiyani ndikamamwa mankhwalawa?

Ndi bwino kuganizira kwambiri za thanzi lanu mukamamwa Quinidine.

• Pitani kwa dokotala nthawi zonse kuti muwone momwe matenda anu akuyendera (kuyezetsa nthawi zonse).
• Valani chibangili cha dokotala kapena mkanda. Komanso, sungani khadi lokhala ndi tsatanetsatane wa matenda anu, mankhwala omwe mumamwa, mlingo, ndi nthawi. Izi zidzakuthandizani kwambiri pakagwa ngozi.
• Yesani kuthamanga kwa magazi anu ndi kugunda kwa mtima wanu nthawi zonse. Funsani dokotala wanu kuti kuthamanga kwa magazi anu ndi kugunda kwa mtima wanu kuyenera kukhala kotani komanso nthawi yomwe muyenera kulankhula naye.
• Dokotala wanu angakupatseninso zinthu monga kuyezetsa magazi ndi electrocardiogram (ECG) kuti muwone momwe mukupitira patsogolo.
• Mungamve ngati muli ndi tulo kapena chizungulire . Mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani, pewani kuyendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kuti maganizo anu azigwira ntchito. Makamaka ngati ndinu okalamba, musayime kapena kukhala tsonga mwadzidzidzi. Kuchita zimenezi kungayambitse chizungulire ndi kugwa.
• Musamwe zakumwa zoledzeretsa. Mowa ungasokoneze mphamvu ya mankhwalawa.
• Mankhwalawa angapangitse khungu lanu kukhala losavuta kukhudzidwa ndi dzuwa. Choncho, chepetsani kukhudzana ndi dzuwa momwe mungathere. Ngati muyenera kutuluka padzuwa, valani zovala zophimba khungu lanu, valani magalasi a dzuwa, ndipo gwiritsani ntchito mafuta oteteza ku dzuwa. Musagwiritse ntchito nyali za dzuwa kapena mabedi/mahema opaka utoto.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, Quinidine ingayambitse zotsatirapo zina. Zina sizowopsa, koma zina ziyenera kufotokozedwa kwa dokotala nthawi yomweyo.

Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu kapena katswiri wa zaumoyo nthawi yomweyo:

• Mavuto opuma
• Kusintha kwa masomphenya
• Chisokonezo
• Kumva kufooka kapena mutu wopepuka
• Malungo
• Mutu - ngati ndi wosiyana ndi mutu wamba ndipo ndi woopsa
• Kugunda kwa mtima kosakhazikika - ngati mukumva ngati chifuwa chanu chikugunda mosiyana
• Kusanza, kusanza
• Ululu ukameza
• Kutupa pakhungu, khungu lotupa kapena lotayirira
• Kulira m'makutu
• Kutupa kapena kutuluka magazi kosazolowereka
• Kumva kufooka kwambiri kapena kutopa

Zotsatirapo zomwe nthawi zambiri sizimafuna chithandizo chamankhwala, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa:

• Kutsegula m'mimba (kupweteka m'mimba )
• Kutsuka khungu ndi kuyabwa kwambiri
• kutentha pamtima (monga gastritis )
• Kutaya chilakolako
• Kupweteka m'mimba

Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati muwona china chake chachilendo, lankhulani ndi dokotala wanu. Muthanso kunena za zotsatirapo zoyipa ku FDA (Food and Drug Administration) pa 1-800-FDA-1088.

Kodi ndiyenera kusunga bwanji mankhwalawo?

Ndikofunikanso kwambiri kusunga mankhwala anu moyenera.

• Sungani pamalo omwe ana sangafikire.
• Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius / madigiri 59 ndi 86 Fahrenheit).
• Tetezani ku kuwala ndi chinyezi. Izi zikutanthauza kuti, musasunge m'malo ngati m'bafa.
• Sungani botolo/phukusi la mankhwala litatsekedwa bwino.
• Musagwiritse ntchito mankhwala otha ntchito. Tayani bwino.

Kumbukirani: Nkhaniyi ndi chidule chabe. Siili ndi mfundo zonse. Ngati muli ndi mafunso ena okhudza mankhwalawa, lankhulani ndi dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina.

Kotero, zinthu zingapo zomaliza zoti muzikumbukire

Chabwino, tiyeni tidzikumbutse zinthu zina zofunika kwambiri zokhudza mankhwala a quinidine zomwe tinakambirana.

• Quinidine ndi mankhwala omwe amagwiritsidwa ntchito kwambiri poyendetsa kagayidwe ka mtima. Amagwiritsidwanso ntchito pochiza malungo.
• Musanayambe kumwa mankhwalawa, uzani dokotala wanu za matenda anu onse komanso mankhwala onse omwe mukumwa. Ndikofunikira kwambiri.
• Imwani mankhwalawo monga momwe dokotala wanu wanenera, panthawi yoyenera, komanso muyeso woyenera. Musasiye kumwa mwadzidzidzi.
• Izi zingagwirizane ndi mankhwala ena, choncho uzani dokotala wanu za mankhwala onse omwe mukumwa.
• Kugona ndi chizungulire zingachitike. Choncho samalani. Samalani mukapita padzuwa.
• Ngati mukukumana ndi zotsatirapo zoyipa zilizonse, uzani dokotala wanu nthawi yomweyo.
• Sungani mankhwala moyenera ndipo muwasunge kutali ndi ana.

Mtima wanu ndi chinthu chamtengo wapatali kwambiri. Ngakhale mankhwala ngati awa angathandize kuti ukhale wathanzi, chinthu chofunika kwambiri ndikuwagwiritsa ntchito moyenera. Musaope kufunsa dokotala wanu mafunso aliwonse omwe muli nawo. Mwanjira imeneyi, mutha kupindula kwambiri ndi mankhwalawa ndikukhalabe ndi thanzi labwino!

` quinidine, kugunda kwa mtima, matenda a mtima, malungo, mankhwala, zotsatirapo zake, mankhwala