Mwoyo wako hausi kufamba zvakanaka here? Ngatidzidzei nezveDofetilide!

Chiremba akakuudza here kuti pane dambudziko nekurova kwemoyo wako, ndiko kuti, kumhanya kwekurova kwemoyo wako? Unofanira kunge wakanzwa kutya zvishoma, handiti? Dofetilide rudzi rwemushonga unopihwa panguva dzakadaro. Saka, nhasi tichataura nezvemushonga uyu unonzi Dofetilide, sekunge tiri kuudza shamwari.

Chii chinonzi Dofetilide?

Muchidimbu, Dofetilide mushonga unoderedza kusagadzikana kwepfungwa . Izvi zvinoreva kuti unobatsira kugadzirisa kurova kwemoyo wako. Kazhinji unouya uri muchimiro chekapusule. Unowanzo torwa kamwe chete kana kaviri pazuva. Ungave wakamboona uchishandisa zita rekuti Tikosyn®.

Asi pane chimwe chinhu chekurangarira. Chiyero chemushonga uyu, kureva kuti, huwandu hwaunopihwa kuti unwe, hunogona kusiyana kubva pamunhu kusvika pamunhu . Kana shamwari yako iri kutora mushonga uyu, hauzopiwi huwandu hwakaenzana nehwaanopihwa. Chiremba achaongorora mamiriro ako uye achakupa mushonga wakakodzera (wakadai se `125 mcg, 250 mcg` kana `500 mcg`). `(mcg)` inomirira ma microgram.

Dofetilide inoshandiswa mune zvipi zviitiko?

Mushonga uyu unonyanya kushandiswa kurapa mamwe matambudziko emoyo uye kudzivirira kuti asadzokorore.

Zvirwere zvemoyo

• Kurova kweAtrial Fibrillation (Afib): Apa ndipo panorova makamuri epamusoro emwoyo wako (anonziwo atria) nekukurumidza uye zvisina kurongeka, kwete nenzira ine mutinhimira. Funga nezvayo sengoma inofanirwa kuridzwa neimwe nzira, asi inorira zvisina kunaka uye inopenga. Izvi zvinonzi ``Afib''.
• Kuputika kweAtrial: Iyi imwe nzira isina kujairika yekurova kwemoyo inoitika mumakamuri epamusoro emoyo. Yakafanana ne "Afib", asi pane misiyano midiki.

Zvakakosha: Mumamiriro ese aya, kushanda kwemoyo kunova kusina kurongeka, saka ropa rinogona kusapombwa zvakanaka. Izvi zvinogona kukonzera matambudziko akasiyana-siyana. Saka, mushonga uyu unoshanda nekugadzirisa kusarongeka ikoko uye kuita kuti moyo ushande zvakanaka zvakare.

Mashandisirwo e "Off-label"

Dzimwe nguva vanachiremba vanonyora Dofetilide kune mamwe matambudziko emwoyo kunze kwekushandiswa kwayo kwekutanga. Izvi zvinonzi kushandiswa kwe "off-label". Kureva kuti, vanachiremba vanoziva kuti mushonga uyu unogona kubatsira nematambudziko iwayo, asi pakutanga hauna kubvumidzwa kune matambudziko iwayo.

Zvimwe zvirwere zvakafanana zvemoyo ndeizvi:

• Ventricular Tachycardia: Muizvi, makamuri epasi emoyo anorova nekukurumidza.
• Supraventricular Tachycardias: Uku kurova kwemoyo kunokurumidzawo kunoitika mumakamuri epamusoro emwoyo. Kune mamwe marudzi kunze kwe`(Afib)` uye `(Atrial Flutter).`
• Wolff-Parkinson-White Syndrome: Ichi chirwere chinoita kuti mwoyo urove nekukurumidza nekuda kwekuwedzera kwemagetsi mumoyo.

Ungatanga sei kutora Dofetilide?

Izvi zvakakosha zvishoma. Paunotanga kutora Dofetilide, uchafanira kugara muchipatara kwemazuva angangoita matatu kusvika mana . Izvi zvinganzwika sezvisinganzwisisike, handiti? Chikonzero ndechekuti vanachiremba vanoda kutarisa kuti mushonga wacho unokanganisa sei kurova kwemoyo wako uye kana paine matambudziko matsva aunowana. Vachashandisawo nguva ino kuwana mushonga wakakodzera iwe. Paunenge uri muchipatara, vanogona kuchinja huwandu hwemushonga waunopihwa. Usanetseke, izvi zvese ndezvekuchengetedza kwako.

Ungatora sei Dofetilide kumba?

Kana masvika kumba kubva kuchipatara, chinyorwa chemushonga chamunopihwa chinoratidza zvakajeka kuti munofanira kutora mushonga upi uye kuti munofanira kuutora kangani pazuva.

Zvakakosha kuyeuka pfungwa idzi:

• Inwa mushonga sezvawaudzwa nachiremba. Usawedzera kana kuderedza mushonga wacho.
• Inwa mushonga panguva imwe chete zuva nezuva. Kana ari mangwanani, inwa mangwanani, kana ari manheru, inwa husiku. Usachinje nguva.
• Kunyangwe uchinzwa zviri nani, usarega kutora mushonga. Ramba uchitora chero bedzi chiremba wako akuudza kuti uite.
• Unogona kutora mushonga uyu uine chikafu kana usina.
• Usarega kushandisa mishonga yako.
• Ingotora huwandu hwakanyorerwa nachiremba chete.

Kana muine mibvunzo nezvemushonga wenyu kana kuti mungauwana sei, musatya kubvunza chiremba wenyu kana murapi wemishonga. Kana paine chimwe chinhu chamusinganzwisisi, vakumbirei kuti vatsanangure.

Chii chandinofanira kuudza chiremba wangu ndisati ndatora Dofetilide?

Usati wanyora mushonga uyu kwauri, zvakakosha kuudza chiremba wako zvinotevera:

• Wakambova neallergy yedofetilide here? Kana zvakadaro, ndapota tsanangura zvakaitika.
• Nyora mishonga yese yauri kutora (yakanyorwa nachiremba, isina kunyorerwa chiremba (OTC), mavhitamini, uye mishonga yekuwedzera). Usatange mishonga mitsva kana mishonga yekuwedzera usati watanga wabvunza chiremba wako.
• Tiudzei kana muine chirwere chemwoyo, kunyanya chirwere chemwoyo chinonzi `Long QT Syndrome` , kana kuti muine chirwere cheitsvo kana chechiropa, kana kuti muine potassium kana magnesium shoma muropa renyu.
• Iva nechokwadi chekutiudza kana uine pamuviri, uri kuedza kubata pamuviri, kana kuti uchiyamwisa .

Ndeipi mishonga isingafaniri kutorwa neDofetilide?

Kana uri kutora mishonga iyi, kutora Dofetilide kunogona kuva nengozi zvikuru.Saka, kana uri kushandisa mushonga wakadai, unofanira kuudza chiremba wako. Kana zvakadaro haazokupi Dofetilide.

• Cimetidine (semuenzaniso Tagamet®)
• Cisapride
• Dolutegravir (semuenzaniso, Tivicay®)
• Verapamil (`Verapamil` - semuenzaniso `Calan®`)
• Ketoconazole
• Itraconazole (semuenzaniso Sporanox®)
• Trimethoprim (`Trimethoprim` - semuenzaniso `Proloprim®`)
• Trimethoprim ine sulfamethoxazole (semuenzaniso, Bactrim®, Septra®)
• Hydrochlorothiazide (`Hydrochlorothiazide` - semuenzaniso `Microzide®`)
• Ziprasidone
• Mishonga inorwisa kushushikana kwemuviri inonzi Tricyclic antidepressants yakaita seamitriptyline
• Promethazine
• Prochlorperazine (semuenzaniso, Compro®)
• Quinidine
• Disopyramide (semuenzaniso, Norpace®)
• Sotalol (`Sotalol` - semuenzaniso `Betapace®`)

Mimwe mishonga inogona kupindirana neDofetilide

Kune mimwe mishonga inogona kushanda pamwe chete neDofetilide. Izvi zvinoreva kuti kana ukatora mishonga iyi pamwe chete, inogona kuchinja mashandiro anoita Dofetilide kana kuwedzera migumisiro yayo. Saka, kana uri kutora chero mishonga yakanyorwa pazasi, taura nachiremba wako usati watanga Dofetilide.

• Amiodarone (`Amiodarone` - e.g. `Cordarone®`)
• Digoxin (`Digoxin` - semuenzaniso `Lanoxin®`)
• Metformin (`Metformin` - semuenzaniso `Glucophage®`)
• Megestrol
• Diltiazem (semuenzaniso Cardizem®)
• Zafirlukast
• Quinine
• Fluconazole
• Erythromycin (`Erythromycin` - semuenzaniso `PCE®`)
• Clarithromycin
• Mishonga inorwisa mabhakitiriya yeFluoroquinolone yakaita seNorfloxacin neMoxifloxacin
• SSRIs (Selective Serotonin Reuptake Inhibitors) dzakadai seFluoxetine, Sertraline, Paroxetine (semuenzaniso Paxil®)
• Mishonga inobvisa mvura mumuviri yakaita seFurosemide, Triamterene, uye Amiloride
• Mishonga inodzivirira mapuroteni (mishonga yezvirwere zvakaita seHIV) yakaita seIndinavir

Kungoziva: Kufanana nemimwe mishonga, kunwa muto wegrapefruit (muchero wakafanana negrapefruit) kunogona kuwedzera huwandu hwemushonga wedofetilide mumuviri wako. Izvi zvinogona kuva nengozi. Saka, bvunza chiremba wako kana zvakanaka kunwa muto wegrapefruit uchitora mushonga uyu.

Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?

Kana izvi zvikaitika, tora mushonga wawakarasikirwa nawo nekukurumidza paunenge uchiyeuka . Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike pakurangarira, svetuka mushonga wawakarasikirwa nawo wotora mushonga wako unotevera panguva yakatarwa. Usambofa watora mushonga wakapetwa kaviri. Kana usina chokwadi chekuita, taura nachiremba wako kana wemishonga.

Ndezvipi zvakanakira zveDofetilide?

Dofetilide inogona kubatsira kudzora kurova kwemoyo kusingawanzoitiki, izvo zvinogona kuita kuti hupenyu hwako huve nyore. Zvisinei, zvakakosha kuyeuka kuti hairapi chirwere chose.

Ndezvipi migumisiro yeDofetilide?

Kufanana nemushonga upi zvawo, Dofetilide inogona kukonzera mimwe migumisiro yakaipa. Haasi munhu wese anowana, asi zvakanaka kuziva nezvayo.

Migumisiro midiki inogona kuitika:

• Kurwadziwa kwechipfuva
• Musoro (musoro)
• Dzungu (vertigo)
• Kusvotwa (kunzwa kuda kurutsa)
• Manyoka (kurwadziwa kwemudumbu)
• Kurwadziwa kwedumbu

Chimwe chinhu chekungwarira zvikuru:

Dofetilide inopihwa kugadzirisa kurova kwemoyo kusina kurongeka, asi pane njodzi yerumwe rudzi rwekurova kwemoyo kusina kurongeka nemushonga uyu. Kunyanya, kurova kwemoyo nekukurumidza mumakamuri epasi emwoyo (`ventricular tachycardia`) inonzi ``Torsades de Pointes`` inogona kuitika.

Ichi ndicho chikonzero chikuru chinoita kuti ufanire kuendeswa kuchipatara uye kutanga kushandisa mishonga! Vanachiremba vanoda kukutarisa zvakanyanya nezvekurova kwemoyo uku kune njodzi uye kusingawanzoitiki.

Ndichanzwa zviri nani kwenguva yakareba sei mushure mekutanga mushonga?

Dofetilide inotora maawa maviri kusvika matatu kuti itange kushanda. Zvisinei, kunyangwe uchinzwa zviri nani, usarega kutora mushonga kusvika chiremba wako akuudza kuti udaro. Ramba uchitora mushonga wacho.

Ndingachengetedza sei hutano hwangu ndichitora Dofetilide?

Pane zvinhu zvishoma zvaunofanira kuita paunenge uchitora mushonga uyu.

• Iva nechokwadi chekuenda kumisangano yako yese nachiremba wako, kusanganisira bvunzo dzemurabhoritari. Ndipo paunokwanisa kuona kuti mushonga wacho uri kukubata sei.
• Ungangoda kuongororwa ne electrocardiogram (EKG) kanenge kamwe chete pamwedzi mitanhatu yega yega . Izvi zvichaongorora kumhanya kwemoyo wako uye kurova kwemoyo.
• Vanogonawo kuraira kuongororwa kweropa kuti vaone kana mushonga wacho uchida kuchinjwa.
• Gara uchiverenga bepa rine ruzivo rwunouya nemushonga wako, kunyanya kana paine shanduko dzichangobva kuitika pamushonga wako kana mamiriro ehutano hwako. Bvunza murapi wemishonga wako kana uine mibvunzo.

Zvimwe zvinhu zvaunogona kuita:

• Kana uri kuvhiyiwa, kuvhiyiwa mazino, kana kurapwa kwekukurumidzira, udza chiremba kana chiremba wemazino kuti uri kutora Dofetilide.
• Ungangofanirawo kupfeka kadhi rinoratidza kuti uri kutora Dofetilide.
• Usamborega kutora mushonga uyu usina kubvunza chiremba wako.
• Tevedzera zano rachiremba wako nezvekudya nekunwa, kunyanya zvinwiwa zvine doro.
• Gara uine mishonga yakakwana . Usati waenda kuzororo kana parwendo, tarisa kuti mushonga wako wava kupera here. Kana zvisina kudaro, ungasakwanisa kuuwana kana paine dambudziko.

Unofanira kuona chiremba rini?

Kana ukaona chimwe chezviratidzo izvi, fonera chiremba wako nekukasika kana kuenda kuchipatara che emergency:

• Kurova kwemoyo kunokurumidza kana kusina kurongeka.
• Kunzwa sekuti moyo wako uri kurova nekukurumidza, kunzwa sekuti kurova kwemoyo wako kuri kumhanya.
• Kurwadziwa kwechipfuva.
• Dzungu kana kunzwa musoro wakareruka (`musoro wakareruka`).
• Kutadza kufema zvakanaka.
• Manyoka akanyanya.
• Kurutsa nekushaya chido chekudya.
• Kudikitira kusingawanzoitiki.
• Nyota yemvura yakawedzera.
• Mapundu paganda.

Kunyangwe kana paine migumisiro isina kunyanya kuipa yakaita seiyi, taura nachiremba wako kana ichikunetsa:

• Musoro.
• Kushaya hope.
• Chero mimwe migumisiro inokunetsa.

Ndingatenga kupi Dofetilide?

Dofetilide haiwanikwe muma pharmacy ese. Saka, fonerai pharmacy iri pedyo nemi kuti muone kana vanayo. Kana muchinetseka kuwana mushonga, taurai nachiremba wenyu.

Ungachengeta sei Dofetilide?

• Chengeta Dofetilide mumudziyo wakavharwa zvakasimba, patembiricha yemumba, munzvimbo yakaoma .
• Usaise panzvimbo ine zuva rakananga kana munzvimbo dzinopisa.
• Usachengete mushonga uyu munzvimbo dzine hunyoro hwakawanda, senge muimba yekugezera. Hunyoro hunogona kuparadza hunhu hwemushonga.
• Chengeta kwete mushonga uyu chete, asiwo mimwe mishonga yese kure nevana.
• Usambofa wakagovana mushonga wako nemumwe munhu.
• Usamboshandisa mushonga wapera basa. Mamwe mapakeji emishonga ane zuva rekupera basa rakanyorwa paari. Kana kuti, kana usina chokwadi chekuti mushonga wacho wakura sei, fonera pharmacy yako ubvunze.

Pakupedzisira, zvinhu zvekurangarira

Zvinogona kunetsa zvikuru kuziva kuti une dambudziko remwoyo. Zvisinei, kana chiremba wako akakunyorera Dofetilide, inogona kukubatsira. Chinhu chakakosha ndechekutevedzera mirairo yachiremba nemirairo iri papakeji yemishonga nemazvo. Kana uine mimwe mibvunzo kana zvinokunetsa nezvemushonga uyu, usazeza kubvunza chiremba wako kana wemishonga. Vachakwanisa kukubatsira.

Dofetilide , Kurova kwemoyo, Arrhythmia, Atrial fibrillation, Atrial flutter, Tikosyn, Chirwere chemoyo