Chiremba wako anogona kunge akakunyorera mushonga wekurwadziwa kwechipfuva (angina) nguva nenguva. Zita remushonga iwoyo rinogona kunge riri Ranolazine. Uyu mushonga wakakosha wemoyo unoshandiswa kudzora kurwadziwa kwechipfuva kwenguva refu. Saka nhasi, ngatitaurei muchidimbu nezvemushonga uyu unonzi Ranolazine, mashandisirwo awo, zvekungwarira, uye migumisiro inogona kuitika.
Mushonga werudzii unonzi Ranolazine?
Muchidimbu, Ranolazine mushonga unoshandiswa kuchengetedza hutano hwemwoyo wako. Kunyanya, unoshandiswa kurapa marwadzo echipfuva anogara kwenguva refu, chirwere chinozivikanwa se "Chronic Angina."
Asi izvi zvakakosha zvikuru: Mushonga uyu hauzorerutsi nekukurumidza kurwadziwa kwechipfuva kamwe kamwe, kwakakomba (Acute Angina attack). Chiremba wako angangodaro akakunyorera mumwe mushonga (semuenzaniso, piritsi reGTN) wekukurumidzira kwakadaro. Ranolazine mushonga unongopihwa wekudzivirira chirwere kwenguva refu.
Mushonga uyu unogona kuwanikwa pasi pemazita akasiyana-siyana emishonga muSri Lanka nekune dzimwe nyika. `Ranexa` ndeimwe yemishonga inozivikanwa zvikuru.
Chii chandinofanira kuudza chiremba ndisati ndatanga mushonga uyu?
Kuti muve vakachengeteka, zvakakosha kuti muzivise chiremba wenyu nezvenhoroondo yenyu yese yehutano musati matanga mushonga uyu. Iva nechokwadi chekuvaudza nezvechero chezvirwere zvinotevera, kunyanya kana muinazvo.
- Zvimwe zvirwere zvemoyo .
- Kurova kwemoyo kusina kurongeka .
- Chirwere cheitsvo .
- Chirwere chechiropa .
- Kana uine potassium shoma kana magnesium muropa rako.
- Kana uine allergies kune ranolazine kana chero imwe mishonga, chikafu, kana dhayi.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri .
- Kana uri amai vanoyamwisa .
Zvichibva paruzivo urwu, chiremba wako achasarudza kana mushonga uyu wakakunakira iwe kana kuti kana muyero wacho uchifanirwa kuchinjwa.
Ndinofanira kushandisa mushonga uyu sei?
Kuti mushonga uwane pundutso yakakwana, unofanira kuushandisa sezvakarairwa.
- Maitiro ekumedza: Medza piritsi iri rese negirazi remvura. Usambopwanya, kupwanya, kana kutsenga piritsi iri. Izvi zvakagadzirwa zvakananga kuti zvibudise mushonga mumuviri nekufamba kwenguva (Extended-Release). Saka, zvakakosha kuti uimedze yese.
- Nguva yekutora: Sezvakataurwa nachiremba,Edza kuitora panguva imwe chete zuva nezuva. Izvi zvichakubatsira kuchengetedza huwandu hwakafanana hwemushonga mumuviri wako.
- Kana muchidya kana musina: Mushonga uyu unogona kutorwa usati wadya kana kuti wapedza kudya. Zvisinei, vamwe vanhu vanogona kurwadziwa mudumbu kana vakaunwa panguva yekudya.
- Kumira: Usarega kutora mushonga uyu kunze kwekunge chiremba wako akuudza kuti udaro.
Nyevero dzakakosha
Usatore mushonga uyu nemuto wegrapefruit. Muto wegrapefruit unogona kukanganisa mashandiro emushonga uyu mumuviri.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Usambofa watora mushonga wakapetwa kaviri.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga uyu wakawandisa, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Mimwe mishonga inogona kushanda pamwe chete neRanolazine
Izvi zvakakosha zvikuru. Ranolazine inogona kushanda pamwe chete nemimwe mishonga yakawanda, saka unofanira kuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini, mishonga yemiti, uye zvinowedzera).
Unogona kuwana pfungwa yakanaka nezveizvi kubva pamatafura maviri ari pazasi.
| Usambofa wakatora Ranolazine pamwe chete nemushonga uyu. | |
|---|---|
| Rudzi rwemishonga | Mienzaniso |
| Mamwe maantibayotiki | Clarithromycin, Rifampin |
| Mushonga wezvirwere zvefungus | Itraconazole, Ketoconazole |
| Mishonga inorwisa utachiona yeHIV kana Hepatitis | (Bvunza chiremba wako) |
| Mimwe mishonga yekurapa pfari (Seizure) | Carbamazepine, Phenytoin |
| St. John's Wort (mushonga wemishonga) | Dzivisa kushandisa izvi. |
| Chenjerera zvikuru kana ukatora Ranolazine pamwe chete nemushonga uyu. | |
|---|---|
| Rudzi/boka remushonga | |
| Mimwe mishonga inoderedza cholesterol (semuenzaniso Simvastatin, Atorvastatin) | |
| Mishonga yekuderedza kushungurudzika kana kuzvidya mwoyo | |
| Digoxin, Diltiazem, Verapamil (mimwe mishonga yezvirwere zvemwoyo) | |
| Metformin (mushonga wechirwere cheshuga) | |
| Cyclosporine, Tacrolimus (mishonga inodzvinyirira masoja emuviri) | |
Rondedzero idzi hadzina kukwana. Kuti uchengetedzeke, udza chiremba wako nezvemishonga yese yauri kutora.
Ndezvipi zvimwe zvinhu zvinogona kundikanganisa?
Kufanana nemushonga upi zvawo, Ranolazine inogona kukonzera migumisiro yakaipa kune vamwe vanhu. Mimwe yeiyi inogona kunge yakakomba, saka zvakakosha kuti uizive.
| Mhedzisiro yedivi | Chii chekuita? |
|---|---|
| Migumisiro inoda kurapwa nekukurumidza | |
| Kurwara nepfungwa: mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi | Udza chiremba wako nekukasika kana kuti enda kuchipatara. |
| Kuchinja kwekurova kwemoyo: kurova kwemoyo nekukurumidza kana kusina kurongeka, kurwadziwa pachipfuva, kuoma kufema, dzungu rakakomba | |
| Kuderera kweropa: dzungu, kupera simba, kuona zvisizvo | |
| Kuzvimba kwezvitsitsinho, maoko, kana tsoka | |
| Kudedera kana kusanzwa simba mumakumbo | |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Dzungu | Kana izvi zvikaramba zvichiitika kana kuti zvichikunetsa, udza chiremba wako. |
| Musoro | |
| Kusvotwa | |
| Kuzvimba | |
Munodzivirira sei mushonga wenyu?
- Chengeta mushonga uyu kure nevana nezvipfuyo .
- Chengeta patembiricha yemumba (inenge 25°C), munzvimbo yakaoma.
- Usashandise mishonga yapera basa. Rasa zvakanaka. Kazhinji zvakanaka kusanganisa mishonga isingadiwe nechimwe chinhu chakaita sekofi yakakuyiwa kana ivhu usati waisa mumarara, woivhara mubhegi, woirasa. Kana usina chokwadi nezveizvi, bvunza chiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Ranolazine mushonga unoshandiswa kudzora marwadzo epachipfuva kwenguva refu (Chronic Angina), kwete mushonga unopa zororo nekukurumidza kubva pakurwadziwa kwepachipfuva kamwe kamwe.
- Medza piritsi iri rese usingatyoke, usingapwanye, kana kutsenga.
- Usatore mushonga uyu nemuto wegrapefruit zvachose.
- Iva nechokwadi chekuudza chiremba wako nezvemimwe mishonga yese yauri kutora.
- Tsvaga rubatsiro rwechiremba nekukasika kana ukaona shanduko mukurova kwemoyo wako, dzungu rakakomba, kana zviratidzo zvekusawirirana nazvo.
- Usamborega kutora mishonga usina kurairwa nachiremba wako.
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