Ngaba ngamanye amaxesha ukhe uzive ngathi intliziyo yakho ibetha ngokungathi iyaphambana, okanye ngequbuliso iqala ukubetha ngokukhawuleza, ize iyeke? Okanye ngaba kukho umntu omaziyo oye wanamava anjalo? Olu hlobo lokuphazamiseka kwesingqisho sentliziyo ngamanye amaxesha lunokuba yingozi kakhulu. Iyeza elikhethekileyo elisetyenziswa kwiimeko ezinjalo libizwa ngokuba yi-flecainide. Makhe sithethe ngale nto ngokweenkcukacha namhlanje, kulungile?
Yintoni iFlecainide?
Ngamafutshane, iFlecainide liyeza elinikwa ngugqirha kuphela . Likwiqela lamayeza abizwa ngokuba yi -antiarrhythmics . La ngamayeza anceda ekulawuleni isingqisho sentliziyo. Isetyenziselwa ukunyanga ukubetha kwentliziyo okungacwangciswanga okuqatha, okusongela ubomi . Usenokuba ukhe weva ngayo phantsi kwegama lenkampani iTambocor®.
Isetyenziselwa ntoni iFlecainide?
Eli yeza alilungelanga wonke umntu. I-Flecainide isetyenziselwa ukunyanga iingxaki ezithile zentliziyo ezisongela ubomi . Isetyenziswa kakhulu ukunyanga imeko ebizwa ngokuba yiParoxysmal Supraventricular Tachycardia (PSVT) .
Ngoku usenokuba uyazibuza ukuba yintoni i-PSVT. Intliziyo yethu ineegumbi ezine eziphambili. Ngokwesiqhelo, ezi gumbi zibetha ngendlela ehlelekileyo, zidibene, oko kukuthi, ziyabetha. Kodwa kwi-PSVT, okwenzekayo kukuba kukho ukubetha kwentliziyo okukhawulezileyo, okukhawulezayo okuqala ndaweni ithile kumagumbi aphezulu entliziyo (oko kukuthi, ngaphezulu kwe-atria). Oku kunokuvela ngequbuliso kwaye kunyamalale ngokukhawuleza.
Eminye imizekelo ye-PSVT yile:
- I-Atrial Fibrillation: Oku kwenzeka xa amagumbi aphezulu entliziyo (i-atria) ebetha ngokukhawuleza nangokungaqhelekanga, njengegubu elibetha ngamandla.
- I-Atrial Flutter: Apha isingqisho se-atrial sikhawuleza kakhulu kunesiqhelo.
- I-Atrioventricular Nodal Reentrant Tachycardia (AVNRT): Le ikwayintliziyo ekhawulezayo ebangelwa yenye ingxaki kwinkqubo yokubonisa umbane yentliziyo.
Ukongeza, iFlecainide ingasetyenziselwa i-ventricular tachycardia esongela ubomi , ukubetha kwentliziyo okukhawulezayo okuqala kumagumbi asezantsi entliziyo.
Isebenza njani iFlecainide?
Ngamafutshane, iFlecainide ilawula imiqondiso yombane ehamba entliziyweni yethu.Ukuze intliziyo ibethe, ifuna isignali yombane. Eli yeza linciphisa isantya saloo signali, okanye lithintele ezinye zeempawu ezingafunekiyo. Le yindlela ukubetha kwentliziyo okuzinziswa ngayo kwaye isingqisho esingahambelaniyo silungiswa. Cinga ngayo njengokulawula isantya semoto. Eli yeza lenza oku kwinkqubo yombane yentliziyo.
Ungayithatha njani iFlecainide?
I-Flecainide iza ngohlobo lweepilisi. Ifanele ithathwe kanye njengoko ugqirha wakho eyalele . Umthamo oqhelekileyo ziipilisi ezimbini ngosuku, enye qho emva kweeyure ezili-12 . Ungayithatha nokutya okanye ngaphandle kokutya. Nangona kunjalo, kubalulekile ukuyithatha ngexesha elifanayo yonke imihla .
Idosi oyinikwayo xa uqala iyeza ingahluka kumntu nomntu. Ngokwesiqhelo, uqala nge-50 milligrams (mg) okanye i-100 milligrams (mg). Oku kuxhomekeke kuhlobo lwesifo sentliziyo onayo. Emva koko, ugqirha wakho uza kukujonga rhoqo emva kweentsuku ezimbalwa aze anyuse idosi kancinci kancinci de ufumane idosi efanelekileyo kuwe.
Kukho ezinye izinto ezininzi eziza kumisela idosi oza kuyinikwa:
- iminyaka yakho.
- Ezinye izifo onazo kunye nempilo yakho iyonke.
- Ngawaphi amanye amayeza owasebenzisayo ngoku?
- Indlela umzimba wakho osabela ngayo kwiyeza.
- Ukuba ungumama oncancisayo, oko kuyakuchaphazela nawe.
Ugqirha wakho uza kukujonga ngokusondeleyo xa uqala ukusebenzisa eli yeza kwaye ngalo lonke ixesha olisebenzisa . Ungalaliswa esibhedlele kwiintsuku zokuqala zonyango ukuze ufumane unyango olukhawulezileyo xa kukho naziphi na iziphumo ezibi.
Zithini iingenelo zoku?
Eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba i-flecainide isetyenziselwa kuphela abantu abaneengxaki zesingqisho sentliziyo ezinobungozi, ezisongela ubomi . Eli yeza linceda ekulawuleni ukubetha kwentliziyo okungaqhelekanga, okukhawulezayo, ukuthintela isifo sohlangothi kunye nokufa kwentliziyo ngequbuliso . Oku kuthetha ukuba linokuba liyeza elisindisa ubomi.
Zithini iingozi zokusebenzisa iFlecainide?
Njengayo nayiphi na iyeza, iFlecainide ineengozi ezithile. Yiyo loo nto kufuneka ithathwe kuphela phantsi kweliso elipheleleyo likagqirha. Iingozi eziphambili ezinokubakho zezi:
- Ukusabela kokunganyamezelani.
- Ingozi yokuba nolunye uhlaselo lwentliziyo kumntu okhe wahlaselwa yintliziyo ngaphambili.
- Ingxaki yentliziyo ekhoyo isenokuba mandundu, okanye isifo esitsha sisenokuvela .
- Ukusilela kwentliziyo , okwaziwa ngokuba kukusilela kwentliziyo okuxineneyo .
- Iingxaki zesibindi.
- Iingxaki zezintso.
Ngenxa yoko, oogqirha bahlala bejonga ukusebenza kwesibindi nezintso kubantu abasebenzisa i-flecainide.
Eli yeza lifanele lisetyenziswe ngexesha lokukhulelwa kuphela xa lifuneka ngokucacileyo . Ukuba oomama abancancisayo basela eli yeza, kubalulekile ukulinganisa ukuba lingakanani iyeza elidluliselwa ebantwaneni ngobisi lwebele.
Kuza kwenzeka ntoni ukuba uthatha iFlecainide eninzi kakhulu?
Ukugqithisa i-flecainide kunokubulala . Yiyo loo nto kubalulekile ukuthatha kanye idosi echazwe ngugqirha wakho. Ukuba uphoswe yidosi, yithathe ngokukhawuleza njengoko ukhumbula. Kodwa kufuneka kube zingakapheli iiyure ezintandathu. Ukuba sele kusondele ixesha ledosi yakho elandelayo, yiyeke idosi ephosiweyo. Ungaze uphinde kabini idosi elandelayo. Ukuba oku kuyenzeka, xelela ugqirha wakho ngoko nangoko.
Zithini iziphumo ebezingalindelekanga zeFlecainide?
I-Flecainide inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye zezi ziqhelekile kwaye ziya kuphela kwiintsuku ezimbalwa. Kodwa ezinye zimbi kakhulu. Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezibi kakhulu okanye ezingapheli kwiintsuku ezimbalwa, ngokuqinisekileyo kufuneka uxelele ugqirha wakho.
Iziphumo ebezingalindelekanga eziqhele ukubonwa:
- Ukuqhinwa – Oku kuthetha ubunzima bokuya kwindlu yangasese.
- Isiyezi.
- Intloko ebuhlungu .
- Intlungu yesisu.
- Ukungcangcazela – Oku kuthetha ukungcangcazela kwamalungu omzimba.
- Utshintsho lombono – Umzekelo, ukubona amabala phambi kwamehlo okanye ukungaboni kakuhle.
- Ubuthathaka.
Ukuba ufumana naziphi na kwezi ziphumo ebezingalindelekanga zibi, xelela ugqirha wakho ngoko nangoko:
- Iintlungu zesifuba.
- Ukudideka.
- Ukukhwehlela okungayekiyo, okanye ukukhwehlela okubangela ukopha .
- Ukudinwa kakhulu.
- Ukuquleka.
- Imvakalelo yokubetha kwentliziyo okukhawulezayo okanye okuhlabayo.
- Iimpawu ezifana nomkhuhlane, kuquka nomkhuhlane.
- Isicaphucaphu okanye ukungabi namdla wokutya.
- Ukuqhawukelwa ngumphefumlo.
- Ukudumba ezandleni, ezinyaweni okanye emilenzeni engezantsi.
- Ukunyuka kwesisindo ngequbuliso.
- Ukopha okanye ukukrweleka okungaqhelekanga.
- Ulusu okanye amehlo atyheli – Oku kungaba yingxaki yesibindi.
Iimpendulo ze-allergy kwi-flecainide azixhaphakanga , kodwa zinokuba yingozi. Xelela ugqirha wakho ngoko nangoko ukuba unezinye zezi mpawu:
- Ulusu olurhawuzelelayo.
- Ukudumba kobuso, imilebe, ulwimi okanye umqala.
- Ukuphefumla xa uphefumla.
Ngaba iFlecainide ingadibana namanye amayeza?
Ewe, ingenza njalo. Ukuba uthatha nawaphi na amanye amayeza, iivithamini, okanye izongezo, qiniseka ukuba uxelela ugqirha wakho ngazo . Amanye amayeza anokusebenzisana neFlecainide, nto leyo enokutshintsha indlela esebenza ngayo iFlecainide okanye yonyuse iziphumo ebezingalindelekanga.
Amanye amayeza anokusebenzisana neFlecainide aquka:
- I-Acetazolamide – Iyeza elisetyenziselwa ukunyanga isifo sokuphakama kwentaba kunye ne-glaucoma.
- Ii-antacids – Amayeza asetyenziswa kwizinto ezinje ngokuphazamiseka kwesisu kunye nokungagaywa kakuhle kokutya.
- Amayeza okuthintela ukuxhuzula – umzekelo, i-phenytoin, i-phenobarbital.
- Ii-Beta-blockers – amayeza anciphisa uxinzelelo lwegazi.
- Unyango lwe-HIV – olufana ne-ritonavir kunye ne-tipranavir.
- Amayeza e-Tourette syndrome – afana ne-pimozide.
- Amanye amayeza okuthintela ukubetha kwentliziyo – umzekelo, i-amiodarone, i-dofetilide, i-procainamide, i-quinidine, i-sotalol.
- Amanye amayeza okubulala iintsholongwane – njenge-erythromycin.
- Ezinye izinto ezilwa nentsholongwane – ezifana ne-fluconazole.
- Amayeza ezilonda zesisu – njenge-cimetidine.
Olu luhlu aluphelelanga, ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo.
Ndifanele ndithathe iFlecainide ixesha elingakanani?
I-Flecainide inokulawula ukubetha kwentliziyo yakho okungaqhelekanga. Nangona kunjalo, ayinyangi ngokupheleleyo imeko . Oku kuthetha ukuba unokufuna ukulithatha eli yeza ixesha elide, mhlawumbi ubomi bakho bonke.
Ungaze uyeke ukuthatha i-flecainide ngaphandle kokuthetha nogqirha wakho . Ukuba uqhubeka nokuthatha amayeza, imeko yentliziyo yakho inokuba mandundu.
Ngubani ongafanelanga ukusebenzisa iFlecainide?
Ukuba unezinye izifo ezithile, ingakumbi ezinye izifo zentliziyo, i-flecainide isenokungakulungeli. Ugqirha wakho uza kuzijonga zonke ezi zinto ngaphambi kokuba akunike eli yeza. I-Flecainide ayinikwa abantu abanezi meko:
- I-Bundle Branch Block: Oku kwenzeka xa imiqondiso yombane efunekayo ukwenza ukubetha kwentliziyo ilibazisekile okanye ivalekile njengoko idlula entliziyweni.
- Ezinye iingxaki ezibangela ukubetha kwentliziyo kancinci: Umzekelo, ukuvimba kwentliziyo, okwaziwa ngokuba yi -atrioventricular okanye i-AV blockEzi meko zikwabizwa ngokuba yiSick Sinus Syndrome , ekwaziwa ngokuba yiSinus Node Dysfunction okanye iSinus Node Disease , zibangela ukuba isantya sentliziyo sehle ngendlela engaqhelekanga.
- Ukwandiswa kwe-QT: Oku kuxa izihlunu zentliziyo zithatha ixesha elide kunesiqhelo ukulungiselela (ukuphinda zitshaje) ukubetha kwakhona emva kokubetha kanye.
- Iingxaki zesakhiwo sentliziyo: Ezi ziziphene kwimilo yentliziyo okanye kwiivalvu zayo.
Ngoko ke, ukuze wazi ngokuqinisekileyo ukuba i-flecainide ikhuselekile kuwe, kufuneka uxelele ugqirha wakho ngazo zonke ezinye iimeko zempilo onazo.
Okokugqibela, izinto ekufuneka uzikhumbule
Kulungile, ngoko ke sithethe kakhulu ngeFlecainide. Ngamafutshane, iFlecainide liyeza elichasene nokubetha kwentliziyo . Nangona ingaphilisi ngokupheleleyo ukubetha kwentliziyo okungaqhelekanga, inokunceda ukulawula ukubetha kwentliziyo okungaqhelekanga kunye nokuthintela isifo sohlangothi kunye nokufa ngequbuliso.
Eyona nto ibalulekileyo kukuba ngelixa usela eli yeza, ugqirha wakho uza kukujonga rhoqo . Oku kukujonga ukuba eli yeza libangela naziphi na ezinye iingxaki zentliziyo, okanye iingxaki zezintso okanye zesibindi. Ngoko ke, thatha amayeza akho kanye njengoko ugqirha wakho ekuxelele, kwaye ungaphoswa ziintlanganiso zakho. Ukuba unemibuzo okanye amathandabuzo, ungoyiki ukubuza ugqirha wakho. Nguwe ofanele ukuba uqaphela kakhulu impilo yakho.
I- Flecainide, Ukungahambi kakuhle kwentliziyo, iTambocor, i-PSVT, i-Atrial Fibrillation, isifo sentliziyo, amayeza











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