Ngaba ngamanye amaxesha uziva ngathi intliziyo yakho ibetha ngokukhawuleza kakhulu, okanye ngathi ibetha ngaphandle kwesingqisho? IDisopyramide liyeza elikhethekileyo elinikwa ngoogqirha ukunyanga iimeko ezinje ngokubizwa ngokuba yi-arrhythmia. Ukuba unikwe eli yeza, kubalulekile ukwazi ukuba liyintoni kanye kanye. Ngoko masithethe ngalo namhlanje.
Kwenzeka ntoni ngokwenene ngale mithi?
Ngamafutshane, iDisopyramide liyeza elilawula isigqi sentliziyo. Ngokwezonyango, eli liyeza elikwicandelo elithi "antiarrhythmic". Intliziyo yethu ibetha ngenkqubo yesignali yombane ethambileyo kakhulu. Ngamanye amaxesha, umsebenzi wale nkqubo yesignali unokwanda kakhulu. Kulapho intliziyo ibetha ngokukhawuleza, okanye isingqisho siphazamiseka. Ngoko ke, into eyenziwa yiDisopyramide kukulawula ezi signali zombane zisebenza kakhulu entliziyweni kwaye zibuyisele isantya sentliziyo kwisingqisho esizinzileyo nesichanekileyo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba akunike iDisopyramide, ugqirha wakho uya kufuna ukwazi imbali yakho epheleleyo yempilo. Ngoko ke, qiniseka ukuba uxelela ugqirha wakho ukuba unenye yezi meko zilandelayo:
- Ukuba unesifo seswekile .
- Ukuba unengxaki yokuchama.
- Ukuba une -glaucoma, isifo apho uxinzelelo emehlweni lunyuka khona.
- Ezinye izifo zentliziyo, ingakumbi ukuba ukhe wahlaselwa yintliziyo ngaphambili.
- Ukuba unesifo sezintso okanye isifo sesibindi.
- Ukuba uxinzelelo lwegazi luphantsi.
- Ukuba unengxaki yokungondleki kakuhle.
- Ukuba unesifo esibizwa ngokuba yi -myasthenia gravis, esibangela ubuthathaka bemisipha.
- Ukuba ukhe waba ne-allergy kwi-disopyramide okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukuba ukhulelwe okanye uzama ukukhulelwa.
- Ukuba ungumama oncancisa umntwana wakho.
Musa ukuyifihla le ngcaciso kugqirha wakho, kuba le ngcaciso ibaluleke kakhulu ekugqibeni ukuba eli yeza likulungele okanye akunjalo, kwaye ukuba kunjalo, yeyiphi idosi omawuyinike.
Ndingayisebenzisa njani le mithi?
Gcina ezi ngongoma engqondweni xa usebenzisa eli yeza.
- Sela eli yeza ngomlomo neglasi yamanzi.
- Sela idosi emiselweyo kanye njengoko ugqirha ekuyalele, ngexesha elimiselweyo. Musa ukungxama izinto ezifana nokuthatha idosi ephindwe kabini.
- Eyona nto ibalulekileyo kukuba, ungayeki ukuthatha eli yeza ngequbuliso.Ukwenza njalo kunokubangela iziphumo ebezingalindelekanga ezinzulu ezinxulumene nentliziyo. Ukuba kufuneka uyeke ukusebenzisa amayeza, yenza oko njengoko ugqirha wakho ekuyalele, wehlise kancinci kancinci umthamo.
- Ukuba uphoswe yidosi: Thatha idosi oyiphosileyo ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngexesha elinye.
- I-Overdose: Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, fowunela iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Eli yeza limiselwe wena wedwa. Musa ukwabelana ngeyeza lakho nabanye.
Ngaba kukho iingxaki ngamanye amayeza? (Iindlela esetyenziswa ngayo)
Ewe, iDisopyramide inokusebenzisana namanye amayeza. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amiselwe ngabanye oogqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, amayeza emifuno, iivithamini).
| Amayeza angafanele asetyenziswe neDisopyramide | |
|---|---|
| Uhlobo lweziyobisi | Imizekelo |
| Amanye amayeza okulwa neentsholongwane asetyenziselwa i-HIV/AIDS | (Amayeza okulwa nentsholongwane ye-HIV okanye i-AIDS) |
| Amanye amayeza okubulala iintsholongwane | IClarithromycin, iErythromycin, iPentamidine |
| Amanye amayeza asetyenziswayo xa uxinezelekile | I-Amoxapine, iMaprotiline |
| Amanye amayeza asetyenziswa kwizifo zefungus | I-Fluconazole, i-Itraconazole, iKetoconazole |
| Amanye amayeza okunyanga isigqi sentliziyo | Dronedarone, Ranolazine, Verapamil |
| Amanye amayeza | ICisapride, iDroperidol, iHaloperidol, iMethadone, iPimozide, iTacrolimus |
Amanye amayeza anokusebenzisana:
- Amanye amayeza oxinzelelo lwegazi oluphezulu okanye isifo sentliziyo (umz., ii-beta-blockers)
- Amayeza okuxhuzula (umz. iCarbamazepine, iPhenytoin)
- Amanye amayeza achaphazela umsebenzi wombane wentliziyo (amayeza achaphazela ixesha le-QT)
Olu luhlu aluphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho ngayo yonke into oyithathayo.
Izinto ekufuneka uzilumkele xa usebenzisa eli yeza
- Ukuhlolwa rhoqo: Qiniseka ukuba uya kugqirha wakho. Usenokuyalela iimvavanyo ezifana ne-ECG ukujonga inkqubela yakho.
- Ukozela kunye nesiyezi: Eli yeza linokukwenza uzive ulele kwaye unesiyezi. Ngoko ke, phepha imisebenzi eyingozi efana nokuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani. Musa ukuvuka ngequbuliso uhleli okanye ebhedini. Linda ixesha uze uvuke kancinci.
- Umlomo owomileyo: Umlomo owomileyo unokubakho xa usebenzisa eli yeza. Ukuhlafuna itshungama engenaswekile nokusela amanzi amaninzi kunokunceda.
- Amehlo omileyo kunye nokubona okufipheleyo: Amehlo akho asenokuvakala omile kwaye umbono wakho usenokuba luzizi kancinci. Oku kusenokungakhululeki ukuba unxiba iilensi zokunxibelelana. Buza ugqirha wakho malunga nokusebenzisa amathontsi okuthambisa.
- Lumka kubushushu obugqithisileyo: Eli yeza lisenokunciphisa ukubila. Ngoko ke, lumka kubushushu obugqithisileyo. Kungenjalo, ubushushu bomzimba wakho bunokunyuka ngengozi kwaye unokufumana isifo sobushushu.
- Kubantu abanesifo seswekile: Eli yeza lisenokuchaphazela amanqanaba eswekile egazini. Ukuba unesifo seswekile, thetha nogqirha wakho ngaphambi kokuba utshintshe indlela otya ngayo okanye utshintshe umthamo weyeza lakho leswekile.
Iziphumo ebezingalindelekanga zeyeza
Njengayo nayiphi na iyeza, iDisopyramide inokubangela iziphumo ebezingalindelekanga. Ezinye ziyingozi, ngelixa ezinye zixhaphakile.
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Iimpawu zokusilela kwentliziyo | Ubunzima bokuphefumla, ukudumba kwamaqatha, iinyawo, okanye izandla, ukunyuka kobunzima ngequbuliso, ukuziva udiniwe ngendlela engaqhelekanga. |
| Utshintsho kwisingqisho sentliziyo | Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, isiyezi, ukuquleka, iintlungu zesifuba, ubunzima bokuphefumla. |
| Uxinzelelo lwegazi oluphantsi | Ukudinwa, ukuquleka, ukubona izinto ezingaqondakaliyo. |
| Iswekile ephantsi egazini (iHypoglycemia) | Ukungcangcazela, ukubila, ukungazinzi, ukubetha kwentliziyo ngokukhawuleza, ukudideka. |
| Ubunzima bokuchama | Ubunzima bokuchama okanye ukungachami konke konke. |
| Iziphumo ebezingalindelekanga ezihlala zingadingi nyango (kodwa xelela ugqirha wakho ukuba ziyaqhubeka) | |
| Iingxaki zenkqubo yokugaya ukutya | Ukudumba, ukuqhina, ukuqunjelwa, isicaphucaphu, iintlungu zesisu. |
| Okunye | Umlomo owomileyo, amehlo omileyo, intloko ebuhlungu, utshintsho kwindlela esebenza ngayo isondo. |
Umyalezo Wokuya Ekhaya
- I-Disopyramide liyeza elibalulekileyo elilawula izingqisho zentliziyo ezingahambelaniyo. Soloko uthatha idosi echanekileyo kunye nexesha elichazwe ngugqirha wakho.
- Musa ukuyeka ukuthatha eli yeza ngequbuliso nangasiphi na isizathu ngaphandle kwengcebiso kagqirha.
- Yazisa ugqirha wakho ngazo zonke ezinye iindlela zonyango, iivithamini, kunye namayeza esintu owasebenzisayo.
- Funa uncedo lwezonyango ngokukhawuleza ukuba kukho iziphumo ebezingalindelekanga ezinzulu (iintlungu zesifuba, ubunzima bokuphefumla, ukuquleka).
- Gcina eli yeza ngokukhuselekileyo kubushushu begumbi, kude nokufikelela kwabantwana.
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