Ngaba wakha waziva ngathi intliziyo yakho ibetha ngamandla, ibetha ngokukhawuleza ngaphandle kwesingqisho, okanye ibhabha nje ngendlela engaqhelekanga esifubeni sakho? Kwizonyango, olu hlobo lokubetha kwentliziyo okungaqhelekanga lubizwa ngokuba yi-arrhythmia. Ngoko ke, iyeza elikhethekileyo elicetyiswa ngoogqirha ukunyanga le meko yiDronedarone. Namhlanje, masithethe ngale yeza ngokulula.
Yintoni iDronedarone?
Ngamafutshane, i-dronedarone liyeza elilawula ukubetha kwentliziyo yakho okukhawulezayo okanye okungahambelaniyo. Intliziyo yethu ibetha kwinkqubo yemiqondiso yombane. Ngamanye amaxesha, umsebenzi wale nkqubo yemiqondiso unokwanda kancinci. Kulapho ukubetha kwentliziyo kuba yinto engahambelaniyo. Ngoko ke, into eyenziwa leli yeza le-dronedarone kukulawula ezinye zezo miqondiso yombane ezingafunekiyo kunye nokunceda intliziyo ibuyele kwisigqi sayo sesiqhelo. Eli yeza likwiqela lamayeza abizwa ngokuba yi-antiarrhythmics . ESri Lanka nakwihlabathi liphela, linokubonwa phantsi kwegama lophawu elithi `Multaq`.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Oku kubaluleke kakhulu. Ngaphambi kokuba uqale ukusebenzisa i-dronedarone, kubalulekile ukuxelela ugqirha wakho olu lwazi lulandelayo. Eli yeza alifanelekanga kuye wonke umntu.
- Ukuba okwangoku unayo okanye ukhe wanesifo sentliziyo .
- Ukuba unembali yezinye izifo ezinxulumene nentliziyo.
- Ukuba unesifo sesibindi .
- Ukuba ukhe waba neengxaki zesibindi okanye imiphunga yakho emva kokusebenzisa iyeza i -amiodarone .
- Ukuba ugqirha ukuxelele ukuba unezinga eliphantsi le-potassium okanye i-magnesium egazini lakho.
- Ukuba unesinye isifo sentliziyo.
- Ukuba une-allergy kwi-dronedarone okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukuba ukhulelwe okanye uzama ukukhulelwa.
- Ukuba ungumama oncancisayo .
Kubaluleke kakhulu kukhuseleko lwakho ukuthetha nogqirha ngaphandle kokufihla ezi zinto.
Ulisebenzisa njani kanye kanye eli yeza?
Xa usebenzisa eli yeza, kufuneka ulandele imiyalelo kagqirha ngokuchanekileyo.
- Sela le pilisi neglasi yamanzi.
- Ngokwesiqhelo, ugqirha uthi thabatha ipilisi enye nesidlo sakusasa kunye nepilisi enye nesidlo sangokuhlwa . Kubaluleke kakhulu ukuyithatha nokutya.
- Ungaze usele ngaphezu komlinganiselo ochazwe ngugqirha wakho.
- Eyona nto ibalulekileyo kukuba ungayeki ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokuyenza mandundu imeko yakho.
Ukuba ucinga ukuba usele kakhulu eli yeza, fowunela iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko okanye uye kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane. Musa ukuchitha ixesha.
Kwakhona, khumbula, eli yeza limiselwe wena kuphela. Musa ukulinika omnye umntu kuba nje eneempawu ezifanayo nezakho.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Kwahlukile kuye wonke umntu. Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha ledosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.
Ezinye izinto ezinokusebenzisana nale mithi (Intsebenziswano)
Le yinto ekufuneka uyilumkele kakhulu. I-Dronedarone liyeza elinamandla amakhulu okunxibelelana namanye amayeza kunye nokutya okuthile. Ngoko ke, xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza emifuno).
Masichaze oku ngakumbi kwitheyibhile engezantsi.
| Yintoni enokubangela iingxaki? | Inkcazo kunye nemizekelo |
|---|---|
| Ungaze uthathe i-dronedarone kunye nezi | |
| Amanye amayeza okubulala iintsholongwane | Umzekelo: i-clarithromycin, i-erythromycin, i-telithromycin |
| Izinto ezilwa nokungunda | Umzekelo: i-ketoconazole, i-itraconazole, i-voriconazole |
| Amanye amayeza esigqi sentliziyo | Umzekelo: i-amiodarone, i-sotalol, i-quinidine, i-flecainide |
| Ezinye izinto ezithintela uxinezeleko | Umzekelo: ii-tricyclic antidepressants, i-nefazodone |
| I-Ritonavir yonyango lwe-HIV | I-Ritonavir |
| Ezi zinokubangela iingxaki (zisetyenziswe kuphela phantsi kwengcebiso kagqirha) | |
| Ijusi yegrapefruit | Musa ukusela ijambola kunye nejusi yejambola ngelixa usebenzisa eli yeza. |
| Amayeza okwehlisa i-cholesterol (ii-Statins) | Umzekelo: i-atorvastatin, i-lovastatin, i-simvastatin |
| Amayeza oxinzelelo lwegazi okanye isifo sentliziyo | Umzekelo: i-diltiazem, i-verapamil, i-metoprolol, i-propranolol |
| Izinto ezilwa nokugabha kwegazi | Umzekelo: iWarfarin, iDabigatran |
| Okunye | I-Digoxin, i-St. John's Wort, i-Rifampin, i-Sirolimus, i-Tacrolimus |
Olu luhlu aluphelelanga, ngoko ke kungcono ukwazisa ugqirha wakho ngayo yonke into oyithathayo.
Izinto ekufuneka uzikhumbule xa usebenzisa amayeza
- Xa uqala eli yeza, ugqirha wakho angakugcina esibhedlele ukuze ajongwe ukuze abone indlela umzimba wakho osabela ngayo kwiyeza.
- Ngalo lonke ixesha usebenzisa amayeza, hlala unxibelelana nogqirha wakho kwaye uye kwiikliniki ukuze ujonge imeko yakho.
- Usenokuziva ulele kwaye unesiyezi xa usebenzisa eli yeza.Usenokuziva unesiyezi. Ngoko ke, musa ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba iyeza likuchaphazela njani.
- Ukuvuka ngequbuliso uhleli okanye ulele ebhedini kunokubangela isiyezi nokuwa. Yenza ezi zinto kancinci kancinci, ingakumbi ukuba sele ukhulile.
Zeziphi iziphumo ebezingalindelekanga endinokuzifumana?
Njengalo naliphi na iyeza, i-dronedarone inokubangela iziphumo ebezingalindelekanga. Ezinye zimbi kakhulu, ezinye zixhaphakile.
| Ukuba ufumana ezi mpawu, xelela ugqirha wakho ngoko nangoko. | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ukungaphumeleli kwentliziyo kuya kusiba mandundu | Ubunzima bokuphefumla, ukudumba kwamaqatha, iinyawo okanye izandla, ukunyuka kobunzima ngequbuliso, ukudinwa kakhulu. |
| Ukulimala kwesibindi | Intlungu kwicala lasekunene lesisu, ukungabi namdla wokutya, isicaphucaphu, ukutyheli kolusu okanye amehlo, umchamo otyheli/omdaka omnyama. |
| Ukulimala kwemiphunga | Ubunzima bokuphefumla, ukukhohlela, iintlungu zesifuba, umkhuhlane. |
| Ukulimala kwezintso | Ukuphuma komchamo okunciphileyo xa kuthelekiswa nobungakanani bamanzi asetyenzisiweyo, ukudumba kwamaqatha, izandla, okanye iinyawo. |
| Ukubetha kwentliziyo okucothayo kakhulu | Ukudinwa, ukuziva utyhafile, ukudinwa kakhulu. |
| Akuqhelekanga ukuba yinto embi kangako, kodwa ukuba iyaqhubeka, xelela ugqirha wakho. | |
| Intlungu yesisu | Urhudo |
| Isicaphucaphu | Ukuhlanza |
Umyalezo Wokuya Ekhaya
- Soloko uthatha iipilisi zeDronedarone kunye nesidlo sakusasa nesangokuhlwa.
- Ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha wakho.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi, iivithamini, kunye neemveliso zezityalo ozisebenzisayo.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngobunzima bokuphefumla, ukudumba komzimba, okanye ukuba tyheli kolusu, funa ingcebiso kagqirha ngokukhawuleza.
- Musa ukusebenzisa ijusi yegrapefruit kunye negrapefruit ngokupheleleyo ngelixa usebenzisa eli yeza.
- Ukuba uphoswe yidosi, ungaze uthathe iidosi ezimbini ngaxeshanye.
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