Ngaba wakha wayiva intliziyo yakho ibetha ngokukhawuleza ngequbuliso, okanye itsiba ukubetha, okanye ibetha ngendlela engaqhelekanga? Le yinto abantu abaninzi abayifumanayo. Ngokwezonyango, oku sikubiza ngokuba kukubetha kwentliziyo okungahambelaniyo, okanye 'i-arrhythmia'. I-Propafenone liyeza elikhethekileyo elinikwa ngoogqirha ukulawula ezo meko, ingakumbi iimeko ezifana ne-'AFib (i-atrial fibrillation)'. Namhlanje, siza kuthetha ngale mithi ngendlela elula onokuyiqonda.
Ngamafutshane, yintoni iPropafenone?
I-Propafenone liyeza elisetyenziselwa ukuthintela nokunyanga iingxaki zesingqisho sentliziyo, eziziimeko apho intliziyo ibetha ngokukhawuleza kakhulu okanye ngokungacwangciswanga. Likudidi lwamayeza abizwa ngokuba yi-'antiarrhythmics'.
Cinga ngentliziyo yethu njengenkqubo yombane encinci. Xa ezi mpawu zombane zisebenza ngokuchanekileyo kwaye zijikeleza rhoqo, intliziyo ibetha kakuhle. Kodwa ngamanye amaxesha, ngenxa yesiphene kule nkqubo yezibonakaliso zombane, iimpawu ziqala ukusebenza ngokukhawuleza kakhulu okanye ngendlela engacwangciswanga. Kulapho ke ukubetha kwentliziyo kuba yinto engacwangciswanga. I-Propafenone isebenza ngokulawula nokulawula ezinye zezo mpawu zombane ezisebenza kakhulu, ibuyisela intliziyo kwisigqi esizinzileyo nesichanekileyo.
Ungalibona eli yeza phantsi kwegama lophawu olufana neRythmol SR.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza
I-Propafenone liyeza elifanele lisetyenziswe ngononophelo olukhulu. Kungoko ke, kubaluleke kakhulu ukuba ugqirha wakho akunike umfanekiso opheleleyo wempilo yakho ngaphambi kokuba akunike eli yeza. Ukuba unenye yezi meko zilandelayo, qiniseka ukuba uxelela ugqirha wakho ngazo.
- Ezinye iingxaki zentliziyo: Ukuba ukhe wahlaselwa yintliziyo ngaphambili, wakha wamelwa yintliziyo , wabetha kancinci kakhulu, okanye wasebenzisa i- pacemaker , kufuneka uxelele ugqirha wakho. Kwakhona, qaphela iimeko ezikhethekileyo zentliziyo ezifana ne-Brugada syndrome.
- Isifo sezintso okanye sesibindi: Ukuba unengxaki yokusebenza kwezintso okanye kwesibindi, xelela ugqirha wakho ngaloo nto, njengoko la malungu enoxanduva lokususa amayeza emzimbeni.
- Izifo zenkqubo yokuphefumla: Ukuba uneengxaki ezinxulumene nemiphunga ezifana ne -asthma okanye i-COPD, khankanya loo nto.
- Uxinzelelo lwegazi: Ukuba uxinzelelo lwegazi luphantsi, ugqirha wakho naye kufuneka azi ngaloo nto.
- Amanqanaba etyuwa egazini: Ubungakanani bepotassium, imagnesium, kunye nesodium egazini lakho.Ukuba amanqanaba akho e-electrolyte aphantsi okanye aphezulu, oko kunokuchaphazela eli yeza. Ngoko thetha ngaloo nto.
- Ii-Allergies: Ukuba une-allergy kwi-Propafenone okanye naliphi na elinye iyeza, ukutya, okanye idayi, qiniseka ukuba uyasixelela.
- Ukukhulelwa nokuncancisa: Ukuba uzama ukukhulelwa, ukhulelwe, okanye uncancisa, ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngaphambi kokuba uqale eli yeza.
Ungayisebenzisa njani le yeza ngokuchanekileyo?
Eyona nto ibalulekileyo kukuthatha amayeza kanye njengoko ugqirha ewayalele, nangexesha elifanelekileyo.
- Ginya le kapsule yonke ngeglasi yamanzi.
- Eyona nto ibalulekileyo: Musa ukuphula, ukutyumza, okanye ukuhlafuna le capsule. Le capsule 'eyandisiweyo' (SR). Oku kuthetha ukuba yenzelwe ukukhupha iyeza emzimbeni kancinci kancinci. Ukuba uyaliqhekeza okanye ulihlafuna, lonke idosi yeyeza linokukhutshwa emzimbeni ngaxeshanye, nto leyo enokubangela iziphumo ebezingalindelekanga eziyingozi.
- Ungayithatha le nto ngaphambi okanye emva kokutya, kodwa ukuba uziva ukhathazekile sisisu, kungcono ukuyithatha kunye nokutya.
- Musa ukuyeka ukuthatha amayeza de ugqirha akuxelele ukuba wenjenjalo.
Yintoni omawuyenze ukuba idosi iyanda?
Ukuba unesikrokro sokuba uthathe ngaphezu kwedosi emiselweyo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso. Le yinto engafanele ilibaziseki.
Kuthekani ukuba ndiphoswa lidosi leyeza?
Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uyithathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye, kuquka nedosi oyiphosileyo.
Ezinye izinto ezinokuchaphazela iPropafenone
Amanye amayeza owasebenzisayo, kwanokutya okuthile, anokusebenzisana nePropafenone aze abangele iingxaki. Kungoko ke, kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu).
Masicacise oku ngakumbi ngetheyibhile engezantsi.
| Uhlobo lwamayeza/lokutya | Inkcazo kunye nemizekelo |
|---|---|
| Izinto ongafanele uzithathe ngePropafenone | |
| Amanye amayeza okulwa ne-fungus | Umzekelo: I-Ketoconazole, i-Fluconazole |
| Amanye amayeza okulawula isingqisho sentliziyo | Umzekelo: iDronedarone |
| Amanye amayeza athile | Amayeza afana neThioridazine, iPimozide, neSaquinavir. |
| Izinto ekufuneka uzilumkele ngePropafenone kunye nezinto ekufuneka uzazise ugqirha wakho | |
| Izithinteli zeBeta | Amayeza afana nePropranolol, asetyenziselwa uxinzelelo lwegazi kunye nesifo sentliziyo. |
| I-Digoxin | Iyeza lokuthintela ukusilela kwentliziyo. |
| I-Warfarin | Iyeza elinikwa ukuthintela ukujiya kwegazi. |
| Ijusi yegrapefruit | Ngenxa yokuba iicranberries zitshintsha indlela umzimba oqhekeza ngayo iPropafenone, iziphumo zamayeza zinokwanda ngokungeyomfuneko. Ngoko ke, ziphephe iicranberries kunye nejusi yecranberry ngelixa usela eli yeza. |
Eyona nto ibalulekileyo kukuxelela ugqirha wakho ukuba uqala naliphi na iyeza elitsha. Angalungisa isicwangciso sakho sonyango ngokufanelekileyo.
Izinto ekufuneka ziqwalaselwe xa usebenzisa iyeza
Kufuneka ucinge nangokhuseleko lwakho xa usebenzisa eli yeza.
- Ukuhlolwa rhoqo kwezonyango:Ingakumbi kwizigaba zokuqala zokuqalisa amayeza, ugqirha wakho uza kukujonga. Kusenokufuneka uhlale esibhedlele ngaphambi kokuba uqale la mayeza. Nokuba sele uqhele amayeza, yiya ekliniki ngemihla ebekiweyo ukuze ubone ugqirha wakho.
- Ukudinwa Nokukhathalela: Eli yeza linokubangela isiyezi, ukuba nentloko ebuhlungu, kunye nokuquleka kwabanye abantu. Ngoko ke, ziphephe izinto ezifuna ukuphaphama, njengokuqhuba okanye ukusebenzisa oomatshini, ude wazi kakuhle indlela eli yeza elikuchaphazela ngayo.
- Ukutshintsha izikhundla: Ungaziva unesiyezi xa uvuka ngequbuliso uhleli okanye uphuma ebhedini. Ngoko ke, linda ixesha ngaphambi kokuba uvuke uhleli okanye ulele.
- Utywala: Ukusela utywala kunokunyusa isiyezi kunye nokuquleka okukhankanywe apha ngasentla.
- Utyando: Ukuba ucwangciselwe ukwenza naluphi na utyando, qiniseka ukuba uxelela ugqirha kunye nogqirha we-anesthesiologist ukuba usebenzisa iPropafenone.
Iziphumo ebezingalindelekanga zeyeza
Njengayo nayiphi na imithi, iPropafenone inokuba nemiphumo emibi. Eminye iyingozi, eminye ixhaphakile. Into ebalulekileyo kukwazi oku kwaye uthathe amanyathelo ngokukhawuleza ukuba kuyimfuneko.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha 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, ukudinwa okungaqhelekanga. |
| Utshintsho kwisantya sentliziyo | Ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga kunesiqhelo, isiyezi, ukuquleka, iintlungu zesifuba, ubunzima bokuphefumla. |
| Iimpawu zosulelo | Umkhuhlane, ukubanda, ukukhohlela, umphimbo obuhlungu. |
| Ukopha okungaqhelekanga | Ukukruquka okanye ukopha kwesikhumba okungachazwanga. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka | |
| Tshintsha incasa | Ukuva incasa engaqhelekanga emlonyeni. |
| Ukuqhinwa | Ubunzima bokuya kwindlu yangasese. |
| Isiyezi | Isiyezi . |
| Ukudinwa | Ukuziva ungenabomi. |
| Isicaphucaphu | Ukuziva ngathi uhlanza. |
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana into eyahlukileyo okanye engaqhelekanga, thetha nogqirha wakho ngayo.
Ugcina njani amayeza?
- Gcina kude nabantwana kunye nezilwanyana zasekhaya.
- Gcina kubushushu begumbi (phakathi kwe-15-30 degrees Celsius).
- Lahla amayeza aphelelwe lixesha.
Umyalezo Wokuya Ekhaya
- I-Propafenone liyeza elibalulekileyo elilawula ukubetha kwentliziyo okungahambelaniyo. Ngoko ke, lithathe kanye njengoko ugqirha wakho ekuyalele, ngexesha elifanelekileyo.
- Ungaze uyiqhekeze, uyityumze, okanye uyihlafune le capsule ye-SR. Yiginye yonke.
- Xelela ugqirha wakho ngazo naziphi na ezinye iimeko zempilo onazo kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
- Ukuba ufumana iziphumo ebezingalindelekanga ezinzulu (ingakumbi iintlungu zesifuba, ubunzima bokuphefumla, isiyezi esiqatha), funa ingcebiso kagqirha ngoko nangoko.
- Kuphephe ukuyeka eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
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