Ingabe wena noma othile emndenini wakho wake watshelwa udokotela ukuthi inhliziyo yakho ishaya ngokushesha kakhulu, ngokushesha kakhulu, noma ngokungajwayelekile? Uma kunjalo, kungenzeka ukuthi wake wezwa ngomuthi obizwa ngokuthi i-Amiodarone. Umuthi onamandla, kodwa obaluleke kakhulu. Ngakho-ke, kubalulekile ukuba nolwazi oluphelele ngalo muthi. Ake sixoxe ngawo kalula.
Kalula nje, iyini i-Amiodarone?
I-Amiodarone umuthi osetshenziselwa ukwelapha nokuvimbela ukushaya kwenhliziyo okusheshayo noma okungajwayelekile (isimo esaziwa ngokwezokwelapha ngokuthi i-arrhythmia ). Cabanga ngakho, inhliziyo yethu ilawulwa uhlelo lwesignali kagesi oluncane. Ngezinye izikhathi, lolu hlelo lwesignali lungaba lusebenza ngokweqile, okubangela ukuba inhliziyo ishaye ngokungajwayelekile. Yilapho-ke isigqi senhliziyo siphazamiseka khona.
Umjovo we-Amiodarone usebenza ngokulawula lezo zimpawu zikagesi ezingafuneki nokuqinisa isigqi senhliziyo. Ungowesigaba semithi ebizwa ngokuthi i-antiarrhythmics .
Lo muthi uvame ukunikezwa njengomjovo emthanjeni. Unikezwa futhi esibhedlela noma emtholampilo kuphela, ngaphansi kokuqondisa okuqondile kwethimba lezokwelapha eliqeqeshiwe.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokukunikeza imithi
Lena yingxenye ebaluleke kakhulu. Ngaphambi kokuthi uqale lo muthi, ithimba lezokwelapha kudingeka libe nesithombe esiphelele sempilo yakho. Ngakho-ke, uma unanoma yikuphi kwalokhu okulandelayo, qiniseka ukuthi utshela udokotela wakho ngaphandle kokukufihla .
- Isifo sesibindi: Uma unesifo sesibindi.
- Isifo samaphaphu: Uma kukhona inkinga ehlobene namaphaphu.
- Ezinye izinkinga zenhliziyo: Uma kukhona ezinye izinkinga zenhliziyo ngaphezu kwalesi simo.
- Isifo se-thyroid: Noma iyiphi inkinga ehlobene ne-thyroid gland.
- Ukungezwani komzimba: Uma une-allergy ku-Amiodarone, i-iodine, eminye imithi, ukudla, udayi, noma izithasiselo.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo.
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukulungele yini noma cha, futhi uma kunjalo, uzowunikeza kanjani.
Yini okufanele uyenze uma uphuza ngokweqile?
Lo muthi unikezwa ngaphansi kokuqashwa kwezokwelapha esibhedlela, ngakho-ke ingozi yokudlula ngokweqile iphansi kakhulu. Kodwa-ke, uma ucabanga ukuthi kungenzeka ukuthi udlulise ngokweqile, yazisa abasebenzi bezokwelapha ngokushesha. Ngaphandle kwalokho, kubalulekile ukushayela ucingo iNational Poisons Information Centre eColombo National Hospital noma uye e- Emergency Treatment Unit (ETU) eseduze.
Eminye imithi engasebenzisana ne-Amiodarone
I-Amiodarone umuthi ongasebenzisana neminye imithi eminingi. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, imithi yamakhambi, kanye nemithi yendabuko. Ithebula elingezansi libala eminye yemithi evame kakhulu engasebenzisana.
| Isigaba sezidakamizwa | Izinto okufanele uziqaphele |
|---|---|
| Imithi okungafanele ithathwe ne-Amiodarone | |
| Eminye imithi elawula izinga lokushaya kwenhliziyo | Izibonelo: Imithi efana neSotalol, iDronedarone, iDisopyramide. |
| Amanye ama-antibiotic kanye nama-antifungal | Imithi efana ne-Erythromycin, i-Levofloxacin, i-Ketoconazole, ne-Fluconazole. |
| Eminye imithi yokwelapha isifo sengqondo | Amaqembu afana nePimozide, Haloperidol, Tricyclic antidepressants. |
| Eminye imithi nezinto ezingase zihlangane ne-Amiodarone | |
| Ama-anticoagulant | Ukusebenza kahle kwemithi efana ne-warfarin kungashintsha. |
| Imithi yokwehlisa i-cholesterol | Imithi 'ye-Statin' efana ne-Simvastatin ne-Atorvastatin. |
| Imithi yomfutho wegazi ophezulu | Ukuxhumana kungenzeka ngemithi eminingi yomfutho wegazi. |
| Ijusi le-Grapefruit | Gwema ukuphuza ijusi yamagilebhisi ngenkathi uthatha lo muthi. |
| Imikhiqizo yezitshalo | Imikhiqizo efana ne-St. John's Wort. |
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukozela kanye nesiyezi: Ungase uzizwe ulele noma unesizungu. Ngakho-ke , ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena.
- Ukushintsha izikhundla: Ungavuki endaweni ohleli kuyo noma uphume embhedeni ngokuzumayo. Ukwenza kanjalo kungabangela isiyezi futhi ungase uwe. Qaphela kakhulu ngalokhu, ikakhulukazi uma usukhulile.
- Ukuvikelwa elangeni: Lo muthi ungenza isikhumba sakho sizwele kakhulu ukukhanya kwelanga. Ngakho-ke, qaphela ngangokunokwenzeka elangeni. Uma uphuma ngaphandle, gqoka izingubo ezimboza umzimba wakho kahle bese usebenzisa isivikelo selanga esihle.
- Amehlo omile: Ungase ube namehlo omile. Uma ugqoka ama-contact lens, ungase ube nokungakhululeki okuthile. Ukusebenzisa amaconsi amehlo agcobayo kungakunikeza impumuzo. Uma inkinga iqhubeka, tshela udokotela wakho.
- Ukuhlinzwa: Uma uzohlinzwa noma ezinye izinqubo zezokwelapha, qiniseka ukuthi utshela ithimba lezokwelapha kusenesikhathi ukuthi uthatha i-Amiodarone.
Imiphumela emibi engaba khona
Njenganoma yimuphi umuthi, i-Amiodarone ingabangela imiphumela emibi. Eminye mincane, kanti eminye imbi kakhulu. Ngakho-ke kubalulekile ukuqaphela lokhu.
| Umphumela ongemuhle | Incazelo kanye nezimpawu |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela noma eqenjini lezokwelapha ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Isikhumba esiluhlaza okwesibhakabhaka-ompunga | Izinguquko embala wesikhumba, ikakhulukazi ezindaweni ezivezwe elangeni. |
| Izinguquko zombono | Umbono ofiphele, ukubona indandatho ezizungeze izibani, ukulahlekelwa umbono. |
| Izimpawu zokwehluleka kwenhliziyo | Ubunzima bokuphefumula, ukuvuvukala kwamaqakala, izinyawo noma izandla, ukukhuluphala ngokuzumayo, ukukhathala okukhulu. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ubuhlungu besifuba, ubunzima bokuphefumula. |
| Ukulimala kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, kanye nokuphuzi kwamehlo noma isikhumba. |
| Ukulimala kwamaphaphu | Ubunzima bokuphefumula, ukukhwehlela, i-phlegm enegazi, ubuhlungu besifuba, umkhuhlane. |
| Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha (kodwa okufanele ibikwe uma iqhubeka) | |
| Isicanucanu | Ukungakhululeki esiswini, ukuzizwa sengathi uhlanza. |
| Ukuhlanza | - |
Umlayezo Wokuya Nawe Ekhaya
- I-Amiodarone iwumuthi onamandla osetshenziselwa ukwelapha ukushaya kwenhliziyo okungajwayelekile. Inikezwa kuphela esibhedlela nangaphansi kokuqashwa ngudokotela.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, nanoma yiziphi izimo zezokwelapha ozisebenzisayo (ikakhulukazi isibindi, amaphaphu, kanye ne-thyroid).
- Kubaluleke kakhulu ukuzivikela elangeni ngenkathi uthatha lo muthi futhi ugweme imisebenzi edinga ukunakwa, njengoba kungabangela ukozela.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi engavamile noma engathi sína, njengesikhumba esiluhlaza okwesibhakabhaka, ubunzima bokuphefumula, ubuhlungu besifuba, noma izinguquko ezinkulu embonweni, ungachithi isikhathi futhi funa iseluleko sezokwelapha ngokushesha noma wazise ithimba lezokwelapha lesibhedlela.
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