Ingabe ukushaya kwenhliziyo yakho akujwayelekile? Ake sixoxe nge-Flecainide!

Ingabe ngezinye izikhathi uzizwa sengathi inhliziyo yakho ishaya sengathi iyahlanya, noma ngokuzumayo iqala ukushaya ngokushesha okukhulu, bese ima? Noma ingabe ukhona omaziyo oye wabhekana nalokhu? Lezi zinhlobo zokuphazamiseka kwesigqi senhliziyo ngezinye izikhathi zingaba yingozi kakhulu. Umuthi okhethekile osetshenziswa ezimweni ezinjalo ubizwa ngokuthi i-flecainide. Ake sixoxe ngalokhu ngokuningiliziwe namuhla, kulungile?

Iyini i-Flecainide?

Kalula nje, i-Flecainide umuthi onikezwa udokotela kuphela . Ungowesigaba semithi ebizwa ngokuthi i-antiarrhythmics . Lena imithi esiza ukulawula isigqi senhliziyo. Isetshenziselwa ukwelapha ukushaya kwenhliziyo okungajwayelekile okunzima, okusongela impilo . Kungenzeka ukuthi uke wezwa ngayo ngaphansi kwegama lomkhiqizo i-Tambocor®.

Isetshenziselwani i-Flecainide?

Lo muthi awufanele wonke umuntu. I-Flecainide isetshenziselwa ukwelapha izifo ezithile zenhliziyo ezisongela impilo . Isetshenziswa kakhulu ukwelapha isimo esibizwa ngokuthi i-Paroxysmal Supraventricular Tachycardia (PSVT) .

Manje ungase uzibuze ukuthi iyini i-PSVT. Inhliziyo yethu inamakamelo amane amakhulu. Ngokuvamile, la makamelo ashaya ngendlela ehlelekile kakhulu, exhumene, okungukuthi, ayashaya. Kodwa ku-PSVT, okwenzekayo ukuthi kukhona ukushaya kwenhliziyo okusheshayo, okuzumayo okuqala endaweni ethile emakamelweni aphezulu enhliziyo (okungukuthi, ngaphezu kwe-atria). Lokhu kungavela ngokuzumayo futhi kunyamalale ngokushesha okufanayo.

Ezinye izibonelo ze-PSVT yilezi:

• I-Atrial Fibrillation: Lokhu kwenzeka lapho amakamelo aphezulu enhliziyo (i-atria) eshaya ngokushesha okukhulu nangokungajwayelekile, njengesigubhu sishaya kakhulu.
• Ukuphaphazela kwe-Atrial: Lapha isigqi se-atrial sishesha kakhulu kunokujwayelekile.
• I-Atrioventricular Nodal Reentrant Tachycardia (AVNRT): Lokhu futhi ukushaya kwenhliziyo okusheshayo okubangelwa enye inkinga ohlelweni lokubonisana lukagesi lwenhliziyo.

Ngaphezu kwalokho, i-Flecainide ingasetshenziswa futhi kwi -ventricular tachycardia esongela impilo , ukushaya kwenhliziyo okusheshayo okuqala emakamelweni aphansi enhliziyo.

Isebenza kanjani i-Flecainide?

Kalula nje, i-Flecainide ilawula izimpawu zikagesi ezihamba enhliziyweni yethu.Ukuze inhliziyo ishaye, idinga isignali kagesi. Lo muthi wehlisa ijubane laleso signali, noma uvimbele ezinye zezimpawu ezingafuneki. Lena yindlela ukushaya kwenhliziyo okuzinza ngayo futhi isigqi esingajwayelekile silungiswa. Cabanga ngakho njengokulawula ijubane lemoto. Lo muthi wenza lokhu ohlelweni lukagesi lwenhliziyo.

Ungayithatha kanjani i-Flecainide?

I-Flecainide iza ngesimo samaphilisi. Kufanele ithathwe njengoba nje udokotela wakho ekuyalele . Umthamo ojwayelekile amaphilisi amabili ngosuku, elilodwa njalo emahoreni ayi-12 . Ungayithatha nokudla noma ngaphandle kokudla. Kodwa-ke, kubalulekile ukuyithatha ngesikhathi esifanayo nsuku zonke .

Umthamo owunikezwayo lapho uqala umuthi ungahluka kumuntu nomuntu. Ngokuvamile, uqala ngama-milligram angu-50 (mg) noma ama-milligram angu-100 (mg). Lokhu kuncike ohlotsheni lwesifo senhliziyo onaso. Ngemva kwalokho, udokotela wakho uzokuxilonga njalo ezinsukwini ezimbalwa futhi angase andise kancane kancane umthamo uze uthole umthamo ofanele wena.

Kunezinye izici eziningana ezizonquma umthamo ozonikezwa wona:

• iminyaka yakho.
• Ezinye izifo onazo kanye nempilo yakho iyonke.
• Yimiphi eminye imithi oyithathayo njengamanje?
• Indlela umzimba wakho osabela ngayo emuthini.
• Uma ungumama oncelisayo, lokho kuyakuthinta nawe.

Udokotela wakho uzokuqapha ngokucophelela uma uqala ukuthatha lo muthi futhi uma nje uwuthatha . Ungase ulaliswe esibhedlela ezinsukwini zokuqala zokwelashwa ukuze uthole ukwelashwa ngokushesha nganoma yimiphi imiphumela emibi.

Yiziphi izinzuzo zalokhu?

Into ebaluleke kakhulu okufanele uyikhumbule ukuthi i-flecainide isetshenziswa kuphela kubantu abanezinkinga ezinkulu zenhliziyo ezisongela impilo . Lo muthi usiza ukulawula ukushaya kwenhliziyo okungajwayelekile, okusheshayo, ukuvimbela isifo sohlangothi kanye nokufa kwenhliziyo ngokuzumayo . Lokhu kusho ukuthi kungaba umuthi osindisa impilo.

Yiziphi izingozi zokusebenzisa i-Flecainide?

Njenganoma yimuphi umuthi, i-Flecainide inezingozi ezithile. Yingakho kufanele ithathwe kuphela ngaphansi kokuqondisa okugcwele kukadokotela. Izingozi ezinkulu ezingaba khona yilezi:

• Ukusabela kokungezwani komzimba.
• Ingozi yokuba nokuhlaselwa yinhliziyo okunye kumuntu oke waba nokuhlaselwa yinhliziyo ngaphambilini.
• Isifo esikhona sokusebenza kwenhliziyo singase sibe sibi kakhulu, noma kungase kuvele isifo esisha .
• Ukwehluleka kwenhliziyo , okwaziwa nangokuthi ukwehluleka kwenhliziyo okuhlanganisiwe .
• Izinkinga zesibindi.
• Izinkinga zezinso.

Ngakho-ke, odokotela baqapha njalo ukusebenza kwesibindi nezinso kubantu abathatha i-flecainide.

Lomuthi kufanele usetshenziswe ngesikhathi sokukhulelwa kuphela uma kudingeka ngokucacile . Uma omama abancelisayo bethatha lo muthi, kubalulekile ukukala ukuthi umuthi udlula kangakanani enganeni ngobisi lwebele.

Kwenzekani uma uthatha i-Flecainide eningi kakhulu?

Ukweqisa umthamo we-flecainide kungabulala . Yingakho kubalulekile ukuthatha umthamo oqondile udokotela wakho akutshele ukuthi uwuthathe. Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa kufanele kube phakathi namahora ayisithupha. Uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe. Ungalokothi uphinde kabili umthamo olandelayo. Uma lokhu kwenzeka, tshela udokotela wakho ngokushesha.

Yiziphi imiphumela emibi ye-Flecainide?

I-Flecainide ingabangela eminye imiphumela emibi. Eminye yale miphumela ivamile futhi izophela ezinsukwini ezimbalwa. Kodwa eminye iyingozi kakhulu. Uma uhlangabezana nanoma yimiphi imiphumela emibi emibi noma engapheli ezinsukwini ezimbalwa, kufanele utshele udokotela wakho nakanjani.

Imiphumela emibi evame ukubonwa:

• Ukuqunjelwa - Lokhu kusho ubunzima bokuya endlini yangasese.
• Isiyezi.
• Ubuhlungu bekhanda .
• Ubuhlungu besisu.
• Ukuthuthumela – Lokhu kusho ukuthuthumela kwamalungu.
• Ukushintsha kombono – Isibonelo, ukubona amabala phambi kwamehlo noma ukungaboni kahle.
• Ubuthakathaka.

Uma uhlangabezana nanoma yimiphi yale miphumela emibi kakhulu, tshela udokotela wakho ngokushesha:

• Ubuhlungu besifuba.
• Ukudideka.
• Ukukhwehlela okungapheli, noma ukukhwehlela okuletha i-phlegm ephuma igazi.
• Ukukhathala okukhulu.
• Ukuquleka.
• Umuzwa wokushaya kwenhliziyo okusheshayo noma okushaya ngamandla.
• Izimpawu ezifana nomkhuhlane, okuhlanganisa nomkhuhlane.
• Ukucanuzela noma ukuphelelwa yisifiso sokudla.
• Ukuphelelwa umoya.
• Ukuvuvukala ezandleni, ezinyaweni noma emilenzeni engezansi.
• Ukukhuluphala okungazelelwe.
• Ukopha noma ukuklwebheka okungajwayelekile.
• Isikhumba noma amehlo aphuzi – Lokhu kungaba yinkinga yesibindi.

Ukusabela kokungezwani komzimba ne-flecainide akuvamile , kodwa kungaba kubi kakhulu. Tshela udokotela wakho ngokushesha uma unezinye zalezi zimpawu:

• Isikhumba esilumayo.
• Ukuvuvukala kobuso, izindebe, ulimi noma umphimbo.
• Ukuphefumula uma uphefumula.

Ingabe i-Flecainide ingasebenzisana neminye imithi?

Yebo, kungakwenza lokho. Uma uthatha eminye imithi, amavithamini, noma izithasiselo, qiniseka ukuthi utshela udokotela wakho ngazo . Eminye imithi ingasebenzisana ne-Flecainide, okungashintsha indlela esebenza ngayo i-Flecainide noma kwandise imiphumela emibi.

Eminye imithi engasebenzisana ne-Flecainide ifaka:

• I-Acetazolamide - Umuthi osetshenziselwa ukwelapha isifo sokuphakama kanye ne-glaucoma.
• Ama-antacid - Imithi esetshenziswa ezintweni ezinjengokuphazamiseka kwesisu kanye nokungagayeki kahle kokudla.
• Imithi yokuvimbela ukuqunjelwa – isibonelo, i-phenytoin, i-phenobarbital.
• Ama-Beta-blockers – imithi ehlisa umfutho wegazi.
• Ukwelashwa nge-HIV – njenge-ritonavir kanye ne-tipranavir.
• Imithi ye-Tourette syndrome – njenge-pimozide.
• Eminye imithi yokulwa nokuphazamiseka kwengqondo – isibonelo, i-amiodarone, i-dofetilide, i-procainamide, i-quinidine, i-sotalol.
• Amanye ama-antibiotic - njenge-erythromycin.
• Eminye imithi yokulwa ne-fungus - njenge-fluconazole.
• Imithi yezilonda zesisu - njenge-cimetidine.

Lolu hlu aluphelele, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo.

Kufanele ngithathe i-Flecainide isikhathi esingakanani?

I-Flecainide ingalawula ukushaya kwenhliziyo yakho okungajwayelekile. Kodwa-ke, ayilaphi ngokuphelele lesi simo . Lokhu kusho ukuthi kungadingeka ukuthi uthathe lo muthi isikhathi eside, mhlawumbe impilo yakho yonke.

Ungalokothi uyeke ukuthatha i-flecainide ngaphandle kokukhuluma nodokotela wakho . Uma uqhubeka nokuthatha umuthi, isimo senhliziyo yakho singase sibe sibi kakhulu.

Ngubani ongafaneleki ukusebenzisa i-Flecainide?

Uma unezinye izimo zezokwelapha, ikakhulukazi ezinye izimo zenhliziyo, i-flecainide ingase ingakulungeli. Udokotela wakho uzohlola konke lokhu ngaphambi kokukunikeza lo muthi. I-Flecainide ngokuvamile ayinikezwa abantu abanalezi zimo:

• I-Bundle Branch Block: Yilapho izimpawu zikagesi ezidingekayo ukwenza ukushaya kwenhliziyo zibambezeleka noma zivimbekile njengoba zidlula enhliziyweni.
• Ezinye izinkinga ezibangela ukushaya kwenhliziyo okuhamba kancane: Isibonelo, ukuvimba kwenhliziyo, okwaziwa nangokuthi i-atrioventricular noma i-AV blockFuthi ibizwa ngokuthi i-Sick Sinus Syndrome , eyaziwa nangokuthi i-Sinus Node Dysfunction noma i-Sinus Node Disease , lezi zimo zibangela ukuthi ukushaya kwenhliziyo kwehle ngendlela engavamile.
• Ukwandiswa kwe-QT: Lokhu kwenzeka lapho imisipha yenhliziyo ithatha isikhathi eside kunokujwayelekile ukulungiselela (ukushaja kabusha) ukushaya futhi ngemva kokushaya okukodwa.
• Izinkinga zesakhiwo enhliziyweni: Lezi yizinkinga ngesimo senhliziyo noma ama-valve ayo.

Ngakho-ke, ukuze wazi ngokuqinisekile ukuthi i-flecainide iphephile yini kuwe, kufanele utshele udokotela wakho ngazo zonke ezinye izimo zempilo onazo.

Okokugcina, izinto okufanele uzikhumbule

Kulungile, ngakho-ke sesikhulume kakhulu nge-Flecainide. Ngamafuphi, i-Flecainide iwumuthi osetshenziswa ngodokotela wokulwa nokushaya kwenhliziyo okungajwayelekile. Nakuba ingalaphi ngokuphelele ukushaya kwenhliziyo okungajwayelekile, ingasiza ekulawuleni ukushaya kwenhliziyo okungajwayelekile nokuvimbela isifo sohlangothi kanye nokufa ngokuzumayo.

Into ebaluleke kakhulu ukuthi ngesikhathi uthatha lo muthi, udokotela wakho uzokuhlola njalo . Lokhu kwenzelwa ukuhlola ukuthi umuthi ubangela ezinye izinkinga zenhliziyo, noma izinkinga zezinso noma zesibindi. Ngakho-ke, thatha umuthi wakho njengoba nje udokotela wakho ekutshelile, futhi ungaphuthelwa ama-aphoyintimenti akho. Uma unemibuzo noma ukungabaza, ungesabi ukubuza udokotela wakho. Nguwe okufanele uqaphele kakhulu impilo yakho.

I- Flecainide, Ukungalingani Kwenhliziyo, i-Tambocor, i-PSVT, i-Atrial Fibrillation, Isifo Senhliziyo, Imithi