Ingabe ngezinye izikhathi uzizwa sengathi inhliziyo yakho ishaya ngokushesha kakhulu, noma sengathi ishaya ngaphandle kwesigqi? I-Disopyramide umuthi okhethekile odokotela abawunikezayo ukwelapha izimo ezinjengalezi ezibizwa ngokuthi i-arrhythmia. Uma unikezwe lo muthi, kubalulekile ukwazi kahle ukuthi uyini. Ngakho ake sixoxe ngawo namuhla.
Kwenzekani ngempela ngalo muthi?
Kalula nje, i-Disopyramide iyisidakamizwa esilawula isigqi senhliziyo. Ngokwezokwelapha, lesi yisidakamizwa esingaphansi kwesigaba "sokulwa nokushaya kwenhliziyo". Inhliziyo yethu ishaya ngesistimu yesignali kagesi ebucayi kakhulu. Ngezinye izikhathi, umsebenzi walesi simiso sesignali unganda kakhulu. Yilapho inhliziyo ishaya ngokushesha, noma isigqi siphazamiseka. Ngakho-ke, lokho okwenziwa yi-Disopyramide ukulawula lezi zimpawu zikagesi ezisebenzayo kakhulu enhliziyweni nokubuyisela izinga lokushaya kwenhliziyo esilinganisweni esizinzile nesifanele.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokukunikeza i-Disopyramide, udokotela wakho uzofuna ukwazi umlando wakho wezempilo ophelele. Ngakho-ke, qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
- Uma unesifo sikashukela .
- Uma unenkinga yokuchama.
- Uma une -glaucoma, isifo lapho ingcindezi emehlweni ikhuphuka khona.
- Ezinye izifo zenhliziyo, ikakhulukazi uma uke waba nokuhlaselwa yinhliziyo ngaphambilini.
- Uma unesifo sezinso noma isifo sesibindi.
- Uma umfutho wegazi uphansi.
- Uma uhlushwa ukungondleki kahle.
- Uma unesifo esibizwa ngokuthi i-myasthenia gravis, esibangela ubuthakathaka bemisipha.
- Uma uke waba nokusabela kokungezwani komzimba ne-disopyramide noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisa ingane yakho.
Ungamfihli udokotela wakho lolu lwazi, njengoba lolu lwazi lubaluleke kakhulu ekunqumeni ukuthi lo muthi ukulungele yini noma cha, futhi uma kunjalo, kufanele uwunikeze isilinganiso esingakanani.
Ngingawusebenzisa kanjani umuthi?
Khumbula la maphuzu uma usebenzisa lo muthi.
- Phuza lo muthi ngomlomo nengilazi yamanzi.
- Phuza umthamo owunikeziwe njengoba nje udokotela ewushilo, ngesikhathi osibekiwe. Ungasheshi izinto ezifana nokuthatha umthamo ophindwe kabili.
- Into ebaluleke kakhulu ukuthi, ungayeki ukuthatha lo muthi ngokuzumayo.Ukwenza kanjalo kungabangela imiphumela emibi ehlobene nenhliziyo. Uma udinga ukuyeka ukuthatha imithi, yenza lokho njengoba kuqondiswe udokotela wakho, wehlise kancane kancane umthamo.
- Uma uphuthelwe umthamo: Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
- Ukweqisa umthamo: Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lo muthi unikezwe wena kuphela. Ungabelani ngomuthi wakho nabanye.
Ingabe kungaba nezinkinga ngeminye imithi? (Ukusebenzisana)
Yebo, i-Disopyramide ingasebenzisana neminye imithi. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe abanye odokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, amakhambi, amavithamini).
| Imithi okungafanele ithathwe ne-Disopyramide | |
|---|---|
| Uhlobo lwesidakamizwa | Izibonelo |
| Eminye imithi yokulwa namagciwane esetshenziswa ekwelapheni i-HIV/AIDS | (Ama-antiviral e-HIV noma i-AIDS) |
| Amanye ama-antibiotic | I-Clarithromycin, i-Erythromycin, i-Pentamidine |
| Eminye imithi esetshenziswa ukucindezeleka | I-Amoxapine, i-Maprotiline |
| Eminye imithi esetshenziswa ukutheleleka ngefungus | I-Fluconazole, i-Itraconazole, ne-Ketoconazole |
| Eminye imithi yokushaya kwenhliziyo | I-Dronedarone, i-Ranolazine, i-Verapamil |
| Eminye imithi | I-Cisapride, i-Droperidol, i-Haloperidol, i-Methadone, i-Pimozide, i-Tacrolimus |
Eminye imithi engase ihlanganyele:
- Eminye imithi yokwelapha umfutho wegazi ophakeme noma isifo senhliziyo (isib. ama-beta-blockers)
- Imithi yokwelapha ukuxhuzula (isib. i-Carbamazepine, i-Phenytoin)
- Eminye imithi ethinta umsebenzi kagesi wenhliziyo (imithi ethinta isikhawu se-QT)
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uziqaphele lapho uthatha lo muthi
- Ukuhlolwa okuvamile: Qiniseka ukuthi uya kudokotela wakho. Angase futhi acele ukuhlolwa okufana ne-ECG ukuze kuhlolwe intuthuko yakho.
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke, gwema imisebenzi eyingozi njengokushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Ungavuki ngokuzumayo uhleli noma embhedeni. Linda isikhashana bese uvuka kancane.
- Umlomo owomile: Umlomo owomile ungaba khona ngale mithi. Ukuhlafuna itshungama engenashukela nokuphuza amanzi amaningi kungasiza.
- Amehlo omile kanye nokubona okufiphele: Amehlo akho angase azizwe omile futhi umbono wakho ungase ufiphele kancane. Lokhu kungase kungakhululeki uma ugqoka amalensi okuxhumana. Buza udokotela wakho ngokusebenzisa amaconsi okugcoba.
- Qaphela ukushisa okweqile: Lo muthi unganciphisa ukujuluka. Ngakho-ke, qaphela ukushisa okweqile. Ngaphandle kwalokho, izinga lokushisa lomzimba wakho lingakhuphuka ngengozi futhi ungase ube nesifo sokushisa.
- Kubantu abanesifo sikashukela: Lo muthi ungathinta amazinga kashukela egazini. Uma unesifo sikashukela, khuluma nodokotela wakho ngaphambi kokushintsha ukudla kwakho noma umthamo womuthi wakho wesifo sikashukela.
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, i-Disopyramide ingabangela imiphumela emibi. Eminye iyingozi kakhulu, kanti eminye ivamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izimpawu zokwehluleka kwenhliziyo | Ubunzima bokuphefumula, ukuvuvukala kwamaqakala, izinyawo, noma izandla, ukukhuluphala ngokuzumayo, ukuzizwa ukhathele ngendlela engavamile. |
| Izinguquko ku-rhythm yenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi, ukuquleka, ubuhlungu besifuba, ubunzima bokuphefumula. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Ushukela ophansi egazini (i-Hypoglycemia) | Ukuthuthumela, ukujuluka, ukungahlaliseki, ukushaya kwenhliziyo okusheshayo, ukudideka. |
| Ubunzima bokuchama | Ubunzima bokuchama noma ukungachami nhlobo. |
| Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha (kodwa tshela udokotela wakho uma iqhubeka) | |
| Izinkinga zesistimu yokugaya ukudla | Ukuqunjelwa, ukuqunjelwa, ukuqunjelwa, isicanucanu, ubuhlungu besisu. |
| Okunye | Umlomo owomile, amehlo omile, ikhanda elibuhlungu, izinguquko ekusebenzeni kocansi. |
Umlayezo Wokuya Nawe Ekhaya
- I-Disopyramide umuthi obalulekile olawula ukushaya kwenhliziyo okungajwayelekile. Njalo thatha umthamo nesikhathi esiqondile esinqunywe udokotela wakho.
- Ungayeki ukuthatha lo muthi ngokuzumayo nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela.
- Yazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemithi yendabuko oyithathayo.
- Funa usizo lwezokwelapha ngokushesha uma kuvela imiphumela emibi kakhulu (ubuhlungu besifuba, ubunzima bokuphefumula, nokuquleka).
- Gcina lo muthi ngokuphephile ekamelweni lokushisa, kude nezingane.
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