Wake wazizwa sengathi inhliziyo yakho ishaya ngamandla, ishaya ngokushesha ngaphandle kwesigqi, noma nje indiza ngendlela engavamile esifubeni sakho? Kwezokwelapha, lolu hlobo lokushaya kwenhliziyo okungajwayelekile lubizwa ngokuthi i-arrhythmia. Ngakho-ke, umuthi okhethekile odokotela abawuncomayo ukwelapha lesi simo yi-Dronedarone. Namuhla, ake sixoxe ngalomuthi ngamagama alula.
Kuyini i-Dronedarone?
Kalula nje, i-dronedarone umuthi olawula ukushaya kwenhliziyo yakho okusheshayo noma okungajwayelekile. Inhliziyo yethu ishaya ohlelweni lwezimpawu zikagesi. Ngezinye izikhathi, umsebenzi walolu hlelo lwezibonakaliso unganda kancane. Yilapho ukushaya kwenhliziyo kuba okungajwayelekile. Ngakho-ke, lokho okwenziwa yilo muthi we-dronedarone ukulawula ezinye zalezo zimpawu zikagesi ezingadingekile nokusiza inhliziyo ukuthi ishaye emuva esigqini sayo esijwayelekile. Lo muthi ungoweqembu lemithi ebizwa ngokuthi i -antiarrhythmics . ESri Lanka nasemhlabeni jikelele, ungabonakala ngaphansi kwegama lomkhiqizo elithi `Multaq`.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Lokhu kubaluleke kakhulu. Ngaphambi kokuthi uqale ukusebenzisa i-dronedarone, kubalulekile ukutshela udokotela wakho ulwazi olulandelayo. Lo muthi awufanele wonke umuntu.
- Uma okwamanje unesifo senhliziyo noma uke waba naso.
- Uma unomlando wezinye izifo ezihlobene nenhliziyo.
- Uma unesifo sesibindi .
- Uma uke waba nezinkinga nesibindi noma amaphaphu akho ngaphambilini ngemva kokusebenzisa umuthi i -amiodarone .
- Uma udokotela ekutshelile ukuthi unezinga eliphansi le-potassium noma i-magnesium egazini lakho.
- Uma unesinye isifo senhliziyo.
- Uma une-allergy ku-dronedarone noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo .
Kubaluleke kakhulu ukuze uphephe ukukhuluma nodokotela ngaphandle kokufihla lezi zinto.
Uyisebenzisa kanjani kahle le mithi?
Uma usebenzisa lo muthi, kufanele ulandele imiyalelo kadokotela ngqo.
- Phuza leli philisi nengilazi yamanzi.
- Ngokuvamile, udokotela uthi phuza iphilisi elilodwa kanye nesidlo sasekuseni kanye nephilisi elilodwa kanye nesidlo sakusihlwa . Kubaluleke kakhulu ukuliphuza kanye nokudla.
- Ungalokothi uphuze okungaphezu kwalokho okunqunywe udokotela wakho.
- Into ebaluleke kakhulu ukungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungase kube kubi kakhulu isimo sakho.
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Ungachithi isikhathi.
Futhi, khumbula, lo muthi unikezwe wena kuphela. Ungawuniki omunye umuntu ngoba nje enezimpawu ezifanayo nezakho.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Kuhlukile kuwo wonke umuntu. Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
Lokhu kuyinto okufanele uyiqaphele kakhulu. I-Dronedarone umuthi onamandla amakhulu okuxhumana neminye imithi nokudla okuthile. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
Ake sichaze lokhu kabanzi etafuleni elingezansi.
| Yini engabangela izinkinga? | Incazelo nezibonelo |
|---|---|
| Ungalokothi uthathe i-dronedarone nalezi zinto | |
| Amanye ama-antibiotic | Isibonelo: i-clarithromycin, i-erythromycin, i-telithromycin |
| Imithi yokulwa nesikhunta | Isibonelo: i-ketoconazole, i-itraconazole, i-voriconazole |
| Eminye imithi yokushaya kwenhliziyo | Isibonelo: i-amiodarone, i-sotalol, i-quinidine, i-flecainide |
| Ezinye izidakamizwa zokucindezeleka | Isibonelo: ama-antidepressant e-tricyclic, i-nefazodone |
| I-Ritonavir yokwelashwa nge-HIV | I-Ritonavir |
| Lokhu kungadala nezinkinga (sebenzisa kuphela ngaphansi kweseluleko sezokwelapha) | |
| Ijusi le-Grapefruit | Gwema ukuphuza i-jambola kanye nejusi ye-jambola ngenkathi uthatha lo muthi. |
| Imithi yokwehlisa i-cholesterol (ama-statin) | Isibonelo: i-atorvastatin, i-lovastatin, i-simvastatin |
| Imithi yokucindezeleka kwegazi noma yesifo senhliziyo | Isibonelo: i-diltiazem, i-verapamil, i-metoprolol, i-propranolol |
| Ama-anticoagulant | Isibonelo: i-Warfarin, i-Dabigatran |
| Okunye | I-Digoxin, i-St. John's Wort, i-Rifampin, i-Sirolimus, i-Tacrolimus |
Lolu hlu aluphelele, ngakho-ke kungcono ukwazisa udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uzikhumbule lapho uthatha imithi
- Uma uqala lo muthi, udokotela wakho angakugcina esibhedlela ukuze akubheke ukuze abone ukuthi umzimba wakho usabela kanjani emuthini.
- Phakathi nesikhathi ophuza ngaso umuthi, hlala uxhumana nodokotela wakho njalo futhi uye emitholampilo ukuze uqaphe isimo sakho.
- Ungase uzizwe ulele futhi unesizungu lapho uthatha lo muthi.Ungase uzizwe unesiyezi. Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi ukuthi umuthi uthinta kanjani wena.
- Ukuvuka ngokuzumayo uhleli noma embhedeni kungabangela isiyezi nokuwa. Yenza lezi zinto kancane kancane, ikakhulukazi uma usukhulile.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-dronedarone ingabangela imiphumela emibi. Eminye iyingozi, eminye ivamile.
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha. | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukwehluleka kwenhliziyo kuya ngokuya kuba kubi | Ubunzima bokuphefumula, ukuvuvukala kwamaqakala, izinyawo noma izandla, ukukhuluphala ngokuzumayo, ukukhathala okukhulu. |
| Ukulimala kwesibindi | Ubuhlungu ohlangothini lwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuphuzi kwesikhumba noma amehlo, umchamo ophuzi/onsundu omnyama. |
| Ukulimala kwamaphaphu | Ubunzima bokuphefumula, ukukhwehlela, ubuhlungu besifuba, umkhuhlane. |
| Ukulimala kwezinso | Ukwehla kokukhishwa komchamo uma kuqhathaniswa nenani lamanzi asetshenziswayo, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Ukushaya kwenhliziyo okuhamba kancane kakhulu | Ukuzizwa unesizungu, ubuthakathaka, ukukhathala okukhulu. |
| Ngokuvamile akuyona into embi kangako, kodwa uma iqhubeka, tshela udokotela wakho. | |
| Ubuhlungu besisu | Uhudo |
| Isicanucanu | Ukuhlanza |
Umlayezo Wokuya Nawe Ekhaya
- Njalo thatha amaphilisi e-Dronedarone kanye nesidlo sasekuseni nesakusihlwa.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobunzima bokuphefumula, ukuvuvukala komzimba, noma ukuphuzi kwesikhumba, funa iseluleko sezokwelapha ngokushesha.
- Gwema ngokuphelele ijusi le-grapefruit kanye ne-grapefruit ngenkathi uthatha lo muthi.
- Uma uphuthelwa umthamo, ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
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