Ingabe ngezinye izikhathi uzizwa sengathi inhliziyo yakho iyashaya ngamandla, noma mhlawumbe ishaya ngesigqi esingajwayelekile noma esingavamile? Omunye umuthi odokotela abavame ukuwusebenzisa ukubhekana nalezi zinkinga umjovo obizwa ngokuthi i-Procainamide. Ake sibheke kabanzi ukuthi lokhu kwelashwa kuhilelani, akunjalo?
Kuyini i-Procainamide?
Kalula nje, i-Procainamide umuthi osetshenziselwa ukwelapha ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, owaziwa ngokwezokwelapha ngokuthi i-arrhythmia. Uma wake wazibuza, “Kungani inhliziyo yami ishaya kanje?”, lolu uhlobo lomuthi olusiza ekuqiniseni leso sigqi.
Ingesigaba semithi ebizwa ngokuthi i-antiarrhythmics. Empeleni, inhloso yayo ukulawula nokulungisa ukungasebenzi kahle kwenhliziyo yakho.
Odokotela bangase basebenzise lo muthi ngezinye izikhathi nakwezinye izimo. Uma unemibuzo, indlela engcono kakhulu ukuxhumana nodokotela wakho noma nosokhemisi ukuze uthole isiqondiso esiqondene nawe.
Lo muthi usebenza kanjani emzimbeni wakho?
Cabanga ngenhliziyo yakho njengenohlelo lwayo lukagesi. Ukuze inhliziyo yakho ishaye kahle, lezi zimpawu zikagesi kumele zigeleze ngendlela eqondile, enesigqi. Ngezinye izikhathi, lezi zimpawu zisebenza ngokweqile , zidubule ngokushesha kakhulu noma ngokungahlelekile. Yilokhu okubangela ukushaya kwenhliziyo okungajwayelekile noma okusheshayo.
I-Procainamide isebenza ngokunciphisa ijubane lalawo masignali kagesi asebenza ngokweqile , ukulawula ijubane lawo, nokubuyisela isigqi senhliziyo yakho esimweni esizinzile nesilawulwayo. Empeleni, iyasiza ekunciphiseni “umsindo” ongadingekile futhi ivumela inhliziyo yakho ukuthi isebenze ngokuthula nangokuphumelelayo.
Yini okufanele uyitshele ithimba lakho lezokwelapha ngaphambi kokwelashwa?
Lokhu kubalulekile. Ngaphambi kokuthola umjovo we-Procainamide, ithimba lakho lezokwelapha (odokotela nabahlengikazi) kumele liqaphele ngokugcwele umlando wakho wezempilo, njengoba izimo ezithile zidinga ukuqaphela okwengeziwe.
Uma unezinye zezimo ezilandelayo, kufanele wazise umhlinzeki wakho wezempilo:
- I-anemia noma ezinye izifo ezihlobene negazi.
- Isifo senhliziyo (isibonelo, uma uke waba nokuhlaselwa yinhliziyo ngaphambilini).
- Izinkinga zesimiso somzimba sokuzivikela , njenge -Lupus .
- Isifo sezinso .
- Isifo sesibindi .
- Umfutho wegazi ophansi (hypotension).
- I-Myasthenia gravis , isimo sezinzwa nemisipha.
- Umlando wokungezwani komzimba ne-Procainamide, i-procaine (isibulala-zinhlungu sendawo), noma eminye imithi, ukudla, udayi, noma izilondolozi.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma uncelisa .
Ukuvuleleka nokwethembeka ngempilo yakho kubalulekile ukuze uphephe.
Lo muthi unikezwa kanjani?
I-Procainamide inikezwa njengomjovo . Ingafakwa emisipheni noma ngqo emthanjeni. Lona akuyona imithi yokusetshenziswa ekhaya; inikezwa ngaphansi kokuqondisa kwezokwelapha esibhedlela noma endaweni yokwelapha .
Ingabe kukhona izinto ezikhethekile okufanele zicatshangelwe izingane?
Yebo, ukunikeza izingane lo muthi kudinga ukunakekelwa okukhethekile . Uma udokotela wakho enquma ukuthi lokhu kwelashwa kuyadingeka enganeni yakho, sicela uxoxe naye kabanzi ukuze uqonde inqubo.
Kwenzekani uma kwenzeka ukudlula ngokweqile?
Njengoba lo muthi unikezwa esikhungweni sezokwelapha, ingozi yokudlula ngokweqile iyancipha. Kodwa-ke, uma uke waba nomuzwa wokuthi umuthi omningi kakhulu unikezwe, funausizo lwezokwelapha oluphuthumayo ngokushesha noma xhumana nezinsizakalo eziphuthumayo zasendaweni yakho.
Okubalulekile: Lo muthi unikezwe wena kuphela . Ungalokothi, nganoma yisiphi isizathu , uwuhlanganyele nanoma ubani omunye.
Kuthiwani uma umthamo uphuthelwe?
Ngenxa yokuthi lokhu kuyindlela yokwelapha emtholampilo, ukuphuthelwa umthamo akunakwenzeka. Ithimba lakho lezokunakekelwa kwempilo lizophatha isikhathi sokunikezwa kwakho.
Ukusebenzisana neminye imithi
Kubalulekile ukuqonda ukuthi i-Procainamide ingasebenzisana kabi nezinye izinto ezahlukahlukene. Kumelwe udalule yonke imithi oyithathayo—kufaka phakathi imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, imithi yamakhambi, amavithamini, kanye nezithasiselo zokudla—kudokotela wakho. Sicela futhi uthembeke ngokubhema, ukuphuza utshwala, noma ukusebenzisa noma yiziphi ezinye izinto.
Imithi elandelayo, ikakhulukazi, akufanele ihlanganiswe ne-Procainamide:
- I-Abarelix
- I-Amoxapine
- I-Apomorphine
- I-Arsenic trioxide
- Amanye ama-antibiotic e-macrolide (isb., i-Erythromycin, i-Clarithromycin)
- Amanye ama-antibiotic e-quinolone (isib., i- Ciprofloxacin , i -Levofloxacin )
- I-Cisapride
- I-Droperidol
- I-Haloperidol
- I-Hawthorn (isengezo semifino)
- I-Levomethadyl
- I-Maprotiline
- Imithi yokulwa nomalaleveva (isib. i-chloroquine, i-halofantrine)
- Amanye ama-antidepressant, ikakhulukazi ama-antidepressant e-tricyclic
- I-Methadone
- Eminye imithi yokushaya kwenhliziyo
- I-Pentamidine
- Ama-Phenothiazine (isib., i-chlorpromazine, i-mesoridazine, i-thioridazine)
- I-Pimozide
- I-Probucol
- I-Ranolazine
- I-Sertindole
- I-Vardenafil
Lolu hlu lungase lungaphelele, yingakho ukwabelana ngohlu oluphelele lwemithi yakho nodokotela wakho kubalulekile.
Eminye imithi engase ihlanganyele ihlanganisa:
- I-Cimetidine
- I-Ranitidine
- I-Succinylcholine
- I-Trimethoprim
- I-Ziprasidone
Hlala utshela udokotela wakho noma nini lapho uqala noma uyeka noma yimuphi umuthi.
Yini okufanele uyiqaphele ngenkathi usebenzisa lo muthi?
Ngesikhathi uthola i-Procainamide, ithimba lakho lezokunakekelwa kwempilo lizoqapha isimo sakho eduze kakhulu . Bazohlola njalo izinga lokushaya kwenhliziyo yakho, umfutho wegazi, kanye nezinye izimpawu ezibalulekile ukuqinisekisa ukuphepha kwakho kulo lonke inqubo.
Ngesikhathi uthatha lo muthi, ungase uzwe ukozela noma isiyezi . Ngakho-ke, uze wazi kahle ukuthi lo muthi ukuthinta kanjani, gwema ukushayela, ukusebenzisa imishini, noma ukwenza imisebenzi edinga ukugxilisa ingqondo ngokugcwele. Ungasukumi noma ushintshe izikhundla ngokushesha kakhulu, ikakhulukazi uma usumdala; lokhu kusiza ukunciphisa ingozi yakho yokuba nesiyezi kanye nokuwa okungenzeka.
Ukuphuza utshwala kungenza isiyezi sakho sibe sibi kakhulu futhi kungabangela ukusha kwenhliziyo noma ukushaya kwenhliziyo okukhulu. Ngenxa yalezi zizathu, kungcono ukugwema utshwala ngenkathi usebenzisa lo muthi.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Procainamide ingabangela imiphumela emibi, yize kungebona bonke abantu abazoyithola. Nakuba eminye imiphumela emibi incane, eminye idinga ukunakekelwa kwezokwelapha okusheshayo.
Funa usizo lwezokwelapha ngokushesha uma ubona:
- Ukusabela kokungezwani komzimba – Njengokuqubuka kwesikhumba, ukulunywa, ukuqubuka, noma ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. Ungalibali ukufuna usizo uma ubona lezi zimpawu.
- Izinguquko ekushayweni kwenhliziyo - Ukuzwa inhliziyo yakho ishaya ngamandla, ishaya ngamandla, noma ishaya ngokungajwayelekile, kanye nesiyezi, ukuquleka, ubuhlungu besifuba, noma ubunzima bokuphefumula.
- Ukutheleleka– Izimpawu ezifana nomkhuhlane, ukubanda, ukukhwehlela, noma umphimbo obuhlungu.
- Umfutho wegazi ophansi - Ukuzizwa unekhanda elibuthakathaka, ubuthakathaka, noma ukubona izinto zingacacile.
- Izimpawu ezifana ne-lupus - Ubuhlungu bamalunga, ukuvuvukala noma ukuqina, ukuqubuka ebusweni okufana nokwebhabhathane, ukuzwela okukhulu ekukhanyeni kwelanga, umkhuhlane, noma ukukhathala okungavamile.
- Ukuphuka noma ukuphuma kwegazi okungavamile .
Imiphumela emibi evamile engemibi kakhulu, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka:
- Uhudo
- Ukulahlekelwa yisifiso sokudla
- Isicanucanu
- Ubuhlungu besisu
- Ukuhlanza
Lolu hlu alufaki yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yini engavamile, sicela uxoxe ngayo nodokotela wakho noma nomhlinzeki wezempilo eNirogi Lanka.
Lo muthi ugcinwa kanjani?
Ngenxa yokuthi i-Procainamide inikezwa njengomjovo esibhedlela noma emtholampilo, ngeke kudingeke ukuthi ugcine lo muthi ekhaya. Asikho isidingo sokuba ukhathazeke ngalokhu.
Lolu lwazi luyisifinyezo esifushane futhi kungenzeka lungahlanganisi yonke imininingwane. Uma uneminye imibuzo mayelana nalo muthi, sicela uxhumane nodokotela wakho, usokhemisi, noma umhlinzeki wezempilo.
Umlayezo Wokuya Nawe Ekhaya
Ngamafuphi, nanka amaphuzu abaluleke kakhulu okufanele uwakhumbule:
- I-Procainamide umuthi ojovwayo osetshenziselwa ukwelapha ukushaya kwenhliziyo okusheshayo noma okungajwayelekile.
- Kubalulekile ukwazisa udokotela wakho ngazo zonke izimo zakho zezokwelapha ezikhona kanye nayo yonke imithi oyiphuzayo .
- Lokhu kwelashwa kwenziwa kuphela ngaphansi kokuqondisa kwezokwelapha esibhedlela noma emtholampilo.
- Qaphela ukozela noma isiyezi esingaba khona, futhi ungaphuzi utshwala .
- Uma uhlangabezana nemiphumela emibi kakhulu (njengokusabela kokungezwani komzimba, izinguquko ezinkulu zesigqi senhliziyo, noma izimpawu zokutheleleka), xhumana nodokotela wakho ngokushesha noma ufune usizo oluphuthumayo.
- Uma unemibuzo noma ukungabaza , ungalokothi unqikaze ukubuza ithimba lakho lezokwelapha. Impilo yakho iyinto eza kuqala kithi!
Sithemba ukuthi lo mhlahlandlela ukunikeze ukuqonda okucacile ngomjovo we-Procainamide. Landela njalo iseluleko sikadokotela wakho eduze. Sikufisela ukululama okusheshayo!
