Ingabe isigqi senhliziyo yakho asijwayelekile? Ake sifunde ngamaphilisi e-Quinidine.

Ungase uzibuze, 'Uyini lo muthi obizwa ngokuthi i-quinidine?' Kalula nje, umuthi osiza ukugcina ukushaya kwenhliziyo yakho, noma isigqi senhliziyo yakho, ngesivinini esifanele. Odokotela bawubiza ngokuthi umuthi 'olwa nokushaya kwenhliziyo' . Ngezinye izikhathi, lapho inhliziyo yakho iqala ukushaya ngokushesha okukhulu, lo muthi unikezwa futhi ukuwulawula. Akukhona lokho kuphela, usetshenziswa futhi njengokwelashwa kwezinhlobo ezithile zomalaleveva. Lo muthi ungase ube ngaphansi kwamagama emikhiqizo anjenge-"Quinora". Kodwa ungasetshenziswa nakwezinye izinto, ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.

Yiziphi izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi?

Ngaphambi kokuthi uqale ukuthatha la maphilisi e-quinidine, kunezinto okufanele uzitshele udokotela wakho. Kubaluleke kakhulu empilweni yakho ukuthi uthembeke ngalezi zinto.

Nazi lezo zinto:

• Uma unesifo senhliziyo noma uke waba nesifo senhliziyo ngaphambili .
• Uma unesifo sezinso .
• Uma unesifo sesibindi .
• Uma une -blood pressure ephansi .
• Uma unesifo samaphaphu , isibonelo, i-asthma.
• Uma unesifo esihlobene nemizwa nemisipha esibizwa ngokuthi i-Myasthenia Gravis .
• Uma une- pacemaker efakwe esifubeni sakho.
• Uma une -allergy ku-quinidine, i-quinine, eminye imithi, ukudla, amadayi okwenziwa, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa .
• Uma ungumama oncelisayo .

Ngokutshela udokotela wakho lolu hlobo lolwazi kusenesikhathi, anganquma ukuthi lo muthi ukulungele yini noma cha, nokuthi angawunikeza kanjani.

Ngiyisebenzisa kanjani ngempela le mithi?

Udokotela wakho noma usokhemisi uzokunikeza imiyalelo eqondile yokuthi ungawusebenzisa kanjani lo muthi. Kubaluleke kakhulu ukulandela leyo miyalelo ngqo.

• Lomuthi kufanele uphuzwe ngomlomo , uphuzwe nengilazi yamanzi.
• Landela imiyalelo ebhalwe ilebula kadokotela ngqo.
• Lomuthi ungathathwa ngaphambi noma ngemva kokudla . Udokotela uzokutshela ngalokho.
• Into ebaluleke kakhulu ukuthatha umthamo ofanele ngesikhathi esifanele . Ungathathi okungaphezu kwalokho udokotela akutshele kona, noma ukuthathe kaningi.
• Ungayeki ukuthatha lo muthi ngokuzumayo.Ukwenza kanjalo kungabangela imiphumela emibi ehlobene nenhliziyo. Cabanga nje, uma inhliziyo yakho isivele ijwayele lo muthi bese iyeka ngokuzumayo, ingazwakala sengathi inhliziyo iyashaqeka kancane. Yingakho odokotela bethi yehlisa kancane kancane umthamo bese uyeka. Udokotela wakho uzokutshela ukuthi udinga ukuthatha umuthi ongakanani nokuthi ungawuyeka kanjani uma uwusebenzisa.

Uma unikeza izingane ezincane lo muthi, kufanele ukhulume nodokotela wezingane ngawo. Kungadingeka ukunakekelwa okukhethekile.

Ukweqisa: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela i-Poison Control Center noma i-Emergency Room ngokushesha.

Inothi elibalulekile: Lo muthi unikezwe wena kuphela. Ungawabelani nabanye, noma ngabe banezimpawu ezifanayo nezakho.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

Ungakhathazeki. 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. Ukwenza kanjalo kungabangela imiphumela emibi.

Yimiphi eminye imithi (Ukusebenzisana Kwezidakamizwa) engase ihlangane nalo muthi?

Lokhu kubaluleke kakhulu. Uma uthatha i-Quinidine, ingasebenzisana neminye imithi oyithathayo. Uma lokhu kwenzeka, i-Quinidine ingase ingasebenzi kahle noma ingabangela imiphumela emibi eyingozi.

Ungalokothi uthathe lo muthi kanye nemithi elandelayo:

• `abarelix`
• i-amiloride
• `i-amoxapine`
• `i-apomorphine`
• `i-arsenic trioxide`
• Imithi ethile yokulwa ne-antifungal - isibonelo i-'itraconazole' noma i-'ketoconazole'
• Amanye ama-antibiotic e-quinolone
• `cisapride`
• `i-droperidol`
• `i-haloperidol`
• `i-hawthorn` (lena imifino)
• `i-levomethadyl`
• `i-maprotiline`
• Imithi enikezwa umalaleveva - isib. `chloroquine` kanye ne-`halofantrine`
• Eminye imithi yokucindezeleka kwengqondo - isibonelo `ama-antidepressant e-tricyclic`
• `i-mefloquine`
• `i-methadone`
• Eminye imithi yokulawula isigqi senhliziyo
• `i-pentamidine`
• Ama-Phenothiazine - isibonelo i-chlorpromazine, i-mesoridazine, i-thioridazine
• `pimozide`
• `i-ranolazine`
• `i-sertindole`
• `i-vardenafil`
• `i-voriconazole`

Lo muthi ungase uhlangane nemithi elandelayo:

• i-acetazolamide
• Ama-antacid (njengomuthi owuketshezi we-gastritis)
• Ama-Barbiturates - isibonelo `phenobarbital`
• `i-cimetidine`
• Imithi yokukhipha amanzi emzimbeni (i-diuretics)
• Imithi yokucindezeleka kwegazi okuphezulu noma i-angina (ubuhlungu besifuba)
• Imithi enikezwa ukuphumuza imisipha noma ukunciphisa ubuhlungu ngesikhathi sokuhlinzwa
• `i-methazolamide`
• `i-phenytoin`
• Imithi yobuhlungu enikezwa ngodokotela - isib. `i-codeine` kanye ne-`i-hydrocodone`
• `rifampin`
• `i-sodium bicarbonate`
• `warfarin` (umuthi onciphisa ukujiya kwegazi)
• `i-ziprasidone`

Lolu hlu aluphelele. Kungase kube nokunye ukuxhumana. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela, ethengiswa ngaphandle kwemithi kadokotela, imithi yamakhambi, amavithamini, izithasiselo zokudla). Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye izinto zingathintana nomuthi wakho.

Yini okufanele ngiyiqaphele kakhulu lapho ngithatha lo muthi?

Kungumqondo omuhle ukunaka impilo yakho kancane ngenkathi uthatha i-Quinidine.

• Bona udokotela wakho njalo ukuze uhlole inqubekela phambili yakho (ukuhlolwa okuvamile).
• Gqoka isongo noma umgexo we-ID yezokwelapha. Futhi, gcina ikhadi elinemininingwane ngesimo sakho, imithi oyiphuzayo, umthamo, kanye nezikhathi. Lokhu kuzoba usizo kakhulu esimweni esiphuthumayo.
• Hlola umfutho wegazi lakho kanye nezinga lokushaya kwenhliziyo njalo. Buza udokotela wakho ukuthi umfutho wegazi lakho kanye nezinga lokushaya kwenhliziyo kufanele kube yini nokuthi kufanele ukhulume nini naye.
• Udokotela wakho angase futhi acele izinto ezifana nokuhlolwa kwegazi kanye ne-electrocardiogram (ECG) ukuze aqaphe intuthuko yakho.
• Ungase uzizwe ulele noma unesizungu . Kuze kube yilapho usuyazi kahle ukuthi lo muthi uthinta kanjani wena, gwema ukushayela, ukusebenzisa imishini, noma ukwenza noma yini edinga ingqondo yakho ukuba igxile. Ikakhulukazi uma usukhulile, ungami noma uhlale ngokuzumayo. Ukwenza kanjalo kungabangela isizungu nokuwa.
• Ungaphuzi iziphuzo ezidakayo. Utshwala bungaphazamisa ukusebenza kahle kwalomuthi.
• Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni. Ngakho-ke, nciphisa ukuchayeka kwakho elangeni ngangokunokwenzeka. Uma kufanele uphume elangeni, gqoka izingubo ezimboza isikhumba sakho, gqoka izibuko zelanga, bese usebenzisa i-sunscreen. Ungasebenzisi izibani zelanga noma imibhede/amadokodo okushiswa kwelanga.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, i-Quinidine ingabangela imiphumela emibi. Eminye ayibi kakhulu, kodwa eminye kufanele ibikwe kudokotela wakho ngokushesha.

Imiphumela emibi okufanele ibikwe kudokotela wakho noma kuchwepheshe wezempilo ngokushesha:

• Izinkinga zokuphefumula
• Izinguquko embonweni
• Ukudideka
• Ukuzizwa ubuthakathaka noma unekhanda elibuthakathaka
• Imfiva
• Ikhanda elibuhlungu - uma lihlukile ekhanda elibuhlungu elivamile futhi libi kakhulu
• Ukushaya kwenhliziyo okungajwayelekile - uma uzizwa sengathi isifuba sakho sishaya ngendlela ehlukile
• Isicanucanu, ukuhlanza
• Ubuhlungu lapho ugwinya
• Ukuqhuma kwesikhumba, ukuxebuka noma isikhumba esixegayo
• Ukukhala ezindlebeni
• Ukuphuka noma ukuphuma kwegazi okungavamile
• Ukuzizwa ubuthakathaka noma ukhathele ngendlela engavamile

Imiphumela emibi engavamile ukudinga ukunakekelwa kwezokwelapha, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka noma ikhathaza:

• Uhudo (ubuhlungu besisu )
• Ukuhlanza isikhumba ngokulunywa okukhulu
• Isilungulela (njenge-gastritis )
• Ukulahlekelwa yisifiso sokudla
• Ubuhlungu besisu

Lolu hlu lungase lungabi nayo yonke imiphumela emibi. Uma ubona noma yini engavamile, khuluma nodokotela wakho. Ungabika futhi imiphumela emibi ku-FDA (Food and Drug Administration) ku-1-800-FDA-1088.

Ngingawugcina kanjani umuthi?

Kubaluleke kakhulu futhi ukugcina imithi yakho ngendlela efanele.

• Yigcine kude nezingane.
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30 / 59 no-86 degrees Fahrenheit).
• Vikela ekukhanyeni nasemswakama. Lokho kusho ukuthi, ungayigcini ezindaweni ezifana nendlu yokugezela.
• Gcina ibhodlela/iphakethe lemithi livaliwe kahle.
• Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle ngendlela efanele.

Khumbula: Lesi sihloko siyisifinyezo nje. Asiqukethe lonke ulwazi. Uma uneminye imibuzo mayelana nalo muthi, khuluma nodokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo.

Ngakho-ke, izinto ezimbalwa zokugcina okufanele uzikhumbule

Kulungile, ake sizikhumbuze ngezinye zezinto ezibaluleke kakhulu mayelana nomuthi i-quinidine esikhulume ngawo.

• I-Quinidine umuthi osetshenziswa kakhulu ukulawula ukushaya kwenhliziyo. Uphinde usetshenziswe ekwelapheni umalaleveva.
• Ngaphambi kokuqala lo muthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke imithi oyithathayo. Kubaluleke kakhulu.
• Thatha umuthi njengoba nje udokotela wakho ekutshela, ngesikhathi esifanele, nangenani elifanele. Ungayeki ukuwuthatha ngokuzumayo.
• Lokhu kungase kuhlangane neminye imithi, ngakho tshela udokotela wakho ngayo yonke imithi oyithathayo.
• Ubuthongo kanye nesiyezi kungase kube khona. Ngakho-ke qaphela. Qaphela uma uphuma elangeni.
• Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu, tshela udokotela wakho ngokushesha.
• Gcina imithi kahle futhi uyigcine kude nezingane.

Inhliziyo yakho iyinto eyigugu kakhulu. Nakuba imithi efana nale ingasiza ukuyigcina iphilile, into ebaluleke kakhulu ukuyisebenzisa ngendlela efanele. Ungesabi ukubuza udokotela wakho noma yimiphi imibuzo onayo. Ngaleyo ndlela, ungathola okuningi kulo muthi futhi uhlale uphilile!

i- quinidine, ukushaya kwenhliziyo, isifo senhliziyo, umalaleveva, izidakamizwa, imiphumela emibi, imithi