Udokotela wakho kungenzeka ukuthi ukunike umuthi obizwa ngokuthi iSotalol wenkinga yesigqi senhliziyo. Kungaba yinto engakhululekile futhi eyesabekayo lapho inhliziyo yakho ishaya ngokushesha okukhulu noma ngokungajwayelekile, akunjalo? Ngakho-ke namuhla, ake sixoxe ngokuthi lo muthi obizwa ngokuthi iSotalol uyini, wenzani, nokuthi yini okudingeka siyiqaphele lapho sisebenzisa lo muthi.
Uhlobo luni lomuthi iSotalol?
Kalula nje, iSotalol umuthi osetshenziswa ukulawula nokuvimbela ukungasebenzi kahle kwenhliziyo, okuyizigqi zenhliziyo ezingavamile (ukushaya kwenhliziyo okusheshayo noma okungajwayelekile). Ikakhulukazi, ivame ukusetshenziswa kakhulu ekwelapheni uhlobo lokushaya kwenhliziyo okungajwayelekile olubizwa ngokuthi i-atrial fibrillation (AFib).
Cabanga nje, inhliziyo yethu ishaya ngohlelo lwesignali kagesi olubucayi kakhulu. Ngezinye izikhathi lolu hlelo lwesignali luba lusebenza ngokweqile, bese inhliziyo iqala ukushaya ngokushesha kakhulu noma ngokungajwayelekile. Ngaleso sikhathi, lo muthi weSotalol ulawula ezinye zalezo zimpawu zikagesi ezisebenzayo ngokweqile futhi ubuyisele izinga lokushaya kwenhliziyo esilinganisweni esizinzile nesijwayelekile. Futhi wehlisa izinga lokushaya kwenhliziyo yakho. Ngokwezokwelapha, lolu hlobo lomuthi lubizwa ngokuthi ama-antiarrhythmics.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokuthi uqale ukuthatha iSotalol, kubalulekile ukuthi udokotela wakho azi ngesimo sakho sempilo esiphelele. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
| Isimo sakho sempilo | Kungani isaziso sibalulekile? |
|---|---|
| Isifo sikashukela | I-Sotalol ingase ifihle ezinye zezimpawu zoshukela ophansi egazini (isib., ukushaya kwenhliziyo okukhuphukile). |
| Ezinye izifo zenhliziyo noma zemithambo yegazi | Isibonelo: ukushaya kwenhliziyo okuhamba kancane, ukwehluleka kwenhliziyo okuba kubi kakhulu, ukuvaleka kwenhliziyo, i-sinus syndrome, noma isifo sikaRaynaud. |
| Isifo sezinso | Njengoba umuthi ukhishwa emzimbeni ngezinso, umthamo ungadinga ukulungiswa uma ukusebenza kwezinso kuphazamiseka. |
| Isifo sesibindi | Lokhu kungathinta nokusebenza kahle komuthi. |
| Umlando wamazinga aphansi e-potassium noma i-magnesium emzimbeni | Amazinga aphansi ala maminerali angathinta isigqi senhliziyo, okungaba yingozi ngeSotalol. |
| Izifo zamaphaphu noma zokuphefumula (njenge-asthma, i-emphysema) | I-Sotalol ingabangela ukuminyana komoya futhi ibe yimbi kakhulu ezimweni ezifana ne-asthma. |
| Isimo esibizwa ngokuthi i-Pheochromocytoma | Lesi yisisu esenzeka endlaleni ye-adrenal, futhi sidinga ezinye izindlela zokwelapha. |
| Uma usanda kuba nokuhlaselwa yinhliziyo | Udokotela kufanele aqaphele kakhulu ukusetshenziswa kweSotalol ezimweni ezinjalo. |
| Isifo se-thyroid | I-Sotalol ingase ifihle ezinye zezimpawu ze-hyperthyroidism. |
| Ukungezwani komzimba | Uma uke waba nokusabela kokungezwani komzimba ne-sotalol, amanye ama-beta-blocker, eminye imithi, ukudla, amadayi noma izithasiselo. |
| Ukukhulelwa, ukuzama ukukhulelwa, noma ukuncelisa | Ezimweni ezinjalo, kubaluleke kakhulu ukufuna iseluleko sezokwelapha mayelana nokusetshenziswa kwalomuthi. |
Ngingawusebenzisa kanjani umuthi?
Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo lapho usebenzisa lo muthi.
- Gwinya leli philisi ngengilazi yamanzi.
- Phuza umthamo wakho owunqunyiwe ngesikhathi esifanele. Uma uwuthatha kabili ngosuku, zijwayeze ukuwuthatha ngesikhathi esifanayo, cishe njalo emahoreni ayi-12.
- Into ebaluleke kakhulu ukuthi, ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kokubonisana nodokotela wakho nganoma yisiphi isizathu . Ukwenza kanjalo kungabangela izinkinga ezinkulu zenhliziyo. Uma udinga ukuyeka ukuthatha umuthi, kwenze lokho ngaphansi kokuqondisa kukadokotela wakho, ngokunciphisa kancane kancane umthamo.
- Lo muthi ungowakho kuphela. Ungawubelani nabanye abantu, noma ngabe unezimpawu ezifana nezami.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu (ukudlula umthamo)?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, okungukuthi uma unezimpawu ezifana nokushaya kwenhliziyo okuphansi kakhulu, isiyezi esikhulu, ukuquleka, noma ubunzima bokuphefumula, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isibonelo, ngaphansi kwamahora ama-4), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Eminye imithi engase ihlangane neSotalol
I-Sotalol iyisidakamizwa esingasebenzisana neminye imithi eminingi, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
Khumbula, udinga ukwazisa udokotela wakho hhayi nje kuphela ngemithi oyithatha ngodokotela, kodwa futhi nangamakhambi okuqeda ubuhlungu, amavithamini, imithi yamakhambi, kanye nemithi yendabuko oyithenga ekhemisi.
| UNGAYITHATHI iSotalol kanye nale mithi. | |
|---|---|
| Imithi yezifo zengqondo ezifana neCisapride, iDroperidol, iPimozide, iHaloperidol, neThioridazine | Izinguquko eziyingozi ekushayweni kwenhliziyo zingenzeka. |
| Amanye ama-antibiotic afana ne-Gatifloxacin ne-Moxifloxacin | Isigqi senhliziyo singathinteka. |
| Eminye imithi yokulawula isigqi senhliziyo | Ungayisebenzisi ngaphandle kweseluleko sikadokotela. |
| Le mithi ingase ihlangane neSotalol. | |
| Ama-antacid - Amanzi/amaphilisi e-gastritis | I-Sotalol ingancishiswa ngokuthatha ama-antacid amahora ama-2 ngaphambi noma ngemva kokuthatha i-sotalol. |
| Imithi yesifo sikashukela (isib. i-insulin) | Kungasiza ekulawuleni amazinga kashukela egazini. |
| Eminye imithi yokwelapha umfutho wegazi ophakeme (isib. i-Clonidine) | Umfutho wegazi kanye nesilinganiso senhliziyo kungase kwehle kakhulu. |
| Eminye imithi yokukhwehlela nomkhuhlane etholakala ngaphandle kwemvume kadokotela | Ezinye zalezi zithako zingakhuphula umfutho wegazi. |
Imiphumela emibi engaba khona yeSotalol
Njengayo yonke imithi, iSotalol ingabangela imiphumela emibi. Nakuba kungebona bonke abantu abayitholayo, eminye incane, kanti eminye idinga ukunakekelwa okusheshayo.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Izinguquko ku-rhythm yenhliziyo | Ukuzumeka okukhulu, ukuquleka, ubuhlungu besifuba, ubunzima bokuphefumula, ukushaya kwenhliziyo okusheshayo kakhulu noma okuhamba kancane kakhulu. |
| Izimpawu Zokwehluleka Kwenhliziyo | Ubunzima bokuphefumula, ukuvuvukala kwamaqakala, izinyawo, noma izandla, ukukhuluphala ngokuzumayo, kanye nokuzizwa ukhathele ngendlela engavamile. |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo (kungabangela ubunzima bokuphefumula). |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Ushintsho esimweni sengqondo | Imizwa yokukhathazeka okukhulu nokucindezeleka. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukukhathala, ukukhathala | Ikhanda elibuhlungu |
| Isiyezi | Uhudo |
| Izinguquko esifisweni noma emsebenzini wocansi | Izinkinga zokulala |
Umlayezo Wokuya Nawe Ekhaya
- I-Sotalol umuthi obalulekile olawula ukushaya kwenhliziyo okusheshayo noma okungajwayelekile.
- Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela. Kungaba yingozi kakhulu.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi) kanye nazo zonke izimo zezokwelapha onazo.
- Uma uzizwa ulele noma udidekile ngemva kokuthatha umuthi, gwema ukushayela nokwenza imisebenzi edinga ukuqaphela uze wazi ukuthi ikuthinta kanjani.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokuzumeka okukhulu, ukuquleka, ubunzima bokuphefumula, noma ukuvuvukala kwamalungu omzimba.
- Uma usola ukuthi uphuze ngokweqile, hamba ngokushesha e-National Poisons Information Center noma eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
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