Zamgululi

Zamkati

• Musanatenge ivabradine,
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Ivabradine imagwiritsidwa ntchito pochiza achikulire ena omwe ali ndi vuto la mtima (momwe mtima sungathe kupopera magazi okwanira mbali zina za thupi) kuti muchepetse chiopsezo kuti matenda awo angawonjezeke ndipo amafunika kuti awalandire kuchipatala. Amagwiritsidwanso ntchito kuthana ndi vuto linalake la kulephera kwa mtima kwa ana a miyezi isanu ndi umodzi kapena kupitilira apo chifukwa cha mtima (zomwe zimafooketsa ndikukula). Ivabradine ali mgulu la mankhwala otchedwa hyperpolarization-activated cyclic nucleotide-gated (HCN) block block. Zimagwira ntchito pochepetsa kugunda kwa mtima kuti mtima uzitha kupopera magazi ochulukirapo mthupi nthawi iliyonse yomwe imagunda.

Ivabradine imabwera ngati piritsi komanso ngati yankho lakumwa (madzi) kuti mutenge pakamwa. Nthawi zambiri amatengedwa ndi chakudya kawiri patsiku. Tengani ivabradine mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani ivabradine ndendende monga momwe adauzira. Musatenge pang'ono kapena pang'ono, kapena muzitenga nthawi zambiri kuposa momwe adanenera dokotala.

Mapiritsi ena a ivabradine amabwera ndi mzere pakati. Ngati dokotala akukuuzani kuti mutenge theka la piritsi, muphwanye mosamala pamzere. Tengani theka la piritsi monga momwe adanenera, ndikusunga theka linalo pamlingo wotsatira.

Gwiritsani ntchito syringe yapakamwa (chida choyezera) ndi chikho cha mankhwala kuti muyese molondola ndikumwa mankhwala anu a ivabradine solution. Funsani wamankhwala wanu kapu ya mankhwala ngati simuphatikizidwe ndi mankhwala anu. Wamankhwala wanu amakupatsani syringe yamlomo yomwe imagwira ntchito bwino kuti muyese mlingo wanu. Sanjani yankho lonse kuchokera mu ampule kapena mu chikho cha mankhwala. Yesani kuchuluka kwanu kuchokera mu chikho cha mankhwala pogwiritsa ntchito syringe yamlomo. Tsatirani malangizo a wopanga momwe angagwiritsire ntchito ndi kuyeretsa jakisoni wamlomo. Funsani dokotala wanu kapena wamankhwala ngati muli ndi mafunso.

Mukasanza kapena kulavulira mukamwa ivabradine, musamwe mlingo wina. Pitirizani dongosolo lanu lokhazikika.

Dokotala wanu akhoza kukulitsa kapena kuchepetsa mlingo wanu pakatha masabata awiri kutengera momwe mankhwalawo amakuthandizirani, komanso zovuta zomwe mumakumana nazo. Onetsetsani kuti muuze dokotala momwe mukumvera mukamalandira mankhwala a ivabradine.

Ivabradine amawongolera zizindikilo za kulephera kwa mtima koma samachiritsa. Pitilizani kumwa ivabradine ngakhale mukumva bwino. Osasiya kumwa ivabradine osalankhula ndi dokotala.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi ivabradine ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge ivabradine,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la ivabradine, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a ivabradine ndi yankho m'kamwa. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• uzani adotolo ngati mukumwa mankhwala enaake monga clarithromycin (Biaxin, Prevpac) ndi telithromycin (Ketek), ma antifungal ena monga itraconazole (Onmel, Sporanox), ma virus ena a HIV protease monga nelfinavir (Viracept), ndi nefazodone. Dokotala wanu angakuuzeni kuti musatenge ivabradine ngati mukumwa mankhwala amodzi kapena angapo.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: amiodarone (Nexterone, Pacerone); zotchinga beta monga atenolol (Tenormin, in Tenoretic), carteolol, labetalol (Trandate), metoprolol (Lopressor, Toprol XL, ku Dutoprol), nadolol (Corgard, Corzide), propranolol (Inderal, InnoPran XL, Hemangeol, ku Inderide), sotalol (Betapace, Sorine, Sotylize), ndi timolol; digoxin (Lanoxin); diltiazem (Cardizem, Cartia, Tiazac, ena); phenobarbital; phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rifamate, Rifater, Rimactane); ndi verapamil (Calan, Verelan, ku Tarka). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi ivabradine, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• auzeni adotolo ngati mtima wanu umagunda pang'ono kapena pang'ono, kuthamanga kwa magazi, pacemaker, zizindikiro za kulephera kwa mtima zomwe zaipiraipira posachedwa, kapena matenda a chiwindi. Dokotala wanu angakuuzeni kuti musatenge ivabradine.
• uzani dokotala wanu ngati mwakhalapo kapena mwakhalapo ndi mavuto ena amtima.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Simuyenera kutenga pakati mukatenga ivabradine. Lankhulani ndi dokotala wanu za njira zolerera zomwe mungagwiritse ntchito mukamachiza. Mukakhala ndi pakati mukatenga ivabradine itanani dokotala wanu.
• muyenera kudziwa kuti ivabradine itha kukhudza masomphenya anu, makamaka pomwe kuwala kwa kuwala kakuzungulirani kumasintha. Izi zingaphatikizepo kuwona mawanga owala, mabwalo owala mozungulira magetsi, nyali zowala zowala, kuwona kawiri, ndi mavuto ena achilendo ndi masomphenya anu. Mavuto amawonedwe awa amapezeka kwambiri mukayamba kumwa ivabradine ndipo nthawi zambiri amachoka patatha miyezi ingapo akuchiritsidwa ndi mankhwalawa. Osayendetsa galimoto, makamaka usiku, kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.

Musadye zipatso zamphesa kapena kumwa madzi amphesa mukamamwa mankhwalawa.

Mukaiwala mlingo wa ivabradine, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:

• kuthamanga, kusasinthasintha, kapena kugunda kwamtima
• kugunda pang'onopang'ono kapena kuyimitsa mtima
• kupweteka pachifuwa kapena kupanikizika
• kukulitsa kupuma pang'ono
• chizungulire
• kutopa kwambiri
• kusowa mphamvu
• kutupa kwa nkhope, mmero, lilime, milomo, ndi maso
• zovuta kumeza kapena kupuma
• ukali

Ivabradine ikhoza kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Chotsani yankho lililonse lomwe simunagwiritse ntchito pakamwa kapena kapu yamankhwala.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo izi:

• kugunda kochedwa mtima
• chizungulire
• kutopa kwambiri
• kusowa mphamvu

Sungani maimidwe onse ndi dokotala wanu. Dokotala wanu amayang'ana kugunda kwa mtima kwanu ndi kuthamanga kwa magazi nthawi ndi nthawi kuti muwone momwe thupi lanu likuyankhira ivabradine.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Kukonzekera^®