Disopyramide

Zamkati

• Musanatenge disopyramide,
• Disopyramide ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo:

Kutenga mankhwala osokoneza bongo, kuphatikizapo disopyramide, kumatha kuwonjezera ngozi yakufa. Uzani dokotala wanu ngati muli ndi matenda amtima monga vuto la valavu kapena kulephera kwa mtima (HF; momwe mtima sungapope magazi okwanira mbali zina za thupi). Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo: kugunda kwamtima mosasinthasintha kapena kupweteka pachifuwa.

Lankhulani ndi dokotala wanu za kuopsa kotenga disopyramide. Disopyramide itha kuwonjezera mwayi wokhala ndi arrhythmias (kugunda kwamtima kosafunikira) ndipo sizinatsimikizidwe kuti zithandiza anthu opanda arrhythmias owopsa kuti akhale ndi moyo wautali.

Disopyramide imagwiritsidwa ntchito pochiza mitundu ina yaziphuphu zosagwirizana). Disopyramide ili mgulu la mankhwala otchedwa antiarrhythmic mankhwala. Zimagwira ntchito popangitsa mtima wanu kugonjetsedwa ndi zochitika zosazolowereka.

Disopyramide imabwera ngati kapisozi komanso kapisozi womasuka (wotenga nthawi yayitali) woti atenge pakamwa. Makapisozi a Disopyramide amatha kumwa maola 6 kapena 8 aliwonse. Kapisozi womasulidwa nthawi zambiri amatengedwa maola 12 aliwonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani disopyramide ndendende monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza makapisozi kumasulidwa yaitali; osatsegula, kuphwanya, kapena kutafuna.

Disopyramide imathandizira kuwongolera matenda anu koma sangachiritse. Pitirizani kumwa disopyramide ngakhale mukumva bwino. Osasiya kumwa disopyramide osalankhula ndi dokotala.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge disopyramide,

• uzani dokotala ndi wamankhwala ngati muli ndi vuto la disopyramide, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu makapisozi a disopyramide. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: clarithromycin, erythromycin (EES, Eryc, Erythrocin, ena), phenytoin (Dilantin, Phenytek), propranolol (Inderal, Innopran), ndi verapamil (Calan, Tarka, Verelan). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati muli ndi chipika cha mtima (momwe magetsi samadutsira mwachizolowezi kuchokera kuzipinda zakumwamba kupita kuzipinda zapansi) kapena kukhala ndi nthawi yayitali ya QT (zomwe zimawonjezera chiopsezo chokhala osakhazikika kugunda kwamtima komwe kumatha kukomoka kapena kufa mwadzidzidzi). Dokotala wanu angakuuzeni kuti musatenge disopyramide.
• Uzani dokotala wanu ngati mwakhalapo ndi matenda amtima, potaziyamu wotsika kapena wokwera m'magazi anu, matenda ashuga, glaucoma, myasthenia gravis (matenda amanjenje omwe amachititsa kufooka kwa minofu), kusungira mkodzo, benign prostatic hypertrophy, impso kapena matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga disopyramide, itanani dokotala wanu.
• lankhulani ndi dokotala wanu za kuopsa ndi maubwino otenga disopyramide ngati muli ndi zaka 65 kapena kupitilira apo. Akuluakulu achikulire sayenera kumwa disopyramide chifukwa sakhala otetezeka ngati mankhwala ena omwe angagwiritsidwe ntchito kuthana ndi vuto lomwelo.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa disopyramide.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa disopyramide. Mowa umatha kupangitsa zotsatira zoyipa kuchokera ku disopyramide kukulirakulira.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Disopyramide ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• chizungulire kapena mutu wopepuka
• kukodza kovuta
• kukodza pafupipafupi
• pakamwa pouma
• kudzimbidwa
• kusawona bwino
• nseru
• kutopa
• mutu
• kufooka
• kupweteka m'mimba kapena kuphulika
• kutopa
• kufooka
• mutu
• zidzolo

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

• kupweteka pachifuwa
• kutupa kwa mapazi kapena manja
• kulemera kwachilendo
• kugunda kwamtima kosasintha
• kupuma movutikira
• kusintha kwadzidzidzi pamalingaliro

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).

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:

• kugunda pang'onopang'ono kapena kosasinthasintha
• pakamwa pouma
• kuvuta kukodza
• kudzimbidwa
• kutaya chidziwitso

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu adzafunika kudziwa yankho lanu ku disopyramide.

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.

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