Mlembi: John Stephens
Tsiku La Chilengedwe: 26 Jayuwale 2021
Sinthani Tsiku: 15 Febuluwale 2025
Anonim
Amiodarone, Piritsi Yamlomo - Thanzi
Amiodarone, Piritsi Yamlomo - Thanzi

Zamkati

Mfundo zazikulu za amiodarone

  1. Pulogalamu yamlomo ya Amiodarone imapezeka ngati mankhwala wamba komanso ngati dzina lodziwika. Dzinalo: Pacerone.
  2. Amiodarone imapezekanso ngati yankho la jakisoni. Mutha kuyamba ndi piritsi lakamwa kuchipatala ndikupitiliza kumwa piritsiyo kunyumba. Nthawi zambiri, dokotala wanu amatha kukuyambitsani ndi jakisoni kuchipatala ndikukupatsani piritsi lokamwa kuti mupite kunyumba.
  3. Amiodarone imagwiritsidwa ntchito kuthana ndi vuto la kugunda kwa mtima kwamitsempha yama fibrication ndi ventricular tachycardia.

Amiodarone ndi chiyani?

Pulogalamu yamlomo ya Amiodarone ndi mankhwala omwe mumalandira monga dzina la mankhwala Pacerone Pa. Ikupezekanso mu mawonekedwe ake achibadwa. Mankhwala achibadwa nthawi zambiri amakhala otsika poyerekeza ndi mitundu yamaina.

Amiodarone imabweranso ngati njira yothetsera jakisoni (IV) ya jakisoni, yomwe imaperekedwa ndi wothandizira zaumoyo.

Mankhwalawa atha kugwiritsidwa ntchito ngati njira imodzi yophatikizira. Izi zikutanthauza kuti muyenera kumwa mankhwala ena.


Chifukwa chimagwiritsidwa ntchito

Amiodarone amagwiritsidwa ntchito pochiza mavuto am'mitima yamitengo yomwe ili pachiwopsezo cha moyo. Kawirikawiri amaperekedwa pamene mankhwala ena sanagwire ntchito.

Momwe imagwirira ntchito

Amiodarone ndi gulu la mankhwala otchedwa antiarrhythmics. Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi. Mankhwalawa amagwiritsidwa ntchito pochiza zofananira.

Amiodarone amathandizira ndikuletsa kugunda kwamtima kosagwira ntchito pogwira ntchito mkati mwa maselo kuti athetse kutulutsa kwaminyewa mumtima. Izi zimathandiza mtima wanu kumenya bwino.

Zotsatira za Amiodarone

Amiodarone imatha kuyambitsa zovuta zochepa kapena zoyipa. Mndandanda wotsatirawu muli zina mwazovuta zomwe zingachitike mukatenga amiodarone.

Mndandandawu mulibe zovuta zonse zomwe zingachitike. Kuti mumve zambiri pazomwe zingachitike chifukwa cha amiodarone, kapena maupangiri amomwe mungachitire ndi zovuta zina, lankhulani ndi dokotala kapena wamankhwala.

Amiodarone piritsi la pakamwa silimayambitsa kugona, koma limatha kuyambitsa zovuta zina.


Zotsatira zofala kwambiri

Zotsatira zoyipa kwambiri zomwe zimatha kuchitika ndi piritsi yamlomo ya amiodarone ndi monga:

  • nseru
  • kusanza
  • kutopa
  • kunjenjemera
  • kusowa kwa mgwirizano
  • kudzimbidwa
  • kusowa tulo
  • mutu
  • kupweteka m'mimba
  • kuchepa pagalimoto kapena magwiridwe antchito
  • mayendedwe osalamulirika kapena osazolowereka a thupi

Ngati zotsatirazi ndizochepa, zimatha kutha masiku angapo kapena milungu ingapo.Ngati ali ovuta kwambiri kapena osapita, lankhulani ndi dokotala kapena wamankhwala.

Zotsatira zoyipa

Itanani dokotala wanu nthawi yomweyo ngati muli ndi zovuta zina. Itanani 911 ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukukumana ndi zachipatala. Zotsatira zoyipa komanso zizindikilo zake zimatha kukhala izi:

  • Thupi lawo siligwirizana. Zizindikiro zimatha kuphatikiza:
    • zotupa pakhungu
    • kuyabwa
    • ming'oma
    • kutupa kwa milomo yanu, nkhope, kapena lilime
  • Mavuto am'mapapo. Zizindikiro zimatha kuphatikiza:
    • kupuma
    • kuvuta kupuma
    • kupuma movutikira
    • kukhosomola
    • kupweteka pachifuwa
    • Kulavula magazi
  • Masomphenya akusintha. Zizindikiro zimatha kuphatikiza:
    • kusawona bwino
    • kuchulukitsa chidwi cha kuwala
    • mavuto owonera monga kuwona ma halos abuluu kapena obiriwira (kuzungulira mozungulira zinthu)
  • Mavuto a chiwindi. Zizindikiro zimatha kuphatikiza:
    • kutopa kapena kufooka kosazolowereka
    • mkodzo wakuda
    • chikasu cha khungu lako kapena kuyera kwa maso ako
  • Mavuto amtima. Zizindikiro zimatha kuphatikiza:
    • kupweteka pachifuwa
    • kuthamanga kwa mtima kapena kosasinthasintha
    • kumverera mopepuka kapena kukomoka
    • kuonda kosaneneka kapena kunenepa
  • Mavuto am'mimba. Zizindikiro zimatha kuphatikiza:
    • Kulavula magazi
    • kupweteka m'mimba
    • nseru kapena kusanza
  • Mavuto a chithokomiro. Zizindikiro zimatha kuphatikiza:
    • kuchepa kulolerana kutentha kapena kuzizira
    • thukuta lowonjezeka
    • kufooka
    • kuonda kapena kunenepa
    • tsitsi lochepera
  • Ululu ndi kutupa kwa khungu lanu
  • Kuwonongeka kwa mitsempha. Zizindikiro zimatha kuphatikiza:
    • kupweteka, kumva kulasalasa, kapena dzanzi m'manja kapena m'mapazi anu
    • kufooka kwa minofu
    • mayendedwe osalamulirika
    • kuyenda movutikira
  • Kusintha kwakukulu pakhungu. Zizindikiro zimatha kuphatikiza:
    • Mtundu wabuluu wamvi
    • kutentha kwambiri ndi dzuwa

Momwe mungatenge amiodarone

Mlingo wa amiodarone omwe dokotala amakupatsani umadalira pazinthu zingapo. Izi zikuphatikiza:


  • mtundu ndi kuuma kwa chikhalidwe chomwe mukugwiritsa ntchito amiodarone kuchiza
  • zaka zanu
  • mawonekedwe a amiodarone omwe mumatenga
  • matenda ena omwe mungakhale nawo

Nthawi zambiri, dokotala wanu amakupangitsani muyeso wochepa ndikusintha pakapita nthawi kuti mufike pamlingo woyenera kwa inu. Potsirizira pake adzapereka mankhwala ochepetsetsa omwe amapereka zomwe mukufuna.

Chidziwitso chotsatirachi chimalongosola miyezo yomwe amagwiritsidwa ntchito kwambiri kapena amalimbikitsidwa. Komabe, onetsetsani kuti mwatenga mlingo womwe dokotala akukulemberani. Dokotala wanu adzazindikira mlingo woyenera kuti ugwirizane ndi zosowa zanu.

Chidziwitso cha mlingowu ndi cha piritsi lamlomo la amiodarone. Mlingo ndi mafomu onse omwe sangakhale nawo sangaphatikizidwe pano.

Mafomu ndi mphamvu

Zowonjezera: Amiodarone

  • Mawonekedwe: piritsi yamlomo
  • Mphamvu: 100 mg, 200 mg, 400 mg

Mtundu: Pacerone Pa

  • Mawonekedwe: piritsi yamlomo
  • Mphamvu: 100 mg, 200 mg

Wothandizira zaumoyo adzakupatsani mlingo woyamba wa amiodarone muofesi ya dokotala kapena kuchipatala. Pambuyo pake, mudzatenga muyeso wa amiodarone kunyumba.

Mlingo wa fibrillation yamitsempha yamagazi

Mlingo wa akulu (zaka 18-64 zaka)

Kuyambira mlingo:

  • 800-1,600 mg patsiku amatengedwa pakamwa muyezo umodzi kapena mankhwala opatukana kwa masabata 1-3.
  • Mudzayang'anitsitsa panthawiyi kuti muwonetsetse kuti mukuyankha kuchipatala.

Kupitiliza mlingo:

  • 600-800 mg patsiku lotengedwa pakamwa limodzi kapena muyezo umodzi kwa mwezi umodzi.
  • Mlingowo udzatsitsidwa pamlingo wokonza. Izi nthawi zambiri zimakhala 400 mg patsiku amatengedwa pakamwa limodzi kapena muyezo umodzi.

Mlingo wa ana (zaka 0-17 zaka)

Chitetezo ndi mphamvu ya amiodarone sizinakhazikitsidwe mwa anthu ochepera zaka 18.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Mlingo wanu uyambika kumapeto kwenikweni kuti muchepetse zovuta zoyipa. Mwambiri, mukamakalamba, ziwalo zanu, monga chiwindi, impso, ndi mtima, sizigwira ntchito monga kale. Mankhwala ambiri amatha kukhala mthupi lanu ndikukuyikani pachiwopsezo chowopsa cha zotsatirapo.

Malingaliro apadera

  • Kwa anthu omwe ali ndi mavuto a impso. Ngati muli ndi mavuto a impso, thupi lanu silidzathetsanso mankhwalawa. Izi zitha kupangitsa kuti mankhwalawa akhazikike mthupi lanu ndikupangitsa zovuta zina. Dokotala wanu akhoza kukuyambitsani pamlingo wochepa. Ntchito yanu ya impso ikafika poipa, dokotala akhoza kusiya mankhwala anu.
  • Kwa anthu omwe ali ndi vuto la chiwindi. Ngati muli ndi vuto la chiwindi, thupi lanu silimathanso kuchotsa mankhwalawa. Izi zitha kupangitsa kuti mankhwalawa akhazikike mthupi lanu ndikupangitsa zovuta zina. Dokotala wanu akhoza kukuyambitsani pamlingo wochepa. Ngati chiwindi chikukula, dokotala akhoza kusiya mankhwala anu.

Mlingo wa tachycardia yamitsempha yamagazi

Mlingo wa akulu (zaka 18-64 zaka)

Kuyambira mlingo:

  • 800-1,600 mg patsiku amatengedwa pakamwa muyezo umodzi kapena mankhwala opatukana kwa masabata 1-3.
  • Mudzayang'anitsitsa panthawiyi kuti muwonetsetse kuti mukumvera chithandizo.

Kupitiliza mlingo:

  • 600-800 mg patsiku lotengedwa pakamwa kamodzi kapena muyezo umodzi kwa mwezi umodzi.
  • Mlingowo udzatsitsidwa pamlingo wokonza. Izi nthawi zambiri zimakhala 400 mg patsiku amatengedwa pakamwa limodzi kapena muyezo umodzi.

Mlingo wa ana (zaka 0-17 zaka)

Chitetezo ndi mphamvu ya amiodarone sizinakhazikitsidwe mwa anthu ochepera zaka 18.

Mlingo waukulu (wazaka 65 kapena kupitirira)

Mlingo wanu uyambika kumapeto kwenikweni kuti muchepetse zovuta zoyipa. Mwambiri, mukamakalamba, ziwalo zanu, monga chiwindi, impso, ndi mtima, sizigwira ntchito monga kale. Mankhwala ambiri amatha kukhala mthupi lanu ndikukuyikani pachiwopsezo chowopsa cha zotsatirapo.

Malingaliro apadera

  • Kwa anthu omwe ali ndi mavuto a impso. Ngati muli ndi mavuto a impso, thupi lanu silidzathetsanso mankhwalawa. Izi zitha kupangitsa kuti mankhwalawa akhazikike mthupi lanu ndikupangitsa zovuta zina. Dokotala wanu akhoza kukuyambitsani pamlingo wochepa. Ntchito yanu ya impso ikafika poipa, dokotala akhoza kusiya mankhwala anu.
  • Kwa anthu omwe ali ndi vuto la chiwindi. Ngati muli ndi vuto la chiwindi, thupi lanu silimathanso kuchotsa mankhwalawa. Izi zitha kupangitsa kuti mankhwalawa akhazikike mthupi lanu ndikupangitsa zovuta zina. Dokotala wanu akhoza kukuyambitsani pamlingo wochepa. Ngati chiwindi chikukula, dokotala akhoza kusiya mankhwala anu.

Tengani monga mwalamulidwa

Pulogalamu yamlomo ya Amiodarone itha kugwiritsidwa ntchito ngati chithandizo chanthawi yayitali kapena chanthawi yayitali. Dokotala wanu adzazindikira kuti mudzalandira chithandizo chanji ndi amiodarone kutengera momwe thupi lanu limayankhira. Mankhwalawa amabwera ndi zoopsa zazikulu ngati simutenga monga mwauzidwa.

Ngati simutenga konse kapena kudumpha mlingo. Ngati simutenga amiodarone monga momwe mwafunira, mutha kukhala pachiwopsezo cha mavuto akulu amtima.

Mukatenga kwambiri. Ngati mukuganiza kuti mwatenga amiodarone wochuluka kwambiri, pitani kuchipinda chodzidzimutsa nthawi yomweyo, kapena itanani foni ku dera lanu.

Zomwe muyenera kuchita mukaphonya mlingo. Mukaphonya mlingo, imwani mukamakumbukira. Ngati ili pafupi nthawi ya mlingo wanu wotsatira, tengani mlingo umodzi wokha panthawiyo. Musatenge mlingo wowonjezera kapena kuwirikiza kawiri pamiyeso kuti mupange mlingo womwe waphonya.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito: Mutha kudziwa ngati mankhwalawa akugwira ntchito ngati zizindikiritso zanu zikuyenda bwino. Chizungulire, mseru, kupweteka pachifuwa, kupuma pang'ono, kapena kugunda kwamtima mwachangu ziyenera kukhala bwino.

Machenjezo a Amiodarone

Mankhwalawa amabwera ndi machenjezo osiyanasiyana.

Chenjezo la FDA: Zochenjeza zoyipa

  • Amiodarone iyenera kugwiritsidwa ntchito ngati muli ndi chiwopsezo chowopsa kapena kugunda kwamtima mosasinthasintha. Mankhwalawa akhoza kukhala ndi zovuta zoyipa. Izi zikuphatikiza mavuto akulu am'mapapo, mavuto a chiwindi, komanso kuwonjezeka kwa kugunda kwamtima kwanu. Mavutowa amatha kupha.
  • Ngati mukufuna kuthandizidwa ndi amiodarone pamtima wosagunda, muyenera kulowetsedwa kuchipatala kuti mupeze mankhwala oyamba. Izi ndikuonetsetsa kuti amiodarone imaperekedwa kwa inu mosatekeseka komanso ndiyothandiza. Mungafunike kuyang'aniridwa mchipatala mukasintha mlingo.

Chenjezo lakumva dzuwa

Amiodarone imatha kukupangitsani kukhala osamala ndi dzuwa kapena kupangitsa khungu lanu kukhala labuluu-imvi.

Yesetsani kupewa dzuwa mukamamwa mankhwalawa. Valani zoteteza ku dzuwa ndi zovala zoteteza ngati mukudziwa kuti mudzakhala padzuwa. Musagwiritse ntchito nyali zadzuwa kapena mabedi osenda.

Kuopsa kwa mavuto amaso

Muyenera kukhala ndi mayeso amaso pafupipafupi mukamamwa ndi amiodarone.

Amiodarone ingayambitse mavuto a masomphenya, kuphatikizapo kuwona bwino, kuwona ma halos mozungulira zinthu, kapena kuzindikira kuwala. Muyenera kuyimbira dokotala ngati mukukumana ndi izi.

Kuopsa kwa mavuto am'mapapu

Nthawi zina, amiodarone imatha kuvulaza m'mapapo yomwe imatha kupha. Mutha kukhala pachiwopsezo chachikulu ngati muli ndi matenda am'mapapo kale.

Itanani dokotala wanu nthawi yomweyo mukawona kupuma pang'ono, kupuma, kupuma movutikira, kupweteka pachifuwa, kapena kulavulira magazi mukamamwa mankhwalawa.

Chenjezo la ziwengo

Musatengerenso mankhwalawa ngati munakhalapo ndi vuto linalake. Kutenganso kungakhale kowopsa.

Chenjezo la kuyanjana kwa chakudya

Musamwe madzi amphesa mukamamwa mankhwalawa. Kumwa msuzi wamphesa pomwe mumamwa amiodarone kumatha kukulitsa kuchuluka kwa amiodarone mthupi lanu.

Machenjezo kwa anthu omwe ali ndi matenda ena

Kwa anthu omwe ali ndi vuto la ayodini. Musagwiritse ntchito mankhwalawa. Lili ndi ayodini.

Kwa anthu omwe ali ndi vuto la mtima kapena matenda amtima. Gwiritsani ntchito amiodarone mosamala. Mankhwalawa atha kufooketsa kuchepa kwa mtima wanu ndikuchepetsa kugunda kwa mtima wanu.

Musagwiritse ntchito amiodarone ngati muli ndi vuto lalikulu la sinus osachedwa kugunda kwa mtima, kukomoka chifukwa chothamanga mtima, gawo lachiwiri kapena lachitatu, kapena ngati mtima wanu sungatumphe magazi okwanira mthupi lanu lonse (mantha am'magazi) .

Kwa anthu omwe ali ndi matenda am'mapapo. Gwiritsani ntchito amiodarone mosamala kwambiri ngati muli ndi matenda am'mapapo, monga matenda osokoneza bongo (COPD), kapena ngati mapapo anu sagwira ntchito bwino. Amiodarone angayambitse zotsatira za poizoni m'mapapu anu ndipo akhoza kupha.

Kwa anthu omwe ali ndi matenda a chiwindi. Gwiritsani ntchito amiodarone mosamala ngati muli ndi matenda a chiwindi, monga chiwindi kapena kuwonongeka kwa chiwindi. Izi zitha kupangitsa kuti amiodarone amange mthupi lanu komanso akhale owopsa pachiwindi.

Kwa anthu omwe ali ndi matenda a chithokomiro. Ngati muli ndi matenda a chithokomiro, mutha kukhala ndi mahomoni otsika kapena otsika kwambiri mukamamwa amiodarone. Izi zitha kukulitsa vuto lanu.

Kwa anthu omwe ali ndi matenda amitsempha. Gwiritsani ntchito amiodarone mosamala ngati muli ndi matenda amitsempha, monga zotumphukira za m'mitsempha, matenda a Parkinson, muscular dystrophy, kapena khunyu. Kutenga mankhwalawa kumatha kuwononga mitsempha ndikupangitsa kuti izi zitheke.

Machenjezo kwa magulu ena

Kwa amayi apakati. Amiodarone akhoza kuvulaza mimba yanu ngati mutamwa mankhwalawa muli ndi pakati. Uzani dokotala wanu ngati muli ndi pakati kapena mukukonzekera kutenga pakati, ngakhale mutasiya mankhwala ndi amiodarone. Mankhwalawa amatha kukhala mthupi lanu kwa miyezi ingapo mankhwala atasiya.

Kwa amayi omwe akuyamwitsa. Amiodarone amatha kupyola mkaka wa m'mawere ndipo amawononga mwana woyamwitsa. Simuyenera kuyamwa mukamamwa amiodarone. Lankhulani ndi dokotala wanu za njira yabwino yodyetsera mwana wanu.

Kwa okalamba. Mwambiri, mukamakalamba, ziwalo zanu, monga chiwindi, impso, ndi mtima, sizigwira ntchito monga kale. Mankhwala ambiri amatha kukhala mthupi lanu ndikukuyikani pachiwopsezo chowopsa cha zotsatirapo.

Kwa ana. Chitetezo ndi mphamvu ya amiodarone sizinakhazikitsidwe mwa anthu ochepera zaka 18.

Amiodarone amatha kulumikizana ndi mankhwala ena

Amiodarone amatha kulumikizana ndi mankhwala ena angapo. Kuyanjana kosiyanasiyana kumatha kubweretsa zovuta zosiyanasiyana. Mwachitsanzo, ena amatha kusokoneza momwe mankhwala amagwirira ntchito, pomwe ena amatha kuyambitsa zovuta zina.

M'munsimu muli mndandanda wa mankhwala omwe angagwirizane ndi amiodarone. Mndandandawu mulibe mankhwala onse omwe angagwirizane ndi amiodarone.

Musanatenge amiodarone, onetsetsani kuti mumauza dokotala komanso wamankhwala zamankhwala anu onse, pa-counter, ndi mankhwala ena omwe mumamwa.

Auzeni za mavitamini, zitsamba, ndi zowonjezera zilizonse zomwe mumagwiritsa ntchito. Kugawana izi kungakuthandizeni kupewa kuyanjana komwe kungachitike.

Ngati muli ndi mafunso okhudzana ndi mankhwala omwe angakukhudzeni, funsani dokotala kapena wamankhwala.

Chidziwitso: Mutha kuchepetsa mwayi wanu wogwiritsa ntchito mankhwalawa mwakukakamiza kuti mupatsidwe mankhwala anu omwewo. Mwanjira imeneyi, wamankhwala amatha kuwona momwe angayanjanitsire mankhwala.

Maantibayotiki

Kutenga maantibayotiki ena ndi amiodarone kumatha kuyambitsa kugunda kwamtima. Zitsanzo za mankhwalawa ndi monga:

  • erythromycin
  • chithuchithu
  • fluconazole
  • kutchfuneralhome

Mankhwala ochepetsa mphamvu ya kachilombo

Mankhwalawa atha kukulitsa kuchuluka kwa amiodarone mthupi lanu. Izi zimakuyikani pachiwopsezo chachikulu chotsatira zoyipa kuchokera ku amiodarone, kuphatikiza kugunda kwamtima mosasinthasintha, komwe kumatha kupha.

Dokotala wanu adzakuyang'anirani mosamala mukamamwa mankhwalawa limodzi. Zitsanzo za mankhwalawa ndi monga:

  • atazanavir (Reyataz)
  • darunavir (Prezista)
  • fosamprenavir (Lexiva)
  • indinavir (Crixivan)
  • lopinavir ndi ritonavir (Kaletra)
  • nelfinavir (Viracept)
  • mwambo (Norvir)
  • saquinavir (Invirase)
  • nsonga (Aptivus)

Opaka magazi

Kutenga oonda magazi monga warfarin ndi amiodarone imatha kukulitsa mphamvu yamagazi ochepa. Izi zimayika pachiwopsezo chotaya magazi kwambiri, omwe atha kupha.

Mukamamwa mankhwalawa limodzi, dokotala wanu ayenera kuchepetsa kuchuluka kwa magazi anu ochepera magazi ndikuwunika mosamala.

Mankhwala a chifuwa, pa-counter

Kugwiritsa ntchito dextromethorphan ndi amiodarone imatha kukulitsa kuchuluka kwa dextromethorphan mthupi lanu, zomwe zingayambitse poizoni.

Mankhwala osokoneza bongo

Zamgululi itha kukulitsa kuchuluka kwa amiodarone mthupi lanu. Izi zimakuyikani pachiwopsezo chachikulu chotsatira zoyipa kuchokera ku amiodarone, kuphatikiza kugunda kwamtima mosasinthasintha, komwe kumatha kupha.

Mankhwala oteteza kukanidwa kwa ziwalo

Kutenga cyclosporine ndi amiodarone kumabweretsa kuchuluka kwa cyclosporine mthupi lanu. Izi zitha kuyambitsa zovuta zina.

Mankhwala a GERD

Kutenga cimetidine ndi amiodarone itha kukulitsa kuchuluka kwa amiodarone mthupi lanu. Izi zimakuyikani pachiwopsezo chachikulu chotsatira zoyipa kuchokera ku amiodarone, kuphatikiza kugunda kwamtima mosasinthasintha, komwe kumatha kupha.

Mankhwala olephera mtima

Kutenga magwire ndi amiodarone imatha kuchepetsa kugunda kwa mtima kwanu ndipo imayambitsa kusokonezeka kwamalingaliro amtima. Dokotala wanu amatha kuwunika momwe mtima wanu ukugwirira ntchito ngati mutenga mankhwalawa limodzi.

Mankhwala amtima

Kutenga amiodarone ndi mankhwala ena amtima kumatha kukulitsa kuchuluka kwa mankhwala amtima mthupi lanu. Izi zitha kubweretsa zovuta zoyipa zomwe zitha kupha.

Mukatenga imodzi mwa mankhwalawa ndi amiodarone, dokotala wanu amachepetsa kuchuluka kwa mankhwala amtima. Zitsanzo za mankhwalawa ndi monga:

  • Chinthaka
  • antiarrhythmics, monga:
    • quinidine
    • kugulitsidwa
    • alireza

Mankhwala a chiwindi

Kutenga mankhwala ena a hepatitis ndi amiodarone kungayambitse bradycardia, yomwe ikuchepetsa kugunda kwa mtima wanu. Izi zitha kupha moyo.

Dokotala wanu akhoza kuyang'anitsitsa kugunda kwa mtima wanu ngati mutamwa mankhwalawa ndi amiodarone:

  • ledipasvir / sofosbuvir (Harvoni)
  • sofosbuvir ndi simeprevir

Mankhwala owonjezera azitsamba

Kutenga Wort wa St. ndi amiodarone ikhoza kutsitsa kuchuluka kwa amiodarone mthupi lanu, zomwe zikutanthauza kuti sizigwiranso ntchito.

Mankhwala a kuthamanga kwa magazi

Gwiritsani ntchito mankhwalawa mosamala mukamamwa amiodarone. Kugwiritsa ntchito mankhwalawa ndi amiodarone kungayambitse mavuto pamtima wanu.

Zitsanzo za mankhwalawa ndi monga:

  • beta-blockers, monga:
    • acebutolol
    • atenolol
    • kutsogolera
    • ziphuphu
    • esmolol
    • metoprolol
    • alireza
    • nebivolol
    • mankhwala
  • zotsekemera za calcium, monga:
    • amlodipine
    • felodipine
    • alireza
    • alireza
    • nifedipine
    • nimodipine
    • alireza

Mankhwala osokoneza bongo a cholesterol

Kutenga ma statins ndi amiodarone kumatha kukulitsa kuchuluka kwa mankhwala a cholesterol mthupi lanu, omwe angayambitse zovuta.

Dokotala wanu akhoza kuchepetsa mlingo wanu wa mankhwalawa mukamamwa amiodarone. Zitsanzo za mankhwalawa ndi monga:

  • alirezatalischi
  • alirezatalischi

Komanso, kutenga kutuloji ndi amiodarone ikhoza kutsitsa kuchuluka kwa amiodarone mthupi lanu, zomwe zikutanthauza kuti sizigwiranso ntchito.

Mankhwala am'deralo ochititsa dzanzi

Kugwiritsa ntchito lidocaine ndi amiodarone imatha kuyambitsa kugunda kwamtima pang'ono ndi khunyu.

Mankhwala opweteka

Kugwiritsa ntchito fentanyl ndi amiodarone amachepetsa kugunda kwa mtima wanu, amachepetsa kuthamanga kwa magazi, komanso amachepetsa magazi omwe amapopa magazi anu.

Nyengo ziwengo mankhwala

Loratadine itha kukulitsa kuchuluka kwa amiodarone mthupi lanu. Izi zimakuyika pachiwopsezo chachikulu chotenga zotsatira zoyipa kuchokera ku amiodarone, kuphatikiza kugunda kwamtima mosasinthasintha, komwe kumatha kupha.

Mankhwala osokoneza bongo

Kutenga muthoni ndi amiodarone ikhoza kutsitsa kuchuluka kwa amiodarone mthupi lanu, zomwe zikutanthauza kuti sizigwiranso ntchito.

Mankhwala a chifuwa chachikulu

Kutenga rifampin ndi amiodarone ikhoza kutsitsa kuchuluka kwa amiodarone mthupi lanu, zomwe zikutanthauza kuti sizigwiranso ntchito.

Zofunikira pakumwa amiodarone

Kumbukirani izi ngati dokotala akukulemberani piritsi yamlomo ya amiodarone.

Zonse

  • Mutha kumwa mankhwalawa popanda chakudya. Komabe, muyenera kutenga chimodzimodzi nthawi iliyonse.
  • Tengani amiodarone nthawi imodzimodzi tsiku lililonse, pafupipafupi.

Yosungirako

  • Sungani mankhwalawa kutentha pakati pa 68 ° F mpaka 77 ° F (20 ° C ndi 25 ° C).
  • Tetezani mankhwalawa ku kuwala.

Zowonjezeranso

Mankhwala a mankhwalawa amakonzanso. Simuyenera kusowa mankhwala atsopano kuti mudzazidwenso. Dokotala wanu adzalemba kuchuluka kwa mafuta obwezerezedwanso pamankhwala anu.

Kuyenda

Mukamayenda ndi mankhwala anu:

  • Nthawi zonse muzinyamula mankhwala anu. Mukamauluka, musayikenso m'thumba lofufuzidwa. Sungani m'thumba lanu.
  • Osadandaula za makina a X-ray pabwalo la ndege. Sangathe kuvulaza mankhwala anu.
  • Mungafunike kuwonetsa ogwira ntchito ku eyapoti chizindikiro cha mankhwala anu. Nthawi zonse muzinyamula bokosi loyambirira lomwe muli nalo.
  • Musayike mankhwalawa m'galimoto yamagolovu amgalimoto yanu kapena siyani m'galimoto. Onetsetsani kuti musachite izi nyengo ikatentha kapena kuzizira kwambiri.

Kuwunika kuchipatala

Mudzayang'aniridwa mosamala mukatenga amiodarone. Dokotala wanu adzawona:

  • chiwindi
  • mapapo
  • chithokomiro
  • maso
  • mtima

Mupezanso ma X-ray pachifuwa komanso kuyezetsa magazi. Dokotala wanu adzayesa magazi omwe amayang'ana kuchuluka kwa amiodarone m'magazi anu kuti awonetsetse kuti ndiotetezeka kwa inu.

Kuzindikira kwa dzuwa

Amiodarone ikhoza kukupangitsani kuti muzimva kuwala kwa dzuwa. Yesetsani kupewa dzuwa mukamamwa mankhwalawa. Valani zoteteza ku dzuwa ndi zovala zoteteza ngati mudzakhala padzuwa.Musagwiritse ntchito nyali zadzuwa kapena mabedi osenda.

Inshuwalansi

Makampani ambiri a inshuwaransi amafunikira chilolezo asanavomereze mankhwalawo ndikulipira amiodarone.

Kodi pali njira zina?

Palinso mankhwala ena omwe amapezeka kuti athetse vuto lanu. Zina zingakhale zoyenera kwa inu kuposa ena. Lankhulani ndi dokotala wanu za njira zina zomwe zingatheke.

Chodzikanira: Healthaline yayesetsa kwambiri kuti zidziwitso zonse zikhale zolondola, zokwanira, komanso zaposachedwa. Komabe, nkhaniyi sikuyenera kugwiritsidwa ntchito m'malo mwa chidziwitso ndi ukadaulo wa akatswiri pazachipatala. Muyenera kufunsa adotolo kapena akatswiri azaumoyo musanamwe mankhwala aliwonse. Zambiri zamankhwala zomwe zili pano zitha kusintha ndipo sizingapangidwe kuti zigwiritse ntchito, mayendedwe, zodzitetezera, machenjezo, kulumikizana ndi mankhwala, kusokonezeka, kapena zovuta zina. Kusapezeka kwa machenjezo kapena zidziwitso za mankhwala omwe apatsidwa sikuwonetsa kuti kuphatikiza mankhwala kapena mankhwalawa ndiwotetezeka, ogwira ntchito, komanso oyenera kwa odwala onse kapena ntchito zina zilizonse.

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