Sotalol, Piritsi Yamlomo

Zamkati

• Mfundo zazikulu za sotalol
• Sotalol ndi chiyani?
• Chifukwa chimagwiritsidwa ntchito
• Momwe imagwirira ntchito
• Zotsatira za Sotalol
• Zotsatira zofala kwambiri
• Zotsatira zoyipa
• Momwe mungatengere sotalol
• Mlingo wa ventricular arrhythmia
• Mlingo wa fibrillation ya atrial kapena flutter atrial
• Tengani monga mwalamulidwa
• Mukasiya kuzitenga mwadzidzidzi
• Mukatenga kwambiri
• Zomwe muyenera kuchita mukaphonya mlingo
• Momwe mungadziwire ngati mankhwalawa akugwira ntchito
• Machenjezo a Sotalol
• Machenjezo a FDA
• Chenjezo la nyimbo yamtima
• Chenjezo la thanzi la impso
• Chenjezo lodzidzimutsa mwadzidzidzi
• Chenjezo la ziwengo
• Chenjezo la mowa
• Machenjezo kwa anthu omwe ali ndi mavuto ena azaumoyo
• Machenjezo kwa magulu ena
• Sotalol amatha kulumikizana ndi mankhwala ena
• Multiple sclerosis mankhwala
• Mankhwala amtima
• Beta-blockers
• Zotsutsa-zosokoneza
• Mankhwala a magazi
• Oletsa ma calcium
• Mankhwala osokoneza bongo a Catecholamine
• Mankhwala a shuga
• Mankhwala othandizira kupuma bwino
• Ma antacids ena
• Mankhwala amisala
• Maantibayotiki
• Zofunikira pakumwa sotalol
• Zonse
• Yosungirako
• Zowonjezeranso
• Kuyenda
• Kuwunika kuchipatala
• Inshuwalansi
• Kodi pali njira zina?
• Bokosi loona
• Nthawi yoyimbira dotolo
• Bokosi loona

Mfundo zazikulu za sotalol

1. Sotalol amapezeka ngati mankhwala achibadwa komanso mayina ena. Maina a mayina: Betapace ndi Sorine. Sotalol AF imapezeka ngati mankhwala achibadwa komanso mayina ena. Dzina la dzina: Betapace AF.
2. Sotalol ndi mankhwala osokoneza bongo omwe amagwiritsidwa ntchito pochizira ventricular arrhythmia. Sotalol AF imagwiritsidwa ntchito pochizira matenda a atrial kapena flutter yamtima.
3. Sotalol ndi sotalol AF sizingasinthane wina ndi mnzake. Amasiyana pamayeso, kasamalidwe, ndi chitetezo. Onetsetsani kuti mukudziwa mankhwala omwe mumatenga.
4. Kuyamba kwa chithandizo chanu ndi mankhwalawa, komanso kuchuluka kulikonse kwa mlingo, kudzachitika m'malo omwe mungayang'anire mtima wanu.

Sotalol ndi chiyani?

Sotalol ndi mankhwala akuchipatala. Ilipo ngati piritsi lokamwa ndi yankho lamitsempha.

Sotalol imapezeka ngati mankhwala omwe amadziwika ndi dzina Betapace ndipo Zamgululi. Sotalol AF imapezeka ngati dzina lodziwika mankhwala Betapace AF.

Sotalol ndi Sotalol AF amapezekanso m'ma generic. Mankhwala achibadwa nthawi zambiri amakhala otsika mtengo. Nthawi zina, sangapezeke mwamphamvu iliyonse kapena mawonekedwe aliwonse monga mtundu wamaina.

Ngati mukumwa sotalol AF kuti muthane ndi kugunda kwamtima kosasinthasintha, mutenga limodzi ndi mankhwala ochepetsa magazi.

Chifukwa chimagwiritsidwa ntchito

Sotalol ndi beta-blocker. Amagwiritsidwa ntchito pochiza:

• ventricular arrhythmia (sotalol)
• fibrillation ya atrial ndi atrial flutter (sotalol AF)

Momwe imagwirira ntchito

Sotalol ali m'gulu la mankhwala otchedwa antiarrhythmics. Zimagwira ntchito pochepetsa kuchepa kwa mtima. Zimathandizanso mitsempha yamagazi kumasuka, zomwe zingathandize mtima wanu kugwira bwino ntchito.

Zotsatira za Sotalol

Solatol imatha kuyambitsa zovuta zochepa kapena zoyipa. Mndandanda wotsatira uli ndi zovuta zina zomwe zingachitike mukamamwa Solatol. Mndandandawu sungaphatikizepo zovuta zonse zomwe zingachitike.

Kuti mumve zambiri pazomwe zingachitike ndi Solatol, kapena maupangiri amomwe mungachitire ndi zovuta zina, lankhulani ndi dokotala kapena wamankhwala.

Zotsatira zofala kwambiri

Zotsatira zoyipa zomwe zimatha kuchitika ndi sotalol ndi monga:

• kugunda kwa mtima
• kupuma movutikira
• kutopa
• nseru
• chizungulire kapena mutu wopepuka
• kufooka

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:

• mavuto amtima, kuphatikiza:
  • kupweteka pachifuwa
  • kugunda kwamtima kosasintha (torsades de pointes)
  • kugunda kwa mtima pang'ono
• mavuto am'mimba, kuphatikizapo:
  • kusanza
  • kutsegula m'mimba
• thupi lawo siligwirizana, kuphatikizapo:
  • kupuma kapena kupuma movutikira
  • zotupa pakhungu
• kuzizira, kumva kulasalasa, kapena kufooka m'manja kapena m'miyendo
• chisokonezo
• kupweteka kwa minofu
• thukuta
• miyendo yotupa kapena akakolo
• kunjenjemera kapena kugwedezeka
• ludzu lachilendo kapena kusowa kwa njala

Momwe mungatengere sotalol

Mlingo wa solatol womwe dokotala amakupatsani umadalira pazinthu zingapo. Izi zikuphatikiza:

• mtundu ndi kuuma kwa chikhalidwe chomwe mukugwiritsa ntchito solatol kuchiza
• zaka zanu
• mawonekedwe a solatol 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.

Mlingo wa ventricular arrhythmia

Zowonjezera: alireza

• Mawonekedwe: piritsi yamlomo
• Mphamvu: Mamiligalamu 80 (mg), 120 mg, ndi 160 mg

Mlingo wachikulire (wazaka 18 kapena kupitirira)

• Mlingo woyambira woyambira ndi 80 mg womwe umatengedwa kawiri patsiku.
• Mlingo wanu ukhoza kuwonjezeka pang'onopang'ono. Masiku atatu amafunikira pakati pa kusintha kwamiyeso kuti muwone mtima wanu komanso mankhwala okwanira kuti akhale mthupi lanu kuti muchiritse arrhythmia.
• Mlingo wanu watsiku ndi tsiku ungakwezedwe kufika pa 240 kapena 320 mg patsiku. Izi zitha kukhala chimodzimodzi ndi 120 mpaka 160 mg yomwe imamwedwa kawiri patsiku.
• Mungafune mlingo waukulu wa 480-640 mg patsiku ngati muli ndi mavuto pachiwopsezo cha kugunda kwamtima. Mlingo waukuluwu uyenera kuperekedwa pokhapokha phindu likapitilira chiopsezo cha zotsatirapo zake.

Mlingo wa ana (zaka 2-17 zaka)

• Mlingowo umachokera kumtunda kwa ana.
• Mlingo woyambira woyambira ndi mamiligalamu 30 pa mita mita imodzi (mg / m²) amatengedwa katatu patsiku (90 mg / m² Mlingo wathunthu watsiku ndi tsiku). Izi ndizofanana ndi 160 mg patsiku la akulu.
• Mlingo wa mwana wanu ukhoza kuwonjezeka pang'onopang'ono. Masiku atatu amafunikira pakati pa kusintha kwa mlingo kuti muwone mtima wa mwana wanu komanso kuti mankhwala okwanira akhale mthupi la mwana wanu kuti azitha kuchiza matendawa.
• Kuchulukitsa kwamankhwala kumadalira kuyankha kwamankhwala, kugunda kwa mtima, komanso kugunda kwamtima.
• Mlingo wa mwana wanu ukhoza kuchulukitsidwa mpaka 60 mg / m² (pafupifupi ofanana ndi 360 mg patsiku la akulu).

Mlingo wa ana (zaka 0-2 zaka)

• Mlingo wa ana ochepera zaka ziwiri kutengera msinkhu wa miyezi. Dokotala wa mwana wanu adzawerengera mlingo wanu.
• Mlingo wathunthu wa tsiku ndi tsiku uyenera kuperekedwa katatu patsiku.

Mlingo wa fibrillation ya atrial kapena flutter atrial

Zowonjezera: sotalol AF

• Mawonekedwe: piritsi yamlomo
• Mphamvu: 80 mg, 120 mg, ndi 160 mg

Mlingo wachikulire (wazaka 18 kapena kupitirira):

Mlingo woyambirira wa AFIB / AFL ndi 80 mg kawiri tsiku lililonse. Mlingowu ukhoza kuwonjezeka ndikuwonjezera kwa 80 mg patsiku masiku atatu aliwonse kutengera ntchito ya impso.

Dokotala wanu adzakuuzani mlingo wanu komanso momwe mungafunikire kumwa mankhwalawa.

Mlingo wa ana (zaka 2-17 zaka)

• Mlingo wa ana umachokera kumtunda.
• Mlingo woyambira woyambira ndi 30 mg / m² amatengedwa katatu patsiku (90 mg / m² Mlingo wathunthu watsiku ndi tsiku). Izi ndizofanana ndi 160 mg patsiku la akulu.
• Mlingo wa mwana wanu ukhoza kuwonjezeka pang'onopang'ono.
• Masiku atatu amafunikira pakati pa kusintha kwa mlingo kuti muwone mtima wa mwana wanu komanso kuti mankhwala okwanira akhale mthupi la mwana wanu kuti azitha kuchiza matendawa.
• Kuchulukitsa kwamankhwala kumadalira kuyankha kwamankhwala, kugunda kwa mtima, komanso kugunda kwamtima.
• Mlingo wa mwana wanu ukhoza kuchulukitsidwa mpaka 60 mg / m² (pafupifupi ofanana ndi 360 mg patsiku la akulu).

Mlingo wa ana (zaka 0-2 zaka)

• Kuyeza kwa ana ochepera zaka 2 kutengera msinkhu wa miyezi. Dokotala wanu adzawerengera mlingo wanu.
• Mlingo wathunthu wa tsiku ndi tsiku uyenera kuperekedwa katatu patsiku.

Tengani monga mwalamulidwa

Sotalol imagwiritsidwa ntchito pochiza nthawi yayitali. Zimabwera ndi zoopsa ngati simutenga monga adanenera dokotala.

Mukasiya kuzitenga mwadzidzidzi

Kuyimitsa mwadzidzidzi sotalol kumatha kubweretsa zopweteka kwambiri pachifuwa, mavuto amtima, kapena ngakhale matenda amtima. Mukasiya kumwa mankhwalawa, muyenera kuyang'anitsitsa ndikuganiza zogwiritsa ntchito beta-blocker, makamaka ngati muli ndi matenda amitsempha.

Mukatenga kwambiri

Ngati mukuganiza kuti mwadya kwambiri, pitani kuchipinda chadzidzidzi kapena funsani malo oletsa poyizoni. Zizindikiro zofala kwambiri za bongo ndizotsika poyerekeza ndi kugunda kwamtima, kulephera kwa mtima, kuthamanga kwa magazi, shuga wotsika magazi, komanso kupuma movutikira chifukwa chothinana kwa mpweya m'mapapu anu.

Zomwe muyenera kuchita mukaphonya mlingo

Ngati mwaphonya mlingo, tengani mlingo wotsatira nthawi yanthawi zonse. Osachulukitsa mlingo wotsatira.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito

Mutha kudziwa kuti mankhwalawa akugwira ntchito ngati kugunda kwa mtima wanu kubwereranso mwakale komanso kugunda kwa mtima wanu kutsika.

Machenjezo a Sotalol

Mankhwalawa amabwera ndi machenjezo angapo.

Machenjezo a FDA

• Mankhwalawa ali ndi machenjezo a bokosi lakuda. Awa ndi machenjezo ovuta kwambiri ochokera ku Food and Drug Administration (FDA). Chenjezo la bokosi lakuda limachenjeza madokotala ndi odwala za zovuta zamankhwala zomwe zitha kukhala zowopsa.
• Chenjezo la oyang'anira: Mukayamba kapena kuyambiranso mankhwalawa, muyenera kukhala pamalo omwe amatha kuyang'anira kuwunika kwa mtima ndi kuyesa kwa impso kwa masiku osachepera atatu. Izi zithandizira kuchepetsa ngozi yamavuto amitima yamtima.

Chenjezo la nyimbo yamtima

Mankhwalawa amatha kuyambitsa kapena kukulitsa vuto lotchedwa torsades de pointes. Ichi ndi chizolowezi choopsa chachilendo. Pezani chithandizo chamankhwala mwadzidzidzi ngati mukumva kugunda kwamtima mosatengera mutatenga sotalol. Muli pachiwopsezo chachikulu ngati:

• mtima wako sukugwira bwino ntchito
• muli ndi kugunda kwamtima kotsika
• muli ndi potaziyamu wochepa
• ndiwe wamkazi
• muli ndi mbiri yakulephera kwa mtima
• muli ndi kugunda kwamtima mwachangu komwe kumatenga nthawi yayitali kuposa masekondi 30
• muli ndi vuto la impso
• mukumwa mankhwala ochuluka a sotalol

Chenjezo la thanzi la impso

Sotalol imachotsedwa m'thupi lanu kudzera mu impso zanu. Ngati muli ndi vuto la impso, mankhwalawa amatha kuchotsedwa pang'onopang'ono, ndikupangitsa kuti mankhwala azikhala ochuluka mthupi lanu. Mlingo wa mankhwalawa uyenera kutsitsidwa.

Chenjezo lodzidzimutsa mwadzidzidzi

Kuyimitsa mwadzidzidzi mankhwalawa kumatha kubweretsa zopweteka kwambiri pachifuwa, mavuto amtima, kapena ngakhale kudwala kwamtima. Muyenera kuyang'anitsitsa mukamayimitsa mankhwalawa. Mlingo wanu udzatsitsidwa pang'onopang'ono. Mutha kulandira beta-blocker yosiyana, makamaka ngati muli ndi mtsempha wamagazi.

Chenjezo la ziwengo

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

Ngati muli ndi mbiri yakukhala ndi moyo woopsa womwe ungawopseze zovuta zosiyanasiyana, muli pachiwopsezo chachikulu chotenga yankho lomweli kwa beta-blockers. Simungayankhe pamlingo wokhazikika wa epinephrine womwe umagwiritsidwa ntchito kuthana ndi zovuta zina.

Chenjezo la mowa

Pewani zakumwa zoledzeretsa mukamamwa mankhwalawa. Kuphatikiza mowa ndi sotalol kumatha kukupangitsani kuti muziwodzera komanso muzungulire. Zitha kuchititsanso kuti magazi azithamanga kwambiri.

Machenjezo kwa anthu omwe ali ndi mavuto ena azaumoyo

Kwa anthu omwe ali ndi mavuto amtima: Musamwe mankhwalawa ngati muli ndi:

• kugunda kwa mtima kotsika kuposa 50 kumenyedwa pamphindi nthawi yakudzuka
• gawo lachiwiri kapena lachitatu la mtima (pokhapokha pacemaker yogwira ntchito ilipo)
• Matenda a mtima omwe angayambitse kugunda kwamtima mwachangu, mwachangu
• cardiogenic mantha
• kusalankhula mtima kulephera
• muyeso woyambira mkombero wamagetsi mumtima mwanu (QT) wopitilira ma millisecond a 450

Komanso kumbukirani izi:

• Ngati mukulephera mtima komwe kumathandizidwa ndi digoxin kapena diuretics, mankhwalawa akhoza kukulitsa mtima wanu kulephera.
• Ngati muli ndi nyimbo yachilendo yotchedwa torsades de pointes, sotalol imatha kukulitsa.
• Ngati muli ndi torsades de pointes mutadwala matenda amtima posachedwa, mankhwalawa amakulitsa chiopsezo chanu chofa pang'ono (masiku 14) kapena kumawonjezera chiopsezo chofa mtsogolo.
• Mankhwalawa amatha kuyambitsa kuchepa kwa mtima kwa anthu omwe ali ndi vuto la kugunda kwamtima chifukwa chamagetsi olakwika mumtima.
• Ngati muli ndi vuto la kugunda kwamtima lotchedwa sick sinus syndrome, mankhwalawa amatha kupangitsa kugunda kwa mtima wanu kutsika kuposa zachilendo. Zingapangitsenso mtima wanu kuima.

Kwa anthu omwe ali ndi mphumu: Musatenge sotalol. Kumwa mankhwalawa kumatha kukulitsa vuto lanu ndikuchepetsa momwe mankhwala anu a mphumu amagwirira ntchito.

Kwa anthu omwe ali ndi ma electrolyte ochepa: Musatenge sotalol ngati muli ndi potaziyamu wochepa kapena magnesium. Mankhwalawa amatha kuyambitsa mavuto pamagetsi amagetsi mumtima mwanu. Zimakwezanso chiopsezo chanu chokhala ndi vuto lamtima lotchedwa torsades de pointes.

Kwa anthu omwe akuwongolera apaulendo: Ngati mukumangika pang'ono panjira panjira yanu monga bronchitis yanthawi yayitali kapena emphysema, simukuyenera kutenga sotalol kapena beta-blockers. Ngati mukuyenera kugwiritsa ntchito mankhwalawa, dokotala wanu ayenera kukupatsani mankhwala ocheperako.

Kwa anthu omwe ali ndi ziwopsezo zowopsa pamoyo wawo: Ngati muli ndi mbiri yamoyo wowopsa womwe umawopseza zomwe zimachitika chifukwa cha zovuta zosiyanasiyana, muli pachiwopsezo chachikulu chotenga yankho lomweli kwa beta-blockers. Simungayankhe pamlingo wokhazikika wa epinephrine womwe umagwiritsidwa ntchito kuthana ndi zovuta zina.

Kwa anthu omwe ali ndi matenda ashuga kapena shuga wotsika magazi: Sotalol amatha kubisa zizindikiro za shuga wotsika magazi. Mankhwala anu ashuga angafunike kusinthidwa.

Kwa anthu omwe ali ndi chithokomiro chosafunikira: Sotalol imatha kubisa zizindikiritso za chithokomiro (hyperthyroidism). Ngati muli ndi hyperthyroidism ndipo mwadzidzidzi lekani kumwa mankhwalawa, zizindikilo zanu zitha kukulirakulira kapena mutha kukhala ndi vuto lalikulu lotchedwa chimphepo chamkuntho.

Kwa anthu omwe ali ndi vuto la impso: Sotalol imachotsedwa m'thupi lanu kudzera mu impso zanu. Ngati muli ndi mavuto a impso, mankhwalawa amatha kukula mthupi lanu, zomwe zingayambitse mavuto. Ngati muli ndi mavuto a impso, mlingo wanu wa mankhwalawa uyenera kutsitsidwa. Ngati muli ndi mavuto a impso, musagwiritse ntchito sotalol.

Machenjezo kwa magulu ena

Kwa amayi apakati: Sotalol ndi mankhwala a m'gulu la mimba B. Izi zikutanthauza zinthu ziwiri:

1. Kafukufuku wamankhwala anyama yapakati sanawonetse chiopsezo kwa mwana wosabadwayo.
2. Palibe maphunziro okwanira omwe apangidwa kwa amayi apakati kuti asonyeze kuti mankhwalawa ali pachiwopsezo kwa mwana wosabadwayo.

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kutenga pakati. Sotalol iyenera kugwiritsidwa ntchito panthawi yapakati pokhapokha phindu lomwe lingakhalepo likutsimikizira kuopsa kwa mwana wosabadwayo.

Kwa amayi omwe akuyamwitsa: Sotalol amatha kudutsa mkaka wa m'mawere ndipo zimayambitsa zoyipa kwa mwana yemwe akuyamwitsa. Uzani dokotala wanu ngati mukuyamwitsa mwana wanu. Muyenera kusankha ngati mukuyamwitsa kapena kumwa sotalol.

Kwa ana: Sizinadziwike kuti mankhwalawa ndiotetezeka komanso othandiza kuti azigwiritsidwa ntchito kwa anthu ochepera zaka 18.

Sotalol amatha kulumikizana ndi mankhwala ena

Solatol amatha kuyanjana 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 solatol. Mndandandawu mulibe mankhwala onse omwe amatha kulumikizana ndi solatol.

Musanagwiritse ntchito solatol, onetsetsani kuti mumauza dokotala komanso wamankhwala zonse zamankhwala, 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.

Zitsanzo za mankhwala omwe angayambitse kuyanjana ndi sotalol alembedwa pansipa.

Multiple sclerosis mankhwala

Kutenga lutendo ndi sotalol imatha kukulitsa vuto la mtima wanu. Zingathenso kuyambitsa vuto lalikulu la nyimbo yotchedwa torsades de pointes.

Mankhwala amtima

Kutenga Chinthaka ndi sotalol ikhoza kuchepetsa kugunda kwa mtima wanu. Ikhozanso kuyambitsa mavuto amtundu wamtima, kapena kuyambitsa mavuto omwe amapezeka kale pamtima.

Beta-blockers

Musagwiritse ntchito sotalol ndi beta-blocker ina. Kuchita izi kumachepetsa kugunda kwa mtima kwanu komanso kuthamanga kwa magazi kwambiri. Zitsanzo za beta-blockers ndi monga:

• metoprolol
• alireza
• atenolol
• mankhwala

Zotsutsa-zosokoneza

Kuphatikiza mankhwalawa ndi sotalol kumakulitsa chiopsezo cha mavuto amtima. Ngati mungayambe kumwa sotalol, dokotala wanu amaletsa kugwiritsa ntchito mankhwalawa musanagwiritse ntchito. Zitsanzo za anti-arrhythmics ndi izi:

• kutchfun
• mankhwala
• kutchfuneral
• quinidine
• kugulitsidwa
• bretiyum
• alireza

Mankhwala a magazi

Ngati mutenga sotalol ndipo mukuletsa kugwiritsa ntchito mankhwala osokoneza bongo clonidine, dokotala wanu adzayang'anira kusinthaku mosamala. Izi ndichifukwa choti kuyimitsa clonidine kumatha kutsitsa kuthamanga kwa magazi.

Ngati sotalol ikulowa m'malo mwa clonidine, mlingo wanu wa clonidine ukhoza kutsitsidwa pang'onopang'ono pamene mlingo wanu wa sotalol ukuwonjezeka pang'onopang'ono.

Oletsa ma calcium

Kutenga mankhwalawa ndi sotalol kumatha kukulitsa zovuta zina, monga kuthamanga kwa magazi kotsika kuposa mwakale. Zitsanzo za mankhwalawa ndi monga:

• alireza
• alireza

Mankhwala osokoneza bongo a Catecholamine

Ngati mumamwa mankhwalawa ndi sotalol, muyenera kuyang'anitsitsa kuti muchepetse kuthamanga kwa magazi komanso kuthamanga kwa mtima. Zizindikirozi zimatha kuyambitsa chidziwitso kwakanthawi kochepa. Zitsanzo za mankhwalawa ndi monga:

• kupatsanso
• guanethidine

Mankhwala a shuga

Sotalol imatha kubisa zizindikilo za shuga wotsika m'magazi, ndipo imatha kuyambitsa shuga wambiri wamagazi. Ngati mumamwa sotalol ndi mankhwala ashuga omwe angayambitse shuga, magazi anu amafunika kuti asinthidwe.

Zitsanzo za mankhwalawa ndi awa:

• glipizide
• glyburide

Mankhwala othandizira kupuma bwino

Kutenga sotalol ndi mankhwala ena kuti muzitha kupuma bwino kumatha kuwapangitsa kukhala ocheperako. Zitsanzo za mankhwalawa ndi monga:

• albuterol
• alireza
• kulira

Ma antacids ena

Pewani kumwa sotalol mkati mwa maola awiri mutalandira ma antiacids ena. Kuzitengera pafupi kwambiri kumachepetsa kuchuluka kwa sotalol mthupi lanu ndikuchepetsa mphamvu zake. Awa ndi maantacid okhala ndi aluminium hydroxide ndi magnesium hydroxide, monga:

• Mylanta
• Mag-Al
• Mintox
• cisapride (m'mimba mankhwala a Reflux matenda)

Mankhwala amisala

Kuphatikiza mankhwala ena amisala ndi sotalol kumatha kukulitsa vuto la mtima wanu kapena kubweretsa vuto lalikulu la nyimbo yotchedwa torsades de pointes. Zitsanzo za mankhwalawa ndi monga:

• thioridazine
• pimozide
• kutuloji
• tricyclic antidepressants, monga amitriptyline, amoxapine, kapena clomipramine

Maantibayotiki

Kuphatikiza maantibayotiki ena ndi sotalol kumatha kukulitsa vuto la mtima wanu. Zingathenso kuyambitsa vuto lalikulu la nyimbo yotchedwa torsades de pointes. Zitsanzo za mankhwalawa ndi monga:

• macrolides amlomo, monga erythromycin kapena clarithromycin
• quinolones, monga ofloxacin, ciprofloxacin (Cipro), kapena levofloxacin

Zofunikira pakumwa sotalol

Kumbukirani izi ngati dokotala akukulemberani sotalol.

Zonse

• Mutha kumwa sotalol wopanda kapena chakudya.
• Mutha kuphwanya kapena kudula piritsi.
• Tengani mankhwalawa muyeso wogawana.
  • Ngati mumamwa kawiri patsiku, onetsetsani kuti mumamwa maola 12 aliwonse.
  • Ngati mukupereka mankhwalawa kwa mwana katatu patsiku, onetsetsani kuti mukumupatsa maola 8 aliwonse.
• Osati mankhwala aliwonse omwe amakhala ndi mankhwalawa. Mukadzaza mankhwala anu, onetsetsani kuti mwayitanitsa kuti muwone kuti anyamula.

Yosungirako

• Sungani sotalol pa 77 ° F (25 ° C). Mutha kuyisunga kwakanthawi kochepa kuzizira mpaka 59 ° F (15 ° C) komanso mpaka 86 ° F (30 ° C).
• Sungani sotalol AF pakatentha pakati pa 68 ° F mpaka 77 ° F (20 ° C mpaka 25 ° C).
• Sungani sotalol kapena sotalol AF mu chidebe chatsekedwa mwamphamvu, chopanda kuwala.
• Osasunga sotalol kapena sotalol AF m'malo achinyezi kapena achinyezi, monga mabafa.

Zowonjezeranso

Mankhwala a mankhwalawa amakonzanso. Simuyenera kusowa mankhwala atsopano kuti mankhwalawa adzazidwenso. 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.

Kuwunika kuchipatala

Mukamalandira mankhwalawa, dokotala wanu akhoza kukuyang'anirani. Atha kuwunika:

• ntchito ya impso
• ntchito yamtima kapena mungoli
• shuga m'magazi
• kuthamanga kwa magazi kapena kugunda kwa mtima
• magulu a electrolyte (potaziyamu, magnesium)
• ntchito ya chithokomiro

Inshuwalansi

Makampani a inshuwaransi angafunike chilolezo chisanapereke ndalama zamankhwala. Generic mwina sifunikira chilolezo cham'mbuyomu.

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, zomveka bwino, 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.

Bokosi loona

Sotalol amatha kuyambitsa tulo. Osayendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafunikira kusamala mpaka mutadziwa momwe mankhwalawa amakukhudzirani.

Nthawi yoyimbira dotolo

Ngati mukuchita opaleshoni yayikulu, auzeni dokotala kuti mukumwa mankhwalawa. Mutha kukhalabe ndi mankhwalawa, koma adotolo akuyenera kudziwa kuti mumamwa. Izi ndichifukwa choti sotalol imatha kuyambitsa kuthamanga kwambiri kwa magazi komanso kuvuta kubwerezanso mawonekedwe amtima.

Bokosi loona

Mukayamba kumwa sotalol ndipo nthawi iliyonse yomwe mlingo wanu ukuwonjezeka, muyenera kupita kuchipatala. Muyenera kuyang'anitsitsa kugunda kwa mtima wanu komanso kugunda kwa mtima wanu mosalekeza.