I-Disopyramide

-Delile
- Ngaphambi kokuthatha i-disopyramide,
- IDisopyramide ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
- Izimpawu zokudlula ngokweqile zingafaka:
Ukuthatha izidakamizwa ezilwa nesigqi, kufaka phakathi i-disopyramide, kungandisa ingozi yokufa. Tshela udokotela wakho uma unesifo senhliziyo njengenkinga ye-valve noma ukwehluleka kwenhliziyo (HF; isimo lapho inhliziyo ingakwazi ukupompa igazi elanele kwezinye izingxenye zomzimba). Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ukushaya kwenhliziyo okungajwayelekile noma ubuhlungu besifuba.
Khuluma nodokotela wakho ngezingozi zokuthatha i-disopyramide. IDisopyramide ingakhuphula amathuba okuba ne-arrhythmias (ukushaya kwenhliziyo okungajwayelekile) futhi ayikafakazelwa ukuthi isiza abantu ngaphandle kwama-arrhythmias asongela impilo ukuthi baphile isikhathi eside.
IDisopyramide isetshenziselwa ukwelapha izinhlobo ezithile zokushaya kwenhliziyo okungajwayelekile). IDisopyramide isekilasini lemithi ebizwa ngemithi elwa nesisindo. Isebenza ngokwenza inhliziyo yakho imelane kakhulu nomsebenzi ongajwayelekile.
IDisopyramide iza njenge-capsule kanye ne-capsule enwetshiwe (esebenza isikhathi eside) ezothathwa ngomlomo. Ama-capsule e-Disopyramide angathathwa njalo emahoreni ayisithupha noma ayisishiyagalombili. I-capsule ekhishwe isikhathi eside ithathwa njalo emahoreni ayi-12. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-disopyramide njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
Gwinya amaphilisi akhishwe isikhathi eside; ungazivuli, uzichoboze noma uzihlafune.
IDisopyramide iyasiza ukulawula isimo sakho kepha ngeke iselaphe. Qhubeka nokusebenzisa i-disopyramide noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-disopyramide ngaphandle kokukhuluma nodokotela wakho.
Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-disopyramide,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane kwi-disopyramide, noma imiphi eminye imithi, noma yiziphi izithako ezikuma-capsule e-disopyramide. Buza usokhemisi wakho ukuthola uhlu lwezithako.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: i-clarithromycin, i-erythromycin (i-E.E.S., i-Eryc, i-Erythrocin, abanye), i-phenytoin (i-Dilantin, i-Phenytek), i-propranolol (i-Inderal, i-Innopran), ne-verapamil (i-Calan, iTarka, i-Verelan). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- Tshela udokotela wakho uma unesifo senhliziyo (isimo lapho amasiginali kagesi engadluliswa ngokujwayelekile kusuka emakamelweni aphezulu enhliziyo kuya emakamelweni aphansi) noma uke waba nesikhathi eside se-QT (isimo esandisa ubungozi bokuba nokungajwayelekile ukushaya kwenhliziyo okungadala ukuquleka noma ukufa ngokuzuma). Udokotela wakho angakutshela ukuthi ungathathi i-disopyramide.
- Tshela udokotela wakho uma uke waba nesifo senhliziyo noma esezingeni eliphansi noma eliphakeme le-potassium egazini lakho, isifo sikashukela, i-glaucoma, i-myasthenia gravis (ukuphazamiseka kwesistimu yezinzwa okubangela ubuthakathaka bemisipha), ukugcinwa komchamo, i-benign prostatic hypertrophy, isifo sezinso noma sesibindi.
- utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-disopyramide, shayela udokotela wakho.
- khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-disopyramide uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthatha i-disopyramide ngoba akuphephile futhi akusebenzi njengeminye imithi engasetshenziswa ukwelapha isimo esifanayo.
- uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-disopyramide.
- buza udokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-disopyramide. Utshwala bungenza imiphumela emibi evela kwi-disopyramide ibe yimbi kakhulu.
Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.
IDisopyramide ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- isiyezi noma ikhanda elikhanyayo
- ukuchama okunzima
- ukuchama kaningi
- umlomo owomile
- ukuqunjelwa
- ukungaboni kahle
- isicanucanu
- ukukhathala
- ikhanda
- ubuthakathaka
- ubuhlungu besisu noma ukuqunjelwa
- ukukhathala
- ubuthakathaka
- ikhanda
- ukuqubuka
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
- ubuhlungu besifuba
- ukuvuvukala kwezinyawo noma izandla
- ukuzuza kwesisindo okungavamile
- ukushaya kwenhliziyo okungajwayelekile
- ukuphelelwa umoya
- izinguquko ezingazelelwe esimweni sengqondo
Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).
Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).
Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org
Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.
Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.
Izimpawu zokudlula ngokweqile zingafaka:
- ukushaya kwenhliziyo okuhamba kancane noma okungajwayelekile
- umlomo owomile
- ubunzima bokuchama
- ukuqunjelwa
- ukulahlekelwa ukwazi
Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzodinga ukunquma impendulo yakho ku-disopyramide.
Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.
Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.
- I-Norpace®
- I-Norpace® CR