I-Sotalol, Ithebhulethi Yomlomo

-Delile

• Okuvelele kwe-sotalol
• Yini i-sotalol?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi ye-Sotalol
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• Ungayithatha kanjani i-sotalol
• Isilinganiso se-ventricular arrhythmia
• Isikali se-atrial fibrillation noma i-atrial flutter
• Thatha njengoba kuqondisiwe
• Uma uyeka ukuthatha ngokuzumayo
• Uma uthatha kakhulu
• Okufanele ukwenze uma uphuthelwa umthamo
• Ungasho kanjani ukuthi umuthi uyasebenza
• Izexwayiso ze-Sotalol
• Izexwayiso ze-FDA
• Isexwayiso sesigqi senhliziyo
• Isexwayiso sempilo yezinso
• Isexwayiso sokumiswa ngokungazelelwe kwezidakamizwa
• Isexwayiso somzimba
• Isexwayiso sotshwala
• Izexwayiso kubantu abanezinkinga ezithile zempilo
• Izexwayiso zamaqembu athile
• I-Sotalol ingaxhumana neminye imithi
• Izidakamizwa eziningi ze-sclerosis
• Isidakamizwa senhliziyo
• Ama-beta blockers
• Ama-anti-arrhythmics
• Isidakamizwa somfutho wegazi
• Ama-block block wesiteshi seCalcium
• Izidakamizwa eziqeda i-Catecholamine
• Izidakamizwa zikashukela
• Izidakamizwa zokuthuthukisa ukuphefumula
• Ama-antiacids athile
• Izidakamizwa zempilo yengqondo
• Imithi elwa namagciwane
• Ukucatshangelwa okubalulekile kokuthatha i-sotalol
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuqapha komtholampilo
• Umshuwalense
• Ingabe zikhona ezinye izindlela?
• Ibhokisi leqiniso
• Ukushayela nini udokotela
• Ibhokisi leqiniso

Okuvelele kwe-sotalol

1. I-Sotalol iyatholakala njengemithi ejwayelekile kanye negama lomkhiqizo. Amagama omkhiqizo: IBetapace neSorine. I-Sotalol AF iyatholakala njengesidakamizwa esijwayelekile kanye negama lomkhiqizo. Igama lomkhiqizo: I-Betapace AF.
2. I-Sotalol yisidakamizwa esine-antiarrhythmic esisetshenziselwa ukwelapha i-ventricular arrhythmia. I-Sotalol AF isetshenziselwa ukwelapha i-atrial fibrillation noma i-flutter yenhliziyo.
3. I-Sotalol ne-sotalol AF azinakufakwa esikhundleni sezinye. Banokwehluka kokulinganisa, ukuphatha, nokuphepha. Qiniseka ukuthi uyazi ukuthi yimuphi umkhiqizo we-sotalol owuthathayo.
4. Ukuqala kokwelashwa kwakho nalesi sidakamizwa, kanye nokunye ukukhuphuka kwesilinganiso, kuzokwenzeka esimweni lapho isigqi senhliziyo yakho singabhekwa khona.

Yini i-sotalol?

I-Sotalol ngumuthi kadokotela. Itholakala njengethebhulethi yomlomo kanye nesisombululo semithambo.

I-Sotalol iyatholakala njengezidakamizwa ezinegama lomkhiqizo UBetapace futhi I-Sorine. ISotalol AF iyatholakala njengesidakamizwa esinegama lomkhiqizo IBetapace AF.

I-Sotalol ne-Sotalol AF nazo ziyatholakala ngezinhlobo ezijwayelekile. Imithi ejwayelekile ijwayele ukubiza kancane. Kwezinye izimo, kungenzeka zingatholakali ngawo wonke amandla noma ifomu njengenguqulo yegama lomkhiqizo.

Uma uthatha i-sotalol AF ukwelapha ukushaya kwenhliziyo okungajwayelekile, uzoyithatha kanye nomuthi wokunciphisa igazi.

Kungani kusetshenziswa

ISotalol iyi-beta-blocker. Isetshenziselwa ukwelapha:

• i-ventricular arrhythmia (i-sotalol)
• i-atrial fibrillation ne-atrial flutter (i-sotalol AF)

Isebenza kanjani

I-Sotalol ingeyesigaba semithi ebizwa ngama-antiarrhythmics. Isebenza ngokunciphisa isigqi senhliziyo esingajwayelekile. Kuyasiza nokuthi imithambo yegazi ikhululeke, okungasiza inhliziyo yakho ukuthi isebenze kangcono.

Imiphumela emibi ye-Sotalol

ISolatol ingadala imiphumela emibi noma emibi. Uhlu olulandelayo luqukethe eminye yemiphumela emibi engase ivele ngenkathi uthatha iSolatol. Lolu hlu alubandakanyi yonke imiphumela emibi engaba khona.

Ngeminye imininingwane ngemiphumela engemihle engaba khona ye-Solatol, noma amathiphu wokuthi ungabhekana kanjani nemiphumela emibi ekhathazayo, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile engenzeka nge-sotalol ifaka:

• ukushaya kwenhliziyo okuphansi
• ukuphelelwa umoya
• ukukhathala
• isicanucanu
• isiyezi noma ikhanda elikhanyayo
• ubuthakathaka

Uma le miphumela imnene, ingahle ihambe zingakapheli izinsuku ezimbalwa noma amasonto ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela ku-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• izinkinga zenhliziyo, kufaka phakathi:
  • ubuhlungu besifuba
  • ukushaya kwenhliziyo okungajwayelekile (ama-torsades de pointes)
  • ukushaya kwenhliziyo okuhamba kancane
• izinkinga zamathumbu, kufaka phakathi:
  • ukuhlanza
  • isifo sohudo
• ukusabela okweqile, kufaka phakathi:
  • ukuphefumula noma ukuphefumula kanzima
  • ukuqubuka kwesikhumba
• ukubanda, ukugedla, noma ukuba ndikindiki ezandleni noma ezinyaweni zakho
• ukudideka
• Ubuhlungu bemisipha nezinhlungu
• ukujuluka
• imilenze evuvukile noma amaqakala
• ukuthuthumela noma ukuthuthumela
• ukoma okungajwayelekile noma ukulahlekelwa isifiso sokudla

Ungayithatha kanjani i-sotalol

Isilinganiso se-solatol udokotela wakho asinqumayo sizoxhomeka ezicini eziningana. Lokhu kufaka phakathi:

• uhlobo nobukhulu besimo osisebenzisa i-solatol ukwelapha
• iminyaka yakho
• uhlobo lwe-solatol oyithathayo
• ezinye izimo zezokwelapha ongahle ube nazo

Imvamisa, udokotela wakho uzokuqala ngomthamo ophansi futhi awulungise ngokuhamba kwesikhathi ukufinyelela umthamo okulungele wena. Ekugcineni bazonquma isilinganiso esincane kunazo zonke esihlinzeka ngomphumela oyifunayo.

Imininingwane elandelayo ichaza imithamo esetshenziswa kakhulu noma enconywayo. Kodwa-ke, qiniseka ukuthatha isilinganiso udokotela wakho akubekela sona.

Udokotela wakho uzonquma isilinganiso esihle kakhulu ukuhlangabezana nezidingo zakho.

Isilinganiso se-ventricular arrhythmia

Okujwayelekile: sotalol

• Ifomu: ithebhulethi yomlomo
• Amandla: Ama-milligram angama-80 (mg), i-120 mg, ne-160 mg

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Umthamo wokuqala onconyiwe ngu-80 mg othathwa izikhathi ezimbili ngosuku.
• Umthamo wakho ungakhuphuka kancane kancane. Kudingeka izinsuku ezintathu phakathi kwezinguquko zomthamo ukuze kuqashwe inhliziyo yakho nokuthi kube nomuthi owanele emzimbeni wakho ukwelapha i-arrhythmia.
• Umthamo wakho wansuku zonke ungakhuphukela ku-240 noma u-320 mg ngosuku. Lokhu kungafana no-120 kuye ku-160 mg othathwe izikhathi ezimbili ngosuku.
• Ungahle udinge imithamo ephakeme ka-480-640 mg ngosuku uma unezinkinga ezisongela impilo zesigqi senhliziyo. Le dose ephezulu kufanele inikezwe kuphela lapho inzuzo idlula ingozi yemiphumela emibi.

Isilinganiso sengane (iminyaka eyi-2-17 iminyaka)

• Umthamo usekelwe endaweni yomzimba ezinganeni.
• Umthamo wokuqala onconyiwe ungama-milligram angama-30 ngemitha skwele ngalinye (mg / m²) kuthathwe kathathu ngosuku (90 mg / m² inani lansuku zonke). Lokhu kucishe kulingane nomthamo wosuku wabantu abadala ongu-160 mg.
• Umthamo wengane yakho ungakhuphuka kancane kancane. Kudingeka izinsuku ezintathu phakathi kwezinguquko zomthamo ukuze kuqashwe inhliziyo yengane yakho nokuthi umuthi owanele ube semzimbeni wengane yakho ukwelapha i-arrhythmia.
• Imithamo eyandayo isuselwa ekuphenduleni komtholampilo, ekushayeni kwenhliziyo, nasemgqeni wenhliziyo.
• Umthamo wengane yakho unganyuswa ufike kuma-60 mg / m aphezulu² (cishe ilingana nomthamo wosuku wabantu abadala ongu-360 mg).

Isilinganiso sengane (iminyaka yobudala engu-0-2)

• Isilinganiso sezingane ezingaphansi kweminyaka engu-2 ubudala sisekelwe eminyakeni yobudala ezinyangeni. Udokotela wengane yakho uzobala umthamo wakho.
• Umthamo ophelele wansuku zonke kufanele unikezwe kathathu ngosuku.

Isikali se-atrial fibrillation noma i-atrial flutter

Okujwayelekile: sotalol AF

• Ifomu: ithebhulethi yomlomo
• Amandla: 80 mg, 120 mg, no-160 mg

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu):

Umthamo wokuqala onconyelwe we-AFIB / AFL ungama-80 mg kabili ngosuku. Lo mthamo ungakhuphuka ngokunyuka kwama-80 mg ngosuku njalo ezinsukwini ezi-3 kuya ngokusebenza kwezinso.

Udokotela wakho uzonquma umthamo wakho nokuthi udinga kangaki ukuthatha lo muthi.

Isilinganiso sengane (iminyaka eyi-2-17 iminyaka)

• Umthamo ezinganeni usekelwe endaweni yomzimba.
• Umthamo wokuqala onconyiwe ungama-30 mg / m² kuthathwe kathathu ngosuku (90 mg / m² inani lansuku zonke). Lokhu kucishe kulingane nomthamo wosuku wabantu abadala ongu-160 mg.
• Umthamo wengane yakho ungakhuphuka kancane kancane.
• Kudingeka izinsuku ezintathu phakathi kwezinguquko zomthamo ukuze kuqashwe inhliziyo yengane yakho nokuthi umuthi owanele ube semzimbeni wengane yakho ukwelapha i-arrhythmia.
• Imithamo eyandayo isuselwa ekuphenduleni komtholampilo, ekushayeni kwenhliziyo, nasemgqeni wenhliziyo.
• Umthamo wengane yakho unganyuswa ufike kuma-60 mg / m aphezulu² (cishe ilingana nomthamo wosuku wabantu abadala ongu-360 mg).

Isilinganiso sengane (iminyaka yobudala engu-0-2)

• Umthamo wezingane ezingaphansi kweminyaka engu-2 ubudala usekelwe eminyakeni yobudala ezinyangeni. Udokotela wakho uzobala umthamo wakho.
• Umthamo ophelele wansuku zonke kufanele unikezwe kathathu ngosuku.

Thatha njengoba kuqondisiwe

I-Sotalol isetshenziselwa ukwelashwa kwesikhathi eside. Kuza nezingozi uma ungayithathi njengokuyalelwe ngudokotela wakho.

Uma uyeka ukuthatha ngokuzumayo

Ukumisa ngokungazelelwe i-sotalol kungaholela ebuhlungu obukhulu besifuba, izinkinga zesigqi senhliziyo, noma ngisho nokuhlaselwa yinhliziyo. Uma uyeka ukuthatha lo muthi, kuzodingeka ukuthi ubhekwe ngeso lokhozi futhi ucabangele ukusebenzisa enye i-beta-blocker, ikakhulukazi uma unesifo semithambo yegazi.

Uma uthatha kakhulu

Uma ucabanga ukuthi uthathe kakhulu, yiya egumbini lezimo eziphuthumayo noma uthinte isikhungo esilawula ubuthi. Izimpawu ezivame kakhulu zokweqisa izidakamizwa zingaphansi kunokujwayelekile kwenhliziyo, ukwehluleka kwenhliziyo, umfutho wegazi ophansi, ushukela wegazi ophansi, nezinkinga zokuphefumula ngenxa yokuqina kwemigwaqo yomoya emaphashini akho.

Okufanele ukwenze uma uphuthelwa umthamo

Uma uphuthelwa umthamo, thatha umthamo olandelayo ngesikhathi esijwayelekile. Ungawuphindi kabili umthamo olandelayo.

Ungasho kanjani ukuthi umuthi uyasebenza

Ungahle ukwazi ukutshela ukuthi lesi sidakamizwa siyasebenza uma izinga lokushaya kwenhliziyo yakho libuyela kokujwayelekile futhi izinga lokushaya kwenhliziyo yakho liphansi.

Izexwayiso ze-Sotalol

Lesi sidakamizwa siza nezixwayiso eziningana.

Izexwayiso ze-FDA

• Lo muthi unezixwayiso zebhokisi elimnyama. Lezi izexwayiso ezibucayi kakhulu ezivela ku-Food and Drug Administration (FDA). Isexwayiso sebhokisi elimnyama sazisa odokotela neziguli ngemiphumela yezidakamizwa engaba yingozi.
• Isexwayiso sokuphatha: Uma uqala noma uqala kabusha lo muthi, kufanele ube sesikhungweni esingahlinzeka ngokuhlolwa kwenhliziyo okuqhubekayo nokuhlolwa kokusebenza kwezinso okungenani izinsuku ezintathu. Lokhu kuzosiza ukunciphisa ubungozi bezinkinga zesigqi senhliziyo.

Isexwayiso sesigqi senhliziyo

Lo muthi ungadala noma wenze isimo sibe sibi kakhulu esibizwa nge-torsades de pointes. Lesi yisigqi senhliziyo esingeyona ingozi. Thola usizo lwezokwelapha oluphuthumayo uma uzwa ukushaya kwenhliziyo okungajwayelekile ngenkathi uthatha i-sotalol. Usengozini enkulu uma:

• inhliziyo yakho ayisebenzi kahle
• unenhliziyo ephansi
• unamazinga aphansi e-potassium
• ungumuntu wesifazane
• unomlando wokwehluleka kwenhliziyo
• unenhliziyo esheshayo ehlala isikhathi eside kunemizuzwana engama-30
• unomsebenzi ongasebenzi kahle wezinso
• uthatha imithamo emikhulu ye-sotalol

Isexwayiso sempilo yezinso

I-Sotalol isuswa kakhulu emzimbeni wakho ngokusebenzisa izinso zakho. Uma unezinkinga zezinso, lo muthi ungasuswa kancane kakhulu, ubangele amazinga aphezulu omuthi emzimbeni wakho. Umthamo wakho walo muthi uzodinga ukwehliswa.

Isexwayiso sokumiswa ngokungazelelwe kwezidakamizwa

Ukumisa ngokungazelelwe lo muthi kungaholela ebuhlungu obukhulu esifubeni, ezinkingeni zesigqi senhliziyo, noma ngisho nasekuhlaselweni yinhliziyo. Uzodinga ukubhekelwa eduze lapho umisa lesi sidakamizwa. Umthamo wakho uzokwehliswa kancane kancane. Ungathola i-beta-blocker ehlukile, ikakhulukazi uma unesifo semithambo yenhliziyo.

Isexwayiso somzimba

Ungaphinde uwuthathe lo muthi uma ngabe uke waba nokungezwani komzimba nawo. Ukuyithatha futhi kungaba yingozi.

Uma unomlando wokuthola impilo ebucayi esongela ukusabela okweqile kuma-allergen ahlukahlukene, usengozini enkulu yokuthola impendulo efanayo kuma-beta-blockers. Ungahle ungaphenduli kumthamo ojwayelekile we-epinephrine osetshenziselwa ukwelapha ukusabela okweqile.

Isexwayiso sotshwala

Gwema iziphuzo ezidakayo ngenkathi usebenzisa lo muthi. Ukuhlanganisa utshwala ne-sotalol kungakwenza wozele futhi ube nesiyezi. Kungadala futhi nomfutho wegazi ophansi ngokungajwayelekile.

Izexwayiso kubantu abanezinkinga ezithile zempilo

Kubantu abanezinkinga zenhliziyo: Ungathathi lo muthi uma une:

• ukushaya kwenhliziyo okungaphansi kokushaya okungu-50 ngomzuzu ngesikhathi sokuvuka
• ibhlokhi yenhliziyo yesibili- noma yesithathu (ngaphandle kokuthi i-pacemaker esebenzayo ikhona)
• ukuphazamiseka kwesigqi senhliziyo okungadala ukushaya kwenhliziyo okusheshayo, nokungahleleki
• ukushaqeka kwenhliziyo
• ukwehluleka kwenhliziyo okungalawulwa
• isilinganiso sokuqala kumjikelezo kagesi wenhliziyo yakho (isikhawu se-QT) esingaphezu kwama-millisecond angama-450

Futhi gcina okulandelayo engqondweni:

• Uma unokwehluleka kwenhliziyo elashwa yi-digoxin noma i-diuretics, lo muthi ungakhubaza ukwehluleka kwenhliziyo yakho.
• Uma unesigqi senhliziyo esingajwayelekile esibizwa nge-torsades de pointes, i-sotalol ingenza kube kubi kakhulu.
• Uma une-torsades de pointes ngemuva kokuhlaselwa yinhliziyo muva nje, lo muthi uphakamisa ingozi yokufa esikhathini esifushane (izinsuku eziyi-14) noma uphakamise ingozi yokufa kamuva.
• Lo muthi ungadala ukushaya kwenhliziyo ephansi kubantu abanezinkinga zesigqi senhliziyo ngenxa yomsebenzi kagesi ongafanele enhliziyweni.
• Uma unenkinga yesigqi senhliziyo ebizwa ngokuthi i-sick sinus syndrome, lo muthi ungadala ukushaya kwenhliziyo yakho kwehle kunokujwayelekile. Kungenza nokuthi inhliziyo yakho ime.

Okwabantu abane-asthma: Ungathathi i-sotalol. Ukuthatha lesi sidakamizwa kungenza isimo sakho sibe sibi kakhulu futhi kunciphise ukuthi imithi yakho yesifuba sisebenza kahle kangakanani.

Okwabantu abanamazinga aphansi ama-electrolyte: Ungathathi i-sotalol uma unamazinga aphansi we-potassium noma i-magnesium. Lesi sidakamizwa singadala izinkinga ngomjikelezo kagesi wenhliziyo yakho. Iphinde inyuse ubungozi bakho besimo senhliziyo esibi esibizwa nge-torsades de pointes.

Okwabantu abaqinisa umoya womoya: Uma unokuqina okungapheli kwe-airways yakho njenge-bronchitis engapheli noma i-emphysema, ngokuvamile akufanele uthathe i-sotalol noma amanye ama-beta-blocker. Uma kufanele usebenzise lesi sidakamizwa, udokotela wakho kufanele anikeze umthamo omncane kakhulu osebenzayo.

Kubantu abanokungezwani komzimba nokusongela impilo: Uma unomlando wokuphila okunzima okusongela ukusabela okweqile kokungezwani nezinto ezithile, usengozini enkulu yokuthola impendulo efanayo kuma-beta-blocker. Ungahle ungaphenduli kumthamo ojwayelekile we-epinephrine osetshenziselwa ukwelapha ukusabela okweqile.

Kubantu abanesifo sikashukela noma ushukela ophansi wegazi: I-Sotalol ingazifihla izimpawu zikashukela wegazi ophansi. Imithi yakho yesifo sikashukela ingadinga ukuguqulwa.

Kubantu abane-thyroid engasebenzi: I-Sotalol ingazifihla izimpawu ze-thyroid engasebenzi (i-hyperthyroidism). Uma une-hyperthyroidism futhi ngokungazelelwe uyeke ukuthatha lo muthi, izimpawu zakho zingaba zimbi kakhulu noma ungathola isimo esibi esibizwa ngokuthi isiphepho se-thyroid.

Kubantu abanezinkinga zezinso: I-Sotalol isuswa kakhulu emzimbeni wakho ngokusebenzisa izinso zakho. Uma unezinkinga zezinso, umuthi ungakha emzimbeni wakho, okungaholela emiphumeleni emibi. Uma unezinkinga zezinso, isilinganiso sakho salesi sidakamizwa sizodinga ukwehliswa. Uma unezinkinga ezinzima zezinso, ungasebenzisi i-sotalol.

Izexwayiso zamaqembu athile

Kwabesifazane abakhulelwe: I-Sotalol iyisidakamizwa sesigaba sokukhulelwa B. Lokho kusho izinto ezimbili:

1. Izifundo zomuthi ezilwaneni ezikhulelwe azikhombisanga ubungozi enganeni.
2. Azikho izifundo ezanele ezenziwa kwabesifazane abakhulelwe ukukhombisa ukuthi umuthi ubeka engcupheni umbungu.

Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. I-Sotalol kufanele isetshenziswe ngesikhathi sokukhulelwa kuphela uma inzuzo engaba khona iqinisekisa ubungozi obungahle bube khona kumbungu.

Kwabesifazane abancelisayo: I-Sotalol ingadlula ebisini lwebele futhi idale imiphumela emibi enganeni enceliswa ibele. Tshela udokotela wakho uma uncelisa ingane yakho ibele. Ungadinga ukunquma ukuthi uzoncelisa noma uthatha i-sotalol.

Okwezingane: Akukaziwa ukuthi lo muthi uphephile futhi uyasebenza ukuze usetshenziswe kubantu abangaphansi kweminyaka engu-18 ubudala.

I-Sotalol ingaxhumana neminye imithi

ISolatol ingasebenzisana neminye imithi eminingana. Ukuxhumana okuhlukile kungadala imiphumela ehlukile. Isibonelo, ezinye zingaphazamisa ukuthi usebenza kanjani umuthi, kanti ezinye zingadala imiphumela emibi eyengeziwe.

Ngezansi kunohlu lwemithi engasebenzisana ne-solatol. Lolu hlu aluqukethe yonke imishanguzo engasebenzisana ne-solatol.

Ngaphambi kokuthatha i-solatol, qiniseka ukuthi utshela udokotela kanye nosokhemisi mayelana nayo yonke imishanguzo kadokotela, i-counter-counter, nezinye izidakamizwa oziphuzayo. Batshele futhi nganoma yimaphi amavithamini, amakhambi, nezithako ozisebenzisayo. Ukwabelana ngalolu lwazi kungakusiza ugweme ukuhlangana okungenzeka.

Uma unemibuzo mayelana nokuhlangana kwezidakamizwa okungakuthinta, buza udokotela wakho noma usokhemisi.

Izibonelo zezidakamizwa ezingadala ukusebenzisana ne-sotalol zibalwe ngezansi.

Izidakamizwa eziningi ze-sclerosis

Ukuthatha lindokuhle nge-sotalol kungenza isimo senhliziyo yakho sibe sibi kakhulu. Kungabuye kuholele enkingeni enkulu yesigqi senhliziyo ebizwa nge-torsades de pointes.

Isidakamizwa senhliziyo

Ukuthatha I-digoxin nge-sotalol kungehlisa izinga lokushaya kwenhliziyo yakho. Kungadala nezinkinga zesigqi senhliziyo esisha, noma kubangele izinkinga zesigqi senhliziyo esivele zikhona ukuthi zivele kaningi.

Ama-beta blockers

Ungasebenzisi i-sotalol ngenye i-beta-blocker. Ukwenza kanjalo kunganciphisa ukushaya kwenhliziyo yakho nomfutho wegazi ngokweqile. Izibonelo ze-beta-blockers zifaka:

• metoprolol
• khanyisile
• atenolol
• i-propranolol

Ama-anti-arrhythmics

Ukuhlanganisa le mithi ne-sotalol kukhulisa ubungozi bezinkinga zenhliziyo. Uma uzoqala ukuthatha i-sotalol, udokotela wakho uzokumisa ngokucophelela ukusetshenziswa kwakho kwalezi ezinye izidakamizwa ngaphambi kwesikhathi. Izibonelo zama-anti-arrhythmics zifaka:

• amiodarone
• dofetilide
• umabhebhana
• quinidine
• zihlel
• bretylium
• thandokuhle

Isidakamizwa somfutho wegazi

Uma uthatha i-sotalol futhi uzomisa ukusetshenziswa kwesidakamizwa somfutho wegazi clonidine, udokotela wakho uzophatha lolu shintsho ngokucophelela. Lokhu kungenxa yokuthi ukumisa i-clonidine kungaholela ekwehleni komfutho wegazi.

Uma i-sotalol ingena esikhundleni se-clonidine, isilinganiso sakho se-clonidine singase sehliswe kancane ngenkathi umthamo wakho we-sotalol unyuka kancane.

Ama-block block wesiteshi seCalcium

Ukuthatha le mithi nge-sotalol kungakhuphula imiphumela emibi, njengengcindezi yegazi engaphansi kokujwayelekile. Izibonelo zale mithi zifaka:

• umabhebhana
• sibongile

Izidakamizwa eziqeda i-Catecholamine

Uma uthatha le mithi nge-sotalol, kuzodingeka ubhekwe ngeso elibukhali ngomfutho wegazi ophansi kanye nokushaya kwenhliziyo okuphansi. Lezi zimpawu zingadala ukulahleka kwesikhashana kwesikhashana kokuqonda. Izibonelo zale mithi zifaka:

• qalela kabusha
• guanethidine

Izidakamizwa zikashukela

ISotalol ingazemboza izimpawu zikashukela wegazi ophansi, futhi ingadala noshukela wegazi. Uma uthatha i-sotalol ngemithi yesifo sikashukela engadala ukusabela okuphansi kweshukela egazini, isilinganiso sakho semithi yesifo sikashukela sizodinga ukuguqulwa.

Izibonelo zale mithi zifaka:

• glipizide
• i-glyburide

Izidakamizwa zokuthuthukisa ukuphefumula

Ukuthatha i-sotalol ngemithi ethile ukuthuthukisa ukuphefumula kwakho kungabenza bangasebenzi kahle. Izibonelo zale mithi zifaka:

• albuterol
• nomfundo
• amasimeren

Ama-antiacids athile

Gwema ukuthatha i-sotalol kungakapheli amahora amabili uthathe ama-antacids athile. Ukuzithatha zisondele kakhulu kwehlisa inani le-sotalol emzimbeni wakho futhi kunciphise umphumela wazo. Lawa ama-antacids aqukethe i-aluminium hydroxide ne-magnesium hydroxide, njenge:

• Mylanta
• I-Mag-Al
• I-Mintox
• i-cisapride (umuthi wesifo samathumbu we-reflux)

Izidakamizwa zempilo yengqondo

Ukuhlanganisa izidakamizwa ezithile zempilo yengqondo ne-sotalol kungenza isimo senhliziyo yakho sibe sibi kakhulu noma kuholele enkingeni enkulu yesigqi senhliziyo ebizwa nge-torsades de pointes. Izibonelo zale mithi zifaka:

• thioridazine
• pimozide
• umagazine
• ama-tricyclic antidepressants, njenge-amitriptyline, amoxapine, noma i-clomipramine

Imithi elwa namagciwane

Ukuhlanganisa ama-antibiotic athile ne-sotalol kungenza isimo senhliziyo yakho sibe sibi kakhulu. Kungabuye kuholele enkingeni enkulu yesigqi senhliziyo ebizwa nge-torsades de pointes. Izibonelo zale mithi zifaka:

• ama-macrolides omlomo, njenge-erythromycin noma i-clarithromycin
• ama-quinolones, njenge-ofloxacin, i-ciprofloxacin (Cipro), noma i-levofloxacin

Ukucatshangelwa okubalulekile kokuthatha i-sotalol

Gcina lokhu kucatshangelwa engqondweni uma udokotela wakho ekutshela i-sotalol.

Jikelele

• Ungathatha i-sotalol ngokudla noma ngaphandle kokudla.
• Ungakwazi ukuchoboza noma ukusika ithebhulethi.
• Thatha lesi sidakamizwa ngamanani ahlukaniswe ngokulinganayo.
  • Uma uyithatha kabili ngosuku, qiniseka ukuyithatha njalo emahoreni ayi-12.
  • Uma unikeza lo muthi enganeni kathathu ngosuku, qiniseka ukuyinikeza njalo emahoreni ayisishiyagalombili.
• Akuwona wonke amakhemisi agcina lo muthi. Lapho ugcwalisa incwadi kadokotela, qiniseka ukuthi ushayela phambili ukuze uqiniseke ukuthi bayayiphatha.

Isitoreji

• Gcina i-sotalol ku-77 ° F (25 ° C). Ungayigcina isikhashana emazingeni okushisa aphansi njengokufika kuma-59 ° F (15 ° C) futhi afike ku-86 ° F (30 ° C).
• Gcina i-sotalol AF ezingeni lokushisa eliphakathi kuka-68 ° F no-77 ° F (20 ° C no-25 ° C).
• Gcina i-sotalol noma i-sotalol AF esitsheni esivaliwe ngokuqinile, esingamelana nokukhanya.
• Ungabeki i-sotalol noma i-sotalol AF ezindaweni ezinomswakama noma ezinomswakama, njengezindlu zangasese.

Ukugcwalisa kabusha

Imibhalo kadokotela yalomuthi iyagcwaliseka. Akufanele udinge umuthi omusha kadokotela ukuze lo muthi uphinde ugcwaliswe. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.

Ukuvakasha

Lapho uhamba nemithi yakho:

• Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
• Ungakhathazeki ngemishini ye-X-ray yesikhumulo sezindiza. Abakwazi ukulimaza umuthi wakho.
• Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha ibhokisi elinelebula kadokotela.

Ukuqapha komtholampilo

Ngesikhathi sokwelashwa kwakho nalesi sidakamizwa, udokotela wakho angakuqapha. Bangabheka eyakho:

• ukusebenza kwezinso
• ukusebenza kwenhliziyo noma isigqi
• izinga likashukela egazini
• umfutho wegazi noma ukushaya kwenhliziyo
• amazinga e-electrolyte (i-potassium, i-magnesium)
• umsebenzi wegilo

Umshuwalense

Izinkampani zomshuwalense zingadinga ukugunyazwa ngaphambi kokukhokhela isidakamizwa esinegama lomkhiqizo. Okujwayelekile kungenzeka kungadingi ukugunyazwa kwangaphambili.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Amanye angahle akulungele wena kunamanye. Khuluma nodokotela wakho ngezinye izindlela ezingenzeka.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.

Ibhokisi leqiniso

I-Sotalol ingadala ukozela. Ungashayeli, usebenzise imishini, noma wenze noma imiphi imisebenzi edinga ukuqapha kwengqondo uze wazi ukuthi lo muthi ukuthinta kanjani.

Ukushayela nini udokotela

Uma uzohlinzwa okukhulu, tshela udokotela wakho ukuthi uthatha lo muthi. Ungahle ukwazi ukuhlala kumuthi, kepha udokotela wakho udinga ukwazi ukuthi uyawuthatha. Lokhu kungenxa yokuthi i-sotalol ingadala umfutho wegazi ophansi kakhulu nenkinga yokubuyisa isigqi senhliziyo esijwayelekile.

Ibhokisi leqiniso

Lapho uqala ukuthatha i-sotalol futhi noma nini lapho umthamo wakho wenyuka, kuzodingeka ube esikhungweni sokunakekelwa kwezempilo. Isigqi senhliziyo yakho nokushaya kwenhliziyo yakho kuzodinga ukubhekwa ngokuqhubekayo.