He aha ʻo Quinidine: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau lapaʻau i kauoha ʻia ʻo Quinidine e mālama i nā puʻuwai puʻuwai ʻole, ʻo ia hoʻi kahi maʻi i kapa ʻia ʻo atrial fibrillation. No kēia lāʻau lapaʻau i kahi pūʻulu lāʻau i kapa ʻia ʻo antiarrhythmics, e hana ana ma ke kōkua ʻana i kou puʻuwai e mālama i kahi puʻuwai paʻa a maʻamau.

I ka wā i loaʻa mai ai mai ka ʻili o ka lāʻau cinchona, ua kōkua ʻo quinidine i ka poʻe me nā pilikia o ka puʻuwai no nā makahiki he nui. Hiki i kāu kauka ke kauoha iā ia ke paʻi wikiwiki kou puʻuwai, lohi loa, a i ʻole i kahi ʻano ʻole e hiki ke hoʻopilikia i kou olakino.

No ke aha e hoʻohana ʻia ai ʻo Quinidine?

Mālama ʻo Quinidine i nā ʻano maʻi puʻuwai puʻuwai e hiki ke hōʻoluʻolu ʻole iā ʻoe a i ʻole e pilikia i ke olakino. E kauoha maʻamau kāu kauka iā ia ke hana ʻole ka ʻōnaehana uila o kou puʻuwai e like me ka mea pono.

ʻO nā maʻi maʻamau e kōkua ai ʻo quinidine me ka atrial fibrillation, kahi e lele wikiwiki ai nā keʻena luna o kou puʻuwai ma kahi o ka paʻi maʻamau. Mālama pū nō hoʻi ia i ka atrial flutter, ventricular tachycardia, a me nā arrhythmias ʻē aʻe e hiki ke hoʻoulu i nā hōʻailona e like me ka palpitations, dizziness, a i ʻole ka pōkole o ka hanu.

I kekahi manawa hoʻohana nā kauka iā quinidine e pale i nā pilikia o ka puʻuwai mai ka hoʻi ʻana mai ma hope o ka mālama ʻia ʻana. Hiki i kēia hana pale ke kōkua iā ʻoe e mālama i kahi puʻuwai paʻa i ka manawa.

Pehea e hana ai ʻo Quinidine?

Hana ʻo Quinidine ma ka pale ʻana i kekahi mau hōʻailona uila i kou puʻuwai e hiki ke hoʻoulu i nā puʻuwai ʻole. E noʻonoʻo iā ia he mea hoʻoponopono kaʻa no ka ʻōnaehana uila o kou puʻuwai, e kōkua ana i ka hoʻopili ʻana i ka manawa o kēlā me kēia puʻuwai.

Ua manaʻo ʻia kēia lāʻau lapaʻau he lāʻau antiarrhythmic ikaika. Hoʻopilikia ia i nā kahawai sodium i loko o nā cell muscle o kou puʻuwai, e lohi ana i nā impulses uila e haʻi i kou puʻuwai i ka manawa e paʻi ai.

He hopena he puʻuwai e paʻa ana, e mālama ʻia ana. Akā, no ka mea e pili ana ka quinidine i ka ʻōnaehana uila o kou puʻuwai, pono e nānā pono ʻia e kāu mea mālama ola e hōʻoia i ka hana palekana a me ka pono no ʻoe.

Pehea wau e lawe ai i ka Quinidine?

E lawe i ka quinidine e like me ke kauoha a kāu kauka, maʻamau me ke aniani wai piha. Hiki iā ʻoe ke lawe me ka ʻole o ka meaʻai, akā ʻo ka lawe ʻana me ka meaʻai e kōkua paha i ka hōʻemi ʻana i ka ʻōpū inā loaʻa iā ʻoe kekahi.

Inā ʻoe e lawe ana i nā papa waha a i ʻole nā ​​capsules, e ale i nā mea a pau me ka ʻole o ka ʻoki ʻana, ka nau ʻana, a i ʻole ka wāwahi ʻana iā lākou. Pono nā ʻano hoʻokuʻu lōʻihi e noho paʻa e hana pono i ka lā.

No nā ʻano injectable, e lawelawe kāu mea mālama ola i kēia mau mea i loko o kahi hoʻonohonoho lapaʻau. Hāʻawi ʻia ka injection intramuscular i loko o ka ʻiʻo, maʻamau i kou lima luna a i ʻole ka ʻūhā, ʻoiai e hele pololei nā ʻano intravenous i loko o kou kahe koko.

E hoʻāʻo e lawe i kāu mau lāʻau i nā manawa like i kēlā me kēia lā e mālama i nā pae paʻa o ka lāʻau i loko o kāu ʻōnaehana. Kōkua kēia kūlike i ka quinidine e hana pono loa no kou puʻuwai.

Pehea ka lōʻihi e lawe ai au i ka Quinidine?

ʻO ka lōʻihi o ka mālama ʻana i ka quinidine e ʻokoʻa loa ma muli o kou maʻi puʻuwai a me ka maikaʻi o kou pane ʻana i ka lāʻau. Pono kekahi poʻe i kekahi mau pule wale nō, ʻoiai e lawe ana kekahi i nā mahina a i ʻole nā ​​makahiki.

E nānā mau kāu kauka i kou puʻuwai ma o nā hoʻokolohua e like me nā electrocardiograms (ECGs) e ʻike i ka maikaʻi o ka hana ʻana o ka lāʻau. E nānā pū lākou i kou pae koko i kēlā me kēia manawa e hōʻoia ana e loaʻa ana iā ʻoe ka nui kūpono.

Mai hooki i ka lawe ʻana i ka quinidine me ka ʻole e kamaʻilio mua me kāu kauka. ʻO ka hoʻōki ʻana i ka hikiwawe hiki ke hoʻihoʻi a i ʻole e hōʻino i kou puʻuwai maʻamau, he mea weliweli paha ia no kou olakino.

He aha nā hopena ʻaoʻao o Quinidine?

E like me nā lāʻau lapaʻau a pau, hiki i ka quinidine ke hana i nā hopena ʻaoʻao, ʻoiai ʻaʻole ʻike nā kānaka a pau iā lākou. Nui ka poʻe e ʻae maikaʻi iā ia, ʻoi aku hoʻi ke loaʻa i kā lākou kauka ka mahele kūpono no kā lākou pono.

Eia kekahi mau hopena ʻaoʻao maʻamau āu e ʻike ai i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau:

• ʻO ka nausea a i ʻole ka ʻōpū
• Ka maʻi palahē a i ʻole nā noho palupalu
• ʻEha poʻo
• ʻO ka wili a i ʻole ka māmā
• ʻIke pohihihi
• Ke kani ʻana i kou mau pepeiao (tinnitus)

Hoʻomaikaʻi pinepine kēia mau hōʻailona i ka wā e maʻa ai kou kino i ka lāʻau lapaʻau. Eia naʻe, inā mau lākou a hoʻopilikia nui iā ʻoe, e haʻi i kāu kauka.

Pono kekahi mau hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi i ka lāʻau lapaʻau koke. Pākuʻi ʻia kēia i ka wili nui, ka maʻi, ka puʻuwai wikiwiki a lohi paha, ka nausea nui a me ka luaʻi ʻana, a i ʻole nā hōʻailona o ka hopena maʻi e like me ka ʻulaʻula a i ʻole ka pilikia o ka hanu.

I kekahi manawa, hiki i ka quinidine ke hana i kahi pilikia puʻuwai koʻikoʻi i kapa ʻia ʻo torsades de pointes. ʻO kēia ke kumu e nānā pono ai kāu kauka iā ʻoe, ʻoi aku hoʻi i ka wā e hoʻomaka ai ʻoe e lawe i ka lāʻau lapaʻau.

ʻO wai ka mea ʻaʻole pono e lawe i ka Quinidine?

ʻAʻole kūpono ʻo Quinidine no nā mea a pau, a e noʻonoʻo pono kāu kauka i kāu moʻolelo olakino ma mua o ke kau ʻana. Hiki i kekahi mau maʻi a i ʻole nā lāʻau lapaʻau ke palekana ʻole a i ʻole ka maikaʻi ʻole o ka quinidine iā ʻoe.

ʻAʻole pono ʻoe e lawe i ka quinidine inā loaʻa iā ʻoe kekahi mau pilikia puʻuwai, ʻo ia hoʻi ka poloka puʻuwai piha a i ʻole kekahi mau ʻano o nā arrhythmias ventricular. Pono nā kānaka me ka myasthenia gravis, kahi maʻi nāwaliwali o ka ʻiʻo, e pale pū i kēia lāʻau lapaʻau.

E haʻi i kāu kauka e pili ana i kāu mau maʻi olakino a pau, ʻoiai inā loaʻa iā ʻoe ka maʻi kīkī, nā pilikia o ke ake, a i ʻole nā pae potassium a i ʻole magnesium haʻahaʻa. Hiki i kēia mau maʻi ke hoʻopilikia i ke ʻano o ka hana ʻana o kou kino i ka quinidine.

Nui nā lāʻau lapaʻau e launa pū me ka quinidine, me nā mea hoʻokahe koko, kekahi mau lāʻau antibiotic, a me nā lāʻau lapaʻau puʻuwai ʻē aʻe. E hōʻike mau i kāu kauka i ka papa inoa piha o nā mea a pau āu e lawe nei, me nā lāʻau lapaʻau i kūʻai ʻia ma waho o ka pāʻālua a me nā mea hoʻohui.

Nā inoa inoa o Quinidine

Loaʻa ka Quinidine ma lalo o nā inoa inoa like ʻole, ʻoiai ua hana maikaʻi ka mana generic. ʻO nā inoa inoa maʻamau e komo pū ana me Quinidex, Quinaglute, a me Cardioquin, ʻoiai ʻaʻole paha i loaʻa kekahi o kēia mau mea ma nā wahi a pau.

Hiki i kāu hale kūʻai lāʻau lapaʻau ke hāʻawi i ka inoa inoa a i ʻole ka mana generic ma muli o kāu ʻinikua a me ka loaʻa. Loaʻa i nā mea ʻelua ka mea hana like a hana like i loko o kou kino.

Nā koho ʻē aʻe o Quinidine

Inā ʻaʻole hana maikaʻi ka quinidine iā ʻoe a i ʻole e hoʻoulu ai i nā hopena ʻaoʻao hoʻoluhi, he nui nā koho ʻē aʻe a kāu kauka e kōkua ai i ka mālama ʻana i kāu puʻuwai. Hana kēia mau koho ʻē aʻe ma nā ʻano like ʻole akā manaʻo lākou i ka pahuhopu like o ka mālama ʻana i kou puʻuwai e paʻi mau ana.

ʻO nā lāʻau antiarrhythmic ʻē aʻe e komo pū ana me amiodarone, flecainide, propafenone, a me sotalol. Loaʻa i kēlā me kēia mea kona mau pōmaikaʻi a me nā hopena ʻaoʻao, no laila e koho kāu kauka ma muli o kou kūlana kikoʻī a me ka mōʻaukala olakino.

Hiki nō hoʻi nā lāʻau lapaʻau ʻole, e like me ka catheter ablation, kahi e hoʻohana ai nā kauka i ka wela a i ʻole ke anu e luku i ka ʻiʻo e hoʻoulu ai i nā puʻuwai ʻole. Pōmaikaʻi kekahi poʻe mai nā mea hana e like me nā pacemakers a i ʻole nā ​​mea hoʻopau defibrillators.

Ua ʻoi aku ka maikaʻi o Quinidine ma mua o Amiodarone?

He mau lāʻau antiarrhythmic maikaʻi ʻo Quinidine a me amiodarone, akā ʻaʻole lākou i ʻoi aku ka maikaʻi a i ʻole ka ʻino ma mua o kekahi. ʻO ke koho maikaʻi loa e pili ana i kou kūlana puʻuwai kikoʻī, nā pilikia olakino ʻē aʻe, a pehea ʻoe e pane ai i ka lāʻau.

Ua manaʻo pinepine ʻia ʻo Amiodarone he mea ikaika a hoʻohana pinepine ʻia no nā arrhythmias koʻikoʻi a i ʻole nā mea e hoʻoweliweli ana i ke ola. Eia naʻe, hiki iā ia ke hana i nā hopena ʻaoʻao koʻikoʻi, ʻoi aku hoʻi me ka hoʻohana ʻana i ka wā lōʻihi, me nā pilikia o ka māmā, ka thyroid, a me ke ake.

Hiki ke makemake ʻia ʻo Quinidine no kekahi mau ʻano o ka atrial fibrillation a i ʻole flutter, ʻoiai ʻaʻole kūpono ʻo amiodarone. E noʻonoʻo kāu kauka i nā mea e like me kou makahiki, nā lāʻau lapaʻau ʻē aʻe, a me ke olakino holoʻokoʻa i ka wā e hoʻoholo ai i ka lāʻau lapaʻau kūpono iā ʻoe.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Quinidine

He Palekana ʻo Quinidine no ka poʻe me ka maʻi kīkī?

Hiki ke hoʻohana ʻia ʻo Quinidine i ka poʻe me ka maʻi kīkī, akā pono ia i ka nānā pono ʻana a me ka hoʻoponopono ʻana i ka mahele. Kōkua kou mau kīkī i ka wehe ʻana i ka quinidine mai kou kino, no laila hiki i ka hana kīkī i hōʻemi ʻia ke kumu e kūkulu ai ka lāʻau lapaʻau i nā pae kiʻekiʻe.

E kauoha paha kāu kauka i nā hoʻokolohua koko maʻamau e nānā i kāu pae quinidine a me ka hana kīkī. Hiki iā lākou ke kuhikuhi i kahi mahele haʻahaʻa a i ʻole e hoʻokaʻawale i kāu mau mahele i nā mea ʻē aʻe e hōʻoia i ka noho ʻana o ka lāʻau lapaʻau i nā pae palekana a maikaʻi.

He aha kaʻu e hana ai inā ua lawe hewa au i ka nui o Quinidine?

Inā ua lawe hewa ʻoe i ka nui o ka quinidine ma mua o ka mea i kuhikuhi ʻia, e kelepona koke i kāu kauka a i ʻole ke kikowaena hoʻomalu ʻona, ʻoiai inā maikaʻi ʻoe. ʻO ka lawe ʻana i ka nui hiki ke hana i nā pilikia o ka puʻuwai koʻikoʻi a i ʻole nā hopena weliweli ʻē aʻe.

ʻO nā hōʻailona o ka overdose quinidine e komo paha i ka nausea koʻikoʻi, ka luaʻi, ka maʻi maʻi, ka huikau, nā loli ʻike, a i ʻole nā pilikia o ka puʻuwai. Mai kali i nā hōʻailona e ʻike ʻia ma mua o ka ʻimi ʻana i ke kōkua, no ka mea, hiki ke koʻikoʻi kekahi mau hopena.

He aha kaʻu e hana ai inā ua hala au i kahi mahele o Quinidine?

Inā ua hala ʻoe i kahi mahele o quinidine, e lawe iā ia i ka wā e hoʻomanaʻo ai ʻoe, ke ʻole kokoke ka manawa no kāu mahele i hoʻonohonoho ʻia. I kēlā hihia, e lele i ka mahele i hala a hoʻomau me kāu papa hana maʻamau.

Mai lawe i nā lāʻau ʻelua i ka manawa hoʻokahi e pani ai i ka lāʻau i hala, no ka mea, hiki i kēia ke hana i nā hopena ʻaoʻao weliweli. Inā poina pinepine ʻoe i nā lāʻau, e noʻonoʻo e hoʻohana i kahi mea hoʻonohonoho pila a i ʻole e hoʻonohonoho i nā mea hoʻomanaʻo kelepona e kōkua iā ʻoe e noho ma ke ala.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana iā Quinidine?

E hooki wale i ka lawe ʻana iā quinidine ke haʻi aku kāu kauka iā ʻoe he palekana ke hana pēlā. ʻOiai inā ʻoe e ʻoi aku ka maikaʻi a me he mea lā he maʻamau kāu puʻuwai, pono paha ka lāʻau lapaʻau e pale i ka hoʻi ʻana mai o kāu arrhythmia.

Makemake maʻamau kāu kauka e hōʻemi mālie i kāu lāʻau ma mua o ka hooki ʻana koke. Kōkua kēia i ka pale ʻana i nā pilikia o ka puʻuwai mai ka hoʻi koke ʻana mai, he mea weliweli paha.

Hiki iaʻu ke inu i ka waiʻona i ka wā e lawe ana iā Quinidine?

ʻOi aku ka maikaʻi e kaupalena i ka inu ʻana i ka waiʻona i ka wā e lawe ana iā quinidine, no ka mea, hiki i ka waiʻona ke hoʻopilikia i kou puʻuwai a hiki ke hoʻopilikia i ka hana ʻana o ka lāʻau. Hiki i ka waiʻona ke hoʻonui i ka pilikia o kekahi mau hopena ʻaoʻao e like me ka ʻūlū.

Inā koho ʻoe e inu i ka waiʻona, e hana me ka maʻalahi a e nānā i kou manaʻo. ʻIke kekahi poʻe ʻoiai nā mea liʻiliʻi o ka waiʻona e hoʻopilikia iā lākou i ka wā e lawe ana iā quinidine. E kūkākūkā mau i ka hoʻohana ʻana i ka waiʻona me kāu kauka e hoʻomaopopo i ka mea palekana loa no kāu kūlana.