He aha te Disopyramide: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te Disopyramide he rongoā ngākau i runga i te whakahaunga e āwhina ana ki te whakahaere i ngā manawataki ngākau koretake. No roto i te rōpū rongoā e kīia ana ko te antiarrhythmics, e mahi ana mā te whakahaere i ngā tohu hiko i tō ngākau kia whakahokia mai te manawataki noa, tū tonu.

Kua whakamahia tēnei rongoā mō ngā tekau tau ki te rongoā i ngā momo raruraru manawataki ngākau. Ka tohutohu pea tō tākuta i tēnei rongoā i te wā e tere rawa ana tō ngākau, e puhoi rawa ana, i tētahi tauira koretake rānei ka mōrearea ki tō hauora.

He aha te Disopyramide?

Ko te Disopyramide he rongoā antiarrhythmic Class IA e whakapūmau ana i te mahi hiko o tō ngākau. E mahi ana mā te aukati i ētahi ara konutai i roto i te uaua o tō ngākau, e āwhina ana ki te whakaroa me te whakahaere i ngā ngaru hiko koretake.

Kei te wātea te rongoā i roto i ngā puka kapene tuku tonu me te tuku roa. Mā tō tākuta e whiriwhiri te puka tika i runga i tō āhuatanga motuhake me te pēhea te urupare o tō tinana ki te rongoā.

Whakaarohia tō ngākau me te pūnaha hiko i tō kāinga. Ki te raruraru te waea, ka kanapa pea ngā rama, kare pea e pai te mahi o ngā taputapu. E mahi ana te Disopyramide hei whakapūmau hiko, e āwhina ana ki te whakatikatika i aua tohu koretake kia taea ai e tō ngākau te patu i roto i te manawataki tū tonu, whāiti.

He aha te Disopyramide e whakamahia ana?

Ko te Disopyramide te mea nui e tohutohutia ana hei rongoā i ngā arrhythmias ventricular e mōrearea ana ki te ora. Koinei ngā raruraru manawataki ngākau mōrearea e tīmata ana i roto i ngā ruma o raro o tō ngākau, ā, ka mate pea ki te kore e rongoatia.

Ka tūtohu pea tō tākuta i tēnei rongoā ki te whai koe i te tachycardia ventricular tū tonu, e tere rawa ana te patu o tō ngākau. Ka whakamahia hoki mō ētahi momo ventricular fibrillation, he manawataki ngākau raruraru e ārai ana i tō ngākau mai i te pōmpu i te toto.

I ētahi wā, ka tohutohu ngā tākuta i te disopyramide mō te hypertrophic cardiomyopathy, he āhua ka nui rawa te matotoru o te uaua o tō ngākau. Ka āwhina te rongoā ki te whakaiti i te aukati i tō ngākau me te whakapai ake i ngā tohumate pērā i te mamae o te uma me te poto o te manawa.

I te nuinga o te wā, ka whakamahia mō ētahi arrhythmias atrial, ahakoa ko tēnei te nuinga o te wā kāore anō ētahi atu rongoā i pai mō koe. Ka āta arotake tō tākuta ngākau mēnā ko te disopyramide te kōwhiringa tika mō tō āhua ngākau motuhake.

Me pēhea te mahi a te Disopyramide?

E kiia ana ko te disopyramide he rongoā antiarrhythmic kaha. Ka mahi mā te aukati i ngā hongere konutai tere i roto i ngā pūtau uaua o tō ngākau, e whakaroa ana i te whakahaere hiko e whakaoho ana i ia patupā.

Ka hē te manawataki o tō ngākau, he maha ngā wā nā te tere rawa o te neke o ngā tohu hiko, te rānei i te raruraru i roto i tō kiko ngākau. Ka āwhina te disopyramide ki te whakaroa i ēnei tohu me te whakarite i a rātou, pērā i te kaiwhakahaere waka e whakahaere ana i ngā whakawhitinga pukumahi.

He 'pānga inotropic kino' anō hoki te rongoā, arā, he iti te whakaiti i te kaha o ngā kōkiri o tō ngākau. Ahakoa tēnei pea te ahua e pā ana, ka whai hua tonu mō ētahi āhua pērā i te hypertrophic cardiomyopathy.

I tua atu, he āhuatanga anticholinergic tō te disopyramide, ko te tikanga ka taea e ia te aukati i ētahi tohu io i tō tinana. E whakamārama ana tēnei i te aha pea ka pā ki a koe ngā pānga taha pērā i te waha maroke, te tirohanga rānei.

Me pēhea taku tango i te Disopyramide?

Tangohia te disopyramide kia rite ki te tohutohu a tō tākuta, te nuinga o te wā ia 6 ki te 12 hāora i runga i te puka e whakamahia ana e koe. Ko ngā kāpene tuku tonu te nuinga o te wā ka tangohia 3 ki te 4 ngā wā ia rā, i te mea ko ngā kāpene tuku roa te nuinga o te wā ka tangohia e rua ngā wā ia rā.

Ka taea e koe te tango i tēnei rongoā me te kore kai rānei, engari ngana kia rite tonu ki tāu e whiriwhiri ai. Mēnā ka pōraru te rongoā i tō puku, mā te tango me te kai māmā, te paramanawa rānei e āwhina i te whakaiti i te raruraru kūnatu.

Horomia katoatia ngā kāpene me te karaihe wai. Kaua e kuru, e ngaungau, e whakatuwhera rānei i ngā kāpene, inā koa te momo tuku roa, nā te mea ka nui rawa te rongoā ka tukuna i te wā kotahi.

Ngana ki te tango i ō horopeta i ngā wā kotahi i ia rā kia mau tonu te taumata o te rongoā i roto i ō toto. Mā te whakatakoto whakamaharatanga waea e āwhina i a koe kia mau tonu ki te hōtaka horopeta.

Mēnā kei te tango koe i te momo tuku roa, karohia te inu waipiro nā te mea ka pā ki te āhua o te rongoā e ngongo ana i tō tinana. Waihoki, tūpato ki te karepe me te wai karepe, nā te mea ka pā tētahi ki tētahi me te maha o ngā rongoā ngākau.

Kia Pēhea te Roa e Tango Ai au i te Disopyramide?

He rerekē te roa o te maimoatanga disopyramide i runga i tō āhua ngākau me te pai o tō urupare ki te rongoā. Ko ētahi tāngata e hiahia ana kia torutoru marama noa iho, ēngari ko ētahi atu ka hiahia maimoatanga wā roa.

Mō ngā arrhythmias koi, ka tohutohu pea tō tākuta i te wā poto ake i te wā e aroturuki ana i te urupare o tō ngākau. Mēnā ka whakahaerehia ngā manawataki hē, ā, kāore e hoki mai, ka taea pea e koe te whakamutu i te rongoā i te wā haere.

Heoi, mēnā he āhua mau tonu tō, pēnei i te hypertrophic cardiomyopathy, tērā pea ka hiahia koe ki te tango disopyramide mō ngā tau, mō ake rānei. Ka arotakehia e tō tākuta i ngā wā katoa mēnā kei te nui tonu ngā painga i ngā tūponotanga.

Kaua rawa e whakamutu i te tango disopyramide ohorere me te kore kōrero ki tō tākuta i te tuatahi. Mā te whakamutu ohorere ka hoki mai ngā raruraru manawataki o tō ngākau, i ētahi wā he nui ake i mua. Ka waihanga tō tākuta i tētahi hōtaka whakaiti mēnā e tika ana te whakamutu.

He Aha ngā Pānga Taha o te Disopyramide?

Pērā i ngā rongoā katoa, ka pānga ngā pānga taha ki te disopyramide, ahakoa kāore e pā ana ki te katoa. Ko ngā pānga taha e tino kitea ana e pā ana ki ngā āhuatanga anticholinergic o te rongoā me ōna pānga ki tō ngākau.

Koinei ngā pānga taha e tino pūrongotia ana ka pā ki a koe:

• Waha maroke me te korokoro
• Te kite pōhēhē, te uaua rānei ki te arotahi
• Pāpānga
• Te uaua ki te mimi, te pupuri mimi rānei
• Te whakapairuaki, te pōraruraru rānei o te puku
• Te whanoke, te māmā rānei o te upoko
• Te ngenge, te ngoikore rānei

Ko ēnei pānga taha noa ka pai ake i te wā e urutau ana tō tinana ki te rongoā. Ko te noho wai-pai me te whakamahi i te kapia kore huka, i ngā lozenges rānei ka āwhina i te waha maroke.

Ka puta ngā pānga taha nui ake, ahakoa kāore i te kitea. Me whai wāhi tonu ēnei ki te rongoā.

• Ngā raruraru manawa hou, te kino rānei
• Te whanoke nui, te ngaro rānei
• Te mamae o te uma, te uaua rānei ki te hā
• Te pūhi i ō waewae, ngā rekereke, ngā waewae rānei
• Te mamae nui o te puku
• Ngā tohu o te huka toto iti (te werawera, te wiri, te pōraruraru)

Mēnā ka pā ki a koe ēnei tohu nui, whakapā atu ki tō tākuta tonu, rapu rānei i te manaakitanga hauora ohorere.

I te wā onge, ka pānga ngā pānga taha tino nui ki te disopyramide pērā i te ngoikore o te ngākau nui, te heke kino o te pēhanga toto, ngā tauhohenga mate pāwera nui rānei. Ka āta aroturukihia koe e tō tākuta, ina koa i te tīmatanga o te rongoā, kia mātakitaki mō ēnei raruraru onge engari nui.

Ko wai kāore e tika kia tango Disopyramide?

Kāore i te haumaru te Disopyramide mō te katoa, ā, ka āta arotakehia e tō tākuta tō hītori hauora i mua i te whakahau. Ko ētahi āhuatanga ka tūpono he kino, he iti ake rānei te whai hua o tēnei rongoā.

Kaua koe e tango i te disopyramide mēnā he nui tō ngoikore o te ngākau, nā te mea ka kino ake te kaha o tō ngākau ki te papu toto. Kāore hoki i te tūtohutia mēnā he momo aukati ngākau ōnaianei kāore he pacemaker.

Me karo te disopyramide e te hunga e mate ana i te glaucoma, nā te mea ka piki ake te pēhanga o te kanohi, ka kino ake te āhua o te mate. Waihoki, mēnā he nui te mate o te tākihi, o te ate rānei, me whakaaro tō tākuta ki ētahi atu rongoā.

Ētahi atu āhuatanga ka aukati i a koe ki te tango disopyramide ko:

• Myasthenia gravis (he mate ngoikore uaua)
• Ngā raruraru manawa nui
• Te pūkahukahu nui me te pupuri mimi
• Te pēhanga toto iti rawa
• Te mōhiotanga ki te mate pāwera ki te disopyramide, ki ētahi rongoā rite rānei

Me whai whakaaro motuhake hoki ki te hapū me te whāngai ū, nā te mea ka taea e te disopyramide te whakawhiti i te placenta me te uru ki roto i te waiu u. Ka whakataurite tō tākuta i ngā painga ki ngā tūponotanga ki a koe me tō pēpi.

Ngā Ingoa Waitohu o te Disopyramide

Ko te ingoa waitohu mō te disopyramide ko Norpace, e wātea ana i roto i ngā puka tuku tonu me ngā puka tuku roa. Ko te putanga tuku roa e kiia ana ko Norpace CR.

He wātea hoki ngā putanga whānui o te disopyramide, kei roto anō te whakauru kaha kotahi i ngā putanga waitohu. Ka taea e tō whare rongoā te whakakapi i te puka whānui ki te kore tō tākuta e tono motuhake i te ingoa waitohu.

Ahakoa ka whiwhi koe i te ingoa waitohu, i te putanga whānui rānei, he rite tonu te mahi o te rongoā. Me tutuki ngā rongoā whānui i ngā paerewa kounga me te whai hua rite tonu ki ngā rongoā waitohu.

Ētahi atu rongoā hei whakakapi i te Disopyramide

Mēnā kāore te disopyramide e tika ana mōu, kāore rānei e pai te mahi, he maha ngā rongoā kē atu hei whakaaro mā tō tākuta. Kei runga i tō momo arrhythmia me tō āhua hauora whānui te whiriwhiri.

Ko ētahi atu rongoā antiarrhythmic Class I ko te quinidine me te procainamide, he rite te mahi ki te disopyramide engari he rerekē pea ngā pānga taha. Ka whakamātau pea tō tākuta i tētahi o ēnei rongoā mēnā kāore e taea e koe te whakamahi i te disopyramide.

Ko ngā rongoā antiarrhythmic Class III pēnei i te amiodarone, te sotalol rānei, i ētahi wā ka whakamahia hei rongoā kē, ina koa mō ngā arrhythmias e mōrearea ana ki te ora. He rerekē te mahi a ēnei rongoā engari he tino whai hua mō ētahi mate manawa.

Mō ētahi āhuatanga, ko ngā rongoā beta-blockers, ko ngā rongoā calcium channel blockers rānei, he rongoā kē pea. He pai ake te whakamahi i ēnei rongoā, ā, he whai hua mō ētahi momo arrhythmias.

Ko ngā rongoā kore-rongoā pēnei i te catheter ablation, ngā implantable cardioverter defibrillators (ICDs), ngā pacemakers rānei, ka whakaarohia pea i runga i tō āhuatanga motuhake.

He Pai Anei te Disopyramide i te Quinidine?

Ko te disopyramide me te quinidine he rongoā antiarrhythmic Class IA, he rite te mahi, engari he rerekētanga nui ō rāua e pai ake ai tētahi i tētahi mō ētahi tāngata.

Te tikanga he iti ake ngā pānga taha o te disopyramide ki te puku i te quinidine, he maha ngā wā ka pā te nausea, te ruaki, me te korere. Mēnā i pā koe i ngā raruraru puku i te quinidine, he pai ake pea te whakamahi i te disopyramide.

Heoi, he kaha ake ngā pānga anticholinergic o te disopyramide, ko te tikanga he nui ake te tūponotanga ka pā te waha maroke, te tirohanga pōkaikaha, me te pupuri mimi. He pai ake te quinidine mēnā he nui te tūponotanga ki ēnei momo pānga taha.

Mō ngā tāngata e mate ana i te ngoikore o te manawa, me mātakitaki ngā rongoā e rua, engari ka whakaarohia e tō tākuta ō āhuatanga tūpono takitahi i te wā e whiriwhiri ana i waenga i a rāua. Kāore tētahi i te pai ake i te katoa, nā te mea ko te whiriwhiri pai rawa atu ka whakawhirinaki ki tō āhuatanga hauora motuhake me te pai o tō whakamahi i ia rongoā.

Ngā Pātai Auau mō te Disopyramide

He Haumaru Anei te Disopyramide mō te Mate Huka?

Ka pā te Disopyramide ki ngā taumata huka toto, inā koa mā te pānga ki te hypoglycemia (te iti o te huka toto). Ki te whai koe i te mate huka, ka mātakitaki tō tākuta i tō huka toto i te wā e tīmata ana koe i tēnei rongoā.

Ka taea e te rongoā te huna i ētahi tohu o te iti o te huka toto, pērā i te tere o te ngākau, e uaua ai te mōhio i te wā e heke ana tō huka toto. Tirohia ō huka toto i ngā wā katoa, me te mōhio ki ētahi atu tohu o te hypoglycemia pērā i te werawera, te rangirua, te wiri rānei.

Me whakatika pea ō rongoā mate huka i te wā e tango ana koe i te disopyramide. Mahi tahi me tō tākuta ngākau me tō endocrinologist kia mōhio ai kei te pai te whakahaere i tō mate ngākau me te mate huka.

Me pēhea taku mahi ki te tango au i te nui rawa o te Disopyramide?

Ki te tango koe i te nui rawa o te disopyramide i te mea i whakaritea, whakapā atu ki tō tākuta tonu, waea atu rānei ki te pōihana whakahaere. Ko te tango i te nui rawa ka pā ki ngā raruraru nui o te manawataki, te hekenga nui o te pēhanga toto, ētahi atu raruraru rānei.

Kaua e tatari kia kite mena kei te pai koe. Ko ngā tohu o te horopeta nui pea ko te whanoke nui, te ngaro o te mōhiotanga, te uaua ki te hā, te huringa rānei i tō manawataki. Ka mōrearea ēnei ki te ora, me te hiahia kia āwhina tonu te rongoā.

Ki te taea, mauria te pounamu rongoā ki a koe ki te ruma ohorere kia kite ai ngā kaimahi rongoā i te aha me te nui i tango koe. He mea nui te wā i te rongoā i ngā horopeta nui rongoā.

Me pēhea taku mahi ki te ngaro au i te horopeta o te Disopyramide?

Ki te ngaro koe i te horopeta o te disopyramide, tangohia i te wā e mahara ana koe, ki te kore e tata ana te wā mō tō horopeta e whai ake nei. I taua keehi, pekehia te horopeta i ngaro, ka haere tonu ki tō hōtaka auau.

Kaua rawa e tango i ngā horopeta e rua i te wā kotahi hei utu mō te horopeta i ngaro, nā te mea ka pā tēnei ki ngā pānga taha mōrearea. Ki te tango koe i te puka tuku roa, he mea nui tēnei i te mea ko te takirua ka tuku i te nui rawa o te rongoā i te wā kotahi.

Mena he maha ō pōhēhē ki te tango rongoā, whakatūhia ngā whakamaharatanga ki tō waea, whakamahia rānei tētahi pūkaupapa rongoā. He mea nui te pupuri i ngā taumata toto rite tonu o tēnei rongoā mō te whakahaere i tō manawa i runga i te whai hua.

Āhea Āhau e Kati ai te Tango Disopyramide?

Me mutu anake te tango disopyramide i te wā e kī ana tō tākuta he haumaru te mahi pera. Ko te whakamutu ohorere ka hoki mai anō ngā raruraru o tō manawa, i ētahi wā ka kaha ake i mua.

Ka arotake tō tākuta i ētahi āhuatanga i mua i te whakamutu i te rongoā, tae atu ki te pai o te whakahaere i tō manawa, mēnā kua pai ake tō āhua, me te wātea o ētahi atu rongoā.

Ka tae ki te wā ki te whakamutu, ka whakaheke haere tō tākuta i tō horopeta i roto i ngā rā, i ngā wiki rānei. Mā tēnei tukanga whakaheke e ārai ngā arrhythmias hoki mai, ā, ka whai wā tō manawa ki te urutau ki te mahi me te kore te rongoā.

Ka Tae Āhau ki te Inu Waipiro i te Wā e Tango ana i te Disopyramide?

He pai ake te whakaiti, te karo rānei i te waipiro i te wā e tango ana i te disopyramide, ina koa kei te tango koe i te puka tuku roa. Ka taea e te waipiro te whakararu i te āhua o te rongoā e ngongo ana, ā, ka piki pea te tūponotanga o ngā pānga taha pēnei i te whanoke, i te pēhanga toto iti rānei.

Ka pā ano hoki te waipiro ki tō manawa i te taha motuhake, ka mahi pea ki te whakahē i ngā painga o tō rongoā. Mēnā ka whiriwhiri koe ki te inu i ētahi wā, inu i te āhua tika, ā, kōrerohia tēnei ki tō tākuta.

Kia tūpato rawa ki te waipiro mēnā he mate huka tōu, nā te mea ka piki te tūponotanga o ngā wāhanga huka toto iti i te whakakotahitanga o te waipiro me te disopyramide.