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

He rongoā whakahau a Quinidine e whakamahia ana hei rongoā i ngā manawataki koretake, ina koa te āhua e kīia nei ko te atrial fibrillation. No tētahi rōpū rongoā tēnei rongoā e kīia nei ko antiarrhythmics, e mahi ana mā te āwhina i tō ngākau kia mau tonu te manawataki, te manawataki noa.

I te tīmatanga i ahu mai i te kiri o te rākau cinchona, kua āwhina a quinidine i ngā tāngata e raru ana i te manawataki o te ngākau mō ngā tau maha. Ka whakahau pea tō tākuta i tēnei rongoā i te wā e tere rawa ana te patupatu o tō ngākau, e puhoi rawa ana, i tētahi tauira koretake rānei ka pā ki tō hauora.

He aha te Quinidine e whakamahia ana mō?

E rongoā ana a Quinidine i ētahi momo raruraru manawataki ngākau ka waiho koe kia kore e pai, ka tūpono rānei he raru hauora. Ka whakahau te tikanga e tō tākuta i tēnei rongoā i te wā kāore te pūnaha hiko o tō ngākau e mahi ana i te pai me te tika.

Ko ngā āhua tino noa e āwhina ana a quinidine ko te atrial fibrillation, kei reira ngā ruma o runga o tō ngākau e rūrū ana i te tere, kaua ki te patupatu noa. E rongoā ana hoki i te atrial flutter, ventricular tachycardia, me ētahi atu arrhythmias ka pā ki ngā tohumate pērā i te palpitations, te whanoke, te poto rānei o te manawa.

I ētahi wā ka whakamahi ngā tākuta i te quinidine hei ārai i ngā raruraru manawataki ngākau kia kore e hoki mai i muri i te rongoā angitu. Mā tēnei huarahi ārai ka āwhina koe kia mau tonu te manawataki ngākau i te roanga o te wā.

Me pēhea te mahi a Quinidine?

E mahi ana a Quinidine mā te aukati i ētahi tohu hiko i tō ngākau ka pā ki ngā manawataki koretake. Whakaarohia he kaiwhakahaere waka mō te pūnaha hiko o tō ngākau, e āwhina ana ki te whakatikatika i te wā o ia patupatu ngākau.

E whakaarohia ana tēnei rongoā he rongoā antiarrhythmic kaha. E pā ana ki ngā hongere konutai i roto i ngā pūtau uaua o tō ngākau, e whakaroa ana i ngā ngaru hiko e kī ana ki tō ngākau te wā ki te patupatu.

Ko te hua he manawataki ngakau e mau ana, e whakahaerehia ana. Heoi, na te mea e pā ana te quinidine ki te pūnaha hiko o tō ngākau, me mātakitaki tō kaiwhakarato hauora i a koe kia mōhio kei te mahi haumaru me te whai hua mōu.

Me pēhea taku tango i te Quinidine?

Tangohia te quinidine i runga i te tohutohu a tō tākuta, te tikanga me te karaihe wai katoa. Ka taea e koe te tango me te kore kai rānei, engari ko te tango me te kai ka āwhina i te whakaiti i te puku puku ki te pā koe.

Mēnā kei te tango koe i ngā papa waha, i ngā kāpene rānei, horomia katoatia me te kore e kuru, e ngaungau, e whati rānei. Me noho tonu ngā momo tuku-roa kia pai te mahi puta noa i te rā.

Mō ngā momo werohia, ka whakahaere tō kaiwhakarato hauora i ēnei i roto i te taiao rongoā. Ka werohia te werohanga intramuscular ki roto i te uaua, te tikanga i tō ringa o runga, i tō huha rānei, i te wā e haere tika ana ngā momo intravenous ki roto i tō toto.

Whakamātauria te tango i ō horopeta i ngā wā kotahi i ia rā kia mau tonu te taumata o te rongoā i roto i tō pūnaha. Ka āwhina tēnei rite ki te mahi tino whai hua te quinidine mō tō manawataki ngakau.

Kia Pēhea te Roa o taku tango i te Quinidine?

He rerekē te roa o te maimoatanga quinidine i runga i tō āhuatanga ngakau me te pai o tō urupare ki te rongoā. Ko ētahi tāngata e hiahia ana kia mō ētahi wiki noa iho, i te wā e tango ana ētahi atu mō ngā marama, tau rānei.

Ka mātakitaki tō tākuta i tō manawataki ngakau i ngā wā katoa mā ngā whakamātautau pēnei i te electrocardiograms (ECGs) kia kite i te pai o te mahi o te rongoā. Ka tirohia hoki e rātou ō taumata toto i ia wā kia mōhio kei te whiwhi koe i te nui tika.

Kaua rawa e mutu te tango quinidine ohorere me te kore e kōrero ki tō tākuta i te tuatahi. Ko te whakamutu ohorere ka hoki mai, ka kino rānei tō manawataki ngakau koretake, he mea kino pea tēnei mō tō hauora.

He aha ngā pānga taha o te Quinidine?

Pērā i ngā rongoā katoa, ka pānga ngā pānga taha ki te quinidine, ahakoa kāore katoa e pā ana. He maha ngā tāngata e pai ana ki te tango, ina koa ka kitea e tō rākau rongoā te horopeta tika mō ō rātou hiahia.

Anei ētahi pānga taha noa ka kitea e koe i te wā e whakatika ana tō tinana ki te rongoā:

• Te whakapairuaki, te pōpō rānei o te puku
• Te korere, te tūtae wewete rānei
• Te ānini
• Te whanoke, te māmā rānei o te mahunga
• Te tirohanga pōraru
• Te tangi i ō taringa (tinnitus)

He maha ngā wā ka pai ake ēnei tohumate i te wā e waia ana tō tinana ki te rongoā. Heoi, ki te mau tonu, ki te pōuri rānei i a koe, whakamōhio atu ki tō rākau rongoā.

Ko ētahi pānga taha kāore i te noa engari he nui ake te kino e hiahia ana kia āta tirohia e te tākuta. Kei roto i ēnei ko te whanoke nui, te ngaro o te mahara, te tere rawa, te puhoi rānei o te ngākau, te whakapairuaki nui me te ruaki, ngā tohu rānei o te pānga pānga, pērā i te pūwha rānei, te uaua rānei ki te hā.

I te wā anō, ka taea e te quinidine te pā ki te raru o te manawataki o te ngākau e kīia ana ko te torsades de pointes. Koinei te take ka āta aroturukihia koe e tō rākau rongoā, ina koa i te wā tuatahi ka tīmata koe ki te tango i te rongoā.

Ko wai kāore e tika kia tango quinidine?

Kāore te quinidine i te tika mō te katoa, ā, ka āta whakaaro tō rākau rongoā ki tō hītori hauora i mua i te whakahau. Ko ētahi āhuatanga, rongoā rānei ka kore e haumaru te quinidine, ka iti ake rānei te whai hua mō koe.

Kāore koe e tika kia tango quinidine mēnā he raru manawataki tō ngākau, ina koa te aukati ngākau katoa, ētahi momo rānei o te ventricular arrhythmias. Ko ngā tāngata e mate ana i te myasthenia gravis, he āhuatanga ngoikore uaua, me karo hoki i tēnei rongoā.

Kōrero atu ki tō rākau rongoā mō ō āhuatanga hauora katoa, ina koa he mate tākihi tō, he raru ate rānei, he iti rānei te pāhare pāporo, te taumata konupora rānei. Ka pā ēnei āhuatanga ki te āhua o te tukatuka a tō tinana i te quinidine.

He maha ngā rongoā ka pā tahi ki te quinidine, tae atu ki ngā rongoā whakaheke toto, ētahi paturopi, me ētahi atu rongoā mō te ngākau. Me tuku tonu e koe ki tō tākuta te rārangi katoa o ngā mea katoa e inu ana koe, tae atu ki ngā rongoā ka taea te hoko me ngā tāpiringa.

Ngā Ingoa Waitohu o Quinidine

E wātea ana te Quinidine i raro i ētahi ingoa waitohu, ahakoa he pai tonu te mahi a te momo generic. Ko ngā ingoa waitohu noa ko Quinidex, Quinaglute, me Cardioquin, ahakoa kāore pea ētahi o ēnei e wātea ana i ngā wāhi katoa.

Ka taea e tō whare rongoā te tuku i te ingoa waitohu, i te momo generic rānei i runga i te inihua me te wātea. Kei roto i ngā mea e rua te whakauru kaha kotahi, ā, he rite tonu te mahi i roto i tō tinana.

Ngā Kōwhiringa kē mō Quinidine

Mēnā kāore te quinidine e pai ana mōu, e pā rānei i ngā pānga taha e whakararuraru ana, he maha ētahi atu kōwhiringa mā tō tākuta hei āwhina i te whakahaere i tō manawataki. E mahi ana ēnei kōwhiringa kē i ngā huarahi rerekē engari e whai ana i te whāinga kotahi o te pupuri i tō ngākau kia tōtika te patupatu.

Ko ētahi atu rongoā antiarrhythmic ko te amiodarone, flecainide, propafenone, me te sotalol. He pai me ōna pānga taha pea, nō reira ka kōwhiri tō tākuta i runga i tō āhuatanga motuhake me te hītori hauora.

Ka taea hoki e ngā maimoatanga kore-rongoā te kōwhiringa, pēnei i te catheter ablation, e whakamahi ana ngā tākuta i te wera, i te makariri rānei hei whakangaro i te kiko e pā ana ki ngā manawataki kōaro. E whai hua ana ētahi tāngata i ngā pūrere pēnei i ngā pacemakers, i ngā defibrillators cardioverter whakato.

He Pai Anei te Quinidine i te Amiodarone?

He rongoā antiarrhythmic whai hua te quinidine me te amiodarone, engari kāore pea e pai ake, e kino ake rānei i tētahi ki tētahi. Ko te kōwhiringa pai rawa atu kei runga i tō āhuatanga ngākau motuhake, ētahi atu raruraru hauora, me te pēhea tō urupare ki te maimoatanga.

He maha ngā wā ka whakaarohia he kaha ake te amiodarone, ā, he maha ngā wā ka whakamahia mō ngā arrhythmias tino kino, mō te whakatūpono rānei ki te ora. Heoi anō, ka taea e ia te whakaputa i ngā pānga taha nui ake, inā koa mō te whakamahi wā roa, tae atu ki ngā raruraru o te pūkahukahu, te tairoiro, me te ate.

Ka pai pea te quinidine mō ētahi momo o te atrial fibrillation, te flutter rānei, inā koa kāore e tika ana te amiodarone. Ka whakaarohia e tō tākuta ngā āhuatanga pēnei i tō tau, ētahi atu rongoā, me te hauora whānui i te wā e whakatau ana ko tēhea te rongoā e tika ana mōu.

Ngā Pātai Auau mō Quinidine

He Haumaru te Quinidine mō te Hunga e Pāngia ana e te Mate Tākihi?

Ka taea te whakamahi quinidine mō te hunga e pāngia ana e te mate tākihi, engari me mātakitaki tōtika, ā, me whakatika pea te horopeta. Ka āwhina ō tākihi ki te tango quinidine i tō tinana, nō reira ka taea e te mahi tākihi kua whakaitihia te rongoā ki te piki ake ki ngā taumata teitei ake.

Ka tono pea tō tākuta i ngā whakamātautau toto i ngā wā katoa ki te tirotiro i ō taumata quinidine me te mahi tākihi. Ka tohua pea e rātou he horopeta iti ake, ka wehe rānei i ō horopeta kia rerekē ai te whakarite kia noho haumaru te rongoā, kia whai hua.

Me Pēhea Taku Mahi ki te Whakamahi Auau i te Quinidine Nui Rawa?

Mēnā ka whakamahi auau koe i te quinidine nui atu i te mea i tohua, whakapā atu ki tō tākuta, ki te pokapū whakahaere paitini rānei i te wā tonu, ahakoa kei te pai koe. Ko te whakamahi nui rawa ka puta he raruraru nui ki te manawataki o te ngākau, ētahi atu pānga rānei e mōrearea ana.

Ko ngā tohu o te horopeta nui o te quinidine ka uru pea ki te whakapairuaki nui, te ruaki, te korere, te rangirua, ngā huringa o te tirohanga, te raruraru rānei o te manawataki o te ngākau. Kaua e tatari kia puta ngā tohu i mua i te rapu āwhina, nā te mea he nui pea ētahi pānga.

Me Pēhea Taku Mahi ki te Ngaro i te Horopeta o Quinidine?

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

Kaua rawa e tango e rua nga horopeta i te wa kotahi hei utu mo te horopeta i ngaro, na te mea ka puta pea nga paanga taha kino. Mēnā he maha ngā wā e wareware ana koe ki ngā horopeta, whakaarohia te whakamahi i tētahi kaiwhakarite pire, te whakatakoto rānei i ngā whakamaharatanga waea hei āwhina i a koe kia noho i runga i te ara.

Āhea Āhei Ai Au te Kati te Tango Quinidine?

Kati noa te tango quinidine ina kī mai tō tākuta he haumaru te mahi pera. Ahakoa kei te pai koe, ā, te ahua nei he pai te manawataki o tō ngākau, kei te tika tonu pea te rongoā hei ārai i tō arrhythmia kia hoki mai.

Ko te tikanga ka hiahia tō tākuta ki te whakaiti i tō horopeta i te wā, kaua ki te whakamutu ohorere. Ka āwhina tēnei ki te ārai i ngā raruraru o te manawataki o tō ngākau kia hoki ohorere mai, he mea kino pea tēnei.

Ka Āhei Au te Inu Waipiro i te Wā e Tango Ana Au i te Quinidine?

He pai ake te whakaiti i te inu waipiro i te wā e tango ana i te quinidine, nā te mea ka pā te waipiro ki tō manawataki ngākau, ā, ka raru pea te mahi o te rongoā. Ka whakanui hoki te waipiro i te tūponotanga o ētahi paanga taha pēnei i te whanoke.

Mēnā ka whiriwhiria e koe te inu waipiro, me mahi i roto i te āhua ngawari, ā, kia aro ki te āhua o tō tū. E kite ana ētahi tāngata ahakoa he iti noa te waipiro e pā ana ki a rātou i te wā e tango ana i te quinidine. Me kōrero tonu te whakamahi waipiro ki tō tākuta kia mōhio ai koe he aha te mea haumaru mō tō āhuatanga motuhake.