He aha te Tocainide: Ngā Whakamahinga, te Inenga, Ngā Pānga Taha me Ētahi Atu

He rongoā tākuta te Tocainide e whakamahia ana hei rongoā i ngā raruraru o te manawa e mōrearea ana ki te ora, e kīia ana ko te ventricular arrhythmias e mōrearea ana ki te ora. No roto i te rōpū rongoā e kīia ana ko te antiarrhythmics tēnei rongoā waha, e mahi ana mā te āwhina i tō manawa kia tākare i tētahi tauira auau ake. Ahakoa te whai hua o te tocainide mō ētahi āhuatanga o te manawa, ka rāhui kē i ngā wāhi kāore anō ētahi atu rongoā i whai hua, nā te mea ka puta pea ngā pānga taha e mōrearea ana.

He aha te Tocainide?

He aukati i te hongere konutai te Tocainide e āwhina ana ki te whakahaere i te mahi hiko kōaro i tō manawa. Whakaarohia he kaiwhakahaere waka mō ngā tohu hiko e tākare ai tō manawa. Ka pōraru, ka tere rawa rānei ēnei tohu, ka āwhina te tocainide ki te whakahoki i tētahi manawataki noa ake.

He rite te hanganga o tēnei rongoā ki te lidocaine, he rongoā rāpoi e mōhiotia ana e koe mai i ngā mahi niho. Heoi, kāore i rite ki te lidocaine, ka taea te tango tocainide mā te waha, ā, ka noho kaha tonu i tō tinana mō te wā roa. I hangaia motuhake hei whai i ngā ruma o raro o tō manawa, e kīia ana ko te ventricles, i te wāhi e puta ana ngā raruraru manawataki e mōrearea ana ki te ora.

E kiia ana ko te tocainide he rongoā tuarua, ko te tikanga ka whakamātau ngā tākuta i ētahi atu rongoā i te tuatahi. Mā tēnei huarahi e whakarite kia whiwhi koe i te manaakitanga e tika ana i te wā e whakaiti ana i ngā mōrearea ka puta.

He aha te Tocainide e whakamahia ana mō?

Ko te tocainide te mea nui e tohua ana mō te ventricular arrhythmias e mōrearea ana ki te ora kāore anō i whai hua ki ētahi atu rongoā. He raruraru manawataki manawa tēnei e mōrearea ana ki te ora ki te kore e rongoatia. Ka tūtohu tō tākuta i te tocainide i te wā e tino nui ake ana ngā painga i ngā mōrearea.

Ko ngā āhuatanga e tino pāpā ana ki te tocainide ko te tachycardia ventricular me ngā kōpiko ventricular premature pinepine. Ka puta te tachycardia ventricular i te wā e tere rawa ana te patupatu o ngā ruma o raro o tō ngākau, i te wā e kōpiko ana ngā kōpiko ventricular premature he patupatu ngākau anō e taea ai te whakararu i tō rītima noa.

I ētahi wā ka tohutohu ngā tākuta i te tocainide mō ngā tūroro e kore e taea te whakawhiti i ētahi atu rongoā antiarrhythmic. Ka pēnei pea tēnei mehemea kua pā koe i ngā pānga taha nui mai i ētahi atu rongoā rītima ngākau, mehemea rānei kāore i whai hua mō tō āhuatanga motuhake.

Me pēhea te mahi a te Tocainide?

Ka mahi te Tocainide mā te aukati i ngā hongere konutai i roto i ō pūtau uaua ngākau. Ko ēnei hongere he rite ki ngā kuwaha iti e whakahaere ana i te rere o ngā tohu hiko mā tō ngākau. Ka kaha rawa ēnei kuwaha, ka tūpono ka noho kino te rītima o tō ngākau.

Mā te aukati wāhanga i ēnei hongere konutai, ka whakaroa te tocainide i ngā tohu hiko e pā ana ki ngā patupatu ngākau kino. Ka whai wāhi tēnei ki te kaiwhakahaere rītima tūturu o tō ngākau ki te whakahoki i te mana me te whakatū i tētahi rītima auau ake. E whakaarohia ana te rongoā he kaha āhua i waenga i ngā rongoā antiarrhythmic.

Ka tīmata ngā pānga o te tocainide i roto i ētahi haora i muri i te tango, engari ka roa pea ētahi rā kia eke ki tōna painga rongoā katoa. Ka mātakitaki tō tākuta i tō rītima ngākau i tēnei wā kia mōhio ai kei te whai hua te rongoā.

Me pēhea taku tango i te Tocainide?

Tangohia te tocainide kia rite ki te tohutohu a tō tākuta, te tikanga ia 8 ki te 12 haora. Ka taea e koe te tango me te kore kai rānei, engari mā te tango me te kai ka āwhina i te whakaiti i te pōpōtanga o te puku. Horomia tonu ngā papa katoa me te karaihe wai katoa.

Whakamātauria te tango i ō horopeta i ngā wā kotahi i ia rā kia mau tonu ngā taumata i roto i tō toto. Ka āwhina tēnei rite ki te mahi pai ake o te rongoā. Mehemea e hiahia ana koe ki te tango i ngā horopeta maha i ia rā, wehea kia ōrite puta noa i te rā.

Kaua e kuru, e ngaungau, e pakaru ranei nga papa rongoa ki te kore te tākuta e kī atu ki a koe. Ka pā tēnei ki te āhua o te urunga o te rongoā, ā, ka piki pea te tūponotanga o ngā pānga kino. Ki te uaua ki a koe te horo i ngā papa rongoā, kōrerohia ki tō tākuta mō ētahi atu kōwhiringa.

Kia Pēhea te Roa e Tango Ana au i te Tocainide?

He rerekē te roa o te maimoatanga tocainide i runga i tō āhua me te urupare ki te rongoā. Ko ētahi tāngata ka hiahia mō ētahi marama, ēngari ko ētahi atu ka hiahia maimoatanga wā-roa. Ka arotakehia e tō tākuta i ngā wā katoa mēnā kei te hiahia tonu koe i te rongoā.

I te wā o tō maimoatanga, ka whai koe i ngā arotake i ngā wā katoa tae atu ki ngā whakamātautau toto me te aroturuki i te manawataki o te ngākau. Mā ēnei whakaritenga e āwhina tō tākuta ki te aromatawai i te pai o te mahi o te rongoā me te mātakitaki mō ngā pānga kino e pā ana. Kaua rawa e mutu te tango tocainide ohorere ki te kore koe e kōrero tuatahi ki tō tākuta.

Ki te whakatau koe me tō tākuta ki te whakamutu i te tocainide, ka hiahia pea koe ki te whakaiti i te horopeta i te wā. Mā tēnei tukanga whakaiti e āwhina ki te ārai i te hokinga ohorere o ō raru manawataki ngākau, ā, ka whai wā tō tākuta ki te tīmata i ētahi atu maimoatanga ki te hiahiatia.

He Aha ngā Pānga Kino o te Tocainide?

Ka pā ngā pānga kino rerekē ki te tocainide, mai i te ngawari ki te tino kino. Mā te māramatanga ki ēnei pānga ka mōhio koe ki te aha e mātakitaki ai me te wā e whakapā atu ai ki tō tākuta. Ko te nuinga o ngā tāngata ka pā ki ētahi pānga kino, engari he maha ngā mea ka taea te whakahaere mā te āwhina hauora tika.

Ngā pānga kino noa e pā ana ki te nuinga o ngā tāngata ko te whanoke, te whakapairuaki, me te wiri. Ko te tikanga ka puta ēnei i ngā wiki tuatahi o te maimoatanga i te wā e whakatika ana tō tinana ki te rongoā:

• Te whanoke, te māmā rānei o te mahunga, ina koa ka tū ake
• Te whakapairuaki me te ngaro o te hiahia
• Te wiri, te rūrū rānei, ina koa i ō ringa
• Te ngenge, te pōuri rānei
• Te ānini
• Te rangirua, te uaua rānei ki te arotahi
• Te kite pōro

Ko ēnei pānga noa ka pai ake i te wa e waia ana tō tinana ki te rongoā. Heoi, ki te kaha rawa atu, ki te whakararu rānei i āu mahi o ia rā, whakamōhio atu ki tō tākuta tonu.

Ko ngā pānga taha nui ake me whai wāhi tonu mai i te tākuta, kei roto ko ngā mate toto me ngā raruraru o te pūkahukahu. Ahakoa he iti noa iho ēnei, ka mōrearea te ora ki te kore e rongoatia wawe:

• Ngā tohu o ngā mate toto: te rere toto rerekē, te pānga, te kirika, te korokoro mamae tonu rānei
• Ngā raruraru o te pūkahukahu: te poto o te manawa, te mare tonu, te mamae o te uma rānei
• Ngā raruraru ate: te kōwhai o te kiri, o ngā kanohi rānei, te mimi pouri, te mamae puku nui rānei
• Te kino haere o ngā raruraru manawa, te mamae uma hou rānei
• Ngā pānga kiri nui, te pānga rānei

Ki te pā mai ēnei pānga taha nui, whakapā atu ki tō tākuta tonu, rapu rānei i te manaaki hauora ohorere. Ko te mōhio wawe me te rongoā i ēnei raruraru ka ārai i ngā raruraru hauora nui ake.

Ko wai kāore e tika kia tango Tocainide?

Me karo e ētahi tāngata te tocainide nā te pikinga o ngā tūponotanga o ngā raruraru nui. Ka arotake tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā. Ko te pono mō ō āhuatanga hauora ka āwhina i te haumaru.

Kāore e tika kia tango te tocainide e ngā tāngata e pā ana ki ngā āhuatanga manawa motuhake, nā te mea ka kino ake pea tō rātou āhuatanga. Kei roto i ēnei ko ngā tāngata e pā ana ki ētahi momo aukati manawa, te ngoikore manawa nui rānei:

• Te aukati manawa tuarua, tuatoru rānei kāore he pacemaker
• Te ngoikore manawa nui kāore i te pai te whakahaere
• Te tūponotanga ki te tocainide, ki ngā rongoā rite rānei
• Te mate tākihi, te mate ate nui rānei

I tua atu, me karo e ngā tāngata e pā ana ki ngā mate toto te tocainide, nā te mea ka kino ake pea ēnei āhuatanga. Me whakatau e tō tākuta ngā tūponotanga ki te whai hītori koe mō ngā raruraru toto.

Me kōrero ngā wāhine hapū me te whāngai ū i ngā tūponotanga me ngā painga ki tō rātou tākuta. Ahakoa pea e tika ana te tocainide mō ngā āhuatanga e mōrearea ana te ora, he pai ake ngā rongoā haumaru ake i te wā e hapū ana, e whāngai ana rānei.

Ngā Ingoa Waitohu o Tocainide

Ko te ingoa waitohu mō te tocainide ko Tonocard. Heoi anō, kāore tēnei rongoā e wātea whānuitia ana i roto i te maha o ngā whenua, tae atu ki te United States, nā te mea e pā ana ki te haumaru me te wātea o ngā rongoā hou ake.

Mēnā kei te tango koe i te tocainide i tēnei wā, tērā pea i whiwhi tō tākuta i tēnei rongoā mā ngā hōtaka motuhake, i ngā pūtake ā-ao rānei. Kei te wātea tonu ētahi momo rongoā whānui i ētahi rohe, engari he rerekē te wātea i te wāhi.

Nā te iti o te wātea, tērā pea ka kōrero tō tākuta mō te huri ki ngā rongoā kē e wātea ana, e haumaru ana pea mō te whakamahi wā roa.

Ngā Rongoā Kē mō Tocainide

He maha ngā rongoā kē e taea ana te rongoā i ngā raruraru o te manawa, he maha tonu ngā pūkete haumaru pai ake. Ka whakaaro tō tākuta ki tō āhuatanga motuhake me te hītori hauora i te wā e whiriwhiri ana i te kōwhiringa pai mō koe. He maha tonu ngā rongoā hou e whai hua ana, he iti noa iho ngā pānga taha kino.

Ngā rongoā kē e mōhiotia ana ko ētahi atu rongoā antiarrhythmic pēnei i te amiodarone, flecainide, propafenone rānei. He painga me ngā tūponotanga ō ia rongoā, ā, ka āwhina tō tākuta ki te whakatau ko tēhea te mea tika mō tō āhuatanga.

Ko ngā rongoā kore-rongoā pea he kōwhiringa anō, tae atu ki ngā tikanga whakangaro catheter, ngā pūrere whakauru pēnei i ngā pacemakers, defibrillators rānei. I ētahi wā, ka taea e ēnei wawaotanga te whakahaere i ngā raruraru o te manawa i te wā roa, kāore he rongoā ia rā.

He Pai Ake Te Tocainide I Te Lidocaine?

He rite te mahi a te tocainide me te lidocaine engari he rerekētanga nui kei te āhua o te whakamahi. Me hoatu te Lidocaine mā te uaua i roto i te hōhipera, engari ka taea te tango tocainide mā te waha i te kāinga. Nō reira, he pai ake te tocainide mō te rongoā wā roa.

Heoi anō, e mōhiotia ana he pai ake te lidocaine mō te whakamahi wā poto i ngā wā ohorere. Ka tere te whakakore i te tinana, ā, he iti ake ngā pānga taha wā roa. Ko te tocainide, ahakoa he pai ake, he nui ake ngā tūponotanga o ngā raruraru nui ki te whakamahi roa.

Ka whiriwhiri tō tākuta i waenga i ēnei rongoā i runga i ō hiahia motuhake. Ki te hiahia koe ki te rongoā tonu i roto i te hōhipera, ka pai ake pea te lidocaine. Mō te rongoā tonu i te kāinga, ka whakaarohia pea te tocainide, ahakoa ka whakamātauhia ngā rongoā hou i te tuatahi.

Ngā Pātai Auau mō te Tocainide

He Haumaru te Tocainide mō te Hunga e Mate ana i te Whatumanawa?

Me whai whakaaro motuhake te hunga e mate ana i te whatumanawa i te wā e tango ana i te tocainide. Ka āwhina ō whatumanawa ki te whakakore i tēnei rongoā i tō tinana, nō reira ka taea e te mahi whatumanawa kua heke te hanga i te rongoā ki ngā taumata tūpono.

Ki te raru ō whatumanawa, ka whakahau pea tō tākuta i te horopeta iti ake, ā, ka mātakitaki tata atu ki a koe. Ka āwhina ngā whakamātautau toto i ngā wā katoa ki te whakarite kia kore te rongoā e kohikohi ki ngā taumata kino. I ngā mate whatumanawa nui, ka pai ake te rongoā kē.

Me Pēhea Taku Mahi Ki te Tango Au i te Nui Rawa o te Tocainide?

Ki te whakaaro koe kua tango koe i te nui rawa o te tocainide, rapua tonu te āwhina hauora ohorere. Ko ngā tohumate o te horopeta nui rawa atu ka uru ki te whanoke nui, te rangirua, te hopu, te huringa o te manawa kino. He mea nui te wā i ngā wā o te horopeta nui rawa atu.

I te wā e tatari ana mō te āwhina hauora, kaua e ngana ki te whakapōkae i a koe anō ki te kore i tohutohutia e te pokapū whakahaere paitini. Puritia te pounamu rongoā ki a koe hei whakaatu ki ngā kaiwhakarato hauora te aha me te nui i tango koe.

He aha taku mahi ki te ngaro ahau i te horopeta o Tocainide?

Ki te ngaro koe i te horopeta, a kei roto i etahi haora o to wa i whakaritea, tangohia i te wa e mahara ana koe. Heoi, ki te tata ana te wa mo to horopeta e whai ake nei, pekehia te horopeta i ngaro, ka haere tonu ki to waarangi auau.

Kaua rawa e tango e rua nga horopeta i te wa kotahi hei utu mo te horopeta i ngaro, na te mea ka piki ake to tupono ki nga paanga taha kino. Ki te wareware pinepine koe i nga horopeta, korero ki to taakuta mo nga rautaki hei awhina i a koe ki te mahara, ki te pai ake ranei te waarangi rongoa rereke.

Ahea ka taea e au te whakamutu i te tango Tocainide?

Kaua rawa e whakamutu i te tango tocainide ohorere me te kore tohutohu a to taakuta. Ko te whakamutu ohorere ka hoki ohorere mai nga raru o to manawataki, ka raru pea te ora. Ka hangaia e to taakuta he mahere hei whakaiti i to horopeta mena e tika ana te whakamutu.

Ko te whakatau ki te whakamutu i te tocainide e pa ana ki etahi mea, tae atu ki te pai o te whakahaere i to ahuatanga me te waatea o nga maimoatanga ke. Ka arotakehia e to taakuta i nga wa katoa mena kei te hiahia tonu koe i te rongoa i runga i te aroturuki i to manawataki me te hauora katoa.

Ka taea e au te inu waipiro i te wa e tango ana i te Tocainide?

He pai ake te karo i te waipiro i te wa e tango ana i te tocainide, te whakaiti ranei. Ka taea e te waipiro te whakanui i te tupono o nga paanga taha penei i te whanoke, ka pa pea ki to manawataki. Ka raru pea ki te tukatuka o to tinana i te rongoa.

Ki te whiriwhiri koe ki te inu i etahi wa, korerohia tenei ki to taakuta i te tuatahi. Ka taea e ratou te tohutohu ki a koe mo nga rohe haumaru i runga i to ahuatanga motuhake me te awhina i a koe ki te mohio ki nga raru e pa ana.