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

He rongoā kaha a Amiodarone mō te manawa e āwhina ana ki te whakahaere i ngā manawataki hē mōrearea. E mahi ana tēnei rongoā mā te whakapūmau i te mahi hiko i roto i tō manawa, e whai ana kia tōtika ake, kia mōhiotia ai te pōkeke o tō manawa.

Mēnā kua tohua e tō tākuta te amiodarone, tērā pea kei te raru koe i tētahi āhuatanga manawa nui e hiahia ana kia āta whakahaere. Ahakoa te whai hua o tēnei rongoā, me āta tūhura i te mea e pā ana ki ngā okana maha o tō tinana.

He aha te Amiodarone?

E hāngai ana te Amiodarone ki tētahi rōpū rongoā e kīia ana ko ngā rongoā antiarrhythmic, otirā he antiarrhythmic Class III. Ko tētahi o ngā rongoā kaha rawa atu e wātea ana mō te rongoā i ngā mate manawataki e mōrearea ana ki te ora.

Kua whakamahia tēnei rongoā mō ngā tau tekau ki te rongoā i ngā arrhythmias nui (ngā manawataki hē) kāore i pai te urupare ki ētahi atu rongoā. Whakaarohia he taputapu motuhake e whakamahia ana e ngā kaimahi hiko mō ngā raruraru waea uaua - he kaha, he whai hua, engari e hiahia ana ki te mātanga kia whakamahia i runga i te haumaru.

Ka tae mai te Amiodarone i te āhua papa waha mō te rongoā wā roa, ahakoa e wātea ana hoki hei werohanga mō ngā tūāhuatanga ohorere i ngā hōhipera. Ko te āhua waha te mea e inu ana te nuinga o te tangata i te kāinga mō te whakahaere tonu i te manawataki.

He aha te Amiodarone e whakamahia ana?

E rongoā ana te Amiodarone i ngā raruraru manawataki nui, e mōrearea ana ki te ora, kāore i taea e ētahi atu rongoā te whakahaere i runga i te whai hua. Ka tohua e tō tākuta tēnei rongoā i te wā e tino nui ake ana ngā painga i ngā tūponotanga.

Ko ngā āhuatanga matua e rongoā ana te amiodarone ko te tachycardia ventricular (ngā manawataki tere mōrearea mai i ngā ruma o raro) me te fibrillation ventricular (ngā manawataki raru, e mōrearea ana ki te ora). Ka whakamahia hoki mō te fibrillation atrial kāore i urupare ki ētahi atu rongoā.

I ētahi wā ka whakamahi ngā tākuta i te amiodarone mō ētahi atu raruraru manawa nui pērā i te atrial flutter, te supraventricular tachycardia rānei, ina kāore anō ngā rongoā tuatahi i whai hua. Ka āwhina te rongoā ki te ārai i te mate ohorere o te manawa i roto i ngā tāngata e whai ana i ngā āhuatanga manawa mōrearea.

I ngā wā onge, ka tohua pea te amiodarone mō ētahi raruraru manawa tuku iho, mō ngā tāngata rānei e whai ana i te ngoikore o te manawa, e whakawhanake ana i ngā raruraru manawa mōrearea. Ka āta whakatau tō tākuta manawa i tō āhuatanga motuhake i mua i te tūtohu i tēnei rongoā.

Me pēhea te mahi a te Amiodarone?

Ka mahi te amiodarone mā te aukati i ngā ara hiko maha i roto i tō uaua manawa, e āwhina ana ki te whakapumau i ngā manawataki hē. E kiia ana he rongoā kaha rawa atu nā te mea e pā ana ki ētahi momo hongere katote e whakahaere ana i te mahi hiko o tō manawa.

Ka roa te wā e hiahiatia ana e te rongoā mō tō uaua manawa ki te tautuhi anō i waenga i ngā patupatu, e ārai ana i te whakawhanaketanga o ngā manawataki tere mōrearea. Ka nui ake te wā o tō manawa ki te whakaki i te toto me te pōmpu whai hua.

Kāore i rite ki ngā rongoā manawataki ngoikore pea e aukati ana i tētahi momo ara hiko anake, ka pā te amiodarone ki ngā hongere konutai, pāhare pāporo, me te konupūmā. Ko tēnei huarahi maha-whāinga ka whai hua ake mō ngā raruraru manawa nui, engari ka piki ake anō te tūponotanga o ngā pānga taha.

He pānga anō te amiodarone ki tō taiaki me ētahi atu okana nā te mea kei roto te iodine, ā, ka noho tonu i roto i ō kiko tinana mō te wā roa. Koinei te take he mea nui te aroturuki i ngā wā katoa ina tango koe i tēnei rongoā.

Me pēhea taku tango i te Amiodarone?

Tangohia te amiodarone kia rite ki tā tō tākuta i tohutohu ai, te nuinga kotahi, e rua rānei ngā wā ia rā me te kai hei whakaiti i te pōhara o te puku. Ka pai ake te ngongo o te rongoā ina tangohia me ngā kai, ina koa ko ngā kai kei roto ētahi ngako.

Ka tīmata pea tō tākuta i a koe ki tētahi "horopeta uta" teitei ake mō ngā wiki tuatahi, kātahi ka whakaiti ki tētahi horopeta tiaki iti ake. Mā tēnei wāhanga uta e āwhina te rongoā kia piki ake i roto i ō kiko tinana, i te wāhi e hiahia ana kia mahi.

Horomia ngā papa katoa me te karaihe wai katoa - kaua e kuru, e ngaungau, e whati rānei. Whakamātau ki te tango i ō horopeta i te wā kotahi i ia rā kia mau tonu ngā taumata i roto i ō toto.

Kaua e kai karepe me te wai karepe i te wā e tango ana i te amiodarone, nā te mea ka piki ake ngā taumata o te rongoā i roto i tō tinana. Me whakawhāiti hoki tō pōhēhē ki te rā, me te mau i ngā kākahu whakamarumaru me te kirīmi rā i te wā e noho ana i waho, nā te mea ka nui ake te tairongo o tō kiri ki te rā i te amiodarone.

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

He rerekē te roa o te maimoatanga amiodarone i runga i tō āhuatanga ngakau me te pai o tō urupare ki te rongoā. E hiahia ana ētahi tāngata mō ngā marama, i te wā e hiahia ana ētahi atu mō ngā tau, mō te maimoatanga rānei mō te ora katoa.

Ka arotakehia e tō tākuta i ngā wā katoa mēnā e hiahia ana tonu koe ki te amiodarone mā te aroturuki i tō manawataki ngakau me te tirotiro mō ngā pānga taha. Ka whakamahia e rātou ngā taputapu pēnei i te EKG, ngā whakamātautau toto, me ētahi wā ngā aroturuki manawataki ngakau hei aromatawai i tō ahunga whakamua.

Nā te mea ka noho te amiodarone i roto i ō kiko tinana mō te wā roa rawa, ka taea e ōna pānga te roa mō ngā wiki, mō ngā marama rānei i muri i tō whakamutu i te tango. Ko te tikanga tēnei me aroturuki koe e tō tākuta i te wā o te wāhanga whakawhiti.

Kaua rawa e whakamutu i te tango amiodarone ohorere me te kore e kōrero ki tō tākuta i te tuatahi, nā te mea ka puta he huringa manawataki ngakau mōrearea. Mēnā e hiahia ana koe ki te whakamutu i te rongoā, ka hangaia e tō tākuta tētahi mahere āta mō te whakawhiti i a koe i runga i te haumaru.

He Aha ngā Pānga Taha o te Amiodarone?

Ka taea e te Amiodarone te whakaputa i ngā pānga taha mai i te ngawari ki te kino, koinei te take ka aroturukihia koe e tō tākuta i te wā o te maimoatanga. He maha ngā pānga taha e pā ana ki te roa o te noho o te rongoā i roto i ō kiko tinana.

Koinei ngā pānga taha e tino kitea ana e koe, ā, he mea nui kia mōhio koe he maha ngā tāngata e pai ana ki tēnei rongoā ahakoa ēnei mea ka puta:

• Te whakapairuaki, te ruaki, te ngaro rānei o te hiahia kai
• Te ngenge, te ngoikore rānei
• Te whanoke, te mārō rānei o te mahunga
• Te pāpāpā
• Ngā raruraru moe, ngā moemoeā rānei e mārama ana
• Te reka rino i tō waha
• Te tairongo o te kiri ki te rā

Ko ēnei pānga taha e pai ake ana i te wā e urutau ana tō tinana ki te rongoā, engari me kōrero tonu ngā āwangawanga ki tō tākuta.

Ko ngā pānga taha nui ake me whai wāhi tonu atu i te tākuta, ahakoa he iti noa iho te puta. Ka titiro tō tākuta ki ēnei mā te aroturuki i ia wā:

• Ngā raruraru pūkahukahu (te mare, te poto o te manawa, te mamae o te uma)
• Ngā raruraru ate (te kōwhai o te kiri, o ngā kanohi rānei, te mimi pouri, te ngenge nui)
• Ngā raruraru taiaki (ngā huringa taumaha nui, te pōkae o te ngākau, te nui o te werawera, te mākū rānei)
• Ngā huringa tirohanga (te pāwera o te tirohanga, te kite i ngā hāro i te taha o ngā mārama)
• Te huringa tae o te kiri (te kākā-ā-kikorangi, ina koa ki te mata me ngā ringa)
• Ngā raruraru manawa hou, e kino ake ana rānei

Ko ēnei pānga taha nui te take i tino nui ai ngā arowhai i ia wā me ngā whakamātautau toto i te wā e tango ana i te amiodarone.

Ko ngā pānga taha onge engari nui, ka uru pea ki te kiko pūkahukahu nui (pulmonary fibrosis), te kino nui o te ate, ngā tūpāpaku taiaki rānei. Ka aroturuki tō tākuta i a koe mā te hihi X o te uma, ngā whakamātautau mahi pūkahukahu, te mahi toto, me ngā whakamātautau kanohi kia kitea wawe ai ngā raruraru.

Ko wai kāore e tika ana kia tango i te Amiodarone?

Kāore e tika ana kia tango i te amiodarone ētahi tāngata nā te nui ake o te tūponotanga o ngā raruraru nui. Ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā.

Kāore koe e tango amiodarone mēnā he raruraru o te manawa pēnei i te bradycardia nui (te tere o te manawa) rānei te aukati i te ngākau me te kore he pacemaker. Ka taea e te rongoā te whakapōrearea i ēnei āhuatanga mā te whakaroa i tō tere o te manawa.

Ko ngā tāngata e pāngia ana e te mate ate nui, te mate pūkahukahu nui, rānei ngā raruraru thyroid kāore i rongoatia, kāore rātou e tango amiodarone. Ka taea e te rongoā te whakapōrearea i ēnei āhuatanga, te uaua rānei ki te whakahaere.

Mēnā kei te hapū koe, kei te whāngai ū rānei, kāore i te tohutohutia te amiodarone nā te mea ka pānga ki te pēpi e whanake ana, ka uru rānei ki te waiu ū. Ka kōrero tō tākuta i ngā huarahi haumaru ake mēnā kei te whakamahere koe ki te hapū.

Kōrero ki tō tākuta mō ngā rongoā katoa e tango ana koe, nā te mea ka pānga te amiodarone ki te maha o ngā rongoā tae atu ki te warfarin, digoxin, me ētahi paturopi. Ka taea e ēnei pānga te kino, me te hiahia ki te whakatika i te horopeta, ki ngā rongoā kē rānei.

Ngā Ingoa Waitohu o Amiodarone

Kei te wātea te Amiodarone i raro i ētahi ingoa waitohu, ko Cordarone me Pacerone ngā mea tino noa i te United States. Ko te putanga generic e kiia ana ko "amiodarone" kei te wātea whānui hoki, ā, he rite te mahi.

Ka taea e tō whare rongoā te whakakapi i waenga i ngā putanga generic me ngā putanga waitohu mēnā kāore tō tākuta e kī ana i ētahi atu. Ko ngā putanga katoa i whakaaetia e te FDA kei roto i te whakauru kaha kotahi, me mahi rite tonu mō tō āhuatanga.

Ka kite ētahi tāngata i ngā rerekētanga iti i te āhua o te rongo i waenga i ngā putanga generic me ngā putanga waitohu, ahakoa he rite tonu te whai huatanga o te rongoā. Mēnā he pātai āu mō te huri i waenga i ngā putanga, kōrero ki tō tākuta me te kai rongoā.

Ngā Huarahi Kē o Amiodarone

He maha atu ngā rongoā ka taea te rongoā i ngā raruraru o te manawa, ahakoa ka whakawhirinaki te whiriwhiri ki tō āhuatanga me tō hītori hauora. Ka whakaaro tō tākuta i ēnei huarahi kē i runga i tō āhuatanga takitahi.

Kei roto i ētahi atu rongoā antiarrhythmic ko te flecainide, propafenone, sotalol, me te dofetilide mō ētahi momo arrhythmias. He rerekē ngā pūtake pānga taha o ēnei rongoā, ā, he pai ake pea mō ētahi tāngata.

Ko ngā rongoā kore-rongoā pēnei i te catheter ablation (he tikanga e whakangaro ana i ngā wāhi raruraru i roto i te ngākau) rānei ngā pūrere whakato pēnei i ngā pacemakers, defibrillators rānei, he kōwhiringa pea mō ētahi tāngata. I ētahi wā ka taea e ēnei rongoā te whakakore i te hiahia mō te rongoā wā-roa.

Mō te atrial fibrillation, ngā rongoā hou pēnei i te dronedarone ka whakaarohia pea, ahakoa kāore i te kaha pērā i te amiodarone mō ngā arrhythmias nui. Māu e tō tākuta ngākau e āwhina ki te whakatau i te huarahi pai mō tō āhuatanga motuhake.

He Pai Ake Anei te Amiodarone i Ētahi Atu Rongoā Ngākau?

He maha ngā wā ka kaha ake te amiodarone i ētahi atu rongoā ngākau mō ngā arrhythmias nui, e mōrearea ana ki te ora, koinei te take e whiriwhiri ai ngā tākuta i tēnei rongoā ahakoa ngā pūtake pānga taha. He pai rawa atu ki te ārai i te mate ohorere o te ngākau i roto i ngā tāngata e mōrearea ana.

Ki te whakataurite ki ētahi atu rongoā antiarrhythmic, he iti ake te tūponotanga o te amiodarone ki te whakatupu i ngā huringa o te manawataki ngākau (e kīia ana ko te proarrhythmia). Mā tēnei ka noho haumaru ake mō ngā tāngata e nui ana te mate ngākau, te ngoikore rānei o te ngākau.

Heoi, he nui ake ngā pūtake pānga taha kore-ngākau o te amiodarone i ētahi atu rongoā ngākau, e pā ana ki ngā pūkahukahu, te ate, te thyroid, me ētahi atu okana. Koinei te take e rāhui ana ngā tākuta i tēnei rongoā mō ngā āhuatanga nui kāore i whai hua ētahi atu rongoā.

Ko te rongoā

Āe, e mōhiotia ana te amiodarone he haumaru mō ngā tāngata e mate ana i te ngoikore o te ngākau, ā, he maha ngā wā koinei te kōwhiringa pai mō tēnei rōpū tāngata. Kāore i rite ki ētahi atu rongoā mō te manawataki o te ngākau, kāore te amiodarone e whakaiti i te kaha o te ngākau ki te pōmpu.

Inaha, he maha ngā wā ka kōwhiria te amiodarone mō ngā tāngata e mate ana i te ngoikore o te ngākau nā te mea he iti ake te tūponotanga ki te whakanui i tō rātou āhua i te wā e rongoa ana i ngā arrhythmias mōrearea. Kua whakaatu ngā rangahau ka taea e ia te whakaiti i te tūponotanga o te mate ohorere o te ngākau i roto i ngā tūroro e mate ana i te ngoikore o te ngākau.

Ka aroturukihia tonu koe e tō tākuta, nā te mea he nui ake pea te tairongo o ngā tūroro e mate ana i te ngoikore o te ngākau ki ētahi o ngā pānga taha o te amiodarone. Ka āwhina ngā arotake auau ki te whakarite kia whai hua tonu te rongoā ki a koe me te kore e pā mai he raruraru.

Me Pēhea Taku Mahi Mēnā Ka Nui Rawa Taku Tango i te Amiodarone?

Mēnā ka nui rawa tō tango i te amiodarone, whakapā atu ki tō tākuta, te pūtau whakahaere paitini, te ruma ohorere rānei i te wā tonu. Ka taea e te horopeta nui te pā mai i ngā huringa manawataki o te ngākau mōrearea, te whakapairuaki nui, ētahi atu raruraru nui rānei.

Kaua e tatari kia kite mēnā kei te pai koe - kāore pea ngā pānga o te horopeta nui o te amiodarone e puta tonu engari ka nui pea te kino. Mauria mai te pounamu rongoā ki a koe kia mōhio ai ngā kaiwhakarato hauora ki te aha me te nui i tango koe.

I te wā e tatari ana ki te āwhina hauora, kaua e ngana ki te whakapairuaki i a koe anō mēnā kāore i tohutohutia e tētahi kaiwhakarato hauora. Kia marino, me te ngana ki te mahara ki te wā me te nui o te rongoā atu i tango koe.

Me Pēhea Taku Mahi Mēnā Ka Ngaro Taku Horopeta o te Amiodarone?

Mēnā ka ngaro tō horopeta o te amiodarone, tangohia i te wā e mahara ana koe, mēnā kāore anō kia tata te wā mō tō horopeta e whai ake nei. I taua wā, waiho 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 tētahi horopeta i ngaro, nā te mea ka pā mai pea ngā pānga taha mōrearea. Nā te mea ka noho te amiodarone i roto i tō pūnaha mō te wā roa, kāore te ngaro i tētahi horopeta i ētahi wā e pā mai i ngā raruraru tonu.

Mēnā he maha ō wareware i ngā horopeta, whakaarohia te whakatakoto i ngā whakamaharatanga waea, te whakamahi rānei i tētahi kaiwhakarite pire. Ko te horopeta i ia rā ka āwhina i te pupuri i ngā taumata rongoā, ā, ka whai wāhi ki te tiaki pai i ngā manawataki ngakau mōrearea.

Āhea ka mutu taku tango Amiodarone?

Me mutu anake te tango amiodarone i raro i te tirotiro me te ārahitanga tika a tō tākuta. Kaua rawa e mutu ohorere tēnei rongoā, nā te mea ka pā tēnei ki ngā huringa manawataki ngakau mōrearea i ārai ai te rongoā.

Ka whakatau tō tākuta i te wā e haumaru ana te mutu i runga i te pūmautanga o tō manawataki ngakau, te āhua o tō ngakau, me te āhua o tō hauora whānui. Ka whakamahi pea rātou i te aroturuki manawataki ngakau, i ētahi atu whakamātautau rānei hei aromatawai mēnā he tika te whakamutu.

Mēnā ka mutu koe i te amiodarone, kia mahara kei roto tonu i tō tinana mō ngā wiki, marama rānei i muri mai, nō reira me aroturuki tonu koe i tēnei wā whakawhiti. Ka tohutohu pea tō tākuta i ētahi atu rongoā hei pupuri i te pūmautanga o tō manawataki ngakau.

Ka taea e au te inu waipiro i te wā e tango ana au i te Amiodarone?

He pai ki te whakawhāiti i te inu waipiro i te wā e tango ana i te amiodarone, nā te mea ka pā ngā mea e rua ki tō ate me te mahi o tō ngakau. Ka taea hoki e te waipiro te whakanui i ētahi o ngā pānga taha o te amiodarone pērā i te whanoke me te ngenge.

Mēnā ka whiriwhiri koe ki te inu waipiro, me mahi i roto i te āhua ngawari, ā, me kōrero tēnei ki tō tākuta i te tuatahi. Ka taea e rātou te tohutohu i a koe i runga i tō āhua hauora motuhake me te pai o te mahi a tō ate i te rongoā.

Ka aroturukihia tō mahi ate e ngā whakamātautau toto i te wā e tango ana i te amiodarone, ā, ka taea e te inu waipiro te uaua i ēnei hua, te whakanui rānei i tō tūponotanga ki ngā raruraru ate. Ka taea e tō tākuta te āwhina i a koe ki te whiriwhiri i te mea haumaru mō tō āhuatanga.