Icyo Quinidine ari cyo: Ibyo ikoreshwa, urugero rwo gufata, ingaruka ziterwa n'ibindi

Quinidine ni umuti wandikirwa n'abaganga ukoreshwa mu kuvura umutima utera mu buryo butari bwo, cyane cyane indwara yitwa atrial fibrillation. Uyu muti ubarirwa mu itsinda ry'imiti yitwa antiarrhythmics, ikora ifasha umutima wawe kugumana umuvuduko usanzwe, usanzwe.

Ubusanzwe wavumbuwe mu gishishwa cy'igiti cya cinchona, quinidine imaze imyaka myinshi ifasha abantu bafite ibibazo by'umuvuduko w'umutima. Muganga wawe ashobora kukwandikira uyu muti igihe umutima wawe utera cyane, gake cyangwa mu buryo butari bwo bushobora kugira ingaruka ku buzima bwawe.

Quinidine ikoreshwa mu kuvura iki?

Quinidine ivura ubwoko butandukanye bw'indwara z'umuvuduko w'umutima zishobora gutuma wumva utameze neza cyangwa zikaba zateza ibibazo by'ubuzima. Muganga wawe azagusaba uyu muti igihe imikorere y'amashanyarazi y'umutima wawe itagenda neza nk'uko byagombye kugenda.

Indwara zisanzwe quinidine ifashamo zirimo atrial fibrillation, aho ibice byo hejuru by'umutima wawe bikubita vuba aho gutera mu buryo busanzwe. Ivura kandi atrial flutter, ventricular tachycardia, n'izindi arrhythmias zishobora gutera ibimenyetso nk'umutima utera cyane, isereri, cyangwa guhumeka bigoranye.

Rimwe na rimwe abaganga bakoresha quinidine mu gukumira ibibazo by'umuvuduko w'umutima gusubira nyuma yo kuvurwa neza. Ubu buryo bwo gukumira bushobora kugufasha kugumana umuvuduko w'umutima uhamye uko igihe kigenda.

Quinidine ikora ite?

Quinidine ikora ibuza ibimenyetso bimwe na bimwe by'amashanyarazi mu mutima wawe bishobora gutera umuvuduko utari uwo. Bitekereze nk'umugenzi w'amashanyarazi y'umutima wawe, ufasha guhuza igihe cyo gutera kwa buri mutima.

Uyu muti ufatwa nk'umuti ukomeye wo kurwanya arrhythmias. Igira ingaruka ku miyoboro ya sodium mu ngirangingo z'imitsi y'umutima wawe, bigatuma umuvuduko w'amashanyarazi ubwira umutima wawe igihe ugomba gutera ugenda gahoro.

Icyo kivamo ni umutima utera neza kandi utunganye. Ariko, kubera ko quinidine igira ingaruka ku mikorere y'amashanyarazi y'umutima wawe, bisaba gukurikiranwa neza n'umuganga wawe kugira ngo barebe ko ikora neza kandi neza kuri wowe.

Nkwiriye Gufata Quinidine Nte?

Fata quinidine nk'uko umuganga wawe abikwandikiye, akenshi hamwe n'ikirahure cyuzuye cy'amazi. Urashobora kuyifata hamwe cyangwa utayifatanije n'ibiryo, ariko kuyifata hamwe n'ibiryo birashobora kugufasha kugabanya kuribwa mu gifu niba hariho.

Niba ufata ibinini cyangwa ibinini byo kunywa, ubimire byose utabikuje, utabishishimuye cyangwa utabimennye. Imiterere irekura ibintu mu gihe kirekire ikeneye kuguma itunganye kugira ngo ikore neza umunsi wose.

Kubijyanye n'imiti iterwa, umuganga wawe azayikoresha ahantu hakorerwa ibijyanye n'ubuvuzi. Urukingo ruterwa mu mikaya rutererwa mu mikaya, akenshi mu kaboko kawe k'igice cyangwa mu itako, mugihe imiti iterwa mu maraso ijya mu maraso yawe.

Gerageza gufata imiti yawe mu gihe kimwe buri munsi kugirango ugumane urwego rwa medicament mu mubiri wawe. Ibi bifasha quinidine gukora neza ku mutima wawe.

Nkwiriye Gufata Quinidine Igihe Kingana Gite?

Igihe cyo kuvura quinidine gitandukana cyane bitewe n'uburwayi bw'umutima wawe n'uburyo wakira neza imiti. Abantu bamwe bayikeneye mu byumweru bike gusa, mugihe abandi bashobora kuyifata mu mezi cyangwa imyaka.

Umuganga wawe azakurikiranira hafi umutima wawe binyuze mu bizami nk'ibipimo by'umutima (ECGs) kugirango arebe uburyo imiti ikora neza. Bazareba kandi urwego rw'amaraso yawe buri gihe kugirango barebe ko ubona umubare ukwiye.

Ntuzigere uhagarika gufata quinidine ako kanya utabanje kuvugana n'umuganga wawe. Guhagarara ako kanya bishobora gutuma umutima wawe utera nabi ugasubira cyangwa ukaba mubi, ibyo bishobora kuba byateza akaga ku buzima bwawe.

Mbese Ni Iyihe Ngaruka Ziterwa Na Quinidine?

Kimwe n'imiti yose, quinidine ishobora gutera ingaruka ziterwa n'imiti, nubwo atari buri wese uzagira izo ngaruka. Abantu benshi barayihanganira neza, cyane cyane iyo muganga wabo abonye urugero rukwiye rw'ibyo bakeneye.

Dore zimwe mu ngaruka zisanzwe ushobora kubona umubiri wawe umaze kumenyera umuti:

• Kuruka cyangwa kuribwa mu nda
• Impiswi cyangwa kwituma bireremye
• Umutwe
• Urugero cyangwa kumva urerembye
• Kureba nabi
• Umusonga mu matwi (tinnitus)

Izi ngaruka akenshi ziragabanuka umubiri wawe umaze kumenyera umuti. Ariko, niba zikomeje cyangwa zikubangamiye cyane, bimenyeshe muganga wawe.

Zimwe mu ngaruka zitavugwa cyane ariko zikomeye zisaba ubufasha bwihuse bw'abaganga. Izi zirimo urugero rukabije, guta ubwenge, umutima utera cyane cyangwa gake cyane, kuruka cyane, cyangwa ibimenyetso byo kwibasirwa n'umubiri nk'uruhu rurya cyangwa guhumeka bigoranye.

Gahoro cyane, quinidine ishobora gutera ikibazo gikomeye cy'umutima cyitwa torsades de pointes. Ibi nibyo bituma muganga wawe azakugenzura neza, cyane cyane iyo utangiye gufata umuti.

Ninde utagomba gufata Quinidine?

Quinidine ntabwo ikwiriye kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kuyandika. Indwara zimwe na zimwe cyangwa imiti ishobora gutuma quinidine idatekanye cyangwa idakora neza kuri wowe.

Ntabwo ugomba gufata quinidine niba ufite ibibazo by'umutima, cyane cyane guhagarara kw'umutima cyangwa ubwoko bumwe bwa ventricular arrhythmias. Abantu bafite myasthenia gravis, indwara yo kunanuka kw'imitsi, bagomba kandi kwirinda uyu muti.

Bwira muganga wawe ibijyanye n'indwara zose ufite, cyane cyane niba ufite indwara y'impyiko, ibibazo by'umwijima, cyangwa urugero ruto rwa potasiyumu cyangwa magineziyumu. Izi ndwara zishobora kugira ingaruka ku buryo umubiri wawe ukoresha quinidine.

Imiti myinshi irashobora gukururana na quinidine, harimo imiti igabanya amaraso, imiti yica mikorobe imwe, n'indi miti y'umutima. Buri gihe jya uha muganga wawe urutonde rwuzuye rw'ibyo ufata byose, harimo imiti itangwa nta cyangombwa cy'urukingo na za supplement.

Amazina y'ubwoko bwa Quinidine

Quinidine iboneka mu mazina y'ubwoko butandukanye, nubwo verisiyo rusange ikora neza. Amazina y'ubwoko busanzwe harimo Quinidex, Quinaglute, na Cardioquin, nubwo bimwe muri ibyo bishobora kuba bitagihari ahantu hose.

Farumasi yawe ishobora gutanga izina ry'ubwoko cyangwa verisiyo rusange bitewe n'ubwishingizi bwawe n'uko biboneka. Byombi birimo ibikoresho bikora kimwe kandi bikora kimwe mu mubiri wawe.

Uburyo bwo gusimbuza Quinidine

Niba quinidine itagukundira neza cyangwa ikagutera ingaruka zikubangamiye, muganga wawe afite ubundi buryo bwinshi bwo gufasha gucunga umuvuduko w'umutima wawe. Ibi bisimbura bikora muburyo butandukanye ariko bigamije intego imwe yo gukomeza umutima wawe ukubita neza.

Ibindi byongera umuvuduko w'umutima harimo amiodarone, flecainide, propafenone, na sotalol. Buri kimwe gifite inyungu zacyo n'ingaruka zishobora guterwa, bityo muganga wawe azahitamo bitewe n'uburwayi bwawe bwihariye n'amateka yawe y'ubuvuzi.

Ubuvuzi butari imiti bushobora kandi kuba amahitamo, nka catheter ablation, aho abaganga bakoresha ubushyuhe cyangwa ubukonje kugirango barimbure urugingo rutera umuvuduko utajegajega. Abantu bamwe bungukira ku bikoresho nka pacemakers cyangwa implantable cardioverter defibrillators.

Ese Quinidine iruta Amiodarone?

Quinidine na amiodarone ni imiti ikora neza yongera umuvuduko w'umutima, ariko ntibiba ngombwa ko biruta cyangwa bikaba bibi kuruta. Guhitamo neza biterwa n'uburwayi bw'umutima wawe bwihariye, izindi ngorane z'ubuzima, n'uko witwara ku buvuzi.

Amiodarone akenshi ifatwa nk'ikomeye kandi akoreshwa cyane mu bibazo by'umutima bikomeye cyangwa biteye ubuzima bw'akaga. Ariko, bishobora gutera ingaruka zikomeye, cyane cyane iyo bikoreshwa igihe kirekire, harimo ibibazo by'ibihaha, imisemburo, n'umwijima.

Quinidine ishobora gukundwa mu bwoko bumwe bwa atrial fibrillation cyangwa flutter, cyane cyane iyo amiodarone idakwiriye. Muganga wawe azatekereza ibintu nk'imyaka yawe, imiti indi ufata, n'ubuzima bwawe muri rusange mugihe afata icyemezo cy'umuti ukwiriye kuri wewe.

Ibikunze Kubazwa Kuri Quinidine

Ese Quinidine irakwiriye ku bantu barwaye indwara z'impyiko?

Quinidine irashobora gukoreshwa ku bantu barwaye indwara z'impyiko, ariko bisaba gukurikiranwa neza kandi birashobora gusaba guhindura urugero rw'umuti. Impyiko zawe zigufasha gukuramo quinidine mu mubiri wawe, bityo kugabanuka kw'imikorere y'impyiko bishobora gutuma umuti wiyongera mu rwego rwo hejuru.

Muganga wawe ashobora gutegeka ibizamini by'amaraso buri gihe kugirango arebe urugero rwa quinidine n'imikorere y'impyiko. Barashobora kugusaba urugero ruto cyangwa bagatandukanya urugero rwawe kugirango barebe ko umuti uguma mu rwego rwo hejuru, rukwiriye.

Nkwiriye gukora iki niba nanyoye quinidine nyinshi bitunguranye?

Niba unyoye quinidine nyinshi kuruta uko byategetswe, vugana na muganga wawe cyangwa ikigo gishinzwe kurwanya ubumara ako kanya, kabone niyo wumva umeze neza. Kunywa nyinshi bishobora gutera ibibazo bikomeye by'umutima cyangwa izindi ngaruka ziteje akaga.

Ibimenyetso byo kurenza urugero rwa quinidine birashobora kuba harimo isesemi ikabije, kuruka, impiswi, urujijo, impinduka mu iyerekwa, cyangwa ibibazo by'umutima. Ntukegere kugeza ibimenyetso bigaragara mbere yo gushaka ubufasha, kuko izindi ngaruka zishobora kuba zikomeye.

Nkwiriye gukora iki niba nirengagije urugero rwa quinidine?

Niba wibagiwe urugero rwa quinidine, unywe ako kanya wibukirije, keretse igihe cyegereye urugero rwawe ruteganyijwe. Muricyo gihe, reka urugero wibagiwe ukomeze gahunda yawe isanzwe yo kunywa imiti.

Ntuzigere ufata doze ebyiri icyarimwe kugira ngo usimbure doze wasibye, kuko ibyo bishobora gutera ingaruka zikomeye. Niba ukunda kwibagirwa gufata imiti, tekereza gukoresha agasanduku kabugenewe cyangwa gushyiraho ibyibutso kuri terefone yawe kugira ngo bigufashe kuguma ku murongo.

Ni ryari nshobora kureka gufata Quinidine?

Reka gufata quinidine gusa igihe muganga wawe akubwiye ko byemewe kubikora. N'iyo wumva umeze neza kandi umuvuduko w'umutima wawe usa n'usanzwe, umuti ushobora kuba ugikenewe kugira ngo wirinde ko arrhythmia yawe igaruka.

Muganga wawe azasaba kugabanya doze yawe buhoro buhoro aho guhagarara ako kanya. Ibi bifasha kwirinda ko ibibazo by'umuvuduko w'umutima wawe bigaruka ako kanya, ibyo bishobora kuba byateza akaga.

Nshobora kunywa inzoga nkanwa quinidine?

Nibyiza kugabanya kunywa inzoga nkanwa quinidine, kuko inzoga ishobora kugira ingaruka ku muvuduko w'umutima wawe kandi ishobora kubuza umuti gukora neza. Inzoga kandi ishobora kongera ibyago by'ingaruka zimwe na zimwe nk'izunguruka.

Niba uhisemo kunywa inzoga, bikore mu rugero kandi witondere uko wumva. Abantu bamwe basanga n'utuntu duto tw'inzoga tubagiraho ingaruka zitandukanye nkanwa quinidine. Buri gihe ganira ku kunywa inzoga na muganga wawe kugira ngo usobanukirwe icyo ari cyo cyiza kuri wowe.