Icyo Tocainide ari cyo: Ibikoresho, Uburyo bwo Gukoresha, Ingaruka Zishobora Kugaragara n'ibindi

Tocainide ni umuti wandikirwa n'abaganga ukoreshwa mu kuvura ibibazo bikomeye by'umutima bita arrhythmias ya ventricular iterwa n'ubuzima. Uyu muti unyobwa mu kanwa ugwa mu cyiciro cy'imiti yitwa antiarrhythmics, ikora ifasha umutima wawe gutera mu buryo busanzwe. Nubwo tocainide ishobora kugira akamaro kanini ku bibazo by'umutima, akenshi ikoreshwa mu bihe aho izindi nshuti zitagize icyo zikora kubera ingaruka zishobora guteza.

Icyo Tocainide ari cyo?

Tocainide ni umuti ubuza sodium gukora, ufasha kugenzura imikorere idasanzwe y'amashanyarazi mu mutima wawe. Bitekereze nk'umugenzi w'amashanyarazi y'amashanyarazi atuma umutima wawe utera. Iyo ibi bimenyetso bihindutse imvururu cyangwa vuba cyane, tocainide ifasha gusubiza umutima mu murongo usanzwe.

Uyu muti usa cyane na lidocaine, umuti usanzwe ushobora kumenyera mu buvuzi bw'amenyo. Ariko, bitandukanye na lidocaine, tocainide irashobora kunyobwa mu kanwa kandi ikaguma mu mubiri wawe igihe kirekire. Yagenewe cyane cyane kugera ku byumba byo hepfo by'umutima wawe, bita ventricles, aho ibibazo by'umutima byica akenshi bibera.

Tocainide ifatwa nk'ubuvuzi bwa kabiri, bivuze ko abaganga akenshi bagerageza izindi miti mbere. Ubu buryo bufasha kumenya neza ko wakira ubuvuzi bukwiye mu gihe ugabanya ibyago bishobora guteza.

Tocainide ikoreshwa mu kuvura iki?

Tocainide ikoreshwa cyane cyane mu kuvura arrhythmias ya ventricular iterwa n'ubuzima itagize icyo ikora ku zindi nshuti. Ibi ni indwara zikomeye z'umutima zishobora kwica niba zitavuwe. Muganga wawe azagusaba tocainide gusa iyo inyungu ziruta ibyago.

Indwara zisanzwe zivurwa na tocainide zirimo ventricular tachycardia na premature ventricular contractions. Ventricular tachycardia ibaho iyo ibice byo hasi by'umutima wawe bikubita vuba cyane, naho premature ventricular contractions ni imitima yiyongera ishobora guhungabanya umuvuduko wawe usanzwe.

Rimwe na rimwe abaganga bandikira tocainide abarwayi batabasha kwihanganira imiti ivura umuvuduko w'umutima. Ibi bishobora kubaho niba waragize ingaruka zikomeye ziterwa n'indi miti ivura umuvuduko w'umutima cyangwa niba itarakora neza ku ndwara yawe yihariye.

Tocainide ikora ite?

Tocainide ikora ibuza imiyoboro ya sodium mu ngirangingo z'umutima wawe. Iyi miyoboro isa n'inzugi nto zigenzura uko ibimenyetso by'amashanyarazi binyura mu mutima wawe. Iyo izi nzugi zikabije gukora, umuvuduko w'umutima wawe ushobora guhinduka nabi cyane.

Mu kubuza igice cy'iyi miyoboro ya sodium, tocainide ituma ibimenyetso by'amashanyarazi bituma imitima idasanzwe ikubita bigenda gake. Ibi biha umutima wawe umwanya wo gusubirana ubushobozi bwo kugenzura no gushyiraho umuvuduko usanzwe. Uyu muti ufashwe nk'ukomeye mu miti ivura umuvuduko w'umutima.

Ingaruka za tocainide zitangira nyuma y'amasaha make uyifashe, ariko bishobora gufata iminsi myinshi kugira ngo igere ku nyungu zayo zose. Muganga wawe azagenzura umuvuduko w'umutima wawe cyane muri iki gihe kugira ngo arebe niba uyu muti ukora neza.

Nkwiriye gufata tocainide nte?

Fata tocainide nk'uko wabisabwe na muganga wawe, akenshi buri masaha 8 kugeza kuri 12. Urashobora kuyifata urya cyangwa utarya, ariko kuyifata urya bishobora gufasha kugabanya ibibazo byo mu nda. Uhora umira ibinini byose hamwe n'ikirahure cyuzuye cy'amazi.

Gerageza gufata imiti yawe ku gihe kimwe buri munsi kugira ngo ugumane urwego ruri hejuru mu maraso yawe. Iyi mikorere ifasha umuti gukora neza. Niba ukeneye gufata imiti myinshi ku munsi, uyikwirakwize mu gihe cyose cy'umunsi.

Ntugashenye, utume cyangwa uvunagure ibinini keretse muganga wawe abikubwiye byeruye. Ibi bishobora kugira ingaruka ku buryo umuti winjizwa kandi bishobora kongera ibyago byo kugira ingaruka ziterwa n'umuti. Niba ugira ikibazo cyo kumira ibinini, ganira na muganga wawe kuri ubundi buryo.

Mbonereho Igihe Kingana Gite Ndebera Tocainide?

Igihe cyo kuvura na tocainide gitandukanye cyane bitewe n'uburwayi bwawe bwihariye n'uburyo witwara ku muti. Abantu bamwe bashobora kubikenera mu mezi make, mugihe abandi bashobora gukenera kuvurwa igihe kirekire. Muganga wawe azajya asuzuma buri gihe niba ugikeneye umuti.

Mugihe uvurwa, uzajya ugira ibizamini bisanzwe birimo ibizamini by'amaraso no gukurikirana umuvuduko w'umutima. Izi gahunda zifasha muganga wawe gusuzuma uburyo umuti ukora neza no kureba niba hari ingaruka ziteye impungenge. Ntukigere uhagarika gufata tocainide ako kanya utabanje kubaza muganga wawe.

Niba wowe na muganga wawe mwafata icyemezo cyo guhagarika tocainide, birashoboka ko uzagomba kugabanya urugero rw'umuti buhoro buhoro. Ubu buryo bwo kugabanya bufasha kwirinda ko ibibazo byawe by'umuvuduko w'umutima bisubira ako kanya kandi biha muganga wawe umwanya wo gutangiza ubundi buryo bwo kuvura niba bibaye ngombwa.

Ni Izihe Ngaruka Ziterwa na Tocainide?

Tocainide ishobora gutera ingaruka zitandukanye, kuva ku zoroheje kugeza ku zikomeye. Kumva izi ngaruka zishobora gutuma umenya icyo ugomba kwitaho n'igihe ugomba kuvugana na muganga wawe. Abantu benshi bagira ingaruka zimwe, ariko nyinshi zishobora gucungwa neza hakoreshejwe ubuyobozi bw'abaganga bukwiye.

Ingaruka zisanzwe zikora ku bantu benshi zirimo isereri, isesemi, no kunyeganyega. Izi zikunda kubaho mu byumweru bike bya mbere byo kuvurwa mugihe umubiri wawe wimenyereza umuti:

• Isereri cyangwa kumva ureremba, cyane cyane iyo uhagurutse
• Isememi no kubura ubushake bwo kurya
• Ukunyeganyega cyangwa guhinda umushyitsi, cyane cyane mu ntoki zawe
• Kunanirwa cyangwa kumva warushye cyane
• Umutwe
• Urujijo cyangwa kugorana kwibanda
• Kureba nabi

Ibi bimenyetso bisanzwe bikunze gukira uko umubiri wawe umenyera umuti. Ariko, niba bikomeye cyangwa bikabangamira imirimo yawe ya buri munsi, bimenyeshe muganga wawe ako kanya.

Ingaruka zikomeye zisaba ubufasha bwihuse bw'abaganga kandi zirimo indwara z'amaraso n'ibibazo by'ibihaha. Nubwo ibi bidakunze kubaho, bishobora guteza akaga iyo bitavuzwe vuba:

• Ibimenyetso by'indwara z'amaraso: kuva amaraso bidasanzwe, gukomereka, umuriro, cyangwa kubabara mu muhogo bihoraho
• Ibibazo by'ibihaha: guhumeka bigoranye, gukorora bihoraho, cyangwa kubabara mu gituza
• Ibibazo by'umwijima: umuhondo w'uruhu cyangwa amaso, inkari z'umukara, cyangwa kubabara mu nda bikabije
• Kuzamba kw'imikorere y'umutima cyangwa kubabara mu gituza bishya
• Uruhu rukabije cyangwa ibiheri

Niba ubonye izi ngaruka zikomeye, vugana n'umuganga wawe ako kanya cyangwa ushake ubufasha bw'ubuvuzi bwihutirwa. Kumenya no kuvura hakiri kare izi ngorane birinda ibibazo by'ubuzima bikomeye.

Ninde utagomba gufata Tocainide?

Abantu bamwe na bamwe bagomba kwirinda tocainide kubera ibyago byiyongera by'ingorane zikomeye. Muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kwandika uyu muti. Kuba inyangamugayo ku bijyanye n'ubuzima bwawe bifasha kurengera umutekano wawe.

Abantu bafite indwara z'umutima zihariye ntibagomba gufata tocainide kuko byatuma indwara zabo zirushaho kuba mbi. Ibi birimo abantu bafite ubwoko runaka bwo guhagarara k'umutima cyangwa kunanirwa k'umutima gukabije:

• Guhagarara k'umutima ku gipimo cya kabiri cyangwa icya gatatu hatabayeho pacemaker
• Kunanirwa k'umutima gukabije kudakira neza
• Kumenyekana ko udashobora kwihanganira tocainide cyangwa imiti isa nayo
• Indwara zikomeye z'impyiko cyangwa umwijima

Byongeye kandi, abantu bafite indwara z'amaraso muri rusange bagomba kwirinda tocainide kuko bishobora gutuma izi ndwara zirushaho kuba mbi. Muganga wawe azagomba gupima neza ibyago niba ufite amateka y'ibibazo by'amaraso.

Abagore batwite n'abonsa bagomba kuganira ibyiza n'ibibi na muganga wabo. Nubwo tocainide ishobora kuba ngombwa mu gihe cy'indwara ziteye ubuzima bw'akaga, ibindi byemejwe bifite umutekano kurusha izindi birahabwa agaciro igihe bishoboka mu gihe cyo gutwita no konsa.

Amazina y'ubwoko bwa Tocainide

Izina risanzwe rya tocainide ni Tonocard. Ariko, uyu muti ntukiboneka cyane mu bihugu byinshi, harimo n'Amerika, kubera impungenge z'umutekano n'uko hari izindi nzira zishoboka.

Niba uri gukoresha tocainide ubu, muganga wawe ashobora kuba yarayiboneye binyuze muri gahunda zidasanzwe cyangwa mu masoko mpuzamahanga. Ubwoko bumwe bwa generic bushobora kuba bukiboneka mu turere tumwe na tumwe, ariko uko iboneka bitandukanye cyane bitewe n'ahantu.

Kubera ko iboneka ari bike, muganga wawe ashobora kuganira ku guhindura ukoresha imiti yindi iboneka byoroshye kandi ishobora kuba ifite umutekano kurusha iyindi mu gihe kirekire.

Izindi nzira zishoboka za Tocainide

Imiti myinshi yindi ishobora kuvura ibibazo by'umutima bisa, akenshi ifite umutekano kurusha iyindi. Muganga wawe azatekereza ku ndwara yawe yihariye n'amateka yawe ya muganga mugihe ahitamo uburyo bwiza kuri wewe. Izindi nzira zigezweho akenshi zitanga imikorere isa n'iyo nta ngaruka zikomeye.

Izindi nzira zishoboka zisanzwe zirimo imiti yindi irwanya arrhythmia nka amiodarone, flecainide, cyangwa propafenone. Buri imwe ifite ibyiza byayo n'ibibi byayo, kandi muganga wawe azagufasha kumenya icyo gikwiye cyane kuri wewe.

Ubuvuzi butakoresha imiti bushobora kandi kuba amahitamo, harimo uburyo bwo gukoresha catheter ablation cyangwa ibikoresho bishyirwa mu mubiri nka pacemakers cyangwa defibrillators. Izi nteruro rimwe na rimwe zishobora gutanga uburyo bwiza bwo kugenzura ibibazo by'umutima mu gihe kirekire hatagombye gukoresha imiti ya buri munsi.

Ese Tocainide iruta Lidocaine?

Tocainide na lidocaine bikora kimwe ariko bifite itandukaniro rikomeye mu buryo bikoreshwamo. Lidocaine igomba gutangwa mu maraso mu bitaro, naho tocainide ishobora kunyobwa mu kanwa uri mu rugo. Ibi bituma tocainide yoroha gukoreshwa igihe kirekire.

Ariko, lidocaine akenshi ifatwa nk'iyizewe kurusha izindi mu gihe gito cy'uburwayi bwihutirwa. Ivanywe mu mubiri vuba kandi ifite ingaruka nke ziterwa n'igihe kirekire. Tocainide, nubwo yoroshye, ifite ibyago byinshi byo guteza ibibazo bikomeye iyo imaze igihe kinini ikoreshwa.

Muganga wawe azahitamo hagati y'iyi miti bitewe n'ibyo ukeneye. Niba ukeneye kuvurwa ako kanya mu bitaro, lidocaine irashobora guhitwamo. Ku kuvurwa buri munsi uri mu rugo, tocainide irashobora gutekerezwa, nubwo izindi zigezweho zikunda kugeragezwa mbere.

Ibikunze Kubazwa Kuri Tocainide

Ese Tocainide irizewe ku bantu barwaye indwara z'impyiko?

Abantu barwaye indwara z'impyiko bakeneye kwitonderwa by'umwihariko iyo bafata tocainide. Impyiko zawe zigufasha gukuramo iyi miti mu mubiri wawe, bityo kugabanuka kw'imikorere y'impyiko bishobora gutuma umuti wiyongera ku buryo bushobora guteza akaga.

Niba ufite ibibazo by'impyiko, muganga wawe ashobora kugusaba urugero ruto rw'umuti kandi akagukurikiranira hafi. Ibyegeranyo by'amaraso buri gihe bizafasha kumenya niba umuti utiyongera ku buryo buteye akaga. Mu ndwara zikomeye z'impyiko, uburyo bwo kuvura butandukanye akenshi burahindurwa.

Nigira iki niba nanyoye tocainide nyinshi bitunguranye?

Niba ucyeka ko wanyoye tocainide nyinshi, shakisha ubufasha bw'ubuvuzi bwihutirwa ako kanya. Ibimenyetso byo kunywa umuti mwinshi bishobora kwirimo kuribwa cyane, urujijo, gufatwa n'indwara, cyangwa impinduka ziteje akaga ku mutima. Igihe ni ingenzi mu gihe cyo kunywa umuti mwinshi.

Mugihe utegereje ubufasha bw'ubuvuzi, ntugerageze kwisuka amavunja keretse niba wabisabwe n'ikigo gishinzwe kugenzura uburozi. Bika icupa ry'umuti hamwe nawe kugirango wereke abaganga neza icyo wanyoye n'ingano yacyo.

Nkwiri Gukora Igihe Nsibye Urushinge rwa Tocainide?

Niba usibye urushinge kandi bikiri mu masaha make nyuma y'igihe cyagenwe, urufate uko wibuka. Ariko, niba hafi y'igihe cyo gufata urushinge rukurikira, reka urushinge wasibye ukomeze gahunda yawe isanzwe.

Ntuzigere ufata inkingo ebyiri icyarimwe kugira ngo usimbure urushinge wasibye, kuko ibi bishobora kongera ibyago byo kugira ingaruka zikomeye. Niba ukunda kwibagirwa inkingo, ganira na muganga wawe ku bijyanye n'uburyo bwo kugufasha kwibuka cyangwa niba gahunda y'imiti itandukanye yakora neza.

Nshobora Kureka Gufata Tocainide Ryari?

Ntuzigere uhagarika gufata tocainide ako kanya utabiherewe uburenganzira na muganga wawe. Guhagarika ako kanya bishobora gutuma ibibazo byawe by'umutima bisubira ako kanya kandi bikaba byateza akaga ku buzima. Muganga wawe azakora gahunda yo kugabanya buhoro buhoro urugero rw'umuti niba guhagarika bikwiye.

Icyemezo cyo guhagarika tocainide gishingiye ku bintu bitandukanye, harimo uburyo uburwayi bwawe bugenzurwa neza niba hari imiti itandukanye iboneka. Muganga wawe azagenzura buri gihe niba ugikeneye umuti hashingiwe ku kugenzura umuvuduko w'umutima wawe n'ubuzima bwawe muri rusange.

Nshobora Kunywa Alcool Ngihe Nyafata Tocainide?

Nibyiza kwirinda alcool niba ufata tocainide cyangwa ukayigabanya cyane. Alcool ishobora kongera ibyago byo kugira ingaruka nk'izunguruka kandi ishobora kugira ingaruka ku muvuduko w'umutima wawe. Ishobora kandi kubuza umubiri wawe gukora imiti neza.

Niba uhisemo kunywa rimwe na rimwe, banza ubiganireho na muganga wawe. Bashobora kukugira inama ku bijyanye n'imipaka yizewe hashingiwe ku miterere yawe yihariye kandi bakagufasha gusobanukirwa ibyago birimo.