Icyo Amiodarone (inzira yo mu mitsi) ari cyo: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Amiodarone ni umuti ukomeye uvura umuvuduko w'umutima udasanzwe ukoreshwa n'abaganga bavura umutima ukora nabi cyane kandi ushobora kwica. Iyo itanzwe binyuze muri IV (inzira yo mu mitsi), ikora vuba kugira ngo ifashe gusubiza umutima wawe mu murimo usanzwe no gukumira umuvuduko w'umutima udasanzwe ushobora kwica.

Uyu muti ubarirwa mu cyiciro cyitwa antiarrhythmics, bivuze ko ifasha kugenzura uburyo ibimenyetso by'amashanyarazi bigenda mu mutima wawe. Tekereza nk'umugenzuzi w'umuhanda w'amashanyarazi y'umutima wawe, akora neza kandi mu buryo bwizewe.

Amiodarone ni iki?

Amiodarone ni umuti wandikirwa na muganga ugenga imikorere y'amashanyarazi y'umutima wawe. Ni umwe mu miti ikora neza cyane iboneka mu kuvura ibibazo bikomeye by'umuvuduko w'umutima, cyane cyane iyo ititabiriye izindi nshuti.

Iyo itanzwe mu mitsi, amiodarone yinjira mu maraso yawe ako kanya, bituma ikora vuba cyane kurusha uko yanyuzwa mu kanwa. Ibi bituma ifite agaciro cyane cyane mu bihe by'ubutabazi aho umuvuduko w'umutima wawe ukeneye gukosorwa ako kanya.

Uyu muti umaze imyaka myinshi ukoreshwa mu buryo bwizewe kandi ufata umwanya w'ibanze mu kuvura umuvuduko w'umutima ushobora kwica. Itsinda ryawe ry'abaganga rizakurikirana hafi uko wakira uyu muti kugira ngo barebe niba ukora neza.

Amiodarone ikoreshwa mu kuvura iki?

Amiodarone IV ikoreshwa cyane cyane mu kuvura indwara zikomeye, ziteye ubuzima bw'umuntu ikibazo zikeneye kwitabwaho ako kanya. Muganga wawe azakoresha uyu muti mu bihe bikomeye aho izindi nshuti zitagize icyo zikora cyangwa zitakwiriye.

Indwara nyamukuru ivura zirimo ventricular fibrillation, ituma ibice byo hepfo by'umutima wawe bihinda aho gutera amaraso neza. Ikoreshwa kandi mu kuvura ventricular tachycardia, aho umutima wawe utera vuba cyane kandi ntushobore kuzuza amaraso neza hagati y'umutima.

Byongeyeho, abaganga bakoresha amiodarone ku kurwanya atrial fibrillation itera ibimenyetso bikomeye cyangwa ingorane. Ibi bibaho iyo ibice byo hejuru by'umutima wawe bikubita mu buryo butajegajega, bishobora gutera amaraso gupfundika cyangwa izindi ngorane zikomeye.

Rimwe na rimwe, umuganga wawe ashobora gukoresha amiodarone mu kurinda arrhythmias mu gihe cy'inzira zimwe na zimwe z'umutima cyangwa kubagwa. Uyu muti ufasha kugumisha umuvuduko w'umutima wawe uhamye muri ibi bihe by'ingenzi.

Amiodarone ikora ite?

Amiodarone ikora ibuza inzira nyinshi z'amashanyarazi mu mikaya y'umutima wawe. Ifatwa nk'umuti ukomeye cyane urwanya arrhythmias kuko ugira ingaruka ku miyoboro itandukanye ya ion itegeka imikorere y'amashanyarazi y'umutima wawe.

Umutima wawe ukubita bitewe n'ibimenyetso by'amashanyarazi bigenda mu nzira zihariye. Iyo ibi bimenyetso bihindutse akajagari cyangwa bigakurikiza inzira zidasanzwe, arrhythmias ziteje akaga zirashobora kwaduka. Amiodarone ifasha gusubiza ibintu mu buryo muri ubu buryo bw'amashanyarazi.

Uyu muti utuma imikorere y'amashanyarazi mu mutima wawe itinda kandi ituma imikaya y'umutima idashobora gusubiza ibimenyetso by'amashanyarazi bidasanzwe. Ibi biha umutima wawe umwanya wo gusubiza umuvuduko wawo no gusubira mu buryo busanzwe.

Kubera ko amiodarone ikomeye cyane, irashobora kugira akamaro kabone n'iyo indi miti igenga umuvuduko w'umutima yananiwe. Ariko, iyi mbaraga kandi isobanura ko bisaba gukurikiranwa neza no kugenzurwa n'abaganga bafite ubuhanga.

Nkwiriye gufata amiodarone nte?

Amiodarone IV itangwa buri gihe n'abashakashatsi mu buvuzi mu bitaro cyangwa ahantu ho kuvurirwa. Ntabwo uzifata uyu muti wenyine - abakozi b'ubuvuzi bafite imyitozo bazakemura ibintu byose by'ubuvuzi bwawe.

Uyu muti ubusanzwe utangwa binyuze mu murongo wa IV wo hagati cyangwa urwungano runini rw'imitsi yo ku ruhande kuko ishobora kurakaza imitsi mito. Itsinda ryawe ry'ubuvuzi rizabara neza urugero rwawe rishingiye ku kuremera kwawe, uburwayi bwawe, n'uko umutima wawe witwara.

Mugihe cyo kuvurwa, uzahuzwa n'ibikoresho bikurikirana umutima buri gihe. Ibi bituma ikipe yawe y'abaganga ireba uko umutima wawe uhinduka kandi igahindura uburyo uvurwa uko bikwiye. Ibi bikoresho bizakurikirana umuvuduko w'umutima wawe, uko utera, n'umuvuduko w'amaraso yawe mugihe cyose cyo kuvurwa.

Ntabwo ugomba guhangayika kubijyanye n'amasaha yo kurya cyangwa imiti yindi - ikipe yawe y'ubuzima izagufasha kubitegura byose. Bazanafasha kureba ko wicaye neza kandi ufite ibyo ukeneye byose mugihe cyo kuvurwa.

Nzamara Igihe Kingana Gite Ndafashe Amiodarone?

Igihe cyo kuvurwa na IV amiodarone gitandukanye cyane bitewe n'uburwayi bwawe bwihariye n'uburyo wemera imiti. Abantu bamwe bayikeneye amasaha make gusa, mugihe abandi bashobora gusaba iminsi myinshi yo kuvurwa.

Muganga wawe azakomeza gusuzuma uko umutima wawe utera n'ubuzima bwawe muri rusange kugirango amenye igihe ukeneye imiti ya IV. Iyo umutima wawe uteye neza kandi uba ugaragara, bashobora kuguha amiodarone yo kunywa cyangwa undi muti.

Mugihe cyihutirwa, ushobora guhabwa amiodarone kugeza igihe umutima wawe usubiye mu buryo busanzwe kandi ugahoraho. Kubibazo bikomeje byo gutera k'umutima, muganga wawe ashobora gukoresha uburyo bwa IV nk'ikiraro mugihe cyo gushaka uburyo bwiza bwo kuvura burambye.

Umwanzuro wo guhagarika IV amiodarone uterwa n'ibintu byinshi, harimo uko umutima wawe witwara, niba ugize ingaruka zose, n'icyo uburwayi bw'umutima bwawe bw'ibanze busaba kugirango bukomeze kuvurwa.

Ni Izihe Ngaruka Ziterwa na Amiodarone?

Kimwe n'imiti yose ikomeye, amiodarone ishobora gutera ingaruka, nubwo abantu benshi bayihanganira neza iyo ikoreshejwe neza. Ikipe yawe y'ubuzima izagukurikiranira hafi kugirango irebe ibimenyetso byose by'ibibazo mugihe uvurwa.

Reka turebe ingaruka zisanzwe ushobora guhura nazo, twibuke ko nyinshi zishobora gucungwa neza hamwe n'ubuvuzi bukwiriye:

• Umuvuduko muke w'amaraso, ushobora gutuma wumva uruka cyangwa umutwe
• Umutima utera gahoro ugereranije, ibi umuganga wawe azabikurikirana yitonze
• Urugimbu cyangwa kubabara mu nda, akenshi bikorohera kandi bikamarana igihe gito
• Kugira umunaniro cyangwa kumva urushye kurusha uko bisanzwe
• Uburibwe ahaciye urushinge rwa IV, harimo umutuku cyangwa kutumva neza
• Impinduka mu bizami by'imikorere y'umwijima, bikurikiranwa binyuze mu gukora ibizamini by'amaraso

Ibi bikorwa bisanzwe akenshi birakira kandi bikagenda neza uko umubiri wawe wimenyereza umuti cyangwa uko urugero rw'umuti ruhinduka.

Noneho, reka tuvuge ku ngaruka zimwe na zimwe zitabaho ariko zikomeye zisaba ubufasha bwihuse bw'abaganga, nubwo ibi bibaho gake:

• Urugero rwo kwibasirwa n'umubiri bikomeye bifitanye isano no guhumeka bigoranye, kubyimba, cyangwa ibiheri
• Impinduka zikomeye mu mikorere ya tiroyide, zigira ingaruka ku mikorere y'umubiri wawe
• Uburwayi bw'ibihaha cyangwa gukomera kwabyo, bishobora gutera iyo umuti umaranye igihe kirekire
• Ibibazo bikomeye by'umwijima, nubwo ibi bidakunze kubaho iyo umuti ukoreshejwe igihe gito binyuze muri IV
• Impinduka mu mbono cyangwa kumva urumuri
• Guhinduka kw'uruhu, akenshi iyo umuti umaranye igihe kirekire

Itsinda ry'abaganga bawe ryatojwe kumenya ibi bibazo bidasanzwe hakiri kare kandi bazafata ingamba zihuse nibibaho. Ibitaro bitanga ahantu hizewe cyane ho gukurikirana no gucunga ingaruka zose.

Ninde utagomba gufata Amiodarone?

Abantu bamwe ntibashobora guhabwa amiodarone kubera ibyago byiyongereye by'ibibazo bikomeye. Muganga wawe azasuzuma yitonze amateka yawe mbere yo kwandika uyu muti.

Ntabwo ugomba guhabwa amiodarone niba ufite allergie izwi ku muti cyangwa ibiwugize, harimo iyode. Byongeye kandi, abantu bafite ubwoko runaka bwo guhagarara k'umutima (aho ibimenyetso by'amashanyarazi bidashobora kugenda neza mu mutima) akenshi ntibashobora gukoresha uyu muti neza.

Abantu bafite indwara zikomeye zifitanye isano n'imitsi yo mu muhogo (thyroid), bagomba kwitabwaho by'umwihariko, kuko amiodarone irimo iyode kandi ishobora gutuma ibibazo bya thyroid birushaho kuba bibi. Muganga wawe azasuzuma imikorere ya thyroid yawe mbere na nyuma yo kuvurwa.

Niba urwaye indwara ikomeye y'umwijima, umuganga wawe azagomba gupima inyungu n'ingaruka, kuko amiodarone ishobora kugira ingaruka ku mikorere y'umwijima. Mu buryo nk'ubwo, abantu bafite indwara zimwe na zimwe z'ibihaha bashobora gukenera izindi miti.

Abagore batwite bagomba kwitabwaho by'umwihariko, kuko amiodarone ishobora kugira ingaruka ku mwana ukiri mu nda. Muganga wawe azakoresha uyu muti mu gihe cyo gutwita gusa niba inyungu ziruta cyane ingaruka zishobora kubaho.

Amazina y'ubwoko bwa Amiodarone

Amiodarone iboneka mu mazina menshi y'ubwoko, aho Cordarone ari ryo rizwi cyane. Ushobora kandi guhura na Pacerone, nubwo akenshi ari uburyo bwo kunywa mu kanwa aho kuba uburyo bwa IV.

Mu bitaro, akenshi uzahabwa uburyo bwa rusange bwa amiodarone, bufite akamaro kimwe n'ubwoko bw'amazina. Itsinda ryawe ry'ubuzima rizakoresha uburyo ubwo aribwo bwose bukwiye neza imiterere yawe.

Abakora imiti batandukanye bashobora gukora amiodarone IV, ariko ubwoko bwose bugomba kuzuza ubuziranenge bukomeye n'amabwiriza y'umutekano. Umufarumasiti wawe n'ikipe y'ubuvuzi bazemeza ko uhabwa imiti ikwiye yo kuvura ibyo ukeneye.

Izindi miti isimbura Amiodarone

Imiti myinshi ishobora kuvura ibibazo by'umutima, nubwo amiodarone akenshi ihitwamo mu gihe cy'ibibazo bikomeye cyane. Muganga wawe ashobora gutekereza izindi miti ashingiye ku ndwara yawe n'amateka yawe y'ubuvuzi.

Izindi miti ya IV irwanya arrhythmia zirimo procainamide, ikora mu buryo butandukanye ariko ishobora kugira akamaro ku bwoko bumwe na bumwe bw'ibibazo by'umutima. Lidocaine ni indi hitamo, cyane cyane kuri ventricular arrhythmias, nubwo akenshi idakomeye nka amiodarone.

Ku bantu bamwe, gukoresha umuriro mu mutima (gukoresha umuriro wagenzurwa) bishobora kuba ubundi buryo bwo kuvura aho gukoresha imiti. Ubu buryo bushobora gusubiza umutima wawe mu murongo vuba kandi rimwe na rimwe bukoreshwa hamwe na amiodarone cyangwa mu mwanya wayo.

Mu bihe bimwe na bimwe, muganga wawe ashobora gukoresha indi miti nka beta-blockers cyangwa calcium channel blockers kugira ngo afashe kugenzura umuvuduko w'umutima wawe, nubwo iyi ikora mu buryo butandukanye na amiodarone.

Ese Amiodarone iruta indi miti ivura umuvuduko w'umutima?

Amiodarone akenshi ifatwa nk'umuti ukora neza cyane mu kuvura indwara ziteye ubuzima bw'umuntu akaga zifitanye isano n'umuvuduko w'umutima. Ifite urugero rwo gukira ruri hejuru kurusha indi miti myinshi ivura umuvuduko w'umutima, cyane cyane ku ndwara ziteye akaga cyane.

Ariko,

Mu by'ukuri, amiodarone ni rimwe mu miti mike yo kurwanya arrhythmia abaganga bumva bafite umutekano wo gukoresha ku bantu bafite imikorere y'umutima yagabanutse. Itsinda ryawe ry'abaganga rizakurikirana imikorere y'umutima wawe cyane mugihe uvurwa kugirango barebe niba urimo gusubiza neza.

Nkwiriye gukora iki niba mbonye ingaruka ziterwa na Amiodarone?

Kubera ko uzaba uri mu bitaro mugihe wakira amiodarone ya IV, itsinda ryawe ry'ubuzima rizakurikirana buri gihe ingaruka ziterwa. Niba ubonye ibimenyetso bidasanzwe cyangwa kutoroherwa, bimenyeshe umuforomo wawe cyangwa muganga ako kanya.

Ntugerageze kubyihanganira cyangwa ukekeko ibimenyetso bito bizagenda byonyine. Nubwo impinduka zisa nk'izito zishobora kuba zikomeye mugihe wakira umuti ukomeye nk'uwo. Itsinda ryawe ry'abaganga ryifuza kumenya ibibazo bishoboka hakiri kare kuruta kubivumbura nyuma.

Nshobora gufata Amiodarone niba mfata indi miti y'umutima?

Amiodarone irashobora guhura n'indi miti myinshi, bityo muganga wawe azasuzuma neza imiti yose ufata mbere yo gutangira kuvurwa. Imwe mu mibanire irashobora gucungwa no guhindura doze, mugihe abandi bashobora gusaba guhindura imiti.

Imiti isanzwe ihura na amiodarone irimo imiti ituma amaraso ataguma, imiti imwe ya antibiyotike, n'indi miti y'umutima. Itsinda ryawe ry'ubuzima rizakorana imiti yawe yose kugirango barebe ko ikora neza hamwe.

Ni gute amiodarone ya IV ikora vuba?

Amiodarone ya IV mubisanzwe itangira gukora mugihe cy'isaha ya mbere yo kuvurwa, nubwo ingaruka zose zishobora gufata amasaha menshi kugirango zigaragare. Ushobora kubona umuvuduko w'umutima wawe utangira gukora neza vuba, ariko guhagarara neza mubisanzwe bifata igihe kirekire.

Itsinda ryawe ry'abaganga rizakurikirana umutima wawe buri gihe kugirango bakurikirane uko wihuta kandi uko usubiza neza kumuti. Barashobora guhindura uburyo uvurwa bitewe n'uko umuvuduko w'umutima wawe uhinduka uko igihe gihita.

Ese nzakenera ubuvuzi bukurikira nyuma yo kuvurwa na IV Amiodarone?

Yego, birashoboka ko uzakenera gukurikiranwa nyuma yo guhabwa amiodarone ya IV, kabone n'iyo umutima wawe ukora neza cyane. Muganga wawe azashaka gukurikirana imikorere y'umutima wawe no kureba niba hari ingaruka zikiriho z'umuti.

Ushobora gukenera gukorerwa ibizamini by'amaraso kugirango barebe imikorere ya thyroïde na imikorere y'umwijima, kuko amiodarone ishobora kugira ingaruka kuri izo ngingo kabone n'iyo uvuye mu kuvurwa. Muganga w'umutima wawe kandi azashaka kukubona buri gihe kugirango arebe ko umutima wawe ukora neza kandi aganire ku byo ukeneye kuvurwa igihe kirekire.