Flecainide ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Flecainide ni umuti wandikirwa na muganga ufasha kugenzura umuvuduko w'umutima utajegajega mu kugenzura ibimenyetso by'amashanyarazi mu mutima wawe. Uyu muti ubarirwa mu cyiciro cy'imiti yitwa antiarrhythmics, ikora nk'abayobozi b'amashanyarazi kugira ngo umutima wawe ukomeze gutera neza kandi buri gihe.

Uyu muti akenshi wandikwa iyo umutima wawe utera cyane cyangwa mu buryo butajegajega. Utekereze nk'umugenzuzi w'umuhanda w'amashanyarazi y'umutima wawe, ufasha kumenya neza ko ibimenyetso bigenda neza kandi ku muvuduko ukwiye.

Flecainide ikoreshwa mu iki?

Flecainide ikoreshwa cyane cyane mu kuvura ubwoko bw'umuvuduko w'umutima utajegajega bita arrhythmias. Muganga wawe ashobora kuyikwandikira niba ufite atrial fibrillation cyangwa atrial flutter, ibibazo aho ibice byo hejuru by'umutima wawe bitera mu buryo butajegajega cyangwa vuba cyane.

Uyu muti kandi ufasha mu kuvura ventricular arrhythmias, zirimo umuvuduko utajegajega mu bice byo hepfo by'umutima wawe. Ibi bibazo bishobora gutuma wumva umutima wawe wiruka, usimbuka imitsi, cyangwa ugahinda mu gituza cyawe.

Mu bihe bimwe na bimwe, abaganga bandika flecainide kugira ngo birinde ko arrhythmias zibaho mbere na mbere. Ibi bifasha cyane abantu bahura n'ibihe byinshi byo gutera kw'umutima kutajegajega bikabangamira imirimo ya buri munsi.

Flecainide ikora ite?

Flecainide ikora mu guhagarika imiyoboro ya sodium mu ngirangingo z'imitsi y'umutima wawe. Iyi miyoboro igenzura uburyo ibimenyetso by'amashanyarazi bigenda mu mutima wawe, kandi iyo birengereje, umutima wawe ushobora gutera mu buryo butajegajega.

Mugukomera ibi bimenyetso by'amashanyarazi, flecainide ifasha umutima wawe kugumana umuvuduko uhamye, usanzwe. Ifatwa nk'umuti ukomeye wo kurwanya arrhythmias, bivuze ko ifite akamaro ariko bisaba gukurikiranwa neza na muganga wawe.

Umuti ufata igihe kugira ngo wubake mu mubiri wawe kandi ugereranye neza. Abantu benshi batangira kubona impinduka mu mutima wabo mu minsi mike cyangwa icyumweru nyuma yo gutangira kuvurwa.

Nkwiriye Gufata Flecainide Nte?

Fata flecainide nk'uko umuganga wawe abikwandikiye, akenshi kabiri ku munsi hamwe cyangwa nta funguro. Urashobora kuyifata n'amazi, amata, cyangwa umutobe, icyo aricyo cyose cyoroheye wowe.

Nibyiza gufata imiti yawe mu gihe kimwe buri munsi kugira ngo ugumane urwego rwo hejuru mu maraso yawe. Abantu benshi basanga bifasha gufata flecainide hamwe na sauti na nimugoroba kugira ngo bashyireho gahunda.

Ntabwo ukeneye kwirinda ibiryo byihariye mugihe ufata flecainide, ariko kugumana imirire myiza bishyigikira ubuzima bw'umutima wawe muri rusange. Niba ubonye ko wenda urwaye mu gifu, gufata umuti hamwe n'ibiryo birashobora gufasha kugabanya iyi ngaruka.

Mimina ibinini byose utabikubaguye, utamunguye, cyangwa utabimennye. Ibi bituma umuti usohoka neza mu mubiri wawe.

Nkwiriye Gufata Flecainide Igihe Kingana Gite?

Igihe cyo kuvurwa na flecainide gitandukanye cyane bitewe n'uburwayi bwawe bwihariye n'uburyo wemera umuti. Abantu bamwe barashobora kuyikenera mu mezi make gusa, mugihe abandi bakeneye kuvurwa igihe kirekire.

Umuganga wawe azagenzura buri gihe umutima wawe n'ubuzima muri rusange kugira ngo amenye niba ukwiriye gukomeza gufata flecainide. Ibi bikunze gukubiyemo ibizamini bya electrocardiograms (ECGs) n'ibizamini by'amaraso kugirango hamenyekane neza ko umuti ukora neza.

Ntuzigere uhagarika gufata flecainide ako kanya utabanje kubaza umuganga wawe, niyo wumva umeze neza. Guhagarara ako kanya birashobora gutuma umutima wawe utagira gahunda gusubira cyangwa bikaba bibi.

Niba ukeneye guhagarika flecainide, umuganga wawe azashyiraho gahunda yo kugabanya buhoro buhoro kugirango agabanye neza urugero rwawe uko igihe kigenda.

Ni Iyihe Ngaruka Ziterwa na Flecainide?

Kimwe n'imiti yose, flecainide irashobora gutera ingaruka zidakunda, nubwo atari buri wese uzigira. Kumenya icyo witegura bishobora kugufasha kwitegura neza kandi ukamenya igihe cyo kuvugana n'umuganga wawe.

Ingaruka zikunze kugaragara muri rusange ziba zoroshye kandi akenshi zigenda zikemuka umubiri wawe umaze kumenyera umuti:

• Kuribwa umutwe cyangwa kumva uruhuka, cyane cyane iyo uhagurutse vuba
• Kureba nabi cyangwa kubona amabara cyangwa amatara
• Kuribwa umutwe bikunze kuba byoroshye cyangwa bikabije
• Uburwayi bwo mu nda cyangwa kurwara inda
• Kumva unaniwe cyangwa kumva urushye kurusha uko byari bisanzwe
• Kunyeganyega cyangwa guhinda umushyitsi kw'intoki
• Kugorana kw'ubushobozi bwo kwituma

Izi ngaruka zisanzwe zikunze kugabanuka nyuma y'ibyumweru bike by'ubuvuzi. Niba zikomeje cyangwa zikaba zikabije, muganga wawe akenshi ashobora guhindura urugero rw'umuti cyangwa agasaba uburyo bwo kuzikemura.

Ingaruka zikomeye zisaba ubufasha bwihuse bw'abaganga, nubwo zibaho kenshi:

• Umutima utangira gutera nabi cyangwa ukaba mubi kurushaho
• Kuribwa mu gituza cyangwa kumva gihagaze
• Kuribwa umutwe cyane cyangwa guta ubwenge
• Kugufuka cyangwa kugorana guhumeka
• Kubyimba amaguru, ibibero, cyangwa ibirenge
• Kongera ibiro mu buryo butunguranye

Ingaruka zidakunze ariko zikomeye zirimo ibibazo by'umwijima, bishobora gutera umuhondo w'uruhu rwawe cyangwa amaso, inkari z'umukara, cyangwa kuribwa mu nda bikabije. Ibi bisaba isuzuma ryihuse ry'abaganga.

Ninde utagomba gufata Flecainide?

Flecainide ntibifitiye umutekano buri wese, kandi ibibazo by'ubuzima bimwe na bimwe bituma bitakwemerwa cyangwa bigateza akaga. Muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kwandika uyu muti.

Abantu bafite ibibazo by'umutima byihariye bagomba kwirinda flecainide kuko bishobora gutuma ikibazo cyabo kiba kibi:

• Kunanirwa k'umutima cyangwa imitsi y'umutima yacitse intege cyane
• Umutima watewe n'indwara vuba aha (mu mezi make ashize)
• Ubundi bwoko bwa 'heart block' cyangwa ibibazo byo gutwara amaraso
• Indwara ikomeye y'impyiko
• Indwara y'umwijima

Byongeye kandi, flecainide ntishobora gukwera niba ufite izindi ndwara cyangwa ufata imiti ishobora gukorana nabi nayo.

Abagore batwite bagomba gufata flecainide gusa niba inyungu ziruta ibyago, kuko ishobora kwimurirwa ku mwana ukiri mu nda. Niba uri konjesha, ganira na muganga wawe niba flecainide ikwiriye, kuko yinjira mu mata y'ibere.

Amazina ya Flecainide

Flecainide iboneka mu mazina menshi y'ubucuruzi, Tambocor ikaba ari yo isanzwe ikoreshwa cyane muri Leta Zunze Ubumwe z'Amerika. Andi mazina y'ubucuruzi arimo Almarytm na formulations zitandukanye za generic.

Ubwoko bwa generic bwa flecainide burimo ibintu bimwe bikora kandi bikora kimwe n'ubwoko bw'amazina y'ubucuruzi. Farumasi yawe ishobora gusimbuza flecainide ya generic ku izina ry'ubucuruzi keretse muganga wawe asabye by'umwihariko ubwoko bw'izina ry'ubucuruzi.

Uko wakira flecainide ya generic cyangwa iy'izina ry'ubucuruzi, imikorere y'umuti n'umutekano biraguma kimwe. Itandukaniro rikuru akenshi ni ikiguzi, ubwoko bwa generic akenshi bukaba bworoshye.

Izindi miti isimbura Flecainide

Imiti myinshi ishobora kuvura umutima utagenda neza niba flecainide itakwiriye kuri wowe. Muganga wawe ashobora gutekereza propafenone, ikora kimwe na flecainide ariko ishobora kwihanganirwa neza n'abantu bamwe.

Izindi nzira zirimo sotalol, amiodarone, cyangwa dronedarone, buri imwe ifite uburyo butandukanye bwo gukora n'ingaruka zayo. Beta-blockers nka metoprolol cyangwa calcium channel blockers nka diltiazem nazo zishobora kuba izindi nzira bitewe n'uburwayi bwawe bwihariye.

Ubuvuzi butakoresha imiti nko gukoresha catheter ablation cyangwa ibikoresho bishyirwa mu mubiri nka pacemakers cyangwa defibrillators bishobora gutekerezwa ku bwoko runaka bwa arrhythmias. Umuganga wawe w’umutima azagufasha kumenya uburyo bwiza bwo kuvura bushingiye ku miterere yawe bwite.

Ese Flecainide iruta Propafenone?

Flecainide na propafenone ni imiti ikora neza mu kuvura umutima utagenda neza, ariko nta n'imwe iruta indi. Guhitamo biterwa n'uburwayi bw'umutima bwawe bwihariye, amateka yawe y'ubuvuzi, n'uko wihanganira imiti yombi.

Flecainide ikunda gukora neza ku bwoko runaka bwa atrial fibrillation kandi ishobora gutera ingaruka nke zo mu gifu. Ariko, propafenone ishobora gukundwa niba ufite umutima utameze neza cyangwa ubundi burwayi bw'umutima aho flecainide itakwemerwa.

Umuvuzi wawe azatekereza ibintu nk'imikorere y'impyiko zawe, indi miti ufata, n'ubwoko bwihariye bwa arrhythmia yawe mugihe uhitamo hagati yiyi miti. Rimwe na rimwe, kugerageza umuti umwe mbere hanyuma ukawuhindura niba bikenewe niyo nzira nziza.

Ibikunze Kubazwa Kuri Flecainide

Q1. Ese Flecainide ifite umutekano ku bantu barwaye indwara z'umutima?

Flecainide irashobora kugira umutekano ku bantu bafite ubwoko runaka bw'indwara z'umutima, ariko bisaba isuzuma ryitondewe n'umuganga w'umutima. Uyu muti muri rusange ufite umutekano ku bantu bafite imitima isanzwe cyangwa indwara zoroheje z'umutima.

Ariko, flecainide ntisabwa ku bantu bafite umutima utameze neza cyane, umutima waherutse gufatwa, cyangwa indwara ikomeye y'imitsi y'umutima. Umuvuzi wawe azakora ibizamini nka echocardiogram kugirango asuzume imiterere n'imikorere y'umutima wawe mbere yo kwandika flecainide.

Q2. Nzakora iki niba mfashe flecainide nyinshi bitunguranye?

Niba wanyoye flecainide nyinshi mu buryo butunganye, vugana na muganga wawe cyangwa serivisi zihutirwa ako kanya. Kunywa nyinshi bishobora gutera impinduka ziteje akaga mu mutima wawe, kuribwa cyane, cyangwa kugwa igihumure.

Ntugategereze kureba niba ibimenyetso bigaragara, kuko kunywa flecainide nyinshi bishobora kuba bikomeye. Jya mu cyumba cyihutirwa cyegereye cyangwa uhamagare umuntu ushinzwe ubumara kuri 1-800-222-1222 kugira ngo ugirwe inama ako kanya.

Zana icupa ry'umuti hamwe nawe kugira ngo abaganga bamenye neza urugero wanyoye n'igihe. Igihe ni ingenzi mu kuvura imiti yanyowe nyinshi neza.

Q3. Nkwiriye gukora iki niba nciwe urugero rwa flecainide?

Niba waciwe urugero rwa flecainide, unywe ako kanya wibuka, keretse igihe cyegereye urugero rwawe ruteganyijwe. Muri icyo gihe, reka urugero waciwe ukomeze gahunda yawe isanzwe.

Ntunyweho urugero ebyiri icyarimwe kugira ngo usimbuze urugero waciwe, kuko ibi bishobora gutera ingaruka ziteje akaga. Niba ukunda kwibagirwa urugero, tekereza gukoresha umuteguro w'ibinyobwa cyangwa gushyiraho ibyibutso kuri terefone.

Niba waciwe urugero rwinshi cyangwa ntiwizeye icyo gukora, vugana n'ibiro bya muganga wawe kugira ngo ugirwe inama. Kunywa imiti buri gihe ni ingenzi mu kugenzura umutima uhamye.

Q4. Nshobora guhagarika ryari kunywa flecainide?

Hagarika kunywa flecainide gusa igihe muganga wawe akubwiye ko ari byiza kubikora. N'iyo umutima wawe wumva usanzwe kandi wumva umeze neza, guhagarika ako kanya bishobora gutera umutima wawe utagenda neza gusubira cyangwa kurushaho.

Muganga wawe akenshi azashaka gukurikirana umutima wawe mu gihe ukoresha flecainide mbere yo gutekereza guhagarika. Ibi bishobora gushobozwa no kwambara igikoresho cy'umutima cyangwa kugira ECG zisanzwe.

Igihe kigeze cyo guhagarika, muganga wawe akenshi azagabanya urugero rwawe buhoro buhoro mu minsi mike cyangwa mu byumweru aho guhagarika byose icyarimwe. Ibi bifasha kwirinda ingaruka zigaruka.

Q5. Nshobora gukora imyitozo ngororamubiri niba nkoresha flecainide?

Abantu benshi bashobora gukora imyitozo neza bakoresha flecainide, ariko ugomba kubiganiraho na muganga wawe mbere yuko utangira gukora imyitozo. Uyu muti ushobora kugira ingaruka ku buryo umutima wawe witwara mu gihe ukora imyitozo ngororamubiri.

Tangira gukora imyitozo yoroheje hanyuma wigere buhoro buhoro ku gukora imyitozo ikomeye uko ubishoboye. Ujye wita ku buryo wumva mu gihe ukora imyitozo no nyuma yayo, kandi uhagarare niba wumva ububabare mu gituza, guhumeka nabi cyane, cyangwa isereri.

Muganga wawe ashobora kugusaba kugera ku ntego zihariye z'umuvuduko w'umutima cyangwa ubwoko bw'imyitozo iteza umutekano kurusha iyindi kuri wowe. Imyitozo ya buri gihe, yoroheje muri rusange igirira akamaro umutima iyo ikozwe neza.