Created at:1/13/2025
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Quinidine mushonga unopiwa nachiremba unoshandiswa kurapa kurova kwemoyo kusina kugadzikana, kunyanya chirwere chinonzi atrial fibrillation. Mushonga uyu ndeweboka remishonga inonzi antiarrhythmics, iyo inoshanda nekubatsira moyo wako kuchengetedza rhythm yakagadzikana, yakajairika.
Pakutanga yakatorwa kubva paganda remuti we cinchona, quinidine yanga ichibatsira vanhu vane matambudziko erhythm yemoyo kwemakumi emakore mazhinji. Chiremba wako angakupa mushonga uyu kana moyo wako uchirova nekukurumidza, zvishoma, kana mune maitiro asina kugadzikana anogona kukanganisa hutano hwako.
Quinidine inorapa mhando dzakasiyana dzezvinetso zverhythm yemoyo zvinogona kukonzera kuti unzwe usina kugadzikana kana kuisa njodzi kuhutano. Chiremba wako anowanzo kukupa mushonga uyu kana sisitimu yemagetsi yemoyo wako isiri kushanda zvakanaka sezvayakafanira.
Mamiriro akajairika ayo quinidine inobatsira nawo anosanganisira atrial fibrillation, uko makamuri epamusoro emoyo wako anodedera nekukurumidza panzvimbo yekurova zvakajairika. Inorapawo atrial flutter, ventricular tachycardia, uye mamwe arrhythmias anogona kukonzera zviratidzo zvakaita sekurova kwemoyo, dzungu, kana kufema kwemhepo.
Dzimwe nguva vanachiremba vanoshandisa quinidine kudzivirira matambudziko erhythm yemoyo kuti asadzoke mushure mekunge arapwa zvakabudirira. Iyi nzira yekudzivirira inogona kukubatsira kuchengetedza rhythm yemoyo yakagadzikana nekufamba kwenguva.
Quinidine inoshanda nekudzivisa zviratidzo zvemagetsi mumoyo wako zvinogona kukonzera rhythms isina kugadzikana. Funga nezvazvo semutongi wemotokari wesistimu yemagetsi yemoyo wako, ichibatsira kuronga nguva yekurova kwemoyo kwega kwega.
Mushonga uyu unoonekwa semushonga weantiarrhythmic une simba. Inokanganisa sodium channels mumaseru emhasuru dzemoyo wako, izvo zvinononotsa impulses dzemagetsi dzinoudza moyo wako kuti urova rini.
Mhedzisiro yacho ndeyekurova kwemoyo kunodzorwa zvakanyanya. Zvisinei, nekuti quinidine inokanganisa sisitimu yemagetsi yemoyo wako, inoda kutariswa zvakanyanya nachiremba wako kuti ave nechokwadi chekuti iri kushanda zvakachengeteka uye nemazvo kwauri.
Tora quinidine sezvinorayirwa nachiremba wako, kazhinji negirazi remvura izere. Unogona kuitora uine chikafu kana usina, asi kuitora uine chikafu kunogona kubatsira kuderedza kusagadzikana mudumbu kana uine chero.
Kana iwe uri kutora mahwendefa emuromo kana makapisi, amedze ese asina kuputsa, kutsenga, kana kuaputsa. Fomu rinoburitswa kwenguva yakareba rinoda kuramba rakakwana kuti rishande nemazvo zuva rese.
Kune mafomu anojekeswa, chiremba wako achazviisa munzvimbo yekurapa. Jekiseni remumhasuru rinopihwa mumhasuru, kazhinji muruoko rwako rwekumusoro kana chidya, nepo mafomu e-intravenous anoenda zvakananga muropa rako.
Edza kutora zvikamu zvako panguva imwe chete zuva rega rega kuti uchengetedze mazinga akagadzikana emushonga mune yako sisitimu. Kuenderana uku kunobatsira quinidine kushanda zvakanyanya kune rhythm yemoyo wako.
Kureba kwekurapa kwequinidine kunosiyana zvakanyanya zvichienderana nemamiriro ako emoyo uye kuti unopindura sei kumushonga. Vamwe vanhu vanoda kwemavhiki mashoma chete, nepo vamwe vachigona kuitora kwemwedzi kana kunyange makore.
Chiremba wako achatarisa nguva dzose rhythm yemoyo wako kuburikidza nemiedzo yakaita seelectrocardiograms (ECGs) kuti aone kuti mushonga uri kushanda sei. Vachatarisawo mazinga eropa rako nguva nenguva kuti vaone kuti uri kuwana huwandu hwakakodzera.
Usambofa wakarega kutora quinidine kamwe kamwe usina kutanga kutaura nachiremba wako. Kumira kamwe kamwe kunogona kukonzera kuti rhythm yako yemoyo isina kujairika idzoke kana kuwedzera, izvo zvingave zvine njodzi kuhutano hwako.
Semishonga yese, quinidine inogona kukonzera matambudziko, kunyangwe vanhu vese vasingaawane. Vanhu vazhinji vanoigamuchira zvakanaka, kunyanya kana chiremba wavo awana dose yakakodzera zvavanoda.
Heano mamwe matambudziko anowanzoitika aunogona kuona muviri wako uchigadzirisa mushonga:
Zviratidzo izvi zvinowanzoita zviri nani muviri wako ukajaira mushonga. Zvisinei, kana zvikaramba kana kukukanganisa zvakanyanya, zivisa chiremba wako.
Mamwe matambudziko asingawanzoitiki asi akakomba anoda kutariswa kwekurapa nekukasira. Izvi zvinosanganisira kutenderera zvakanyanya, kufenda, kurova kwemoyo nekukurumidza kana kunonoka, kusvotwa zvakanyanya nekutsvuka, kana zviratidzo zvekuita allergic sekutsamwa kana kuoma kufema.
Kazhinji, quinidine inogona kukonzera dambudziko rakakomba re rhythm yemoyo rinonzi torsades de pointes. Ichi ndicho chikonzero nei chiremba wako achakutarisa zvakanyanya, kunyanya paunotanga kutora mushonga.
Quinidine haisi yemunhu wese, uye chiremba wako achanyatso funga nezve nhoroondo yako yekurapa asati akupe. Mamwe mamiriro kana mishonga inogona kuita kuti quinidine isachengeteke kana isashande zvakanaka kwauri.
Haufaniri kutora quinidine kana uine matambudziko e rhythm yemoyo, kunyanya complete heart block kana mamwe marudzi e ventricular arrhythmias. Vanhu vane myasthenia gravis, mamiriro ekushaya simba kwemhasuru, vanofanirawo kudzivisa mushonga uyu.
Udza chiremba wako nezve mamiriro ako ese ekurapa, kunyanya kana uine chirwere cheitsvo, matambudziko echiropa, kana mazinga mashoma e potassium kana magnesium. Mamiriro aya anogona kukanganisa maitiro anoita muviri wako quinidine.
Mishonga yakawanda inogona kushanda pamwe chete ne quinidine, kusanganisira mishonga yekurerutsa ropa, mamwe maantibiotics, nemimwe mishonga yemoyo. Nguva dzose ipai chiremba wenyu runyorwa rwakakwana rwezvose zvamuri kutora, kusanganisira mishonga isingatengwi nechiremba uye zvinowedzerwa.
Quinidine inowanikwa pasi pemazita akati wandei emhando, kunyangwe vhezheni yechinyakare ichishanda zvakafanana. Mazita akajairika emhando anosanganisira Quinidex, Quinaglute, uye Cardioquin, kunyangwe mamwe acho angave asisawanikwi munzvimbo dzese.
Pharmacy yako inogona kupa zita remhando kana vhezheni yechinyakare zvichienderana nekavharo yako yeinishuwarenzi uye kuwanikwa. Zvese zvine chinhu chimwe chete chinoshanda uye zvinoshanda nenzira imwechete mumuviri wako.
Kana quinidine isingashande zvakanaka kwauri kana kukonzera mhedzisiro inonetsa, chiremba wako ane dzimwe sarudzo dzekukubatsira kudzora rhythm yemoyo wako. Izvi zvimwe zvinoshanda nenzira dzakasiyana asi zvinovavarira chinangwa chimwe chete chekuchengeta moyo wako uchirova zvakatsiga.
Mishonga mimwe yeantiarrhythmic inosanganisira amiodarone, flecainide, propafenone, uye sotalol. Imwe neimwe ine mabhenefiti ayo uye mhedzisiro inogona kuitika, saka chiremba wako achasarudza zvichienderana nemamiriro ako chaiwo uye nhoroondo yezvokurapa.
Kurapa kusiri kwemishonga kunogona zvakare kuve sarudzo, senge catheter ablation, uko vanachiremba vanoshandisa kupisa kana kutonhora kuparadza tishu inokonzera rhythms isina kujairika. Vamwe vanhu vanobatsirwa nemidziyo yakaita semapacemakers kana implantable cardioverter defibrillators.
Zvese quinidine uye amiodarone mishonga inoshanda yeantiarrhythmic, asi havasi vakanaka kana vakaipa kune mumwe nemumwe. Sarudzo yakanakisa inoenderana nemamiriro ako chaiwo emoyo, mamwe matambudziko ehutano, uye maitiro ako kumishonga.
Amiodarone inowanzofungidzirwa kuti ine simba rakawanda uye inowanzo shandiswa kune arrhythmias dzakakomba kana dzinotyisa upenyu. Zvisinei, inogona kukonzera matambudziko akawanda, kunyanya kana ichishandiswa kwenguva refu, kusanganisira matambudziko emapapu, thyroid, uye chiropa.
Quinidine inogona kufarirwa kune mamwe marudzi e atrial fibrillation kana flutter, kunyanya kana amiodarone isina kukodzera. Chiremba wako achafunga nezvezvinhu zvakaita sezera rako, mamwe mishonga, uye hutano hwako hwese paanenge achisarudza kuti ndechipi mushonga wakakunakira.
Quinidine inogona kushandiswa kune vanhu vane chirwere cheitsvo, asi inoda kunyatso tariswa uye pamwe kugadzirisa muyero. Itsvo dzako dzinobatsira kubvisa quinidine mumuviri wako, saka kuderedzwa kwekuita kweitsvo kunogona kukonzera kuti mushonga uwedzere kusvika kumazinga epamusoro.
Chiremba wako anogona kuraira bvunzo dzeropa nguva dzose kuti aongorore mazinga ako e quinidine uye basa reitsvo. Vanogona kunyora mushonga wemuyero wakaderera kana kupatsanura madosi ako zvakasiyana kuti vaone kuti mushonga unogara uri pamazinga akachengeteka, anoshanda.
Kana netsaona ukatora quinidine yakawanda kupfuura yakanyorwa, taura nachiremba wako kana nzvimbo yekudzora chepfu nekukasira, kunyangwe ukanzwa zvakanaka. Kutora zvakanyanya kunogona kukonzera matambudziko akakomba emoyo kana mamwe mhedzisiro ine njodzi.
Zviratidzo zve quinidine overdose zvinogona kusanganisira kusvotwa kwakanyanya, kurutsa, manyoka, kuvhiringidzika, shanduko dzekuona, kana matambudziko emoyo. Usamirira kuti zviratidzo zviitike usati watsvaga rubatsiro, sezvo mamwe mhedzisiro anogona kuva akakomba.
Kana ukakanganwa dose ye quinidine, itore paunorangarira, kunze kwekunge yava nguva yechikamu chako chinotevera. Muchiitiko ichocho, skip the missed dose uye uenderere mberi nechirongwa chako chekushandisa.
Usambofa wakatora zvikamu zviviri panguva imwe chete kuti ugadzirise chikamu chawakakanganwa, sezvo izvi zvingakonzera matambudziko ane ngozi. Kana iwe uchikanganwa zvikamu kazhinji, funga kushandisa chirongwa chemapiritsi kana kumisa zviyeuchidzo zvefoni kuti zvikubatsire kuti urambe uri munzira.
Mira chete kutora quinidine kana chiremba wako akuudza kuti zvakachengeteka kuita kudaro. Kunyangwe iwe ukanzwa zviri nani uye rhythm yemoyo wako inoita seyakanaka, mushonga unogona kunge uchiri kudikanwa kudzivirira arrhythmia yako kubva pakudzoka.
Chiremba wako anowanzo kuda kuderedza zvishoma nezvishoma chiyero chako pane kumira kamwe kamwe. Izvi zvinobatsira kudzivirira matambudziko ako e rhythm yemoyo kubva pakudzoka kamwe kamwe, izvo zvingave zvine ngozi.
Zvakanakisa kuderedza kunwa doro uchitora quinidine, sezvo doro rinogona kukanganisa rhythm yemoyo wako uye rinogona kukanganisa mashandiro emushonga. Doro rinogona zvakare kuwedzera njodzi yemamwe matambudziko akadai sedzungu.
Kana iwe ukasarudza kunwa doro, ita kudaro zvine mwero uye teerera kuti unonzwa sei. Vamwe vanhu vanowana kuti kunyangwe huwandu hudiki hwedoro hunovakanganisa zvakasiyana vachitora quinidine. Gara uchikurukura kushandiswa kwedoro nachiremba wako kuti unzwisise zvakachengeteka kune mamiriro ako chaiwo.