Chii chinonzi Amiodarone (Nzira yeIntravenous): Zvinoshandiswa, Dosage, Side Effects uye Zvimwe

Amiodarone mushonga une simba wemoyo unovandudza rhythm uyo vanachiremba vanoshandisa kurapa kurova kwemoyo kusingaite kwakakomba, kunotyisa upenyu. Kana ichipiwa kuburikidza neIV (intravenous nzira), inoshanda nekukurumidza kubatsira kudzorera rhythm yemoyo wako yakajairika uye kudzivirira arrhythmias dzinotyisa dzinogona kuuraya.

Mishonga iyi ndeyeboka rinonzi antiarrhythmics, zvinoreva kuti inobatsira kudzora nzira iyo masaini emagetsi anofamba nemoyo wako. Funga nezvayo semutyairi wemotokari wehurongwa hwemagetsi emoyo wako, uchiita kuti zvese zviyerere zvakanaka uye zvakachengeteka.

Chii chinonzi Amiodarone?

Amiodarone mushonga unopiwa nemishonga unodzora chiitiko chemagetsi emoyo wako. Ndiwo mumwe wemishonga inoshanda zvikuru iripo yekurapa matambudziko akakomba e rhythm yemoyo, kunyanya ayo asingapinduri kune dzimwe nzira dzekurapa.

Kana ichipiwa intravenously, amiodarone inopinda muropa rako zvakananga, ichiita kuti ishande nekukurumidza kupfuura mafomu emuromo. Izvi zvinoita kuti zvive zvakakosha mumamiriro ezvinhu ekukurumidzira uko rhythm yemoyo wako inoda kugadziriswa nekukurumidza.

Mishonga iyi yakashandiswa zvakachengeteka kwemakumi emakore uye inoonekwa seimwe nzira yekurapa arrhythmias inotyisa upenyu. Chikwata chako chekurapa chichakutarisa zvakanyanya paunogamuchira mushonga uyu kuti uve nechokwadi chekuti uri kushanda nemazvo.

Chii chinonzi Amiodarone chinoshandiswa?

Amiodarone IV inonyanya kushandiswa kurapa matambudziko akakomba, anotyisa upenyu e rhythm yemoyo anoda kutariswa nekukurumidza. Chiremba wako anowanzo chengetera mushonga uyu mamiriro akakomba uko dzimwe nzira dzekurapa dzisina kushanda kana dzisina kukodzera.

Mamiriro makuru aanorapa anosanganisira ventricular fibrillation, iyo inokonzera kuti makamuri ezasi emoyo wako adzike panzvimbo yekupomba ropa nemazvo. Inoshandiswawo ye ventricular tachycardia, uko moyo wako unorova nekukurumidza zvinotyisa uye haugone kuzadzwa neropa zvakanaka pakati pezviroto.

Uyezve, vanachiremba vanoshandisa amiodarone ye atrial fibrillation inokonzera zviratidzo zvakanyanya kana matambudziko. Izvi zvinoitika apo makamuri ako epamusoro emoyo anorova zvisina kufanira, zvichikwanisa kutungamira kumavhiri eropa kana mamwe matambudziko akakomba.

Dzimwe nguva, mupi wako wehutano anogona kushandisa amiodarone kudzivirira arrhythmias panguva dzimwe nzira dzemoyo kana kuvhiyiwa. Mushonga unobatsira kuchengetedza rhythm yemoyo wako yakagadzikana panguva idzi dzakakosha.

Amiodarone Inoshanda Sei?

Amiodarone inoshanda nekudzivisa nzira dzakawanda dzemagetsi mumhasuru dzemoyo wako. Inoonekwa semushonga wakasimba weantiarrhythmic nekuti inokanganisa akati wandei akasiyana ion channels anodzora basa remagetsi remoyo wako.

Moyo wako unorova nekuda kwemagetsi anofamba nemunzira dzakakosha. Kana zviratidzo izvi zvikava zvisina kugadzikana kana kutevera nzira dzisina kujairika, arrhythmias inotyisa inogona kukura. Amiodarone inobatsira kudzorera kurongeka kuhurongwa uhu hwemagetsi.

Mushonga unoderedza kuendeswa kwemagetsi mumoyo wako uye unoita kuti mhasuru dzemoyo dzisave dzichipindura kune zviratidzo zvisina kujairika zvemagetsi. Izvi zvinopa moyo wako nguva yekugadzirisa rhythm yayo uye kudzokera kune yakajairika pateni.

Nekuti amiodarone ine simba rakanyanya, inogona kushanda kunyangwe kana mamwe mishonga yerhythm yemoyo yakatadza. Zvisinei, simba iri zvinorevawo kuti rinoda kunyatsoongororwa uye kutarisirwa kwekurapa kwakadzidziswa.

Ndinofanira Kutora Sei Amiodarone?

Amiodarone IV inogara ichipiwa nenyanzvi dzehutano muchipatara kana munzvimbo yekiriniki. Hauzotauri mushonga uyu iwe pachako - vashandi vekurapa vakadzidziswa vachabata zvese zvezvako kurapwa.

Mushonga unowanzo kupiwa kuburikidza ne central IV line kana tsinga huru yepipheral nekuti inogona kutsamwisa tsinga diki. Chikwata chako chehutano chichanyatsoverenga muyero wako zvichienderana nehuremu hwako, mamiriro ako ezvinhu, uye kuti moyo wako unobvuma sei.

Panguva yekurapwa, uchanamatirwa kumidziyo yekutarisa moyo nguva dzose. Izvi zvinobvumira timu yako yezvokurapa kuti ione kuti rhythm yemoyo wako inoshanduka sei uye kugadzirisa kurapwa kwako sezvinodiwa. Ma monitor achatarisa kumhanya kwemoyo wako, rhythm, uye blood pressure panguva yekuiswa.

Haufaniri kunetseka nezve nguva yekudya kana mamwe mishonga - timu yako yehutano ichakugadzirira zvese. Vachaitawo shuwa kuti wakamira zvakanaka uye une zvese zvaunoda panguva yekurapwa.

Ndingatora Amiodarone Kwenguva Yakareba Sei?

Kureba kwekurapwa kweIV amiodarone kunosiyana zvakanyanya zvichienderana nemamiriro ako chaiwo uye kuti unopindura sei kumushonga. Vamwe vanhu vanoda kwemaawa mashoma chete, nepo vamwe vachigona kuda mazuva akati wandei ekurapwa.

Chiremba wako acharamba achiongorora rhythm yemoyo wako uye mamiriro ako ese kuti aone kuti unoda nguva yakareba sei mushonga weIV. Kana rhythm yemoyo wako yatsiga uye ikava inotarisirwa, vanogona kukuchinjira ku oral amiodarone kana mumwe mushonga.

Mumamiriro ezvinhu ekukurumidzira, unogona kugamuchira amiodarone kusvikira rhythm yemoyo wako yadzokera kune yakajairika uye ichigara yakagadzikana. Kune matambudziko ari kuenderera mberi erhythm, chiremba wako anogona kushandisa fomu reIV sechibvumirano panguva yekutsvaga chirongwa chakanakisa chekurapa kwenguva refu.

Sarudzo yekumisa IV amiodarone inoenderana nezvinhu zvakati wandei, kusanganisira kuti moyo wako unopindura sei, kana ukaona chero mhedzisiro, uye kuti mamiriro ako emoyo ari pasi anoda chii kuti arambe achigadziriswa.

Ndezvipi Zvakaipa zveAmiodarone?

Semishonga yese ine simba, amiodarone inogona kukonzera mhedzisiro, kunyangwe vanhu vazhinji vachizvitsungirira zvakanaka kana zvichishandiswa zvakakodzera. Timu yako yehutano ichakutarisa zvakanyanya kuti uone chero zviratidzo zvematambudziko panguva yekurapwa kwako.

Ngatitarisei mhedzisiro yakajairika yaungasangana nayo, tichifunga kuti mazhinji anogadziriswa nekuchengetwa kwakakodzera kwekurapa:

• Kudzikira kweropa, izvo zvingaita kuti unzwe dzungu kana kuti musoro uchirwadza
• Kurova kwemoyo kunonoka kupfuura zvakajairika, izvo chiremba wako achanyatsoongorora
• Kusvotwa kana dumbu kusagadzikana, kazhinji kuri nyoro uye kwenguva pfupi
• Kuneta kana kunzwa kuneta kupfuura zvakajairika
• Kutsamwa panzvimbo yeIV, kusanganisira kutsvuka kana kusagadzikana
• Kuchinja mumayesero ebasa rechiropa, ayo anoongororwa kuburikidza nebasa reropa

Izvi zvinowanzoitika zvinowanzoitika kwenguva pfupi uye zvinowanzoita nani sezvo muviri wako uchigadzirisa mushonga kana chiyero chichichinjwa.

Zvino, ngatitaure nezve mamwe mativi asingawanzoitiki asi akakomba anoda kutariswa kwekurapa nekukurumidza, kunyangwe izvi zvichiitika kazhinji:

• Kusagadzikana kwakanyanya kwemuviri nekufema kwakaoma, kuzvimba, kana rash
• Kuchinja kukuru mubasa rethyroid, richikanganisa metabolism yako
• Kuzvimba kwemapapu kana mavanga, izvo zvinogona kukura nekushandiswa kwenguva refu
• Matambudziko akakomba echiropa, kunyangwe izvi zvisingawanzoitiki nekushandiswa kwenguva pfupi kweIV
• Kuchinja kwechiono kana kunzwa chiedza
• Kushanduka kweganda, kazhinji nekushandiswa kwenguva refu

Chikwata chako chekurapa chakadzidziswa kuziva matambudziko asingawanzoitiki aya nekukurumidza uye chichatora matanho nekukurumidza kana akaitika. Nzvimbo yechipatara inopa nzvimbo yakachengeteka yekutarisa nekugadzirisa chero mhedzisiro.

Ndiani Asingafaniri Kutora Amiodarone?

Vamwe vanhu havagone kugamuchira amiodarone zvakachengeteka nekuda kwenjodzi dzakawedzera dzematambudziko akakomba. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati anyora mushonga uyu.

Haufanire kugamuchira amiodarone kana iwe uchiziva allergy kumushonga kana zvawo zvinosanganiswa, kusanganisira iodine. Uye zvakare, vanhu vane mamwe marudzi ekuvharika kwemoyo (uko masaini emagetsi asingakwanise kufamba zvakanaka nemoyo) kazhinji havagone kushandisa mushonga uyu zvakachengeteka.

Vanhu vane matambudziko akakomba ethyroid vanoda kutariswa zvakanyanya, sezvo amiodarone iine iodine uye inogona kuwedzera matambudziko ethyroid. Chiremba wako achaongorora kushanda kwethyroid yako usati watanga kurapwa uye panguva yekurapwa.

Kana uine chirwere chakakomba chechiropa, mupi wako wehutano achada kuyera mabhenefiti achienzanisa nenjodzi, sezvo amiodarone inogona kukanganisa kushanda kwechiropa. Saizvozvowo, vanhu vane mamwe mamiriro emapapu vangangoda mamwe marapirwo.

Vakadzi vane pamuviri vanoda kutariswa zvakanyanya, sezvo amiodarone inogona kukanganisa mwana ari kukura. Chiremba wako achashandisa mushonga uyu panguva yekuzvitakura chete kana mabhenefiti achipfuura zvakajeka njodzi dzinogona kuitika.

Mazita eAmiodarone Brand

Amiodarone inowanikwa pasi pemazita akati wandei emhando, Cordarone ndiyo inonyanya kuzivikanwa. Unogona zvakare kusangana nePacerone, kunyangwe iyi ichiwanzova fomu remuromo panzvimbo yeIV vhezheni.

Mumamiriro ezvipatara, iwe unowanzo gamuchira vhezheni ye generic yeamiodarone, iyo inoshanda zvakanyanya semhando-zita. Chikwata chako chehutano chichashandisa chero fomu rakakodzera mamiriro ako.

Vagadziri vakasiyana vanogona kugadzira amiodarone IV, asi ese mavhezheni anofanirwa kusangana neyakafanana yakasimba mhando uye kuchengetedza zviyero. Murapi wako wemishonga nechikwata chekurapa vachave nechokwadi chekuti unogamuchira fomu rakakodzera zvaunoda.

Zvimwe Zvinhu zveAmiodarone

Mishonga yakati wandei inogona kurapa matambudziko emoyo, kunyangwe amiodarone ichiwanzosarudzwa kune akanyanya nyaya. Chiremba wako angangofunga nezvezvimwe zvinhu zvichibva pamamiriro ako chaiwo uye nhoroondo yekurapa.

Zvimwe zvinorwisa arrhythmias zveIV zvinosanganisira procainamide, iyo inoshanda zvakasiyana asi inogona kushanda kune mamwe marudzi ematambudziko erhythm. Lidocaine imwe sarudzo, kunyanya ye ventricular arrhythmias, kunyangwe ichiwanzo kuve chisina simba pane amiodarone.

Kune vamwe vanhu, electrical cardioversion (kushamiswa kwemagetsi kunodzorwa) inogona kuva imwe nzira yekurapa panzvimbo yemishonga. Maitiro aya anogona kugadzirisa rhythm yemoyo wako nekukurumidza uye dzimwe nguva anoshandiswa pamwe chete kana panzvimbo peamiodarone.

Mune mamwe mamiriro ezvinhu, chiremba wako anogona kushandisa mimwe mishonga yakaita se beta-blockers kana calcium channel blockers kubatsira kudzora rhythm yemoyo wako, kunyangwe izvi zvichishanda kuburikidza nemamwe maitiro pane amiodarone.

Ko Amiodarone Ari Nani Pane Mimwe Mishonga yeHeart Rhythm?

Amiodarone inowanzofungidzirwa semushonga unoshanda zvakanyanya pakurapa matambudziko e rhythm yemoyo anotyisa upenyu. Iine chiyero chekubudirira chakakwira kupfuura mamwe akawanda antiarrhythmic drugs, kunyanya kune arrhythmias inonyanya kuita njodzi.

Zvisinei, "zviri nani" zvinoenderana nemamiriro ako chaiwo uye zvaunoda zvekurapa. Kunyange amiodarone ichishanda zvakanyanya kune arrhythmias yakakomba, inewo zvimwe zvinogona kukonzera mhedzisiro kupfuura dzimwe nzira. Chiremba wako anoyera izvi zvikonzero paanenge achisarudza kurapwa kwako.

Kune matambudziko e rhythm asina kukomba, chiremba wako anogona kusarudza mishonga ine mashoma mhedzisiro, kunyangwe isina simba se amiodarone. Chinangwa nguva dzose kuwana kurapwa kunoshanda zvakanyanya nekuderera kwengozi yemamiriro ako chaiwo.

Kukwanisa kwakasiyana kweAmiodarone kushanda kuburikidza nemaitiro akawanda kunoita kuti ive yakakosha kunyanya kana mimwe mishonga yakundikana kana paunoda kurapwa kwakasimba kwazvo kune mamiriro anotyisa upenyu.

Mibvunzo Inowanzo Bvunzwa Nezve Amiodarone

Ko Amiodarone Akachengeteka Kune Vanhu Vane Heart Failure?

Hongu, amiodarone inogona kushandiswa zvakachengeteka muvanhu vane heart failure, uye inowanzosarudzwa pamusoro pemimwe mishonga ye antiarrhythmic mumamiriro ezvinhu aya. Kusiyana nemimwe mishonga ye rhythm yemoyo, amiodarone haisi kazhinji inowedzera zviratidzo zve heart failure.

Muchokwadi, amiodarone ndimwe remishonga mishoma inorwisa arrhythmia iyo vanachiremba vanonzwa vakasununguka kushandisa muvanhu vane basa remoyo rakaderedzwa. Chikwata chako chekurapa chichatarisa basa remoyo wako zvakanyanya panguva yekurapa kuti uve nechokwadi chekuti uri kupindura zvakanaka.

Ndoita Sei Kana Ndichiwana Zvinhu Zvisina Kufanira kubva kuAmiodarone?

Sezvo iwe uchave uri muchipatara paunenge uchigamuchira IV amiodarone, chikwata chako chehutano chichakutarisa nguva dzose kuti uone zvinhu zvisina kufanira. Kana ukaona chero zviratidzo zvisina kujairika kana kusagadzikana, udza mukoti wako kana chiremba wako nekukasira.

Usaedze kuzvitsungirira kana kufunga kuti zviratidzo zvidiki zvichaenda zvega. Kunyangwe shanduko diki dzinogona kukosha paunenge uchigamuchira mushonga wakasimba kudaro. Chikwata chako chekurapa chaizoda kuziva nezvematambudziko angangove nekukurumidza pane kuaziva gare gare.

Ndingave neAmiodarone here kana ndichitora mimwe mishonga yemoyo?

Amiodarone inogona kushamwaridzana nemimwe mishonga yakawanda, saka chiremba wako achanyatsoongorora zvese zvako zviripo zvekutanga kurapwa. Dzimwe kushamwaridzana kunogona kutariswa nekugadzirisa zviyero, nepo vamwe vangangoda kuchinja mishonga.

Mishonga yakajairika inoshamwaridzana neamiodarone inosanganisira zvinoderedza ropa, mamwe maantibiotics, uye mimwe mishonga yemoyo. Chikwata chako chehutano chichabatana mishonga yako yese kuti ive nechokwadi chekuti inoshanda pamwechete zvakachengeteka.

IV Amiodarone Inoshanda Sei Nekukurumidza?

IV amiodarone inowanzo kutanga kushanda mukati meawa rekutanga rekurapa, kunyangwe mhedzisiro yakazara inogona kutora maawa akati wandei kuti ivake. Unogona kuona rhythm yemoyo wako ichitanga kuvandudza nekukurumidza, asi kugadzikana kwakazara kunowanzo kutora nguva yakareba.

Chikwata chako chekurapa chichange chichiona monitor yemoyo wako nguva dzose kuti chitarise nekukurumidza uye zvakanaka sei iwe unopindura kumushonga. Vanogona kugadzirisa kurapwa kwako zvichienderana nekuti rhythm yemoyo wako inoshanduka sei nekufamba kwenguva.

Ndinoda Kuchengetwa Kwekuenderera Mberi Mushure meIV Amiodarone Kurapa?

Hongu, zvichida muchada kuramba muchiteverwa mushure mekuwana IV amiodarone, kunyangwe kana rhythm yemoyo wenyu ikavandudzika zvakanyanya. Chiremba wenyu achada kutarisa kushanda kwemoyo wenyu uye kutarisa chero mhedzisiro yemishonga.

Mungada kuongororwa ropa kuti muongorore thyroid yenyu nekushanda kwechiropa, sezvo amiodarone inogona kukanganisa nhengo idzi kunyangwe mushure mekunge kurapwa kwapera. Chiremba wenyu wemoyo achadawo kukuonai nguva dzose kuti ave nechokwadi chekuti rhythm yemoyo wenyu inoramba yakagadzikana uye kuti akurukure chero zvinodiwa zvekuchengetwa kwenguva refu.