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

Procainamide mushonga unopiwa nechiremba unopiwa kuburikidza neIV (intravenous) line kurapa matambudziko makuru emoyo rhythm. Iyo ndeyeboka remishonga inonzi antiarrhythmics, iyo inoshanda nekugadzirisa zviratidzo zvemagetsi mumoyo wako kuti udzorezve, kugadzikana kwemoyo.

Mushonga uyu unowanzo shandiswa muzvipatara kana moyo wako uchida rubatsiro rwekukurumidza kuti udzokere mune rhythm ine hutano. Chikwata chako chekurapa chichakuchengeta zvakanyatso chenjerera iwe uchigamuchira kurapwa uku kuti uve nechokwadi chekuti iri kushanda zvakachengeteka uye nemazvo.

Chii chinonzi Procainamide chinoshandiswa?

Procainamide IV inonyanya kushandiswa kurapa matambudziko emoyo rhythm anoda kutariswa kwekurapa nekukurumidza. Chiremba wako achasarudza mushonga uyu kana moyo wako uchirova nekukurumidza, zvisina kufanira, kana nenzira inogona kuisa hupenyu panjodzi.

Mamiriro akajairika aanorapa anosanganisira ventricular tachycardia (kana makamuri ezasi emoyo wako achirova nekukurumidza) uye atrial fibrillation (kana makamuri epamusoro achirova zvisina kufanira). Inogonawo kubatsira nemamwe arrhythmias akakomba se ventricular fibrillation, uko sisitimu yemagetsi yemoyo wako inova chaotic.

Dzimwe nguva vanachiremba vanoshandisa procainamide IV panguva yezvirongwa zvecardiac kana kuvhiyiwa kudzivirira matambudziko e rhythm kuti asaitike. Zvinobatsirawo kana mamwe mishonga yemoyo isina kushanda kana iwe uchida mhedzisiro nekukurumidza kupfuura mishonga yemuromo inogona kupa.

Procainamide inoshanda sei?

Procainamide inoshanda nekudzivisa nzira dzemagetsi dzakatarwa mumhasuru dzemoyo wako dzinonzi sodium channels. Funga nezve izvi zvikwiriso semagedhi madiki anodzora kuti zviratidzo zvemagetsi zvinofamba sei kuburikidza nemucheka wemoyo wako.

Apo izvi zvikwiriso zvakanyanya kushanda, moyo wako unogona kukudziridza rhythms ine njodzi. Procainamide inonyanya kunonotsa zviratidzo izvi zvemagetsi, ichipa moyo wako nguva yekugadzirisa uye kuwana rhythm yayo yechisikigo, yakagadzikana zvakare.

Mishonga iyi inonzi mushonga weantiarrhythmic une simba repakati. Iine simba rakakwana rekugadzirisa matambudziko akakomba erhythm asi inoda kutariswa zvakanyanya nekuti inogona kukanganisa masisitimu emagetsi emoyo wako nenzira dzakaoma.

Ndingatora Sei Procainamide?

Procainamide IV inogara ichipiwa nenyanzvi dzehutano muchipatara kana munzvimbo yekiriniki. Haufaniri kunetseka nezvekutora mushonga uyu iwe pachako - chikwata chako chekurapa chichabata zvese.

Mishonga inoyerera zvakananga muropa rako kuburikidza neIV line, inowanzoiswa muruoko rwako kana ruoko. Mukoti wako achatanga infusion zvishoma nezvishoma uye zvishoma nezvishoma achigadzirisa chiyero zvichienderana nekuti moyo wako unopindura sei.

Haufaniri kudya kana kunwa chero chinhu chakakosha usati watora mushonga uyu. Zvisinei, chikwata chako chekurapa chingakukumbira kuti udzivise zvimwe zvekudya kana zvinwiwa zvichienderana nemamiriro ako ese uye mamwe mishonga yaunotora.

Panguva yekurapa, iwe uchabatana nemamoniita emoyo anoteedzera rhythm yako nguva dzese. Izvi zvinobatsira chikwata chako chehutano kuti chione kuti mushonga uri kushanda sei uye kugadzirisa chero zvakakosha kuti uchengetedzwe.

Ndingatora Procainamide Kwenguva Yakareba Sei?

Kureba kwekurapa kweprocainamide IV kunosiyana zvakanyanya zvichienderana nemamiriro ako chaiwo emoyo uye nekukurumidza kwaunopindura kumushonga. Vamwe vanhu vanoda kwemaawa mashoma chete, nepo vamwe vangada mazuva akati wandei ekurapa.

Chiremba wako achamisa IV procainamide kana rhythm yemoyo wako yagadziriswa uye yakagara yakajairika kwenguva yakachengeteka. Vachafungawo kukuchinjira kumishonga yemoyo yemuromo yaunogona kutora kumba kana kurapwa kwenguva refu kuchidiwa.

Sarudzo pamusoro penguva inoenderana nezvinhu zvakati wandei: chii chakakonzera dambudziko rako re rhythm, raive rakakomba sei, uye kana uine mamiriro emoyo ari pasi. Chikwata chako chekurapa chichatsanangura chirongwa chavo chekurapa uye kukuchengeta uchiziva nezve nguva dzakatenderedzwa.

Ndezvipi Zvipingamupinyi zveProcainamide?

Semishonga yese, procainamide IV inogona kukonzera zvipingamupinyi, kunyangwe vanhu vazhinji vachizvigamuchira zvakanaka kana vachitariswa zvakanaka. Chikwata chako chehutano chinotarisa zvakanyanya izvi zvinokonzeresa uye chinogona kuchinja kurapwa kwako kana zvichidikanwa.

Zvinowanzoitika zvipingamupinyi zvaungasangana nazvo zvinosanganisira kunzwa dzungu, kusvotwa, kana kuva nekurwadziwa mumusoro. Vamwe vanhu vanocherechedza kudonha kweropa ravo, izvo zvinogona kuvaita kuti vanzwe kusvotwa kana kusimba. Izvi zvinokonzeresa zvinowanzoitika uye zvinowanzoita nani sezvo muviri wako uchigadzirisa.

Heano zvipingamupinyi zvakajairika izvo vanopa hutano vanotarisa:

• Dzungu kana kusvotwa
• Kusvotwa kana dumbu rinogumbuka
• Kurwadziwa mumusoro
• Kudzvanywa kweropa
• Kunzwa kuneta kana kusimba
• Kutsva kana kudziya pachiso chako

Izvi zvinokonzeresa zvinowanzoita nyoro uye zvenguva pfupi, asi chikwata chako chekurapa chichabatsira kubata chero kusagadzikana kwaunosangana nako.

Zvimwe zvipingamupinyi zvakakomba hazviwanzoitiki asi zvinoda kutariswa nekukurumidza. Chikwata chako chehutano chakadzidziswa kuziva uye kupindura izvi nekukurumidza, saka uri mumaoko akachengeteka.

Zvipingamupinyi zvakakomba izvo vashandi vezvokurapa vanotarisa zvinosanganisira:

• Matambudziko matsva kana kuwedzera kwemoyo
• Kudonha kwakanyanya kweropa
• Allergic reactions ine rash kana matambudziko ekufema
• Zviratidzo zvelupus-like syndrome (kurwadziwa mumajoini, fivha, rash)
• Matambudziko eropa anokanganisa maseru ako ekurwisa hutachiona
• Matambudziko echiropa (kushanduka kweganda kana maziso kuita yero)

Rangarira, uri kuramba uchitariswa uchigamuchira mushonga uyu, saka chero shanduko dzinonetsa dzichabatwa uye dzichigadziriswa nekukurumidza.

Ndiani Asingafaniri Kutora Procainamide?

Procainamide haina kuchengeteka kune vese, uye chikwata chako chekurapa chichanyatsoongorora nhoroondo yako yehutano usati watanga kurapwa uku. Vachafunga nezve mishonga yako yazvino, mamiriro ezvinhu ekurapa, uye chero zviitiko zvakapfuura kumishonga yakafanana.

Haufaniri kugamuchira procainamide IV kana wakambove ne allergic reaction yakakomba kwairi kana mishonga ine hukama yakaita se procaine kana lidocaine. Vanhu vane mamwe mamiriro emoyo, sekuti complete heart block, vangave vasiri vakakodzera kurapwa uku.

Chiremba wako achava akanyatso chenjerera kana uine chero mamiriro aya:

• Matambudziko eitsvo kana chirwere cheitsvo
• Chirwere chechiropa kana kusashanda zvakanaka kwechiropa
• Lupus kana mamwe mamiriro e autoimmune
• Kuderera kweropa kana kukundikana kwemoyo
• Mhando dzakasiyana dze heart block
• Myasthenia gravis (mamiriro ekushaya simba kwemhasuru)

Kuzvitakura nekuyamwisa zvinoda kufunga kwakakosha, kunyangwe procainamide dzimwe nguva inogona kushandiswa kana mabhenefiti achipfuura njodzi. Chikwata chako chehutano chichakurukura zvese zvingasarudzwa newe.

Mazita eProcainamide Brand

Procainamide IV inowanikwa pasi pemazita akati wandei emhando, kunyangwe ichiwanikwawo se mushonga we generic. Zita rinonyanya kuzivikanwa remhando ndere Pronestyl, kunyangwe izvi zvingasiyana nenyika nemugadziri.

Mamwe mazita emhando anosanganisira Procan SR uye Procanbid, kunyangwe izvi zviri zvinowanzoitika zvekugadzirwa kwemuromo. Chipatara chako chichashandisa chero formulation ye IV iripo uye yakakodzera kurapwa kwako.

Iyo generic vhezheni inoshanda zvakafanana nemhando-zita vhezheni uye inosangana neyakafanana kuchengetedza uye kushanda zvakanaka. Chikwata chako chehutano chichasarudza sarudzo yakanakisa zvichienderana nekuwanikwa uye zvaunoda.

Procainamide Zvimwe Zvinhu

Mishonga yakati wandei ye IV inogona kurapa matambudziko akakomba emoyo rhythm kana procainamide isina kukodzera iwe. Chiremba wako achasarudza imwe nzira yakanakisa zvichienderana nerudzi rwako rwe arrhythmia uye mamiriro ako ehutano hwese.

Zvimwe zvinhu zvinowanzoitika zvinosanganisira amiodarone, iyo inowanzo shandiswa kumatambudziko akafanana erhythm asi inoshanda kuburikidza nemaitiro akasiyana. Lidocaine imwe sarudzo, kunyanya kune mamwe marudzi e ventricular arrhythmias.

Dzimwe nzira dzekurapa arrhythmias dzinogona kufungwa nachiremba wako dzinosanganisira:

• Amiodarone (Cordarone) - inowanzo shandiswa kune akasiyana arrhythmias
• Lidocaine - kunyanya kune matambudziko e ventricular rhythm
• Sotalol - yeatrial ne ventricular arrhythmias
• Flecainide - kune mamwe marudzi ekusagadzikana kwerhythm
• Propafenone - imwe sodium channel blocker

Chikwata chako chekurapa chichatsanangura kuti nei vakasarudza mushonga wakati wandei uye kuti unoenzaniswa sei nedzimwe nzira dzemamiriro ako chaiwo.

Procainamide Zviri Nani Kudarika Amiodarone Here?

Zvese procainamide ne amiodarone mishonga inoshanda ye antiarrhythmic, asi inoshanda zvakasiyana uye yakakodzera mamiriro akasiyana. Hapana imwe iri yakanakisa - sarudzo inoenderana nedambudziko rako re heart rhythm uye hutano hwese.

Procainamide inowanzo shanda nekukurumidza uye inowanzo fambiswa kune mamiriro akakomba apo kukurumidza kudzora rhythm kunodiwa. Inonyanya kushanda kune mamwe marudzi e ventricular arrhythmias uye inogona kusarudzwa kana chiito chekukurumidza chakakosha.

Amiodarone, kune rumwe rutivi, inowanzo shanda zvakanyanya kudzora rhythm kwenguva refu uye inoshanda zvakanaka kune ese atrial ne ventricular arrhythmias. Zvisinei, ine nguva yakareba yekutanga uye inogona kukonzera mhedzisiro kwenguva refu.

Chiremba wako we cardiologist achafunga nezvezvinhu zvakaita serudzi rwako rwe arrhythmia, kuti kurapwa kunodiwa nekukurumidza sei, mamwe mamiriro ako ehutano, uye mhedzisiro inogona kuitika kana uchisarudza pakati pemishonga iyi.

Mibvunzo Inowanzo bvunzwa Nezve Procainamide

Q1. Procainamide Yakachengeteka Kune Vanhu vane Chirwere cheItsvo Here?

Procainamide inogona kushandiswa kune vanhu vane chirwere cheitsvo, asi inoda kugadzirisa dose nekuchenjerera uye kuongorora zvakanyanya. Itsvo dzako dzinobatsira kubvisa mushonga uyu mumuviri wako, saka kuderedzwa kweitsvo kunoreva kuti mushonga unogona kugara mumuviri wako kwenguva refu.

Chikwata chako chekurapa chichagadzirisa mushonga zvichienderana nemiedzo yako yekushanda kwematsvo uye ichakutarisa kakawanda kuti uone mhedzisiro. Vanogona zvakare kushandisa nguva pfupi dzekupinza kana dosi yakaderera kuti vakuchengetedze uchirapa rhythm yako yemoyo nemazvo.

Q2. Ndingaita Sei Kana Ndikawana Mhedzisiro kubva kuProcainamide?

Sezvo procainamide IV ichipiwa muchipatara, chikwata chako chekuchengetedza hutano chichakutarisa nguva dzose kuti uone mhedzisiro. Kana ukaona chero zviratidzo zvisingawanzoitiki kana kusagadzikana, zivisa mukoti wako kana chiremba wako nekukasira.

Usanetseka nezve mhedzisiro midiki senausea yakapfava kana dzungu - izvi zvakajairika uye chikwata chako chekurapa chinovatarisira. Zvisinei, gara uchitaura nezve chero chiratidzo chinokunetsa, sezvo kunyaradzwa kwako nekuchengeteka zviri zvekutanga.

Q3. Procainamide Inogara Kwenguva Yakareba Sei MuSystem Yangu?

Procainamide inowanzo gara mumuviri wako kwemaawa anenge 6-8 mushure mekunge IV yamiswa, kunyangwe izvi zvichigona kusiyana zvichienderana nekushanda kwematsvo ako uye hutano hwako hwese. Muviri wako unoputsa mushonga nekukurumidza zvichienzaniswa nemimwe mishonga yemoyo.

Kunyange mushonga wacho wapedza, mhedzisiro yawo pa rhythm yako yemoyo inogona kuramba ichienderera mberi kwenguva yakati rebei. Chikwata chako chekurapa chicharamba chichitarisa moyo wako kunyangwe mushure mekumisa kupinza kuti uve nechokwadi chekuti rhythm yako inoramba yakagadzikana.

Q4. Ndingadzokera Kumba Ndiri Kutora Procainamide IV?

Aihwa, procainamide IV inongopiwa muzvipatara kana munzvimbo dzekiriniki kwaunogona kuramba uchitariswa. Mushonga uyu unoda kutariswa zvakanyanya nekuti unogona kukanganisa rhythm yako yemoyo uye kudzvanywa kweropa nenzira dzinoda kutariswa kwekurapa nekukasira.

Kana rhythm yako yemoyo yagadzikana uye chiremba wako achinzwa kuti zvakachengeteka, unogona kuchinjirwa kumishonga yemuromo yaunogona kutora kumba. Chikwata chako chekurapa chichaita shuwa kuti wagadzirira kuburitswa uye uine chirongwa chakajeka chekuchengetwa kwenguva refu.

Q5. Ndingada Miedzo Yeropa Ndiri Kutora Procainamide?

Hongu, chikwata chako chezvokurapa chinogona kuraira bvunzo dzeropa kuti chitarise kuti muviri wako uri kupindura sei procainamide. Bvunzo idzi dzinobatsira kutarisa kushanda kwematsvo ako, huwandu hwemasero eropa, uye mazinga emishonga kuti uve nechokwadi chekuti mushonga uri kushanda zvakachengeteka.

Kuwanda kwebvunzo dzeropa kunoenderana nekuti unotambira mushonga kwenguva yakareba sei uye njodzi dzako pachako. Chikwata chako chehutano chichatsanangura kuti ndeapi bvunzo dzinodiwa uye kuti mhedzisiro yacho inorevei kuronga kwako kurapwa.