Iyini i-Quinidine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Quinidine iyimithi kadokotela esetshenziselwa ukwelapha ukushaya kwenhliziyo okungajwayelekile, ikakhulukazi isimo esibizwa ngokuthi i-atrial fibrillation. Le mithi ingeyeqembu lezidakamizwa ezibizwa ngokuthi ama-antiarrhythmics, asebenza ngokusiza inhliziyo yakho ukuthi igcine isigqi esiqinile, esijwayelekile.

Ekuqaleni itholakala emagxolweni esihlahla se-cinchona, i-quinidine isize abantu abanezinkinga zesigqi senhliziyo amashumi eminyaka. Udokotela wakho angase akubhalele uma inhliziyo yakho ishaya ngokushesha kakhulu, kancane kakhulu, noma ngendlela engajwayelekile engase ithinte impilo yakho.

Isetshenziselwani i-Quinidine?

I-Quinidine iphatha izinhlobo eziningana zokuphazamiseka kwesigqi senhliziyo ezingakwenza uzizwe ungakhululekile noma zibe yingozi empilweni. Udokotela wakho ngokuvamile uzokubhala uma uhlelo lukagesi lwenhliziyo yakho lungasebenzi kahle njengoba kufanele.

Izimo ezivame kakhulu i-quinidine esiza ngazo zihlanganisa i-atrial fibrillation, lapho amagumbi aphezulu enhliziyo yakho ekhukhula ngokushesha esikhundleni sokushaya ngendlela ejwayelekile. Iphinda iphathe i-atrial flutter, i-ventricular tachycardia, kanye nezinye izinhlobo ze-arrhythmias ezingabangela izimpawu ezinjengokushaya kwenhliziyo, isiyezi, noma ukuphefumula kanzima.

Ngezinye izikhathi odokotela basebenzisa i-quinidine ukuvimbela izinkinga zesigqi senhliziyo ukuthi zingabuyi ngemva kokuthi ziphathwe ngempumelelo. Le ndlela yokuvimbela ingakusiza ukuthi ugcine isigqi senhliziyo esizinzile ngokuhamba kwesikhathi.

Isebenza Kanjani i-Quinidine?

I-Quinidine isebenza ngokuvimba amasignali kagesi athile enhliziyweni yakho angabangela izigqi ezingajwayelekile. Cabanga ngayo njengomlawuli wethrafikhi wohlelo lukagesi lwenhliziyo yakho, esiza ukuxhumanisa isikhathi sokushaya kwenhliziyo ngakunye.

Le mithi ithathwa njengomuthi oqinile we-antiarrhythmic. Ithinta iziteshi ze-sodium emangqamuzaneni emisipha yenhliziyo yakho, okunciphisa ukushaya kagesi okutshela inhliziyo yakho ukuthi ishaye nini.

Umphumela uba isigqi senhliziyo esizinzile futhi esilawulwayo. Nokho, ngenxa yokuthi i-quinidine ithinta uhlelo lukagesi lwenhliziyo yakho, idinga ukuqashwa ngokucophelela ngumhlinzeki wakho wezempilo ukuze kuqinisekiswe ukuthi isebenza ngokuphepha nangempumelelo kuwe.

Kufanele Ngiyithathe Kanjani I-Quinidine?

Thatha i-quinidine ngendlela eqondile udokotela wakho ayikunikeza ngayo, ngokuvamile ngengilazi yamanzi egcwele. Ungayithatha nokudla noma ngaphandle kokudla, kodwa ukuyithatha nokudla kungasiza ukunciphisa ukuphazamiseka kwesisu uma uhlangabezana nanoma yikuphi.

Uma uthatha amaphilisi omlomo noma amaphilisi, agwinye wonke ngaphandle kokuwachoboza, ukuwahlafuna, noma ukuwaqhekeza. Amafomu akhishwe isikhathi eside adinga ukuhlala enjalo ukuze asebenze kahle usuku lonke.

Ngezinhlobo ezinjovwayo, umhlinzeki wakho wezempilo uzophatha lezi endaweni yezokwelapha. Umjovo we-intramuscular unikezwa emsipheni, ngokuvamile engalweni yakho engenhla noma ethangeni, kuyilapho amafomu e-intravenous eqondiswa ngqo emgudwini wakho wegazi.

Zama ukuthatha imithamo yakho ngezikhathi ezifanayo nsuku zonke ukuze ugcine amazinga azinzile omuthi ohlelweni lwakho. Lokhu kuvumelana kusiza i-quinidine ukuthi isebenze ngempumelelo kakhulu esigqini senhliziyo yakho.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Quinidine?

Ubude bokwelashwa nge-quinidine buhlukahluka kakhulu kuye ngesimo senhliziyo yakho esithile nokuthi usabela kanjani emuthini. Abanye abantu bayayidinga amasonto ambalwa nje, kanti abanye bangayithatha izinyanga noma iminyaka.

Udokotela wakho uzohlola njalo isigqi senhliziyo yakho ngezivivinyo ezinjenge-electrocardiograms (ECGs) ukuze abone ukuthi umuthi usebenza kahle kangakanani. Bazophinda bahlole amazinga egazi lakho ngezikhathi ezithile ukuze baqinisekise ukuthi uthola inani elifanele.

Ungayeki ukuthatha i-quinidine ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka kungazelelwe kungabangela ukuthi isigqi senhliziyo yakho esingajwayelekile sibuyele noma sibe sibi, okungase kube yingozi empilweni yakho.

Yiziphi Imiphumela Eceleni Ye-Quinidine?

Njengayo yonke imithi, i-quinidine ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Abantu abaningi bayayibekezelela kahle, ikakhulukazi lapho udokotela wabo ethola umthamo ofanele wezidingo zabo.

Nawa amanye amanye imiphumela emibi ongase uyibone njengoba umzimba wakho ujwayela umuthi:

• Ukucasuka kwesisu noma isisu
• Ukuqunjelwa noma izitulo ezixekile
• Ikhanda
• Isiyezi noma ukukhathala
• Umbono ongacacile
• Ukukhala ezindlebeni zakho (i-tinnitus)

Lezi zimpawu zivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi. Kodwa-ke, uma ziqhubeka noma zikuphazamisa kakhulu, yazisa udokotela wakho.

Eminye imiphumela emibi engavamile kodwa ebucayi idinga ukunakekelwa kwezempilo ngokushesha. Lokhu kufaka phakathi isiyezi esibi, ukuquleka, ukushaya kwenhliziyo okusheshayo noma okuhamba kancane, isicanucanu esibi nokuhlanza, noma izimpawu zokungezwani komzimba nezinto ezithile njengokuqubuka noma ubunzima bokuphefumula.

Ngokuvamile, i-quinidine ingabangela inkinga enkulu yesigqi senhliziyo ebizwa ngokuthi i-torsades de pointes. Yingakho udokotela wakho ezokuqapha eduze, ikakhulukazi uma uqala ukuthatha umuthi.

Ubani Ongafanele Athole I-Quinidine?

I-Quinidine ayilungile kuwo wonke umuntu, futhi udokotela wakho uzoyicabangela ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinikeza. Izimo ezithile noma imithi ingenza i-quinidine ingaphephile noma ingasebenzi kahle kuwe.

Akufanele uthathe i-quinidine uma unezinkinga ezithile zesigqi senhliziyo, ikakhulukazi ukuvinjelwa okuphelele kwenhliziyo noma izinhlobo ezithile ze-ventricular arrhythmias. Abantu abane-myasthenia gravis, isimo sokuba buthakathaka kwemisipha, kufanele futhi bagweme lo muthi.

Xoxa nodokotela wakho ngazo zonke izimo zakho zezokwelapha, ikakhulukazi uma unezifo zezinso, izinkinga zesibindi, noma amazinga aphansi e-potassium noma i-magnesium. Lezi zimo zingathinta indlela umzimba wakho oyiqeda ngayo i-quinidine.

Imithi eminingi ingase ihlangane ne-quinidine, okuhlanganisa ama-blood thinners, ama-antibiotics athile, kanye neminye imithi yenhliziyo. Ngesikhathi sonke nikeza udokotela wakho uhlu oluphelele lwazo zonke izinto ozithathayo, okuhlanganisa imithi etholakala ngaphandle kwemvume kadokotela kanye nezithasiselo.

Amagama Omkhiqizo we-Quinidine

I-Quinidine itholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba inguqulo ejwayelekile isebenza kahle. Amagama omkhiqizo ajwayelekile afaka i-Quinidex, i-Quinaglute, ne-Cardioquin, nakuba ezinye zalezi zingase zingatholakali kuzo zonke izindawo.

I-pharmacy yakho ingase ikhiphe igama lomkhiqizo noma inguqulo ejwayelekile ngokuya ngomshuwalense wakho kanye nokutholakala. Zombili ziqukethe isithako esifanayo esisebenzayo futhi zisebenza ngendlela efanayo emzimbeni wakho.

Ezinye izindlela ze-Quinidine

Uma i-quinidine ingasebenzi kahle kuwe noma idala imiphumela engathandeki, udokotela wakho unezinye izinketho eziningana zokusiza ukuphatha isigqi senhliziyo yakho. Lezi ezinye izindlela zisebenza ngezindlela ezihlukene kodwa zihlose umgomo ofanayo wokugcina inhliziyo yakho ishaya ngokuqinile.

Eminye imithi elwa ne-antiarrhythmic ihlanganisa i-amiodarone, i-flecainide, i-propafenone, ne-sotalol. Ngayinye inezinzuzo zayo kanye nemiphumela engaba khona, ngakho udokotela wakho uzokhetha ngokusekelwe esimweni sakho esithile kanye nomlando wezokwelapha.

Ukwelashwa okungekona okwemithi kungase kube ezinye izinketho, njenge-catheter ablation, lapho odokotela besebenzisa ukushisa noma ukubanda ukuze babhubhise izicubu ezibangela izigqi ezingajwayelekile. Abanye abantu bayazuza kumadivayisi afana nama-pacemakers noma ama-cardioverter defibrillators afakelwayo.

Ingabe i-Quinidine Ingcono Kune-Amiodarone?

Kokubili i-quinidine ne-amiodarone ziyimithi elwa ne-antiarrhythmic esebenzayo, kodwa akudingeki ukuthi zibe ngcono noma zibe zimbi kunomunye nomunye. Ukukhetha okungcono kuncike esimweni sakho senhliziyo esithile, ezinye izinkinga zempilo, nokuthi usabela kanjani ekwelashweni.

I-Amiodarone ivamele ukuthi inamandla kakhulu futhi ivame ukusetshenziselwa izinkinga ezingathi sína noma ezisongela impilo. Kodwa-ke, ingabangela imiphumela emibi kakhulu, ikakhulukazi uma isetshenziswa isikhathi eside, okuhlanganisa izinkinga zamaphaphu, umdlavuza, kanye nesibindi.

I-Quinidine ingase ithandwe ezinhlotsheni ezithile ze-atrial fibrillation noma i-flutter, ikakhulukazi uma i-amiodarone ingafaneleki. Udokotela wakho uzocabangela izinto ezifana neminyaka yakho, eminye imithi, kanye nempilo yakho yonke lapho enquma ukuthi iyiphi imithi ekufanele.

Imibuzo Evame Ukubuzwa Mayelana ne-Quinidine

Ingabe i-Quinidine iphephile kubantu abanezifo zezinso?

I-Quinidine ingasetshenziswa kubantu abanezifo zezinso, kodwa idinga ukuqapha ngokucophelela futhi mhlawumbe ukulungiswa kwemithamo. Izinso zakho zisiza ukukhipha i-quinidine emzimbeni wakho, ngakho-ke ukuncipha komsebenzi wezinso kungabangela ukuthi imithi yakheke emazingeni aphezulu.

Udokotela wakho cishe uzo-oda ukuhlolwa kwegazi njalo ukuze ahlolisise amazinga akho e-quinidine nomsebenzi wezinso. Bangase banikeze umthamo ophansi noma bahlukanise imithamo yakho ngendlela ehlukile ukuze baqinisekise ukuthi imithi ihlala emazingeni aphephile, asebenzayo.

Ngingenzani uma ngithatha i-Quinidine eningi ngengozi?

Uma ngengozi uthatha i-quinidine eningi kunaleyo ebekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa kahle. Ukuthatha okuningi kungabangela izinkinga ezingathi sína zesigqi senhliziyo noma eminye imiphumela eyingozi.

Izimpawu ze-quinidine overdose zingase zihlanganise isicanucanu esibi, ukuhlanza, isifo sohudo, ukudideka, izinguquko zombono, noma izinkinga zesigqi senhliziyo. Ungalindi ukuthi izimpawu zivele ngaphambi kokufuna usizo, njengoba eminye imiphumela ingaba yingozi.

Ngingenzani uma ngiphuthelwa umthamo we-Quinidine?

Uma uphuthelwa umthamo we-quinidine, yithathe ngokushesha lapho ukhumbula, ngaphandle kokuthi sekuseduze isikhathi somthamo wakho olandelayo. Kulokho, weqa umthamo ophuthelwe bese uqhubeka nohlelo lwakho lokuthatha imithi olujwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo owuphuthelwe, ngoba lokhu kungabangela imiphumela emibi eyingozi. Uma uvame ukukhohlwa imithamo, cabangela ukusebenzisa umhleli wamaphilisi noma ukusetha izikhumbuzi zocingo ukukusiza ukuthi uhlale emgqeni.

Ngingayeka nini ukuthatha i-Quinidine?

Yeka kuphela ukuthatha i-quinidine lapho udokotela wakho ekutshela ukuthi kuphephile ukwenza kanjalo. Noma ngabe uzizwa ungcono futhi isigqi senhliziyo yakho sibonakala sijwayelekile, imithi ingase idingeke ukuvimbela i-arrhythmia yakho ukuthi ingabuyi.

Udkt wakho ngokuvamile uzofuna ukunciphisa umthamo wakho kancane kancane kunokuyeka kungazelelwe. Lokhu kusiza ekuvikeleni izinkinga zesigqi senhliziyo yakho ukuthi zingabuyi ngokuzumayo, okungaba yingozi.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Quinidine?

Kungcono ukukhawulela ukusetshenziswa kotshwala ngenkathi uthatha i-quinidine, njengoba utshwala bungathinta isigqi senhliziyo yakho futhi bungaphazamisa indlela imithi esebenza ngayo. Utshwala bungakhuphula nengozi yemiphumela emibi ethile efana nesiyezi.

Uma ukhetha ukuphuza utshwala, kwenze ngokulinganisela futhi unake ukuthi uzizwa kanjani. Abanye abantu bathola ukuthi ngisho namanani amancane otshwala abathinta ngendlela ehlukile ngenkathi bethatha i-quinidine. Hlala uxoxa ngokusebenzisa utshwala nodokotela wakho ukuze uqonde ukuthi yini ephephe kakhulu esimweni sakho esithile.