Yini i-Dronedarone: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Dronedarone yimithi yokushaya kwenhliziyo esiza ukugcina inhliziyo yakho ishaya ngendlela eqhubekayo, ejwayelekile. Yenzelwe ngqo abantu abanesimo senhliziyo esibizwa ngokuthi i-atrial fibrillation, lapho amagumbi angaphezulu enhliziyo yakho eshaya ngokungajwayelekile noma ngokushesha kakhulu.

Le mithi isebenza njengomqhubi omnene wesistimu kagesi yenhliziyo yakho. Isiza ukubuyisela nokugcina isigqi senhliziyo esijwayelekile, okunganciphisa ingozi yakho yokulaliswa esibhedlela futhi kukusize uzizwe ukhululekile empilweni yakho yansuku zonke.

Yini i-Dronedarone?

I-Dronedarone yimithi kadokotela okufanele ithathwe futhi engaphansi kwezigaba zemithi ebizwa ngokuthi ama-antiarrhythmics. Le yimithi eqondiswe ngqo ezigqigqini zenhliziyo ezingajwayelekile futhi isiza ukuzibuyisela esimweni esijwayelekile.

Ngokungafani neminye imithi yokushaya kwenhliziyo, i-dronedarone ithathwa njengenketho enamandla aphakathi nendawo. Ayinqeni njengezinye izindlela, kodwa isasebenza kubantu abaningi abanezinhlobo ezithile zezinkinga zokushaya kwenhliziyo.

Umuthi uza ngesimo samaphilisi futhi uthathwa ngomlomo kabili ngosuku. Yenzelwe ukuba ibe yindlela yokwelapha yesikhathi eside ozoyithatha ngokuqhubekayo uma nje udokotela wakho ekuncoma.

Yini i-Dronedarone Esetshenziselwa Yona?

I-Dronedarone isetshenziselwa ikakhulukazi ukwelapha i-atrial fibrillation ne-atrial flutter. Lezi zimo zenzeka lapho amagumbi angaphezulu enhliziyo yakho engashayi ngokuqhubekayo namagumbi angezansi, okudala ukushaya kwenhliziyo okungajwayelekile noma okusheshayo.

Udokotela wakho angase akunikeze i-dronedarone uma uke waba neziqephu ze-atrial fibrillation eziphindele esigqigqini esijwayelekile, kungaba ngokwazo noma ngokwelashwa. Umgomo uwukusiza ukuvimbela lezi ziqephu ukuthi zenzeke futhi.

Umuthi usetshenziselwa futhi ukunciphisa ingozi yakho yokudinga ukulaliswa esibhedlela ngenxa yezinkinga zokushaya kwenhliziyo. Abantu abaningi abane-atrial fibrillation bathola ukuthi i-dronedarone ibasiza ukuthi bagcine isigqi senhliziyo esizinzile futhi bazizwe bengcono sebebonke.

Isebenza Kanjani I-Dronedarone?

I-Dronedarone isebenza ngokuvimba izimpawu zikagesi ezithile enhliziyweni yakho ezingabangela ukushaya okungajwayelekile. Cabanga ngayo njengokusiza ukusetha kabusha uhlelo lwakho lwemvelo lokushaya kwenhliziyo.

Umuthi uthinta iziteshi eziningi ze-ion emangqamuzaneni enhliziyo yakho, okuyizicabha ezincane ezilawula umsebenzi kagesi. Ngokuthonya lezi ziteshi, i-dronedarone isiza inhliziyo yakho ukuthi igcine ukushaya okuqhubekayo, okuvamile.

Njengomuthi wokushaya kwenhliziyo onamandla aphakathi nendawo, i-dronedarone ivame ukubekezelelwa kahle ngabantu abaningi. Ayinamandla njengeminye imithi eqeda ukushaya kwenhliziyo okungajwayelekile, okusho ukuthi ingase ibe nemiphumela emibi embalwa kakhulu ngenkathi isasebenza kubantu abaningi.

Kufanele Ngiyithathe Kanjani I-Dronedarone?

Thatha i-dronedarone ngendlela udokotela wakho ayikuyala ngayo, ngokuvamile kabili ngosuku ngokudla kwakho kwasekuseni nakusihlwa. Ukuyithatha nokudla kusiza umzimba wakho ukuthi umunce umuthi kangcono futhi kunciphisa ithuba lokucasuka kwesisu.

Gwinya amaphilisi wonke ngengilazi yamanzi egcwele. Ungawachobozi, uwahlafune, noma uwaphule amaphilisi, ngoba lokhu kungathinta indlela umuthi osebenza ngayo emzimbeni wakho.

Zama ukuthatha imithamo yakho ngesikhathi esifanayo nsuku zonke ukuze usize ukugcina amazinga aqhubekayo omuthi ohlelweni lwakho. Abantu abaningi bakuthola kuwusizo ukuxhumanisa imithamo yabo nokudla okuvamile noma imikhuba yansuku zonke.

Uma uthatha eminye imithi, yazisa udokotela wakho, njengoba i-dronedarone ingasebenzisana nemithi eminingi ejwayelekile. Udokotela wakho angase adinge ukulungisa imithamo noma akuqaphele eduze.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Dronedarone?

I-Dronedarone ngokuvamile iyimithi yesikhathi eside ozoqhubeka uyithatha uma nje isiza ukushaya kwenhliziyo yakho futhi uyibekezelela kahle. Abantu abaningi badinga ukuyithatha unomphela ukuze bagcine izinzuzo.

Udktela wakho uzohlola njalo ukuthi usabela kanjani emuthini ngokuqokwa okulandelayo kanye nokuhlolwa kokugadwa kwenhliziyo. Lokhu kuhlolwa kusiza ukuqinisekisa ukuthi umuthi usebenza ngempumelelo futhi awubangeli zinkinga.

Ubude bokwelashwa buhlukahluka kumuntu nomuntu ngokuya ngesimo senhliziyo yakho esithile, ukuthi usabela kahle kangakanani emuthini, nokuthi ngabe uhlangabezana nemiphumela emibi. Abanye abantu bathatha i-dronedarone iminyaka ngaphandle kwezinkinga.

Ungayeki ukuthatha i-dronedarone ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka kungazelelwe kungabangela ukuthi isigqi senhliziyo yakho esingajwayelekile sibuyele, okungase kukubeke engozini yezinkinga.

Yiziphi Imiphumela Eceleni ye-Dronedarone?

Njengayo yonke imithi, i-dronedarone ingabangela imiphumela emibi, yize kungewona wonke umuntu oyitholayo. Imiphumela eminingi emibi imild kuya esimweni esiphakathi nendawo futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi.

Ukuqonda okulindelekile kungakusiza ukuthi uzizwe ulungiseleleke kakhulu futhi wazi ukuthi ungaxhumana nini nomhlinzeki wakho wezempilo. Ake sibheke imiphumela emibi ejwayelekile kuqala, bese sixoxa ngaleyo engavamile kodwa ebucayi kakhulu.

Imiphumela emibi ejwayelekile ihlanganisa:

• Ukuphazamiseka kwesisu, isicanucanu, noma isifo sohudo
• Ukuzwa ubuthakathaka noma ukukhathala
• Ukuqubuka kwesikhumba noma ukuluma
• Izinga lenhliziyo elihamba kancane
• Ushintsho endleleni okuzwakala ngayo ukudla

Le miphumela emibi ejwayelekile ivame ukuthuthuka emasontweni ambalwa okuqala okwelashwa. Ukuthatha umuthi nokudla kungasiza ukunciphisa imiphumela emibi ehlobene nesisu.

Imiphumela emibi engavamile kodwa ebucayi ihlanganisa:

• Izinkinga zamaphaphu, okuhlanganisa ubunzima bokuphefumula noma ukukhwehlela okuqhubekayo
• Izinkinga zesibindi, ezingase zibangele ukuphuzi kwesikhumba noma amehlo
• Ukuphendula kwesikhumba okukhulu
• Izinkinga zesigqi senhliziyo ezihlukile esimweni sakho sokuqala
• Izinkinga zezinso

Nakuba le miphumela emibi ingavamile, idinga ukunakekelwa kwezokwelapha ngokushesha. Udokotela wakho uzokuhlola njalo ngezivivinyo zegazi nokunye ukuhlolwa ukuze aqaphele lezi zinkinga ezingaba khona.

Ubani Ongafanele Athole i-Dronedarone?

I-Dronedarone ayiphephile kuwo wonke umuntu onezinkinga zesigqi senhliziyo. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha kanye nesimo sakho sempilo yamanje ngaphambi kokukuchazela lo muthi.

Akufanele uthathe i-dronedarone uma une-atrial fibrillation engapheli noma izinhlobo ezithile zokuhluleka kwenhliziyo. Umuthi wenzelwe ngokuqondile abantu abesigqi senhliziyo yabo esingabuyela kokujwayelekile, okungenani okwesikhashana.

Kufanele ugweme i-dronedarone uma une:

• Ukuhluleka kwenhliziyo okukhulu noma ukulaliswa esibhedlela kwakamuva ngenxa yokuhluleka kwenhliziyo
• I-atrial fibrillation engapheli engakwazi ukuguqulwa ibe isigqi esijwayelekile
• Izinkinga ezinkulu zesibindi
• Ezinye izimo zesigqi senhliziyo
• Isifo samaphaphu noma izinkinga zokuphefumula

Udokotela wakho uzophinda aqaphele ngokuchaza i-dronedarone uma uthatha eminye imithi ethile, unezinkinga zezinso, noma ukhulelwe noma uncelisa.

Amagama Omkhiqizo we-Dronedarone

I-Dronedarone itholakala ngaphansi kwegama lomkhiqizo elithi Multaq e-United States nakwamanye amazwe amaningi. Le yindlela evame ukuchazwa ngayo yomuthi.

Amanye amazwe angase abe namagama omkhiqizo ahlukene e-dronedarone, kodwa isithako esisebenzayo nendlela esisebenza ngayo ihlala injalo. Hlala uhlola usokhemisi wakho uma unemibuzo mayelana nomuthi wakho othile.

Izinhlobo ezivamile ze-dronedarone zingase zitholakale kwezinye izifunda, kodwa kufanele ngaso sonke isikhathi uqinisekise nodokotela wakho noma usokhemisi ngaphambi kokushintsha phakathi kwezinhlobo zomkhiqizo nezivamile.

Ezinye Izindlela Zokwelapha i-Dronedarone

Uma i-dronedarone ingakulungele, ezinye izinketho zokwelapha ziyatholakala zokuphatha i-atrial fibrillation nezinkinga zesigqi senhliziyo ezifanayo.

Eminye imithi elwa nokushaya kwenhliziyo okungajwayelekile ihlanganisa i-amiodarone, i-flecainide, kanye ne-propafenone. Ngayinye inezinzuzo ezihlukene kanye nemiphumela engaba khona, ngakho udokotela wakho uzosiza ekunqumeni ukuthi yini engasebenza kangcono esimweni sakho esithile.

Ezinye izindlela ezingezona imithi zihlanganisa:

• Izinqubo ze-catheter ablation ezingelapha unomphela ezinye izinkinga zesigqi senhliziyo
• I-Electrical cardioversion yokusetha kabusha isigqi senhliziyo
• I-Pacemaker noma amadivaysi e-cardioverter defibrillator afakelwayo
• Imithi yokulawula izinga lokushaya kwenhliziyo ihlanganiswe nezinciphisi zegazi

Udokotela wakho uzoxoxa ngalezi zinketho nawe ngokusekelwe eminyakeni yakho, impilo yonke, uhlobo lwenkinga yesigqi senhliziyo, kanye nezintandokazi zakho.

Ingabe i-Dronedarone ingcono kune-Amiodarone?

Kokubili i-dronedarone ne-amiodarone ziyimithi esebenzayo yesigqi senhliziyo, kodwa zinamandla ahlukene kanye namaphrofayili emiphumela emibi. Ukukhetha phakathi kwazo kuncike esimweni sakho sezokwelapha esithile.

I-Amiodarone ngokuvamile ithathwa njengeqina ekulawuleni isigqi senhliziyo, kodwa ingabangela imiphumela emibi kakhulu, ikakhulukazi uma isetshenziswa isikhathi eside. Lokhu kungabandakanya izinkinga ze-thyroid, izinkinga zamaphaphu, kanye nezinguquko zesikhumba.

I-Dronedarone ingase ibe mnene emzimbeni wakho ngemiphumela emibi embalwa yesikhathi eside, kodwa ingase ingasebenzi kahle kwabanye abantu noma ezinhlotsheni ezithile zezinkinga zesigqi senhliziyo. Futhi ayifanele abantu abanenhliziyo ehlulekayo kakhulu.

Udokotela wakho uzocabangela izici ezinjengobudala bakho, ezinye izimo zempilo, ubukhulu benkinga yakho yesigqi senhliziyo, kanye nekhono lakho lokubekezelela imiphumela emibi engaba khona lapho ekhetha phakathi kwale mithi.

Imibuzo Evame Ukubuzwa Nge-Dronedarone

Ingabe i-Dronedarone iphephile kubantu abanesifo sikashukela?

I-Dronedarone ngokuvamile ingasetshenziswa ngokuphepha kubantu abanesifo sikashukela, kodwa udokotela wakho uzokuqapha eduze. Umuthi awuthinti ngokuqondile amazinga kashukela egazini, kodwa ukuba nesifo sikashukela kungakhuphula ingozi yakho yezinkinga zenhliziyo.

Udktela wakho angase afune ukuhlola ukusebenza kwezinso zakho kaningi, njengoba isifo sikashukela singathinta impilo yezinso ngokuhamba kwesikhathi. Bazophinde baqinisekise ukuthi imithi yakho yesifo sikashukela ayihlangani ne-dronedarone.

Kufanele Ngenzeni Uma Ngithatha I-Dronedarone Engaphezu Kweqile Ngengozi?

Uma ngengozi uthatha i-dronedarone eningi kunaleyo oyinikiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuthatha okuningi kungabangela izinguquko eziyingozi esigqi senhliziyo yakho.

Izimpawu zokweqisa zingabandakanya ukuzizwa ukhathele kakhulu, ukuba nenkinga yokuphefumula, noma ukuzwa ukushaya kwenhliziyo okungajwayelekile kancane noma okusheshayo. Ungalindi ukubona ukuthi uzizwa ulungile yini - thola usizo lwezokwelapha ngokushesha.

Ukuvimbela ukweqisa ngengozi, sebenzisa umhleli wamaphilisi noma setha izikhumbuzi ocingweni lwakho ukukusiza ukuthi ulandelele imithamo yakho.

Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Dronedarone?

Uma uphuthelwa umthamo, wuthatha ngokushesha lapho ukhumbula, kodwa kuphela uma sekudlule amahora angaphansi kwangu-6 kusukela ngesikhathi somthamo wakho ohleliwe. Uma sekudlule isikhathi eside, weqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ohleliwe.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe. Lokhu kungakhuphula ingozi yakho yemiphumela emibi kanye nezinguquko eziyingozi esigqi senhliziyo.

Uma uvame ukukhohlwa imithamo, khuluma nodokotela wakho ngamasu okukusiza ukuthi ukhumbule, njengokusetha ama-alamu ocingweni noma ukusebenzisa uhlelo lokusebenza lwesikhumbuzi semithi.

Ngingayeka Nini Ukuthatha I-Dronedarone?

Kufanele uyeke kuphela ukuthatha i-dronedarone ngaphansi kokuqondisa kukadokotela wakho. Abantu abaningi badinga ukuqhubeka nokuthatha imithi isikhathi eside ukuze bagcine izinzuzo zayo zokulawula isigqi senhliziyo.

Udktela wakho angase acabange ukuyeka i-dronedarone uma uba nemiphumela emibi engathi sína, uma ingalawuli ngempumelelo isigqi senhliziyo yakho, noma uma isimo sakho senhliziyo esiphelele sishintsha kakhulu.

Ngaphambi kokuyeka, udokotela wakho cishe uzofuna ukuqapha ukushaya kwenhliziyo yakho ngokucophelela futhi angase acebise ngezindlela zokwelapha ezingezinye ukuqinisekisa ukuthi inhliziyo yakho ihlala ekushayeni okunempilo.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Dronedarone?

Kungcono ukunciphisa ukusetshenziswa kotshwala ngenkathi uthatha i-dronedarone. Utshwala bungakhuphula ingozi yezinkinga zokushaya kwenhliziyo futhi kungenza eminye imiphumela emibi ibe yimbi kakhulu.

Ubunani obuncane botshwala bungase bube ngcono kwabanye abantu, kodwa kufanele uxoxe ngalokhu nodokotela wakho. Bangakunikeza isiqondiso esiqondile esisekelwe esimweni sakho sempilo kanye neminye imithi oyithathayo.

Uma uphuza utshwala ngezikhathi ezithile, qaphela ukuthi uzizwa kanjani futhi uthinte udokotela wakho uma uqaphela noma yiziphi izinguquko ekushayeni kwenhliziyo yakho noma ezinye izimpawu ezikhathazayo.