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

I-Flecainide iyimithi kadokotela esiza ukulawula ukushaya kwenhliziyo okungajwayelekile ngokuzinzisa izimpawu zikagesi enhliziyweni yakho. Ingesigaba semithi ebizwa ngokuthi ama-antiarrhythmics, asebenza njengabaqhubi bogesi ukuze kugcinwe ukushaya kwenhliziyo yakho kusheshe futhi kujwayelekile.

Le mithi ivame ukunqunywa uma inhliziyo yakho ishaya ngokushesha kakhulu noma ngendlela engajwayelekile. Cabanga ngayo njengomlawuli wethrafikhi wesistimu kagesi yenhliziyo yakho, esiza ekuqinisekiseni ukuthi izimpawu zihamba ngokushelela nangokujwayelekile.

Isetshenziselwani i-Flecainide?

I-Flecainide isetshenziselwa ikakhulukazi ukwelapha izinhlobo ezithile zokushaya kwenhliziyo okungajwayelekile okubizwa ngokuthi ama-arrhythmias. Udokotela wakho angase akunqume uma une-atrial fibrillation noma i-atrial flutter, izimo lapho amagumbi angaphezulu enhliziyo yakho eshaya ngokungajwayelekile noma ngokushesha kakhulu.

Le mithi iphinde isebenze ekwelapheni ama-ventricular arrhythmias, ahilela ukushaya okungajwayelekile emagumbini angezansi enhliziyo yakho. Lezi zimo zingakwenza uzizwe sengathi inhliziyo yakho iyagijima, yeqe ukushaya, noma idlidliza esifubeni sakho.

Kwezinye izimo, odokotela banquma i-flecainide ukuvimbela ama-arrhythmias ukuthi angenzeki ekuqaleni. Lokhu kusiza ikakhulukazi abantu ababa neziqephu ezivamile zokushaya kwenhliziyo okungajwayelekile okuphazamisa imisebenzi yansuku zonke.

Isebenza Kanjani i-Flecainide?

I-Flecainide isebenza ngokuvimba iziteshi ze-sodium emangqamuzaneni emisipha yenhliziyo yakho. Lezi ziteshi zilawula ukuthi izimpawu zikagesi zihamba kanjani enhliziyweni yakho, futhi uma zisebenza ngokweqile, inhliziyo yakho ingashaya ngokungajwayelekile.

Ngokwehlisa lezi zimpawu zikagesi, i-flecainide isiza inhliziyo yakho ukuthi igcine isigqi esiqinile, esijwayelekile. Ithathwa njengemithi ye-antiarrhythmic enamandla ngokulinganisela, okusho ukuthi iyasebenza kodwa idinga ukuqapha ngokucophelela ngumhlinzeki wakho wezempilo.

Umuthi uthatha isikhathi ukwakheka emzimbeni wakho futhi ufinyelele ekusebenzeni kwawo okuphelele. Abantu abaningi baqala ukuqaphela ukuthuthuka kwesigqi senhliziyo yabo phakathi nezinsuku ezimbalwa kuya evikini ngemuva kokuqala ukwelashwa.

Kufanele Ngiyithathe Kanjani I-Flecainide?

Thatha i-flecainide ngendlela eqondile udokotela wakho ayalela ngayo, ngokuvamile kabili ngosuku ngaphandle kokudla noma ngaphandle kokudla. Ungayithatha ngamanzi, ubisi, noma ijusi, noma yini ekulungele kakhulu.

Kungcono ukuthatha imithamo yakho ngezikhathi ezifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo egazini lakho. Abantu abaningi bakuthola kuwusizo ukuthatha i-flecainide ngesidlo sasekuseni nesakusihlwa ukuze basungule umkhuba.

Akudingeki ukuthi ugweme noma yikuphi ukudla okuthile ngenkathi uthatha i-flecainide, kodwa ukugcina ukudla okunempilo kusekela impilo yakho yonke yenhliziyo. Uma uhlangabezana nesisu esicasukile, ukuthatha umuthi nokudla kungasiza ukunciphisa lo mphumela ongathandeki.

Gwinya amaphilisi wonke ngaphandle kokuwachoboza, ukuwahlafuna, noma ukuwaqhekeza. Lokhu kuqinisekisa ukuthi umuthi ukhululwa ngendlela efanele emzimbeni wakho.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Flecainide?

Ubude bokwelashwa nge-flecainide buyahluka kakhulu kuye ngesimo sakho esithile nokuthi usabela kanjani kahle emuthini. Abanye abantu bangase bayidinge izinyanga ezimbalwa nje, kanti abanye badinga ukwelashwa kwesikhathi eside.

Udokotela wakho uzohlola njalo isigqi senhliziyo yakho nempilo yonke ukuze anqume ukuthi kufanele uqhubeke yini nokuthatha i-flecainide. Lokhu ngokuvamile kuhilela ama-electrocardiograms (ECGs) ngezikhathi ezithile kanye nokuhlolwa kwegazi ukuze kuqinisekiswe ukuthi umuthi usebenza ngokuphepha.

Ungalokothi uyeke ukuthatha i-flecainide ngokuzumayo ngaphandle kokubonisana nodokotela wakho, ngisho noma uzizwa ungcono. Ukuyeka kungazelelwe kungabangela ukuthi isigqi senhliziyo yakho esingajwayelekile sibuyele noma singase sibe sibi kakhulu.

Uma udinga ukuyeka i-flecainide, udokotela wakho uzokwenza isimiso sokunciphisa kancane kancane ukuze anciphise ngokuphepha umthamo wakho ngokuhamba kwesikhathi.

Yini Eyingozi Yemiphumela Ye-Flecainide?

Njengazo zonke izidakamizwa, i-flecainide ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Ukuqonda ukuthi okulindelekile kungakusiza ukuthi uzizwe ulungiseleleke kakhulu futhi wazi ukuthi ungaxhumana nini nomhlinzeki wakho wezempilo.

Imiphumela emibi evame kakhulu ngokuvamile imnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela imithi:

• Isiyezi noma ukukhathala, ikakhulukazi uma usukuma ngokushesha
• Ukubona okungacacile noma ukubona amabala noma izibani ezikhanyayo
• Ikhanda elivame ukuba mnene kuya esimweni esiphakathi nendawo
• Isicanucanu noma isisu esibuhlungu
• Ukukhathala noma ukuzizwa ukhathele kunokujwayelekile
• Ukuthuthumela noma ukuthuthumela kwezandla
• Ukuqunjelwa

Le miphumela emibi evamile ngokuvamile iba ngaphansi kokubonakala ngemva kwamasonto ambalwa okwelashwa. Uma ziqhubeka noma ziba yinkinga, udokotela wakho uvame ukulungisa umthamo wakho noma asikisele izindlela zokuphatha zona.

Imiphumela emibi engathi sína idinga ukunakekelwa kwezempilo ngokushesha, nakuba yenzeka kaningi:

• Ukushaya kwenhliziyo okusha noma okubi kakhulu
• Ubuhlungu besifuba noma ukuqina
• Isiyezi esibi noma ukuquleka
• Ukuphefumula okuncane noma ubunzima bokuphefumula
• Ukuvuvukala emilenzeni yakho, emaqakaleni, noma ezinyaweni
• Ukuzuza isisindo okungazelelwe

Imiphumela emibi engavamile kodwa engathi sína ihlanganisa izinkinga zesibindi, ezingase zibangele ukuphuzi kwesikhumba sakho noma amehlo, umchamo omnyama, noma ubuhlungu obukhulu besisu. Lokhu kudinga ukuhlolwa kwezokwelapha ngokushesha.

Ubani Ongafanele Athathwe I-Flecainide?

I-Flecainide ayiphephile kuwo wonke umuntu, futhi izimo ezithile zezempilo zikwenza kungafaneleki noma kube yingozi. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyala le mithi.

Abantu abanezimo ezithile zenhliziyo kufanele bagweme i-flecainide ngoba ingenza isimo sabo sibe sibi:

• Ukuhluleka kwenhliziyo noma imisipha yenhliziyo ebuthakathaka kakhulu
• Ukuquleka kwenhliziyo kwamuva (ezinyangeni ezimbalwa ezedlule)
• Ezinye izinhlobo zokuvinjwa kwenhliziyo noma izinkinga zokuhamba
• Isifo sezinso esibi kakhulu
• Isifo sesibindi

Ngaphezu kwalokho, i-flecainide ingase ingafaneleki uma unezinye izimo zezokwelapha noma usebenzisa imithi engase ihlangane ngendlela eyingozi nayo.

Abesifazane abakhulelwe kufanele basebenzise i-flecainide kuphela uma izinzuzo zizikhulu ngokusobala kunezinhlaka, njengoba ingadlulela enganeni ekhulayo. Uma uncelisa, xoxa nodokotela wakho ukuthi ngabe i-flecainide ifanele yini, njengoba idlulela obisini lwebele.

Amagama e-Flecainide Brand

I-Flecainide itholakala ngaphansi kwamagama amaningi ebhrendi, i-Tambocor iyona evame kakhulu e-United States. Amanye amagama ebhrendi afaka i-Almarytm kanye nezinhlobo ezahlukahlukene ze-generic.

Inguqulo ye-generic ye-flecainide iqukethe isithako esifanayo esisebenzayo futhi isebenza ngokufana nezinguqulo zegama lebhrendi. Ikhemisi lakho lingashintsha i-flecainide ye-generic ngegama lebhrendi ngaphandle kokuthi udokotela wakho acele ngqo inguqulo yegama lebhrendi.

Noma ngabe uthola i-flecainide ye-generic noma yegama lebhrendi, ukusebenza kahle komuthi kanye nephrofayili yokuphepha kuhlala kufana. Umehluko omkhulu uvame ukuba yizindleko, ngezinguqulo ze-generic ngokuvamile zibiza kancane.

Ezinye izindlela ze-Flecainide

Eminye imithi eminingi ingelapha ukushaya kwenhliziyo okungajwayelekile uma i-flecainide ingafaneleki kuwe. Udokotela wakho angase acabangele i-propafenone, esebenza ngendlela efana ne-flecainide kodwa ingase ithuthukiswe kangcono ngabanye abantu.

Ezinye izindlela zifaka i-sotalol, i-amiodarone, noma i-dronedarone, ngalinye linendlela ehlukile yokusebenza kanye namaphrofayili emiphumela emibi. Ama-beta-blockers afana ne-metoprolol noma ama-calcium channel blockers afana ne-diltiazem angase futhi abe yizinketho ngokuya ngesimo sakho esithile.

Ukwelashwa okungekona okwemithi njengokushiswa nge-catheter noma amadivaysi afakelwayo njengama-pacemakers noma ama-defibrillators kungase kucatshangelwe ngezinhlobo ezithile ze-arrhythmias. Udokotela wakho wenhliziyo uzosiza ekunqumeni indlela engcono kakhulu yokwelapha ngokusekelwe esimweni sakho.

Ingabe i-Flecainide ingcono kune-Propafenone?

Kokubili i-flecainide ne-propafenone ziyimithi esebenzayo yokwelapha ukushaya kwenhliziyo okungajwayelekile, kodwa akukho noyedwa ongcono kunomunye. Ukukhetha kuncike esimweni sakho senhliziyo esithile, umlando wezokwelapha, nokuthi uyikwazi kangakanani ukubekezelela imithi ngayinye.

I-Flecainide ivame ukusebenza kahle ezinhlotsheni ezithile ze-atrial fibrillation futhi ingase ibangele imiphumela emibi emincane emathunjini. Kodwa-ke, i-propafenone ingase ithandwe uma unesifo senhliziyo esincane noma ezinye izimo zenhliziyo lapho i-flecainide ingafaneleki.

Udokotela wakho uzocabangela izinto ezinjengokusebenza kwezinso zakho, eminye imithi oyithathayo, kanye nohlobo lwakho oluthile lwe-arrhythmia lapho ekhetha phakathi kwale mithi. Ngezinye izikhathi, ukuzama umuthi owodwa kuqala bese ushintsha uma kudingeka kuyindlela engcono kakhulu.

Imibuzo Evame Ukubuzwa Mayelana ne-Flecainide

Q1. Ingabe i-Flecainide iphephile kubantu abanezifo zenhliziyo?

I-Flecainide ingaphepha kubantu abanezinhlobo ezithile zezifo zenhliziyo, kodwa idinga ukuhlolwa ngokucophelela ngudokotela wenhliziyo. Umuthi ngokuvamile uphephile kubantu abanenhliziyo ejwayelekile ngokwesakhiwo noma izimo zenhliziyo ezincane.

Kodwa-ke, i-flecainide ayinconyelwe abantu abanesifo senhliziyo esikhulu, ukuhlaselwa yinhliziyo kwakamuva, noma isifo semithambo yenhliziyo esibi. Udokotela wakho uzoqhuba izivivinyo ezinjenge-echocardiogram ukuhlola ukwakheka nokusebenza kwenhliziyo yakho ngaphambi kokunquma i-flecainide.

Q2. Kufanele ngenzeni uma ngiphuzile i-Flecainide eningi ngengozi?

Uma ngabe uthathe i-flecainide eningi ngengozi, xhumana nodokotela wakho noma izinsiza eziphuthumayo ngokushesha. Ukuthatha okuningi kungabangela izinguquko eziyingozi esigqi senhliziyo yakho, isiyezi esikhulu, noma ukuquleka.

Ungalindi ukubona ukuthi ngabe izimpawu ziyavela yini, njengoba ukweqisa kwe-flecainide kungaba yingozi. Iya egumbini eliseduze lezimo eziphuthumayo noma shayela izinsiza zokulwa nobuthi ku-1-800-222-1222 ukuze uthole isiqondiso ngokushesha.

Letha ibhodlela lomuthi nawe ukuze abahlinzeki bezempilo bazi kahle ukuthi uthathe malini nokuthi nini. Isikhathi sibalulekile ekwelapheni ukweqisa kwemithi ngempumelelo.

Q3. Kufanele ngenzeni uma ngiphuthelwa umthamo we-Flecainide?

Uma uphuthelwa umthamo we-flecainide, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kulokho, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungabangela imiphumela emibi eyingozi. Uma uvame ukukhohlwa imithamo, cabanga ukusebenzisa umhleli wamaphilisi noma ukusetha izikhumbuzi zocingo.

Uma uphuthelwa imithamo eminingi noma ungaqiniseki ukuthi wenzeni, xhumana nehhovisi likadokotela wakho ukuze uthole isiqondiso. Ukulinganisa okungaguquki kubalulekile ekugcineni ukulawulwa kwesigqi senhliziyo esiqinile.

Q4. Ngingayeka nini ukuthatha i-Flecainide?

Yeka kuphela ukuthatha i-flecainide uma udokotela wakho ekutshela ukuthi kuphephile ukwenza kanjalo. Noma ngabe isigqi senhliziyo yakho sizizwa sijwayelekile futhi uzizwa kahle, ukuyeka kungazelelwe kungabangela ukuthi ukushaya kwenhliziyo kwakho okungajwayelekile kubuye noma kube kubi kakhulu.

Udokotela wakho ngokuvamile uzofuna ukuqapha isigqi senhliziyo yakho isikhathi esithile ngenkathi uthatha i-flecainide ngaphambi kokucabangela ukuyeka. Lokhu kungabandakanya ukugqoka i-monitor yenhliziyo noma ukuba nama-ECG avamile.

Lapho sekuyisikhathi sokuyeka, udokotela wakho ngokuvamile uzokwehlisa umthamo wakho kancane kancane ezinsukwini eziningana noma emasontweni kunokuyeka konke ngasikhathi sinye. Lokhu kusiza ekuvikeleni imiphumela yokubuyela emuva.

Q5. Ngingakwazi yini ukuzivocavoca ngenkathi ngithatha i-Flecainide?

Abantu abaningi bangakwazi ukuzivivinya ngokuphepha ngenkathi bethatha i-flecainide, kodwa kufanele uxoxe ngezinhlelo zakho zokuzivivinya nodokotela wakho kuqala. Umuthi ungase uthinte indlela inhliziyo yakho esabela ngayo emsebenzini womzimba.

Qala ngokuzivivinya okulula bese ukhuphula kancane kancane amandla njengoba uthola. Naka ukuthi uzizwa kanjani ngesikhathi nangemva kokuzivivinya, bese uyeka uma uba nobuhlungu besifuba, ukuphefumula kanzima kakhulu, noma isiyezi.

Udokotela wakho angase ancome imigomo ethile yokushaya kwenhliziyo noma izinhlobo zokuzivivinya eziphephe kakhulu kuwe. Ukuzivivinya njalo, okulingene ngokuvamile kunenzuzo empilweni yenhliziyo uma kwenziwa ngokuphepha.