ISotalol, iThebhulethi yomlomo

Umxholo

• Amagqabantshintshi esotalol
• Yintoni isotalol?
• Kutheni isetyenziswa
• Ingaba isebenza kanjani
• Iziphumo ebezingalindelekanga zeSotalol
• Iziphumo eziqhelekileyo ezichaphazelekayo
• Iziphumo ebezingalindelekanga ezimandundu
• Uyithatha njani i-sotalol
• Isisombululo se-ventricular arrhythmia
• Isisombululo se-atrial fibrillation okanye i-atrial flutter
• Thatha njengoko kuyalelwe
• Ukuba uyeka ukuthatha ngokukhawuleza
• Ukuba uthatha kakhulu
• Yintoni omele uyenze xa uphosa idosi
• Ungaxela njani ukuba ichiza liyasebenza
• Izilumkiso zeSotalol
• Izilumkiso ze-FDA
• Isilumkiso senhliziyo
• Isilumkiso sezempilo yezintso
• Isilumkiso sokuyeka ngokukhawuleza iziyobisi
• Isilumkiso somzimba
• Utywala isilumkiso
• Izilumkiso kubantu abaneengxaki ezithile zempilo
• Izilumkiso kumaqela athile
• I-Sotalol inokusebenzisana namanye amayeza
• Amayeza amaninzi e-sclerosis
• Iziyobisi zentliziyo
• Beta-iibhlokhi
• Ulwaphulo-mthetho
• Uxinzelelo lwegazi iziyobisi
• Iibhlokhi zesitayile seCalcium
• Amachiza aphelisa iCatecholamine
• Iziyobisi zeswekile
• Iziyobisi zokuphucula ukuphefumla
• Ezinye ii-antacids
• Iziyobisi zengqondo
• Amayeza okubulala iintsholongwane
• Ukuqwalaselwa okubalulekileyo kokuthatha i-sotalol
• Ngokubanzi
• Ukugcina
• Ukuzalisa kwakhona
• Ukuhamba
• Ukubeka iliso kwezonyango
• I-inshurensi
• Ngaba zikhona ezinye iindlela?
• Ibhokisi yenyani
• Nini ukubiza ugqirha
• Ibhokisi yenyani

Amagqabantshintshi esotalol

1. I-Sotalol iyafumaneka njengamachiza enziwe afana nalawo enziwa ngumenzi nanjengegama lonyango. Amagama eBrand: iBetapace kunye neSorine. I-Sotalol AF iyafumaneka njengamachiza enziwe afana nalawo aveliswe ngumenzi nanjengegama lesiqhelo. Igama lebrand: Betapace AF.
2. I-Sotalol sisiyobisi esine-antiarrhythmic esisetyenziselwa ukunyanga i-ventricular arrhythmia. I-Sotalol AF isetyenziselwa ukunyanga i-atrial fibrillation okanye i-flutter yentliziyo.
3. I-Sotalol kunye ne-sotalol AF ayinakutshintshwa enye kwenye. Banomahluko kwidosi, ulawulo kunye nokhuseleko. Qinisekisa ukuba uyazi ukuba yeyiphi imveliso ye-sotalol oyithathayo.
4. Ukuqala konyango lwakho neli chiza, kunye nokunye ukunyuka kwedosi, kuya kwenzeka kwindawo apho isingqi sentliziyo yakho sinokujongwa khona.

Yintoni isotalol?

I-Sotalol sisiyobisi esamiselweyo. Iyafumaneka njengecwecwe lomlomo kunye nesisombululo semithambo.

ISotalol iyafumaneka njengeziyobisi-zegama leziyobisi Igama loqhagamshelwano Betapace kwaye I-Sorine. I-Sotalol AF iyafumaneka njengechiza elinegama lophawu IBetapace AF.

I-Sotalol kunye ne-Sotalol AF nazo ziyafumaneka kwiinguqulelo eziqhelekileyo. Amachiza enziwe afana nalawo aveliswe ngumenzi ahlala enexabiso elincinci. Ngamanye amaxesha, azinakufumaneka kuwo onke amandla okanye kwifom njengohlobo lwegama lophawu.

Ukuba uthatha i-sotalol AF ukunyanga ukubetha kwentliziyo ngokungaqhelekanga, uya kuyithatha kunye nonyango olucekeceke igazi.

Kutheni isetyenziswa

I-Sotalol yi-beta-blocker. Isetyenziselwa ukunyanga:

• i-ventricular arrhythmia (i-sotalol)
• i-atrial fibrillation kunye ne-atrial flutter (sotalol AF)

Ingaba isebenza kanjani

I-Sotalol yeyiklasi yamachiza abizwa ngokuba yi-antiarrhythmics. Isebenza ngokunciphisa isingqisho sentliziyo esingaqhelekanga. Inceda nemithambo yegazi ukuba iphumle, enokunceda intliziyo yakho isebenze ngcono.

Iziphumo ebezingalindelekanga zeSotalol

I-Solatol inokubangela iziphumo ebezingalindelekanga ezinobulali okanye ezinobuzaza. Olu luhlu lulandelayo luqulathe ezinye zeziphumo ebezingalindelekanga ezinokubakho ngelixa uthatha iSolatol. Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga ezinokubakho.

Ngolwazi oluthe kratya malunga neziphumo ebezingalindelekanga ezinokubakho zeSolatol, okanye iingcebiso ngendlela yokujongana nefuthe elibi, thetha nogqirha okanye usokhemesti.

Iziphumo eziqhelekileyo ezichaphazelekayo

Iziphumo eziqhelekileyo eziqhelekileyo ezinokuthi zenzeke nge-sotalol zibandakanya:

• isantya sentliziyo esisezantsi
• ukuqhawukelwa ngumphefumlo
• ukudinwa
• isicaphucaphu
• utywala okanye intloko
• ubuthathaka

Ukuba ezi ziphumo zincinci, zinokuhamba zingaphelanga iintsuku okanye iiveki ezimbalwa. Ukuba zinzima kakhulu okanye azihambi, thetha nogqirha wakho okanye usokhemesti.

Iziphumo ebezingalindelekanga ezimandundu

Shayela ugqirha wakho ngokukhawuleza ukuba unemiphumo emibi. Tsalela umnxeba ku-911 ukuba iimpawu zakho ziziva zisongela ubomi okanye ukuba ucinga ukuba unempilo kaxakeka. Iziphumo ebezingalindelekanga ezimandundu kunye neempawu zazo zinokubandakanya oku kulandelayo:

• iingxaki zentliziyo, kubandakanya:
  • iintlungu zesifuba
  • ukubetha kwentliziyo okungaqhelekanga (torsades de pointes)
  • ukubetha kwentliziyo kancinci
• iingxaki zesisu, kubandakanya:
  • ukugabha
  • urhudo
• Ukuphikiswa komzimba, kubandakanya:
  • ukuvutha okanye ingxaki yokuphefumla
  • irhashalala
• ukubanda, ukubetha, okanye ukuba ndindisholo ezandleni zakho okanye ezinyaweni
• ukudideka
• iintlungu zemisipha
• ukubila
• imilenze idumbile okanye amaqatha
• ukungcangcazela okanye ukushukuma
• ukunxanwa okungaqhelekanga okanye ukulahleka kwesidlo

Uyithatha njani i-sotalol

Idosi yesolatol emiselweyo ngugqirha iya kuxhomekeka kwizinto ezininzi. Oku kubandakanya:

• uhlobo kunye nobunzima bemeko oyisebenzisayo ukusombulula i-solatol
• iminyaka yakho
• uhlobo lwe-solatol oyithathayo
• ezinye iimeko zonyango onokuba nazo

Ngokuqhelekileyo, ugqirha wakho uya kukuqala kwiqondo eliphantsi kwaye ulungelelanise ixesha elide ukufikelela kumthamo olungele wena. Ekugqibeleni baya kumisela idosi encinci enika isiphumo esifunekayo.

Olu lwazi lulandelayo luchaza iidosi eziqhelekileyo ezisetyenziswayo okanye ezicetyiswayo. Nangona kunjalo, qiniseka ukuthatha idosi ekumisela ugqirha wakho.

Ugqirha wakho uya kumisela eyona idosi ilungele iimfuno zakho.

Isisombululo se-ventricular arrhythmia

Ngokwesiqhelo: isotalol

• Ifom: ithebhulethi yomlomo
• Amandla: I-80 milligrams (mg), 120 mg, kunye ne-160 mg

Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu)

• Idosi yokuqala ecetyiswayo yi-80 mg ethathwe amaxesha amabini ngosuku.
• Idosi yakho inokunyuka kancinci. Iintsuku ezintathu ziyafuneka phakathi kotshintsho lwedosi ukuze ubeke esweni intliziyo yakho kunye neziyobisi ezaneleyo ukuba zibekhona emzimbeni wakho ukunyanga i-arrhythmia.
• Idosi yakho yemihla ngemihla inokunyuswa iye kwi-240 okanye i-320 mg ngosuku. Oku kuya kufana ne-120 ukuya kwi-160 mg ethathwe amaxesha amabini ngosuku.
• Unokufuna iidosi eziphezulu ze-480-640 mg ngosuku ukuba unobungozi besoyikiso sentliziyo. Le dose ephezulu kufuneka inikwe kuphela xa isibonelelo sidlula umngcipheko weziphumo ebezingalindelekanga.

Umthamo womntwana (iminyaka eyi-2-17 iminyaka)

• Umthamo usekwe kumphezulu womzimba ebantwaneni.
• Idosi yokuqala ecetyiswayo zii-30 milligrams kwimitha nganye nganye (mg / m²) kuthathwe kathathu ngemini (90 mg / m² idosi yemihla ngemihla). Oku kulingana ne-160 mg ngosuku yedosi yabantu abadala.
• Umthamo womntwana wakho unokunyuswa ngokuthe ngcembe. Iintsuku ezintathu ziyafuneka phakathi kotshintsho lwedosi ukuze ubeke esweni intliziyo yomntwana wakho kunye neziyobisi ezaneleyo ukuba zibekhona emzimbeni womntwana wakho ukunyanga i-arrhythmia.
• Amanani okonyusa asekwe kwimpendulo yeklinikhi, ukubetha kwentliziyo, kunye nesingqisho sentliziyo.
• Idosi yomntwana wakho inokunyuswa iye kuma-60 mg / m ubuninzi² (phantse ilingana ne-360 mg ngosuku yethamo labantu abadala).

Idosi yomntwana (iminyaka eyi-0-2 iminyaka)

• Idosi yabantwana abangaphantsi kweminyaka emi-2 ubudala isekwe kubudala beenyanga. Ugqirha womntwana wakho uya kubala idosi yakho.
• Idosi yemihla ngemihla kufuneka inikwe kathathu ngemini.

Isisombululo se-atrial fibrillation okanye i-atrial flutter

Ngokwesiqhelo: isotalol AF

• Ifom: ithebhulethi yomlomo
• Amandla: 80 mg, 120 mg, kunye ne-160 mg

Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu):

Idosi yokuqala ecetyiswayo ye-AFIB / AFL yi-80 mg kabini yonke imihla. Le dosi inokunyuswa ngokunyuka kwama-80 mg ngosuku yonke imihla ye-3 kuxhomekeke ekusebenzeni kwezintso.

Ugqirha wakho uya kumisela idosi yakho kwaye kufuneka ulisebenzise kangaphi eli yeza.

Umthamo womntwana (iminyaka eyi-2-17 iminyaka)

• Umthamo ebantwaneni usekwe kumphezulu womzimba.
• Idosi yokuqala ecetyiswayo yi-30 mg / m² kuthathwe kathathu ngemini (90 mg / m² idosi yemihla ngemihla). Oku kulingana ne-160 mg ngosuku yedosi yabantu abadala.
• Umthamo womntwana wakho unokunyuswa ngokuthe ngcembe.
• Iintsuku ezintathu ziyafuneka phakathi kotshintsho lwedosi ukuze kubekwe esweni intliziyo yomntwana wakho kunye nokuba ichiza lanele emzimbeni womntwana wakho ukunyanga i-arrhythmia.
• Ukunyusa idosi kusekwe kwimpendulo yeklinikhi, ukubetha kwentliziyo, kunye nesingqisho sentliziyo.
• Idosi yomntwana wakho inokunyuswa iye kuma-60 mg / m ubuninzi² (phantse ilingana ne-360 mg ngosuku yethamo labantu abadala).

Idosi yomntwana (iminyaka eyi-0-2 iminyaka)

• Ukulinganisa abantwana abangaphantsi kweminyaka emi-2 ubudala kusekelwe kubudala beenyanga. Ugqirha wakho uya kubala idosi yakho.
• Idosi yemihla ngemihla kufuneka inikwe kathathu ngemini.

Thatha njengoko kuyalelwe

I-Sotalol isetyenziselwa unyango lwexesha elide. Kuza neengozi ukuba awuyithathi njengoko kumiselwe ngugqirha wakho.

Ukuba uyeka ukuthatha ngokukhawuleza

Ukumisa ngesiquphe i-sotalol kunokukhokelela kwintlungu yesifuba, iingxaki zesingqisho sentliziyo, okanye isifo sentliziyo. Xa uyeka ukuthatha eli yeza, kuya kufuneka ujongwe kwaye ujonge ukusebenzisa enye i-beta-blocker, ngakumbi ukuba unesifo semithambo.

Ukuba uthatha kakhulu

Ukuba ucinga ukuba uthathe kakhulu, yiya kwigumbi likaxakeka okanye uqhagamshelane neziko lolawulo lwetyhefu. Ezona mpawu zixhaphakileyo zokudlula ngaphezulu zisezantsi kunesiqhelo ukubetha kwentliziyo, ukusilela kwentliziyo, uxinzelelo lwegazi, iswekile esezantsi yegazi, kunye neengxaki zokuphefumla ngenxa yokuqiniswa komoya kwimiphunga yakho.

Yintoni omele uyenze xa uphosa idosi

Ukuba uphosa idosi, thatha idosi elandelayo ngexesha eliqhelekileyo. Sukuyiphinda kabini idosi elandelayo.

Ungaxela njani ukuba ichiza liyasebenza

Unokwazi ukuxelela eli chiza ukuba liyasebenza ukuba izinga lokubetha kwentliziyo yakho libuyela kwesiqhelo kwaye izinga lokubetha kwentliziyo yakho lisezantsi.

Izilumkiso zeSotalol

Eli chiza liza nezilumkiso ezininzi.

Izilumkiso ze-FDA

• Eli chiza linezilumkiso zebhokisi emnyama. Ezi zezona zilumkiso zinzima ezivela kuLawulo lokutya kunye noLawulo lweziyobisi (FDA). Isilumkiso sebhokisi emnyama silumkisa oogqirha kunye nezigulana malunga neziphumo zeziyobisi ezinokuba yingozi.
• Isilumkiso kulawulo: Ukuba uqala okanye uqala kwakhona eli yeza, kuya kufuneka ubekho kwindawo enokubonelela ngokujonga esweni kwentliziyo kunye nokuvavanywa kokusebenza kwezintso ubuncinci iintsuku ezi-3. Oku kuyakunceda ukunciphisa umngcipheko weengxaki zesingqisho sentliziyo.

Isilumkiso senhliziyo

La mayeza angabangela okanye enze mandundu imeko ebizwa ngokuba zii-torsades de pointes. Esi sisingqisho sentliziyo esingaqhelekanga. Fumana uncedo lonyango olungxamisekileyo ukuba uziva ubetha ngentliziyo ngendlela engaqhelekanga ngelixa uthatha i-sotalol. Unobungozi obandayo ukuba:

• intliziyo yakho ayisebenzi kakuhle
• unentliziyo encinci
• unamaqondo asezantsi e-potassium
• ungumfazi
• Unembali yokusilela kwentliziyo
• unentliziyo ebetha ngokukhawuleza ehlala ixesha elide kunemizuzwana engama-30
• unomsebenzi ongalunganga wezintso
• uthatha iidosi ezinkulu ze-sotalol

Isilumkiso sezempilo yezintso

I-Sotalol isuswe ikakhulu emzimbeni wakho ngezintso zakho. Ukuba unengxaki yezintso, eli chiza linokususwa ngokuthe chu, kubangele amanqanaba aphezulu eziyobisi emzimbeni wakho. Umthamo wakho weli yeza kuya kufuneka wehliswe.

Isilumkiso sokuyeka ngokukhawuleza iziyobisi

Ukumisa ngesiquphe eli yeza kunokukhokelela kwisifo esibuhlungu esifubeni, iingxaki zesingqisho sentliziyo, okanye isifo sentliziyo. Kuya kufuneka ujongwe ngokusondeleyo xa uyeka eli chiza. Umthamo wakho uya kuthotywa kancinci. Unokufumana i-beta-blocker eyahlukileyo, ngakumbi ukuba unesifo semithambo.

Isilumkiso somzimba

Sukuphinda ulithathe eli chiza ukuba ukhe waba negazi kulo. Ukuyithatha kwakhona kunokuba yingozi.

Ukuba unembali yokufumana ubomi obunobuzaza obusongela uguquko kwizigulo ezahlukeneyo, usemngciphekweni omkhulu wokukhulisa impendulo efanayo kwi-beta-blockers. Awunakuphendula kumthamo oqhelekileyo we-epinephrin esetyenziselwa ukunyanga ukungalungelani komzimba.

Utywala isilumkiso

Kuphephe ukusela utywala ngelixa uthatha eli chiza. Ukudibanisa utywala kunye ne-sotalol kunokukwenza uzele ngakumbi kwaye ube nesiyezi. Inokukhokelela kuxinzelelo lwegazi olusezantsi ngokungaqhelekanga.

Izilumkiso kubantu abaneengxaki ezithile zempilo

Kubantu abaneengxaki zentliziyo: Sukuthatha la mayeza ukuba unayo:

• izinga lokubetha kwentliziyo lingaphantsi kwe-50 beats ngomzuzu ngexesha lokuvuka
• ibhloko yesibini okanye yesibini yesidanga senhliziyo (ngaphandle kokuba i-pacemaker esebenzayo ikhona)
• ukungahambi kakuhle kwentliziyo enokubangela ukubetha kwentliziyo okukhawulezayo
• ukothuka Cardiogenic
• ukungalawuleki kwentliziyo
• umlinganiso osisiseko kumjikelo wombane wentliziyo yakho (isikhewu se-QT) esingaphezulu kwama-millisecond angama-450

Gcina oku kulandelayo engqondweni:

• Ukuba unesifo sentliziyo esinyangwa yi-digoxin okanye i-diuretics, eli yeza linokuyenza mandundu intliziyo yakho.
• Ukuba unesigqi sentliziyo esingaqhelekanga esibizwa ngokuba yi-torsades de pointes, i-sotalol inokuyenza mandundu.
• Ukuba une-torsades de pointes emva kohlaselo lwentliziyo lwamva nje, eli chiza lonyusa umngcipheko wokufa okwethutyana (kangangeentsuku ezili-14) okanye uphakamisa umngcipheko wokufa kamva.
• Eli yeza linokubangela ukubetha kwentliziyo esezantsi kubantu abaneengxaki zesingqisho sentliziyo ngenxa yokungasebenzi kakuhle kombane entliziyweni.
• Ukuba unengxaki yesingqisho sentliziyo ebizwa ngokuba sisifo se-sinus syndrome, eli chiza linokubangela ukuba izinga lokubetha kwentliziyo yakho lihle lisezantsi kunesiqhelo. Inokude ibangele ukuba intliziyo yakho iyeke.

Kubantu abane-asthma: Musa ukuthatha i-sotalol. Ukuthatha eli chiza kunokwenza imeko yakho ibe mandundu kwaye kunciphise ukuba lisebenza njani iyeza lesifuba.

Kubantu abanamanqanaba asezantsi eelectrolyte: Musa ukuthatha i-sotalol ukuba unamazinga asezantsi e-potassium okanye i-magnesium. Eli chiza linokubangela iingxaki kumjikelo wombane wentliziyo yakho. Ikwanyusa umngcipheko wakho wento ebaluleke kakhulu yentliziyo ebizwa ngokuba zii-torsades de pointes.

Kubantu abanendlela yokuqinisa umoya: Ukuba une-nonallergic tightening of your airways such as bronchitis chronic or emphysema, ngokubanzi akufuneki uthathe i-sotalol okanye ezinye i-beta-blockers. Ukuba kufuneka usebenzise eli chiza, ugqirha wakho kufuneka amisele elona dose lincinci lisebenzayo.

Kubantu abanobungozi besoyikiso ebomini: Ukuba unembali yobomi obusongelayo obusongela uguquko kwizigulo ezahlukeneyo, usengozini ephezulu yokuphucula impendulo efanayo kwi-beta-blocker. Awunakuphendula kumthamo oqhelekileyo we-epinephrin esetyenziselwa ukunyanga ukungalungelani komzimba.

Kubantu abanesifo seswekile okanye iswekile esezantsi yegazi: I-Sotalol ingazifihla iimpawu zeswekile esezantsi yegazi. Amayeza akho eswekile anokufuna ukutshintsha.

Kubantu abane-thyroid engasebenzi: I-Sotalol ingazifihla iimpawu ze-thyroid engasebenzi (hyperthyroidism). Ukuba une-hyperthyroidism kwaye ngesiquphe uyeke ukuthatha eli chiza, iimpawu zakho zinokuya zisiba mbi okanye unokufumana imeko enzulu ebizwa ngokuba sisiphepho sedlala lengqula.

Kubantu abaneengxaki zezintso: I-Sotalol icocwe ikakhulu emzimbeni wakho ngezintso zakho. Ukuba unengxaki yezintso, ichiza linokwakha emzimbeni wakho, elinokukhokelela kwiziphumo ebezingalindelekanga. Ukuba unengxaki yezintso, idosi yakho yeli chiza iya kufuneka yehliswe. Ukuba uneengxaki zezintso ezinzima, musa ukusebenzisa i-sotalol.

Izilumkiso kumaqela athile

Abafazi abakhulelweyo: I-Sotalol luluhlobo lokukhulelwa lodidi B. Oko kuthetha izinto ezimbini:

1. Izifundo ngeziyobisi kwizilwanyana ezikhulelweyo azibonisanga mngcipheko kwimveku engekazalwa.
2. Akukho zifundo zaneleyo zenziwa kwabasetyhini abakhulelweyo ukubonisa ukuba ichiza libeka umngcipheko kwimveku engekazalwa.

Tshela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. I-Sotalol kufuneka isetyenziswe ngexesha lokukhulelwa kuphela ukuba isibonelelo esinokubakho siqinisekisa ubungozi obunokubakho kwimveku engekazalwa.

Kubafazi abancancisayo: I-Sotalol inokudlula kubisi lwebele kwaye ibangele iziphumo ebezingalindelekanga kumntwana oncancisayo. Tshela ugqirha wakho ukuba uncelisa umntwana wakho. Kuya kufuneka uthathe isigqibo sokuba ungancancisa okanye uthathe i-sotalol.

Kubantwana: Akufumaniswanga ukuba eli chiza likhuselekile kwaye liyasebenza ukuba lisetyenziswe kubantu abangaphantsi kweminyaka eli-18 ubudala.

I-Sotalol inokusebenzisana namanye amayeza

I-Solatol inokusebenzisana namanye amayeza. Unxibelelwano olwahlukileyo kunokubangela iziphumo ezahlukeneyo. Umzekelo, ezinye zinokuphazamisa ukusebenza kakuhle kwesiyobisi, ngelixa ezinye zinokubangela ukwanda kweempembelelo.

Apha ngezantsi luluhlu lwamayeza anokusebenzisana nesolatol. Olu luhlu alunazo zonke iziyobisi ezinokusebenzisana nesolatol.

Ngaphambi kokuba uthathe i-solatol, qiniseka ukuxelela ugqirha wakho kunye nosokhemesti ngayo yonke into emiselweyo, ekhawuntareni, kunye nezinye iziyobisi ozithathayo. Baxelele malunga nazo naziphi na iivithamini, amayeza esintu kunye nezixhasi ozisebenzisayo. Ukwabelana ngolu lwazi kunokukunceda uphephe unxibelelwano olunokubakho.

Ukuba unemibuzo malunga nokunxibelelana kweziyobisi okunokuchaphazela, buza ugqirha wakho okanye usokhemesti.

Imizekelo yamachiza anokubangela ukuhlangana kunye ne-sotalol zidweliswe apha ngezantsi.

Amayeza amaninzi e-sclerosis

Ukuthatha fingolimo nge-sotalol inokwenza imeko yentliziyo yakho ibe mandundu. Inokukhokelela kwingxaki yesingqi esinzulu ebizwa ngokuba yi-torsades de pointes.

Iziyobisi zentliziyo

Ukuthatha Yogco nge-sotalol inokunciphisa ukubetha kwentliziyo yakho. Inokubangela iingxaki zentliziyo entsha, okanye ibangele iingxaki zesingqisho sentliziyo esenzeka rhoqo.

Beta-iibhlokhi

Sukusebenzisa i-sotalol ngomnye u-beta-blocker. Ukwenza njalo kunokunciphisa ukubetha kwentliziyo yakho kunye noxinzelelo lwegazi kakhulu. Imizekelo ye-beta-blockers ibandakanya:

• imoloprolol
• nadolol
• atenolol
• ipropranolol

Ulwaphulo-mthetho

Ukudibanisa la machiza kunye ne-sotalol kunyusa umngcipheko weengxaki zentliziyo. Ukuba uza kuqala ukuthatha i-sotalol, ugqirha wakho uya kuyeka ngononophelo ukusebenzisa kwakho la machiza kwangaphambili. Imizekelo ye-anti-arrhythmics ibandakanya:

• amiodarone
• dofetilide
• mzwbhabhi
• quinidine
• kwiinkqubo
• ibretylium
• mzwibisi

Uxinzelelo lwegazi iziyobisi

Ukuba uthatha i-sotalol kwaye uza kuyeka ukusebenzisa ichiza loxinzelelo lwegazi clonidine, ugqirha wakho uya kulawula olu tshintsho ngononophelo. Kungenxa yokuba ukumisa i-clonidine kunokukhokelela ekunciphiseni uxinzelelo lwegazi.

Ukuba i-sotalol ithatha indawo ye-clonidine, idosi yakho ye-clonidine inokuhla kancinci ngelixa idosi ye-sotalol inyuka kancinci.

Iibhlokhi zesitayile seCalcium

Ukuthatha la machiza nge-sotalol kunokunyusa iziphumo ebezingalindelekanga, ezinje ngoxinzelelo lwegazi olusezantsi kunesiqhelo. Imizekelo yala machiza ibandakanya:

• mzantsi
• mzantsi

Amachiza aphelisa iCatecholamine

Ukuba uthatha la machiza nge-sotalol, kuyakufuneka ujongwe ngononophelo kuxinzelelo lwegazi kunye nokubetha kwentliziyo okuphantsi. Ezi mpawu zinokubangela ukulahleka kwexesha elifutshane. Imizekelo yala machiza ibandakanya:

• gcwalisa
• guanethidine

Iziyobisi zeswekile

I-Sotalol inokuzigubungela iimpawu zeswekile esezantsi yegazi, kwaye inokubangela iswekile ephezulu yegazi. Ukuba uthatha i-sotalol ngonyango lweswekile olunokubangela ukusabela okuswekile egazini, idosi yonyango lweswekile iya kufuna ukuguqulwa.

Imizekelo yala mayeza ibandakanya:

• glipizide
• glyburide

Iziyobisi zokuphucula ukuphefumla

Ukuthatha i-sotalol kunye neziyobisi ezithile ukuphucula ukuphefumla kunokubenza bangasebenzi kakuhle. Imizekelo yala machiza ibandakanya:

• albuterol
• terbutaline
• luqiseren

Ezinye ii-antacids

Kunqande ukuthatha i-sotalol kwiiyure ezi-2 zokuthatha ii-antacids ezithile. Ukuzihambisa kufutshane kakhulu kwehlisa isixa se-sotalol emzimbeni wakho kunye nokunciphisa ukusebenza kwayo. Ezi zi-antiacids eziqukethe i-aluminium hydroxide kunye ne-magnesium hydroxide, enje:

• Mylanta
• Imag-Al
• Mintox
• I-cisapride (isisu sesifo se-reflux sesifo)

Iziyobisi zengqondo

Ukudibanisa iziyobisi ezithile zempilo yengqondo kunye ne-sotalol kunokwenza imeko yentliziyo yakho ibe mandundu okanye kukhokelele kwingxaki yesingqi esibi ebizwa ngokuba yi-torsades de pointes. Imizekelo yala machiza ibandakanya:

• thioridazine
• pimozide
• izipro
• i-tricyclic antidepressants, efana ne-amitriptyline, amoxapine, okanye i-clomipramine

Amayeza okubulala iintsholongwane

Ukudibanisa i-antibiotics ethile kunye ne-sotalol kunokwenza imeko yentliziyo yakho ibe mandundu. Inokukhokelela kwingxaki yesingqi esinzulu ebizwa ngokuba yi-torsades de pointes. Imizekelo yala machiza ibandakanya:

• ii-macrolides zomlomo, ezinjenge-erythromycin okanye i-clarithromycin
• iiquinolones, ezinjenge-ofloxacin, ciprofloxacin (Cipro), okanye levofloxacin

Ukuqwalaselwa okubalulekileyo kokuthatha i-sotalol

Gcina ezi ngqwalaselo engqondweni ukuba ugqirha wakho ukumisela i-sotalol.

Ngokubanzi

• Ungathatha i-sotalol kunye okanye ngaphandle kokutya.
• Unokuyityumza okanye uyinqumle ithebhulethi.
• Thatha eli chiza ngeedosi ezibekwe ngokwahlukeneyo.
  • Ukuba uyithatha amaxesha amabini ngosuku, qiniseka ukuyithatha rhoqo iiyure ezili-12.
  • Ukuba unika la mayeza emntwaneni kathathu ngemini, qiniseka ukumnika rhoqo iiyure eziyi-8.
• Ayizizo zonke iikhemesti ezigcina eli chiza. Xa ugcwalisa amayeza akho, qiniseka ukutsalela umnxeba phambili ukuze uqiniseke ukuba bayawenza.

Ukugcina

• Gcina i-sotalol kwi-77 ° F (25 ° C). Ungayigcina ixeshana elifutshane kumaqondo obushushu asezantsi kangange-59 ° F (15 ° C) kwaye aphezulu abe ngama-86 ° F (30 ° C).
• Gcina i-sotalol AF kubushushu obuphakathi kwama-68 ° F kunye nama-77 ° F (20 ° C nama-25 ° C).
• Gcina i-sotalol okanye i-sotalol AF kwisitya esivaliweyo, esinganyangekiyo.
• Musa ukugcina i-sotalol okanye i-sotalol AF kwiindawo ezifumileyo okanye ezifumileyo, ezifana nezindlu zangasese.

Ukuzalisa kwakhona

Imigqaliselo yolu nyango iyahlaziywa. Akunyanzelekanga ukuba ufune amayeza amatsha ukuze uzaliswe. Ugqirha wakho uza kubhala inani lezinto ezigcwalisiweyo kugunyaziswe ngugqirha wakho.

Ukuhamba

Xa uhamba namayeza akho:

• Soloko uphatha amayeza akho kunye nawe. Xa ubhabha, ungaze uyibeke kwingxowa ekhangelwe. Yigcine kwibhegi yakho yokuqhubela phambili.
• Musa ukuzikhathaza ngoomatshini beX-ray kwisikhululo seenqwelo-moya. Abakwazi ukulimaza amayeza akho.
• Kusenokufuneka ubonise abasebenzi besikhululo seenqwelomoya ilebhile yekhemesti yakho. Soloko uphatha ibhokisi yelebheli ebhalwe kwangaphambili.

Ukubeka iliso kwezonyango

Ngexesha lonyango lwakho neli chiza, ugqirha wakho unokukujonga. Banokujonga eyakho:

• umsebenzi wezintso
• ukusebenza kwentliziyo okanye isingqisho
• inqanaba leswekile yegazi
• uxinzelelo lwegazi okanye ukubetha kwentliziyo
• amanqanaba e-electrolyte (i-potassium, i-magnesium)
• umsebenzi we-thyroid

I-inshurensi

Iinkampani zeinshurensi zinokufuna ugunyaziso ngaphambi kokuba zihlawule iziyobisi. Igeneric ayinakudinga kugunyaziso lwangaphambili.

Ngaba zikhona ezinye iindlela?

Kukho ezinye iziyobisi ezikhoyo ukunyanga imeko yakho. Ezinye zinokukulungela ngakumbi kunezinye. Thetha nogqirha wakho malunga nezinye iindlela ezinokwenzeka.

Iphepha elichazayo ukuba awusenanto oyifunayo: I-Healthline yenze yonke imizamo yokuqinisekisa ukuba lonke ulwazi luchanekile, lubanzi kwaye luhlaziyiwe. Nangona kunjalo, eli nqaku akufuneki lisetyenziswe endaweni yolwazi kunye nobuchule bengcali yezempilo enelayisensi. Kuya kufuneka usoloko uqhagamshelana nogqirha wakho okanye nolunye uqeqesho kwezonyango ngaphambi kokuba uthathe nawaphi na amayeza. Ulwazi lweziyobisi oluqulethwe apha luyakwazi ukutshintsha kwaye alujoliswanga ekusetyenzisweni konke okunokwenzeka, imikhombandlela, izilumkiso, izilumkiso, ukuhlangana kweziyobisi, ukungahambelani komzimba, okanye iziphumo ezibi. Ukungabikho kwezilumkiso okanye olunye ulwazi ngesiyobisi esinikiweyo akubonisi ukuba indibaniselwano yeziyobisi ikhuselekile, iyasebenza, okanye ifanelekile kuzo zonke izigulana okanye konke ukusetyenziswa okuthile.

Ibhokisi yenyani

I-Sotalol inokubangela ukozela. Musa ukuqhuba, sebenzisa oomatshini, okanye wenze nayiphi na imisebenzi efuna ukuphapha kwengqondo de ube uyazi indlela ekuchaphazela ngayo eli chiza.

Nini ukubiza ugqirha

Ukuba uza kuba notyando olukhulu, xelela ugqirha wakho ukuba uthatha eli chiza. Unokwazi ukuhlala kwichiza, kodwa ugqirha wakho kufuneka azi ukuba uyalithatha. Kungenxa yokuba i-sotalol inokubangela uxinzelelo lwegazi oluphantsi kunye nengxaki yokubuyisela isingqi sentliziyo esiqhelekileyo.

Ibhokisi yenyani

Xa uqala ukuthatha i-sotalol kwaye nangaliphi na ixesha idosi yakho inyuswe, kuyakufuneka ubekwiziko lokhathalelo lwempilo. Isingqi sentliziyo kunye nokubetha kwentliziyo yakho kuya kudinga ukubekwa esweni ngokuqhubekekayo.