Amiodarone

Qanacsan

• Kahor qaadashada amiodarone,
• Amiodarone wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, isla markiiba wac dhakhtarkaaga ama aad hesho daaweyn caafimaad oo degdeg ah:
• Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:

Amiodarone wuxuu sababi karaa dhaawac sambabaha oo noqon kara mid halis ah ama nafta halis geliya. U sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabtid nooc ka mid ah cudur sambabaha ama haddii aad waligaa yeelatay waxyeelo sambabada ah ama dhibaatooyin neefsashada ah inta aad qaadaneysid amiodarone. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga: qandho, neef-qabad, xiiq, dhibaatooyin kale oo xagga neefsashada ah, qufac, ama qufac ama tufid dhiig.

Amiodarone sidoo kale wuxuu sababi karaa dhaawac beerka ah. U sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabto cudurka beerka. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga: lallabbo, matag, kaadida midabka madow leh, daal saaid ah, maqaarka ama indhaha oo hurdi noqda, cuncun, ama xanuun qaybta sare ee midig ee caloosha.

Amiodarone wuxuu sababi karaa arrhythmia-kaaga (wadna garaaca wadnaha oo aan joogto ahayn) inuu ka sii daro ama wuxuu kuu sababi karaa inaad yeelato arrhythmias cusub. U sheeg dhakhtarkaaga haddii aad waligaa dawakh tahay ama aad madax wareersan tahay ama aad miyir beeshay maxaa yeelay garaaca wadnahaaga ayaa aad u gaabis ah iyo haddii aad yeelatay ama aad waligaa dhiiggaagu ku yar yahay heerarka potassium ama magnesium; cudurka wadnaha ama tayroodhka; ama wax dhibaato ah oo laxanka wadnahaaga ah oo aan ka aheyn arrhythmia-da la daaweynayo. U sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad qaadanayso mid ka mid ah daawooyinka soo socda: antifungals sida fluconazole (Diflucan), ketoconazole (Nizoral), iyo itraconazole (Onmel, Sporanox); azithromycin (Zithromax, Zmax); xayiraadaha beta sida propranolol (Hemangeol, Inderal, Innopran); Kaalshiyamka kaaliyayaasha sida diltiazem (Cardizem, Cartia, Diltzac, Tiazac, kuwa kale), iyo verapamil (Calan, Covera, Verelan, Tarka); cisapride (Propulsid; lagama heli karo Mareykanka); clarithromycin (Biaxin); clonidine (Catapres, Kapvay); durayaasha ('kaniiniyada biyaha'); dofetilide (Tikosyn); erythromycin (E.E.S, E-Mycin, Erythrocin); antibiyootikada fluoroquinolone sida ciprofloxacin (Cipro), levofloxacin (Levaquin), lomefloxacin (oo aan laga heli karin Mareykanka), moxifloxacin (Avelox), norfloxacin (oo aan laga heli karin Mareykanka), ofloxacin, iyo sparfloxacin (oo aan laga heli karin Mareykanka); daawooyinka kale ee garaaca wadnaha aan caadiga ahayn sida digoxin (Lanoxin), yeeleramramide (Norpace), flecainide, ivabradine (Corlanor), phenytoin (Dilantin, Phenytek), procainamide, quinidine (Nuedexta), iyo sotalol (Betapace, Sorine, Sotylize) iyo thioridazine. Haddii aad leedahay mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga: madax-xanuun; miyir beelid; dhakhso, gaabis, ama garaaca wadnaha garaacis; ama aad dareento in wadnahaagu ka booday garaac.

Waxaa suuragal ah in isbitaalka lagaa dhigo hal toddobaad ama ka badan markii aad daawadaada ku bilowdo amiodarone. Dhakhtarkaaga ayaa si taxaddar leh kuu kormeeri doona inta lagu jiro waqtigan iyo inta aad ka qaadaneyso qaadashada amiodarone. Dhakhtarkaagu wuxuu kuugu bilaabi doonaa qadar sare oo ah amiodarone wuxuuna si tartiib tartiib ah uyareeyaa qiyaastaada maadaama daawadu bilaabmayso inay shaqeyso. Dhakhtarkaaga ayaa laga yaabaa inuu yareeyo qiyaastaada inta lagu jiro daaweyntaada haddii aad isku aragto waxyeelo. Raac tilmaamaha dhakhtarkaaga si taxaddar leh.

Ha u joojin qaadashada amiodarone adigoon la hadlin dhakhtarkaaga. Waxaad u baahan kartaa in si dhow laguu ilaaliyo ama xitaa isbitaal la dhigo marka aad joojiso qaadashada amiodarone. Amiodarone ayaa jirkaaga ku sii jiri kara xoogaa markii aad joojiso qaadashada, sidaa darteed dhakhtarkaaga ayaa si taxadar leh kuu ilaalin doona inta lagu jiro waqtigan.

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhaqtarkaaga ayaa amri doona baaritaano gaar ah, sida baaritaanada dhiiga, raajada, iyo electrocardiogram (EKGs, baaritaanada duuba dhaqdhaqaaqa korontada ee wadnaha) kahor iyo inta lagu guda jiro daaweyntaada si loo hubiyo inay amaan kuu tahay inaad qaadato amiodarone iyo hubi jawaabta jirkaaga ee daawada.

Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo saaraha (Tilmaamaha Daawada) marka aad bilowdo daaweynta amiodarone iyo waqti kasta oo aad dib u buuxiso daawadaada. Si taxaddar leh u akhri macluumaadka oo weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid.Waxaad sidoo kale kaheli kartaa Hagaha Daawada websaydhka FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.

Takhtarkaaga kala hadal halista qaadashada amiodarone.

Amiodarone waxaa loo isticmaalaa in lagu daaweeyo lagana hortago noocyada qaarkood ee halista wadnaha ee halista ah, ee nafta halista u ah (nooc gaar ah oo ka mid ah wadnaha oo aan caadi ahayn markii daawooyinka kale aysan caawin ama loo dulqaadan karin. nasashada murqaha wadnaha ee firfircoon.

Amiodarone wuxuu u yimaadaa kiniin ahaan afka laga qaato. Waxaa badanaa la qaataa hal ama laba jeer maalintii. Waad qaadan kartaa amiodarone midkood ama ha cunin ama ha cunin, laakiin hubi inaad u qaadatid si isku mid ah waqti kasta.Riji tilmaamaha ku qoran warqadda daawadaada si taxaddar leh, weydiina dhakhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado amiodarone sida saxda ah ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Amiodarone sidoo kale mararka qaarkood waxaa loo isticmaalaa in lagu daaweeyo noocyada kale ee arrhythmias. Kala hadal dhakhtarkaaga khataraha aad u leedahay isticmaalka dawadan xaaladaada.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada amiodarone,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay amiodarone, iodine, daawooyin kale, ama wax ka mid ah maaddooyinka ku jira kiniiniyada amiodarone. Weydii farmashiistahaaga ama ka hubi Hagaha Daawada liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, iyo nafaqada nafaqada ee aad qaadanaysid ama qorsheyneyso inaad qaadato. Hubso inaad sheegto dawooyinka ku taxan qaybta DIGNIIN MUHIIM AH iyo mid ka mid ah kuwan soo socda: antidepressants ('mood elevators') sida trazodone (Oleptro); daawooyinka xinjirowga lidka ku ah ('khafiifiyeyaasha dhiigga') sida dabigatran (Pradaxa) iyo warfarin (Coumadin, Jantoven); dawooyinka hoos u dhigaya kolestaroolka qaarkood sida atorvastatin (Lipitor, in Caduet, in Liptruzet), cholestyramine (Prevalite), lovastatin (Altoprev, in Advicor), iyo simvastatin (Zocor, in Simcor, in Vytorin); cimetidine; clopidogrel (Plavix); cyclosporine (Gengraf, Neoral, Sandimmune); dextromethorphan (waa daawo ku jirta diyaarinta qufac badan); fentanyl (Actiq, Duragesic, Fentora, kuwa kale); Kahortagayaasha 'protease HIV' sida indinavir (Crixivan) iyo ritonavir (Norvir, Kaletra, Viekira Pak); ledipasvir iyo sofosbuvir (Harvoni); lithium (Lithobid); loratadine (Claritin); daawooyinka sonkorowga ama suuxdinta; methotrexate (Otrexup, Rasuvo, Trexall); daawooyinka daroogada ee xanuunka; rifampin (Rifadin, Rimactane, gudaha Rifamate, Rifater); iyo sofosbuvir (Solvaldi) oo leh simeprevir (Olysio). Daawooyin kale oo badan ayaa laga yaabaa inay la falgalaan amiodarone, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan. Dhakhtarkaaga ayaa laga yaabaa inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga waxa ka soo baxa dhirta aad qaadanaysid, gaar ahaan johannesört wort.
• u sheeg dhakhtarkaaga haddii aad qabto shuban ama aad qabto ama aad waligaa qabtid mid ka mid ah xaaladaha lagu xusay qaybta Digniinta Muhiimka ah ama dhibaatooyinka cadaadiska dhiiggaaga.
• u sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. La hadal dhakhtarkaaga haddii aad qorsheyneyso inaad uur yeelato inta lagu jiro daaweyntaada maxaa yeelay amiodarone ayaa laga yaabaa inuu jirkaaga ku sii jiro in muddo ah ka dib markaad joojiso qaadashada. Haddii aad uur yeelato inta aad qaadanaysid amiodarone, isla markiiba wac dhakhtarkaaga. Amiodarone wuxuu sababi karaa waxyeelo uurjiifka ah.
• u sheeg dhakhtarkaaga haddii aad naas nuujinayso. Ha nuujin naaska inta aad qaadanaysid amiodarone.
• kala hadal dhakhtarkaaga khataraha qaadashada daawadan haddii aad tahay 65 sano jir ama ka weyn. Dadka waayeelka ah waa inaysan badiyaa qaadan amiodarone maxaa yeelay ma ahan mid amaan ah ama waxtar u leh daawooyinka kale ee loo isticmaali karo in lagu daaweeyo isla xaaladaas.
• haddii aad qalliin ku jirto, oo ay ku jiraan qalliinka ilkaha ama qalliinka indhaha indhaha, u sheeg dhakhtarkaaga ama dhakhtarkaaga ilkaha inaad qaadanayso amiodarone.
• qorsheyso inaad iska ilaaliso soo-gaadhista qorraxda ama laydhka qorraxda ee aan loo baahnayn ama daba dheeraatay iyo inaad xidhato dhar difaac ah, muraayadaha indhaha, iyo muraayadda qorraxda. Amiodarone ayaa laga yaabaa inuu maqaarkaaga u nuglaado iftiinka qoraxda. Maqaarka la kashifay ayaa isu rogi kara buluug-cawl oo aan caadi ku soo noqon doonin xitaa ka dib markaad joojiso qaadashada daawadan.
• waa inaad ogaataa in amiodarone uu sababi karo dhibaatooyin araga oo ay kujiraan indho la'aan joogto ah. Hubso inaad si joogto ah u baarto indhaha inta lagaa daaweynayo oo wac dhakhtarkaaga haddii indhahaagu qallalaan, u nugul yihiin iftiinka, haddii aad aragto halos, ama aragti daciif ah ama dhibaatooyin kale oo araggaaga ah.
• waa inaad ogaataa in amiodarone laga yaabo inuu jirkaaga ku sii jiro dhowr bilood ka dib markaad joojiso qaadashada. Waxaad sii wadi kartaa inaad la kulanto waxyeelada amiodarone inta lagu jiro waqtigan. Hubso inaad u sheegto bixiye kasta oo daryeel caafimaad oo ku daaweeya ama kuu qoro wax daawo kuu ah inta lagu jiro waqtigan oo ah inaad dhawaan joojisay qaadashada amiodarone.

Ha cabbin casiir canab ah inta aad qaadanaysid dawadan.

Ka gudub qiyaasta la seegay oo sii wad jadwalkaaga qiyaasta daawada ee caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

Amiodarone wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• calool istaag
• cunto xumo
• madax xanuun
• galmada oo yaraatay
• dhibaato xagga hurdada ama hurdada ah
• dhaqid
• isbedelka awooda dhadhanka iyo urta
• isbeddelada xaddiga candhuufta

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, isla markiiba wac dhakhtarkaaga ama aad hesho daaweyn caafimaad oo degdeg ah:

• finan
• miisaanka oo yaraada ama kordha
• degganaansho la'aan
• daciifnimo
• gariirid
• xanaaq
• dulqaad la'aan kuleylka ama qabowga
• timo khafiifinaya
• dhidid badan
• isbeddelada wareegga caadada
• barar xagga hore ee qoorta (goiter)
• barar gacmaha, cagaha, anqawyada, ama lugaha hoose
• gariir aan la koontarooli karin qayb ka mid ah jirka
• feejignaanta oo yaraatay
• dhaqdhaqaaqyada aadan xakamayn karin
• isku-duwidda liidata ama socodka oo dhib ku ah
• kabuubyo ama ruxruxasho gacmaha, lugaha, iyo cagaha
• daciifnimada muruqyada

Amiodarone wuxuu sababi karaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog iftiinka, kuleylka badan iyo qoyaanka (ha ku jirin musqusha).

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:

• garaaca wadnaha oo gaabis ah
• lallabbo
• aragga oo xumaada
• madax wareer
• miyir beelid

Ha u ogolaan qof kale inuu qaato daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

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