Ndeapi Mhedzisiro Mhedzisiro yeBeta-Blockers?

Zvemukati

• Chii chinonzi beta-blockers chakatemerwa?
• Ndeapi marudzi akasiyana e beta-blockers?
• Nonselective beta-blockers
• Cardioselective beta-blockers
• Chechitatu-chizvarwa beta-blockers
• Ndeipi mhedzisiro?
• Ko beta-blockers inofambidzana nemimwe mishonga here?
• Unogona here kunwa doro uchitora beta-blockers?
• Ndiani asingafanire kutora beta-blockers?
• Ndeapi ruzivo rwakakosha kugovana nachiremba wako?
• Zvakachengeteka here kurega kushandisa beta-blockers?
• Chinokosha

Beta-blockers inobatsira kudzikamisa kumhanya uye simba rekurova kwemoyo wako zvakare uchideredza yako BP. Ivo vanoshanda nekudzivirira iyo hormone adrenaline (epinephrine) kubva pakusunga kune beta receptors.

Kufanana nemishonga yakawanda, beta-blockers inogona kukonzera mhedzisiro. Kazhinji, vanachiremba vanopa mishonga iyi nekuti njodzi dzinosanganisirwa nemamiriro ezvinhu dzinopfuura mhedzisiro mhedzisiro beta-blockers inogona kukonzera.

Ramba uchiverenga kuti uwane zvimwe nezve zvingangoitika mhedzisiro uye kudyidzana kwezvinodhaka zvebeta-blockers, pamwe nekudzivirira kutora.

Chii chinonzi beta-blockers chakatemerwa?

Beta-blockers inowanzo gadzirirwa mamiriro ane chekuita nemoyo, kusanganisira:

• kurwadziwa muchipfuva (angina)
• congestive moyo kutadza
• kukwirira kweropa (hypertension)
• kusagadzikana kwemwoyo (arrhythmia)
• postural tachycardia syndrome (POTS)
• kudzivirira kurwiswa kwemoyo (myocardial infarction) muvanhu vakatove nekurwadziwa kwemoyo

Iko kune beta-receptors muviri wako wese, kwete chete mumoyo mako. Nekuda kweizvozvo, beta-blockers dzimwe nguva anonyorerwa mamwe mamiriro, senge migraine, kushushikana, uye glaucoma.

Ndeapi marudzi akasiyana e beta-blockers?

Haasi ese beta-blockers akagadzirwa akaenzana. Kune akawanda akasiyana beta-blockers, uye imwe neimwe inoshanda nenzira yakati siyanei.

Vanachiremba vanofunga zvinhu zvakawanda pavanofunga kuti ndeipi beta-blocker yekupa. Izvi zvinosanganisira:

• mamiriro ari kurapwa
• njodzi yemhedzisiro
• mamwe mamiriro aunawo
• mimwe mishonga yauri kutora

Kune matatu makuru mhando dze beta-blockers, imwe neimwe inotsanangurwa zvakadzama pazasi. Vari:

• nonselective
• cardioselective
• chizvarwa chechitatu

Nonselective beta-blockers

Dzakatenderwa muma1960, yekutanga beta-blockers yaive yekusarura. Mune mamwe mazwi, ivo vakaita pane ese beta beta mumuviri wako, kusanganisira:

• beta-1 receptors (moyo neitsvo maseru)
• beta-2 receptors (mapapu, mudziyo weropa, mudumbu, chibereko, mhasuru, uye maseru eropa)
• beta-3 receptors (mafuta maseru)

Sezvo aya beta-blockers asingasiyanisi pakati pemhando dzakasiyana dze beta receptors, vanopa njodzi yakati rebei yemhedzisiro.

Izvi zvinonyanya kuitika kune vanhu vanosvuta kana vane mamiriro emapapu senge asthma kana chisingaperi obstructive pulmonary chirwere (COPD).

Zvimwe zvakajairika zvekusarura beta-blockers zvinosanganisira:

• nadolol (Corgard)
• oxprenolol (Trasicor)
• pindolol (Visken)
• propranolol (Inderal, InnoPran XL)
• sotalol (Betapace)

Cardioselective beta-blockers

Dzimwe dzichangoburwa beta-blockers dzakagadzirirwa kunongedza chete beta-1 receptors mumasero emwoyo. Izvo hazvikanganise mamwe beta-2 receptors uye nekudaro akachengeteka kune vanhu vane mamiriro emapapu.

Zvimwe zvakajairika cardioselective beta-blockers zvinosanganisira:

• acebutolol (Chikamu)
• atenolol (Tenormin)
• bisoprolol (Zebeta)
• metoprolol (Lopressor, Toprol XL)

Chechitatu-chizvarwa beta-blockers

Chechitatu-chizvarwa beta-blockers ine mamwe mhedzisiro iyo inobatsira kuenderera mberi nekuzorodza tsinga dzeropa uye kurerutsa yakakwira BP.

Zvimwe zvakajairika chechitatu-chizvarwa beta-blockers dzinosanganisira:

• chakavezwa (Coreg)
• labetalol (Normodyne)
• nebivolol (Bystolic)

Kutsvagisa mukushandiswa kwechitatu-chizvarwa beta-blockers kuri kuenderera. Zvimwe zvidzidzo zvinoratidza kuti iyi mishonga inogona kunge iri yakachengeteka sarudzo kune vanhu vane metabolic syndrome.

Semuenzaniso, maererano neongororo ya2017 yezvidzidzo, nebivolol inogona kunge iri nzira yekurapa yakakodzera kune vanhu vane yakakwira BP pamwe neshuga isina simba (glucose) uye mafuta metabolism.

A pamakonzo akagumisa kuti carvedilol yakawedzera kushivirira kweglucose uye kunzwisisika kune insulin. Izvi ndizvo zvinhu zviviri zvakakosha mune chirwere cheshuga. Kuwedzera kutsvagurudza kunodiwa kuti unzwisise kana carvedilol ine maitiro akafanana muvanhu.

Ndeipi mhedzisiro?

Beta-blockers haina basa, yakachengeteka, uye inodhura. Nekuda kweizvozvo, ivo vanowanzo kuve mutsara wekutanga wekurapa mumamiriro emoyo.

Mhedzisiro inowanzoitika ye beta-blockers ndeiyi:

• Kuneta uye dzungu. Beta-blockers inodzora kurova kwemoyo wako. Izvi zvinogona kukonzeresa zviratidzo zvine hukama neakaderera BP (hypotension).
• Kutenderera kwakashata. Mwoyo wako unorova zvishoma nezvishoma paunotora beta-blockers. Izvi zvinoita kuti zviome zvakanyanya kuti ropa risvike kumagumo ako. Unogona kunzwa kutonhora kana kugwinha mumaoko nemakumbo.
• Zviratidzo zvepamuviri. Izvi zvinosanganisira kushushikana mudumbu, kuda kurutsa, uye kuita manyoka kana kuzvimbirwa. Kutora beta-blockers nechikafu kunogona kubatsira kubvisa zviratidzo zvemudumbu.
• Kusagadzikana pabonde. Vamwe vanhu vanotaura kusagadzikana kwe erectile pavanotora beta-blockers. Ichi chinowanzoitika mitezo nemishonga inoderedza BP.
• Kurera huremu. Ichi chiitiko cheparutivi chevamwe vakura, vasina kusarudzika beta-blockers. Vanachiremba havana chokwadi nei zvichiitika, asi zvinogona kunge zvine chekuita nekuti beta-blockers inokanganisa sei metabolism yako.

Mimwe mhedzisiro isingawanzo kuverengerwa inosanganisira:

• Kunetseka kufema. Beta-blockers inogona kukonzera mapapu mhasuru spasms izvo zvinoita kuti zvive zvakaoma kufema. Izvi zvinowanzoitika kune vanhu vane mamiriro emapapu.
• Yakakwira shuga yeropa (hyperglycemia). Beta-blockers inogona kukonzera shuga yeropa muvanhu vane chirwere cheshuga.
• Kushungurudzika, kushaya hope, uye hope dzinotyisa. Iyi mhedzisiro inowanzoitika kune vakura, vasina kusarudzika beta-blockers.

Tsvaga kurapwa pakarepo kana iwe ukawana chero yeanotevera madambudziko panguva yekutora beta-blockers:

• Zviratidzo zvechinetso chemwoyo: kufema kufema, kukosora kunowedzera nekurovedza muviri, kurwadziwa pachipfuva, kurova kwemoyo zvisina kujairika, kuzvimba makumbo kana makumbo.
• Zviratidzo zvechinetso chemapapu: mweya wekufema, chipfuva chakasimba, kufema
• Zviratidzo zvechinetso chechiropa: yero ganda (jaundice) uye yero machena emeso

Ko beta-blockers inofambidzana nemimwe mishonga here?

Ehe, beta-blockers anogona kusangana nemimwe mishonga. Zvimwe zvacho zvinosanganisira:

• mishonga yemakemikari
• yokutindivadza
• anti-ulcer mishonga
• mishonga inodzvinyirira
• cholesterol-kudzikisa zvinodhaka (statins)
• decongestants uye mimwe mishonga inotonhora
• insulin uye mimwe mishonga yeshuga
• mishonga yeasthma neCOPD
• mushonga wechirwere chaPasinson (levodopa)
• tsandanyama relaxants
• nonsteroidal anti-inflammatory drug (NSAIDs), kusanganisira ibuprofen
• mimwe mishonga inoshandiswa kurapa kukwirisa kweropa, kurwadziwa pachipfuva, uye kurova kwemoyo zvisina kujairika
• mamwe maantibayoti, kusanganisira rifampicin (Rifampin)

Iwe unofanirwa kutaurira chiremba wako nezve yese mishonga uye zvinowedzera zvaunotora.

Unogona here kunwa doro uchitora beta-blockers?

Zviri nani kudzivirira kunwa doro kana iwe ukatora beta-blockers.

Zvese beta-blockers uye doro zvinogona kudzikisa yako BP. Kubatanidza izvo zviviri kunogona kukonzera kuwedzerwa kweropa rako kudonha nekukurumidza. Izvi zvinogona kukusiya uchinzwa kushaya simba, dzungu, kana musoro wakareruka. Unogona kutofenda kana ukamira nekukasira.

Ehezve, iyi mhedzisiro inoenderana neyese yakatemwa dosi ye beta-blockers uye kuti unonwa zvakadii. Nepo pasina mubatanidzwa wakachengeteka zvachose, kuva nechinwiwa chinodhakwa apo neapo kunogona kutadza kuita njodzi. Asi zviri nani kutanga watarisa nachiremba wako.

Iwe unofanirwa zvakare kutaura nachiremba wako kana kudzivirira doro kuchikuomera. Mimwe mishonga inogona kuwanikwa.

Ndiani asingafanire kutora beta-blockers?

Beta-blockers haisi yemunhu wese. Vanogona kuisa njodzi huru kune vanhu vane inotevera mamiriro:

• asthma, COPD, nezvimwe zvirwere zvemapapu
• chirwere cheshuga
• yakaderera BP (hypotension) kana inononoka kurova kwemoyo (bradycardia)
• metabolic acidosis
• zvakakomba kutenderera kweropa mamiriro, senge chiitiko chaRaynaud
• yakasimba congestive moyo kutadza
• chirwere chakakomba chetsinga

Kana iwe uine imwe yeanorapwa mamiriro akanyorwa pamusoro, chiremba wako angangotarisa dzimwe sarudzo usati waisa beta-blocker.

Ndeapi ruzivo rwakakosha kugovana nachiremba wako?

Kutaura nachiremba wako nezve hutano hwako uye chero marapirwo mamiriro anogona kukubatsira iwe kudzivirira yakaipa mhedzisiro.

• Rega chiremba wako azive kana iwe uri nepamuviri, kuyedza kuve nepamuviri, kana kuyamwisa.
• Kudzivirira kusangana kwemishonga, ipa chiremba wako runyorwa rweyese mishonga uye zvinowedzera zvaunotora.
• Iva akatendeseka nezve doro rako, fodya, uye kushandisa zvinodhaka. Izvi zvinhu zvinogona kuwirirana ne beta-blockers.

Zvakachengeteka here kurega kushandisa beta-blockers?

Izvo zvine njodzi kumira kutora beta-blockers nekukasira, kunyangwe iwe uri kusangana nemhedzisiro.

Paunotora beta-blockers, muviri wako unojairira kunonoka moyo wako. Kana iwe ukarega kutora izvo kamwe kamwe, iwe unogona kuwedzera njodzi yako yechinetso chakakomba chemwoyo, senge chirwere chemwoyo.

Bata chiremba wako kana iwe ukawana isingafadzi mhedzisiro ne beta-blockers ayo anogara kweinopfuura zuva kana maviri. Chiremba wako anogona kupa rumwe rudzi rwemishonga, asi iwe uchazoda kutora zvishoma nezvishoma beta-blocker dose yako.

Chinokosha

Beta-blockers anoshandiswa kurapa mamiriro emoyo. Kufanana nemishonga yese, ivo vanotakura njodzi yemhedzisiro uye kudyidzana.

Usati watora beta-blockers, zvakakosha kutaura nachiremba wako nezve chero mamiriro ehutano aunayo, chero mishonga uye zvinowedzera zvaunotora, pamwe nekushandisa kwako doro, fodya, uye chero zvinodhaka zvekuvaraidza.

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchingeita. Chiremba wako anogona kukubatsira kubvisa zvakachengeteka beta-blockers uye kupa mushonga wakasiyana.