Tej zaum koj lossis ib tug neeg hauv koj tsev neeg tau txais tshuaj rau 'ntshav siab' los ntawm koj tus kws kho mob. Los yog tej zaum koj tau txais tshuaj los tswj koj lub plawv dhia, rau mob hauv siab, lossis kom lub plawv ua haujlwm zoo. Beta-Blockers yog ib hom tshuaj tseem ceeb heev uas feem ntau tau muab tshuaj rau hauv cov xwm txheej zoo li no. Thaum koj hnov lub npe no, qee tus neeg ntshai me ntsis, xav tias, "Cov tshuaj no yog hom twg?" Tab sis qhov tseeb, qhov no yog ib hom tshuaj muaj txiaj ntsig thiab muaj kev nyab xeeb uas tau pab cawm ntau lab tus neeg thoob ntiaj teb tau ntau xyoo. Yog li, cia peb tham txog qhov no kom meej hnub no, hauv txoj kev uas koj tuaj yeem nkag siab, thiab hauv txoj kev yooj yim heev.
Cov beta-blockers yog dab tsi hauv cov lus yooj yim?
Zoo, cia peb xav li no. Xav txog koj lub plawv zoo li lub cav uas tso ntshav tas li thoob plaws koj lub cev. Qee zaum lub cav no ua haujlwm sai dhau, lossis nws ua haujlwm hnyav dhau. Ces peb cov ntshav siab tuaj yeem nce ntxiv, thiab peb lub plawv tuaj yeem nkees.
Cov tshuaj Beta-blockers ua haujlwm los ntawm kev ua kom lub cav qeeb, ua kom nws so, thiab pab kom nws ua haujlwm tau zoo dua. Cov tshuaj no ua rau koj lub plawv dhia qeeb thiab so koj cov hlab ntsha . Qhov no ua rau cov ntshav ntws tau yooj yim dua thoob plaws koj lub cev. Yog li ntawd, koj cov ntshav siab txo qis, uas txo qhov kev ntxhov siab ntawm koj lub plawv. Hais yooj yim, lawv ua haujlwm ua 'tus pab' uas pab koj lub plawv ua haujlwm hnyav dua.
Cov tshuaj no siv rau cov mob twg?
Cov tshuaj Beta-blockers tsis yog ib hom tshuaj uas siv ib zaug xwb. Cov kws kho mob tau sau ntawv kom siv rau ntau yam mob. Feem ntau siv rau kev kho mob ntawm lub plawv thiab cov ntshav ncig, tab sis kuj siv rau kev kho mob ntawm ntau yam mob.
Cia peb saib seb qhov no yog dab tsi.
| Cov mob uas kho nrog beta-blockers | |
|---|---|
| Cov Kab Mob Plawv | |
| Ntshav siab (Tshuaj ntshav siab) | Qhov no yog qhov laj thawj feem ntau uas tau muab. Cov no zoo heev rau kev tswj cov ntshav siab. |
| Mob hauv siab (angina) | Txo qhov mob hauv siab thiab mob uas tshwm sim los ntawm cov ntshav tsis txaus mus rau lub plawv. |
| Mob plawv nres | Tiv thaiv koj lub plawv tom qab muaj mob plawv nres thiab txo qhov kev pheej hmoo ntawm lwm qhov mob plawv nres. |
| Kev Mob Plawv Tsis Ua Haujlwm | Txhawb lub plawv thaum nws tsis muaj zog thiab tsis muaj peev xwm tso ntshav txaus rau lub cev. |
| Lub plawv dhia tsis xwm yeem (Arrhythmias) | Tswj cov mob xws li tachycardia. |
| Kev tawg ntawm cov hlab ntsha hauv lub plawv (aortic dissection/aneurysm) | Kho cov teeb meem uas tshwm sim hauv cov hlab ntsha tseem ceeb uas pib hauv lub plawv. |
| Lwm Yam Mob | |
| Kev tiv thaiv mob taub hau migraine | Qee hom beta-blockers pab tiv thaiv kev mob taub hau migraines. |
| Kev txhawj xeeb thiab kev ntshai ntau dhau (Kev Ntxhov Siab Txog Kev Ua Haujlwm) | Tswj qhov kev ntshai ntau dhau, lub plawv dhia ceev, thiab kev tawm hws uas tshwm sim ua ntej mus rau ntawm theem lossis mus xeem. |
| Mob pob qhov muag | Nws muaj nyob rau hauv cov tshuaj qhov muag uas siv los txo qhov siab hauv qhov muag. |
| Kev mob hyperthyroidism | Tswj cov tsos mob xws li lub plawv dhia ceev thiab kev co uas tshwm sim los ntawm cov tshuaj hormones thyroid ntau ntxiv. |
| Kev tshee hnyo tseem ceeb | Tswj cov kev co ntawm cov ceg, xws li tes, uas tsis yog los ntawm lwm yam kab mob. |
Cov tshuaj no ua haujlwm li cas hauv lub cev? (Lawv ua haujlwm li cas?)
Yuav kom nkag siab qhov no, peb yuav tsum paub me ntsis txog kev teb ntuj tsim hauv peb lub cev. Xav txog tias koj tab tom taug kev hauv txoj kev thiab mam li nco dheev muaj dev dhia los. Koj ntshai, puas yog? Tom qab ntawd yuav ua li cas? Koj lub plawv dhia ceev dua, koj txhais tes hws, thiab koj lub cev tshee hnyo. Peb hu qhov no ua "kev tawm tsam lossis khiav".
Lub sijhawm no, peb lub cev tso tawm cov neurotransmitters thiab cov tshuaj hormones hu ua adrenaline , epinephrine , thiab norepinephrine . Cov no yog cov uas ua rau lub plawv dhia thiab ntshav siab.
Tam sim no, txhawm rau kom cov epinephrine thiab norepinephrine no ua haujlwm hauv lub cev, lawv yuav tsum mus thiab txuas rau cov 'receptors' tshwj xeeb ntawm peb cov hlwb. Nws zoo li tus yuam sij haum rau hauv lub xauv. Muaj ntau hom receptors no. Ob hom tseem ceeb tshaj plaws rau peb yog:
- Beta-1 (B1) receptors: Cov no feem ntau pom muaj nyob hauv koj lub plawv.
- Beta-2 (B2) receptors: Cov no feem ntau pom muaj nyob rau hauv cov chaw xws li lub ntsws thiab cov hlab ntsha.
Cov tshuaj beta-blockers ua haujlwm los ntawm kev thaiv cov beta receptors no, zoo li muab tus yuam sij sib txawv tso rau hauv lub xauv. Ces cov adrenaline ntawd tsis tuaj yeem los thiab khi rau cov receptors no. Yog li ntawd, lub plawv dhia tsis nce, cov hlab ntsha tsis nqaim. Hloov chaw, lub plawv so, cov hlab ntsha so, thiab lub siab raug tswj. Koj puas nkag siab?
Muaj ob hom beta-blockers tseem ceeb:
1. Cardioselective (tshuaj rau lub plawv): Qee cov beta-blockers tsuas yog thaiv cov B1 receptors hauv lub plawv xwb. Cov no zoo tshaj plaws rau cov neeg uas muaj kab mob ua pa xws li hawb pob. Piv txwv li, Metoprolol .
2. Tsis xaiv: Lwm hom thaiv ob qho tib si B1 thiab B2 receptors. Ib qho piv txwv yog Carvedilol .
Koj tus kws kho mob yuav xaiv hom uas haum rau koj tshaj plaws raws li koj tus mob, hnub nyoog, thiab seb koj puas muaj lwm yam kab mob.
Yuav tsum noj cov beta-blockers ntev npaum li cas?
Qhov no yog ib lo lus nug uas ntau tus neeg nug. Cov tshuaj Beta-blockers tsis yog ib yam dab tsi uas koj feem ntau noj rau ob lossis peb hnub thiab tom qab ntawd tsum. Lawv feem ntau yuav tsum tau siv ntev . Ib txhia neeg noj cov tshuaj no rau tas lawv lub neej. Lawv pab kom koj lub plawv thiab cov ntshav siab ruaj khov, tiv thaiv koj ntawm cov mob hnyav xws li mob plawv thiab mob hlwb.
Qhov tseem ceeb tshaj plaws yog tsis txhob tsum noj cov tshuaj no tam sim ntawd yam tsis tau koj tus kws kho mob qhia. Ua li ntawd yuav ua rau koj lub plawv dhia thiab ntshav siab nce siab sai sai thiab txaus ntshai. Yog tias koj muaj kev txhawj xeeb lossis txhawj xeeb txog kev phiv, nrog koj tus kws kho mob tham txog qhov ntawd.
Cov txiaj ntsig ntawm hom tshuaj no yog dab tsi?
Muaj ntau ntau yam ua rau vim li cas beta-blockers thiaj li siv dav.
- Pab koj kom muaj lub neej noj qab haus huv thiab ntev dua: Kev tshawb fawb tau qhia tias cov tshuaj no pab ua kom lub neej ntev dua, tshwj xeeb tshaj yog los ntawm kev txo qhov kev pheej hmoo ntawm kab mob plawv thiab mob hlwb, txo qhov kev pw hauv tsev kho mob vim yog lub plawv tsis ua haujlwm.
- Kev kho mob ntau yam tshuaj: Cov teeb meem plawv thiab cov ntshav ncig muaj feem cuam tshuam. Yog li ntawd, thaum noj cov tshuaj beta-blockers rau ntshav siab, lawv kuj tuaj yeem tswj tau lub plawv dhia thiab angina.
- Zoo Kawm: Vim tias cov tshuaj no tau siv rau ntau xyoo lawm, cov kws kho mob thiab cov kws tshawb fawb muaj kev nkag siab zoo txog lawv cov txiaj ntsig, kev nyab xeeb, thiab cov kev mob tshwm sim.
- Tus nqi qis dua: Ntau cov beta-blockers (tshwj xeeb tshaj yog cov generics) pheej yig dua, ua rau lawv yog ib qho kev xaiv nyiaj txiag zoo thaum noj mus sij hawm ntev.
Cov beta-blockers puas muaj cov kev mob tshwm sim?
Ib yam li lwm yam tshuaj, cov beta-blockers tuaj yeem ua rau muaj qee qhov kev mob tshwm sim. Tab sis nco ntsoov, tsis yog txhua tus neeg tau txais tag nrho cov kev mob tshwm sim no. Cov neeg feem coob tuaj yeem siv cov tshuaj no yam tsis muaj teeb meem. Txawm tias koj tau txais kev mob tshwm sim los xij, nws feem ntau ploj mus tom qab ob peb hnub thaum koj lub cev tau siv rau cov tshuaj.
| Hom kev phiv tshuaj | Kev piav qhia |
|---|---|
| Cov kev mob tshwm sim uas pom ntau zaus |
|
| Cov kev mob tshwm sim tsawg tsawg |
|
Yog tias koj tseem muaj qhov teeb meem no, lossis yog nws ua rau koj ntxhov siab, nco ntsoov nrog koj tus kws kho mob tham yam tsis tas tso tseg noj tshuaj. Tej zaum yuav tsum tau hloov qhov ntau npaum li cas, lossis koj yuav tsum tau hloov mus rau lwm hom beta-blocker.
Thaum twg koj yuav tsum mus ntsib kws kho mob tam sim ntawd?
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no thaum noj cov beta-blockers, tsis txhob tsis quav ntsej lawv. Nrhiav kev pab kho mob tam sim ntawd. Tej zaum koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm koj lub tsev kho mob ze tshaj plaws.
- Ua tsis taus pa hnyav heev
- Mob hauv siab los yog nruj
- Teeb meem plawv dhia: Lub plawv dhia ceev, lub plawv dhia ceev, lossis xav tias lub plawv dhia ceev dhau
- Tsaus muag
- kiv taub hau heev heev
Cov no tuaj yeem yog cov cim qhia txog tus mob hnyav, yog li nws yog ib qho tseem ceeb uas yuav tsum ua sai sai thaum lub sijhawm zoo li no.
Cov tshuaj beta-blockers yog ib yam tshuaj tseem ceeb heev uas cawm tau txoj sia hauv peb txoj kev kho mob. Yog tias koj tus kws kho mob tau sau cov tshuaj no rau koj, nws yog los tiv thaiv koj lub plawv thiab pab koj ua neej noj qab nyob zoo. Yog li ntawd, tsis txhob ntshai cov tshuaj no yam tsis tsim nyog, tab sis ua raws li cov lus qhia ntawm tus kws kho mob. Txawm koj muaj teeb meem dab tsi los xij, tham nrog koj tus kws kho mob txog nws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov tshuaj Beta-blockers yog ib hom tshuaj uas feem ntau siv los kho cov mob xws li ntshav siab thiab kab mob plawv.
- Cov no ua haujlwm los ntawm kev ua kom lub plawv dhia qeeb, ua kom cov hlab ntsha so, thiab txo qhov siab rau lub plawv.
- Tsis txhob tsum noj cov tshuaj no tam sim ntawd yam tsis tau koj tus kws kho mob qhia. Nws tuaj yeem ua rau muaj kev phom sij.
- Tej zaum yuav muaj tej yam tsis zoo xws li qaug zog thiab kiv taub hau, tab sis feem ntau yuav ploj mus li ob peb hnub. Yog tias koj muaj kev txhawj xeeb dab tsi, nrog koj tus kws kho mob tham.
- Yog koj mob hauv siab heev, ua pa nyuaj, lossis tsis nco qab, nrhiav kev pab kho mob tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus