Ngati muyang'ana kabati yanu ya mankhwala kunyumba, kapena mankhwala a amayi anu, abambo anu, agogo anu, kapena agogo anu, pali mwayi waukulu woti mudzakumana ndi mtundu uwu wa mankhwala. Mwina inunso mumagwiritsa ntchito mankhwalawa. Lero tikulankhula za beta-blockers, omwe ndi mankhwala odziwika bwino komanso ofunikira kwambiri pakati pa anthu ambiri m'dziko lathu. Ngakhale kuti dzinali lingawoneke lovuta pang'ono mukalimva, nkhaniyi ndi yosavuta. Tiyeni tiwone zomwe izi ndi, momwe zimagwirira ntchito, komanso ubwino ndi kuipa kwake.
Mwachidule, kodi ma beta-blockers awa ndi chiyani?
Ma Beta-blockers ndi mankhwala omwe amatengedwa ndi dokotala yekha. Amagwiritsidwa ntchito makamaka pochiza matenda angapo okhudzana ndi mtima ndi kayendedwe ka magazi.
Ganizirani mtima wanu ngati injini ya galimoto. Nthawi zina injini iyi imagwira ntchito mofulumira kwambiri komanso molimbika. Ma beta-blockers amathandiza kuchepetsa liwiro la mtima ndikupumitsa mtima ndi mitsempha yamagazi pang'ono. Izi zimathandiza kuchepetsa kuthamanga kwa magazi ndikupangitsa kuti mtima ugwire ntchito mosavuta .
Kodi mankhwalawa amagwiritsidwa ntchito pa matenda amtundu wanji?
Ma beta-blockers sali ngati mankhwala ochiritsira zonse, ndi opha anthu ambiri. Izi zikutanthauza kuti, akaperekedwa pa vuto limodzi, matenda ena angapo okhudzana ndi vutoli amatha kuthetsedwa. Tiyeni tiwone milandu yayikulu yomwe amagwiritsidwa ntchito.
| Mkhalidwe | Kufotokozera kosavuta |
|---|---|
| Zokhudzana kwambiri ndi mtima ndi kuyenda kwa magazi | |
| Kuthamanga kwa magazi (BP) | Tonse tikudziwa kuti 'kupanikizika' kukuwonjezeka. |
| Kupweteka pachifuwa (Angina) | Ululu wofinya womwe umabwera chifukwa cha magazi osakwanira kufika pamtima. |
| Kusakhazikika kwa kugunda kwa mtima (Arrhythmias) | Kugunda kwa mtima kosakhazikika. Mwachitsanzo, kugunda kwa mtima mofulumira (tachycardia). |
| Pambuyo pa Matenda a Mtima | Kupewa matenda ena a mtima ndi kuteteza mtima. |
| Kulephera kwa Mtima Wodzaza ndi Mitsempha | Mtima sungathe kupompa magazi okwanira kupita ku thupi. |
| Pa matenda ena | |
| Kupewa mutu waching'alang'ala | Mitundu ina ya beta-blockers imathandiza kuchepetsa mutu wa mutu waching'alang'ala. |
| Glaucoma | Kuwongolera kupanikizika kowonjezereka mkati mwa diso (nthawi zambiri ngati madontho a m'maso). |
| Nkhawa Yogwira Ntchito | Kuletsa mantha ndi kugunda kwambiri pachifuwa panu komwe kumachitika mukakwera siteji kapena mukapita kukafunsidwa mafunso. |
| Hyperthyroidism | Kuletsa zizindikiro monga kugunda kwa mtima ndi kunjenjemera komwe kumachitika chifukwa cha kuchuluka kwa mahomoni a chithokomiro. |
Kodi ma beta-blockers amagwira ntchito bwanji m'thupi lathu?
Izi n'zosavuta kuzimvetsa. Tili ndi mankhwala awiri omwe amapangidwa mwachibadwa m'thupi lathu, adrenaline , yomwe imadziwikanso kuti epinephrine ndi norepinephrine . Izi ndi zomwe matupi athu amatulutsa tikakhala ndi mantha, nkhawa, kapena kupsinjika maganizo. Timatcha izi "nkhondo kapena kuthawa."
Kodi chimachitika ndi chiyani mankhwala awa akayamba kugwira ntchito?
- Mtima umayamba kugunda mofulumira.
- Kuthamanga kwa magazi kumawonjezeka.
- Thupi lathu likukonzekera zadzidzidzi.
Taganizirani za mankhwala otchedwa adrenaline ngati kiyi, ndipo pali "maloko" apadera mumtima mwathu ndi m'mitsempha yamagazi omwe amalola kuti alowe ndi kutuluka. Timatcha maloko awa kuti "ma receptor." Ma Beta-blockers amaletsa maloko awa (ma receptor), monga kuyika china chake mu loko. Kenako kiyi ya adrenaline singalowe ndi kutuluka mu loko.
Zotsatira zake n’zotani? Kugunda kwa mtima kumayendetsedwa, mitsempha yamagazi imamasuka, ndipo kuthamanga kwa magazi kumatsika. Zosavuta kwambiri, eti?
Mtima uli ndi ma beta-1 (B1) receptors makamaka. Mitundu ina ya ma beta-blockers imaletsa ma B1 receptors okha, omwe ndi apadera pamtima. Timawatcha kuti ma cardioselective beta-blockers. Mitundu ina imaletsa ma B1 ndi B2 receptors omwe amapezeka kwina m'thupi. Sasankha . Dokotala wanu adzasankha mtundu womwe uli woyenera kwa inu.
Mitundu yodziwika bwino
Mwachitsanzo, Metoprolol ndi mankhwala oletsa matenda a mtima omwe amagwiritsidwa ntchito kwambiri. Carvedilol ndi mankhwala osasankha. Palinso mitundu ina yambiri kupatula iyi.
Kodi ndiyenera kumwa mankhwalawa kwa nthawi yayitali bwanji? Nanga chimachitika ndi chiyani ndikasiya kumwa mwadzidzidzi?
Funso ili ndi lofunika kwambiri. Ma beta-blockers nthawi zambiri amakhala mankhwala a nthawi yayitali. Anthu ena angafunike kuwamwa moyo wawo wonse.
Chofunika kwambiri ndichakuti musasiye kumwa mankhwalawa mwadzidzidzi pazifukwa zilizonse popanda kulankhula ndi dokotala wanu. Kuchita zimenezi kungayambitse kukwera kwadzidzidzi kwa kuthamanga kwa magazi, kupweteka pachifuwa, kapena matenda aakulu monga matenda a mtima. Ngati muli ndi vuto lililonse chifukwa cha mankhwalawa, lankhulani ndi dokotala wanu za vutoli. Iye angasinthe mlingo kapena kukusinthani ku mankhwala ena ngati pakufunika kutero.
Kodi ubwino wa beta-blockers ndi wotani?
Popeza mtundu uwu wa mankhwala wakhala ukugwiritsidwa ntchito padziko lonse lapansi kwa zaka zambiri, anthu ambiri akumvetsa bwino ubwino wake komanso chitetezo chake.
- Zimakuthandizani kukhala ndi moyo wathanzi komanso wautali: Ngati zigwiritsidwa ntchito moyenera, izi zitha kuchepetsa chiopsezo cha matenda akuluakulu monga matenda a mtima ndi sitiroko ndikuwonjezera moyo wanu.
- Mayankho a mavuto angapo pogwiritsa ntchito mankhwala amodzi:Mavuto a mtima ndi kuyenda kwa magazi zimayenderana, kotero beta-blocker yoperekedwa chifukwa cha kuthamanga kwa magazi ingapereke zabwino zina, monga kuwongolera kugunda kwa mtima.
- Ofufuzidwa bwino: Mankhwalawa si atsopano, choncho madokotala amadziwa bwino momwe amagwirira ntchito komanso zotsatira zake.
- Mtengo wotsika: Ma beta-blockers ambiri, makamaka omwe ali ndi mayina wamba, ndi otsika mtengo, zomwe zimapangitsa kuti chithandizo cha nthawi yayitali chikhale chotsika mtengo.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, ma beta-blockers amatha kuyambitsa zotsatirapo zoyipa mwa anthu ena. Komabe, si aliyense amene amalandira mankhwalawa. Zina mwa zomwe zimapezeka kwambiri ndi izi:
- Chizungulire
- Kutopa kwambiri komanso kutopa
- Pakamwa ndi maso ouma
- Manja ndi mapazi ozizira
- Kusowa tulo kapena maloto achilendo
Kawirikawiri, matenda monga vuto la kusowa maliseche anenedwanso. Ngati muli ndi kukayikira kapena mantha okhudza zotsatirapo zilizonsezi, ndi bwino kulankhula ndi dokotala wanu popanda kuchita manyazi.
Ndiyenera kupita kwa dokotala nthawi yanji?
Ngati mukumwa mankhwala oletsa beta, ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo ngati zizindikiro zotsatirazi zikuwonekera mwadzidzidzi kapena zikuipiraipira.
- Kuvuta kupuma
- Kupweteka pachifuwa
- Kugunda kwa mtima (kumva ngati mtima wanu ukugunda mofulumira kwambiri, kugunda, kapena kulumpha kugunda)
- Kukomoka
- Chizungulire pafupipafupi
Ngati mukukumana ndi zizindikiro zoopsa izi, pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Ma beta-blockers ndi mtundu wofunikira kwambiri wa mankhwala omwe amagwiritsidwa ntchito pochiza matenda angapo, kuphatikizapo kuthamanga kwa magazi ndi matenda a mtima.
- Izi zimagwira ntchito polamulira kugunda kwa mtima ndi kumasula mitsempha yamagazi.
- Musasiye kumwa mankhwalawa popanda upangiri wa dokotala. Zingakhale zoopsa.
- Ngati muli ndi zotsatirapo zilizonse kapena mavuto ndi mankhwala, lankhulani momasuka ndi dokotala wanu za izi.
- Ngati mukumva zizindikiro zoopsa monga kupweteka pachifuwa ndi kuvutika kupuma, pitani kuchipatala nthawi yomweyo.
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