Pamwe iwe kana mumwe munhu mumhuri yako makanyorerwa mushonga we'BP' nachiremba wenyu. Kana kuti pamwe makapihwa mushonga wekudzora kurova kwemoyo wenyu, wekurwadziwa kwechipfuva, kana wekuchengetedza kushanda zvakanaka kwemoyo. Beta-Blockers rudzi rwemushonga rwakakosha zvikuru runowanzonyorerwa muzviitiko zvakadaro. Paunonzwa zita iri, vamwe vanhu vanotya zvishoma, vachifunga kuti, "Mushonga werudzii uyu?" Asi kutaura chokwadi, uyu mushonga unobatsira zvikuru uye wakachengeteka wakabatsira kuponesa mamiriyoni evanhu pasi rose kwemakumi emakore. Saka, ngatitaurei nezvazvo zvakadzama nhasi, nenzira yaunogona kunzwisisa, uye nenzira iri nyore.
Chii chinonzi beta-blockers muchidimbu?
Zvakanaka, ngatizvifunge seizvi. Funga nezvemoyo wako seinjini inogara ichipomba ropa mumuviri wako wese. Dzimwe nguva injini iyi inoshanda nekukurumidza, kana kuti inoshanda zvakanyanya. Ipapo BP yedu inogona kuwedzera, uye mwoyo yedu inogona kunzwa kuneta.
MaBeta-blockers anoshanda nekudzora kumhanya kweinjini, kuimisa, uye kubatsira kuti ishande zvakanaka. Mishonga iyi inoderedza kurova kwemoyo wako uye inozorodza tsinga dzeropa . Izvi zvinoita kuti ropa rifambe zviri nyore mumuviri wako wese. Nekuda kweizvozvo, BP yako inoderera, izvo zvinoderedza kushushikana pamoyo wako. Zvichitaurwa zviri nyore, anoshanda se'mubatsiri' anobatsira moyo wako kushanda nesimba.
Mushonga uyu unoshandiswa pamamiriro ezvinhu api?
Mishonga yeBeta-blockers haisi yemushonga mumwe chete. Vanachiremba vanoipa mishonga iyi kuti irape zvirwere zvakasiyana-siyana. Inonyanya kushandiswa kurapa zvirwere zvine chekuita nemwoyo nehurongwa hweropa, asi inoshandiswawo kurapa zvimwe zvirwere zvakawanda.
Ngationei kuti chii ichi.
| Matambudziko anorapwa ne beta-blockers | |
|---|---|
| Zvirwere zveMwoyo | |
| Kukwira kweropa (BP) | Ichi ndicho chikonzero chinowanzo taurwa. Izvi zvinoshanda zvikuru mukuderedza BP. |
| Angina (kurwadziwa kwechipfuva) | Deredza kuoma kwechipfuva nekurwadziwa kunokonzerwa nekusakwana kweropa rinoenda kumoyo. |
| Kumira kurova kwemoyo | Dzivirira mwoyo wako mushure mekurwara nemoyo uye deredza njodzi yekurwara nemoyo zvakare. |
| Kukundikana kweMwoyo Wakavharika | Kutsigira moyo kana usina simba uye usingakwanise kupomba ropa rakakwana mumuviri. |
| Kurova kwemoyo kusina kurongeka (Arrhythmias) | Mamiriro ekudzora akadai se tachycardia. |
| Kutsemuka kwetsinga yeropa/aneurysms | Rapa matambudziko anoitika mutsinga huru dzeropa dzinotangira mumoyo. |
| Mamwe Mamiriro Ezvinhu | |
| Kudzivirira migraine | Mamwe marudzi e beta-blockers anobatsira kudzivirira migraines. |
| Kunetseka zvakanyanya uye kutya (Kunetseka pakushanda) | Dzora kutya kwakanyanya, kurova kwemoyo, uye kudikitira kunomuka usati wakwira pachikuva kana kunyora bvunzo. |
| Glaucoma | Inowanikwa mumadonhwe emaziso anoshandiswa kuderedza kumanikidzwa mumaziso. |
| Hyperthyroidism | Dzora zviratidzo zvakaita sekurova kwemoyo nekudedera kunokonzerwa nekuwedzera kwemahormone ethyroid. |
| Kudedera Kunokosha | Dzora kudedera kwemakumbo, senge maoko, kusingakonzerwi nechimwe chirwere. |
Mishonga iyi inoshanda sei mumuviri? (Inoshanda sei?)
Kuti tinzwisise izvi, tinofanira kuziva zvishoma nezvemhinduro yechisikigo mumuviri wedu. Fungidzira kuti uri kufamba mumugwagwa uye kamwe kamwe imbwa inosvetuka. Unotya, handiti? Chii chinoitika ipapo? Mwoyo wako unorova nekukurumidza, zvanza zvako zvinodikitira, uye muviri wako unodedera. Tinoti iyi mhinduro ye "kurwa kana kutiza".
Panguva ino, muviri wedu unoburitsa ma neurotransmitters nemahormone anonzi adrenaline , epinephrine , uye norepinephrine . Izvi ndizvo zvinowedzera kurova kwemoyo uye BP.
Zvino, kuti epinephrine ne norepinephrine izvi zvishande mumuviri, zvinofanirwa kuenda kunonamatira kune 'mareceptor' akakosha pamasero edu. Zvakafanana nekiyi inoiswa mukiyi. Kune mhando dzakasiyana dzemareceptor aya. Mhando mbiri dzakakosha kwatiri ndeidzi:
- Beta-1 (B1) receptors: Izvi zvinonyanya kuwanikwa mumoyo mako.
- Beta-2 (B2) receptors: Izvi zvinonyanya kuwanikwa munzvimbo dzakadai semapapu netsinga dzeropa.
MaBeta-blockers anoshanda nekuvhara ma beta receptors aya, sekuisa kiyi yakasiyana mukiyi. Ipapo adrenaline iyoyo haigone kuuya yosunga ma receptors aya. Nekuda kweizvozvo, kurova kwemoyo hakuwedzeri, tsinga dzeropa hadzina kusimba. Pane kudaro, moyo unodzikama, tsinga dzeropa dzinozorora, uye kumanikidzwa kunodzorwa. Wanzwisisa here?
Kune mhando mbiri huru dze beta-blockers:
1. Kusarudza mwoyo (zvinoenderana nemoyo): Mamwe ma beta-blockers anongovhara ma B1 receptors mumoyo chete. Aya anonyanya kukodzera vanhu vane zvirwere zvekufema zvakaita seasthma. Muenzaniso ndeweMetoprolol .
2. Kusasarudza: Imwe mhando inovhara maB1 neB2 receptors. Muenzaniso iCarvedilol .
Chiremba wako achasarudza rudzi rwakakodzera iwe zvichienderana nemamiriro ako ehutano, zera, uye kana uine zvimwe zvirwere.
Mabeta-blockers anofanira kutorwa kwenguva yakareba sei?
Uyu mubvunzo unobvunzwa nevanhu vazhinji. Mishonga yeBeta-blockers haisi chinhu chaunowanzo nwa kwemazuva maviri kana matatu wozorega. Inowanzo shandiswa kwenguva refu . Vamwe vanhu vanotora mishonga iyi kweupenyu hwavo hwese. Inobatsira kuchengetedza mwoyo wako neBP zvakagadzikana, ichikudzivirira kubva kuzvirwere zvakakomba zvakaita sekurwadziwa kwemoyo nekurohwa nesitiroko.
Chinhu chinonyanya kukosha ndechekuti usamborega kutora mushonga uyu kamwe kamwe usina kurairwa nachiremba wako. Kuita izvi kunogona kukonzera kurova kwemoyo wako neBP yako kukwira kamwe kamwe uye zvine njodzi. Kana uine zvinokunetsa kana kuti uchinetseka nezvemhedzisiro, taura nachiremba wako nezvazvo.
Ndezvipi zvakanakira mushonga uyu?
Pane zvikonzero zvakawanda nei beta-blockers dzichishandiswa zvakanyanya.
- Inokubatsira kurarama hupenyu hune hutano uye hwakareba: Tsvagiridzo yakaratidza kuti mushonga uyu unobatsira kuwedzera makore ekurarama, kunyanya nekuderedza njodzi yezvirwere zvemwoyo nestroke, zvichideredza kugara muchipatara nekuda kwekushaya simba kwemoyo.
- Kurapa nemishonga yakasiyana-siyana: Matambudziko emwoyo neropa anoenderana. Saka, kana ma beta-blockers akatorwa nekuda kweBP, anogonawo kudzora kurova kwemoyo uye angina.
- Yanyatsodzidzwa: Nekuti mishonga iyi yave ichishandiswa kwemakumi emakore, vanachiremba nemasayendisiti vane ruzivo rwakanaka rwekushanda kwayo, kuchengetedzeka kwayo, uye migumisiro yayo.
- Mutengo wakaderera: Mishonga yakawanda ye beta-blockers (kunyanya mishonga yegenerics) inodhura zvishoma, zvichiita kuti ive sarudzo yakanaka yemari kana ikatorwa kwenguva refu.
Ko beta-blockers ine mhedzisiro yakaipa here?
Kufanana nemushonga upi zvawo, ma beta-blockers anogona kukonzera mimwe migumisiro. Asi yeuka kuti havasi vese vanowana migumisiro iyi yese. Vanhu vazhinji vanogona kushandisa mushonga uyu pasina matambudziko. Kunyangwe ukauwana mhedzisiro, inowanzo pera mushure memazuva mashoma muviri wako pawajaira mushonga.
| Rudzi rwemhedzisiro yakaipa | Tsananguro |
|---|---|
| Migumisiro inowanzoonekwa |
|
| Migumisiro isingawanzoitiki |
|
Kana ukaramba uine mhedzisiro iyi, kana kuti zvichikunetsa, iva nechokwadi chekutaura nachiremba wako usingamire mushonga. Muyero wemushonga ungangoda kuchinjwa, kana kuti ungangoda kuchinja kune imwe mhando ye beta-blocker.
Unofanira kuona chiremba nekukasika rini?
Kana ukaona chimwe chezviratidzo zvinotevera paunenge uchitora mishonga ye beta-blockers, usazviregeredza. Tsvaga rubatsiro rwechiremba nekukasika. Ungangoda kuenda kuEmergency Department (ETU) yechipatara chiri pedyo newe.
- Kufema zvishoma
- Kurwadziwa kwechipfuva kana kuomarara
- Matambudziko ekurova kwemoyo: Kurova kwemoyo, kurova kwemoyo, kana kunzwa kuti moyo uri kurova nekukurumidza
- Kufenda
- Dzungu rakakomba rinowanzoitika
Izvi zvinogona kuva zviratidzo zvechirwere chakakomba, saka zvakakosha kuita chimwe chinhu nekukurumidza panguva yakaita seiyi.
Beta-blockers mushonga unokosha zvikuru, unoponesa hupenyu musayenzi yedu yezvekurapa. Kana chiremba wako akakunyorera mushonga uyu, ndewekuchengetedza moyo wako uye kukubatsira kurarama hupenyu hwakanaka. Saka, usatya mushonga zvisina kufanira, asi tevera mirairo yachiremba chaizvo. Chero dambudziko raunaro, taura nachiremba wako pachena nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Mishonga inonzi Beta-blockers imhando yemishonga inowanzo shandiswa kurapa zvirwere zvakaita seBP nechirwere chemwoyo.
- Izvi zvinoshanda nekudzikamisa kurova kwemoyo, kuzorodza mitsipa yeropa, uye kuderedza kumanikidzwa kwemoyo.
- Usamborega kutora mushonga uyu kamwe kamwe usina kurairwa nachiremba wako. Zvinogona kuva nengozi.
- Migumisiro midiki yakadai sekuneta nedzungu inogona kuitika. Asi izvi zvinowanzopera mukati memazuva mashoma. Kana uine zvinokunetsa, taura nachiremba wako.
- Kana uchinzwa kurwadziwa kwakanyanya pachipfuva, kunetseka kufema, kana kurasikirwa nepfungwa, tsvaga rubatsiro rwechiremba nekukasika.
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