Ngaba ugqirha wakho ukunike iyeza elitsha? Ngaba bathi libizwa ngokuba yi-alpha-blocker? Mhlawumbi yayiyeyoxinzelelo lwakho lwegazi, okanye ukuba uyindoda, ngenxa yemeko efana ne-prostate ekhulisiweyo. Ungakhathazeki, igama lisenokuvakala liyinkimbinkimbi. Namhlanje, siza kuthetha ngolu hlobo lwamayeza ngokulula, indlela olusebenza ngayo, kunye noko kufuneka ukwazi.
Ngamafutshane, zithini ezi alpha-blockers?
Ii-Alpha-blockers luhlobo lwamayeza asetyenziswa kakhulu ukunyanga uxinzelelo lwegazi oluphezulu , okanye uxinzelelo lwegazi oluphezulu. Zikwasetyenziswa nakwezinye iimeko ezininzi.
Khawucinge ukuba kukho "ii-receptors" ezincinci kwiiseli zomzimba wethu. Kufana nesitshixo emnyango. Xa ufaka isitshixo, ungavula ucango. Xa iihomoni ezithile zibopha kwezi receptors, kwenzeka izenzo ezithile. Okwenziwa leli yeza kukuvala okwethutyana ii-receptors ze-"alpha". Kufana nokufaka into kwisitshixo nokuthintela ukuba isitshixo singafakwa. Oku kuthintela izenzo ezithile ukuba zenzeke.
Jonga ukuba na amayeza ugqirha wakho awanike wona aquka amagama afana ne-doxazosin, i-prazosin, okanye i-terazosin. Ezi zezona ntlobo ze-alpha-blockers ezinikwa kakhulu.
Iintlobo zee-Alpha-Receptors emzimbeni wethu
Kukho iintlobo ezimbini eziphambili zee-alpha receptors emzimbeni wethu. Kulungile ukwazi okuncinci ngale nto ukuze uqonde indlela eli yeza elisebenza ngayo.
| Uhlobo lomamkeli | Umsebenzi owenziwayo |
|---|---|
| I-Alpha-1 receptor | Ezi zifumaneka kakhulu kwimithambo yegazi, kwi-prostate, nakwimisipha yesinyi. Xa ezi zisebenza, imithambo yegazi iyancipha. Emva koko uxinzelelo luyanda. Imisipha ye-prostate nayo iyaqina. |
| I-Alpha-2 receptor | Ezi zifumaneka kakhulu engqondweni nakwinkqubo yemithambo-luvo. Zinceda ekulawuleni umsebenzi wenkqubo yemithambo-luvo kwaye zigcine umzimba uzolile. |
Xa amayeza e-alpha-blocker evala ii-receptor ze-alpha-1, imithambo yegazi kunye nemisipha kwi-prostate gland iyaphumla . Xa imithambo yegazi iphumla, igazi linokugeleza lula, nto leyo ehlisa uxinzelelo lwegazi. Xa imisipha kwi-prostate gland iphumla, kwenza kube lula ukuchama.
Ziziphi iintlobo ze-Alpha-Blockers?
La mayeza anokwahlulwa abe ziintlobo ezimbini eziphambili.
1. Ii-Alpha-Blockers ezikhethiweyo
Ezi zifana ne-sniper. Zibetha ngqo kuphela ekujoliswe kuko. Oko kuthetha ukuba olu hlobo lwamayeza lujolise ikakhulu kwii-receptors ze-alpha-1 . Ke ngoko, iziphumo ebezingalindelekanga zimbalwa kakhulu. Eminye imizekelo yile:
- I-Alfuzosin
- I-Doxazosin
- IPrazosin
- I-Silodosin
- I-Tamsulosin
- ITerazosin
2. Ii-Alpha-Blockers ezingakhethiyo
Ezi zahlukile kancinci. Zifana nesibhamu esidubulayo. Zivimba zombini ii-receptors ze-alpha-1 kunye ne-alpha-2. Oku kuthetha ukuba zinefuthe elikhulu emzimbeni, kwaye zikwanazo neziphumo ebezingalindelekanga ezingaphezulu . Kuba zikwathintela ii-receptors ze-alpha-2, ubungakanani be-norepinephrine, i-hormone yoxinzelelo emzimbeni wethu, buyanda, nto leyo enokunyusa izinga lentliziyo kwaye ibangele ukungazinzi. I-Phenoxybenzamine kunye ne-phentolamine zimizekelo yolu hlobo.
Ingaba eli yeza linikwa kuphela ngenxa yoxinzelelo lwegazi kunye neengxaki zeprostate?
Hayi. Eli yeza liluncedo nakwezinye iimeko zonyango ezininzi.
- I-Benign Prostatic Hyperplasia (BPH): Le yimeko apho i-prostate gland idumba njengoko amadoda ekhula. Oku kwenza kube nzima ukuchama. Ii-Alpha-blockers ziphumza izihlunu kwi-prostate gland, zivumela umchamo ukuba uphume lula.
- Iintlobo ezithile zeethumba: Lawula iithumba ezivelisa iihomoni ezigqithisileyo ezifana ne-adrenaline.
- Ingxaki Yoxinzelelo Emva Kwengozi (PTSD): Lawula uxinzelelo, ingakumbi amaphupha amabi, ayenzeka emva kweziganeko ezibuhlungu kakhulu.
- Ingxaki kaRaynaud: Imeko apho iminwe neenzwane zijika zibe mhlophe, zibe luhlaza okwesibhakabhaka, kwaye zibe ndindisholo xa zibekwe emakhazeni. Eli yeza linceda ekuphumzeni imithambo yegazi.
- Amatye Ezintso: Nceda amatye amancinci anamathele kwi-ureter, ityhubhu ethwala umchamo ukusuka kwizintso ukuya kwisinyi, ukuba adlule ngokulula.
- I-Prostatitis: Ukudumba kwe-prostate gland.
Kufuneka ndithathe eli yeza ixesha elingakanani?
Kuxhomekeke kwimeko yempilo onikwa yona eli yeza. Kwiimeko ezifana noxinzelelo lwegazi oluphezulu okanye i-BPH, kunokufuneka ulisebenzise eli yeza ixesha elide . Kwiingxaki zexeshana ezifana namatye ezintso, kunokufuneka ulisebenzise ixesha elifutshane.Ithi mayisetyenziswe kuphela.
Okubaluleke kakhulu: Musa ukuyeka ukuthatha eli yeza ngequbuliso ngaphandle kokubonisana nogqirha wakho nangasiphi na isizathu . Ukwenza njalo kunokubangela iingxaki ezinkulu. Kunokubangela nokuba uxinzelelo lwakho lwegazi lunyuke ngequbuliso luye kwinqanaba eliyingozi.
Ukuba ulawula uxinzelelo lwakho lwegazi ngokwenza utshintsho kwindlela ophila ngayo (ukuzilolonga, ukutya okunempilo), okanye ukuba wenze utyando lokususa i-prostate gland yakho, ugqirha wakho angakuxelela ukuba uyeke ukusebenzisa la mayeza. Konke oku kufuneka kwenziwe kuphela phantsi kwengcebiso kagqirha.
Masifunde nangemiphumo emibi kunye neengozi.
Njengayo nayiphi na imithi, ii-alpha-blockers zinokuba nemiphumo emibi, kodwa ayinguye wonke umntu oyifumanayo.
Ezona ziphumo bezingalindelekanga zixhaphakileyo (ingakumbi ezikhethiweyo):
- Ukuba nesiyezi kunye nokuba nentloko ebuhlungu: Uxinzelelo lwegazi oluphantsi (i-orthostatic hypotension) lunokubangela ukubona okufipheleyo, ingakumbi xa umi ngequbuliso uhleli phantsi.
- Isiphumo somthamo wokuqala: Olu luvo lokungaziva kakuhle kunye nokwehla koxinzelelo lwegazi lunokubonakala ngakumbi kwiintsuku zokuqala emva kokuqala amayeza.
- Intloko ebuhlungu
- Ukudinwa
- Ukuzibophelela: Le yimeko enzima nengxamisekileyo. Yimeko ebuhlungu yokumiswa kwepenis kangangeeyure ezingaphezu kwe-4. Ukuba oku kuyenzeka, kufuneka uye kwigumbi likaxakeka (ETU) esibhedlele ngoko nangoko.
Ukuba uthatha amayeza angakhethiyo, unokufumana isantya sentliziyo esinyukayo kunye nokungcangcazela kwemisipha.
Eli yeza linokunxibelelana notywala, ezinye iijusi ze-citrus, kunye nezinye iziyobisi. Ngoko ke xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo.
Ngubani ongafanele athathe eli yeza?
Ii-Alpha-blockers azifanelekanga kubantu abaneengxaki ezithile zempilo.
- Ukuba uceba ukwenza utyando lwe-cataract: Eli yeza lisenokuchaphazela i-pupil, nto leyo enokwenza utyando lube nzima. Ngoko ke qiniseka ukuba wazisa ugqirha wakho wamehlo ngale nto.
- Oomama abancancisayo: Amayeza angakhethiyo awafanelekanga ngokukodwa.
- Ukuba unembali ye-Orthostatic Hypotension: Oku kuthetha ukuba uhlala uziva unesizungu xa umi kwindawo ohleli kuyo, eli yeza linokuyenza imeko ibe mandundu.
- Ukuba usela amayeza okungasebenzi kakuhle kwe-erectile: Amanye amayeza anokubangela oku aze abangele uxinzelelo lwegazi oluphantsi ngendlela eyingozi.
- Ukuba unesifo sezintso okanye isifo senkqubo yokujikeleza kwegazi:Amayeza angakhethiyo asenokungafaneleki.
Yintoni enokwenziwa ukunciphisa iziphumo ebezingalindelekanga xa sele kuqaliswe iyeza?
Ewe. Kukho icebiso elinye elibalulekileyo. Ukuba ugqirha wakho ukuxelela ukuba uqale i-alpha-1-blocker ekhethiweyo, thatha ipilisi yokuqala ebusuku ngaphambi kokuba ulale.
Kuba "isiphumo sedosi yokuqala" lixesha lokuqala uqala ukuva iziphumo zedosi yokuqala. Xa usela iyeza ngaphambi kokuba ulale ebusuku, izinto ezinje ngokuhla koxinzelelo lwegazi kunye nesiyezi ziya kwenzeka ngelixa ulele, ngoko awuyi kuziva kangako. Eli licebiso elibaluleke kakhulu.
Ufanele uye nini kugqirha?
Ukuba iimpawu zakho zitshintsha ngequbuliso, ingakumbi ukuba zikwenza kube nzima kuwe ukwenza imisebenzi yakho yemihla ngemihla, fowunela ugqirha wakho. Nangona kunjalo, kufuneka ufune unyango ngokukhawuleza ukuba kukho nayiphi na kwezi zilandelayo:
| Iimeko ezifuna unyango olungxamisekileyo | |
|---|---|
| Ukulahlekelwa yingqondo okanye ukuquleka | Ukuquleka okanye ukuquleka |
| Intlungu yesifuba (i-angina) | Iintlungu zesifuba |
| Ubunzima bokuphefumla | Ukuqhawukelwa ngumphefumlo |
| Ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga | Ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga |
| I-Priapism (ukuma okubuhlungu okuhlala ixesha elingaphezu kweeyure ezi-4) | Ukuma okubuhlungu, okuthabatha iiyure ezine |
| Iimpawu ze-allergy enzima (i-anaphylaxis) - umz., amaqhuqhuva, ukurhawuzelela, ukudumba, ubunzima bokuginya. | Iimpawu zempendulo enzima ye-allergy |
Kuqhelekile ukuba novalo okanye ixhala xa uqala amayeza amatsha. Ii-Alpha-blockers ludidi lwamayeza asetyenziswa kakhulu asebenzayo ekunyangeni izifo ezininzi. Ukuba ugqirha wakho unike eli yeza, xoxa ngayo nayiphi na inkxalabo okanye imibuzo onayo nogqirha wakho. Oku kuya kukunceda uqonde kakuhle indlela yokusebenzisa eli yeza.
Umyalezo Wokuya Ekhaya
- Ii-Alpha-blockers luhlobo lwamayeza anyanga uxinzelelo lwegazi oluphezulu kunye nokwanda kwe-prostate kumadoda.
- Ungaze uyeke ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha. Linokuba yingozi.
- Xa uqala amayeza, ukuthatha idosi yokuqala ngaphambi kokulala kunokunciphisa iziphumo ebezingalindelekanga ezifana nesiyezi kunye nokozela.
- Ukuba ufumana iimpawu ezinzima ezifana neentlungu zesifuba, ukulahlekelwa zingqondo, okanye ukuphefumla okubuhlungu okuhlala ngaphezulu kweeyure ezi-4, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
- Kubaluleke kakhulu ukwazisa ugqirha wakho malunga neminye imithi, iivithamini, okanye izongezo ozithathayo.
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