Mhlawumbe wena noma othile emndenini wakho unikezwe umuthi 'wokucindezela kwegazi' ngudokotela wakho. Noma mhlawumbe unikezwe umuthi wokulawula ukushaya kwenhliziyo yakho, ubuhlungu besifuba, noma ukugcina ukusebenza kahle kwenhliziyo. Ama-Beta-Blockers uhlobo lomuthi olubaluleke kakhulu oluvame ukunikezwa ezimweni ezinjalo. Uma uzwa leli gama, abanye abantu bayesaba kancane, becabanga ukuthi, "Luhlobo luni lomuthi lolu?" Kodwa empeleni, lo umuthi owusizo kakhulu futhi ophephile osize ekusindiseni izigidi zezimpilo emhlabeni wonke amashumi eminyaka. Ngakho-ke, ake sixoxe ngalokhu ngokuningiliziwe namuhla, ngendlela ongayiqonda, nangendlela elula kakhulu.
Ayini ama-beta-blockers ngamagama alula?
Kulungile, ake sikucabange ngale ndlela. Cabanga ngenhliziyo yakho njengenjini eqhubekayo, epompa igazi emzimbeni wakho wonke. Ngezinye izikhathi le njini isebenza ngokushesha kakhulu, noma isebenza kanzima kakhulu. Khona-ke umfutho wegazi wethu ungakhuphuka, futhi inhliziyo yethu ingazizwa ikhathele.
Ama-beta-blocker asebenza ngokunciphisa ijubane lenjini, ayinike ikhefu, futhi ayisize isebenze kahle kakhulu. Le mithi yehlisa izinga lokushaya kwenhliziyo yakho futhi ikhulule imithambo yegazi yakho . Lokhu kuvumela igazi ukuthi ligeleze kalula emzimbeni wakho wonke. Ngenxa yalokho, umfutho wegazi wakho uyancipha, okunciphisa ukucindezeleka enhliziyweni yakho. Kalula nje, asebenza 'njengomsizi' osiza inhliziyo yakho ukuthi isebenze kanzima.
Lo muthi usetshenziselwa ziphi izimo?
Ama-beta-blocker awawona umuthi owodwa. Odokotela bawanikeza imithi yokwelapha izifo eziningi ezahlukene. Asetshenziswa kakhulu ukwelapha izifo ezihlobene nenhliziyo kanye nohlelo lokujikeleza kwegazi, kodwa futhi asetshenziselwa ukwelapha ezinye izifo eziningi.
Ake sibone ukuthi lokhu kuyini.
| Izifo eziphathwa ngama-beta-blockers | |
|---|---|
| Izimo Zenhliziyo Nemithambo Yegazi | |
| Umfutho wegazi ophezulu (i-Hypertension) | Lesi yisona sizathu esivame kakhulu esinikezwayo. Lezi zisebenza kahle kakhulu ekulawuleni umfutho wegazi. |
| I-Angina (ubuhlungu besifuba) | Nciphisa ukuqina kwesifuba kanye nobuhlungu obubangelwa ukugeleza kwegazi okunganele enhliziyweni. |
| Isifo senhliziyo | Vikela inhliziyo yakho ngemva kokuhlaselwa yinhliziyo futhi unciphise ingozi yokuhlaselwa yinhliziyo futhi. |
| Ukwehluleka Kwenhliziyo Okubangelwa Ukuqina Kwenhliziyo | Ukusekela inhliziyo uma ibuthakathaka futhi ingakwazi ukupompa igazi elanele emzimbeni. |
| Ukushaya kwenhliziyo okungajwayelekile (i-Arrhythmias) | Izimo zokulawula ezifana ne-tachycardia. |
| Ukuhlukaniswa kwe-aorta/ukwakheka kwe-aneurysms | Yelapha izinkinga ezenzeka emithanjeni yegazi eyinhloko eqala enhliziyweni. |
| Ezinye Izimo | |
| Ukuvimbela i-migraine | Ezinye izinhlobo ze-beta-blockers zisiza ekuvimbeleni i-migraines. |
| Ukukhathazeka ngokweqile nokwesaba (Ukukhathazeka Ngokusebenza) | Lawula ukwesaba ngokweqile, ukushaya kwenhliziyo, kanye nokujuluka okuvela ngaphambi kokuya esiteji noma ukuhlolwa. |
| I-Glaucoma | Itholakala emathonsini amehlo asetshenziselwa ukunciphisa ingcindezi emehlweni. |
| I-Hyperthyroidism | Lawula izimpawu ezifana nokushaya kwenhliziyo nokuthuthumela okubangelwa ukwanda kwama-hormone e-thyroid. |
| Ukuduma Okubalulekile | Lawula ukuthuthumela kwamalungu, njengezandla, okungabangelwa esinye isifo. |
Le mithi isebenza kanjani emzimbeni? (Isebenza kanjani?)
Ukuze siqonde lokhu, sidinga ukwazi okuncane ngempendulo yemvelo emizimbeni yethu. Zicabange uhamba emgwaqweni bese kuthi kungazelelwe inja igxume phezulu. Uyesaba, akunjalo? Kwenzekani-ke? Inhliziyo yakho ishaya ngokushesha, izintende zakho ziyajuluka, nomzimba wakho uyathuthumela. Lokhu sikubiza ngokuthi impendulo "yokulwa noma yokubaleka".
Ngalesi sikhathi, imizimba yethu ikhipha ama-neurotransmitter nama-hormone abizwa ngokuthi i-adrenaline , i-epinephrine , kanye ne-norepinephrine . Yilokhu okwandisa izinga lokushaya kwenhliziyo kanye nomfutho wegazi.
Manje, ukuze la ma-epinephrine kanye ne-norepinephrine asebenze emzimbeni, kufanele anamathele 'kuma-receptor' akhethekile kumaseli ethu. Kufana nokhiye ofakwa kukhiye. Kunezinhlobo eziningana zala ma-receptor. Izinhlobo ezimbili ezibaluleke kakhulu kithi yilezi:
- Ama-receptor e-Beta-1 (B1): Lawa atholakala kakhulu enhliziyweni yakho.
- Ama-receptor e-Beta-2 (B2): Lawa atholakala kakhulu ezindaweni ezifana namaphaphu nemithambo yegazi.
Ama-beta-blocker asebenza ngokuvimba la ma-beta receptors, njengokufaka ukhiye ohlukile kukhiye. Khona-ke leyo adrenaline ayikwazi ukuza ibophe la ma-receptor. Ngenxa yalokho, izinga lokushaya kwenhliziyo alikhuphuki, imithambo yegazi ayinciphi. Esikhundleni salokho, inhliziyo iyazola, imithambo yegazi iyakhululeka, futhi ingcindezi iyalawulwa. Uyaqonda?
Kunezinhlobo ezimbili eziyinhloko zama-beta-blockers:
1. I-cardioselective (eqondene nenhliziyo): Amanye ama-beta-blocker avimba ngokukhetha ama-receptor e-B1 enhliziyweni kuphela. Lawa afaneleka kakhulu kubantu abanezifo zokuphefumula ezifana ne-asthma. Isibonelo yi -Metoprolol .
2. Okungakhethi: Olunye uhlobo luvimba ama-receptor e-B1 kanye ne-B2. Isibonelo yi -Carvedilol .
Udokotela wakho uzokhetha uhlobo olukufanele kakhulu kuye ngesimo sakho sezokwelapha, iminyaka, nokuthi unazo yini ezinye izifo.
Kufanele kuthathwe isikhathi esingakanani ama-beta-blockers?
Lona umbuzo abantu abaningi abawubuzayo. Ama-beta-blocker akuyona into ovame ukuyithatha izinsuku ezimbili noma ezintathu bese uyeka. Ngokuvamile kufanele isetshenziswe isikhathi eside . Abanye abantu bathatha le mithi impilo yabo yonke. Isiza ekugcineni inhliziyo yakho kanye nomfutho wegazi kuzinzile, ikuvikele ezimweni ezibucayi njengokuhlaselwa yinhliziyo kanye nohlangothi.
Into ebaluleke kakhulu ukuthi ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukushaya kwenhliziyo yakho kanye nomfutho wegazi kukhuphuke ngokuzumayo nangendlela eyingozi. Uma unenkinga noma ukhathazekile ngomphumela ongemuhle, khuluma nodokotela wakho ngakho.
Yiziphi izinzuzo zalolu hlobo lomuthi?
Kunezizathu eziningana zokuthi kungani ama-beta-blocker esetshenziswa kabanzi kangaka.
- Kukusiza ukuthi uphile impilo enempilo nende: Ucwaningo lukhombisile ukuthi lo muthi usiza ekwandiseni isikhathi sokuphila, ikakhulukazi ngokunciphisa ingozi yesifo senhliziyo kanye nesifo sohlangothi, unciphise ukulaliswa esibhedlela ngenxa yokwehluleka kwenhliziyo.
- Ukwelashwa ngemithi eminingi: Izinkinga zenhliziyo kanye nokujikeleza kwegazi zihlobene. Ngakho-ke, uma kusetshenziswa ama-beta-blockers ukuze kutholakale umfutho wegazi, angalawula nokushaya kwenhliziyo kanye ne-angina.
- Kufundwe kahle: Ngenxa yokuthi le mithi ibilokhu isetshenziswa amashumi eminyaka, odokotela nososayensi banokuqonda okuhle kakhulu ngokusebenza kwayo, ukuphepha kwayo, kanye nemiphumela emibi.
- Izindleko eziphansi: Ama-beta-blocker amaningi (ikakhulukazi ama-generics) ashibhile, okwenza abe inketho enhle yezezimali uma ethathwa isikhathi eside.
Ingabe ama-beta-blockers anemiphumela emibi?
Njenganoma yimuphi umuthi, ama-beta-blocker angabangela imiphumela emibi. Kodwa khumbula, akuwona wonke umuntu othola yonke le miphumela emibi. Iningi labantu lingawusebenzisa lo muthi ngaphandle kwezinkinga. Ngisho noma uthola imiphumela emibi, imvamisa iyaphela ngemva kwezinsuku ezimbalwa njengoba umzimba wakho usujwayele umuthi.
| Uhlobo lomphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi evame ukubonwa |
|
| Imiphumela emibi engavamile |
|
Uma uqhubeka nokuba nalo mphumela omubi, noma uma kukukhathaza, qiniseka ukuthi ukhuluma nodokotela wakho ngaphandle kokuyeka umuthi. Umthamo kungadingeka ushintshwe, noma kungadingeka ushintshele kolunye uhlobo lwe-beta-blocker.
Kufanele ubonane nodokotela ngokushesha nini?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngenkathi uthatha ama-beta-blockers, ungazinaki. Funa iseluleko sezokwelapha ngokushesha. Kungase kudingeke uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze nawe.
- Ukuphefumula kanzima
- Ubuhlungu besifuba noma ukuqina
- Izinkinga zokushaya kwenhliziyo: Ukushaya kwenhliziyo okusheshayo, ukushaya kwenhliziyo okusheshayo, noma umuzwa wokuthi inhliziyo ishaya ngokushesha okukhulu
- Ukuquleka
- Isiyezi esinzima esivame ukwenzeka
Lokhu kungaba izimpawu zesimo esibucayi, ngakho-ke kubalulekile ukuthatha isinyathelo ngokushesha ngesikhathi esinjengalesi.
Ama-Beta-blocker ayisidakamizwa esibaluleke kakhulu, esisindisa impilo kwisayensi yethu yezokwelapha. Uma udokotela wakho ekunike lo muthi, uhloselwe ukuvikela inhliziyo yakho nokukusiza uphile impilo enempilo. Ngakho-ke, ungesabi ngokungadingekile umuthi, kodwa landela imiyalelo kadokotela ngqo. Noma ngabe iyiphi inkinga noma inkinga onayo, khuluma nodokotela wakho obala ngayo.
Umlayezo Wokuya Nawe Ekhaya
- Ama-beta-blocker uhlobo lomuthi oluvame ukusetshenziswa ukwelapha izimo ezifana nomfutho wegazi ophakeme kanye nesifo senhliziyo.
- Lokhu kusebenza ngokunciphisa izinga lokushaya kwenhliziyo, ukukhulula imithambo yegazi, nokunciphisa ukucindezeleka enhliziyweni.
- Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Kungaba yingozi.
- Imiphumela emibi emincane efana nokukhathala kanye nesiyezi ingase ivele. Kodwa lokhu kuvame ukuphela phakathi nezinsuku ezimbalwa. Uma unenkinga, khuluma nodokotela wakho.
- Uma uzwa ubuhlungu obukhulu esifubeni, ubunzima bokuphefumula, noma ukulahlekelwa ukwazi, funa iseluleko sezokwelapha ngokushesha.
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