Ngaba ungathatha iibhloko ze-beta kunye nokuzilolonga?

Ulwazi loLwazi ngokuSebenza Rx

Uxinzelelo lwegazi (olubizwa ngokuba yi-hypertension) lubizwa ngokuba ngumbulali othuleyo. Ngokwe- Amaziko ase-US oLawulo lweNtsholongwane kunye noThintelo (CDC) , phantse isiqingatha sabantu abadala eMelika banayo le meko. Okwangoku, abaninzi abayazi loo nto kuba akukho zimpawu zibonakalayo de kwenzeke isifo sentliziyo okanye ukubetha.

Ibhlokhi yeBeta , ezibizwa ngokuba zii-beta-adrenergic blocking agents, ngamayeza amiselweyo ngokubanzi ukuba anciphise igazi elonyukayo kunye nokuthintela isifo sentliziyo. Ngelixa ukuzilolonga kungalunciphisa uxinzelelo lwegazi, ukusebenzisa kakhulu umzimba kunokuba yingozi. Esi sikhokelo siza kunceda abantu abanexinzelelo lwexinzelelo ukuba bafunde indlela yokuxuba ngokukhuselekileyo iibhloko ze-beta kunye nokuzilolonga.

Zisebenza njani iibhloko ze-beta?

Iibhloko blocker ze-beta zivimba iziphumo zehomoni i-epinephrine (ekwabizwa ngokuba yi-adrenaline) kunye ne-norepinephrine. I-Beta blockers ziyacothisa ukubetha kwentliziyo kwaye zibangele ukubetha ngamandla amancinci, okuhlisa uxinzelelo lwegazi. Ziyanceda nokuvula imithambo kunye nemithambo ukonyusa ukuhamba kwegazi.

Kukho iintlobo ezahlukeneyo ze-beta blocker; ezinye zichaphazela kakhulu intliziyo, ngelixa ezinye zichaphazela intliziyo kunye nemithambo yegazi. Wena kunye nomboneleli wakho wezempilo niza kusebenza kunye ukukhetha i-beta blocker efanelekileyo kwimeko yakho. Imizekelo ye-beta blocker yomlomo ibandakanya:

• I-Bystolic (nebivolol)
• ICorgard (nadolol)
• Inderal, i-Innopran XL (iprranranol)
• Lopressor, iTrolrol XL (metoprolol)
• Icandelo (acebutolol)
• I-tenormin (atenolol)
• Zebeta (bisoprolol)

Ngaphandle kokuba eminye imigqaliselo enjenge-diuretics (enyanga uxinzelelo lwegazi kunye nesifo sentliziyo) ayisebenzi, iibhloko ze-beta aziqhelekanga kunyango lokuqala kubantu kuphela ukuba noxinzelelo lwegazi. HAbaboneleli bezonyango banikezela la mayeza ukuthintela nokunyanga uxinzelelo lwegazi ecaleni:

• Isingqisho sentliziyo esingaqhelekanga (arrhythmia)
• Ukumelwa yintliziyo
• Intlungu yesifuba (angina)
• Imithambo yegazi
• Ukuhlaselwa yintliziyo
• Uthintelo lwe-Migraine
• Ezinye iintlobo zokungcangcazela

BI-eta blockers ziyazikhupha iimpawu ezifana nentlungu esifubeni, ukubila nokungcangcazela, nto leyo eyenza ukuba ikhetheke kwamanye amayeza kuxinzelelo lwegazi.

Iziphumo ebezingalindelekanga ze-beta blockers

Ngelishwa, azinakusebenzela abantu abaMnyama kunye nabantu abadala, ngakumbi xa zithathwa ngaphandle kwezinye iziyobisi zoxinzelelo lwegazi. Ezinye iibhlokhi ze-beta zinokubangela uhlaselo lwesifuba kubantu abane-asthma ebukhali kwaye banokuzibamba iimpawu zeswekile esezantsi kwabo banesifo seswekile.

Iziphumo ebezingalindelekanga ngokubanzi ze-beta blockers zibandakanya:

• Izandla okanye iinyawo ezibandayo
• Ukudinwa
• Ukutyeba kwakho

Abanye abantu banokufumana iziphumo ebezingalindelekanga eziqhelekileyo, ezinje:

• Uxinzelelo
• Ukuqhawukelwa ngumphefumlo
• Ingxaki yokulala

Rhoqo, ababoneleli ngezononophelo baya kumisela i-beta blockers kunye nonyango olunye okanye nangaphezulu ukunciphisa uxinzelelo lwegazi.

Ngaba iibhloko ze-beta ziyayichaphazela imithambo?

I-Beta blockers kunye nokuzilolonga zombini kunokuba luncedo ekwehliseni uxinzelelo lwegazi . Ukuba unoxinzelelo lwegazi oluphezulu, umboneleli wakho wokhathalelo lwempilo unokucebisa ukuba usebenzise ngakumbi njengenye indlela yokunceda ukuthoba ngokwendalo. Ngaba kukhuselekile ukwenza umthambo xa kufuneka usele amayeza? Kuba uninzi lweebeta blocker zehlisa uxinzelelo lwegazi, kwaye lucothise ukubetha kwentliziyo yakho kunye nokuphuma kwentliziyo (lingakanani igazi elimpompozayo entliziyweni ngomzuzu omnye), zinokuchaphazela iinjongo zakho zomthambo.

Nokuba isiphumo sibalulekile ngokwaneleyo ukuba sinciphise umthambo sihlala sichaza isigulana,Utsho uJoanna Lewis, uFarm.D., umseki we Isikhokelo sikaSokhemesti . Izifundo ezininzi zibonise ukuba abantu banokuzilolonga njengesiqhelo, kodwa kuxhomekeke kwimeko yemidlalo yomntu lowo.

Umboneleli wakho wokhathalelo lwempilo unokucebisa ngovavanyo loxinzelelo lomzimba, olujonga ukuhamba kwegazi kwentliziyo ngexesha lokuzilolonga kunye nemilinganiselo yokuba kunzima kangakanani iimpompo zentliziyo kwiibhloko blocker. Banokulusebenzisa olu lwazi ukufumanisa ukubetha kwentliziyo yakho.

Iingcali zikwacebisa ukuba Isikali seBorg (Ukulinganiswa kweBorg yoVavanyo oluSebenzayo, okanye i-RPE) njengendlela elula yokulinganisa ukuba umntu uzilolonga kangakanani. Isikali silingana nokuba uziva unzima kangakanani ukuba uyasebenza (hayi kwaphela ukuya kakhulu, kakhulu) ngamanani ukusuka kwisithandathu kuye kwi-20. Ukuphakama kwenani, kokukhona usebenza nzima. Emva koko, phindaphinda inani ngo-10 ukuze uqikelele izinga lokubetha kwentliziyo. Abantu abathatha iibhloko ze-beta basengozini yokungazi xa besenza umthambo kakhulu; Banokusebenzisa isikali ukuthintela ukutyeba kakhulu.

Ngokwesiqhelo, ukuba wenza umthambo we-aerobic, kuya kufuneka ukwazi ukuthetha kodwa ungaculi. Ukuba awukwazi ukuthetha, mhlawumbi uyatyhala kancinci, utshilo uJessalyn Adam, MD, ugqirha wezonyango kwezemidlalo IZiko lezoNyango leNceba . Kumgca wokusebenza, oko kuhlala kunika abantu eofisini yam-besenza ngokukhawuleza okukhulu kakhulu. Qiniseka ukuba uyacotha kwaye uzinzile, uyakha ngokuthe ngcembe, kwaye ungazityhali kakhulu.

Ukuba uziva unentloko, unesiyezi, unentlungu yesifuba, ukukhathala, okanye ingxaki yokuphefumla, kunokuthetha ukwehla kwenqanaba lentliziyo okanye uxinzelelo lwegazi, kwaye unokufuna ukubona umboneleli wezempilo. Banokumisela i-beta blocker eyahlukileyo okanye iyeza elinempembelelo encinci kwizinga lentliziyo.

Iibhloko blocker zinokusebenzisana namanye amayeza kunye nezibonelelo. Iziyobisi ezandisa imithambo yegazi, njenge-nitrate, kufuneka zisetyenziswe ngononophelo ngelixa zithatha i-beta blocker. Kwaye, nangona izongezo zikhuthazwa njengendalo, zisenokuba ngumngcipheko.

Hawthorn Ngumdumba omele uphetshwe xa uthatha ii-beta blocker, utshilo uGqirha Lewis. Naluphi na ukongezwa kufuneka kuqhutywe ngugqirha wakho wezempilo njengoko ungafuni naluphi na ukusebenzisana nonyango lwentliziyo yakho.

Abantu abanesifo seswekile abathatha i-beta blocker banokuba nemvakalelo engephi kwiimpawu zehypoglycemia okanye ukudipha kwinqanaba leswekile yegazi (iswekile), umthombo wamandla ophambili womzimba.

Ungahlala njani ukwimo ngelixa uthatha iibhlokhi ze-beta

Abantu abathatha iibhloko ze-beta basengazilolonga rhoqo kwaye babone izibonelelo zentliziyo yokusebenza. Abo bajolise ekujoliseni kwentliziyo ekujoliswe kuyo kufuneka bahlale bekhumbula ukuba iithagethi zentliziyo yabo entsha zinokwahluka ngelixa bekwi-beta blocker. U-Lewis uthi i-beta blockeros blocker (njengeatenolol, bisoprolol, kunye ne-metoprolol), ezithintela kuphela ii-beta receptors kwiiseli zentliziyo, ezinokuchaphazela umthambo ongaphantsi kohlobo olungasebenziyo (njenge-nadolol, i-carvedilol kunye nepropranolol).

Kuba i-beta blockers iyacotha ukubetha kwentliziyo kumanqanaba aphantsi ngobuqhetseba, kubalulekile ukunqanda ukuzilolonga xa uzilolonga. Ngaphambi kokuqala inkqubo entsha yokusebenza, thetha nomboneleli wakho wezempilo kuqala. Ugqirha wakho unokukuxelela ukuba isantya sentliziyo yakho kufuneka ibe yintoni kwaye wenze isicwangciso sokuzilolonga ngokwesiko.

Inkqubo ye- Amaziko oLawulo noThintelo lwezifo (CDC) ineengcebiso zokuzilolonga ngokubanzi kubantu abangakhange basebenze okwethutyana:

• Khangela iindlela zokuzibandakanya. Thatha uhambo emva kwesidlo sangokuhlwa endaweni yokubukela iTV.
• Yenza isiqhelo. Bekela bucala ixesha yonke imihla ukwenza umthambo.
• Yenza into oyithandayo. Zininzi iindlela zokuhlala umzimba usebenza-ukuhamba, ukukhwela ibhayisikile, iklasi yokuzilolonga. Ukufumana umsebenzi owuthandayo ngexesha apho kunokwenzeka ukuba unamathele kuyo yeyona nto ukubheja kwakho nokuba yeyokuqala ekuseni okanye emva komsebenzi.
• Iqabane phezulu. Sebenza nabahlobo okanye amalungu osapho ukugcina omnye nomnye ekhuthazeka kwaye ekhuthazeka.
• Qalisa kancinci. Unokulingwa ukuba ungene kwisicwangciso esitsha sokuzilolonga ngesantya esipheleleyo, kodwa kungcono uqale kancinci kwaye wakhe imisebenzi enzima ngakumbi. I-CDC icebisa imizuzu eyi-150 yokwenza umthambo ngeveki; phula ixesha ukuya kwimizuzu engama-25 ngosuku.

Kwaye ukuba wenza umthambo ukunceda ukugcina uxinzelelo lwegazi lujongiwe, hlala ukhumbula ukuba (kunye nonyango) zizicwangciso ezibini kuphela ezisebenzayo. Iingcali zikwacebisa ukutya ukutya okunesodiyamu ephantsi, ukunciphisa ukusela utywala, ukunciphisa amanqanaba oxinzelelo kunye nokuyeka ukutshaya.