Odzibisa Beta Amagwiritsidwa Ntchito Pochiza Matenda Ambiri Ambiri
Ophwanya mabeta ndi ena mwa mankhwala omwe amagwiritsidwa ntchito kwambiri pa mankhwala. Zimagwira ntchito potseka zotsatira za adrenaline pamatenda, makamaka, poletsa "beta receptors" zomwe zimamanga adrenaline. Zina mwazimenezi, kutsekedwa kwachitetezo kumachepetsa kuchepa kwa mtima, kumachepetsanso mphamvu ya kupweteka kwa minofu ya mtima, kumachepetsa kuchuluka kwa mpweya wa mitsempha ya mtima kumayenera kugwira ntchito yake, kumachepetsa nkhawa pa mitsempha yambiri, ndipo imachepetsa kuchepetsa magazi kupanikizika.
Chifukwa cha zotsatirazi, sizosadabwitsa kuti beta blockers zatsimikizira kuti zimathandiza pochiza matenda ambiri, makamaka mavuto a mtima. Izi zikuphatikizapo:
- angina
- matenda oopsa
- kupweteka mtima kwa mtima
- cardiac arrhythmias, makamaka atrial fibrillation
- matenda oopsa a mtima
- kusokonezeka kwa aortic
- hypertrophic cardiomyopathy
- migraine mutu
- mavuto a chikhalidwe cha anthu
Olemba Beta ndi mzere woyamba wa mankhwala kwa odwala omwe ali otetezeka angina, myocardial infarction, ndi mtima kulephera. Nthawi zambiri sagwiritsidwa ntchito ngati mankhwala opatsirana oyamba, komabe zingakhale zothandiza ngati mankhwala ophatikizana akufunika kuti magazi aziwongolera.
Kawirikawiri Amakhala Otetezera Beta
Chifukwa cha ntchito zambiri za beta, sizodabwitsa kuti makampani osokoneza bongo apanga angapo a iwo.
Pano pali mndandanda wa otchuka wa beta blockers (dzina lachibadwa - dzina la malonda):
- Acebutolol - Sectral
- Atenolol - Tenormin
- Betaxolol - Kerlone
- Bisoprolol - Zebeta, wogulitsidwa ngati Ziac
- Mapolol - Cartrol
- Carvedilol - Coreg
- Labetalol - Normodyne, komanso wogulitsidwa monga Trandate
- Metoprolol - Lopressor, ogulitsidwa monga Toprol
- Nadolol - Corgard
- Penbutolol - Levatol
- Propranolol - Inderal, Inderal LA
- Timolol - Blocadren
Momwe Otsitsira Beta Amatengera
Pali zoonekeratu kuti pali mitundu yambiri yosiyana ya beta yomwe ilipo, ndipo malangizo enieni omwe angapange nthawi ndi nthawi yomwe angatengere amasiyana ndi mankhwala osokoneza bongo. Komabe, zotsatira zoyipa za beta blockers kawirikawiri zimachepetsedwa mwa kuwatenga ndi chakudya - chomwe chimayambitsa mankhwalawa pang'onopang'ono.
Zotsatira Zotsatira za Beta Odziletsa
Zotsatira za beta blockers zimagwirizana makamaka ndi njira zawo zoyendetsera ntchito, ndiko kuti, ku zotsatira zawo za adrenaline. Zotsatirapo zimaphatikizapo:
- Kukula kwa zizindikiro za anthu omwe ali ndi mphumu . Izi ndizomwe zimakhala zovuta kwambiri pambali ya beta blockers.
- Kuwopsa kwa zizindikiro kwa anthu omwe ali ndi matenda a mitsempha ya pakhosi .
- Kupanga hypoglycemia (shuga wotsika magazi) kwambiri kwa anthu omwe ali ndi shuga .
- Kusokonezeka maganizo
- Kutopa
- Manja ozizira
- Mutu
- Kutsekedwa
- Kulephera kugonana
Amayi omwe ali ndi pakati amatetezedwa ngati zingatheke, chifukwa amatha kukhudza mwanayo mwa kuyambitsa kuchepa kwa mtima, kuchepetsa kuthamanga kwa magazi, komanso kuchepa kwa shuga.
Kawirikawiri zotsatira zoyipa za beta blockers nthawi zambiri zimatha kusankhidwa mwa kusankha mosamala kuti beta yothetsera isani, ndi kuyesera kugwiritsa ntchito mlingo wochepa.
Zotsatira:
Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF / AHA / ACP / AATS / PCNA / SCAI / STS chitsogozo cha matenda ndi matenda a odwala omwe ali ndi matenda a mtima a Ischemic: Lipoti la American College Association la Cardiology Foundation / American Heart Association pazochita zogwiritsa ntchito, ndi American College of Physicians, American Association for Odwala Opaleshoni, Opaleshoni Yopereka Mavoti Achikondi, Association of Cardiovascular Angiography and Interventions, ndi Society of the Thoracic Surgeons. Kuthamanga kwa 2012; 126: e354.
KUWERENGA MITU YA KOMITI, Yancy CW, Jessup M, et al. 2013 ACCF / AHA kutsogolera kuyang'anira mtima kulephera: lipoti la American College Association of Cardiology Foundation / American Heart Association Task Force pa ndondomeko zoyenera. Circulation 2013; 128: e240.