Kuru >> Zvinodhaka Info >> Beta blockers inogona kubatsira nekuzvidya mwoyo here?

Beta blockers inogona kubatsira nekuzvidya mwoyo here?

Zvinodhaka Info

Muna Kurume we2020, ini ndakave nenguva yekuonana nachiremba wangu wekutanga wekuchengeta. Ndakamutsanangurira kuti, kunyangwe ndaive paLexapro, serotonin reuptake inhibitor (SSRI), yekushushikana uye kushushikana, ini ndaingonzwa kunetseka dzimwe nguva. Na5 masikati. mazuva ese, apo vana vaive pamba, vane nzara, uye vachida kutarisirwa, ndakanzwa kutya kuri kuwedzera muchipfuva changu. Ndaiita kudikitira uye dzimwe nguva ndainzwa dzungu. Dzimwe nguva ndaisvetukira vana vangu, kana ini ndaizoda kumbozorora pane imwe nzvimbo yakanyarara, kure nevamwe. Yekupedzisira Yekutenda, ndanga ndichigadzirira nekubika kwemazuva maviri, chete kushandisa yakawanda yekudya mubedroom mangu. Ndakaudza mupi wangu wezvehutano ndaida kuti ndikwanise kubata zvinonetsa zvisingadzivisike muhupenyu hwangu ndisinganzwe senge ndiri kunyura.

Chiremba wangu akandiudza kuti ndaive nemhinduro yekubhururuka uye zviratidzo zvangu zvepanyama zvakaratidza kushungurudzika kwekushushikana. Akandinyorera propranolol, a beta blocker , yekuzvidya mwoyo. Iyi mhando yemishonga inowanzo shandiswa kweropa kudzora uye mamiriro emoyo. Ndakanga ndisina nhoroondo yekukwira kweropa kana matambudziko emwoyo, asi akandiudza kutora diki diki yeiyo Rx inzira yakanaka yekutarisana nedzimwe nguva kunetseka. Semunhu anowanzo nzwika nekurapwa, ini ndaisada kutora chimwe chinhu chakasimba kana kuti chingangoita chiradza. Ndakafunga kuyedza.

Ndiri kufara kwazvo zvandakaita! Denda rakavhara zvikoro (uye nezvimwe zvese) vhiki mushure mekusarudzwa kwangu. Ndakazviwana ndiri pamba 24/7 nevana vangu, uye zvakanzwa sekunge kuguma kwenyika kwaive kukona kukona. Ini ndaive nekutenda kwazvo nepropranolol yekushushikana mumwedzi yekutanga yedenda uye ikozvino, ndichiri ndakachengeteka kumba rinenge gore rinotevera.

Beta blockers inoshanda kune kushushikana here?

Beta blockers haina kugadzirwa nechinangwa chekudzora kushushikana.Beta blockers inowanzo gadzwa off-label yekushushikana, inotsanangura Spencer Kroll, MD , Ph.D. mune pharmacology, iyodirector weNortheast Lipid Association.[Off-label use] zvinoreva kuti havabvumidzwe neUS FDA yekurapa kushungurudzika.

Kunyangwe hazvo dzisina kugadzirwa chaizvo semushonga unodzivirira kuzvidya moyo, beta blockers anogona kubatsira kugadzira pfungwa yekudzikama kana iwe uchiatora. Beta blockers anogona kudzikisa kurova kwemoyo, Houston psychiatrist Jared Heathman , MD, inotsanangura. Kana tichizvidya mwoyo, kurova kwemwoyo wedu kunokwira. Uku kukwirira kunopa huropi mhinduro yekuti muviri wedu uri kuvhunduka nenzira kwayo. Izvi zvinowedzera kushushikana. Kana iwe ukadzivisa kugona kukwidza kurova kwemoyo wako nekukasira, moyo wako unogona kupa mhinduro kuuropi yako kuti haisi kuvhunduka, kunyanya kwete zvakanyanya sezvingatarisirwa neimwe nzira. Kana moyo wedu nemuviri zvakadzikama, zvinopa kudzikamisa mhinduro kuhuropi. Izvi zvinoderedza kunetseka.

Sheldon Zablow, MD , board-Certified psychiatrist, inodaidza maitiro aya asina kunaka mhinduro loop. Iye anorayira beta blockers yekushushikana nekuti ivo vanoputsa ino kutenderera nekudzikamisa kugona kwemuviri kuratidza zviratidzo zvemuviri. Kubata maitiro emuviri mumuviri kunetseka kunobatsira uropi hwemunhu anetsekana kunzwa kudzikama uye kudzora.

Izvo zvinogona kuita mutsauko wakakura muhunhu hwehupenyu kana kushushikana kuchikukanganisa iwe zuva nezuva. Zvimwe zviratidzo zvekushushikana zvinonzwa zvakanyanya, uye zvinogumbura, zvekuti vanhu vanovaona vanonanga kuchipatara chepedyo. Kune zvakawanda zviratidzo zvinounza varwere kuenda kwachiremba kana mukamuri yekukurumidzira iyo inozosvika pakuva kunetseka, Dr. Kroll anodaro. Izvi zviratidzo zvepanyama zvekushushikana zvinosanganisira:

Mwoyo palpitations
Kudikitira
Itching
Kuputika kweganda
Kuwedzera kweropa
Muromo wakaoma
Zvakaoma kumedza
Matumbu emimba akadai sekushungurudzika mudumbu kana kurwadziwa

Sezvazvinoitika, kudzikisira kushushikana mushure mekutora beta blocker iri chaiyo mhedzisiro mhedzisiro yemushonga. Nekudaro, kunyangwe hazvo BP yangu isiri muchikamu chinoda mishonga pandinenge ndisinganzwe kushushikana, PCP yangu akangwara akaita izvo zvinonzi naDr. Kroll zvinowanzobatsira sechiremba, kunova kushandisa mhedzisiro yacho sechikamu kurapwa kwakanangana nemurwere wega. Ndainetseka kuti benzodiazepine (saXanax) yekuzvidya mwoyo inogona kundiita kuti ndinzwe kugadzikana kutarisira vana vangu. Saka, pachinzvimbo yangu PCP yakaenda neye beta blocker.

Beta blockers anogara kwenguva yakareba sei nekushushikana?

Pamutemo, iyo hafu yeupenyu yepropranolol maawa matatu kusvika matanhatu, asi maererano ne unonzwa sei, enda mberi uye uronge kwemaawa akati wandei ekuzorora. Beta blockers inowanzo gadzirirwa mupiritsi fomu kutorwa nemuromo. Mushonga unoshanda nekukurumidza, uchisvika nhanho yepamusoro nekukurumidza seawa rimwe chete. Paunenge uchinge wave mune yako system, iyo yekudzikisira mhedzisiro yediki yakadzika yeiyo beta blocker inogara kwemaawa mashoma.

Iyo muyero muyero weiyo beta blocker unosiyana zvichienderana nezviratidzo zvako, kuongororwa, uye zvimwe zvehutano mamiriro. Nekushushikana, wega, vanopa hutano vanowanzo tanga propranolol padosi yakaderera, zvishoma nezvishoma ichiwedzera kana zvichidikanwa. Iko zvakare kune yakawedzeredzwa-kuburitsa vhezheni yepropranolol, asi yekushushikana, kazhinji iyo isiri-yakawedzerwa vhezheni inoshandiswa.

Ko beta blockers anoita kuti unzwe sei?

Beta blockers inogona kubatsira vanhu vanoona kushushikana vanonzwa kudzikama uye zvakanyanya kudzora kwavo manzwiro pasina kuita kuti vanzwe vari pasi pesimba. Chinangwa chekurapwa kwekushushikana ndechekuti iwe ugone kurarama hupenyu hwako pasina zviratidzo zvakamira munzira yako. Beta blockers inogona kudzikisa muviri adrenaline mhinduro kune zvakajairika zvinonetsa, kuti iwe ugone kutarisa kune zvimwe zvinhu.

Kusiyana neSSRIs-iyo inodzora kushushikana uye kushushikana kwenguva refu uye kutora vhiki dzinoverengeka kuti utange kushanda-beta blockers anoshanda pane yekutanga kushandiswa uye anogona kushandiswa zvenguva pfupi pasina mhedzisiro. Ivo vanoderedza kwenguva pfupi zviratidzo zvekushushikana, asi hazvirape kunetseka. Kana uri kusangana kufunganya zviratidzo kumativi wachi, ungada kuva marapiro akasiyana, kana kuti kushandisa Beta blocker kutsivira mumwe Hupenyu.

Beta blockers inogona kuve inoshanda kurapa kwekutya kwepasiti zviitiko zvisati zvaitika kana kuita kwekutaura kwevanhu - uye kwekushushikana kwekurara. Nhoroondo, ivo vakawanzopihwa kuvanhu kune 'kuita kunetseka' vasati vataura paruzhinji nekuita, Dr. Kroll anodaro. Ingova nechokwadi chekuyedza kumba kutanga kuti uone kuti mushonga unokubata sei usati waushandisa kune chiitiko chepamusoro-chekushushikana.Zvinogona kushanda mukushushikana kwenzanga kana zvikatorwa pamberi pemapati kana mazuva - sarudzo yakachengeteka chero nguva kunetseka kukabuda.

Dr. Zablow vanoti beta blocker inogona kushandiswa panzvimbo kana nemubatsiro wekurara kuti usanyanya kunetsekana kurara. Kana kushushikana nezvezuva rapfuura kana kunetsekana nezve iro rinotevera zuva kuwedzera moyo kurova, kudzivirira shanduko yechisikigo muhope, iyi beta blocker inodzivirira iko kupindira.

Zvimwe zvinokanganisa zvebeta blockers

Beta blockers inoita kunge isina matambudziko kana kunetsekana muVANHU-19 vanotapurika vanhu, anodaro Dr. Kroll. Kana iwe uchinetseka kuti beta blocker inogona kukanganisa njodzi yako ye coronavirus, bvunza wako mupi wezvehutano usati watanga mushonga. Iko kune mukana weimwe zviitiko zvakashata kubva kune iyi mhando yemishonga.

Zvakajairika mhedzisiro

Sezvo nemishonga yese, pane mikana mhedzisiro :

Dzungu
Musoro wakareruka
Kuneta
Yakadzikira bonde drive
Nausea
Dumbu kurwadziwa
Manyoka
Kuzvimbirwa

Yakakomba mhedzisiro

Zvishoma zvakajairika, asi dzimwe nguva zvakakomba mhedzisiro inoitika:

Hallucinations
Maoko anotonhora kana tsoka
Tsvina kushaya simba
Tsandanyama tsandanyama
Kufema kwekufema
Kurangarira ndangariro
Kuchengetwa kwemvura
Ropa shuga inoshanduka
Kusarara uye kurota zvinotyisa
Allergic reaction
Kusvipa
Kuzununguka
Kurera huremu
Mapundu eganda
Mafungiro Anoshanduka

Tsvaga kurapwa nekukasira kana iwe ukaratidza zviratidzo zvechirwere chinosanganisira: kunetseka kufema, kufema, kuzvimba kwemaoko kana kumeso, uye / kana kuputika kweganda.

Kusiyana echinyakare kushungurudzika mishonga , beta blockers haasi muropa. Propranolol nezvimwe zvakadaro hazvikonzere kutsamira kwezvinodhaka (kana kubvisa zviratidzo paunomira kuzvitora) uye zvakachengeteka kutora pano neapo kwenguva yakareba.

Propranolol yakanaka munzira dzakawanda nekuti kusiyana nemabenzodiazepines anowanzo shandiswa kurapa kunetseka, inogona kutorwa pasina kunetsekana nekutyaira, inoshandiswa nemishonga yekurwadziwa, kana kushandiswa nedoro, Dr. Zablow anodaro. Ini ndakabudirira kuiraira kuti ideredze madosi eanodiwa benzodiazepines, antidepressants, uye antipsychotic.

Ini ndakakweverwa kune ino yakanaka mhedzisiro yemushonga semubereki uyo anowanzo fanirwa kuve aripo kunyangwe pakati pehusiku. Ini ndinogona kutora propranolol uye ndisina kana nyaya kunzwa musvinu zvakakwana kutyaira kana kusangana nevana vangu, chimwe chinhu chandisingakwanise kutaura kune mimwe mishonga yakadai se benzodiazepines, saXanax.

Nekuti beta blocker inokasira kuita uye haina kukanganisa vashandisi kusvika padanho rakakosha, Dr. Zablow vanoti zvinobatsira kune mumwe munhu ane chirwere chekushushikana kuti angotakura muhomwe yavo mukana wechiitiko chisingatarisirwi chekuzvidya mwoyo-kungozviziva iripo inogona kudzikisa kuitika kwezviratidzo zvekushushikana.

Ini ndinochengeta iwo mushonga mukamuri yangu yekurara kwehusiku apo ini ndisingakwanise kudzora pfungwa dzangu dzakabatikana pasi. Iniwo ndinochengeta bhodhoro mukicheni kuitira kana kunetseka kwemasikati kuchinditadzisa kubva pakuva wangu wepamoyo. Handidi ivo mazuva ese, asi ndinofara kuti vanowanikwa panguva yandinenge ndichivada.

Ndeipi beta blocker yakanyanya kunetseka?

Vanoona nezvehutano vanowanzo gadza propranolol kana atenolol ye-off-label kurapwa kwekuzvidya mwoyo.Kumbira mupi wako wezvehutano kuti ndeupi mushonga ungave uri nani kwauri uye uve nechokwadi chekupa yakazara nhoroondo yehutano.Heano mutsauko wekutanga pakati pezviviri:

Propranolol vs. atenolol yekuzvidya mwoyo
Zita rekushandisa	Inderal LA , Inderal XL , InnoPran XL	Tenormin
Generic zita	Propranolol	Atenolol
Standard muyero wekushushikana	Dositi inosiyana zvichienderana nemamiriro uye inogona kutangira kubva pa10 mg kusvika ku80 mg. Nezve kushushikana chete, yakaderera dosi inowanzo gadzwa.	25-100 MG
Zvakajairika mhedzisiro	Kuchena musoro, dzungu, nyaya dzemudumbu	Maoko anotonhora uye tsoka, kuneta, kushaya simba
Dzidza ZVIMWE	Dzidza ZVIMWE	Dzidza ZVIMWE
SingleCare kuchengetedza	Tora coupon	Tora coupon

Kana beta blockers isina kukodzera iwe

Kana iwe uine chirwere chisingaperi, chisingadzorwi, ungangoda kurapwa kwakajairika pane kungoita apo neapo beta blocker- senge mushonga wezuva nezuva. Vamwe vanhu, seni, vanoshandisa beta blocker mukuwedzera kune SSRI. Dr. Kroll anoti,Muzhinji, beta blockers anoregererwa zvakanaka, uye chiratidzo chekupindirana kwezvinodhaka hazviwanzo kuitika.

Beta blockers inogona kunge isiri iyo sarudzo chaiyo kwauri kana iwe uine chero eanotevera maitiro:

Asthma: Beta blockers inogona kukanganisa asthma, anodaro Dr. Heathman. Ivo vanogona zvakare kukonzera nyaya kana iwe uine hyperreactive airways nekuti iyo beta receptors inogona kuwedzera matambudziko ekufema.
Pasi pemamiriro ekurapa anoda mishonga: Beta blockers anogona kusangana nenhamba yakakura yemishonga inowanzo gadzwa, anodaro Dr. Kroll. Izvi zvinosanganisira mamwe antihypertensive uye antianginal zvinodhaka, anti-arrhythmic zvinodhaka, anti-anogumbura madhiragi, psychotropic madhiragi, anti-ulcer mishonga, anesthetics, cholesterol yekudzikisa vamiririri, warfarin, chirwere cheshuga mishonga, uye mimwe mishonga yetibhii. Udza mupi wako wezvehutano nezvese mishonga yaunotora, kuti agone kuona kuti hapana kudyidzana kwemishonga.
Murume kana mukuru zera: Beta blockers inogona kushanda zvakanyanya kuvarwere vadiki vane hosha yepamusoro kupfuura varwere vakura uye inogona kushandiswa kubata neBP muvakadzi vezera rekubereka, anotsanangura Dr. Kroll. Pano, ari kutaura nezvazvo semushonga wehypertension pamwe nekuwedzera bhenefiti yekusununguka kwekushushikana. Beta anovharirahaifanire kushandiswa mukuzvitakura kunze kwekunge bhenefiti yakawandisa njodzi. Saka, taura nachiremba wako kana iwe uri nepamuviri kana kuronga kuve nepamuviri.

Hakuna mushonga wakakwana uye hapana munhu akafanana. Kwandiri, sekune vamwe vakawanda vakaita seni, beta blocker yaive yekununura hupenyu-hwepamoyo panguva yakaoma kwazvo munhoroondo. Izvo zvakanaka mhedzisiro yekugona kuchengeta yangu inotonhorera ndiri pamba nevana vangu, kuburikidza nenguva isina kumboitika, uye pamberi pevanhu vanonetsa, yaive yakakosha. Ndiri kutenda kwazvo PCP yangu yaifunga kundinyorera beta blocker. Iwe haugone kudzora hupenyu uye dzimwe nguva hunogona kunetsa-kungave kubva kuchiitiko chikuru chenyika, kana kungori minutia yezuva nezuva yebasa nemhuri. Beta blockers anogona kubatsira kudzidzisa muviri wako kuti, kunyangwe kana hupenyu hwanyanya kunakidza, unogona kutarisana nawo, kubata nawo, uye kutobudirira.