Ndeipi yakanakisa beta blocker yekutadza kwemoyo?
Zvinodhaka InfoBeta blockers anonyatso kuyedzwa uye akasiyana mishonga. Vashandi vehutano vanga vachivarayira kubva kuma1970 . Beta anovharira vane FDA mvumo yekurapa zvese kubva kune glaucoma kusvika kumigraines. Asi, iwo anoshandiswawo kurapwa kwemamiriro emwoyo — kazhinji sekurapa kwekutanga-kwekutadza kwemoyo.
Beta blockers anoshanda sei?
Beta blockers inoshanda nekudzikisira mhedzisiro yeepinephrine (inozivikanwawo seadrenaline) -hormone yekushushikana. Izvi zvinoderedza kurova kwemoyo wako, zvinoderedza BP, uye zvinovhura mitsipa yeropa kunatsiridza kuyerera kweropa. Iyi mishonga inogona kurapa yakakwira BP (hypertension), zvisina kujairika moyo mutserendende (arrhythmia), kurwadziwa pachipfuva, moyo kutadza, migraines, uye chirwere chemwoyo.
Kune varwere vane kutadza kwemoyo, beta blockers anowanzo shanda [kudzikisa kushushikana pamoyo] nekudzora kurova kwemoyo wemurwere, anotsanangura Kwayedza Shill , Pharm.D., Wemishonga weVeteran's Affairs Healthcare System muAnchorage, Alaska.
Beta blockers anobatsira kugadzirisa chiyero cheye myocardial kupa uye kudiwa. Dr. Shill vanoti, Chaizvoizvo, dzimwe nguva moyo kutadza ischemic. Zvinoreva, pane isina kusimba nyama yemhasuru mumoyo inotungamira pakuderera kwehuwandu hweropa rakapomerwa kubva pamoyo. Beta blockers inogona kubatsira kuvandudza mashandiro mune dzimwe nzvimbo dzemoyo nekudzora huwandu hweoksijeni inopa inodiwa kuti moyo ushande padanho rakaringana.
Kutsvakurudza zvakare inoratidza kuti beta blockers inoderedza kuburitswa kwe norepinephrine. Pamwe neepinephrine, norepinephrine inowanzo sunga kune zvinogamuchirwa mumuviri wese uye inobatanidzwa neropa uye kurova kwemoyo. Kuvhara kusunga kweaurotransmitter kune avo vanogamuchira kunobatsira kudzikisa kurova kwemwoyo uye kuwedzerwa kweropa.
Ndeapi beta blockers anogona kushandiswa kukundikana kwemoyo?
Beta blockers anowanzo kupihwa kune varwere vane chirwere chemwoyo nechinangwa chekudzivirira kechipiri kurwiswa kwemoyo kuti kuitike.
Iyo American Koreji yeCardiology inonyatso kurudzira anotevera beta blockers, ayo ari FDA anotenderwa kukundikana kwemoyo:
- Coreg (yakavezwa)
- Toprol XL (metoprolol inotapira)
- Zebeta (bisoprolol)
Izvo zvakakosha kuti uzive kuti chete iyo yakawedzeredzwa-kuburitsa vhezheni ye metoprolol (metoprolol inotapira) inogamuchirwa neDFA ye mwoyo kutadza, kwete metoprolol tartrate .
Paunenge uchishandisa aya beta blockers ekurapa kwekutadza kurapwa, vanodzivirira moyo kubva mukuwedzeredzwa uye kupomba kazhinji, anotsanangura Jason Reed , Chiremba.
Mazhinji beta blockers anoderedzawo kuti yakaoma sei pombi yemhasuru yemoyo, Dr. Reed anotsanangura. Asi izvi beta blockers hazviite izvozvo, ndosaka vachikwanisa kurapa chirwere pasina kuita kuti zviratidzo zviwedzere.
In mazwi ekusiyana pakati pe beta blockers inoshandiswa pakundikana kwemoyo, anoti,carvedilol inovhara beta-1 beta-2 receptors mumoyo, pamwe ne alpha-1 receptors mumidziyo yeropa. Metoprolol uye bisoprolol inonyanya kuvharira beta-1 receptors mumoyo. Kunyangwe izvi beta blockers zvine misiyano, zvinoshanda pakudzivirira moyo nekuderedza njodzi yematambudziko kubva mukukundikana kwemoyo.
| Iwo akanakisa beta blockers ekundikana kwemoyo | |||||
|---|---|---|---|---|---|
| Zita reBrand (Zita reGeneral) | Chipimo chemushonga | Kubudirira (zvichienzaniswa ne placebo) | Zvimwe zvinokanganisa | Dzidza ZVIMWE | Tora coupon |
| Coreg (yakavezwa) | 3.125 mg kaviri zuva nezuva kwemavhiki maviri, ichiteverwa nedosi inowedzera mavhiki maviri ega kusvikira zvido zvawanikwa. Maximum e25 mg kaviri zuva nezuva kune varwere vanorema isingasviki 85 kg uye 50 mg kaviri pazuva kune varwere vanorema anopfuura 85 kg. | 65% kuderedzwa kwenjodzi yekufa | Dzungu , kuneta, kutemwa nemusoro, kurema, manyoka | Dzidza ZVIMWE | Tora coupon |
| Toprol XL (metoprolol inotapira) | 12.5 kusvika ku25 mg kamwe zuva nezuva kwemavhiki maviri, uye ndokuwedzera mavhiki maviri ega kusvikira zvido zvawanikwa. Maximum e200 mg pazuva. | 3. 4% kuderedzwa kwenjodzi yekufa | Dzungu , kushushikana, kuneta, kufema, manyoka | Dzidza ZVIMWE | Tora coupon |
| Zebeta (bisoprolol) | 1.25 mg kamwe pazuva pazuva kwemazuva maviri, ipapo 2.5 mg kamwe pazuva pazuva rekutanga, ipapo 5 mg kamwe pazuva. Kunonyanyisa 10 mg pazuva. | 3. 4% kuderedzwa kwenjodzi yekufa | Kutemwa nemusoro , dzungu, kurwadza kwemajoini, manyoka, kuneta | Dzidza ZVIMWE | Tora coupon |
Ndeapi mishonga iwe yaunorayirwa inogona zvinoenderana nekuoma kwekutadza kwemoyo kwauri kusangana nako. Chiremba wako anozotarisawo chero marapirwo ekare awakaedza uye chero mhedzisiro yawakamboona kare. Semuenzaniso, bisoprolol inoshanda pamwe nevamwe beta blockers ekundikana kwemoyo, asi zvinogona kukonzera kuneta kushoma pane asiri-sarudza beta blockers senge carvedilol.
Rini (uye sei) beta blockers inotsanangurwa
Beta blockers haisimbise moyo, ivo vanongomisa hunyanzvi kubva pakuwedzeredza.Izvi zvinodzivirira mhasuru yemoyo kubva pakuzvishandira pachezvayo kusvika pahypertrophy nekuda kwekunyanyisa kuomesa, uko kunogona kutungamira ku cardiomyopathy, Dr. Reed anotsanangura.
Nepo beta blockers inogona kudzora kukuvara kumoyo nekutora kumanikidza, Dr. Shill anotsanangura kuti kana ikatorwa zvisizvo vanogona kutonetesa moyo. Kana zvisina kutorwa sekurairwa, vanogona kukuvadza kupfuura kunaka.Beta blockers inogona kukonzeresa zvine ngozi kudzika kwemoyo inonzi bradycardia iyo inogona kutungamira kudzikira kweropa.Izvi zvinogona kukonzera zviratidzo sedzungu, kuda kurutsa, kupera simba, kushomeka kwekusungwa, kana kuona kwakasviba.
Chero bedzi murwere akatsiga uye chaipo beta blocker yakatemwa muyero chaiyo, beta blockers inogona kushandiswa zvinobudirira kurapa kutadza kwemoyo. Tsitsi dzinonzwira tsitsi dziri kuwedzeredza uye kuisa kushushikana pamoyo uye ndosaka beta blockers ichatangwa yobva yaenderera mberi, Dr. Reed anodaro. Mushure mekupererwa neakanyanya moyo kutadza, vazhinji varwere vanoenderera mberi beta blocker therapy. Beta blockers yakaratidzirwa kudzikisa kufa, uye kune humbowo hwakasimba hunotsigira mashandisiro avo.
Varwere vanogona kupihwa yakaderera dosi ye beta blocker yekutadza kwemoyo kutanga nayo. Vanogona kubva vatarisa chero mhedzisiro pasi pekutarisirwa nachiremba kwevhiki kana maviri. Chero bedzi mushonga wacho uchishivirirwa mushe, mupi wezvehutano anogona kuwedzera zvishoma nezvishoma chipimo kusvikira zviratidzo zvadzikiswa, sekureva kwaDr Reed.
Ndiani anofanirwa kwete shandisa beta blockers?
Nepo beta blockers inogona kuponesa-hupenyu kune vamwe varwere, handiyo kesi kune wese munhu.Kana murwere ari kusangana congestive moyo kutadza pamwe nezvimwe zvinokanganisa mamiriro seCOPD, chirwere cheshuga kana chirwere chevascular chirwere, beta blockers inogona kunge isiri nzira yekurapa. Beta blockers inofanirwa kudzivirirwa nevarwere vane asthma neCOPD, Dr. Reed anodaro. Izvowo haisi zano rakanaka kune varwere vane chinononoka kurova kwemoyo kana yakaderera BP.
Kunge mishonga yese, beta blockers inogona kuve nemhedzisiro.
Postural hypotension idambudziko remhedzisiro kune vanhu vazhinji vane beta blockers, Dr. Reed anotsanangura. Izvi zvinogona kukonzera dzungu kana kupera simba.
Vamwe beta blockers vanogona zvakare kukonzera mhedzisiro senge kushushikana, kuneta, uye kusagadzikana kweiyo erectile, izvo zvinogona kuve zvishoma zvezvinetso zvakanyanya zvinokanganisa mhedzisiro yemishonga iyi.
Ikozve kune mukana wekudyidzana kwezvinodhaka zvekutarisa. Mimwe yemishonga inowanzo shandiswa inowirirana ne beta blockers inosanganisira maNSAID uye anti-ulcer mishonga, Dr. Reed anodaro.
Pamusoro peNSAIDs uye anti-ulcer mishonga, pane runyorwa rurefu rwe kusangana kunokwanisika kuziva. Varwere vanofanirwa kutaura navanachiremba nezve kuchengetedzeka kwe beta blocker kurapwa kana vari kutora chero cheanotevera:
- Ropa kumanikidza kudzikisa zvinodhaka
- Mimwe mishonga yemwoyo senge antianginal kana antiarrhythmic zvinodhaka
- Psychotropic zvinodhaka seanodzvinyirira
- Anesthetics
- Statin mishonga
- Warfarin
- Chirwere cheshuga
- Mimwe mishonga inorwisa mabhakitiriya yakaita saRifampin
Muzviitiko zvakawanda, beta blockers ndiwo mushonga unoshanda wekutadza kwemoyo, kudzikisira njodzi yekufa kubva mukundikana kwemoyo, uye kudzikisira njodzi yekurwadziswa kwekurwadziwa kwemoyo. Taura nachiremba wako nezve chero zvinokunetsa iwe zvaungave uine, uye ive shuwa yekuzivisa chero mhedzisiro iwe yaunosangana nayo uchishandisa beta blocker
