He aha nā hopena ʻaoʻao o nā Beta-Blockers?

Anter

• No ke aha i kuhikuhi ʻia nā beta-blockers?
• He aha nā ʻano ʻokoʻa o ka beta-blockers?
• Nonselective beta-blockers
• Nā blockers beta Cardioselective
• ʻO nā hanauna beta ʻekolu
• He aha nā hopena?
• Hana pū nā beta-blockers me nā lāʻau ʻē aʻe?
• Hiki iā ʻoe ke inu wai ʻona i ka lawe ʻana i nā beta-blockers?
• ʻO wai ka mea pono ʻole e lawe i nā beta-blockers?
• He aha ka ʻike nui e kaʻana like ai me kāu kauka?
• Palekana paha e haʻalele i ka hoʻohana ʻana i nā beta-blockers?
• Ke laina lalo

Kōkua nā beta-blockers e hōʻemi i ka wikiwiki a me ka ikaika o kou puʻuwai ʻoiai e hoʻohaʻahaʻa nei i kou kaomi koko. Hana lākou ma ka pale ʻana i ka hormone adrenaline (epinephrine) mai ka hoʻopaʻa ʻana i nā beta beta.

E like me ka nui o nā lāʻau, hiki i nā beta-blockers ke hoʻomaka i nā hopena ʻaoʻao. ʻO ka maʻamau, kauoha nā kauka i kēia mau lāʻau no ka mea ʻo nā pilikia e pili ana i kahi kūlana i ʻoi aku ma mua o nā hopena beta hiki ke hana.

E hoʻomau i ka heluhelu ʻana e ʻike hou aʻe e pili ana i nā hopena hopena a me nā launa lāʻau ʻana o nā beta-blockers, a me nā akahele e hana ai.

No ke aha i kuhikuhi ʻia nā beta-blockers?

Hoʻonohonoho pinepine ʻia nā beta-blockers no nā ʻano pili i ka naʻau, e like me:

• ʻeha o ka umauma (angina)
• puʻuwai puʻuwai kongestive
• ke koko kiʻekiʻe (hypertension)
• kūleʻa puʻuwai ʻole (arrhythmia)
• postach tachycardia syndrome (POTS)
• ka pale ʻana i nā hōʻeha puʻuwai (infarction myocardial) i ka poʻe i loaʻa i ka puʻuwai puʻuwai

Aia nā beta-receptor ma luna o kou kino, ʻaʻole wale i kou puʻuwai. A ʻo kahi hopena, kuhikuhi ʻia nā beta-blockers i kekahi manawa no nā kūlana ʻē aʻe, e like me migraine, hopohopo, a me glaucoma.

He aha nā ʻano ʻokoʻa o ka beta-blockers?

ʻAʻole hana ʻia nā beta-blocker āpau like. Nui nā ʻano beta-blocker, a hana kēlā me kēia i kahi ʻano ʻokoʻa iki.

Manaʻo nā kauka i nā kumu he nui i ka hoʻoholo ʻana i kahi beta-blocker e kuhikuhi. Pākuʻi ʻia kēia mau mea:

• ke ʻano e mālama ʻia ana
• ka hopena o nā hopena ʻaoʻao
• nā kūlana ʻē aʻe āu i loaʻa
• nā lāʻau ʻē aʻe āu e lawe nei

ʻEkolu ʻano nui o ka beta-blockers, ua wehewehe ʻia kēlā me kēia mea i ka kikoʻī ma lalo. O lākou:

• nonselective
• cardioselective
• hanauna ʻekolu

Nonselective beta-blockers

Ua ʻae ʻia i nā makahiki 1960, ʻo nā beta-blockers mua i koho ʻole. I nā huaʻōlelo ʻē aʻe, hana lākou i nā beta beta āpau i kou kino, e like me:

• Nā leka uila beta-1 (nā puʻuwai a me nā puʻupaʻa)
• beta-2 mau ʻalohi (lung, ipu koko, ʻōpū, kōpū, nā mākala, a me nā aʻa ate)
• Nā leka uila beta-3 (nā momona momona)

Ma muli o ka hoʻokaʻawale ʻole o kēia mau beta-blockers i waena o nā ʻano like ʻole o nā beta receptor, hoʻoliʻiliʻi iki lākou i nā hopena ʻaoʻao.

Heʻoiaʻiʻo loa kēia no ka poʻe puhihihi a i ʻole loaʻa i nā kūlana māmā e like me ka hānō a i ʻole ka maʻi pulmonary maʻi mau (COPD).

Aia kekahi o nā nonselective beta-blockers maʻamau:

• nadolol (Corgard)
• oxprenolol (Trasicor)
• pindolol (Visken)
• propranolol (Inderal, InnoPran XL)
• sotalol (Betapace)

Nā blockers beta Cardioselective

ʻO nā blockers beta hou i hoʻolālā ʻia e māka i nā beta-1 wale i loaʻa i nā puʻuwai puʻuwai. ʻAʻole lākou e hoʻopili i nā mea loaʻa beta-2 ʻē aʻe a no laila ʻoi aku ka palekana o ka poʻe me nā kūlana pākino.

ʻO kekahi mau beta-blocker cardioselective maʻamau pū me:

• acebutolol (Sectral)
• atenolol (Tenormin)
• bisoprolol (Zebeta)
• metoprolol (Lopressor, Toprol XL)

ʻO nā hanauna beta ʻekolu

ʻO nā hanauna beta ʻekolu he mau hopena hou aʻe e kōkua ai e hōʻoluʻolu hou i nā kīʻaha koko a maʻalahi hoʻi i ke koko kiʻekiʻe.

ʻO kekahi o nā hanauna beta-blockers maʻamau i:

• carvedilol (Coreg)
• labetalol (Normodyne)
• nebivolol (Bystolic)

Ke hoʻomau nei ka noiʻi ʻana i ka hoʻohana ʻana o ka hanauna beta-third. Hōʻike kekahi mau noiʻi e lilo kēia mau lāʻau i koho palekana no ka poʻe me ka maʻi metabolic.

ʻO kahi laʻana, e like me ka loiloi 2017 o nā noi, nebivolol paha he koho kūpono kūpono no ka poʻe i loaʻa i ke koko kiʻekiʻe me ke kō kō (glucose) a me ka momona momona.

Ua hoʻoholo ʻo A ma nā ʻiole ua hoʻonui ʻo carvedilol i ka hoʻomanawanui ʻana o ka glucose a me ka ʻike i ka insulin. ʻO kēia nā kumu nui ʻelua i ka maʻi kō. Pono e noiʻi hou e hoʻomaopopo inā loaʻa nā hopena like o carvedilol i nā kānaka.

He aha nā hopena?

He kūpono, palekana, a me ke kumu kūʻai nā beta-blockers. ʻO ka hopena, pinepine lākou i ka lālani mua o ka mālama ʻana i nā ʻano puʻuwai.

ʻO nā hopena ʻaoʻao maʻamau o ka beta-blockers:

• Ka luhi a me ka puʻupuʻu. Hoʻolohi nā beta-blockers i ka helu o kou puʻuwai. Hiki i kēia ke hoʻonāukiuki i nā hōʻailona e pili ana i ka haʻahaʻa o ke koko (hypetension).
• Hoʻolālā maikaʻi ʻole. Paʻi lohi kou puʻuwai ke lawe ʻoe i nā beta-blockers. ʻOi aku ka paʻakikī o kēia i ke koko e kiʻi i kou palena. ʻIke paha ʻoe i ke anuanu a i ʻole ke kani ʻana i kou mau lima a me kou mau wāwae.
• Nā ʻōuli Gastrointestinal. Hoʻopili kēia i ka ʻōpū huhū, nausea, a me ka diarrhea a i ʻole ka constipation. ʻO ka lawe ʻana i nā beta-blockers me ka meaʻai e kōkua ai i ka hōʻoluʻolu i nā ʻōpū o ka ʻōpū.
• Hewa ka wahine. Hōʻike kekahi poʻe i ka hana erectile i ka lawe ʻana i nā beta-blockers. He hopena maʻamau kēia me nā lāʻau lapaʻau e hoʻohaʻahaʻa i ke kahe o ke koko.
• Kaumaha hoʻonui. He hopena ʻaoʻao kēia o kekahi, nā beta-blockers kahiko ʻole. ʻAʻole maopopo nā kauka no ke aha e hiki ai, akā pili paha ia i ka hopena o ka beta-blockers i kāu metabolism.

ʻO nā hopena ʻē aʻe i liʻiliʻi e like me:

• Hanu paʻakikī. Hiki i nā beta-blockers ke hana i nā spasms o nā mākala māmā e paʻakikī e hanu. ʻOi aku ka maʻamau o kēia i nā kānaka i loaʻa i nā kūlana o ka hū.
• ʻO ke kō kiʻekiʻe (hyperglycemia). Hiki i nā beta-blockers ke hoʻoulu i ke kō i ke koko kiʻekiʻe i ka poʻe me ka maʻi kō.
• Kaumaha, hiamoe, a me nā moeʻuhane pō. ʻOi aku ka hopena o kēia mau ʻaoʻao me nā poʻe beta-blockers kahiko.

E ʻimi koke i ka lāʻau lapaʻau inā ʻike ʻoe i kekahi o nā hopena aʻe ma ka lawe ʻana i nā beta-blockers.

• Nā hōʻailona o kahi pilikia puʻuwai: pōkole o ka hanu, kahi ʻūlū e worsens me ka hoʻoikaika kino, ka ʻeha o ka umauma, ka puʻuwai puʻuwai ʻole, nā wāwae pehu a me nā kuʻekuʻe wāwae.
• Nā hōʻailona o kahi pilikia māmā: pōkole o ka hanu, paʻa ka umauma, ʻūhū
• Nā hōʻailona o kahi pilikia o ke ake: ʻili melemele (jaundice) a me nā keʻokeʻo melemele o nā maka

Hana pū nā beta-blockers me nā lāʻau ʻē aʻe?

ʻAe, hiki i nā beta-blockers ke launa pū me nā lāʻau ʻē aʻe. ʻO kekahi o kēia mau mea:

• lāʻau hoʻoweliweli
• anesthetics
• lāʻau lapaʻau kūʻē
• lāʻau antidepressants
• nā lāʻau hoʻohaʻahaʻa kolesterol (statins)
• decongestants a me nā lāʻau anu
• ka lāʻau insulin a me nā lāʻau maʻi diabetes ʻē aʻe
• nā lāʻau no ka hānō a me COPD
• ka lāʻau no ka maʻi ʻo Parkinson (levodopa)
• nā mea hoʻomaha hoʻomaha nāʻiʻo
• nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), me ibuprofen
• nā lāʻau lapaʻau ʻē aʻe i hoʻohana ʻia e mālama i ke koko kiʻekiʻe, ʻeha o ka umauma, a me ke kuʻi puʻuwai ʻole
• kekahi mau antibiotic, me rifampicin (Rifampin)

Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau āpau a me nā mea hoʻopihapiha āu e lawe ai.

Hiki iā ʻoe ke inu wai ʻona i ka lawe ʻana i nā beta-blockers?

ʻOi aku ka maikaʻi o ka hōʻalo ʻana i ka inu lama inā ʻoe e lawe beta-blockers.

Hiki i nā beta-blockers a me ka waiʻona ke hoʻohaʻahaʻa i kou kahe koko. ʻO ka hui pū ʻana i nā mea ʻelua ke kumu e hāʻule koke ke kaomi o kou koko. Hiki iā ʻoe ke waiho iā ʻoe me ka nāwaliwali, ʻeha, a me ke kukui. Maule paha ʻoe inā kū wikiwiki ʻoe i luna.

ʻOiaʻiʻo, pili kēia mau hopena i kāu hopena i kauoha ʻia o beta-blockers a me ka nui o kāu inu. ʻOiai ʻaʻohe palekana palekana loa, ʻo ka inu ʻana i ka waiʻona i kekahi manawa a ʻoi aku paha ka liʻiliʻi o ka makaʻu. Akā ʻoi aku ka maikaʻi o ka nānā ʻana me kāu kauka.

E kamaʻilio pū ʻoe me kāu kauka inā paʻakikī ka hōʻalo ʻana i ka waiʻona. Loaʻa paha nā lāʻau ʻē aʻe.

ʻO wai ka mea pono ʻole e lawe i nā beta-blockers?

ʻAʻole nā ​​mea pale Beta no nā mea āpau. Hiki paha iā lākou ke hoʻoweliweli i ka poʻe me nā ʻano aʻe:

• hānō, COPD, a me nā maʻi lolo
• diabetes
• ke koko haʻahaʻa (hypotension) a i ʻole ka lohi o ka puʻuwai (bradycardia)
• acidosis metabolic
• nā kūlana kahe koko koʻikoʻi, e like me ko Raynaud hanana
• hōʻaha puʻuwai kūpikipiki
• maʻi maʻi ʻaʻano peripheral artery

Inā loaʻa iā ʻoe kekahi o nā kūlana olakino i helu ʻia ma luna, e noʻonoʻo paha kāu kauka i nā koho ʻē aʻe ma mua o ke kuhikuhi ʻana i kahi beta-blocker.

He aha ka ʻike nui e kaʻana like ai me kāu kauka?

ʻO ke kamaʻilio ʻana i kāu kauka e pili ana i kou olakino a me nā ʻano olakino hiki ke kōkua iā ʻoe e hōʻalo i nā hopena maikaʻi ʻole.

• E hoʻomaopopo i kāu kauka inā hāpai ʻoe, e hoʻāʻo nei e hāpai, a i ʻole hānai umauma.
• I mea e pale aku ai i nā launa lāʻau, hāʻawi i kāu kauka me kahi papa inoa o nā lāʻau āpau a me nā mea hoʻopihapiha āu e lawe ai.
• E hoʻopono e pili ana i kāu ʻona, paka, a hoʻohana lāʻau lāʻau. Hiki i kēia mau mea ke launa pū me nā beta-blockers.

Palekana paha e haʻalele i ka hoʻohana ʻana i nā beta-blockers?

He mea weliweli ka hoʻōki ʻana i ka lawe ʻana i nā beta-blockers me ka hiki ʻole, ʻoiai inā ʻoe e ʻike nei i nā hopena ʻaoʻao.

Ke lawe ʻoe i nā blockers beta, e maʻa kou kino i ka wikiwiki o kou puʻuwai. Inā kū ʻoe i ka lawe ʻana iā lākou me ka hikiwawe, hiki iā ʻoe ke hoʻonui i kou makaʻu i ka pilikia puʻuwai koʻikoʻi, e like me ka puʻuwai puʻuwai.

Kāhea aku i kāu kauka inā ʻike ʻoe i nā hopena ʻoluʻolu ʻole me nā beta-blockers i ʻoi aku ma mua o hoʻokahi lā a ʻelua paha. E ʻōlelo paha kāu kauka i kahi ʻano lāʻau ʻē aʻe, akā pono ʻoe e lohi mālie i kāu lāʻau beta-blocker.

Ke laina lalo

Hoʻohana ʻia nā beta-blockers e mālama i nā kūlana puʻuwai. E like me nā lāʻau āpau, halihali lākou i ka hopena o nā hopena a me nā pilina.

Ma mua o ka lawe ʻana i nā beta-blockers, he mea nui e kamaʻilio me kāu kauka e pili ana i nā kūlana olakino āu, nā lāʻau a me nā mea hoʻopihapiha āu e lawe ai, a me kāu hoʻohana ʻana i ka wai ʻona, paka, a me nā lāʻau leʻaleʻa.

Inā ʻoe e ʻike i nā hopena ʻaoʻao pīhoihoi, e nānā pono me kāu kauka ke hiki koke. Hiki i kāu kauka ke kōkua iā ʻoe me ka palekana o ka beta-blockers a ʻōlelo i kahi lāʻau ʻokoʻa.