Chii chinonzi Labetalol (Nzira yeIntravenous): Zvinoshandiswa, Dosage, Migumisiro Yemuviri uye Zvimwe

Labetalol intravenous (IV) mushonga unopiwa nachiremba uyo vanachiremba vanoshandisa kudzikisa nekukurumidza ropa rakakwira zvakanyanya muzvipatara. Imushonga une zviito zviviri wekudzikisa ropa rinokwira uyo unoshanda nekudzivisa ese ma alpha uye beta receptors mumoyo wako nemidziyo yeropa, zvichivabatsira kuzorora uye kuderedza kumanikidzwa pamoyo wako nemidziyo yeropa.

Mushonga uyu wakagadzirirwa mamiriro ekukurumidzira apo ropa rako rinoda kudzika nekukurumidza asi zvakachengeteka. Kusiyana nemapiritsi ekudzikisa ropa aunogona kutora kumba, IV labetalol inoshanda mukati memaminitsi uye inopa vanachiremba kutonga kwakaringana pamusoro pekuti ropa rako rinopindura sei kurapwa.

Chii chinonzi Labetalol IV chinoshandiswa?

Labetalol IV inonyanya kushandiswa kurapa mamiriro ekukurumidzira ehypertensive uye ropa rakakwira zvakanyanya rinoda kutariswa kwekurapa nekukurumidza. Aya mamiriro apo ropa rako rakasvika pamatanho anogona kukuvadza nhengo dzako kana zvikasadzivirirwa nekukurumidza.

Vanachiremba vanowanzo shandisa mushonga uyu kana ropa rako re systolic (nhamba yepamusoro) iri pamusoro pe 180 mmHg kana kumanikidzwa kwako kwe diastolic (nhamba yezasi) iri pamusoro pe 120 mmHg, uye uri kusangana nezviratidzo kana uri panjodzi yematambudziko. Inowanzo shandiswawo panguva uye mushure mekuvhiyiwa kwakasiyana-siyana kuchengetedza ropa richigadzikana kana richikwira zvisingatarisirwi.

Vapi vehutano vanogona kusarudza labetalol IV kuvakadzi vane pamuviri vane ropa rakakwira zvakanyanya rine chekuita nekuzvitakura (preeclampsia) nekuti inoonekwa seyakachengeteka kumumwe nemwana zvichienzaniswa nemimwe mishonga yekukurumidzira yekudzikisa ropa. Mushonga uyu unobatsira kudzivirira matambudziko ane njodzi senge sitiroko, kurwisa kwemoyo, kana kukuvadzwa kweitsvo kunogona kuitika kana ropa richiramba rakakwira zvakanyanya.

Labetalol IV inoshanda sei?

Labetalol IV inoshanda nekudzivisa marudzi maviri akasiyana emareceptors mumuviri wako - alpha receptors uye beta receptors. Funga nezve receptors izvi semaswitch anodzora nzira inorova moyo wako uye kuti tsinga dzako dzeropa dzakaita sei.

Kana labetalol ikadzivisa beta receptors mumoyo mako, inoderedza kumhanya kwemoyo wako uye inoderedza simba rinokanda moyo wako. Panguva imwecheteyo, inodzivisa alpha receptors mutsinga dzako dzeropa, zvichikonzera kuti dzizorore uye dzifare. Chiito ichi chine maviri chinogadzira kuderedzwa kwakatsetseka, kunodzorwa mukumanikidzwa kweropa.

Mishonga iyi inoonekwa seyepakati pesimba - ine simba rakakwana rekugadzirisa matambudziko makuru ekumanikidzwa kweropa asi yakapfava zvakakwana kudzivirira kukonzera kuti kumanikidzwa kweropa rako kudonhe nekukurumidza, izvo zvinogona kuva njodzi. Fomu reIV rinobvumira vanachiremba kuti vaone mhedzisiro mukati memaminitsi 2-5 uye vagadzirise dose sezvinodiwa kuti vawane iyo chaiyo kumanikidzwa kweropa padanho remamiriro ako chaiwo.

Ndingagamuchira sei Labetalol IV?

Labetalol IV inogara ichipiwa nevashandi vehutano vakadzidziswa muchipatara kana munzvimbo yekiriniki - hauzombofaniri kunetseka nezvekupa mushonga uyu iwe pachako. Chikwata chekurapa chichaisa chubhu diki (IV catheter) mutsinga muruoko rwako uye chinopa mushonga wacho zvakananga muropa rako.

Mupi wako wehutano achakutarisa zvakanyanya panguva yese yekuita, achitarisa kumanikidzwa kweropa rako maminitsi mashoma ega ega uye achiona chero shanduko mune maitiro aunonzwa. Vanogona kukupa mushonga sejekiseni rimwe chete kana sedrip inoramba ichienderera mberi, zvichienderana nekuti kumanikidzwa kweropa rako kunopindura sei.

Haufaniri kuita chero chinhu chakakosha kugadzirira mushonga uyu - hapana kutsanya kana zvekudya zvakakosha zvinodiwa. Zvisinei, zvakakosha kuti uudze chikwata chako chehutano nezve chero mamwe mishonga yaunotora, kusanganisira zvinodhaka zvisingatengwe uye zvinowedzera, sezvo izvi zvinogona kukanganisa mashandiro e labetalol mumuviri wako.

Ndingatora Labetalol IV kwenguva yakareba sei?

Kureba kwenguva yekurapwa ne labetalol IV kunoenderana zvachose nemamiriro ako emunhu uye kuti ropa rako rinopindura sei kumushonga. Vanhu vazhinji vanogamuchira mushonga uyu kwenguva pfupi - chero kubva kumaawa mashoma kusvika kumazuva mashoma.

Vashandi vehutano vachagara vachiongorora ropa rako uye zvishoma nezvishoma vachideredza mushonga we IV sezvo mamiriro ako achigadzikana. Kana ropa rako richidzora uye rakagadzikana, chiremba wako anogona kukuchinjira kumishonga yeropa yaunogona kutora kumba.

Vamwe vanhu vangada labetalol IV kwemazuva akati wandei kana vachipora kubva pakuvhiwa kana kana ropa ravo richitora nguva kuti rigadzikane. Chikwata chako chekurapa chichaita sarudzo idzi zvichienderana nezvido zvako zveutano uye kuti uri kupindura sei kurapwa.

Ndezvipi Zvakaipa zveLabetalol IV?

Semishonga yese, labetalol IV inogona kukonzera mhedzisiro, kunyangwe vanhu vazhinji vasingawane matambudziko mashoma kana asina. Mhedzisiro yakajairika kazhinji inenge iri nyoro uye inowanzoita nani sezvo muviri wako uchigadzirisa kumushonga.

Heano mhedzisiro yaunogona kuwana, uchifunga kuti chikwata chako chehutano chiri kukutarisa zvakanyanya uye chinogona kugadzirisa chero zvinonetsa nekukasira:

• Dizziness kana lightheadedness, kunyanya kana uchichinja nzvimbo
• Kuneta kana kunzwa kuneta kupfuura zvakajairika
• Nausea kana dumbu rinovava
• Kunzwa kunzwa mumusoro wako kana ganda
• Musoro unovava
• Kunzwa kupisa kana flushing

Mhedzisiro iyi yakajairika inowanzoenda yega uye kazhinji haidi kumisa mushonga. Chikwata chako chehutano chinoziva maitiro ekugadzirisa mhedzisiro iyi uye vachakubatsira kuti unzwe wakasununguka sezvinobvira.

Mhedzisiro yakakomba haina kujairika asi inoda kutariswa kwekurapa nekukasira. Sezvo iwe wakatove munzvimbo yehutano, chikwata chako chekurapa chichakurumidza kuziva uye kurapa chero zviratidzo zvinonetsa:

• Kuderera kwakanyanya kweropa richikonzera kusava nesimba kana kufenda
• Kutadza kufema kana kuchema
• Kurwadziwa muchipfuwa kana kurova kwemoyo kusingaite
• Dizziness yakanyanya isingavandudzwi nekurara pasi
• Zviratidzo zve allergic reaction senge rash, itching, kana kuzvimba

Mhedzisiro isingawanzoitika asi yakakomba inogona kusanganisira matambudziko echiropa kana allergic reactions yakanyanya, asi izvi zvinoitika muvanhu vanopfuura 1%. Chikwata chako chehutano chakadzidziswa kuziva matambudziko aya asingawanzoitiki nekukurumidza uye kupindura zvakakodzera.

Ndiani Asingafaniri Kutora Labetalol IV?

Labetalol IV haina kukodzera munhu wese, uye chikwata chako chehutano chichanyatsoongorora nhoroondo yako yekurapa usati wapiwa mushonga uyu. Kune mamiriro akati wandei anoita kuti mushonga uyu usachengeteke kana kushanda zvishoma.

Haufanire kugamuchira labetalol IV kana uine mamwe mamiriro emoyo anogona kuwedzerwa nemhedzisiro yemushonga pamoyo wako uye rhythm:

• Kukundikana kwemoyo kwakanyanya kana cardiogenic shock
• Second kana third-degree heart block isina pacemaker
• Asthma yakanyanya kana chronic obstructive pulmonary disease (COPD)
• Kuziva allergy ku labetalol kana mishonga yakafanana
• Chirwere chechiropa chakanyanya kana kukundikana kwechiropa
• Mhando dzakasiyana dze heart rhythm disorders

Chiremba wako achashandisawo chenjedzo yakawedzerwa kana uine chirwere cheshuga, thyroid disorders, kana matambudziko eitsvo, sezvo labetalol inogona kukanganisa maitiro ekugadzirisa mamiriro aya. Mushonga unogona kuvhara zvimwe zviratidzo zve low blood sugar muvanhu vane chirwere cheshuga, saka chikwata chako chehutano chichakutarisa zvakanyanya.

Kana iwe uri nepamuviri kana kuyamwisa, chiremba wako achanyatso kuyera mabhenefiti nenjodzi, kunyangwe labetalol ichiwanzofungidzirwa seimwe yesarudzo dzakachengeteka dzekurapa high blood pressure panguva yekuzvitakura.

Labetalol IV Mazita eBrand

Labetalol IV inowanikwa pasi pemazita akawanda emhando, kunyangwe zvipatara zvakawanda zvichishandisa vhezheni yegeneric. Zita remhando rinowanzozivikanwa raunganzwa nderekuti Trandate, iro zita rekutanga remhando ye labetalol.

Mamwe mazita emhando anosanganisira Normodyne, kunyangwe izvi zvisingawanzo shandiswa nhasi. Zvizhinji zvezvipatara zvinochengeta vhezheni yegeneric ye labetalol IV nekuti inoshanda zvakaenzana uye inodhura zvishoma pane vhezheni dzemhando.

Zvisinei nekuti ndeipi vhezheni yaunogamuchira, mushonga unoshanda nenzira imwechete uye une kushanda kumwechete. Chikwata chako chehutano chichashandisa chero vhezheni iripo pachivakwa chavo, uye unogona kuvimba kuti ese mavhezheni anosangana nematanho akafanana ekuchengeteka uye emhando.

Zvimwe Zvinhu Zvokushandisa Panzvimbo peLabetalol IV

Mishonga yakati wandei inogona kushandiswa panzvimbo pe labetalol IV kurapa high blood pressure yakakomba, uye chiremba wako achasarudza sarudzo yakanakisa zvichienderana nemamiriro ako chaiwo uye nhoroondo yako yekurapa.

Zvimwe zvinhu zvinowanzo shandiswa zvinosanganisira nicardipine IV, iyo inoshanda nekuzorodza tsinga dzeropa asi haina kukanganisa kurova kwemoyo kwako nenzira imwechete iyo labetalol inoita. Esmolol imwe sarudzo inoshanda zvakafanana ne labetalol asi ine nguva shoma yekushanda, zvichiita kuti zvive nyore kudzosa kana zvichidikanwa.

Mune mamwe mamiriro ezvinhu, madhokotera anogona kusarudza hydralazine IV, iyo inonyanya kushanda nekuzorodza tsinga dzeropa, kana clevidipine, mushonga mutsva unopa kutonga kwakanyatsojeka kweropa. Sarudzo inoenderana nezvinhu zvakaita semamiriro ako emoyo, basa reitsvo, uye nekukurumidza kwakadii blood pressure yako inoda kudzika.

Chikwata chako chehutano chichasarudza mushonga wakachengeteka uye unoshanda zvakanyanya kumamiriro ako chaiwo, vachifunga zvese zvine chekuita nehutano hwako uye nhoroondo yekurapa.

Labetalol IV Zviri Nani Pane Nicardipine Here?

Labetalol IV na nicardipine IV mishonga miviri yakanaka yekurapa BP yakakwira zvakanyanya, asi inoshanda nenzira dzakasiyana uye inogona kunge yakakodzera mamiriro akasiyana.

Labetalol inokanganisa moyo wako nemidziyo yeropa, zvichiita kuti ive yakanaka kune vanhu vane BP yakakwira ine hukama nekukurumidza kwemoyo uye midziyo yeropa yakasimba. Inowanzo farirwa nevakadzi vane pamuviri nekuti ine rekodhi refu yekuchengeteka panguva yekuzvitakura.

Nicardipine inonyanya kuzorodza midziyo yeropa isina kukanganisa zvakanyanya kumhanya kwemoyo wako, izvo zvinoita kuti ive sarudzo yakanaka kune vanhu vane matambudziko emoyo kana avo vanoda kutonga BP yakanaka. Inogona kushanda zvakanyanya mune vamwe vanhu, kunyanya avo vane matambudziko eitsvo.

Chikwata chako chehutano chichasarudza mushonga wakanakira mamiriro ako chaiwo zvichienderana nezvinhu zvakaita sehutano hwako hwese, mamwe mishonga yaunotora, uye maitiro emuviri wako anopindura kurapwa kweBP.

Mibvunzo Inowanzo Bvunzwa Nezve Labetalol IV

Labetalol IV Yakachengeteka Kune Vanhu vane Chirwere cheShuga here?

Labetalol IV inogona kushandiswa zvakachengeteka muvanhu vane chirwere cheshuga, asi chikwata chako chehutano chichakutarisa zvakanyanya. Mushonga unogona kuvhara zvimwe zviratidzo zveyambiro yeshuga yakaderera yeropa, senge kukurumidza kwemoyo, saka mazinga eshuga yeropa achatariswa nguva dzose paunenge uchigamuchira mushonga.

Kana uine chirwere cheshuga, ita shuwa kuti unoudza chikwata chako chehutano nezve mishonga yako yese yeshuga, kusanganisira insulin nemishonga yemuromo. Vanogona kuda kugadzirisa kurapwa kwako kwechirwere cheshuga kwenguva pfupi paunenge uchigamuchira labetalol IV kudzivirira matambudziko eshuga yeropa.

Ndoita Sei Kana Ndichiwana Zvinetso Zvakanaka kubva kuLabetalol IV?

Sezvo labetalol IV ichipiwa muchipatara, haufaniri kunetseka nekugadzirisa mhedzisiro yega. Chikwata chako chehutano chiri kukutarisa nguva dzose uye chichakurumidza kugadzirisa chero mhedzisiro yaunowana.

Kana ukanzwa dzungu, kusvotwa, kana kuona chero zviratidzo zvisinganzwisisike, ingozivisa mukoti wako kana chiremba wako nekukasira. Vanogona kugadzirisa mushonga wako, kuchinja chinzvimbo chako, kana kupa mamwe marapirwo kuti akubatsire kunzwa wakasununguka uchiri kurapa zvakanaka ropa rako.

Chii chinoitika kana ndikakanganwa dose yeLabetalol IV?

Haufaniri kunetseka nekukanganwa madosi e labetalol IV nekuti inopiwa nechikwata chako chehutano munzvimbo yekurapa inodzorwa. Vakoti vako navanachiremba ndivo vane basa rekuona kuti unogamuchira mushonga sezvakanyorwa.

Mishonga inopiwa kana jekiseni rakarongeka kana sedonhwe rinoramba richiyerera, uye chikwata chako chehutano chinotarisa ropa rako nguva dzose kuti uve nechokwadi chekuti uri kugamuchira huwandu hwakakodzera panguva yakakodzera.

Ndingamira rini kutora Labetalol IV?

Chikwata chako chehutano chichasarudza kuti ungamira rini labetalol IV zvichibva pakuverengwa kweropa rako uye mamiriro ako ese. Kazhinji, mushonga unoderera zvishoma nezvishoma panzvimbo yekumira kamwe kamwe kudzivirira ropa rako kubva pakudzoka.

Vanhu vazhinji vanochinja kubva kuIV labetalol kuenda kumishonga yeropa inotorwa nemuromo vasati vabuda muchipatara. Chiremba wako achaita shuwa kuti ropa rako rinoramba rakagadzikana nemishonga yemuromo usati waburitswa, uye uchagamuchira mirairo yakajeka yekuramba uchirapa ropa rako kumba.

Labetalol IV inogona kukonzera mhedzisiro yenguva refu here?

Labetalol IV pachayo haikonzere mhedzisiro yenguva refu kana ichishandiswa zvakakodzera munzvimbo yekurapa. Mushonga unobuda mumuviri wako nekukurumidza kana wamira, uye mhedzisiro yakawanda inogadziriswa munguva pfupi mushure mekurapa kwapera.

Asi, chirwere chiri pasi chinoda kurapwa kwemanyoro kweropa chinogona kuva nemigumisiro yenguva refu kuhutano hwako. Chikwata chako chekuchengeta hutano chichashanda newe kugadzira chirongwa chenguva refu chekudzora ropa rako uye kudzivirira matambudziko emunguva yemberi kuburikidza nekuchinja mararamiro uye kurapwa kwekurapa kunoenderera mberi.