Created at:1/13/2025
I-Acebutolol ngumuthi kadokotela ongaphansi kweqembu lemithi ebizwa ngokuthi ama-beta-blockers. Udokotela wakho angase akubhalele ukukusiza ukulawula umfutho wegazi ophezulu noma ukushaya kwenhliziyo okungajwayelekile. Cabanga ngayo njengebhegi elithambile lenhliziyo yakho, eliyisiza ukuthi ishaye ngokuqhubekayo futhi inciphise ingcindezi emithanjeni yakho yegazi.
I-Acebutolol ngumuthi we-beta-blocker osebenza ngokuvimba izimpawu ezithile enhliziyweni yakho nasemithanjeni yegazi. Yilokho odokotela abakubiza ngokuthi i-“cardioselective” beta-blocker, okusho ukuthi iqondise ikakhulukazi inhliziyo yakho kunokuthi ithinte ezinye izitho zomzimba wakho kakhulu.
Lo muthi usetshenziswe ngokuphepha amashumi eminyaka ukwelapha izifo zenhliziyo. Kuthathwa njenge-beta-blocker enamandla aphakathi nendawo, okwenza kube ukukhetha okuhle kubantu abadinga ukulawulwa kwesigqi senhliziyo ngaphandle kwemiphumela enamandla kakhulu. Udokotela wakho ukhethe lo muthi ngoba unikeza imiphumela ethembekile enomphumela oceleni olawulekayo ngokuvamile.
I-Acebutolol isiza ukwelapha izimo ezimbili eziyinhloko zenhliziyo: umfutho wegazi ophezulu nokushaya kwenhliziyo okungajwayelekile. Ngomfutho wegazi ophezulu, isebenza ngokukhulula imithambo yakho yegazi futhi yehlise izinga lokushaya kwenhliziyo yakho, okunciphisa amandla inhliziyo yakho okudingeka ukuba ipompe igazi.
Uma kuziwa ekushayeni kwenhliziyo okungajwayelekile, i-acebutolol isiza ukuzinzisa ukushaya kwenhliziyo yakho ngokuvimba izimpawu zikagesi ezingabangela inhliziyo yakho ukuthi ishaye ngokushesha kakhulu noma ngokungajwayelekile. Lokhu kungaba usizo ikakhulukazi uma uhlangabezana nokushaya kwenhliziyo noma uma inhliziyo yakho ngezinye izikhathi izizwa sengathi iyagijima.
Abanye odokotela baphinda babhale i-acebutolol ukusiza ukuvimbela ubuhlungu besifuba obuhlobene nezimo zenhliziyo. Umuthi unganciphisa umsebenzi wenhliziyo yakho, okusho ukuthi akudingeki isebenze kanzima ngesikhathi semisebenzi yansuku zonke.
I-Acebutolol isebenza ngokuvimba ama-receptors e-beta enhliziyweni yakho nasemithanjeni yegazi. Lawa ma-receptors ngokuvamile aphendula ama-hormone okucindezeleka njenge-adrenaline, okwenza inhliziyo yakho ishaye ngokushesha futhi kanzima.
Uma i-acebutolol ivimba la ma-receptors, izinga lokushaya kwenhliziyo yakho liyancipha futhi imithambo yakho yegazi iyakhululeka. Lokhu kudala umphumela wokuthulisa ohlelweni lwakho lwe-cardiovascular, okufana nendlela yokuphefumula okujulile okungakusiza uzizwe ukhululekile ngezikhathi ezicindezelayo.
Umuthi uthathwa njengomuthi oqinile phakathi kwama-beta-blockers. Unamandla ngokwanele ukulawula ngempumelelo isigqi senhliziyo nomfutho wegazi, kodwa uthambile ngokwanele ukuthi abantu abaningi bawuthuthukise kahle. Lokhu kulinganisela kwenza kube yindawo enhle yokuqala kubantu abaningi abadinga ukwelashwa nge-beta-blocker.
Thatha i-acebutolol njengoba nje udokotela wakho ekunqumele, ngokuvamile kanye noma kabili ngosuku. Ungayithatha ngaphandle kokudla, kodwa ukuyithatha nokudla kungasiza ekuvikeleni isisu esibuhlungu uma uzwela emithini.
Zama ukuthatha umthamo wakho ngesikhathi esifanayo nsuku zonke ukuze usize ukugcina amazinga aqhubekayo ohlelweni lwakho. Abantu abaningi bakuthola kuwusizo ukuyithatha ngesidlo sasekuseni noma isidlo sakusihlwa njengengxenye yomsebenzi wabo wansuku zonke. Uma uyithatha kabili ngosuku, hlukanisa imithamo ngamahora angu-12.
Gwinya amaphilisi wonke ngengilazi yamanzi egcwele. Ungagxobi, uhlafune, noma uvule amaphilisi, ngoba lokhu kungathinta indlela umuthi okhishwa ngayo emzimbeni wakho. Uma unenkinga yokugwinya amaphilisi, khuluma nodokotela wakho mayelana nezinye izinketho.
Ubude bokwelashwa nge-acebutolol buxhomeke esimweni sakho esithile nokuthi usabela kahle kangakanani emuthini. Ngomfutho wegazi ophezulu, kungase kudingeke ukuthi uyithathe isikhathi eside, mhlawumbe iminyaka, ukuze ugcine umfutho wegazi wakho ulawulwa.
Uma uthatha i-acebutolol ngenxa yokushaya kwenhliziyo okungajwayelekile, ubude bokwelashwa buyahlukahluka kakhulu. Abanye abantu bayayidinga izinyanga ezimbalwa, kanti abanye bangase bayidinge unomphela. Udokotela wakho uzoqapha ukushaya kwenhliziyo yakho futhi alungise uhlelo lwakho lokwelashwa ngokufanele.
Ungayeki ukuthatha i-acebutolol ngokuzumayo, ngisho noma uzizwa ungcono. Ukuyeka ama-beta-blockers kungazelelwe kungabangela ukuthi izinga lokushaya kwenhliziyo nomfutho wegazi wakho ukwenyuke, okungaba yingozi. Udokotela wakho uzokwehlisa kancane kancane umthamo wakho uma sekuyisikhathi sokuyeka umuthi.
Njengayo yonke imithi, i-acebutolol ingabangela imiphumela emibi, nakuba abantu abaningi bengatholi mingi noma abatholi neze. Imiphumela emibi evame kakhulu ivamise ukuba milde futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi.
Nansi imiphumela emibi ongase uyibone, uqala ngaleyo evame kakhulu:
Le miphumela emibi ejwayelekile ngokuvamile iba ngaphansi kokuqashelwa ngemva kwamasonto ambalwa njengoba umzimba wakho uzivumela emuthini.
Abanye abantu bathola imiphumela emibi engavamile kodwa ekhathazayo edinga ukunakekelwa kwezokwelapha:
Uma ubona noma iyiphi yale miphumela emibi ebucayi, xhumana nodokotela wakho ngokushesha. Bangasiza ekunqumeni ukuthi udinga ukulungisa umthamo wakho noma ushintshele emuthini ohlukile.
Imiphumela emibi engavamile kodwa ebucayi ihlanganisa ukusabela okukhulu komzimba, izinkinga zesibindi, noma izinguquko ezinkulu emazingeni kashukela wegazi. Nakuba lokhu kungavamile, kubalulekile ukukwazi futhi ufune ukwelashwa ngokushesha uma uhlangabezana nezimpawu ezinjengokuqubuka okukhulu, ukuphuzi kwesikhumba noma amehlo, noma ubuthakathaka obungavamile.
I-Acebutolol ayifanele wonke umuntu, futhi udokotela wakho uzocabangela umlando wakho wezokwelapha ngaphambi kokuyinika. Ezinye izimo zenza lo muthi ungabi nawo umthelela noma ungasebenzi kahle.
Akufanele uthathe i-acebutolol uma unezimo ezithile zenhliziyo ezingase zibe zimbi ngama-beta-blockers:
Udokotela wakho uzophinda aqaphele ngokunika i-acebutolol uma unezinye izimo ezingase zithintwe yilo muthi.
Abantu abane-asthma noma izinkinga ezinkulu zokuphefumula ngokuvamile kufanele bagweme i-acebutolol, njengoba ingenza ubunzima bokuphefumula bube bubi kakhulu. Uma unesifo sikashukela, udokotela wakho uzokuhlola eduze njengoba ama-beta-blockers engase afihle ezinye izimpawu zokuxwayisa zikashukela ophansi wegazi.
Ezinye izimo ezidinga ukucatshangelwa okukhethekile zihlanganisa isifo sezinso, izinkinga zesibindi, izifo ze-thyroid, nesifo semithambo yegazi esingaphandle. Udokotela wakho uzohlola izinzuzo nezingozi zesimo sakho esithile.
I-Acebutolol itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Sectral iyilena eyaziwa kakhulu e-United States. Ikhemisi lakho lingase linikeze inguqulo yegama lomkhiqizo noma okulingana okujwayelekile.
I-acebutolol ejwayelekile iqukethe isithako esifanayo esisebenzayo futhi isebenza ngempumelelo njengenguqulo yegama lomkhiqizo. Umehluko omkhulu uvame ukuba ezithakweni ezingasebenzi, umbala, noma ukuma kwama-capsules. Udokotela wakho noma usokhemisi angakusiza ukuthi uqonde ukuthi iyiphi inguqulo oyitholayo.
Uma ubuthatha inguqulo eyodwa futhi ikhemisi lakho lishintshela kwenye, ungakhathazeki. Zombili lezi zinhlobo zidingeka ukuthi zihlangabezane namazinga afanayo aqinile okuphepha nokusebenza kahle.
Uma i-acebutolol ingasebenzi kahle kuwe noma ibangela imiphumela engathandeki, udokotela wakho unezinye izinketho eziningana okufanele azicabangele. Ezinye izivimbeli ze-beta zingase zifaneleke kakhulu esimweni sakho esithile.
Ezinye izindlela ezivamile zihlanganisa i-metoprolol, i-atenolol, ne-propranolol. Ngayinye inezakhiwo ezihlukile kancane kanye namaphrofayili emiphumela emibi. Isibonelo, i-metoprolol ivame ukukhethwa kubantu abanezinhlobo ezithile zokuhluleka kwenhliziyo, kuyilapho i-atenolol ingase ibe ngcono kulabo abanezinkinga zezinso.
Uma izivimbeli ze-beta ngokuvamile zingakulungele, udokotela wakho angase acabangele ezinye izinhlobo zemithi yomfutho wegazi noma yezinhliziyo. Lokhu kuhlanganisa izithiyo ze-ACE, izivimbeli zesiteshi se-calcium, noma eminye imithi yezinhliziyo, kuye ngesimo sakho esithile.
Kokubili i-acebutolol ne-metoprolol ziyizivimbeli ze-beta ezisebenzayo, kodwa zomehluko othile ongase wenze enye ifaneleke kakhulu kuwe kunenye. Akukho noyedwa ovamile “ongcono” - kuya ngezidingo zakho ngazinye nokuthi umzimba wakho usabela kanjani.
I-Acebutolol ivame ukuba nomthelela omncane emandleni akho okuzivocavoca futhi ingase ibangele izinkinga ezimbalwa ngokukhathala ngesikhathi somsebenzi womzimba. Futhi inokuthiwa “umsebenzi we-sympathomimetic wangaphakathi,” okusho ukuthi inomphumela omncane ovuselelayo ongase usize ukuvimbela izinga lenhliziyo yakho ukuthi lingehli kakhulu.
Ngakolunye uhlangothi, i-Metoprolol itholakala ngezindlela eziningi futhi ifundwe kabanzi ngezimo ezithile njengokuhluleka kwenhliziyo. Kungase kukhethwe uma udinga i-beta-blocker ethathwa kanye ngosuku noma uma unezimo ezithile zenhliziyo.
Udokotela wakho uzocabangela izinto ezinjengokuthi usezingeni elingakanani, eminye imithi oyithathayo, kanye nesimo sakho senhliziyo esithile lapho ekhetha phakathi kwalezi zinketho.
I-Acebutolol ingasetshenziswa ngabantu abanesifo sikashukela, kodwa idinga ukuqashwa ngokucophelela. Ama-beta-blockers afana ne-acebutolol angakwazi ukufihla ezinye izimpawu zokuxwayisa zikashukela ophansi, njengokushaya kwenhliziyo okusheshayo nokuthuthumela.
Uma unesifo sikashukela, udokotela wakho cishe uzoncoma ukuqapha ushukela wegazi kaningi lapho uqala i-acebutolol. Uzodinga futhi ukuba uqaphele ezinye izimpawu zikashukela ophansi, njengokujuluka, ukudideka, noma isiyezi. Umuthi ngokuvamile awubangeli izinkinga zikashukela ngokwawo, kodwa ungenza kube nzima ukuqaphela lapho ushukela wakho wegazi wehla.
Uma ngengozi uthatha i-acebutolol eningi kunaleyo ebekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuthatha okuningi kungabangela ukuthi izinga lokushaya kwenhliziyo yakho nomfutho wegazi wehle ngendlela eyingozi.
Izimpawu zokweqisa zihlanganisa isiyezi esibi, ukuquleka, ubunzima bokuphefumula, noma izinga lokushaya kwenhliziyo elingavamile. Ungalindi ukubona ukuthi ngabe izimpawu ziyavela yini - thola usizo lwezokwelapha ngokushesha. Uma kungenzeka, yiba nebhodlela lomuthi nawe lapho ufuna usizo ukuze ochwepheshe bezokwelapha bazi kahle ukuthi uthatheni ini nokuthi uthathe malini.
Uma uphuthelwa umthamo we-acebutolol, uyithathe ngokushesha lapho ukhumbula, ngaphandle kokuthi sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esijwayelekile.
Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo owuphuthelwe, ngoba lokhu kungabangela ukuthi izinga lokushaya kwenhliziyo nomfutho wegazi lakho wehle kakhulu. Uma uvame ukukhohlwa imithamo, cabangela ukusetha izikhumbuzi zocingo noma ukusebenzisa umhleli wamaphilisi ukukusiza ukuthi uhlale emgwaqweni.
Kufanele uyeke kuphela ukuthatha i-acebutolol ngaphansi kokuqondisa kukadokotela wakho. Noma ngabe uzizwa ungcono ngokuphelele, ukuyeka kungazelelwe kungabangela ukuthi izinga lokushaya kwenhliziyo nomfutho wegazi wakho ubuyele emazingeni ayingozi.
Udokotela wakho uzokwehlisa kancane kancane umthamo wakho ezinsukwini eziningana noma emasontweni lapho sekuyisikhathi sokuyeka umuthi. Le nqubo yokunciphisa isiza ukuvimbela izimpawu zokuhoxisa futhi igcina inhliziyo yakho izinzile. Isikhathi sokuyeka sincike esimweni sakho - abanye abantu badinga i-acebutolol ngesikhathi esifushane, kanti abanye bangase bayidinge unomphela.
Yebo, ungaqeqeshwa ngenkathi uthatha i-acebutolol, kodwa ungase uqaphele ukuthi izinga lokushaya kwenhliziyo yakho alikhuphuki kangako ngesikhathi somsebenzi womzimba. Lokhu kuvamile futhi kulindelekile ngama-beta-blockers.
Ungase udinge ukulungisa indlela oqapha ngayo ukuqina kokuzivocavoca kwakho njengoba ungeke ukwazi ukuthembela ezingeni lokushaya kwenhliziyo kuphela. Naka ukuthi uzizwa kanjani ngesikhathi sokuzivocavoca - kufanele ukwazi ukukhuluma ngokunethezeka ngesikhathi somsebenzi olula. Uma uzizwa ukhathele ngokungavamile noma uphelelwa umoya, qala kancane futhi wandise kancane izinga lomsebenzi wakho njengoba umzimba wakho ujwayela umuthi.