Yini i-Beta-Adrenergic Blocker (Indlela ye-Ophthalmic): Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

Amathonsi eso e-Beta-adrenergic blocker yimithi esiza ukunciphisa ingcindezi ngaphakathi kwamehlo akho ngokuvimba izimpawu ezithile zemizwa. Lawa mathonsi asetshenziswa ikakhulu ukwelapha i-glaucoma kanye ne-ocular hypertension, izimo lapho ingcindezi yamehlo ekhuphukile ingalimaza umbono wakho ngokuhamba kwesikhathi.

Cabanga ngale mithi njengabalawuli abanobumnene bamehlo akho. Zisebenza ngokunciphisa ukukhiqizwa koketshezi ngaphakathi kweso lakho, okunciphisa ingcindezi ngokwemvelo. Lesi senzo esilula singenza umehluko omkhulu ekuvikeleni umbono wakho.

Ayini Amathonsi Amehlo e-Beta-Adrenergic Blocker?

Amathonsi eso e-Beta-adrenergic blocker yimithi yendawo oyisebenzisa ngqo emehlweni akho. Angawuhlobo lwemithi ebizwa ngokuthi ama-beta blockers, nawo asetshenziselwa izimo zenhliziyo, kodwa lezi zindlela ezithile zenzelwe ukunakekelwa kwamehlo kuphela.

Izinhlobo ezivame kakhulu zihlanganisa i-timolol, i-betaxolol, ne-levobunolol. Ngamunye usebenza ngendlela efanayo kodwa angase abe nemiphumela ehlukile emehlweni akho nasemzimbeni. Udokotela wakho uzokhetha inketho engcono kakhulu ngokusekelwe esimweni sakho esithile kanye nomlando wezokwelapha.

Le mithi isetshenziswe ngokuphepha amashumi eminyaka futhi ithathwa njengokwelashwa kokuqala kwezinkinga eziningi zengcindezi yamehlo. Zitholakala ngemiyalelo kadokotela kuphela futhi ziza ngamandla ahlukene ukuze ahambisane nezidingo zakho.

Asetshenziselwani Amathonsi Amehlo e-Beta-Adrenergic Blocker?

Lawa mathonsi eso anqunyelwe ikakhulu ukwelapha i-glaucoma kanye ne-ocular hypertension. Zombili lezi zimo zihilela ingcindezi ekhuphukile ngaphakathi kwamehlo akho, engalimaza kancane kancane imithambo yegazi futhi iholele ekulahlekelweni umbono uma ingelashwa.

I-Glaucoma ivame ukubizwa ngokuthi "isela elithule lesibono" ngoba ngokuvamile lithuthuka kancane ngaphandle kwezimpawu ezisobala. Ukwanda kwengcindezi kulimaza imicu yezinzwa ethwala ulwazi olubonakalayo emehlweni akho luyise ebuchosheni bakho. Amaconsi eso e-Beta-blocker asiza ukuvimbela lokhu kulimala ngokugcina ingcindezi yamehlo isebangeni elinempilo.

I-Ocular hypertension isho ukuthi ingcindezi yamehlo akho iphezulu kunokujwayelekile kodwa ayikadalanga umonakalo ongabonakala emthanjeni wakho we-optic. Ukusebenzisa lawa maconsi kungasiza ekuvikeleni ukuqhubekela ku-glaucoma. Abanye odokotela babuye bawabhale njengengxenye yokwelashwa okuhlanganisiwe neminye imithi yengcindezi yamehlo.

Ezimweni ezingavamile, lawa maconsi angase asetshenziswe ngaphandle kwelebula kwezinye izimo zamehlo lapho ukunciphisa ingcindezi yamehlo kungaba usizo. Kodwa-ke, lokhu kufanele kwenziwe ngaphansi kokuqondiswa kwezokwelapha okucophelelayo.

Asebenza Kanjani Amaconsi Amehlo e-Beta-Adrenergic Blocker?

Lawa maconsi eso asebenza ngokuvimba ama-receptors e-beta-adrenergic emehlweni akho. Uma lawa ma-receptors evinjelwe, anciphisa ukukhiqizwa kwe-aqueous humor, uketshezi olucacile olugcwalisa ingxenye engaphambili yamehlo akho.

Amehlo akho ngokwemvelo akhiqiza lokhu ketshezi ngokuqhubekayo usuku lonke. Lugeleza emehlweni akho bese lugelezela ngaphandle ngemigudu emincane. Lapho lolu hlelo lokukhipha lungasebenzi kahle noma kukhiqizwa uketshezi oluningi kakhulu, ingcindezi yakheka ngaphakathi kweso lakho.

Amaconsi eso e-Beta-blocker athathwa njengemithi enamandla ngokulinganisela yokulawula ingcindezi yamehlo. Ngokuvamile anciphisa ingcindezi yamehlo ngamaphesenti angaba ngu-20-25% emazingeni ayisisekelo. Lokhu kuncipha ngokuvamile kwanele ukuletha ingcindezi yamehlo yabantu abaningi ebangeni eliphephile.

Umuthi uqala ukusebenza kungakapheli amahora ambalwa ngemva kokusetshenziswa, kodwa kungase kuthathe amasonto ambalwa ukubona umphumela ophelele wokwehlisa ingcindezi. Udokotela wakho uzoqapha ingcindezi yamehlo akho njalo ukuze aqinisekise ukuthi umuthi usebenza ngempumelelo kuwe.

Kufanele Ngithathe Kanjani Amaconsi Amehlo e-Beta-Adrenergic Blocker?

Amajiko amaningi e-beta-blocker asetshenziswa kanye noma kabili ngosuku, kuye ngemithi yakho ethile kanye nemiyalelo kadokotela. Kubalulekile ukuwasebenzisa ngesikhathi esifanayo nsuku zonke ukuze kugcinwe ukulawulwa kwengcindezi yamehlo okuqhubekayo.

Nakhu ukuthi ungafaka kanjani kahle amaconsi akho emehlo:

1. Geza izandla zakho kahle ngensipho namanzi
2. Thambisa ikhanda lakho kancane ubheke phezulu
3. Hudula kancane isihlobo sakho esiphansi ukuze wakhe iphokhethi elincane
4. Bamba ibhodlela eduze kweso lakho ngaphandle kokulithinta
5. Cindezela ithonsi elilodwa ephaketheni olidalile
6. Vala iso lakho kancane bese ucindezela kancane ekhoneni langaphakathi imizuzu engu-1-2

Ukucindezela okuncane ekhoneni langaphakathi kusiza ekuvikeleni imithi ukuthi ingagelezi ekhaleni nasemphinjeni wakho, okwandisa umphumela esweni lakho futhi kunciphisa imiphumela engemihle engaba khona.

Awudingi ukuthatha lawa maconsi ngokudla noma ubisi ngoba afakwa ngqo emehlweni akho. Kodwa-ke, uma usebenzisa eminye imithi yamehlo, linda okungenani imizuzu emi-5 phakathi kwama-drop ahlukene ukuze ungawagezi.

Uma ugqoka amalensi okuxhumana, ngokuvamile uzodinga ukuwasusa ngaphambi kokufaka amaconsi bese ulinda imizuzu engu-15 ngaphambi kokuwabuyisela. Ezinye izinto ezigcina amaconsi emehlweni zingangenwa ngamalensi okuxhumana athambile.

Kufanele Ngithathe Isikhathi Esingakanani Ama-Beta-Adrenergic Blocker Eye Drops?

Abantu abaningi badinga ukusebenzisa lawa maconsi emehlo isikhathi eside ukuze bagcine ingcindezi yamehlo enempilo. I-Glaucoma kanye ne-ocular hypertension yizimo ezingapheli ezidinga ukuqhubeka nokuphathwa kunokwelashwa kwesikhashana.

Udokotela wakho uzoqapha ingcindezi yamehlo akho njalo, ngokuvamile njalo emavikini angu-3-6 uma ingcindezi yakho izinzile. Uma ingcindezi yamehlo akho ihlala ilawulwa kahle futhi awutholi imiphumela engemihle enezinkinga, cishe uzoqhubeka nokusebenzisa amaconsi unomphela.

Abanye abantu bangase badinge ukulungiswa kokwelashwa kwabo ngokuhamba kwesikhathi. Udokotela wakho angase ashintshe amandla amaconsi akho, ashintshele kwenye i-beta-blocker, noma engeze eminye imithi uma kudingeka. Lokhu kujwayelekile futhi akusho ukuthi ukwelashwa akusebenzi.

Ungalokothi uyeke ukusebenzisa lawa maconsi ngokuzumayo ngaphandle kokubonisana nodokotela wakho, ngisho noma uzizwa ulungile. Ukucindezela kwamehlo kungakhuphuka ngokushesha uma uyeka umuthi, okungenzeka kubangele ukulimala emthanjeni wakho we-optic ngaphambi kokuthi uqaphele noma yiziphi izimpawu.

Yiziphi Imiphumela Eceleni Yemithi Yamehlo ye-Beta-Adrenergic Blocker?

Abantu abaningi bayawamukela kahle amaconsi amehlo e-beta-blocker, kodwa njengayo yonke imithi, angabangela imiphumela emibi. Izindaba ezinhle ukuthi imiphumela emibi engathi sína ayivamile, futhi abantu abaningi ababi nayo imiphumela emibi nhlobo.

Imiphumela emibi evamile engase yenzeke ihlanganisa:

• Ukuqubuka kwamehlo okuncane noma ukusha uma uqala ukusebenzisa amaconsi
• Ukubona okungacacile okwesikhashana ngemuva kokusebenzisa
• Amehlo omile noma ukukhuphuka kwezinyembezi
• Ububomvu obuncane ngamehlo
• Ikhanda elincane

Le miphumela ivame ukuba mncane futhi ithambekele ekuthuthukiseni njengoba amehlo akho ejwayela umuthi emasontweni ambalwa okuqala okusetshenziswa kwawo.

Abanye abantu bangase babe nemiphumela yesistimu ngoba inani elincane lomuthi lingangeniswa egazini lakho. Lokhu kungase kuhlanganise:

• Ukushaya kwenhliziyo okuncane
• Ukukhathala okuncane
• Ukwehla okuncane kwengcindezi yegazi
• Ukuphefumula kanzima (okungavamile)

Le miphumela yesistimu kungenzeka kakhulu uma ungaqhubeki ekhoneni langaphakathi lelihlo lakho ngemuva kokusebenzisa amaconsi, njengoba lokhu kuvumela umuthi owengeziwe ukuba ungeniswe ngamaphasi akho emakhaleni.

Imiphumela emibi engavamile kodwa engathi sína ingahlanganisa ubunzima obukhulu bokuphefumula, izinguquko ezinkulu zesigqi senhliziyo, noma ukusabela okukhulu komzimba. Uma uhlangabezana nanoma yikuphi kwalokhu, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa kwezimo eziphuthumayo.

Obani okungafanele basebenzise amaconsi esamehlo e-Beta-Adrenergic Blocker?

Nakuba lawa maconsi esamehlo ephephile kubantu abaningi, izimo ezithile zezokwelapha zingawenza angalungele noma adinge izinyathelo zokuphepha ezikhethekile. Udokotela wakho uzobukeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokuwanika.

Akufanele usebenzise amaconsi esamehlo e-beta-blocker uma une:

• Isifuba somoya esiqinile noma isifo esingamahlalakhona sokuvimbela umoya (COPD)
• Izinkinga ezithile zesigqi senhliziyo
• Ukwehluleka kwenhliziyo okukhulu
• Ukungezwani okwaziwayo nama-beta-blockers

Lezi zimo zingashushumbiswa yi-beta-blockers, ngisho nalapho zisetshenziswa njengamaconsi esamehlo, ngoba imithi ethile isengangenwa ohlelweni lwakho.

Ukuqapha okukhethekile kuyadingeka uma une:

• Isifuba somoya esincane noma izinkinga zokuphefumula
• Isifo sikashukela (ama-beta-blockers angakwazi ukufihla izimpawu zikashukela ophansi)
• I-thyroid engasebenzi kahle
• Izifo zobuthakathaka bemisipha njenge-myasthenia gravis
• Umlando wokungezwani okukhulu

Uma unezinye zalezi zimo, udokotela wakho angase akhethe olunye uhlobo lwamaconsi esamehlo noma akuqaphe eduze ngenkathi usebenzisa ama-beta-blockers.

Abesifazane abakhulelwe noma abancelisa ngamabele kufanele baxoxe ngezingozi nezinzuzo nodokotela wabo, njengoba le mithi ingawela i-placenta noma idlulele obisini lwebele ngamanani amancane.

Amagama e-Brand e-Beta-Adrenergic Blocker Eye Drop

Amagama amaningi e-brand ayatholakala kumaconsi esamehlo e-beta-blocker, ngalinye liqukethe izithako ezahlukene ezisebenzayo. Amabhrendi avame ukunqunywa kakhulu afaka i-Timoptic (timolol), i-Betoptic (betaxolol), ne-Betagan (levobunolol).

I-Timolol iyatholakala ngaphansi kwamagama ahlukahlukene e-brand okuhlanganisa i-Timoptic, i-Timoptic-XE, ne-Istalol. Itholakala futhi njengomuthi ojwayelekile, ongabiza kakhulu ngenkathi unikeza ukusebenza okufanayo.

I-Betaxolol, ethengiswa njenge-Betoptic ne-Betoptic S, ngezinye izikhathi ithandwa kubantu abanezinkinga zokuphefumula ezincane ngoba ikhetha kakhulu esenzweni sayo. I-Levobunolol, etholakala njenge-Betagan, enye inketho esebenzayo enezakhiwo ezifanayo ne-timolol.

Udokotela wakho uzokhetha uhlobo oluthile kanye nokwakheka okusekelwe ezidingweni zakho, umshwalense, nokuthi usabela kanjani emuthini. Izinhlobo ezivamile zivame ukusebenza kahle njengemikhiqizo yegama.

Ezinye izindlela zokwelapha ngamaconsi eso e-Beta-Adrenergic Blocker

Uma amaconsi eso e-beta-blocker engakulungele noma enganikezi ukulawulwa kwengcindezi okwanele, kunezinhlobo eziningana zemithi yengcindezi yeso etholakalayo. Isigaba ngasinye sisebenza ngendlela ehlukile ukwehlisa ingcindezi yeso.

Ama-prostaglandin analogs, njenge-latanoprost (Xalatan) ne-travoprost (Travatan), avame ukubhekwa njengokwelashwa kokuqala. Asebenza ngokwandisa ukuphuma kwamanzi esweni lakho futhi avame ukusetshenziswa kanye ngosuku kusihlwa.

Ama-Alpha-agonists afana ne-brimonidine (Alphagan) anciphisa kokubili ukukhiqizwa kwamanzi futhi andise ukukhipha. Lezi zivame ukusetshenziswa kabili ngosuku futhi zingasiza ikakhulukazi abantu abangakwazi ukusebenzisa ama-beta-blockers.

Ama-carbonic anhydrase inhibitors, okuhlanganisa i-dorzolamide (Trusopt) ne-brinzolamide (Azopt), anciphisa ukukhiqizwa kwamanzi ngendlela ehlukile kune-beta-blockers. Avame ukusetshenziswa ngokuhlangana neminye imithi.

Kwezinye izimo, imithi yomlomo noma izinqubo zokuhlinzwa kungenzeka zinconywe uma amaconsi eso kuphela enganele. Udokotela wakho uzosebenza nawe ukuthola uhlelo lokwelapha olusebenzayo kakhulu esimweni sakho esithile.

Ingabe amaconsi eso e-Beta-Adrenergic Blocker angcono kune-Prostaglandin Analogs?

Zombili izidakamizwa zamehlo ze-beta-blocker kanye nama-analogs e-prostaglandin ziyizindlela zokwelapha eziphumelelayo ze-glaucoma kanye ne-ocular hypertension, kodwa zisebenza ngendlela ehlukile futhi zinezinto ezihlukile ezizuzisayo. Ukukhetha okuthi "kungcono" kuncike ezimweni zakho ngazinye kanye nomlando wakho wezokwelapha.

Ama-analogs e-Prostaglandin avame ukukhethwa njengokwelashwa kokuqala ngoba asebenza kahle kakhulu ekwehliseni ingcindezi yamehlo futhi kudingeka asetshenziswe kanye ngosuku. Anganciphisa ingcindezi yamehlo ngamaphesenti angama-25-30%, okungaphezudlwana kune-beta-blockers kubantu abaningi.

Kodwa-ke, ama-beta-blockers angase abe ngcono kuwe uma uhlangabezana nemiphumela emibi evela kuma-analogs e-prostaglandin, njengokwanda kwe-iris pigmentation (ushintsho lombala wamehlo) noma ukwanda kokukhula kwama-eyelash. Ama-beta-blockers nawo awabangeli lezi zinguquko zokuhlobisa.

Ama-beta-blockers angase akhethwe uma unezimo ezithile zamehlo lapho ama-prostaglandin angase abangele ukuvuvukala. Kwesinye isikhathi akhethwa nakubantu abanomlando wokuhlukaniswa kwe-retinal noma izinhlobo ezithile zokuhlinzwa kwamehlo.

Abantu abaningi bagcina besebenzisa zombili izinhlobo zemithi ndawonye uma eyodwa yodwa inganikezi ukulawulwa okwanele kwengcindezi. Udokotela wakho uzosiza ekunqumeni ukuthi yimuphi umuthi noma inhlanganisela esebenza kahle kakhulu esimweni sakho esithile.

Imibuzo Evame Ukubuzwa Mayelana Nokuconsa Amehlo kwe-Beta-Adrenergic Blocker

Ingabe Ukuconsa Amehlo kwe-Beta-Adrenergic Blocker Kuphephile Kubantu Abanezifo Zenhliziyo?

Ukuconsa amehlo kwe-Beta-blocker kungasetshenziswa ngokuphepha ngabantu abaningi abanezifo zenhliziyo, kodwa kudinga ukuhlolwa ngokucophelela ngudokotela wakho. Njengoba le mithi ingathinta izinga lokushaya kwenhliziyo yakho nomfutho wegazi, udokotela wakho uzocabangela isimo sakho senhliziyo esithile kanye nemithi yamanje.

Uma unesifo senhliziyo esilawulwa kahle, inani elincane lomuthi elithathwa ekuconseni amehlo ngokuvamile akuyona into ekhathazayo. Kodwa-ke, uma unesifo senhliziyo esibi kakhulu, iziyaluyalu ezithile zesigqi, noma uthatha imithi ethile yenhliziyo, udokotela wakho angase akhethe olunye uhlobo lokuconsa amehlo.

Udaktela wakho wenhliziyo nodokotela wamehlo kufanele baxhumane mayelana nohlelo lwakho lokwelapha ukuqinisekisa ukuthi yonke imithi yakho isebenza kahle ndawonye. Ukuqapha njalo kokubili inhliziyo yakho nempilo yamehlo kuzosiza ekuqinisekiseni ukuphepha kwakho.

Kufanele ngenzeni uma ngingaqondile ngisebenzisa amaconsi amaningi e-Beta-Adrenergic Blocker?

Uma ngempela ufaka ngaphezu kweconsana elilodwa esweni lakho noma usebenzise amaconsi kaningi kunokuba kubhaliwe, ungashayi uvalo. Umuthi owedlulele uzophuma ngokwemvelo esweni lakho, futhi izinkinga ezinzima ngenxa yokusebenzisa ngokweqile ngezikhathi ezithile akunakwenzeka.

Ungase uhlangabezane nokucasuka kwamehlo okwesikhashana okwandisiwe, umbono ongacacile, noma imiphumela emincane yesistimu efana nesiyezi esincane noma izinga lokushaya kwenhliziyo elihamba kancane. Le miphumela kufanele izixazulule yona phakathi kwamahora ambalwa.

Uma uhlangabezana nobunzima obukhulu bokuphefumula, ubuhlungu besifuba, noma isiyezi esibi, xhumana nodokotela wakho noma funa usizo lwezokwelapha ngokushesha. Ukuze uthole ireferensi yesikhathi esizayo, khumbula ukuthi amaconsi amaningi awanikezi ukulawulwa okungcono kwengcindezi futhi angase andise imiphumela emibi.

Buyela esimisweni sakho esijwayelekile sokulinganisa ngomthamo wakho olandelayo ohleliwe. Ungazami ukukhokhela ngokweqa imithamo noma ukushintsha isikhathi sakho.

Kufanele ngenzeni uma ngiphuthelwa umthamo wamaconsi e-Beta-Adrenergic Blocker?

Uma uphuthelwa umthamo, uwusebenzise ngokushesha lapho ukhumbula, ngaphandle kwalapho sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo ophuthelwe futhi uqhubeke neshejuli yakho ejwayelekile.

Ungalokothi usebenzise amaconsi engeziwe ukuze ulungise umthamo ophuthelwe, njengoba lokhu kungandisa ingozi yakho yemiphumela emibi ngaphandle kokuhlinzeka ngokulawulwa okungcono kwengcindezi. Ukucindezela kwamehlo akho ngeke kukhuphuke ngendlela eyingozi ngokuphuthelwa umthamo owodwa.

Uma uvame ukukhohlwa imithamo, zama ukusetha i-alamu yansuku zonke noma usebenzise uhlelo lokusebenza lokukhumbuza amaphilisi. Ukusetshenziswa okuqhubekayo kubalulekile ekugcineni ukulawulwa okuhle kwengcindezi yamehlo ngokuhamba kwesikhathi.

Uma uphuthelwa imithamo eminingana ilandelana, xhumana nodokotela wakho ukuze uthole isiqondiso. Bangase bafune ukuhlola ukucindezela kwamehlo akho ukuze baqinisekise ukuthi akukhuphukanga ngendlela ebalulekile.

Ngingayeka nini ukusebenzisa amaconsi eso e-beta-adrenergic blocker?

Kufanele uyeke kuphela ukusebenzisa amaconsi eso e-beta-blocker ngaphansi kokuqondisa kukadokotela wakho. I-Glaucoma kanye ne-ocular hypertension yizimo ezingapheli ezivame ukudinga ukwelashwa impilo yonke ukuvimbela ukulahlekelwa umbono.

Udokotela wakho angase acabange ukuyeka noma ukushintsha imithi yakho uma uba nemiphumela engathandeki, uma ingcindezi yeso lakho iba phansi njalo, noma uma isimo sakho sishintsha kakhulu. Kodwa-ke, lesi sinqumo kufanele senziwe ngaso sonke isikhathi kanye nomhlinzeki wakho wezempilo.

Uma ucabanga ukuyeka ngenxa yemiphumela emibi noma ukukhathazeka, xoxa ngalokhu nodokotela wakho kuqala. Bangase bakwazi ukulungisa ukwelashwa kwakho noma bakushintshele kwenye imithi esikhundleni sokuyeka ukwelashwa ngokuphelele.

Khumbula ukuthi ukuyeka lawa maconsi kungazelelwe kungabangela ukuthi ingcindezi yeso lakho ikhuphuke ngokushesha, okungenzeka kubangele umonakalo ngaphambi kokuthi uqaphele noma yiziphi izimpawu. Umbono wakho kufanelekile ukuwuvikela ngokwelashwa okuqhubekayo.

Ngingawasebenzisa yini amaconsi eso e-beta-adrenergic blocker neminye imithi yamehlo?

Yebo, amaconsi eso e-beta-blocker avame ukusetshenziswa ngokuphepha neminye imithi yamehlo. Abantu abaningi badinga ukwelashwa okuhlanganisiwe ukuze bathole ukulawulwa okwanele kwengcindezi yeso, futhi udokotela wakho angase akubhalele izinhlobo eziningi ezihlukene zamaconsi eso.

Lapho usebenzisa amaconsi amaningi eso, kubalulekile ukulinda okungenani imizuzu emi-5 phakathi kwemithi ehlukene. Lokhu kuvimbela ukuthi bangagezani omunye nomunye futhi kuqinisekisa ukuthi imithi ngayinye inesikhathi sokumuncwa kahle.

Ezinye izinhlanganisela zemikhiqizo ziyatholakala eziqulathe ama-beta-blockers kanye neminye imithi yokwehlisa ingcindezi ebhodleleni elilodwa. Lokhu kungaba lula futhi kungathuthukisa ukunamathela kwakho ekwelashweni.

Njalo yazisa udokotela wakho ngayo yonke imithi yamehlo oyisebenzisayo, okuhlanganisa izinyembezi zokwenziwa ezingathengiswa ngaphandle kwemvume kadokotela noma ezinye izindlela zokwelapha. Bangakunikeza iseluleko ngesikhathi esingcono kakhulu kanye nokuhlanganiswa kwezidingo zakho ezithile.