Yini iCarvedilol: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Carvedilol yimithi yenhliziyo esiza ukwehlisa umfutho wegazi futhi yenze kube lula ukuthi inhliziyo yakho ipompe igazi emzimbeni wakho wonke. Lo muthi oqoshwe ngudokotela ungoweqembu elibizwa ngokuthi ama-beta-blockers, asebenza ngokuvimba izimpawu ezithile ezingenza inhliziyo yakho isebenze kanzima kakhulu. Odokotela bavame ukubhala i-carvedilol ukwelapha umfutho wegazi ophezulu nokuhluleka kwenhliziyo, izimo ezithinta izigidi zabantu emhlabeni jikelele.

Yini iCarvedilol?

I-Carvedilol yimithi kadokotela evimba zombili izamukeli ze-beta ne-alpha emzimbeni wakho. Cabanga ngalezi zamukeli njengamaswishi alawula ukuthi inhliziyo yakho ishaya ngokushesha kangakanani nokuthi imithambo yakho yegazi icindezela kanjani. Ngokuvimba lawa maswishi, i-carvedilol isiza inhliziyo yakho ukuthi ishaye kancane futhi ngokuqinile ngenkathi ivumela imithambo yakho yegazi ukuthi iphumule.

Lesi senzo esiphindwe kabili senza i-carvedilol ihluke kwamanye ama-beta-blockers. Ngenkathi ama-beta-blockers amaningi evimba kuphela izamukeli ze-beta, i-carvedilol nayo ivimba izamukeli ze-alpha, okuyinika izinzuzo ezengeziwe zokwehlisa umfutho wegazi. Umuthi uza ngesimo samaphilisi futhi uthathwa ngomlomo, ngokuvamile kabili ngosuku ngokudla.

Isetshenziselwani iCarvedilol?

I-Carvedilol iphatha izimo eziningana ezihlobene nenhliziyo, umfutho wegazi ophezulu uyisizathu esivame kakhulu odokotela abayibhala ngaso. Lapho umfutho wakho wegazi uhlala uphakeme kakhulu isikhathi eside, kungalimaza inhliziyo yakho, izinso, nezinye izitho ngokuhamba kwesikhathi. I-Carvedilol isiza ukuletha lezo zinombolo ebangeni elinempilo.

Umuthi futhi welapha ukuhluleka kwenhliziyo, isimo lapho inhliziyo yakho ilwela ukumpompa igazi elanele ukuhlangabezana nezidingo zomzimba wakho. Ekuhlulekeni kwenhliziyo, i-carvedilol ingasiza inhliziyo yakho ukuthi isebenze kahle futhi ingase ngisho isize ukuthi iqine ngokuhamba kwesikhathi. Abanye abantu baqaphela ukuthi bangahamba ibanga elide noma bakhuphuke izitebhisi kalula ngemva kokuthatha i-carvedilol izinyanga eziningana.

Ngaphezu kwalokho, ngezinye izikhathi odokotela banikeza i-carvedilol ngemva kokuhlaselwa yinhliziyo ukuvikela imisipha yenhliziyo nokunciphisa ingozi yezinkinga zenhliziyo zesikhathi esizayo. Lokhu kusetshenziswa kusiza ekuvikeleni inhliziyo ukuthi ingabi buthakathaka ngemva komonakalo wokuqala ovela ekuhlaselweni yinhliziyo.

Isebenza Kanjani I-Carvedilol?

I-Carvedilol isebenza ngokuvimba izinhlobo ezimbili zama-receptors ohlelweni lwakho lwe-cardiovascular. Uma la ma-receptors evinjiwe, inhliziyo yakho ayitholi izimpawu ezivame ukuyenza ishaye ngokushesha futhi kanzima. Lokhu kuvumela inhliziyo yakho ukuthi isebenze ngejubane elinethezekile, okunciphisa ukucindezeleka kulo msipha obalulekile.

Umuthi futhi usiza imithambo yakho yegazi ukuthi iphumule futhi yande, okwenza kube lula ukuthi igazi ligeleze kuyo. Le nhlanganisela yemiphumela inciphisa ingcindezi ngaphakathi kwemithambo yakho yegazi futhi yehlisa umsebenzi wenhliziyo yakho. Njenge-beta-blocker enamandla aphakathi nendawo, i-carvedilol inikeza izinzuzo eziqinile, eziqhubekayo ngaphandle kokuba nolaka kakhulu.

Ngeke uzizwe lezi zinguquko ngokushesha, njengoba i-carvedilol isebenza kancane kancane emasontweni amaningana. Abantu abaningi baqala ukuqaphela ukuthuthuka ezimpawini zabo ngemva kwamasonto angaba ngu-2-4 okusetshenziswa njalo, nakuba izinzuzo eziphelele zingathatha izinyanga ezingafika kwezi-3 ukuthi zithuthuke.

Kufanele Ngiyithathe Kanjani I-Carvedilol?

Thatha i-carvedilol ngendlela udokotela wakho ayala ngayo, ngokuvamile kabili ngosuku ngokudla. Ukuyithatha ngokudla kusiza umzimba wakho ukuthi umunce umuthi kangcono futhi kunciphisa ithuba lokucasuka kwesisu. Ungayithatha nge-breakfast ne-dinner, noma i-lunch ne-dinner, kuye ngeshejuli yakho.

Gwinya amaphilisi wonke ngengilazi yamanzi egcwele. Ungawachobozi, uwahlafune, noma uwaphule amaphilisi, njengoba lokhu kungathinta indlela umuthi osebenza ngayo emzimbeni wakho. Uma unenkinga yokugwinya amaphilisi, khuluma nodokotela wakho mayelana nezinketho zakho kunokuzama ukuguqula amaphilisi ngokwakho.

Zama ukuthatha i-carvedilol ngezikhathi ezifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo emzimbeni wakho. Ukusetha izikhumbuzi zocingo noma ukusebenzisa umhleli wamaphilisi kungakusiza ukuthi ukhumbule imithamo yakho. Ukuqina kubalulekile ekutholeni imiphumela emihle kakhulu kule mithi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Carvedilol?

Abantu abaningi badinga ukuthatha i-carvedilol isikhathi eside ukuze balawule isimo senhliziyo yabo ngempumelelo. Umfutho wegazi ophezulu nokuhluleka kwenhliziyo ngokuvamile kuyizimo zokuphila konke ezidinga ukwelashwa okuqhubekayo ukuvimbela izinkinga. Udokotela wakho uzoqapha ukusabela kwakho emuthini futhi alungise uhlelo lwakho lokwelapha njengoba kudingeka.

Ubude bokwelashwa busekelwe esimweni sakho esithile nokuthi usabela kanjani emuthini. Abanye abantu bathatha i-carvedilol iminyaka noma amashumi eminyaka, kanti abanye bangase badinge ukulungiswa ohlelweni lwabo lokwelapha ngokuhamba kwesikhathi. Ukuhlolwa njalo nodokotela wakho kusiza ukuqinisekisa ukuthi uthola umthamo ofanele wezidingo zakho.

Ungayeki ukuthatha i-carvedilol ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka ngokuzumayo kungabangela umfutho wegazi wakho ukuthi ukhuphuke noma uqhubeke nezimpawu zokuhluleka kwenhliziyo. Uma udinga ukuyeka umuthi, udokotela wakho uzokwenza uhlelo lokunciphisa umthamo wakho kancane kancane ngokuhamba kwesikhathi.

Yiziphi Imiphumela Eceleni Ye-Carvedilol?

Njengayo yonke imithi, i-carvedilol ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela emibi evame kakhulu ivame ukuba mnene futhi ivame ukuthuthuka njengoba umzimba wakho uzivumela emuthini emasontweni ambalwa okuqala.

Nawa imiphumela emibi evame kakhulu ongase uyithole:

• Isiyezi noma ukukhathala, ikakhulukazi lapho usukuma ngokushesha
• Ukukhathala noma ukuzizwa ukhathele kunokujwayelekile
• Ukushaya kwenhliziyo okuhamba kancane
• Umfutho wegazi ophansi
• Ukuqunjelwa noma isisu esicasukile
• Ukuzuza isisindo ngenxa yokugcinwa kwamanzi
• Ukuphefumula kanzima
• Izandla nezinyawo ezibandayo

Lezi zimo ezivamile ezibangelwa imithi ngokuvamile ziba ngaphansi uma umzimba wakho ujwayela umuthi. Abantu abaningi bathola ukuthi bangaqhubeka nemisebenzi yabo yansuku zonke ngaphandle kokuphazamiseka okukhulu.

Abanye abantu bangase babe nemiphumela emibi kakhulu edinga ukunakekelwa kwezempilo ngokushesha. Nakuba lokhu kungavamile, kubalulekile ukwazi ukuthi yini okufanele uyibheke:

• Ubunzima obukhulu bokuphefumula noma ukukhwehlela
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Ukukhuluphala okungazelelwe kwamaphawundi angu-3 noma ngaphezulu ngosuku olulodwa
• Ukuvuvukala emilenzeni yakho, emaqakaleni, noma ezinyaweni
• Isiyezi esikhulu noma ukuquleka
• Izimpawu zezinkinga zesibindi njengokuphuzi kwesikhumba noma amehlo
• Ukuphendula okukhulu komzimba okubangela ukuqubuka, ukuvuvukala, noma ubunzima bokuphefumula

Uma uhlangabezana nanoma yimiphi yale miphumela emibi, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa kwezimo eziphuthumayo. Lezi zimpawu zingase zibonise ukusabela okukhulu okudinga ukwelashwa ngokushesha.

Ubani Ongafanele Athathe i-Carvedilol?

I-Carvedilol ayiphephile kuwo wonke umuntu, futhi udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokuyinika. Izimo ezithile zenza lo muthi ungafaneleki noma uyingozi kwabanye abantu.

Akufanele uthathe i-carvedilol uma unezimo ezilandelayo:

• Isifuba esikhulu noma isifo esingamahlalakhona sokuvimba umoya (COPD)
• Izinhlobo ezithile zokuvinjwa kwenhliziyo noma izinga lokushaya kwenhliziyo elihamba kancane kakhulu
• Isifo sesibindi esibi kakhulu
• Ukwehluleka kwenhliziyo okungalawuleki okuya ngokuya kuba kubi
• Ukungezwani komzimba okwaziwayo ne-carvedilol noma ezinye izivimbeli ze-beta
• Umfutho wegazi ophansi kakhulu
• I-cardiogenic shock

Udokotela wakho uzosebenzisa ukuqapha okwengeziwe uma une-diabetes, isifo sezinso, izinkinga ze-thyroid, noma isifo semithambo yegazi. Lezi zimo akudingeki zikuvimbele ukuthatha i-carvedilol, kodwa zingase zidinge ukuqapha okuseduze nokulungiswa komthamo.

Uma ukhulelwe noma uncelisa, xoxa ngezingozi nezinzuzo nodokotela wakho. I-Carvedilol ingadlulela obisini lwebele futhi ingase imthinte umntwana osakhula, ngakho ukwelashwa okuhlukile kungase kucatshangelwe.

Amagama Omkhiqizo we-Carvedilol

I-Carvedilol itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Coreg iyona eyaziwa kakhulu e-United States. Ungase futhi uyibone ithengiswa njenge-Coreg CR, okuyinguqulo ekhishwe isikhathi eside oyithatha kanye ngosuku esikhundleni sokuthatha kabili ngosuku.

Izinhlobo ezivamile ze-carvedilol zitholakala kabanzi futhi zisebenza ngempumelelo njengezinhlobo zomkhiqizo. Ikhemisi lakho lingase lishintshe ngokuzenzakalelayo inguqulo ejwayelekile ngaphandle uma udokotela wakho ecela ngokuqondile igama lomkhiqizo. Zombili izinhlobo ziqukethe isithako esifanayo esisebenzayo futhi zinikeza izinzuzo ezifanayo.

Uma ushintsha phakathi kwezinhlobo zomkhiqizo nezivamile, akufanele uqaphele noma yimuphi umehluko endleleni umuthi osebenza ngayo. Kodwa-ke, uma unezinkinga ngokushintsha, khuluma nodokotela wakho noma usokhemisi mayelana nezinketho zakho.

Ezinye izindlela ze-Carvedilol

Eminye imithi eminingi ingelapha izimo ezifanayo ne-carvedilol, nakuba ngamunye enezinzuzo zawo kanye nokucatshangelwa kwawo. Udokotela wakho angase acabangele ezinye izindlela uma i-carvedilol ingasebenzi kahle kuwe noma idala imiphumela engathandeki.

Ezinye izivimbeli ze-beta ezifana ne-metoprolol, i-atenolol, noma i-propranolol zisebenza ngendlela efanayo ne-carvedilol kodwa zingase zibe nemiphumela ehlukene. Abanye abantu bayakwazi ukubekezelela isivimbeli se-beta esisodwa kangcono kunesinye, ngakho ukushintsha ngaphakathi kwalesi sigaba somuthi ngezinye izikhathi kuyasiza.

Ngomfutho wegazi ophezulu, ezinye izindlela zihlanganisa izithiyo ze-ACE ezifana ne-lisinopril, izivimbeli zesiteshi se-calcium ezifana ne-amlodipine, noma ama-diuretics afana ne-hydrochlorothiazide. Ngokwehluleka kwenhliziyo, izithiyo ze-ACE, ama-ARB (angiotensin receptor blockers), noma eminye imithi yenhliziyo ingase ibe ezinye izindlela ezifanele.

Udktela wakho uzocabangela isimo sakho esithile, eminye imithi oyithathayo, kanye nokuphendula kwakho ngakunye lapho ekhetha elinye elingcono kakhulu kuwe.

Ingabe i-Carvedilol ingcono kune-Metoprolol?

Kokubili i-carvedilol ne-metoprolol ziyizivimbeli ze-beta ezisebenzayo, kodwa zinezinye izinto ezibalulekile ezingenza enye ifaneleke kangcono esimweni sakho esithile. I-Carvedilol ivimba zombili izamukeli ze-alpha ne-beta, kuyilapho i-metoprolol ivimba ikakhulukazi izamukeli ze-beta.

Ngenhliziyo ehlulekayo, ucwaningo luphakamisa ukuthi i-carvedilol ingahle inikeze imiphumela engcono kancane mayelana nokuphila kanye nokuthuthukiswa kwezimpawu. Umsebenzi wokuvimba i-alpha unikeza i-carvedilol ithuba ekunciphiseni umfutho wegazi futhi ingahle inikeze izinzuzo ezengeziwe zokuvikela inhliziyo.

Nokho, i-metoprolol ingahle itholeke kangcono ngabanye abantu, ikakhulukazi labo abahlangabezana nokukhathala okukhulu noma ukuzuza isisindo nge-carvedilol. I-Metoprolol iphinde itholakale ngezinketho eziningi zokulinganisa, okuhlanganisa nenguqulo yokukhishwa okwandisiwe kanye ngosuku abanye abantu abayithola ilula.

Udktela wakho uzocabangela isimo sakho senhliziyo esithile, ezinye izinkinga zempilo, nokuthi usabela kanjani emithini ngayinye lapho enquma ukuthi iyiphi engcono kuwe. Zombili le mithi ziyizinqumo ezinhle kakhulu, futhi inketho

Xoxa nodokotela wakho wenhliziyo kanye nodokotela wakho wesifo sikashukela mayelana nokuthatha i-carvedilol. Bangasiza ukuxhumanisa ukunakekelwa kwakho futhi baqinisekise ukuthi yonke imithi yakho isebenza kahle ndawonye.

Kufanele ngenzeni uma ngiphuzile i-Carvedilol eningi ngengozi?

Uma ngengozi uphuze i-carvedilol eningi, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukuphuza okuningi kungabangela ukwehla okuyingozi kwengcindezi yegazi, ukushaya kwenhliziyo okuhamba kancane, noma ubunzima bokuphefumula.

Ungazami ukuzenza uhlanze noma uthathe eminye imithi ukuze ulwe nokweqisa. Kunalokho, funa ukwelashwa ngokushesha. Uma unenkinga yokuphefumula, ubuhlungu besifuba, noma uzizwa sengathi ungaquleka, shayela u-911 noma uye egumbini eliphuthumayo eliseduze.

Ukuvimbela ukweqisa ngengozi, sebenzisa umhleli wamaphilisi futhi usethe izikhumbuzi ocingweni lwakho. Gcina imithi yakho esitsheni sayo sokuqala ngokulebula okucacile, futhi ungalokothi uthathe imithamo eyengeziwe ukuze "ubambe" uma uphuthelwe imithamo yangaphambilini.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Carvedilol?

Uma uphuthelwa umthamo we-carvedilol, uyithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo ophuthelwe futhi uqhubeke neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungabangela ukuthi ingcindezi yakho yegazi nokushaya kwenhliziyo kwehle kakhulu. Ukuthatha imithamo ephindwe kabili kungaba yingozi futhi kungase kubangele imiphumela emibi engathi sína.

Uma uvame ukukhohlwa imithamo, zama ukusetha ama-alamu ocingweni, usebenzise umhleli wamaphilisi, noma uthathe imithi yakho ngesikhathi esifanayo nomunye umkhuba wansuku zonke njengokudla noma ukuxubha amazinyo akho.

Ngingayeka nini ukuthatha i-Carvedilol?

Kufanele uyeke kuphela ukuthatha i-carvedilol ngaphansi kokuqondisa kukadokotela wakho, ngisho noma uzizwa ungcono ngokuphelele. Umfutho wegazi ophezulu nokuhluleka kwenhliziyo ngokuvamile kuyizimo zokuphila konke ezidinga ukwelashwa okuqhubekayo ukuvimbela izinkinga.

Uma udinga ukuyeka i-carvedilol nganoma yisiphi isizathu, udokotela wakho uzokwenza uhlelo lokunciphisa umthamo wakho kancane kancane phakathi kwamasonto angu-1-2. Ukuyeka kungazelelwe kungabangela ukuthi umfutho wegazi lakho ukhuphuke ngendlela eyingozi kakhulu noma kwenze izimpawu zokuhluleka kwenhliziyo zibe zimbi kakhulu.

Abanye abantu bangase bakwazi ukunciphisa umthamo wabo noma bayeke umuthi uma isimo sabo sithuthuka kakhulu ngezinguquko zokuphila, kodwa lesi sinqumo kufanele senziwe ngaphansi kokuqondiswa kwezokwelapha nokuqapha ngokucophelela.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Carvedilol?

Ungaphuza utshwala ngokulinganisela ngenkathi uthatha i-carvedilol, kodwa kufanele uqaphele ngokwengeziwe ngobuningi obubuzayo. Kokubili utshwala ne-carvedilol kunganciphisa umfutho wegazi lakho, futhi ukuzihlanganisa kungase kubangele isiyezi, ukukhathala, noma ukuquleka.

Qala ngezilinganiso ezincane zotshwala ukuze ubone ukuthi umzimba wakho usabela kanjani, futhi gwema ukuphuza amanani amakhulu. Naka ukuthi uzizwa kanjani uma usukuma, njengoba le nhlanganisela ingakwenza uthambekele ekuzizweni unesiyezi noma ungaqinile.

Uma uqaphela isiyezi esandayo, ukukhathala, noma ezinye izimpawu ezikhathazayo lapho uphuza utshwala, khuluma nodokotela wakho mayelana nokuthi kufanele yini ukugwema utshwala ngokuphelele ngenkathi uthatha i-carvedilol.