Yini i-Labetalol: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Labetalol iyimithi kadokotela esiza ukwehlisa umfutho wegazi ophezulu ngokuvimba izimpawu ezithile emzimbeni wakho. Ingaphansi kweqembu lemithi ebizwa ngokuthi ama-beta-blockers, asebenza njengamabhuleki amancane enhliziyweni yakho nemithanjeni yegazi ukubasiza baphumule futhi basebenze ngempumelelo.

Le mithi isize abantu ukuthi balawule umfutho wabo wegazi amashumi eminyaka. Udokotela wakho angase ayibhale uma une-hypertension noma izimo ezithile zenhliziyo ezidinga ukuphathwa ngokucophelela.

Yini i-Labetalol?

I-Labetalol iyimithi yomfutho wegazi esebenza ngezindlela ezimbili ukusiza ukulawula i-hypertension. Ngokungafani neminye imithi yomfutho wegazi, ivimba zombili izamukeli ze-alpha ne-beta emzimbeni wakho, okuyinika ikhono eliyingqayizivele lokwehlisa umfutho wegazi ngempumelelo.

Umuthi uza ngamaphilisi omlomo owawathatha ngomlomo. Itholakala ngamandla ahlukene, futhi udokotela wakho uzonquma umthamo ofanele ngokuya ngezidingo zakho ezithile nokuthi umzimba wakho usabela kanjani ekwelashweni.

Ungase uzwe udokotela wakho embiza ngokuthi “i-alpha-beta blocker” ngenxa yendlela esebenza ngayo. Lokhu kumane nje kusho ukuthi iqondisa izindlela ezimbili ezihlukene emzimbeni wakho ukusiza ukugcina umfutho wegazi lakho ebangeni elinempilo.

Isetshenziselwani i-Labetalol?

I-Labetalol ikakhulukazi ibhalwe ukwelapha umfutho wegazi ophezulu, owaziwa nangokuthi i-hypertension. Lapho umfutho wegazi lakho uhlala uphakeme kakhulu isikhathi eside, kungase kubeke ingcindezi eyengeziwe enhliziyweni yakho, imithanjeni yegazi, nezinye izitho emzimbeni wakho wonke.

Udokotela wakho angase ancome le mithi uma ezinye izindlela zokwelapha umfutfo wegazi zingasebenzi kahle zodwa. Ivame ukusetshenziswa uma udinga umuthi ongasebenza ezindleleni eziningi ukwehlisa umfutho wegazi lakho ngokuphepha.

Ngesinye isikhathi, odokotela banikeza i-labetalol kubantu abanomfutho wegazi ophezulu kanye nezinye izifo zenhliziyo. Umuthi ungasiza ukuvikela inhliziyo yakho ngenkathi ulawula umfutho wegazi lakho ngasikhathi sinye.

Isebenza Kanjani I-Labetalol?

I-Labetalol isebenza ngokuvimba ama-receptors athile ohlelweni lwakho lwe-cardiovascular abizwa ngokuthi ama-alpha nama-beta receptors. Cabanga ngala ma-receptors njengamaswishi alawula ukuthi inhliziyo yakho ishaya ngokushesha kangakanani nokuthi imithambo yakho yegazi icindezela kanjani.

Lapho i-labetalol ivimba ama-beta receptors, isiza inhliziyo yakho ukuthi ishaye kancane futhi ngamandla amancane. Lokhu kunciphisa inani lomsebenzi okufanele inhliziyo yakho iwenze, okusiza ngokwemvelo ukwehlisa umfutho wegazi lakho.

Ngesikhathi esifanayo, ukuvimba ama-alpha receptors kusiza imithambo yakho yegazi ukuthi iphumule futhi yande. Lapho imithambo yakho yegazi iphumule kakhulu, igazi lingageleza ngayo kalula, okusiza futhi ukwehlisa umfutho wegazi.

Lesi senzo esiphindwe kabili senza i-labetalol ibe namandla amancane njengoba imithi yomfutho wegazi ihamba. Akuyona inketho enamandla kakhulu etholakalayo, kodwa isebenza ngokwanele ukusiza abantu abaningi ukuthi bathole ukulawulwa okungcono komfutho wegazi uma isetshenziswa njengoba kuqondiswe.

Kufanele Ngiyithathe Kanjani I-Labetalol?

Thatha i-labetalol ngendlela eqondile udokotela wakho ayiyalayo, ngokuvamile kabili ngosuku ngaphandle kokudla. Ungayithatha ngengilazi yamanzi, ubisi, noma ijusi - noma yini ezizwa ikhululekile esiswini sakho.

Abantu abaningi bakuthola kuwusizo ukuthatha imithamo yabo ngezikhathi ezifanayo nsuku zonke, njengasekuseni nakusihlwa. Lokhu kusiza ukugcina amazinga aqhubekayo omuthi emzimbeni wakho futhi kwenza kube lula ukukhumbula imithamo yakho.

Akudingeki ukuthi ugweme noma yikuphi ukudla okuthile ngenkathi uthatha i-labetalol, kodwa ukudla ukudla okuvamile, okulinganiselayo kungasiza umzimba wakho ukuthi ucubungule umuthi ngokuqhubekayo. Uma uqaphela noma yikuphi ukuphazamiseka kwesisu, ukuyithatha nokudla kungasiza.

Zama ukungaqali ukulala ngokushesha ngemuva kokuthatha umthamo wakho, ikakhulukazi uma uqala imithi. Abanye abantu bazizwa benesiyezi njengoba imizimba yabo ijwayela izinguquko zomfutho wegazi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Labetalol?

Abantu abaningi badinga ukuthatha i-labetalol isikhathi eside ukuze bagcine umfutho wegazi wabo ulawulwa kahle. Umfutho wegazi ophezulu ngokuvamile uyisimo esingamahlala-khona esidinga ukuphathwa okuqhubekayo kunokulungiswa kwesikhashana.

Udokotela wakho uzoqapha ukuthi imithi isebenza kahle kangakanani kuwe ngokuhlolwa njalo nokulinganisa umfutho wegazi. Bangase balungise umthamo wakho noma isikhathi ngokuya ngokuthi umzimba wakho usabela kanjani emasontweni ambalwa okuqala nezinyanga.

Abanye abantu babona umfutho wegazi labo uthuthuka ezinsukwini ezimbalwa ngemuva kokuqala i-labetalol, kanti abanye bangase badinge amasonto amaningana ukuze bathole izinzuzo eziphelele. Udokotela wakho uzosebenza nawe ukuthola indlela efanele yesimo sakho.

Ungayeki ukuthatha i-labetalol ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka ngokuphazima kungabangela umfutho wegazi wakho ukuthi ukhuphuke, okungaba yingozi enhliziyweni yakho nezinye izitho.

Yiziphi Imiphumela Eceleni Ye-Labetalol?

Njengayo yonke imithi, i-labetalol ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Ukuqonda ukuthi okulindelekile kungakusiza ukuthi uzizwe uqiniseka ngokuphathwa kwakho futhi wazi ukuthi ungaxhumana nini nodokotela wakho.

Imiphumela emibi evame kakhulu ivame ukuba mnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela imithi emasontweni ambalwa okuqala okwelashwa.

Imiphumela Ejwayelekile Eceleni

Le miphumela emibi ithinta abantu abaningi lapho beqala ukuthatha i-labetalol, kodwa ivame ukungabonakali ngokuqhubeka kwesikhathi:

• Isiyezi noma ukuzizwa ulula ekhanda, ikakhulukazi uma usukuma
• Ukukhathala noma ukuzizwa ukhathele kunokujwayelekile
• Ukucasuka kwesisu noma isisu esincane
• Ikhanda
• Ubunzima bokulala noma amaphupho acacile
• Izandla noma izinyawo ezibandayo
• Ikhala eligcwele

Lezi zimpawu zivame ukukhombisa ukuthi umzimba wakho uyajwayela izinguquko zomfutho wegazi. Abantu abaningi bathola ukuthi le miphumela iba ngaphansi kakhulu kokukhathaza ngemva kwamasonto ambalwa okusetshenziswa njalo.

Imiphumela engavamile kodwa ebalulekile

Abanye abantu bahlangabezana nemiphumela engavamile kodwa ebalulekile ukuyiqaphela futhi nixoxe nodokotela wakho:

• Ukushaya kwenhliziyo okuhamba kancane (ukuzwa sengathi inhliziyo yakho ishaya kancane kakhulu)
• Ukuphefumula kanzima noma ubunzima bokuphefumula
• Ukuvuvukala ezinyaweni zakho, emaqakaleni, noma emilenzeni
• Ukuzuza isisindo okungajwayelekile
• Ukucindezeleka noma izinguquko zemizwa
• Ukuluma ekhanda noma ukuqubuka kwesikhumba
• Ubunzima bezocansi

Uma uqaphela noma iyiphi yale miphumela, ungakhathazeki - iyalawuleka, futhi udokotela wakho angakusiza ukuthi unqume ukuthi ulungise umthamo wakho noma uzame enye indlela.

Imiphumela engavamile kodwa ebucayi

Ngenkathi kungavamile, eminye imiphumela emibi idinga ukunakekelwa kwezokwelapha ngokushesha ngoba ingakhombisa ukusabela okukhulu:

• Ukungezwani komzimba okukhulu nobunzima bokuphefumula, ukuvuvukala kobuso noma umphimbo
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Isiyezi esikhulu noma ukuquleka
• Izimpawu zezinkinga zesibindi (ukuphuzi kwesikhumba noma amehlo, umchamo omnyama, ubuhlungu obukhulu besisu)
• Ukusabela kwesikhumba okukhulu noma ukuxebuka
• Ushintsho olungazelelwe embonweni

Lezi zindlela zokuphendula azivamile, kodwa uma uhlangabezana nanoma yiziphi zazo, funa usizo lwezokwelapha ngokushesha. Ukuphepha kwakho yikho konke okubalulekile, futhi abahlinzeki bezempilo bahlome kahle ukubhekana nalezi zimo.

Ubani okungafanele athathe i-Labetalol?

I-Labetalol ayifanele wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Izimo ezithile zingenza lo muthi ungaphephile noma ungasebenzi kahle kwabanye abantu.

Udktela wakho uzofuna ukwazi nganoma yiziphi izimo zenhliziyo, izinkinga zokuphefumula, noma ezinye izinkinga zempilo onazo ngaphambi kokuqala ukukusebenzisa i-labetalol. Lokhu kubasiza ukuthi banqume ukuthi kuyisinqumo esifanele yini kuwe.

Izimo Zezokwelapha Ezingase Zivimbele Ukusetshenziswa Kwe-Labetalol

Izimo eziningana zempilo zingenza i-labetalol ingafaneleki noma idinge ukuqashwa okukhethekile uma uyithatha:

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• Ukwehluleka kwenhliziyo okukhulu noma izinhlobo ezithile zokuvinjwa kwenhliziyo
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• Isifuba somoya noma isifo esingamahlalakhona esivimbela ukuhamba komoya (i-COPD) esibi kakhulu
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• Izinga lenhliziyo elihamba kancane kakhulu (i-bradycardia enkulu)
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• Isifo sesibindi esibi kakhulu
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• Izinhlobo ezithile zezinkinga zokujikeleza kwegazi
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• I-Pheochromocytoma (ithumba elingavamile lezindlala ze-adrenal) ngaphandle kokulungiselela okufanele
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Uma unanoma yiziphi zalezi zimo, ungacabangi ukuthi i-labetalol ayivunyelwe ngokuphelele. Udktela wakho usengakwazi ukuyinikeza ngokuqapha okukhethekile noma angase ancome enye indlela esebenza kangcono esimweni sakho.

Izinto Okufanele Zicatshangelwe Ngokukhethekile

Abanye abantu bangathatha i-labetalol kodwa badinga ukuqashwa okwengeziwe noma ukulungiswa komthamo ukuze bayisebenzise ngokuphepha:

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• Isifo sikashukela (umuthi ungamboza izimpawu zikashukela ophansi egazini)
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• Izifo ze-thyroid
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• Isifo sezinso
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• Isifo semithambo esingaphandle
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• Umlando wokungezwani komzimba okukhulu
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• Ukukhulelwa noma ukuncelisa ibele
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Ukuba nenye yalezi zimo akusho ngempela ukuthi awukwazi ukuthatha i-labetalol, kodwa udktela wakho uzofuna ukukuqapha eduze futhi angase aqale ngomthamo ophansi.

Amagama Omkhiqizo we-Labetalol

I-Labetalol itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Trandate iyona eyaziwa kakhulu. Ungase futhi uyibone ithengiswa njenge-Normodyne, nakuba lo mkhiqizo ungatholakali kakhulu manje.

Inguqulo ejwayelekile ebizwa ngokuthi

Ikhemisi lakho lingase libe nezinhlobo ezahlukene zokwenziwa zika-labetalol. Zonke izinhlobo ezivunyelwe zokwenziwa zisebenza ngendlela efanayo futhi zinesimo esifanayo sokuphepha, ngakho-ke ungaqiniseka nganoma iyiphi inguqulo enikezwa ikhemisi lakho.

Ezinye izindlela zika-Labetalol

Uma i-labetalol ingasebenzi kahle kuwe noma ibangela imiphumela engathandeki, udokotela wakho unezinye izidakamizwa eziningi eziphumelelayo zokukhetha kuzo zokwehlisa umfutho wegazi. Okubalulekile ukuthola okufanele isimo sakho esithile.

Ezinye izidakamizwa ze-beta-blockers ezifana ne-metoprolol noma i-atenolol zisebenza ngendlela efanayo ne-labetalol kodwa zingase zibe nemiphumela ehlukene. Abanye abantu bayakwazi ukubekezelela i-beta-blocker eyodwa kangcono kunenye.

Udokotela wakho angase futhi acabangele ama-ACE inhibitors, ama-ARBs (angiotensin receptor blockers), ama-calcium channel blockers, noma ama-diuretics. Uhlobo ngalunye lwemithi yokwehlisa umfutho wegazi lusebenza ngendlela ehlukile, ngakho-ke uma olulodwa lungakulungeli, olunye lungase luphelele.

Ngezinye izikhathi, ukuhlanganisa izinhlobo ezimbili ezihlukene zemithi yokwehlisa umfutho wegazi ngemithamo ephansi kusebenza kangcono kunokusebenzisa umuthi owodwa ngomthamo ophezulu. Udokotela wakho angasiza ekunqumeni indlela engcono kakhulu yezidingo zakho.

Ingabe i-Labetalol ingcono kune-Metoprolol?

Kokubili i-labetalol ne-metoprolol bangama-beta-blockers asebenzayo, kodwa basebenza kancane ngokuhlukile futhi bangase balungele abantu abahlukene. Akukho noyedwa othi “ungcono” ngokujwayelekile - kuya ngezidingo zakho zempilo kanye nendlela umzimba wakho osabela ngayo.

I-Labetalol ivimba zombili izamukeli ze-alpha ne-beta, kuyilapho i-metoprolol ngokuyinhloko ivimba izamukeli ze-beta. Lokhu kusho ukuthi i-labetalol ingasebenza kangcono kubantu abadinga ukuphumula okwengeziwe kwemithambo yegazi okuvela ekuvimbeni i-alpha.

Abanye abantu bathola ukuthi i-metoprolol ibangela imiphumela emibi embalwa, kanti abanye benza kangcono ngesenzo esiphindwe kabili se-labetalol. Udokotela wakho angakusiza ukuthi uqonde ukuthi yikuphi okungase kusebenze kangcono ngokusekelwe kumaphethini akho athile omfutho wegazi nezinye izimo zempilo.

Uma uzamile eyodwa futhi ayisebenzanga kahle, ungacabangi ukuthi enye ngeke isize. Abantu abaningi bayaphumelela nge-beta-blocker ehlukile ngisho noma eyokuqala ibingalungile.

Imibuzo Evame Ukubuzwa Mayelana ne-Labetalol

Q1. Ingabe i-Labetalol iphephile ku-Diabetes?

I-Labetalol ingasetshenziswa ngokuphepha ngabantu abaningi abanesifo sikashukela, kodwa idinga ukunakekelwa okwengeziwe. Umuthi ungakwazi ukufihla ezinye izimpawu zokuxwayisa zikashukela ophansi, njengokushaya kwenhliziyo okusheshayo, okungenye yezindlela umzimba wakho ovamile ukukuxwayisa ngazo ngamazinga e-glucose anciphayo.

Uma unesifo sikashukela, udokotela wakho cishe uzokuncoma ukuthi uhlole ushukela wakho wegazi kaningi uma uqala ukuthatha i-labetalol. Usazothola ezinye izimpawu zikashukela ophansi njengokujuluka, ukuthuthumela, nokudideka, ngakho usengakwazi ukubona nokwelapha i-hypoglycemia.

Abantu abaningi abanesifo sikashukela nomfutho wegazi ophezulu bathatha i-labetalol ngempumelelo. Udokotela wakho uzosebenza nawe ukuze aqaphe zombili izimo futhi alungise imithi yakho njengoba kudingeka ukuze ugcine kokubili umfutho wegazi lakho noshukela wegazi kulawulwa kahle.

Q2. Kufanele ngenzeni uma ngithatha i-Labetalol eningi ngengozi?

Uma ngengozi uthatha i-labetalol eningi kunaleyo ebekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa kahle. Ukuthatha okuningi kungabangela ukuthi umfutho wegazi wakho nokushaya kwenhliziyo kwehlele emazingeni ayingozi.

Izimpawu zokuthi kungenzeka ukuthi uthathe okuningi zihlanganisa isiyezi esibi, ukuquleka, ubunzima bokuphefumula, ukushaya kwenhliziyo okuhamba kancane kakhulu, noma ukukhathala okukhulu. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, funa ukunakekelwa kwezempilo eziphuthumayo ngokushesha.

Ukuvimbela ukweqisa ngengozi, cabanga ukusebenzisa umhleli wamaphilisi noma ukusetha izikhumbuzi zocingo zemithamo yakho. Uma ungaqiniseki ukuthi uthathe umthamo wakho yini, ngokuvamile kuphephe ukuyeqa kunokubeka engozini yokuthatha umthamo ophindwe kabili.

Q3. Kufanele ngenzeni uma ngiphuthelwa umthamo we-Labetalol?

Uma uphuthelwa umthamo we-labetalol, yithathe ngokushesha nje lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kuleso simo, weqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esijwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungabangela ukuthi umfutho wegazi lakho wehle kakhulu. Uma uvame ukukhohlwa imithamo, khuluma nodokotela wakho mayelana namaqhinga okukusiza ukuthi ukhumbule noma ukuthi uhlelo oluhlukile lokulinganisa lungasebenza kangcono.

Ukuphuthelwa umthamo ngezikhathi ezithile ngokuvamile akuyona ingozi, kodwa zama ukuthatha imithi yakho ngokuqhubekayo ukuze uthole ukulawulwa okungcono komfutho wegazi. Uma uphuthelwa imithamo kaningi, umfutho wegazi lakho ungase ungahlali ulawulwa kahle njengoba kufanele.

Q4. Ngingayeka nini ukuthatha i-Labetalol?

Kufanele uyeke kuphela ukuthatha i-labetalol ngaphansi kokuqondiswa kukadokotela wakho. Abantu abaningi abanomfutho wegazi ophezulu badinga ukuthatha imithi isikhathi eside ngoba umfutho wegazi ophezulu ngokuvamile uyisimo esingamahlala-mandla esidinga ukuphathwa okuqhubekayo.

Udokotela wakho angase acabange ukunciphisa noma ukuyeka i-labetalol uma umfutho wegazi lakho uhlala ulawulwa kahle isikhathi eside, ikakhulukazi uma ushintshe kakhulu indlela yakho yokuphila njengokulahlekelwa isisindo, ukuzivocavoca njalo, noma ukunciphisa ukudla usawoti.

Uma udinga ukuyeka i-labetalol, udokotela wakho cishe uzonciphisa umthamo wakho kancane kancane ezinsukwini ezimbalwa noma emasontweni ambalwa. Ukuyeka kungazelelwe kungabangela ukuthi umfutho wegazi lakho ukhuphuke, okungaba yingozi enhliziyweni yakho nezinye izitho.

Q5. Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Labetalol?

Ungaba neziphuzo ezidakayo ngezikhathi ezithile ngenkathi uthatha i-labetalol, kodwa uzodinga ukuqaphela kakhulu ngobuningi obubuzayo. Kokubili utshwala ne-labetalol kunganciphisa umfutho wegazi lakho, ngakho ukukuhlanganisa kungase kukwenze uzizwe unesiyezi noma ukhathele.

Qala ngezilinganiso ezincane zotshwala kunalezo ongase uzijwayele ukuziphuza ukuze ubone ukuthi umzimba wakho usabela kanjani. Naka ukuthi uzizwa kanjani uma usukuma, ngoba le nhlanganisela ingakwenza ukuthi uthatheke kalula uma ushintsha izikhundla.

Uma unemibuzo mayelana nokusetshenziswa kotshwala ngenkathi uthatha i-labetalol, xoxa ngayo nodokotela wakho. Bangakunikeza iseluleko esiqondene nawe ngokusekelwe empilweni yakho yonke kanye neminye imithi ongase uyithathe.