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

I-Nebivolol iyimithi kadokotela eyingxenye yeqembu lemithi yenhliziyo ebizwa ngokuthi ama-beta-blockers. Isetshenziswa ikakhulukazi ukwelapha umfutho wegazi ophezulu futhi isize inhliziyo yakho isebenze kahle ngokunciphisa izinga lokushaya kwenhliziyo yakho nokunciphisa amandla okushaya kwenhliziyo yakho.

Ngokungafani nama-beta-blockers amadala, i-nebivolol ithathwa njenge-“selective” beta-blocker, okusho ukuthi inobungane emaphashini akho futhi ingase ibangele imiphumela emincane eceleni. Lokhu kuyenza ibe yindlela ethandwayo kubantu abadinga ukulawulwa komfutho wegazi kodwa abafuna ukugcina izinga lempilo yabo.

Yini i-Nebivolol Esetshenziselwa Yona?

I-Nebivolol ikakhulukazi inikezwa ukwelapha umfutho wegazi ophezulu, owaziwa nangokuthi i-hypertension. Uma umfutho wegazi lakho uhlala uphakeme ngokuhamba kwesikhathi, ubeka ingcindezi eyengeziwe enhliziyweni yakho, imithambo yegazi, nezitho emzimbeni wakho wonke.

Udkt wakho angase futhi anikeze i-nebivolol ngenhliziyo ehlulekayo ezimweni ezithile. Ingasiza inhliziyo yakho ukuba ipompe ngempumelelo futhi inciphise izimpawu ezinjengokuphefumula kanzima nokuvuvukala emilenzeni yakho nasezinyaweni zakho.

Kwezinye izimo, odokotela banikeza i-nebivolol ngaphandle kwetheyibuli yezinye izimo ezihlobene nenhliziyo, njengokushaya kwenhliziyo okungajwayelekile noma ukuvimbela ama-migraines. Nokho, lokhu kusetshenziswa kuncike esimweni sakho esithile sezokwelapha futhi kufanele kuxoxwe ngaso nodokotela wakho.

Isebenza Kanjani i-Nebivolol?

I-Nebivolol isebenza ngokuvimba ama-receptors athile enhliziyweni yakho abizwa ngokuthi ama-beta-1 receptors. Cabanga ngala ma-receptors njengokulawula ivolumu yenhliziyo yakho - uma evaliwe, inhliziyo yakho ishaya kancane futhi ngamandla amancane.

Le mithi ithathwa njenge-beta-blocker enamandla aphakathi nendawo. Ayinamandla njengama-beta-blockers amadala, kodwa isebenza ngokwanele ukwehlisa kakhulu umfutho wegazi nokunciphisa umsebenzi wenhliziyo.

Okuthi i-nebivolol ikhethekile ukuthi futhi isiza imithambo yakho yegazi ukuthi iphumule ngokwandisa ukukhiqizwa kwe-nitric oxide, into yemvelo ekhulisa imithambo yegazi. Lesi senzo esiphindwe kabili senza ukuthi sisebenze ngempumelelo ekulawuleni umfutho wegazi.

Kufanele Ngiyithathe Kanjani I-Nebivolol?

Thatha i-nebivolol ngendlela udokotela wakho ayikuyala ngayo, ngokuvamile kanye ngosuku ngaphandle kokudla noma ngaphandle kokudla. Abantu abaningi bakuthola kulula ukukhumbula uma beyithatha ngesikhathi esifanayo nsuku zonke, ngokuvamile ekuseni noma ebusuku.

Ungayithatha i-nebivolol ngamanzi, ubisi, noma ijusi - akukho okudingekayo ngokuqondile mayelana nokuthi yini ongayiphuza nayo. Uma uhlangabezana nesisu esibuhlungu, ukuyithatha nokudla kungasiza ukunciphisa noma yikuphi ukungakhululeki.

Ungagxobi, uhlafune, noma uqhekeze amaphilisi ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze kanjalo. Gwinya wonke ukuze uqinisekise ukuthi uthola umthamo ofanele ngesikhathi esifanele.

Uma ushintsha emuthini omunye womfutho wegazi, udokotela wakho uzokunikeza imiyalelo ethile mayelana nesikhathi. Ungayeki ukuthatha i-nebivolol ngokuzumayo, ngoba lokhu kungabangela ukuthi umfutho wakho wegazi ukhuphuke ngendlela eyingozi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Nebivolol?

Abantu abaningi badinga ukuthatha i-nebivolol isikhathi eside ukuze bagcine amazinga omfutho wegazi enempilo. Umfutho wegazi ophezulu ngokuvamile uyisimo esingapheli esidinga ukuphathwa okuqhubekayo kunokulungiswa kwesikhashana.

Kungenzeka uzoqala ukubona ukuthuthuka komfutho wegazi phakathi nezinsuku ezimbalwa kuya emavikini ambalwa ngemuva kokuqala i-nebivolol. Kodwa-ke, kungathatha kufika kumaviki angu-12 ukuzwa izinzuzo eziphelele zomuthi.

Udokotela wakho uzoqapha impendulo yakho ngokuhlola umfutho wegazi njalo futhi angase alungise umthamo wakho ngokuhamba kwesikhathi. Abanye abantu bathatha i-nebivolol iminyaka noma amashumi eminyaka njengengxenye yohlelo lwabo lokuphatha impilo yenhliziyo.

Isikhathi sokwelashwa sincike ezidingweni zakho zempilo, ukuthi usabela kanjani emuthini, nokuthi ngabe uba nemiphumela emibi. Umhlinzeki wakho wezempilo uzobuyekeza njalo ukuthi i-nebivolol iyaqhubeka yini ukuba yisinqumo esifanele kuwe.

Yini Imiphumela Emiqoka ye-Nebivolol?

Njengayo yonke imithi, i-nebivolol ingabangela imiphumela emibi, yize abantu abaningi behlangabezana nezinkinga ezimbalwa noma ezingekho. Ukuqonda ukuthi okulindelekile kungakusiza uzizwe unethemba elikhulu mayelana nokwelashwa kwakho.

Nansi imiphumela emibi ejwayelekile ongase uyithole:

• Ukuzwa ukhathele noma ubuthakathaka, ikakhulukazi uma uqala ukuyithatha
• Isiyezi noma ukukhathala, ikakhulukazi uma usukuma ngokushesha
• Ikhanda elibuhlungu elivame ukuthuthuka njengoba umzimba wakho ujwayela
• Ukucasuka kwesisu noma ukungakhululeki
• Ukulala kanzima noma amaphupho angajwayelekile
• Izandla nezinyawo ezibandayo ngenxa yokuncipha kokujikeleza kwegazi

Le miphumela emibi ejwayelekile ivame ukuthuthuka emasontweni ambalwa njengoba umzimba wakho ujwayela umuthi. Uma ziqhubeka noma ziba yinkinga, khuluma nodokotela wakho ngezixazululo ezingenzeka.

Imiphumela emibi engavamile kodwa ebucayi idinga ukunakekelwa kwezokwelapha ngokushesha. Ngenkathi kungavamile, kufanele uxhumane nomhlinzeki wakho wezempilo ngokushesha uma uhlangabezana:

• Ukuphefumula kanzima okukhulu noma ukukhwehlela
• Ukuvuvukala emaqakaleni akho, ezinyaweni, noma ezandleni
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Isiyezi esikhulu noma ukuquleka
• Izimpawu zokucindezeleka noma izinguquko zemizwa
• Ubunzima ekusebenzeni ngokocansi

Izimphendulo ezingavamile kakhulu kodwa ezinzima zihlanganisa ukusabela okukhulu komzimba, izinkinga zesibindi, noma izinguquko ezinkulu emazingeni kashukela wegazi. Lokhu kwenzeka ngaphansi kuka-1% wabantu abathatha i-nebivolol kodwa kudinga ukunakekelwa kwezokwelapha ngokushesha.

Ubani Ongafanele Athatha i-Nebivolol?

I-Nebivolol ayiphephile kuwo wonke umuntu, futhi udokotela wakho uzocabangela ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela. Izimo ezithile zenza lo muthi ube yingozi noma ungasebenzi kahle.

Akufanele uthathe i-nebivolol uma une:

• Ukuhluleka kwenhliziyo okukhulu okungalawulwa kahle
• Izinga lenhliziyo elihamba kancane kakhulu (i-bradycardia) - ngokuvamile ngaphansi kwama-50 beats ngomzuzu
• Izinhlobo ezithile zokuvinjwa kwenhliziyo noma izinkinga zesigqi
• Isifo sesibindi esibi noma ukuhluleka kwesibindi
• Ukungezwani okwaziwayo ne-nebivolol noma ezinye izivimbeli ze-beta
• I-Cardiogenic shock, isimo esisongela impilo lapho inhliziyo ingakwazi ukumpompa igazi elanele

Udokotela wakho uzosebenzisa ukuqapha okwengeziwe uma une-asthma, isifo sikashukela, izinkinga ze-thyroid, noma isifo sezinso. Lezi zimo azikuvimbeli ngokuzenzakalelayo ukuthatha i-nebivolol, kodwa zidinga ukuqapha okuseduze.

Abantu abanokucindezeleka, isifo semithambo yegazi esingaphandle, noma umlando wokungezwani komzimba okukhulu nabo badinga ukuhlolwa ngokucophelela ngaphambi kokuqala lo muthi. Umhlinzeki wakho wezempilo uzohlola izinzuzo ngokumelene nezingozi zesimo sakho esithile.

Amagama Omkhiqizo we-Nebivolol

I-Nebivolol itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Bystolic iyona eyaziwa kakhulu e-United States. Le nguqulo yegama lomkhiqizo iqukethe isithako esifanayo esisebenzayo njenge-nebivolol ejwayelekile.

Amanye amagama omkhiqizo afaka i-Nebilet, evame eYurophu nakwamanye amazwe. Kungakhathaliseki igama lomkhiqizo, zonke izinguqulo ziqukethe umuthi ofanayo osebenzayo futhi zisebenza ngendlela efanayo.

I-nebivolol ejwayelekile yatholakala eminyakeni yamuva futhi inikeza ukusebenza okufanayo njengezinguqulo zegama lomkhiqizo, ngokuvamile ngentengo ephansi. Umuthi wakho wezidakamizwa angakusiza ukuthi uqonde ukuthi iyiphi inguqulo oyitholayo futhi aphendule noma yimiphi imibuzo mayelana nokwehluka.

Ezinye izindlela ze-Nebivolol

Uma i-nebivolol ingasebenzi kahle kuwe noma idala imiphumela engathandeki, kunezindlela eziningi ongazikhetha. Udokotela wakho angase acabange ezinye izinhlobo ze-beta-blockers ezifana ne-metoprolol, atenolol, noma i-carvedilol.

Ezinye izinhlobo zemithi yokwehlisa umfutho wegazi zihlanganisa ama-ACE inhibitors afana ne-lisinopril, ama-calcium channel blockers afana ne-amlodipine, noma ama-diuretics afana ne-hydrochlorothiazide. Uhlobo ngalunye lusebenza ngendlela ehlukile futhi lungase lufaneleke kakhulu kuye ngezidingo zakho zempilo.

Ngezinye izikhathi, ukuhlanganisa izinhlobo ezimbili ezihlukene zemithi yokwehlisa umfutho wegazi kusebenza kangcono kunokusebenzisa eyodwa kuphela. Udokotela wakho angase engeze omunye umuthi kunokuthi ashintshe ngokuphelele ku-nebivolol.

Ukukhetha okunye kuncike kwezinye izimo zakho zempilo, imithi oyithathayo njengamanje, nokuthi usabela kanjani ekwelashweni. Ungalokothi ushintshe imithi ngaphandle kokubonisana nodokotela wakho kuqala.

Ingabe i-Nebivolol Ingcono Kune-Metoprolol?

Kokubili i-nebivolol ne-metoprolol bangama-beta-blockers asebenzayo, kodwa banomehluko obalulekile ongase wenze enye ifaneleke kangcono ezidingweni zakho.

I-Nebivolol intsha futhi ikhetha kakhulu, okusho ukuthi mancane amathuba okuthi ithinte amaphaphu akho noma iphazamise ukulawulwa kukashukela wegazi. Futhi inekhono eliyingqayizivele lokusiza imithambo yegazi ukuthi iphumule, okunganikeza izinzuzo ezengeziwe zomfutho wegazi.

I-Metoprolol isetshenziswe isikhathi eside futhi iyatholakala ngezindlela eziningi, okuhlanganisa nezinhlobo ezikhishwe isikhathi eside. Ivame ukungabizi kakhulu futhi ingase ithandwe ezimweni ezithile zenhliziyo njengokuvimbela ukuhlaselwa yinhliziyo.

Ucwaningo luphakamisa ukuthi i-nebivolol ingase idale imiphumela emincane engemihle ehlobene nokukhathala, ukusebenza ngokocansi, nokubekezelela ukuzivivinya. Kodwa-ke, i-metoprolol inocwaningo oluningi olusekela ukusetshenziswa kwayo ezimweni ezihlukahlukene zenhliziyo.

Ukukhetha

Imibuzo Evame Ukubuzwa Mayelana ne-Nebivolol

Ingabe i-Nebivolol iphephile kubantu abanesifo sikashukela?

Yebo, i-nebivolol ngokuvamile ithathwa njengephephile kubantu abanesifo sikashukela futhi ingase ikhethwe ngaphezu kwamanye ama-beta-blockers. Ngokungafani nama-beta-blockers amadala, i-nebivolol ayithinti kakhulu ukulawulwa kukashukela egazini noma ifihle izimpawu zokuxwayisa zikashukela ophansi.

Noma kunjalo, kufanele uqhubeke nokuhlola amazinga kashukela wakho egazini njalo lapho uqala i-nebivolol, njengoba noma imuphi umuthi omusha ungase uthinte ukuphathwa kwesifo sikashukela. Udokotela wakho angase afune ukulungisa imithi yakho yesifo sikashukela noma uhlelo lokuhlola.

Ngingenzani uma ngiphuzile i-Nebivolol eningi ngengozi?

Uma ngengozi uphuze i-nebivolol eningi kunaleyo ebekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuphuza okuningi kungase kubangele ukwehla okuyingozi kwengcindezi yegazi, ukushaya kwenhliziyo okuhamba kancane, noma ubunzima bokuphefumula.

Ungalindi ukubona ukuthi uzizwa ulungile yini - izimpawu zokweqisa umthamo zingase zingaveli ngokushesha. Iya egumbini eliphuthumayo uma uzwa isiyezi esikhulu, ukuquleka, ubunzima bokuphefumula, noma uma izinga lokushaya kwenhliziyo yakho lehla ngaphansi kokushaya okungama-50 ngomzuzu.

Ngingenzani uma ngiphuthelwe umthamo we-Nebivolol?

Uma uphuthelwe umthamo we-nebivolol, uyithathe ngokushesha lapho ukhumbula, ngaphandle kwalapho sekuseduze isikhathi somthamo wakho olandelayo. Kuleso simo, weqa umthamo ophuthelwe bese uqhubeka nohlelo lwakho olujwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungase kubangele ukuthi ingcindezi yakho yegazi nokushaya kwenhliziyo kwehle kakhulu. Uma uvame ukukhohlwa imithamo, cabangela ukusetha i-alamu yansuku zonke noma usebenzise umhleli wamaphilisi.

Ngingayeka nini ukuphuza i-Nebivolol?

Akufanele uyeke ukuphuza i-nebivolol ngokuzumayo ngaphandle kwesiqondiso sikadokotela wakho. Ukuyeka kungazelelwe kungase kubangele ukuthi ingcindezi yakho yegazi ikhuphuke ngendlela eyingozi futhi kungase kuqale izinkinga zenhliziyo.

Uma sekuyisikhathi sokuyeka i-nebivolol, udokotela wakho uzolinciphisa kancane kancane umthamo wakho phakathi namasonto amaningana. Lokhu kuvumela umzimba wakho ukuthi uzivumelanise ngokuphepha futhi kuvimbela izimpawu zokuhoxiswa njengokushaya kwenhliziyo okusheshayo noma ukukhuphuka komfutho wegazi.

Ngingakwazi yini ukuzivivinya ngenkathi ngithatha i-Nebivolol?

Yebo, ungenza umzimba ngenkathi uthatha i-nebivolol, kodwa ungase uqaphele ukuthi izinga lokushaya kwenhliziyo yakho alikhuphuki kangako ngesikhathi somsebenzi womzimba. Lokhu kujwayelekile futhi kulindelekile ngemithi ye-beta-blocker.

Qala kancane nganoma yiluphi uhlelo olusha lokuzivivinya futhi ulalele umzimba wakho. Ungase udinge ukulungisa ukuqina kokuzivivinya kwakho ngokusekelwe endleleni ozizwa ngayo kunokuthembela ezingeni lokushaya kwenhliziyo. Khuluma nodokotela wakho mayelana nemihlahlandlela yokuzivivinya ephephile yesimo sakho esithile.