IPropranolol, iThebhulethi yomlomo

Umxholo

• Izilumkiso ezibalulekileyo
• Yintoni ipropranolol?
• Kutheni isetyenziswa
• Ingaba isebenza kanjani
• Iziphumo ebezingalindelekanga zepropranolol
• Iziphumo eziqhelekileyo ezichaphazelekayo
• Iziphumo ebezingalindelekanga ezimandundu
• Ipropranolol inokusebenzisana namanye amayeza
• Arrhythmia iziyobisi
• Uxinzelelo lwegazi iziyobisi
• Uxinzelelo lwegazi iziyobisi
• I-Anesthetics (iziyobisi ezithintela uvakalelo)
• Iziyobisi ezisetyenziselwa ukwandisa ukubetha kwentliziyo kunye noxinzelelo lwegazi
• Iziyobisi zombefu
• Izidakamizwa ezichasayo ezichasayo (i-NSAID)
• Igazi elincinci
• Iyeza lokunyanga izilonda esiswini
• Ii-Antacids ezinealuminium hayidroksayidi
• Izilumkiso zepropranolol
• Isilumkiso somzimba
• Isilumkiso sokudibana notywala
• Izilumkiso zabantu abaneemeko ezithile zempilo
• Izilumkiso kwamanye amaqela
• Nini ukubiza ugqirha
  
• Uyithatha njani ipropranolol
• Ifom yeziyobisi kunye namandla
• Isisombululo se-fibrillation ye-atrial
• Isisombululo soxinzelelo lwegazi (uxinzelelo lwegazi oluphezulu)
• Isisombululo se-angina (iintlungu zesifuba)
• Isisombululo sokuhlaselwa kwentliziyo
• Isisombululo se-hypertrophic subaortic stenosis
• Isisombululo semigraine
• Idosi yokungcangcazela okubalulekileyo
• Isisombululo se-pheochromocytoma (ithumba kwi-adrenal gland)
• Ukuqwalaselwa okhethekileyo kwedosi
• Thatha njengoko kuyalelwe
• Ukuqwalaselwa okubalulekileyo kokuthatha ipropranolol
• Ngokubanzi
• Ukugcina
• Ukuzalisa kwakhona
• Ukuhamba
• Ukuzilawula
• Ukubeka iliso kwezonyango
• Ukufumaneka
• Ngaba zikhona ezinye iindlela?

Amagqabantshintshi epranprololol

1. Ithebhulethi yomlomo wePropranolol ifumaneka kuphela njengechiza elenziwe lafana nelo lenziwa ngumenzi. Ayinayo inguqulelo yegama legama.
2. Ipropranolol iza ngeendlela ezine: ithebhulethi yomlomo, ukukhutshwa kwe-capsule yomlomo eyandisiweyo, isisombululo somlomo, kunye nokujova.
3. Ithebhulethi yomlomo wePropranolol inciphisa umthwalo wentliziyo yakho kwaye iyanceda ukubetha rhoqo. Isetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu, i-angina, i-atrial fibrillation, kunye nokunyikima. Kwakhona kusetyenziswa ukukhusela i-migraines kunye nokunceda ukulawula i-thyroid kunye ne-adrenal gland tumors.

Izilumkiso ezibalulekileyo

• Isilumkiso sokuphelisa unyango: Sukuyeka ukuthatha la mayeza ungakhange uthethe nogqirha wakho kuqala. Ukuyekisa ipropranolol ngequbuliso kunokubangela utshintsho kwisingqi sentliziyo kunye noxinzelelo lwegazi, iintlungu zesifuba eziba mandundu, okanye isifo sentliziyo. Ugqirha wakho uya kuthoba kancinci umthamo wakho kwiiveki ezininzi ukunceda ukukhusela ezi ziphumo.
• Isilumkiso sozela: Eli chiza linokubangela ukozela. Musa ukuqhuba, sebenzisa oomatshini, okanye wenze nayiphi na imisebenzi efuna ulumkiso de ube uyazi ukuba lichaphazela njani eli chiza.
• Isilumkiso seswekile: Ipropranolol inokubangela iswekile esezantsi yegazi (hypoglycemia). Isenokufihla imiqondiso yeswekile esezantsi yegazi, enjengokubetha kwentliziyo okuphezulu kunesiqhelo, ukubila nokugungqa. Eli chiza kufuneka lisetyenziswe ngononophelo ukuba unesifo seswekile, ngakumbi ukuba uthatha i-insulin okanye ezinye iziyobisi zeswekile ezinokubangela iswekile esezantsi yegazi. Eli chiza linokubangela iswekile esezantsi yegazi kwiintsana, ebantwaneni, nakubantu abadala abangenaso isifo seswekile. Oku kunokwenzeka emva kwexesha lokuzilolonga ixesha elide okanye ukuba uneengxaki zezintso.
• Isilumkiso ngesifuba: Ukuba une-asthma okanye iingxaki ezifanayo zokuphefumla, musa ukuthatha ipropranolol. Ingenza isifuba sakho sombefu sibe sibi ngakumbi.

Yintoni ipropranolol?

Ipropranolol sisiyobisi sikagqirha. Kuza kwezi fom: ithebhulethi yomlomo, i-capsule ekhululwe ngomlomo, isisombululo somlomo, kunye nokujova.

Ithebhulethi yomlomo wePropranolol ifumaneka kuphela kwifom yohlobo oluqhelekileyo. Amachiza enziwe afana nalawo aveliswe ngumenzi ahlala exabisa ngaphantsi kweenguqulelo zegama lophawu.

Ithebhulethi yomlomo wepropranolol inokusetyenziswa ngokudibeneyo nezinye iziyobisi.

Kutheni isetyenziswa

Ipropranolol inciphisa umthwalo wentliziyo yakho kwaye iyanceda ukubetha rhoqo. Isetyenziselwa:

• nyanga uxinzelelo lwegazi oluphezulu
• lawula isingqisho sentliziyo kwi-fibrillation ye-atrial
• phelisa i-angina (iintlungu zesifuba)
• thintela imigraines
• ukunciphisa ukungcangcazela okanye ukungcangcazela okubalulekileyo
• ncedisa kwiimeko zonyango ezibandakanya i-thyroid kunye ne-adrenal gland
• ukuxhasa ukusebenza kwentliziyo emva kokuhlaselwa yintliziyo

Ingaba isebenza kanjani

Ipropranolol ikudidi lweziyobisi ekuthiwa yi-beta blockers. Iklasi leziyobisi liqela lamayeza asebenza ngendlela efanayo. La machiza ahlala esetyenziselwa ukunyanga iimeko ezifanayo.

Ipropranolol yi-arhente yokuvimba i-beta engakhethiyo. Oku kuthetha ukuba isebenza ngokufanayo entliziyweni, emiphungeni nakwezinye iindawo zomzimba.

Indlela elisebenza ngayo eli chiza ukuthoba uxinzelelo lwegazi ayiqondakali ngokucacileyo. Iyanciphisa umthwalo wentliziyo kwaye ibhloka ukukhutshwa kwento ebizwa ngokuba yi-renin kwizintso.

Iipropathi zokuthintela i-beta zinceda ukulawula isingqisho sentliziyo, ukulibazisa ukuqala kwentlungu yesifuba, ukuthintela imigraines, kunye nokunciphisa ukungcangcazela. Akuqondwa ngokupheleleyo ukuba eli chiza lisebenza njani ukunyanga ezi ngxaki.

Iziphumo ebezingalindelekanga zepropranolol

Ithebhulethi yomlomo wepropranolol inokubangela ukozela. Musa ukuqhuba, sebenzisa oomatshini, okanye wenze nayiphi na imisebenzi efuna ukuphapha kwengqondo de ube uyazi indlela ekuchaphazela ngayo eli chiza.

Ipropranolol inokubangela ezinye iziphumo ebezingalindelekanga.

Iziphumo eziqhelekileyo ezichaphazelekayo

Iziphumo eziqhelekileyo ezichaphazelekayo zingabandakanya:

• ukubetha kwentliziyo kancinci
• urhudo
• amehlo owomileyo
• ukulahleka kweenwele
• isicaphucaphu
• ubuthathaka okanye ukudinwa

Ukuba ezi ziphumo zincinci, zinokuhamba zingaphelanga iintsuku okanye iiveki ezimbalwa. Ukuba zinzima kakhulu okanye azihambi, thetha nogqirha wakho okanye usokhemesti.

Iziphumo ebezingalindelekanga ezimandundu

Shayela ugqirha wakho ngokukhawuleza ukuba unemiphumo emibi. Tsalela umnxeba ku-911 ukuba iimpawu zakho ziziva zisongela ubomi okanye ukuba ucinga ukuba unempilo kaxakeka. Iziphumo ebezingalindelekanga ezimandundu kunye neempawu zazo zinokubandakanya oku kulandelayo:

• Ukunyanga komzimba. Iimpawu zingabandakanya:
  • irhashalala
  • ukurhawuzelela
  • urhwebo
  • ukudumba kobuso bakho, imilebe, okanye ulwimi
• Iingxaki zokuphefumla
• Utshintsho kwiswekile yegazi
• Izandla okanye iinyawo ezibandayo
• Amaphupha amabi okanye ingxaki yokulala
• Okomileyo, isikhumba esikhulayo
• Ukuba nemibono
• Ukuxhuzula kwezihlunu okanye ubuthathaka
• Ukubetha kwentliziyo kancinci
• Ukudumba kwemilenze yakho okanye amaqatha
• Ukufumana ubunzima ngequbuliso
• ukugabha

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu lwazi lubandakanya zonke iziphumo ebezingalindelekanga ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uxoxa ngeziphumo ebezingalindelekanga ezinokwenzeka kunye nomboneleli wezempilo oyaziyo imbali yakho yezonyango.

Ipropranolol inokusebenzisana namanye amayeza

Ithebhulethi yomlomo wePropranolol inokusebenzisana namanye amayeza, iivithamini, okanye imifuno onokuthi uyithathe. Unxibelelwano kuxa into isitshintsha indlela esebenza ngayo iyeza. Oku kunokuba yingozi okanye kuthintele ichiza ekusebenzeni kakuhle.

Ukukunceda ukunqanda ukusebenzisana, ugqirha wakho kufuneka alawule onke amayeza ngononophelo. Qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza, iivithamini, okanye imifuno oyithathayo. Ukufumanisa ukuba eli chiza linokusebenzisana njani nenye into oyithathayo, thetha nogqirha wakho okanye usokhemesti.

Imizekelo yamachiza anokubangela ukuhlangana kunye nepropranolol zidweliswe apha ngezantsi.

Arrhythmia iziyobisi

Ukuthatha ipropranolol kunye nezinye iziyobisi ezinyanga iingxaki zesingqisho senhliziyo kunokubangela iziphumo ebezingalindelekanga ezingaphezulu. Oku kubandakanya ukubetha kwentliziyo esezantsi, uxinzelelo lwegazi olusezantsi, okanye ukucinywa kwentliziyo. Ugqirha wakho kufuneka asebenzise isilumkiso xa emisela la mayeza kunye.

Imizekelo yala machiza ibandakanya:

• amiodarone
• ibretylium
• quinidine
• mzwbhabhi
• ngaphakathi
• Ukuziphatha kakuhle
• imvelaphi
• ipropafenone
• kwiinkqubo
• Yogco

Uxinzelelo lwegazi iziyobisi

Ukuba utshintsha ukusuka clonidine Ukwenza ipropranolol, ugqirha wakho kufuneka anciphise kancinci umthamo wakho we-clonidine kwaye unyuse kancinci umthamo wakho wepropranolol kwiintsuku ezininzi. Oku kwenzelwa ukuthintela iziphumo ebezingalindelekanga, ezinje ngokunciphisa uxinzelelo lwegazi.

Uxinzelelo lwegazi iziyobisi

Sukusebenzisa ipropranolol ngomnye beta blocker. Inokunciphisa ukubetha kwentliziyo yakho kakhulu. Imizekelo ye-beta blockers ibandakanya:

• acebutolol
• atenolol
• ibhisoloprolol
• imephu
• esmolol
• imoloprolol
• nadolol
• nebivolol
• isotalol

Ugqirha wakho kufuneka asebenzise isilumkiso ukuba ukumisela i-angiotensin-eguqula i-enzyme (ACE) inhibitors ngepropranolol. Ukuthatha la machiza kunye kunokubangela uxinzelelo lwegazi olusezantsi kunesiqhelo. Imizekelo ye-ACE inhibitors ibandakanya:

• lisinopril
• enaphilili

Ugqirha wakho kufuneka asebenzise isilumkiso ukuba ukumisela iicalcium block blockers ngepropranolol. Ukusebenzisa la machiza ngokudibeneyo kunokubangela ukubetha kwentliziyo okuphantsi, ukusilela kwentliziyo, kunye nokuvaleka kwentliziyo. Imizekelo ye-calcium block blocker ibandakanya:

• mzantsi

Ugqirha wakho kufuneka asebenzise isilumkiso ukuba ukumisela iibhloko ze-alpha ngepropranolol. Ukusebenzisa la machiza ngokudibeneyo kunokubangela uxinzelelo lwegazi olusezantsi kunesiqhelo, ukuphelelwa ngamandla, okanye uxinzelelo lwegazi oluphantsi emva kokuma ngokukhawuleza. Imizekelo yala machiza ibandakanya:

• prazosin
• terazosin
• Unyango

I-Anesthetics (iziyobisi ezithintela uvakalelo)

Sebenzisa ulumkiso ukuba uthatha la mayeza ngepropranolol. Ipropranolol inokuchaphazela indlela acocwa ngayo la mayeza emzimbeni wakho, anokuba yingozi. Imizekelo yala machiza ibandakanya:

• lidocaine
• bupivacaine
• mepivacaine

Iziyobisi ezisetyenziselwa ukwandisa ukubetha kwentliziyo kunye noxinzelelo lwegazi

Sukusebenzisa la mayeza ngepropranolol. La machiza ayarhoxa. Oku kuthetha ukuba akukho namnye kubo oya kusebenza. Imizekelo yala machiza ibandakanya:

• epinephrin
• dobutamine
• luqiseren

Iziyobisi zombefu

Akufanele uthathe la mayeza kunye nepropranolol. Ukwenza njalo kwandisa inani lala machiza egazini lakho. Oku kunokunyusa umngcipheko weziphumo ebezingalindelekanga. Imizekelo yala machiza ibandakanya:

• mzobozi

Izidakamizwa ezichasayo ezichasayo (i-NSAID)

La machiza anokunciphisa ukunciphisa uxinzelelo lwegazi lwepropranolol. Ukuba uthatha la machiza kunye, ugqirha wakho kufuneka abeke esweni uxinzelelo lwegazi. Basenokufuna ukutshintsha idosi yakho yepropranolol.

Imizekelo yee-NSAID zibandakanya:

• diclofenac
• etodolac
• fenoprofen
• ibuprofen
• indomethacin
• ketoprofen
• ketorolac
• myoxicam
• mzantsiweb
• iqeqsha
• mzantsiweb
• iproxicam

Igazi elincinci

Xa ithathwa kunye iwarfarinIpropranolol inokunyusa inani le-warfarin emzimbeni wakho. Oku kunokubangela ukonyuka kwegazi ixesha elide kulo naliphi na inxeba. Umthamo wakho we-warfarin unokufuna ukuba utshintshwe ukuba uthatha la machiza kunye.

Iyeza lokunyanga izilonda esiswini

Ukuthatha cimetidine ngepropranolol inokunyusa amanqanaba epropranolol egazini lakho. Oku kunokubangela iziphumo ebezingalindelekanga ezininzi.

Ii-Antacids ezinealuminium hayidroksayidi

Ukuthatha la machiza ngepropranolol kunokwenza ipropranolol ingasebenzi kakuhle. Ugqirha wakho uya kufuna ukukujonga kwaye unokufuna ukutshintsha idosi yakho yepropranolol.

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zinxibelelana ngokwahlukileyo kumntu ngamnye, asinakuqinisekisa ukuba olu lwazi lubandakanya lonke unxibelelwano olunokwenzeka. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nomboneleli wakho wezempilo malunga nokunxibelelana okunokubakho nawo onke amayeza amiselweyo, iivithamini, amayeza kunye nezongezo, kunye namayeza owathethayo.

Izilumkiso zepropranolol

Eli chiza liza nezilumkiso ezininzi.

Isilumkiso somzimba

Ipropranolol inokubangela ukusabela okungafunekiyo. Iimpawu zingabandakanya:

• irhashalala
• urhwebo
• ukuvutha
• ingxaki yokuphefumla
• ukudumba komlomo, ubuso, imilebe, ulwimi, okanye umqala

Ukuba uvelisa ezi mpawu, tsalela umnxeba ku-911 okanye uye kwigumbi lexakeka elikufutshane.

Sukuphinda ulithathe eli chiza ukuba ukhe waba negazi kulo. Ukuyithatha kwakhona kunokuba yingozi (kubangele ukufa).

Ukuba uye waba neempendulo ezibukhali kwezinye iiarhente ezibangela i-anaphylaxis, i-allergies yakho isenokusebenza ngakumbi xa uthatha ipropranolol. Iidosi eziqhelekileyo zamayeza akho okwaliwa, i-epinephrine, ayinakusebenza kakuhle ngelixa usela eli chiza. Ipropranolol inokuthintela ezinye zefuthe le-epinephrine.

Isilumkiso sokudibana notywala

Utywala bunokunyusa amanqanaba epropranolol emzimbeni wakho. Oku kunokubangela iziphumo ebezingalindelekanga ezininzi. Akufuneki usele utywala ngelixa uthatha eli chiza.

Izilumkiso zabantu abaneemeko ezithile zempilo

Kubantu abanoxinzelelo lwentliziyo: Sukusebenzisa ipropranolol. Ipropranolol inciphisa ukubetha kwentliziyo yakho, enokwenza le meko ibe mandundu ngakumbi.

Kubantu abanesantya esincinci kunenqanaba eliqhelekileyo lentliziyo: Akufanele usebenzise ipropranolol. Eli chiza linokucothisa ukubetha kwentliziyo yakho nangakumbi, kunokuba yingozi.

Kubantu abaneqondo eliphakamileyo kuneyokuqala ibhloko yentliziyo: Akufanele usebenzise ipropranolol. Ipropranolol inciphisa ukubetha kwentliziyo yakho, enokwenza ukuba intliziyo yakho ibembi ngakumbi.

Kubantu abane-asthma: Akufanele usebenzise ipropranolol. Eli chiza linokuyenza mandundu i-asthma yakho.

Kubantu abanesifo esibuhlungu esifubeni: Ukuyekisa ngequbuliso ipropranolol kunokubangela iintlungu esifubeni sakho

Kubantu abanesifo sentliziyo: Akufanele uthathe eli liyeza. Ipropranolol inciphisa amandla wokubetha kwentliziyo yakho, enokwenza ukuba ukusilela kwentliziyo yakho kubhebhetheke. Ipropranolol inokuba luncedo ukuba unembali yokusilela kwentliziyo, uthatha amayeza okusilela kwentliziyo, kwaye ujongwe ngamehlo ngugqirha wakho.

Kubantu abane-Wolff-Parkinson-White syndrome: Le meko yonyango inokubangela ukubetha kwentliziyo kancinci kancinci kunesiqhelo. Unyango lwale meko ngepropranolol lunokunciphisa ukubetha kwentliziyo yakho kakhulu. Unyango lwe-pacemaker lunokufuneka.

Kubantu abanesifo seswekile: Ipropranolol inokubangela i-hypoglycemia (iswekile esezantsi yegazi). Isenokufihla imiqondiso yeswekile esezantsi yegazi, enjengokubetha kwentliziyo okukhawulezayo kunesiqhelo, ukubila nokugungqa. Eli chiza kufuneka lisetyenziswe ngononophelo ukuba unesifo seswekile, ngakumbi ukuba uthatha i-insulin okanye ezinye iziyobisi zeswekile ezinokubangela iswekile esezantsi yegazi.

Kubantu abane-thyroid engasebenzi: Ipropranolol ingazifihla iimpawu zehyperthyroidism (hyperactive thyroid), enjengokubetha kwentliziyo okukhawulezayo kunesiqhelo. Ukuba uyeka ngequbuliso ukuthatha ipropranolol kwaye unehyperthyroidism, iimpawu zakho zinokuya zisiba mbi, okanye unokufumana imeko enzulu ebizwa ngokuba sisiphepho.

Kubantu abane-bronchitis engapheliyo okanye i-emphysema: Ngokubanzi, ukuba unengxaki yokuphefumla, akufuneki uthathe ipropranolol. Inokwenza imeko yakho yemiphunga ibe mandundu.

Kubantu abaceba ukwenza utyando olukhulu: Tshela ugqirha wakho ukuba uthatha ipropranolol. Eli chiza linokutshintsha indlela intliziyo yakho esabela ngayo kwi-anesthesia ngokubanzi kunye notyando.

Kubantu abaneglaucoma: Ipropranolol inokunciphisa uxinzelelo emehlweni akho. Oku kunokwenza kube nzima ukuxelela ukuba amayeza akho e-glaucoma ayasebenza. Xa uyeka ukuthatha ipropranolol, uxinzelelo emehlweni akho lunokunyuka.

Kubantu abaneempawu zomzimba ezithile: Ukuba uneempembelelo ezimbi ezibangelwa yi-anaphylaxis, ukunyuka komzimba kwakho kunokuba kubi kakhulu xa uthatha ipropranolol. Iidosi zakho eziqhelekileyo zonyango lwe-epinephrine zisenokungasebenzi ngokunjalo. Ipropranolol inokuthintela ezinye zeziphumo ze-epinephrine.

Kubantu abopha ngokungalawulekiyo okanye ukothuka: Ukuba unokopha okanye ukothuka, ingxaki enzima apho amalungu akho angafumani gazi laneleyo, amayeza okunyanga le miqathango anokungasebenzi kakuhle ukuba uthatha ipropranolol. Oku kuyinyani ngakumbi ukuba uthatha ipropranolol ukunyanga i-pheochromocytoma, ithumba kwincindi yeadrenal.

Izilumkiso kwamanye amaqela

Abafazi abakhulelweyo: Ipropranolol ludidi C lokukhulelwa iziyobisi. Oko kuthetha izinto ezimbini:

1. Uphando kwizilwanyana lubonakalise iziphumo ezingalunganga kwimveku xa umama ethatha iyeza.
2. Khange kubekho zifundo zaneleyo zenziweyo ebantwini ukuze baqiniseke ukuba ichiza linokuchaphazela njani umntwana ongekazalwa.

Tshela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ipropranolol kufuneka isetyenziswe ngexesha lokukhulelwa kuphela ukuba isibonelelo esinokubakho siqinisekisa ubungozi obunokubakho.

Ukuba ukhulelwa ngelixa uthatha eli chiza, biza ugqirha wakho kwangoko.

Kubafazi abancancisayo: Ipropranolol idluliselwa kubisi lwebele. Iyeza linokusetyenziswa ngelixa uncancisa, kodwa umntwana wakho kufuneka abekwe esweni. Emntwaneni wakho, ipropranolol inokubangela ukubetha kwentliziyo kancinci kunye neswekile esezantsi yegazi. Inokubangela ukwehla kweoksijini egazini kunokubangela i-cyanosis. Le meko ijika ulusu lomntwana wakho, imilebe, okanye iinzipho zibe luhlaza.

Kubantu abadala: Abadala banokunciphisa isibindi, izintso, kunye nokusebenza kwentliziyo, kunye nezinye iimeko zonyango. Ugqirha wakho uya kuthatha le miba kunye namayeza owathathela ingqalelo xa ekuqala kwipropranolol.

Kubantwana: Akukagqitywa ukuba ipropranolol ikhuselekile kwaye iyasebenza ekusetyenzisweni kwabantwana abangaphantsi kweminyaka eli-18 ubudala. Kukho iingxelo zokwehluleka kwentliziyo kunye nokuphazamiseka kwendlela yomoya kubantwana abathathe eli chiza.

Nini ukubiza ugqirha

1. Tshela ugqirha wakho ukuba ukhohlela, ubanda, uxabana okanye iintlungu. Ugqirha wakho okanye usokhemesti uza kukunceda ufumane iziyobisi ezinokusetyenziswa ngokukhuselekileyo kunye nepropranolol. Xelela ugqirha wakho okanye ugqirha ukuba uza kwenza utyando. Baza kubeka esweni ukubetha kwentliziyo yakho kunye noxinzelelo lwegazi, kwaye bajonge unxibelelwano lweziyobisi nepropranolol.

Uyithatha njani ipropranolol

Zonke iidosi ezikhoyo kunye neefom azinakufakwa apha. Idosi yakho, ifom, kunye nokuba uyithatha kangaphi kuya kuxhomekeka:

• iminyaka yakho
• imeko inyangwa
• imbi kangakanani imeko yakho
• ezinye iimeko zonyango onazo
• usabela njani kwidosi yokuqala

Ifom yeziyobisi kunye namandla

Ngokwesiqhelo: Ipropranolol

• Ifom: ithebhulethi yomlomo
• Amandla: 10 mg, 20 mg, 40 mg, 60 mg, 80 mg

Isisombululo se-fibrillation ye-atrial

Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu)

Umthamo oqhelekileyo yi-10-30 mg ethathwe amaxesha angama-3-4 ngosuku, ngaphambi kokutya nangexesha lokulala.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Akufunyaniswanga ukuba ipropranolol ikhuselekile kwaye iyasebenza ekusetyenzisweni kwabantwana abangaphantsi kweminyaka eli-18.

Isisombululo soxinzelelo lwegazi (uxinzelelo lwegazi oluphezulu)

Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu)

• Isiqalo sokuqala sokuqala: 40 mg ithathwa kabini ngemini.
• Ukunyuka kwesilinganiso: Ugqirha wakho unokunyusa kancinci umthamo wakho.
• Isilinganiso sokugcina isondlo: I-120-240 mg ngosuku inikwe i-2-3 idosi ezahluliweyo. Iidosi ukuya kuthi ga kwi-640 mg ngosuku zinikiwe kwezinye iimeko.
• AmaNqaku:
  • Kungathatha iintsuku ezimbalwa ukuya kwiiveki ezininzi ukuba eli chiza lisebenze ngokupheleleyo.
  • Ukuba uthatha idosi ephantsi kabini ngemini kwaye uxinzelelo lwegazi alulawulwa, ugqirha wakho unokuyonyusa idosi okanye akuxelele ukuba uthathe iziyobisi kathathu ngemini.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Akufunyaniswanga ukuba ipropranolol ikhuselekile kwaye iyasebenza ekusetyenzisweni kwabantwana abangaphantsi kweminyaka eli-18.

Isisombululo se-angina (iintlungu zesifuba)

Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu)

• Umyinge oqhelekileyo: 80-320 mg. Uya kulithatha eli nani lilonke ngeedosi ezahlulwe kabini kuma-2 ngosuku.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Akufunyaniswanga ukuba ipropranolol ikhuselekile kwaye iyasebenza ekusetyenzisweni kwabantwana abangaphantsi kweminyaka eli-18.

Isisombululo sokuhlaselwa kwentliziyo

Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu)

• Isiqalo sokuqala sokuqala: I-40 mg ithathwe kathathu ngemini.
• Ukunyuka kwesilinganiso: Emva kwenyanga e-1, ugqirha wakho unokunyusa idosi yakho ukuya kwi-60-80 mg ethathwe kathathu ngemini.
• Isilinganiso sokugcina isondlo: 180-240 mg. Oku kwahlulwe kwaba ngamanani amancinci, alinganayo kwaye athathwa kabini okanye kathathu ngemini.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Akufunyaniswanga ukuba ipropranolol ikhuselekile kwaye iyasebenza ekusetyenzisweni kwabantwana abangaphantsi kweminyaka eli-18.

Isisombululo se-hypertrophic subaortic stenosis

Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu)

• Umyinge oqhelekileyo: I-20-40 mg ithathe amaxesha ama-3-4 ngosuku, ngaphambi kokutya kunye nexesha lokulala.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Akufunyaniswanga ukuba ipropranolol ikhuselekile kwaye iyasebenza ekusetyenzisweni kwabantwana abangaphantsi kweminyaka eli-18.

Isisombululo semigraine

Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu)

• Isiqalo sokuqala sokuqala: 80 mg ngosuku. Uya kuyithatha le mali ngeedosi ezincinci, ezilinganayo amaxesha ngamaxesha emini.
• Isilinganiso sokugcina isondlo: I-160-240 mg ngosuku.
• Phawula:
  • Ukuba eyona dosi isebenzayo ayikukunceda kwimigraines emva kweeveki ezi-4 ukuya kwezi-6 zonyango, ugqirha usenokuba uyekile ukuthatha amayeza. Idosi yakho okanye ukuba ulithatha kangaphi ichiza linokuncitshiswa kancinci kwiiveki ezininzi ukunqanda iziphumo ebezingalindelekanga zokuyeka ngokukhawuleza.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Akufunyaniswanga ukuba ipropranolol ikhuselekile kwaye iyasebenza ekusetyenzisweni kwabantwana abangaphantsi kweminyaka eli-18.

Idosi yokungcangcazela okubalulekileyo

Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu)

• Isiqalo sokuqala sokuqala: 40 mg ithathwa kabini ngemini.
• Ukunyuka kwesilinganiso: Kuya kufuneka uthathe idosi eyi-120 mg ngosuku. Ngamanye amaxesha, kunokuba yimfuneko ukuthatha i-240-320 mg ngosuku.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Akufunyaniswanga ukuba ipropranolol ikhuselekile kwaye iyasebenza ekusetyenzisweni kwabantwana abangaphantsi kweminyaka eli-18.

Isisombululo se-pheochromocytoma (ithumba kwi-adrenal gland)

Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu)

• Isilinganiso sokugcina isondlo: I-60 mg ngosuku ithathwa kwiidosi ezahluliweyo ukuqala kwiintsuku ezi-3 ngaphambi kotyando lwakho.
• AmaNqaku:
  • Uya kuthatha eli chiza kunye namanye amayeza. Ipropranolol ayisetyenziswanga yodwa ukunyanga i-pheochromocytoma.
  • Ukuba utyando alunakwenziwa kwithumba, idosi eqhelekileyo yeli chiza yi-30 mg ngosuku ethathwe ngeedosi ezahlulwe kunye nezinye iziyobisi.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka)

Akufunyaniswanga ukuba ipropranolol ikhuselekile kwaye iyasebenza ekusetyenzisweni kwabantwana abangaphantsi kweminyaka eli-18.

Ukuqwalaselwa okhethekileyo kwedosi

• Kubantu abaneengxaki zezintso: Ugqirha wakho kufuneka asebenzise isilumkiso xa ekumisela eli chiza.
• Kubantu abaneengxaki zesibindi: Ugqirha wakho kufuneka asebenzise isilumkiso xa ekumisela eli chiza.

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu luhlu lubandakanya zonke iidosi ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nogqirha wakho okanye usokhemesti malunga needosi ezikulungeleyo.

Thatha njengoko kuyalelwe

Ithebhulethi yomlomo wePropranolol isetyenziselwa unyango lwexesha elide. Kuza nomngcipheko omkhulu ukuba awuyithathi njengoko kumiselwe.

Ukuba awuyithathi kwaphela: Imeko yakho iya isiba mandundu kwaye unokuba semngciphekweni weengxaki ezinkulu zentliziyo, ezinje ngokuhlaselwa sisifo sentliziyo okanye ukubetha.

Ukuba utsiba okanye uphosa idosi: Imeko oyinyangayo inokuba mandundu.

Ukuba uthatha kakhulu: Ukuba ucinga ukuba uthathe eli chiza kakhulu, tsalela ugqirha okanye indawo yolawulo lwetyhefu yendawo. Ukuba iimpawu zakho zinzima, tsalela umnxeba ku-911 okanye uye kwigumbi likaxakeka elikufutshane ngoko nangoko.

Yintoni omele uyenze xa uphosa idosi: Ukuba uphosa idosi, yithabathe kwangoko xa ukhumbula. Ukuba kusondele kwixesha ledosi yakho elandelayo, thatha idosi enye kuphela ngelo xesha.

Sukuyiphinda kabini idosi ukuzama ukwenza idosi ephosiweyo. Oku kunokubangela iziphumo eziyingozi.

Ungaxela njani ukuba ichiza liyasebenza: Iimpawu zakho kufuneka ziphuculwe. Umzekelo, uxinzelelo lwegazi kunye nenqanaba lentliziyo kufuneka libe sezantsi. Okanye kuya kufuneka ube neentlungu zesifuba, ukuthuthumela okanye ukugungqa, okanye iintloko ezimbalwa zentloko.

Ukuqwalaselwa okubalulekileyo kokuthatha ipropranolol

Gcina ezi ngqwalaselo engqondweni ukuba ugqirha wakho ukumisela ipropranolol.

Ngokubanzi

• Thatha eli chiza ngaphambi kokutya nangexesha lokulala.
• Unokuyisika okanye uyityumze ithebhulethi.

Ukugcina

• Gcina iitafile eziphakathi kwama-59 ° F ukuya kuma-86 ° F (15 ° C ukuya kuma-30 ° C).
• Khusela eli chiza ekukhanyeni.
• Sukugcina eli yeza kwiindawo ezifumileyo okanye ezimanzi, ezinjengezindlu zangasese.

Ukuzalisa kwakhona

Imigqaliselo yolu nyango iyahlaziywa. Akunyanzelekanga ukuba ufune iyeza elitsha ukuze eli gciwane lizaliswe kwakhona. Ugqirha wakho uza kubhala inani lezinto ezigcwalisiweyo kugunyaziswe ngugqirha wakho.

Ukuhamba

Xa uhamba namayeza akho:

• Soloko uphatha amayeza akho kunye nawe. Xa ubhabha, ungaze uyibeke kwingxowa ekhangelwe. Yigcine kwibhegi yakho yokuqhubela phambili.
• Ungakhathazeki ngoomatshini be-x-ray kwisikhululo seenqwelomoya. Abakwazi ukulimaza amayeza akho.
• Kusenokufuneka ubonise abasebenzi besikhululo seenqwelomoya ilebhile yekhemesti yakho. Soloko uphatha ikhonteyina eneleta emiselweyo yentsusa.
• Musa ukubeka eli yeza kwigumbi leglavu lemoto yakho okanye ulishiye emotweni. Qiniseka ukuthintela ukwenza oku xa imozulu ishushu kakhulu okanye ibanda kakhulu.

Ukuzilawula

Ngelixa uthatha ipropranolol, kuya kufuneka ujonge eyakho:

• ifuthe legazi
• inqanaba lentliziyo
• iswekile yegazi (ukuba unesifo seswekile)

Ukubeka iliso kwezonyango

Ngelixa uthatha eli chiza, ugqirha wakho uya kuhlala esenza iimvavanyo zegazi ukujonga eyakho:

• amanqanaba e-electrolyte
• Umsebenzi wentliziyo
• ukusebenza kwesibindi
• umsebenzi wezintso

Ukufumaneka

Ayizizo zonke iikhemesti ezigcina eli chiza. Xa ugcwalisa amayeza akho, qiniseka ukutsalela umnxeba phambili ukuze uqiniseke ukuba ikhemesti yakho iyayiphatha.

Ngaba zikhona ezinye iindlela?

Kukho ezinye iziyobisi ezikhoyo ukunyanga imeko yakho. Abanye banokukulungela ngcono kunabanye. Thetha nogqirha wakho ngezinye iindlela zamachiza ezinokusebenzela wena.

Iphepha elichazayo ukuba awusenanto oyifunayo: I-Healthline yenze yonke imizamo yokuqinisekisa ukuba lonke ulwazi luchanekile, lubanzi kwaye luhlaziyiwe. Nangona kunjalo, eli nqaku akufuneki lisetyenziswe endaweni yolwazi kunye nobuchule bengcali yezempilo enelayisensi. Kuya kufuneka usoloko uqhagamshelana nogqirha wakho okanye nolunye uqeqesho kwezonyango ngaphambi kokuba uthathe nawaphi na amayeza. Ulwazi lweziyobisi oluqulethwe apha luyakwazi ukutshintsha kwaye alujoliswanga ekusetyenzisweni konke okunokwenzeka, imikhombandlela, izilumkiso, izilumkiso, ukuhlangana kweziyobisi, ukungahambelani komzimba, okanye iziphumo ezibi. Ukungabikho kwezilumkiso okanye olunye ulwazi ngesiyobisi esinikiweyo akubonisi ukuba indibaniselwano yeziyobisi ikhuselekile, iyasebenza, okanye ifanelekile kuzo zonke izigulana okanye konke ukusetyenziswa okuthile.