Nebivolol
Zamkati
- Musanatenge nebivolol,
- Nebivolol angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:
- Zizindikiro za bongo zingaphatikizepo izi:
Nebivolol imagwiritsidwa ntchito yokha kapena kuphatikiza mankhwala ena kuti athetse kuthamanga kwa magazi. Nebivolol ali mgulu la mankhwala otchedwa beta blockers. Zimagwira ntchito pochepetsa mitsempha yamagazi ndikuchepetsa kugunda kwa mtima kuti magazi aziyenda bwino komanso amachepetsa kuthamanga kwa magazi.
Kuthamanga kwa magazi ndizofala ndipo ngati sanalandire chithandizo, kumatha kuwononga ubongo, mtima, mitsempha, impso ndi ziwalo zina za thupi. Kuwonongeka kwa ziwalozi kumatha kuyambitsa matenda amtima, matenda amtima, kulephera kwa mtima, sitiroko, impso kulephera, kusawona bwino, ndi mavuto ena. Kuphatikiza pa kumwa mankhwala, kusintha moyo wanu kumathandizanso kuchepetsa kuthamanga kwa magazi. Zosinthazi zikuphatikiza kudya zakudya zopanda mafuta ambiri komanso mchere, kukhalabe ndi thanzi labwino, kuchita masewera olimbitsa thupi osachepera mphindi 30 masiku ambiri, osasuta, komanso kumwa mowa pang'ono.
Nebivolol imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kapena wopanda chakudya kamodzi patsiku. Kukuthandizani kukumbukira kukumbukira kutenga nebivolol, tengani nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani nebivolol ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.
Dokotala wanu angakuyambitseni pa mlingo wochepa wa nebivolol ndipo pang'onopang'ono muwonjezere mlingo wanu osaposa kamodzi pamasabata awiri.
Nebivolol imayendetsa kuthamanga kwa magazi koma siyimachiritsa. Zitha kutenga milungu iwiri kuti phindu lonse la nebivolol lisawoneke powerenga kuthamanga kwa magazi. Pitirizani kumwa nebivolol ngakhale mukumva bwino. Osasiya kumwa nebivolol osalankhula ndi dokotala. Ngati mwasiya mwadzidzidzi kumwa nebivolol imatha kuyambitsa angina (kupweteka pachifuwa), kugunda kwa mtima, kapena kugunda kwamtima mosasinthasintha. Dokotala wanu mwina amachepetsa mlingo wanu pang'onopang'ono pamasabata 1 kapena 2.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanatenge nebivolol,
- uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la nebivolol, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a nebivolol. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
- Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: amiodarone (Cordarone, Pacerone); zotchinga beta monga acebutolol (Sectral), atenolol (Tenormin, mu Tenoretic), betaxolol, bisoprolol (Zebeta, mu Ziac), carvedilol (Coreg), labetalol, metoprolol (Lopressor, Toprol XL), nadolol (Corgard, ku Corzide), pindolol, propranolol (Inderal, InnoPran XL, ku Inderide), sotalol (Betapace, Betapace AF, Sorine), timolol; bupropion (Aplenzin, Forfivo XL, Wellbutrin, Zyban); zotchinga calcium monga diltiazem (Cardizem, Dilacor, ena) ndi verapamil (Calan, Covera, Isoptin, Verelan, ku Tarka); chlorpheniramine (antihistamine mu ziwengo ndi mankhwala ozizira); cimetidine; clomipramine (Anafranil); clonidine (Catapres, Kapvay, ku Clorpres); digoxin (Lanoxin); disopyramide (Norpace); duloxetine (Cymbalta); fluoxetine (Prozac, Sarafem, Selfemra, mu Symbyax); haloperidol (Haldol); insulini; mankhwala akumwa ashuga; methadone (Dolophine, Methadose); paroxetine (Paxil); mankhwala (Rythmol); quinidine; kuperekanso; ritonavir (Norvir, ku Kaletra); ndi sildenafil (Revatio, Viagra). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- Uzani dokotala wanu ngati mukugunda pang'onopang'ono, mtima, chiwindi, kapena mtima. Dokotala wanu angakuuzeni kuti musatenge nebivolol.
- Uzani dokotala ngati mwakhalapo ndi mphumu kapena matenda ena am'mapapo, matenda ashuga, hyperthyroidism (chithokomiro chopitilira muyeso), mavuto azizungulire magazi, matenda a impso, chifuwa chachikulu, kapena pheochromocytoma (chotupa chomwe chimayamba pachimake pafupi ndi impso ndipo zimatha kuyambitsa kuthamanga kwa magazi komanso kuthamanga kwa mtima).
- Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga nebivolol, itanani dokotala wanu.
- ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa nebivolol.
- muyenera kudziwa kuti nebivolol imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- muyenera kudziwa kuti ngati muli ndi vuto losagwirizana ndi zinthu zosiyanasiyana, zomwe mumachita zitha kukhala zoyipa kwambiri mukamagwiritsa ntchito nebivolol, ndipo zomwe mungakumane nazo sizingayankhe muyeso wa epinephrine wa jakisoni.
Ngati dokotala wanu akupatsani zakudya zamchere kapena za sodium wochuluka, tsatirani malangizowo mosamala.
Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.
Nebivolol angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- mutu
- kutopa
- kufooka
- chizungulire
- kutsegula m'mimba
- nseru
- kupweteka m'mimba
- kuvuta kugona kapena kugona
- dzanzi, kutentha, kapena kumva kulasalasa m'manja, mikono, mapazi, kapena miyendo
Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:
- kupweteka pachifuwa
- kugunda kwa mtima pang'ono
- kuvuta kupuma
- kulemera kwachilendo
- zidzolo
- kutupa kwa manja, mapazi, akakolo, kapena miyendo yakumunsi
Nebivolol angayambitse mavuto ena. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.
Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).
Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).
Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.
Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org
Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.
Zizindikiro za bongo zingaphatikizepo izi:
- kugunda kwa mtima pang'ono
- chizungulire kapena kukomoka
- kugwedezeka
- thukuta
- chisokonezo
- mantha, kukwiya, kapena kusintha kwadzidzidzi pamakhalidwe kapena malingaliro
- mutu
- dzanzi kapena kumva kulasalasa moyamwa
- kufooka
- khungu lotumbululuka
- njala yadzidzidzi
- kusakhazikika kapena kusuntha
- kuvuta kupuma
- kugwidwa
- kutopa
- kusanza
Sungani maimidwe onse ndi dokotala wanu. Magazi anu amayenera kufufuzidwa pafupipafupi kuti mudziwe momwe mungayankhire nebivolol. Dokotala wanu akhoza kukupemphani kuti muwone momwe zimakhalira (kugunda kwa mtima). Funsani wamankhwala kapena dokotala kuti akuphunzitseni momwe mungatengere mtima wanu. Ngati zimachitika mofulumira kapena mochedwa kuposa momwe ziyenera kukhalira, itanani dokotala wanu.
Musanayesedwe mu labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukumwa nebivolol.
Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.
Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.
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