Propranolol, Piritsi Yamlomo

Zamkati

• Machenjezo ofunikira
• Kodi propranolol ndi chiyani?
• Chifukwa chimagwiritsidwa ntchito
• Momwe imagwirira ntchito
• Zotsatira za Propranolol
• Zotsatira zofala kwambiri
• Zotsatira zoyipa
• Propranolol imatha kulumikizana ndi mankhwala ena
• Mankhwala osokoneza bongo
• Mankhwala a magazi
• Mankhwala osokoneza bongo
• Anesthetics (mankhwala omwe amaletsa kutengeka)
• Mankhwala omwe amagwiritsidwa ntchito kuonjezera kugunda kwa mtima ndi kuthamanga kwa magazi
• Mankhwala a mphumu
• Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs)
• Magazi ocheperako
• Mankhwala ochizira zilonda zam'mimba
• Maantacid okhala ndi aluminium hydroxide
• Machenjezo a Propranolol
• Chenjezo la ziwengo
• Chenjezo la Mowa
• Machenjezo kwa anthu omwe ali ndi matenda ena
• Machenjezo kwa magulu ena
• Nthawi yoyimbira dotolo
  
• Momwe mungatengere propranolol
• Fomu ya mankhwala ndi mphamvu
• Mlingo wa atril fibrillation
• Mlingo wa matenda oopsa (kuthamanga kwa magazi)
• Mlingo wa angina (kupweteka pachifuwa)
• Mlingo wa matenda a mtima
• Mlingo wa hypertrophic subaortic stenosis
• Mlingo wa migraine
• Mlingo wa kunjenjemera kofunikira
• Mlingo wa pheochromocytoma (chotupa mu adrenal gland)
• Maganizo apadera
• Tengani monga mwalamulidwa
• Zofunikira pakumwa mankhwala a propranolol
• Zonse
• Yosungirako
• Zowonjezeranso
• Kuyenda
• Kudziyang'anira pawokha
• Kuwunika kuchipatala
• Kupezeka
• Kodi pali njira zina?

Mfundo zazikulu za propranolol

1. Pulogalamu yamlomo ya Propranolol imapezeka pokhapokha ngati mankhwala achibadwa. Ilibe mtundu wazolemba.
2. Propranolol imabwera m'njira zinayi: piritsi yam'kamwa, kapisozi wamlomo wotulutsidwa, njira yamadzi yamlomo, ndi jakisoni.
3. Pulogalamu yamlomo ya Propranolol imachepetsa ntchito ya mtima wanu ndipo imawathandiza kumenya pafupipafupi. Amagwiritsidwa ntchito pochiza kuthamanga kwa magazi, angina, atrial fibrillation, ndi kunjenjemera. Amagwiritsidwanso ntchito popewera mutu waching'alang'ala ndikuthandizira kuwongolera zotupa za chithokomiro ndi adrenal gland.

Machenjezo ofunikira

• Chenjezo losiya chithandizo: Osasiya kumwa mankhwalawa osalankhula ndi dokotala poyamba. Kuyimitsa propranolol mwadzidzidzi kungayambitse kusintha kwa mtima wanu ndi kuthamanga kwa magazi, kupweteka pachifuwa, kapena matenda amtima. Dokotala wanu amachepetsa pang'onopang'ono mlingo wanu kwa milungu ingapo kuti ateteze izi.
• Chenjezo: Mankhwalawa amatha kuyambitsa tulo. Osayendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chingafune kukhala tcheru mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Chenjezo la matenda ashuga: Propranolol imatha kuyambitsa shuga wochepa wamagazi (hypoglycemia). Ikhozanso kubisa zizindikiro za shuga wochepa wamagazi, monga kugunda kwa mtima komwe kumakhala kochuluka kuposa kwabwinobwino, thukuta, ndi kugwedezeka. Mankhwalawa ayenera kugwiritsidwa ntchito mosamala ngati muli ndi matenda ashuga, makamaka mukatenga insulini kapena mankhwala ena a shuga omwe angayambitse shuga. Mankhwalawa amathanso kuyambitsa shuga wotsika m'mimba mwa makanda, ana, komanso akulu omwe alibe matenda ashuga. Izi zimachitika makamaka mutatha nthawi yayitali kapena ngati muli ndi vuto la impso.
• Chenjezo la mphumu: Ngati muli ndi vuto la mphumu kapena kupuma kofananako, musatengere propranolol. Ikhoza kukulitsa mphumu yako.

Kodi propranolol ndi chiyani?

Propranolol ndi mankhwala akuchipatala. Zimabwera m'njira izi: piritsi yamlomo, kapisozi womasula pakamwa, yankho la m'kamwa, ndi jakisoni.

Pulogalamu yamlomo ya Propranolol imapezeka kokha mwa mawonekedwe achibadwa. Mankhwala achibadwa nthawi zambiri amakhala otsika poyerekeza ndi mitundu yamaina.

Pulogalamu yamlomo ya Propranolol itha kugwiritsidwa ntchito limodzi ndi mankhwala ena.

Chifukwa chimagwiritsidwa ntchito

Propranolol imachepetsa ntchito ya mtima wanu ndipo imawathandiza kumenya pafupipafupi. Zimakonda:

• chitani kuthamanga kwa magazi
• kuugwira mtima mungoli mu atrial fibrillation
• kuthetsa angina (kupweteka pachifuwa)
• pewani mutu waching'alang'ala
• kuchepetsa kunjenjemera kapena kunjenjemera kofunikira
• thandizani ndi matenda omwe akuphatikizapo chithokomiro chanu ndi adrenal glands
• kuthandizira mtima kugwira ntchito pambuyo povutika ndi mtima

Momwe imagwirira ntchito

Propranolol ndi gulu la mankhwala otchedwa beta blockers. Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi. Mankhwalawa amagwiritsidwa ntchito pochiza zofananira.

Propranolol ndi njira yosankhira beta yolandirira. Izi zikutanthauza kuti imagwiranso ntchito pamtima, m'mapapu, komanso mbali zina za thupi.

Momwe mankhwalawa amagwirira ntchito kuti achepetse kuthamanga kwa magazi sizimamveka bwino. Amachepetsa kugwira ntchito kwa mtima ndikuletsa kutulutsa chinthu chotchedwa renin kuchokera ku impso.

Katundu wotsekemera wa beta amathandizira kuwongolera kugunda kwamtima, kuchedwetsa kuyamba kwa kupweteka pachifuwa, kupewa migraines, ndikuchepetsa kunjenjemera. Sizimamveka bwino momwe mankhwalawa amagwirira ntchito kuthana ndi mavutowa.

Zotsatira za Propranolol

Pulogalamu yamlomo ya Propranolol imatha kuyambitsa tulo. Osayendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafunikira kusamala mpaka mutadziwa momwe mankhwalawa amakukhudzirani.

Propranolol amathanso kuyambitsa zovuta zina.

Zotsatira zofala kwambiri

Zotsatira zofala kwambiri za propranolol zitha kuphatikiza:

• kugunda kwa mtima pang'ono
• kutsegula m'mimba
• maso owuma
• kutayika tsitsi
• nseru
• kufooka kapena kutopa

Ngati zotsatirazi ndizochepa, zimatha kutha masiku angapo kapena milungu ingapo. Ngati ali ovuta kwambiri kapena osapita, lankhulani ndi dokotala kapena wamankhwala.

Zotsatira zoyipa

Itanani dokotala wanu nthawi yomweyo ngati muli ndi zovuta zina. Itanani 911 ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukukumana ndi vuto lachipatala. Zotsatira zoyipa komanso zizindikilo zake zimatha kukhala izi:

• Thupi lawo siligwirizana. Zizindikiro zimatha kuphatikiza:
  • zotupa pakhungu
  • kuyabwa
  • ming'oma
  • kutupa kwa nkhope, milomo, kapena lilime
• Mavuto opumira
• Kusintha kwa shuga m'magazi
• Manja ozizira kapena mapazi ozizira
• Kulota maloto oipa kapena kuvuta kugona
• Wouma, khungu losenda
• Ziwerengero
• Zilonda zam'mimba kapena kufooka
• Kugunda kwa mtima pang'ono
• Kutupa kwa miyendo yanu kapena akakolo
• Kunenepa mwadzidzidzi
• kusanza

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti izi zimaphatikizaponso zovuta zonse zomwe zingachitike. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse muzikambirana mavuto omwe angakhalepo ndi othandizira azaumoyo omwe amadziwa mbiri yanu yazachipatala.

Propranolol imatha kulumikizana ndi mankhwala ena

Pulogalamu yamlomo ya Propranolol imatha kulumikizana ndi mankhwala ena, mavitamini, kapena zitsamba zomwe mwina mumamwa. Kulumikizana ndi pamene chinthu chimasintha momwe mankhwala amagwirira ntchito. Izi zitha kukhala zowononga kapena kuletsa mankhwalawa kuti asagwire ntchito bwino.

Pofuna kupewa kuyanjana, dokotala ayenera kuyang'anira mankhwala anu onse mosamala. Onetsetsani kuuza dokotala wanu za mankhwala onse, mavitamini, kapena zitsamba zomwe mukumwa. Kuti mudziwe momwe mankhwalawa angagwirizane ndi china chake chomwe mumatenga, lankhulani ndi dokotala kapena wamankhwala.

Zitsanzo za mankhwala omwe angayambitse kuyanjana ndi propranolol alembedwa pansipa.

Mankhwala osokoneza bongo

Kutenga propranolol ndi mankhwala ena omwe amathandizira mavuto am'mimba kumatha kuyambitsa zovuta zina. Izi zimaphatikizapo kugunda kwa mtima, kuthamanga kwa magazi, kapena kutseka mtima. Dokotala wanu ayenera kusamala mukamapereka mankhwalawa limodzi.

Zitsanzo za mankhwalawa ndi monga:

• kutchfun
• bretiyum
• quinidine
• kutchfuneral
• encideide
• Makhalidwe abwino
• alireza
• mankhwala
• kugulitsidwa
• Chinthaka

Mankhwala a magazi

Ngati mukusintha kuchoka clonidine kuti propranolol, dokotala wanu ayenera kuchepetsa mlingo wanu wa clonidine ndikuwonjezera pang'onopang'ono mlingo wa propranolol masiku angapo. Izi zimachitika kuti mupewe zovuta, monga kutsika kwa magazi.

Mankhwala osokoneza bongo

Musagwiritse ntchito propranolol ndi ina beta blocker. Ikhoza kutsitsa kugunda kwa mtima wanu kwambiri. Zitsanzo za beta blockers ndi awa:

• acebutolol
• atenolol
• kutsogolera
• ziphuphu
• esmolol
• metoprolol
• alireza
• nebivolol
• alireza

Dokotala wanu ayenera kusamala ngati akukulemberani angiotensin-converting enzyme (ACE) zoletsa ndi propranolol. Kumwa mankhwalawa pamodzi kungayambitse kuthamanga kwa magazi kotsika kuposa kale. Zitsanzo za ACE inhibitors ndi awa:

• kutchilimy
• chikodil

Dokotala wanu ayenera kusamala ngati akukulemberani zotseka za calcium ndi propranolol. Kugwiritsa ntchito mankhwalawa palimodzi kungayambitse kugunda kwamtima, kulephera kwa mtima, komanso kutseka kwa mtima. Zitsanzo za ma calcium blockers ndi awa:

• alireza

Dokotala wanu ayenera kusamala ngati akukulemberani alpha otchinga ndi propranolol. Kugwiritsira ntchito mankhwalawa palimodzi kungayambitse kuthamanga kwa magazi kotsika kuposa kwachibadwa, kukomoka, kapena kutsika magazi mutayimirira mwachangu. Zitsanzo za mankhwalawa ndi monga:

• prazosin
• terazosin
• alireza

Anesthetics (mankhwala omwe amaletsa kutengeka)

Samalani ngati mukumwa mankhwalawa ndi propranolol. Propranolol imatha kukhudza momwe mankhwalawa amatsukidwira mthupi lanu, zomwe zitha kukhala zowopsa. Zitsanzo za mankhwalawa ndi monga:

• lidocaine
• bupivacaine
• chimatsu

Mankhwala omwe amagwiritsidwa ntchito kuonjezera kugunda kwa mtima ndi kuthamanga kwa magazi

Musagwiritse ntchito mankhwalawa ndi propranolol. Mankhwalawa amaletsana. Izi zikutanthauza kuti palibe ngakhale imodzi yomwe ingagwire ntchito. Zitsanzo za mankhwalawa ndi monga:

• epinephrine
• dobutamine
• kulira

Mankhwala a mphumu

Simuyenera kumwa mankhwalawa ndi propranolol. Kuchita izi kumawonjezera kuchuluka kwa mankhwalawa m'magazi anu. Izi zitha kukulitsa chiopsezo chanu chazovuta. Zitsanzo za mankhwalawa ndi monga:

• chinthaka

Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs)

Mankhwalawa amachepetsa kutsika kwa magazi chifukwa cha propranolol. Mukamamwa mankhwalawa limodzi, dokotala akuyenera kuyang'anira kuthamanga kwa magazi kwanu. Angafunike kusintha mlingo wanu wa propranolol.

Zitsanzo za NSAID ndizo:

• diclofenac
• etodolac
• fenoprofen
• ibuprofen
• indomethacin
• ketoprofen
• ketorolac
• meloxicam
• nabumetone
• naproxen
• kutuloji
• magwire

Magazi ocheperako

Mukatengedwa ndi warfarin, propranolol imatha kuwonjezera kuchuluka kwa warfarin mthupi lanu. Izi zitha kupangitsa kuti muwonjeze kutalika kwa magazi kuchokera pachilonda chilichonse. Mlingo wanu wa warfarin ungafunike kusinthidwa mukamamwa mankhwalawa limodzi.

Mankhwala ochizira zilonda zam'mimba

Kutenga cimetidine ndi propranolol itha kukulitsa milingo ya propranolol m'magazi anu. Izi zitha kuyambitsa zovuta zina.

Maantacid okhala ndi aluminium hydroxide

Kumwa mankhwalawa ndi propranolol kungapangitse kuti propranolol ikhale yopanda ntchito. Dokotala wanu adzafunika kukuyang'anirani ndipo angafunike kusintha mlingo wa propranolol.

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala osokoneza bongo amagwirizana mosiyanasiyana mwa munthu aliyense, sitingatsimikizire kuti izi zikuphatikizanso kuyanjana kotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi omwe amakuthandizani pa zaumoyo momwe mungachitire ndi mankhwala, mavitamini, zitsamba ndi zowonjezera, komanso mankhwala omwe mumamwa.

Machenjezo a Propranolol

Mankhwalawa amabwera ndi machenjezo angapo.

Chenjezo la ziwengo

Propranolol imatha kuyambitsa vuto lalikulu. Zizindikiro zimaphatikizapo:

• zidzolo
• ming'oma
• kupuma
• kuvuta kupuma
• kutupa pakamwa, nkhope, milomo, lilime, kapena pakhosi

Mukakhala ndi zizindikilozi, itanani 911 kapena pitani kuchipinda chadzidzidzi chapafupi.

Musatengerenso mankhwalawa ngati munakhalapo ndi vuto linalake. Kutenganso kumatha kukhala koopsa (kuyambitsa imfa).

Ngati mwakhala mukuvutika kwambiri ndi othandizira ena omwe amayambitsa anaphylaxis, chifuwa chanu chimatha kugwira bwino mukamamwa propranolol. Mankhwala omwe mumakonda kumwa, epinephrine, mwina sangayende bwino mukamamwa mankhwalawa. Propranolol ikhoza kutseka zotsatira zina za epinephrine.

Chenjezo la Mowa

Mowa umatha kukulitsa kuchuluka kwa propranolol mthupi lanu. Izi zitha kuyambitsa zovuta zina. Simuyenera kumwa mowa mukamamwa mankhwalawa.

Machenjezo kwa anthu omwe ali ndi matenda ena

Kwa anthu omwe ali ndi mantha amtima: Musagwiritse ntchito propranolol. Propranolol imachepetsa kugunda kwamtima kwanu, komwe kumatha kukulitsa vuto ili.

Kwa anthu omwe amachedwa pang'onopang'ono kuposa kugunda kwamtima: Musagwiritse ntchito propranolol. Mankhwalawa amatha kuchepetsa kugunda kwa mtima wanu, zomwe zitha kukhala zowopsa.

Kwa anthu omwe ali ndi digiri yayikulu kuposa yoyamba: Musagwiritse ntchito propranolol. Propranolol imachepetsa mphamvu ya kugunda kwa mtima wanu, zomwe zingapangitse mtima wanu kuipiraipira.

Kwa anthu omwe ali ndi mphumu: Musagwiritse ntchito propranolol. Mankhwalawa amatha kukulitsa mphumu.

Kwa anthu omwe ali ndi ululu wopweteka pachifuwa: Kuyimitsa mwadzidzidzi propranolol kumatha kukulitsa kupweteka pachifuwa.

Kwa anthu omwe ali ndi vuto la mtima: Simuyenera kumwa mankhwalawa. Propranolol imachepetsa mphamvu ya kugunda kwa mtima wanu, zomwe zingapangitse mtima wanu kulephera. Propranolol itha kukhala yothandiza ngati muli ndi mbiri yolephera mtima, mukumwa mankhwala olephera mtima, ndipo akuyang'aniridwa ndi dokotala wanu.

Kwa anthu omwe ali ndi matenda a Wolff-Parkinson-White: Matendawa amatha kupangitsa kugunda kwa mtima komwe kumachedwetsa kuposa momwe zimakhalira. Kuchiza kwa vutoli ndi propranolol kumachepetsa kugunda kwa mtima wanu kwambiri. Chithandizo ndi pacemaker chitha kufunikira.

Kwa anthu omwe ali ndi matenda ashuga: Propranolol imatha kuyambitsa hypoglycemia (shuga wotsika magazi). Ikhozanso kubisa zizindikiro za shuga wotsika magazi, monga kugunda kwa mtima komwe kumathamanga kuposa zachilendo, thukuta, ndi kugwedezeka. Mankhwalawa ayenera kugwiritsidwa ntchito mosamala ngati muli ndi matenda ashuga, makamaka mukatenga insulin kapena mankhwala ena a shuga omwe angayambitse shuga.

Kwa anthu omwe ali ndi chithokomiro chosafunikira: Propranolol imatha kubisa zizindikiro za hyperthyroidism (chithokomiro chosafunikira), monga kugunda kwa mtima komwe kumathamanga kuposa kale. Ngati mwasiya mwadzidzidzi kumwa propranolol ndikukhala ndi hyperthyroidism, zizindikiro zanu zimatha kukulirakulira, kapena mutha kukhala ndi vuto lalikulu lotchedwa chimphepo chamkuntho.

Kwa anthu omwe ali ndi bronchitis osachiritsika kapena emphysema: Mwambiri, ngati mukuvutika kupuma, simuyenera kumwa propranolol. Ikhoza kukulitsa vuto lanu m'mapapo.

Kwa anthu omwe akukonzekera opaleshoni yayikulu: Uzani dokotala wanu kuti mukumwa mankhwala a propranolol. Mankhwalawa amatha kusintha momwe mtima wanu umakhudzidwira ndi anesthesia wamba komanso opaleshoni.

Kwa anthu omwe ali ndi glaucoma: Propranolol ikhoza kuchepetsa kupanikizika m'maso mwanu. Izi zikhoza kukupangitsani kukhala kovuta kudziwa ngati mankhwala anu a glaucoma akugwira ntchito. Mukasiya kumwa propranolol, kupanikizika m'maso mwanu kungakulire.

Kwa anthu omwe ali ndi chifuwa: Ngati mwakhala ndi zovuta zomwe zimayambitsa anaphylaxis, chifuwa chanu chitha kukulirakulira mukatenga propranolol. Mankhwala omwe mumakonda kumwa mankhwala opatsirana a epinephrine sangagwire ntchito. Propranolol ikhoza kuletsa zina mwa zotsatira za epinephrine.

Kwa anthu omwe ali ndi magazi osalamulirika kapena mantha: Ngati muli ndi kutaya magazi kapena mantha, vuto lalikulu pomwe ziwalo zanu sizimalandira magazi okwanira, mankhwala ochizira mikhalidwe imeneyi sangagwire ntchito ngati mukumwa propranolol. Izi ndizowona makamaka ngati mukumwa mankhwala a propranolol pochiza pheochromocytoma, chotupa mu adrenal gland.

Machenjezo kwa magulu ena

Kwa amayi apakati: Propranolol ndi gulu C la mankhwala osokoneza bongo. Izi zikutanthauza zinthu ziwiri:

1. Kafukufuku wazinyama awonetsa zovuta kwa mwana wosabadwa mayi atamwa mankhwalawo.
2. Sipanakhale maphunziro okwanira omwe adachitika mwa anthu kuti atsimikizire momwe mankhwalawo angakhudzire mwana wosabadwayo.

Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kutenga pakati. Propranolol iyenera kugwiritsidwa ntchito panthawi yapakati pokhapokha phindu lomwe lingakhalepo lingabweretse chiopsezo.

Mukakhala ndi pakati mukamamwa mankhwalawa, itanani dokotala wanu nthawi yomweyo.

Kwa amayi omwe akuyamwitsa: Propranolol imadutsa mkaka wa m'mawere. Mankhwalawa atha kugwiritsidwa ntchito mukamayamwitsa, koma mwana wanu ayenera kuyang'aniridwa. Mwa mwana wanu, propranolol imatha kuyambitsa kugunda kwamtima pang'ono komanso shuga wotsika m'magazi. Zitha kupanganso kuchepa kwa mpweya m'magazi omwe angayambitse cyanosis. Vutoli limasintha khungu, milomo, kapena misomali ya mwana wanu yabuluu.

Kwa okalamba: Okalamba mwina adachepetsa chiwindi, impso, ndi mtima kugwira ntchito, ndi matenda ena. Dokotala wanu azitenga izi ndi mankhwala omwe mukuwaganizira mukamayambira pa propranolol.

Kwa ana: Sichinatsimikizidwe kuti propranolol ndi yotetezeka komanso yothandiza kugwiritsidwa ntchito kwa ana ochepera zaka 18. Pakhala pali malipoti okhudza kulephera kwa mtima komanso kupuma kwa ndege kwa ana omwe amamwa mankhwalawa.

Nthawi yoyimbira dotolo

1. Uzani dokotala wanu ngati muli ndi chifuwa, kuzizira, chifuwa, kapena kupweteka. Dokotala wanu kapena wamankhwala adzakuthandizani kupeza mankhwala omwe angagwiritsidwe ntchito bwino ndi propranolol. Uzani dokotala kapena dokotalayo ngati mukufuna opaleshoni. Adzawunika kuchuluka kwa mtima wanu ndi kuthamanga kwa magazi, ndikuwonanso momwe mankhwala amagwirira ntchito ndi propranolol.

Momwe mungatengere propranolol

Mlingo ndi mafomu onse omwe sangakhale nawo sangaphatikizidwe pano. Mlingo wanu, mawonekedwe anu, komanso kuti mumatenga kangati zimadalira:

• zaka zanu
• matenda omwe akuchiritsidwa
• momwe matenda anu alili
• Matenda ena omwe muli nawo
• momwe mumachitira ndi mankhwala oyamba

Fomu ya mankhwala ndi mphamvu

Zowonjezera: Zamgululi

• Mawonekedwe: piritsi yamlomo
• Mphamvu: 10 mg, 20 mg, 40 mg, 60 mg, 80 mg

Mlingo wa atril fibrillation

Mlingo wachikulire (wazaka 18 kapena kupitirira)

Mlingowu umakhala wa 10-30 mg womwe umamwedwa katatu patsiku, asanadye komanso asanagone.

Mlingo wa ana (zaka 0-17 zaka)

Sizinatsimikizidwe kuti propranolol ndi yotetezeka komanso yothandiza kugwiritsidwa ntchito kwa ana ochepera zaka 18.

Mlingo wa matenda oopsa (kuthamanga kwa magazi)

Mlingo wachikulire (wazaka 18 kapena kupitirira)

• Mlingo woyambira: 40 mg amatengedwa kawiri patsiku.
• Mlingo ukuwonjezeka: Dokotala wanu akhoza kuwonjezera pang'onopang'ono mlingo wanu.
• Miyezo yosamalira bwino: 120-240 mg wa patsiku woperekedwa muzigawo 2-3 zogawanika. Mlingo mpaka 640 mg patsiku waperekedwa nthawi zina.
• Zolemba:
  • Zitha kutenga masiku ochepa mpaka milungu ingapo kuti mankhwalawa agwire bwino ntchito.
  • Ngati mukumwa mlingo wochepa kawiri patsiku ndipo kuthamanga kwa magazi kwanu sikuyendetsedwa, dokotala akhoza kukulitsa mlingo wanu kapena angakuuzeni kumwa mankhwalawa katatu patsiku.

Mlingo wa ana (zaka 0-17 zaka)

Sizinatsimikizidwe kuti propranolol ndi yotetezeka komanso yothandiza kugwiritsidwa ntchito kwa ana ochepera zaka 18.

Mlingo wa angina (kupweteka pachifuwa)

Mlingo wachikulire (wazaka 18 kapena kupitirira)

• Mlingo wodziwika: 80-320 mg. Mutenga kuchuluka konseku muzigawidwa kawiri nthawi patsiku.

Mlingo wa ana (zaka 0-17 zaka)

Sizinatsimikizidwe kuti propranolol ndi yotetezeka komanso yothandiza kugwiritsidwa ntchito kwa ana ochepera zaka 18.

Mlingo wa matenda a mtima

Mlingo wachikulire (wazaka 18 kapena kupitirira)

• Mlingo woyambira: 40 mg amatengedwa katatu patsiku.
• Mlingo ukuwonjezeka: Pambuyo pa mwezi umodzi, dokotala wanu akhoza kuwonjezera mlingo wanu mpaka 60-80 mg yomwe imamwedwa katatu patsiku.
• Miyezo yosamalira bwino: 180-240 mg. Izi zimagawika m'magulu ang'onoang'ono, ofanana ndikumwa kawiri kapena katatu patsiku.

Mlingo wa ana (zaka 0-17 zaka)

Sizinatsimikizidwe kuti propranolol ndi yotetezeka komanso yothandiza kugwiritsidwa ntchito kwa ana ochepera zaka 18.

Mlingo wa hypertrophic subaortic stenosis

Mlingo wachikulire (wazaka 18 kapena kupitirira)

• Mlingo wodziwika: 20-40 mg amatengedwa katatu patsiku, asanadye komanso asanagone.

Mlingo wa ana (zaka 0-17 zaka)

Sizinatsimikizidwe kuti propranolol ndi yotetezeka komanso yothandiza kugwiritsidwa ntchito kwa ana ochepera zaka 18.

Mlingo wa migraine

Mlingo wachikulire (wazaka 18 kapena kupitirira)

• Mlingo woyambira: 80 mg patsiku. Mutenga ndalamazi pang'ono pang'ono, mofanana nthawi zingapo masana.
• Miyezo yosamalira bwino: 160-240 mg pa tsiku.
• Zindikirani:
  • Ngati mulingo wothandizila kwambiri sukuthandiza mutu waching'alang'ala pambuyo pa chithandizo chamasabata a 4-6, dokotala wanu atha kukuletsani kumwa mankhwalawa. Mlingo wanu kapena kangati mumamwa mankhwalawa akhoza kuchepetsedwa pang'onopang'ono kwa milungu ingapo kuti mupewe zovuta zoyima msanga.

Mlingo wa ana (zaka 0-17 zaka)

Sizinatsimikizidwe kuti propranolol ndi yotetezeka komanso yothandiza kugwiritsidwa ntchito kwa ana ochepera zaka 18.

Mlingo wa kunjenjemera kofunikira

Mlingo wachikulire (wazaka 18 kapena kupitirira)

• Mlingo woyambira: 40 mg amatengedwa kawiri patsiku.
• Mlingo ukuwonjezeka: Mungafunike kumwa mlingo wa 120 mg patsiku. Nthawi zina, pamafunika kutenga 240-320 mg tsiku lililonse.

Mlingo wa ana (zaka 0-17 zaka)

Sizinatsimikizidwe kuti propranolol ndi yotetezeka komanso yothandiza kugwiritsidwa ntchito kwa ana ochepera zaka 18.

Mlingo wa pheochromocytoma (chotupa mu adrenal gland)

Mlingo wachikulire (wazaka 18 kapena kupitirira)

• Miyezo yosamalira bwino: 60 mg patsiku amatengedwa m'magulu ogawanika kuyambira masiku atatu musanachite opareshoni.
• Zolemba:
  • Mutenga mankhwalawa ndi mankhwala ena. Propranolol siigwiritsidwe ntchito yokha pochizira pheochromocytoma.
  • Ngati opaleshoniyi sitingathe kuchitira chotupacho, mulingo wokhazikika wa mankhwalawa ndi 30 mg patsiku womwe umatengedwa muyezo wogawa ndi mankhwala ena.

Mlingo wa ana (zaka 0-17 zaka)

Sizinatsimikizidwe kuti propranolol ndi yotetezeka komanso yothandiza kugwiritsidwa ntchito kwa ana ochepera zaka 18.

Maganizo apadera

• Kwa anthu omwe ali ndi vuto la impso: Dokotala wanu ayenera kusamala akamakupatsani mankhwalawa.
• Kwa anthu omwe ali ndi vuto la chiwindi: Dokotala wanu ayenera kusamala akamakupatsani mankhwalawa.

Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala osokoneza bongo amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti mndandandawu umaphatikizira miyezo yonse yotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi dokotala kapena wamankhwala za mlingo woyenera kwa inu.

Tengani monga mwalamulidwa

Pulogalamu yamlomo ya Propranolol imagwiritsidwa ntchito pochiza kwa nthawi yayitali. Zimabwera ndi zoopsa zazikulu ngati simukuzitenga monga mwalamulo.

Ngati simutenga konse: Matenda anu adzaipiraipira ndipo mutha kukhala pachiwopsezo cha mavuto amtima, monga matenda amtima kapena sitiroko.

Mukadumpha kapena kuphonya Mlingo: Mkhalidwe womwe mukuchiritsa ukhoza kukulirakulira.

Ngati mutenga zochuluka kwambiri: Ngati mukuganiza kuti mwamwa mankhwalawa mopitirira muyeso, itanani dokotala wanu kapena malo oletsa poyizoni kwanuko. Ngati matenda anu akukulira, itanani 911 kapena pitani kuchipatala chapafupi pomwepo.

Zomwe muyenera kuchita mukaphonya mlingo: Mukaphonya mlingo, imwani mukamakumbukira. Ngati ili pafupi ndi nthawi ya mlingo wotsatira, tengani mlingo umodzi panthawiyo.

Osachulukitsa mlingo kuti muyesere kupanga zomwe mwaphonya. Izi zitha kuyambitsa zoopsa.

Momwe mungadziwire ngati mankhwalawa akugwira ntchito: Zizindikiro zanu ziyenera kusintha. Mwachitsanzo, kuthamanga kwa magazi ndi kugunda kwa mtima kwanu kuyenera kutsika. Kapena muyenera kukhala ndi ululu wochepa pachifuwa, kunjenjemera kapena kugwedezeka, kapena kuchepa kwa mutu wa migraine.

Zofunikira pakumwa mankhwala a propranolol

Kumbukirani izi ngati dokotala akukulemberani mankhwala a propranolol.

Zonse

• Tengani mankhwalawa musanadye komanso musanagone.
• Mutha kudula kapena kuphwanya phale.

Yosungirako

• Sungani mapiritsi pakati pa 59 ° F mpaka 86 ° F (15 ° C mpaka 30 ° C).
• Tetezani mankhwalawa ku kuwala.
• Musasunge mankhwalawa m'malo onyowa kapena onyowa, monga mabafa.

Zowonjezeranso

Mankhwala a mankhwalawa amakonzanso. Simuyenera kusowa mankhwala atsopano kuti mudzazidwenso. Dokotala wanu adzalemba kuchuluka kwa mafuta obwezerezedwanso pamankhwala anu.

Kuyenda

Mukamayenda ndi mankhwala anu:

• Nthawi zonse muzinyamula mankhwala anu. Mukamauluka, musayikenso m'thumba lofufuzidwa. Sungani m'thumba lanu.
• Osadandaula za makina a x-ray pabwalo la ndege. Sangathe kuvulaza mankhwala anu.
• Mungafunike kuwonetsa ogwira ntchito ku eyapoti chizindikiro cha mankhwala anu. Nthawi zonse muzinyamula chidebe choyambirira cholembedwa ndi mankhwala.
• Musayike mankhwalawa m'galimoto yamagolovu amgalimoto yanu kapena siyani m'galimoto. Onetsetsani kuti musachite izi nyengo ikatentha kapena kuzizira kwambiri.

Kudziyang'anira pawokha

Mukamamwa propranolol, muyenera kuwunika anu:

• kuthamanga kwa magazi
• kugunda kwa mtima
• shuga wamagazi (ngati muli ndi matenda ashuga)

Kuwunika kuchipatala

Mukamamwa mankhwalawa, dokotala wanu nthawi ndi nthawi amayesa magazi kuti muwone:

• magulu a electrolyte
• ntchito yamtima
• chiwindi chimagwira
• ntchito ya impso

Kupezeka

Osati mankhwala aliwonse omwe amakhala ndi mankhwalawa. Mukadzaza mankhwala anu, onetsetsani kuti mwayitanitsa patsogolo kuti mutsimikizire kuti mankhwala omwe muli nawo ali nawo.

Kodi pali njira zina?

Palinso mankhwala ena omwe amapezeka kuti athetse vuto lanu. Ena akhoza kukuyenererani kuposa ena. Lankhulani ndi dokotala wanu za mankhwala ena omwe angakuthandizeni.

Chodzikanira: Healthaline yayesetsa kwambiri kuti zidziwitso zonse zikhale zolondola, zokwanira, komanso zaposachedwa. Komabe, nkhaniyi sikuyenera kugwiritsidwa ntchito m'malo mwa chidziwitso ndi ukadaulo wa akatswiri pazachipatala. Muyenera kufunsa adotolo kapena akatswiri azaumoyo musanamwe mankhwala aliwonse. Zambiri zamankhwala zomwe zili pano zitha kusintha ndipo sizingapangidwe kuti zigwiritse ntchito, mayendedwe, zodzitetezera, machenjezo, kulumikizana ndi mankhwala osokoneza bongo, zovuta zina, kapena zovuta zina. Kusapezeka kwa machenjezo kapena zidziwitso za mankhwala omwe apatsidwa sikuwonetsa kuti kuphatikiza mankhwala kapena mankhwalawa ndiwotetezeka, ogwira ntchito, komanso oyenera kwa odwala onse kapena ntchito zina zilizonse.