I-Propranolol, Ithebhulethi Yomlomo

-Delile

• Izexwayiso ezibalulekile
• Yini i-propranolol?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi ye-Propranolol
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• I-Propranolol ingaxhumana neminye imithi
• Izidakamizwa ze-Arrhythmia
• Isidakamizwa somfutho wegazi
• Izidakamizwa zomfutho wegazi
• Ama-anesthetics (izidakamizwa ezivimba ukuzwa)
• Izidakamizwa ezisetshenziselwa ukukhuphula izinga lokushaya kwenhliziyo nomfutho wegazi
• Izidakamizwa ze-asthma
• Izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
• Ukuncipha kwegazi
• Umuthi wokwelapha izilonda esiswini
• Ama-antiacid ane-aluminium hydroxide
• Izexwayiso ze-Propranolol
• Isexwayiso somzimba
• Isexwayiso sokusebenzisana kotshwala
• Izexwayiso zabantu abanezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu
• Ukushayela nini udokotela
  
• Ungayithatha kanjani i-propranolol
• Ifomu lezidakamizwa namandla
• Isikali se-fibrillation ye-atrial
• Isikali somfutho wegazi ophezulu (umfutho wegazi ophakeme)
• Isilinganiso se-angina (ubuhlungu besifuba)
• Isilinganiso sokuhlaselwa yinhliziyo
• Isikali se-hypertrophic subaortic stenosis
• Isilinganiso se-migraine
• Isikali sokuthuthumela okubalulekile
• Isikali se-pheochromocytoma (isimila ku-adrenal gland)
• Ukucatshangelwa okukhethekile komthamo
• Thatha njengoba kuqondisiwe
• Ukucatshangelwa okubalulekile kokuthatha i-propranolol
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuzilawula
• Ukuqapha komtholampilo
• Ukutholakala
• Ingabe zikhona ezinye izindlela?

Amaphuzu avelele wepropranolol

1. Ithebhulethi yomlomo yePropranolol itholakala kuphela njengomuthi ojwayelekile. Ayinayo i-brand-name version.
2. I-Propranolol iza ngezindlela ezine: ithebhulethi yomlomo, i-capsule yomlomo ekhishwe isikhathi eside, isisombululo soketshezi ngomlomo, kanye nomjovo.
3. I-Propranolol tablet tablet inciphisa umthwalo wenhliziyo yakho futhi iyisize ishaye njalo. Isetshenziselwa ukwelapha umfutho wegazi ophakeme, i-angina, i-atrial fibrillation, nokuzamazama. Ibuye isetshenziselwe ukuvimbela i-migraines futhi isize ukulawula izicubu ze-thyroid ne-adrenal gland.

Izexwayiso ezibalulekile

• Isexwayiso sokumisa ukwelashwa: Ungayeki ukuthatha le mithi ngaphandle kokukhuluma nodokotela wakho kuqala. Ukumisa i-propranolol ngokungazelelwe kungadala ushintsho kusigqi senhliziyo yakho nomfutho wegazi, ubuhlungu besifuba obubi, noma isifo senhliziyo. Udokotela wakho uzokwehlisa umthamo wakho kancane amasonto ambalwa ukusiza ukuvimbela le miphumela.
• Isexwayiso sozela: Lesi sidakamizwa singadala ukozela. Ungashayeli, usebenzise imishini, noma wenze noma imiphi imisebenzi edinga ukuqaphela uze wazi ukuthi lo muthi ukuthinta kanjani.
• Isixwayiso sikashukela: I-Propranolol ingadala ushukela wegazi ophansi (i-hypoglycemia). Kungase futhi kufihle izimpawu zeshukela eliphansi egazini, njengokushaya kwenhliziyo okuphezulu kunokujwayelekile, ukujuluka, nokuzamazama. Lesi sidakamizwa kufanele sisetshenziswe ngokuqapha uma unesifo sikashukela, ikakhulukazi uma uthatha i-insulin noma ezinye izidakamizwa zesifo sikashukela ezingadala ushukela wegazi ophansi. Lesi sidakamizwa singadala noshukela ophansi wegazi ezinganeni, ezinganeni, nakubantu abadala abangenaso isifo sikashukela. Lokhu kungenzeka kakhulu ngemuva kwezikhathi zokuvivinya umzimba isikhathi eside noma uma unezinkinga zezinso.
• Isexwayiso se-asthma: Uma une-asthma noma izinkinga ezifanayo zokuphefumula, ungathathi i-propranolol. Kungenza i-asthma yakho ibe yimbi kakhulu.

Yini i-propranolol?

I-Propranolol ngumuthi kadokotela. Kuza ngalezi zinhlobo: ithebhulethi yomlomo, i-capsule ekhishwe ngomlomo, isisombululo somlomo, kanye nomjovo.

I-Propranolol tablet tablet itholakala kuphela ngendlela ejwayelekile. Imithi ejwayelekile ijwayele ukubiza ngaphansi kwezinguqulo zamagama.

Ithebhulethi yomlomo yepropranolol ingasetshenziswa ngokuhlangana nezinye izidakamizwa.

Kungani kusetshenziswa

I-Propranolol inciphisa umthwalo wenhliziyo yakho futhi iyisize ishaye njalo. Isetshenziselwa uku:

• welapha umfutho wegazi ophakeme
• lawula isigqi senhliziyo ku-fibrillation ye-atrial
• phungula i-angina (ubuhlungu besifuba)
• vimbela i-migraines
• ukunciphisa ukuthuthumela noma ukuthuthumela okubalulekile
• siza ngezimo zezokwelapha ezibandakanya izindlala zakho zegilo kanye nezama-adrenal
• ukusekela ukusebenza kwenhliziyo ngemuva kokuhlaselwa yinhliziyo

Isebenza kanjani

I-Propranolol ingeyesigaba semithi ebizwa nge-beta blockers. Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

I-Propranolol ingumenzeli wokuvimbela i-beta receptor ongakhethi. Lokhu kusho ukuthi kusebenza ngokufanayo enhliziyweni, emaphashini nakwezinye izindawo zomzimba.

Indlela lo muthi osebenza ngayo ukwehlisa umfutho wegazi ayiqondakali kahle. Kunciphisa umthwalo wokusebenza wenhliziyo futhi kuvimbe ukukhishwa kwento ebizwa nge-renin ezinso.

Izakhiwo zokuvimba i-beta zisiza ukulawula isigqi senhliziyo, zibambezele ukuqala kobuhlungu besifuba, zivimbele i-migraines, futhi zinciphise ukuzamazama komhlaba. Akuqondakali kahle ukuthi lo muthi usebenza kanjani ukuphatha lezi zinkinga.

Imiphumela emibi ye-Propranolol

I-Propranolol tablet tablet ingadala ukozela. Ungashayeli, usebenzise imishini, noma wenze noma imiphi imisebenzi edinga ukuqapha kwengqondo uze wazi ukuthi lo muthi ukuthinta kanjani.

I-Propranolol nayo ingadala eminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile yepropranolol ingafaka:

• ukushaya kwenhliziyo kuhamba kancane
• isifo sohudo
• amehlo omile
• ukulahleka kwezinwele
• isicanucanu
• ubuthakathaka noma ukukhathala

Uma le miphumela imnene, ingahle ihambe zingakapheli izinsuku ezimbalwa noma amasonto ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• Ukusabela okweqile. Izimpawu zingafaka:
  • ukuqubuka kwesikhumba
  • ukulunywa
  • isifuba
  • ukuvuvukala kobuso bakho, izindebe, noma ulimi
• Izinkinga zokuphefumula
• Izinguquko kushukela wegazi
• Izandla noma izinyawo ezibandayo
• Amaphupho amabi noma inkinga yokulala
• Isikhumba esomile, esikhanyayo
• Ukusangana
• Ukuqunjelwa kwemisipha noma ubuthakathaka
• Ukushaya kwenhliziyo kuhamba kancane
• Ukuvuvukala kwemilenze yakho noma amaqakala
• Ukuzuza kwesisindo ngokungazelelwe
• ukuhlanza

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya yonke imiphumela emibi engaba khona. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala uxoxa ngemiphumela emibi engaba khona nomhlinzeki wezokunakekelwa kwempilo owazi umlando wakho wezokwelapha.

I-Propranolol ingaxhumana neminye imithi

I-tablet ye-Propranolol yomlomo ingasebenzisana neminye imishanguzo, amavithamini, noma amakhambi okungenzeka ukuthi uthatha. Ukusebenzisana kulapho into iguqula indlela umuthi osebenza ngayo. Lokhu kungaba yingozi noma kuvimbele umuthi ukuthi usebenze kahle.

Ukusiza ukugwema ukuxhumana, udokotela wakho kufanele aphathe yonke imithi yakho ngokucophelela. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, noma amakhambi owathathayo. Ukuthola ukuthi lo muthi ungahlangana kanjani nokunye okuthathayo, khuluma nodokotela wakho noma usokhemisi.

Izibonelo zezidakamizwa ezingadala ukusebenzisana nepropranolol zibalwe ngezansi.

Izidakamizwa ze-Arrhythmia

Ukuthatha i-propranolol nezinye izidakamizwa ezelapha izinkinga zesigqi senhliziyo kungadala imiphumela emibi eminingi. Lokhu kufaka phakathi ukushaya kwenhliziyo okuphansi, umfutho wegazi ophansi, noma ukuvinjelwa kwenhliziyo. Udokotela wakho kufanele aqaphele uma ebeka le mithi ndawonye.

Izibonelo zale mithi zifaka:

• amiodarone
• bretylium
• quinidine
• umabhebhana
• encideide
• isimilo
• busisiwe
• propafenone
• zihlel
• I-digoxin

Isidakamizwa somfutho wegazi

Uma ushintsha kusuka clonidine ukwenza i-propranolol, udokotela wakho kufanele anciphise kancane umthamo wakho we-clonidine futhi akhuphule kancane umthamo wakho we-propranolol ezinsukwini ezimbalwa. Lokhu kwenzelwa ukugwema imiphumela emibi, njengokunciphisa umfutho wegazi.

Izidakamizwa zomfutho wegazi

Ungasebenzisi i-propranolol ngenye i-beta blocker. Kunganciphisa izinga lokushaya kwenhliziyo yakho ngokweqile. Izibonelo ze-beta blockers zifaka:

• acebutolol
• atenolol
• bisoprolol
• phumlani
• esmolol
• metoprolol
• khanyisile
• nebivolol
• sotalol

Udokotela wakho kufanele asebenzise ukuqaphela uma ekubeka ama-angiotensin-converting enzyme (ACE) inhibitors nge-propranolol. Ukuthatha le mithi ndawonye kungadala umfutho wegazi ophansi kunokujwayelekile. Izibonelo ze-ACE inhibitors zifaka:

• lisinopril
• indilaphril

Udokotela wakho kufanele asebenzise ukuqaphela uma ekubeka abavimba isiteshi se-calcium nge-propranolol. Ukusebenzisa le mithi ndawonye kungadala ukushaya kwenhliziyo okuphansi kakhulu, ukwehluleka kwenhliziyo, nokuvinjelwa kwenhliziyo. Izibonelo zama-blocker wesiteshi se-calcium zifaka:

• umabhebhana

Udokotela wakho kufanele asebenzise ukuqaphela uma ekubeka ama-alpha blocker nge-propranolol. Ukusebenzisa le mithi ndawonye kungadala umfutho wegazi ophansi kunokujwayelekile, ukuquleka, noma umfutho ophansi wegazi ngemuva kokuma ngokushesha okukhulu. Izibonelo zale mithi zifaka:

• prazosin
• terazosin
• doxazosin

Ama-anesthetics (izidakamizwa ezivimba ukuzwa)

Qaphela uma uthatha le mithi nge-propranolol. I-Propranolol ingathinta ukuthi le mithi ihlanzwa kanjani emzimbeni wakho, engaba yingozi. Izibonelo zale mithi zifaka:

• i-lidocaine
• bupivacaine
• mepivacaine

Izidakamizwa ezisetshenziselwa ukukhuphula izinga lokushaya kwenhliziyo nomfutho wegazi

Ungayisebenzisi le mithi ngepropranolol. Le mithi iyakhanselana. Lokhu kusho ukuthi akekho kubo ozosebenza. Izibonelo zale mithi zifaka:

• epinephrine
• dobutamine
• amasimeren

Izidakamizwa ze-asthma

Akufanele uthathe le mithi nge-propranolol. Ukwenza kanjalo kwandisa inani lale mithi egazini lakho. Lokhu kungandisa ingozi yemiphumela emibi. Izibonelo zale mithi zifaka:

• thindokuhle

Izidakamizwa ezingezona ukuvuvukala (ama-NSAID)

Le mithi inganciphisa imiphumela yokwehlisa umfutho wegazi wepropranolol. Uma uthatha le mithi ndawonye, ​​udokotela wakho kufanele aqaphe umfutho wegazi lakho. Bangadinga ukushintsha isilinganiso sakho sepropranolol.

Izibonelo zama-NSAID zifaka:

• lindokuhle
• i-etodolac
• fenoprofen
• ibuprofen
• indomethacin
• ketoprofen
• ketorolac
• meloxicam
• nabumetone
• umabhebhana
• sifile
• pyoxicam

Ukuncipha kwegazi

Lapho ithathwa ne- warfarin, i-propranolol ingakhuphula inani le-warfarin emzimbeni wakho. Lokhu kungadala ukwanda kokuthi wophe isikhathi esingakanani kunoma yisiphi isilonda. Umthamo wakho we-warfarin ungadinga ukuguqulwa uma uthatha le mithi ndawonye.

Umuthi wokwelapha izilonda esiswini

Ukuthatha cimetidine ngepropranolol kungakhuphula amazinga wepropranolol egazini lakho. Lokhu kungadala imiphumela emibi eminingi.

Ama-antiacid ane-aluminium hydroxide

Ukuthatha le mithi nge-propranolol kungenza i-propranolol ingasebenzi kahle. Udokotela wakho uzodinga ukukuqapha futhi angadinga ukushintsha isilinganiso sakho sepropranolol.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zisebenzisana ngokwehlukile kumuntu ngamunye, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya konke ukuxhumana okungenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuhlangana okungenzeka ngayo yonke imishanguzo kadokotela, amavithamini, amakhambi nezithako, kanye nemithi oyithenga uphuza yona.

Izexwayiso ze-Propranolol

Lesi sidakamizwa siza nezixwayiso eziningana.

Isexwayiso somzimba

I-Propranolol ingadala ukusabela okweqile komzimba. Izimpawu zingafaka:

• ukuqubuka
• isifuba
• isifuba
• inkinga yokuphefumula
• ukuvuvukala komlomo, ubuso, izindebe, ulimi, noma umphimbo

Uma uthuthukisa lezi zimpawu, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze.

Ungaphinde uwuthathe lo muthi uma ngabe uke waba nokungezwani komzimba nawo. Ukuyithatha futhi kungaba yingozi (kungadala ukufa).

Uma ngabe uke waba nokungezwani okunamandla nezinye izinto ezibangela i-anaphylaxis, ukungezwani komzimba kwakho kungasebenza kakhulu lapho uthatha i-propranolol. Imithamo ejwayelekile yemithi yakho yokungezwani komzimba, i-epinephrine, kungenzeka ingasebenzi kahle ngenkathi uthatha lo muthi. I-Propranolol ingavimba eminye imiphumela ye-epinephrine.

Isexwayiso sokusebenzisana kotshwala

Utshwala bungakhuphula amazinga e-propranolol emzimbeni wakho. Lokhu kungadala imiphumela emibi eminingi. Akufanele uphuze utshwala ngenkathi usebenzisa lo muthi.

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abanokushaqeka kwe-cardiogenic: Ungasebenzisi i-propranolol. I-Propranolol inciphisa amandla okushaya kwenhliziyo yakho, okungenza lesi simo sibe sibi kakhulu.

Kubantu abanenhliziyo encane kakhulu kunokujwayelekile: Akufanele usebenzise i-propranolol. Lesi sidakamizwa singanciphisa izinga lokushaya kwenhliziyo yakho nangaphezulu, okungaba yingozi.

Kubantu abanesibalo senhliziyo esiphakeme kuneyokuqala: Akufanele usebenzise i-propranolol. I-Propranolol inciphisa amandla wokushaya kwenhliziyo yakho, okungenza inhliziyo yakho ivimbe kakhulu.

Okwabantu abane-asthma: Akufanele usebenzise i-propranolol. Lesi sidakamizwa singenza i-asthma yakho ibe yimbi kakhulu.

Kubantu abanobuhlungu obukhulu besifuba: Ukumisa ngokungazelelwe i-propranolol kungandisa ubuhlungu besifuba sakho.

Kubantu abanokwehluleka kwenhliziyo: Akufanele uthathe lesi sidakamizwa. I-Propranolol inciphisa amandla wokushaya kwenhliziyo yakho, okungenza ukwehluleka kwenhliziyo yakho kube kubi kakhulu. I-Propranolol ingasiza uma unomlando wokwehluleka kwenhliziyo, uphuza imishanguzo yokuhluleka kwenhliziyo, futhi ubhekwe ngamehlo ngamehlo ngudokotela wakho.

Kubantu abane-Wolff-Parkinson-White syndrome: Lesi simo sezokwelapha singadala ukushaya kwenhliziyo okuhamba kancane kunokujwayelekile. Ukwelashwa kwalesi simo ngepropranolol kungehlisa izinga lokushaya kwenhliziyo yakho kakhulu. Ukwelashwa nge-pacemaker kungadingeka.

Kubantu abanesifo sikashukela: I-Propranolol ingadala i-hypoglycemia (ushukela ophansi wegazi). Kungase futhi kufihle izimpawu zeshukela eliphansi egazini, njengokushaya kwenhliziyo okushesha kunokujwayelekile, ukujuluka, nokuzamazama. Lesi sidakamizwa kufanele sisetshenziswe ngokuqapha uma unesifo sikashukela, ikakhulukazi uma uthatha i-insulin noma ezinye izidakamizwa zesifo sikashukela ezingadala ushukela wegazi ophansi.

Kubantu abane-thyroid engasebenzi: I-Propranolol ingazifihla izimpawu ze-hyperthyroidism (i-thyroid engasebenzi), njengokushaya kwenhliziyo okushesha kunokujwayelekile. Uma ngokungazelelwe uyeka ukuthatha i-propranolol futhi une-hyperthyroidism, izimpawu zakho zingaba zimbi kakhulu, noma ungathola isimo esibi esibizwa ngokuthi isiphepho se-thyroid.

Kubantu abane-bronchitis engapheli noma i-emphysema: Ngokuvamile, uma unezinkinga zokuphefumula, akufanele uthathe i-propranolol. Kungenza isimo sakho samaphaphu sibe sibi kakhulu.

Kubantu abahlela ukuhlinzwa okukhulu: Tshela udokotela wakho ukuthi uthatha i-propranolol. Lesi sidakamizwa singashintsha indlela inhliziyo yakho esabela ngayo ku-anesthesia nokuhlinzwa okujwayelekile.

Okwabantu abane-glaucoma: I-Propranolol inganciphisa ingcindezi emehlweni akho. Lokhu kungenza kube nzima ukusho ukuthi imithi yakho ye-glaucoma iyasebenza yini. Uma uyeka ukuthatha i-propranolol, ingcindezi emehlweni akho ingakhula.

Kubantu abanezifo ezingezwani nomzimba: Uma ngabe uke waba nokungezwani komzimba okubangelwa i-anaphylaxis, ukungezwani komzimba kwakho kungahle kube kubi kakhulu uma uthatha i-propranolol. Imithamo yakho ejwayelekile yemithi yokungezwani komzimba i-epinephrine kungenzeka ingasebenzi futhi. I-Propranolol ingavimba eminye imiphumela ye-epinephrine.

Kubantu abopha okungalawuleki noma ukushaqeka: Uma une-hemorrhage noma ukushaqeka, inkinga enkulu lapho izitho zakho zingalitholi igazi elanele, izidakamizwa zokwelapha lezi zimo kungenzeka zingasebenzi kahle uma uthatha i-propranolol. Lokhu kuyiqiniso ikakhulukazi uma uthatha i-propranolol ukwelapha i-pheochromocytoma, isimila esiswini se-adrenal.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: I-Propranolol yisigaba C somuthi wokukhulelwa. Lokho kusho izinto ezimbili:

1. Ukucwaninga ngezilwane kukhombise imiphumela emibi embungwini lapho umama ethatha umuthi.
2. Akuzange kube nezifundo ezanele ezenziwe ebantwini ukuze kuqinisekiswe ukuthi umuthi ungawuthinta kanjani umbungu.

Tshela udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Ipropranolol kufanele isetshenziswe ngesikhathi sokukhulelwa kuphela uma inzuzo engaba khona iqinisekisa ubungozi obungenzeka.

Uma ukhulelwa ngenkathi usebenzisa lesi sidakamizwa, shayela udokotela wakho ngokushesha.

Kwabesifazane abancelisayo: Ipropranolol idluliswa ngobisi lwebele. Isidakamizwa singasetshenziswa ngenkathi uncelisa, kepha ingane yakho kufanele ihlolwe. Enganeni yakho, i-propranolol ingadala ukushaya kwenhliziyo kancane noshukela ophansi wegazi. Kungadala nokwehla kwe-oksijini egazini okungadala i-cyanosis. Lesi simo siguqula isikhumba, izindebe, noma izipikili zengane yakho zibe luhlaza okwesibhakabhaka.

Okwabadala: Abadala kungenzeka ukuthi banciphise ukusebenza kwesibindi, izinso, nenhliziyo, nezinye izimo zezokwelapha. Udokotela wakho uzothatha lezi zici nemithi oyicabangayo lapho ekuqala nge-propranolol.

Okwezingane: Akukanqunywa ukuthi i-propranolol iphephile futhi isebenza kahle ekusetshenzisweni ezinganeni ezingaphansi kweminyaka eyi-18. Kuke kwaba nemibiko yokwehluleka kwenhliziyo nokuqaqanjelwa yomoya ezinganeni ezithathe lesi sidakamizwa.

Ukushayela nini udokotela

1. Tshela udokotela wakho uma ukhwehlela, ubanda, unenkinga yokungezwani nezinto ezithile noma unezinhlungu. Udokotela wakho noma usokhemisi uzokusiza uthole izidakamizwa ezingasetshenziswa ngokuphepha nepropranolol. Tshela udokotela wakho noma udokotela ohlinzayo uma uzohlinzwa. Bazobheka izinga lokushaya kwenhliziyo yakho nomfutho wegazi, futhi babheke ukusebenzisana kwezidakamizwa nepropranolol.

Ungayithatha kanjani i-propranolol

Yonke imithamo namafomu okungenzeka angafakwa lapha. Umthamo wakho, ifomu, nokuthi ulithatha kangaki kuzoya ngokuthi:

• iminyaka yakho
• isimo esilashwa
• sinzima kangakanani isimo sakho
• ezinye izimo zezokwelapha onazo
• ukuthi usabela kanjani esilinganisweni sokuqala

Ifomu lezidakamizwa namandla

Okujwayelekile: I-Propranolol

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

Isikali se-fibrillation ye-atrial

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

Umthamo ojwayelekile ngu-10-30 mg othathwe izikhathi ezingama-3-4 ngosuku, ngaphambi kokudla nangesikhathi sokulala.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Akukaziwa ukuthi i-propranolol iphephile futhi isebenza kahle ekusetshenzisweni ezinganeni ezingaphansi kweminyaka eyi-18.

Isikali somfutho wegazi ophezulu (umfutho wegazi ophakeme)

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Isilinganiso sokuqala sokuqala: U-40 mg uthathwe kabili ngosuku.
• Isikali siyanda: Udokotela wakho angakhuphula kancane umthamo wakho.
• Isilinganiso esivamile sokugcinwa: I-120-240 mg ngosuku inikezwe ngamanani ama-2-3 ahlukanisiwe. Imithamo efinyelela ku-640 mg ngosuku inikezwe kwezinye izimo.
• Amanothi:
  • Kungathatha izinsuku ezimbalwa ukuya emavikini ambalwa ukuthi lo muthi usebenze ngokugcwele.
  • Uma uthatha umthamo ophansi kabili ngosuku futhi umfutho wegazi lakho ungalawulwa, udokotela wakho angakhuphula isilinganiso sakho noma akutshele ukuthi uthathe umuthi kathathu ngosuku.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Akukaziwa ukuthi i-propranolol iphephile futhi iyasebenza yini ezinganeni ezingaphansi kweminyaka eyi-18.

Isilinganiso se-angina (ubuhlungu besifuba)

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Isilinganiso esivamile: 80-320 mg. Uzothatha leli nani eliphelele ngamanani ahlukanisiwe izikhathi ezingu-2-4 ngosuku.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Akukaziwa ukuthi i-propranolol iphephile futhi iyasebenza yini ezinganeni ezingaphansi kweminyaka eyi-18.

Isilinganiso sokuhlaselwa yinhliziyo

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Isilinganiso sokuqala sokuqala: U-40 mg uthathwe kathathu ngosuku.
• Isikali siyanda: Ngemuva kwenyanga engu-1, udokotela wakho angakhuphula isilinganiso sakho sibe ngu-60-80 mg othathwe kathathu ngosuku.
• Isilinganiso esivamile sokugcinwa: 180-240 mg. Lokhu kuhlukaniswe ngamanani amancane, alinganayo futhi kuthathwa kabili noma kathathu ngosuku.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Akukaziwa ukuthi i-propranolol iphephile futhi iyasebenza yini ezinganeni ezingaphansi kweminyaka eyi-18.

Isikali se-hypertrophic subaortic stenosis

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Isilinganiso esivamile: U-20-40 mg uthathwe izikhathi ezingama-3-4 ngosuku, ngaphambi kokudla nangesikhathi sokulala.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Akukaziwa ukuthi i-propranolol iphephile futhi iyasebenza yini ezinganeni ezingaphansi kweminyaka eyi-18.

Isilinganiso se-migraine

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Isilinganiso sokuqala sokuqala: 80 mg ngosuku. Uzothatha leli nani ngamanani amancane, alinganayo izikhathi eziningana phakathi nosuku.
• Isilinganiso esivamile sokugcinwa: 160-240 mg ngosuku.
• Qaphela:
  • Uma isilinganiso esiphezulu esisebenzayo singakusizi i-migraines yakho ngemuva kwamaviki we-4-6 wokwelashwa, udokotela wakho angakuyekisa ukuthatha umuthi. Umthamo wakho noma ukuthi uwuthatha kangaki lo muthi kungenzeka wehliswe kancane emasontweni ambalwa ukugwema imiphumela emibi evela ekuyekeni ngokushesha okukhulu.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Akukaziwa ukuthi i-propranolol iphephile futhi isebenza kahle ekusetshenzisweni ezinganeni ezingaphansi kweminyaka eyi-18.

Isikali sokuthuthumela okubalulekile

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Isilinganiso sokuqala sokuqala: U-40 mg uthathwe kabili ngosuku.
• Isikali siyanda: Ungadinga ukuthatha umthamo ophelele ka-120 mg ngosuku. Kwezinye izimo, kungadingeka ukuthatha ama-240-320 mg ngosuku.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Akukaziwa ukuthi i-propranolol iphephile futhi iyasebenza yini ezinganeni ezingaphansi kweminyaka eyi-18.

Isikali se-pheochromocytoma (isimila ku-adrenal gland)

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Isilinganiso esivamile sokugcinwa: Ama-60 mg ngosuku athathwe ngemithamo ehlukanisiwe eqala ezinsukwini ezi-3 ngaphambi kokuhlinzwa kwakho.
• Amanothi:
  • Uzothatha lo muthi neminye imithi. I-Propranolol ayisetshenziswanga yodwa ukwelapha i-pheochromocytoma.
  • Uma ukuhlinzwa kungenakwenzelwa isimila, isilinganiso esijwayelekile salesi sidakamizwa ngama-30 mg ngosuku sithathwa ngemithamo ehlukanisiwe nezinye izidakamizwa.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Akukaziwa ukuthi i-propranolol iphephile futhi iyasebenza yini ezinganeni ezingaphansi kweminyaka eyi-18.

Ukucatshangelwa okukhethekile komthamo

• Kubantu abanezinkinga zezinso: Udokotela wakho kufanele aqaphele lapho ekunika lo muthi.
• Kubantu abanezinkinga zesibindi: Udokotela wakho kufanele aqaphele lapho ekunika lo muthi.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu hlu lufaka yonke imithamo engenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nodokotela wakho noma usokhemisi ngemithamo ekufanele.

Thatha njengoba kuqondisiwe

I-Propranolol tablet tablet isetshenziselwa ukwelashwa kwesikhathi eside. Kuza nezingozi ezinkulu uma ungayithathi njengokuyalelwe.

Uma ungayithathi nhlobo: Isimo sakho sizoba sibi kakhulu futhi ungaba sengozini yezinkinga ezinkulu zenhliziyo, njengokuhlaselwa yisifo senhliziyo noma isifo sohlangothi.

Uma weqa noma uphuthelwa imithamo: Isimo oselaphayo singase sibe sibi kakhulu.

Uma uthatha kakhulu: Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho noma isikhungo sendawo sokulawula ubuthi. Uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Okufanele ukwenze uma uphuthelwa umthamo: Uma uphuthelwa umthamo, wuthathe ngokushesha lapho ukhumbula. Uma kusondele isikhathi somthamo wakho olandelayo, thatha kuphela umthamo owodwa ngaleso sikhathi.

Ungawuphindeki kabili umthamo ukuzama ukwenza umthamo ongabanjwanga. Lokhu kungadala imiphumela eyingozi.

Ungasho kanjani ukuthi umuthi uyasebenza: Izimpawu zakho kufanele zithuthuke. Isibonelo, umfutho wegazi kanye nokushaya kwenhliziyo yakho kufanele kube phansi. Noma kufanele ube nobuhlungu besifuba obuncane, ukuthuthumela noma ukuqhaqhazela, noma ikhanda elincane le-migraine.

Ukucatshangelwa okubalulekile kokuthatha i-propranolol

Gcina lokhu kucatshangelwa engqondweni uma udokotela wakho ekunika i-propranolol.

Jikelele

• Thatha lesi sidakamizwa ngaphambi kokudla nangesikhathi sokulala.
• Ungasika noma uqede ithebhulethi.

Isitoreji

• Gcina amaphilisi aphakathi kuka-59 ° F kuye ku-86 ° F (15 ° C kuye ku-30 ​​° C).
• Vikela lesi sidakamizwa ekukhanyeni.
• Ungawugcini lo muthi ezindaweni ezinomswakama noma ezinomswakama, njengezindlu zangasese.

Ukugcwalisa kabusha

Imibhalo kadokotela yalomuthi iyagcwaliseka. Akudingeki ukuthi unikezwe umuthi omusha kadokotela ukuze ugcwaliswe futhi lo muthi. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.

Ukuvakasha

Lapho uhamba nemithi yakho:

• Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
• Ungakhathazeki ngemishini ye-x-ray yesikhumulo sezindiza. Abakwazi ukulimaza umuthi wakho.
• Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha isitsha sokuqala esinelebula kadokotela.
• Ungafaki lo muthi egumbini legilavu ​​lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.

Ukuzilawula

Ngenkathi uthatha i-propranolol, uzodinga ukuqapha i-:

• ukushaya kwegazi
• isilinganiso senhliziyo
• ushukela egazini (uma unesifo sikashukela)

Ukuqapha komtholampilo

Ngenkathi uthatha lo muthi, udokotela wakho uzokwenza ukuhlolwa kwegazi ngezikhathi ezithile ukubheka okulandelayo:

• amazinga e-electrolyte
• ukusebenza kwenhliziyo
• ukusebenza kwesibindi
• ukusebenza kwezinso

Ukutholakala

Akuwona wonke amakhemisi agcina lo muthi. Lapho ugcwalisa incwadi kadokotela, qiniseka ukuthi ushayela phambili ukuze uqiniseke ukuthi ikhemisi lakho liyawuphatha.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Ezinye zingakulungela kangcono kunabanye. Khuluma nodokotela wakho ngezinye izinketho zezidakamizwa ezingakusebenzela.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.