E, u ka nka beta blockers haeba u na le asthma e fane ka hore:
- O nka bloa e nepahetseng
- U qala ka nako e khutšoanyane ea tšebeliso e le teko (libeke tse 4 ho isa ho tse 6)
Na e sireletsehile ho nka Beta-Blockers Haeba U na le Pherefatsi?
Potso ena e tloaelehile, 'me e hlaha hobane ke bohlale ba setso - har'a bakuli le litsebi tsa bongaka - hore hangata batho ba nang le lefu la asthma kapa COPD (mefuta e' meli ea mofuta o tloaelehileng oa lefu lena o bitsoa lefu le tsitsitseng la moea ).
Sepheo sa sena se etsa hore e be le kutloisiso e ngata holim'a metsi. Basebeletsi ba li-beta ba batla li-receptors tsa beta mme ba ba thibela ho romella melaetsa likarolong tse sa tšoaneng tsa 'mele. Mokhoeng oa pelo, sena se molemo ho batho ba nang le khatello e matla ea mali le mathata a pelo hobane li-receptor tse ngata li na le methapo ea mali le ka pelong ka boeona. Ho thibela li-receptors tsena tsa "pelo" ho khutlisa methapo ea mali, ho fokotsa pelo, le ho fokotsa khatello ea mali le ho sebetsa ha pelo.
Leha ho le joalo, li-receptors tse ngata li matšoafong le "mehaho ea sefofane" (bronchi, bronchioles - ka bobeli ke litemana tse nyenyane tse tsamaisang moea matšoafong). Libakeng tsena, li-receptors tse mafolofolo li thusa ho boloka likhaolo tsa moea li phutholohile ebile li hlephiloe, tse ntlafatsang ho hema. Ho thibela li-receptors mona ho etsa hore mehaho ena ea lifofane e fokotsehe haholoanyane, e leng kotsi ho batho ba nang le asthma, COPD , kapa mefuta e meng ea lefu la sefofane le fetoletsoeng.
Leha ho le joalo, ntlha ea bohlokoa ke hore li-receptors tsa pelo le metsoako ea lifofane li hlile li fapane haholo. Basebeletsi ba Beta ha ba batle ho bolella mefuta e 'meli mefuta e' meli 'me ka kakaretso ba thibela mefuta eo ka bobeli, e mpe.
Leha ho le joalo, li-blocka tse ling li entsoe ka ho khetheha bakeng sa ho lebisa lipehelo tsa pelo ea methapo ea beta ha li tlohela li-receptors tsa sefofane li le mong.
Le hoja ba sa khetholle ka 100%, hangata ba etsa mosebetsi o motle oa ho khetholla lipakeng tsena tse peli. Lithethefatsi tsena tse ncha, tsa pelo ea methapo ea pelo ea beta li bitsoa cardioselective beta blockers.
Lipatlisiso li bontša hore ha e le feela lefu la cardioselective le bolokehile bakeng sa ho sebelisoa ho batho ba nang le asthma le COPD, ba ka hlahisa melemo e mengata ho batho bao (ba atisang ho ba le mathata a phahameng a pelo).
Haeba ngaka ea hau e batla ho leka ho boloka lefu la cardioselective, o lokela ho etsa teko ea pele ho netefatsa hore ntho e 'ngoe le e' ngoe e tla ba e nepahetseng. Nako ena ea teko e lokela ho lula pakeng tsa libeke tse 4 ho isa ho tse 6. Nakong ena, o lokela ho boloka litlhaselo tsa asthma, phefumoloho leha e le efe e sa tloaelehang ea phefumoloho, kapa phetoho leha e le efe matsatsing a ho phefumoloha (phefumoloho) / boiteko le ho tlaleha ngaka ea hau mathata.
Haeba u e-na le mathata a tebileng (ho eketseha ha palo ea litlhaselo, ho phefumoloha khafetsa), beta-blocker e lokela ho emisoa. Esita le haeba nyeoe e e-ea hantle, etsa bonnete ba hore u boloka li-inhalers tsa hau tse potlakileng li tlatsitse le ho fumaneha habonolo, le hore o nka meriana leha e le efe kapa mekhoa e nepahetseng hantle joalokaha e laetsoe. Nakong ea phekolo, lefu la hau la sefofane (kapa sefofane se seng sa moea) se tla hloka tlhokomelo, 'me u lokela ho fumana thuso ea meriana hang-hang bakeng sa mathata leha e le afe a ho hema.
Mohloli
- Salpeter S, Ormiston T, Salpeter E, Wood Baker, Cardioselective beta-blockers bakeng sa boloetse ba moea bo tsitsitseng. Database ea Cochrane ea Boitsebiso bo Tloaelehileng 2001, Khaolo ea 2. Art. Che: CD002992. DOI: 10.1002 / 14651858.CD002992.