Kodi beta blockers angathandize ndi nkhawa?

Zambiri Zamankhwala

Mu Marichi 2020, ndidakumana ndi dokotala wanga woyang'anira woyamba. Ndinamufotokozera kuti, ngakhale ndinali pa Lexapro, serotonin reuptake inhibitor (SSRI), chifukwa cha nkhawa komanso kukhumudwa, nthawi zina ndimakhumudwa. Pofika 5 koloko masana tsiku lililonse, ana akakhala kunyumba, ali ndi njala, ndipo akufuna chisamaliro, ndimamva mantha akukwera pachifuwa. Ndinkachita thukuta ndipo nthawi zina ndinkachita chizungulire. Nthawi zina ndinkalalatira ana anga, kapena ndimayenera kupumako kwinakwake kuli chete, kutali ndi ena. Thanksgiving yomaliza, ndimakhala ndikukonzekera ndi kuphika kwa masiku awiri, koma ndimangodya chakudya chonse m'chipinda changa chogona. Ndidauza wondithandizira kuti ndikufuna kuthana ndi zovuta zomwe sizingalephereke m'moyo wanga osamva ngati ndikumira.

Dokotala wanga anandiuza kuti ndikuthawa kuthawa ndipo zofooka zanga zimawonetsa nkhawa. Anandipatsa propranolol, a beta blocker , chifukwa cha nkhawa. Mankhwala amtunduwu amagwiritsidwa ntchito poyang'anira kuthamanga kwa magazi komanso momwe mtima ulili. Ndinalibe mbiri yakuthamanga magazi kapena mavuto amtima, koma adandiuza kuti kumwa pang'ono Rx iyi ndi njira yabwino yolimbana ndi nkhawa zina. Monga munthu yemwe nthawi zambiri amakhala wosamala ndi mankhwala, sindinkafuna kutenga china champhamvu kapena chosokoneza bongo. Ndinaganiza zoyesa.

Ndine wokondwa kuti ndinatero! Mliriwu watseka masukulu (ndi zina zonse) sabata nditasankhidwa. Ndinadzipeza ndekha kunyumba 24/7 ndi ana anga, ndipo zimawoneka ngati kutha kwa dziko kuli pafupi. Ndinali othokoza kwambiri chifukwa cha propranolol chifukwa cha nkhawa m'miyezi yoyambayi ya mliri ndipo tsopano, ndikadali otetezeka kunyumba pafupifupi chaka chotsatira.

ZOKHUDZA: Kuda nkhawa motsutsana ndi mantha

Kodi ma block blocker ndi othandiza pa nkhawa?

Beta blockers sanapangidwe kuti muchepetse nkhawa.Beta blockers nthawi zambiri amapatsidwa osalemba chifukwa cha nkhawa, amafotokoza Spencer Kroll, MD , Ph.D. mu pharmacology, adirector of the Kumpoto chakumpoto Association.[Kugwiritsa ntchito kopanda chizindikiro] kumatanthauza kuti savomerezedwa ndi U.S. FDA yothandizira nkhawa.

Ngakhale sanapangidwe ngati mankhwala oletsa nkhawa, ma beta blockers amatha kuthandizira kukhazikitsa bata mukamamwa. Oletsa ma Beta amatha kuchepetsa kugunda kwa mtima, Houston psychiatrist Jared Heathman , MD, akufotokoza. Tikakhala ndi nkhawa, mtima wathu umagunda kwambiri. Kukwera kumeneku kumapereka malingaliro kuubongo kuti thupi lathu likuchita mantha moyenera. Izi zimalimbitsa nkhawa. Ngati mulepheretsa kukweza mtima wanu mwachangu, mtima wanu ungapereke ndemanga kuubongo wanu kuti sukuchita mantha, makamaka osati momwe angayembekezere. Ngati mtima wathu ndi thupi likhazikika, zimapereka malingaliro otonthoza kuubongo. Izi zimachepetsa nkhawa.

Sheldon Zablow, MD , katswiri wazamisala wodziwika bwino, amatcha njirayi kukhala yankho lolakwika. Amapereka zotchinga za beta za nkhawa chifukwa zimawononga izi pochepetsa mphamvu yokhoza kufotokozera zakuthupi. Kulimbana ndi zomwe thupi limachita ndikapanikizika kumathandiza ubongo wamunthu wodandaula kuti azikhala wodekha komanso wolamulira.

Izi zitha kupanga kusiyana kwakukulu pamoyo wamunthu nkhawa ikamakukhudzani tsiku lililonse. Zizindikiro zina za nkhawa zimamva kuwawa, komanso kukhumudwitsa, kotero kuti anthu omwe akukumana nawo amapita kuchipatala chapafupi kwambiri. Pali zisonyezo zambiri zomwe zimabweretsa odwala kupita kuchipatala kapena kuchipinda chodzidzimutsa komwe kumakhala nkhawa, Dr. Kroll akuti. Zizindikiro zakuthupi izi zimaphatikizapo:

• Kugunda kwa mtima
• Kutuluka thukuta
• Kuyabwa
• Kutuluka khungu
• Kuthamanga kwa magazi
• Pakamwa pouma
• Zovuta kumeza
• Mavuto am'mimba monga kupweteka m'mimba kapena kupweteka

Zotsatira zake, kuchepetsedwa kwa nkhawa mutatenga beta blocker kumakhaladi zotsatira zoyipa za mankhwalawa. Chifukwa chake, ngakhale kuthamanga kwa magazi kwanga sikuli momwe amafunikira mankhwala ndikakhala kuti sindili ndi nkhawa, PCP wanzeru adachita zomwe Dr. Kroll akuti zimapindulitsa ngati sing'anga, zomwe ndizogwiritsa ntchito zotsatirazi ngati gawo la chithandizo chamankhwala wodwala aliyense. Ndinali ndi nkhawa kuti benzodiazepine (monga Xanax) yokhudzidwa ndi nkhawa ingandipangitse kuti ndizimva kukhala pansi kuti ndisasamalire ana anga. Chifukwa chake, PCP yanga idapita ndi beta blocker.

Kodi zotchinga beta zimatenga nthawi yayitali bwanji kuda nkhawa?

Mwalamulo, theka lamoyo ya propranolol ndi maola atatu kapena asanu ndi limodzi, koma malinga ndi mukumva bwanji, pitirizani kukonzekera maola angapo opumula. Ma Beta blockers nthawi zambiri amapatsidwa mawonekedwe a mapiritsi oti atenge pakamwa. Mankhwalawa amagwira ntchito mwachangu, kufika pachimake mwachangu ola limodzi. Ikakhala m'dongosolo lanu, zotsatira zotsitsa za kuchepa kwa beta blocker zimatenga maola ochepa.

Mlingo woyenera wa beta blocker umasiyana kutengera matenda anu, matenda, ndi matenda ena. Chifukwa cha nkhawa, zokha, omwe amakupatsani chithandizo chamankhwala nthawi zambiri amayamba propranolol pamlingo wochepa, pang'onopang'ono ngati pakufunika kutero. Palinso mtundu wa propranolol womasulidwa, koma chifukwa cha nkhawa, nthawi zambiri mtundu wosatambasuka umagwiritsidwa ntchito.

Kodi ma block blocker amakupangitsani kumva bwanji?

Ma Beta blockers amatha kuthandiza anthu omwe ali ndi nkhawa kuti azikhala chete komanso kuwongolera momwe akumvera popanda kuwapangitsa kuti azimvera. Cholinga cha chithandizo chamankhwala ndikuti mutha kukhala moyo wopanda zodetsa zomwe zikukuyimirani. Beta blockers amatha kutsitsa mayankho a adrenaline mthupi pamavuto abwinobwino, kuti mutha kuyang'ana pazinthu zina.

Mosiyana ndi ma SSRIs-omwe amathetsa nkhawa komanso kukhumudwa kwakanthawi ndipo amatenga milungu ingapo kuti ayambe kugwira ntchito-ma beta blockers amakhala othandiza pakagwiritsidwe koyamba ndipo amatha kugwiritsidwa ntchito kwakanthawi popanda zovuta zina. Amachepetsa zizindikiro zakanthawi kochepa, koma samachiza nkhawa. Ngati mukukumana ndi zodandaula nthawi usana ndi usiku, mungafunike mankhwala ena, kapena kugwiritsa ntchito beta blocker kuti muonjezere mankhwala ena.

Beta blockers atha kukhala othandiza kuchiza mantha asadachitike zochitika kapena zokambirana pagulu - komanso nkhawa yakugona. M'mbuyomu, nthawi zambiri amapatsidwa kwa anthu kuti 'azikhala ndi nkhawa' asanalankhule pagulu ndikuchita, Dr Kroll akuti. Ingokhalani otsimikiza kuti muziyesa kunyumba koyamba kuti muwone momwe mankhwalawa amakukhudzirani musanagwiritse ntchito chochitika chapanikizika kwambiri.Zitha kukhala zothandiza kuthana ndi nkhawa ngati zitatengedwa maphwando asanafike kapena masiku asanachitike - njira yabwino panthaŵi iliyonse ikakhala ndi nkhawa.

Dr. Zablow akuti beta blocker itha kugwiritsidwa ntchito m'malo kapena ndi zothandizira kugona kuti muchepetse nkhawa musanagone. Ngati kuda nkhawa za tsiku lapitalo kapena kuda nkhawa za tsiku lotsatiralo kumakulitsa kugunda kwa mtima, kuteteza kusintha kwachilengedwe kukagona, blocker iyi imalepheretsa kusokonekera.

Zotsatira zoyipa za beta blockers

Oletsa Beta samawoneka kuti ali ndi mavuto kapena nkhawa mu anthu omwe ali ndi vuto la COVID-19, atero Dr. Kroll. Ngati mukuda nkhawa kuti blocker ya beta ingakhudze chiopsezo chanu cha coronavirus, funsani omwe amakuthandizani asanayambe kumwa mankhwala. Pali kuthekera kwa zochitika zina zoyipa zamankhwala amtunduwu.

Zotsatira zoyipa

Monga mankhwala onse, pali kuthekera zotsatira zoyipa :

• Chizungulire
• Kupepuka
• Kutopa
• Kuchepetsa kugonana
• Nseru
• Kupweteka m'mimba
• Kutsekula m'mimba
• Kudzimbidwa

Zotsatira zoyipa

Zovuta zochepa, koma nthawi zina zoyipa zimachitika:

• Ziwerengero
• Manja ozizira kapena mapazi ozizira
• Minofu kufooka
• Kupweteka kwa minofu
• Kupuma pang'ono
• Kutaya kukumbukira
• Kusungidwa kwamadzimadzi
• Shuga wamagazi amasintha
• Kusowa tulo komanso zoopsa
• Matupi awo sagwirizana
• Kusanza
• Kugwedezeka
• Kulemera
• Ziphuphu pakhungu
• Kusintha kwa Maganizo

Funsani chithandizo chamankhwala mwachangu ngati mukuwonetsa zizindikiro zosagwirizana ndi zomwe zimaphatikizapo: kupuma movutikira, kupuma, kutupa kwa manja kapena nkhope, ndi / kapena zotupa pakhungu.

Mosiyana mankhwala achikhalidwe , beta blockers samangokhala osokoneza bongo. Propranolol ndi zina zotero sizimayambitsa kudalira kwa mankhwala osokoneza bongo (kapena zizindikiritso zakutha mukasiya kuzimwa) ndipo ndizotheka kutenga nthawi ndi nthawi kwakanthawi.

Propranolol ndiyabwino m'njira zambiri chifukwa mosiyana ndi benzodiazepines omwe nthawi zambiri amagwiritsidwa ntchito kuthana ndi nkhawa, imatha kumwedwa popanda kuda nkhawa ndi kuyendetsa, kugwiritsa ntchito mankhwala opweteka, kapena kumwa mowa, a Zablow akuti. Ndalamulira kuti ndichepetse kuchuluka kwa mankhwala a benzodiazepines, antidepressants, ndi antipsychotic.

Ndinakopeka ndi zotsatira zabwino za mankhwalawa monga kholo lomwe nthawi zambiri limakhalapo ngakhale pakati pausiku. Nditha kumwa mankhwala a propranolol ndipo sindikhala ndi vuto lotha kuyendetsa kapena kucheza ndi ana anga, zomwe sindingathe kunena mankhwala ena monga benzodiazepines, monga Xanax.

Chifukwa choti beta blocker imagwira mwachangu komanso siyimasokoneza ogwiritsa ntchito kwambiri, Dr. Zablow akuti ndizothandiza kuti munthu amene ali ndi vuto la nkhawa azingonyamula m'thumba mwake kuti atenge vuto ladzidzidzi-kungodziwa pali komwe kungachepetse kupezeka kwa zizindikilo za nkhawa.

Ndimasunga mankhwalawo m'chipinda changa usiku pamene sindingathe kuchepetsa nkhawa. Ndimasunganso botolo kukhitchini nthawi yomwe nkhawa zamasana zimandilepheretsa kuti ndizichita bwino kwambiri. Sindiwafuna tsiku lililonse, koma ndine wokondwa kuti amapezeka nthawi yomwe ndimawafuna.

Kodi ndi blocker iti ya beta yomwe ingathandize nkhawa?

Omwe amapereka chithandizo chamankhwala nthawi zambiri amapereka mankhwala a propranolol kapena atenolol kuti athetse nkhawa.Funsani omwe amakuthandizani pa zaumoyo kuti ndi mankhwala ati omwe angakhale oyenera kwa inu ndipo onetsetsani kuti mwapereka mbiri yonse yazaumoyo.Izi ndizosiyana pakati pa izi:

Propranolol vs. atenolol ya nkhawa
Dzina Brand	Ndondomeko LA , Njira XL , InnoPran XL	Tenormin
Dzina lachibadwa	Zamgululi	Atenolol
Mulingo woyenera wa nkhawa	Mlingo umasiyana kutengera momwe zinthu ziliri ndipo umatha kuyambira 10 mg mpaka 80 mg. Chifukwa cha nkhawa yokha, nthawi zambiri amalembedwa mlingo wochepa.	25-100 mg
Zotsatira zoyipa	Kupepuka, chizungulire, mavuto am'mimba	Manja ozizira ndi mapazi, kutopa, kufooka
Dziwani zambiri	Dziwani zambiri	Dziwani zambiri
Kusungidwa kwa SingleCare	Pezani coupon	Pezani coupon

Pamene beta blockers sali oyenera kwa inu

Ngati muli ndi nkhawa yayitali, mungafunike kumalandira chithandizo chamankhwala pafupipafupi kuposa mankhwala oletsa kugwiritsira ntchito beta tsiku ndi tsiku — monga mankhwala a tsiku lililonse. Anthu ena, monga ine, amagwiritsa ntchito beta blocker kuphatikiza pa SSRI. Dr. Kroll akuti,Mwambiri, ma blocker a beta amalekerera bwino, ndipo machitidwe azizindikiro azamankhwala samakhala ochepa.

Oletsa Beta sangakhale chisankho choyenera kwa inu ngati muli ndi izi:

• Mphumu: Oletsa Beta atha kusokoneza mphumu, atero Dr. Heathman. Zitha kupanganso mavuto ngati muli nawo hyperreactive airways chifukwa ma beta receptors amatha kukulitsa mavuto kupuma.
• Zomwe zimayambitsa zachipatala zomwe zimafunikira mankhwala: Oletsa Beta amatha kulumikizana ndi mankhwala ambiri omwe amalembedwa, atero Dr. Kroll. Izi zimaphatikizapo mankhwala ena a antihypertensive and antianginal, anti-arrhythmic, anti-inflammatory drugs, psychotropic drug, anti-ulcer mankhwala, anesthetics, cholesterol lowering agents, warfarin, mankhwala a shuga, ndi mankhwala ena a chifuwa chachikulu. Uzani wothandizira zaumoyo wanu za mankhwala omwe mumamwa, kuti athe kuwonetsetsa kuti palibe zomwe akuchita.
• Mwamuna kapena wamkulu: Beta blockers atha kukhala othandiza kwambiri kwa achinyamata omwe ali ndi matenda oopsa kuposa odwala okalamba ndipo atha kugwiritsidwa ntchito kuthana ndi matenda oopsa mwa akazi azaka zoberekera, akufotokoza Dr. Kroll. Apa, akunena za izi ngati mankhwala ochepetsa kuthamanga kwa magazi ndi phindu lina la kupumula kwa nkhawa. Oletsa Betasayenera kugwiritsidwa ntchito pathupi pokhapokha phindu liposa chiopsezo. Chifukwa chake, lankhulani ndi dokotala wanu ngati muli ndi pakati kapena mukukonzekera kutenga pakati.

Palibe mankhwala angwiro ndipo palibe munthu wofanana. Kwa ine, monga ena ambiri onga ine, beta blocker inali yopulumutsa moyo wamalingaliro munthawi yovuta kwambiri m'mbiri. Zotsatira zabwino zakuti ndikanatha kuziziritsa ndikakhala kunyumba ndi ana anga, panthawi yopanda kale, komanso pokumana ndi zopanikiza, zinali zamtengo wapatali. Ndili wokondwa kwambiri kuti PCP idaganiza zondipatsa beta blocker. Simungathe kuwongolera moyo ndipo nthawi zina ukhoza kukhala wopanikizika-mwina kuchokera ku zochitika zapadziko lonse lapansi, kapena zochepa zazing'ono za ntchito ndi banja. Ma Beta blockers amatha kuthandiza kuphunzitsa thupi lanu kuti, ngakhale moyo ukakhala wosangalatsa kwambiri, mutha kulimbana nawo, kuthana nawo, komanso kukhala osangalala.