Propranolol (Wadnaha)

Qanacsan

• Kahor qaadashada propranolol,
• Propranolol wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama aad u hesho daaweyn degdeg ah
• Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:

Ha joojin qaadashada propranolol adigoon marka hore lahadlin dhakhtarkaaga. Haddii propranolol si lama filaan ah loo joojiyo, waxay dadka qaarkood u keeni kartaa xanuun laabta ah ama wadne qabad.

Propranolol waxaa loo isticmaalaa in lagu daaweeyo dhiig karka, garaaca wadnaha oo aan caadi ahayn, pheochromocytoma (buro ku taal qanjirka yar ee u dhow kilyaha), noocyo gaar ah oo gariir ah, iyo hypertrophic subaortic stenosis (cudur muruqa wadnaha ah). Waxaa sidoo kale loo isticmaalaa in looga hortago angina (xabad xanuun), madax xanuun dhanjaf ah, iyo in la wanaajiyo badbaadada wadno qabadka ka dib. Propranolol wuxuu ku jiraa nooc daawooyin ah oo loo yaqaan 'beta blockers'. Waxay ku shaqeysaa iyada oo nasinaysa xididdada dhiigga iyo hoos u dhigida garaaca wadnaha si loo wanaajiyo socodka dhiigga loona yareeyo cadaadiska dhiigga.

Dhiig karka waa xaalad caadi ah oo marka aan la daweynin, wuxuu dhaawac u geysan karaa maskaxda, wadnaha, xididdada dhiigga, kilyaha iyo qeybaha kale ee jirka. Dhaawaca xubnahan waxay sababi karaan wadno xanuun, wadno istaag, wadnaha oo istaaga, istaroog, howlgab kilyaha, araga oo luma, iyo dhibaatooyin kale. Qaadashada daawada ka sokoow, sameynta isbeddelka hab-nololeedka waxay sidoo kale kaa caawin doontaa inaad xakameyso cadaadiska dhiiggaaga. Isbeddeladan waxaa ka mid ah cunista cunto dufan iyo milix ku yar tahay, joogteynta culeys caafimaad leh, jimicsi ugu yaraan 30 daqiiqo inta badan maalmaha, sigaar cabidda, iyo isticmaalka qamriga oo dhexdhexaad ah.

Propranolol wuxuu u yimaadaa sida kaniiniga, xalka (dareeraha), iyo sida loo siidaayo-sii-deynta (muddada-dheer) kaabsoolka afka lagu qaato. Kaabsoolka 'propranolol' ee la sii dheereeyey (magaca caanka ah: Inderal LA) badanaa waxaa la qaataa hal mar maalintii. Kaabsolka la sii dheereeyey (Innopran XL, Inderal XL) waxaa badanaa la qaataa waqtiga hurdada waana in si joogto ah loo qaataa had iyo jeer ama markasta oo aan la cunin waqti kasta. Kiniiniyada wax qabashada ee isla markiiba ama xalka ayaa la qaadan karaa laba, saddex, ama afar jeer maalintii.Qaado propranolol qiyaastii isku wakhti (iskuda) maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado propranolol sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Wada liq kaabsoolaha sii-dheereeya oo dhan; ha kala qaybin, calalin, ama burburin.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada propranolol,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay propranolol, dawooyinka kale, ama waxyaabaha ku jira alaabta propranolol. Weydii farmashiistahaaga ama ka hubi Hagaha Daawada liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtarku qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: ACE inhibitors; antacids ay ku jiraan aluminium (Maalox, Mylanta, kuwa kale); daawooyinka xinjirowga lidka ku ah ('dhiig khafiifiyeyaasha dhiigga' ') sida warfarin (Coumadin, Jantoven); Kaalshiyamka kaaliyayaasha sida diltiazem (Cardizem, Cartia, Tiazac, kuwa kale), nicardipine (Cardene), nifedipine (Adalat, Procardia XL), iyo nisoldipine (Sular); cholestyramine (Prevalite); cimetidine; ciprofloxacin (Cipro); chlorpromazine; colestipol (Colestid); diazepam (Diastat, Valium); digoxin (Lanoxin); fluvoxamine (Luvox); haloperidol (Haldol); HMG-CoA reductase inhibitors (wakiilada hoos u dhiga kolestaroolka) sida lovastatin (Altoprev, Mevacor, in Advicor) iyo pravastatin (Pravachol); isoniazid (gudaha Rifamate, Rifater); daawooyinka niyadjabka sida bupropion (Aplenzin, Forfivo XL, Wellbutrin, Zyban), fluoxetine (Prozac, Sarafem, Selfemra), imipramine (Tofranil), iyo paroxetine (Brisdelle, Paxil, Pexeva); fluconazole (Diflucan); daawooyinka madax xanuunka dhanjafka sida rizatriptan (Maxalt) iyo zolmitriptan (Zomig); daawooyinka dhiig karka sida clonidine (Catapres, Kapvay, in Clorpres), doxazosin (Cardura), prazosin (Minipress), iyo terazosin; daawooyinka suuxdinta sida phenytoin (Dilantin, Phenytek) iyo phenobarbital; dawooyinka qaarkood ee wadna garaaca aan caadiga ahayn sida amiodarone (Cordarone, Nexterone, Pacerone), propafenone (Rythmol), iyo quinidine (Nuedexta); monoamine oxidase (MAO) ka hortagayaasha sida phenelzine (Nardil); montelukast (Singulair); daawooyinka nonsteroidal anti-inflammatory (NSAIDs) sida indomethacin (Indocin, Tivorbex); theophylline (Theo-24, Theochron, Uniphyl); keydka; rifampin (Rifadin, Rimactane, gudaha Rifater, Rifamate); ritonavir (Norvir, Kaletra, Viekira Pak); teniposide (Vumon); thioridazine; ticlopidine; tolbutamide; dawooyinka lidka ku ah diiqadaha ee loo yaqaan 'tricyclic antidepressants' iyo zileuton (Zyflo). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga haddii aad qabtid ama aad waligaa qabtid neef ama cudur kale oo sambabo ah; wadnaha, beerka, ama cudurka kalyaha; sonkorowga; xasaasiyad daran; ama dhibaatooyinka tayroodhka.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato intaad qaadanayso propranolol, wac dhakhtarkaaga.
• haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad qaadanayso propranolol.
• Weydii dhakhtarkaaga wax ku saabsan isticmaalka aaminka ah ee khamriga inta aad qaadaneyso propranolol. Aalkoladu waxay kordhin kartaa qadarka propranolol ee jirkaaga.
• u sheeg dhakhtarkaaga haddii aad isticmaasho waxyaabaha tubaakada laga sameeyo. Sigaar cabidda ayaa yareyn karta waxtarka daawadan.

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

Qaado qiyaasta la seegay isla marka aad xasuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

Propranolol wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• dawakhaad ama madax-wareer
• daallan
• shuban
• calool istaag

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama aad u hesho daaweyn degdeg ah

• neefsashada ama wax liqidda oo ku adkaata
• finan
• maqaarka oo bararaya ama fiiqan
• finan
• cuncun
• barar wejiga, cunaha, carrabka, ama dibnaha
• dareemid miyir beelid
• miisaanka oo kordha
• garaaca wadnaha oo aan joogto ahayn

Propranolol wuxuu sababi karaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad isticmaaleysid dawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog iftiinka, kuleylka xad-dhaafka ah, iyo qoyaanka (ha ku jirin musqusha).

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:

• garaaca wadnaha oo gaabis ah

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka.

Ha u ogolaan qof kale inuu qaato daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

• Gudaha^®¶
• Gudaha^® LA
• Gudaha^® XL
• InnoPran^®¶
• InnoPran^® XL
• Pronol^®¶

• Gudaha^® (ay ku jiraan Hydrochlorothiazide, Propranolol)
• Gudaha^® LA (oo ka kooban Hydrochlorothiazide, Propranolol)^¶

^¶ Shaygaan sumadda leh kuma sii jiro suuqa. Beddelka guud ayaa la heli karaa.