Cov tshuaj "Concor Cor": indications rau siv, tiag tiag counterparts

Kab mob plawv yog tam sim no yuav luag hauv thawj qhov chaw nyob rau hauv lub neej no tus nqi nyob rau hauv lub ntiaj teb no. Thiab nrog cov teeb meem no tau yau txhua txhua xyoo. Yog hais tias koj hais tias ua ntej lawm hais txog ib tug myocardial infarction, nws yog ib lo lus nug txog lub hnub nyoog ntawm tsawg kawg yog 45-50 xyoo, niaj hnub no tus kab mob no yuav strike, thiab 30-xyoo-laus.

Niaj hnub nimno Tshuaj muaj ib tug loj ntawm medicaments rau combating "mob" teeb meem nyob rau hauv ntau theem ntawm kev loj hlob ntawm cov kab mob. Ib pab pawg neeg ntawm cov tshuaj yog beta blockers. Lub hauv paus ntsiab lus ntawm cov lag luam ntawm cov nyiaj no yog los thaiv tus beta-adrenergic receptors nyob rau hauv lub plawv. Qhov tsim nyog yog ib tug txo nyob rau hauv lub plawv dhia, uas ua rau yus txo cov ntshav siab thiab txhim kho cov kev mob ntawm tus neeg.

Beta-blockers yog tam sim no tsim ib tug ntau ntau yam. Ib tug ntawm lub dav siv nyob rau hauv txoj kev loj hlob ntawm mob teeb meem yog "Concor Cor." Indications, xyuas ntawm medicament tuab cov tshuaj yuav tsum tau sufficiently zoo thiab demand cov neeg mob uas muaj mob tus kab mob.

Lub ntsiab Cheebtsam thiab hauv daim ntawv ntawm cov tshuaj tso tawm

Lub ntsiab feem ntawm cov kev npaj "Concor Cor" - bisoprolol hemifumarate. Raws li koom haum pab protrudes sufficiently loj daim ntawv teev cov tshuaj: pob kws starch, microcrystalline cellulose, crospovidone, magnesium stearate, colloidal silicon dioxide, anhydrous calcium hydrogen phosphate.

Cov tshuaj no yog muaj rau cov tau txais kev pab nyob rau hauv daim ntawv ntawm lub plawv-coated dawb zaj duab xis-coated ntsiav tshuaj (nyob rau hauv nws muaj pes tsawg leeg - macrogol 400, dimethicone 100, gipromelaza, titanium dioxide). Risk rau ob sab faib tau ua ob ntsiav tshuaj "Concor Cor." Ntim medicament yog ua nyob rau hauv ntawv ci blisters, txhua tus uas tej zaum yuav soldered 10, 14, 25 los yog 30 pieces.

Cov neeg mob nquag pom nyob rau hauv pharmacies thiab tshuaj "Concor". Txij li thaum cov npe ntawm cov ob tshuaj yog heev uas zoo sib xws, kws muab tshuaj feem ntau yuav tsum tau teb cov lus nug txog qhov txawv ntawm "Concor" los ntawm "Concor Cor." Yog li ntawd: qhov txawv tsuas yog nyob rau hauv tus nqi ntawm cov ntsiab lus ntawm lub ntsiab active tivthaiv - bisoprolol. "Konkor" tau txais kev pab yuav tau cov ntsiav tshuaj muaj nyob rau hauv nws muaj pes tsawg leeg yog 5 los yog 10 mg ntawm active ingredient, thaum "Konkor Cor" - 2.5 mg.

Tau txais kev pab yuav tsum paub hais tias lub purchase ntawm cov tshuaj-blockers nyob rau hauv lub tsev muag tshuaj lub chaw muag tshuaj yuav tsum tau muab ib tug kws kho mob tshuaj.

pharmacodynamics

"Concor Cor" muaj ib tug xim beta 1-adrenoceptor thaiv cawv. Lub essence ntawm nws cov teebmeem - muaj peev xwm mus suppress cov kis ntawm cov hlab impulses nyob rau hauv lub adrenergic receptors. Vim li no cov tshuaj yog tau pheev antihypertensive, antiarrhythmic, antianginal los.

Hypertensive nyhuv "Concor Cor 'xyuas ntawm cov kws kho mob uas txuam nrog lub fact tias bisoprolol thiaj li feeb volume ntawm cov ntshav. Nyob rau hauv tas li ntawd, thaum uas tig mus inhibition ua renin-angiotensin system. Qhov loj tshaj soj ntsuam cov nyhuv yog tiav tom qab 5 hnub uas tau txais cov tshuaj. BP stabilized los ntawm tus kawg ntawm lub ob hlis ntawm kev kho mob tshuaj "Concor Cor."

Ppokazaniya medicament rau kev siv raws li guarantee ruaj khov antianginal los los ntawm kev txo myocardial oxygen thov vim lub txo nyob rau hauv lub plawv dhia. Tsis tas li ntawd, kuv yuav tsum hais tias kev siv ntawm cov tshuaj no yeej txhawb prolongation ntawm diastole.

Antiarrhythmic nyhuv txhais tau tias "Konkor Cor" vim thaiv cov hlab tsis zoo influencing yam uas muaj xws li ib nrab yog tus sympathetic tsuj ntawm Cns Department, hluav dab tsim hluav taws xob pulses nyob rau hauv lub qhov ntswg ntawm, lub inhibition ntawm hluav taws xob kev ua si ntawm lub myocardium.

Yuav kom qhia cov tshuaj, thiab cov uas - tsis muaj?

Yuav ua li cas yog cov txhais tau tias nyob rau hauv lub "Concor Cor" indications rau siv? Consumer xyuas paub meej tias cov high efficiency ntawm cov tshuaj. Nws yog pom zoo kom coj mus rau kho lub plawv tsis ua hauj lwm thiab tiv thaiv kom txhob loj hlob ntawm tej yam kev mob nyob rau hauv thaum ntxov ua sawv. Yuav kom leej, cov kev kho mob ua hauj lwm muab tshuaj rau cov beta-blocker mus txais kev kho mob-resistant mob hauv lub plawv tsis ua hauj lwm nrog txo laug ventricular systolic muaj nuj nqi. Feem ntau "Konkor Cor" tshuaj nyob rau hauv uas tig mus nrog ACE inhibitors , diuretic tshuaj mas siv, mob glycosides.

Hais tias tsis muaj ib tug muaj ib lub siab xav muab lub tshuaj nws tus kheej rau lawv tus kheej, tsis muaj koj tus kws kho mob cov lus qhia, nws yog tsim nyog los tau ntsib nrog ib tug impressive daim ntawv teev cov contraindications rau cov neeg "Concor Cor."

Tshwj tsum rau tag nrho cov tshuaj cov lus qhia rau ban hauv lub xub ntiag ntawm intolerance mus rau lub Cheebtsam hais tias ua li cov tshuaj thiab tus neeg mob lub hnub nyoog (mus txog rau 18 xyoo inclusive - tsis muaj ntaub ntawv nyob rau hauv cov hauj lwm zoo thiab kev ruaj ntseg), muaj tseem ntau ntawm yog vim li cas thiab tej yam kev mob nyob rau hauv uas cov tshuaj yog coj yog tsis tsim nyog.

"Concor Cor" cov lus qhia rau kev siv (analogues - advanced beta-blockers - muaj zoo xws li cov lus qhia nyob rau hauv inadmissibility ntawm kev txais neeg kawm) txwv tsis pub muaj cov neeg mob uas lub plawv tsis ua hauj lwm nyob rau hauv mob thiab ntev decompensated insufficiency. Tsis txhob xaiv ib tug yeeb tshuaj txais tos nyob rau hauv lub cev qhuav dej thiab cardiogenic poob siab (ib yam kev mob txhais los ntawm mob kawg). Ib tug yuav tsis muab cov beta-blocker rau loj hloov ntawm AV-conduction (II, III degree AV-thaiv) tsis muaj ib tug pacemaker. Tsis tas li ntawd yog vim li cas rau tsis kam ntawm txais tos yog muaj cov bradycardia (lub plawv dhia (lub plawv dhia) yog tsawg tshaj li 50 neeg ntaus / min.), Sinoatrial blockade (ntsuas qhov ntswg lam ua dua los ntawm cov sinoatrial compound). Tshuaj txhob nyob rau hauv cov neeg mob uas Prinzmetal angina (spasm ntawm cov hlab ntsha uas pub lub plawv, thaum ST ya nce) thiab muaj mob qhov ntswg syndrome (SSS).

Tsis txhob noj "Concor Cor" nrog tsawg systolic ntshav siab (hauv qab no 90 hli Hg. Art.), Nyob rau hauv lub xub ntiag ntawm mob hawb pob nyob rau hauv kev mob loj daim ntawv no, cov neeg uas muaj ib tug keeb kwm ntawm cov ntaub ntawv ntawm tus kab mob obstructive koj muaj teebmeem kev kab mob (COPD).

Ntxiv npaj "Konkor Cor" daim ntawv thov yog tsis tsim nyog nyob rau hauv lub xub ntiag ntawm kev txawv txav nyob rau hauv lub peripheral circulatory system (mas txhawj xeeb tom qab ua sawv) nrog Raynaud tus kab mob, pheochromocytoma (benign los yog kab mob qog hlav APUD-system), thiab metabolic acidosis (ua haujlwm ntawm acid-puag tshuav nyiaj li cas nyob rau hauv cov kev taw qhia zuj zus acidity vim tsub zuj zuj ntawm acidic cov khoom nyob rau hauv cov nqaij los ntawm lawv cov losis tswvyim dabtsi los sis tsis muaj kev puas tsuaj).

Cov kev kho mob regimen thiab permissible volume bisoprolol

Raws li cov lus qhia, lub beta-blocker yog coj ib hnub ib zaug, dua li nyob rau hauv thaum sawv ntxov, tom qab noj mov. Ntsiav tshuaj "Concor Cor" (los ntawm dab tsi yuav cov tshuaj twb tsis tau siv - seb nws yog ischemic kab mob plawv, mob hauv lub plawv tsis ua hauj lwm, los yog tawg) yuav tsis tau zom lossis zuaj lawv nqos tag nrho thiab ntxuav nrog ib tug me me npaum li cas ntawm cov dej.

Mus nqa tawm kho kev ntsuas rau mob hauv lub plawv tsis ua hauj lwm nrog rau kev siv cov tshuaj "Concor Cor" nws yog pom zoo kom mus nqa tawm titration ntawm cov tshuaj. Lub essence ntawm tus txheej txheem raws li nram no: thaum lub sij hawm 1 st lub lim tiam ntawm tus tau txais nyiaj ntawm beta-blocker nyob rau hauv cov nqe lus ntawm bisoprolol yog 1.25 mg rau 2 lub lis piam koob tshuaj yog ob npaug (2.5 mg) rau 3 feeb yog 3,75 mg. Thaum lub sij hawm lub sij hawm ntawm 4 lub lim tiam txog rau thaum xaus ntawm lub 7 koob tshuaj yog 5 mg hnub Bisoprolol; 8 th lub lim tiam rau 11 th - 7.5 mg. Pib los ntawm lub 12th lub lim tiam txais ib tug tshaj plaws ntawm 10 mg. Cov tshuaj yog tsim nyog (thiab muaj) kom cia li ua kom paub meej tias yav dhau los feem ntau taus thiab tsis ua rau tsis zoo siab.

Ntawm no rau ntawm qhov chaw - yog cov lus teb rau lo lus nug dua "Konkor" txawv ntawm "Konkor Cor": ob variant (2.5 mg bisoprolol) yog zoo tagnrho rau pib kho ntsuas txog pheej mob hauv lub plawv tsis ua hauj lwm lub xeev, thaum lub sij hawm ua ntej (5 los yog 10 mg) yog tsim rau cov txij nkawm kho mob.

Yog hais tias tom tej taw tes muaj yog ib tug tshuaj haum ntawm lub plawv tsis ua hauj lwm cov tsos mob, tus kws kho mob pom zoo kom tau qhov tseeb ntau npaum ntawm thaum uas tig mus diuretics los yog ACE inhibitors. Thaum tom qab tej lub sij hawm tau txais raws li txoj cai kev txhim kho, nws yog tsim nyog los ntxiv cov txheej txheem ntawm titration "Concor Cor."

Therapy nrog cov tshuaj no yog long-term xwm. Lub abolition ntawm lub beta-blocker yuav tsum muab los siv maj mam, tshwj xeeb tshaj yog rau cov neeg mob kev txom nyem los ntawm ischemic plawv tus kab mob.

Ntev li koob tshuaj: cov teebmeem thiab kev kho mob

Cov lus qhia mus rau yeeb tshuaj ib txwm nrog ntsiav tshuaj "Concor Cor." Los ntawm uas lawv noj thiab dab tsi yog qhov contraindications, nws piav yav tas los. Tam sim no peb yuav tsom rau yuav ua li cas yog hais tias, ib co yog vim li cas, yog tsis tsim nyog loj koob tshuaj tau noj lawm.

Symptomatology yog raws li nram no: tsim tawg thiab bradycardia, bronchospasm, thiab ib tug siab ntau yam ntawm hypoglycemia yuav pib ntawm mob plawv tsis ua hauj lwm.

Qhov yuav tshwm ntawm tau txais loj koob tshuaj neeg sib txawv tej zaum yuav txawv siv khoom. Tej zaum, cov neeg uas raug kev txom nyem los ntawm lub plawv tsis ua hauj lwm, yog rhiab heev rau tshaj ntawm lub pom zoo ntau npaum los ntawm koj tus kws kho mob. Qhov zoo tshaj plaws kev txiav txim siab rau tus neeg mob - mus pom ib tug kws kho mob (yog hais tias nws puas yuav tau ua nws tus kheej) los yog ua rau ib tug "ceev". Nyob ntawm seb raws li qhov uas siv yeeb tshuaj tau txais, tus kws kho mob yuav txiav txim seb cov kev ntsuas yuav tsum tau coj mus rau pab txhawb rau tus neeg mob tus mob.

Raws li ceev kev ua ub no feem ntau yog ua pais plab lavage thiab txais tos ntawm absorbents (tshuab txais carbon los yog nws analogues). Ntxiv mus, nyob ntawm seb qhov teeb meem no, bisoprolol kev kho mob tej zaum yuav txiav, thiab rau lub yuav tsum tau lub sij hawm lub sij hawm, nyob rau hauv ib tug lub tsev kho mob yuav tsum txhawb thiab symptomatic txoj kev kho.

Cov lus qhia rau "Concor Cor" indications rau siv, kev kho mob xyuas thiab lwm qhov chaw ntawm cov ntaub ntawv coj mus rau cov xim ntawm cov tub txawg thiab tau txais kev pab uas bisoprolol yog ib qho nyuaj txaus amenable mus lim ntshav.

Tsis zoo ces daim ntawv thov "Concor Cor"

Raws li luag tej yeeb tshuaj, yog muaj peev xwm muab "Concor Cor" tshwm sim los ntawm ntau siv rau cov tshuab thiab kabmob.

Nrog kev xav txog cov hlab plawv system, lub feem ntau heev tsis txaus siab ntawm cov neeg mob nyob rau hauv qhov tshwm sim ntawm bradycardia thiab tawg (mas nyob rau hauv cov neeg txom nyem los ntawm tus kab mob plawv tsis ua hauj lwm), muaj peev xwm tsim vasospasm. Yuav kom ib tus twg lesser nws yog tej zaum yuav muaj kev ua txhaum cai AV-conduction, mob decompensation, nrog los ntawm peripheral edema.

Cov tshuaj tiv thaiv rau cov Cns tshuaj zoo nkaus li tsawg pronounced thiab tej zaum yuav muaj xws li: nkees, mob taub hau thiab kiv taub hau, qaug zog, pw tsaug zog ntxaug, thiab lub sij hawm ntawm wakefulness. Heev tsis tshua, cov neeg mob tsis txaus siab ntawm tu-sauv, npau suav phem thiab hallucinations. Nyob rau hauv Feem ntau, cov tsos mob tsis muaj ib tug mob siab heev coloration thiab kuaj tom qab 1-2 lub lis piam los ntawm qhov pib ntawm txoj kev kho nrog "Concor Cor."

Indications rau kev siv thiab ib daim ntawv teev contraindications mloog zoo zoo saib ntawm cov neeg mob uas muaj keeb kwm ntawm cov ntaub ntawv nyob rau hauv COPD thiab mob hawb pob, muaj ib tug tau ntawm bronchospasm. Feem ntau yeej tsis tham txog cov tsos ntawm kev tsis haum txhaws ntswg.

Nyob rau hauv ib feem ntawm lub digestive ib ntsuj av tau feem ntau tej zaum yuav ua rau xeev siab, ntuav, quav tawv, raws plab, zoo nkaus li ntawm dryness ntawm txheej nyob rau hauv lub qhov ncauj kab noj hniav. Tsawg feem ntau hais txog txoj kev loj hlob ntawm tus kab mob siab thiab hloov nyob rau hauv daim siab enzymes.

Nyob rau hauv tas li ntawd rau tag nrho cov saum toj no, cov neeg mob qhia nrig txog kev pom teeb thiab conjunctivitis (muaj tsawg heev), hais txog tu-sauv nyob rau hauv lub calf cov leeg thiab nqaij tsis muaj zog, ua txhaum ntawm potency (tsis tshua muaj heev).

Ntawm kev tsis haum tshuaj feem ntau tau pob khaus, khaus thiab liab.

"Concor Cor" thiab cev xeeb tub

Beta-blocker "Concor Cor" thaum lub sij hawm cev xeeb tub yog tau tsuas yog nyob rau hauv tus neeg mob qhov twg cov kev tsim pab rau cov leej niam ntawm nws noj qab haus huv dua lub peev xwm uas yuav muaj rau lub tus me nyuam.

Tej beta-blockers (thiab "Concor Cor" ntawm lawv), txo cov kev siv ntawm cov ntshav khiav tsis zoo hauv lub tsho me nyuam thiab yog li tej zaum yuav muaj ib tug tsis zoo feem nyob rau txoj kev loj hlob ntawm tus me nyuam nyob rau hauv utero. Yog hais tias koj tseem muab rau tau txais tshuaj cev xeeb tub cov poj niam, kev pab kho mob ua hauj lwm yuav tsum lossi saib xyuas cov ntshav khiav tsis zoo hauv lub tsho me nyuam thiab lub tsev me nyuam, raws li tau zoo raws li mus soj ntsuam cov kev loj hlob thiab kev loj hlob ntawm tus me nyuam. Nyob rau hauv cov kev tshwm sim ntawm tej tsis zoo yam rau cov poj niam thiab tus me nyuam yuav tsum tsiv mus nyob rau lwm yam, lwm txoj kev kho mob.

Tom qab tus me nyuam yug ntawm tus me nyuam yuav tsum tau ua tib zoo soj ntsuam. Thaum lub sij hawm ua ntej 3 hnub ntawm ib tug me nyuam muaj peev xwm txo tau cov theem ntawm qab zib nyob rau hauv cov ntshav, nws yog tseem tau bradycardia (txo lub plawv dhia) cov tsos mob.

Raws li rau lub mis-pub cov poj niam, cov qee cov ntaub ntawv ntawm bisoprolol nrog mis mis nyuj los yog nws cov kev ruaj ntseg yog tsis muaj nyob rau hauv tus me nyuam. Yog li ntawd, yog tias tsim nyog, tau txais cov txhais tau tias "Concor Cor" nyob rau hauv no lub sij hawm, nws yog tsim nyog los txiav txim rau cov kev txiav ntawm lactation.

zoo xws li cov tshuaj

Nyob rau hauv lub tshuaj "Concor Cor" counterparts (lawv yog ntau) yog feem ntau nyob rau ntawm lub ntsiab active khoom sib ua zaub mov - bisoprolol. Self tshuaj yog ua nyob rau hauv lub teb chaws Yelemees thiab Norway. tshuaj xws li "Aritel" feem ntau siv ntawm Lavxias teb sab counterparts, thiab "Aritel Cor", "Biprol", "bisoprolol-Prana". Txawm hais tias tom kawg yog muaj nyob rau hauv ntau lub teb chaws nyob ib ncig ntawm lub ntiaj teb no, "bisoprolol Teva" - Hungary, Ua Ixayees, "bisoprolol-ing" - Ukraine. Ua tau, qhov ncaj analogue yog "Concor".

Ntxiv mus, los ntawm cov feem ntau nquag siv zoo xws li cov txhais tau tias muaj peev xwm yuav hu ua "Bidop" thiab "Bidop Cor" "Biol" "Bisogamma", "Bisomor", "Kordinorm" thiab "Kordinorm Cor", "Tiresias", "Niperten".

Nyob rau hauv dav dav, lub daim ntawv teev cov analogues (txhais) yog heev ntau thiab ntau yam, tab sis yuav kom daws tau cov nqe lus nug ntawm yog dab tsi los hloov "Concor Cor" nws tus kheej tsis tsim nyog. Muaj txoj cai kev xaiv ntawm ib tug medicament rau cov kev hloov yog tsuas mus rau cov kws kho mob.

Sis nrog lwm yam tshuaj

Nyob rau hauv zoo miv nyuas siv zug thiab tolerability ntawm beta-blockers yuav cuam tshuam rau kev siv ntawm ob tshuaj nyob rau tib lub sij hawm. Nrog kev xav txog cov tshuaj "Concor Cor" (indications rau siv, tiag tiag kev pab kho mob ua hauj lwm thiab cov neeg mob paub meej tias xws li ib tug tshuaj tiv thaiv) intolerance yuav tshwm sim txawm hais tias zoo xws li cov nyob rau hauv tus cawv yeeb tshuaj tau muab los ntawm ib tug me me npaum li cas ntawm lub sij hawm ntawm txhua lwm yam.

Ntxiv mus, cov neeg mob noj bisoprolol, nws yog tsim nyog los paub dab tsi allergens rau immunotherapy los yog cia rau cov tawv nqaij ntsuam xyuas yuav ua rau txoj kev loj hlob ntawm kev mob loj mauj kev tsis haum tshuaj los yog anaphylaxis. Nws yuav ua rau anaphylactic poob siab thiab lub simultaneous daim ntawv thov ntawm bisoprolol thiab iodinated zoo agents tso dej raws leeg thawj coj.

Diuretics, sympatholytic tshuaj thiab lwm yam antihypertensive, bisoprolol siv nyob rau hauv ua ke nrog, yuav ua rau ntev li txos ntawm cov ntshav siab.

Tetracycline antidepressants, antipsychotics, sedatives thiab hypnotics tshuaj mluas lub hauv paus poob siab system. Nyhuv ntawm insulin los yog lwm yam uas zoo sib xws hypoglycemic tshuaj rau qhov ncauj thawj coj thaum lub sij hawm kev kho mob nrog rau cov medicament "Konkor Cor" tej zaum yuav ua rau kom. Symptomatology tsim hypoglycemia (tachycardia nyob rau hauv particular) yuav suppressed los yog masked.

Yuav ua li cas mus nrhiav?

Cov neeg uas "Concor Cor" yog muab rau hauv daim ntawv thov yog inadmissible rau lawv tus kheej mus cuam tshuam cov kev kho mob los yog hloov lub pom zoo ntau npaum tsis muaj thawj noj kev haus nrog koj tus kws kho mob. Nyob rau hauv xws li mob nws tseem tau ntsuas ntawm lub plawv ua si. Qhov no yog tshwj xeeb tshaj yog muaj tseeb ntawm cov neeg mob nrog coronary artery kab mob. Yog hais tias nws yuav tsim nyog rau kev kho mob muaj cai tshuaj "Concor Cor", lub chaw tsim tshuaj paus xav kom koj ua li no, maj mam txo cov tshuaj.

Thaum haus luam yeeb cov neeg mob cov hauj lwm zoo ntawm beta-blockers qis dua li cov uas tsis haus luam yeeb.

Cov neeg uas hnav hu lo ntsiab muag, koj yuav tsum nco ntsoov tias beta-blockers yuav ua rau ib tug txo nyob rau hauv zus tau tej cov kua muag kua.

Yog hais tias tus neeg mob muaj ib tug xav tau rau elective phais, uas tau txais "Concor Cor" yuav tsum tsis txhob noj tag nrho tsis tsawg tshaj li 48 teev ua ntej qhov kev ua kom loog. Yog hais tias kev phais uas yuav tsum tau urgently, thiab tus neeg mob twb tau txais ib tug beta-blocker, rau qhov ua kom tsaug zog nws yog tsim nyog los xaiv cov tshuaj muaj tsawg heev tsis zoo inotropic cawv.

Nyob rau hauv xaus Kuv xav hais tias txawm yuav tsum tau noj tshuaj "Concor Cor" readings, xyuas ntawm high efficiency nyob rau ib feem ntawm cov neeg mob thiab kev kho mob ua hauj lwm, qhov kev txiav txim nyob rau hauv lub sij hawm ntawm txhua tus neeg tus neeg lub npe txhais tau tias "Concor Cor 'thiab tsis muaj lwm yam beta blocker, yuav tsum muaj tsuas mus rau cov kws kho mob.