I-Cholestyramine i-cholesterol-ehlisa izidakamizwa ezisezingeni le-bile acid resin yemithi. Ucwaningo lubonise ukuthi i-cholestyramine inciphisa kakhulu i-cholestolol ye- LDL cishe ngo-15%. I-Cholestyramine ayibonakali kahle ithinta ezinye izici zephrofayili yakho ye-lipid kodwa ingakhuphula amazinga we-triglyceride kwezinye izimo.
I-Cholestyramine nayo iboniswe ukuthi ihamba kancane ekuthuthukisweni kwe-atherosclerosis ngezifundo ezimbalwa.
Kodwa-ke, akubonwanga ukuvimbela ukufa noma ukukhubazeka ngenxa yesifo senhliziyo.
I-Cholestyramine yavunywa kuqala ukuthi isebenziswe yi-Food and Drug Administration ngo-Agasti ka-1973 ngaphansi kwegama legama, i-Questran. Kusukela ekuvunyelweni kwayo kokuqala, kubuye kutholakale ngaphansi kwamagama okuhweba, ama-Locholest, nabanye.
Ukusebenza Kokuziphendulela Kanjani?
I-Cholestyramine ibophezela ku-bile acid emathunjini amancane, ukuvimbela ukuphindaphinda kwabo. Ama-acid we-bile atholakala ku-cholesterol futhi ayadingeka ukusiza ngokugaya kwamafutha adliwe ekudleni kwakho. Uma i-cholestyramine ibophezela ku-bile acids, iphela iphinde ingabuyiselwa kabusha. Ukuze wenze ama-bile amaningi, i-cholesterol izosuswa egazini bese iguqulwa ibe yi-acid acid. Lo msebenzi unciphisa amazinga wakho we-cholesterol.
Kufanele Usithathe Kanjani I-Cholestyramine?
Kufanele uthathe u-cholestyramine njengoba uqondiswa umhlinzeki wakho wezempilo.
I-Cholestyramine itholakala efomini eliyimpuphu, ihlanganiswe ngamaphakethe amancane, amashadi ayingqayizivele noma esitsheni esikhulu.
Umhlinzeki wakho wezezempilo angakusiza ngokulinganisa amancane futhi ukwandise umthamo wakho ngokusekelwe impendulo yakho kumuthi nemiphumela emibi. I-dose yokuqala ephakanyisiwe ingenye ye-scoopful noma iphakethe (ama-4 amagremu cholestyramine) kanye noma kabili ngosuku.
Lokhu kungakhuphuka kuze kube ngamanani ayisithupha ngosuku. Umthamo kufanele uhlanganiswe okungenani ama-ounces amabili wamanzi, isiphuzo sesithelo (noma ngaphandle kwe-pulp), i-applesauce, isobho esincane, noma esinye isiphuzo ngaphambi kokudla. Kumele ugxile yonke okuqukethwe yesiphuzo esine-cholestyramine ukuze uthole umthamo ogcwele wemithi. Cholestyramine kufanele ithathwe ngokudla.
Ubani Akufanele Awuthathe?
Ngenxa yezingxenye zalo, kunezinye izimo lapho kungafanele kuthathwe khona i-cholestyramine. Lokhu kuzofaka:
- Abantu abaye babhekana ne-oksirramramine noma ngabe yiziphi izingxenye zawo ngaphambili akufanele bathathe i-cholestyramine.
- Noma ubani oye wathola ukuthi une-obstruction ye-biliary, lapho i-bile acid engekho emathunjini amancane.
Izimo Ezidinga Ukuqapha
Uma uthatha i-cholestyramine, umhlinzeki wakho wezempilo uyokwazi ukukuqapha eduze uma unezimo ezithile zezokwelapha ezingase zithuthukiswe ngokuthatha imithi. Uma unemibandela elandelayo ngezansi, umhlinzeki wakho wezezempilo anganquma ukukuqala ekucholweniramine kodwa kuzodingeka akuqaphele ukuthi unqume noma ungathathi yini i-cholestyramine izoba yingozi kuwe.
Lezi zimo zezokwelapha zihlanganisa:
- Amazinga aphezulu e-triglyceride. I-Cholestyramine iboniswe ukwandisa amazinga e-triglyceride kwizifundo. Uma une-triglycerides ephakeme, umhlinzeki wakho wezempilo uzoqapha amazinga akho ukuqinisekisa ukuthi abaphakeme kakhulu.
- Ukuqunywa okungapheli. I-Cholestyramine ingase ibe yingozi kakhulu le nkinga uma uhlushwa ukuqothulwa.
- Ukukhulelwa. I-Cholestyramine ihlelwa njengeSigaba sokukhulelwa C. Nakuba kungakaze kube nezifundo ezijulile ezihlola ukusebenza nokuphepha kwe-cholestyramine kwabesifazane abakhulelwe. Njengoba le mithi inganciphisa ukumunwa kwamavithamini amanye, ezinye izingxenye zamavithamini angakabakho okubeletha angeke zisebenze ngenkathi zithatha i-cholestyramine. Umhlinzeki wakho wezempilo uyokwenza isinqumo ukuthi kufanele uthathe lesi sidakamizwa noma cha.
Okuqhamuka uma udla imishanguzo
Ukuqothulwa ngumphumela wecala ovame ukuphawula uma uthatha u-cholestyramine. Lokhu kuvame ukuhamba nokulashwa okuqhubekayo. Umhlinzeki wakho wezezempilo anganquma ukwehlisa umthamo wakho noma akunike imithi yokwelashwa kwakho uma imiphumela emibi iba yinkimbinkimbi kakhulu. Eminye imiphumela emibi ejwayelekile ifaka phakathi:
- Ukuvimbela
- Flatulence
- I-nausea
- Ukubheka
- Ukuvota
- Ubuhlungu besisu nangokwemvelo
Okunye imiphumela emibi ibike ngenxa yokusetshenziswa isikhathi eside kwe-cholestyramine. Ukwedlula amathuba okugaya kungase kuphawulwe ngokuhamba kwesikhathi ngenxa yokunciphisa i-vitamin K. Ukwengeza, ishintshwe enzyme yesibindi nokukhuphuka kwezinyosi zamazinyo kungenzeka ngenxa yokuphuza isikhathi eside komkhiqizo noma ukugcina umkhiqizo umlomo wakho.
Ukusebenzisana Nemithi
Izidakamizwa ezilandelayo zingase zihlanganyele ne-cholestyramine ngokunciphisa inani lemithi engena egazini lakho. Umkhiqizi uncoma ukuthi angathathi noma yimiphi imithi noma isithako okungenani ihora elilodwa ngaphambili noma amahora angu-4 kuya ku-6 ngemuva kokuthatha i-cholestyramine. Uma kudingeka ukuba uthathe esinye sezidakamizwa noma izithako ezibalulwe ngezansi, umhlinzeki wakho wezempilo uzodinga ukulungisa umthamo wakho noma isikhathi osithathayo, ukuqapha eduze kwakho nemiphumela emibi, noma ukuyeka ukusetshenziswa kwakho konke ndawonye:
- Amahomoni e-thyroid
- I-Lanoxin (digoxin)
- Amaphilisi okulawula ukuzala
- Imithi yokwehla kwe-cholesterol (kufaka phakathi i-fibrates, i-ezetimibe, i-statins)
- Ama-anti-anti-inflammatory agents (ama-NSAID)
- Corticosteroids
- I-Diuretics (kuhlanganise ne-hydrochlorothiazide, i-spironolactone, i-furosemide)
- I-Coumadin (i-warfarin)
- Amavithamini anamafutha (amavithamini A, D, E, noK)
- Imithi yokwelapha, njenge-Dilantin (phenytoin) ne-phenobarbital
Kuneminye imithi eminingi engakwazi ukusebenzisana ne-cholestyramine, okubalwe ngenhla. Ngakho-ke, kufanele wenze umhlinzeki wakho wezokunakekelwa kwempilo aqonde noma yimiphi imithi enqunyiwe noma ngaphezulu, kanye nemikhiqizo yemvelo oyithathayo. Lokhu kuzokusiza umhlinzeki wakho wezempilo ukuthi abone noma yikuphi ukuxhumana okungenzeka phakathi kwe-cholestyramine neminye imithi yakho.
Ngaphansi
I-Cholestyramine ingenye yemithi yokuqala yokunciphisa i-cholesterol eyamukelwa e-US. Ngokuyinhloko isetshenziselwa ukwehlisa i-cholestolol yakho ye-LDL kodwa ingazange iboniswe ngokuqondile ukukhiqiza ukufa noma izinkinga ezivela esifozweni senhliziyo njengesifo esithile sokuphuza i-lipid-downing emakethe. Kumele uvumele umhlinzeki wakho wezempilo ukuthi wazi ukuthi uhlangabezana nanoma yiziphi izinkinga ngokuthatha i-cholestyramine ngoba ifomu eliyimpuphu lingase libe nokunambitheka kokugcoba okungase kube nzima ukugwinya kwabanye abantu. Ngenxa yokuthi i-cholestyramine ithinta amazinga akho e-LDL we-cholesterol, umhlinzeki wakho wezempilo anganquma ukwengeza ezinye zokwelashwa - njenge- statin noma i- fibrate - ohlelweni lwakho lokunciphisa i-lipid.
Imithombo:
I-Prevalite (Cholestyramine). I-Upsher-Smith Laboratories. Maple Grove, MN. Kubuyekezwe i-4/2015.
UDipiro JT, u-Talbert RL. I-Pharmacotherapy: Indlela Yokuthola Pathophysiological, 9th 2014.
I-Micromedex 2.0. I-Truven Health Analytics, Inc. Greenwood Village, CO. Itholakala ku-http: //www.micromedexsolutions.com.