Khuluma nodokotela wakho mayelana nayo yonke imithi
Izitatimende zivame ukushiwo ukunciphisa amazinga e-cholesterol. Kodwa-ke, nabo banakho ukusebenzisana kwezidakamizwa, kufaka phakathi imithi eminingi evamile yokulawulwa kwezidakamizwa nezinye izidakamizwa. Izitatimende kufanele nazo zigwenywe ngabantu abanezimo ezithile zezokwelapha noma kuphela ezisetshenziswe ngokuqapha.
Ngenxa yalezi zizathu, kubalulekile ukuthi uxoxe ngomlando wakho wezokwelapha nakho konke okuthathayo nodokotela wakho.
Izitatimende Akuzona Wonke Umuntu
Izitatimende ziyisigaba sezidakamizwa ezinciphisa i-cholesterol ezikhomba zonke izici zephrofayili yakho ye-lipid. Bangakwazi ukwehlisa ngempumelelo i-cholesterol ye-LDL (i-cholesterol "embi") ne- triglycerides ngenkathi iphakamisa i-cholesterol ye-HDL ("emihle").
Nakuba ziphumelela kakhulu ekunciphiseni amazinga e-cholesterol, ama-statins angeke abe ngabanye. Kukhona ezinye izinto okufanele uvumele umhlinzeki wakho wezempilo abe wazi ngaphambi kokuqala ukwelashwa kwe-statin.
Lokhu kuhlanganisa noma yiziphi izimo zezokwelapha ongaba nazo noma yimiphi imithi oyithathayo. Imithi ayinqunyelwe kulabo abanikezwe omunye udokotela kodwa ihlanganisa ngaphezulu-the-counter (OTC) kanye nokudla okunomsoco noma ama-herbal.
Ukwengeza, uma uthola ukwelashwa komuntu ngaphandle komhlinzeki wakho wezempilo, kufanele uvumele lowo muntu ukuthi uthatha isithombeni.
Imibandela Yezokwelapha Ukubika
Vumela umhlinzeki wakho wezokunakekela impilo ukuthi azi ukuthi unesinye noma ngaphezulu kwezimo ezilandelayo eziphathelene nawe ngaphambi kokuba uqale ukuthatha isitatimende:
- Isifo Sesibindi: Kungakhathaliseki ukuthi siyasebenza noma singapheli.
- Ukukhulelwa: Izitatimende zingabangela ukukhubazeka kokuzalwa.
- Ukubeletha: Izidakamizwa ze-Statin zingadlulela ubisi lwebele bese zilashwa ngumntanakho.
- Ukuphuza Kokuphuza Utshwala: Izitatimende zingaqhubeka nokwandisa ama-enzyme yesibindi.
Ukusebenzisana Kwezidakamizwa Okungenzeka
Eminye imithi ingase ihlanganyele nama-statins ngokunciphisa ukusebenza kwe-statin noma ukwandisa izinga le-statin egazini kuze kube yilapho lingase libe yingozi kumzimba.
Qiniseka ukuthi utshele umhlinzeki wakho wezempilo uma usuvele uthatha noma yimiphi imithi ngezansi.
Ngenxa yokuthi ukhona kwenye yale mithi, akusho ukuthi awukwazi ukuthatha isitatimende. Noma kunjalo, umhlinzeki wakho wezempilo angase akufune ukukuqapha ngokuseduze ngenkathi kunoma yikuphi kwalokhu ngoba angandisa ingozi yemiphumela emibi.
Khumbula ukuthi lokhu akulona uhlu oluphelele futhi kufanele uthintane nomhlinzeki wakho wezempilo ukuze uthole olunye ulwazi. Uzophinde ufune ukubhekisela kolwazi lwesimiso esithile uma uthatha iCrestor (rosuvastatin), iZocor ( simvastatin ), i-Mevacor (lovastatin), i-Lescol (i-fluvastatin), i-Lipitor (i- atorvastatin ), noma iPravachol (pravastatin).
Lolu uhlu olujwayelekile lwezimo zezokwelapha kanye nemithi okufanele uyazi:
- I-Nicotinic acid , noma i-niacin, ngamanani aphakeme (ngaphezulu kuka-1 amagremu ngosuku) ingandisa ingozi yokubhekana nemiphumela emibi yesimanje.
- Ama-sequestrants ase-Bile anganciphisa ukusebenza kwamanye ama-statins. Ukuze ugweme lokhu, kungase kuphakanyiswe ukuhlukanisa umthamo wakho we-statin ne-bile acid sequestrant dose okungenani amahora amane.
- Ama-Fibrate angandisa ingozi yokubhekana nemiphumela emibi yesigungu .
- I-Sandimmune noma i-Neoral (i-cyclosporine) ingakhuphula inani lezitho zomzimba ezikhona egazini futhi lingase lande nemiphumela emibi.
- I-Fluvoxamine ingandisa ukwanda kwamanye ama-statins ekhona egazini futhi ingase ikhulise nemiphumela emibi ye-statin.
- Izidakamizwa ezenziwe ngama-antifungal eziphela "-azole", njenge-Nizoral (ketoconazole), i-Diflucan (fluconazole), i-Mycelex (i-miconazole), noma i-Sporanox (itraconazole), ingakhuphula inani lamanye ama-statins ekhona egazini futhi ingangandisa nemiphumela emibi ye-statin .
- Ama-antibiotic agcina "-mycin" efana ne-erythromycin noma i-Biaxin (i-clarithromycin) ingandisa ama-statins egazini futhi angase futhi akhulise imiphumela emibi.
- Imithi ephakeme yegazi, njenge-diltiazem ne-verapamil, ingandisa ama-statins ekhona egazini futhi ingase ibe nokwanda kwemiphumela emibi.
- I-Cordarone (amiodarone) ingakhuphula inani lamanye amarekhodi asekhona egazini futhi angase futhi akhulise imiphumela emibi yesimiso.
- I-HIV Protease Inhibitors, njenge-Norvir (ritonavir), i-Agenerase (amprenavir), i-Crixivan (i-indinavir), noma i- Viracept (nelfinavir), ingandisa inani lamanye ama-statin ekhona egazini futhi ingabuye yande imiphumela emibi.
- I-Coumadin (i-warfarin) kanye nesimiso singanciphisa ikhono legazi lokugqoka.
- I-Prilosec (i-omeprazole) ingakhuphula inani lamanye ama-statins akhona egazini futhi angase futhi akhulise imiphumela emibi yesimiso.
- I-Tagamet (cimetidine) ingakhuphula inani lamanye ama-statins akhona egazini futhi angase futhi akhulise imiphumela emibi yesimiso.
- I-Zantac (ranitidine) ingakhuphula inani lamanye ama-statins akhona egazini futhi angase futhi akhulise imiphumela emibi yezimiso zesimiso.
- Izisu zokubeletha zomlomo nezitho zomzimba ezithathwe ngesikhathi esifanayo zingandisa ukwanda kwama-hormone emzimbeni.
- I-Lanoxin (digoxin) ingandisa ukwanda kwamanye ama-statins emzimbeni.
- Ama-antacids aqukethe i-magnesium noma i-aluminium hydroxide anganciphisa ukuhlushwa kwamanye ama-statins emzimbeni. Lokhu kungavinjelwa ngokuhlukanisa umthamo wakho we-statin kanye nomthamo ongekho emthethweni okungenani amahora amabili.
- I-Wort St. John's Wort inganciphisa ukusebenza kwamanye ama-statins.
Izwi elivela
Nakuba i-statins ingaba usizo ekunciphiseni i-cholesterol nokunciphisa ingozi yesifo senhliziyo, ungabona ukuthi kunezinyathelo eziningi zokuqapha okufanele zicatshangelwe. Lezi zimbalwa kuphela zokusebenzisana kwezidakamizwa, yingakho kubaluleke kakhulu ukuthi uxoxe ngomlando wakho wezokwelapha nayo yonke imithi-kadokotela noma ngenye indlela-neqembu lakho lokunakekelwa kwezempilo ngaphambi kokuba uthathe isithunzi.
> Imithombo:
> Dipiro JT, Talbert RL. I-Pharmacotherapy: Indlela yokuPathophysiologic. 10th ed. ENew York, NY: iMfundo ye-McGraw-Hill. 2017.
> Lacy CF, Armstrong LL, Goldman MP, et al. I-Lexicomp's Drug Information Handbook. Ingomhla ka-26. I-Hudson, OH: Lexi-Comp Inc.; 2017.