Uma i-cholesterol yakho iphezulu, umhlinzeki wakho wezempilo anganquma ukungeza i-bile acid sequestrant ekwenzeni umgomo wakho wokunciphisa i-cholesterol. Ama-ququestrants ase-bile, awaziwa njenge-bile acid resins noma i-BARs, isigaba semithi esetshenziselwa ukusiza ukwehlisa amazinga wakho we-cholesterol. Njengamanje, imithi emithathu kulesi klasi yezidakamizwa itholakala e-United States:
- I-colestid (i-colestipol)
- I-Welchol (i-colesevelam)
- I-Questran (i-cholestyramine)
I-Welchol (colesevelam) itholakala njenge-tablet noma i-resin powder. I-colestid (i-colestipol) no-Questran (cholestyramine) iyatholakala kuphela njenge-powders ye-resin.
I-Bile Sequestrants Yama-Bile Yehlisa Kanjani Cholesterol Yakho?
Lezi zidakamizwa zisebenza ngokubophezela nge-bile acid futhi zivimbele ukumuncwa kwe-bile acids emathunjini amancane. Esikhundleni sokungena egazini, inhlanganisela ye-bile acids kanye nomuthi uyadonswa emanzini. Ngokuphendula ukunciphisa i-bile bids emzimbeni, isibindi sakho sizoguqula i-cholesterol ibe yi-bile acids ngaphezulu. Ukwengeza, ama-receptors e-LDL azokwenezwa esibindi. Lezi zenzo zisiza amazinga e-cholesterol aphansi egazini.
Ngenxa yalokho, i-bile acid sequestrants ikakhulukazi i- LDL cholesterol ephansi phakathi kuka-15% kuya ku-30% futhi iphakamisa kancane i- cholesterol ye- HDL cishe ngo-3% kuya ku-5%.
Lezi zidakamizwa azibonakali zithinta amazinga e- triglyceride kodwa, kwezinye izimo, i-bile acid sequestrants ingase ikhulise i-triglycerides yakho uma ithathwa isikhathi eside.
Ngenxa yokuthi abazange baboniswe ukuthi banganciphisa ingozi yesifo senhliziyo noma isifo sohlangothi, ama-bile acid sequestrants awavamile njengamanye ama-cholesterol-downing medication, ikakhulukazi ama-statins. Kodwa-ke, bangathathwa bodwa noma bahlanganiswe nezinye imithi yokwehliswa kwe-cholesterol ukukusiza ukuphatha amazinga akho e-lipid.
Imiphumela Ehlangene Yomuntu Omisiwe Wama-Acid Sequestrants
Imiphumela emibi evela ekuthathweni kwe-bile ye-acid acid iqukethe izinkinga zemathunjini, kuhlanganise:
- I-nausea
- Ukuqokwa
- Ukuvimbela
- Flatulence
Imiphumela emibi ingalawulwa ngokunyusa ukudla kwakho oketshezi, ukuthatha isitoreji se-stool noma ngokufaka i-fibre ekudleni kwakho.
Abanye abantu bangase bakuthole kunzima ukuhlala njalo bathatha i-bile acid sequestrant yabo. Ngokwesibonelo, abanye abantu bangase bathole ukuthi ama-resin abe mnene kakhulu ukunambitha - ikakhulukazi uma kufanele athathe isikhathi esingaphezu kwesisodwa ngosuku. Nakuba kunezindlela zokuthuthukisa ukunambitheka kwezinhlayiya, abanye bathatha isidakamizwa namanje abakwazi ukubekezelela ukunambitheka kwabo. Ukwengeza, ithebulethi ye-Welchol inkulu futhi ingase ibe nzima ukugwinya kwabanye abantu. Uma ngabe unqunyelwe i-bile acid sequestrant futhi unenkinga yokuthatha imithi yakho, kufanele uvumele umhlinzeki wakho wezempilo ukuba azi lokhu.
Ubani Akufanele Athathe I-Acid Sequestrant Ye-Bile?
Okunye ngaphandle kokudalula umlando wakho wezokwelapha ophelele, kufanele futhi wazise umhlinzeki wakho wezempilo uma unalezi ezinye izimo zezokwelapha ngezansi:
- Uma usuvele unamazinga aphakeme kakhulu we-triglyceride noma uke wahlangabezana nezinkinga zezokwelapha ngenxa ye-triglycerides ephakeme kakhulu, njenge-pancreatitis. Lokhu kungenxa yokuthi i-bile acid sequestrants ingaphakamisa amazinga akho e-triglyceride ngaphezulu.
- Ama-sequestrants ase-Bile angase axhumane namanye amavithamini noma eminye imithi oyithathayo. Ngakho-ke, kufanele wazise bonke abahlinzeki bakho bezempilo uma uthatha i-bile acid sequestrant ukuze baqinisekise ukuthi izidakamizwa azihambisani nanoma imiphi imithi, amavithamini, noma izithako ezithathayo. Kwezinye izimo, umhlinzeki wakho wezempilo angase acele ukuthi ukwandise isikhathi sesikhathi phakathi kokuthatha i-bile yakho sequestrant kanye neminye imithi.
- Ama-sequestrants ase-Bile awazange afundwe kwabesifazane abancancisayo noma abakhulelwe. Nakuba i-bile acid sequestrants ingabonakali ukungena egazini, inganciphisa ukumunwa kwamavithamini athile abalulekile.
- Uma unemibandela yamathunjini, njengama-hemorrhoids noma ukuqothulwa, ukuthatha i-bile acid sequestrants kungase kubize lezi zimiso. Ukwengeza, kufanele uvumele umhlinzeki wakho wezempilo ukuthi wazi ukuthi uke waba nesithiyo somzimba.
Umhlinzeki wakho wezempilo uzothola izinzuzo nezingozi zokubeka i-bile acid sequestrant kuwe kulezi zimo ukukusiza ukuphatha i-lipids yakho.
> Imithombo:
> Dipiro JT, Talbert RL. I-Pharmacotherapy: Indlela Yokuthola Pathophysiological, 9th 2014.