Colesevelam

Zamkati

• Musanatenge colesevelam,
• Zotsatira zoyipa za colesevelam zitha kuchitika. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

Colesevelam imagwiritsidwa ntchito kwa achikulire pamodzi ndi zakudya, kuchepa thupi, komanso kuchita masewera olimbitsa thupi kuti muchepetse cholesterol komanso zinthu zina zamafuta m'magazi okha kapena kuphatikiza mankhwala ena ochepetsa mafuta m'thupi otchedwa HMG-CoA reductase inhibitors (statins). Colesevelam imagwiritsidwanso ntchito yokha kapena kuphatikiza ndi HMG-CoA reductase inhibitors mwa anyamata ndi atsikana ena, azaka 10 mpaka 17, okhala ndi heterozygous hypercholesterolemia (mkhalidwe wobadwa nawo womwe cholesterol sichingachotsedwe mthupi nthawi zonse) kuti muchepetse kuchuluka kwa cholesterol ndi zinthu zina zamafuta zamagazi. Colesevelam imagwiritsidwanso ntchito limodzi ndi zakudya komanso masewera olimbitsa thupi kuti muchepetse kuchuluka kwa shuga m'magazi mwa achikulire omwe ali ndi matenda a shuga a 2 (momwe thupi siligwiritse ntchito insulini mwachizolowezi motero silingathe kuwongolera kuchuluka kwa shuga wamagazi). Colesevelam ali mgulu la mankhwala otchedwa bile acid sequestrants. Zimagwira ntchito ndikumanga bile acid m'matumbo mwanu kuti mupange chinthu chomwe chimachotsedwa mthupi.

Ziphuphu zamadzimadzi zimapangidwa cholesterol ikaphwanyidwa mthupi lanu. Kuchotsa ma acid amtunduwu kumathandizira kutsitsa magazi m'magazi anu. Kuwonjezeka kwa cholesterol ndi mafuta m'mbali mwa mitsempha yanu (njira yotchedwa atherosclerosis) imachepetsa kutuluka kwa magazi, chifukwa chake, mpweya umapatsa mtima wanu, ubongo, ndi ziwalo zina za thupi lanu. Kutsitsa magazi anu wama cholesterol ndi mafuta kumatha kuthandizira kupewa matenda amtima, angina (kupweteka pachifuwa), stroko, komanso matenda amtima.

Colesevelam amabwera ngati piritsi, mu bar yotafuna, komanso ngati ufa wosakanizidwa ndi madzi oti mutenge pakamwa. Mapiritsiwa amatengedwa kamodzi kapena kawiri patsiku ndi chakudya ndi chakumwa. Mabala otafuna ndi ufa nthawi zambiri amatengedwa kamodzi patsiku ndi chakudya. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani colesevelam monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Ngati mukumwa ufawu kuti muyimitse pakamwa, tulutsani zonse zomwe zili paketi imodzi mugalasi. Onjezerani ma ouniti 8 a madzi, msuzi wa zipatso, kapena zakudya zakumwa zozizilitsa kukhosi. Onetsetsani bwino ndikumwa zonse zomwe zili mugalasi. Sizachilendo kuti zomwe zili mkatimo ziwoneke ngati zakumitambo ndipo sizingasungunuke kwathunthu. Musatenge ufa powuma.

Ngati mukumwa mipiringidzo yotafuna, muyenera kudziwa kuti mipiringidzo yotafuna imakhala ndi ma calories 80 pa bala.

Colesevelam amawongolera matenda anu koma samachiritsa. Pitilizani kutenga colesevelam ngakhale mukumva bwino. Osasiya kumwa colesevelam osalankhula ndi dokotala.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge colesevelam,

• uzani dokotala ndi wamankhwala ngati muli ndi vuto la colesevelam kapena mankhwala aliwonse.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: maanticoagulants monga warfarin ndi metformin yotulutsidwa (Glucophage XR, Glumetaza).
• ngati mukumwa cyclosporine (Gengraf, Neoral, Sandimmune) ,, glipizide (Glucotrol), glimepride (Amaryl), glyburide (Diabeta), levothyroxine (Synthroid), olmesartan (Benicar), njira zakulera zakumwa (mapiritsi oletsa kubereka), phenytoin (Dilantin ), kapena mavitamini, tengani maola 4 asanafike colesevelam.
• Uzani dokotala ngati mwakhalapo ndi chotupa m'mimba kapena m'matumbo, kuchuluka kwa triglycerides (mafuta) m'magazi, kapena kutupa kwa kapamba komwe kumachitika chifukwa cha milingo yayikulu yama triglycerides m'magazi. Dokotala wanu mwina angakuuzeni kuti musatenge colesevelam.
• uzani adotolo ngati mwachitidwapo opaleshoni ya m'mimba, ndipo ngati mwakhalapo ndi vuto lakutha kugaya kapena kuyamwa zakudya m'thupi, vuto lililonse la m'mimba monga kuchepa m'mimba, kapena kuvutika kumeza.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamamwa colesevelam, itanani dokotala wanu.
• ngati muli ndi phenylketonuria (PKU, mkhalidwe wobadwa nawo momwe muyenera kudya chakudya chapadera kuti muchepetse kuchepa kwamaganizidwe), muyenera kudziwa kuti ufa woyimitsidwa pakamwa uli ndi aspartame yomwe imapanga phenylalanine.

Idyani chakudya chochepa cha mafuta, cholesterol. Onetsetsani kuti mukutsatira zolimbitsa thupi komanso malingaliro azakudya zomwe adokotala anu kapena odyetsa. Mutha kuchezanso tsamba la National Cholesterol Education Program (NCEP) kuti mumve zambiri za zakudya pa http://www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.pdf.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange mlingo wosowa.

Zotsatira zoyipa za colesevelam zitha kuchitika. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mpweya
• kudzimbidwa
• nseru
• kusanza
• kutsegula m'mimba
• kutentha pa chifuwa
• m'mimba kapena kupweteka kwa msana
• mutu
• kufooka
• kupweteka kwa minofu

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

• kupweteka kwambiri m'mimba kapena wopanda mseru komanso kusanza

Colesevelam ikhoza kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu musanachitike komanso mukamalandira chithandizo kuti muwone yankho lanu ku colesevelam.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• WelChol^®