Gemfibrozil, Piritsi Yamlomo
Zamkati
- Machenjezo ofunikira
- Kodi gemfibrozil ndi chiyani?
- Chifukwa chimagwiritsidwa ntchito
- Momwe imagwirira ntchito
- Zotsatira zoyipa za Gemfibrozil
- Zotsatira zofala kwambiri
- Zotsatira zoyipa
- Gemfibrozil amatha kulumikizana ndi mankhwala ena
- Mankhwala osokoneza bongo ndi mphumu
- Mankhwala ochepetsa magazi
- Mankhwala a khansa
- Mankhwala otsekula m'mimba
- Mankhwala a cholesterol
- Mankhwala a shuga
- Gout mankhwala
- Mankhwala a hepatitis C.
- Mankhwala osokoneza bongo (pulmonary arterial hypertension) (PAH)
- Machenjezo a Gemfibrozil
- Chenjezo la ziwengo
- Machenjezo kwa anthu omwe ali ndi matenda ena
- Machenjezo kwa magulu ena
- Momwe mungatengere gemfibrozil
- Mitundu ya mankhwala ndi mphamvu
- Mlingo wa cholesterol wambiri
- Tengani monga mwalamulidwa
- Zofunikira pakumwa gemfibrozil
- Zonse
- Yosungirako
- Zowonjezeranso
- Kuyenda
- Kuwunika kuchipatala
- Zakudya zanu
- Kodi pali njira zina?
Mfundo zazikulu za gemfibrozil
- Pulogalamu yamlomo ya Gemfibrozil imapezeka ngati mankhwala osokoneza bongo komanso mankhwala osokoneza bongo. Dzina la dzina: Lopid.
- Gemfibrozil imabwera pokhapokha ngati piritsi lomwe mumamwa.
- Gemfibrozil amagwiritsidwa ntchito kutsitsa triglycerides, mtundu wamafuta m'magazi anu. Kukhala ndi milingo yayikulu kwambiri ya triglycerides kumawonjezera chiopsezo chanu cha kapamba (kutupa kwa kapamba).
Machenjezo ofunikira
- Chenjezo la miyala yamiyala: Gemfibrozil ikhoza kukupangitsani kuti mukhale ndi miyala yamtengo wapatali. Mukakhala ndi miyala yamtengo wapatali, muyenera kusiya kugwiritsa ntchito mankhwalawa.
- Kuphatikiza ndi chenjezo la ma statins: Gemfibrozil sayenera kumwa ndi simvastatin, mankhwala ena a cholesterol. Kugwiritsa ntchito gemfibrozil ndi simvastatin kapena mankhwala ena m'kalasi la statin kumatha kubweretsa kuwopsa kwa minofu. Matendawa amatha kuyambitsa impso kapena kufa.
Gwiritsani ntchito chenjezo la selexipag: Gemfibrozil sayenera kutengedwa ndi selexipag, yomwe imagwiritsidwa ntchito pochiza matenda oopsa a m'mapapo mwanga (PAH). Kugwiritsa ntchito mankhwalawa palimodzi kumakweza kuchuluka kwa selexipag mthupi lanu kukhala lowopsa.
Kodi gemfibrozil ndi chiyani?
Gemfibrozil ndi mankhwala omwe mumalandira. Zimabwera ngati piritsi lomwe mumamwa.
Gemfibrozil amapezeka ngati dzina la mankhwalawa Lopid. Ikupezekanso ngati mankhwala achibadwa. Mankhwala achibadwa nthawi zambiri amakhala otsika poyerekeza ndi mtundu wamaina. Nthawi zina, sangapezeke mwamphamvu iliyonse kapena mawonekedwe aliwonse monga mankhwala omwe amadziwika ndi dzina.
Chifukwa chimagwiritsidwa ntchito
Gemfibrozil imagwiritsidwa ntchito kutsitsa milingo yanu ya triglycerides, mtundu wamafuta m'magazi anu. Kuchuluka kwa triglycerides kumawonjezera chiopsezo chanu chamankhwala opatsirana.
Momwe imagwirira ntchito
Gemfibrozil ndi m'gulu la mankhwala otchedwa fibric acid zotumphukira. Gulu la mankhwala ndi gulu la mankhwala omwe amagwiranso ntchito chimodzimodzi. Mankhwalawa amagwiritsidwa ntchito pochiza zofananira.
Gemfibrozil imagwira ntchito posintha kuchuluka kwa cholesterol ndi mafuta ena (lipids) mthupi lanu. Gemfibrozil imachepetsa milingo ya triglyceride ndikukweza ma cholesterol a HDL. (HDL imawerengedwa kuti ndi mtundu wabwino wa cholesterol.)
Zotsatira zoyipa za Gemfibrozil
Gemfibrozil siyimayambitsa kugona, koma imatha kuyambitsa zovuta zina.
Zotsatira zofala kwambiri
Zotsatira zoyipa zomwe zimatha kuchitika pogwiritsa ntchito gemfibrozil ndizo:
- kukhumudwa m'mimba
- kupweteka m'mimba
- nseru
- kusanza
- kutsegula m'mimba
- kudzimbidwa
- zidzolo
- chizungulire
- mutu
- amasintha momwe zinthu zimamvekera
- kupweteka kwa minofu
Ngati zotsatirazi ndizochepa, zimatha kutha masiku angapo kapena milungu ingapo. Ngati ali ovuta kwambiri kapena osapita, lankhulani ndi dokotala kapena wamankhwala.
Zotsatira zoyipa
Itanani dokotala wanu nthawi yomweyo ngati muli ndi zovuta zina. Itanani 911 ngati zizindikiro zanu zikuwopseza moyo kapena ngati mukuganiza kuti mukukumana ndi vuto lachipatala. Zotsatira zoyipa komanso zizindikilo zake zimatha kukhala izi:
- Miyala. Zizindikiro zimatha kuphatikiza:
- ululu kumtunda chakumanja kwa mimba yanu (m'mimba)
- nseru
- kusanza
- Rhabdomyolysis (minofu kawopsedwe). Zizindikiro zimatha kuphatikiza:
- kupweteka, kukoma mtima, kapena kufooka mu minofu yanu
- mkodzo wamtundu wakuda
Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti izi zimaphatikizaponso zovuta zonse zomwe zingachitike. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse muzikambirana mavuto omwe angakhalepo ndi othandizira azaumoyo omwe amadziwa mbiri yanu yazachipatala.
Gemfibrozil amatha kulumikizana ndi mankhwala ena
Pulogalamu yamlomo ya Gemfibrozil imatha kulumikizana ndi mankhwala, mavitamini, kapena zitsamba zomwe mwina mukumwa. Kulumikizana ndi pamene chinthu chimasintha momwe mankhwala amagwirira ntchito. Izi zitha kukhala zowononga kapena kuletsa mankhwalawa kuti asagwire ntchito bwino.
Pofuna kupewa kuyanjana, dokotala ayenera kuyang'anira mankhwala anu onse mosamala. Onetsetsani kuuza dokotala wanu za mankhwala onse, mavitamini, kapena zitsamba zomwe mukumwa. Kuti mudziwe momwe mankhwalawa angagwirizane ndi china chake chomwe mumatenga, lankhulani ndi dokotala kapena wamankhwala.
Zitsanzo za mankhwala omwe angayambitse kuyanjana ndi gemfibrozil alembedwa pansipa.
Mankhwala osokoneza bongo ndi mphumu
Montelukast amagwiritsidwa ntchito pochiza chifuwa ndi mphumu. Kutenga gemfibrozil nayo kumatha kuwonjezera chiopsezo chanu chazovuta. Dokotala wanu akhoza kuchepetsa mlingo wanu wa mankhwalawa ngati mukufuna kumwa ndi gemfibrozil.
Mankhwala ochepetsa magazi
Warfarin amagwiritsidwa ntchito pochepetsa magazi. Pogwiritsidwa ntchito ndi gemfibrozil, zotsatira za warfarin zitha kuwonjezeka. Izi zimakulitsa chiopsezo chanu chotaya magazi. Dokotala wanu akhoza kuchepetsa kuchuluka kwanu kwa warfarin ndikukuyang'anirani nthawi zambiri mukayamba gemfibrozil.
Mankhwala a khansa
Kutenga mankhwala ena a khansa ndi gemfibrozil kumatha kukulitsa zovuta za mankhwalawa. Dokotala wanu amachepetsa kuchuluka kwa mankhwalawa ngati mukufuna kumwa ndi gemfibrozil. Zitsanzo za mankhwalawa ndi monga:
- kutuloji
- enzalutamide
- chiwoo
Mankhwala otsekula m'mimba
Loperamide amagwiritsidwa ntchito pochiza matenda otsekula m'mimba. Pogwiritsidwa ntchito ndi gemfibrozil, zotsatira za loperamide zitha kuwonjezeka. Dokotala wanu akhoza kuchepetsa mlingo wanu wa loperamide ngati mukufuna kumwa ndi gemfibrozil.
Mankhwala a cholesterol
Mankhwala ena omwe amachepetsanso cholesterol amachulukitsa zoopsa ngati atamwa ndi gemfibrozil. Musagwiritse ntchito mankhwalawa ndi gemfibrozil. Amawonjezera chiopsezo cha kuwopsa kwa minofu kapena impso. Izi zitha kuchitika patatha milungu itatu yothandizirana, kapena zitha kuchitika patatha miyezi ingapo. Zitsanzo za mankhwalawa ndi monga:
- alirezatalischi
- fluvastatin
- alireza
- alireza
- alireza
- rosuvastatin
- alirezatalischi
Komanso, mankhwala ena a cholesterol amatha kuchepetsa zovuta za gemfibrozil. Pofuna kupewa izi, muyenera kumwa mankhwalawa maola awiri kapena kupitilira pomwe mutenga gemfibrozil. Zitsanzo za mankhwalawa ndi monga:
- kutuloji
- alireza
- chithuchitra
Mankhwala a shuga
Kugwiritsa ntchito gemfibrozil ndi mankhwala ena a shuga kumatha kukulitsa zovuta za mankhwalawa. Izi zimawonjezera chiopsezo chokhala ndi shuga wambiri m'magazi. Musagwiritse ntchito mankhwalawa ndi gemfibrozil. Zitsanzo za mankhwalawa ndi monga:
- repanlinide
Mankhwala ena a shuga angafunike kuchepetsa kuchepa kwa mankhwala akapatsidwa ndi gemfibrozil. Izi zikuphatikiza:
- glyburide
- alireza
- glipizide
- natuwo
- magwire
- rosiglitazone
Gout mankhwala
Colchicine amagwiritsidwa ntchito pochizira gout. Kugwiritsa ntchito gemfibrozil ndi mankhwalawa kumadzetsa chiopsezo cha kuwopsa kwa minofu. Matendawa amatha kuyambitsa impso kapena kufa. Mutha kukhala pachiwopsezo chachikulu ngati ndinu wamkulu (wazaka 65 kapena kupitilira apo) kapena muli ndi mavuto a impso.
Mankhwala a hepatitis C.
Dasabuvir amagwiritsidwa ntchito pochiza matenda a chiwindi a C. Musagwiritse ntchito mankhwalawa ndi gemfibrozil.
Mankhwala osokoneza bongo (pulmonary arterial hypertension) (PAH)
Selexipag imagwiritsidwa ntchito pochiza PAH. Musagwiritse ntchito mankhwalawa ndi gemfibrozil.
Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala amagwirira ntchito mosiyanasiyana mwa munthu aliyense, sitingatsimikizire kuti izi zikuphatikizira kulumikizana kulikonse kotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi omwe amakuthandizani zaumoyo pazomwe mungachite ndi mankhwala onse, mavitamini, zitsamba ndi zowonjezera, komanso mankhwala owonjezera omwe mumamwa.
Machenjezo a Gemfibrozil
Mankhwalawa amabwera ndi machenjezo angapo.
Chenjezo la ziwengo
Gemfibrozil zingachititse kwambiri thupi lawo siligwirizana. Zizindikiro zimatha kuphatikiza:
- kuvuta kupuma
- kutupa pakhosi panu
Mukakhala ndi zizindikilozi, itanani 911 kapena pitani kuchipinda chadzidzidzi chapafupi.
Musatengerenso mankhwalawa ngati munakhalapo ndi vuto linalake. Kutenganso kumatha kukhala koopsa (kuyambitsa imfa).
Machenjezo kwa anthu omwe ali ndi matenda ena
Kwa anthu omwe ali ndi vuto la impso: Gemfibrozil atha kukulitsa matenda anu a impso. Ngati mukulephera impso, simuyenera kugwiritsa ntchito gemfibrozil.
Kwa anthu omwe ali ndi matenda amtima: Gemfibrozil sanawonetsedwe kuti amachepetsa chiopsezo chanu chofa ndi matenda amtima. Dokotala wanu akhoza kuyimitsa kugwiritsa ntchito gemfibrozil ngati sikuyambitsa kuchepa kwakukulu kwa triglycerides anu.
Machenjezo kwa magulu ena
Kwa amayi apakati: Gemfibrozil ndi gulu C la mankhwala osokoneza bongo. Izi zikutanthauza zinthu ziwiri:
- Kafukufuku wazinyama awonetsa zovuta kwa mwana wosabadwa mayi atamwa mankhwalawo.
- Sipanakhale maphunziro okwanira omwe adachitika mwa anthu kuti atsimikizire momwe mankhwalawo angakhudzire mwana wosabadwayo.
Lankhulani ndi dokotala ngati muli ndi pakati kapena mukukonzekera kutenga pakati. Mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha phindu lomwe lingakhalepo lingabweretse chiopsezo.
Mukakhala ndi pakati mukamamwa mankhwalawa, itanani dokotala wanu nthawi yomweyo.
Kwa amayi omwe akuyamwitsa: Gemfibrozil imatha kulowa mkaka wa m'mawere ndipo imatha kuyambitsa mavuto mwa mwana amene akuyamwitsa. Lankhulani ndi dokotala ngati mukuyamwitsa mwana wanu. Simuyenera kuyamwa ndikugwiritsa ntchito mankhwalawa nthawi yomweyo.
Kwa okalamba: Impso za anthu okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, kuchuluka kwamankhwala kumakhalabe mthupi lanu nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta.
Momwe mungatengere gemfibrozil
Mlingo uliwonse wotheka ndi mitundu ya mankhwala sizingaphatikizidwe pano. Mlingo wanu, mawonekedwe a mankhwala, komanso kuchuluka kwa momwe mumamwa mankhwalawo zimadalira:
- zaka zanu
- matenda omwe akuchiritsidwa
- kuopsa kwa matenda anu
- Matenda ena omwe muli nawo
- momwe mumachitira ndi mankhwala oyamba
Mitundu ya mankhwala ndi mphamvu
Zowonjezera: Gemfibrozil
- Mawonekedwe: piritsi yamlomo
- Mphamvu: 600 mg
Mtundu: Lopid
- Mawonekedwe: piritsi yamlomo
- Mphamvu: 600 mg
Mlingo wa cholesterol wambiri
Mlingo wa akulu (zaka 18-64 zaka):
Mlingo wamba ndi 600 mg kawiri patsiku.
Mlingo wa ana (zaka 0-17 zaka):
Sizinatsimikizidwe kuti gemfibrozil ndiyotetezeka komanso yothandiza kuti izigwiritsidwa ntchito mwa ana. Osagwiritsa ntchito ana ochepera zaka 18.
Mlingo waukulu (wazaka 65 kapena kupitirira):
Impso za anthu okalamba mwina sizigwira ntchito kale. Izi zitha kupangitsa kuti thupi lanu lizigwiritsa ntchito mankhwala pang'onopang'ono. Zotsatira zake, kuchuluka kwamankhwala kumakhalabe mthupi lanu nthawi yayitali. Izi zimawonjezera chiopsezo chanu chazovuta.
Ngati muli ndi vuto la impso, dokotala wanu akhoza kukuyambitsani pamlingo wotsika kapena ndandanda ina ya mankhwala. Izi zitha kuthandiza kuti mankhwalawa asakule kwambiri mthupi lanu.
Chodzikanira: Cholinga chathu ndikukupatsani chidziwitso chofunikira kwambiri komanso chaposachedwa. Komabe, chifukwa mankhwala osokoneza bongo amakhudza munthu aliyense mosiyanasiyana, sitingatsimikizire kuti mndandandawu umaphatikizira miyezo yonse yotheka. Izi sizilowa m'malo mwa upangiri wa zamankhwala. Nthawi zonse lankhulani ndi dokotala kapena wamankhwala za mlingo woyenera kwa inu.
Tengani monga mwalamulidwa
Gemfibrozil imagwiritsidwa ntchito pochiza nthawi yayitali. Dokotala wanu angasankhe kuimitsa gemfibrozil pakatha miyezi itatu ya mankhwala ngati mulibe kusintha kokwanira m'magulu anu a triglyceride.
Mankhwalawa amabwera ndi zoopsa zazikulu ngati simutenga monga mwauzidwa.
Mukasiya kumwa mankhwala mwadzidzidzi kapena osamwa konse: Magulu anu a triglyceride atha kukwera. Ngati milingo yanu ya triglyceride ndiyokwera kwambiri, muli pachiwopsezo chachikulu cha matenda amtima kapena kapamba.
Ngati mwaphonya Mlingo kapena osamwa mankhwalawo panthawi yake: Mankhwala anu mwina sagwira ntchito kapena akhoza kusiya kugwira ntchito kwathunthu. Kuti mankhwalawa agwire bwino ntchito, kuchuluka kwake kumayenera kukhala mthupi lanu nthawi zonse.
Ngati mutenga zochuluka kwambiri: Mutha kukhala ndimankhwala owopsa mthupi lanu. Zizindikiro za bongo zingaphatikizepo:
- kukhumudwa m'mimba
- mutu
- kupweteka kwa minofu
Ngati mukuganiza kuti mwamwa kwambiri mankhwalawa, itanani dokotala wanu kapena funsani malangizo kuchokera ku American Association of Poison Control Center ku 1-800-222-1222 kapena kudzera pa chida chawo pa intaneti. Koma ngati matenda anu akukulira, itanani 911 kapena pitani kuchipatala chapafupi pomwepo.
Zomwe muyenera kuchita mukaphonya mlingo: Tengani mlingo wanu mukangokumbukira. Koma ngati mukukumbukira kutangotsala maola ochepa kuti muyambe kumwa mankhwala, tengani mlingo umodzi wokha. Osayesa konse kutenga mwa kumwa miyezo iwiri nthawi imodzi. Izi zitha kubweretsa zovuta zoyipa.
Momwe mungadziwire ngati mankhwalawa akugwira ntchito: Muyenera kukhala ndi kuchepa kwa ma triglycerides anu komanso kuchuluka kwama HDL anu. Simungamve mosiyana mukamamwa mankhwalawa. Dokotala wanu amayang'anira kuchuluka kwa mafuta m'thupi mwanu kuti awonetsetse kuti mankhwalawa akukugwirirani ntchito.
Zofunikira pakumwa gemfibrozil
Kumbukirani izi ngati dokotala akukulemberani gemfibrozil.
Zonse
- Izi mankhwala ayenera kumwedwa musanadye. Tengani mphindi 30 musanadye m'mawa ndi madzulo.
- Osadula kapena kuphwanya phale.
Yosungirako
- Sungani gemfibrozil kutentha kwapakati pakati pa 68 ° F ndi 77 ° F (20 ° C ndi 25 ° C).
- Sungani mankhwalawa kutali ndi kuwala.
- Musasunge mankhwalawa m'malo onyowa kapena onyowa, monga mabafa.
Zowonjezeranso
Mankhwala a mankhwalawa amakonzanso. Simuyenera kusowa mankhwala atsopano kuti mudzazidwenso. Dokotala wanu adzalemba kuchuluka kwa mafuta obwezerezedwanso pamankhwala anu.
Kuyenda
Mukamayenda ndi mankhwala anu:
- Nthawi zonse muzinyamula mankhwala anu. Mukamauluka, musayikenso m'thumba lofufuzidwa. Sungani m'thumba lanu.
- Osadandaula za makina a X-ray pabwalo la ndege. Sangathe kuvulaza mankhwala anu.
- Mungafunike kuwonetsa ogwira ntchito ku eyapoti chizindikiro cha mankhwala anu. Nthawi zonse muzinyamula chidebe choyambirira cholembedwa ndi mankhwala.
- Musayike mankhwalawa m'galimoto yamagolovu amgalimoto yanu kapena siyani m'galimoto. Onetsetsani kuti musachite izi nyengo ikatentha kapena kuzizira kwambiri.
Kuwunika kuchipatala
Dokotala wanu amayang'anira kuchuluka kwanu kwa triglyceride mukamamwa mankhwalawa. Amatha kuwunika milingo yanu ya triglyceride miyezi ili yonse 3 mpaka 12 kuti awonetsetse kuti mankhwalawa akugwira ntchito.
Zakudya zanu
Kuphatikiza pa kugwiritsa ntchito gemfibrozil, chakudya chabwino ndikofunikira kukuthandizani kuwongolera magulu anu a triglyceride. Kuchepetsa thupi kumathandizanso kuti milingo ya triglyceride ibwerere munthawi yoyenera. Lankhulani ndi dokotala wanu kapena wazakudya kuti mudziwe zambiri.
Kodi pali njira zina?
Palinso mankhwala ena omwe amapezeka kuti athetse vuto lanu. Ena akhoza kukuyenererani kuposa ena. Lankhulani ndi dokotala wanu za mankhwala ena omwe angakuthandizeni.
Chodzikanira: Healthaline yayesetsa kwambiri kuti zidziwitso zonse zikhale zolondola, zokwanira, komanso zaposachedwa. Komabe, nkhaniyi sikuyenera kugwiritsidwa ntchito m'malo mwa chidziwitso ndi ukadaulo wa akatswiri pazachipatala. Muyenera kufunsa adotolo kapena akatswiri azaumoyo musanamwe mankhwala aliwonse. Zambiri zamankhwala zomwe zili pano zitha kusintha ndipo sizingapangidwe kuti zigwiritse ntchito, mayendedwe, zodzitetezera, machenjezo, kulumikizana ndi mankhwala, kusokonezeka, kapena zovuta zina. Kusapezeka kwa machenjezo kapena zidziwitso za mankhwala omwe apatsidwa sikuwonetsa kuti kuphatikiza mankhwala kapena mankhwalawa ndiwotetezeka, ogwira ntchito, komanso oyenera kwa odwala onse kapena ntchito zina zilizonse.