He aha te Colesevelam: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

He rongoā whakahau a Colesevelam e āwhina ana ki te whakaheke i ngā taumata cholesterol i roto i tō toto. He momo o te whakakāhore waikawa pūtaiao e mahi ana mā te here ki ngā waikawa pūtaiao i roto i ō whekau, e akiaki ana i tō tinana ki te whakamahi cholesterol hei hanga i ētahi atu waikawa pūtaiao, ka mutu ka whakaheke i te cholesterol e rere ana i roto i ō toto.

He maha ngā wā ka whakahaua tēnei rongoā i te wā kāore anō te kai me te whakakori tinana i te rawaka ki te whakahaere i ngā taumata cholesterol tiketike. Ka tūtohu pea tō tākuta i te colesevelam hei wāhanga o te huarahi whānui ki te tiaki i tō hauora ngākau me te whakaheke i tō tūponotanga ki te mate ngākau.

He aha te Colesevelam?

No te kāwai rongoā e kīia ana ko te whakakāhore waikawa pūtaiao a Colesevelam. Whakaarohia he hautai motuhake e mahi ana i roto i tō pūnaha kūnatu hei āwhina i te whakahaere i ngā taumata cholesterol i te ara tūturu.

Kāore i rite ki ētahi rongoā cholesterol e mahi ana i tō ate, ka mahi katoa te colesevelam i roto i ō whekau. Kāore rawa e uru ki roto i ō toto, e waihanga ana i tētahi kōwhiringa ngawari ake mō te nuinga o ngā tāngata. Ka tae mai te rongoā i roto i te āhua papa, ā, ka tangohia mā te waha, te tikanga me ngā kai.

Kua whakamahia tēnei huarahi ki te whakahaere cholesterol i te ara haumaru mō ngā tau maha. He whakatupuranga hou a Colesevelam o te whakakāhore waikawa pūtaiao e pai ake ana te aro ki te tāngata i ngā rongoā tawhito i tēnei kāwai.

He aha te Colesevelam e whakamahia ana mō?

Ko te mea nui e whakamahia ana te Colesevelam ki te whakaheke i te LDL cholesterol, e kīia ana ko te cholesterol

I ētahi wā, ka tohua pea te colesevelam hei āwhina i te whakahaere i ngā taumata huka toto i roto i te hunga e mate huka momo 2. Nā tēnei painga rua ka tino whai hua mō te hunga he nui te cholesterol me te mate huka.

Me pēhea te mahi a Colesevelam?

Ka mahi a Colesevelam mā te aukati i te hātepe hangarua cholesterol tūturu o tō tinana. Ka kai koe, ka whakaputa te ate i ngā waikawa pūkohu hei āwhina i te keri ngako, ā, ko ēnei waikawa pūkohu te tikanga ka ngongohia anō, ka whakamahia anō.

Ka here tēnei rongoā ki ngā waikawa pūkohu i roto i ō whekau, e ārai ana i a rātou kia kaua e ngongohia anō. Me hanga e tō tinana ngā waikawa pūkohu hou mā te whakamahi i te cholesterol mai i ō toto. Mā tēnei hātepe ka whakaheke haere i te nui o te cholesterol e huri ana i roto i ō toto.

E kiia ana he rongoā cholesterol kaha-āhua te colesevelam. Ko te tikanga ka whakaheke i te LDL cholesterol mā te 15-20%, he mea nui tēnei engari kāore i te nui pērā i ētahi atu rongoā cholesterol. Ko te huarahi ngawari, pumau tonu te nuinga ka pai mō te whakamahi wā-roa.

Me pēhea taku tango i te Colesevelam?

Tangohia te colesevelam kia rite ki tā tō tākuta i whakahau ai, te tikanga me ngā kai me te nui o te wai. Ko te horopeta tīmatanga te tikanga he 3 papa e rua i te rā me ngā kai, ahakoa mā tō tākuta e whakatau te nui tika mō tō āhuatanga motuhake.

Mā te tango i te rongoā me te kai ka pai ake tōna mahi, ka whakaheke i te tūponotanga o te pōpō i te puku. Me inu kia 8 hekere wai i te iti rawa me ia horopeta hei āwhina i te rongoā kia tika te haere mā tō pūnaha keri.

Mēnā kei te tango koe i ētahi atu rongoā, me whakatakoto wā i waenga i a rātou me te colesevelam. Tangohia ētahi atu rongoā i te iti rawa 1 hāora i mua i te tango i te colesevelam, i te 4 hāora rānei i muri i te tango i te colesevelam, nā te mea ka raru pea i te ngongo o ētahi atu rongoā.

Whakamātau ki te tango i te colesevelam i ngā wā kotahi i ia rā hei āwhina i te whakatū i tētahi tikanga. Mā tēnei rite tonu ka āwhina i te whakarite kia whiwhi koe i te painga katoa o te rongoā, ā, ka iti ake te tūponotanga ka wareware koe i tētahi horopeta.

E hia te roa e tango ana ahau i te Colesevelam?

Ko te Colesevelam te tikanga he rongoa mo te wa roa ka tangohia e koe mo nga marama, tau ranei. Ko te cholesterol tiketike te tikanga he mate mau tonu e hiahia ana ki te whakahaere tonu, kaua ki te whakatika mo te wa poto.

Ka kite pea koe i etahi whakapainga i roto i o taumata cholesterol i roto i nga wiki 2-4 i muri i te tiimata i te maimoatanga. Heoi, ka roa pea te 4-6 wiki ki te kite i nga paanga whakaheke cholesterol katoa o te rongoa.

Ka aroturukihia e to taakuta o taumata cholesterol i nga wa katoa ma nga whakamatautau toto kia kite i te pai o te mahi o te rongoa. I runga i enei hua, ka whakatika pea ratou i to horopeta, ka tūtohu ranei i etahi atu maimoatanga hei awhina i a koe ki te whakatutuki i o whainga cholesterol.

Kaua rawa e mutu te tango i te colesevelam ohorere me te kore korero ki to taakuta i te tuatahi. Ka hoki ano o taumata cholesterol ki o raatau taumata o mua mena ka whakamutua e koe te rongoa me te kore e whakakapi ki tetahi atu huarahi maimoatanga.

He aha nga paanga taha o te Colesevelam?

Ko te nuinga o nga tangata e pai ana ki te colesevelam, engari pera i nga rongoa katoa, ka puta he paanga taha. Ko te rongo pai ko nga paanga taha kino he mea noa na te mea karekau te rongoa e uru ki roto i to toto.

Ko nga paanga taha tino noa e pa ana ki to punaha nakunaku, na te mea kei reira te rongoa e mahi ana. Ko enei paanga ka pai ake i te wa e urutau ana to tinana ki te rongoa i nga wiki tuatahi o te maimoatanga.

Ko nga paanga taha noa ka pa ki a koe ko:

• Te kōroke (te paanga taha tino auau)
• Te puku raru, te whakapairuaki ranei
• Te hau, te pupuhi ranei
• Te ngakau, te waikawa ranei
• Te mamae o te mahunga
• Te mamae o te uaua

He ngawari noa enei tohu, he ngawari hoki te whakahaere. Ko te inu i te wai nui, te kai i nga kai whai muka, me te noho kaha ki te tinana ka awhina i te whakaiti i nga paanga taha o te nakunaku.

Ko nga paanga taha iti noa engari he nui ake pea ko:

• Te pōturi nui e kore e pai ake
• Te mamae nui o te puku, te kōpū rānei
• Te uaua ki te horo
• Te toto rere ke, te pāpā rānei
• Ngā tohu o te arai i te puku (te mamae nui o te puku, te ruaki, te kore e taea te tuku hau)

Whakapā atu ki tō tākuta i te wā tonu mēnā ka pā ki a koe ēnei tohumate nui ake. Ahakoa he mea pāwhara, he āhua tūpono te arai i te puku, ā, me āta tirotiro tonu.

Ko wai kāore e tika kia tango Colesevelam?

Kāore a Colesevelam i te tika mō te katoa, ā, ka whakaaro tō tākuta ki tō hauora whānui i mua i te whakahau. Ko ngā tāngata e pā ana ki ētahi āhua kūnatu me karo pea tēnei rongoā, me whakamahi rānei me te tūpato anō.

Kāore koe e tango colesevelam mēnā he hītori tō te arai i te puku, mēnā he tino tiketike ngā taumata triglyceride (nui atu i te 500 mg/dL). Ka taea e te rongoā te whakapōrearea i ēnei āhua.

Ka tūpato anō tō tākuta ki te whakahau colesevelam mēnā he:

• Te pōturi roa, ngā raruraru kūnatu rānei
• Te uaua ki te horo
• Hītori o te pokanga puku, whekau rānei
• Te kūnatu tino puhoi (gastroparesis)
• Te kore o ngā huaora, ina koa ngā huaora wairewa ngako

Me āta aroturuki ngā tāngata e mate huka ana, nā te mea ka pā te colesevelam ki ngā taumata huka toto. Ahakoa he pai tēnei mō ētahi tāngata e mate huka ana, me āta aroturuki, me te whakatika pea i ngā rongoā mate huka.

Mēnā kei te hapū koe, kei te whāngai ū rānei, kōrerohia ngā tūponotanga me ngā painga ki tō tākuta. Ahakoa kāore a colesevelam e uru ki te toto, he mea nui te whakatau i ngā painga ka whai ki ngā tūponotanga ka pā i te wā e hapū ana.

Ngā Ingoa Mōhio o Colesevelam

Kei te wātea a Colesevelam i raro i te ingoa mōhio Welchol i te United States. Koinei te āhua e whakahaua ana i te nuinga o te wā, ā, nā Daiichi Sankyo i hanga.

I tēnei wā, e wātea ana ngā momo rongoā rāpoi o colesevelam, ā, ka taea e ēnei te whakaiti i te utu o te rongoā. Kei roto i ēnei momo rāpoi te whakauru kaha kotahi, ā, he rite tonu te whai hua ki te momo ingoa waitohu.

Ka taea e tō whare rongoā te whakakapi aunoa i te momo rāpoi ki te kore tō tākuta e hiahia ana i te ingoa waitohu. He rite tonu te whai hua o ngā momo e rua, nō reira ka heke te whiriwhiri ki te utu me te inihua.

Ngā Kōwhiringa kē mō Colesevelam

Ki te kore a colesevelam e pai ana mōu, e pā rānei ngā pānga taha e raruraru ana, he maha ngā rongoā kē ka taea te āwhina i te whakahaere i ngā taumata cholesterol. Ka taea e tō tākuta te āwhina i a koe ki te kimi i te kōwhiringa pai mō tō āhuatanga motuhake.

Ko ētahi atu kaiwhakawātea waikawa pūtaiao ko te cholestyramine (Questran) me te kaiwhakawātea o colesevelam, colestipol (Colestid). He rite tonu te mahi a ēnei ki a colesevelam engari he rerekē pea ngā kōrero pānga taha, ngā whakaritenga rānei.

Ko ngā statins te nuinga o te wā te rongoā tuatahi mō te cholesterol tiketike, kei roto i ēnei ngā rongoā pēnei i te atorvastatin (Lipitor), simvastatin (Zocor), me te rosuvastatin (Crestor). He rerekē te mahi a ēnei i a colesevelam mā te aukati i te hanga cholesterol i te ate.

Ko ētahi atu kōwhiringa ko:

• Ezetimibe (Zetia) - aukati i te urunga cholesterol i roto i ngā whekau
• Ngā aukati PCSK9 pēnei i te evolocumab (Repatha) - ngā rongoā werohia hou
• Ngā Fibrates - āwhina i te whakaheke i ngā triglycerides, ā, ka pai ake te cholesterol
• Niacin (waikawa nicotinic) - ka taea te whakapai ake i te kōrero cholesterol engari he nui ngā pānga taha

Ka tūtohu pea tō tākuta i ngā rongoā whakakotahi e uru ana ki a colesevelam me ētahi atu rongoā whakaheke cholesterol. Ko te kōwhiringa pai rawa atu ka whakawhirinaki ki ō taumata cholesterol, ētahi atu āhuatanga hauora, me te pai o tō whakawātea i ngā rongoā rerekē.

He Pai Anei a Colesevelam i te Cholestyramine?

He maha ngā painga o te Colesevelam i runga i te cholestyramine, te rongoā tawhito hei whakaiti i te waikawa ate. He rite te mahi a ngā rongoā e rua, engari he pai ake te manawanui o te colesevelam e te nuinga o te tangata.

Ko te painga nui o te colesevelam he iti ake ngā pānga taha ki te kūnatu. Ahakoa ka pā te kōroke me te pōpō i te puku ki ngā rongoā e rua, ko te colesevelam te tikanga ka puta ngā tohumate ngawari ake, he māmā ake te whakahaere.

Ka tae mai hoki te colesevelam i roto i te ahua papa watea, i te mea e wātea ana te cholestyramine hei paura me whakaranu ki te wai. He maha ngā tāngata e kite ana he māmā ake te tango i ngā papa i ngā wā katoa, e pai ake ai te piri ki te rongoā.

Mai i te tirohanga whai hua, he rite tonu te painga o ngā rongoā e rua ki te whakaheke i te cholesterol. Ko te whiriwhiri i waenga i a rāua ka heke iho ki te manawanui, te watea, me ngā whakaaro utu.

Heoi, kua roa kē te wā e wātea ana te cholestyramine, ā, he iti ake pea te utu, ina koa i roto i te ahua generic. Ka taea e tō tākuta te āwhina i a koe ki te whakatau i ngā painga me ngā huakore i runga i ō hiahia me ō manakohanga.

Ngā Pātai Auau mō Colesevelam

Q1. He Haumaru te Colesevelam mō te Tāngata e mate Huka ana?

Āe, he haumaru te colesevelam mō te tāngata e mate huka ana, ā, ka āwhina pea ki te whakapai ake i te whakahaere huka toto. Inaha, kua whakaaetia e te FDA ki te āwhina i te whakahaere i ngā taumata huka toto i roto i te tāngata e mate huka momo 2.

Ka taea e te rongoā te āwhina ki te whakaheke i ngā taumata cholesterol me te huka toto, he mea whai hua rawa atu nā te mea he nui ake te tūponotanga o te mate ngākau ki te tāngata e mate huka ana. Heoi, me mātakitaki tata ake koe i ō taumata huka toto i te tīmatanga o te colesevelam.

Me whakatika pea e tō tākuta ō rongoā mate huka i te tīmatanga o te colesevelam, nā te mea ko te whakapai ake i te whakahaere huka toto ka iti ake pea te rongoā mate huka e hiahia ana koe. Kaua rawa e whakatika i ō rongoā mate huka anake.

Q2. Me Pēhea Taku Mahi ki te Tango Nui Rawa te Colesevelam?

Ki te inu pohehe koe i te colesevelam nui atu i te mea i tohua, kaua e mataku. I te mea karekau te rongoa e uru ki roto i ou toto, he iti noa te horopeta nui e kore e puta he kino nui.

Tera pea ka nui ake nga paanga o te nakunaku kai penei i te paopao, te puku pouri, te pupuhi ranei. Inu nui i te wai me te kai i nga kai whai muka hei awhina i te rongoa kia haere i roto i to punaha.

Mena kua nui te nui o te rongoa i inumia e koe, kei te pa ranei koe i nga tohu kino, whakapā atu ki tō tākuta, ki te pokapū whakahaere paitini ranei. Ka taea e ratou te whakarato tohutohu motuhake i runga i te nui o te rongoa i inumia e koe me o tohu o nāianei.

A muri ake nei, whakaarohia te whakamahi i te kaiwhakarite pire, te whakatu ranei i nga whakamaharatanga waea hei awhina i te aukati i te horopeta rua pohehe. Ko te tango rongoa i te wa kotahi i ia ra ka awhina ano ki te whakarite i te tikanga e whakaiti ana i nga hapa.

Q3. Me aha ahau ki te ngaro ahau i te horopeta o te Colesevelam?

Mena ka ngaro koe i te horopeta o te colesevelam, tangohia i te wa e mahara ana koe, i te wa e kai ana koe. I te mea he pai ake te mahi a te rongoa ina tangohia me te kai, kaua e tango i te horopeta i ngaro i runga i te puku kau.

Mena kua tata te wa mo to horopeta e whai ake nei, waiho te horopeta i ngaro ka haere tonu me to waarangi. Kaua e tango i nga horopeta e rua i te wa kotahi hei utu mo te horopeta i ngaro, na te mea ka nui ake te tupono o nga paanga taha.

Ko te ngaro i te horopeta i etahi wa kare e kino ki a koe, engari ngana ki te tango i te colesevelam i nga wa katoa mo nga hua pai rawa atu e whakaheke ana i te cholesterol. Mena ka wareware koe i nga horopeta, korero ki to taakuta mo nga rautaki hei whakapai ake i te piri ki te rongoa.

Whakaarohia te whakarite i nga whakamaharatanga o ia ra i runga i to waea, te whakamahi ranei i te kaiwhakarite pire ia wiki hei awhina i a koe ki te mahara ki o rongoa. Ko te tango i te colesevelam i te wa ano me o kai ka awhina ano ki te whakarite i te tikanga.

Q4. Ahea ka taea e au te whakamutu i te tango i te Colesevelam?

Me mutu anake te tango colesevelam i raro i te tirotiro a tō tākuta. Ko te cholesterol tiketike he tikanga mau tonu e hiahia ana ki te whakahaere tonu, no reira karekau te whakamutu i te rongoa e taunakitia ana mena karekau he take hauora motuhake.

Ka whakaaro pea tō tākuta ki te whakamutu i te colesevelam mena kua tutuki i a koe te mana whakahaere cholesterol pai rawa atu na roto i nga huringa oranga nui, mena kei te pa ki a koe nga paanga taha e kore e taea te whakahaere, mena ranei me huri koe ki tetahi rongoa rereke.

Mena me mutu koe ki te tango colesevelam, ka tino aro turuki tō tākuta i ō taumata cholesterol, ā, ka tūtohu pea i ētahi atu rongoa. Ka hoki pea ō taumata cholesterol ki ō rātou taumata o mua i roto i te wiki torutoru i muri i te whakamutu i te rongoa.

Kaua rawa e mutu te tango colesevelam ohorere na te mea kei te pai ake koe, na te mea ranei kua pai ake ō taumata cholesterol. Ko enei whakapainga ka puta mai i te rongoa e mahi ana i runga i te whai hua, ehara i te mea karekau koe e hiahia rongoa ano.

Q5. Ka taea e au te tango Colesevelam me ētahi atu rongoa?

Ka taea e Colesevelam te taunekeneke ki te maha atu o nga rongoa ma te pa ki te pai o te uru mai ki roto i ō whekau. Koinei te take he mea nui te wa i te wa e tango ana i te colesevelam me etahi atu rongoa.

Tangohia etahi atu rongoa i te iti rawa 1 haora i mua, i te 4 haora ranei i muri i te tango colesevelam. Ko tenei mokowā ka āwhina i te whakarite kia tika te uru mai o ō rongoa i mua i te pokanoa o te colesevelam ki te tukanga.

Ko etahi rongoa e tino pa ana ko nga mea whakaheke toto, nga rongoa thyroid, nga rongoa mate huka, me etahi paturopi. Me korero tonu ki tō tākuta me te kaimātai rongoa mō ngā rongoa katoa e tango ana koe, tae atu ki ngā rongoa e hokona ana i runga i te kaute me ngā tāpiringa.

Me whakatika pea e tō tākuta te wā, te inenga rānei o ō rongoa ina tīmata koe ki te tango colesevelam. Kaua e huri i te wā o ō rongoa me te kore e korero tuatahi ki tō kaiwhakarato hauora.