Oya, atorvastatin yo hanze y'ibiyobyabwenge ntabwo iboneka muri Leta Zunze Ubumwe za Amerika, kandi nta statin iraboneka. Atorvastatin (Lipitor) igumana uburenganzira bwo kwandikwa na muganga kuko isaba ko hagenzurwa urugero rwa kolesteroli kugira ngo yemerwe, ihindurwe uko ibihe bigeze, kandi inshuro runaka hagenzurwe amaraso kugira ngo harebwe umwijima wawe. Niba wararangije imiti yawe, icyo ni ikintu gishobora gukemuka: gusura umuganga kuri interineti bifite agaciro ka $39 bishobora kuguhuza n'umuganga mu munsi, ushobora kukwandikira igihe bikwiye kandi bikakubuza gutakaza imiti yawe.

ICYO WABA WUMVA VUGUTSE

  • Nta statin igurishwa hanze mu maduka muri Leta Zunze Ubumwe za Amerika; abakora imiti baragerageje kandi FDA yari yabihagije inshuro imwe gusa.

  • Impamvu isanzwe yo gushakisha ibi ni ugusoza imiti, kandi ubuvuzi bwo kuri interineti bushobora kwihutisha iyi nzira mu munsi [igereranya: ubwoko bwo kongera imiti twagerageje gusubiramo buno buno].

  • Witandukana na statin mu ibanga; inyungu ni ugukumira indwara z'umutima n'ududomo tudashobora kwumva ko byubaka.

  • Imirire n'imikino ngororamubiri bigabanya kolesteroli kandi bifite akamaro, ariko ntacyo byakora kugira ngo bisubirire statin umaze kwandikirwa.

  • Uburyo bwemejwe buruta ibinyobwa byo hanze nk'umuhondo w'umuneke, utagenzurwa kandi utajya usagitswe.

Impamvu nta atorvastatin hanze y'ibiyobyabwenge

Itegeko ryose rya " nta statin zihabwa hanze" ntirituruka ku kuba abantu bataragerageje, kandi ibyo birivugira. Inganda z'imiti zagiye zisaba FDA inshuro zirenze imwe kugira ngo zishobore kugurisha statin zifite dose ntoya hanze, kandi abagenzuzi bahakana, kuko imiti ya statin ishingira ku bintu byo hanze bidashobora gukora. Bitangirira ku mpamvu yo kuvura: ingano za kolesteroli yawe hamwe n'ikizamini cy'umutima wawe muri rusange, atari ukwiyumvamo. Bisaba ko igipimo gihindurwa kugira ngo kigere ku cyo wifuza, kandi hakagenzurwa inshuro runaka, ikizamini cy'umwijima, no kwita ku bibazo by'imikaya. Kandi bigirirana ingaruka n'imiti myinshi isanzwe, harimo bimwe mu binini by'ibitera kubyimba n'imiti y'umutima. Umuntu wanditse iyi miti ni we wihuza ibyo byose, ni cyo gituma atorvastatin yo hanze idashoboka mu ntara zose, harimo n'izihinduye amategeko ku miti itandukanye mu gihe cyashize.

Wasoje atorvastatin? Kora iki uyu munsi

Niba uri hano kuko icyobo cy'umuti wawe kiri cyashize, iki ni igice cy'ingenzi. Icya mbere, ntugerageze "kwishyura" iminsi wahishe nyuma ukanywa kabiri; soma bisanzwe umaze kubona umuti. Gutakaza iminsi mike ya statin ntabwo ari ikibazo gikomeye nk'uko gutakaza umuti wa insuline bimeze, kuko statin zikora gahoro gahoro, ariko kureka kwishyira mu mwanya w'ibyumweru gutanga mu ibanga ubwirinzi bwari bubaka. Icya kabiri, koresha inzira zihuta zo kongera imiti: urugero rwawe rushobora gusaba uburenganzira bwo kongera imiti ku wo wabwandikiye, kandi bimwe mu bihugu byemera ko abaganga baha umuntu urugero ruto rw'imiti itoroshye kuboneka mu gihe cyihutirwa [igereranya: ugumane muri rusange, amategeko arahinduka]. Icya gatatu, niba utegera uwagwandikiye, warimukiye, cyangwa waratakaje ubwishingizi, ubuvuzi kuri interneti bushobora kwihutisha iyi nzira: ubuvuzi bwihutirwa kuri interineti bwa August burimo gusura umuganga wemewe muri Leta Zunze Ubumwe za Amerika ku giciro gihamye cya $39 washobora kureba amakuru yawe n'ibisubizo bya kolesteroli ya vuba aha kandi, igihe bikwiye, akaguha imiti mu gihe usubira kwivuza busanzwe [igereranya: August yandika imiti isanzwe]. Gusura ntibihamya ko uzandikirwa, kandi gucunga kolesteroli igihe kirekire bikomeza kuba inshingano y'umuganga usanzwe, ariko inzira yo kwihutisha mu munsi iruta ikirere cyo gutegereza igihe kitazwi.

Icyo gishobora kugabanya kolesteroli nta kiyobyabwenge

Ubwe ntabwo abeshya: nta bicuruzwa byo hanze bifitanye isano na statin, ariko imico yawe ishobora kugabanya ingano z'ikizere. Impinduka zifite impamvu zikomeye, nk'uko American Heart Association ibivuga, ni fiber nyinshi yoroshye (ingano, ibishyimbo, imbuto), gusimbuza amavuta adahwagije ay'amavuta y'ingano, imikino ngororamubiri isanzwe, kugabanya ibiro byinshi, no kureka kwanduza, bigashyira hejuru HDL yawe. Ibi byose hamwe birashobora kugabanya LDL cyane. Ingano nyayo: niba statin yaranditswe, cyane cyane nyuma y'ikibazo cy'umutima cyangwa kubera kolesteroli ikomeye cyane mu miryango, ubuzima burashobora kugabanya dose ukeneye aho gusimbura imiti. Inyungu nyayo kuri atorvastatin yo hanze ni iyo mico hamwe n'imiti, bikorana.

Witandukana na bisubizo byihutirwa

Ikirongo kimwe gikwiriye warning. Umuneke w'umuhondo ucururizwa nk'ikiyobyabwenge cya statin, kandi hano niho bigorana: ikintu gikora mu muhondo kugabanya kolesteroli ni kimwe mu buryo bw'imiti nk'ikiyobyabwenge lovastatin. Ku buryo igicuruzwa gikomeye cyane kugira ngo gikore gishobora gutera ingaruka kimwe n'ikiyobyabwenge cya statin, ariko kidafite kwiyongera kwa dose cyangwa igenzura, kandi iperereza ryerekanye ko ingano zihindagurika cyane, rimwe na rimwe zidasanzwe, hagati y'ubwoko bw'ibicuruzwa, hamwe n'ibinyobwa bimwe na bimwe. Wabona ikiyobyabwenge kidagenzurwa mu ibanga. Niba ushaka ibisubizo bya statin, ikiyobyabwenge cyanditswe ni cyiza cyane kuko hari uwupima kandi ugenda areba.

Impamvu gutandukana na byo ari ikibazo gikomeye

Ibi ni ikosa urupapuro rwose rushaka kwirinda. Kolesteroli nyinshi ntigaragaza ibimenyetso, bityo nta kintu cyihariye cyumvikana iyo uhagaritse atorvastatin, bigatuma guhagarika byoroha cyane kandi bikaba bibi cyane. Ibyo byiza by'imiti ni ibitagomba kuboneka kandi bifata igihe kirekire: impanuka nke z'umutima n'ududomo mu bihe bizaza. Niba ibiyobyabwenge, ibibazo by'imitsi bigaragara, bigutera guhagarika, ntuhagarike gusa; umuntu w'umuganga ashobora kugabanya dose, gusimbuza statin, cyangwa guhindura igihe, kandi akenshi ibibazo by'imitsi birakira. Niba ikiguzi ari ikibazo, atorvastatin ya jeneriki ni imwe mu miti itakoreshwa cyane. Mu bihe byombi, ikemurwa ni ikiganiro, si icyobo cy'umuti.

Igihe kolesteroli ikoreye mu kinyoma gikomeye

Kolesteroli ubwayo ntabwo ari ikibazo gikomeye, ariko ibyo ishobora gutera byaba ari byo. Hamagara 911 ku bubabare mu gituza cyangwa ku gitutu, ububabare bukurwa mu ntoke, mu muhogo, cyangwa mu mugongo, guhumeka bigoranye, cyangwa intege nke ikoreshwa, guhitana, kugorwa no kuvuga, cyangwa kubura ubwenge, ibi bishobora kwerekana impanuka y'umutima cyangwa ududomo. Kubikora kubw'ubuntu, niba uri kuri statin kandi ufite ububabare bukomeye bw'imitsi cyangwa intege nke, cyane cyane ufite inkari zihuze, uhagarike kandi wirebe ako kanya; ni gake, ariko ni ikiyobyabwenge kimwe cya statin kigomba kwitabwaho vuba aho gusura busanzwe.

IBIBAZO BISANZWE BIBAZWA

Atorvastatin iba hanze mu ntara n'intara imwe muri Leta Zunze Ubumwe za Amerika?
Oya. Amategeko mashya y'intara yahinduye uburenganzira ku miti imwe n'imwe ntibigira ingaruka kuri statin. Atorvastatin isaba kwandikwa na muganga mu ntara 50 zose, kandi FDA yahakanye inshuro nyinshi ko statin na rimwe zaba hanze.

Nshobora kugura atorvastatin kuri interineti nta kwandikwa na muganga?
Ibitaramiro bikoresha statin nta kwandikwa na muganga ntabwo byemewe, kandi imiti y'umutima mpimbano ni ikibazo cyukuri, gishobora gutera akaga. Ubuvuzi bwa interineti bwemewe bisobanura ko muganga wemewe agupima mbere, hanyuma pharmacy yemewe ikuzuza resept, kandi ubuvuzi kuri interineti bushobora kubiteganyiriza mu munsi.

Ese umuhondo w'umuneke ni uw'ubusimbura bwigenga?
Ntabwo rwose. Ikintu gikora mu muhondo ni kimwe mu buryo bw'imiti nk'ikiyobyabwenge cya statin, bityo gikaba gishobora gutera ingaruka kimwe na dose control cyangwa igenzura, kandi ingano zihindagurika cyane hagati y'ubwoko. Statin ifite dose igenzura kandi igenzurwa ni inzira nziza yo kubona ibisubizo bya statin.

Biba bite se ntamara atorvastatin?
Kolesteroli yawe yongera kuzamuka mu cyumweru, yongera kuryama mu mitsi y'umutima n'ududomo nta bunyagira. Niba ibiyobyabwenge cyangwa ikiguzi aribyo bitera guhagarika, wibutsa muganga; impinduka za dose, statin itandukanye, cyangwa jeneriki akenshi bizakemura ikibazo.

Ese muganga wo kuri interineti ashobora kumpa statin yanjye?
Kubw'igenzura no kwishyura ikirere mu gihe bikwiye, kenshi cyane, cyane cyane ufite ibisubizo bya kolesteroli ya vuba aha kugira ngo uhuze [igereranya: ubwoko bwa August bwo kwishyura imiti isanzwe]. Gucunga igihe kirekire, hamwe n'intego no gusuzuma inshuro runaka, ni inshingano y'umuganga usanzwe, kandi gusura rushobora kugufasha gusubira kuri uwo muganga.

Atorvastatin ya jeneriki ifite agaciro kangana iki?
Ni imwe mu miti idaciriritse cyane muri Leta Zunze Ubumwe za Amerika, akenshi ni amadolari make mu kwezi hamwe n'ikizamini cyo gukoresha pharmacy [igereranya: ingano y'ibiciro by'ubu]. Ikiguzi ntacyo gikora kugira ngo ube utagikoresha; wibutsa mu gihe cyo gusura niba cyari cyaragenzuwe.

Ese ibibazo by'imitsi kubera atorvastatin ni bibi?
Kenshi ntacyo; ibibazo byoroheje bihari kandi birashoboka, kandi kenshi dose cyangwa imiti ihinduye bizakemura. Umuhanuzi ni ububabare bukomeye bw'imitsi bufite intege nke hamwe n'inkari zihuze, bigomba kwitabwaho vuba. Wibutsa ibibazo by'imitsi aho kugira ngo uhangane nabyo.

Ese nkomeza kugenda nkenera statin niba imirire yanjye ari myiza?
Rimwe na rimwe ingano n'ikizamini cy'umutima wawe bivuga ko ubikeneye, cyane cyane nyuma y'ikibazo cy'umutima cyangwa kubera kolesteroli ikomeye mu muryango. Imirire igabanya dose ukeneye kenshi kuruta uko isimbura imiti. Umuganga wawe arabishyira hamwe.