Chii chinonzi Colesevelam: Zvinoshandiswa, Mishonga, Zvazvinokonzera uye Zvimwe

Colesevelam mushonga unopiwa nachiremba unobatsira kuderedza cholesterol mumuviri mako. Iri rudzi rwe bile acid sequestrant inoshanda nekubatanidza kune bile acids mumukati mako, izvo zvinomanikidza muviri wako kushandisa cholesterol kugadzira mamwe bile acids, pakupedzisira kuderedza cholesterol inotenderera mumuviri mako.

Mushonga uyu unowanzo kupiwa kana kudya uye kurovedza muviri zvoga zvisina kukwana kudzora cholesterol yakakwira. Chiremba wako angakurudzira colesevelam sechikamu che nzira yakazara yekudzivirira hutano hwemoyo wako uye kuderedza njodzi yako yezvirwere zve cardiovascular.

Chii chinonzi Colesevelam?

Colesevelam ndeyemukirasi yemishonga inonzi bile acid sequestrants. Fungidzira sechiponji chakakosha chinoshanda mukati memuviri wako wekugaya kuti ubatsire kudzora cholesterol mazinga zvakasikwa.

Kusiyana nemimwe mishonga ye cholesterol inoshanda muchiropa chako, colesevelam inoshanda zvachose mumukati mako. Haisviki mumuviri wako, izvo zvinoita kuti ive sarudzo yakapfava kune vanhu vazhinji. Mushonga uyu unouya muchimiro chepiritsi uye unotorwa nemuromo, kazhinji nekudya.

Nzira iyi yekudzora cholesterol yakashandiswa zvakachengeteka kwemakore mazhinji. Colesevelam inomiririra chizvarwa chitsva che bile acid sequestrants iyo inowanzo shivirirwa zviri nani kupfuura mishonga yekare mukirasi iyi.

Chii chinonzi Colesevelam Chinoshandiswa?

Colesevelam inonyanya kushandiswa kuderedza LDL cholesterol, inowanzozivikanwa se

Mune dzimwe nguva, colesevelam inogonawo kunyorerwa kubatsira kudzora mazinga eshuga yeropa muvanhu vane chirwere cheshuga che rudzi rwechipiri. Kubatsirwa uku kaviri kunoita kuti ive yakakosha kunyanya kune vanhu vane cholesterol yakakwira uye chirwere cheshuga.

Colesevelam Inoshanda Sei?

Colesevelam inoshanda nekukanganisa maitiro ako emuviri ekudzokorodza cholesterol. Paunodya, chiropa chako chinogadzira bile acids kubatsira kugaya mafuta, uye aya bile acids anowanzo tora zvakare uye kushandiswa zvakare.

Mushonga uyu unosungirira kune bile acids mumukati mako, uchivadzivisa kuti vasadzorwe zvakare. Muviri wako unozofanira kugadzira bile acids itsva uchishandisa cholesterol kubva mumutsipa wako weropa. Maitiro aya zvishoma nezvishoma anoderera huwandu hwecholesterol inofamba muropa rako.

Colesevelam inoonekwa semushonga wecholesterol wepakati. Inowanzo deredza LDL cholesterol neanenge 15-20%, izvo zvine musoro asi kwete zvakanyanya sezvimwe zvinodhaka zvecholesterol. Nzira yakapfava, yakagadzikana inowanzoita kuti ive yakakodzera kushandiswa kwenguva refu.

Ndinofanira Kutora Sei Colesevelam?

Tora colesevelam sezvinorayirwa nachiremba wako, kazhinji nekudya uye mvura yakawanda. Iyo yakajairika yekutanga dose ndeye 3 mahwendefa kaviri pazuva nekudya, kunyangwe chiremba wako achaziva huwandu hwakakodzera hwechiitiko chako.

Kutora mushonga nekudya kunobatsira kuti ushande zvakanyanya uye kunoderedza mukana wekugumbuka mudumbu. Ita shuwa kuti unwe mvura inosvika 8 ounces nedose yega yega kubatsira mushonga kufamba nemuviri wako wekugaya zvakanaka.

Kana iwe uchitora mamwe mishonga, uchafanirwa kuaparadzanisa kubva ku colesevelam. Tora mamwe mishonga angangoita 1 awa usati watora kana maawa mana mushure mekutora colesevelam, sezvo ichigona kukanganisa kunyudzwa kwemamwe madhiragi.

Edza kutora colesevelam panguva imwechete zuva rega rega kubatsira kumisa tsika. Kuenderana uku kunobatsira kuona kuti unowana zvizere kubatsirwa kwemushonga uye kunoita kuti zviite zvishoma kuti iwe uchakanganwa dose.

Ndichatora Colesevelam kwenguva yakareba sei?

Colesevelam inowanzoita mushonga wenguva refu waunotora kwemwedzi kana makore. Cholesterol yakakwira inowanzoita mamiriro echirwere anoda kurapwa nguva dzose pane kugadzirisa kwenguva pfupi.

Unogona kuona kumwe kuvandudzwa mumazinga ako e cholesterol mukati memavhiki maviri kusvika mana ekutanga kurapwa. Zvisinei, zvinogona kutora mavhiki mana kusvika matanhatu kuti uone mhedzisiro yakazara yekuderedza cholesterol yemushonga.

Chiremba wako achatarisa mazinga ako e cholesterol nguva dzose kuburikidza nemiedzo yeropa kuti aone kuti mushonga uri kushanda sei. Zvichienderana nemigumisiro iyi, vanogona kugadzirisa muyero wako kana kukurudzira mamwe marapirwo kuti akubatsire kusvika pazvinangwa zvako zve cholesterol.

Usambomira kutora colesevelam kamwechete usati wataura nachiremba wako kutanga. Mazinga ako e cholesterol anogona kudzokera kumazinga avo ekutanga kana iwe ukamisa mushonga usina kuutsiva nemumwe mutoo wekurapa.

Ndezvipi Zvakaipa zveColesevelam?

Vanhu vazhinji vanotsungirira colesevelam zvakanaka, asi semishonga yese, inogona kukonzera mhedzisiro. Mashoko akanaka ndewekuti mhedzisiro yakakomba haisi yakajairika nekuti mushonga haupindi muropa rako.

Mhedzisiro yakajairika inosanganisira hurongwa hwako hwekugaya, sezvo ndipo panoshanda mushonga. Mhedzisiro iyi inowanzoita nani sezvo muviri wako uchigadzirisa kumushonga mumavhiki mashoma ekutanga ekurapa.

Mhedzisiro yakajairika yaungasangana nayo inosanganisira:

• Kuvharika (mhedzisiro inowanzoitika)
• Kusagadzikana mudumbu kana kusvotwa
• Gasi kana kuzvimba
• Kupisa mwoyo kana acid reflux
• Kutemwa nemusoro
• Kurwadziwa kwemhasuru

Zviratidzo izvi zvinowanzoita zvinyoro uye zvinogoneka. Kunwa mvura yakawanda, kudya chikafu chine fiber yakawanda, uye kuramba uchishingaira mumuviri kunogona kubatsira kuderedza mhedzisiro yekugaya.

Mhedzisiro isingawanzoitiki asi yakakomba inogona kusanganisira:

• Kuvimbiswa kwakanyanya uko kusingavanduki
• Kurwadziwa kwakanyanya mudumbu kana kupindika
• Kunetsa kumedza
• Kubuda ropa kana kupwanyika zvisina kujairika
• Zviratidzo zvekuvharika kwematumbo (kurwadziwa kwakanyanya mudumbu, kurutsa, kusakwanisa kupfuudza gasi)

Bata chiremba wako nekukurumidza kana ukaona chero zviratidzo izvi zvakakomba. Kunyange zvichishamisa, kuvharika kwematumbo imamiriro ezvinhu anogona kuva akakomba anoda kutariswa kwekurapa nekukurumidza.

Ndiani Asingafaniri Kutora Colesevelam?

Colesevelam haisi yemunhu wese, uye chiremba wako achatarisa hutano hwako hwese asati akuraira. Vanhu vane mamiriro akati wandei ekugaya vanogona kuda kudzivisa mushonga uyu kana kuushandisa nekuchenjerera kwakanyanya.

Haufaniri kutora colesevelam kana uine nhoroondo yekuvharika kwematumbo kana kana uine mazinga epamusoro etriglyceride (anopfuura 500 mg/dL). Mushonga unogona kuwedzera mamiriro aya.

Chiremba wako achachenjererawo nezvekukuraira colesevelam kana uine:

• Kuvimbiswa kusingaperi kana kusagadzikana kwekugaya
• Kunetsa kumedza
• Nhoroondo yekuvhiyiwa mudumbu kana mudumbu
• Kugaya kunonoka zvakanyanya (gastroparesis)
• Kushaikwa kwevhitamini, kunyanya mavhitamini anonyungudika nemafuta

Vanhu vane chirwere cheshuga vanofanira kuongororwa zvakanyanya, sezvo colesevelam inogona kukanganisa mazinga eshuga yeropa. Kunyange izvi zvichigona kubatsira kune vamwe vanhu vane chirwere cheshuga, zvinoda kuongororwa zvakanyanya uye kugadzirisa mishonga yeshuga.

Kana uri nepamuviri kana kuyamwisa, kurukura njodzi nemabhenefiti nachiremba wako. Kunyange colesevelam isingapindi muropa, zvakakosha kuyera mabhenefiti anogona kuitika pamwe chete nenjodzi dzese dzinogona kuitika panguva yekuzvitakura.

Mazita eColesevelam Brand

Colesevelam inowanikwa pasi pezita rekuti Welchol muUnited States. Iyi ndiyo fomu inonyanya kurairwa yemushonga uye inogadzirwa neDaiichi Sankyo.

Parizvino, mhando dze generic dze colesevelam dziripo, dzinogona kubatsira kuderedza mari yekurapa. Mhando idzi dze generic dzine chinhu chimwe chete chinoshanda uye dzinoshanda zvakanyanya semhando yezita remhando.

Mubatsiri wako wemishonga anogona kutsiva otomatiki vhezheni ye generic kunze kwekunge chiremba wako achida zita remhando. Mhando dzese dzinoshanda zvakaenzana, saka sarudzo inowanzobva pamutengo uye inishuwarenzi.

Zvimwe Zvinhu Zvokutsiva Colesevelam

Kana colesevelam isingashande zvakanaka kwauri kana kukonzera mhedzisiro inonetsa, mishonga yakati wandei inogona kubatsira kudzora mazinga echolesterol. Chiremba wako anogona kukubatsira kuwana sarudzo yakanakisa yemamiriro ako chaiwo.

Zvimwe zvinosanganisira bile acid sequestrants zvinosanganisira cholestyramine (Questran) uye colestipol (Colestid), iyo yakatanga colesevelam. Izvi zvinoshanda zvakafanana ne colesevelam asi zvinogona kuve nemhedzisiro yakasiyana kana zvinodiwa zvekushandisa.

Statins dzinowanzoita yekutanga-mutsara kurapwa kwecholesterol yakakwira uye inosanganisira mishonga yakaita se atorvastatin (Lipitor), simvastatin (Zocor), uye rosuvastatin (Crestor). Izvi zvinoshanda zvakasiyana ne colesevelam nekudzivisa kugadzirwa kwecholesterol muchiropa.

Zvimwe zvinosanganisira:

• Ezetimibe (Zetia) - inodzivirira kunyudzwa kwecholesterol mumukati
• PCSK9 inhibitors senge evolocumab (Repatha) - mishonga mitsva inojekisika
• Fibrates - inobatsira kuderedza triglycerides uye inogona kuvandudza cholesterol zvishoma
• Niacin (nicotinic acid) - inogona kuvandudza cholesterol profile asi ine mhedzisiro yakakosha

Chiremba wako anogona zvakare kukurudzira mishonga yekubatanidza inosanganisira colesevelam nemimwe mishonga yekuderedza cholesterol. Sarudzo yakanakisa inoenderana nemazinga ako echolesterol, mamwe mamiriro ehutano, uye kuti unotsungirira sei mishonga yakasiyana.

Ko Colesevelam Ari Nani Pane Cholestyramine Here?

Colesevelam inopa zvakanakira zvakawanda pamusoro pecholestyramine, mushonga wekare we bile acid sequestrant. Mishonga yese iri miviri inoshanda zvakafanana, asi colesevelam inowanzo shandiswa zviri nani nevakawanda.

Chinhu chikuru chinonakidza checolesevelam ndechekuti inokonzera matambudziko mashoma ekugaya chikafu. Kunyange zvazvo mishonga yese iri miviri ichigona kukonzera kuvharika uye kusagadzikana mudumbu, colesevelam inowanzoita zviratidzo zvinyoro zviri nyore kubata.

Colesevelam inouyawo muchimiro chepiritsi chiri nyore, nepo cholestyramine iripo seupfu hunofanira kusanganiswa nemvura. Vanhu vazhinji vanowana mapiritsi ari nyore kutora nguva dzose, izvo zvinovandudza kutevedzwa kwekurapa.

Kubva pakuona kushanda, mishonga yese iri miviri inopa zvakafanana zvinobatsira kuderedza cholesterol. Sarudzo pakati pavo inowanzoenderana nekushivirira, nyore, uye kufunga kwemutengo.

Zvisinei, cholestyramine yanga iripo kwenguva refu uye inogona kunge isingadhuri, kunyanya muchimiro chegeneric. Chiremba wako anogona kukubatsira kuyera zvakanakira nezvakaipa zvichienderana nezvido zvako zvakakosha nezvaunofarira.

Mibvunzo Inowanzo Bvunzwa Nezve Colesevelam

Q1. Colesevelam Yakachengeteka Kune Vanhu vane Chirwere cheShuga here?

Hongu, colesevelam inowanzova yakachengeteka kune vanhu vane chirwere cheshuga uye inogona kutobatsira kuvandudza kutonga kweshuga yeropa. Muchokwadi, inobvumirwa zvakananga neFDA kubatsira kubata mazinga eshuga yeropa muvanhu vane chirwere cheshuga che2.

Mishonga inogona kubatsira kuderedza cholesterol uye mazinga eshuga yeropa, izvo zvinonyanya kubatsira sezvo vanhu vane chirwere cheshuga vane njodzi yakakwira yechirwere chemoyo. Zvisinei, iwe uchada kuongorora pedyo mazinga eshuga yeropa rako paunotanga colesevelam.

Chiremba wako angangoda kugadzirisa mishonga yako yechirwere cheshuga paunotanga colesevelam, sezvo kuvandudzwa kwekutonga kweshuga yeropa kungareva kuti unoda zvishoma zvemishonga yako yechirwere cheshuga iripo. Usambofa wakagadzirisa mishonga yako yechirwere cheshuga wega.

Q2. Ndingaita Sei Kana Ndikatora Colesevelam Yakawandisa Netsaona?

Kana ukatora colesevelam yakawanda kupfuura yakanyorwa netsaona, usavhunduka. Sezvo mushonga usingapindi muropa rako, kuwandisa kudiki hakuiti kukuvadza zvakanyanya.

Unogona kuona kuwedzera kwemigumisiro yekudya senge kuvharika, dumbu rinogumbuka, kana kuzvimba. Inwa mvura yakawanda uye idya chikafu chine fiber yakawanda kuti ibatsire kufambisa mushonga mumuviri wako.

Kana wakatora huwandu hukuru kana uri kuona zviratidzo zvakanyanya, taura nachiremba wako kana nzvimbo yekudzora chepfu. Vanogona kupa gwara rakatarwa zvichienderana nehuwandu hwawakatora uye zviratidzo zvako zvazvino.

Munguva yemberi, funga kushandisa chirongwa chemishonga kana kumisa zviyeuchidzo zvefoni kubatsira kudzivirira kuwedzera mishonga netsaona. Kutora mishonga panguva imwe chete zuva rega rega kunobatsirawo kumisa tsika inoderedza kukanganisa.

Q3. Ndingaita Sei Kana Ndakakanganwa Dose yeColesevelam?

Kana ukakanganwa dose ye colesevelam, itore paunorangarira, chero zvakadaro uchiitora nekudya. Sezvo mushonga uchishanda zvakanyanya kana uchitorwa nekudya, usatore dose yakakanganwa mudumbu risina chinhu.

Kana yava nguva yekutora dose yako inotevera, siya dose yakakanganwa uye uenderere mberi nechirongwa chako chemazuva ese. Usatore madosi maviri panguva imwe chete kuti ugadzirise dose yakakanganwa, sezvo izvi zvinogona kuwedzera njodzi yako yemigumisiro.

Kukanganwa dose dzimwe nguva hakuzokukuvadzi, asi edza kutora colesevelam nguva dzose kuti uwane mhedzisiro yakanaka yekuderedza cholesterol. Kana iwe uchikanganwa madosi kazhinji, taura nachiremba wako nezve nzira dzekuvandudza kutevedzera mishonga.

Funga kumisa zviyeuchidzo zvemazuva ese pafoni yako kana kushandisa chirongwa chemishonga chevhiki nevhiki kuti zvikubatsire kurangarira mishonga yako. Kutora colesevelam panguva imwe chete nekudya kwako kunogonawo kubatsira kumisa tsika.

Q4. Ndingamira Rini Kutora Colesevelam?

Unofanira kungomira kutora colesevelam pasi pekutariswa kwachiremba wako. Cholesterol yakakwira inowanzoita mamiriro echronic anoda kurapwa nguva dzose, saka kumisa kurapwa kazhinji hakukurudzirwi kunze kwekunge paine chikonzero chakakosha chekurapa.

Chiremba wako angangofunga kumisa colesevelam kana iwe wakawana kutonga kwakanaka kwecholesterol kuburikidza nekuchinja kukuru kwehupenyu, kana iwe uri kusangana nemigumisiro isingashiviriki, kana iwe uchida kuchinjira kumushonga wakasiyana.

Kana iwe uchida kumisa kutora colesevelam, chiremba wako achatarisa mazinga ako echolesterol zvakanyanya uye anogona kukurudzira mamwe marapirwo. Mazinga ako echolesterol anogona kudzokera kumazinga avo apfuura mukati memavhiki mashoma ekumisa mushonga.

Usambomira kutora colesevelam kamwe kamwe nekuti uri kunzwa zviri nani kana nekuti mazinga ako echolesterol akavandudzwa. Kuvandudzwa uku kunogona kunge kuri nekuda kwemushonga uchishanda nemazvo, kwete nekuti hauchadi kurapwa.

Q5. Ndingatora Colesevelam nemimwe mishonga here?

Colesevelam inogona kuita nemimwe mishonga yakawanda nekukanganisa kuti inotorwa sei zvakanaka mumukati mako. Ichi ndicho chikonzero nei nguva yakakosha pakutora colesevelam nemimwe mishonga.

Tora mimwe mishonga angangoita awa rimwe usati watanga kana maawa mana mushure mekutora colesevelam. Iyi nzvimbo inobatsira kuona kuti mimwe mishonga yako inotorwa zvakanaka colesevelam isati yakanganisa maitiro acho.

Mimwe mishonga inonyanya kukanganiswa inosanganisira zvinoderedza ropa, mishonga yegurokuro, mishonga yechirwere cheshuga, uye mamwe maantibiotics. Nguva dzose udza chiremba wako nemupharmacist nezve mishonga yese yaunotora, kusanganisira zvinodhaka zvisingatengeswe uye zvinowedzera.

Chiremba wako angangoda kugadzirisa nguva kana kuyera kwemimwe mishonga yako paunotanga colesevelam. Usachinje nguva yemishonga yako usati wambotaura nemupi wehutano wako kutanga.