Cha, i-atorvastatin ethengiswa ngaphandle kwekhadi lika dkt ayitholakali e-US, futhi akukho ne-statin enjalo. I-Atorvastatin (Lipitor) ihlala idinga ikhadi likadkt ngoba idinga ukuhlolwa kwe-cholesterol ukuze kugunyazwe, ukulungiswa kwemithamo ngokuhamba kwesikhathi, kanye nokuhlolwa kwegazi ngezikhathi ezithile ukuze kuqashwe isibindi sakho. Uma uphelelwe izikweletu, leso yisici esingalungiswa: ukuvakashelwa kwe-inthanethi okungu-R39 kungakuxhumanisa nodokotela ngalolo suku olufanayo ongakwazi ukunikeza imithi lapho kufanele khona futhi kukuvimbele ukuthi uphuthelwe imithamo.

Okubalulekile

  • Ayikho i-statin ethengiswa ngaphandle kwekhadi lika dkt e-US; abenzi bemithi bazamile futhi i-FDA yathi cha izikhathi eziningi.

  • Isizathu esivamile salokhu kufuna ukuphelelwa yimithamo, futhi i-telehealth ingakwazi ukuvala lesi sihloko ngalolo suku olufanayo [qinisekisa: ububanzi bokugcwalisa kabusha].

  • Ungayeki ukusebenzisa i-statin ngasese; inzuzo ukuvimbela ukuhlaselwa yinhliziyo nesifo sohlanga ongakuzwa sakha.

  • Ukudla nokuzivocavoca kunciphisa i-cholesterol futhi kubalulekile, kodwa kungavamile ukufaka i-statin uma usuvele uyilwelwe.

  • Indlela eqinisekisiwe ihamba phambili kunamanje aphezulu afana nerayisi elibomvu lamagwele, elingalawulwa futhi lingahambelani.

Kungani kungekho atorvastatin ngaphandle kwekhadi lika dkt

Umlando omkhulu wokuthi "akukho statins OTC" akusho ukuthi abazange bazame, okuyinto eyenzeka. Izinkampani zemithi ziye zavakashela i-FDA izikhathi ezingaphezu kweyodwa ukuba zithengise ama-statin amancane ngaphandle kwekhadi lika dkt, futhi abalawuli bayenqaba, ngoba ukwelashwa nge-statin kuncike ezintweni umthengi wangaphandle ayikwazi ukuzenza. Kuqala ngesizathu sokwelapha: izinombolo zakho ze-cholesterol kanye nesithombe sakho esiphelele sezengozi yenhliziyo, hhayi ukuqagela. Kudinga ukulungiswa kwemithamo maqondana nomgomo, kanye nokuhlola ngezikhathi ezithile, ukuhlolwa kwesibindi, nokunaka izimpawu zemisipha. Futhi ihambelana nemithi eminingi ejwayelekile, kufaka phakathi ama-antibiotic athile nemithi yenhliziyo. Umgqugquzeli uhlanganisa konke lokhu, yingakho i-atorvastatin ngaphandle kwekhadi lika dkt iyona kuphela endaweni yonke izifundazwe, kufaka phakathi lezo zakamuva ezikhulule izimiso ezithile zemithi engahlobene.

Uphenolwe yi-atorvastatin? Yenza lokhu namuhla

Uma ulapha ngoba ibhodlela seliyinhlama, lesi yisigaba esibalulekile. Okokuqala, ungazami ukuthi "ukubuyekeza" izinsuku ezingekho kamuva ngokudobha; qhubeka nje ngokujwayelekile uma usunayo. Ukuphuthelwa yizinsuku ezimbalwa ze-statin akusona isimo esiphuthumayo njengokulahlekelwa umthamo we-insulin, ngoba ama-statin asebenza kancane, kodwa ukwehlisa amasonto kungahle kukunikeze uvikelo obubakhe. Okwesibili, sebenzisa imizila yokugcwalisa ngokushesha: ikhemisi lakho lingavame ukucela imvume yokugcwalisa kabusha kumuntu okubhalela umuthi, futhi ezinye izifundazwe zivumela osokhemisi ukuba banikeze isiphuzo esiphuthumayo esifushane semithi yokuphila [qinisekisa: gcina i general, imithetho iyahlukahluka]. Okwesithathu, uma umgqugquzeli wakho engatholakali, usushintshile, noma ulahle ukuzinakekela, i-telehealth ingakwazi ukuvala igebe: i-ukuhlinzekwa kwezidingo ezibucayi eziku-inthanethi kuka-August inikeza ukuvakashelwa okubalulekile ngodokotela ongahlonishwa wase-US ongabuyekeza umlando wakho nemiphumela yakamuva ye-cholesterol futhi, lapho kufanele khona, anikeze imithamo ngenkathi ubuyisa ukunakekelwa okujwayelekile [qinisekisa: u-August unikeza izikweletu zemithi yokuphila]. Ukuvakashela akubanga isiqinisekiso sokunikezwa imithi, futhi ukuphathwa kwe-cholesterol yesikhathi eside kuseyindawo kadokotela ojwayelekile, kodwa ibhuloho losuku olufanayo lingcono kunokuba kube nesikhathi esingapheli.

Okwehlisa i-cholesterol ngempela ngaphandle kwekhadi lika dkt

Ukuqiniswa kuqala: akukho mkhiqizo we-OTC ofana ne-statin, kodwa imikhuba yakho ihambisa izinombolo ngempela. Izinguquko ezinobufakazi obuqotho, ngokusho kwe-American Heart Association, zifaka i-fiber encibilikayo (oats, ubhontshisi, izithelo), ukushintsha amafutha agcwele ngamafutha angagcwali, ukuzivocavoca njalo, ukulahlekelwa isisindo esidlulele, nokuyeka ukubhema, okukhuphula i-HDL yakho yokuvikela. Ngokuhlangana lezi zinganciphisa ngempela i-LDL. Umkhawulo oqotho: uma i-statin yabelwa, ikakhulukazi ngemuva komcimbi wenhliziyo noma i-cholesterol ephezulu yezakhi zofuzo, impilo evamile ihlehlisa umthamo owudingayo kunokuba ifake imithi. Okunye okungcono kakhulu i-atorvastatin OTC eyengeziwe yileyo mikhuba kanye nemithi, kusebenza ndawonye.

Yeqa i-shortcut yamanje

I-aisle eyodwa ifanele isixwayiso esiqondile. Irice elimnyama lamagwele lithengiswa njenge-statin yemvelo, futhi nansi inkinga: into esebenzayo kuyo enciphisa i-cholesterol iyefana ne-statin yokunikezwa kuka-lovastatin ngendlela yamachweba. Ngakho umkhiqizo owomele ukusebenza unenkinga efanayo yemigquba nesibindi njenge-statin, kodwa ngaphandle kokulawulwa komthamo noma ukuqashwa, futhi ukuhlolwa kuye kwathola amanani ahlukahlukene kakhulu, ngezinye izikhathi amancane kakhulu, phakathi kwezinhlobo, kanye nezithako zokungcola ngezikhathi ezithile. Uzobe uthatha i-statin engalawulwa ngaphandle kokubona. Uma ufuna imiphumela efana ne-statin, inguqulo yokunikezwa kuka dkt iphephile ngqo ngoba kunomuntu olinganisa futhi uqaphela.

Kungani ukuphuma kuseyingozi yangempela

Lena yiphutha leli khasi lonke lizama ukulivimbela. I-cholesterol ephezulu ayinazo izimpawu, ngakho akukho lutho oluzwakala luhlukile lapho uyeka i-atorvastatin, okwenza ukuphuma kube lula kakhulu futhi kube yingozi yangempela. Umklomelo womuthi awubonakali futhi uhlala isikhathi eside: ukuhlaselwa okuncane kwenhliziyo nesifo sohlanga lapho kudlula. Uma izimo ezibi, ubuhlungu bemisipha buyisikhalazo esijwayelekile, kukuphusha ukuba uphume, ungamane uyeke; udokotela anganciphisa umthamo, ashintshe ama-statin, noma ashintshe isikhathi, futhi izinhlungu zivame ukudlula. Uma izindleko ziyinkinga, i-atorvastatin ejwayelekile ingenye yemithi eshibhe kakhulu. Noma kunjalo, isixazululo yingxoxo, hhayi ibhodlela elingenalutho.

Lapho i-cholesterol ihamba ibe yisimo esiphuthumayo

I-cholesterol ngokwayo akuyona isimo esiphuthumayo, kodwa lokho ebanga ngakho kungaba. Shayela u-911 ubuhlungu besifuba noma ingcindezi, ubuhlungu obusakazeka engalweni, entanyeni, noma emhlane, ukungaphefumuli, noma ubuthakathaka ngokuzumayo, ukuvimbela, ubunzima bokukhuluma, noma ukulahlekelwa umbono, okungabonisa ukuhlaselwa yinhliziyo noma isifo sohlanga. Ngokwehlukana, uma use-statin futhi uthola ubuhlungu obukhulu bemisipha noma ubuthakathaka, ikakhulukazi nomchamo omnyama, yeka bese ufuna ukunakekelwa ngokushesha; kuyivelakancane, kodwa yiyo kuphela isimo esibi se-statin esidinga ukunakwa ngokushesha kunokuphathwa okuvamile.

Imibuzo Evame Ukubuzwa

Ingabe i-atorvastatin iyatholakala ngaphandle kwekhadi lika dkt kunoma yisiphi isifundazwe sase-US?
Cha. Imithetho yakamuva yesifundazwe ekhulule ukufinyelela kwemithi ethile ayithinti ama-statin. I-Atorvastatin idinga ikhadi lika dkt kuzo zonke izifundazwe ezingu-50, futhi i-FDA iye yenqaba izikhathi eziningi ukuba yenze noma yimaphi ama-statin OTC.

Ngingathenga i-atorvastatin ku-inthanethi ngaphandle kwekhadi lika dkt?
Izindawo ezithumela ama-statin ngaphandle kwekhadi lika dkt azinayo ilayisensi, futhi imithi yenhliziyo eyenziwe ngomgunyathi iyinkinga yangempela, eyingozi. Ukunakekelwa kwe-inthanethi okusemthethweni kusho ukuthi udokotela ongahlonishwa ukuhlola kuqala, bese ikhemisi eligunyaziwe ligcwalisa imiyalelo, okungahlelwa yi-telehealth ngalolo suku olufanayo.

Ingabe irice elimnyama lamagwele lingcono?
Cha kakhulu. Into esebenzayo kuyo ifana ne-statin yokunikezwa kuka dkt ngendlela yamachweba, ngakho-ke inezingozi ezifanayo ngaphandle kokulawulwa komthamo noma ukuqashwa, futhi amanani ahlukahlukene kakhulu phakathi kwezinhlobo. I-statin elinganiswe kahle, eliqashwe yiyona ndlela ephephile yokuthola imiphumela efana ne-statin.

Kwenzekani uma ngiyeka ukuphuza i-atorvastatin?
I-LDL yakho ye-cholesterol iyakhuphuka emavikini, ngesikhathi kukhula ubungozi bokuhlaselwa yinhliziyo nesifo sohlanga ngaphandle kwezimpawu zesixwayiso. Uma izimo ezibi noma izindleko kuyisizathu, tshela udokotela; izinguquko zemithamo, i-statin ehlukile, noma i-generic avame ukulungisa.

Ungakwazi udokotela we-telehealth ukuphatha i-statin yami?
Ukuze uthole ukuhlolwa nokugcwaliswa kabusha kwesikhashana lapho kufanele khona, kuvame ukuthi yebo, ikakhulukazi nemiphumela yakamuva ye-lipid ongayabelana ngayo [qinisekisa: ububanzi bemithi yokuphila ka-August]. Ukuphathwa okuqhubekayo, nokubeka imigomo kanye nokuhlolwa njalo, kungeyodokotela ojwayelekile, futhi ukuvakashelwa kungakusiza ubuyise lokho.

Kubiza malini i-atorvastatin ejwayelekile?
Ingenye yemithi ebiza kancane kakhulu e-US, ngokuvamile ngamaRandi ambalwa ngenyanga ngekhadi lesaphulelo lekhemisi [qinisekisa: ububanzi zamanje bezintengo]. Izindleko azivamile ukuba yisizathu esihle sokuphuthelwa; zikhulume ekuvakasheni kwakho uma kube yisithiyo.

Ubuhlungu bemisipha obubangelwa yi-atorvastatin buyingozi?
Ngokuvamile cha; izinhlungu ezincane ziyajwayelekile futhi zingalawuleka, futhi kaningi umthamo noma ukushintshwa komuthi kuzozixazulula. Okungavamile yingobuhlungu obukhulu bemisipha obunamandla kanye nomchamo omnyama, okudinga ukunakwa kwezokwelapha ngokushesha. Bika izimpawu zemisipha kunokuba uzidlule.

Ngisadinga ama-statin uma ukudla kwami kukuhle?
Ngezinye izikhathi izinombolo kanye nephrofayili yakho yengozi yenhliziyo isacela eyodwa, ikakhulukazi ngemuva komcimbi wenhliziyo noma nge-cholesterol ephezulu yomndeni. Ukudla kunciphisa umthamo owudingayo kaningi kunokuba kunciphise imithi. Udokotela wakho ulinganisa zombili ndawonye.