Matenda a Chiwindi Chifukwa cha Zolemba ndi Zotsatira za Malemba pa Matenda a Chiwindi
Kodi mungamwe mowa ndi Lipitor kapena mankhwala ena a statin? Ngati phukusi likutanthauza "kumwa mowa" kudya, kodi izi zikutanthauza chiyani? Kodi zotsatira za statins pachiwindi ndi chiyani? Kuchokera kumbali yina, kodi tikudziwa chiyani za zotsatira za statins pa matenda a chiwindi?
Ubwino wa mankhwala a statin ngati Lipitor (Atorvastatin)
Statins yapanga kusiyana kwakukulu pa matenda a mtima.
Zimakhazikitsa zida zapamwamba zomwe zimayambitsa matenda a mtima, omwe amachititsa imfa ku US asanafike khansa. Amachepetsa kukula kwa miyalayi . Amachepetsa kutupa . Amawoneka kuti amathandiza ndi magazi osadziwika. Amachepetsa chiopsezo cha matenda a Alzheimers. Amachepetse mwayi kuti mukhale ndi cataracts. Iwo akhoza ngakhale kusintha kupulumuka ndi khansa ya m'mapapo , chifukwa chofala kwambiri cha imfa zokhudzana ndi khansa mwa amuna ndi akazi. Choncho funso loti muyenera kugwirizanitsa mankhwalawa ndi mowa tiyenera kuyankha mosamala.
Chenjezo la Mowa ndi Lipitor (Statins)
Malinga ndi Lipitor yolemba (atorvastatin) phukusi lovomerezedwa ndi US Food and Drug Administration (FDA) -Lipitor "ayenera kugwiritsidwa ntchito mosamala kwa odwala omwe amamwa kwambiri mowa ndi / kapena kuti ali ndi mbiri ya matenda a chiwindi." Mwatsoka , palibe "tanthauzo" lakumwa mowa kwambiri.
Kuti mumvetsetse chifukwa chake mowa uliwonse ukhoza kukhala wovuta ndi Lipitor kapena statins iliyonse , tiyeni tiwone momwe mankhwalawa angakhudzire chiwindi, ndi momwe mowa ungapangire zotsatira.
Zotsatira za malemba pa chiwindi
Si zachilendo kukhala ndi chiwopsezo cha chiwindi mwachisawawa pamene mutenga zilembo, koma nkofunika kumvetsetsa zomwe zatha.
Pali njira zosiyanasiyana zofotokozera momwe zizindikiro zimakhudzira chiwindi, kotero tiyeni tione kusintha kwa chiwindi chowopsa (popanda zizindikiro,) matenda a chiwindi (zizindikiro) zogwiritsidwa ntchito kwa statin, matenda aakulu a chiwindi, komanso momwe zilembo zingathe kuchepetsa anthu ena omwe ali ndi matenda a chiwindi.
Mavitamini a Chiwindi ndi Zolemba monga Lipitor
Zovomerezeka zamakono ndizimene mayesero a chiwindi amayang'anitsitsa asanayambe Lipitor, ndiyeno patapita masabata 12. Kuwunika kumafunika kupitilira nthawi ndi nthawi kuti munthu akhale ndi mankhwala. Izi zikuti, pamene Lipitor akhala ali pamsika, madokotala ambiri ochepa akhala akutsatira mayeserowa pakapita nthawi.
Kafukufuku apeza kuti anthu ena omwe amagwiritsa ntchito Lipitor ali ndi mapulaneti a chiwindi cha aspartate aminotransferase (AST) ndi alanine aminotransferase (ALT.) Kuwonjezeka (mpaka kawiri kawiri kawirikawiri) mumakhalidwe amenewa kumachitika pafupifupi anthu atatu peresenti. Zomwe taphunzira pa nthawiyi, ndikuti nthawi zambiri izi zimangokhala zokha ndipo sizikhala zoopsa.
Popeza kumwa mowa mopitirira muyeso kungathenso kuwonjezera mayeso a ntchito, kuphatikiza kumwa mowa kwambiri ndi mafinoni kudzawonjezera mwayi wodabwitsa.
Kuvulaza Chiwindi ndi Statins
Kuwonongeka kwa chiwindi-kuvulala kokwanira kumayambitsa zizindikiro m'malo moyesera chabe ntchito zowononga okha-sizolowereka ndi statins, mosiyana ndi mapulaneti a michere ya chiwindi yomwe tangoyamba kumene.
Ndithudi, kuvulaza kwakukulu kwa chiwindi n'kotheka. Pali zifukwa zosachepera 50 za kuvulala kwa chiwindi mwa anthu omwe amatenga zilembo zomwe zachititsa imfa kapena kufunika kokakamiza chiwindi. Poyang'ana nambalayi, ndikofunika kuzindikira kuti panthawiyi Lipitor wakhala nambala imodzi yomwe imayikidwa mankhwala padziko lonse lapansi. (Poyerekezera, akuganiza kuti pafupifupi 15,000 anthu amafa chaka chilichonse kuchokera m'mimba m'mimba kuchokera ku Advil.) Kuvulala kwakukulu kwa chiwindi n'kotheka pa zilembo, koma izi sizodziwika.
Poyankhula za zotsatira za mowa pa matenda a chiwindi okhudzana ndi ma statins, ndizofunikira kuzindikira kuti kuvulala kwakukulu sikuchitika kawirikawiri chifukwa cha kupweteka kwa chiwombankhanga. M'malo mwake, mankhwala omwe amachititsa matenda a chiwindi nthawi zambiri amatha kudzipangira okha, omwe mankhwalawa amachititsa kuti thupi la anthu likhale ndi ma antibodies omwe amachititsa ziwalo zawo. Izi zimaonedwa kuti ndi "idiosyncratic" reaction, chinachake chomwe sichimvetsetsedwa bwino ndipo sichingakhoze kunenedweratu.
Mbali Zina za Kuyimika - Ma Statins Angakhale Othandiza ndi Matenda a Chiwindi
Zingakhale zotsitsimula kumva kuti, ngakhale mutsimikizidwe kuti muyang'ane mayesero a chiwindi, ndi chiopsezo chachikulu cha chiwopsezo chachikulu cha chiwindi, zizindikiro zingakhale zothandiza kwa anthu ena omwe ali ndi matenda a chiwindi.
Mu kufufuza kwina kuyang'ana anthu omwe ali ndi matenda oopsa a chiwindi , kugwiritsa ntchito statins kumakhala hafu ya imfa kuchokera ku chiwindi chaukali. Mapeto a kafukufuku wa 2017 anali statins ogwiritsidwa ntchito kwa anthu omwe ali ndi matenda aakulu a chiwindi angathe kuchepetsa kuchepa kwa chiwindi ndi mavuto a chiwindi chosalimba monga portal hypertension. Ma Statins akuyesedwa panopa chifukwa cha mphamvu zawo zochepetsera kuwonjezeka kwa matenda a chiwindi mwa anthu omwe ali ndi matenda osokoneza bongo.
Kuwonjezera apo, omwe ali ndi matenda a chiwindi chifukwa cha matenda aakulu a chiwindi cha matenda a chiwindi angayankhe bwino mankhwala (interferon) pamene apatsidwa statins. (Zindikirani kuti mowa umawononga chiwindi cha chiwindi C ).
N'chifukwa Chiyani Kumwa Mowa Kumayambitsa Vuto ndi Lipitor?
Zonsezi zidati, kumwa mowa mopitirira muyeso kungabweretse mavuto kwa anthu palimodzi ndi Lipitor. Kuwonjezereka kwa ntchito zowononga chiwindi sikokha kokha kotheka kumbali. Mavuto a misampha ndi statins ndi achilendo, ndipo mowa ukhoza kuwononganso. Mowa ukhozanso kusokoneza mitsempha ya mankhwala ambiri, monga omwe angagwiritsidwe ntchito pamodzi ndi Lipitor kwa matenda a mtima. Chofunika kwambiri ndi mowa mwa anthu ogwiritsa ntchito Lipitor, komabe, ndizo mavuto omwe amapezeka ndi mowa okha. Lipitor ndi zina zotere zingachepetse chiopsezo cha matenda a mtima, koma mowa, chifukwa cha zifukwa monga kumwa mowa kwambiri ndi zina zambiri, zingapangitse ngozi yanu kukhala yoipira. Zoona, mowa uli ndi zakudya zambiri, zomwe zimapangitsanso kuti munthu azidwala matenda a mtima.
Pamunsi pa Statins ndi Mowa
Zomwe anthu ambiri amafuna kudziwa ndizo, "Kodi ndingakhale ndi mowa kapena awiri kapena galasi la vinyo pamene ndikutenga zilembo? Zikuwoneka kuti kuwonjezera zakumwa zoledzeretsa kumakhala kosavuta kwenikweni.
Funso lenileni limatsikira, "Kodi muli ndi vuto la mowa?" Kwa omwe amadya mowa wochuluka (kumwa madzi oposa awiri pa tsiku kwa amayi kapena tsiku limodzi pa zakumwa za amayi), pali zambiri zoyenera kuziganizira kuposa momwe chiwindi chimakhudzira statins ndi mowa.
Kumwa Moyenera-Kodi Tanthauzo Ndi Chiyani?
Makampani a United States for Control and Prevention (CDC) amatanthauzira kumwa mowa mwauchidakwa tsiku lililonse kwa amayi ndi zakumwa ziwiri kwa amuna. Ponena za vinyo, mowa umodzi ndi ounces asanu. Komabe, ofufuza omwe akuphunzira zotsatira zopindulitsa za mowa pa kupewa matenda a mtima amatanthauzira kumwa mowa mopitirira muyezo mpaka zakumwa ziwiri tsiku ndi tsiku kwa amayi ndi zakumwa zinai tsiku ndi tsiku kwa amuna.
Zokhudzana ndi Alcohol
Ngati muli ndi mamembala kapena abwenzi omwe adandaula chifukwa chakumwa kwanu, nkofunika kuyang'ana moona mtima. Ngati mumamwa, khalani kamphindi ndikuyesera mafunso kuti muwone ngati muli ndi vuto lakumwa mowa.
Lankhulani ndi Dokotala Wanu Za Kumwa Mowa Wanu
Ngati mumamwa mowa muyenera kulola dokotala wanu kudziwa. Anthu ambiri amanyalanyaza kudya kwawo, koma kukhala woona mtima ndi dokotala wanu potsirizira pake adzakusamalirani momwe mungathere. Dokotala wanu amadziwa mbiri yanu ya zachipatala komanso zaumoyo wamakono ndipo akuyenera kukulangizani za kumwa mowa wanu.
Tengani nthawi yophunzira za njira zomwe mungasamalire chifukwa cha uchidakwa ngati mumadzidera nkhawa nokha kapena mnzanu kapena wachibale wanu. Mwamwayi, simukuyenera kupita kutali kwambiri kuti mumve nkhani zabwino zopambana kuchokera kwa anthu omwe apatsidwa chiwongoladzanja chatsopano pa moyo atasiya.
> Zosowa
- > Athyros, V., Alexandrides, T., Bilianou, H. et al. Kugwiritsiridwa ntchito kwa Statins Alone, kapena mu Mgwirizano ndi Pioglitazone ndi Mankhwala Osokoneza Bongo, Kwa Chithandizo cha Zachidakwa Zosakhala Chakumwa Matenda a Chiwindi / Osamwa Mowa Steatohepatitis ndi Related Cardiovascular Risk. Ndemanga ya gulu la akatswiri. Metabolism . 2017. 71: 17-32.
- > Bjornsson, E. Hepatotoxicity of Statins ndi Other Lipid-Kuthetsa Agents. Liver International . 2017. 37 (2): 173-178.
- > Janicko, M., Drazilova, S., Pella, D., Fedacko, J., ndi P. Jarcuska. Zotsatira zapleiotropic za Statins mu Matenda a Chiwindi. World Journal of Gastroenterology . 2016. 22 (27): 6201-13.
- > Thapar, M., Russo, M., ndi H. Bonkovsky. Kuipa kwa chikhalidwe ndi chiwindi. Gastroenterology ndi Hepatology . 2013. 9 (9): 605-606.