Mphesa yamtengo wa zipatso amaletsa kuwonongeka kwa mankhwala ena.
Inde, madzi a zipatso amtengo wa zipatso amadzaza mavitamini ndi zakudya. Kwa ambiri, galasi la madzi a mphesa ndi njira yabwino yothetsera tsiku. Komabe, ngati muli ndi mankhwala ena, monga mankhwala ena amodzi otchedwa statins, muyenera kupewa kumwa madzi a mpesa mukamamwa mankhwalawa. Madzi a mpesa amatha kulepheretsa thupi lanu kuthetsa mankhwalawa, zomwe zingayambitse mavuto.
Madzi a Mphesa ndi Zolemba Zina Sungasakanike
Madzi a zipatso zamtengo wapatali wamtengo wapatali wamtengo wapatali wam'madzi komanso mankhwala enaake (omwe amagwiritsidwa ntchito pochizira mafuta ambiri a m'thupi) monga Lipitor (atorvastatin), Mevacor (lovastatin), ndi Zocor (simvastatin) sagwirizana. Madzi amtengo wa zipatso amatha kuwononga mavitamini omwe amathandiza mankhwala ambiri kuphatikizapo Lipitor, Mevacor, ndi Zocor .
Ngati mumamwa madzi a mpesa mukamamwa mankhwala amodzi, mankhwala osokoneza bongo amatha kulowa m'magazi anu. Izi zingayambitse mavuto, monga matenda oopsa a minofu kapena chiwindi. Mwapadera kwambiri, madzi a mphesa amalepheretsa p450 pulogalamu ya pulogalamu ya pulosi ya hepatic (chiwindi), yomwe imaphwanya mankhwala osokoneza bongo.
Pogwiritsa ntchito mavitamini a chiwindi, chogwiritsidwa ntchito kwambiri chimakhudza thupi lanu. Mwa kuyankhula kwina, zotsatira za mankhwala osokoneza bongo zimayambika mwa anthu omwe amamwa madzi a mandimu. Zoipa za statins zimaphatikizapo kuwonongeka kwa minofu ndi chiwindi.
Matenda a Cytochrome P450 amasungidwa m'mapangidwe a maselo omwe amapezeka osati m'chiwindi komanso impso, m'mimba ndi m'mapapu.
Mavitaminiwa a P450 amamwa mankhwala osokoneza bongo. Kuwonjezera pa madzi a mphesa, makamaka pa furanocoumarins mu madzi amtengo wa zipatso, zina zimapezetsa mapuloteni a cytochrome P450 kuphatikizapo cimetidine (histamine blocker yogwiritsira ntchito GERD), erythromycin (antibiotic) ndi isoniazid (mankhwala ochizira chifuwa chachikulu).
Chonde kumbukirani kuti pali mankhwala ambiri omwe amachititsa chisokonezo ndi cytochrome P450, ndipo ngati muli ndi mafunso okhudza momwe mungayanjanitsire, chonde lembani ndi dokotala wanu. Dokotala wanu ayeneranso kufufuza ngati mankhwala omwe mukuwagwiritsira ntchito akutsutsana ndi wina kapena mzake.
Nthawi yomwe mumatenga mankhwalawa ndi nthawi yomwe mumadya mphesa kapena kumwa madzi amtundu wa mpesa sachepetsa chiopsezo chanu chokhudzana ndi mankhwala osokoneza bongo - kuyanjana kumatha masiku atatu mutatha kudya mphesa. Izi zikutanthauza kuti simungathe kumwa madzi a mphesa m'mawa ndikumwa mankhwala anu tsiku lotsatira.
Zosankha Zamankhwala
Muli ndi njira zingapo:
- Mukhoza kuletsa zipatso zamtengo wapatali kuchokera ku zakudya zanu ndikulowetsamo zipatso zina ndi timadziti ta zipatso, kapena
- Ngati mukufuna kuti mupitirize kudya zamagetsi, lankhulani ndi dokotala wanu za kugwiritsa ntchito mankhwala ena.
Ma statin angapo amapezeka samagwirizanitsa ndi madzi a mphesa ndipo ali otetezeka kuti agwiritse ntchito. Izi zikuphatikizapo:
- Crestor (rosuvastatin)
- Lescol (fluvastatin)
- Pravachol (pravastatin)
Zambiri Zambiri
Ngati muli ndi mafunso okhudzana ndi mankhwala osokoneza bongo ndi madzi a mphesa, chonde tchulani zodandaulazi ndi dokotala wanu.
Chonde kumbukirani kuti dokotala wanu ndi chitsimikizo chabwino kwambiri ndipo alipo kuti athandizidwe kutsogoleredwa kudzera kuchipatala ndikuyesetsa kuti mukhale ndi thanzi labwino.
Zosankha Zosankhidwa
Mutu wotchedwa "Kugwiritsa ntchito mankhwala osokoneza bongo chifukwa cha cytochrome P450" ndi CC Ogu ndi JL Maxa omwe amafalitsidwa ku Baylor University Medical Center Proceedings mu 2000.
Trevor AJ, Katzung BG, Kruidering-Hall M. Antifungal Agents. Mu: Trevor AJ, Katzung BG, Kruidering-Hall M. eds. Katzung & Trevor's Pharmacology: Kupenda & Kubwereza Bungwe, 11e . New York, NY: Hill ya McGraw; 2015. Idapezeka pa February 29, 2016.