Welchol (colesevelam) ndi mankhwala otsika kwa mafuta m'thupi. Kafukufuku wasonyeza kuti Welchol makamaka amachepetsa cholesterol cha LDL ndi pafupifupi 20% ndipo amamukweza pang'ono HDL mpaka 11%. Welchol saoneka kuti imakhudza triglycerides ndipo, nthawi zina, ikhoza kutulutsa triglycerides ngati itengedwa nthawi yaitali.
Welchol imasonyezedwanso kwa anthu omwe ali ndi matenda a shuga a mtundu wa 2 kuti awathandize kuchepetsa ma shuga a m'magazi ndi anyamata ndi atsikana amsamariya mpaka zaka 10 omwe amapezeka kuti ali ndi hypercholesterolemia. Ngakhale kuti mankhwalawa asonyeza kuti ndi othandiza kuchepetsa LDL, sizinapangidwe mu maphunziro kuti athetseretu chikoka cha matenda a mtima.
Welchol imapezeka m'njira ziwiri: mawonekedwe a ufa ndi piritsi. Mankhwalawa anavomerezedwa kuti agwiritsidwe ntchito ku US ndi FDA mu May 2000.
Kodi Welchol Amagwira Ntchito Bwanji?
Welchol amagwira ntchito yokakamiza kuti achuluke m'mimba ndipo amalephera kubwezeretsa. Mafuta acids amachokera ku cholesterol ndikuthandizidwa ndi chimbudzi cha mafuta omwe amadya pogwiritsa ntchito zakudya zanu. Mafuta acidi amachotsedwa chifukwa chomangidwa ku Welchol ndipo sakubwezeretsanso. Chifukwa chaichi, cholesterol amachotsedwa m'magazi ndipo amasanduka bile acid pachiwindi.
Ntchitoyi imachotsa cholesterol m'magazi - zomwe zimachititsa kuti ma LSL awonjezeke.
Kodi Muyenera Kutenga Bwanji Welchol?
Muyenera kulandira Welchol monga mwadongosolo ndi wothandizira zaumoyo wanu. Izi zidzadalira mtundu womwe mumalandira wa Welchol.
Kwa mawonekedwe a ufa a Welchol, mlingo wovomerezeka ndi phukusi limodzi la 3.75-gram tsiku lililonse, kapena awiri, mapepala a 1.875 gramu omwe amatengedwa kawiri pa tsiku.
Muyenera kutaya zomwe zili mu paketizo mu hafu imodzi kapena chikho chimodzi cha madzi, soda, kapena madzi a zipatso ndikusakaniza bwino. Zonse zomwe zili mkati mwa zakumwazo ziyenera kudyedwa, mogwirizana ndi chakudya.
Pamapiritsi, mlingo woyenera ndi kutenga mapiritsi 6 nthawi imodzi tsiku lililonse, kapena kugawidwa ngati mapiritsi atatu kawiri pa tsiku. Mapiritsi ayenera kutengedwa ndi zakudya ndi galasi lamadzi.
Ndani sayenera kutenga Welchol?
Chifukwa cha zigawo zake, pali zina zomwe Welchol sayenera kutengedwa. Izi ziphatikizapo:
- Anthu omwe asinthapo kanthu kwa Welchol kapena zigawo zake zonse.
- Aliyense amene wakhalapo ndi chitetezo cha m'mimba.
- Anthu omwe ali ndi triglycerides kwambiri (oposa 500 mg / dL), popeza Welchol akhoza kuwonjezera ma triglyceride. Kuonjezera apo, ngati mwapezeka kale kuti muli ndi chifuwa chachikulu chifukwa cha triglycerides yapamwamba, simuyenera kutenga Welchol.
Kodi Ndizifukwa ziti zomwe zidzafunike kuyang'aniridwa Pogwira Welchol?
Pali zina zomwe zingafunike kuyang'anitsitsa kwambiri pamene mutenga Welchol. Ngati muli ndi zifukwa izi m'munsizi, wothandizira zaumoyo wanu angasankhe kukuyambitsani pa Welchol, koma akuyenera kukuyang'anitsani kuti mudziwe ngati Welchol kapena osatengapo kanthu angakuvulazeni.
Mavuto awa ndi awa:
- Kukhala ndi vuto lomeza. Mapiritsi a Welchol ndi aakulu kwambiri ndipo angakhale ovuta kumeza ngati muli kale ndi nkhani.
- Masamba akuluakulu a triglyceride. Kukhala ndi mazira ochepa a triglyceride sikungakulepheretseni kutenga Welchol, koma wothandizira zaumoyo wanu angafune kuyang'anitsitsa lipids mwakuya kwambiri kuchokera ku Welchol akhoza kuonjezera magulu anu a triglyceride.
- Nkhani zogwirizana ndi m'mimba mwanu. Welchol ikhoza kuyambitsa kudzimbidwa, kotero izi zingawonongeke zina mwazimenezi.
- Welchol amadziwika ngati B. Ngakhale kuti palibe maphunziro ochulukirapo omwe akufufuza momwe polojekitiyi imathandizira komanso chitetezo cha Welchol mwa amayi apakati, maphunziro a zinyama sanawononge mwanayo. Popeza mankhwalawa amachepetsetsa mavitamini ena, zigawo zina za mavitamini osakwatiwa sangakhale othandiza pamene akutenga Welchol. Wopereka chithandizo chaumoyo wanu adzapanga chisankho ngati simukuyenera kumwa mankhwalawa kapena ayi.
Kodi Ndi Zotsatira Zotani Zimene Ndiyenera Kuziyembekezera Pogwira Welchol?
Zotsatira za m'mimba ndizo zotsatira zowopsa kwambiri zomwe zimagwira ntchito pogwiritsa ntchito Welchol. Izi zikuphatikizapo:
- Kutseka
- Kuthamangitsani
- Nausea
- Kudzikuza
- Kutsekedwa
- Kupweteka m'mimba
Zotsatira zina, monga kupweteka kwa minofu ndi pakhosi, zafotokozedwanso mu maphunziro. Ngati zotsatirazi zimakhala zovutitsa, muyenera kulola kuti wothandizira zaumoyo wanu adziwe. Angakupatseni chinachake chochizira mbali, kusintha mlingo wanu, kapena kukuthandizani ku mankhwala ena otsika kwa kolesterolini.
Ndi mankhwala ati omwe angagwirizane ndi Welchol?
Mankhwalawa angagwirizane ndi Welchol pochepetsa kuchuluka kwa mankhwala omwe alowetsedwa m'magazi anu. Monga lamulo, ndibwino kuti musamamwe mankhwala ena kapena kupatsirana maola anayi musanafike maola asanu ndi limodzi mutatha kumwa mankhwala amodzi a acid acid monga Welchol. Ngati mukuyenera kutenga mankhwala ena kapena zowonjezereka m'munsimu, wothandizira zaumoyo wanu angafunikire kusintha mlingo wanu kapena nthawi yomwe mumatenga, kuyang'anitsitsa kwambiri zotsatira zake, kapena kusiya ntchito yanu yonse pamodzi:
- Mahomoni a chithokomiro
- Lanoxin (digoxin)
- Mankhwala oletsa kubadwa
- Verapamil
- Metoprolol
- Coumadin (warfarin)
- Mavitamini otetezedwa ndi mafuta (Vitamini A, D, E, ndi K)
- Mankhwala othawa, monga Dilantin (phenytoin) ndi phenobarbital
Izi siziri mndandanda wathunthu, kotero muyenera kutsimikiza kuti muwulule mankhwala onse oyenera ndi owonjezera, ndi mankhwala omwe mumakhala nawo. Izi zidzathandiza wothandizira zaumoyo kuti adziwe zoyenera kuchita pakati pa Welchol ndi mankhwala ena.
Pansi
Welchol ndi mankhwala amene amagwiritsidwa ntchito kuchepetsa cholesterol chanu cha LDL koma sichinawonetsedwe kuchepetsa matenda a mtima m'maphunziro. Kuwonjezera pamenepo, chifukwa mawonekedwe a Welchol amatha kusokonezeka m'kamwa mwanu ndipo mapiritsi angakhale ovuta kumeza, muyenera kulola wothandizira zaumoyo wanu kuti adziwe ngati mukukumana ndi mavuto ndi kutenga Welchol. Chifukwa Welchol imangotengera mbali zina za mbiri yanu yamaliti, wothandizira zaumoyo wanu angafune kuwonjezera zowonjezereka zothandizira mankhwala monga statin kapena fibrate .
Zotsatira:
Dipiro JT, Talbert RL. Pharmacotherapy: Njira Yopangidwira Pathophysiological, 6th, 2005.
Lacy CF, Armstrong LL, Goldman MP, et al. Lexicomp's Drug Information Handbook, 15th, 2007.