Zocor (simvastatin) ndi mankhwala otsika kwa mafuta m'thupi. Amagwiritsidwa ntchito popanga mafuta okwanira m'thupi, LDL cholesterol, triglyceride, ndi mapulogalamu a apolipoprotein B omwe amapezeka kuti ali ndi primary hyperlipidemia kapena osakaniza matenda a dyslipidemia pamene zakudya, kusintha kwa moyo, kapena mankhwala ena sizimachepetseratu.
Kuwonjezera apo, Zocor imagwiritsidwa ntchito kuchepetsa chiopsezo chokhala ndi matenda a mtima ndi kupweteka kwa anthu omwe ali ndi matendawa.
Maphunziro apadera owona zotsatira za Zocor 20 mpaka 40 mg anaona zotsatirazi ndi Zocor:
- Amatha kuchepetsa LDL cholesterol mwa pafupifupi 35%.
- Ikhoza kuchepetsa kuchuluka kwathunthu kwa mafuta m'thupi mwa 25%.
- Ikhoza kuchepetsa triglycerides ndi pafupifupi 10%.
- Ikhoza kuwonjezera ma CDL a cholesterol ndi pafupifupi 8%.
Zocor awonetsedwanso m'maphunziro kuti achepetse imfa chifukwa cha matenda a mtima ndi 42%
Zocor inavomerezedwa kuti igwiritsidwe ntchito ndi Drug Administration (FDA) mu December 1991.
Kodi Zocor Zimagwira Ntchito Motani?
Zocor imamangiriza komanso imaletsa mavitamini 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) kuchepetsa, mavitamini akuluakulu mu cholesterol njira yoyambira, Izi zimachepetsa kuchuluka kwa mafuta m'thupi.
Kodi Zocor Ziyenera Kutengedwa Bwanji?
Zocor imatengedwa pakamwa, chakudya kapena chakudya kamodzi patsiku, monga momwe akutsogoleredwa ndi wothandizira zaumoyo wanu.
Ngakhale mankhwala omwe amagwiritsidwa ntchito pochizira lipids kuyambira 5 mpaka 40 mg, wothandizira zaumoyo wanu angayambe kulandira mlingo wochepa ndipo pang'onopang'ono muwonjezere mlingo wanu, pogwiritsa ntchito miyezo yanu ya LDL ndi mayankho anu kwa mankhwala. Zocor 80 mg zingayambitse kupweteka kwa minofu yambiri - kuphatikizapo rhabdomyolysis - kotero mlingo uwu sungagwiritsidwe ntchito pokhapokha ngati mwalekerera iwo kwa nthawi ndithu popanda zopweteka.
Kudya zakudya zochepetsa ziyenera kuchitidwa pamene mutenga Zocor.
Ndani Sayenera Kutenga Zocor?
Ngati muli ndi chimodzi mwazifukwa zomwe zili m'munsimu, musamangotenga Zocor. Pazochitikazi, wothandizira zaumoyo wanu akhoza kukupatsani mankhwala osiyana pofuna kuchepetsa lipids:
- Nthendayi. Ngati mwayamba kale Zocor kapena zowonjezera zake, musamamwe mankhwala awa.
- Matenda a chiwindi. Ngati muli ndi matenda a chiwindi kapena osadziwika, ma level enzyme a chiwindi osadziwika, Zocor sayenera kutengedwa.
- Mankhwala ena. Ngati mukugwiritsa ntchito cyclosporine, gemfibrozil, danazol, kapena mankhwala ena omwe amaletsa kwambiri njira yotsitsimutsa, CYP3A4, simuyenera kutenga Zocor.
- Mimba. Zocor ili ndi gulu la Mimba X. Zocor yasonyezedwa kuti iwoloke pamtanda pa makoswe ndipo pakhala pali malipoti okhudza kusokonekera kwa amayi ndi zovuta zazing'ono m'maphunziro a zinyama. Kuonjezera apo, izi zanenedwa ndi amayi apakati omwe akugwiritsa ntchito mankhwala ovomerezeka. Ngati mukukonzekera kutenga mimba kapena mutakhala ndi pakati ndipo mutenga Zocor, wothandizira zaumoyo wanu adzayesa phindu la kumwa mankhwala pa thanzi lanu komanso mavuto omwe angakhalepo kwa mwana wanu.
- Nursing . Zocor wasonyezedwa kuti alowe mkaka wa m'mawere. Sikudziwika kuti zotsatirazi zingakhale zotani pa mwana wanu.
Zinthu Zofunika Kuziwona
Ngati mutenga Zocor, wothandizira zaumoyo wanu angafunike kuyang'anitsitsa inu ngati muli ndi matenda ena. Ngati muli ndi zifukwa zotsatirazi m'munsimu, wothandizira zaumoyo wanu angasankhe kuyamba pa Zocor pa mlingo wochepa ndipo ayenera kukuyang'anirani kuti mudziwe ngati Zocor zingakhale zovulaza kapena ayi. Mavuto awa ndi awa:
- Matenda a michere a chiwindi. Muzofufuza, Zocor anawonjezera chiwindi cha aspirate aminotransferase (AST) ndi alanine aminotransferase (ALT) mu maphunziro. Ngakhale kuti nthawi zambiri kuwonjezeka kumeneku ndi kwa kanthaĊµi kochepa, wothandizira zaumoyo wanu adzawunika mawindo awa kuti atsimikizire kuti mavitamini anu a chiwindi sali okwera kuti akhale oopsa.
- MaseĊµera okwera magazi m'magazi. Kafukufuku wasonyeza kuti Zocor akhoza kuchulukitsa hemoglobin A1C ndi kudya msinkhu wa shuga. Ngati muli ndi matenda a shuga, wothandizira zaumoyo wanu akhoza kuyang'anira zigawo izi m'magazi anu ndi kusintha mlingo wanu wa Zocor.
- Matenda a Impso. Wothandizira zaumoyo wanu adzakuyambitsani pa mlingo wotsika kwambiri ndipo adzakuyang'anirani mosamala.
Zotsatira Zotsatira
Zotsatira zoyipa zambiri zimaphatikizapo kupweteka mutu, kupweteka kwa m'mimba, kunyoza, kudzimbidwa, komanso matenda opatsirana opuma. Ngati mukukumana ndi zotsatirapo zonse zogwiritsa ntchito Zocor zomwe zimakhala nthawi yaitali kapena zovuta, muyenera kulola wothandizira zaumoyo wanu kudziwa.
Mofanana ndi ma statins ena, zotsatira zosawerengeka - rhabdomyolysis - amatha kupezeka ndi anthu omwe amatenga Zocor. Zizindikiro za rhabdomyolysis zimaphatikizapo minofu yofooka ndi yofooka, komanso mkodzo wa mtundu wa soda. Zowopsa zowonjezera zotsatirazi zikhoza kuchitika ngati mutenga mankhwala ena, zaka zambiri, kutenga mlingo wa 80 mg wa Zocor, ndi matenda ena. Ngati mukumva zizindikiro za rhabdomyolysis, muyenera kumudziwitsa mwamsanga wothandizira zaumoyo wanu.
Mankhwala Amene Angagwirizane ndi Zocor
Kuwonjezera pa cyclosporine, gemfibrozil, ndi mankhwala ena omwe atchulidwa pamwambapa, mankhwalawa angagwirizane ndi Zocor - kuonjezera mwayi wowononga zotsatira. Mankhwala otsatirawa angapangitse zocor kapena mankhwala ena m'thupi lanu:
- Mankhwala osokoneza bongo wa cholesterol ( nicotinic acid , fibrates)
- Mankhwala ena amtima - monga verapamil, diltiazem, amiodarone, amlodipine
- Protease inhibitors
- Colchicine
- Coumadin (warfarin)
Popeza izi siziri mndandanda wathunthu, muyenera kulola mchipatala wanu kuti adziwe za mankhwala onse - kuphatikizapo mankhwala osokoneza bongo komanso mankhwala osokoneza bongo - omwe mumatenga Zocor. Ngati mukuyenera kutenga mankhwala omwe atchulidwa pamwambapa, wothandizira zaumoyo wanu angafunikire kusintha mlingo wanu, kuyang'anirani bwino kwambiri zotsatira zake, kapena kusiya mankhwala ena.
Mfundo Yofunika Kwambiri
Zocor ndi mankhwala omwe amagwiritsidwa ntchito popititsa patsogolo mankhwalawa komanso kuchepetsa chiopsezo chofa chifukwa cha matenda a mtima kapena kupwetekedwa mtima. Zocor imapezekanso mu mawonekedwe achibadwa, kukulolani kupeza mankhwalawa pa mtengo wotsika poyerekeza ndi mankhwala a dzina. Ngakhale zili zogwira mtima, pali zotsatira zina ndi zochitika zothandizira mankhwala muyenera kuziyang'anira pamene mutenga Zocor. Choncho, muyenera kuonetsetsa kuti mukusunga malo anu ndi wothandizira zaumoyo wanu kotero kuti athe kuwona momwe mukupita patsogolo pa mankhwala.
Zotsatira:
Zovor (Simvastatin) [phukusi]. Merck: Station ya Whitehouse, NJ. Kusinthidwa 3.2015.
Micromedex 2.0. Truven Health Analytics, Inc. Greenwood Village, CO. Ipezeka pa http://www.micromedexsolutions.com.
Olemba Ophunzira a 4S. Kuyesedwa kwapadera kwa Cholesterol Kumapeto kwa 4444 Odwala Amene Ali Ndi Matenda a Coronary Heart: Scandinavia Simvastatin Survival Phunziro. Lancet 1994 Nov 19; 344 (8934): 1383-9.