Cholestyramine ishoko rinoshandiswa necholesterol-inoderedza mishonga iyo ndeye bile acid acid resin boka remishonga. Dzidzo dzakaratidza kuti cholestyramine inonyanya kuderedza LDL cholesterol inenge 15%. Cholestyramine haina kuonekwa nenzira inobatsira inogadzirisa zvimwe zvikamu zvehupfumi hwako asi zvinogona kuwedzera maitiro e-triglyceride mune dzimwe nguva.
Cholestyramine zvakare yakaratidzwa kuti inonoke kufambira mberi kwekuvandudzwa kweherosclerosis mune zvidzidzo zvishoma.
Zvisinei, hazvina kuratidzirwa kudzivisa kufa kana kuremara nekuda kwehutano hwepfungwa.
Cholestyramine yakatanga kugamuchirwa kuti ishandiswe neChadya neDrug Administration munaAugust 1973 pasi pezita, zita rinonzi Questran. Kubva pakubvumidzwa kwaro kwekutanga, yakange yave iripo pasi pezita rekutengesa mazita Prevalite, Locholest, nevamwe.
Sei Cholestyramine Basa?
Cholestyramine inosunga kuva bile acids mumukomana muduku, kudzivirira kudzoka kwavo zvakare. Bile acids inotorwa necholesterol uye inodiwa kubatsira nekudya kwemafuta anodyiwa mukudya kwako. Apo cholestyramine inosunga kune bile acids, iyo inopera uye haizogadziriswa. Kuti iite yakawanda bile acid, cholesterol ichabviswa kubva muropa uye inoshandurwa kuva bile acids. Basa iri rinoderedza cholesterol yako.
Unofanira Kutora Sei Cholestyramine?
Iwe unofanirwa kutora cholestyramine sezvinorayirwa nemutengi wako wehutano.
Cholestyramine inowanikwa muhuni yeupfu, yakaiswa mudiki, single-dose mapeti kana mune imwe mudziyo mukuru.
Mushandi wako wehutano anogona kukutanga pane zviduku zvishoma uye kuwedzera mazamu ako zvichienderana nemhinduro yako kumishonga nemigumisiro. Iko rinotenderwa kutanga mazamu imwe ye scoopful kana packet (4 gramu cholestyramine) kamwe kana kaviri pazuva.
Izvi zvingawedzerwa kusvika pamatanho matanhatu pazuva. Chirwere chacho chinofanira kusanganiswa nemaminitsi maviri emvura, chibereko chezvibereko (kana kuti pasina pulp), maapuloauce, muto mutsvuku, kana zvimwe zvinwiwa zvisati zvapedza. Iwe unofanirwa kuisa zvose zviri mukati mewaini ine cholestyramine kuti uwane muzere wakakwana wemishonga. Cholestyramine inofanira kutorwa nekudya.
Ndiani Asingafaniri Kuitora?
Nemhaka yezvikamu zvaro, pane dzimwe nguva apo cholestyramine haifaniri kutorwa. Izvi zvinosanganisira:
- Vanhu vakambove vaine chirwere chinokonzerwa necholestyramine kana chimwe chezvikamu zvayo hazvifaniri kutora cholestyramine.
- Chero ani zvake akaonekwa kuti ane bhiaryary obstruction, apo bile acids haisi kuvanzwa mumukomana muduku.
Mamiriro Ezvinhu Anoda Kuongororwa
Kana uri kutora cholestyramine, mupiki wako wehutano angave achida kukucherechedza zvakanyanya kana iwe uine zvimwe zvirwere zvinogona kukurwa nekutora mishonga. Kana uine chimwe chezviitiko zviri pasi apa, mutapi wako wehutano angasarudza kutanga newe cholestyramine asi achada kukuongorora iwe kuti uone kana kusatora cholestyramine zvingakuvadza iwe.
Aya maitiro ehutano anosanganisira:
- High triglyceride levels. Cholestyramine yakaratidzwa kuwedzera triglyceride mazinga muongororo. Kana uine hukuru hwetrglycerides, mutarisiri wako wehutano achacherechedza mazinga ako kuti ave nechokwadi chokuti haazosimudziri.
- Kuva nechirwere chisingaperi. Cholestyramine inogona kukuvadza iyi mamiriro ezvinhu kana iwe uchitambura nekubvongodza.
- Kuberekwa. Cholestyramine inorondedzerwa seKuberekwa Chikamu C. Kunyange zvazvo kusina kuve kwakanyatsodzidza zvidzidzo kuongorora kubudirira uye kuchengeteka kwecholestyramine mumadzimai ane pamuviri. Sezvo ichi chirwere chinogona kuderedza kushandiswa kwevamwe mavitamini, zvimwe zvikamu zvevhitamini zvepabonde zvingasave zvinobudirira pazvinotora cholestyramine. Mutapi wako wehutano achaita sarudzo kana iwe uchifanira kutora ichi chemishonga kana kuti kwete.
Migumisiro Yechiri
Kuvhara iyo ndiyo inonyanyozivikanwa yechipfuva iyo pakutora cholestyramine. Izvi zvinowanzoenda nekuendeswa mberi kwekurapa. Mushandi wako wehutano angasarudza kuderedza chiremba chako kana kukupa mishonga yekurapa kuvimbiswa kwako kana migumisiro inenge yava kunetseka. Mimwe migumisiro yakazara inosanganisira:
- Bloating
- Flatulence
- Nausea
- Belching
- Kudzora
- Kusuruvara kwepamuviri uye kusagadzikana
Dzimwe mimwe migumisiro yakashushwa nekuda kwekushandiswa kwenguva refu kwecholestyramine. Kuwedzerwa kwehutano hwekubuda ropa kunogona kuonekwa pamusoro penguva nekuda kwekuderera kwe Vitamin K. Kuwedzerwa, kushandiswa mukati mehutachiona hwechiropa nekukanganiswa kwamazino ejoo kunogona kuitika nekuda kwenguva refu kunwa kwechigadzirwa kana kuchengetedza chibereko muromo wako.
Kuwirirana Mishonga
Mishonga inotevera inogona kuwirirana necholestyramine nekuderedza chiyero chemishonga inopinda muropa rako. Mutori anokurudzira kuti arege kutora chero mimwe mishonga kana kuwedzera kweawa imwe chete kana 4 kusvika 6 maawa mushure mekutora cholestyramine. Kana iwe uchida kutora imwe yemishonga kana kuwedzera kune zvakarongwa pasi apa, mutapi wako wehutano angada kuchinja mazamu ako kana nguva yaunotora, kuongorora iwe zvakanyanya nemigumisiro, kana kubvisa kushandiswa kwako kwese pamwe chete:
- Thyroid hormones
- Lanoxin (digoxin)
- Kuberekwa kwepiritsi mapiritsi
- Cholesterol-kuderedza mishonga (kusanganisira fibrates, ezetimibe, statins)
- Nonsteroidal anti-inflammatory agents (NSAIDs)
- Corticosteroids
- Diuretics (kusanganisira hydrochlorothiazide, spironolactone, furosemide)
- Coumadin (warfarin)
- Mavhithamini ane mafuta-mafuta (vitamini A, D, E, uye K)
- Mishonga yekutengesa, zvakadai seDalantin (phenytoin) uye phenobarbital
Kune mimwe miviri mishonga inogonawo kuwirirana necholestyramine, iyo yakanyorwa pamusoro apa. Nokudaro, iwe unofanirwa kuita kuti mupi wehutano wako wehutano aone chero mishonga yakatemwa uye inopfuura-iyo-mishonga, uye zvigadzirwa zvepanyika zvaunotora. Izvi zvichabatsira mupi wako wehutano wehutano kuti aone chero kusanganisa kunogona kuitika pakati pecholestyramine nemimwe mishonga.
Pasi Pasi
Cholestyramine imwe yekutanga cholesterol-kuderedza mishonga inogamuchirwa muUnited States. Iyo inonyanya kushandiswa kuderedza yako LDL cholesterol asi haina kuratidzwa zvakajeka kuti inobereka rufu kana matambudziko kubva muhutano hwehutano semamwewo emapiritsi-kuderedza mishonga pamusika. Iwe unofanirwa kurega mupi wako wehutano hwehutano kuziva kana uri kutarisana nematambudziko chero ipi nekutora cholestyramine sezvo chimiro cheupfu chinogona kuva nekunakirwa kwegritti iyo inogona kuva yakaoma kuedza kune vamwe vanhu. Nokuti cholestyramine inongogadzirisa yako LDL cholesterol mazinga, mutarisiri wako wehutano angasarudza kuwedzera mamwe marapirwo - akadai se statin kana fibrate - ku-regid-downing regimen yako.
Sources:
Prevalite (Cholestyramine). Upsher-Smith Laboratories. Maple Grove, MN. Revised 4/2015.
Dipiro JT, Talbert RL. Pharmacotherapy: A Pathophysiological Approach, 9th, 2014.
Micromedex 2.0. Truven Health Analytics, Inc. Greenwood Village, CO. Iripo pa http://www.micromedexsolutions.com.