Taura nechiremba wako nezvemishonga yose
Statins inowanzogadzirirwa kuderedza cholesterol mazinga. Zvisinei, ivo vanewo mikana yekubatana kwezvinodhaka, kusanganisira dzakawanda dzinowanikwa pamusoro pe-counter-mishonga uye mishonga yemishonga uye zvimwe zvinowedzera. Statins inofanirawo kudziviswa nevanhu vane humwe hutano kana kungoshandiswa nekuchenjerera.
Nokuda kwezvikonzero izvi, zvakakosha kuti ukurukure nhoroondo yako yezvokurapa nezvose zvauri kutora nachiremba wako.
Statins Haisi Yvose
Statins ikirasi yekushutoriol-kuderedza zvinodhaka izvo zvinotarisa zvose zvese zvehupfumi hwako. Vanokwanisa kubudirira kuderedza LDL cholesterol ("yakaipa" cholesterol) uye triglycerides mukusimudza HDL ("yakanaka") cholesterol.
Kunyange zvazvo vari kunyatsoshanda mukuderedza cholesterol, mitemo inogona kunge isiri yevose. Pane zvimwe zvinhu zvaunofanirwa kuita kuti mutapi wako wehutano azive usati wavamba utachiona hwemutambo.
Izvi zvinosanganisira chero mararamiro aungave nawo kana chero mishonga yauri kutora. Mishonga haigumi kune avo vakatarirwa kwauri nedzimwe chiremba asi inosanganisira kupfuura-the-counter (OTC) uye kudya kana mishonga inowedzerawo zvakare.
Uyezve, kana iwe uchiwana kurapwa kune mumwe munhu kunze kwekupa mupiki wako wehutano, unofanira kutendera munhu iyeye kuziva kuti uri kutora mutemo.
Zvirwere Zvokurapa Zvokupa
Rega mutarisiri wako wehutano azive kana iwe kana chimwe chezvinhu zvinotevera zvinokutangira usati watanga kutora statin:
- Chirwere Chirwere: Zvichida kushanda kana kusingaperi.
- Kuberekwa: Zvikamu zvinogona kukonzera kukanganisa kuberekwa.
- Kunwisa: Statin zvinodhaka zvinogona kuyambuka mukaka wemvere uye kunyorerwa nevana vako.
- Kunwa Doro Zvinyorwa: Statins inogona kuwedzerwa kuwedzera enzyme yeropa.
Zvinokwanisika Zvinodhaka Maitiro
Mimwe mishonga inogona kuwirirana nemasimoni nekuderedza kubudirira kwemufananidzo kana kuwedzera chimiro chemufananidzo muropa kusvika apo iyo ingave yakakuvadza mumuviri.
Iva nechokwadi chekuudza mutarisiri wako wehutano kana uri kutotora chero mishonga iri pasi apa.
Sezvo iwe uri pane imwe yemishonga iyi, hazvirevi kuti iwe haugone kutora statin. Zvisinei, mutapi wako wehutano angada kukucherechedza zvakanyanya paari pane imwe yeiyi nokuti inogona kuwedzera ngozi yako yemigumisiro.
Ramba uchifunga kuti iyi haisi rondedzero yakakwana uye iwe unofanira kutaurirana nemupi wako wehutano hwehutano kuti uwane mamwe mashoko. Iwe unodawo kutarisa kune ruzivo rwemufananidzo chaiwo kana uri kutora Crestor (rosuvastatin), Zocor ( simvastatin ), Mevacor (lovastatin), Lescol (fluvastatin), Lipitor ( atorvastatin ), kana Pravachol (pravastatin).
Iyi inongororongwa yehutano nemishonga yaunofanira kuziva:
- Nicotinic acid , kana niacin, yakakura kwazvo (yakawanda kupfuura 1 gramu pazuva) inogona kuwedzera njodzi yekuwana mitemo yemigumisiro.
- Bile acid sequestrants inogona kuderedza kubudirira kwezvimwe zvinyorwa. Kuti udzivise izvi, zvinogona kukurudzirwa kuparadzanisa yako statin dose uye bile acid sequestrant dose nemaawa mana.
- Zvinomera zvinogona kuwedzera mukana wekutarisana nemagumisiro emitemo .
- Sandimmune kana Neoral (cyclosporine) inogona kuwedzera nhamba yemashizha iripo muropa uye inogonawo kuwedzera migumisiro yemigumisiro.
- Fluvoxamine inogona kuwedzera huwandu hwezvimwe zvinyorwa zviripo muropa uye zvinogonawo kuwedzera mitemo yemigumisiro.
- Mishonga inogadziriswa inopera mu "-azole", yakadai seNizoral (ketoconazole), Diflucan (fluconazole), Mycelex (miconazole), kana Sporanox (itraconazole), inogona kuwedzera huwandu hwezvimwe zvikamu zviripo muropa uye zvinogonawo kuwedzera madhimoni .
- Mishonga inorwisa mabhakitiriya inopera mu "-mycin" yakadai sa erythromycin kana Biaxin (clarithromycin) inogona kuwedzera mazita aripo muropa uye inogonawo kuwedzera migumisiro yechirwere.
- Kuwedzera kwemishonga yemishonga yemishonga, yakadai sa diltiazem uye verapamil, inogona kuwedzera masimoni aripo muropa uye inogonawo kuwedzera migumisiro yechirwere.
- Cordarone (amiodarone) inogona kuwedzera huwandu hwezvimwe zvinyorwa zviripo muropa uye zvinogonawo kuwedzera migumisiro yemasimoni.
- HIV Protease Inhibitors, yakadai seNorvir (ritonavir), Agenerase (amprenavir), Crixivan (indinavir), kana Viracept (nelfinavir), inogona kuwedzera huwandu hwemamwe mazita aripo muropa uye inogonawo kuwedzera migumisiro.
- Coumadin (warfarin) pamwe nesimbudzi zvinogona kuderedza ropa rekuvhara.
- Prilosec (omeprazole) inogona kuwedzera huwandu hwezvimwe zvinyorwa zviripo muropa uye zvinogonawo kuwedzera migumisiro yemasimoni.
- Tagamet (cimetidine) inogona kuwedzera huwandu hwezvimwe zvinyorwa zviripo muropa uye zvinogonawo kuwedzera migumisiro yemasimoni.
- Zantac (ranitidine) inogona kuwedzera huwandu hwezvimwe zvinyorwa zviripo muropa uye zvinogonawo kuwedzera migumisiro yemasimoni.
- Zvipembenene zvemuviri nemitemo zvakatorwa panguva imwechete zvinogona kuwedzera huwandu hwemadhomoni aya mumuviri.
- Lanoxin (digoxin) inogona kuwedzera huwandu hwezvimwe zvinyorwa mumuviri.
- Zvirwere zvinokonzera magnesium kana aluminium hydroxide zvinogona kuderedza kuwanda kwezvimwe zvikamu mumutumbi. Izvi zvinogona kudzivirirwa nekuparadzanisa nhengo yako yemuenzaniso uye antiacid dose kweawa maawa maviri.
- St. John's Wort inogona kuderedza kubudirira kwezvimwe zvinyorwa.
Shoko Rinobva
Kunyange zvazvo statins inogona kubatsira mukuderedza cholesterol uye kuderedza dambudziko rako repfungwa yemwoyo, unogona kuona kuti pane zvakawanda zvingwarira zvinofanira kuonekwa. Izvi zvinongova zvishomanana zvekugona kushandiswa kwemishonga, ndicho chikonzero zvakakosha kuti iwe ukurukure nhoroondo yako yezvokurapa uye mishonga yose-mishonga kana zvimwe-neboka rako rehutano usati watora statin.
> Sources:
> Dipiro JT, Talbert RL. Pharmacotherapy: A Pathophysiologic Approach. 10th ed. New York, NY: McGraw-Hill Dzidzo. 2017.
> Lacy CF, Armstrong LL, Goldman MP, uye al. Lexicomp's Drug Information Handbook. 26th ed. Hudson, OH: Lexi-Comp Inc.; 2017.