Mucherechera jisi unozivikanwa kuti unobatanidza nemishonga yakawanda , kuwedzera mhizha yavo kune dzimwe nguva inotyisa. Saka, kana zvasvika kuna Plavix (clopidogrel), ropa rinopfupa remishonga rinoshandiswa kuderedza kupararira kwechirwere uye myocardial infarction, zvakachengeteka kudya jisi rezvibereko here? Mhinduro shoma ndeye "kwete."
Ko Muchero Wemizambiringa Unobatana Sei neAlavix?
Bhuku ra2014 rakawanikwa jira remutirofruit rinodzivisa zvose enzyme yeYP3A4, iyo clopidogrel iyo substrate, uye yerzyme yeYYCC19, inoshandisa mishonga iyi.
Muchero weGrapefruit inogona kukanganisa nekushandurwa kwevhapidogrel kune maitiro ayo, saka kuderedza mishonga ye antiplatelet inofanirwa kudikanwa pakudzivirira chirwere kana kuora mwoyo.
Mumumuviri, clopidogrel inoshandiswa mumagetsi uchishandisa CYP2C19 enzyme. Asi zvakadaro, vamwe vanhu varombo maserolizers eYPR2C19 enzyme. Vanhu ava vanopesana ne clopidogrel. Kunyangwe kune kuongororwa kweropa kujekesa varwere vanopikisana neawavharesi pamberi pekugadzirwa kwerapi nemishonga, iyi miedzo haina kushandiswa zvakanyanya. Izvozvi, vanhu vane varombo vevhapidogrel metabolizers, vanewo huwandu hwehuwandu hwekufa kwezviitiko zvepfungwa kana kushungurudzika kwepenzi.
Maererano nemushumo weDFA, mamwe mishonga yemwoyo inobereka michero inosangana nayo inosanganisira:
- statins (dzakadai saZocor uye Lipitor)
- ropa-kumanikidzwa mishonga yakadai saiifedipine
- anti-arrhythmia mishonga se amiodarone
Mukuwedzera pamishonga yemwoyo, mazai emichero mazambiringa anokanganisawo zvinotevera zvinodhaka:
- mishonga inoshandiswa kugadziriswa kwechimiro se cyclosporine
- anti-anxiety medication like buspirone
- antihistamine seAllegra
Muchero wemuchero unogona kuva chikamu chine utano chekudya chero kupi zvayo. Kana iwe uri pamishonga yemwoyo, tapota taurirana kana iri pfungwa yakanaka yekunwa majee emutiropa nechiremba wako kana mumwe mupi wehutano.
Iva nechokwadi chekuudza mushandi wako wehutano wemishonga yose yaunotora uye miviri yemishonga iyi.
Shoko Rinobva
Iko nguva dzose pfungwa yakanaka yekuverenga zvakanyatsonaka kubudiswa kwemashoko kunouya ne clopidogrel. Panofanira kuva nechikamu chekubatana pakati pevhapidogrel nemimwe mishonga. Kana iwe usina kugamuchira purogiramu inoshandiswa, bvunza mhizha yako yekodhi kuti ikopi.
Kana uri kushandisa chero mishonga ye-over-the-counter (OTC) kana kudya kwezvokudya, iwe unofanirwa kutaura newadhirosi yako uye chiremba pamusoro pekugona kusangana. Iwe unofanirwa kunyanya kuchenjerera nezvekushandisa mishonga yekuputika sezvinoita ibuprofen uye OTC zvinowedzera izvo zvine ginkgo. Chimwe chikamu chechikamu chezvinhu izvi zvinopa ropa.
> Sources:
> Holmberg MT, Tornio A, Neuvonen M, Neuvonen PJ, Backman JT, Niemi M. Muchero wemiti inopisa inobvisa kushandiswa kwemagetsi kwe clopidogrel. Clin Pharmacol Ther . 2014 ini: 10.1038 / clpt.2013.192
> Krasowski MD. Pharmacogenomics. Mu: South-Paul JE, Matheny SC, Lewis EL. eds. CURRENT Diagnosis & Treatment: Family Medicine, 4e . New York, NY: McGraw-Hill; 2015.
> Trevor AJ, Katzung BG, Kruidering-Hall M. Pharmacogenomics. Mu: Trevor AJ, Katzung BG, Kruidering-Hall M. eds. Katzung & Trevor's Pharmacology: Ongororo neKubvunzurudzwa kweBhodi, 11e . New York, NY: McGraw-Hill; 2015.