Chirwere Chirwere Nokuda Kwezvinyorwa uye Kubudirira Kwezvinyorwa paDenda Zvirwere
Iwe unogona kunwa doro ne Lipitor kana mamwe mishonga yemasimoni here? Kana pakatsetseka zvinoreva "kuenzanisa" kunwa doro, zvinorevei? Ndezvipi zvinokonzerwa nemasimoni pachiropa? Kubva kune imwe nzvimbo yakatarisana, chii chatinoziva pamusoro pemigumisiro yemasimoni pachirwere chirwere?
Kubatsirwa kweStatin Zvinodhaka Sezvinonzi Lipitor (Atorvastatin)
Statins yakaita musiyano mukuru maererano nehosha yemwoyo.
Vanosimbisa maronary artery plaques iyo inogona kutungamirira kumarwadzo emwoyo, chinokonzera rufu rwemuAmerica musati musha. Vanoderedza hukuru hwezvipande izvi . Vanoderedza kupisa . Vanoratidzika kuti vanobatsirana nekusava neropa kuvhara. Vanoderedza ngozi yeAlzheimer's disease. Vanoderedza mukana wekuti iwe uchange uine chirwere. Vangatovandudza kupona nekenza yemapapu , iyo inowanzokonzera kufa kwekenza mune zvevarume nevakadzi. Saka mubvunzo pamusoro pekuti iwe unofanirwa kubatanidza mishonga iyi nedoro inokodzera mhinduro yakanyatsojeka.
Doro Rinonyevera ne Lipitor (Statins)
Maererano neRipitor's official (atorvastatin) purogiramu-yakagamuchirwa neU.S. Food and Drug Administration (FDA) -Lipitor "inofanira kushandiswa nekuchenjerera kune varwere vanodya zvakanyanya doro uye / kana vane nhoroondo yezvirwere zvechiropa." Nhamo , hapana dudziro "yepamutemo" yehuwandu hwehuwandu hunodhaka hunoreva.
Kuti unzwisise kuti sei doro ripi zvaro rinogona kuva dambudziko neLimpitor kana chero zvipi zvaro , ngatitarise kuti mishonga iyi ingakanganisa sei chiropa, uye kuti doro ringangowedzera sei.
Migumisiro yezvinyorwa pachiropa
Hazvisi zvisizvo kuva nekuongorora kwechiropa zvisina kukodzera kana uchishandisa mitemo, asi zvakakosha kuti unzwisise chii chiri shure kweizvi.
Kune nzira dzakasiyana-siyana dzekutsanangura kuti sei mitemo inobata chiropa, saka regai titarise kuchinja muongororo yechiropa chete (kwete zviratidzo,) kliniki yechiropa chirwere (zviratidzo) zvine chokuita nesimeri, chirwere chakakomba chechiropa, uyewo kuti zvinyorwa zvingapedzisira zvaderedza sei kufa kune vamwe vanhu vane utachiona hwechiropa.
Liver Enzymes uye Statins dzakadai seLipitor
Nhasi mazano anoratidza kuti chiropa chinoshanda chekuongorora chinofanira kutariswa tisati watanga Lipitor, uye shure kwevhiki 12. Kuongorora kunofanirwa kupfuurira nguva nenguva kwenguva yakareba munhu ari pamishonga. Izvozvo zvakati, iyo yakareba iyo Lipitor yave iri pamusika, vana vasina simba vakawanda vanachiremba vakave vari kutevera izvi kuedzwa kwenguva.
Zvidzidzo zvakawana kuti vamwe vanhu vanoshandisa Lipitor vane kukwidzika kwechiropa chechiropa chinonzi aspartate aminotransferase (AST) uye alanine aminotransferase (ALT.) Kuwedzera (kusvika kusvika katatu zvakajairika) mune izvi hutsika kunowanikwa munenge mazana matatu muzana yevanhu. Zvatakadzidza pane nguva, zvisinei, ndezvokuti nguva yakawanda nguva idzi idzi ndezvenguva pfupi uye hazvisi nengozi.
Kubvira pakuenzanisa kusvika pakuwedzerwa kunwa doro kunogonawo kuwedzerwa chiropa chekuongorora, kusanganiswa kwekumwa doro uye mitemo kunowedzera mikana yekusafanana.
Chiropa Kukuvadza uye Statins
Zviratidzo zvinokonzera kukuvadzwa kwechiropa-kukuvadza kwakakwana kunokonzera zviratidzo pane kungowanzoita chiropa chekushanda kwega--kusajairika nemasimoni, kusiyana nemakwikwi emakemikari echiropa wega watakangoona.
Zvechokwadi, kukuvadzwa kwakasimba kwechiropa kunogona. Kune zvikamu makumi mashanu makumi mashanu zvehuwandu hwehuputi hwekuropa muvanhu vanotora mitemo iyo yakatungamirira kurufu kana kudiwa kwechiropa chekupemha. Kutarisa nhamba idzi, zvakakosha kucherechedza kuti munguva ino Lipitor yaive iyo nhamba iyo inonyanya kushandisa mishonga pasi rose. (Mukuenzanisa, zvinofungidzirwa kuti vanhu vanosvika 15 000 vanofa gore roga roga kubva pakubuda ropa kubva kuna Advil.) Kukuvadza kwakakomba kwechiropa kunogona kuitika mumitemo, asi izvi hazviwanzoitiki.
Kana uchitaura pamusoro pemigumisiro yedoro pachirwere chinokonzera chiropa chinowanikwa nemasimoni, zvakakosha kuziva kuti kukuvadzwa kwakakomba kwechiropa hakusi kazhinji nekuda kwekuwedzera kwechiitiko chekukuvara. Asi, chirwere chinokonzera chirwere chechiropa chinowanzova chimiro chemotokari, umo mishonga inokonzera mimwe miviri yevanhu kuita zvirwere zvinorwisa zvirwere zvavo pachavo. Izvi zvinonzi "idiosyncratic", chimwe chinhu chisinganzwisiswi uye hachigoni kufanotaurwa.
Icho Chimwe Chikamu Chekuenzanisa - Zvinyorwa Zvingave Zvine Rubatsiro Nehutano Hwezvirwere
Zvinogona kunge zvichinyaradza kuziva kuti, pasinei nekurudziro kuti uone kuongororwa kwechiropa, uye zvinowanzova pangozi yekukuvadzwa kwakakomba kwechiropa, mitemo inogona kubatsira kune vamwe vanhu vane chirwere chechiropa.
Mune rumwe ruzivo kutarisa vanhu vane chirwere chakakomba chechiropa chinosvibisa , kushandiswa kwemadhimoni kwakagadzikana zvishoma nezvishoma mukana wekufa kubva kune doro rinodhaka. Mhedziso yekudzidza kwe 2017 yaiva iyo mitemo yakashandiswa kuvanhu vane chirwere chisingaperi chechiropa chinogona kuderedza chiropa chisakundikana uye kunetseka kwechiropa kusakundikana kwakafanana nehutachiona hwehutachiona. Statins ikozvino iri kuongororwa nekuda kwekugona kwavo kuderedza kuwedzera kwechiropa chechiropa kune vanhu vane chisina kuwedzerwa chiropa chechiropa chirwere.
Mukuwedzera, avo vane chirwere chechiropa nekuda kwechirwere chekushaya hepatitis C zvirwere vanogona kupindura zviri nani kumishonga (interferon) apo vanopiwa mazita. (Nyaya ndeyokuti doro rinoderedza hepatitis C. )
Sei Kunwa Doro Kunosangana Nechinetso neLipitor?
Zvose izvi zvakati, doro rinodhaka rinogona kuunza dambudziko kuvanhu apo rinosanganiswa neLipitor. Kuwedzera kwechiropa chekushanda kwemashoko haisi iyo chete inogona kuitika yechirwere. Matambudziko emasumbu nemasimoni haawanzwisisi, uye doro rinogona kukonzera kukanganisa zvakare. Doro inogonawo kupindira nemagetsi akawanda emishonga, yakadai seaya anogona kushandiswa pamwe chete neLipitor nokuda kwechirwere chemwoyo. Kunyanya kunetseka nedoro muvanhu vachishandisa Lipitor, zvisinei, zvinogona kunge zvakagadzirisa zvimwe zvinetso zvinowanikwa newaini chete. Lipitor nedzimwe nhengo dzinogona kuderedza ngozi yako yehutano hwemwoyo, asi doro, kuburikidza nezvinokonzera kuswa dorodiyo chirwere uye zvimwe zvakawanda, zvinogona kukuvadza dambudziko rako. Ichokwadi kuti doro rine ma-calorie akawanda, chimwe chinhu chinowedzerawo njodzi yezvirwere zvemoyo.
Pasi pepamusoro pa Statins uye Doro
Zvinonyanya kuda vanhu kuziva, "Ndinogona here kuva newaini kana maviri kana girasi rewaini ini ndichiri kutora mitemo? Zvichida kuwedzera doro kune zvimiso zvisingabatsiri zvachose kana zvichishandiswa muhuwandu.
Mubvunzo chaiwo unoburukira kune, "Une dambudziko here nedoro?" Kune avo vanonwa doro rakawandisa (kupfuura zvinwiwa zviviri pamusi wemurume kana kupfuura zvinopfuura rimwechete pazuva pazuva revakadzi), pane zvimwe zvingave zvakanyanya kufunganya pamusoro pehuwandu hwechiropa chako chekubatanidza statins newaini.
Kunwa Mukuenzanisa-Chii Chirevo?
Nzvimbo dzeUnited States for Disease Control and Prevention (CDC) dzinotsanangura kunwa kwekuenzanisa seimwe doro rinodhaka zuva rega rega vakadzi uye zvinwiwa zviviri zvevarume. Nezvewaini, imwe kunwa maawa mashanu. Zvisinei, vatsvakurudzi vari kuongorora zvinobatsira zvechinwa doro pamusoro pokudzivirira chirwere chemwoyo kunotsanangura kunwa kwakanyanyisa kunwa kusvika kune zvinwiwa zviviri zuva rega revakadzi uye kusvika kune zvimwe zvinwiwa zuva rega rega revarume.
Kunetseka Kunobatanidza Doro
Kana uine nhengo dzemhuri kana shamwari dzave dzakaratidza kunetseka pamusoro pekunwa kwako, zvakakosha kutarisa kutendeseka pane yako kushandiswa. Kana iwe ukanwa zvachose, tora kanguva uedze mibvunzo iyi kuti uone kana iwe ungava nedoro rekushandisa doro.
Taura Nechiremba Wako Nekushandisa Kwako Doro
Kana iwe ukanwa doro iwe unofanira kurega chiremba wako achiziva. Vanhu vazhinji vanozvidza kubata kwavo, asi kuva vakatendeseka nachiremba wenyu pakupedzisira vachakuchengeta iwe pamwe nekukwanisa. Chiremba wako anoziva nhoroondo yako yezvokurapa uye hutano huripo iye zvino uye anofanira kukwanisa kukupa iwe nezvehutoro hwako.
Tora nguva yekudzidza pamusoro pemishonga yekurapa kwekudhakwa kana uine hanya newe pachako kana shamwari kana nhengo yemhuri. Ndinofara, iwe haufaniri kuenda kure kure kunzwa nyaya dzakabudirira dzinobva kune vanhu vakapiwa chikwata chitsva pahupenyu mushure mekusiya.
> Sources
- > Athyros, V., Alexandrides, T., Bilianou, H. et al. Kushandiswa kweStinsins Alone, kana Mukusanganiswa nePioglitazone uye Mamwe Mishonga, Kurapa kweHasina Kunwa Doro Fatty Disease Disease / Non-Alcoholic Steatohepatitis uye Related Cardiovascular Risk. An Expert Panel Statement. Metabolism . 2017. 71: 17-32.
- > Bjornsson, E. Hepatotoxicity ye Statins uye Zvimwe Lipid-Kupera Agent. Liver International . 2017. 37 (2): 173-178.
- > Janicko, M., Drazilova, S., Pella, D., Fedacko, J., uye P. Jarcuska. Pleiotropic Migumisiro Yezvinyorwa muzvirwere zveChiropa. World Journal of Gastroenterology . 2016. 22 (27): 6201-13.
- > Thapar, M., Russo, M., naH. Bonkovsky. Statins uye Chiropa Kukuvadza. Gastroenterology uye Hepatology . 2013. 9 (9): 605-606.