Welchol (colesevelam) ine cholesterol-kuderedza mishonga iyo ndeye bile bile acid resin boka remishonga. Zvidzidzo zvakaratidza kuti Welchol inonyanya kuderedza LDL cholesterol inenge 20% uye inomutsa HDL kusvika kusvika 11%. Welchol haina kuonekwa kuti inokonzera triglycerides uye, pane dzimwe nguva, inogona kukonzera triglycerides kana ikatorwa kwenguva yakareba.
Welchol inoratidzwawo kune vanhu vane chirwere cheshuga cheshuga kuti vadzibatsire kudzora mazamu eropa rehuga uye kuvakomana nevashure vevarume vemasimari kusvika kune makore gumi vane chirwere cheheterozygous mhuri hypercholesterolemia.to kubatsira nekuderedza LDL cholesterol yavo. Kunyange zvazvo mishonga iyi yakaratidza kuti inoshanda pakuderedza LDL, haina kumboonekwa mune zvidzidzo kuti iite zvakananga kuitika kwehutano hwepfungwa.
Welchol inowanikwa nenzira mbiri: fomu yeupfu uye tablet. Iyo mishonga yakabvumidzwa kuti ishandiswe muUnited States neDFA muna Meyi 2000.
Sei Welchol Inoshanda?
Welchol inoshanda nekusunga ku bile inobata mumutsipa muduku uye kudzivirira kubva kwavo zvakare. Bile acids inotorwa necholesterol uye inobatsira nekudya kwemafuta anodyiwa kuburikidza nekudya kwako. Bile acids inopera nekuda kwekusungwa kuWelchol uye haisati yadzorerwa zvakare. Nemhaka yeizvi, cholesterol ichabviswa kubva muropa ndokushandurwa kuva bile acids muropa.
Basa rino rinobvisa cholesterol kubva muropa-zvichiita kuti LDL yako yehushutori inoderera.
Unofanira Kutora Sei Welchol?
Iwe unofanirwa kutora Welchol sezvinorayirwa nemutengi wako wehutano. Izvi zvichange zvichienderana nemhando ipi yauri kutora yeWelchol.
Nokuda kwechimiro chepaudi ye Welchol, chirongwa chinokurudzirwa chikamu chimwe 3.75-gram paketani zuva rimwe nerimwe, kana maviri, mapepa 1,875 gram akatorwa kaviri pazuva.
Iwe unofanirwa kubvisa zviri mukati me packet muhafu imwechete kana imwe kapu yemvura, soda soda, kana jisi yemichero uye sanganidza zvakanaka. Zvose zviri mukati mechinwiwa zvinofanira kupedzwa, pamwe chete nekudya.
Pamapiritsi, chirongwa chinorayirwa ndechokutora mahwendefa matanhatu panguva imwechete zuva rimwe nerimwe, kana kugoverwa sehwendefa katatu pazuva. Matafura anofanira kutorwa nechingwa uye girazi rakazara remvura.
Ndiani Asingafaniri Kutora Welchol?
Nemhaka yezvikamu zvaro, pane dzimwe nguva apo Welchol haafaniri kutorwa. Izvi zvinosanganisira:
- Vanhu vakave vakambotarisana neEelchocho kana zvimwe zvezvikamu zvayo.
- Chero ani zvake akambove nekudzivirirwa kwechirwere.
- Vanhu vane cheglycerides yakakura kwazvo (yakakura kupfuura kana yakaenzana ne 500 mg / dL), sezvo Welchol inogona kuwedzera yako triglyceride mazinga zvakare. Uyezve, kana iwe wakamboonekwa kuti une pancreatitis nemhaka yepamusoro ye triglycerides, haufaniri kutora Welchol.
Ndezvipi Zvido Zvichada Kuongororwa Paunotora Welchol?
Pane mimwe mamiriro ezvinhu angada kuongororwa zvakanyanya paunenge uchitora Welchol. Kana uine chimwe chezviitiko zviri pasi apa, mutapi wako wehutano angasarudza kutanga newe Welchol, asi achada kukuongorora iwe kuti uone kana kusatora Welchol zvingakuvadza iwe.
Aya maitiro ehutano anosanganisira:
- Kuva nechinetso chokuedza. Mahwendefa eWelchol akakura uye anogona kunge akaoma kumedza kana iwe uchitova nehutano.
- High triglyceride levels. Kuva nechepamusoro-soro triglyceride mazinga haazokudziviriri kubva kutora Welchol, asi mupi wehutano wako angada kuongorora lipids yako zvakanyanya kubva apo Welchol inogona kuwedzera yako triglyceride mazinga.
- Matambudziko ane chimiro chemuviri wako wepamuviri. Welchol inogona kukonzera kubatwa, saka izvi zvinogona kukuvadza zvimwe zvezviitiko izvi.
- Welchol inorondedzerwa seMimba Kuberekwa B. Kunyange zvazvo zvisina kumbove zvidzidzo zvakadzama kuongorora kubudirira uye kuchengeteka kweWelchol muvakadzi vane pamuviri, zvidzidzo zvemhuka hazvina kuratidza kukuvara kumucheche. Sezvo ichi chirwere chinogona kuderedza kushandiswa kwevamwe mavitamini, zvimwe zvikamu zvevhitamini zvepabonde zvingasave zvinobudirira zvichitora Welchol. Mutapi wako wehutano achaita sarudzo kana iwe uchifanira kutora ichi chemishonga kana kuti kwete.
Ndezvipi Migumisiro Yakafanira Ndinofanira Kutarisira Apo Ndichitora Welchol?
Matumbu emigumisiro ndiwo maitiro akawandisa anowanikwa paanoshandisa Welchol. Izvi zvinosanganisira:
- Bloating
- Kushungurudza
- Nausea
- Indigestion
- Constipation
- Marwadzo emudumbu
Zvimwe migumisiro yakaipa, yakadai sekurwadziwa kwemisumbu uye kurwadziwa kwehuro, zvakave zvataurwawo mune zvidzidzo. Kana izvi zvikamu zvinokonzera zvikavhiringidza, iwe unofanira kutendera mupi wako wehutano hwehutano kuziva. Anogona kukupa chimwe chinhu chekuita mararamiro emagetsi, gadzirisa mazamu ako, kana kukuendesa pane imwe mishonga yekuderedza cholesterol.
Ndeapi Mishonga Inogona Kubatana naWelchol?
Mishonga inotevera inogona kuwirirana neWelchol nekuderedza kuwanda kwemishonga inopinda muropa rako. Sezvo mutemo, zvichida pfungwa yakanaka kusatora chero mishonga kana kuwedzera maawa mana maawa masere kana matanhatu mushure mekutora chero bile acid acid resin zvinodhaka, zvakadai seWelchol. 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
- Verapamil
- Metoprolol
- Coumadin (warfarin)
- Fat yakasanganiswa mavitamini (vitamini A, D, E, uye K)
- Mishonga yekutengesa, zvakadai seDalantin (phenytoin) uye phenobarbital
Iri haisi rondedzero yakakwana, naizvozvo unofanira kuve nechokwadi kuti iwe unotsvaga mishonga yose yakatemwa uye pamusoro-in-counter, uye michina yemhuka yaunotora. Izvi zvichabatsira mupi wako wehutano wehutano kuti aone chero kusanganisa kunogona kuitwa pakati peWelchol nemamwe mimwe mishonga.
Pasi Pasi
Welchol imishonga inowanzoshandiswa kuderedza yako LDL cholesterol asi haina kuratidzirwa kuderedza chirwere chemwoyo mune zvidzidzo. Uyezve, nokuti chimiro chakakosha cheWelchol chinogona kusinganzwisisi pamuromo wako uye mahwendefa angave akaoma kumedza, iwe unofanira kurega mupi wako wehutano wehutano achiziva kana uri kutarisana nematambudziko api nekutora Welchol. Nokuti Welchol inongogadzirisa zvimwe zvikamu zvehupfumi hwako, uyo anopa utano hwehutano angave achida kuwedzera mamwe maitiro ekudzivirira-kurapa kwakadai semasimini kana fibrate .
Sources:
Dipiro JT, Talbert RL. Pharmacotherapy: A Pathophysiological Approach, 6th, 2005.
Lacy CF, Armstrong LL, Goldman MP, uye al. Lexicomp's Drug Information Handbook, 15th, 2007.