Zocor (simvastatin) ine cholesterol-kuderedza mishonga iyo ndeyekirasi regimini yemishonga. Iyo inoshandiswa kurapa yakakwana yeklesterol yemazinga, LDL cholesterol, triglyceride, uye apolipoprotein B mahara mumunhu mumwe nomumwe anowanikwa anonyanya hyperlipidemia kana akavhenganiswa dyslipidemia mune zviitiko apo kudya, mararamiro emararamiro, kana mamwe mishonga haisi kuderedza zvachose lipidhi.
Uyezve, Zocor inoshandiswa kuderedza dambudziko rekushaya chirwere chemwoyo uye kurohwa kune vanhu vane kana vasina chirwere chemwoyo.
Zvidzidzo zvinokosha kuongorora zvinoitika Zocor 20 kusvika ku 40 mg zvakaona zviwanikwa zvinotevera neZocor:
- Inogona kuderedza LDL cholesterol nekusvika kwe 35%.
- Inogona kuderedza chesteteroli yehuwandu huwandu nehuwandu hwe25%.
- Inogona kuderedza triglycerides nekavhareji ye 10%.
- Inogona kuwedzera HDL cholesterol mazinga nereji ye8%.
Zocor zvakare yakaratidzwa mune zvidzidzo kuderedza kufa nekuda kwehutano hwehutano kusvika kusvika 42%
Zocor yakabvumidzwa kuti ishandiswe neDrug Administration (FDA) munaDecember 1991.
Zocor Inoshanda Sei?
Zocor inosunga uye inhibits enzyme 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) inoderedza, inymei yakakura mumugwagwa weku cholesterol, Ichi chiito chinoderedza kuwanda kweshoko reku cholesterol yakaitwa muchiropa.
Zocor Inofanira Kutorwa Sei?
Zocor inotorwa nemuromo, kana kuti isina zvokudya kamwechete pazuva, sezvinorayirwa nemupi wako wehutano.
Kunyange zvazvo maitiro anowanzoshandiswa kurapa lipids yako kubva pa5 kusvika ku 40 mg, mupi wehutano wako anogona kukutanga pazamu diki uye zvishoma nezvishoma kuwedzera mazamu ako, zvichienderana nemazinga ako eDD uye mhinduro yako kumishonga. Zocor 80 mg inogona kukonzera kurwadziwa kwemasumbu - kusanganisira rhabdomyolysis - naizvozvo chiyero ichi hachisi kushandiswa kunze kwekuti iwe wakachiregirira kwenguva kwenguva isina michero.
Chikafu chinoderedza-kudya chinofanira kuteverwa paunotora Zocor.
Ndiani Asingafaniri Kutora Zocor?
Kana uine imwe yehutano hwakanyorwa pasi apa, haufaniri kutora Zocor. Muzviitiko izvi, mupiki wako wehutano anogona kukuisa pane zvakasiyana-siyana kuti udzikise lipids yako:
- Allergies. Kana iwe wakave wakamboenda kuZocor kana zvimwe zvezvigadzirwa zvayo, haufaniri kutora mishonga iyi.
- Kurwisa chiropa chirwere. Kana iwe uine chirwere chakakomba chechiropa kana usina kutsanangurwa, maitiro asingaverengeki enzyme yepamusoro yeropa, Zocor haafaniri kutorwa.
- Mamwe mishonga. Kana uri kutora cyclosporine, gemfibrozil, danazol, kana mamwe mishonga inonyanya kudzivirira nzira yemagetsi, CYP3A4, haufaniri kutora Zocor.
- Kuberekwa. Zocor inoratidzirwa seMubatanidzwa Chikwata X. Zocor yakaratidzwa kuyambuka chigadziro chinoputika mumakonzo uye pane nheyo dzekusavaraidza uye kutadza kusina kuwanikwa mune zvidzidzo zvemhuka. Uyezve, izvi zvakare zvakataurwa mumadzimai ane pamuviri anotora mishonga yemishonga. Kana uri kuronga kuva nepamuviri kana kuti watova nepamuviri uye vari kutora Zocor, mushandi wako wehutano achayera kubatsira kwekutora mishonga pane utano hwako uye zvinogona kuitika kumwana wako.
- Nursing . Zocor yakaratidzwa kuti inopinda mumukaka wamazamu. Hazvizivikanwe kuti chii chinogona kuitika kune mwana wako.
Mamiriro Ezvinhu Anoda Kuongororwa
Kana uri kutora Zocor, mupiki wako wehutano angada kuongorora iwe zvakanyanya kana iwe uine zvimwe zvirwere. Kana uine chero chezvinhu zvinotevera pasi apa, mutapi wako wehutano angasarudza kutanga paZocor pamusana wepamusoro uye achada kukuongorora iwe kuti uone kana kutora Zocor zvingakuvadza iwe. Aya maitiro ehutano anosanganisira:
- Yakawedzerwa chiropa chechiropa. Mukutsvaga, Zocor yakawedzera chiropa chechiropa chinonzi aspartate aminotransferase (AST) uye alanine aminotransferase (ALT) mune zvidzidzo. Kunyangwe kakawanda zviitiko izvi ndezvenguva pfupi, mupi wehutano wehutano achacherechedza mazinga aya kuti ave nechokwadi chokuti chiropa chako chechiropa hachina kukwidziridzwa kuhuwandu hunotyisa.
- Yakakura mazinga eropa glucose. Zvidzidzo zvakaratidza kuti Zocor inogona kuwedzera hemoglobin A1C nekutsanya mazinga emushuga. Kana iwe une chirwere cheshuga, mutarisiri wako wehutano anogona kutarisa zvikamu izvi muropa rako uye agadzirisa chirwere chako cheZocor.
- Zvirwere Zvirwere. Mushandi wako wehutano achakutanga pazera rakaderera uye anokucherechedza zvakanyanya.
Migumisiro Yechiri
Zvipembenene zvinowanzoonekwa zvinosanganisira misoro, kurwadziwa kwepamuviri, kusuruvara, kuvimbiswa, uye kumusoro kwepamusoro zvirwere. Kana uri kutarisana nemigumisiro chero ipi zvayo kubva pakutora Zocor inowedzera kwenguva refu kana kunetseka, iwe unofanira kurega mupi wako wehutano hwehutano achiziva.
Sezvimwe nedzimwe nhepfenyuro, rutivi rwusingaoneki rutivi - rhabdomyolysis - runogonawo kuitika kune vanhu vanotora Zocor. Zviratidzo zveRhabdomyolysis zvinosanganisira musuru urombo uye utera, uye soda-ruvara rwemuti. Ngozi yako yekutarisana nemigumisiro iyi inogona kuitika kana iwe uri kutora mimwe mishonga, kuwedzera kwezera, kutora 80 mg chirwere cheZocor, nezvimwe zvirwere. Kana ukawana chero zviratidzo zverhabdomyolysis, iwe unofanira kuzivisa pakarepo utano wako wehutano.
Mishonga Inogona Kubatana naZocor
Kunze kwe cyclosporine, gemfibrozil, nemimwe mishonga inotaurwa pamusoro apa, zvinodhaka zvinotevera zvinogona kuwirirana naZocor - kuwedzerwa mikana yekuwana migumisiro. Mishonga inotevera inogona kuwedzera mazinga eZocor kana mamwe mishonga mumuviri wako:
- Cholesterol-kuderedza zvinodhaka ( nicotinic acid , fibrates)
- Mimwe mishonga yemwoyo - yakadai se verapamil, diltiazem, amiodarone, amlodipine
- Protease inhibitors
- Colchicine
- Coumadin (warfarin)
Sezvo iyi isiri urongwa hwakakwana, iwe unofanirwa kurega mupi wako wehutano wehutano achiziva nezvemishonga yose - kusanganisira mishonga yemishonga uye pamusoro pemiti-zvinodhaka-zvauri kutora paunotora Zocor. Kana iwe uchida kutora imwe yemishonga inorongwa pamusoro apa, mupi wehutano wehutano angada kuchinja mazamu ako, kukucherechedza zvakanyanya pamigumisiro, kana kusiya imwe yemishonga.
The Bottom Line
Zocor ndiyo inowanzopiwa mishonga kune iyo inoshandiswa kugadzirisa huwandu hwehutano hwako uye kuderedza dambudziko rako rekufa kubva kune chirwere chepfungwa kana chirwere. Zocor inowanikwawo nenzira yakakura, inokubvumira kuwana iyi mishonga pamutengo unodhura uchienzaniswa nemazita emishonga. Kunyangwe ichishanda, kune dzimwe mimwe migumisiro uye kushamwaridzana kwemishonga iwe unofanirwa kutarisa paunotora Zocor. Nokudaro, iwe unofanirwa kuve nechokwadi chekuti iwe unoramba uchigadza nemupiki wako wehutano kuitira kuti iye aone kuenderera mberi kwako pamishonga.
Sources:
Zovor (Simvastatin) [purojeti]. Merck: Whitehouse Station, NJ. Updated 3.2015.
Micromedex 2.0. Truven Health Analytics, Inc. Greenwood Village, CO. Iripo pa http://www.micromedexsolutions.com.
Vadzidzi veSvondo 4S. Randomised Trial of Cholesterol Kutsika muna 4444 Varwere Vane Coronary Heart Disease: The Scandinavian Simvastatin Survival Study. Lancet 1994 Nov 19; 344 (8934): 1383-9.