Bile acid resins, inozivikanwawo se bile acid sequestrants, ikirasi yeikoroterol-kuderedza mishonga inonyanya kuderedza LDL cholesterol . Zvinodhaka munharaunda iyi zvinosanganisira:
- Cholestyramine (Questran)
- Colesevelam (Welchol)
- Colestipol (Colestid)
Bile acid resins haisi inowanzonyorerwa kwete chete nokuti pane zvimwe zvakanyanya cholesterol-kuderedza zvinodhaka pamusika, asiwo nokuti mishonga iyi haina kuratidzwa kuti inoderedza zvakanakira ngozi yako yehutano hwehutano.
Kana uine yakakura kwazvo yeLDL cholesterol mazinga, mupi wehutano wako angave iwe unotora statin kana imwe yechirinterol-kuderedza mishonga pamwe chete ne-bile acid resin, sezvo izvi zvichabatsira kuderedza mapazi ako eDDL zvakare.
Kunyange zvazvo vachibudirira mukuderedza zvishoma mazamu eLDL, kune zvimwe zvinhu zvaunofanira kuziva musati watanga bile acid remin therapy, zvakadai semagariro anowanzoitwa nemishonga inogona kuwirirana ne bile acid resins.
The Side Effects
Vamwe vanhu vanotora bile bile acid resin vanogona kuve nemimwe migumisiro yakaoma. Dambudziko rakazara rinotarisana nekutora bile acid resin zviputi zvemakumbo, izvo zvinosanganisira pfungwa yekuzara, kubvongodza, kuvimbiswa, flatulence, nekunyunyuta. Iyi migumisiro yechirwere inogona kuderedzwa ne:
- Kunowedzera fiber kune yako yekudya
- Kunwa mvura yakawanda
- Kutora zvinyoro zvinyoro zvishoma kuti zvideredze kuvimbiswa uye kugadzikana
- Kuwedzera maitiro ezuva nezuva
Gritty Taste
Kana iwe uchitarirwa imwe yemafuta akawandisa e-bile acid resins, unogona kuwana kuti tauri ishungu shoma. Chaizvoizvo, kuravira ndeimwe yezvikonzero izvo bile acid resine inowanzoregwa. Iwe unogona kuvandudza ruzivo nekuwedzera resin kune jisi yemichero. Kana uchinge uchinge uine matanho aya, unowana ruzivo rwechiri kukanganiswa, iwe unofanirwa kutaurirana nemutarisiri wako wehutano usati warega kurapwa.
Anogona kuchinja kurapwa kwako kana kukutsinhanisa ku-bile acid resin iyo inowanika mupepeti yefomu.
Zvinodhaka uye Vitamin Interaction
Kunyange zvazvo bile acid resin inokwanisa kusunga kuti bile acids uye kudzivirira cholesterol kuti irege kupinda mumuviri, inogonawo kudzivisa mamwe mishonga nemavithamini kubva pakuwedzerwa, zvakare. Kana mishonga kana vitamine isingabatanidzi kubva mumucheche muduku, haisi kuita basa rayo uye haishandisi muviri wako. Kunyange zvazvo urongwa uhwu husina kukwana, izvi ndezvimwe mavitamini uye zvinowanzobatwa zvinodhaka zvinokanganiswa ne bile acid resins. Kana uri kutora chimwe chezvinhu izvi, usatora maawa maviri asati apera kana maawa masere mushure mekutora yako bile acid resin.
- Mavhithamini ane mafuta-akadai, zvakadai sevitamini A, D, K, uye E
- Folic acid
- Coumadin (warfarin)
- Thyroid hormones
- Hydrochlorothiazide
- Lanoxin (digoxin)
- Hydrocortisone
- Tylenol (acetaminophen)
- Imodium (loperamide)
- Niacin
Kuwedzerwa, kana iwe uchifanira kurega chiremba wako kana mhizha wemasiteri achiziva kana uri kutora bile bile acid resin. Vachakwanisa kuvhara kuti chero kupi zvayo kunobatanidzwa pakati peB bile acid resin nemimwe mishonga.
Zvimwe Utano Zvimwe
Pane zvimwe zvirwere zvinogona kuwedzerwa nekutora bhile acid resin.
Mushandi wako wehutano achaita sarudzo yekuisa iwe pa bile bile acid resin inobva pane lipids yako uye hutano hwako hwose. Kana uine chero ipi zvayo zvinotevera pasi apa, mutapi wako wehutano angasarudza kusakuisa pamushonga uyu:
- Hypertriglyceridemia (high triglycerides). Bile acid resins haibatanidzi zvakananga triglycerides, asi uye inogona kuwedzera mazinga e-triglyceride achiwedzera nekushandiswa kwenguva refu.
- Dumbu rekusavhiringidza kana kushandiswa kwepamusoro kwepamusoro kwepamuviri. Bile acid resins inogona kukonzera fecal impaction kana maronda ako emukuchi asingashande zvakanaka.
- Hemorrhoids. Kana uine hemorrhoids, bile acid resin inogona kukuvadza iyi mamiriro.
Sources:
Dipiro JT, Talbert RL. Pharmacotherapy: A Pathophysiological Approach, 9th, 2014.
Micromedex 2.0. Truven Health Analytics, Inc. Greenwood Village, CO.