Colesevelam

Umxholo

• Ngaphambi kokuba uthathe i-colesevelam,
• Iziphumo ezivela colesevelam zinokwenzeka. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana nayiphi na le mpawu, biza ugqirha wakho ngokukhawuleza:

I-Colesevelam isetyenziswa kubantu abadala kunye nokutya, ukunciphisa umzimba, kunye nokuzilolonga ukunciphisa inani le-cholesterol kunye nezinto ezithile ezinamafutha egazini kuphela okanye ngokudibeneyo namanye amayeza anciphisa i-cholesterol eyaziwa ngokuba yi-HMG-CoA reductase inhibitors (statins). I-Colesevelam iphinda isetyenziswe yedwa okanye ngokudibanisa ne-HMG-CoA reductase inhibitors kumakhwenkwe athile kunye namantombazana, iminyaka eyi-10 ukuya kwe-17, ene-heterozygous hypercholesterolemia (imeko ezuzwe njengelifa apho i-cholesterol ayinakususwa emzimbeni ngesiqhelo) ukunciphisa inani icholesterol nezinye izinto ezinamanqatha egazini. IColesevelam ikwasetyenziswa kunye nokutya kunye nokuzilolonga ukulawula amanqanaba eswekile yegazi kubantu abadala abanesifo seswekile sesi-2 (imeko apho umzimba ungasebenzisi i-insulin ngokwesiqhelo kwaye ngenxa yoko awunakho ukulawula isixa seswekile esegazini). UColesevelam ukwiklasi yamayeza abizwa ngokuba yi-bile acid sequestrants. Isebenza ngokubopha i-bile acid emathunjini akho ukwenza imveliso esuswe emzimbeni.

Ii-acid zeebile zenziwa xa i-cholesterol iphulwe emzimbeni wakho. Ukususa ezi asidi ze-bile kunceda ukunciphisa i-cholesterol yegazi lakho. Ukuqokelelwa kwecholesterol kunye namafutha ecaleni kweendonga zemithambo yakho (inkqubo eyaziwa njenge-atherosclerosis) inciphisa ukuhamba kwegazi kwaye, ke, unikezelo lweoksijini entliziyweni yakho, kwingqondo nakwamanye amalungu omzimba wakho. Ukunciphisa izinga lakho legazi le-cholesterol kunye namafutha kunokunceda ukukhusela isifo senhliziyo, i-angina (intlungu yesifuba), ukubetha kunye nokuhlaselwa kwentliziyo.

I-Colesevelam iza njengecwecwe, kwibhari ehlafunwayo, nanjengomgubo oxutywe nolwelo oza kuluthatha ngomlomo. Iipilisi zihlala zithathwa kanye okanye kabini ngemini ngokutya kunye nesiselo. Imivalo ehlafunwayo kunye nomgubo zihlala zithathwa kanye ngemini ngokutya. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-colesevelam ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Ukuba uthatha umgubo wokumiswa ngomlomo, ungabinanto yonke epakethini enye kwiglasi. Yongeza ii-ounces eziyi-8 zamanzi, incindi yeziqhamo, okanye ukutya okuselwayo. Govuza kakuhle kwaye usele yonke imixholo yeglasi. Kuqhelekile ukuba imixholo ibonakale inamafu kwaye inganyibiliki ngokupheleleyo. Musa ukuthatha umgubo ngendlela eyomileyo.

Ukuba uthatha imivalo ehlafunwayo, kuya kufuneka uyazi ukuba imivalo ehlafunwayo ineekhalori ezingama-80 kwibar nganye.

IColesevelam ilawula imeko yakho kodwa ayiyinyangi. Qhubeka nokuthatha i-colesevelam nokuba uziva uphilile. Sukuyeka ukuthatha i-colesevelam ngaphandle kokuthetha nogqirha wakho.

La mayeza ngamanye amaxesha amiselweyo kwezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-colesevelam,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-colesevelam okanye nawaphi na amanye amayeza.
• xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya oku kulandelayo: ii-anticoagulants ezinje nge-warfarin kunye ne-metformin eyandisiweyo-yokukhululwa (iGlucophage XR, iGlumetaza).
• ukuba uthatha i-cyclosporine (Gengraf, Neoral, Sandimmune) ,, glipizide (Glucotrol), glimepride (Amaryl), glyburide (Diabeta), levothyroxine (Synthroid), olmesartan (Benicar), izinto zokucwangcisa zomlomo (iipilisi zolawulo lokuzalwa), phenytoin (Dilantin ), okanye iivithamini, zithathe ubuncinci iiyure ezi-4 ngaphambi kwecolesevelam.
• xelela ugqirha wakho ukuba ukhe wavalwa esiswini okanye emathunjini, amanqanaba aphezulu e-triglycerides (okunamafutha) egazini, okanye ukudumba kwepancreas okubangelwa ngamanqanaba aphezulu e-triglycerides egazini. Ugqirha wakho uya kukuxelela ukuba ungathathi i-colesevelam.
• xelela ugqirha wakho ukuba uye wenziwa uqhaqho lwesisu, kwaye ukuba unayo okanye wakha wanayo nayiphi na ingxaki ngokwazi ukwetyisa okanye ukufunxa izakhamzimba ekutyeni, naluphi na uhlobo lwengxaki yesisu njengokucotha ukukhupha isisu, okanye ubunzima bokuginya.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-colesevelam, tsalela ugqirha wakho.
• ukuba unayo i-phenylketonuria (PKU, imeko ezuzwe njengelifa apho ukutya okukhethekileyo kufuneka kulandelwe ukuthintela ukudodobala kwengqondo), kuya kufuneka wazi ukuba umgubo wokumiswa ngomlomo uqukethe i-aspartame eyenza i-phenylalanine.

Yitya ukutya okune-fat-fat, low-cholesterol. Qiniseka ukuba ulandela yonke imithambo kunye nezincomo zokutya ezenziwe ngugqirha wakho okanye ugqirha otya ukutya. Ungandwendwela iNational Cholesterol Education Programme (NCEP) kwiwebhusayithi ukufumana ulwazi olongezelelekileyo malunga nokutya kule http://www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.pdf.

Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza idosi ephosiweyo.

Iziphumo ezivela colesevelam zinokwenzeka. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• irhasi
• ukuqhina
• isicaphucaphu
• ukugabha
• urhudo
• isilungulela
• isisu okanye umqolo obuhlungu
• intloko ebuhlungu
• ubuthathaka
• iintlungu zemisipha

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana nayiphi na le mpawu, biza ugqirha wakho ngokukhawuleza:

• iintlungu ezinzima zesisu kunye okanye ngaphandle kwesicefecefe kunye nokugabha

I-Colesevelam inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile zebhu ngaphambi nangexesha lonyango lwakho ukujonga impendulo yakho kwi-colesevelam.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• WelChol^®