IGemfibrozil, iThebhulethi yomlomo

Umxholo

• Izilumkiso ezibalulekileyo
• Yintoni igemfibrozil?
• Kutheni isetyenziswa
• Ingaba isebenza kanjani
• Iziphumo ebezingalindelekanga zeGemfibrozil
• Iziphumo eziqhelekileyo ezichaphazelekayo
• Iziphumo ebezingalindelekanga ezimandundu
• IGemfibrozil inokusebenzisana namanye amayeza
• Isiyobisi somzimba kunye nesifuba
• Iziyobisi ezinciphisa igazi
• Iziyobisi zomhlaza
• Isiyobisi sorhudo
• Iziyobisi cholesterol
• Iziyobisi zeswekile
• Gout iziyobisi
• Iziyobisi zeHepatitis C
• Iziyobisi zepremonary arterial hypertension (PAH)
• Izilumkiso zeGemfibrozil
• Isilumkiso somzimba
• Izilumkiso zabantu abaneemeko ezithile zempilo
• Izilumkiso kwamanye amaqela
• Ungayithatha njani i-gemfibrozil
• Iifom zamachiza kunye namandla
• Isisombululo se-cholesterol ephezulu
• Thatha njengoko kuyalelwe
• Ukuqwalaselwa okubalulekileyo kokuthatha i-gemfibrozil
• Ngokubanzi
• Ukugcina
• Ukuzalisa kwakhona
• Ukuhamba
• Ukubeka iliso kwezonyango
• Ukutya kwakho
• Ngaba zikhona ezinye iindlela?

Amagqabantshintshi egemfibrozil

1. Ithebhulethi yomlomo ye-Gemfibrozil iyafumaneka njengechiza elinophawu lomthi kunye neyeza eliqhelekileyo. Igama lebrand: Lopid.
2. I-Gemfibrozil iza kuphela kwifom yepilisi oyithatha ngomlomo.
3. IGemfibrozil isetyenziselwa ukuthoba i-triglycerides, uhlobo lwamafutha egazini lakho. Ukuba namanqanaba aphezulu kakhulu e-triglycerides kunyusa umngcipheko wepancreatitis (ukudumba kwepancreas).

Izilumkiso ezibalulekileyo

• Isilumkiso ngamatye I-Gemfibrozil inokubangela ukuba ukhule ngamatye enyongo. Ukuba uphuhlisa iinyongo, kuya kufuneka uyeke ukusebenzisa eli chiza.
• Ukudibanisa kunye nesilumkiso se-statins: I-Gemfibrozil akufuneki ithathwe nge-simvastatin, elinye ichiza le-cholesterol. Sebenzisa i-gemfibrozil kunye ne-simvastatin okanye ezinye iziyobisi kwiklasi ye-statin kunokubangela ubungozi obukhulu bemisipha. Le meko inokubangela ukusilela kwezintso okanye ukufa.

Sebenzisa ngesilumkiso selexipag: I-Gemfibrozil akufuneki ithathwe nge-selexipag, esetyenziselwa ukunyanga uxinzelelo lwegazi lwe-pulmonary arterial hypertension (PAH). Ukusebenzisa la machiza kunye kunokunyusa isixa selexipag emzimbeni wakho kumanqanaba ayingozi.

Yintoni igemfibrozil?

I-Gemfibrozil sisiyobisi sikagqirha. Kuza njengethebhulethi oyithathayo ngomlomo.

I-Gemfibrozil iyafumaneka njengechiza elinegama lophawu Lopid. Ikwafumaneka njengechiza elenza la machiza. Amachiza enziwe afana nalawo aveliswe ngumenzi ahlala exabisa ixabiso lawo kunexabiso lawo. Ngamanye amaxesha, azinakufumaneka kuwo onke amandla okanye kwifom njengegama legama lophawu.

Kutheni isetyenziswa

IGemfibrozil isetyenziselwa ukuthoba amanqanaba akho e-triglycerides, uhlobo lwamafutha egazini lakho. Amanqanaba aphezulu kakhulu e-triglycerides anyusa umngcipheko wepancreatitis.

Ingaba isebenza kanjani

I-Gemfibrozil ikudidi lweziyobisi ekuthiwa yi-fibric acid derivatives. Iklasi leziyobisi liqela lamayeza asebenza ngendlela efanayo. La machiza ahlala esetyenziselwa ukunyanga iimeko ezifanayo.

I-Gemfibrozil isebenza ngokutshintsha inani le-cholesterol kunye namanye amafutha (lipids) emzimbeni wakho. I-Gemfibrozil yehlisa amanqanaba e-triglyceride kwaye inyusa amanqanaba e-cholesterol ye-HDL. (I-HDL ithathwa njengoluhlobo olulungileyo lwecholesterol.)

Iziphumo ebezingalindelekanga zeGemfibrozil

I-Gemfibrozil ayibangeli ukozela, kodwa inokubangela ezinye iziphumo ebezingalindelekanga.

Iziphumo eziqhelekileyo ezichaphazelekayo

Iziphumo eziqhelekileyo ezinokuthi zenzeke ngokusetyenziswa kwegemfibrozil zibandakanya:

• isisu esibuhlungu
• isisu esibuhlungu
• isicaphucaphu
• ukugabha
• urhudo
• ukuqhina
• irhashalala
• isiyezi
• intloko ebuhlungu
• utshintsho kwindlela izinto ezingcamla ngayo
• iintlungu zemisipha

Ukuba ezi ziphumo zincinci, zinokuhamba zingaphelanga iintsuku okanye iiveki ezimbalwa. Ukuba zinzima kakhulu okanye azihambi, thetha nogqirha wakho okanye usokhemesti.

Iziphumo ebezingalindelekanga ezimandundu

Shayela ugqirha wakho ngokukhawuleza ukuba unemiphumo emibi. Tsalela umnxeba ku-911 ukuba iimpawu zakho ziziva zisongela ubomi okanye ukuba ucinga ukuba unempilo kaxakeka. Iziphumo ebezingalindelekanga ezimandundu kunye neempawu zazo zinokubandakanya oku kulandelayo:

• Amatye egall. Iimpawu zingabandakanya:
  • iintlungu kwinxalenye ephezulu yesisu sakho (indawo yesisu)
  • isicaphucaphu
  • ukugabha
• IRhabdomyolysis (izihlunu ezinetyhefu). Iimpawu zingabandakanya:
  • intlungu, ukuthamba, okanye ubuthathaka kwimisipha yakho
  • umchamo omnyama-mnyama

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu lwazi lubandakanya zonke iziphumo ebezingalindelekanga ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uxoxa ngeziphumo ebezingalindelekanga ezinokwenzeka kunye nomboneleli wezempilo oyaziyo imbali yakho yezonyango.

IGemfibrozil inokusebenzisana namanye amayeza

Ithebhulethi yomlomo yeGemfibrozil inokusebenzisana namanye amayeza, iivithamini, okanye imifuno onokuthi uyithathe. Unxibelelwano kuxa into isitshintsha indlela esebenza ngayo iyeza. Oku kunokuba yingozi okanye kuthintele ichiza ekusebenzeni kakuhle.

Ukukunceda ukunqanda ukusebenzisana, ugqirha wakho kufuneka alawule onke amayeza ngononophelo. Qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza, iivithamini, okanye imifuno oyithathayo. Ukufumanisa ukuba eli chiza linokusebenzisana njani nenye into oyithathayo, thetha nogqirha wakho okanye usokhemesti.

Imizekelo yamachiza anokubangela ukuhlangana kunye ne-gemfibrozil zidweliswe apha ngezantsi.

Isiyobisi somzimba kunye nesifuba

Montelukast isetyenziselwa ukunyanga i-allergies kunye ne-asthma. Ukuthatha i-gemfibrozil ngayo kunokunyusa umngcipheko weziphumo ebezingalindelekanga. Ugqirha wakho unokuhlisa idosi yakho ukuba ufuna ukuyithatha nge-gemfibrozil.

Iziyobisi ezinciphisa igazi

IWarfarin isetyenziselwa ukuthoba igazi. Xa isetyenziswa kunye ne-gemfibrozil, iziphumo ze-warfarin zinokunyuswa. Oku kuphakamisa umngcipheko wokopha. Ugqirha wakho unokunciphisa umyinge we-warfarin kwaye akubeke esweni rhoqo xa uqala i-gemfibrozil.

Iziyobisi zomhlaza

Ukuthatha amayeza athile omhlaza kunye ne-gemfibrozil kunokunyusa iziphumo zala machiza omhlaza. Ugqirha wakho unokunciphisa idosi yakho yala machiza ukuba ufuna ukuwathatha ngegemfibrozil. Imizekelo yala machiza ibandakanya:

• dabrafenib
• enzalutamide
• zibelka

Isiyobisi sorhudo

Loperamide isetyenziselwa ukunyanga urhudo. Xa isetyenziswa kunye ne-gemfibrozil, iziphumo ze-loperamide zinokunyuswa. Ugqirha wakho unokunciphisa idosi ye-loperamide ukuba ufuna ukuyithatha nge-gemfibrozil.

Iziyobisi cholesterol

Amachiza athile anciphisa i-cholesterol enyusa umngcipheko othile ukuba uthathwe nge-gemfibrozil. Sukusebenzisa la machiza ngegemfibrozil. Bonyusa umngcipheko weetyhefu zemisipha okanye ukusilela kwezintso. Oku kunokwenzeka emva kweeveki ezintathu zonyango oludibeneyo, okanye kunokwenzeka emva kweenyanga ezininzi. Imizekelo yala machiza ibandakanya:

• imvulatin
• ifluvastatin
• eyoyinatin
• izoybisi
• Ipravastatin
• rosuvastatin
• simvastatin

Kwakhona, amayeza athile e-cholesterol anokunciphisa iziphumo ze-gemfibrozil. Ukuthintela oku, kuya kufuneka uthathe la mayeza iiyure ezimbini okanye nangaphezulu emva kokuthatha i-gemfibrozil. Imizekelo yala machiza ibandakanya:

• cholestyramine
• iqecqsi
• icolestipol

Iziyobisi zeswekile

Sebenzisa i-gemfibrozil kunye neziyobisi ezithile zeswekile kunokunyusa iziphumo zala machiza. Oku kuphakamisa umngcipheko wamanqanaba eswekile egazi asezantsi. Sukusebenzisa la machiza ngegemfibrozil. Imizekelo yala machiza ibandakanya:

• ipharamikhi

Ezinye iziyobisi zeswekile zinokufuna ukunciphisa i-dosing xa zinikwa i-gemfibrozil. Oku kubandakanya:

• glyburide
• glimepiride
• glipizide
• yeza
• mzantsiweb
• rosiglitazone

Gout iziyobisi

Colchicine isetyenziselwa ukunyanga igawuthi. Sebenzisa i-gemfibrozil ngeli chiza kunyusa umngcipheko wakho wokutyhefa kwezihlunu. Le meko inokubangela ukusilela kwezintso okanye ukufa. Unokuba semngciphekweni omkhulu ukuba umdala (uneminyaka engama-65 okanye ngaphezulu) okanye unengxaki yezintso.

Iziyobisi zeHepatitis C

I-Dasabuvir isetyenziselwa ukunyanga i-hepatitis C. Musa ukusebenzisa eli chiza ngegemfibrozil.

Iziyobisi zepremonary arterial hypertension (PAH)

I-Selexipag isetyenziselwa ukunyanga i-PAH. Sukusebenzisa eli chiza ngegemfibrozil.

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zinxibelelana ngokwahlukileyo kumntu ngamnye, asinakuqinisekisa ukuba olu lwazi lubandakanya lonke unxibelelwano olunokwenzeka. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nomboneleli wakho wezempilo malunga nokunxibelelana okunokubakho nawo onke amayeza amiselweyo, iivithamini, amayeza kunye nezongezo, kunye neziyobisi ezingaphaya kwekhawunta ozithathayo.

Izilumkiso zeGemfibrozil

Eli chiza liza nezilumkiso ezininzi.

Isilumkiso somzimba

Gemfibrozil kunokubangela uxabane kakhulu. Iimpawu zingabandakanya:

• ingxaki yokuphefumla
• ukudumba komqala wakho

Ukuba uvelisa ezi mpawu, tsalela umnxeba ku-911 okanye uye kwigumbi lexakeka elikufutshane.

Sukuphinda ulithathe eli chiza ukuba ukhe waba negazi kulo. Ukuyithatha kwakhona kunokuba yingozi (kubangele ukufa).

Izilumkiso zabantu abaneemeko ezithile zempilo

Kubantu abaneengxaki zezintso: I-Gemfibrozil inokusenza mandundu isifo sakho sezintso. Ukuba unesifo sezintso, akufuneki usebenzise igemfibrozil.

Kubantu abanesifo sentliziyo: I-Gemfibrozil ayiboniswanga ukunciphisa umngcipheko wokufa kwesifo sentliziyo. Ugqirha wakho angayeka ukusebenzisa i-gemfibrozil ukuba ayibangeli ukwehla okukhulu kwi-triglycerides yakho.

Izilumkiso kwamanye amaqela

Abafazi abakhulelweyo: IGemfibrozil ludidi C lokukhulelwa iziyobisi. Oko kuthetha izinto ezimbini:

1. Uphando kwizilwanyana lubonakalise iziphumo ezingalunganga kwimveku xa umama ethatha iyeza.
2. Khange kubekho zifundo zaneleyo zenziweyo ebantwini ukuze baqiniseke ukuba ichiza linokuchaphazela njani umntwana ongekazalwa.

Thetha nogqirha wakho ukuba ukhulelwe okanye uceba ukukhulelwa. Eli chiza kufuneka lisetyenziswe kuphela ukuba isibonelelo esinokubakho siqinisekisa umngcipheko onokubakho.

Ukuba ukhulelwa ngelixa uthatha eli chiza, biza ugqirha wakho kwangoko.

Kubafazi abancancisayo: I-Gemfibrozil inokudlula kubisi lwebele kwaye inokubangela iziphumo ebezingalindelekanga emntwaneni oncanciswa. Thetha nogqirha wakho xa uncelisa umntwana wakho. Akufanele uncelise kwaye usebenzise eli chiza ngaxeshanye.

Kubantu abadala: Izintso zabantu abadala zingasasebenzi ngendlela ababeqhele ukusebenza ngayo. Oku kunokubangela ukuba umzimba wakho uqhubekeke neziyobisi ngokuthe chu. Ngenxa yoko, inani eliphezulu leziyobisi lihlala emzimbeni wakho ixesha elide. Oku kwandisa umngcipheko weziphumo ebezingalindelekanga.

Ungayithatha njani i-gemfibrozil

Zonke iidosi ezinokwenzeka kunye neefom zamachiza azinakufakwa apha. Umthamo wakho, ifom yeziyobisi, kunye nokuba ulithatha kangaphi iziyobisi kuya kuxhomekeka:

• iminyaka yakho
• imeko inyangwa
• ubuzaza bemeko yakho
• ezinye iimeko zonyango onazo
• usabela njani kwidosi yokuqala

Iifom zamachiza kunye namandla

Ngokwesiqhelo: Gemfibrozil

• Ifom: ithebhulethi yomlomo
• Amandla: 600 mg

Igama lebrand: Lopid

• Ifom: ithebhulethi yomlomo
• Amandla: 600 mg

Isisombululo se-cholesterol ephezulu

Idosi yabantu abadala (iminyaka eyi-18-64 iminyaka):

Umthamo oqhelekileyo ngowama-600 mg kabini ngemini.

Umthamo womntwana (iminyaka eyi-0-17 iminyaka):

Akuqinisekiswanga ukuba i-gemfibrozil ikhuselekile kwaye iyasebenza ukuba isetyenziswe ebantwaneni. Musa ukusebenzisa abantwana abangaphantsi kweminyaka eli-18.

Umthamo omkhulu (iminyaka eyi-65 nangaphezulu):

Izintso zabantu abadala zingasasebenzi ngendlela ababeqhele ukusebenza ngayo. Oku kunokubangela ukuba umzimba wakho uqhubekeke neziyobisi ngokuthe chu. Ngenxa yoko, inani eliphezulu leziyobisi lihlala emzimbeni wakho ixesha elide. Oku kwandisa umngcipheko weziphumo ebezingalindelekanga.

Ukuba uneengxaki zezintso, ugqirha wakho unokukuqala kumthamo owehlisiweyo okanye ishedyuli eyahlukileyo yamayeza. Oku kunokunceda ukugcina amanqanaba eli chiza ekwakheni kakhulu emzimbeni wakho.

Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu luhlu lubandakanya zonke iidosi ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nogqirha wakho okanye usokhemesti malunga needosi ezikulungeleyo.

Thatha njengoko kuyalelwe

I-Gemfibrozil isetyenziselwa unyango lwexesha elide. Ugqirha wakho unokuthatha isigqibo sokuyeka i-gemfibrozil emva kweenyanga ezintathu zonyango ukuba awunalo utshintsho olwaneleyo kumanqanaba akho e-triglyceride.

Eli chiza liza nomngcipheko omkhulu ukuba awuyithathi njengoko kumiselwe.

Ukuba uyeka ukuthatha iyeza ngesiquphe okanye ungathathi kwaphela: Amanqanaba akho e-triglyceride anokunyuka. Ukuba amanqanaba akho e-triglyceride aphezulu kakhulu, usengozini ephezulu yesifo sentliziyo okanye i-pancreatitis.

Ukuba uphosa idosi okanye awuthathi ichiza kwishedyuli: Amayeza akho anokungasebenzi kakuhle okanye angayeka ukusebenza ngokupheleleyo. Ukuze eli chiza lisebenze kakuhle, isixa esithile kufuneka sibe semzimbeni wakho ngalo lonke ixesha.

Ukuba uthatha kakhulu: Unokuba namanqanaba ayingozi amachiza emzimbeni wakho. Iimpawu zokudlula ngaphezulu zinokubandakanya:

• isisu esibuhlungu
• intloko ebuhlungu
• iintlungu zemisipha

Ukuba ucinga ukuba uthathe eli chiza kakhulu, tsalela ugqirha wakho okanye ufune isikhokelo kuMbutho waseMelika wamaZiko oLawulo lweTyhefu ngo-1-800-222-1222 okanye ngesixhobo sazo esikwi-intanethi. Kodwa ukuba iimpawu zakho zinzima, tsalela umnxeba ku-911 okanye uye kwigumbi likaxakeka elikufutshane ngoko nangoko.

Yintoni omele uyenze xa uphosa idosi: Thatha idosi yakho ngokukhawuleza ukuba ukhumbule. Kodwa ukuba ukhumbula iiyure ezimbalwa ngaphambi kwethamo lakho elilandelayo, thabatha idosi enye kuphela. Ungaze uzame ukubamba ngokuthatha iidosi ezimbini ngaxeshanye. Oku kunokubangela iziphumo ebezingalindelekanga eziyingozi.

Ungaxela njani ukuba ichiza liyasebenza: Kuya kufuneka wehle kwi-triglycerides yakho kunye nokunyuka kwamanqanaba akho e-HDL. Unokuziva ungafani kwaphela xa usela eli yeza. Ugqirha wakho uya kubeka esweni amanqanaba akho e-cholesterol ukuqinisekisa ukuba ichiza liyakusebenzela.

Ukuqwalaselwa okubalulekileyo kokuthatha i-gemfibrozil

Gcina ezi ngqwalaselo engqondweni ukuba ugqirha wakho ukumisela igemfibrozil.

Ngokubanzi

• Eli chiza kufuneka lithathwe ngaphambi kokutya. Thatha imizuzu engama-30 ngaphambi kokutya kwakho kusasa nangokuhlwa.
• Musa ukusika okanye ukutyumza ithebhulethi.

Ukugcina

• Gcina igemfibrozil kubushushu begumbi phakathi kwama-68 ° F kunye nama-77 ° F (20 ° C nama-25 ° C).
• Gcina eli chiza kude nokukhanya.
• Sukugcina eli yeza kwiindawo ezifumileyo okanye ezimanzi, ezinjengezindlu zangasese.

Ukuzalisa kwakhona

Imigqaliselo yolu nyango iyahlaziywa. Akunyanzelekanga ukuba ufune iyeza elitsha ukuze eli gciwane lizaliswe kwakhona. Ugqirha wakho uza kubhala inani lezinto ezigcwalisiweyo kugunyaziswe ngugqirha wakho.

Ukuhamba

Xa uhamba namayeza akho:

• Soloko uphatha amayeza akho kunye nawe. Xa ubhabha, ungaze uyibeke kwingxowa ekhangelwe. Yigcine kwibhegi yakho yokuqhubela phambili.
• Musa ukuzikhathaza ngoomatshini beX-ray kwisikhululo seenqwelo-moya. Abakwazi ukulimaza amayeza akho.
• Kusenokufuneka ubonise abasebenzi besikhululo seenqwelomoya ilebhile yekhemesti yakho. Soloko uphatha ikhonteyina eneleta emiselweyo yentsusa.
• Musa ukubeka eli yeza kwigumbi leglavu lemoto yakho okanye ulishiye emotweni. Qiniseka ukuthintela ukwenza oku xa imozulu ishushu kakhulu okanye ibanda kakhulu.

Ukubeka iliso kwezonyango

Ugqirha wakho uya kubeka esweni amanqanaba akho e-triglyceride ngelixa uthatha eli chiza. Banokujonga amanqanaba akho e-triglyceride rhoqo kwiinyanga ezi-3 ukuya kwezi-12 zokuqinisekisa ukuba eli chiza liyasebenza.

Ukutya kwakho

Ukongeza ekusebenziseni i-gemfibrozil, ukutya okuhle kubalulekile ukukunceda ukulawula amanqanaba akho e-triglyceride. Ukwehla kwesisindo kunokunceda ekufumaneni amanqanaba e-triglyceride emva kuluhlu oluqhelekileyo. Thetha nogqirha wakho okanye ingcali yokutya ukuze ufumane ulwazi oluthe kratya.

Ngaba zikhona ezinye iindlela?

Kukho ezinye iziyobisi ezikhoyo ukunyanga imeko yakho. Abanye banokukulungela ngcono kunabanye. Thetha nogqirha wakho ngezinye iindlela zamachiza ezinokusebenzela wena.

Iphepha elichazayo ukuba awusenanto oyifunayo: I-Healthline yenze yonke imizamo yokuqinisekisa ukuba lonke ulwazi luchanekile, lubanzi kwaye luhlaziyiwe. Nangona kunjalo, eli nqaku akufuneki lisetyenziswe endaweni yolwazi kunye nobuchule bengcali yezempilo enelayisensi. Kuya kufuneka usoloko uqhagamshelana nogqirha wakho okanye nolunye uqeqesho kwezonyango ngaphambi kokuba uthathe nawaphi na amayeza. Ulwazi lweziyobisi oluqulethwe apha luyakwazi ukutshintsha kwaye alujoliswanga ekusetyenzisweni konke okunokwenzeka, imikhombandlela, izilumkiso, izilumkiso, ukuhlangana kweziyobisi, ukungahambelani komzimba, okanye iziphumo ezibi. Ukungabikho kwezilumkiso okanye olunye ulwazi ngesiyobisi esinikiweyo akubonisi ukuba indibaniselwano yeziyobisi ikhuselekile, iyasebenza, okanye ifanelekile kuzo zonke izigulana okanye konke ukusetyenziswa okuthile.