Ndi matenda a shuga, ndikofunikira kuti musamangoyesa shuga wamagazi, komanso kudziyesa pafupipafupi mayeso a cholesterol. Ngati chizindikiro ichi chikuwonjezereka, adotolo amakupatsani zakudya zapadera zochizira komanso mankhwala.
Mankhwala odziwika kwambiri a hypercholesterolemia ndi Simvagexal, amatanthauza za lipid-kuchepetsa mankhwala omwe ali ndi yogwira mankhwala simvastatin.
Mapiritsiwa ndi oyenera kuthandizira odwala omwe ali ndi zaka zopitilira 18. Mutha kuzigula pa pharmacy iliyonse mukapereka mankhwala. Mlingowo umatsimikiziridwa ndi dokotala payekhapayekha, poganizira za mbiri yakale yakuchipatala, kupezeka kwa ma contraindication ndi matenda ang'onoang'ono.
Kodi mankhwalawo amagwira ntchito bwanji?
Kukonzekera komwe kumapangidwa kuchokera ku enzymatic product Aspergillus terreus kumatsitsa ma plasma omwe amakhala ndi triglycerides, otsika kwambiri komanso otsika kachulukidwe lipoproteins, komanso kumawonjezera zomwe zili ndi kupalasa kwakukulu lipoproteins.
Zotsatira zabwino zoyambirira zitha kuwoneka patadutsa masiku 14 chichitikireni chithandizo. Kwambiri achire zotsatira zimatheka pang'onopang'ono, patatha mwezi ndi theka.
Ndikofunika kumaliza njira yochiritsira yomwe mwalandira kuti ikhale yokhazikika kwa nthawi yayitali.
Dokotala amakupatsani mankhwala ngati wodwala ali:
- Hypercholesterolemia;
- Hypertriglyceridemia;
- Kuphatikiza hypercholesterolemia.
Mankhwala amagwiritsidwa ntchito ngati zakudya zapadera sizinathandize. Komanso, kugwiritsa ntchito mapiritsi amaloledwa kuchitapo kanthu ngati pali vuto la kulowetsedwa kwa myocardial ndi cholesterol index yoposa 5.5 mmol / lita.
Kuphatikiza pa yogwira mankhwala simvastatin, mapiritsi okhala ndi mawonekedwe owoneka ngati oyera, achikasu kapena ofiira okhala ndi ascorbic acid, iron oxide, lactose monohydrate, wowonda chimanga, magnesium stearate, hypromellose, titanium dioxide.
Malangizo ogwiritsira ntchito mankhwalawa
Malinga ndi buku lofunsiralo, muyenera kumwa Simvagexal madzulo kamodzi patsiku, kumwa madzi ambiri. Kutalika kwa mankhwalawa kumatsimikiziridwa ndi adotolo, ndikusintha payekha palokha komanso njira yake siyiloledwa.
Ngati mlingo waposowa akusowa, mankhwalawa amatengedwa nthawi ina iliyonse, pamene mlingo umakhalabe womwewo. Pambuyo pofufuza wodwalayo, ndikuphunzira mbiri yakale yakuchipatala ndikuwunika, dokotalayo amasankha kuti ndi mapiritsi angati omwe amafunikira pakuyamba kwa chithandizo.
Mlingo waukulu umakhazikitsidwa, ndikuyang'ana kuchuluka kwa cholesterol, yomwe imapezeka pakadutsa milungu inayi.
- Pa mlingo wokwanira, wodwala amatenga 40 mg patsiku. Voliyumu iyi imatha kuwonjezeredwa mpaka 80 mg patsiku pamaso pa vuto la mtima pamene chithandizo sichikugwira ntchito.
- Odwala omwe ali ndi vuto la mtima amatenga 20 mg tsiku lililonse. Pakatha mwezi umodzi, mlingo ngati pakufunika ukuwonjezeka 40 mg. Pankhani ya kuchepa kwa cholesterol yathunthu kupita ku 3.6 mmol / lita ndi pansi, kuchuluka kwa mapiritsi kumachepa.
- Ngati munthu amathandizidwa ndi cyclosporine, Nicotinamide kapena ma fibrate, mlingo woyambira komanso wokwanira tsiku lililonse umatsitsidwa mpaka 5-10 mg. Zochita zofananira zimatengedwa ngati pali kulephera kwa impso.
Ndi chithandizo cha immunosuppressive, mulingo wambiri sukweza pamwamba 5 mg tsiku lililonse.
Ndani amatsutsana ndi mankhwala
Ndikofunika kulingalira kuti mapiritsi ali ndi ma contraindication angapo, chifukwa chake, kudzipiritsa nokha sikuyenera kuchitika. Musanatenge Simvagexal, muyenera kuwerenga malangizo kuti mugwiritse ntchito.
Mtengo wa mankhwala omwe ali ndi ndemanga zabwino ndi ma ruble 140-600, kutengera phukusi. Mu pharmac mungapeze mapaketi a 5, 10, 20, 30, 40 mg. Kuti muchite maphunziro ambiri, tikulimbikitsidwa kugula mapiritsi a Hexal Simvagexal 20 mg mu 30 pcs.
Mankhwala okhazikika ngati wodwala ali:
- kulephera kwa chiwindi;
- Hypersensitivity zigawo zikuluzikulu za mankhwala;
- kudziwa ma statins;
- myopathy
- kuphwanya mapangidwe a maselo ofiira a m'magazi (porphyria).
Simungathe kuchita mankhwala ngati munthu akutenga Itraconazole, Ketoconazole, mankhwala ochizira matenda a HIV. Komanso, mapiritsi amadzipanikira azimayi oyembekezera komanso oyembekezera.
Chenjezo liyenera kuchitika pamene wodwala amamwa zakumwa zoledzeretsa, amathandizidwa ndi immunosuppressants, amakhala ndi minofu yowonjezera kapena yocheperako, ali ndi vuto la khunyu, matenda opweteka kwambiri, matenda oopsa, okana endocrine komanso matenda a metabolic. Mankhwalawa amachitidwa pakati pa odwala azaka zopitilira 18.
Pa nthawi yoyembekezera, ndibwino kukana mankhwalawa, chifukwa machitidwe azachipatala milandu ya chitukuko cha mwana pambuyo polemba mapiritsi nthawi zonse amalembedwa.
Pa mankhwala, ndikofunikira kupewa kutenga pakati kuti musavulaze mwana wosabadwayo.
Zotsatira zoyipa
Popereka mankhwala ndi mapiritsi, dokotala ayenera kuonetsetsa kuti wodwala samwa mankhwala ena. Wodwalayo, ayenera kudziwitsa adotolo za mankhwala omwe amamwa kale. Izi ndizofunikira popewa kuyanjana kosafunikira ndi mankhwala ena.
Makamaka, pogwiritsa ntchito ma fibrate, cytostatics, kuchuluka kwa nicotinic acid, Erythromycin, proteinase inhibitors, antifungal agents, immunosuppressants, Clarithromycin, rhabdomyolysis amatha.
Chifukwa cha kuchuluka kwa vuto la mankhwala otulutsa pakamwa, magazi amatha kutuluka, motero muyenera kuyang'anitsitsa momwe magazi amathandizira panthawi yamankhwala. Simvagexal imawonjezeranso zam'magazi a digoxin. Ngati wodwalayo agwiritsa kale cholestyramine ndi colestipol, mapiritsi amaloledwa kuti amwe pokhapokha maola anayi.
- Zotsatira zoyipa zimawonetsedwa mu mawonekedwe a minofu kukokana, asthenic syndrome, chizungulire, masomphenya osawona, paresthesia, kusokonekera kwa mutu, kupweteka mutu, kusowa tulo, zotumphukira neuropathy.
- Pali milandu ya kugaya chakudya dongosolo, kudzimbidwa, nseru, dyspepsia, kusanza, kupweteka pamimba, flatulence, kapamba, kutsegula m'mimba, chiwindi.
- Nthawi zina, sayanjana zimachitika mu mawonekedwe a kuyabwa ndi zotupa, polymyalgia rheumatism, thrombocytopenia, malungo, kuchuluka kwa erythrocyte sedimentation rate, urticaria, kufupika kwa mpweya, eosinophilia, angioedema, khungu hyperemia, vasculitis, nyamakazi, lupus erythematosus.
- Munthu akhoza kukhala ndi myalgia, myopathy, kufooka kwathunthu, rhabdomyolysis. Zotsatira zake, potency imachepa, palpitations imathamanga, kuchepa kwa magazi, komanso kulephera kwa chiwindi.
Ngati mankhwala osokoneza bongo, monga lamulo, zizindikiro zina sizimawoneka, koma ndikofunikira kuchotsa zochuluka zogwira ntchito m'thupi. Kuti muchite izi, wodwalayo amatsukidwa, apatseni makala oyambitsa. Mankhwala, ndikofunikira kuwunika momwe seramu imapangidwira phosphokinase, aimpso ndi kwa chiwindi ntchito.
Ngati mutenga ma statins kwa nthawi yayitali, nthawi zina nthenda yam'mapapo imayamba, yomwe imayendera limodzi ndi chifuwa chouma, chikuwonjezeka kwambiri, kutopa kwambiri, kuchepa thupi, komanso kuzizira.
Zizindikirozi zikawoneka, mankhwala okhala ndi mapiritsi ayenera kuyimitsidwa.
Malangizo a Madokotala
Ngati munthu ali mkati mwa chithandizo akuwonjezera ntchito ya creatine phosphokinase ndi kukokana kwa minofu, ndikofunikira kusiya kulimbikira.
M'pofunikanso kuthetsa zomwe zimayambitsa ntchito ya enzyme yowonjezereka, yomwe imaphatikizapo kukhalapo kwa malungo, mabala, kuvulala, hypothyroidism, matenda, chifuwa cha carbon dioxide, polymyositis, dermatomyositis, mowa ndi mankhwala osokoneza bongo. Zitatha izi ntchito ya enzyme ikupitilirabe, mapiritsi a Simvagexal ayenera kusiyidwa kwathunthu. M'malo mwake, mutha kugwiritsa ntchito fanizo kuchokera kwa opanga ena.
Asanayambe chithandizo, adokotala amayenera kukayezetsa magazi a KFK. Njirayi iyenera kubwerezedwa pambuyo pa miyezi itatu. Kuwunika kwa creatine phosphokinases mu okalamba ndi odwala omwe ali ndi matenda a shuga omwe amadalira insulin, hypothyroidism, kukanika kwa impso kumachitika mchaka.
Kwa mtundu uliwonse wa matenda ashuga, ndikofunikira kumayesa mayeso a shuga m'magazi, chifukwa mankhwalawa amathandizira kuwonjezera kuchuluka kwa shuga mu plasma.
Odwala ena amakhala ndi hyperglycemia, yomwe imafunikira mankhwala apadera.
Koma madokotala salimbikitsa kuti ayimitse chithandizo ndi ma statins, chifukwa cholesterol yokwezeka imatha kuyambitsa zovuta m'mayendedwe odwala matenda ashuga ngati kulibe chithandizo choyenera.
Mapiritsi ayenera kumwedwa mosamala ngati wodwala akuledzera. Ngati kuchepa kwa chithokomiro, matenda a impso, matenda oyamba amathandizidwa pokhapokha pokhapokha mutayamba kuchepetsa kuchuluka kwa mafuta m'thupi m'magazi.
Mankhwala ofanana ndi awa ndi Zokor, Avestatin, Sinkard, Simgal, Vasilip, Aterostat, Zorstat, Ovenkor, Holvasim, Simplakor, Actalipid, Zovatin ndi ena.
Sungani mankhwalawo pamtunda osapitirira 30 madigiri, kutali ndi kuwala kwa dzuwa ndi ana.
Zakudya kuti muchepetse cholesterol
Kuphatikiza pa kumwa mankhwala, wodwalayo ayenera kutsatira zakudya za hypocholesterol, zomwe zimaphatikizapo kudya zakudya zochepa m'mafuta a nyama. Zakudya zoyenera zimatha kusintha mitsempha yamagazi ndikuchotsa mapangidwe a atherosrance.
Zakudya zoletsedwa ndizophatikiza nyama komanso mafuta onunkhira, batala lachilengedwe, margarine, nyama yamafuta, masoseji, ndi masoseji. Wodwala ayenera kukana mazira, mazira okazinga, zikondamoyo, zophika ndi zonunkhira zonona.
Komanso, kupatula sauces, mkaka wonse, mkaka wokometsedwa, zonona, wowawasa wowawasa, tchizi chamafuta chofunikira pa zakudya.
Ndikulimbikitsidwa kuti wodwala akutsuka mbale ndi soya, canola, maolivi, sesame ndi masamba ena ammafuta, omwe ali ndi omega-mafuta atatu acids.
Muyenera kudya nsomba, nsomba, nsomba zazing'ono zam'madzi, mitundu ya nsomba, nkhuku, nkhuku. Zakudya zoterezi ndi gwero labwino kwambiri la mapuloteni.
Menyu mumakhala zamphesa zilizonse zomwe zimaphika pamadzi, buledi wa tirigu, tirigu wamitundu yambiri, masamba abwino ndi zipatso.
Ndi matenda a shuga amtundu uliwonse, simungagwiritse ntchito maswiti, ma pie, mabisiketi.
Zakudya zochiritsika zokhala ndi cholesterol yayikulu zimakhala ndi malamulo angapo omwe ayenera kutsatiridwa. Zakumwa zoledzeretsa, khofi, tiyi wamphamvu zimakhala zotsutsana kwathunthu, zakudya zotsekemera komanso zotsekemera zimagwiritsidwa ntchito pazochepa kwambiri.
Chakudyacho chimaphatikizapo masamba, zipatso, mkaka wopanda mafuta. Zakudya zophika zimasinthidwa ndi zakudya zowiritsa komanso zosafunikira. Msuzi wophika nyama umadyedwa osazola popanda mafuta. Nkhuku yokonzedwa yokonzeka imadyedwa patebulo popanda khungu, mafuta sagwiritsidwa ntchito pakuphika. Dzira la nkhuku limadyedwa popanda yolks.
Zakudya zopatsa thanzi zimachepetsa cholesterol yowonjezera, kuteteza mitsempha ya magazi ndi chiwindi. M'masiku asanu ndi awiri oyamba, wodwalayo akumva bwino, chifukwa m'mimba mulibe nkhawa. Zakudya zotere sizikhala ndi zotsutsana, popeza ndizoyenera, motero, ndizabwino kwa odwala matenda ashuga.
Momwe masinthidwe a metabolid a lipid akufotokozedwera mu kanema m'nkhaniyi.
