Vuto la cholesterol yayikulu m'mwazi masiku ano limayang'anizana ndi ambiri. Othandizira ndi akatswiri odziwa za mtima amawunika chizindikirocho mosamala, chifukwa chimalankhula za momwe mabotiwo alimo, momwe amagwirira ntchito, komanso kuthekera kwawo kuchita mgwirizano.
Sinthani magawo a cholesterol ndi mankhwala. Nthawi zambiri, Atorvastatin amachita bwino ntchitoyi. Muyenera kuilandira pokhapokha mukaonana ndi dotolo ndikupita kukayezetsa koyenera, komwe kumatsimikizira kupezeka kwa zisonyezo ndikukulolani kuti musankhe payekha mlingo.
Mankhwalawa ndi a gulu la mankhwala a statins, omwe amathandizira kuyimitsa kukhathamiritsa kwa cholesterol chikhoma m'mitsempha yamagazi. Nthawi yomweyo, madera omwe akhudzidwa ndi ziwiya pambuyo pa chithandizo amakhalabe yemweyo. Zinthu zomwe zili m'mankhwala zimatha kuchepetsa kuchepa kwa matenda a mtima, kuchepa kwa miyendo ndi matenda amisempha.
Atorvastatin imagwira bwino ntchito, koma chakudya chitha kukhudza pang'ono chisonyezo ichi, ngakhale kuchepa kwa ndende ya LDL m'magazi sikusintha.
Kodi gawo lina la mankhwalawa ndi chiani? Calcium trihydrate ndi gawo limodzi la mankhwalawa, ndipo zinthu zina zimaphatikizira:
- cellulose;
- calcium carbonate;
- silika;
- titaniyamu;
- macrogol.
Mankhwala atha kugulidwa pa mlingo wa 10, 20, 40 ndi 80 milligrams.
Kuti muwone mphamvu yogwiritsira ntchito, muyenera kumwa mapiritsi pafupipafupi kwa milungu iwiri osadutsa. Pakatha mwezi umodzi, kuchuluka kwakukulu komwe kumachitika polandila kumachitika, komwe kumakhalabe kofanana panthawi yonse ya chithandizo.
Malangizo ogwiritsira ntchito mankhwalawa
Njira yothandizira mankhwalawa atherosulinosis ndi kukweza magazi m'thupi kuyenera kukhala lokwanira. Chifukwa chake, atorvastatin tikulimbikitsidwa kuti amatengedwa nthawi yomweyo ndi chikondwerero cha chakudya cha anticholesterol, chomwe chimayenera kupitilira nthawi yonse ya mankhwala.
Mutha kumwa mankhwala osanenapo zakudyera, ndiye kuti, nthawi iliyonse yabwino kwa munthu. Mlingo wa mankhwalawa umaperekedwa ndi dokotala aliyense payekha malinga ndi kusanthula kwake. Nthawi yonseyi, magawo a cholesterol amayenera kuyang'aniridwa, ndipo, potengera izi, ngati kuli koyenera, sinthani mlingo ndi nthawi ya chithandizo pambuyo pa masabata awiri kapena anayi.
Mankhwalawa amayamba ndi ma milligram 10 a chinthu, ayenera kumwedwa kamodzi patsiku. Kenako kuchuluka kwa mankhwalawa kumatha kusiyanitsa pakati pa 10-80 milligrams patsiku. Ngati mankhwalawo adapangidwa kuti aphatikizidwe ndi Cyclosporine, ndiye kuti kuchuluka kwa Atorvastatin sikungakhale oposa mamiligalamu 10.
Ngati kumwa mankhwala kumalumikizidwa ndi chitukuko cha banja kapena homozygous hypercholesterolemia, ndiye kuti kudya kuyenera kukhala pafupifupi 80 mg patsiku. Kuchuluka kwake kuyenera kugawidwa m'magulu anayi a milligram 20 iliyonse. Odwala omwe ali ndi vuto la impso safunika kusintha mlingo wa mankhwalawo, mosiyana ndi odwala omwe ali ndi vuto la chiwindi.
Ngati mankhwala osokoneza bongo akuchulukirachulukira kapena matupi awo sagwirizana, muyenera kupita kwa dokotala kuti akupatseni mankhwala.
Zizindikiro ndi kutsutsana
Mukamapereka mankhwala, kupezeka kwa zotsutsana kugwiritsa ntchito mankhwalawa kuyenera kukumbukiridwa.
Kudzilamulira nokha ndi mankhwala koletsedwa.
Nthawi yoika dokotala iyenera kuthandizidwa ndi adokotala, poganizira zomwe zingachitike mthupi la wodwalayo.
Chifukwa chiyani Atorvastatin nthawi zambiri imayikidwa?
Mankhwala awa akuwonetsedwa:
- Ndi cholesterol yayikulu.
- Ndi ma pathologies amitsempha yamagazi ndi mtima (ngakhale matenda awa sanapezeke, koma pali zinthu zoopsa monga kunenepa kwambiri, matenda a shuga, ukalamba, matenda oopsa, komanso cholowa).
- Wodwalayo atadwala mikwingwirima, mtima, komanso apeza angina pectoris.
Monga tafotokozera kale, chithandizo ndi Atorvastatin ziyenera kuphatikizidwa ndi zakudya.
Monga mankhwala ena, mankhwalawa ali ndi zotsutsana zina kuti agwiritse ntchito.
Zotsutsana ndi izi:
- kulephera kwaimpso;
- yogwira chiwindi matenda;
- mimba ndi mkaka wa m`mawere nthawi;
- zaka mpaka khumi ndi zisanu ndi zitatu;
- tsankho pazigawo za mankhwala, momwe matendawo angayambire.
Atorvastatin sayenera kumwedwa ndi ana, komanso achinyamata omwe ali ndi zaka zosakwana ambiri, chifukwa chakuti chitetezo chogwiritsa ntchito komanso kugwiritsidwa ntchito moyenera kwa mankhwalawa kwa ana sikunakhazikike modalirika.
Sizikudziwikanso ngati mankhwalawa atha kuchotsedwa mkaka wa m'mawere. Komabe, poganizira za zovuta zomwe zimachitika mwa ana, pamene zikuwonetsa kugwiritsa ntchito mankhwalawa kwa amayi pakudya, ndikofunikira kusiya kuyamwitsa.
Koma kwa amayi omwe amamwa mankhwala akatha msambo, ayenera kugwiritsa ntchito njira za kulera pakubala kwawo.
Mwambiri, kuikidwa kwa Atorvastatin pazaka izi kumakhala koyenera ngati pali mwayi wotsika kwambiri wokhala ndi pakati, ndipo mkazi akazindikira kuopsa kwa chithandizo cha fetal.
Monga mankhwala ena ambiri, atorvastatin ali ndi zotsatira zoyipa zingapo zomwe zimagwiritsidwa ntchito pochiza.
Kupezeka kwa zotsatira zoyipa kuyenera kuganiziridwa mukamamwa mankhwalawo.
Pofuna kupewa mavuto obwera chifukwa cha thupi, mankhwalawa amayenera kutumizidwa ndi adokotala okha.
Kugwiritsa ntchito mankhwala Atorvastatin kungayambitse mavuto:
- kutentha kwa mtima, nseru, kutuphuka, ndi matenda amphumo;
- thupi lawo siligwirizana;
- thrombocytopenia, kuchepa magazi;
- rhinitis ndi bronchitis;
- matenda a urogenital, komanso edema;
- thukuta;
- kuwonongeka kwa tsitsi
- kuwoneka kwachulukidwe kakang'ono ka kuwala;
- maso owuma, zotupa m'mimba;
- tinnitus, mutu ndi chizungulire;
- kusowa tulo
- seborrhea, eczema;
- thukuta kwambiri;
- kuyabwa ndi pakhungu pakhungu;
- Anachepetsa libido mwa akazi, kuwonongeka kwamkaka ndi kusabereka mwa amuna;
- myalgia, nyamakazi, kukokana kwamisempha.
Kuchita ndi mankhwala ena
Sizikulimbikitsidwa kugwiritsa ntchito mankhwalawa nthawi imodzi ndi:
- Mankhwala a antifungal.
- Ma antibacterial othandizira, maantibayotiki.
- Cyclosporine.
- Amachokera ku fibroic acid.
Ndi kuphatikiza kwa mankhwalawa, kuwonjezeka kwa ndende ya Atorvastatin ndi chiwopsezo chowonjezereka cha myalgia kumatheka.
Kugwiritsa ntchito kuyimitsidwa, komwe kumakhala ndi aluminium ndi magnesium, kungathandize kuchepetsa kuchuluka kwa mankhwalawa. Koma sizikhudza kuchuluka kwa kuchepa kwa cholesterol yathunthu ndi LDL.
Mosamala kwambiri, munthu ayenera kuthana ndi kuphatikiza kwa Atorvastatin ndi mankhwala omwe amachepetsa kuchuluka kwa mahomoni a steroid (mwachitsanzo, Ketoconazole kapena Spironolactone).
Musanatenge Atorvastatin, tikulimbikitsidwa kuti muzikwaniritsa mafuta a cholesterol osintha mwa kusintha moyo wanu ndikuwongolera zakudya zanu. Izi ndi njira zachilendo zopewera ndi kuchiza mitsempha yamagazi ndi matenda ena a ziwalo.
Mukamamwa mankhwalawa, myopathies amatha kuoneka - kufooka ndi kupweteka m'misempha ya thupi. Pakukayikira matenda, kugwiritsa ntchito mankhwalawa kuyenera kuyimitsidwa nthawi yomweyo. Kuphatikiza apo, chiopsezo chokhala ndi njirayi chimatha kuwonjezeka ndikugwiritsa ntchito pamodzi kwa Atorvastatin ndi Erythromycin, Cyclosporine, antifungal agents ndi nicotinic acid.
Mukamamwa mankhwalawa, muyenera kusamala mukamagwira ntchito zomwe zimafunikira chidwi chachikulu, komanso poyendetsa magalimoto.
Sitikulimbikitsidwanso kumwa ma statins ndi zakumwa zoledzeretsa, chifukwa izi zimatha kusintha zotsatira za mankhwalawo kapena kuyambitsa zotsatira zoyipa.
Mankhwala omwe ali ndi zinthu zofananira zogwira ntchito komanso zomwe zimakhudza thupi, ndipo amatha kuikidwa m'malo mwa Atorvastatin (analogues), kuphatikizapo Atoris, Tulip, Lipoford, Ator, Torvakard, Lipramar, Rosulip ndi Liptonorm.
Zimasiyana bwanji? Ngati mungafananize, mutha kuwona kuti kwenikweni kusiyanako kumangokhala kokha ndi dziko lopanga mankhwala ndi omwe amapanga. Mankhwala onse okhala ndi zinthu zofanana (zomwe zimatchedwa magenic) ali ndi mayina osiyanasiyana, zomwe zimapangitsa kuti azidzipatsa. Popeza palibe kusiyana kwazomwe zimagwirira ntchito, mankhwalawa atha kuwerengedwa ofanana ndi Atorvastatin.
Panthawi yamankhwala, Atorvastatin iyenera kusungidwa kumalo komwe kuli kutali kuti ana azitha kufikira, komwe dzuwa silikugwa. Nthawi yomweyo, ndikofunikira kuti kutentha kusakhale kuposa 25 digiri Celsius.
Mtengo wa mankhwalawa umapangidwa payekhapayekha ndi kampani iliyonse yamankhwala. Mtengo wapakati wamankhwala omwe amapezeka m'mapiritsi 30 ndi:
- mapiritsi okhala ndi mulingo wa 10 mg - 140-250 rubles;
- mapiritsi okhala ndi mulingo wa 20 mg - 220-390 rubles;
- mapiritsi okhala ndi mlingo wa 40 mg - 170-610 rubles.
Mtengo wa mankhwalawo umatengera gawo lomwe likugulitsidwa.
Malinga ndi odwala omwe agwiritsa ntchito mankhwalawa, ili ndi zotsatira zabwino komanso imathandizira kukhazikika kwa cholesterol m'thupi.
Atorvastatin akufotokozedwa mu kanema munkhaniyi.