Colesevelam

Zvemukati

• Usati watora colesevelam,
• Zvimwe zvinokanganisa kubva colesevelam zvinogona kuitika. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:

Colesevelam inoshandiswa muvakuru pamwe nekudya, kuonda, uye kurovedza muviri kudzikisa huwandu hwecholesterol uye mamwe mafuta zvinhu muropa rega kana musanganiswa nemimwe mishonga inoderedza cholesterol inozivikanwa seHMG-CoA reductase inhibitors (statins). Colesevelam inoshandiswawo yoga kana musanganiswa neHMG-CoA reductase inhibitors mune vamwe vakomana nevasikana, ane makore gumi kusvika gumi nemanomwe, ane mhuri heterozygous hypercholesterolemia (mamiriro enhaka umo cholesterol isingakwanise kubviswa mumuviri kazhinji) kudzikisa huwandu hwe cholesterol nezvimwe zvinhu zvine mafuta muropa. Colesevelam inoshandiswa zvakare pamwe nekudya uye kurovedza muviri kudzora huwandu hweshuga yeropa muvakuru vane chirwere cheshuga cheshuga (mamiriro umo muviri usingashandise insulin zvakajairika uye nekudaro haugone kudzora huwandu hweshuga muropa). Colesevelam iri mukirasi yemishonga inonzi bile acid sequestrants. Inoshanda nekusunga bile acids mumatumbu ako kugadzira chigadzirwa chinobviswa mumuviri.

Bile acids inogadzirwa kana cholesterol yaputsika mumuviri wako. Kubvisa idzi bile acids kunobatsira kudzikisa ropa rako cholesterol. Kuunganidzwa kwecholesterol nemafuta padivi pemadziro etsinga dzako (maitiro anozivikanwa seatherosclerosis) anoderedza kuyerera kweropa uye, nekudaro, iyo oksijeni inopa kune wako moyo, huropi, uye zvimwe zvikamu zvemuviri wako. Kuderedza huwandu hweropa rako recholesterol nemafuta zvinogona kubatsira kudzivirira chirwere chemwoyo, angina (kurwadziwa pachipfuva), sitiroko, uye kurwiswa kwemoyo.

Colesevelam inouya sehwendefa, mubhawa rinotsengwa, uye sehupfu hunofanira kusanganiswa nemvura inotora nemuromo. Mahwendefa acho anowanzo kutorwa kamwe kana kaviri pazuva nekudya uye chinwiwa. Iwo mabhawa anotsemuka uye hupfu zvinowanzo kutorwa kamwe pazuva nekudya. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora colesevelam chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Kana iwe uri kutora iyo poda yekumiswa pamuromo, durura zvese zvirimo mupaketi rimwe mugirazi. Wedzera 8 maunzi emvura, muto wemichero, kana chikafu chinwiwa chinwiwa. Mutsa zvakanaka uye unwe zvese zvirimo mugirazi. Zvakajairika kuti zvirimo zvionekwe zvine makore uye zvisina kunyatso nyungudika. Usatore hupfu hwayo pakaoma fomu.

Kana iwe uri kutora mabhawa anogona kutsva, iwe unofanirwa kuziva kuti mabhawa anotsemuka ane makumi masere macalorie pabhawa.

Colesevelam inodzora mamiriro ako asi hairape. Ramba uchitora colesevelam kunyangwe iwe uchinzwa zvakanaka. Usarega kutora colesevelam usina kutaura nachiremba wako.

Mushonga uyu dzimwe nguva unonyorerwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora colesevelam,

• udza chiremba wako uye wemishonga kana uri weergoria kune colesevelam kana chero mumwe mushonga.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemiti yauri kutora kana kuronga kutora. Ive neshuwa yekutaura zvinotevera: anticoagulants senge warfarin uye metformin yakawedzerwa-kuburitswa (Glucophage XR, Glumetaza).
• kana uri kutora cyclosporine (Gengraf, Neoral, Sandimmune) ,, glipizide (Glucotrol), glimepride (Amaryl), glyburide (Diabeta), levothyroxine (Synthroid), olmesartan (Benicar), zvekudzivirira kubata pamuviri (mapiritsi ekudzivirira kubereka), phenytoin (Dilantin ), kana mavitamini, tora iwo angangoita maawa mana pamberi pecolesevelam.
• udza chiremba wako kana iwe wakambovharika mudumbu kana matumbo, mazinga epamusoro e triglycerides (mafuta chinhu) muropa, kana kuzvimba kwepancreas kunokonzerwa neakakwira mwero we triglycerides muropa. Chiremba wako angangokuudza kuti usatore colesevelam.
• udza chiremba wako kana wakambovhiyiwa mudumbu, uye kana wakambove kana nedambudziko nekugona kugaya kana kutora zvinovaka muviri kubva muchikafu, chero dambudziko remudumbu senge kunonoka kubuda mudumbu, kana kunetseka kumedza.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora colesevelam, fonera chiremba wako.
• kana iwe uine phenylketonuria (PKU, chinzvimbo chakagarwa nhaka umo chikafu chakasarudzika chinofanira kuteverwa kudzivirira kudzora kwepfungwa), iwe unofanirwa kuziva kuti hupfu hwekumiswa kwemuromo hune aspartame inoumba phenylalanine.

Idya yakaderera-mafuta, yakaderera-cholesterol chikafu. Ive neshuwa yekutevera zvese zvekurovedza muviri uye zvekudya zvinokurudzirwa zvakaitwa nachiremba wako kana wezvekudya. Iwe unogona zvakare kushanyira iyo National Cholesterol Dzidzo Chirongwa (NCEP) webhusaiti kune rumwe ruzivo rwekudya pa http://www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.pdf.

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane muripo wakarasika.

Zvimwe zvinokanganisa kubva colesevelam zvinogona kuitika. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• gasi
• kuvimbiswa
• kusvotwa
• kurutsa
• manyoka
• chirungurira
• dumbu kana kurwadziwa musana
• musoro
• kushaya simba
• kurwadziwa kwemhasuru

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:

• kurwadziwa kwakanyanya mudumbu uine kana pasina kusvotwa uye kurutsa

Colesevelam inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari ekuongorora usati uye panguva yekurapa kwako kuti utarise mhinduro yako kune colesevelam.

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

• WelChol^®