Cholestyramine ke moriana o tlaase oa k'holeseterole e leng oa sehlopha sa bile se nang le mefuta ea meriana. Liphuputso li bontšitse hore cholestyramine haholo-holo e fokotsa LDL k'holeseterole ka hoo e ka bang 15%. Cholestyramine ha e hlahe e le hantle e ama likarolo tse ling tsa boemo ba hau ba molomo empa e ka eketsa maemo a triglyceride maemong a mang.
Cholestyramine e boetse e bontšitsoe hore e liehe tsoelo-pele ea tsoelo-pele ea atherosclerosis lithutong tse 'maloa.
Leha ho le joalo, ha e e-s'o bontšoe ho thibela lefu kapa bokooa ka lebaka la lefu la pelo.
Cholestyramine e ile ea amoheloa pele hore e sebelisoe ke Tsamaiso ea Lijo le Lithethefatsi ka August 1973 tlasa lebitso la lebitso, Questran. Ho tloha tumellanong ea eona ea pele, e boetse e fumaneha tlas'a mabitso a khoebo, Prevalite, Locholest, le ba bang.
Mosebetsi oa Cholestyramine o joang?
Cholestyramine e tlama ho bile acid acid maleng a manyenyane, ho thibela ho tsosolosa ha tsona. Li-acids tse hlahang li tsoa k'holeseterole 'me li hlokahala ho thusa ka lijo tse fokolang tsa mafura tse jeoang lijong tsa hau. Ha cholestyramine e tlama ho bile acid, e tla ba e felile mme e ke ke ea tsosolosoa hape. Ho etsa li-bile acid, k'holeseterole e tla tlosoa mali 'me e fetohe bile acid. Ketsahalo ena e fokotsa maemo a hau a k'holeseterole.
U Lokela ho Nka Cholestyramine Joang?
U lokela ho nka cholestyramine joalokaha e laoloa ke mofani oa hao oa tlhokomelo ea bophelo.
Cholestyramine e fumaneha ka mokhoa o nang le phofshoana, e kenngoa ka lipakete tse nyenyane, tse se nang molekane kapa setsing se seholoanyane.
Mofani oa hao oa tlhokomelo ea bophelo a ka 'na a qala ka litekanyetso tse nyane mme a eketsa lethal dose ho latela karabo ea hau ho meriana le litla-morao. Mokhoa o qalitsoeng oa ho qala ho lekaneng ke o mong oa li-gramme kapa pakete (ligrama tse 4 tsa cholestyramine) hang kapa ka makhetlo a mabeli ka letsatsi.
Sena se ka eketseha ho fihlela methong e tšeletseng ka letsatsi. Moriana o lokela ho kopanngoa le bonyane li-ounces tse peli tsa metsi, lero la litholoana (le nang le kapa le se nang makhasi), apolece, sopho e tšesaane, kapa seno se seng pele o ja. U lokela ho kenya likarolo tsohle tsa seno se nang le cholestyramine ho fumana tekanyo e feletseng ea meriana. Cholestyramine e lokela ho nkoa ka lijo.
Ke Mang ea sa Lokelang ho e Nka?
Ka lebaka la likarolo tsa eona, ho na le maemo ao ho 'ona cholestyramine e sa lokelang ho nkoa. Tsena li kenyeletsa:
- Batho bao pele ba neng ba e-na le tšusumetso e mpe ea cholestyramine kapa efe kapa efe ea likarolo tsa eona ha ea lokela ho nka cholestyramine.
- Motho leha e le ofe ea fumanoeng a e-na le tšitiso ea biliary, moo bile acid e sa kenngoeng ka maleng.
Maemo ao ho Hlokahalang Hore a Bonoe
Haeba u nka cholestyramine, mofani oa hao oa tlhokomelo ea bophelo o ka 'na a hloka ho u hlahloba haufi haholo haeba u e-na le maemo a mang a bophelo a ka fetisetsoang ka ho noa meriana. Haeba u na le maemo a latelang a latelang, mofani oa hao ea tlhokomelo ea bophelo a ka 'na a etsa qeto ea ho qala ka cholestyramine empa o tla hloka ho u hlahloba hore na o tla nka kotsi kapa ho se nke cholestyramine e ka ba kotsi ho uena.
Maemo ana a bongaka a kenyelletsa:
- Maemong a phahameng a triglyceride. Cholestyramine e bontšitsoe ho eketsa maemo a triglyceride liphuputsong. Haeba o na le triglycerides e phahameng, mofani oa hao oa tlhokomelo ea bophelo o tla hlokomela litekanyetso tsa hau ho tiisa hore ha ba phahame haholo.
- Ho ba le tiiso e sa foleng. Cholestyramine e ka mpefatsa boemo bona haeba u e-na le bothata ba ho patoa.
- Boimana. Cholestyramine e khetholloa e le Sehlopha sa Bokhachane C. Le hoja ho sa e-s'o be le lipatlisiso tse pharaletseng tse hlahlobang katleho le polokeho ea cholestyramine ho basali ba bakhachane. Kaha lithethefatsi tsena li ka fokotsa monya oa li-vithamine tse ling, likarolo tse ling tsa livithamine tsa pelehi li ka 'na tsa se ke tsa atleha ha li ntse li nka cholestyramine. Mofani oa hao oa tlhokomelo ea bophelo o tla etsa qeto ea hore na o lokela ho noa moriana ona kapa che.
Litla-morao
Ho koaheloa ke phello e atisang ho tsejoa haholo ha u nka cholestyramine. Hangata sena se felloa ke phekolo e tsoelang pele. Mofani oa hao oa tlhokomelo ea bophelo a ka 'na a etsa qeto ea ho theola lethal dose kapa ho u fa meriana ea ho phekola ponahalo ea hao haeba litla-morao li fetoha khathatso. Litla-morao tse ling tse tloaelehileng li akarelletsa
- Ho thibela
- Flatulence
- Nausea
- Belching
- Ho otla
- Mahlaba a mpa le bothata
Litla-morao tse ling li tlalehile ka lebaka la tšebeliso ea nako e telele ea cholestyramine. Ho ka 'na ha hlokomeloa ho eketseha ha nako e telele ka lebaka la ho fokotseha ha vithamine K. Ho phaella moo, liphetoho tsa li-enzyme tsa sebete le ho senyeha ha leino la maino ho ka etsahala ka lebaka la ho noa nako e telele sehlahisoa kapa ho tšoara sehlahisoa molomong oa hao.
Meriana e Amanang
Lithethefatsi tse latelang li ka sebelisana le cholestyramine ka ho fokotsa lenane la meriana e kenngoang mali a hao. Moetsi o khothalletsa hore a se ke a noa meriana leha e le efe kapa a tlatsetsa bonyane hora e le 'ngoe pele kapa lihora tse 4 ho isa ho tse 6 ka mor'a hore a nke cholestyramine. Haeba o hlokeha ho nka lithethefatsi tse ling kapa ho tlatsana lethathamong le ka tlaase, mofani oa hao oa tlhokomelo ea bophelo a ka 'na a hloka ho fetola lethal dose kapa nako eo ue nkang, ho lekola haufi-ufi le litla-morao, kapa ho khaotsa ho e sebelisa kaofela.
- Lihomone tsa qoqotho
- Lanoxin (digoxin)
- Lipilisi tsa thibelo ea bokhachane
- Meriana e theolelang ea li-cholesterol (ho akarelletsa fibrates, ezetimibe, statins)
- Li-anti-inflammatory agents (NSAIDs)
- Corticosteroids
- Diuretics (ho akarelletsa le hydrochlorothiazide, spironolactone, furosemide)
- Coumadin (warfarin)
- Li-vithamine tse nang le lerootho (vithamine A, D, E, le K)
- Meriana ea ho oela, joaloka Dilantin (phenytoin) le phenobarbital
Ho na le meriana e mengata e ka sebelisanang le cholestyramine, e thathamisitsoeng ka holimo. Ka hona, o lokela ho etsa hore mofani oa hao oa tlhokomelo ea bophelo a hlokomele meriana leha e le efe e behiloeng le e mengata, le lihlahisoa tsa tlhaho tseo u li nkang. Sena se tla thusa mofani oa hao oa tlhokomelo ea bophelo hore a tsebe hore na ho na le likamano tse kae pakeng tsa cholestyramine le meriana e meng.
Ntho e ka tlaase
Cholestyramine ke e 'ngoe ea meriana ea pele ea ho qeta k'holeseterole e amoheloang US. E sebelisoa ka ho khetheha ho theola LLL ea cholesterol empa e sa bontšoe ka ho hlaka ho hlahisa lefu kapa mathata a tsoang ho lefu la pelo joaloka tse ling tse fokolang meriana 'marakeng. U lokela ho lumella mofani oa hao oa tlhokomelo ea bophelo hore a tsebe hore na o na le mathata afe ka ho nka cholestyramine ho tloha ha foromo e phofshoana e ka ba le monate o monate o ka 'nang oa e-ba thata ho o metsa batho ba bang. Kahobane cholestyramine e ama feela LDL ea li-cholesterol, mofani oa hao oa tlhokomelo ea bophelo a ka 'na a etsa qeto ea ho eketsa mefuta e meng ea phekolo - e kang statin kapa fibrate - ho fokotsa lipilisi tsa hau.
Lisebelisoa:
Prevalite (Cholestyramine). Smith-Upsher-Smith Laboratories. Maple Grove, MN. E hlalositsoe 4/2015.
Dipiro JT, Talbert RL. Pharmacotherapy: Pathophysiological Approach, 9th, 2014.
Micromedex 2.0. Truven Health Analytics, Inc. Greenwood Village, CO. E fumaneha ho http://www.micromedexsolutions.com.