Bua le ngaka ea hau ka meriana eohle
Hangata li-statin li laeloa ho fokotsa maemo a k'holeseterole. Leha ho le joalo, ba boetse ba na le menyetla ea ho sebelisana ha lithethefatsi, ho akarelletsa le meriana e tloaelehileng e tloaelehileng ho feta e-ea-counter le ea meriana le lisebelisoa tse ling. Litemoso le tsona li lokela ho qojoa ke batho ba nang le maemo a itseng a bophelo kapa ba sebelisetsoe ka hlokolosi feela.
Bakeng sa mabaka ana, ke habohlokoa hore u buisane le histori ea tsa bongaka le ntho e 'ngoe le e' ngoe eo u e nkang le ngaka ea hau.
Li-Statin Ha li Bohle ho Batho bohle
Lipolelo ke sehlopha sa likokoana-hloko tse fokotsang lithethefatsi tse lebisang hohle likarolong tsohle tsa boemo ba hau ba lipilisi. Ba ka atleha ho theola cholesterol ea LDL ("cholesterol" e mpe) le triglycerides ha ba ntse ba hōlisa k'holeseterole ea HDL ("e ntle").
Le hoja li atleha haholo ho fokotsa li-cholesterol, li-statins li ka 'na tsa se ke tsa e mong le e mong. Ho na le lintho tse ling tseo u lokelang ho lumella mofani oa hao oa tlhokomelo ea bophelo hore a li tsebe pele u qala phekolo ea statin.
Sena se kenyelletsa maemo afe kapa afe a bongaka ao u ka ba le ona kapa meriana leha e le efe eo ue nkang. Meriana ha e felle feela ho ba u laetsoeng ke ngaka e 'ngoe empa e kenyelletsa ho feta-ea-counter (OTC) le lijo kapa litlama tse tlatsetsang hape.
Ho phaella moo, haeba u fuoa phekolo ea meriana ho motho e mong ntle le mofani oa tlhokomelo ea bophelo, u lokela ho lumella motho eo hore a tsebe hore u nka statin.
Maemo a Bongaka ho Tlaleha
Lumella mohlokomeli oa tlhokomelo ea bophelo hore a tsebe hore na o na le maemo a mang kapa a mang a latelang a amanang le uena pele o qala ho nka statin:
- Maloetse a sebete: ebang ke mafolofolo kapa a sa foleng.
- Boimana: Litšepe li ka baka litšitiso tsa tsoalo.
- Ho belisa: Lithethefatsi tsa Statin li ka tšela lebese la matsoele 'me li nooa ke ngoana oa hau.
- Tšebeliso e mpe ea joala: Litlhaloso li ka eketsa li-enzyme tsa sebete.
Likamano tse ka khonehang tsa lithethefatsi
Meriana e meng e ka sebelisana le statins ka ho fokotsa katleho ea statin kapa ho phahamisa boemo ba statin maling ho isa moo e ka bang kotsi ho 'mele.
Etsa bonnete ba hore u bolella mofani oa hao oa tlhokomelo ea bophelo haeba u se u ntse u noa meriana e ka tlaase mona.
Feela hobane u na le meriana ena, ha ho bolele hore ha u khone ho nka statin. Leha ho le joalo, mofani oa hao oa tlhokomelo ea bophelo a ka 'na a batla ho le hlahloba haufi-ufi ha a ntse a le ho tse ling tsa tsena hobane a ka eketsa kotsi ea litla-morao.
Hopola hore ena hase lenane le feletseng mme u lokela ho buisana le mofani oa tlhokomelo ea bophelo bakeng sa tlhahisoleseling e eketsehileng. U tla boela u batle ho fetisa boitsebiso ba statin e khethehileng haeba u nka Crestor (rosuvastatin), Zocor ( simvastatin ), Mevacor (lovastatin), Lescol (fluvastatin), Lipitor ( atorvastatin ), kapa Pravachol (pravastatin).
Ena ke lenane le akaretsang la boemo ba bongaka le meriana eo u lokelang ho e ela hloko:
- Nicotinic acid , kapa niacin, ka tekanyo e phahameng (e fetang 1 gram ka letsatsi) e ka eketsa kotsi ea ho ba le litla-morao tsa molao.
- Lihlahisoa tse ntle tsa acid li ka fokotsa katleho ea li-statins tse ling. E le ho qoba sena, ho ka 'na ha buelloa ho arola statin ea dose le bile acid sequestrant dose ka bonyane lihora tse' nè.
- Lihlabula li ka eketsa kotsi ea ho ba le litla-morao tsa molao.
- Sandimmune kapa Neoral (cyclosporine) e ka eketsa palo ea li-statins e teng maling 'me e ka boela ea eketsa litla-morao.
- Fluvoxamine e ka 'na ea eketsa mohopolo oa li-statine tse itseng tse teng maling' me li ka boela tsa eketsa litla-morao tsa statin.
- Lithethefatsi tse tsitsitseng tse qetellang ka "-azole", tse kang Nizoral (ketoconazole), Diflucan (fluconazole), Mycelex (miconazole), kapa Sporanox (itraconazole), li ka eketsa boholo ba li-statin tse teng maling 'me li ka eketsa litla-morao tsa statin .
- Likokoana-hloko tse qetellang "-mycin" e kang erythromycin kapa Biaxin (clarithromycin) e ka eketsa li-statins tse teng maling 'me li ka eketsa litla-morao.
- Meriana e matla ea khatello ea mali, e kang diltiazem le verapamil, e ka eketsa statins e teng maling 'me e ka eketsa litla-morao.
- Cordarone (amiodarone) e ka eketsa boholo ba li-statins tse teng maling 'me li ka eketsa litla-morao tsa li-statin.
- HIV Protease Inhibitors, e kang Norvir (ritonavir), Agenerase (amprenavir), Crixivan (indinavir), kapa Viracept (nelfinavir), e ka eketsa boholo ba li-statin tse teng maling 'me li ka eketsa litla-morao.
- Coumadin (warfarin) hammoho le statin e ka fokotsa matla a mali a ho koala.
- Prilosec (omeprazole) e ka eketsa boholo ba li-statins tse teng maling 'me li ka eketsa litla-morao tsa li-statins.
- Tagamet (cimetidine) e ka eketsa boholo ba li-statin tse ling tse teng maling 'me li ka eketsa litla-morao tsa li-statins.
- Zantac (ranitidine) e ka eketsa boholo ba li-statins tse teng maling 'me li ka eketsa litla-morao tsa li-statins.
- Meriana ea thibelo ea bokhachane le li-statin tse nkiloeng ka nako e le 'ngoe li ka eketsa maqhubu a li-hormone tsena' meleng.
- Lanoxin (digoxin) e ka eketsa mahloriso a li-statin tse itseng 'meleng.
- Li-antacids tse nang le magnesium kapa aluminium hydroxide li ka fokotsa maqhubu a li-statin tse ling 'meleng. Sena se ka thibeloa ka ho arola tekanyo ea hao ea statin le lethal dose ka bonyane lihora tse peli.
- Mohalaleli oa St. John's o ka fokotsa katleho ea li-statins tse itseng.
Lentsoe le Tsoang ho
Le hoja li-statins li ka ba molemo ho fokotsa k'holeseterole le ho fokotsa kotsi ea lefu la pelo, u ka bona hore ho na le litemoso tse ngata tse lokelang ho nahanoa. Tsena ke tse seng kae feela tse ka khonehang ho sebelisana le lithethefatsi, ke ka lebaka leo ho leng bohlokoa hore u buisane ka histori ea tsa bongaka le meriana eohle-lengolo la ngaka kapa ka tsela e fapaneng-le sehlopha sa tlhokomelo ea bophelo pele u nka statin.
> Mehloli:
> Dipiro JT, Talbert RL. Pharmacotherapy: Tsela ea Pathophysiologic Approach. 10th ed. New York, NY: Thuto ea McGraw-Hill. 2017.
> Lacy CF, Armstrong LL, Goldman MP, le al. Lexicomp's Drug Information Handbook. 26th. Hudson, OH: Lexi-Comp Inc.; 2017.