Lipitor (atorvastatin) ke meriana e theohelang k'holeseterole ea sehlopha sa statin ea lithethefatsi. E sebelisetsoa ho phekola litebelisoa tse phahameng tsa k'holeseterole, LDL k'holeseterole, triglyceride le li-apolipoprothein B lihlopheng tsa batho ba fumanoang ba na le hyperlipidemia e kholo kapa meriana e tsoakiloeng maemong a ho ja, phetoho ea bophelo, kapa meriana e meng e sa fokotseng lipilisi ka ho feletseng.
Ho phaella moo, Lipitor e sebelisetsoa ho fokotsa kotsi ea ho ba le lefu la pelo le ho otloa ke batho ba nang le lefu lena la pelo le le sa nang le lefu le batho ba nang le lefu la tsoekere la angina kapa la mofuta oa 2 le nang le likotsi tse itseng tsa lefu la pelo.
Lipitor ke e 'ngoe ea li-statins tse matla haholo marakeng. Liphuputso tse ikhethang tse hlahlobang phello ea Lipitor lihlopheng tsa lipilisi li bontšitse hore Lipitor 10 mg e nkiloeng letsatsi le letsatsi e ka:
- Cholesterol ea LDL e ka tlase ho 29%.
- Cholesterol e fokolang ka karolelano ea 36%.
- Triglycerides e tlaase ka karolelano ea 19%.
- Eketsa li- cholesterol tsa HDL ka bonyane li 6%.
- Lower apolipoprotein B e fokotseha ka ho fihlela ho 34%.
Lipitor e boetse e bontšoa liphuputsong ho fokotsa kotsi ea ho ba le liketsahalo tse kholo tsa pelo ho fihlela ho 37% ho bapisoa le placebo.
Lipitor e ile ea amoheloa hore e sebelisoe United States ke Food and Drug Administration (FDA) ka December 1996.
Lipitor e Sebetsa Joang?
Lipitor e sebetsa ka ho thibela - 3-hydroxy-3methylglutaryl coenzyme A (HMG CoA) ho fokotsa - e leng enzyme 'meleng o phetha karolo ea bohlokoa ho etsang k'holeseterola sebeteng.
Ketso ena e qetella e fokotsa bongata ba k'holeseterole 'meleng.
Lipilisi li lokela ho nkoa joang?
Lipitor e fumaneha ka letlapa mme e ka nkoa ka lijo kapa ka ntle hang ka letsatsi, joalo ka tataiso ea mofani oa tlhokomelo ea bophelo. Le hoja litekanyetso li fumaneha ho tloha ho 10 ho isa ho 80 mg, mofani oa hao oa tlhokomelo ea bophelo a ka 'na a qala ka tekanyo e tlase' me a eketsa tekanyo ea hao butle-butle, a thehiloe litekong tsa LDL le karabelo ea hau meriana.
Lipitor e lokela ho nkoa hammoho le ho ja ho fokotsa k'holeseterole le triglycerides. Hangata li-lipitor li bolelloa hore ha bophelo bo fetoha kapa meriana e meng ha e fokotsa lipids tsa hao ka katleho.
U lokela ho etsa bonnete ba hore u ea libokeng tsa hao tsa tlhokomelo ea tlhokomelo ea bophelo ka nako e le 'ngoe ho tloha moo a tla hloka ho hlahloba litekanyetso tsa lipid, hammoho le lisebelisoa tse ling, ha u ntse u noa meriana ena.
Ke Mang ea sa Lokelang ho Nka Lipitor?
Haeba u na le e 'ngoe ea maemo a bongaka a thathamisitsoeng ka tlase, ha ua lokela ho nka Lipitor. Maemong ana, mofani oa hao oa tlhokomelo ea bophelo a ka u beha kalafo e fapaneng ho fokotsa lipids tsa hau:
- Matšoafo. Haeba u se u kile ua fetela Lipitor kapa tse ling tsa metsoako ea eona, ha ua lokela ho noa meriana ena.
- Matšoao a sebete a sebetsang. Haeba o na le boloetse bo sebetsang ba sebete kapa o sa hlalosoang, li-enzyme tsa sebete tse sa tloaelehang, Lipitor ha lia lokela ho nkoa.
- Boimana. Lipitor e arotsoe ka Sehlopha sa Xeng sa Bokhachane X. Lipitor se bontšitsoe ho tšela thibelo e tšabehang ka likhoto 'me ho bile le litlaleho tsa ho senyeheloa ke mpa le ho se fetaleng ha lithuto tsa liphoofolo. Ho phaella moo, sena se boetse se tlalehiloe ho basali ba imme ba noang meriana ea molao. Haeba u rerile ho ima kapa u se u ntse u imme 'me u nka Lipitor, mofani oa hao oa tlhokomelo ea bophelo o tla lekanyetsa melemo ea ho noa meriana bophelong ba hao le mathata a ka' nang a hlaha ho ngoana oa hao.
- Booki. Lipitor e bontšitsoe hore e tšele lebese la lebese. Ha ho tsejoe hore na sena se ka ba le phello efe ho ngoana oa hau.
Ke maemo afe a hlokahalang ho hlahlojoa ha u ntse u nka Lipitor?
Haeba u nka Lipitor, mofani oa hao ea tlhokomelo ea bophelo o ka 'na a hloka ho u hlahloba haufi haholo haeba u e-na le maemo a itseng a bophelo a ka fetisetsoang ka ho noa meriana. Haeba u na le maemo a latelang a latelang, mofani oa hao oa tlhokomelo ea bophelo a ka 'na a etsa qeto ea ho qala ka Lipitor ka tekanyo e tlaase,' me o tla hloka ho u lebela hore a tsebe hore na ho nka Lipitor kapa ho se khone ho u lematsa. Maemo ana a bongaka a kenyelletsa:
- Li-enzyme tse phahameng tsa sebete. Lipatlisisong, Lipitor e eketsa sebete sa sebete sa aspartate aminotransferase (AST) le alanine aminotransferase (ALT) lithuputsong. Le hoja hangata keketseho ena ke ea nakoana, mofani oa hao oa tlhokomelo ea bophelo o tla hlokomela litekanyetso tsena ho netefatsa hore li-enzyme tsa sebete ha li phahamisetsoe litsing tse kotsi.
- Litekanyo tse phahameng tsa tsoekere ea mali. Liphuputso li bontšitse hore Lipitor e ka eketsa hemoglobin A1C le ho itima lijo ka lebelo la tsoekere. Haeba o na le lefu la tsoekere, mofani oa hao oa tlhokomelo ea bophelo a ka 'na a shebella likarolo tsena ka mali a hao' me a fetola lethal dose ea Lipitor.
Mefuta e meng ea litla-morao Lip Lipitor e tla ba efe?
Litla-morao tse tloaelehileng li kenyelletsa ho nyefoloa, letšollo, bohloko ba mesifa le ho eketseha ha li-enzyme tsa sebete. Litla-morao tse ling, tse kang letšollo, nasopharyngitis, le bohloko bo kopantsoeng, li ile tsa boela tsa boleloa liphuputsong. Haeba u e-na le litla-morao tse ling ka ho nka Lipitor e leng nako e telele kapa e khathatsang, u lokela ho lumella mofani oa hao oa tlhokomelo ea bophelo hore a tsebe.
Joaloka li-statins tse ling, phello e sa tloaelehang ea lehlakore - rhabdomyolysis - e ka boela ea etsahala ho batho ba nkang Lipitor. Matšoao a rhabdomyolysis a kenyeletsa mesifa le ho fokola, hammoho le motsoako o nang le soda. Kotsi ea hau ea litla-morao tsena e ka etsahala haeba o noa meriana e meng, lilemo tse eketsehileng le maemo a mang a bophelo. Haeba u e-na le matšoao afe a rhabdomyolysis, o lokela ho tsebisa hang-hang mofani oa hao oa tlhokomelo ea bophelo.
Na ho na le meriana e ka sebelisanang le Lipitor?
Lithethefatsi tse latelang li ka sebelisana le Lipitor, li eketsa menyetla ea ho ba le litla-morao (haholo-holo myopathy). Ntle le k'holeseterole-ho theola lithethefatsi tse thathamisitsoeng ka tlaase, lithethefatsi tsena li ka eketsa litekanyetso tsa Lipitor meleng oa hau.
- Lithethefatsi tse fokolang tsa k'holeseterole ( nicotinic acid , fibrates)
- Clarithromycin
- Cyclosporine
- Protease inhibitors
- Colchicine
- Meriana ea thibelo ea meriana
- Joala
- Lero la morara
- Itraconazole
Lena hase lenane le feletseng. U lokela ho lumella mofani oa hao oa tlhokomelo ea bophelo hore a tsebe meriana eohle - ho kopanyelletsa le meriana ea litlama le meriana e mengata-eo u e nkang ha u ntse u nka Lipitor. Sena se tla thusa mofani oa hao oa tlhokomelo ea bophelo hore a u lebele hore na ho ka khoneha ho kopana lithethefatsi ha u noa meriana. Haeba ho hlokahala hore u nke lithethefatsi tse thathamisitsoeng ka holimo, mofani oa hao oa tlhokomelo ea bophelo o ka 'na a hloka ho fetola lethal dose, ho lekola haufi le litla-morao, kapa ho khaotsa lithethefatsi tse ling.
The Bottom Line
Lipitor ke e 'ngoe ea meriana e ratoang haholo ea lipilisi United States - eseng feela ka lebaka la bokhoni ba eona ba ho ama likarolo tsohle tsa boemo ba hau ba molomo empa hape ka lebaka la bokhoni ba eona ba ho fokotsa kotsi ea ho ba le ketsahalo ea pelo - pelo e joalo tlhaselo kapa stroke. Ka lebaka la lisosa tse ling le maemo a mang a bongaka le litšebelisano tsa lithethefatsi, u lokela ho etsa bonnete ba hore u ba teng ho bohle ba nang le litšebeletso tsa tlhokomelo ea bophelo bo botle e le hore a ka le hlahloba ka lintlha tse ka 'nang tsa etsahala ha a nka Lipitor.
Lisebelisoa:
Lipitor [sephutheloana sa hau]. Pfizer: New York, New York. 3.2015.
Micromedex 2.0. Truven Health Analytics, Inc. Greenwood Village, CO. E fumaneha ho: http://www.micromedexsolutions.com. E fihlile ka la 10 February , 2016