Colesevelam

-Delile

• Ngaphambi kokuthatha i-colesevelam,
• Imiphumela emibi evela ku-colesevelam ingenzeka. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

I-Colesevelam isetshenziswa kubantu abadala kanye nokudla, ukwehlisa isisindo, nokuzivocavoca umzimba ukunciphisa inani le-cholesterol nezinto ezithile ezinamafutha egazini kuphela noma lihlanganiswe neminye imishanguzo eyehlisa i-cholesterol eyaziwa njenge-HMG-CoA reductase inhibitors (ama-statins). I-Colesevelam nayo isetshenziswa yodwa noma ihlanganiswe ne-HMG-CoA reductase inhibitors kubafana abathile nasemantombazaneni, aneminyaka eyi-10 kuya ku-17, ene-heterozygous hypercholesterolemia yomndeni (isimo esizuzwe njengefa lapho i-cholesterol ingasuswa emzimbeni ngokujwayelekile) ukwehlisa inani cholesterol nezinye izinto ezinamafutha egazini. IColesevelam iyasetshenziswa kanye nokudla kanye nokuzivocavoca ukulawula amazinga kashukela egazini kubantu abadala abanesifo sikashukela sohlobo 2 (isimo lapho umzimba ungasebenzisi i-insulin ngokwejwayelekile ngakho-ke awukwazi ukulawula inani likashukela egazini). UColesevelam usesigabeni semithi ebizwa nge-bile acid sequestrants. Isebenza ngokubopha ama-bile acid emathunjini akho ukwakha umkhiqizo osuswe emzimbeni.

Ama-acid acid enziwa lapho i-cholesterol iphuka emzimbeni wakho. Ukususa ama-bile acid kusiza ukwehlisa i-cholesterol egazini lakho. Ukuqoqeka kwe-cholesterol namafutha eceleni kwezindonga zemithambo (inqubo eyaziwa ngokuthi i-atherosclerosis) kunciphisa ukugeleza kwegazi, ngakho-ke, ukunikezwa komoya-mpilo enhliziyweni yakho, ebuchosheni nakwezinye izingxenye zomzimba wakho. Ukwehlisa izinga legazi lakho le-cholesterol namafutha kungasiza ekuvikeleni isifo senhliziyo, i-angina (ubuhlungu besifuba), imivimbo nokuhlaselwa yinhliziyo.

IColesevelam iza njengethebhulethi, kubha ehlafunwayo, nanjengempuphu ezoxutshwa noketshezi oluzothathwa ngomlomo. Amaphilisi ngokuvamile athathwa kanye noma kabili ngosuku ngokudla nesiphuzo. Amabha ahlafunwayo kanye nempuphu kuvame ukuthathwa kanye ngosuku ngokudla. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-colesevelam njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Uma uthatha impuphu yokumiswa ngomlomo, thululela konke okuqukethwe kwephakethe elilodwa engilazini. Engeza ama-ounces ayisishiyagalombili wamanzi, ijusi yezithelo, noma ukudla okuphuzwayo. Faka kahle uphuze konke okuqukethwe yingilazi. Kujwayelekile ukuthi okuqukethwe kubonakale kunamafu futhi kungancibiliki ngokuphelele. Ungathathi i-powder ngesimo sayo esomile.

Uma uthatha imigoqo ehlafunwayo, kufanele wazi ukuthi imigoqo ehlafunwayo iqukethe ama-calories ayi-80 ngebha ngayinye.

IColesevelam ilawula isimo sakho kepha ayiyelaphi. Qhubeka uthathe i-colesevelam noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-colesevelam ngaphandle kokukhuluma nodokotela wakho.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-colesevelam,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-colesevelam noma eminye imithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukusho okulandelayo: ama-anticoagulants afana ne-warfarin ne-metformin enwetshiwe-ukukhululwa (iGlucophage XR, iGlumetaza).
• uma uthatha i-cyclosporine (Gengraf, Neoral, Sandimmune) ,, glipizide (Glucotrol), glimepride (Amaryl), glyburide (Diabeta), levothyroxine (Synthroid), olmesartan (Benicar), imishanguzo yomlomo (amaphilisi okulawula ukuzalwa), phenytoin (Dilantin ), noma amavithamini, uwathathe okungenani amahora ama-4 ngaphambi kwe-colesevelam.
• Tshela udokotela wakho uma uke waba nokuvaleka esiswini noma emathunjini akho, amazinga aphezulu e-triglycerides (okunamafutha) egazini, noma ukuvuvukala kwamanyikwe okubangelwa amazinga aphezulu e-triglycerides egazini. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-colesevelam.
• Tshela udokotela wakho uma uke wahlinzwa emathunjini, futhi uma uke waba nenkinga yokwazi ukugaya noma ukumunca izakhamzimba ekudleni, noma iluphi uhlobo lwenkinga yesisu njengokukhipha isisu kancane, noma ubunzima bokugwinya.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-colesevelam, shayela udokotela wakho.
• uma une-phenylketonuria (i-PKU, isimo esizuzwe njengefa lapho kufanele kulandelwe ukudla okhethekile ukuvimbela ukubambezeleka kwengqondo), kufanele wazi ukuthi impuphu yokumiswa ngomlomo iqukethe i-aspartame eyakha i-phenylalanine.

Yidla ukudla okunamafutha aphansi, okunamafutha amancane. Qiniseka ukuthi ulandela zonke izincomo zokuzivocavoca nezokudla ezenziwa ngudokotela wakho noma udokotela odlayo. Ungavakashela futhi iwebhusayithi ye-National Cholesterol Education Program (NCEP) ukuthola eminye imininingwane yokudla ku-http: //www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.pdf.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenzela umthamo ophuthelwe.

Imiphumela emibi evela ku-colesevelam ingenzeka. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• igesi
• ukuqunjelwa
• isicanucanu
• ukuhlanza
• isifo sohudo
• isilungulela
• isisu noma iqolo
• ikhanda
• ubuthakathaka
• ubuhlungu bemisipha

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

• Ubuhlungu obukhulu besisu noma ngaphandle kwesicanucanu nokuhlanza

IColesevelam ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ngaphambi nangesikhathi sokwelashwa kwakho ukubheka impendulo yakho ku-colesevelam.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• WelChol^®