ILovastatin, Ithebhulethi Yomlomo

-Delile

• Izexwayiso ezibalulekile
• Yini i-lovastatin?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi ye-Lovastatin
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• ILovastatin ingaxhumana neminye imithi
• Imithi elwa namagciwane
• Izidakamizwa ezibulalayo
• Izidakamizwa ze-HIV
• Ukuncipha kwegazi
• Izidakamizwa ze-cholesterol
• Isidakamizwa se-Gout
• Izidakamizwa zenhliziyo
• Ukwelashwa kweHormone
• Isidakamizwa se-Immunosuppressant
• Umuthi wesilonda
• Izexwayiso ze-Lovastatin
• Isexwayiso somzimba
• Isexwayiso sokusebenzisana kokudla
• Isexwayiso sokusebenzisana kotshwala
• Izexwayiso zabantu abanezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu
• Ungayithatha kanjani i-lovastatin
• Amafomu wezidakamizwa namandla
• Umthamo wokuvikela nokwelashwa kwesifo senhliziyo
• Isilinganiso se-hyperlipidemia (cholesterol ephezulu)
• Umthamo we-heterozygous family hypercholesterolemia kwintsha
• Ukucatshangelwa okukhethekile komthamo
• Thatha njengoba kuqondisiwe
• Ukucatshangelwa okubalulekile kokuthatha i-lovastatin
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuqapha komtholampilo
• Ukudla kwakho
• Ukutholakala
• Izindleko ezifihliwe
• Ingabe zikhona ezinye izindlela?

Amaphuzu avelele we-lovastatin

1. Ithebhulethi yomlomo yeLovastatin iyatholakala njengesidakamizwa esinegama lomuthi kanye nomuthi ojwayelekile. Igama lomkhiqizo: Altoprev.
2. Ithebhulethi yomlomo yeLovastatin iza ngezindlela ezimbili: ithebhulethi ekhishwa ngokushesha nethebhulethi ekhishwa enwetshiwe.
3. ILovastatin isetshenziselwa ukuvimbela nokwelapha isifo senhliziyo. Ibuye isetshenziselwe ukwelapha i-cholesterol ephezulu.

Izexwayiso ezibalulekile

• Isixwayiso esibi sokulimala kwemisipha: Sebenzisa i-lovastatin kuphakamisa ubungozi bezinkinga ezinkulu zemisipha. Lezi zinkinga zibandakanya i-myopathy, enezimpawu ezibandakanya ubuhlungu bemisipha, ubumnene, noma ubuthakathaka. I-Myopathy ingaholela ku-rhabdomyolysis. Ngalesi simo, imisipha iyawohloka futhi ingadala ukulimala kwezinso nokufa imbala. Uma unezinhlungu noma ubuthakathaka obungachazeki bemisipha, yeka ukuthatha i-lovastatin zisuka nje bese ufonela udokotela wakho.
• Isexwayiso sesifo sesibindi: Ukusetshenziswa kwe-lovastatin kukhulisa ubungozi besifo sesibindi. Udokotela wakho kufanele ahlole ukuthi isibindi sakho sisebenza kahle kangakanani ngaphambi nangesikhathi sokwelashwa ngalo muthi. Ukuphuza utshwala kungakhuphula ubungozi bakho bezinkinga zesibindi kusuka ku-lovastatin. Uma uphuza utshwala, khuluma nodokotela wakho ngaphambi kokuqala lo muthi.

Yini i-lovastatin?

I-Lovastatin ngumuthi kadokotela. Iza njengethebhulethi ekhishwa ngokushesha nethebhulethi ekhishwa enwetshiwe. Umuthi okhishwa ngokushesha ungena egazini lakho ngokushesha. Isidakamizwa esikhishwe isikhathi eside sikhishwa kancane kancane egazini lakho ngokuhamba kwesikhathi. Womabili la mapilisi athathwa ngomlomo.

Amaphilisi akhishwa isikhathi eside ayatholakala njengomuthi wegama lomkhiqizo I-Altoprev. Amaphilisi akhishwa ngokushesha ayatholakala njengomuthi ojwayelekile. Imithi ejwayelekile ijwayele ukubiza imali encane kunohlobo lwamagama. Kwezinye izimo, kungenzeka zingatholakali ngawo wonke amandla noma ifomu njengesidakamizwa esinegama lomkhiqizo.

I-Lovastatin ingasetshenziswa njengengxenye yokwelashwa okuhlanganayo. Lokhu kusho ukuthi ungadinga ukuyithatha neminye imithi.

Kungani kusetshenziswa

I-Lovastatin isetshenziselwa ukunciphisa inani le-cholesterol nezinye izinto ezinamafutha egazini lakho. Uma i-cholesterol yakha emithanjeni yakho, ingavimba ukugeleza kwegazi liye enhliziyweni yakho, ebuchosheni, noma kwezinye izingxenye zomzimba wakho. Lokhu kuphakamisa ubungozi bakho bezinkinga ezinkulu, njengokuhlaselwa yinhliziyo noma isifo sohlangothi. Ukwehlisa izinga lakho le-cholesterol kwehlisa lezi zingozi.

Futhi, uma unesifo senhliziyo noma usengozini enkulu yaso, lo muthi ungasiza ukunciphisa amathuba okuthi uzodinga ukuhlinzwa kwenhliziyo.

Isebenza kanjani

ILovastatin ingeyesigaba semithi ebizwa nge-HMG-CoA reductase inhibitors. Lokhu kubizwa nangokuthi ama-statins. Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

ILovastatin isebenza ngokwehlisa ukukhiqizwa kwe-cholesterol emzimbeni wakho.

Imiphumela emibi ye-Lovastatin

Ithebhulethi yomlomo ye-Lovastatin ayibangeli ukozela, kepha ingadala eminye imiphumela emibi.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile engenzeka ngokusetshenziswa kwe-lovastatin ifaka:

• ubuhlungu endaweni yakho yesisu
• isicanucanu
• isilungulela
• ukuqunjelwa
• ikhanda
• ubuthakathaka / ukungabi namandla
• ubuhlungu bemisipha
• ukukhumbula / ukukhohlwa
• ukudideka
• ukungakwazi ukulala

Uma le miphumela imnene, ingahle ihambe zingakapheli izinsuku ezimbalwa noma amasonto ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• Izinkinga zemisipha. Izimpawu zingafaka okungaqondakali:
  • ubuhlungu bemisipha
  • ukuthamba kwemisipha
  • ubuthakathaka bemisipha
• Izinkinga zesibindi. Izimpawu zingafaka:
  • umchamo onombala omnyama
  • ukuphuzi kwesikhumba sakho noma okumhlophe kwamehlo akho
• Izinkinga zesisu. Izimpawu zingafaka:
  • ubuhlungu engxenyeni engenhla yangakwesokudla yendawo yesisu sakho
  • isicanucanu
  • ukulahlekelwa isifiso sokudla
• Izinkinga zesistimu yezinzwa eziphakathi. Izimpawu zingafaka:
  • ukungabi namandla
  • ubuthakathaka
  • ukukhathala ngokweqile
• Izinkinga zesikhumba. Izimpawu zingafaka:
  • ukuqubuka
  • isifuba
  • ukulunywa
• Izinkinga zokopha. Izimpawu zingafaka:
  • ukopha okungajwayelekile noma ukulinyazwa
• Izimpawu ezinjengomkhuhlane. Izimpawu zingafaka:
  • imfiva
  • Ubuhlungu bomzimba
  • ukukhathala
  • ukukhwehlela
• Ukungahambi kahle

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya yonke imiphumela emibi engaba khona. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala uxoxa ngemiphumela emibi engaba khona nomhlinzeki wezokunakekelwa kwempilo owazi umlando wakho wezokwelapha.

ILovastatin ingaxhumana neminye imithi

Ithebhulethi yomlomo yeLovastatin ingaxhumana neminye imithi, amavithamini, noma amakhambi okungenzeka ukuthi uthatha. Ukusebenzisana kulapho into iguqula indlela umuthi osebenza ngayo. Lokhu kungaba yingozi noma kuvimbele umuthi ukuthi usebenze kahle.

Ukusiza ukugwema ukuxhumana, udokotela wakho kufanele aphathe yonke imithi yakho ngokucophelela. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, noma amakhambi owathathayo. Ukuthola ukuthi lo muthi ungahlangana kanjani nokunye okuthathayo, khuluma nodokotela wakho noma usokhemisi.

Izibonelo zezidakamizwa ezingadala ukusebenzisana ne-lovastatin zibalwe ngezansi.

Imithi elwa namagciwane

Ukuthatha ama-antibiotic athile nge-lovastatin kungadala amazinga aphezulu e-lovastatin akhe emzimbeni wakho. Lokhu kuphakamisa ubungozi bakho bemiphumela emibi evela ku-lovastatin, kufaka phakathi ubuhlungu obukhulu bemisipha, ubuthakathaka, nokonakala. Le mithi akufanele isetshenziswe nge-lovastatin.

Izibonelo zale mithi zifaka:

• kucofe
• erythromycin

Izidakamizwa ezibulalayo

Ukuthatha izidakamizwa ezithile zokulwa ne-lovastatin kungadala amazinga aphezulu e-lovastatin akhe emzimbeni wakho. Lokhu kuphakamisa ubungozi bakho bemiphumela emibi evela ku-lovastatin, kufaka phakathi ubuhlungu obukhulu bemisipha, ubuthakathaka, nokonakala. Le mithi akufanele isetshenziswe nge-lovastatin.

Izibonelo zale mithi zifaka:

• itraconazole
• voriconazole
• ketoconazole
• posaconazole

[Ukukhiqizwa: Ukulandela isigaba esisha]

Izidakamizwa ze-HIV

Ukuthatha imishanguzo ethile ye-HIV nge-lovastatin kungadala amazinga aphezulu e-lovastatin akhe emzimbeni wakho. Lokhu kuphakamisa ubungozi bakho bemiphumela emibi evela ku-lovastatin, kufaka phakathi ubuhlungu obukhulu bemisipha, ubuthakathaka, nokonakala. Le mithi akufanele isetshenziswe nge-lovastatin.

Izibonelo zale mithi zifaka:

• protease inhibitors njenge:
  • i-ritonavir
  • umagazine
  • imithi equkethe i-cobicistat

Ukuncipha kwegazi

I-Warfarin uhlobo lwe-thinner yegazi olubizwa ngokuthi i-anticoagulant. Lapho kuthathwa i-warfarin ne-lovastatin ndawonye, ​​lokhu kungakhuphula imiphumela ye-warfarin. Lokhu kuphakamisa ingozi yakho yokopha. Udokotela wakho kufanele aqaphe ngeso elibukhali i-INR yakho (ukuhlolwa kwegazi) uma uthatha i-warfarin ne-lovastatin.

Izidakamizwa ze-cholesterol

Ukuthatha i-lovastatin ngezidakamizwa ezithile ezisetshenziselwa ukwehlisa amazinga e-cholesterol kuphakamisa ubungozi bakho bezinkinga ezinzima zemisipha. Eminye yale mithi kufanele igwenywe uma uthatha i-lovastatin. Ezinye zingasetshenziswa ngokuqapha ngokucophelela. Khuluma nodokotela wakho ukuthola ukuthi ngabe le mishanguzo iphephile yini kuwe. Izibonelo zale mithi zifaka:

• i-niacin
• umagazine
• ama-fibrate, njenge:
  • fenofibrate
  • i-fenofibric acid

Isidakamizwa se-Gout

I-Colchicine isetshenziselwa ukwelapha i-gout. Ukuthatha lesi sidakamizwa nge-lovastatin kuphakamisa ubungozi bakho bezinkinga ezinkulu zemisipha. Lokhu kubandakanya ubuhlungu bemisipha, ubuthakathaka, nokonakala. Sebenzisa lesi sidakamizwa ngokuqapha nge-lovastatin.

Izidakamizwa zenhliziyo

Ukuthatha ingcindezi ethile yegazi nezidakamizwa zenhliziyo nge-lovastatin kuphakamisa ubungozi bezinkinga ezinkulu zemisipha. Lokhu kufaka phakathi ubuhlungu bemisipha, ubuthakathaka, nokuwohloka kwemisipha. Udokotela wakho angakweluleka ukuthi uvikele lezi zinhlanganisela zemithi. Uma uthatha umuthi wenhliziyo nge-lovastatin, udokotela wakho angehlisa isilinganiso sakho se-lovastatin. Izibonelo zalezi zidakamizwa zenhliziyo zifaka:

• amiodarone
• umabhebhana
• i-ranolazine
• sibongile
• thandokuhle

Ukwelashwa kweHormone

I-Danozol ngumuthi wehomoni osetshenziselwa ukwelapha izimo ezifana ne-endometriosis, isifo sesifuba, noma i-angioedema. Ukuthatha lo muthi nge-lovastatin kuphakamisa ubungozi bezinkinga ezinzima zemisipha. Lezi zinkinga zibandakanya ubuhlungu bemisipha, ubuthakathaka, noma ukuwohloka. Udokotela wakho angakweluleka ukuthi uvikele le nhlanganisela yezidakamizwa. Uma uthatha lesi sidakamizwa nge-lovastatin, udokotela wakho angehlisa isilinganiso sakho se-lovastatin.

Isidakamizwa se-Immunosuppressant

ICyclosporine isetshenziselwa ukucindezela amasosha omzimba. Ingasetshenziselwa ukwelapha izimo ezifana ne-rheumatoid arthritis noma i-psoriasis. Ingasetshenziswa futhi ngemuva kokufakelwa komzimba oqinile. Ukuthatha lesi sidakamizwa nge-lovastatin kuphakamisa ubungozi bakho bezinkinga ezinkulu zemisipha. Lesi sidakamizwa akufanele sisetshenziswe nge-lovastatin.

Umuthi wesilonda

I-Cimetidine isetshenziselwa ukwelapha izilonda nezinye izinkinga zamathumbu. Uma isetshenziswa nge-lovastatin, i-cimetidine inganciphisa inani lama-steroids emvelo emzimbeni. Lokhu kungadala imiphumela emibi njengokukhathala, ubuthakathaka bemisipha, ukuncipha kocansi, noma izinkinga zemizwa.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zisebenzisana ngokwehlukile kumuntu ngamunye, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya konke ukuxhumana okungenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuhlangana okungenzeka ngayo yonke imishanguzo kadokotela, amavithamini, amakhambi nezithako, kanye nemithi oyithenga uphuza yona.

Izexwayiso ze-Lovastatin

Lesi sidakamizwa siza nezixwayiso eziningana.

Isexwayiso somzimba

I-Lovastatin ingadala ukusabela okweqile komzimba. Izimpawu zingafaka:

• inkinga yokuphefumula noma ukugwinya
• ukuvuvukala kobuso bakho, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukuqubuka
• isifuba
• ukulunywa

Uma uthuthukisa lezi zimpawu, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze.

Ungaphinde uwuthathe lo muthi uma ngabe uke waba nokungezwani komzimba nawo. Ukuyithatha futhi kungaba yingozi (kungadala ukufa).

Isexwayiso sokusebenzisana kokudla

Ukudla izithelo zomvini noma ukuphuza ijusi lamagilebhisi kungakhuphula izinga le-lovastatin emzimbeni wakho.Lokhu kuphakamisa ingozi yakho yobuhlungu obukhulu bemisipha noma ukulimala. Gwema ukuphuza ijusi lamagilebhisi noma udle izithelo zomvini ngenkathi uthatha lo muthi.

Isexwayiso sokusebenzisana kotshwala

Ukuphuza utshwala kungakhuphula ubungozi bakho bezinkinga zesibindi kusuka ku-lovastatin. Uma uphuza utshwala, tshela udokotela wakho ngaphambi kokuqala lo muthi.

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abanesifo sesibindi: Uma unesifo esisebenzayo sesibindi, akufanele uthathe i-lovastatin. Uma unomlando wesifo sesibindi, udokotela wakho uzohlola ukuthi isibindi sakho sisebenza kahle kangakanani ngaphambi nangesikhathi sokwelashwa nalesi sidakamizwa. Uma unokwenyuka okungachazwanga kuma-enzyme akho wesibindi ngesikhathi sokwelashwa, udokotela wakho cishe uzoyeka ukusebenzisa kwakho lesi sidakamizwa.

Kubantu abanezinkinga zezinso: Ungaba sengozini eyengeziwe yemiphumela emibi evela ku-lovastatin. Lokhu kuyiqiniso ikakhulukazi uma imvume yakho ye-creatinine ingaphansi kwama-30 mL / min.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: I-Lovastatin kufanele angikaze isetshenziswe ngesikhathi sokukhulelwa. Kungadala ingozi embungwini ngenxa yemiphumela yayo ekutheni umzimba uyicubungula kanjani i-cholesterol nezinye izinto.

Shayela udokotela wakho ngokushesha uma ukhulelwa ngenkathi uthatha lo muthi. Abesifazane abaneminyaka yobudala bokubeletha kufanele basebenzise ukulawulwa kokubeletha okuthembekile ngenkathi bethatha lesi sidakamizwa.

Kwabesifazane abancelisayo: Akwaziwa ukuthi i-lovastatin idlula ibisi lwebele. Eminye imithi kuleli klasi idlulela ebisini lwebele futhi ingadala imiphumela emibi enganeni enceliswa ibele.

Khuluma nodokotela wakho uma uncelisa ingane yakho ibele. Ungadinga ukunquma ukuthi uyeka ukuncelisa noma uyeke ukuthatha le mithi.

Okwabadala:

• Izinso zabantu abadala zingase zingasebenzi ngendlela ababevame ngayo. Lokhu kungadala ukuthi umzimba wakho ukwazi ukucubungula izidakamizwa kancane. Ngenxa yalokhu, inani eliphakeme lomuthi lihlala emzimbeni wakho isikhathi eside. Lokhu kuphakamisa ubungozi bakho bemiphumela emibi evela ku-lovastatin.
• Udokotela wakho kufanele akuhlole uma ekubeka kuthebhulethi ekhishwa ngokushesha. Lokhu kungenxa yokwanda kwengozi yemiphumela emibi, njengezinkinga zemisipha ezinzima.

Okwezingane: Ithebhulethi ekhishwe isikhathi eside ayifundwanga ezinganeni. Akufanele isetshenziswe ezinganeni ezingaphansi kweminyaka eyi-18.

Ungayithatha kanjani i-lovastatin

Yonke imithamo engenzeka kanye namafomu ezidakamizwa kungenzeka angafakwa lapha. Umthamo wakho, ifomu lesidakamizwa, nokuthi uwuthatha kangaki umuthi kuzoya ngokuthi:

• iminyaka yakho
• isimo esilashwa
• sinzima kangakanani isimo sakho
• ezinye izimo zezokwelapha onazo
• ukuthi usabela kanjani esilinganisweni sokuqala

Amafomu wezidakamizwa namandla

Okujwayelekile: I-Lovastatin

• Ifomu: ithebhulethi ekhishwa ngokushesha ngomlomo
• Amandla: 10 mg, 20 mg, 40 mg

Umkhiqizo: I-Altoprev

• Ifomu: ithebhulethi ekhishwa isikhathi eside yomlomo
• Amandla: 20 mg, 40 mg, 60 mg

Umthamo wokuvikela nokwelashwa kwesifo senhliziyo

Isikali sabadala (iminyaka eyi-18-64 iminyaka)

• Ithebhulethi ekhishwa ngokushesha
  • Isilinganiso sokuqala sokuqala: 20 mg kanye ngosuku ngesidlo sakusihlwa.
  • Isikali ububanzi: 10-80 mg ngosuku. Imithamo emikhulu ingahlukaniswa futhi inikezwe kabili ngosuku.
  • Umthamo omkhulu: 80 mg ngosuku.
• Ithebulethi yokukhishwa enwetshiwe
  • Isilinganiso sokuqala sokuqala: 20, 40, noma 60 mg kanye ngosuku kusihlwa ngesikhathi sokulala.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Lo muthi awufundelwanga ezinganeni ngalesi simo. Akufanele isetshenziswe ezinganeni ezingaphansi kweminyaka eyi-18.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

• Ithebhulethi ekhishwa ngokushesha
  • Isibindi nezinso zabantu asebekhulile kungenzeka kungasebenzi ngendlela ababevame ngayo. Lokhu kungadala ukuthi umzimba wakho ukwazi ukucubungula izidakamizwa kancane. Njengomphumela, isidakamizwa esiningi sihlala emzimbeni wakho isikhathi eside. Lokhu kwandisa ingozi yemiphumela emibi.

Udokotela wakho angakuqala ngomthamo ophansi noma isheduli ehlukile yemithi. Lokhu kungasiza ukugcina amazinga alo muthi ekwakheni kakhulu emzimbeni wakho.

• Ithebulethi yokukhishwa enwetshiwe
  • Isilinganiso sokuqala esijwayelekile: 20 mg kanye ngosuku, kuthathwe kusihlwa ngesikhathi sokulala.

Isilinganiso se-hyperlipidemia (cholesterol ephezulu)

Isikali sabadala (iminyaka eyi-18-64 iminyaka)

• Ithebhulethi ekhishwa ngokushesha
  • Isilinganiso sokuqala sokuqala: 20 mg kanye ngosuku ngesidlo sakusihlwa.
  • Isikali ububanzi: 10-80 mg ngosuku. Imithamo emikhulu ingahlukaniswa futhi inikezwe kabili ngosuku.
  • Umthamo omkhulu: 80 mg ngosuku.
• Ithebulethi yokukhishwa enwetshiwe
  • Isilinganiso sokuqala sokuqala: 20, 40, noma 60 mg kanye ngosuku kusihlwa ngesikhathi sokulala.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Lo muthi awufundelwanga ezinganeni ngalesi simo. Akufanele isetshenziswe ezinganeni ezingaphansi kweminyaka eyi-18.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

• Ithebhulethi ekhishwa ngokushesha
  • Isibindi nezinso zabantu asebekhulile kungenzeka kungasebenzi ngendlela ababevame ngayo. Lokhu kungadala ukuthi umzimba wakho ukwazi ukucubungula izidakamizwa kancane. Njengomphumela, isidakamizwa esiningi sihlala emzimbeni wakho isikhathi eside. Lokhu kwandisa ingozi yemiphumela emibi.

Udokotela wakho angakuqala ngomthamo ophansi noma isheduli ehlukile yemithi. Lokhu kungasiza ukugcina amazinga alo muthi ekwakheni kakhulu emzimbeni wakho.

• Ithebulethi yokukhishwa enwetshiwe
  • Isilinganiso sokuqala sokuqala: 20 mg kanye ngosuku, uthathwe kusihlwa ngesikhathi sokulala.

Umthamo we-heterozygous family hypercholesterolemia kwintsha

Isilinganiso sengane (iminyaka eyi-10-17 iminyaka)

• Ithebulethi ekhishwa ngokushesha kuphela
  • Isikali ububanzi: 10-40 mg ngosuku.
  • Umthamo omkhulu: 40 mg ngosuku.
• Ithebulethi yokukhishwa enwetshiwe kuphela
  • Leli fomu le-lovastatin alifundwanga ezinganeni. Akufanele isetshenziswe ezinganeni ezingaphansi kweminyaka eyi-18.

Ukucatshangelwa okukhethekile komthamo

• Uma uthatha i-danazol, i-diltiazem, i-dronedarone, noma i-verapamil ene-lovastatin:
  • Isilinganiso esikhulu se-lovastatin: 20 mg kanye ngosuku.
• Uma uthatha i-amiodarone nge-lovastatin:
  • Isilinganiso esikhulu se-lovastatin: 40 mg kanye ngosuku.

• Uma unezinkinga zezinso: Uma imvume yakho ye-creatinine ingaphansi kwama-30 mL / min, udokotela wakho kufanele aqaphele nganoma yikuphi ukwenyuka kumthamo wakho okungaphezu kuka-20 mg kanye ngosuku.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu hlu lubandakanya yonke imithamo engenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nodokotela wakho noma usokhemisi ngemithamo ekufanele.

Thatha njengoba kuqondisiwe

Ithebhulethi yomlomo yeLovastatin isetshenziselwa ukwelashwa isikhathi eside. Kuza nezingozi uma ungayithathi njengokuyalelwe.

Uma uyeka ukuthatha umuthi ngokungazelelwe noma ungawuthathi nhlobo: I-cholesterol yakho kungenzeka ingalawulwa. Ngokuhamba kwesikhathi, i-cholesterol ephezulu ingaholela esifweni senhliziyo, ekuhlaselweni yinhliziyo, noma ku-stroke.

Uma uphuthelwa imithamo noma ungaphuzi umuthi ngesikhathi: Imithi yakho kungenzeka ingasebenzi kahle noma ingayeka ukusebenza ngokuphelele. Ukuze lo muthi usebenze kahle, inani elithile lidinga ukuba semzimbeni wakho ngaso sonke isikhathi.

Uma uthatha kakhulu: Ungaba namazinga ayingozi omuthi emzimbeni wakho. Izimpawu zokweqisa izidakamizwa zalesi sidakamizwa zingafaka:

• ubuhlungu
• ukuhlanza
• isifo sohudo
• ubuhlungu bemisipha nobuthakathaka

Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho noma isikhungo sendawo sokulawula ubuthi. Uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Okufanele ukwenze uma uphuthelwa umthamo: Thatha umthamo wakho ngokushesha nje lapho ukhumbula. Kepha uma ukhumbula amahora ambalwa ngaphambi komthamo wakho olandelayo ohleliwe, thatha umthamo owodwa kuphela. Ungalokothi uzame ukuthola ngokuthatha amanani amabili ngasikhathi sinye. Lokhu kungadala imiphumela emibi eyingozi.

Ungasho kanjani ukuthi umuthi uyasebenza: Izinga lakho le-cholesterol kufanele lithuthuke. Ngeke ukwazi ukuzwa lokhu. Udokotela wakho uzohlola igazi ukuhlola amazinga akho e-cholesterol ukuqinisekisa ukuthi umuthi uyasebenza.

Ukucatshangelwa okubalulekile kokuthatha i-lovastatin

Gcina lokhu kubheka engqondweni uma udokotela wakho ekuyalela i-lovastatin.

Jikelele

• Ifomu ngalinye lethebulethi lineziqondiso ezahlukene zokudla. Amaphilisi e-Lovastatin akhishwa ngokushesha kufanele athathwe ngesidlo sakho sakusihlwa. Amaphilisi e-Lovastatin enwetshiwe kufanele athathwe ngaphandle kokudla uma kungenzeka.
• Thatha uhlobo ngalunye lwethebhulethi ngesikhathi esifanele. Amaphilisi e-Lovastatin akhishwa ngokushesha kufanele athathwe ngesidlo sakusihlwa. Amaphilisi wokukhishwa okunwetshiwe e-Lovastatin kufanele athathwe kusihlwa ngesikhathi sokulala.
• Musa ukusika noma ukuchoboza amaphilisi e-lovastatin.

Isitoreji

Gcina lesi sidakamizwa ngokucophelela.

• Gcina amaphilisi akhululiwe enanini lokushisa eliphakathi kuka-68 ° F no-77 ° F (20 ° C no-25 ° C). Gcina amaphilisi akhishwa ngokushesha ezingeni lokushisa eliphakathi kuka-41 ° F no-77 ° F (5 ° C no-25 ° C).
• Ungawugcini lo muthi ezindaweni ezinomswakama noma ezinomswakama, njengezindlu zangasese.

Ukugcwalisa kabusha

Imibhalo kadokotela yalomuthi iyagcwaliseka. Akudingeki ukuthi unikezwe umuthi omusha kadokotela ukuze ugcwaliswe futhi lo muthi. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.

Ukuvakasha

Lapho uhamba nemithi yakho:

• Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
• Ungakhathazeki ngemishini ye-X-ray yesikhumulo sezindiza. Abakwazi ukulimaza umuthi wakho.
• Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha isitsha sokuqala esinelebula kadokotela.
• Ungafaki lo muthi egumbini legilavu ​​lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.

Ukuqapha komtholampilo

Udokotela wakho uzohlola igazi ngesikhathi sokwelashwa kwakho nge-lovastatin. Lezi zivivinyo zizosiza ukuqinisekisa ukuthi umuthi usiza ukulawula amazinga akho e-cholesterol. Lezi zivivinyo zingafaka:

• Ukuhlolwa kwe-cholesterol yokuzila ukudla ngezikhathi ezithile: Lokhu kuhlolwa kubheka amazinga akho e-cholesterol. Kuzokwenziwa ngezikhathi ezithile ngenkathi welashwa ngalo muthi.
• Isivivinyo somsebenzi wesibindi: Lokhu kuhlolwa kubheka noma yiziphi izimpawu zokulimala kwesibindi. Kwenziwe ngaphambi nangesikhathi sokwelashwa kwakho nge-lovastatin.
• Ukuhlolwa komsebenzi wezinso: Lokhu kuhlolwa kubheka noma yiziphi izimpawu zokulimala kwezinso. Kwenziwe ngaphambi nangesikhathi sokwelashwa kwakho nge-lovastatin.
• I-Creatine kinase: Lokhu kuhlolwa kubheka amazinga akhuphukile ale enzyme. Amazinga aphezulu asho ukuthi kwenzeka ukulimala kwemisipha. Uma lokhu kuhlolwa kukhombisa ukuthi amazinga akho aphezulu kakhulu, udokotela wakho kufanele ayeke ukuthatha lo muthi khona manjalo.

Ukudla kwakho

Ukulandela ukudla okufanele kungakusiza ukuphatha amazinga akho e-cholesterol. Buza udokotela wakho ukuthi asikisele uhlelo lokudla olulungele wena.

Ukutholakala

Akuwona wonke amakhemisi agcina lo muthi. Lapho ugcwalisa incwadi kadokotela, qiniseka ukuthi ushayela phambili ukuze uqiniseke ukuthi ikhemisi lakho liyawuphatha.

Izindleko ezifihliwe

Uzodinga ukuhlolwa igazi njalo ngenkathi welashwa nge-lovastatin. Lezi zivivinyo zizohlola izinga lakho le-cholesterol nokusebenza kwesibindi, izinso, nenhliziyo. Bazobheka nezinga lakho le-creatine kinase. Izindleko zalezi zivivinyo zizoya ngokutholakala komshuwalense wakho.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Ezinye zingakulungela kangcono kunabanye. Khuluma nodokotela wakho ngezinye izinketho zezidakamizwa ezingakusebenzela.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.