I-Lopid (gemfibrozil) imithi ehlisa i-lipid engowesigaba se- fibrate yamachiza. I-Lopid isetyenziselwa ukunciphisa i-lipids - ingakumbi kwiimeko eziphakamileyo eziphezulu ze-triglyceride apho kukho umngcipheko wokuphuhlisa i-pancreatitis. Ukongezelela, uphando lubonise ukuba i-Lopid inokunciphisa ingozi yesifo senhliziyo kubantu abane-primary dyslipidemia.
Kwisifundo esithile, iziganeko zesifo senhliziyo sase-coronary zanciphisa ngama-34% kubantu abathatha i-Lopid. Izifundo ziye zabonisa ukuba iPolid inefuthe elilandelayo kwiprofayili yakho yeepidid:
- I- cholesterol yeLDL iyancishiswa ngumyinge wama-25%
- Iqondo le-cholesterol lilonke liyancipha li-13%.
- I-Triglycerides iyancipha ifikelela kwi-50%.
- Iinqwelo ze- cholesterol ze- HDL zonyuka ngama-13%.
I-Lopid yavunyelwa ukuba isebenzise eUnited States yi-Food and Drug Administration (FDA) ngoDisemba ka-1981.
I-Lopid isebenza njani?
I-Lopid isebenza ngokunciphisa inani le-triglycerides eliveliswe sisibindi. Isilwayo sibonakala sichaphazela ukuhlanganiswa kunye nokwandisa ukukhutshwa kwe-apolipoprotein B, umphathiswa we-VLDL. Oku kuya kunciphisa amanqanaba e-VLDL emzimbeni.
I-Lopid ifanele ithathwe njani?
I-Lopid imele ithathwe ngomlomo, enye ipilisi ye-600 mg ithathwe ekuseni kwaye enye ipilisi ye-600 mg ithathwe ngokuhlwa.
I-Lopid kufuneka ithathwe ubuncinane imizuzu engama-30 phambi kokutya. I-Lopid kufuneka ithathwe kunye nokutya okunciphisa i-lipid.
Ngubani Akufanele Awathathe I-Lopid?
Ukuba unenye yeemeko zonyango ezidweliswe ngezantsi, akufanele uthathe i-Lopid. Kule meko, umniki-nkonzo wakho unokwenza isigqibo sokukubeka unyango oluhlukile ukwenzela ukunciphisa i-lipids yakho:
- Ukuguqulwa kwamanzi kwiLipid . Ukuba uthe wangena kwiLipid okanye naluphi na ulawulo lwalo, akufanele uthathe i-Lopid.
- Isifo seGallbladder . Ukuba unembali yesifo se-gallbladder, akufanele uthabathe eli gciwane. Kwiingcaphephe, abantu abathile bathatha iLipid bafumana ukwanda kwenani ekuveliseni isifo se-gallbladder, kubandakanya i-gallstones, efuna ukuhlinzwa.
- Isifo sesibindi. Iimvavanyo ze-enzyme zesibindi ezingaqhelekanga ziye zaphawulwa xa zithatha i-Lopid. Ngoko ukuba unesifo sesibindi, kubandakanya i-cirrhosis yokuqala yebhiliyali, akufanele uthathe i-Lopid.
- Izifo zesifo. Abantu abaneentsholongwane ezinzima zesifo akufanele bathathe i-Lopid kuba kunokusebenza kakubi kwiintsholongwane.
- Ukuthatha iRempaglinide. Ukuba uthabatha imithi yokuguqula isifo sikashukela, ukuthatha i-Lopid kunye nayo kunokunyusa amanqanaba okuphindaphinda egazini lakho. Ngoko ke, akufanele uthabathe i-Lopid ukuba sele uthabatha le nyilisi.
Ukongezelela, iLolid yiNqanaba lokukhulelwa kweC. Akuzange kubekho uphando olubanzi oluhlolisisa umphumo weLipid kwintsana yakho. Nangona kunjalo, uphando oluthile logqirha kunye nolwazi lwe-rat lubonise ukwanda kwezinto ezingaqhelekanga kunye nokusabalalisa xa kuthatha kathathu umthamo womntu we Lopid.
Ukongezelela, awaziwa ukuba iLolid ibonakaliswe ngobisi lwebele. Ngoko ke, ukuba ukhulelwe okanye unesi, kufuneka uxoxe nomboneleli wakho wezempilo ngaphambi kokuthatha le mayeza. Uya kuluhlola ubuncedo kwimpilo yakho ngokubhekiselele kwengozi enokwenzeka kumntwana ongakazalwa.
Ziziphi iintlobo zeempembelelo ezisecaleni?
Iziphumo eziqhelekileyo ezichaphazelekayo xa kuthatha i-Lopid ziquka:
- Ukuguquka
- Intlungu zesisu
- Uhudo
- Ukutyunjwa
- Intloko
- Utywala
- Rash
- I-fibrillation ye-Atrial
Kwiingcaphephe, ezi ziphumo zangexeshana kwaye zishiye unyango oluqhubekayo, ukuba uhlangabezana nayo nayiphi na imiphumela emibi evela eLolid, kufuneka uxoxe nomboneleli wakho wezempilo-ngakumbi xa bekhathazeka okanye bangayi.
Ngaba zikhona naziphi na iimishanguzo ezinokusebenzisana neLolid?
Kukho amayeza ambalwa anokusebenzisana neLacid. Ukuba uthatha enye yale myeza, umniki-nkonzo wakho unokwenza isigqibo sokuguqula umthamo wakho okanye ukubeka kumachiza ahlukeneyo ukunciphisa amaqondo akho eepidid:
- Anticoagulants. Ukuthatha ama-antiticoagulants, afana ne-Coumadin (warfarin), kunye ne-Lopid kunokubangela ukuba ululaze lula. Umboneleli wakho wezempilo uya kujonga rhoqo ngamayeza akho kwaye angayicwangcisa njengoko kuyimfuneko.
- ZeNkcazo. Ukuthatha i-statin - ngaphezu kwe-Lopid-ukunciphisa amazinga akho e-lipid kunokunyusa umngcipheko we- rhabdomyolysis . Ezi zonyango zinganikwa kunye ngenxa yenzuzo yazo enempilo entliziyweni yakho, kodwa umboneleli wakho wezempilo uya kubeka iliso unyango lwakho ukuqinisekisa ukuba awufumananga nayiphi na imiphumo emibi evela ekudibeneyo.
- Ii-resil acid ze-Bile. Ukuthatha i-resin ye-acid ye-acid kunganciphisa inani le-Lopid elingena emzimbeni, elingaphantsi komsebenzi. Umboneleli wakho wezempilo unokukuthatha la mayeza emibini ngamaxesha ahlukeneyo omhla ukukhusela oku kusebenzisana.
Lona alukho uluhlu olupheleleyo. Umele uvumele umboneleli wakho wezempilo ukuba azi zonke iyeza ozithathayo xa uthatha i-Lopid. Oku kuya kunceda umboneleli wakho wokunakekelwa kwempilo ukuba akubekele iliso malunga nokusetyenziswa kweziyobisi ngexesha uthabatha amayeza.
Ngaphantsi
I-Lopid yayiyi-fibrate yokuqala evunyelwe ukusetyenziswa e-United States. I-Lopid isetyenziselwa ngokutsha ukunciphisa amanqanaba e-triglyceride kodwa ingadibaniswa ne-statin okanye i-bile acid resin kwiimeko apho i-LDL i-cholesterol imele ihlise kwakhona. Akukho mfahluko omkhulu phakathi kweLipid kunye ne-fibrate esandul 'ukuvunywa kutshanje, iTricor. Nangona kunjalo, kubonakala ngathi kuncinci ukusebenzisana kwezidakamizwa kunye neTricor (i-fenofibrate) kwaye kukho iziganeko ezincinane ze-rhabdomyolysis ehambelana neTricor.
Imithombo:
I-LOPID [ifakwe yephakheji]. I-Parke-Davis Pharmaceuticals: eNew York, NY, 9/2010
Micromedex 2.0. I-Truven Health Analytics, Inc. iGreenwood Village, CO. Iyatholakala kwi: http://www.micromedexsolutions.com. Ufikelele ngoFebruwari 10, 2016