I-Lipitor (i-atorvastatin) iyeza ye-cholesterol-iyanciphisa amayeza e- classin yezilwanyana. Isetyenziselwa ukuphatha amanqanaba aphezulu e-cholesterol, i-LDL i-cholesterol, i-triglyceride kunye nama-apolipoprothein B amanqanaba kubantu abafumene i-hyperlipidemia yokuqala okanye i-dyslipidemia exubekileyo kwiimeko apho ukutya, ukutshintsha kwindlela yokuphila, okanye ezinye iimichiza ezingezantsi ngokupheleleyo.
Ukongezelela, i-Lipitor isetyenziselwa ukunciphisa umngcipheko wokuba nesifo senhliziyo kunye nokushaywa yintlungu kubantu abanezifo okanye ezinesifo senhliziyo kunye nabantu abane-angina okanye uhlobo lwesifo sikashukela esineengxaki ezithile zempilo yengqondo.
I-Lipitor yenye yeempawu ezisemgangathweni kwimarike. Ucwaningo olubalulekileyo oluhlolisayo umphumo we-Lipitor kumanqanaba e-lipid lubonise ukuba i-Lipitor 10 mg ithathwa rhoqo imihla:
- I-cholesterol engaphantsi kweLDL nge-29%.
- Amanqanaba e-cholesterol amaninzi ngama-36%.
- I- triglycerides engaphantsi kwe-19%.
- Ukwandisa ama-cholesterol ye- HDL nge-6%.
- I-apolipoprotheyini ye-B ephantsi iyancipha yi-34%.
I-Lipitor iye yaboniswa kwizifundo zokunciphisa umngcipheko wakho wokufumana iziganeko ezinkulu ze-cardiovascular by 37% xa kuthelekiswa ne-placebo.
I-Lipitor yavunyelwa ukuba isebenziswe e-United States yi-Food and Drug Administration (FDA) ngoDisemba ka-1996.
I-Lipitor isebenza njani?
I-Lipitor isebenza ngokunqanda - i-3-hydroxy-3methylglutaryl coenzyme A (i-HMG CoA) iyanciphisa-i- enzyme emzimbeni odlala indima ebalulekileyo ekwenzeni i-cholesterol kwisibindi.
Eli nyathelo linciphisa inani le-cholesterol emzimbeni.
I-Lipitor kufanele ifakwe njani?
I-Lipitor ifumaneka kwifom ye-tablet kwaye inokuthathwa kunye okanye ngaphandle kokutya kanye ngosuku, njengoko kulandelwa ngumboneleli wakho wezempilo. Nangona amayeza afumaneka kwi-10 ukuya kuma-80 mg, umniki-nkonzo wakho unokunokuqala kwiqondo eliphantsi kwaye ukwandise umthamo wakho ngokukhawuleza, kusekelwe kumazinga akho e-LDL kunye nempendulo yakho kwiyeza.
I-Lipitor kufuneka ithathwe ngokutya kunye nokunciphisa i-cholesterol yakho kunye ne-triglycerides. I-Lipitor idla ngokubalulekayo xa utshintsho lwezinto zokuphila okanye ezinye iimichiza azinciphisi kakuhle i-lipids yakho.
Kufuneka uqinisekise ukuba uye kwiindawo zokuqeshwa kwabamncedisi bempilo rhoqo ngenxa yokuba uya kufuneka ukuba aqaphele amanqanaba akho e-lipid, kunye nezinye iiparitha, ngelixa uthabatha le nyilisi.
Ngubani ongayifumani i-Lipitor?
Ukuba unenye yeemeko zonyango ezidweliswe ngezantsi, akufanele uthathe i-Lipitor. Kule meko, umboneleli wakho wezempilo unokukubeka kwinkqubo eyahlukeneyo yokunciphisa i-lipids yakho:
- Utywala. Ukuba uye wangaphambuka kwi-Lipitor okanye nayiphi na isithako, akufanele uthabathe eli gciwane.
- Isifo sesibindi esisebenzayo. Ukuba unesifo sesibindi okanye ungachazwanga, amazinga enzyme enesibindi aphakanyisiwe, i-Lipitor ayifanele ithathwe.
- Ukukhulelwa. I-Lipitor ihlelwe njengeCandelo loKhulelwa kwe-X. I-Lipitor iboniswe ukuba iwele umnqamlezo we-placental kwiinqongi kwaye kuye kwavela iingxelo zokungahambi kakuhle kunye nokungahambi kakuhle kwezilwanyana kwizifundo zezilwanyana. Ukongezelela koko, oku kwachazwa nakwabesetyhini abakhulelweyo abasebenzisa amayeza omzimba. Ukuba uceba ukukhulelwa okanye sele sele ukhulelwe kwaye uthatha i-Lipitor, umboneleli wakho wezempilo uya kulujonga ubuncedo bokuthatha imithi kwimpilo yakho kunye nemingcipheko enokwenzeka kumntwana wakho.
- Unesi. I-Lipitor iboniswe ukuba iwele ebisi yobisi. Ayaziwa ukuba luhlobo luni lwefuthe eli nokuba nalo kumntwana wakho.
Ziziphi iimfuneko ezifunekayo ukuba ziqwalaselwe ngethuba lithatha i-Lipitor?
Ukuba uthatha i-Lipitor, umboneleli wakho wezempilo unokufuna ukubeka iliso ngakumbi xa unemibandela ethile yezokwelapha ezinokugqithiswa ngokuthatha iyeza. Ukuba unemiqathango elandelayo ngezantsi, umniki-nkonzo wakho unokwenza isigqibo sokukuqala kwi-Lipitor kwinqanaba elincinane, kwaye uya kufuna ukubeka iliso kuwe ukuqinisekisa ukuba okanye ukuthatha i-Lipitor kuya kuba yingozi kuwe. Ezi meko zonyango zibandakanya:
- Amanzyzy ezinobindi. Kwizifundo, i-Lipitor yandisa i-enzyme ye-foartate i-aminotransferase (AST) kunye ne-alanine aminotransferase (ALT) kwizifundo. Nangona amaninzi ukwanda okwenyuka kwexeshana, umboneleli wakho wezempilo uya kubeka esweni la manqanaba ukuqinisekisa ukuba i-enzyme yakho yesibindi ayiphakanywanga kumanqanaba angozi.
- Amanqanaba e-blood glucose ephakamileyo. Ucwaningo luye lwabonisa ukuba i-Lipitor inokunyusa i-hemoglobin A1C kunye nokuzila ukutya kwe-glucose. Ukuba unesifo sikashukela, umboneleli wakho wezempilo unokubeka iliso kula maqumrhu egazini lakho kwaye ulungise udosi lwakho lwe-Lipitor.
Ziziphi iindidi zeempembelelo ezisecaleni Ngaba i-Lipitor Cause?
Iziphumo eziqhelekileyo ezichaphazelekayo ziquka ukuncwina, isifo sohudo, intlungu yesisu, kunye neenzyme ezininzi zesibindi. Ezinye iziphumo ezichaphazelekayo, kubandakanywa isifo sohudo, i-nasopharyngitis, kunye nentlungu edibeneyo, kwaqatshelwa kwakhona kwizifundo. Ukuba ufumana nayiphi na imiphumo emibi ekuthatheni i-Lipitor ehlala ixesha elide okanye ephazamisayo, kufuneka uvumele umboneleli wakho wezempilo ukuba azi.
Njengamanye ama-statins, umphumo ongenabunqabileyo - i-rhabdomyolysis - ingenzeka nakwabantu abathatha i-Lipitor. Iimpawu ze-rhabdomyolysis ziquka ukuxhalaba kunye nokubuthathaka, kunye nomchamo ombala we-soda. Umngcipheko wakho wokufumana ezi ziphumo zecala unokuthi uyenze ukuba uthatha amanye amayeza, ukwanda kweminyaka, kunye nezinye iimeko zonyango. Ukuba unayo nayiphi na impawu ye-rhabdomyolysis, kufuneka ukhawuleze uxelele umboneleli wakho wezempilo.
Ngaba zikhona naziphi na iiMilisi ezingakwazi ukusebenzisana ne-Lipitor?
Amachiza alandelayo anokusebenzisana kunye ne-Lipitor, okwandisa amathuba okuba nemiphumo emibi (ingakumbi i-myopathy). Ngaphandle kwezidakamizwa ezinciphise i-cholesterol ezidweliswe ngezantsi, ezi zidakamizwa zinokwandisa amanqanaba e-Lipitor emzimbeni wakho.
- Izidakamizwa ezinciphisa i-cholesterol (i- nicotinic acid , i-fibrates)
- Clarithromycin
- Cyclosporine
- Protease inhibitors
- Colchicine
- Zokukhulelwa komlomo
- Utywala
- Ijusi yamagilebhisi
- Itraconazole
Lona alukho uluhlu olupheleleyo. Kufanele uvumele umboneleli wakho wezempilo ukuba azi onke amayeza-kuquka imichiza yemithi kunye neziyobisi ezingaphezulu kwezinto-ozithathayo xa uthatha i-Lipitor. Oku kuya kunceda umboneleli wakho wokunakekelwa kwempilo ukuba akubekele iliso malunga nokusetyenziswa kweziyobisi ngexesha uthabatha amayeza. Ukuba unyanzelekile ukuba uthathe esinye sezidakamizwa ezibhaliweyo ngasentla, umboneleli wakho wezempilo unokufuna ukulungelelanisa umthamo wakho, ukubeka iliso ngokusondeleyo kwimiphumo emibi, okanye ukuyeka enye yamachiza.
Ngaphantsi
I-Lipitor yenye yeyona nto ixhaphakileyo yamachiza e-lipid e-United States - kungekhona kuphela ngenxa yokukwazi ukuchaphazela ngokufanelekileyo zonke iinkalo zepropid profile yakho kodwa nangenxa yokukwazi ukunciphisa ingozi yokufumana isiganeko senhliziyo - enjalo intliziyo ukuhlaselwa okanye ukubetha. Ngenxa yezinto ezinokuthi zenzeke kwezinye iimeko zonyango kunye nokusebenzisana kwezidakamizwa, kufuneka uqiniseke ukuba uya kuzo zonke izithuba zokuqeshwa kwababoneleli bezempilo ukuze akwazi ukubeka iliso kwiinkalo ezinokuthi zithatha i-Lipitor.
Imithombo:
I-Lipitor [ifakwe yephakheji]. I-Pfizer: eNew York, eNew York. 3.2015.
Micromedex 2.0. I-Truven Health Analytics, Inc. iGreenwood Village, CO. Iyatholakala kwi: http://www.micromedexsolutions.com. Ufikelele ngoFebruwari 10, 2016