Chiremba wako akati cholesterol yako, kunyanya triglycerides, yakakwira here pakuongororwa ropa kwako munguva pfupi yapfuura? Kana kuti akati HDL (cholesterol yakanaka) yako yakaderera here? Panguva yakaita seiyi, pane mukana mukuru wekuti chiremba wako achakuudza kuti utange mushonga unonzi Fibrates. Saka usatye paunonzwa zita iri. Nhasi, tichataura nezvezvinonzi Fibrates izvi, kuti zvinobatsira sei muviri, uye zvaunofanira kungwarira.
Chii chinonzi fibrates? Dzinoshanda sei mumuviri?
Zvichitaurwa zviri nyore, Fibrates imhando yemishonga inobatsira kudzora mhando dzemafuta muropa redu. Mishonga iyi inonyanya kuita zvinhu zviviri:
1. Kuderedza maTriglycerides: MaTriglycerides rudzi rwemafuta anoungana muropa mushure mekudya. Kana akanyanya kuwanda, anochengetwa mumasero edu emafuta. Mafuta aya akawandisa anogona kutungamira kuchirwere chemwoyo uye chirwere chine njodzi chinonzi pancreatitis , inova kuzvimba kwepancreas. MaFibrates anoshanda nekuderedza huwandu hwe triglycerides inogadzirwa nechiropa.
2. Wedzera cholesterol yakanaka (HDL): Ungave wakanzwa kuti kune marudzi maviri echolesterol, 'yakanaka' uye 'yakaipa'. HDL (High-Density Lipoprotein) ndiyo inonzi cholesterol 'yakanaka' . Fibrates inogonawo kubatsira kuwedzera huwandu hwakanaka hwecholesterol iyi.
Asi chinhu chimwe chete chekurangarira: Fibrates hadzideredzi zvakanyanya mazinga eLDL (Low-Density Lipoprotein), ayo anonzi 'cholesterol yakaipa' . Kune mimwe mishonga yeizvozvo.
Ndiani anoda rudzi urwu rwemushonga?
Chikonzero chikuru chinoita kuti chiremba wako akupe mushonga uyu ndechekuti huwandu hwe triglyceride muropa rako hwakakwira zvakanyanya. Fibrates mushonga unokosha zvikuru wekuderedza njodzi yekubatwa nepancreatitis, kuzvimba kwepancreas, nekuda kwehuwandu hwe triglyceride hwakakwira.
Kunyangwe triglycerides yakakwira ichibatanidzwa nekuwedzera kwenjodzi yechirwere chemwoyo, mafibrate haana kuratidzwa kuti anoderedza njodzi yekurwara nemoyo kana sitiroko. Mimwe mishonga, yakaita sestatins, inonyanya kushandiswa pachinangwa ichi. Nokudaro, chinangwa chikuru chemushonga uyu ndechekuderedza njodzi yepancreatitis.
Ndeapi marudzi e fibrates uye anobudirira sei?
Kune mhando dzakasiyana dzemishonga dziri muboka re fibrates. Chiremba wako anogona kukupa imwe yeiyi.
| Zita remushonga uyu | Mamwe Mazita Emhando Mumusika |
|---|---|
| Fenofibrate | TriCor®, Fibricor®, Lofibra® |
| Gemfibrozil | Lopid® |
| Clofibrate | Atromid-S® |
Mushonga uyu unoshanda zvakadii?
Fibrates mushonga wakashanda zvikuru kune vamwe vanhu. Tsvagiridzo yakaratidza kuti inogona:
- Deredza huwandu hwe triglycerides ne50 % .
- Wedzera huwandu hwakanaka hwecholesterol (HDL) neinenge 20% .
- Deredza huwandu hwecholesterol mumuviri ne10 % .
Hazvina kukwana here kushandisa mafibrate chete? Chii chimwe chandinofanira kuita?
Dzimwe nguva, fibrates chete inogona kukwana kuderedza triglycerides. Zvisinei, kana uri panjodzi yekubatwa nechirwere chemwoyo, chiremba wako anogona kukupa imwe mhando yemushonga unoderedza cholesterol unonzi statins pamwe chete nemushonga uyu.
Kana mishonga iyi miviri ikatorwa pamwe chete, vamwe vanhu vanogona kunge vaine njodzi yekuwedzera matambudziko emhasuru . Saka chiremba wako achakutarisa zvakanyanya. Asi usazvidya moyo, vanhu vazhinji vanoshandisa mishonga iyi miviri pamwe chete pasina matambudziko.
Chinhu chinonyanya kukosha ndechekuti mishonga chete haina kukwana. Pamwe chete nemishonga, unofanirawo kuchinja mararamiro ako:
- Kudya kwakanaka pamoyo: Deredza kudya zvine mafuta akawanda, shuga, uye hupfu, uye idya miriwo yakawanda, michero, miriwo, uye chikafu chine fiber yakawanda.
- Kurovedza muviri: Kurovedza muviri kwemaminitsi angangoita 150 pasvondo. Kunyangwe kufamba nekukurumidza zvakakwana.
- Kudzora kushushikana: Tarisa pazvinhu zvinokupa rugare rwepfungwa. Zvinhu zvakaita sekufungisisa uye kuteerera mimhanzi zvinogona kubatsira.
- Rara zvakanaka: Iva nechokwadi chekurara kwemaawa manomwe kusvika masere husiku.
- Kurega kusvuta: Kurega kusvuta nefodya zvachose.
Migumisiro uye kudyidzana nemimwe mishonga
Kufanana nemishonga chero ipi zvayo, fibrates inogona kukonzera migumisiro midiki kune vamwe vanhu, asi havasi vese vanoiwana.
| Migumisiro yakajairika | Kudyidzana nemimwe mishonga |
|---|---|
|
Ndinofanira kutora mushonga uyu kwenguva yakareba sei? Ndiani asingafaniri kuutora?
Mishonga yeFibrate inowanzo shandiswa kwenguva refu. Usarega kuitora kunze kwekunge chiremba wako akuudza kuti udaro. Iye achagara achiongorora ropa rako kuti ave nechokwadi chekuti mushonga wacho uri kushanda uye kuti huwandu hwemuviri wako huri pasi pesimba.
Mamiriro asina kukodzera kutora mushonga uyu:
Mushonga uyu ungasakodzera vamwe vanhu. Kana uine chimwe chezvirwere zvinotevera, unofanira kuudza chiremba wako usati watanga mushonga uyu.
- Kana une pamuviri kana kuti uri amai vanoyamwisa
- Kana uine allergies yemishonga iyi
- Kana uine chirwere cheshuga
- Kana uine matambudziko eitsvo, chiropa, kana nduru
- Kana uri kusangana nechimwe chinhu mune ramangwana, senge kuvhiyiwa kana kubviswa mazino
Kana ukaona zviratidzo izvi, enda kuna chiremba nekukasika!
Kana ukaona chimwe chezviratidzo zvinotevera paunenge uchitora mushonga uyu, taura nachiremba wako nekukasika. Dzimwe nguva izvi zvinogona kuva zviratidzo zvechirwere chakakomba.
- Kurwadziwa kwakanyanya kwemhasuru kana kushaya simba kunouya pasina chikonzero
- Kurwadziwa kwakanyanya mudumbu nguva dzose
- Mapundu eganda
- Kutsvuka kweganda kana maziso (Jaundice)
Kana uchinzwa zvakadai, usasarudza wega, enda kuna chiremba nekukasika. Kana zvichidikanwa, usazeza kuenda kuEmergency Treatment Unit (ETU) yechipatara.
Mharidzo Yekuenda Nayo Kumba
- Fibrates imhando yemushonga unoderedza triglycerides muropa uye unowedzera cholesterol yakanaka (HDL).
- Chinangwa chikuru cheizvi ndechekudzivirira pancreatitis, iyo inogona kukonzerwa ne triglycerides yakawandisa.
- Mushonga uyu unofanira kushandiswa chete kana warayirwa nachiremba. Tora mushonga sezvakarairwa, muchiyero chakanyorerwa, uye panguva yakatarwa.
- Mishonga chete haina kukwana. Zvakakosha kutevedzera kudya kunovaka muviri, kurovedza muviri, uye mararamiro ane hutano.
- Kana ukaona zviratidzo zvisingawanzoitiki zvakaita sekurwadziwa kwetsandanyama, kurwadziwa mudumbu zvakanyanya, kana kuti ganda richitsvuka, zivisa chiremba wako nekukasika.
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