Ngaba ugqirha wakho ukuxelele ukuba une-cholesterol ephezulu? Okanye unesifo seswekile sohlobo lwesibini ? Mhlawumbi kwenye yezi meko okanye zombini, ugqirha wakho ukunike ipilisi ebizwa ngokuba yiColesevelam. Eli yeza likwaphantsi kwegama elithi WelChol. Ngoko ke xa usela eli yeza, mhlawumbi unemibuzo emininzi efana nokuthi, 'Kuza kwenzeka ntoni ngale nto?', 'Yintoni omele uyilumkele xa uyisebenzisa?'. Makhe sithethe ngale nto ngokulula nangokucacileyo namhlanje.
Kwenzeka ntoni kanye kanye ngeli yeza leColesevelam?
Eli yeza lenza izinto ezimbini ikakhulu.
1. Ulawulo lwe-cholesterol ephezulu: Ngamafutshane, eli yeza libopha ii-bile acids emzimbeni wethu emathunjini lize lizikhuphe ngendle . Emva koko, isibindi sethu kufuneka sisebenzise "i-cholesterol embi" ( i-LDL cholesterol ) egazini ukwenza ii-bile acids ezintsha. Le nkqubo yiyo enciphisa inqanaba le-cholesterol embi egazini.
2. Ulawulo lweSifo seswekile sohlobo lwesibini: Kwabo banale meko, eli yeza likwanceda ekulawuleni amanqanaba eswekile egazini ( iglucose egazini ).
Kodwa kufuneka ukhumbule oku kakuhle. Eli yeza alilomlingo. Iziphumo ezilungileyo zinokufumaneka kuphela ngokutya okunempilo kunye nokuzilolonga okucetyiswa ngugqirha .
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Ngaphambi kokuba ugqirha wakho akunike eli yeza, kuya kufuneka azi imbali yakho epheleleyo yezonyango. Qiniseka ukuba ubaxelela ngayo nayiphi na kwezi meko zidweliswe ngezantsi.
- Ukuba ukhe wavaleka amathumbu ngaphambili okanye waqunjelwa kakhulu.
- Ukuba amanqanaba e-triglyceride egazini lakho aphezulu kakhulu.
- Ukuba ukhe waba nesifo esibizwa ngokuba yi-pancreatitis ngaphambili.
- Ukuba ukhe waba ne-allergy kule yeza, iColesevelam, okanye naluphi na olunye unyango okanye ukutya.
- Ukuba ukhulelwe okanye unethemba lokukhulelwa.
- Ukuba ungumama oncancisayo.
Iyeza lifanele lisetyenziswe ngendlela eyiyo.
Ukuze ufumane iziphumo ezilungileyo kweli yeza, kubaluleke kakhulu ukulisebenzisa ngokuchanekileyo.
- Sela idosi echazwe ngugqirha wakho kanye njengoko uyalelwe. Ginya la mapilisi ngeglasi yamanzi.
- Soloko usela eli yeza xa usitya .
- Zama ukusela amayeza akho ngexesha elifanayo yonke imihla kangangoko unako. Ukwenza oku kube ngumkhwa wakho kuya kukunceda uphephe ukungayisebenzisi kakuhle idosi yakho.
- Qhubeka usebenzisa amayeza de ugqirha wakho akuxelele ukuba uyeke.
- Kubalulekile: Ukuba usebenzisa amanye amayeza, kunokufuneka ushiye isithuba seeyure ezininzi phakathi kokusebenzisa le pilisi yeColesevelam kunye namanye amayeza. Ngoko ke thetha nogqirha wakho ngale nto uze ufumane ingcebiso ethile.
Ngaba uyabanika abantwana eli yeza?
Ewe. Kwezinye iimeko ezikhethekileyo, eli yeza linikwa abantwana abangaphezu kweminyaka eli-10 ubudala. Kodwa lenziwa ngokweengcebiso zonyango nangononophelo olukhulu.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba usele kakhulu eli yeza, ungoyiki. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Amanye amayeza anokusebenzisana nalo mayeza (Ukusebenzisana kwamayeza)
I-Colesevelam liyeza elinokusebenzisana namanye amayeza. Oku kuthetha ukuba linokuchaphazela indlela esebenza ngayo loo mayeza. Ngoko ke, kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza, iivithamini, kunye neemveliso zezityalo ozisebenzisayo.
| Udidi lweziyobisi | Imizekelo |
|---|---|
| Amayeza okuthintela amajoni omzimba | I-Cyclosporine |
| Iintlobo zeehomoni | Iihomoni ze-estrogen okanye ze-progestin |
| Amayeza eswekile | I-insulin, i-glimepiride, i-glipizide, i-glyburide, i-Metformin |
| Amayeza okuxhuzula/ ukuxhuzula | i-carbamazepine, i-phenobarbital, i-phenytoin |
| Amayeza oxinzelelo lwegazi oluphezulu | I-Olmesartan, iVerapamil |
| Amayeza e-thyroid hormone | Iihomoni ze-thyroid |
| Izinto ezilwa nokugabha kwegazi | I-Warfarin |
| Iivithamini | Iivithamini ezinyibilikayo kumafutha ezifana neevithamini A, D, E, kunye ne-K |
Olu luhlu aluphelelanga. Ngoko ke xelela ugqirha wakho ngayo yonke into oyithathayo. Ungalibali ukumxelela ukuba uyatshaya okanye usela utywala.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, eli linokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ezi zinokwahlulwa zibe ziindidi ezimbini eziphambili.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ukuvaleka kwamathumbu | Intlungu yesisu, ukungakwazi ukuphuma indle okanye umoya, ukungabi namdla wokutya, ukuhlanza. |
| I-Pancreatitis | Intlungu ebuhlungu esiswini esingaphezulu (oku kunokusasazeka ngasemva), intlungu eba mandundu emva kokutya, umkhuhlane, isicaphucaphu, ukuhlanza. |
| Iziphumo ebezingalindelekanga ezihlala zingeyongozi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukuqhinwa | |
| Isicaphucaphu | |
| Impumlo egobhozayo okanye exineneyo | |
| Umqala obuhkungu | |
| Isisu esimoshakele | |
Umyalezo Wokuya Ekhaya
- I-Colesevelam liyeza elisetyenziselwa ukulawula i-cholesterol ephezulu kunye nesifo seswekile sohlobo lwesibini.
- Soloko usela eli yeza kunye nokutya, njengoko ugqirha wakho eyalele.
- Kubaluleke kakhulu ukwazisa ugqirha wakho malunga nawo onke amanye amayeza, iivithamini, kunye nezongezo ozithathayo.
- Ukusela amayeza kuphela akwanelanga. Ukutya okunempilo kunye nokuzilolonga nazo ziyinxalenye yolu nyango.
- Funa uncedo lwezonyango ngokukhawuleza ukuba uva iintlungu zesisu eziqatha, iimpawu ze-allergy, okanye ubunzima obukhulu bokukhupha indle.
- Eli yeza limiselwe wena wedwa. Ungaze ulinike omnye umntu.
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