Ingabe udokotela wakho ukutshelile ukuthi une-cholesterol ephezulu? Noma unesifo sikashukela sohlobo lwesibili ? Mhlawumbe kwesinye noma zombili lezi zimo, udokotela wakho ukunike iphilisi elibizwa ngokuthi i-Colesevelam. Lo muthi ubuye ube ngaphansi kwegama lomkhiqizo i-WelChol. Ngakho-ke uma uthatha lo muthi, cishe unemibuzo eminingi efana nokuthi, 'Kuzokwenzekani ngalokhu?', 'Yini okufanele uyiqaphele lapho uyisebenzisa?'. Ake sixoxe ngalokhu kalula nangokucacile namuhla.
Kwenzekani ngempela ngalo muthi we-Colesevelam?
Lomuthi wenza izinto ezimbili ikakhulukazi.
1. Ukulawula i-cholesterol ephezulu: Kalula nje, lo muthi ubopha ama-bile acid emzimbeni wethu emathunjini bese uwakhipha ngendle . Ngemuva kwalokho, isibindi sethu kufanele sisebenzise "i-cholesterol embi" ( i-LDL cholesterol ) egazini ukuze senze ama-bile acid amasha. Le nqubo yiyo enciphisa izinga le-cholesterol embi egazini.
2. Ukulawulwa Kwesifo Sikashukela Sohlobo 2: Kulabo abanalesi simo, lo muthi usiza futhi ekulawuleni amazinga kashukela egazini ( i-glucose egazini ).
Kodwa udinga ukukhumbula lokhu kahle kakhulu. Lo muthi awusiwo umlingo. Imiphumela emihle kakhulu ingatholakala kuphela ngokudla okuhle kanye nokuzivocavoca okunconywe udokotela .
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuba udokotela wakho akunike lo muthi, kuzodingeka azi umlando wakho wezokwelapha ophelele. Qiniseka ukuthi ubatshela nganoma yiziphi izimo ezibalwe ngezansi.
- Uma wake waba nokuvaleka kwamathumbu noma ukuqunjelwa okukhulu.
- Uma amazinga akho e-triglyceride egazini ephezulu kakhulu.
- Uma uke waba nesimo esibizwa ngokuthi i-pancreatitis ngaphambilini.
- Uma uke waba nokusabela kokungezwani komzimba kulo muthi, i-Colesevelam, noma yimuphi omunye umuthi noma ukudla.
- Uma ukhulelwe noma unethemba lokukhulelwa.
- Uma ungumama oncelisayo.
Umuthi kufanele usetshenziswe ngendlela efanele.
Ukuze uthole imiphumela emihle kakhulu kulo muthi, kubaluleke kakhulu ukuwusebenzisa ngendlela efanele.
- Thatha umthamo owunikezwe udokotela wakho njengoba nje uyalelwe. Gwinya la maphilisi ngengilazi yamanzi.
- Njalo thatha lo muthi kanye nokudla .
- Zama ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke ngangokunokwenzeka. Ukwenza lokhu kube umkhuba kuzokusiza ugweme ukuphuthelwa umthamo wakho.
- Qhubeka usebenzisa umuthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
- Okubalulekile: Uma uthatha eminye imithi, kungadingeka ushiye igebe lamahora amaningana phakathi kokuthatha leli philisi le-Colesevelam kanye neminye imithi. Ngakho-ke khuluma nodokotela wakho ngalokhu bese uthola iseluleko esiqondile.
Ingabe ninikeza izingane lo muthi?
Yebo. Kwezinye izimo ezikhethekile, lo muthi unikezwa nezingane ezingaphezu kweminyaka eyi-10. Kodwa wenziwa ngokwelulekwa ngudokotela nangokuqaphela okukhulu.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, ungesabi. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
I-Colesevelam umuthi ongasebenzisana neminye imithi. Lokhu kusho ukuthi ingathinta indlela leyo mithi esebenza ngayo. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
| Isigaba sezidakamizwa | Izibonelo |
|---|---|
| Imithi yokuvimbela amasosha omzimba | I-Cyclosporine |
| Izinhlobo zama-hormone | Ama-hormone e-estrogen noma i-progestin |
| Imithi yesifo sikashukela | I-insulin, i-glimepiride, i-glipizide, i-glyburide, i-metformin |
| Imithi yokwelapha isithuthwane/ ukuquleka | i-carbamazepine, i-phenobarbital, i-phenytoin |
| Imithi yomfutho wegazi ophezulu | I-Olmesartan, i-Verapamil |
| Imithi ye-hormone ye-thyroid | Amahomoni e-thyroid |
| Ama-anticoagulant | I-Warfarin |
| Amavithamini | Amavithamini ancibilika emafutheni afana namavithamini A, D, E, kanye no-K |
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngakho konke okuthathayo. Ungakhohlwa ukumtshela uma ubhema noma uphuza utshwala.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Lokhu kungahlukaniswa ngezigaba ezimbili eziyinhloko.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukuvaleka kwamathumbu | Ubuhlungu besisu, ukungakwazi ukuphuma indle noma umoya, ukulahlekelwa yisifiso sokudla, ukuhlanza. |
| I-Pancreatitis | Ubuhlungu obukhulu esiswini esingaphezulu (lokhu kungasakazekela emhlane), ubuhlungu obuba bubi ngemva kokudla, umkhuhlane, isicanucanu, nokuhlanza. |
| Imiphumela emibi evame ukungabi yingozi, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukuqunjelwa | |
| Isicanucanu | |
| Impumulo egobhozayo noma evalekile | |
| Umphimbo obuhlungu | |
| Isisu esibuhlungu | |
Umlayezo Wokuya Nawe Ekhaya
- I-Colesevelam umuthi osetshenziselwa ukulawula i-cholesterol ephezulu kanye nesifo sikashukela sohlobo 2.
- Njalo thatha lo muthi kanye nokudla, njengoba kuyalelwe udokotela wakho.
- Kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nezithasiselo ozithathayo.
- Ukuthatha imithi kuphela akwanele. Ukudla okunempilo kanye nokuzivocavoca nakho kuyingxenye yalolu hlobo lokwelashwa.
- Funa usizo lwezokwelapha ngokushesha uma uzwa ubuhlungu obukhulu esiswini, izimpawu zokungezwani komzimba, noma ubunzima obukhulu bokukhipha indle.
- Lo muthi unikezwe wena kuphela. Ungalokothi uwuhlanganyele nanoma ubani omunye.
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