Ingabe udokotela uthe ama-triglycerides akho aphezulu embikweni wakho wakamuva wegazi? Noma ingabe uthe amazinga akho e-HDL (i-cholesterol enhle) aphansi? Abantu abaningi bayakhathazeka kancane uma bezwa into efana nale. "O, ngenzenjani manje?" bacabanga. Kodwa ungakhathazeki. Namuhla sikhuluma ngomuthi okhethekile osetshenziswa odokotela ukulawula lezi zimo.
Kalula nje, ziyini lezi Fibrates?
Ama-fibrate uhlobo lomuthi olunikezwa udokotela. Anemisebenzi emibili eyinhloko. 1.
Ukunciphisa izinga lama-triglyceride egazini: Manje ungase uzibuze ukuthi ayini lawa ma-triglyceride. Kalula nje, lawa uhlobo lwamafutha aqongelela egazini lethu ngemva kokudla. Lapho umzimba wethu ushisa amakhalori amaningi kunalokho okudingayo, umzimba wethu uwaguqula abe ama-triglyceride bese uwagcina kumaseli amafutha. Lapho lawa mazinga enyuka kakhulu egazini, ingozi
yesifo senhliziyo iyanda. Okuyingozi nakakhulu ukuthi uma la mazinga enyuka kakhulu, kungenzeka isimo esibi esibizwa ngokuthi
i-pancreatitis . Yilapho i-pancreas yethu ivuvukala khona. 2.
Ukwandisa izinga 'le-cholesterol enhle' (i-HDL): Le cholesterol ye-HDL isiza ekuthatheni i-cholesterol embi emzimbeni wethu iye esibindini bese iyisusa. Ngakho-ke, ukwandisa la mazinga kuhle kakhulu emzimbeni. Kodwa into eyodwa okufanele ikhunjulwe. Ama-fibrate awawehlisi amazinga 'e-cholesterol embi' (i-LDL) kangako. Kuneminye imithi yalokho.
Lo muthi usebenza kanjani emzimbeni?
Nakuba lokhu kuyindaba yesayensi kancane, ngizokuchaza kalula ukuze uqonde. Cabanga nje ukuthi umzimba wethu ufana nefektri enkulu.
- Isibindi sethu siyingxenye eyinhloko yale fektri. Isibindi senza uhlobo lwezinhlayiya zamafutha ezibizwa nge -VLDL (i-lipoprotein ephansi kakhulu). Lezi zinhlayiya ze-VLDL zifana namaloli athwala amafutha abizwa ngokuthi ama-triglycerides emzimbeni wonke.
- Uma ama-fibrate engena emzimbeni, athumela isignali esibindini ukuze "kuncishiswe inani le-VLDL olikhiqizayo." Ngakho-ke lapho amazinga e-VLDL ehla, inani lama-triglyceride ajikeleza emzimbeni wonke nalo liyancipha.
- Ama-fibrate enza okunye futhi: avimba ama-apolipoproteins AI kanye ne-A-II, okusiza ekwenzeni 'i-cholesterol enhle' (i-HDL).Kwandisa ukukhiqizwa kwezinhlobo ezimbili zamaprotheni abizwa ngokuthi ama-phospholipid yisibindi. Uma la maprotheni ekhiqizwa ngokweqile, amazinga ethu e-HDL nawo ayanda.
Kalula nje, lo muthi unciphisa ukukhiqizwa kwamafutha angafuneki futhi wandisa ukukhiqizwa kwe-cholesterol enhle edingekayo.
Ngubani oqokelwe ama-fibrate?
Isizathu esiyinhloko sokuthi udokotela wakho angakunikeza lo muthi ukuthi amazinga akho e-triglyceride aphezulu kakhulu.
Khumbula, ama-fibrate anqunyelwe ikakhulukazi ukuvikela esimweni esiyingozi esibizwa ngokuthi i-pancreatitis , esingabangelwa amazinga aphezulu e-triglyceride.
Nakuba amazinga aphezulu e-triglyceride ehlotshaniswa nesifo senhliziyo, ubufakazi bokuthi ukuthatha ama-fibrate kunciphisa ingozi yokuhlaselwa yinhliziyo noma isifo sohlangothi abunamandla njengobeminye imithi ye-cholesterol, njenge
-statins . Ngakho-ke, udokotela wakho uzohlola ngokucophelela isimo sakho futhi anqume ukuthi lo muthi ukulungele yini.
| Igama Elijwayelekile le-Fibrate | Amanye Amagama Omkhiqizo Emakethe |
|---|
| I-Fenofibrate | I-TriCor®, i-Fibricor®, i-Lofibra® |
| I-Gemfibrozil | I-Lopid® |
| I-Clofibrate | I-Atromid-S® |
Imithi yodwa ayanele! Udinga futhi ukushintsha indlela yakho yokuphila!
Ama-fibrate awawona umlingo. Kubalulekile impela ukwenza izinguquko ezithile endleleni yakho yokuphila ngenkathi uthatha lo muthi. Udokotela wakho uzokutshela lezi zinto lapho ekunika umuthi.
- Ukudla okunempilo kwenhliziyo: Nciphisa ukudla okunamafutha amaningi, ushukela kanye nofulawa. Faka izithelo, imifino, okusanhlamvu okuphelele , kanye nenhlanzi ekudleni kwakho.
- Ukuzivocavoca: Vivinya okungenani imizuzu eyi-150 ngesonto. Ukuhamba ngokushesha, ukugijima,Ungenza into efana nokugibela ibhayisikili .
- Ukulawula ukucindezeleka: Ukucindezeleka nakho kuthinta i-cholesterol. Khulula ingqondo yakho ngokwenza i-yoga, ukuzindla, noma ukuzibandakanya entweni oyithandayo.
- Ubuthongo obuhle: Thola okungenani amahora angu-7-8 okuphumula ubusuku ngabunye.
- Gwema ukubhema: Uma ubhema, ukuyeka ngokushesha kuwusizo olukhulu ongalwenzela inhliziyo yakho.
Ngezinye izikhathi udokotela wakho angase akunike ama-fibrate kuphela. Kodwa-ke, uma ufuna ukunciphisa ingozi yakho yesifo senhliziyo, ungase futhi ukunike ama-fibrate kanye nolunye uhlobo lomuthi okwehlisa i-cholesterol olubizwa ngokuthi
ama-statin . Kodwa-ke, uma uthatha le mithi emibili ndawonye, abanye abantu bangase babe sengozini eyengeziwe yezinkinga
zemisipha . Yingakho udokotela wakho ezokuqapha eduze. Ungakhathazeki, udokotela wakho uzokuphatha konke.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, ama-fibrate angabangela imiphumela emibi emincane kwabanye abantu. Kodwa akuwona wonke umuntu owatholayo. Iningi labantu alinazo izinkinga. Ngisho noma zinjalo, zivame ukuphela zingakapheli izinsuku ezimbalwa.
| Imiphumela emibi evame ukubonwa |
|---|
| Isisu esibuhlungu | Ukuqunjelwa |
| Uhudo | Isiyezi |
| Ikhanda elibuhlungu | Ukuqaqamba kwemilenze |
Uma uqhubeka nalokhu, tshela udokotela wakho. Kodwa ungayeki ukuthatha umuthi ngokuzumayo.
Ezinye izinto okufanele uziqaphele lapho uthatha lo muthi
Ama-fibrate angasebenzisana neminye imithi, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo (ngisho namavithamini).
- Izinto zokunciphisa igazi:Uma uthatha imithi yokunciphisa igazi efana ne -Warfarin , ama-fibrate angandisa ingozi yakho yokopha. Udokotela wakho kungadingeka alungise umthamo wakho.
- Eminye imithi ye-cholesterol: Njengoba kushiwo ngaphambili, i-fibrate gemfibrozil ingasebenzisana namanye ama-statin, njenge- simvastatin . Ngakho udokotela wakho uzoqaphela ngalokho futhi akunike inhlanganisela efanele kakhulu yemithi.
Izimo lapho udinga ukushayela udokotela ucingo ngokushesha!
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, khuluma nodokotela wakho ngokushesha. Lezi zivame ukungabi zimpawu ezivamile, kodwa zingaba uphawu lwesimo esibucayi.
| Qaphela! Uma unalezi zimpawu, funa iseluleko sezokwelapha ngokushesha. |
|---|
| Ubuhlungu obukhulu bemisipha noma ubuthakathaka | Lokhu kungaba uphawu lokulimala kwemisipha. |
| Ubuhlungu besisu obuqhubekayo noma obukhulu | Lokhu kungaba uphawu lwenkinga nge-pancreas noma i-gallbladder. |
| Ukuqhuma kwesikhumba | Kungaba uphawu lokungezwani nomuthi. |
| Ukuphuzi kwesikhumba namehlo (i-Jaundice) | Lokhu kungaba uphawu lwenkinga yokusebenza kwesibindi. |
Ingabe bakhona abantu okungafanele bathathe lo muthi?
Yebo, ama-fibrate awafanele wonke umuntu. Uma unezinye zezimo ezilandelayo, kufanele utshele udokotela wakho.
- Uma ungumama okhulelwe noma oncelisayo.
- Uma une-allergies kulo muthi noma kunoma yiziphi izithako zawo.
- Uma unezinkinga zenyongo, isibindi, noma izinso.
- Uma une-aphoyintimenti ehleliwe yento efana nokuhlinzwa okukhulu noma ukukhishwa kwezinyo.
- Uma unesifo sikashukela, udokotela uzokunakekela ngokukhethekile.
Ngokutshela udokotela wakho umlando wakho wezokwelapha ophelele, uzokwazi ukukunikeza ukwelashwa okuphephile nokufanelekile kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Ama-fibrate uhlobo lomuthi onciphisa kakhulu amazinga e-triglyceride egazini futhi unciphise ingozi ye-pancreatitis.
- Lokhu kwandisa amazinga 'e-cholesterol enhle' (i-HDL).
- Thatha lo muthi njengoba nje udokotela wakho ekuyalele, ngomthamo onqunyiwe, isikhathi esinqunyiwe. Ungalokothi uyeke ukuthatha umuthi noma ushintshe umthamo ngokwakho.
- Kanye nokuphuza imithi, ukudla okunempilo kanye nokuzivocavoca nakho kubaluleke kakhulu. Imiphumela emihle kakhulu itholakala uma lokhu kokubili kuhambisana.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, njengobuhlungu obukhulu bemisipha noma ukuphuzi kwesikhumba, yazisa udokotela wakho ngokushesha.
Ama-Fibrates Sinhala, ama-Triglycerides Sinhala, imithi ye-Cholesterol, Amafutha egazi, i-HDL cholesterol, i-Pancreatitis, imiphumela emibi ye-Fibrates
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