Ingabe udokotela wakho uthe i-cholesterol yakho, ikakhulukazi ama-triglycerides, iphezulu ekuhlolweni kwegazi kwakho kwakamuva? Noma ingabe uthe izinga lakho le-HDL (i-cholesterol enhle) liphansi? Ngesikhathi esinjengalesi, kunethuba elihle lokuthi udokotela wakho uzokutshela ukuthi uqale umuthi obizwa ngokuthi ama-Fibrates. Ngakho ungesabi uma uzwa leli gama. Namuhla, sizoxoxa ngokuthi ayini lawa ma-Fibrates, ukuthi alungele kanjani umzimba, nokuthi yini okudingeka uyiqaphele.
Ayini ama-fibrate? Asebenza kanjani emzimbeni?
Kalula nje, ama-Fibrate ayisigaba semithi esiza ukulawula izinhlobo zamafutha egazini lethu. Le mithi yenza izinto ezimbili ikakhulukazi:
1. Ukunciphisa ama-Triglycerides: Ama-Triglycerides uhlobo lwamafutha aqongelela egazini ngemva kokudla. Uma esephezulu kakhulu, agcinwa emangqamuzaneni ethu amafutha. Amazinga aphezulu ala mafutha angaholela esifweni senhliziyo kanye nesimo esiyingozi esibizwa ngokuthi i-pancreatitis , okuwukuvuvukala kwe-pancreas. Ama-fibrate asebenza ngokunciphisa inani lama-triglycerides akhiqizwa yisibindi.
2. Khulisa i-cholesterol enhle (i-HDL): Kungenzeka ukuthi uke wezwa ukuthi kunezinhlobo ezimbili ze-cholesterol, 'enhle' kanye 'nembi'. I-HDL (i-High-Density Lipoprotein) yilokho okubizwa ngokuthi i-cholesterol 'enhle' . Ama-fibrate angasiza futhi ekukhuliseni leli zinga le-cholesterol enhle.
Kodwa into eyodwa okufanele uyikhumbule: Ama-fibrate awanciphisi kakhulu amazinga e-LDL (Low-Density Lipoprotein), abizwa ngokuthi 'i-cholesterol embi' . Kuneminye imithi yalokho.
Ubani odinga lolu hlobo lomuthi?
Isizathu esiyinhloko sokuthi udokotela wakho akunike lo muthi ukuthi amazinga akho e-triglyceride egazini aphezulu kakhulu. Ama-fibrate ayimithi ebaluleke kakhulu yokunciphisa ingozi yokuba ne -pancreatitis, ukuvuvukala kwe-pancreas, ngenxa yala mazinga aphezulu e-triglyceride.
Nakuba amazinga aphezulu e-triglyceride ahlotshaniswa nengozi eyengeziwe yesifo senhliziyo, ama-fibrate awakaze afakazelwe ukuthi anciphisa ingozi yokuhlaselwa yinhliziyo noma isifo sohlangothi. Eminye imithi, njenge-statins, isetshenziswa kakhulu kule njongo. Ngakho-ke, umgomo oyinhloko walo muthi ukunciphisa ingozi ye-pancreatitis.
Yiziphi izinhlobo ze-fibrate futhi ziphumelela kangakanani?
Kunezinhlobo eziningana zemithi engaphansi kweqembu le-fibrates. Udokotela wakho angase akunike enye yale mithi.
| Igama elijwayelekile lomuthi | Amanye Amagama Omkhiqizo Emakethe |
|---|---|
| I-Fenofibrate | I-TriCor®, i-Fibricor®, i-Lofibra® |
| I-Gemfibrozil | I-Lopid® |
| I-Clofibrate | I-Atromid-S® |
Lo muthi usebenza kangakanani?
Ama-fibrate ayimithi esebenze kahle kakhulu kwabanye abantu. Ucwaningo lukhombisile ukuthi angenza lokhu okulandelayo:
- Yehlisa amazinga e-triglyceride cishe ngo- 50% .
- Khulisa amazinga e-cholesterol enhle (i-HDL) cishe ngo- 20% .
- Yehlisa amazinga e-cholesterol ephelele cishe ngo- 10% .
Akwanele yini ukusebenzisa ama-fibrate kuphela? Yini enye okufanele ngiyenze?
Ngezinye izikhathi, ama-fibrate ewodwa anganelisa ukwehlisa ama-triglyceride. Kodwa-ke, uma usengozini yesifo senhliziyo, udokotela wakho angase akunikeze olunye uhlobo lomuthi wokwehlisa i-cholesterol obizwa ngokuthi ama-statin kanye nalomuthi.
Uma le mithi emibili ithathwa ndawonye, abanye abantu bangase babe nengozi eyengeziwe kancane yezinkinga zemisipha . Ngakho udokotela wakho uzokuqapha eduze. Kodwa ungakhathazeki, abantu abaningi basebenzisa le mithi emibili ndawonye ngaphandle kwezinkinga.
Into ebaluleke kakhulu ukuthi imithi yodwa ayanele. Kanye nemithi, kufanele futhi wenze lezi zinguquko endleleni yokuphila:
- Ukudla okunempilo kwenhliziyo: Nciphisa ukudla okunamafutha amaningi, ushukela, nofulawa, bese udla imifino eminingi, izithelo, imifino eluhlaza kanye nokudla okucebile nge-fiber.
- Ukuzivocavoca: Vivinya okungenani imizuzu eyi-150 ngesonto. Ngisho nokuhamba ngokushesha kwanele.
- Ukulawula ukucindezeleka: Gxila ezintweni ezikulethela ukuthula kwengqondo. Izinto ezifana nokuzindla nokulalela umculo zingasiza.
- Lala kahle: Qiniseka ukuthi ulala okungenani amahora angu-7-8 ebusuku.
- Ukuyeka ukubhema: Yeka ukubhema nemikhiqizo kagwayi ngokuphelele.
Imiphumela emibi kanye nokusebenzisana neminye imithi
Njenganoma yimuphi umuthi, ama-fibrate angabangela imiphumela emibi emincane kwabanye abantu, kodwa akuwona wonke umuntu oyitholayo.
| Imiphumela emibi evamile | Ukusebenzisana neminye imithi |
|---|---|
|
Kufanele ngithathe lo muthi isikhathi esingakanani? Ngubani okungafanele awuthathe?
Ama-fibrate ngokuvamile ayimithi yesikhathi eside. Ungayeki ukuwaphuza ngaphandle kokuba udokotela wakho ekutshele ukuthi wenze kanjalo. Uzohlola igazi lakho njalo ukuqinisekisa ukuthi imithi iyasebenza nokuthi amazinga akho aphansi.
Izimo ezingafaneleki zokuthatha lo muthi:
Lo muthi ungase ungafaneleki kwabanye abantu. Uma unezinye zezimo ezilandelayo, kufanele utshele udokotela wakho ngaphambi kokuqala umuthi.
- Uma ukhulelwe noma ungumama oncelisayo
- Uma une-allergies kule mithi
- Uma unesifo sikashukela
- Uma unezinkinga zezinso, isibindi, noma inyongo
- Uma ubhekene nokuthile esikhathini esizayo, njengokuhlinzwa noma ukukhishwa kwezinyo
Uma uhlangabezana nalezi zimpawu, xhumana nodokotela ngokushesha!
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngenkathi uthatha lo muthi, tshela udokotela wakho ngokushesha. Ngezinye izikhathi lezi zingaba izimpawu zesimo esibucayi.
- Ubuhlungu obukhulu bemisipha noma ubuthakathaka obuvela ngaphandle kwesizathu
- Ubuhlungu obukhulu besisu obuqhubekayo
- Ukuqhuma kwesikhumba
- Ukuphuzi kwesikhumba noma amehlo (i-Jaundice)
Uma uzizwa kanje, ungenzi izinqumo wedwa, bonana nodokotela ngokushesha. Uma kudingeka, ungangabazi ukuya e-Emergency Treatment Unit (ETU) yesibhedlela.
Umlayezo Wokuya Nawe Ekhaya
- Ama-fibrate uhlobo lomuthi onciphisa ama-triglycerides egazini futhi wandise i-cholesterol enhle (i-HDL).
- Inhloso eyinhloko yalokhu ukuvimbela i-pancreatitis, engabangelwa ama-triglycerides aphezulu.
- Lomuthi kufanele usetshenziswe kuphela ngaphansi kweseluleko sikadokotela. Thatha umuthi njengoba kuyalelwe, ngesilinganiso esinqunyiwe, nangesikhathi esinqunyiwe.
- Imithi yodwa ayanele. Kubalulekile ukulandela ukudla okunempilo kwenhliziyo, ukuzivocavoca umzimba, kanye nendlela yokuphila enempilo.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile njengobuhlungu bemisipha, ukuqaqamba okukhulu kwesisu, noma ukuphuzi kwesikhumba, yazisa udokotela wakho ngokushesha.
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