Welchol (colesevelam) wani magani ne mai rage yawan zazzabi na cholesterol wanda ke da magunguna na bile acid. Nazarin ya nuna cewa Welchol ya rage low LLL cholesterol kimanin kashi 20 cikin dari kuma dan kadan ya tashi HDL har zuwa 11%. Welchol ba ya bayyana ya shawo kan triglycerides kuma, a wasu lokuta, na iya haifar da triglycerides idan an dauki ta tsawon lokaci.
Har ila yau an nuna Welchol ga mutanen da ke dauke da ciwon sukari na 2 don taimakawa wajen magance glucose na jini da kuma yarinya da 'yan mata da maza zuwa shekaru 10 da aka gano tare da haɗin gwiwar heterozygous iyali hypercholesterolemia. Don taimakawa tare da rage musu LDL cholesterol. Ko da yake wannan magani ya nuna ya zama tasiri a rage LDL, ba a nuna shi a cikin binciken don rage ƙwayar cututtukan zuciya ba.
Welchol yana samuwa a cikin siffofi guda biyu: siffar da aka yi da ƙura da kwamfutar hannu. An amince da miyagun ƙwayoyi don amfani a Amurka ta hanyar FDA a watan Mayu 2000.
Ta Yaya Ayyukan Welchol yake?
Welchol yana aiki ne ta hanyar daurin nauyin acid a cikin ƙananan hanji kuma yana hana halayarsu. Ana samun albarkatun Bile daga cholesterol kuma suna taimakawa wajen narkewa da ƙwayoyi masu cinyewa ta hanyar cin abinci naka. Bile acid ya zama mai lalacewa saboda an ɗaure shi zuwa Welchol kuma ba a sake shi ba. Saboda haka, za a cire cholesterol daga jinin kuma ya koma cikin bile acid cikin hanta.
Wannan aikin ya kawar da cholesterol daga jini - haifar da matakin LDL cholesterol ya rage.
Ta Yaya Ya kamata Ka Sami Welchol?
Ya kamata ka dauki Welchol kamar yadda jagoranka na kiwon lafiya ya umurce ku. Wannan zai dogara ne akan wane nau'i na Welchol.
Ga irin abincin da Welburn yake da shi, da shawarar da aka yi da shi shine kashi 3.75-gram a kowace rana, ko biyu, 1.875 gram fakiti sau biyu a rana.
Ya kamata ku komai abun ciki na fakiti a cikin rabin rabi ko daya kofi na ruwa, soda abinci, ko ruwan 'ya'yan itace da kuma haɗuwa da kyau. Duk abinda ke ciki na abin sha ya kamata a cinye, tare da abinci.
Ga Allunan, da shawarar da ake da shi shine ɗauka 6 allunan a lokaci guda kowace rana, ko raba shi kamar allunan uku sau biyu a rana. Ya kamata a dauki kwamfutar hannu tare da abinci da cikakken gilashin ruwa.
Wanda bai kamata ya dauki Welchol ba?
Saboda abubuwan da aka gyara, akwai wasu lokutta da ba za a dauki Welchol ba. Wadannan zasu hada da:
- Mutanen da suka yi fama da rashin tausayi na farko zuwa Welchol ko wani daga cikin abubuwan da aka gyara.
- Duk wanda ya taɓa samun ƙwarewar hanji.
- Mutane da yawa waɗanda ke da ƙananan triglycerides (fiye da ko kuma daidai da 500 mg / dL), tun da Welchol zai iya ƙara yawan matakan triglyceride. Bugu da ƙari, idan an riga an gano ku da ciwon ciwon ƙwayar cuta saboda manyan triglycerides, kada ku dauki Welchol.
Wadanne Kalmomi zasu Bukata Kulawa Yayinda yake Kula da Welchol?
Akwai wasu yanayi waɗanda zasu iya buƙatar kallo yayin da kake karɓar Welchol. Idan kana da wasu daga cikin sharuɗɗan da ke ƙasa, mai bada sabis na kiwon lafiya zai iya yanke shawarar farawa a kan Welchol, amma zai buƙaci saka idanu ka don sanin ko karɓar Welchol zai zama mai cutarwa a gare ka.
Waɗannan yanayin kiwon lafiya sun haɗa da:
- Samun wahalar haɗuwa. Allunan Welchol suna da yawa kuma yana iya wahala a haɗiye idan kuna da matsaloli.
- Babban matakan triglyceride. Samun ƙananan matakan triglyceride ba zai hana ku karɓar Welchol ba, amma mai bada sabis na lafiyar ku na son saka idanu akan rubids ku da yawa tun lokacin Welchol zai iya ƙara yawan matakan triglyceride.
- Abubuwan da ke cikin motsi na gastrointestinal tract. Welchol zai iya haifar da maƙarƙashiya, don haka wannan yana iya ƙara tsananta wasu daga cikin waɗannan yanayi.
- Welchol an lasafta shi a matsayin Biki na B. Kodayake ba a gudanar da nazarin da yawa na nazarin tasirin Welchol a cikin masu juna biyu ba, nazarin dabba ba ya cutar da tayin ba. Tun da wannan miyagun ƙwayoyi na iya rage yawan shayarwar bitamin, wasu matakan shan kwayar shan kwayar cutar bazai iya tasiri yayin shan Welchol ba. Mai ba da sabis na kiwon lafiya zai yanke shawarar ko yakamata ka dauki wannan magani.
Wadanne Hanyoyin Hanya Ya Kamata Na Kira Yayinda yake Karɓar Welchol?
Sakamakon sakamako na gastrointestinal shine sakamako mafi rinjaye mafi rinjaye lokacin amfani da Welchol. Wadannan sun haɗa da:
- Ruwan jini
- Ƙwannafi
- Jiɗa
- Nama
- Tabbatarwa
- Abun ciki na ciki
Sauran cututtukan lahani, irin su ciwon tsoka da ciwon makogwaro, an kuma bayar da rahoton a cikin binciken. Idan waɗannan halayen haɓaka sun zama masu damuwa, ya kamata ka sanar da ma'aikacin lafiyar ka. Zai iya ba ku wani abu don kula da sakamako na gefe, daidaita yawan ku, ko canza ku zuwa wani magani na rage ƙwayar cholesterol.
Wace Magunguna Za Su iya Tattauna da Welchol?
Wadannan kwayoyi zasu iya hulɗa tare da Welchol ta hanyar rage yawan adadin magani da aka sanya cikin jininka. A matsayinka na mai mulki, mai yiwuwa kyakkyawan ra'ayin kada ku dauki wasu magunguna ko kuma ya cika sa'o'i hudu kafin ko sa'a shida bayan shan wasu magungunan ƙwayoyin bile acid, irin su Welchol. Idan ana buƙatar ka ɗauki ɗaya daga cikin kwayoyi ko kariyan da aka lissafa a ƙasa, mai bada sabis na kiwon lafiya na iya buƙatar daidaita ƙimarka ko lokacin da kake karɓar shi, saka idanu akanka don sakamako masu illa, ko katse amfani da shi duka tare:
- Hanyoyin hawan kuɗi
- Lanoxin (digoxin)
- Kwayoyin maganin haihuwa
- Verapamil
- Metoprolol
- Warwarwar (warfarin)
- Fatamin mai madara (bitamin A, D, E, da K)
- Magungunan magani, kamar Dilantin (phenytoin) da phenobarbital
Wannan ba cikakken lissafin ba ne, saboda haka ya kamata ka tabbatar cewa ka bayyana duk wajibi da magungunan magunguna, da samfurori na jikin da kake ɗauka. Wannan zai taimaka wa mai bada sabis na kiwon lafiya don gano duk wani hulɗa tsakanin Welchol da sauran magunguna.
Layin Ƙasa
Welchol magani ne wanda ake amfani dashi mafi yawa don rage layin LDL cholesterol amma ba a nuna ya rage cututtukan zuciya ba a binciken. Bugu da ƙari, saboda nau'in Welchol na ƙura yana iya zama marar damuwa ga fadin ku kuma allunan na iya zama da wuya a haɗiye, ya kamata ya sanar da lafiyar ku idan kuna fuskantar matsaloli tare da shan Welchol. Saboda kawai Welchol yana tasiri wasu sassa na bayanin ku na lipid, mai bada sabis na kiwon lafiya na iya son ƙara ƙarin kwantar da hanzuka - irin su statin ko fibrate .
Sources:
Dipiro JT, Talbert RL. Pharmacotherapy: Hanyoyin Bincike, 6th, 2005.
Lacy CF, Armstrong LL, Goldman MP, et al. Lebookomp's Drug Information Handbook, 15th ed 2007.