Zocor (simvastatin) wani magani ne mai rage yawan ƙwayar cholesterol wanda ke cikin jerin kwayoyin kwayoyi. An yi amfani dasu don biyan nauyin ƙwayar cholesterol, LDL cholesterol, triglyceride, da kuma apolipoprotein B a cikin mutanen da aka bincikar su tare da matakan hyperlinkidemia ko dyslipidemia a cikin lokuta inda abinci, canje-canjen rayuwa, ko wasu magunguna ba su rage matakan lipid.
Bugu da ƙari, ana amfani da Zocor don rage hadarin ciwon ciwon zuciya da bugun jini a cikin mutane tare da ko ba tare da cututtukan zuciya ba.
Nazarin mahimmanci da ke nazarin sakamakon Zocor 20 zuwa 40 MG ya ga abubuwan da ke faruwa tare da Zocor:
- Zai iya rage LDL cholesterol ta matsakaicin kashi 35%.
- Zai iya rage yawan ƙwayar cholesterol ta kashi 25%.
- Zai iya rage triglycerides ta matsakaicin 10%.
- Zai iya ƙara yawan matakan cholesterol na HDL ta matsakaicin 8%.
An kuma nuna Zocor a binciken don rage yawan mutuwa saboda cututtukan zuciya da kashi 42%
An amince da Zocor don amfani da Drug Administration (FDA) a watan Disamba na shekarar 1991.
Yaya Zama aiki?
Zocor ya ɗaure da kuma inhibits da enzyme 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) reductase, babban enzyme a cikin hanyar ƙwayar cholesterol, Wannan mataki baya rage adadin cholesterol a cikin hanta.
Ta Yaya Za a Sami Zocor?
Zocor ya dauki baki, tare da ko ba tare da abinci sau ɗaya a rana, kamar yadda mai bada sabis na kiwon lafiya ya umurce ku.
Kodayake ƙwayoyin da ake amfani dasu don biyan layin ku daga 5 zuwa 40 MG, mai ba da sabis na kiwon lafiya zai fara farawa a cikin ƙananan kashi kuma ya ƙara yawan ƙarfinku, bisa ga matakan LDL da amsawarku zuwa magani. Zocor 80 MG zai iya haifar da ƙananan ƙwayar tsoka - ciki har da rhabdomyolysis - saboda haka ba a amfani da wannan kashi ba sai dai idan kun yi haƙuri har tsawon lokaci ba tare da tasiri ba.
Ya kamata a biyo bayan cin abinci mai laushi a yayin da kake daukar Zocor.
Wanda ba za a dauka ba?
Idan kana da daya daga cikin yanayin kiwon lafiya da aka jera a kasa, kada ka dauki Zocor. A cikin waɗannan lokuta, mai ba da sabis na kiwon lafiya zai iya sanya ku a wani daban-daban magani don rage ka lipids:
- Allergies. Idan ka kasance da rashin lafiyar da ta gabata zuwa Zocor ko wani nau'in halayensa, kada ka dauki wannan magani.
- Ciwon hanta mai aiki. Idan kana da ciwon hanta mai haɗari ko kuma maras kyau, ƙananan halayen enzyme hawan hawan hauka, Zocor ba za a dauka ba.
- Wasu magunguna. Idan kana shan cyclosporine, gemfibrozil, danazol, ko wasu magunguna da ke hana hanyar hanyar dabara, CYP3A4, kada ka dauki Zocor.
- Hawan ciki. An rarraba Zocor a matsayin Ciki X. Xoc. An nuna Zocor don ƙetare iyakar ƙananan hanzari a cikin berayen kuma akwai rahotanni game da rashin ciwon ciki da nakasa a cikin binciken dabba. Bugu da ƙari, an kuma bayar da rahoto a cikin mata masu ciki suna shan magunguna. Idan kuna shirin yin juna biyu ko kuma a yanzu suna da ciki kuma suna daukar Zocor, mai ba da sabis na kiwon lafiya zai yi la'akari da amfani da shan magani akan lafiyar ku da kuma haɗari ga ɗanku.
- Nursing . An nuna Zocor zuwa cikin madara nono. Ba'a san ko wane irin tasiri wannan zai iya faruwa a kan yaro ba.
Yanayin da ake Bukatar Kulawa
Idan kana shan Zocor, mai bada sabis na kiwon lafiya yana iya buƙatar saka idanu akanka idan kana da wasu yanayin kiwon lafiya. Idan kana da wasu daga cikin sharuɗɗan da ke ƙasa, mai bada sabis na kiwon lafiya zai iya yanke shawarar farawa a Zocor a ƙananan ƙananan kuma zai buƙaci saka idanu akanka don sanin ko ko Zacor zai zama mai cutarwa a gare ka. Waɗannan yanayin kiwon lafiya sun haɗa da:
- Babban hanta enzymes. A cikin nazarin, Zocor ya haɓaka haɗin enzymes aspartate aminotransferase (AST) da alanine aminotransferase (ALT) a cikin binciken. Kodayake a yawancin lokuta wannan karuwa ne na wucin gadi, mai bada sabis na kiwon lafiya zai duba wadannan matakan don tabbatar da cewa hawan enzymes hanta ba za a daukaka su ba.
- Girman glucose mai zurfin jini. Nazarin ya nuna cewa Zocor na iya kara yawan hawan Halin Halin A1C da matakan glucose mai azumi. Idan kana da ciwon sukari, mai bada sabis na kiwon lafiya zai iya lura da waɗannan ɓangarorin cikin jinin ku kuma gyara tsarin ku na Zocor.
- Koda cuta. Mai ba da sabis na kiwon lafiya zai fara ka a mafi ƙanƙanci da kuma duba ku a hankali.
Hanyoyin Gaba
Sakamakon sakamako mafi yawancin sun hada da ciwon kai, zafi na ciki, tashin zuciya, maƙarƙashiya, da cututtuka na numfashi na sama. Idan kana fuskantar duk wani tasiri daga ɗaukar Zocor wanda ya zama tsawon lokaci ko damuwa, ya kamata ka sanar da lafiyar ka.
Kamar yadda yake tare da wasu shafuka, wani sakamako mai mahimmanci - rhabdomyolysis - yana iya faruwa a cikin mutane masu daukar Zocor. Hanyoyin cututtuka na rhabdomyolysis sun hada da ciwon tsoka da rauni, da sine mai launin soda. Rashin haɗarin fuskantar wannan tasiri na iya faruwa idan kana shan wasu magunguna, karuwa da shekaru, shan kashi 80 mg na Zocor, da sauran yanayin kiwon lafiya. Idan ka fuskanci duk wani bayyanar cututtuka na rhabdomyolysis, nan da nan ya kamata ka sanar da ma'aikacin lafiyarka.
Magunguna da zasu iya hulɗa da Zocor
Bayan cyclosporine, gemfibrozil, da kuma sauran magunguna da aka ambata a sama, wadannan kwayoyi zasu iya yin hulɗa tare da Zocor - ƙara yawan yiwuwar samun sakamako masu illa. Wadannan ƙwayoyi na iya ƙara ƙwayar Zocor ko wasu magunguna a jikinka:
- Cholesterol-ragewan kwayoyi ( nicotinic acid , fibrates)
- Wasu magunguna - irin su verapamil, diltiazem, amiodarone, amlodipine
- Masu hana masu tsaro
- Colchicine
- Warwarwar (warfarin)
Tun da wannan ba cikakken lissafin ba ne, ya kamata ka sanar da lafiyar magungunanka na lafiyar dukkanin magunguna - ciki har da magunguna da magungunan ƙwayoyi - wanda kake ɗauka yayin shan Zocor. Idan ana buƙatar ka ɗauki ɗaya daga cikin kwayoyi da aka jera a sama, mai bada sabis na kiwon lafiya na iya buƙatar daidaita ƙwayarka, saka idanu akanka don kare illa, ko dakatar da daya daga cikin kwayoyi.
Layin Ƙasa
Zocor shi ne magani wanda aka ba da izini don amfani da shi don inganta bayanin wayarka na lipid kuma rage haɗarin mutuwa daga ciwon zuciya ko bugun jini. Zocor kuma yana samuwa a cikin nau'in tsari, ba ka damar samun wannan magani a farashin mai rahusa idan aka kwatanta da magungunan namun suna. Kodayake yana da tasiri, akwai wasu tasirin da ke tattare da kwayoyi da hulɗar miyagun ƙwayoyi da ya kamata ka kalli lokacin daukar Zocor. Sabili da haka, ya kamata ka tabbata cewa ka ci gaba da zama tare da ma'aikacin lafiyarka domin ya iya lura da ci gabanka akan magani.
Sources:
Zovor (Simvastatin). Merck: Whitehouse Station, NJ. Updated 3.2015.
Micromedex 2.0. Ƙididdiga na Lafiya ta Gaskiya, Inc. Greenwood Village, CO. Akwai a http://www.micromedexsolutions.com.
Masanan Nazarin 4S. Gwagwarmayar Random na Cholesterol Ragewa a cikin 4444 marasa lafiya tare da cututtuka na zuciya da cututtukan zuciya: Nazarin Survival na Simvastatin Scandinavian. Lancet 1994 Nov 19; 344 (8934): 1383-9.