Me ka maʻi diabetes, he mea nui ʻaʻole ia e ukur wale i ke kō koko koko, akā hoʻomaʻamaʻa mau i nā hōʻike no ka kolamu. Inā nui aʻe kēia kuhi, ke kauka nei ke kauka i kahi lāʻau lapaʻau kūikawā kūikawā a me ka lāʻau lapaʻau.
ʻO ka lāʻau lapaʻau kaulana loa no ka hypercholesterolemia ʻo Simvagexal, pili ia i ka lipid-hoʻemi haʻahaʻa i ka lāʻau me ka simvastatin mea hoʻoikaika.
Kūpono nā papa papa no ka mālama ʻana o nā mea maʻi ma luna o nā makahiki 18. Oe ke kuai ia lakou ma kekahi kalepa ma ka hōʻike ʻana i kahi papa inoa. Hoʻoholo ʻia ka hewa ma ke kauka hoʻokahi, e kālele ana i ka mōʻaukala olakino, ka hiki ʻana o nā contraindications a me nā maʻi liʻiliʻi.
Pehea e hana ai ka lāʻau lapaʻau?
Loaʻa ka hoʻomākaukau ʻana i ka synthetically mai ka hua o ka enzymatic Aspergillus terreus hoʻohaʻahaʻa i ka puna plasma o ka triglycerides, haʻahaʻa haʻahaʻa a haʻahaʻa me nā lipoproteins haʻahaʻa, a ke hoʻonui pū nei hoʻi i ka manaʻo o lipoproteins kiʻekiʻe.
Hiki ke ʻike ʻia nā hopena hopena maikaʻi 14 mau lā ma hope o ka hoʻomaka ʻana o ka maʻi lapaʻau. Loaʻa ka hopena therapeutic kiʻekiʻe loa ma hope o hoʻokahi mahina a me ka hapa.
He mea nui e hoʻopau i ka papa kuhikuhi i mālama ʻia i hiki ke mālama pono i nā kumukūʻai maʻamau no ka manawa lōʻihi.
Kuhi aku ke kauka i kahi lāʻau lapaʻau inā loaʻa ka mea maʻi:
- ʻO ka Hypercholesterolemia;
- Hypertriglyceridemia;
- Hoʻohui ʻia hypercholesterolemia.
Hoʻohana ʻia ka lāʻau lapaʻau inā ʻaʻole kōkua ke ʻai kūikawā. Eia nō hoʻi, ke ʻae ʻia ka hoʻohana ʻana o nā papa no nā pahuhopu pale inā inā loaʻa aku kahi maʻi o ka infarction myocardial me kahi pōmole koloka ʻoi aku ma mua o 5.5 mmol / lita.
I ka hoʻohui i nā mea kanu simvastatin, nā papa oval o ka keʻokeʻo, ʻeleʻele a i ʻulaʻula paha i loko o ka acid ascorbic, iron oxide, lactose monohydrate, huʻai palaoa, magnesium stearate, hypromellose, titanium dioxide.
Nā ʻōkuhi no ka hoʻohana ʻana i ka lāʻau lapaʻau
E like me ka hoʻopili e pili ana, pono ʻoe e lawe iā Simvagexal i ke ahiahi hoʻokahi i ka lā, e inu nui ana i ka wai. Hoʻoholo ʻia ka lōʻihi o ka hopena e ke kauka hele ʻana, kūʻokoʻa kūʻokoʻa i ka dosage a ʻaʻole i ʻae ʻia ke aupuni.
Inā pau ka make i kēia manawa, lawe ʻia ka lāʻau lapaʻau i kēlā me kēia manawa, ke mau nō ka ʻano. Ma hope o ka nānā ʻana i ka mea maʻi, aʻo ka moʻolelo olakino a me ka loiloi, hoʻoholo ke kauka i ka nui o nā papa e pono ai i ka papa mua o ka mālama ʻana.
Ua hoʻokūpaʻa ʻia ka paʻu nui, e kālele ana i ka plasma o ka kolamu o ka kolamu, ka mea i loaʻa iā i waena o nā pule ʻehā.
- Ma kahi kikoʻī maʻamau, lawe ka mea maʻi i 40 mg no ka lā. Hiki ke hoʻonui i kēia nui i ka 80 mg i kēlā me kēia lā i mua o ka hopena cardiovascular ka mea hiki ole ka maʻi lapaʻau.
- ʻO nā maʻi me ka maʻi naʻau coronary e lawe iā 20 mg i ka lā. Ma hope o hoʻokahi mahina, e hoʻonui ʻia ka nui ina 40 mg. I ka hihia o ka emi ʻana o ka nui o ka cholesterol i 3.6 mmol / liter a ma lalo, ua emi ka helu o nā papa.
- Inā hoʻomaʻemaʻe ʻia kekahi kanaka me Cyclosporine, ʻo Nicotinamide a i nā fibrates, hoʻemi ʻia ka mua a me ka nui o ka lā maʻamau i 5-10 mg. Lawe ʻia nā hana like ʻole inā he hopena renal kūʻole.
Me ka mālama immunosuppressive, ʻaʻole e hoʻonui ʻia ka nui o ka nui ma mua o 5 mg i kēlā me kēia lā.
ʻO wai e hoʻohālikelike ʻia me ka lāʻau lapaʻau
He mea nui e noʻonoʻo he nui nā contraindications, no laila ʻaʻole pono nā hana ponoʻī iho. Ma mua o ka lawe ʻana iā Simvagexal, pono ʻoe e heluhelu i nā ʻōkuhi no ka hoʻohana.
ʻO ke kumukūʻai o kahi lāʻau lapaʻau me nā loiloi maikaʻi loa ʻo 140-600 mau rubles, e like me ka pulu. I loko o kahi lāʻauʻai ke hiki iāʻoe ke loaʻa nā paʻi o 5, 10, 20, 30, 40 mg. No ka loaʻa ʻana i kahi papa maʻamau o ka ʻoihana, ʻoi ʻia e kūʻai i nā papa hexal Simvagexal 20mg i ka nui o 30 mau pcs.
Hoʻopiʻi ka lāʻau inā inā ua hoʻomanawanui ka maʻi:
- pūpū hema;
- hypersensitivity i nā māhele o ka lāʻau lapaʻau;
- luhi i nā statins;
- myopathy
- nā kuhihewa ʻana i ka hana o nā pulu koko ʻulaʻula (porphyria).
ʻAʻole hiki iā ʻoe ke hoʻokō i ka lāʻau inā ke lawe nei ke kanaka iā Itraconazole, Ketoconazole, nā lāʻau lapaʻau no ka mālama ʻana i nā maʻi maʻi HIV. Eia kekahi, ua hoʻohālikelike nā papa i nā wahine hāpai a me ka lactating.
Pono e mālama ʻia ma ka hōʻeha ʻana o kahi mea inu i ka wai ʻawa, ua mālama ʻia me ka immunosuppressants, he hoʻonui a hoʻemi ʻia paha he mau tonula o nā ʻōpū, nā mea maʻi mai ka epilepsy, nā maʻi maʻi infectious, arterial hypertension, endocrine nui a me nā maʻi metabolic. Hana ʻia ka Therapy ma waena o nā mea maʻi ma mua o nā makahiki 18.
I ka wā hāpai ʻia, ʻoi aku ka maikaʻi o ka hōʻole ʻana i ka lāʻau lapaʻau, ʻoiai ma nā hana lapaʻau e hoʻomaʻamaʻa i ka hoʻomohala ʻana o nā mea pono ʻole o kahi keiki ma ke keiki ma hope o ka hoʻohana mau ʻana i nā papa ʻelua.
I ka wā o ka papa hana, e aʻo ʻia e pale i ka ʻāʻī ʻana o ka mea ʻaʻole e hoʻopōʻino i ka wahine maʻi.
Nā hopena hopena
I ke koho ʻana i ka lāʻau lapaʻau me nā papa lāʻau, pono e pono ke kauka ʻaʻole e lawe ka mea maʻi i nā lāʻau lapaʻau ʻē aʻe. ʻO ka mea maʻi, pono, e hoʻomaopopo i ke kauka e pili ana i nā lāʻau lapaʻau e inu ai ia. Pono kēia e pale i nā lau makemake ʻole me kekahi mau lāʻau lapaʻau.
Ma keʻano kūikawā, me ka hoʻohana ʻana o nā fibrates, cytostatics, nā dosis kiʻekiʻe o ka acid nicotinic, Erythromycin, protease inhibitors, antifungal agents, immunosuppressants, Clarithromycin, rhabdomyolysis e ulu.
Ma muli o ka nui o ka hopena o ka anticoagulants waha, hiki i ke koko ke ʻano, no laila pono ʻoe e nānā pono i ke ʻano o ke koko i ka wā o ka mālama ʻana. Hoʻonui ka simvagexal i ka ʻike plasma i ka digoxin. Inā ua hoʻohana mua ka mea maʻi i ka cholestyramine a me colestipol, ʻae ʻia nā papa e lawe wale i nā hola ʻehā.
- Hōʻike ʻia nā hopena i loko o ke ʻano o nā kīwaha o nā mākala, ka hopena asthenic, dizziness, blurred vision, paresthesia, ʻono ʻole o ka ʻono, ke poʻo, ka ʻeha, nā huakaʻi, peripheral neuropathy.
- Aia nā hewa o ka ʻōnaehana o ka digestive system, constipation, nausea, dyspepsia, puʻi, ʻeha ma ka ʻōpū, hōkē, pancreatitis, ʻeha, hepatitis.
- Ma nā hanana lohi, ʻike ʻia ka hopena alaka i ka ʻano o ka ʻeha a me ka ʻula, ka polymyalgia rheumatism, thrombocytopenia, ʻū, piʻi ka nui o ka erythrocyte sedimentation, urticaria, pōkole o ka hanu, eosinophilia, angioedema, hyperemia, vasculitis, arthritis, lupus erythematosus, lupus.
- Hiki i kekahi kanaka ke ʻike i ka myalgia, myopathy, nāwaliwali ākea, rhabdomyolysis. Aʻo ke hopena, hoʻemi ka potency, wikiwiki ka palpitations, ulu ka anemia, a me ka hoʻomaʻemaʻe ʻana o ka ate.
I kahi o kahi overdose, ma ke ʻano he kānāwai, ʻaʻole i ʻike ʻia nā hōʻailona kikoʻī, akā he mea nui ia e hoʻokaʻawale i nā mea ikaika o ke kino. No ka hana i ka mea, ua hoʻoiho ʻia ka mea maʻi, hāʻawi i ka uluna hoʻōla. I ka wā o ka papa hana, pono ia e nānā i ka pae serum o ka phosphokinase creatin, nā hana a me nā hana hepatic.
Inā lā lawe ʻoe i statins no ka manawa lōʻihi, i kahi hihia maʻamau e ulu mai kahi maʻi maʻi interstitial, i hui pū ʻia e ka pā maloʻo, hoʻomohala i ke ʻano maʻamau, nui ka momona, hoʻonaninika ʻoi, nā momona.
Ke hele mai nei kēia mau hōʻailona, pono e hoʻōki ʻia ka mālama ʻana me nā papa.
Kauike a Kauka
Inā hoʻomaikaʻi kekahi kanaka i ka wā o ka mālama ʻana i ka hana o nā phosphokinase creatine a me nā ʻūhā hōʻiliʻili, pono ia e haʻalele i ka hoʻoikaika kino loa.
Pono pono e hoʻopau i nā kumu o ka hana o ka hoʻouluʻana o ka enzyme, ka mea e komo ai i ke ala o ka maʻi, ka bruises, nā hōʻeha, ka hypothyroidism, nā maʻi, ka pona o ka carbon dioxide, polymyositis, dermatomyositis, ka waiʻona a me ka hoʻohui lāʻau. Inā ma hope o kēia e hoʻomau ka hana o ka enzyme, pono e haʻalele iki nā papa o Simvagexal, akā hiki iā ʻoe ke hoʻohana i nā analogue mai nā mea hana ʻē aʻe.
Ma mua o ka hoʻomaka ʻana i ke ʻano, pono e mālama ke kauka i kahi mahele koko no ka hana KFK. Pono e hana ʻia kēia ʻano ma hope o ʻekolu mau mahina. ʻO ka nānāʻana i nā phosphokinases creatine i loko o ka poʻe elemakule a me nā mea maʻi me kahi maʻi o ka mellitus diabetes-mellitus, hypothyroidism, renal dysfunction e lawe ʻia ana i loko o ka makahiki.
No kēlā me kēia ʻano maʻi o ka maʻi maʻi, pono e hoʻomau mau i ka hoʻāʻo ʻana i ka hoʻokahe koko, no ka mea, ua kōkua ka lāʻau lapaʻau i hoʻonui i ke kao o ke kō i loko o ka plasma.
Hoʻokumu kekahi mau maʻi i ka hyperglycemia, pono kahi lāʻau lapaʻau kūikawā.
Akā ʻaʻole ʻōlelo nā kauka e hoʻōki i ka mālama ʻana me nā statins, no ka mea, ʻo ka haole kiʻekiʻe ka mea hiki ke hoʻopiʻi hou i nā hoʻopiʻi koʻikoʻi i ka maʻi diabetes me ka haʻalele ʻana o ka kūpono kūpono.
Pono e mālama ʻia nā papa me ka mālama aka inā e hōʻole ka mea maʻi i ka waiʻona. Inā hāʻule ka emi ʻana o ka hana thyroid, maʻi maʻi o ka maʻi, ʻo ka maʻi nui e mālama ʻia i ka maʻi mua, ma hope wale nō e hiki iā ʻoe ke hoʻomaka i ka hoʻohaʻahaʻa ʻana i ka cholesterol i loko o ke koko.
Nā lāʻau like like me Zokor, Avestatin, Sinkard, Simgal, Vasilip, Aterostat, Zorstat, Ovenkor, Holvasim, Simplakor, Actalipid, Zovatin a me nā mea'ē aʻe.
E mālama i ka lāʻau lapaʻau i kahi mahana o nā meaʻoi aku ma mua o 30, mai kahi mamao aku i ka lā a me nā keiki.
Meaʻai no ka hoʻohaʻahaʻa i ka cholesterol
Ma kahi o ka lawe ʻana i nā lāʻau lapaʻau, pono e hoʻopiʻi ka mea maʻi i ka meaʻai hypocholesterol, e loaʻa ana i ka ʻai i nā meaʻai haʻahaʻa i nā momona holoholona. Hiki i ka meaʻai kūpono ke hoʻomaikaʻi i ke ʻano o nā moku koko me ka hoʻohemo i nā pā plele atherosclerotic.
ʻO nā mea i papa ʻia i loko o ka momona me nā momona a me ka refractory, ka wai maoli, margarine, nāʻaila momona, mau mea i kūlike, a me nā sausages. Pono ka mea maʻi e hōʻole i nā yolks hua manu, nā ʻuala pala, nā pancakes, nā pastries a me ka cream confectionery.
Eia kekahi, ʻo ka wehe ʻana i nā sauces, ka waiū piha, ka waiū i hoʻopaʻa ʻia, kaʻaila, ka ʻona ʻono, ke kō keʻa oki momona e koi ʻia mai ka meaʻai.
Manaʻo ʻia e hoʻomanawanui ka mea maʻi i nā kīʻaha me ka soy, canola, olive, sesame a me nā mea kanu ʻai, nā mea momona omega-ʻekolu.
Pono ʻoe e ʻai maʻamau i ka salmon, trout, mackerel a me nā ʻano like ʻole o ka iʻa momona, moa ʻai, moa, honu. ʻO kēlā mau meaʻai kahi kumu maikaʻi o ka protein.
Aia ka papa hana i kekahi cereals i kuke ʻia ma ka wai, ka palaoa palaoa a pau, ka huehue lau-nui, a me nā hua ʻai.
Me nā maʻi o kēlā me kēia ʻano, ʻaʻole hiki iā ʻoe ke hōʻino i ka mea ʻalā, nā pōpoki, nā pōpō.
ʻO kahi kīʻai therapeutic me ke kolamu kiʻekiʻe ʻoi aku nā kānāwai kumu e pono e hahai. ʻO nā mea inu waiʻona, kofe, ka pāī kīnā piha ua contraindicated, nā momona a me nā starchy e hoʻohana ʻia ma ka nui o nā kikoʻī.
ʻO ka meaʻai kā nā meaʻai, nā hua ʻai, nā huahana momona haʻahaʻa. Hoʻololi ʻia nā meaʻai iʻa ʻia e nā meaʻai i hoʻolapalapa a ʻatikua. Kūkulu ʻia nāele momona i kuke ʻia me ka momona momona. Hāʻawi ʻia ka moa i mākaukau ʻia ma ka papa ʻaina ʻole me ka ʻili, ʻaʻole hoʻohana ʻia ka momona i ka wā e kuke ai. ʻAi ʻia nā hua moa i waho me nā yolks.
E hoʻolaʻa ka meaʻaiʻaiʻai i ka nui o ka kolamu, pale i nā kīʻaha koko a me nā puʻuwai. I nā lā ʻehiku mua loa, ua maikaʻi ka manaʻo o ka mea maʻi, ʻo ka mea ʻaʻole i ʻike ka digestive i ke kaumaha. ʻAʻohe meaʻai like ʻole contraindications, me ka mea kaulike, no laila he mea maikaʻi loa no ka maʻi maʻi maʻi maʻi.
Pehea e hoʻākāka ai i ka lipid metabolism i hōʻike ʻia i loko o kēia wikiō.