I-Torvacard isidakamizwa esinciphisa i-lipid esingokweqembu lama-statins. Lesi sidakamizwa ngenxa yomphumela obizwa ngokuthi yi-hypolipidemic usetshenziselwa ukwehlisa i-cholesterol.
Uma kuqhathaniswa nezinye izidakamizwa, iTorvacard ithathwa njengethuluzi elisebenza kakhulu elisetshenziswayo lapho ezinye izifaniso zingakwazi ukuxazulula inkinga. Ukufaka le thuluzi kuyanconywa sikashukela. Umuthi unomphumela omuhle emzimbeni futhi welapha i-cholesterol ephezulu ngisho nefomu lesifo.
Into esebenzayo yesidakamizwa yi-atorvastatin. Njengomphumela womphumela wezidakamizwa, inkomba ye-lipoprotein ephansi iyancipha ngamaphesenti angama-40-60, izinga le-cholesterol lehla ngamaphesenti angama-30- 46. Inani le-triglycerides ne-apolipoprotein B. nalo liyancishiswa.
Imiyalo yokusebenzisa umuthi
Ngaphambi kokuthi uqale usebenzise umuthi i-Torvard, udinga ukutadisha imiyalo yokusebenzisa umuthi futhi uthintane nodokotela wakho. Ngaphambi kokuthatha umuthi, isiguli kudingeka sizilungiselele, ngoba kudingeka izinsukwana ezimbalwa ukuthola indlela ekhethekile yokudla, okufanele ilandelwe ngokuzayo kuyo yonke inkathi yokwelashwa.
Umthamo wokuqala awudluli kuma-milligram angama-10 kanye ngosuku. Kancane kancane, umthamo ungakhushulwa ube ngama-milligram angama-80 ngosuku. Ukuthatha umuthi akuxhomekeki ngesikhathi, kuvunyelwe ukuwusebenzisa nganoma yisiphi isikhathi sosuku, ngaphambi, phakathi noma ngemuva kokudla.
Okwamanje, ukuze usebenze kahle, kunconywa ukuthatha iTorvacard ngokudla. Umthamo unqunywa udokotela oya kuye, kuye ngezimpawu zomzimba ngamunye kanye nokuba khona kwezifo ezincane.
Kulokhu, umthamo ungalungiswa. Ukubona ukuthi ungakanani umuthi onconyelwe ukusetshenziselwa, udinga ukutadisha ubufakazi bokuthi udokotela futhi uvivinye njalo emavikini amabili ngenxa yezinga le-lipids eliqukethwe kwiplasma yegazi. Ngokusekelwe kudatha etholakele, kuthathwa umthamo odingekayo.
Njengoba kuphawuliwe emiyalweni yokusetshenziswa, imiphumela emihle evela ekwelashweni kwezidakamizwa ingabhekwa emavikini amabili ngemuva kokuqala komuthi.
Ngemuva cishe inyanga, umphumela wokwelapha ufinyelela inani eliphakeme kakhulu futhi uphikelela isikhathi eside uma kuqhubeka ukwelashwa.
Yini ingxenye yesidakamizwa?
Isidakamizwa iTorvakard sikhishwa ngesimo samathebhulethi amhlophe amancane, ambozwe ngefilimu. I-blister eyodwa iqukethe amaphilisi ayishumi, kwiphakeji elilodwa iqukethe kusuka ku-3 kuya ku-9 amabhuliki, kuye ngokuthi. Yiziphi izinkomba zokusetshenziswa ezinqunywe udokotela oholayo.
Ukwakheka kwesidakamizwa iTorvakard kufaka phakathi:
- i-hyprolosis ephansi;
- i-microcrystalline cellulose;
- i-magnesium oxide;
- i-lactose monohydrate;
- i-magnesium stearate;
- i-croscarmellose sodium;
- i-colloidal silicon dioxide.
Ukwakheka kwengqimba yefilimu kufaka phakathi i-hypromellose 2910/5, talc, titanium dioxide, macrogol 6000.
Izici zesidakamizwa
Ngokuya ngezinga lesifo, udokotela unquma izinkomba zokusebenzisa umuthi i-Torvakard. Umuthi ungasebenza kulezi zinhlobo zezifo ezilandelayo:
- Ngokwanda kwe-serum triglycerides;
- Nge-dysbetalipoproteinemia;
- Nge-hypercholesterolemia;
- Nge-hyperlipidemia;
- Izifo zesistimu yenhliziyo ngenxa yokwanda okungajwayelekile emazingeni e-lipid.
Okwamanje, njengoba kukhonjisiwe emiyalweni yokusetshenziswa, umuthi i-Torvacard ungadala imiphumela emibi, phakathi kwawo okube khona ukushaya kwenhliziyo okusheshayo.
Kukhona futhi okuphikisana. ezihambisana nezifo zezitho ezithile zangaphakathi.
Ngaphandle kokuthi izinkomba zikhombisa ukusebenza kahle komuthi, kubalulekile ukuwuphatha ngokucophelela, utadishe ngokucophelela ulwazi ngokusetshenziswa kwomuthi futhi uthintane nodokotela wakho.
Imiphumela emibi elandelayo ingenzeka ngenkathi uthatha umuthi:
- Lapho kuthinteka izitho zemizwa, i-tinnitus, ukuthululwa kwegazi esweni, ukulahleka kokuzwa, ukuvezwa kokunambitheka, ukuphuma kwe-conjunctiva kungavela.
- Lapho uhlelo lwezinzwa lwesiguli luthinteka, ikhanda linokuqina, isiyezi singabonakala, isiguli kwezinye izikhathi siqala ukuhlaselwa ukuqwasha nobusuku. Ukudangala kungenzeka futhi.
- Lapho isiguli sisebenza ohlelweni lwezinhliziyo, kwezinye izikhathi, ukushaya kwenhliziyo kuyanda, izinhlungu esifubeni ziyavela.
- Ohlelweni lwe-genitourinary, i-urinary incinuence, nephritis, i-cystitis ingakhula, ukopha kowesifazane wesitho sangasese sowesifazane kungaqala. Kubandakanya amacala aqoshiwe wokungakwazi ukusebenza kahle nokuphazamiseka kwemizwa.
- Kwesinye isikhathi umuthi ungadala ukungahambi kahle ngendlela yokubukeka kwesikhumba, isikhumba, ukuqubuka, ukuvuvukala, ukuvuvukala.
- Isiguli singakhuphula ukujuluka, sibe ne-eczema, seborrhea, noma ezinye izifo ezingezinhle.
- Kubandakanya ukuphazamiseka kwesistimu yokugaya ukudla ngendlela yokuqunjelwa, ukuthopha, ukushaya kwenhliziyo, izihlalo ezikhululekile, isicanucanu, ukuhlanza nomlomo owomile kungenzeka. Ezimweni ezihlukile, i-hepatitis, ulcer esiswini, i-gastroenteritis, i-pancreatitis kanye neminye imiphumela engathandekiyo evela ekusebenziseni umuthi.
- Ngenxa yokwephulwa kohlelo lokujikeleza kwegazi, i-anemia, i-thrombocytopenia, noma i-lymphadenopathy kungenzeka.
- Kungenzeka futhi ukwandisa izinga lokushisa lomzimba, isisindo somzimba.
Kubalulekile ukuvikela izingane ekutholeni umuthi. Gcina umuthi emazingeni okushisa angama-10 kuye kwangama-30. Impilo yeshelf iyiminyaka emibili.
Izindleko zesidakamizwa iTorvakard eRussia zingama-ruble angama-275 ngephakethe ngalinye lamathebulethi angama-30 wamamiligremu ayi-10.
Umuthi uphulwa kubani?
I-Torvacard akufanele isetshenziselwe izifo zesibindi, ngesikhathi sokukhulelwa noma ukuncelisa ibele, ebuntwaneni noma ebusheni, ngokubekezelela okuthile kwezinye izingxenye zomuthi. Umphumela omubi weTorvacard ekhonweni lokushayela imoto awuzange ubikwe.
Ngakho-ke, kukhona okukhona okuphikisana nalokhu:
- isifo sesibindi noma umsebenzi owengeziwe wama-transaminases ku-serum yegazi yemvelaphi engaziwa;
- ukungapheleli kwe-hepatic yobulukhuni i-A ne-B esikalini-Pugh;
- ukuba khona kwezifo zofuzo, ezinjengokungabekezeleli kwe-lactose, ukuntuleka kwe-lactase noma i-glucose-galactose malabsorption, ngoba i-lactose iyingxenye yesidakamizwa;
- isikhathi sokukhulelwa;
- inkathi yokuhlanza;
- awukwazi ukuthatha lesi sidakamizwa kubantu besifazane abangazisebenzisi izindlela zokuvimbela inzalo;
- izingane nentsha engaphansi kweminyaka eyi-18;
- hypersensitivity kuzakhi zomuthi.
Naphezu kweqiniso lokuthi kunezinkomba zokusetshenziswa, udinga ukuthatha umuthi ngokuqaphelisa etshwaleni ezingapheli. Ukuphazamiseka kwemetabolic ne-endocrine, izifo ezinzima kakhulu, i-arterial hypotension, isithuthwane, izifo zohlelo lwamathambo lwamathambo, ukulimala okukhulu nokungenelela kokuhlinzwa.
Ukusetshenziswa kwesidakamizwa ngesikhathi sokukhulelwa
Njengoba i-cholesterol nezinto ezikhishwe ku-cholesterol zidingeka ekukhuleni okugcwele kwe-fetus, umuthi uyahlanganiswa ngesikhathi sokukhulelwa nangesikhathi sokuqunjelwa.
Lapho uthatha umuthi ku-trimester yokuqala yokukhulelwa, ukuzalwa kwezingane ezine-bone deformity kungenzeka. Ngalesi sizathu, uma usebenzisa umuthi ngaphambi kokukhulelwa ngesikhathi sokukhulelwa, kufanele uyeke ngokuphelele ukusetshenziswa kwalo muthi.
Uma udinga ukuthatha umuthi ngesikhathi sokuncelisa, kufanele uyeke ngokuphelele ukuncelisa ibele, ukuze ungalimazi ingane. Futhi, ngenkathi usebenzisa iTorvacard, abesifazane kudingeka bavikelwe ngokucophelela.
Ngabe umuthi usebenza kanjani neminye imithi?
Uma isiguli sithatha noma imuphi umuthi, kuyadingeka ukubonana nodokotela ukuthola ukuthi leyo mishanguzo ihambelana kanjani nomuthi iTorvakard. Iqiniso ngukuthi lesi sidakamizwa, lapho sisebenzisana nezinye izinto zokwelapha, singashintsha imisebenzi yaso, okubalulekile ukwazi.
- Umuthi wehlisela kakhulu inani lezinto ezisebenzayo egazini, uma ungeza ngokwengeziwe izidakamizwa ze-antifungal kanye neze-immunosuppressive eziqukethe i-azole, i-cloromycin, i-erythromycin, i-fibrate noma i-cyclosporine.
- Into esebenzayo incishiswa okwesithathu, uma usebenzisa umuthi kanye ne-magnesium ne-aluminium hydroxide.
- Ikota kukhona ukwehla kwento esebenzayo ngokudla okwengeziwe kwe-colestiproloma.
- Ukuncipha okungenzeka kwama-hormone ama-endo native ama-hormone uma usebenzisa i-cimetidine, i-spironolactone ne-ketoconazole.
- Lapho usebenzisa izindlela zokuvimbela inzalo zomlomo ezingeziwe, ukwanda kokuxineka kwe-ethinyl estradiol ne-norethindrone kwenzeka.
- Umphumela okhethekile awubonwa lapho uthatha umuthi nge-cimetidine, warfarin ne-phenozone.
- Futhi, ukusabela okungekuhle akubonwa lapho kusetshenziswa izidakamizwa ezingama-estrogens nezidambisigciwane.
Kubandakanya ukwenzeka kokuphendula nezinye izidakamizwa, ngenxa yalesi sizathu ukubonisana nodokotela kuyadingeka.
Izidakamizwa ezinomsebenzi ofanayo
I-Torvacard ine-analogues eminingi, ifaka into efanayo noma amalungiselelo anomphumela ofanayo emzimbeni. Kubalulekile ukuqonda ukuthi, ngaphandle komphumela ofanayo, ama-analogues angaba nomphumela ohlukile emzimbeni.
Ngalesi sizathu, ngaphambi kokushintshela umuthi omusha ngemuva kokusebenzisa iTorvacard, udinga ukubonana nodokotela ukuthola ukuthi kuvunyelwe yini ukusebenzisa enye indlela.
Ngokusho kwento esebenzayo, izithasiselo ezilandelayo zomuthi iTorvacard kumathebulethi zingakhethwa:
- Atomax
- I-Anvistat
- Atoris
- I-Liptonorm,
- Lipona
- I-Liprimar
- Lipoford
- Tulip.
Ngokusho kwemiphumela emzimbeni, okufana nalokhu kufaka phakathi:
- I-Zorstat
- I-Zokor
- I-Leskol,
- I-Akorta,
- I-Rosuvastatin,
- I-Avestatin,
- SimvaHexal,
- I-Apextatin,
- I-Mertenil
- UVasilip
- I-Cardiostatin
- I-Zovatin
- Simlo
- I-Atherostat
- Roxer
- Crestor
- I-Lovastatin,
- Simgal
- Simvakard.
Kunoma yikuphi, ngaphambi kokuqala ukusebenzisa i-analogues, kufanele ufunde ngokucophelela imiyalo yokusebenzisa, utadishe imiphumela emibi, ukuhambisana neminye imithi, kanye nokuphikisana. Kungemva kwalokhu kuphela lapho kufanelekile ukunquma ukuthi ungashintshela kwi-analogue noma uqhubeke nokusebenzisa iTorvacard.
