ʻO Colesevelam

Anter

• Ma mua o ka lawe ʻana i ka colesevelam,
• Hiki ke hana i nā hopena ʻaoʻao mai colesevelam. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:

Hoʻohana ʻia ʻo Colesevelam i nā mākua a me ka papaʻai, ka pohō kaumaha, a me ka hoʻoikaika kino e hoʻemi ai i ka nui o ke kōkōlika a me kekahi mau mea momona i loko o ke koko wale a i ʻole ka hui pū ʻana me nā lāʻau hoʻohaʻahaʻa kolesterol i kapa ʻia ʻo HMG-CoA reductase (nā statins). Hoʻohana wale ʻia ʻo Colesevelam a i ʻole hui pū ʻia me nā mea kāohi iā HMG-CoA reductase i kekahi mau keikikāne a me nā kaikamahine, nā makahiki 10 a 17, me ka hyperholesterolemia heterozygous ʻohana (kahi ʻano hoʻoilina kahi hiki ʻole ke hemo ʻia ka cholesterol mai ke kino maʻamau) e hōʻemi i ka nui o ʻO ka cholesterol a me nā mea momona ʻē aʻe i ke koko. Hoʻohana pū ʻia ʻo Colesevelam me ka papaʻai a me ka hoʻoikaika kino e kaohi i nā pae kō kō i nā mākua me ka maʻi diabetes ʻano 2 (kahi e hoʻohana kino ʻole ai ke kino i ka insulin a no laila ʻaʻole hiki ke kaohi i ka nui o ke kō i ke koko). Aia ʻo Colesevelam i kahi papa o nā lāʻau i kapa ʻia ʻo bile acid sequestrants. Hana ia ma ka hoʻopaʻa ʻana i nā waikawa bile i loko o kou ʻōpū e hana i kahi huahana i lawe ʻia mai ke kino.

Hana ʻia nā bile acid ke wāwahi ʻia ka cholesterol i kou kino. ʻO ka hemo ʻana i kēia mau acid bile e kōkua i ka hoʻohaʻahaʻa ʻana i kāu kolesterol toto. ʻO ka hōʻuluʻulu ʻana o ka cholesterol a me nā momona ma nā paia o kou aʻa (kahi hana i ʻike ʻia ʻo atherosclerosis) e hoʻemi ana i ke kahe o ke koko a, no laila, hāʻawi ka oxygen i kou puʻuwai, lolo, a me nā ʻāpana ʻē aʻe o kou kino Hiki ke kōkua i ka hoʻohaʻahaʻa ʻana i ke kiʻekiʻe o kou koko a me nā momona ke pale aku i nā maʻi puʻuwai, angina (ʻeha o ka umauma), nā hahau, a me nā hōʻeha puʻuwai.

Hele mai ʻo Colesevelam ma ke ʻano he papa, ma ka ʻaukā chewable, a me he pauka e kāwili ʻia me kahi wai e lawe ʻia e ka waha. Lawe pinepine ʻia nā papa i hoʻokahi a ʻelua paha manawa o ka lā me ka ʻai a me ka mea inu. Lawe mau ʻia nā kīlehu chewable a me ka pauka i hoʻokahi manawa i ka lā me kahi pāʻina. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E lawe pololei i ka colesevelam. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

Inā ʻoe e lawe ana i ka pauka no ka hoʻokuʻu waha ʻana, e ninini i nā ʻike āpau o ka ʻeke 1 i loko o ke kīʻaha. Hoʻohui i 8 auneke o ka wai, wai huaʻai, a i ʻole ka papaʻai mea inu momona. E hoʻopili maikaʻi a inu i nā mea āpau o ke aniani. He mea maʻamau ia no ka ʻike ʻana o nā ao i ke ao a ʻaʻole pau loa. Mai lawe i ka pauka i kona ʻano maloʻo.

Inā ʻoe e lawe i nā kīleʻaleʻa, pono ʻoe e ʻike he 80 nā kalori i kēlā me kēia pā.

Mālama ʻo Colesevelam i kou ʻano akā ʻaʻole ia e hoʻōla iā ia. E hoʻomau i ka lawe ʻana i ka colesevelam ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka colesevelam me ke kamaʻilio ʻole ʻana me kāu kauka.

Kuhi ʻia kēia lāʻau i kekahi manawa no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe ʻana i ka colesevelam,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka colesevelam a i ʻole nā ​​lāʻau ʻē aʻe.
• e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E haʻi pono i kēia mau mea: anticoagulants e like me warfarin a me metformin hoʻolōʻihi ʻia (Glucophage XR, Glumetaza).
• inā ʻoe e lawe nei i ka cyclosporine (Gengraf, Neoral, Sandimmune), glipizide (Glucotrol), glimepride (Amaryl), glyburide (Diabeta), levothyroxine (Synthroid), olmesartan (Benicar), nā mea hoʻopuka waha (nā lāʻau kaohi hānau), phenytoin (Dilantin ), a i ʻole nā ​​wikamina, lawe iā lākou ma 4 mau hola ma mua o ka colesevelam.
• e haʻi i kāu kauka inā loaʻa paha iā ʻoe kahi blockage i kou ʻōpū a i ʻole nā ​​ʻōpū, nā kiʻekiʻe o nā triglycerides (mea momona) i loko o ke koko, a i ʻole ka pehu ʻana o ka pancreas i hoʻokumu ʻia e nā kiʻekiʻe o nā triglycerides i loko o ke koko. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka colesevelam.
• e haʻi i kāu kauka inā ua loaʻa iā ʻoe kahi ʻoki o ka gastrointestinal, a inā he pilikia paha kāu me ka hiki ke ʻānai a omo paha i nā meaʻai mai ka meaʻai, kekahi ʻano o ka pilikia o ka ʻōpū e like me ka waiho ʻana o ka ʻōpū lohi, a i ʻole ka paʻakikī ʻana e ale.
• e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka colesevelam, kāhea i kāu kauka.
• inā loaʻa iā ʻoe ka phenylketonuria (PKU, kahi ʻano hoʻoilina e pono ai e ukali ʻia kahi papaʻai kūikawā e pale ai i ka noʻonoʻo o ka noʻonoʻo), pono ʻoe e ʻike ʻo ka pauka no ka hoʻopiʻi waha ka aspartame e hana ana i ka phenylalanine.

ʻAi i kahi papaʻai momona momona, momona momona. E mālama pono i nā hana hoʻoikaika kino a me nā papa kuhikuhi papaʻai i hana ʻia e kāu kauka a i ʻole dietitian. Hiki iā ʻoe ke kipa aku i ka pūnaewele Cholesterol Education Program (NCEP) pūnaewele no ka ʻike pili i ka papaʻai ma http://www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.pdf.

E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i ka lāʻau pālua e pani no kahi mahele lāʻau i hala.

Hiki ke hana i nā hopena ʻaoʻao mai colesevelam. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• ʻenekini
• kōpaʻa
• nausea
• ka luaʻi
• pāhoehoe
• puʻuwai puʻuwai
• ʻeha o ka ʻōpū a i ʻole kua
• ʻeha poʻo
• nāwaliwali
• ʻeha mākala

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:

• ʻeha o ka ʻōpū nui me ka ʻole o ka pāʻū a me ka luaʻi

Hoʻokumu paha ʻo Colesevelam i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab a ma mua a i kāu wā e mālama ai e nānā i kāu pane iā colesevelam.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

• WelChol^®