Nrog rau ntshav qab zib, nws yog ib qho tseem ceeb tsis yog los ntsuas ntsuas ntshav qab zib xwb, tab sis tseem yuav tsum ntsuas kev ntsuas cov roj (cholesterol) tsis tu ncua. Yog tias qhov ntsuas no dhau qhov ntsuas, tus kws kho mob tau sau ntawv rau kev noj zaub mov tshwj xeeb thiab kho tshuaj.
Cov tshuaj yeeb yaj kiab uas nrov tshaj plaws rau hypercholesterolemia yog Simvagexal, nws hais txog cov tshuaj lipid-cov tshuaj qis qis nrog cov tshuaj nquag simvastatin.
Cov ntsiav tshuaj haum rau kev kho mob ntawm cov neeg mob hnub nyoog 18 xyoo. Koj tuaj yeem yuav yuav tau hauv txhua lub tsev muag tshuaj thaum muab tshuaj. Cov koob tshuaj yog txiav txim los ntawm tus kws kho mob ib leeg zuj zus, tsom mus rau keeb kwm kho mob, muaj cov contraindications thiab kab mob me.
Cov tshuaj ua haujlwm li cas?
Qhov kev npaj tau ua synthetically los ntawm cov khoom siv enzymatic Aspergillus terreus qis cov plasma cov ntsiab lus ntawm triglycerides, cov lipoproteins ntau ntom tsawg, thiab tseem muaj cov ntsiab lus ntawm lipoproteins ntau ntom.
Thawj qhov tshwm sim zoo tuaj yeem pom 14 hnub tom qab pib kho. Qhov siab tshaj plaws kho tau ua tiav maj, tom qab ib hlis thiab ib nrab.
Nws yog ib qho tseem ceeb uas yuav tsum ua kom tiav cov txheej txheem khomob tau txais txhawm rau txhawm rau tswj cov qog ib txwm siv mus ntev.
Tus kws kho mob sau ntawv muab tshuaj rau yog tias tus neeg mob muaj:
- Hypercholesterolemia;
- Hypertriglyceridemia;
- Ua ke hypercholesterolemia.
Cov tshuaj siv yog siv yog tias cov khoom noj tshwj xeeb tsis pab. Tsis tas li, kev siv cov ntsiav tshuaj tso cai rau kev tiv thaiv yog tias muaj kev pheej hmoo ntawm myocardial infarction nrog cov roj (index) ntawm ntau dua 5.5 mmol / litre.
Ntxiv rau cov tshuaj nquag simvastatin, oval ntsiav tshuaj dawb, daj lossis liab xim muaj ascorbic acid, hlau oxide, lactose monohydrate, pob kws hmoov txhuv nplej siab, magnesium stearate, hypromellose, titanium dioxide.
Cov lus qhia rau kev siv tshuaj
Raws li phau ntawv txuas nrog, koj yuav tsum noj Simvagexal nyob rau yav tsaus ntuj ib hnub ib zaug, haus dej kom ntau. Lub sijhawm sijhawm ntawm kev kho yog txiav txim los ntawm tus kws kho mob mus kawm, kev hloov ntawm tus kheej qhov ntau thiab cov tshuaj noj tsis raug tso cai.
Yog tias tam sim no ploj lawm, cov tshuaj no yuav siv lwm lub sijhawm, thaum muab tshuaj tseem zoo li qub. Tom qab tshuaj xyuas tus neeg mob, kawm txog keeb kwm kev kho mob thiab kev tshuaj ntsuam, tus kws kho mob txiav txim siab tias yuav siv pes tsawg ntsiav tshuaj thaum pib kho.
Qhov tseem ceeb koob tshuaj yog tsim, tsom rau plasma theem ntawm cov cholesterol, uas tau txais hauv lub sijhawm luv ntawm plaub lub lis piam.
- Hauv kev muab tshuaj rau, tus neeg mob yuav siv 40 mg ib hnub twg. Qhov ntim no tuaj yeem nce ntxiv txog 80 mg rau ib hnub nyob ntawm qhov muaj mob plawv plawv thaum kev kho mob tsis muaj txiaj ntsig.
- Cov neeg mob uas muaj mob plawv coronary noj 20 mg ib hnub twg. Tom qab ib hlis, qhov koob tshuaj yog tias tsim nyog nce ntxiv txog 40 mg. Xws li qhov txo qis hauv cov roj (cholesterol) tag nrho yog 3.6 mmol / litre thiab qis dua, cov ntsiav tshuaj tsawg dua.
- Yog tias tus neeg tau txais kev kho ntxiv nrog Cyclosporine, Nicotinamide lossis fibrates, qhov pib thiab qhov siab tshaj plaws txhua hnub tau txo mus rau 5-10 mg. Yuav tau ua zoo ib yam li yog muaj lub raum tsis ua hauj lwm.
Nrog rau kev kho mob immunosuppressive, qhov siab tshaj plaws ntau npaum li cas tsis nce siab tshaj 5 mg ib hnub twg.
Leej twg yog contraindicated nrog kev siv tshuaj kho
Nws yog ib qho tseem ceeb uas yuav tsum xav txog tias cov ntsiav tshuaj muaj ntau yam tshuaj tiv thaiv, yog li ntawd kev siv tus kheej yuav tsum tsis txhob ua. Ua ntej noj Simvagexal, koj yuav tsum nyeem cov lus qhia rau kev siv.
Tus nqi ntawm ib cov tshuaj nrog kev tshuaj xyuas zoo yog 140-600 rubles, nyob ntawm lub ntim. Hauv tsev muag tshuaj koj tuaj yeem nrhiav pob 5, 10, 20, 30, 40 mg. Txhawm rau kom yoog tau ib hom qauv kev kho, nws pom zoo kom yuav Hexal Simvagexal ntsiav tshuaj 20mg hauv qhov nyiaj ntawm 30 pcs.
Cov tshuaj yog contraindicated yog tias tus neeg mob muaj:
- daim siab ua haujlwm;
- ua kom lub cev tsis haum rau cov tshuaj;
- rhiab heev rau statins;
- mob hlwb
- ua txhaum ntawm kev tsim cov qe ntshav liab (porphyria).
Koj tsis tuaj yeem nqa tawm txoj kev kho yog tias ib tus neeg tau noj Itraconazole, Ketoconazole, tshuaj los kho tus mob HIV. Tsis tas li, cov ntsiav tshuaj yog contraindicated nyob rau hauv cov poj niam cev xeeb tub thiab lactating.
Kev ceev faj yuav tsum tau siv thaum tus neeg mob haus dej cawv tsis ua rau muaj cawv, raug kho nrog cov tshuaj tiv thaiv kab mob, muaj ntau dua lossis ntau dua ntawm cov nqaij pob txha pob txha, muaj mob vwm, mob vwm, mob sib kis, mob hlab ntsha tawg, mob hnyav endocrine thiab lub cev tsis ua haujlwm. Txoj kev kho yog ua rau cov neeg mob hnub nyoog tshaj 18 xyoo.
Thaum cev xeeb tub, nws yog qhov zoo dua rau qhov tsis kam lees siv tshuaj, txij li thaum hauv kev kho mob cov kev mob ntawm kev txhim kho ntawm kev tsis haum xeeb hauv menyuam yaus tom qab kev noj cov ntsiav tshuaj tas li.
Thaum kho, nws yog qhov tsim nyog kom zam kev xeeb tub thiaj li ua kom tsis mob rau cov menyuam hauv plab.
Sab sij huam
Thaum muab tshuaj kho nrog tshuaj, tus kws kho mob yuav tsum paub tseeb tias tus neeg mob tsis noj lwm yam tshuaj. Tus neeg mob, nyeg, yuav tsum qhia tus kws kho mob txog yam tshuaj uas nws tau haus lawm. Qhov no yog qhov tsim nyog txhawm rau zam kom tsis txhob muaj kev sib cuam tshuam nrog qee yam tshuaj.
Tshwj xeeb, nrog kev siv cov tshuaj fibrates, cytostatics, kev txhaj tshuaj ntau ntawm nicotinic acid, Erythromycin, protease inhibitors, antifungal agents, immunosuppressants, Clarithromycin, rhabdomyolysis tuaj yeem tsim kho.
Vim tias qhov tshwm sim ntawm cov tshuaj tiv thaiv qhov ncauj, los ntshav yuav tshwm sim, yog li koj yuav tsum ua tib zoo saib xyuas lub xeev ntawm cov ntshav thaum kho. Simvagexal tseem nce cov plasma cov ntsiab lus ntawm digoxin. Yog tias tus neeg mob tau siv yav dhau los cholestyramine thiab colestipol, cov ntsiav tshuaj tau tso cai kom noj tsuas yog tom qab plaub teev.
- Cov kev mob tshwm sim yog tshwm sim hauv daim ntawv ntawm cov leeg mob, asthenic syndrome, kiv taub hau, pom kev plooj plooj, caj dab, saj tsis zoo, mob taub hau, pw tsis tsaug zog, mob hlab ntsha hlwb ib ce.
- Muaj qee tus mob ntawm lub plab zom mov tsis ua hauj lwm, cem quav, xeev siab, dyspepsia, ntuav, mob plab, mob plab, mob ncauj plab, mob raws plab, mob siab.
- Muaj qee zaus, muaj qhov tsis haum yog pom ntawm daim tawv nqaij khaus thiab ua pob liab, polymyalgia rheumatism, thrombocytopenia, kub taub hau, nce erythrocyte sedimentation tus nqi, urticaria, ua tsis taus pa, eosinophilia, angioedema, tawv nqaij hyperemia, vasculitis, mob caj dab, lupus erythematosus, thiab lupus.
- Ib tus neeg tuaj yeem pom myalgia, myopathy, feem ntau tsis muaj zog, rhabdomyolysis. Raws li qhov tshwm sim, potency tsawg dua, palpitations ceev nrawm, ua kom ntshav khov, thiab lub siab tsis ua haujlwm.
Yog tias muaj kev noj ntau dhau, raws li txoj cai, cov tsos mob tshwj xeeb tsis tshwm sim, tab sis nws yog ib qho tseem ceeb kom tshem tawm cov nquag siv tshuaj tawm hauv lub cev. Ua li no, tus neeg mob ntuav, muab cov pa hluav taws kom cig. Thaum lub sij hawm kho, nws yog ib qhov tsim nyog los saib xyuas cov ntshav theem ntawm creatine phosphokinase, lub raum thiab mob ntshav siab.
Yog tias koj noj cov tshuaj statins ntev ntev, hauv qee qhov tsis tshua muaj kab mob ntsws ntxiv los, uas yog nrog tus neeg hnoos qhuav, ua rau mob ntxiv rau ntawm tus mob, ua rau qaug zog, poob ceeb thawj, thiab ua daus no.
Thaum cov tsos mob no tshwm sim, kho nrog ntsiav tshuaj yuav tsum tau nres.
Cov kws kho mob Cov lus pom zoo
Yog hais tias ib tug neeg thaum lub sij hawm tus txheej txheem ntawm kev kho mob nce qhov kev ua si ntawm creatine phosphokinase thiab cov leeg mob tshwm sim, nws yog ib qho tsim nyog kom tso tseg kev tawm dag zog lub cev.
Nws tseem yuav tsum tau ua kom tshem tawm cov laj thawj ntawm kev nce enzyme kev ua si, uas suav nrog kev kub taub hau, nqaij doog, kev raug mob, hypothyroidism, kis mob, carbon dioxide lom, polymyositis, dermatomyositis, cawv thiab quav yeeb tshuaj. Yog tias tom qab qhov kev ua haujlwm enzyme txuas ntxiv nce ntxiv, Simvagexal ntsiav tshuaj yuav tsum tau tso tseg tag nrho.Txhua, koj tuaj yeem siv analogues los ntawm lwm cov tuam txhab.
Ua ntej pib txoj kev kho mob, tus kws kho mob yuav tsum ua qhov kev sim ntshav rau KFK cov haujlwm. Cov txheej txheem no yuav tsum rov ua tom qab peb lub hlis. Kev soj ntsuam ntawm creatine phosphokinases nyob rau hauv cov neeg laus thiab cov neeg mob nrog kev kuaj mob ntawm insulin-tiv thaiv cov ntshav qab zib mellitus, hypothyroidism, lub raum tsis ua haujlwm tau nqa tawm hauv lub xyoo.
Rau txhua yam ntshav qab zib, nws yog ib qho tsim nyog yuav tsum tau ntsuas cov ntshav qabzib tas li, vim tias cov tshuaj yuav pab txhawb ntxiv cov ntshav qab zib hauv cov ntshav.
Qee tus neeg mob tau txhim kho hyperglycemia, uas yuav tsum tau noj tshuaj tshwj xeeb.
Tab sis cov kws kho mob tsis pom zoo kom tsis txhob siv tshuaj kho nrog statins, vim tias kev nce roj ntau tuaj yeem ua rau muaj teeb meem loj dua rau cov neeg mob ntshav qab zib thaum tsis tau kho kom zoo.
Cov ntsiav tshuaj yuav tsum tau ua nrog ceev faj yog tias tus neeg mob haus dej cawv. Yog tias muaj kev txo qis hauv cov thyroid ua haujlwm, mob raum, mob tseem ceeb tau kho ua ntej, tsuas yog tom qab ntawd koj tuaj yeem pib txo qis cov kev tswj hwm ntawm cov cholesterol hauv cov ntshav.
Cov tshuaj zoo sib xws xws li Zokor, Avestatin, Sinkard, Simgal, Vazilip, Aterostat, Zorstat, Avenkor, Holvasim, Simplakor, Actalipid, Zovatin thiab lwm yam.
Khaws cov tshuaj ntawm qhov kub tsis pub tshaj 30 degrees, kom txav deb ntawm tshav ntuj thiab menyuam yaus.
Kev noj tshuaj kom txo qis cov roj (cholesterol)
Ntxiv nrog rau kev noj tshuaj, tus neeg mob yuav tsum ua raws li kev noj zaub mov hypocholesterol, uas muaj nyob hauv kev noj cov zaub mov uas muaj tsiaj ntau. Cov khoom noj kom tsim nyog tuaj yeem txhim kho lub xeev ntawm cov hlab ntsha thiab tshem tawm ntawm cov pob zeb atherosclerotic.
Cov zaub mov txwv tsis pub suav nrog cov tsiaj thiab roj refractory, cov roj ntuj, cov roj qab rog, cov rog rog, cov nqaij hnyuv ntxwm, thiab hnyuv ntxwm. Tus neeg mob yuav tsum tsis kam noj qe qe, kib qos yaj ywm, pancakes, pastries thiab cream confectionery.
Tsis tas li ntawd, yuav tsum tsis suav cov kua ntsw, cov mis nyuj, kua mis, qab zib, qaub cream, rog tsev cheese yuav tsum yog los ntawm cov khoom noj.
Nws raug nquahu kom tus neeg mob lub tais diav nrog taum, canola, txiv ntseej, noob hnav thiab lwm cov roj zaub, uas muaj cov omega-fatty fatty acids.
Koj yuav tsum tau nquag noj ntses salmon, ntses tsaj, mackerel thiab lwm yam ntau yam ntawm cov rog rog, nqaij ntshiv, nqaij qaib, qaib ntxhw. Xws li cov khoom noj yog qhov zoo tshaj plaws ntawm cov protein.
Cov zaub mov muaj cov npluag ua zaub ua mov rau hauv dej, kua mov ci tag nrho, zaub ntau txhuv, zaub tshiab thiab txiv hmab txiv ntoo.
Nrog ntshav qab zib ntawm txhua hom, koj tuaj yeem ua tsis tau ua phem rau qab zib, pies, biscuits.
Ib txoj kev noj qab haus huv nrog cov roj (cholesterol) siab muaj ntau txoj cai yooj yim uas yuav tsum tau ua. Cov dej cawv, kas fes, tshuaj yej muaj zog yog cov khoom tiv thaiv tag nrho, cov zaub mov qab zib thiab hmoov txhuv nplej siab tau siv hauv qhov tsawg tsawg.
Cov zaub mov suav nrog zaub, txiv hmab txiv ntoo, cov zaub mov tsis muaj roj. Cov khoom noj uas kib yog pauv los ntawm cov khoom noj siav thiab ci. Siav cov nqaij siav tau noj kom txias kom txias uas tsis muaj rog dhau los. Nqaij qaib ua-ua noj nyob ntawm lub rooj tsis muaj nqaij tawv, rog tsis yog siv thaum ua noj. Nqaij qaib ua noj tsis muaj yolks.
Noj zaub mov kom zoo yuav daws cov roj cholesterol ntau, tiv thaiv cov hlab ntsha thiab daim siab. Hauv thawj xya hnub, tus neeg mob tau zoo me ntsis, vim lub plab zom mov tsis zoo rau kev ntxhov siab. Xws li cov zaub mov noj tsis muaj contraindications, vim nws yog sib npaug, yog li nws yog qhov zoo rau cov neeg mob ntshav qab zib.
Yuav ua li cas li cas rau cov roj ntsha tsis sib haum ntawm lipid yog tau piav hauv video hauv tsab xov xwm no.
