Cov tshuaj roj hauv lub siab tshuaj: yuav ua li cas noj, tshuaj xyuas thiab analogues

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Qee qhov xwm txheej, nws raug nquahu kom siv rau kev siv tshuaj kho mob los kho cov rog hauv cov neeg lub cev.

Ib qho ntawm lipid-txo cov tshuaj uas ua txhaum cov theem pib ntawm kev sib txuas ntawm cov roj (cholesterol) hauv lub siab yog Holetar.

Cov tshuaj, tso tawm hauv Slovenia, yog rau kev kho mob ntawm cov kab mob ntawm cov hlab plawv. Nws raug pom zoo rau kev siv rau hauv thawj hyperlipidemia thiab kom qeeb kev txhim kho ntawm cov hlab ntshav atherosclerosis. Cov tshuaj muaj nyob rau hauv cov ntsiav tshuaj 20 lossis 40 mg. Lub ntsiab nquag thiab ua haujlwm ntawm cov tshuaj yog lovastatin.

Lovastatin txo qis qis rau cov tshuaj tiv thaiv enzymatic ntawm kev tsim cov roj hauv cov ntshav hauv daim siab thiab cuam tshuam rau thawj theem ntawm nws cov kev sib txuas - kev tsim cov mevalonic acid. Hauv lub cev, lovastatin tau hloov kho rau hauv ib daim ntawv nquag, uas yuav pab txo kom tsis txhob muaj cov roj cholesterol thiab nrawm nws cov kev ua kom zoo thiab ua kom puas tsuaj. Cov tshuaj txo cov ntsiab lus ntawm qis lipoproteins tsawg hauv cov ntshav, thiab nce cov ntsiab lus ntawm HDL.

Qhov zoo ntawm kev kho mob nrog cov tshuaj no yog tias nws siv tsis ua rau kev txuam nrog cov tshuaj lom sterols hauv lub cev.

Hauv plab, lovastatin yuav nqus tau qeeb heev thiab tsis nyob hauv tag nrho - txog li ib feem peb ntawm cov koob tshuaj noj. Cov tshuaj yuav tsum noj nrog zaub mov, txij li thaum cov ntsiav tshuaj noj rau ntawm lub plab tas, nws cov ntshav plasma concentration yog ib feem peb qis dua thaum noj nrog zaub mov. Nws qhov siab tshaj plaws yog pom tom qab 2-4 teev, tom qab ntawd lub plasma concentration txo qis, nce mus txog tus nqi ntawm 10% ntawm qhov siab tshaj plaws hauv ib hnub.

Lovastatin raug tawm hauv tib neeg txoj hnyuv thiab raum.

Cov lus qhia yog:

  1. Choletar tau raug txo kom txo qis LDL cov roj (cholesterol) thiab triglycerides hauv cov ntshav hauv cov neeg mob uas muaj tus mob hypercholesterolemia. Nws yog tsim rau qhov txiaj ntsig ntawm kev noj haus tsawg tsawg thiab lwm yam tshuaj tsis raug;
  2. Kev kho mob ntawm cov hlab ntsha atherosclerosis rau cov neeg mob plawv ua mob plawv txhawm rau txhawm rau qeeb kev loj hlob ntawm tus kab mob.

Cov Tshuaj Tiv Thaiv:

  • Lub xub ntiag ntawm kev sib xyaw tsis haum rau lovastatin lossis lwm yam tshuaj ntawm cov tshuaj;
  • Lub xub ntiag ntawm ntau cov kab mob siab hauv qhov nquag ua haujlwm;
  • Lub caij nyoog ntawm cev xeeb tub hauv cov poj niam thiab kev pub niam mis;
  • Lub hnub nyoog txog 18 xyoo.

Zoo li txhua yam tshuaj, Holetar muaj ntau cov kev mob tshwm sim, cov uas feem ntau pom:

  1. Mob plab hauv plab;
  2. Lub qhov ncauj qhuav, xeev siab;
  3. Kev ua txhaum ntawm lub plab zom mov hauv daim ntawv ntawm kev zawv plab lossis cem quav;
  4. Cramping thiab mob hauv cov leeg;
  5. Mob taub hau, kiv taub hau;
  6. Kev ua txhaum ntawm lub nrig txog kev pom thiab saj yog qhov ua tau;
  7. Kev ua kom tsis muaj zog, pw ntxhov;
  8. Nce qib ntawm qee cov tshuaj hormones;
  9. Ntau yam kev tawm tsam tsis haum.

Cov ntsiav tshuaj noj ntawm qhov ncauj thaum noj mov. Ua ntej yuav mus rau txoj kev siv tshuaj thiab thaum nws siv nws raug nquahu kom ua raws li kev noj haus tshwj xeeb.

Nrog hyperlipidemia, koob tshuaj pom zoo ntawm lovastatin yog los ntawm 10 txog 80 mg ib zaug ib hnub. Thaum pib, rau cov neeg mob uas muaj kev tiv thaiv kab mob siab, Holetar yog tshuaj 20 mg ib hnub ib hnub thaum noj hmo. Nyob rau hauv cov ntaub ntawv ntawm cov tsos mob hnyav ntawm hypercholesterolemia, nws raug pom zoo kom muab ob npaug rau koob tshuaj ntawm txhua hnub. Yog tias tsim nyog, cov koob tshuaj ntawm cov tshuaj tuaj yeem ua kom nce siab kom ua tiav qib roj. Nws qhov siab tshaj plaws yog 80 mg rau ib hnub hauv ib lossis ntau koob tshuaj thaum noj mov;

Hauv cov roj ntsha ntawm atherosclerosis, koob tshuaj pom zoo yog los ntawm 20 txog 80 mg rau ib hnub, ib zaug lossis hauv 2 faib cov koob tshuaj.

Nws yog ib qho tseem ceeb kom nco ntsoov tias qhov ntau npaum li cas thiab kev siv sijhawm ntev npaum li cas raug txiav txim los ntawm tus kws kho mob koom nrog.

Kev noj tshuaj ntau dhau tsis ua rau lub ntsej muag ntawm cov tsos mob tshwj xeeb, txawm li cas los xij, thaum noj loj Holetar, nws pom zoo kom soj ntsuam daim siab kev ua haujlwm.

Kev nce qib hauv lovastatin hauv cov ntshav, ua rau muaj kev txhim kho myopathy nrog rhabdomyolysis thiab lub raum tsis ua haujlwm, tuaj yeem pom thaum noj Holetar thiab tshuaj xws li nicotinic acid; Cyclosporin; cov tshuaj tua kab mob macrolide; antifungal tshuaj; HIV tiv thaiv kabmob.

Kev sib koom ua ke ntawm Holetar thiab warfarin qee qhov xwm txheej pab txhawm rau nce cov nyhuv ntawm cov ntshav coagulation txheej txheem, uas tuaj yeem ua rau muaj kev pheej hmoo los ntshav.

Nyob rau hauv cov ntaub ntawv ntawm kev coj ua ib txhij ntawm cov tshuaj no, nws yog ib qho tsim nyog yuav tau ua kev ntsuam xyuas ntau dua los txiav txim lub sijhawm ntawm cov ntshav coagulation.

Kev siv cov lovastatin yog ua tau 4 teev tom qab noj Colestyramine, txij li qhov txo qis hauv bioavailability thiab qhov tshwm sim ntawm cov nyhuv ntxiv yog ua tau.

Muaj ntau cov kev txheeb xyuas cov tshuaj ntawm cov neeg mob uas tau siv nws. Nws yuav tsum raug sau tseg tias lawv feem ntau ntawm qhov zoo. Nrog kev tswj hwm kom zoo thiab ua haujlwm, qhov pom tshwm sim tsis zoo los ntawm lub cev tsis tau pom, thiab cov qib roj cholesterol txhaws tsawg.

Muaj ntau tus lej ntawm cov yeeb yaj kiab ntawm cov tshuaj no uas lawv muaj lawv tus kheej qhov zoo thiab qhov tsis zoo. Hauv qhov no, kev siv tshuaj tsis tso cai yam tsis muaj kev sab laj thiab cov lus pom zoo ntawm tus kws kho mob tuaj koom.

  • Atorvastatin-TEVA. Cov tshuaj muaj nyob rau hauv cov ntsiav tshuaj. Nws yog qhov txawv los ntawm lwm cov tshuaj nquag - atorvastatin, txawm li cas los xij, daim ntawv teev npe ntawm cov cim qhia rau kev tswj hwm yuav luag zoo ib yam li choletar. Muaj ib tug xov tooj ntawm contraindications, nrog rau cev xeeb tub, lactation, hnub nyoog qis dua 18 xyoo;
  • Lipoford. Nws yog ib qho ntawm nrov tshaj plaws Indian-ua npaj rau kev siv sab hauv. Atorvastatin kuj tseem yog cov tshuaj ua haujlwm hauv qhov nyiaj ntawm 10 mg rau ib ntsiav tshuaj. Nws muaj cov npe loj ntawm cov teeb meem sib txuas thiab cov kev mob tshwm sim, yog li ntawd, ua ntej siv nws, koj yuav tsum sab laj tus kws tshaj lij;
  • Cardiostatin. Nws yog hom tshuaj Lavxias uas muaj cov nqi qis dua me ntsis. Tus nquag ua hauj lwm sib xyaw yog lovastatin hauv qhov ntau npaum ntawm 20 lossis 40 mg. Muag hauv cov duab los qhia 30 pob, uas yog 10 ntsiav tshuaj ntau tshaj qhov qub.

Yog li, Holetar yog cov khoom kho mob, kev siv ntawm cov chaw uas zoo rau yog tias tsim nyog, siv ntawm kev kho mob sib txuas. Qhov ntau npaum li cas yog txiav txim los ntawm tus kws kho mob tuaj koom. Nrog rau kev txhim kho cov kev mob tshwm sim, cov tshuaj tau muab tso tseg, nws hloov los ntawm analogues nrog cov qub kev kho mob.

Cov kws tshaj lij yuav tham txog cov statins hauv kev yees duab hauv kab lus no.

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