Cholesterol - mankhwala osokoneza bongo

Thupi lanu limafunikira cholesterol kuti igwire bwino ntchito. Koma cholesterol yowonjezera m'magazi anu imapangitsa madipoziti kukulira pamakoma amkati amitsempha yanu. Ntchito yomangayi imatchedwa chipika. Imachepetsa mitsempha yanu ndipo imatha kuchepetsa kapena kuyimitsa magazi. Izi zimatha kubweretsa matenda amtima, kupwetekedwa mtima, komanso kupindika kwa mitsempha kwinakwake mthupi lanu.

Statins amaganiza kuti ndi mankhwala abwino kugwiritsa ntchito kwa anthu omwe amafunikira mankhwala kuti achepetse mafuta m'thupi.

Hyperlipidemia - mankhwala mankhwala; Kuumitsa mitsempha - statin

Statins amachepetsa chiopsezo chanu chodwala matenda a mtima, sitiroko, ndi mavuto ena okhudzana nawo. Amachita izi pochepetsa cholesterol chanu choyipa cha LDL.

Nthawi zambiri mumayenera kumwa mankhwalawa kwa moyo wanu wonse. Nthawi zina, kusintha moyo wanu ndikuchepetsa thupi kumatha kukulolani kusiya kumwa mankhwalawa.

Kukhala ndi LDL yotsika komanso cholesterol yathunthu kumachepetsa chiopsezo chanu chodwala matenda amtima. Koma sikuti aliyense ayenera kutenga ma statins kuti achepetse cholesterol.

Wothandizira zaumoyo wanu amasankha zamankhwala anu kutengera:

• Mafuta anu a HDL (abwino), ndi LDL (oyipa) a cholesterol
• Zaka zanu
• Mbiri yanu ya matenda ashuga, kuthamanga kwa magazi, kapena matenda amtima
• Mavuto ena azaumoyo omwe angayambitsidwe ndi cholesterol yambiri
• Kaya mumasuta kapena ayi
• Chiwopsezo cha matenda amtima
• Mtundu wako

Muyenera kutenga ma statins ngati muli ndi zaka 75 kapena ocheperako, ndipo muli ndi mbiri ya:

• Mavuto amtima chifukwa cha mitsempha yochepetsetsa mumtima
• Sitiroko kapena TIA (sitiroko yaying'ono)
• Aortic aneurysm (chotupa m'mitsempha yayikulu mthupi lanu)
• Kupendeketsa mitsempha kumapazi anu

Ngati ndinu wamkulu kuposa zaka 75, omwe amakupatsani akhoza kukupatsani mankhwala ochepa. Izi zitha kuthandiza kuchepetsa zovuta zomwe zingachitike.

Muyenera kutenga ma statins ngati cholesterol chanu cha LDL ndi 190 mg / dL kapena kupitilira apo. Muyeneranso kutenga ma statins ngati cholesterol chanu cha LDL chili pakati pa 70 ndi 189 mg / dL ndi:

• Muli ndi matenda ashuga ndipo muli azaka zapakati pa 40 ndi 75
• Muli ndi matenda ashuga komanso chiopsezo chachikulu cha matenda amtima
• Muli pachiwopsezo chachikulu chodwala matenda amtima

Inu ndi wothandizira wanu mungafune kuganizira ma statins ngati cholesterol chanu cha LDL ndi 70 mpaka 189 mg / dL ndipo:

• Muli ndi matenda ashuga komanso chiopsezo chapakati cha matenda amtima
• Muli ndi chiopsezo chapakati cha matenda amtima

Ngati muli ndi chiopsezo chachikulu cha matenda a mtima ndipo cholesterol chanu cha LDL chimakhala chokwera ngakhale ndi chithandizo cha statin, omwe amakupatsani mwayi angaganizire mankhwalawa kuphatikiza ma statins:

• Ezetimibe
• PCSK9 inhibitors, monga alirocumab ndi evolocumab (Repatha)

Madokotala ankakhazikitsa chandamale cha cholesterol chanu cha LDL. Koma tsopano cholinga ndikuchepetsa chiopsezo chanu pamavuto omwe amadza chifukwa chakuchepetsa mitsempha yanu. Wopereka wanu amatha kuwunika kuchuluka kwama cholesterol anu. Koma kuyesedwa pafupipafupi sikofunikira kwenikweni.

Inu ndi wothandizira wanu mudzasankha mlingo wa statin womwe muyenera kutenga. Ngati muli ndi zoopsa, mungafunike kumwa mankhwala ochulukirapo. kapena kuwonjezera mitundu ina ya mankhwala. Zinthu zomwe wopereka wanu angaganizire posankha chithandizo chanu ndi monga:

• Mafuta anu onse, HDL, ndi LDL cholesterol musanalandire chithandizo
• Kaya muli ndi matenda amitsempha yam'mimba (mbiri ya angina kapena vuto la mtima), mbiri yakuphwa, kapena mitsempha yopapatiza m'miyendo yanu
• Kaya muli ndi matenda ashuga
• Kaya mumasuta kapena muli ndi kuthamanga kwa magazi

Mlingo wapamwamba ungayambitse mavuto pakapita nthawi. Chifukwa chake operekayo adzaganiziranso za msinkhu wanu komanso zomwe zingayambitse zovuta.

• Cholesterol
• Kapangidwe kazitsulo m'mitsempha

Bungwe la American Diabetes Association. Matenda amtima ndi kuwongolera zoopsa: miyezo ya chithandizo chamankhwala ashuga-2020. Chisamaliro cha shuga. 2018; 43 (Suppl 1): S111-S134. PMID: 31862753 pubed.ncbi.nlm.nih.gov/31862753/.

Fox CS, Golden SH, Anderson C, ndi al. Zatsopano popewa matenda amtima mwa akulu omwe ali ndi matenda a shuga a mtundu wachiwiri chifukwa cha umboni waposachedwa: sayansi kuchokera ku American Heart Association ndi American Diabetes Association. Kuzungulira. 2015; 132 (8): 691-718. PMID: 26246173 pubed.ncbi.nlm.nih.gov/26246173/.

Genest J, Libby P. Lipoprotein zovuta ndi matenda amtima. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 48.

Grundy SM, Mwala NJ, Bailey AL, et al. 2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA Malangizo pa kasamalidwe ka mafuta m'thupi: lipoti la American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines . J Ndine Coll Cardiol. 2019; 73 (24): e285-e350. PMID: 30423393 pubed.ncbi.nlm.nih.gov/30423393/.

Gulu Lachitetezo la U.S. Mawu omaliza omaliza: ntchito ya statin popewa matenda amtima mwa akulu: mankhwala oteteza. www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/statin-use-in-adult-preventive-medication1. Idasinthidwa Novembala 2016. Idapezeka pa Marichi 3, 2020.

Chidule cha malingaliro a US Preventive Services Task Force. Statin amagwiritsira ntchito njira yoyamba yopewera matenda amtima mwa akulu: mankhwala othandizira. www.uspreventiveservicestaskforce.org/uspstf/recommendation/statin-use-in-adult-preventive-medication. Idasinthidwa Novembala 2016. Idapezeka pa February 24, 2020.

• Angina
• Angioplasty ndi stent mayikidwe - mtsempha wamagazi wa carotid
• Angioplasty ndi stent mayikidwe - zotumphukira mitsempha
• Matenda a mitsempha ya Carotid
• Opaleshoni yamitsempha ya Carotid - yotseguka
• Matenda a mtima
• Matenda amtima
• Opaleshoni ya mtima
• Opaleshoni ya mtima - yowopsa pang'ono
• Matenda a mtima ndi zakudya
• Kuchuluka kwa cholesterol m'magazi
• Malire a zotumphukira zimadutsa - mwendo

• Kukonzekera kwa m'mimba kwa aortic aneurysm - kutseguka - kutulutsa
• Angina - kumaliseche
• Angina - zomwe mungafunse dokotala wanu
• Kuyika kwa Angioplasty ndi stent - mtsempha wa carotid - kutulutsa
• Angioplasty ndi stent mayikidwe - zotumphukira mitsempha - kutulutsa
• Kukonza kwa aortic aneurysm - endovascular - kutulutsa
• Matenda a atrial - kutulutsa
• Batala, majarini, ndi mafuta ophikira
• Opaleshoni ya mtsempha wa Carotid - kutulutsa
• Cholesterol - zomwe mungafunse dokotala wanu
• Kulamulira kuthamanga kwa magazi
• Mafuta azakudya anafotokoza
• Malangizo achangu
• Matenda a mtima - kutulutsa
• Matenda a mtima - zomwe mungafunse dokotala wanu
• Matenda a mtima - zoopsa
• Kulephera kwa mtima - zomwe mungafunse dokotala wanu
• Kuthamanga kwa magazi - zomwe mungafunse dokotala wanu
• Zakudya zaku Mediterranean
• Malire a zotumphukira zimadutsa - mwendo - kutulutsa
• Sitiroko - kumaliseche

• Cholesterol
• Mankhwala a Cholesterol
• Cholesterol Yokwera mwa Ana ndi Achinyamata
• LDL: Cholesterol "Choipa"
• Zolemba