So ɛsɛ sɛ yehu nnuru a ɛtew srade so (Antihyperlipidemic Drugs) ho asɛm pɛpɛɛpɛ?

So woahu mogya mu nhwehwɛmu amanneɛbɔ bi a ɛka sɛ "wo srade dɔɔso kakra" pɛn? Anaasɛ wo duruyɛfo aka akyerɛ wo pɛn sɛ "fi ase nom nnuru a wode bedi wo srade so"? Eyi yɛ osuahu a nnipa pii nim yiye wɔ yɛn man yi mu. Enti ɛnnɛ mɛka nnuru a ɛtew srade so yi ho asɛm wɔ ɔkwan tiawa ne nidi so, anaasɛ wɔ aduruyɛ mu no, ``Antihyperlipidemic'' nnuru.

Dɛn nti na yehia aduru a ɛma mogya mu srade yi?

Nea edi kan no, momma yɛnte eyi ase. Cholesterol yɛ biribi a yɛn nipadua hia wɔ dodow bi mu. Ɛboa ma yɛn nkwammoaa no kyekye na ɛma yɛyɛ hormone ahorow. Yɛn mmerɛbo na ɛma srade a yehia no ba. Nanso ɔhaw no fi ase wɔ nnuan a yedi ne asetra kwan a yɛfa mu, a ebetumi ama srade a ɛwɔ yɛn nipadua mu no ayɛ kɛse no so.

Nneɛma atitiriw pii nti na srade dodow taa kɔ soro:

• Yɛn aduan ne yɛn anonne: Srade a ɛyɛ dɛ a ɛwɔ mmoa nnuan (nam, bɔta, kyiisi, nufusu) ne nnuan a wɔayam no mu dɔ (titiriw nneɛma te sɛ nnuadewa ngo) mu no ma srade a ɛwɔ nipadua no mu no yɛ kɛse.
• Apɔw-mu-teɛteɛ a yɛnyɛ: Sɛ nipadua no nyɛ adwuma a, calories a ɛboro so a yedi no sie sɛ srade.
• Awosu mu nneɛma a ɛde ba: Ebia nnipa binom wɔ srade a ɛdɔɔso esiane awosu mu nkɛntɛnso a wɔde ma wɔ awo ntoatoaso ahorow mu nti.

Sɛ srade dodow a ɛwɔ mogya no mu kɔ soro a, efi ase boaboa ano wɔ yɛn mogya ntini no afasu so. Wɔfrɛ eyi ``Atherosclerosis''. Ɛte sɛ efĩ a ɛreyɛ ayɛ kɛse wɔ nsu paipu mu. Bere kɔ so no, saa nneɛma a wɔde asie yi ma mogya ntini no yɛ teateaa na esiw mogya no kwan. Eyi na ebue kwan ma nyarewa a emu yɛ den te sɛ komayare ne akisikuru.

Nnuru a wɔtaa de di dwuma a ɛma mogya mu srade so tew

Nnuru ahorow pii wɔ hɔ a wɔde ma srade a ɛwɔ nipadua mu no so tew. Ɛnyɛ nnuru nyinaa na ɛyɛ pɛ. Wo duruyɛfo no begyina wo srade dodow, ayaresa tebea afoforo, ne asiane ahorow a ɛwɔ mu so apaw nnuru a ɛfata wo. Momma yɛnhwɛ nnuru yi mu biara mu tiawa.

1. Statins - a wotaa de di dwuma paa

Eyi ne nnuru a wɔde tew srade so a wɔde di dwuma kɛse na etu mpɔn sen biara wɔ wiase. Ebia woate ahyɛnsode ahorow a wɔde frɛ nneɛma `Lipitor®`, `Crestor®`, `Zocor®` ho asɛm. Eyinom nyinaa ka `Statins` nnubɔne kuw no ho.

• Ɔkwan bɛn so na ɛyɛ adwuma?:Sɛ yɛbɛka no tiawa a, yɛn mmerɛbo te sɛ adwumayɛbea bi a wɔyɛ srade. Saa adwumayɛbea yi wɔ enzyme titiriw bi a wɔfrɛ no `(HMG CoA reductase)` a wɔde yɛ srade. `Statins` siw saa enzyme yi kwan. Afei srade a mmerɛbo no yɛ no so tew.
• Mfaso foforo: Statin wɔ nneɛma pa afoforo.
• Ɛma mogya ntini no mu ɔfasu no dwumadi tu mpɔn.
• Ɛtew mogya ntini a ɛho ahonhon na ɛsɛe no so.
• Ɛtew asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no so.
• Ɛtew asiane a ɛwɔ hɔ sɛ nsensanee (srade a ɛwɔ mogya ntini mu) bebubu na asɛe no so.

Esiane mfaso afoforo yi nti, statin yɛ aduru a ɛho hia yiye a wɔde tew komayare ho asiane so.

2. Fibrates (Nneɛma a efi fibric acid mu anaa Fibrates) .

Saa aduru yi de n’ani si srade foforo a wɔfrɛ no triglycerides a ɛwɔ mogya no mu a wɔbɛtew so titiriw. Calories a ɛboro so a yedi no, wɔkora so wɔ nipadua no mu sɛ `Triglycerides`. `Tricor®`, `Lopid®` yɛ nnuru a ɛte sɛɛ ho nhwɛso. Bere a eyinom brɛ srade bɔne `(LDL)` ase no, ɛboa nso ma srade pa `(HDL)` kɔ soro kodu baabi. Nanso, nnuru yi mfata nnipa a wɔwɔ asaabo anaa mmerɛbo mu yare a emu yɛ den.

3. Nnuru afoforo

Nnuru ahorow afoforo pii wɔ hɔ a wɔde di dwuma. Wɔtaa de eyinom ma nnipa a wɔnyɛ wɔn ade wɔ statin ho anaasɛ wɔ nsɛm titiriw afoforo mu.

• PCSK9 inhibitors: Eyinom yɛ nnuru a wɔde twitwiw nipadua mu a ɛtew srade bɔne (LDL) so yiye. Wɔtaa de ma nnipa a asiane kɛse wom sɛ wobenya komayare na wontumi mfa nnuru afoforo nsiw wɔn srade so.
• Bile acid sequestrants: Nnuru yi yɛ adwuma wɔ dwensɔtwaa mu. Wɔkyekyere bile a mmerɛbo no yɛ no boa ma wɔyam aduan, na ɛtew srade a nipadua no twetwe no so.
• Selective cholesterol absorption inhibitors (Ezetimibe): Sɛnea edin no kyerɛ no, eyinom yɛ adwuma denam srade a ɛtwetwe fi dwensɔtwaa mu kɔ nipadua no mu a esiw ano no so. Wɔtaa de ka statin ho ma.
• Nicotinic acid (Niacin): Eyi yɛ vitamin B bi. Ɛboa ma srade bɔne (LDL) ne triglycerides so tew na ɛma srade pa (HDL) kɔ soro. Nanso, ɛmfata nnipa a wɔwɔ gout anaa mmerɛbo mu yare a emu yɛ den.
• Omega-3 srade a ɛwɔ nipadua mu: Wɔsan frɛ no "mpataa ngo." Wɔde di dwuma titiriw de brɛ triglyceride dodow ase. Ebinom wɔ hɔ a wɔtɔn wɔ aduruyɛdan mu, nanso ɛnsɛ sɛ wode di dwuma a wonkɔ wo duruyɛfo nkyɛn , efisɛ ebetumi ne nnuru afoforo adi nkitaho.

Dɛn ne aduru yi mu nsunsuanso bɔne?

Te sɛ aduru biara no, nnuru a ɛma mogya mu srade so tew betumi de ɔhaw ahorow aba nnipa binom so. Nea ɛho hia ne sɛ ɛnyɛ obiara na onya saa nneɛma bɔne yi. Na wɔn mu dodow no ara nyɛ aniberesɛm.Nanso sɛ wote nka sɛ wo ho nyɛ wo dɛ bi a, ɛho hia sɛ wobɔ oduruyɛfo no amanneɛ wɔ ho.

Wɔ pon a ɛwɔ ase ha no mu no, yɛbɛhwɛ nneɛma bɔne a ɛtaa ba a ebetumi aba wɔ nnuru atitiriw ho.

Nneɛma a ɛsɛ sɛ yɛhwɛ so bere a yɛrenom nnuru no

Sɛ yebenya nnuru a ɛma mogya mu srade so mfaso kɛse a, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ yɛyɛ wɔ yɛn fam. Ɛnyɛ adwene pa sɛ wo werɛ befi biribiara a aka esiane sɛ wonom aduru no ara kwa nti.

• Sesa w’asetra kwan: Eyi ne ade a ɛho hia sen biara.
• Di nnuan a ɛma koma nya ahoɔden: Tew ngo, akutu nufusu, asikre, ne esiam a wudi so sɛnea wubetumi biara. Fa nhabannuru, nnuaba, atoko, nnuaba, ne mpataa ka w’aduan ho.
• Apɔw-mu-teɛteɛ: Fa nyɛ wo su sɛ anyɛ yiye koraa no, wode simma 30 nantew, tu mmirika, anaa wobɛtra sakre so da biara.
• Fa w’aduru no bere ano: Fa dodow a wɔakyerɛw ama wo no wɔ bere a wɔakyerɛw ama wo no mu sɛnea wo duruyɛfo akyerɛ wo no. Mma da koro mpo nmpa wo ti so.
• Mma w'aduru dodow so ntew: Mma w'aduru dodow so ntew, sɛ́ ebia woresusuw sɛ "kora sika so" anaasɛ "ɛbɛyɛ yiye nnɛ." Sɛ wofa dodow no nyinaa nkutoo a, wubenya mfaso no nyinaa.
• Nya nnuru foforo ansa na asa: Ntwɛn nkosi sɛ nnuru no bɛsa, gye nnuru foforo ansa na woasa.
• Nea ɛsɛ sɛ woyɛ sɛ wo werɛ fi sɛ wobɛnom dose bi a: Sɛ wo werɛ fi sɛ wobɛnom dose bi a, fa no bere a wokae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a wotaa de di dwuma no mu. Mfa nnuru abien prɛko pɛ da mfa nsiesie dodow a woayera no.
• Ka nnuru afoforo ho asɛm kyerɛ wo duruyɛfo: Ka nnuru foforo biara, vitamin, anaa Ayurvedic nnuru a wonom ho asɛm kyerɛ wo duruyɛfo, efisɛ nnuru bi betumi ne wɔn ho wɔn ho adi nkitaho.

Asɛmfua bi a ɛfa "abɔde mu" nneɛma nso ho

Nnipa binom bɔ mmɔden sɛ wɔde "abɔde mu" nneɛma bɛtew wɔn srade so sen sɛ wɔbɛnom nnuru. Sɛ nhwɛso no, wɔde aduan a wɔde ka ho a wɔfrɛ no `red yeast rice` na edi dwuma. Eyi kura nnuru bi a ɛte sɛ nea wohu wɔ `statins` bi mu no ankasa.

Nanso kae sɛ, "abɔde mu" nkyerɛ sɛ "ahobammɔ." Wɔnsɔ nnuru a wɔde ka aduan ho te sɛ eyinom nhwɛ denneennen te sɛ nnuru. Wobetumi ne nnuru afoforo a worenom nso adi nkitaho wɔ ɔkwan a asiane wom so. Enti, sɛ woresusuw ho sɛ wode biribi te sɛ eyi bedi dwuma a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa ho na egyina wɔn afotu nkutoo so asi gyinae.