Fa no sɛ worekɔ wo duruyɛfo nkyɛn akɔyɛ wo mogya mu nhwehwɛmu. Bere a oduruyɛfo no akenkan amanneɛbɔ no awie no, ɔka sɛ, "Wo LDL (bɔne) srade dodow no kɔ soro kakra." Asɛmmisa a edi kan a ɛba w'adwene mu ne sɛ, "Oh, so ɛsɛ sɛ menom aduru a ɛtew srade so yi mprempren?" Eyi ho mmuae nyɛ mmerɛw sɛnea na ɛte kan no. Ɛyɛ den kakra mprempren. Momma yɛnkɔ n’asɛm no ase.
Wobɛyɛ dɛn asi gyinae sɛ wobɛma statin bi?
Bere bi a atwam no, na mmara a emu da hɔ wɔ eyi ho. Sɛ mogya mu srade dodow boro dodow bi a, anka wo duruyɛfo betu wo fo sɛ yɛ nsakrae wɔ w’asetra mu na fi ase nnom statin aduru bi.
Asetra kwan a ahoɔden wom da so ara ho hia. Ɛno kyerɛ sɛ wubedi aduan a ahoɔden wom, wobɛtew srade a ɛyɛ den so, na woateɛteɛ w’apɔw mu daa . Nanso asɛmmisa a ɛne sɛ ebia ɛsɛ sɛ wɔnom statin no ho mmuae yɛ soronko kakra mprempren. Eyi sesae bere a Amerika Koma Fekuw (AHA) ne Amerika Koma Ho Adesua Sukuu (ACC) yɛɛ wɔn akwankyerɛ ahorow no foforo akyi.
Mprempren, sɛ wo srade bɔne (LDL) dodow dɔɔso yiye (190 mg/dL anaa nea ɛboro saa) nkutoo na wubefi ase ayɛ aduru a egyina saa dodow no so. Anyɛ saa a, wo duruyɛfo no besusuw nneɛma afoforo pii ho. Nhwɛsoɔ:
- So wowɔ asikreyare?
- Sɛnea asiane ho akontaabu pɔtee bi kyerɛ no, so asiane a ɛwɔ hɔ sɛ wubenya komayare anaa akisikuru wɔ mfe 10 a edi hɔ no mu no yɛ 7.5% anaa nea ɛboro saa?
Mprempren wosusuw nneɛma pii te sɛ eyinom ho bere a wɔresi gyinae no. Nanso ade biako a ɛsɛ sɛ yɛkae ne sɛ nnuruyɛfo binom nni akwankyerɛ foforo yi akyi pɛpɛɛpɛ. Enti, ansa na wo duruyɛfo de aduru bi bɛma wo no, ɔne wo bɛka nneɛma afoforo a ɛde asiane ba a ɛka komayare no nyinaa ho asɛm.
Awiei koraa no, gyinae a wubesi sɛ wobɛnom statin no yɛ gyinaesi a ɛsɛ sɛ wo ne wo duruyɛfo bom si, enti ɛho hia sɛ wunya eyi ho nsɛm yiye.
Dɛn na ɛba wɔ statin ahorow yi ho ankasa?
Sɛ yɛbɛka no tiawa a, statin yɛ aduru bi a ɛtew srade so. Sɛ wofa biako a, wo srade bɔne (LDL) dodow betumi atew 35% kosi 50% anaa nea ɛboro saa, a egyina ɔkwan a wofa so ne dodow a wobɛnom so. Eyi betumi atew asiane a ɛwɔ hɔ sɛ wubenya komayare anaa akisikuru no so kɛse.
Statin yɛ adwuma wɔ yɛn mmerɛbo mu. Wɔsiw enzyme bi a ɛwɔ yɛn nipadua mu a ɛma srade yɛ srade ano. Nea ɛka ho no, wɔyɛ ade foforo a ɛho hia. Ɛne sɛ, wɔma srade a ɛwɔ hɔ (plaque) a ɛbata yɛn mogya ntini no afasu ho no gyina na ɛtew ɔfe a ɛka ho no so. Eyi ho hia yiye, efisɛ sɛ saa srade a ɛwɔ hɔ (plaque) yi pae mpofirim a, ebetumi ayɛ mogya a ɛtɔ na ama obi anya komayare anaa akisikuru.
Ɔhaw biara nni statin a wɔde bɛma obi a wanya komayare anaa akisikuru dedaw no mu, efisɛ wɔada no adi denneennen sɛ saa nnuru yi boa ma wosiw komayare anaa akisikuru a ɛto so abien ano.
So statin ahorow wɔ nsunsuanso bɔne?
Te sɛ nnuru biara no, statin betumi anya nkɛntɛnso bɔne. Nanso, ɛnyɛ obiara na onya bi. Momma yɛnhwɛ nneɛma bɔne a ɛtaa ba ne nea ɛntaa nsi.
| Nkɛntɛnso a Ɛfa Ho | Nkyerɛmu |
|---|---|
| Ntini mu yaw | Eyi ne ɔhaw a ɛtaa ba. Ebetumi aka nnipa a wɔnom aduru no 5% kosi 20%. Sɛ eyi ba a, wo ne wo duruyɛfo nkasa mfa nsakrae a wobɛdan akɔ statin foforo so, dodow a wobɛtew so, anaasɛ wobɛbɔ mmɔden sɛ wobɛnom da abien biara mmom sen sɛ wobɛnom da biara da no ho. Nnyae w’aduru nom da a wunni kan ne wo duruyɛfo nkasa. |
| Mmerɛbo a ɛsɛe | Eyi ho yɛ na koraa. Wo duruyɛfo bɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mfa nhwɛ wo mmerɛbo mu enzymes sɛ ɛho hia a. Sɛ worenom nnuru afoforo (e.g. Panadol) a, ka ho asɛm nso kyerɛ wo duruyɛfo. |
| Asikreyare ho asiane | Nhwehwɛmu ahorow bi ada no adi sɛ statin a wɔnom no betumi ama asikre dodow a ɛwɔ mogya mu no akɔ soro kakra. Nanso, saa tebea yi taa ba nnipa a asiane kɛse wom dedaw sɛ wobenya asikreyare (e.g., wɔn mu duru boro so, nipadua mu nneɛma a ɛsakra no). |
| Nsunsuanso afoforo a ɛntaa nsi | Wɔntaa mmɔ nkae a ɛyera, adwene a ɛyɛ basaa, ne ntini mu yare ho amanneɛ. Mpɛn pii no, eyinom ka wɔn a wɔnom nnuru pii nkutoo. |
Dɛn bio na ɛsɛ sɛ wususuw ho bere a worenom nnuru no?
Sɛ́ ebia wubesi gyinae sɛ wobɛnom statin anaasɛ worennom no, ɛsɛ sɛ wosakra w’asetra mu. Biribiara nni hɔ a wobetumi aguan afi saa asɛm no mu.
Kae sɛ, komayare 80% - 90% fi asiane ahorow a yebetumi asesa. Ɛno kyerɛ sɛ yɛwɔ hokwan kɛse sɛ yebesiw eyinom ano.
Eyi gyina aduan pa a ahoɔden wom (asikre a ɛso tew), asetra kwan a ɛyɛ nnam, sigaretnom a wobɛkwati, ne wo nipadua mu duru a wobɛhwɛ so so. Ɛtɔ mmere bi a, sɛ woyɛ nsakrae kɛse wɔ w’asetra kwan mu a, wubetumi atew nnuru dodow a ɛsɛ sɛ wonom no so. Eyi nso brɛ asiane a ɛwɔ hɔ sɛ ebefi mu aba no ase.
Nanso, nneɛma bi wɔ hɔ a yentumi nsakra, te sɛ mfe a woadi ne wo awosu mu nneɛma. Enti, ebia nnipa binom behia nnuru sɛ wɔwɔ asetra kwan pa mpo a.
Wo ne wo duruyɛfo nkasa.
Sɛ woda so ara wɔ eyi ho adwenem naayɛ a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wo ne wo duruyɛfo bɛbɔ ho nkɔmmɔ pefee. Bisa no sɛ ɔmma no eyi ho nsɛm pii. Ka nneɛma foforo te sɛ sɛ ebia obi wɔ w’abusua mu wɔ komayare (abusua abakɔsɛm), sɛnea wo C-reactive protein (CRP) dodow te, ne sɛ ebia woanya asikreyare wɔ nyinsɛn mu ho asɛm.
Ɛtɔ mmere bi a, ansa na oduruyɛfo no rekyerɛw aduru bi no, obetumi ayɛ nhwehwɛmu titiriw bi de ahwɛ sɛ calcium wɔ mogya ntini no mu anaa.
Ɛwom sɛ statin yɛ nnuru a mfaso wɔ so kɛse de, nanso ɛnyɛ nea ɛfata obiara. Sɛ wunnya nea efi statin mu ba a ɛdɔɔso, anaasɛ wuntumi nnom esiane nea efi mu ba nti a, nnuru afoforo wɔ hɔ a ɛtew srade so.
Nea ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho daa. Ka biribiara a wote nka kyerɛ no, wo nsɛmmisa, wo suro. Obetie wo na waboa wo ma woasi gyinae a eye ma wo.
Nkrasɛm a Wɔde Kɔ Fie
- Statin yɛ nnuru a etu mpɔn yiye a wɔde tew srade so. Nanso ɛho nhia mma obiara. Gyinae a wubesi sɛ wobɛnom aduru yi anaasɛ worennom no yɛ biribi a ɛsɛ sɛ wo ne wo duruyɛfo bom si.
- Sɛ́ ebia wonom nnuru anaasɛ wonnom no, asetra pa a wobɛkɔ so akura mu (aduan pa, apɔw-mu-teɛteɛ, ne sigaretnom a wonnom) ho hia. Ɛno ne ayaresa fapem.
- Ade bɔne a ɛtaa fi statin mu ne ntini mu yaw. Sɛ wuhyia eyinom mu biara a, ka kyerɛ wo duruyɛfo ntɛm ara. Nnyae w’aduru nonom anaasɛ nsakra wo dodow da a wo duruyɛfo nka ho afotu.
- Ɛnyɛ wo mogya mu srade (LDL) dodow nko na ɛkyerɛ asiane a ɛwɔ hɔ sɛ wubenya komayare, na mmom nneɛma afoforo pii te sɛ mfe a woadi, w’abusua abakɔsɛm, ne akwahosan tebea afoforo nso.
- Sɛ wopɛ sɛ wusi w’akwahosan ho gyinae pa a, wo ne wo duruyɛfo no nni nkitaho pefee na fi nokwaredi mu bere nyinaa.
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