Ua kuhikuhi anei kāu kauka i kahi lāʻau lapaʻau no ka cholesterol ? Ua ʻike anei ʻoe i nā ʻehaʻeha a me nā ʻehaʻeha i loko o kou kino, ʻoi aku hoʻi i loko o kou mau ʻiʻo, ma hope o ka hoʻomaka ʻana i ka lāʻau lapaʻau? Inā pēlā, ʻaʻole ʻoe hoʻokahi. Ua ʻike ka nui o ka poʻe e lawe ana i nā statins , kahi ʻano lāʻau hoʻohaʻahaʻa cholesterol, i kēia. Akā, mai hopohopo. E nānā kākou i ke kumu o kēia hana, nā mea hiki ke hana ʻia e pili ana i ia mea, a i ka wā e pono ai mākou e hopohopo hou aku e pili ana i ia mea.
ʻO ka mea mua, e nānā kākou, he aha kēia statin?
I ka ʻōlelo maʻalahi, ʻo nā statins kahi ʻano lāʻau lapaʻau a nā kauka e kuhikuhi ai e hoʻohaʻahaʻa i ka cholesterol "maikaʻi ʻole", a i ʻole ka cholesterol LDL, i loko o ko kākou kino. He mau lāʻau lapaʻau koʻikoʻi loa kēia. No ka mea, he papa palekana lākou o nā lāʻau lapaʻau i hōʻoia ʻia e hōʻemi i ka pilikia o nā maʻi koʻikoʻi e like me ka hōʻeha puʻuwai a me ka hahau. ʻO ia ke kumu e kuhikuhi pinepine ai nā kauka a puni ka honua i kēia mau lāʻau lapaʻau.
No ke aha e hōʻeha ai kēia lāʻau i koʻu mau ʻiʻo?
ʻAʻole hiki i nā kauka ke ʻōlelo maopopo i ke kumu o kēia. Akā aia kekahi mau kumumanaʻo. ʻO kekahi, he hopena iki paha kēia lāʻau lapaʻau i ke ʻano o ka hoʻohana ʻana o kā mākou mau ʻiʻo i ka ikehu. E noʻonoʻo i kā mākou mau ʻiʻo e like me nā mīkini liʻiliʻi. Hiki i kēia lāʻau lapaʻau ke hana i kahi ʻokoʻa liʻiliʻi i ke ʻano o ka hana ʻana o kēlā mau mīkini. ʻO kekahi kumumanaʻo, hiki i kēia lāʻau lapaʻau ke hoʻoulu i kahi kahe liʻiliʻi o nā mea e like me ka calcium a me ka protein mai nā ʻiʻo. Hiki i kekahi poʻe ke ʻoi aku ka maʻalahi o kēia mau loli ma mua o nā poʻe ʻē aʻe.
A aia kekahi mea ʻē aʻe. ʻO ia ka "nocebo effect." ʻO ia hoʻi, inā mākou e noʻonoʻo mua, "Auē... inā wau e lawe i kēia lāʻau lapaʻau, e ʻeha koʻu mau ʻiʻo," ʻoi aku ka nui o ko mākou manaʻo e ʻike maoli i kēlā ʻeha. ʻOiai he mea noʻonoʻo kēia, he ʻoiaʻiʻo ka ʻeha.
ʻO kēia ʻeha ʻiʻo, inā loaʻa, ʻike pinepine ʻia i loko o nā mahina mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau a i ʻole ma hope o ka hoʻonui ʻana i ka nui. Hiki iā ʻoe ke manaʻo i ka ʻeha mau a nāwaliwali paha ma kou mau poʻohiwi, nā ʻūhā, nā pūhaka, a i ʻole kahi i ʻōwili ʻia ai kou lauoho. Nui ka poʻe e manaʻo like i kēia ʻeha ma nā ʻaoʻao ʻelua o ko lākou kino.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia ʻeha?
ʻAʻole loaʻa i nā kānaka a pau e lawe ana i nā statins kēia ʻeha. Akā, ʻoi aku ka nui o ka pilikia o kekahi poʻe. E nānā kākou ʻo wai lākou.
| Kumu pilikia | Wehewehena |
|---|---|
| Makahiki | ʻOiai he 80 makahiki a ʻoi paha. |
| Ka nui o ke kino | ʻOi aku ka kiʻekiʻe o ka pilikia no nā wahine liʻiliʻi. |
| Nā kūlana olakino e kū nei | Loaʻa kahi maʻi ʻiʻo mua, nā puʻupaʻa, ke akepaʻa, a i ʻole ka maʻi thyroid. |
| Ka nui o ka lāʻau | Ke lawe nei i kahi nui o ka lāʻau statin. |
ʻO ka mea nui loa, mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau i ka wā e ʻeha ai kou mau ʻiʻo. E kamaʻilio mua me kāu kauka. Na ia e hāʻawi iā ʻoe i ka hopena maikaʻi loa.
ʻĀ, he aha kā mākou e hana ai e pili ana i kēia ʻeha ʻiʻo?
Ke haʻi aku ʻoe i ke kauka e pili ana i kēia, e hāʻawi ʻo ia i kekahi mau hopena nou. E nānā kākou i ke ʻano o ia mau mea.
E hoʻomaha iki e like me ka ʻōlelo a kāu kauka (Statin Vacation)
ʻO kēia ke hoʻōki ʻana i ka lāʻau lapaʻau no kahi o 3 a 4 mau pule ma lalo o ke alakaʻi a kāu kauka. Inā ʻo ka statin ka mea i hoʻokumu i ka ʻeha, pono e nalo ka ʻeha i loko o kēia manawa. ʻO kekahi koho ʻē aʻe, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau i kēlā me kēia lā ʻē aʻe ma kahi o kēlā me kēia lā. Hiki paha i kēia ke kōkua i ka hoʻohaʻahaʻa ʻana i kāu cholesterol me ka ʻole o ka ʻeha ʻana o nā ʻiʻo.
Ke hoʻololi nei i ka nui o ka lāʻau lapaʻau
I kekahi manawa, ʻo ka hōʻemi ʻana i ka nui o kāu statin e kōkua paha i ka hōʻemi a i ʻole ka hoʻopau ʻana i ka ʻeha o nā ʻiʻo. Akā aia nā pōmaikaʻi a me nā pōʻino i kēia. ʻO ka hōʻemi ʻana i ka nui e hiki ai ke hoʻonui hou i kāu mau pae kolesterol LDL. No laila, pono e hana ʻia kēia hoʻoholo ma hope o ke kamaʻilio ʻana me kāu kauka.
Ke hoʻololi nei i kahi lāʻau lapaʻau ʻē aʻe
Inā pilikia ʻoe me kekahi ʻano statin, hiki paha iā ʻoe ke loaʻa ka hōʻoluʻolu ma ka hoʻololi ʻana i kahi ʻano statin ʻē aʻe. A i ʻole aia kekahi mau lāʻau lapaʻau hoʻohaʻahaʻa cholesterol ʻaʻole statin. Hiki iā ʻoe ke nīnau i kāu kauka e pili ana i kēia mau mea.
| Nā lāʻau lapaʻau ʻaʻole statin | Pehea e hana ai (ma nā huaʻōlelo maʻalahi) |
|---|---|
| ʻEzetimibe | Kāohi ia i ke kino mai ka omo ʻana i ka cholesterol mai ka ʻōpū liʻiliʻi. |
| Nā mea hoʻopaʻa waikawa bile | Pale ia i ka hoʻihoʻi hou ʻia ʻana o ka cholesterol i loko o ke koko i loko o ke kino. |
| Nā mea pale PCSK9 | Hoʻolalelale i ke kaʻina hana o ka wehe ʻana i ka cholesterol LDL mai ke kino. |
| Nā mea hoʻopaʻa ACL (e.g. waikawa Bempedoic) | Hoʻemi i ka hana ʻana o ka cholesterol "maikaʻi ʻole" e ke akepaʻa. |
E makaʻala i nā mea ʻē aʻe āu e lawe ai.
E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huahana lāʻau lapaʻau , a i ʻole nā huaʻai āu e lawe nei, no ka mea hiki i kekahi mau mea ke launa pū me nā statins a hoʻonui i kou pilikia o nā hopena ʻaoʻao. Eia kekahi laʻana:
- Wai ʻāpala
- ʻO kekahi mau lāʻau lapaʻau koko kiʻekiʻe ( nā mea pale i ke kahawai Calcium )
- Nā lāʻau pale kino
- ʻO kekahi mau antifungals a me nā antibiotics
- ʻO kekahi mau ʻano hormones
Hoʻoikaika kino
He mea maʻamau ka ʻeha ma hope o ka hoʻoikaika kino. Eia nō naʻe, ua ʻike ʻia kekahi mau noiʻi e hiki i ka hoʻoikaika kino kaulike ke hōʻemi i ka ʻeha o nā ʻiʻo i hoʻokumu ʻia e nā statins. Inā he mea hou ʻoe i ka hoʻoikaika kino, e nīnau i kāu kauka i nā hoʻoikaika kino kūpono iā ʻoe. Eia nō naʻe, inā ʻoe e hana ana i ka hoʻoikaika kino ikaika loa (e like me ka holo ʻana i ka marathon), e hoʻonui paha kou ʻeha. I ia mau hihia, e noi paha kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana i kāu statin no hoʻokahi a ʻelua paha lā.
Nā loli o ke ʻano o ka nohona
Ma ka ʻai ʻana i kahi meaʻai olakino no ka puʻuwai (kiʻekiʻe i ka fiber, haʻahaʻa i ka saturated a me nā momona trans ) a me ka loaʻa ʻana o ka liʻiliʻi he 150 mau minuke o ka hoʻoikaika kino kaulike i kēlā me kēia pule, hiki iā ʻoe ke hoʻohaʻahaʻa i kāu cholesterol "maikaʻi ʻole" (LDL) a hoʻonui i kāu cholesterol "maikaʻi" (HDL). He mea nui hoʻi e haʻalele i ka puhipaka inā ʻoe e puhipaka. Me kēia mau hoʻololi ʻana i ke ʻano o ka nohona, hiki paha iā ʻoe ke hōʻemi i ka nui o nā statins āu e pono ai e lawe.
I ka manawa hea he pilikia ka ʻeha o ke kino?
ʻO ka hapa nui o ka manawa, ʻaʻole ia he mea ʻino ka ʻeha o nā ʻiʻo i hoʻokumu ʻia e nā statins. Eia nō naʻe,He mea kākaʻikahi loa , i loko o kekahi mau kānaka mai ka miliona e lawe ana i nā statins, hiki ke loaʻa kahi maʻi koʻikoʻi i kapa ʻia ʻo rhabdomyolysis . ʻO kēia ka wā e hōʻino nui ʻia ai nā hunaola ʻiʻo. ʻO ka lawe ʻana i nā nui kiʻekiʻe o nā statins a i ʻole ka lawe ʻana i nā statins me nā lāʻau ʻē aʻe e hoʻonui i kēia pilikia.
Inā ʻike pū ʻoe i hoʻokahi a ʻoi aku paha o nā hōʻailona ma lalo nei, he pilikia paha ia. E kāhea koke aku i kāu kauka. A i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa iā ʻoe.
- ʻEha nui loa o nā ʻiʻo
- Mimi ʻulaʻula a ʻeleʻele paha
- Ke lilo nei ke kino i mea nāwaliwali loa
I ka manawa e like me kēia, e hana ke kauka i nā hoʻokolohua koko a me ka mimi e hōʻoia inā loaʻa kēia maʻi.
Leka Lawe-Home
- He lāʻau koʻikoʻi loa ʻo Statin no ke olakino o kou puʻuwai.
- ʻO ka ʻeha ʻiʻo kahi hopena maʻamau o kēia lāʻau lapaʻau, akā i ka hapa nui o ka manawa ʻaʻole ia he mea weliweli.
- Mai ho'ōki i kāu lāʻau statin no kekahi kumu me ke kamaʻilio ʻole ʻana me kāu kauka .
- Nui nā ala e mālama ai i kēia ʻeha. Hiki iā ʻoe ke hana i nā mea e like me ka hoʻololi ʻana i ka nui o ka lāʻau, hoʻololi i nā lāʻau lapaʻau, a hana i nā hoʻololi i ke ʻano o ka nohona.
- He pilikia ka ʻeha nui o nā ʻiʻo, ka mimi ʻeleʻele, a me ka nāwaliwali. E hele koke i ka ETU o ka haukapila.
ʻO Statin, cholesterol, ʻeha ʻiʻo, maʻi puʻuwai, nā hopena ʻaoʻao, Statin, cholesterol , ʻEha ʻiʻo, Nā hopena ʻaoʻao, Rhabdomyolysis, olakino puʻuwai, hoʻokele ʻeha
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