We yu go na di klinik, di dɔktɔ tɛl yu se yu kɔlɔstrel lɛvɛl dɔn ay smɔl ɛn yu nid fɔ bigin tek mɛrɛsin fɔ am? Ɔ yu dɔn si yu mama, papa, ɔ yu padi de tek mɛrɛsin fɔ kɔlestrol? We yu yɛri di wɔd "cholesterol medication," sɔm pipul dɛn kin fil lɛk se dɛn de fred smɔl ɛn dɛn kin fred. "A fɔ tek dɛn tin ya fɔ di res ɔf mi layf?", "Dis go ambɔg mi bɔdi?", "Wetin go apin if a stɔp fɔ tek dis mɛrɛsin?", ɛn ɔda tin dɛn, kam na mi maynd. So tide, lɛ wi ɛksplen ɔl dis.
Wetin rili na kɔlɔstrel?
Fɔ tɔk am simpul wan, kɔlɔstrel na wan kayn fat we wi bɔdi nid. I impɔtant fɔ bɔku tin dɛn na wi bɔdi, frɔm fɔ bil sɛl dɛn to fɔ mek ɔmon dɛn. Bɔt lɛk ɛnitin, prɔblɛm kin bigin we i kam tumɔs.
We wi de tɔk bɔt kɔlɔstrel, bɔku tɛm wi kin yɛri bɔt tu men kayn dɛn:
- Bad kɔlɔstrel (LDL - Low-Density Lipoprotein): Dis na di prɔblɛm. We i de bɔku, i kin de na di wɔl dɛn na wi blɔd vesel dɛn, ɛn smɔl smɔl i kin mek dɛn smɔl. I tan lɛk se rɔst de bɔku insay wan ol wata paip. Wi kin kɔl dis kɔndishɔn `(Atherosclerosis)`.
- Gud kɔlɔstrel (HDL - High-Density Lipoprotein): Dis na wi padi. I de pul di bad kɔlɔstrel we dɔn gɛda na di blɔd vesel ɛn kɛr am go na di liva fɔ mek i pwɛl. I tan lɛk pɔsin we de gɛda dɔti.
We bad kɔlɔstrel (LDL) bɔku ɛn di blɔd vesel dɛn smɔl, i kin mek di blɔd nɔ go na di at ɛn di bren. Dis kin mek yu gɛt siriɔs sik dɛn lɛk at atak ɛn strok . Dɛn kin gi dɛn mɛrɛsin dɛn we gɛt kɔlɔstrel fɔ mek dɛn nɔ gɛt da prɔblɛm de.
A nid fɔ bigin fɔ tek mɛrɛsin? Ɔ a kin jɔs kɔntrol di tin dɛn we a de it?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. If yu kɔlɔstrel jɔs ay smɔl, ɛn yu nɔ gɛt ɔda tin dɛn we kin mek yu gɛt dis sik (lɛk dayabitis ɔ ay blɔd prɛshɔn), yu dɔktɔ go fɔs tɛl yu fɔ chenj yu layf . Dat min se:
- Fɔ ridyus di it dɛn we gɛt bɔku ɔyl, shuga, ɛn flawa.
- Fɔ it mɔ frut, vɛjitebul, ɛn it dɛn we gɛt fayv.
- Fɔ ɛksesaiz ɔltɛm .
- If yu de smok, stɔp am kpatakpata.
Bɔt sɔm tɛm dɛn de we di chenj dɛn we pɔsin kin chenj in layf nɔmɔ nɔ kin du fɔ am.
- If yu kɔlɔstrel lɛvɛl rili ay.
- If yu dɔn gɛt sik dɛn lɛk dayabitis ɔ ay blɔd prɛshɔn.
- If yu bin dɔn gɛt at atak ɔ strok bifo.
- If ɛnibɔdi na yu famili dɔn gɛt at sik we i yɔŋ.
If tin lɛk dis, di dɔktɔ kin disayd fɔ bigin yu fɔ tek mɛrɛsin fɔ protɛkt yu frɔm dɛn denja sik dɛn de.
Wetin na di men mɛrɛsin fɔ kɔlestɔl?
Bɔku kayn mɛrɛsin dɛn de we dɛn kin yuz fɔ mek di kɔlɔstrel nɔ bɔku. Yu dɔktɔ go pik di mɛrɛsin we go fayn fɔ yu bay di sik we yu gɛt, di kɔlɔstrel we yu gɛt, ɛn ɔda tin dɛn we yu gɛt. Lɛ wi luk di men kayn dɛn.
| Tayp fɔ mɛrɛsin | Aw i de wok | Ɛgzampul dɛn (we kɔmɔn na Sri Lanka) . |
|---|---|---|
| Statin dɛn we dɛn kin yuz | Dɛn kayn mɛrɛsin ya na di kayn mɛrɛsin we dɛn kin yuz mɔ ɛn we kin wok fayn. Dɛn kin mek di liva nɔ gɛt bɔku bɔku kɔlɔstrel. | Atorvastatin (Lipitor), Rosuvastatin (Krɛstɔr), Simvastatin (Zɔkɔr) . |
| Ezetimibe we dɛn kɔl Ezetimibe | Dɛn kin mek di kɔlɔstrel we wi de it nɔ bɔku. Bɔku tɛm dɛn kin gi dɛn togɛda wit statin. | Ezetimibe (Zetia) we dɛn kɔl . |
| Faybrɛt dɛn | Dɛn tin ya kin ɛp mɔ fɔ ridyus ɔda kayn fat we dɛn kɔl triglisɛrɛyd. | Fenofibrate, Gɛmfibrozil (Lɔpid) . |
| PCSK9 Inhibitɔ dɛn | Dis na nyu mɛrɛsin dɛn we rili pawaful, we dɛn kin injɛkt. Dɛn kin gi dɛn to pipul dɛm wae gɛt bɔrku risk ɛn nɔr kin ebul fɔ kɔntrol dɛn wit statin. | Alirokumab (Praluent), Ɛvolokumab (Rɛpatha) . |
Ɛni sayd ɛfɛkt de fɔ dis mɛrɛsin?
Lɛk ɛni mɛrɛsin, dis wan kin mek i gɛt smɔl smɔl sayd ɛfɛkt dɛn. Bɔt nɔ wɔri, bɔku pipul dɛn nɔ kin ɛkspiriɛns ɛni wan. Di wan dɛn we bɔku pipul dɛn kin gɛt na:
- Sɔri na di mɔsul ɛn jɔyn dɛn.
- Ed de at.
- Bɛlɛ nɔ kin fil fayn (lɛk fɔ blo, fɔ blo).
Bɔku tɛm, dɛn tin ya kin go insay sɔm dez.
I rili impɔtant: Sɔm pipul dɛn kin, rili smɔl, gɛt siriɔs mɔsul injuri we dɛn kɔl ``Rhabdomyolysis''. If yu bigin fɔ tek dis mɛrɛsin ɛn yu gɛt siriɔs mɔsul pen, wik, ɛn dak urine (lɛk kola) afta yu dɔn bigin am, stɔp fɔ tek am wantɛm wantɛm ɛn go to yu dɔktɔ. Ɔ go na di imejensi dipatmɛnt (ETU) na di ɔspitul we de nia yu. Pan ɔl we dis nɔ kin apin so ɔltɛm, i impɔtant fɔ no bɔt am.
Yu dɔktɔ go de wach yu liva ɛnzaym ɛn blɔd tɛst bifo ɛn afta yu bigin fɔ tek dis mɛrɛsin. So, as lɔng as yu fala yu dɔktɔ in instrɔkshɔn, natin nɔ de fɔ wɔri bɔt.
Yu tink se di we aw yu de liv yu layf impɔtant we yu de tek mɛrɛsin?
Fɔ tru, na yɛs! Bɔku pipul dɛn kin tink se we dɛn dɔn tek wan pil, di prɔblɛm kin dɔn ɛn dɛn kin it ɛn drink ɛnitin we dɛn want. Dat na big mistek. Kɔlestɔl mɛrɛsin na jɔs ɔda sɔpɔt fɔ yu wɛlbɔdi layf.
Mɛmba se, kɔlestɔl mɛrɛsin tan lɛk shild we de protɛkt yu at ɛn bren. Da shild de go jɔs strɔng if yu liv fayn layf.
We yu de tek di mɛrɛsin, yu fɔ kɔntinyu fɔ it gud it ɛn ɛksesaiz we wi bin dɔn tɔk bɔt. Dis go ɛp di mɛrɛsin fɔ wok fayn fayn wan. As tɛm de go, if dɛn kɔntrol yu kɔlɔstrel fayn fayn wan, yu dɔktɔ go ebul fɔ ridyus di doz.
Mɛsej we dɛn kin kɛr go na os
- Dɛn kin gi yu kɔlestɔl mɛrɛsin fɔ protɛkt yu frɔm siriɔs sik dɛn lɛk at atak ɛn strok, so nɔ tink se na lod.
- Ɔltɛm tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek, di rayt doz, di rayt tɛm. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin ɛnitɛm.
- If yu gɛt ɛnitin we nɔ kɔmɔn bikɔs ɔf di mɛrɛsin, mɔ we yu gɛt bad bad mɔsul pen, tɛl yu dɔktɔ wantɛm wantɛm.
- I nɔ go du fɔ jɔs tek mɛrɛsin. Fɔ it fayn ɛn ɛksesaiz na tu tin dɛn we yu rili nid fɔ put insay yu layf.
- As di dɔktɔ se, i rili impɔtant fɔ go na di klinik dɛn di rayt tɛm ɛn gɛt di blɔd tɛst we yu nid.
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