Imajin se yu go to yu dɔktɔ fɔ mek dɛn chɛk yu blɔd. Afta di dɔktɔ rid di ripɔt, i se, "Yu LDL (bad) kɔlɔstrel lɛvɛl dɔn ay smɔl." Di fɔs kwɛstyɔn we kin kam na yu maynd na, "O, a fɔ tek dis mɛrɛsin we de mek a nɔ gɛt bɔku kɔlɔstrel naw?" Di ansa to dis nɔ simpul lɛk aw i bin de trade. I dɔn kɔmplikt smɔl naw. Mek wi go to di bottom of am.
Aw yu disayd fɔ gi wan statin?
Trade, klia lɔ dɛn bin de fɔ dis. If yu blɔd kɔlɔstrel lɛvɛl bin pas wan patikyula lɛvɛl, yu dɔktɔ go advays yu fɔ chenj yu layf ɛn bigin yu fɔ tek wan mɛrɛsin we dɛn kɔl statin.
I stil impɔtant fɔ liv fayn layf. Dat min se yu fɔ it tin dɛn we go mek yu gɛt wɛlbɔdi, yu fɔ stɔp fɔ it bɔku bɔku fat, ɛn yu fɔ du ɛksɛsayz ɔltɛm . Bɔt di ansa to di kwɛstyɔn if fɔ tek statin difrɛn smɔl naw. Dis chenj afta di American Heart Association (AHA) ɛn di American College of Cardiology (ACC) dɔn ɔpdet dɛn gaydlayn dɛn.
Naw, na if yu bad kɔlɔstrel (LDL) lɛvɛl rili ay (190 mg/dL ɔ pas dat) na in yu go bigin fɔ tek mɛrɛsin bays pan da lɛvɛl de. If nɔto dat, yu dɔktɔ go tink bɔt sɔm ɔda tin dɛn. Fɔ ɛgzampul:
- Yu gɛt dayabitis?
- Akɔdin to wan patikyula risk kɔlkyulɛta, yu risk fɔ gɛt at atak ɔ strok insay di nɛks 10 ia na 7.5% ɔ pas dat?
Naw, dɛn kin tink bɔt bɔku tin dɛn lɛk dis we dɛn de disayd fɔ du sɔntin. Bɔt wan tin we wi fɔ mɛmba na dat, sɔm dɔktɔ dɛn nɔ kin fala dɛn nyu advays ya jɔs. So, bifo yu gi yu mɛrɛsin, yu dɔktɔ go tɔk to yu bɔt ɔl di ɔda tin dɛn we kin mek yu gɛt at sik.
Fɔ dɔn, di disayd fɔ tek wan statin na di disizhɔn we yu ɛn yu dɔktɔ fɔ disayd togɛda, so i impɔtant fɔ no gud gud wan bɔt dis.
Wetin kin rili apin wit dɛn statin ya?
Fɔ tɔk am simpul wan, statin na wan kayn mɛrɛsin we de mek di kɔlɔstrel nɔ bɔku. If yu tek wan, yu bad kɔlɔstrel (LDL) lɛvɛl kin ridyus bay 35% to 50% ɔ mɔ, i kin dipen pan di kayn ɛn doz we yu tek. Dis kin rili ridyus yu risk fɔ gɛt at atak ɔ strok.
Statin dɛn de wok na wi liva. Dɛn kin blok wan ɛnzaym na wi bɔdi we de mek kɔlɔstrel. Apat frɔm dat, dɛn kin du ɔda impɔtant tin. dat min se dεn de mek di kכlestכl dεposit dεm (plak) we de atak di wכl dεm na wi blכd vesel dεm stεbyul εn dεn de rεdכks di inflameshn we de apin wit dεm. Dis rili impɔtant, bikɔs if dɛn kɔlɔstrel dipɔsit (plek) ya bɔs wantɛm wantɛm, i kin mek blɔd klɔt ɛn mek pɔsin gɛt at atak ɔ strok.
Nɔ prɔblɛm nɔ de fɔ gi statin to pɔsin we dɔn ɔlrɛdi gɛt at atak ɔ strok, bikɔs dɛn dɔn pruv tranga wan se dɛn mɛrɛsin ya kin ɛp fɔ mek i nɔ gɛt sɛkɔn at atak ɔ strok.
Yu tink se statin gɛt sayd ɛfɛkt?
Lɛk ɛni mɛrɛsin, statin kin gɛt sayd ɛfɛkt. Bɔt, nɔto ɔlman kin gɛt dɛn. Lɛ wi tek wan luk pan di sayd ɛfɛkt dɛm we kɔmɔn ɛn rare.
| Sayd Ifɛkt we i kin gɛt | Fɔ ɛksplen |
|---|---|
| Mɔsul dɛn kin pen | Dis na di sayd ɛfɛkt we dɛn kin gɛt mɔ. I kin afɛkt 5% to 20% pan di pipul dɛm wae de tek di mɛrɛsin. If dis apin, tɔk to yu dɔktɔ bɔt aw fɔ chenj to difrɛn statin, ridyus di doz, ɔ tray fɔ tek am ɛvri ɔda de instead fɔ tek am ɛvride. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin if yu nɔ tɔk to yu dɔktɔ fɔs. |
| Liva we dɔn pwɛl | Dis nɔ kin apin so ɔltɛm. Yu dɔktɔ go ɔda fɔ mek dɛn du blɔd tɛst fɔ chɛk yu liva ɛnzaym dɛn if nid de. If yu de tek ɔda mɛrɛsin (e.g. Panadol), tɛl yu dɔktɔ bɔt dɛn bak. |
| Risk fɔ gɛt dayabitis | Sɔm stɔdi dɔn sho se we pɔsin tek statin, i kin mek di blɔd shuga go ɔp smɔl. Bɔt dis kɔndishɔn kin apin pan pipul dɛm we dɔn ɔlrɛdi gɛt ay risk fɔ gɛt dayabitis (e.g., ɔvaweit, mɛtabolik sindrom). |
| Ɔda tin dɛn we nɔ kin apin so ɔltɛm | Dɛn nɔ kin ripɔt bɔt di mɛmori lɔs, kɔnfyushɔn, ɛn nyuropathy. Dɛn tin ya kin jɔs afɛkt pipul dɛn we de tek bɔku dos. |
Wetin bak yu fɔ tink bɔt we yu de tek mɛrɛsin?
Ilɛksɛf yu disayd fɔ tek wan statin ɔ nɔ tek am, yu fɔ chenj yu layf. No ples nɔ de fɔ rɔnawe pan dat.
Mɛmba se 80% - 90% pan di at sik kin kam wit risk factor dɛm wae wi kin chenj. Dat min se wi gɛt big chans fɔ mek dɛn tin ya nɔ apin.
Dis kin bi bay we yu it gud it we gɛt bɔku tin fɔ it (we yu nɔ gɛt bɔku shuga), yu de liv yu layf fayn fayn wan, yu nɔ fɔ smok, ɛn yu de kɔntrol yu bɔdi wet. Sɔntɛnde, if yu chenj di we aw yu de liv yu layf, yu kin ridyus di mɛrɛsin we yu nid fɔ tek. Dis kin ridyus bak di risk fɔ gɛt sayd ɛfɛkt.
Bɔt sɔm tin dɛn de we wi nɔ go ebul fɔ chenj, lɛk yu ej ɛn yu jin. So, sɔm pipul dɛn kin nid mɛrɛsin ilɛksɛf dɛn gɛt gud layf.
Tɔk to yu dɔktɔ.
If yu stil gɛt dawt bɔt dis, di bɛst tin fɔ du na fɔ tɔk opin wan to yu dɔktɔ bɔt am. Aks am fɔ no mɔ bɔt dis. Tɔk bɔt ɔda tin dɛn lɛk if ɛnibɔdi na yu famili gɛt at sik (famili istri), wetin na yu C-reactive protein (CRP) lɛvɛl, ɛn if yu dɔn gɛt gestational diabetes.
Sɔntɛnde, bifo di dɔktɔ gi yu mɛrɛsin, i kin du spɛshal skan fɔ chɛk fɔ si if di blɔd vesel dɛn gɛt kalsiɔm.
Pan ɔl we statin na mɛrɛsin dɛn we rili yusful, dɛn nɔ fayn fɔ ɔlman. If yu nɔ gɛt inof rizɔlt frɔm statin, ɔ if yu nɔ ebul fɔ tek am bikɔs ɔf di sayd ɛfɛkt, ɔda kayn mɛrɛsin dɛn de we de mek yu nɔ gɛt bɔku kɔlɔstrel.
Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt dis ɔltɛm. Tɛl am ɔl wetin yu de fil, yu kwɛstyɔn dɛn, wetin yu de fred. I go lisin to yu ɛn ɛp yu fɔ disayd fɔ du di bɛst tin fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Statin na mɛrɛsin dɛn we rili wok fɔ mek di kɔlɔstrel nɔ bɔku. Bɔt dɛn nɔ nid fɔ ɔlman. Di disayd fɔ tek dis mɛrɛsin ɔ nɔ tek am na sɔntin we yu ɛn yu dɔktɔ fɔ mek togɛda.
- Ilɛksɛf yu de tek mɛrɛsin ɔ yu nɔ tek am, fɔ kɔntinyu fɔ liv fayn layf (gud it, ɛksesaiz, ɛn nɔ fɔ smok) impɔtant. Dat na di fawndeshɔn fɔ tritmɛnt.
- Di sayd ɛfɛkt we statin kin gɛt na di mɔsul pen. If yu gɛt ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ wantɛm wantɛm. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin ɔ chenj di we aw yu de tek am if yu dɔktɔ nɔ advays yu.
- Nɔto jɔs di kɔlɔstrel we yu gɛt na yu blɔd (LDL) nɔmɔ de sho se yu gɛt at sik, bɔt bɔku ɔda tin dɛn lɛk yu ej, yu famili istri, ɛn ɔda wɛlbɔdi prɔblɛm dɛn.
- Fɔ mek yu disayd fɔ du di bɛst tin bɔt yu wɛlbɔdi biznɛs, tɔk to yu dɔktɔ opin wan ɛn ɔnɛs wan ɔltɛm.
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