Na nɔmal tin fɔ mek yu fred smɔl we yu dɔktɔ tɛl yu se yu triglisɛrɛyd bɔku na yu blɔd. We yu nɔ ebul fɔ put dɛn dɔŋ ivin afta yu dɔn kɔntrol yu it ɛn ɛksesaiz, yu kin de wɔnda wetin fɔ du nɛks. Sɔntɛnde, wi bɔdi nid smɔl ɛp fɔ kɔntrol am, we min se wi fɔ tek mɛrɛsin. So aw yu dɔktɔ go pik di rayt mɛrɛsin fɔ yu? Lɛ wi tɔk bɔt am simpul wan.
A nid fɔ bigin fɔ tek mɛrɛsin?
Nɔto ɔlman dɛn kin gi mɛrɛsin we dɛn triglisɛrɛyd dɛn go ɔp smɔl. Di fɔs tin we yu fɔ du na fɔ tray fɔ kɔntrol dɛn kayn tin ya bay we yu de chenj yu layf, lɛk fɔ it fayn it ɛn fɔ du ɛksɛsayz. Bɔt yu dɔktɔ kin gi yu mɛrɛsin mɔ pan dɛn kayn tin ya:
- If yu triglisεrayd lεvεl dεm rili hכy: dat na, bכku hכy pas 500 mg/dL. Dis kin mek di pankrias pwɛl, so i impɔtant fɔ mek yu kɔntrol am kwik kwik wan.
- di ay triglisεrayd dεm εn di hכy "bad" kכlestכl (LDL): we dεn tu kכndyushכn ya kam togεda de mek di risk fכ at sik εn strכk bכku.
Bifo yu dɔktɔ pik wan mɛrɛsin fɔ yu, yu go tink bɔt sɔm tin dɛn. Fɔ ɛgzampul, yu de tek ɛni ɔda mɛrɛsin naw? Wetin na yu ɔl yu wɛlbɔdi biznɛs? Ɔl dis go ɛp fɔ no di mɛrɛsin we fit yu ɛn we nɔ bad fɔ yu.
Men kayn mεdikeshכn dεm we dεn kin yus fכ lכs di triglisεrayd dεm
Bɔku men klas dɛn de fɔ drɔgs we dɛn kin yuz fɔ mek di triglisɛrɛyd dɛn go dɔŋ. Lɛ wi luk ɛni wan pan dɛn wan bay wan.
1. Faybrɛt dɛn
Dɛn mɛrɛsin ya kin mek di triglisrayd lɛvɛl smɔl. Apat frɔm dat, dɛn kin ɛp fɔ ridyus di kɔlɔstrel lɛvɛl ɛn wan prɔtin we dɛn kɔl ApoB, we de insay bad kɔlɔstrel (LDL).
| Jɛnɛrik nem fɔ di drɔg | Sɔm Brand Nem dɛn we de na di Maket |
|---|---|
| Klɔfibrɛt we dɛn kɔl | Atromid-S., ɛn ɔda pipul dɛn |
| Fenofibrate we dɛn kɔl | Lipofen, Trikɔr, ɛn ɔda pipul dɛn |
| Fenofibrik asid we dɛn kɔl | Fibrikɔr, we dɛn kɔl Trilipix |
| Gemfibrozil we dɛn kɔl Gemfibrozil | Gemcor, Lopid, ɛn ɔda pipul dɛn |
Pipul wae nɔr fɔ tek dis mɛrɛsin:
Dɛn nɔ kin fayn fɔ yuz fayv if yu gɛt liva , kidni , ɔ gal blad sik.
Posisibul intarakshɔn wit ɔda mɛrɛsin dɛm:
Bifo yu bigin fɔ gɛt fibrate, tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin ɛn vaytamɛn dɛn we yu de tek, mɔ:
- Blɔd tin dɛn (Anticoagulants) - ɛgz. Warfarin we dɛn kɔl Warfarin
- Mɛrɛsin fɔ gɛt dayabitis
- כda mεdikeshכn dεm we de dכn kכlestכl - fכ egzampl. Atorvastatin (Lipitor), Simvastatin (Zɔkɔr) ɛn di ɔda wan dɛn.
- Insulin we dɛn kin yuz
2. Niacin we dɛn kɔl Niacin
Dis na drɔg bak we de mek di kɔlɔstrel lɛvɛl bɛtɛ ɛn i de mek di triglisɛrɛyd dɛn go dɔŋ. Niacin de ridyus di bad kכlestכl (LDL) εn ApoB lεvεl, εn i de inkrεs di "gud" kכlestכl (HDL) lεvεl.
- Di nem fɔ di mɛrɛsin: Niaspan (niacin) .
Pipul wae nɔr fɔ tek dis mɛrɛsin:
- If yu gɛt alɛji fɔ aspirin, niacin, ɔ tartrazine (wan yɔlɔ day we dɛn kin yuz fɔ mek sɔm mɛrɛsin ɛn it dɛn) .
- If yu gɛt prɔblɛm wit blɔd
- If yu gɛt dayabitis
- Di sik we de na di gal blad
- At sik
- Liva sik ɔ janda
- Ɔlsa na di bɛlɛ
- If yu de pripia fɔ ɛni ɔpreshɔn, ivin fɔ pul yu tut
Posisibul intarakshɔn wit ɔda tin dɛm:
Bifo yu tek niacin, tɛl yu dɔktɔ if yu de tek/du ɛni wan pan dɛn tin ya:
- If yu de tek mɛrɛsin we de mek yu blɔd tan (e.g. Warfarin).
- If yu tek insulin ɔ ɔral dayabitis mɛrɛsin (niacin kin mek yu blɔd shuga go ɔp, so yu dɔktɔ kin nid fɔ ajɔst di doz fɔ yu dayabitis mɛrɛsin).
- If yu drink tumɔs rɔm.
3. Prɛskrishɔn-Strɛng Omega-3 Fɛt Asid
Impɔtant: Dɛn tin ya nɔto di tipik Omega-3 sɔpɔtmɛnt dɛn we yu kin bay na famasi ɔ supamakit. Dɛn mɛrɛsin ya na bɔku bɔku mɛrɛsin dɛn we gɛt pawa ɛn we dɔktɔ kin gi dɛn.
Dɛn mɛrɛsin ya kin mek di triglisɛrɛyd lɛvɛl go dɔŋ ɛn sɔntɛnde dɛn kin mek di gud kɔlɔstrel (HDL) lɛvɛl go ɔp.
- Nem fɔ di mɛrɛsin dɛn: Epanova, Lovaza, Vascepa
Pipul wae nɔr fɔ tek dis mɛrɛsin:
- If yu gɛt alɛji fɔ fish ɔ shelfish
- If yu drink pas tu glas rɔm ɛvride
- If yu gɛt dayabitis, liva, pankrias, ɔ tayroyd sik
Posisibul intarakshɔn wit ɔda mɛrɛsin dɛm:
Tɛl yu dɔktɔ if yu de tek dɛn mɛrɛsin ya:
- Mɛrɛsin dɛn we gɛt aspirin
- Di tin dɛn we de mek blɔd tan (e.g. Warfarin, Clopidogrel) .
- Pils dɛn we dɛn kin yuz fɔ kɔntrol bɔn pikin dɛn we gɛt ɛstrojen
- Ɛstrojen ɔmon tɛrapi (Ɛstrojen riplesmɛnt tɛrapi) .
- Sɔm mɛrɛsin fɔ ay blɔd prɛshɔn ɔ at sik (e.g. Beta-blockers, Diuretics) .
Wetin fɔ du if di kɔlɔstrel bɔku?
Bɔku tɛm, we di triglisɛrɛyd dɛn bɔku, di kɔlɔstrel lɛvɛl bak kin go ɔp. If yu gɛt dɛn tu sik ya, yu dɔktɔ kin tɛl yu bak fɔ bigin tek mɛrɛsin dɛn we de mek yu nɔ gɛt bɔku bɔku kɔlɔstrel. Dɛn mɛrɛsin ya kin ɛp bak fɔ mek di triglisɛrɛyd lɛvɛl go dɔŋ to sɔm mak.
| Kategori fɔ drɔgs | Ɛgzampul dɛn |
|---|---|
| Di tin dɛn we de mek pɔsin nɔ ebul fɔ tek kɔlɔstrel | Ezetimibe (Zetia) we dɛn kɔl . |
| Statin dɛn we dɛn kin yuz | Rosuvastatin (Krɛstɔr), Atɔrvastatin (Lipitɔ), Simvastatin (Zɔkɔr) . |
| Statin kɔmbayn drɔgs dɛn | Advaykɔ, Simkɔr |
Wetin kin apin afta yu dɔn bigin fɔ tek di mɛrɛsin?
Afta dɛn dɔn gi yu mɛrɛsin, yu go mɔs nid fɔ go to yu dɔktɔ ɛvri siks wik te yu triglisrayd lɛvɛl go dɔŋ. We yu de du dɛn apɔntinmɛnt ya, mek shɔ se yu tɔk bɔt ɛni prɔblɛm ɔ sayd ɛfɛkt we yu de gɛt frɔm di mɛrɛsin.
Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt bɛlɛ, yu plan fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. Yu kin nid fɔ chenj yu mɛrɛsin ɔr stɔp fɔ tek sɔm mɛrɛsin.
Yu dɔktɔ kin ajɔst di mɛrɛsin we yu de tek dipen pan aw yu blɔd lɛvɛl bɛtɛ. If yu de tek fibrates ɔ niacin, yu kin du blɔd tɛst bak fɔ chɛk yu liva ɛn kidni fɔ wok na dɛn apɔntinmɛnt ya.
Wae yu triglisεrayd lεvεl dεm de insay di lεvεl dεm we yu want, yu go nid fכ go to yu dכkta εvri 6 to 12 mכnt . Dɛn go du blɔd tɛst bak da tɛm de fɔ mek shɔ se yu lɛvɛl dɛn de ɔnda kɔntrol.
Nɔ mis dɛn fɔlɔp apɔntinmɛnt ya. Dis na impɔtant tin fɔ protɛkt yusɛf frɔm big big sik lɛk at atak ɛn strok.
Mɛsej we dɛn kin kɛr go na os
- Di fɔs tin we yu fɔ du fɔ kɔntrol di triglisayz na fɔ it gud it ɛn ɛksesaiz, bɔt sɔntɛnde dɛn kin nid fɔ tek mɛrɛsin.
- Yu dɔktɔ go pik wan mɛrɛsin fɔ yu afta i dɔn tink bɔt bɔku tin dɛn, lɛk aw yu gɛt wɛlbɔdi ɛn ɔda mɛrɛsin dɛn we yu de tek.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, vaytamɛn, ɔ sɔpɔtmɛnt we yu de tek.
- Nɔ ɛva stɔp fɔ tek mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ advays yu.
- Fɔ go to yu dɔktɔ di rayt tɛm ɛn fɔ mek dɛn tɛst yu blɔd rili impɔtant fɔ mek yu gɛt wɛlbɔdi fɔ lɔng tɛm ɛn fɔ mek yu at sef.
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