Yu dɔktɔ dɔn gi yu mɛrɛsin fɔ kɔlestrol ? Yu dɔn ɛva fil pen ɛn pen na yu bɔdi, mɔ na yu mɔsul dɛn, afta yu dɔn bigin fɔ tek di mɛrɛsin? If na so, nɔto yu wangren de. Bɔku pipul dɛn we de tek statin , we na wan kayn mɛrɛsin we de mek dɛn nɔ gɛt bɔku kɔlɔstrel, dɔn gɛt dis. Bɔt nɔ mek yu fred. Lɛ wi tek tɛm luk wetin mek dis kin apin, wetin dɛn kin du bɔt am, ɛn ustɛm wi fɔ bisin mɔ bɔt am.
Fɔs, lɛ wi si, wetin na dis statin?
Fɔ tɔk am simpul wan, statin na wan kayn mɛrɛsin we dɔktɔ dɛn kin gi fɔ mek di “bad” kɔlɔstrel ɔ LDL kɔlɔstrel we de na wi bɔdi nɔ bɔku . Dis na mɛrɛsin dɛn we rili impɔtant. Bikɔs dɛn na sef klas fɔ mɛrɛsin we dɛn dɔn pruv se dɛn kin ridyus di risk fɔ gɛt siriɔs sik lɛk at atak ɛn strok. Na dat mek dɔktɔ dɛn ɔlsay na di wɔl de gi dɛn mɛrɛsin ya bɔku tɛm.
Wetin mek dis mɛrɛsin de mek mi mɔsul dɛn at?
Dɔktɔ dɛn stil nɔ ebul fɔ tɔk fɔ tru wetin kin mek dis apin. Bɔt sɔm tiori dɛn de. Wan na dat dis mɛrɛsin kin gɛt smɔl ifɛkt pan di we aw wi mɔsul sɛl dɛn de yuz ɛnaji. Tink bɔt wi mɔsul sɛl dɛn lɛk smɔl smɔl injin dɛn. Dis mɛrɛsin kin mek smɔl difrɛns pan di we aw dɛn injin dɛn de wok. Wan ɔda tin we dɛn kin tɔk na dat dis mɛrɛsin kin mek tin dɛn lɛk kalsiɔm ɛn prɔtin we kɔmɔt na di mɔsul sɛl dɛn lik smɔl. Sɔm pipul dɛn kin fil bɔt dɛn chenj ya pas ɔda wan dɛn.
Ɛn wan ɔda tin de. Dat na di "nocebo effect." Dat min se, if wi tink bifo tɛm se, "O... if a tek dis mɛrɛsin, mi mɔsul dɛn go at," wi go rili fil da pen de. Ivin if dis na tin we de apin to pɔsin in maynd, di pen na rial tin.
Dis mכsul pen, if i apin, kin apin insay di fכs fכs mכnt dεm we dεn stat di mεdikeshכn כ afta dεn dכn inkrεs di dכz. Yu kin fil pen ɔ wik ɔltɛm na yu sholda, shɔl, hip, ɔ usay yu ia kɔl. Bɔrku pipul kin fil dis pen ikwal na dɛn tu say na dɛn bɔdi.
Udat de pan risk fɔ gɛt dis pen?
Nɔto ɔlman wae de tek statin kin gɛt dis pen. Bɔt sɔm pipul dɛn kin gɛt prɔblɛm smɔl. Lɛ wi si udat dɛn bi.
| Risk factor | Tɔk bɔt |
|---|---|
| Ej | Fɔ bi 80 ia ɔ pas dat. |
| Di bɔdi saiz | Di risk kin pas smɔl fɔ smɔl uman dɛn. |
| Di mɛdikal kɔndishɔn dɛn we dɔn de | Fɔ gɛt wan sik we bin dɔn de na yu mɔsul, kidni, liva, ɔ tayroyd sik. |
| Di doz fɔ di mɛrɛsin | Fɔ tek wan ay doz fɔ statin mɛrɛsin. |
Di tin we impɔtant pas ɔl na, nɔ stɔp fɔ tek di mɛrɛsin jɔs lɛk aw yu fil se yu mɔsul dɛn de pen. Tɔk to yu dɔktɔ fɔs. I go gi yu di bɛst sɔlvishɔn.
Wɛl, wetin wi kin du bɔt dis mɔsul pen?
We yu tɛl di dɔktɔ bɔt dis, i go gi yu sɔm we dɛn fɔ sɔlv di prɔblɛm. Lɛ wi si wetin dɛn bi.
Tek shɔt briŋ lɛk aw yu dɔktɔ advays yu (Statin Vacation) .
Dis min se yu fɔ stɔp di mɛrɛsin fɔ lɛk 3 to 4 wiks ɔnda di gayd we yu dɔktɔ de gayd yu. If na di statin mek di pen, di pen fɔ dɔn insay dis tɛm. Wan ɔda tin we yu kin du na fɔ tek di mɛrɛsin ɛvri ɔda de instead fɔ tek am ɛvride. Dis kin ɛp fɔ mek yu kɔlɔstrel go dɔŋ ɛn nɔ go mek yu mɔsul dɛn fil pen.
Fɔ chenj di doz fɔ di mɛrɛsin
Sɔntɛnde, fɔ ridyus di doz fɔ yu statin kin ɛp fɔ ridyus ɔ pul di mɔsul pen. Bɔt gud ɛn bad tin dɛn de fɔ dis. If yu ridyus di doz, dat kin mek yu LDL kɔlɔstrel lɛvɛl go ɔp bak. So, dis disishun fɔ bi afta yu dɔn tɔk to yu dɔktɔ.
Fɔ chenj to ɔda mɛrɛsin
If yu gɛt prɔblɛm wit wan kayn statin, yu kin ebul fɔ gɛt rilif bay we yu chenj to ɔda kayn statin. Ɔ ɔda mɛrɛsin dɛn de we nɔ gɛt statin we de mek di kɔlɔstrel nɔ bɔku. Yu kin aks yu dɔktɔ bɔt dɛn tin ya.
| Drug dɛn we nɔ gɛt statin | Aw i de wok (insay simpul wɔd dɛn) . |
|---|---|
| Ezetimibe we dɛn kɔl Ezetimibe | I de mek di bɔdi nɔ tek di kɔlɔstrel we de na di smɔl intestin. |
| Bayl asid sikwεstrant dεm | I de mek di kɔlɔstrel we de na di blɔd nɔ go insay di bɔdi bak. |
| PCSK9 inhibitɔ dɛn | I de aksɛleret di prɔses fɔ pul di LDL kɔlɔstrel na di bɔdi. |
| ACL inhibito dεm (e.g. Bεmpedoik asid) . | i de limited di prodakshכn fכ "bad" kכlestכl we di liva de mek. |
Tek tɛm bɔt wetin ɔda tin we yu de tek.
Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin, ɛbul prɔdak, ɔ vaytamɛn we yu de tek, bikɔs sɔm tin kin miks wit statin ɛn mek yu gɛt mɔ sayd ɛfɛkt. Fɔ ɛgzampul:
- Grepfruit jus we dɛn kin mek
- Sɔm mɛrɛsin dɛn we de mek pɔsin gɛt ay blɔd prɛshɔn ( Calcium channel blockers ) .
- Di tin dɛn we de mek di bɔdi nɔ ebul fɔ fɛt di sik
- Sɔm antifungals ɛn antibayɔtiks
- Sɔm kayn ɔmon dɛn
We yu de du ɛksasaiz
Na nɔmal tin fɔ fil pen afta yu dɔn du ɛksɛsayz. Bɔt sɔm risach dɔn sho se if yu du ɛksɛsayz smɔl, dat kin mek yu nɔ gɛt bɔku bɔku mɔsul dɛn we gɛt statin. If yu na nyu pɔsin fɔ du ɛksɛsayz, aks yu dɔktɔ us ɛksesaiz dɛn we fayn fɔ yu. Bɔt if yu de du ɛksɛsayz we rili strɛs (lɛk fɔ rɔn maratɔn), yu pen kin bɔku. If na so i bi, yu dɔktɔ kin aks yu fɔ stɔp fɔ tek yu statin fɔ wan ɔ tu dez.
Di we aw pipul dɛn de liv dɛn layf kin chenj
If yu it tin dɛn we go ɛp yu at (we gɛt bɔku fayv, we nɔ gɛt bɔku sɛtyuret ɛn trans fat ) ɛn du ɛksɛsayz fɔ at le 150 minit insay di wik, yu go ebul fɔ ridyus yu “bad” (LDL) kɔlɔstrel ɛn mek yu “gud” (HDL) kɔlɔstrel bɔku. I impɔtant bak fɔ lɛf fɔ smok if yu de smok. Wit dis chenj na yu layf, yu kin ebul fɔ ridyus di doz fɔ statin wae yu nid fɔ tek.
Ustɛm na imejensi we pɔsin kin gɛt we i de fil pen na di mɔsul dɛn?
Bɔrku tɛm, di pen na di mɔsul dɛm we statin kin kam wit nɔr de du bad. Bɔt,Na smɔl tɛm nɔmɔ , pan jɔs sɔm pipul dɛn pan wan milyɔn pipul dɛn we de tek statin, wan siriɔs sik we dɛn kɔl rhabdomyolysis kin apin. Dis na we di mɔsul sɛl dɛn kin pwɛl bad bad wan. If yu tek bɔku statin ɔ yu tek statin wit ɔda mɛrɛsin, dat kin mek dis risk bɔku.
If una gɛt wan ɔr mɔr pan dɛn sik ya togɛda, i kin bi imejensi. Kɔl yu dɔktɔ wantɛm wantɛm . Ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Pen na di mɔsul dɛn we rili bad
- Rɛd ɔ dak brawn urine
- Bɔdi de kam wik bad bad wan
Na dis kayn tɛm, di dɔktɔ go du blɔd ɛn urine tɛst fɔ no if dis sik de.
Mɛsej we dɛn kin kɛr go na os
- Statin na wan impɔtant mɛrɛsin fɔ yu at wɛlbɔdi.
- Mɔsul pen na wan kɔmɔn sayd ɛfɛkt fɔ dis mɛrɛsin, bɔt bɔku tɛm i nɔ kin denja.
- Nɔ stɔp yu statin mɛrɛsin fɔ ɛni rizin we yu nɔ tɔk to yu dɔktɔ .
- Bɔrku we de fɔ kɔntrol dis pen. Yu kin du tin lɛk fɔ chenj di doz, chenj di mɛrɛsin, ɛn mek chenj na yu layf.
- Bɔrku mɔsul pen, dak urine, ɛn wik na imejensi. Go na ɔspitul in ETU wantɛm wantɛm.
Statin, kɔlɔstrel, mɔsul pen, at sik, sayd ɛfɛkt, Statin, kɔlɔstrel , Mɔsul Pen, Sayd ifɛkt, Rhabdomyolysis, at wɛlbɔdi, pen mɛnejɛmɛnt
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