Omusawo bw’akugamba nti kolesterol mu musaayi mungi, ky’olina okusooka okukola kwe kukyusa endya yo n’engeri gy’obeera. Ekyo kitegeeza okukendeeza ku masavu amangi, okumalawo ddala amasavu aga trans, okukendeeza ku ssukaali n’okukola dduyiro buli kiseera. Singa okola ebintu bino, naye nga kolesterol wo "omubi" oba LDL cholesterol , takendeera nga bwe weetaaga, omusawo wo ajja kukugamba okutandika okumira eddagala. Naye jjukira nti ne bw’oba omira eddagala, okyalina okugenda mu maaso n’emize emirungi gye wayogeddeko emabegako.
Kati katutunuulire eddagala abasawo lye bawandiika okukendeeza ku kolesterol wa LDL n’engeri gye likola.
Ebika by’eddagala ebikulu ebikendeeza ku kolesterol
Waliwo ebika by’eddagala ebiwerako eriweebwa okukendeeza ku kolesterol. Ka twogere ku buli emu eyawukana.
Ebirungo ebiyitibwa Statins
Lino lye ddagala erisooka abasawo lye basinga okuwa abantu abalina kolesterol omungi. Eddagala lino okusinga likendeeza ku kolesterol wo omubi (LDL). Era ziyamba okukendeeza ku triglycerides, ekika ekirala eky'amasavu mu musaayi, n'okwongera katono ku kolesterol wo "omulungi" (HDL).
Okunoonyereza kuzudde nti obulabe bw’okufuna endwadde ezeekuusa ku mutima ng’okulwala omutima bukendeera nnyo ng’okozesa eddagala lya statins.
Eby’okulabirako by’eddagala lya statin:
- Eddagala lya Atorvastatin (Atorvaliq, Lipitor) .
- Eddagala lya Fluvastatin (Lescol) .
- Eddagala lya Lovastatin
- Eddagala lya Pitavastatin (Livalo) .
- Ekirungo kya Pravastatin (Pravachol) .
- Ekirungo kya rosuvastatin ekirungo kya kalisiyamu (Crestor) .
- Ekirungo kya Simvastatin (Zocor) .
Ebizibu ebivaamu: Abantu abamu bayinza okufuna obuzibu mu lubuto (nga okuzimba olubuto n’okuzimba), ekibumba okwonooneka (ekitali kya bulijjo nnyo), n’okuzimba ebinywa. Era wayinza okubaawo okweyongera okutono mu bulabe bw’okufuna ssukaali omungi mu musaayi ne sukaali ow’ekika eky’okubiri. Wabula ekitongole kya FDA kigamba nti emigaso gy’eddagala lino gisinga obulabe.
Ekisinga obukulu: Bw’oba omira eddagala lya ‘statin’, weewale okulya ebibala by’ebibala n’okunywa ddala omubisi gw’entungo, kuba entangawuuzi ziyinza okukaluubiriza omubiri gwo okunyiga eddagala lino.
Eddagala erikola mu byenda
Eddagala lino liyinza okwawulwamu ebika bibiri ebikulu.
1. Ebiwujjo bya Bile Acid
Eddagala lino likola munda mu byenda byo. Mu ngeri ennyangu, zisiba ku ntuuyo ezifulumizibwa ekibumba ne zigiremesa okuddamu okuyingizibwa mu musaayi. Omusulo gusinga kukolebwa kolesterol. Kale enkola eno ekendeeza ku bungi bwa kolesterol mu mubiri.
- Eby’okulabirako: Ekirungo kya Cholestyramine (Ekisingawo), Colesevelam (WelChol), Colestipol (Colestid) .
- Ebizibu ebivaamu: Okuziyira, okuzimba n’okutabuka mu lubuto bye bisinga okubeerawo.
2. Ezetimibe (Zetia) .
Kino kika kya ddagala kya njawulo. Ezetimibe akola ng’aziyiza okuyingira kwa kolesterol mu kyenda kyo ekitono. Ebiseera ebisinga kiweebwa nga kigatta wamu n’eddagala lya statin. Kizuuliddwa nti mu bantu ababadde bafunye obulwadde bw’omutima, okumira eddagala lino n’eddagala lya Statin kiyinza okukendeeza katono ku bulabe bw’okulwala omutima omulala.
- Ebizibu ebivaamu: Obulumi mu binywa, okulumwa omugongo, ekiddukano n’okulumwa olubuto.
Eddagala eddala erikendeeza ku kolesterol
Ng’oggyeeko eddagala eryogeddwako waggulu, tujja kumanya n’eddagala eddala eriwerako erikozesebwa mu mbeera ez’enjawulo.
| Ekika ky’eddagala | Ennyonyola n’enkozesa |
|---|---|
| Ebiziyiza PCSK9 Okugeza: Eddagala lya Alirocumab (Eddagala eriyitibwa Praluent), Evolocumab (Repatha) . | Zino kika kya ddagala kipya. Ziweebwa abantu abatasobola kufugibwa kolesterol nga bakyusakyusa mu bulamu bwabwe ne statins. Zikozesebwa ng’oggyeeko eddagala lya statins naddala mu bantu abalina embeera y’obuzaale ereeta kolesterol omungi (Heterozygous Familial Hypercholesterolemia - HeFH) ne mu bantu abalina obulwadde bw’omutima. Zino mpiso eweebwa buli luvannyuma lwa wiiki 2. |
| Niacin (ekirungo kya vitamiini B3) . Okugeza: Niaspan, Niacor | Eno vitamiini ya B. Bw’ogiwa ng’eddagala mu ddoozi ennene, ekendeeza ku LDL n’eyongera ku HDL. Wabula tewali bukakafu bulaga nti okumira niacin n’eddagala lya statin kyongera okukendeeza ku bulabe bw’okulwala omutima. |
| Ebiwuziwuzi Okugeza: Ekirungo kya Fenofibrate, Gemfibrozil (Lopid) . | Bino okusinga biyamba okukendeeza ku kika ky’amasavu agayitibwa triglycerides. Era zisobola okwongera ku kolesterol omulungi (HDL). |
| Ebiziyiza ACL Okugeza: Omubempedoic (Nexletol) . | Eddagala lino likola nga liziyiza okukola kolesterol mu kibumba. Era ziweebwa nnyo abantu abalina HeFH n’obulwadde bw’emisuwa n’emisuwa (ASCVD). |
Ekigambo ekikwata ku Omega-3s
Abantu abamu balowooza nti eddagala eriweweeza ku mafuta g’ebyennyanja liyinza okukendeeza ku bulabe bw’okulwala omutima. Naye tewali bukakafu bulambulukufu ku kino. Wabula, prescription -strength omega-3 supplements zisobola okukendeeza ku triglyceride levels. Kale, tomala gagula kkapu za mafuta g’ebyennyanja okuva mu dduuka ly’eddagala n’ozitwala ku bubwo. Yogerako n’omusawo wo ku nsonga eno.
Ebintu bino weegendereze ng’okozesa eddagala
Bw’oba omira eddagala lya kolesterol, kikulu nnyo okugoberera ddala ebiragiro by’omusawo. Bw’otogimira bulungi, tojja kufuna mugaso gwonna gwa ddagala.
- Manya bulungi ky’omira eddagala. Beera n’okutegeera obulungi embeera yo n’engeri eddagala gye likola.
- Eddagala lyo limira mu kiseera kye kimu buli lunaku. Kino kifuule omuze.
- Tolekera awo kumira ddagala lyo oba okukyusa eddagala lyo nga toyogedde na musawo wo. Ne bw’oba owulira bulungi kati, mira eddagala lyo nga bwe likulagidde okutuusa ng’omusawo akugamba.
- Tonda enteekateeka y’okumira eddagala lyo. Kyangu okukozesa ekibokisi ky’empeke ekiwandiikiddwako ennaku za wiiki. Kijjuze ku ntandikwa ya wiiki.
- Singa ssente ziba nsonga, yogerako n’omusawo wo. Tokendeeza ku ddoozi yo okusobola okukekkereza ssente. Okukola ekyo tekijja kuvaamu kivaamu kyonna.
- Tokozesa ddagala eddala lyonna eritali ku ddagala oba eddagala ly’ebimera nga tosoose kwebuuza ku musawo. Ebintu ebimu bisobola okukwatagana n’eddagala lyo erya kolesterol.
- Bw’oba osubiddwa ddoozi, gimira amangu ddala ng’ojjukira. Wabula bwe kiba nti kumpi ekiseera kya ddoozi yo eddako, buuka ddoozi gy’osubiddwa ogimira mu ssaawa eddako. Buuza omusawo wo ku nsonga eno nga bukyali.
- Bw’oba otambula, eddagala lyo likuume ku mukono. Bw’oba otambula okumala ennaku eziwera, nywa eddagala erimala waakiri wiiki emu ne kkopi y’eddagala eriwandiikiddwa.
- Nga tonnalongoosebwa ng’okozesa eddagala erisumulula, gamba ng’okuggyamu amannyo, buulira omusawo ku ddagala ly’omira.
- Buuza omusawo wo ku by’okunywa omwenge. Omwenge gusobola okwongera ku buzibu obuva mu ddagala erimu n’okukendeeza ku buzibu bwalyo.
- Bw’oba olina obuzibu okutegeera omusawo by’ayogera, twala mukwano gwo oba omuntu ow’omu maka wo gwe weesiga.
Obubaka Obutwala Awaka
- Ekisooka era ekikulu okufuga kolesterol kwe kukuuma endya ennungi n'obulamu obw'okukola ennyo .
- Eddagala buyambi bwokka eri obulamu obwo. Tova ku mize emirungi olw’okuba omira eddagala.
- Eddagala omusawo ly’akulagidde, mu ddoozi entuufu, mu kiseera ekituufu, okumala ekiseera ekituufu. Tolekera awo kugimira ku bubwo.
- Bw’ofuna obuzibu bwonna obutali bwa bulijjo oba ebizibu ebiva mu ddagala lino, tegeeza omusawo wo mu bwangu.
- Tegeeza omusawo wo ku ddagala eddala lyonna oba eddagala eriweweeza ku bulwadde bw’omira.
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