I doctor-in i thisen cholesterol level a san thu a hrilh che chuan i tih hmasak ber tur chu i ei leh in leh nunphung thlak danglam hi a ni. Chu chu saturated fat tihtlem, trans fat tihbo vek, sugar tihtlem, leh exercise neih fo tihna a ni. Heng thilte hi i tih a, mahse i cholesterol "tha lo", a nih loh leh LDL cholesterol , chu i mamawh angin a tlahniam lo a nih chuan i doctor chuan damdawi ei tan turin a hrilh mai thei che a ni. Mahse, damdawi i ei a nih pawhin a hmaa i sawi tawh nungchang ṭhate kha i chhunzawm zel a ngai tih hre reng ang che.
Tunah chuan LDL cholesterol tihhniam nan doctor-te’n eng damdawi nge an pek tih leh an hnathawh dan hi han en ila.
Cholesterol tihhniamna damdawi chi hrang hrang
Cholesterol tihhniam nan hian damdawi chi hrang hrang a awm a. A hranin i sawi ang u.
Statins te hi a awm
Cholesterol sang nei tan doctor ten damdawi an pek hmasak ber chu hengte hi an ni. Heng damdawi te hian i cholesterol tha lo (LDL) a tihhniam ber a ni. Thisena thau chi dang triglycerides tihhniam nan an pui bawk a, i cholesterol "tha" (HDL) level pawh tlem a tisang bawk.
Research atanga a lan dan chuan statin hman hian heart-related diseases, heart attack ang chi vei theihna chu nasa takin a tlahniam a ni.
Statin damdawi entirnan:
- Atorvastatin (Atorvaliq, Lipitor) tih a ni a, a damdawi hi a tha hle.
- Fluvastatin (Lescol) a awm bawk.
- Lovastatin a ni
- Pitavastatin (Livalo) tih hi a awm a.
- Pravastatin (Pravachol) tih a ni.
- Rosuvastatin calcium (Crestor) hmanga siam a ni.
- Simvastatin (Zocor) chuan a ti a.
Side Effects: Mi thenkhat chuan chaw kawng lama harsatna (riltam leh puak ang chi), thin chhiatna (a tlem hle), leh taksa ruh natna (muscle inflammation) te an nei thei. Thisen sugar sang leh type 2 diabetes vei theihna pawh tlem a tipung thei bawk. Mahse, FDA chuan he damdawi hian a hlawkna a phak lo hle niin a sawi.
A pawimawh ber: Statin damdawi i ei a nih chuan grapefruit ei leh grapefruit tui in vek loh tur a ni, grapefruit hian i taksa tan heng damdawi te hi a hip harsa thei a ni.
Intestine-a hnathawk thei damdawi
Heng damdawi te hi chi hnih ah then theih a ni.
1. Bile Acid hmanga siam a ni
Heng damdawi te hian i intestine chhungah hna an thawk a. A awlsam zawngin, liver-in a chhuah chhuah bile-ah an inzawm a, thisenah a luh leh theih loh nan an veng a ni. Bile hi cholesterol atanga siam a ni ber. Chuvangin he process hian taksaa cholesterol awm zat a tihtlem phah a ni.
- Entirnan: Cholestyramine (A hmasa ber), Colesevelam (WelChol), Colestipol (Colestid) te hi a tha hle.
- Side effects: Constipation, bloating, leh stomach upset te hi a tam ber.
2. Ezetimibe (Zetia) tih hi a ni.
Hei hi damdawi chi dang a ni. Ezetimibe hian i small intestine a cholesterol absorption a block avangin hna a thawk a ni. A tlangpuiin statin nen a inkawp a ni. Lung natna vei tawhte zingah he damdawi hi statin nena ei hian heart attack dang neih theihna a ti tlem thei tih hmuhchhuah a ni.
- Side effects: Muscle na, hnungzang na, diarrhea, leh pum na a awm thei.
Cholesterol tihhniamna damdawi dang
A chunga kan sawi tak damdawi bakah hian thil awmdan bik atana hman tur damdawi dang engemaw zat kan hre bawk ang.
| Damdawi chi hrang hrang | A sawifiahna leh hman dan |
|---|---|
| PCSK9 Inhibitor te hi a awm bawk Ex: Alirocumab (Praluent), Evolocumab (Repatha) te hi a tha ber pawl a ni. | Hengte hi damdawi chi thar a ni. Nunphung thlak danglam leh statin hmanga cholesterol level control theih lohte hnenah pek thin a ni. Statin bakah hian an hmang nasa hle a, a bik takin cholesterol sang (Heterozygous Familial Hypercholesterolemia - HeFH) thlentu genetic condition nei te leh lung natna nei te tan an hmang thin. Kar 2 danah injection pek thin an ni. |
| Niacin (vitamin B3) te hi a awm a. Ex: Niaspan, Niacor te an ni | Hei hi B vitamin a ni. Damdawi anga tam taka pek a nih chuan LDL a tihniam bakah HDL a tipung bawk. Mahse, niacin hi statin nena ei hian thinlung natna a ti tlem lehzual tih finfiahna a awm lo. |
| Fibrates a awm Ex: Fenofibrate, Gemfibrozil (Lopid) te hi a tha hle a, a rilru a hah hle bawk. | Hengte hian thau chi khat triglycerides tih tihtlem nan a pui ber a ni. Cholesterol tha (HDL) level a tisang thei bawk. |
| ACL Inhibitor te pawh a awm Ex: Bempedoic (Nexletol) tih a ni. | Heng damdawi te hian liver-a cholesterol siamchhuahna tikhawloin hna an thawk a ni. HeFH leh atherosclerotic cardiovascular disease (ASCVD) vei te tan bik pek an ni bawk. |
Omega-3s chungchang thumal khat
Mi thenkhat chuan sangha hriak supplement hian thinlung natna a tihziaawm thei niin an ngai. Mahse hei hi finfiahna chiang tak a awm lo. Mahse, prescription -strength omega-3 supplement hian triglyceride level a tihniam thei a ni. Chuvangin, damdawi dawr atanga sangha hriak capsule lei mai mai suh, nangmah chauhin ei mai suh. Chumi chungchang chu i doctor nen sawiho rawh.
Damdawi i hman hunah hengte hi fimkhur hle ang che
Cholesterol damdawi ei hian doctor thupek dik taka zawm a pawimawh hle . I ei dik loh chuan damdawi hlawkna kimchang i hmu lovang.
- Damdawi hi eng atan nge i ei tih chiang takin hre rawh. I dinhmun leh damdawi hnathawh dan hriatthiamna chiang tak nei rawh.
- Nitin i damdawi chu a rualin ei thin ang che. Hei hi tih danah siam rawh.
- I damdawi ei kha titawp suh la, doctor nen inbiakna nei lovin a ei tur pawh thlak suh. Tunah chuan i dam tawh a nih pawhin i damdawi ei tur chu i doctor-in a hrilh che hma loh chuan ei tur a ni.
- I damdawi ei dan tur schedule siam rawh. Kar khat chhunga ni chhinchhiahna pillbox hman a awlsam hle. Kar tir lamah fill up rawh.
- Cost a awm chuan doctor nen inbiakna neihpui rawh. Sum humhim nan i dose tihtlem suh. Chutianga tih chuan rah a chhuah lo vang.
- Damdawi dang over-the-counter emaw, herbal remedies emaw chu doctor hnenah zawh hmasak loh chuan hmang suh. Thil thenkhat chu i cholesterol damdawi nen hian a inzawm thei a ni.
- Dose i miss a nih chuan i hriatreng veleh ei nghal rawh. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, a hun ruat lawk hunah ei rawh. Hemi chungchang hi doctor zawt lawk rawh.
- Khualzin hunah i damdawi ei tur chu i kutah dah la. Ni eng emaw zat i zin a nih chuan kar khat chhung tal damdawi leh damdawi copy khat tal ei thin ang che.
- Ha lak chhuah ang chi anesthesia hmanga operation i neih hmain doctor hnenah i damdawi ei tur chungchang hrilh hmasa phawt ang che.
- Zu in chungchang hi doctor zawt rawh. Zu hian damdawi thenkhat side effect a tipung thei a, a thatna a ti tlem thei bawk.
- Doctor thusawi hriatthiam harsa i tih chuan i thian emaw chhungte rintlak tak emaw hruai la.
Take-Home Thuchah a ni
- Cholesterol control hmasak ber leh pawimawh ber chu ei leh in hrisel leh active lifestyle neih hi a ni .
- Damdawi hi chu nunphung tanpuitu mai a ni. Damdawi i ei vang ringawt hian nungchang tha chu bansan suh.
- I doctor-in damdawi a pek chu, a dose dik takah, a hun takah, hun rei tak chhung ei rawh. Mahni chauha ei kha bansan ngai suh.
- Damdawi avanga harsatna danglam tak emaw, side effect emaw i neih chuan doctor hnenah hriattir nghal rawh.
- Damdawi dang emaw, supplement dang emaw i ei tur chu i doctor hnenah hrilh rawh.
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