I doctor hmu turin thisen test turin i kal ang tih han ngaihtuah teh. Report a chhiar zawh chuan doctor chuan, "I LDL (bad) cholesterol level hi a sang deuh a ni," a ti. I rilrua zawhna lo lang hmasa ber chu, "Aw, tunah hian he cholesterol tihhniamna damdawi hi ka ei a ngai em?" Hemi chhanna hi a hma angin a awlsam lo hle. Tunah chuan a buaithlak deuh tawh. A bul lam pan ila.
Engtin nge statin pek i tum?
Tun hma chuan hemi atan hian dan chiang tak a awm thin. I thisen cholesterol level chu level engemaw zat aia sang a nih chuan i doctor chuan nunphung thlak danglam a, statin damdawi ei tan tir turin a fuih ang che.
Nunphung hrisel neih hi a la pawimawh hle. Chu chu ei leh in hrisel ei te, saturated fat tihtlem te, leh exercise neih fo te tihna a ni . Mahse statin ei tur nge ei loh tih zawhna chhanna chu tunah chuan a danglam deuh tawh. Hei hi American Heart Association (AHA) leh American College of Cardiology (ACC)-in an kaihhruaina an update hnuah a danglam ta a ni.
Tunah hian i cholesterol tha lo (LDL) level a sang lutuk (190 mg/dL aia sang) chauhvin chu level atanga damdawi i ei tan ang. Chutiang a nih loh chuan i doctor chuan thil dang engemaw zat a ngaihtuah ang. Entir nan:
- Zunthlum i nei em?
- Risk calculator bik atanga a lan dan chuan kum 10 chhunga heart attack emaw stroke emaw i neih theihna chu 7.5% emaw a aia tam emaw a ni em?
Tunah chuan thutlukna siam hunah heng ang thil tam tak hi ngaihtuah a ni tawh. Mahse thil pakhat hriat reng tur chu, doctor thenkhat chuan heng kaihhruaina thar hi an zawm chiah lo tih hi a ni. Chuvangin, damdawi a pek hmain i doctor chuan thinlung natna thlentu risk factor dang zawng zawng a sawipui ang che.
A tawpah chuan statin ei tura thutlukna siam hi nang leh i doctor in inrem dun tur a ni a, chuvangin he thil hi hriat chian a pawimawh hle.
Heng statin te hi eng nge thleng tak tak?
A awlsam zawngin sawi ila, statin hi cholesterol tihhniamna damdawi chi khat a ni. Pakhat i ei chuan i bad cholesterol (LDL) level chu 35% atanga 50% emaw a aia tam emaw in a tlahniam thei a, hei hi i ei chi leh a dose a zirin a ni. Hei hian heart attack emaw stroke emaw i neih theihna chu nasa takin a tihtlem thei a ni.
Statins hian kan liver ah hna a thawk a. Kan taksaa cholesterol siamtu enzyme pakhat an block a ni. Chu bâkah thil pawimawh dang an ti bawk. Chu chu kan thisen kalna kawng bang a cholesterol deposit (plaque) awmte chu an ti nghet a, anmahni nena lo awm thin inflammation pawh an ti tlem tihna a ni. Hei hi a pawimawh hle a, a chhan chu heng cholesterol deposit (plaque) te hi a puak thut chuan thisen zam a siam a, heart attack emaw stroke emaw a thlen thei a ni.
Heart attack emaw stroke emaw vei tawh tan statin pek hi harsatna a awm lo, a chhan chu heng damdawi te hian second heart attack emaw stroke emaw venna kawngah nasa takin a pui tih finfiah a ni.
Statin hian side effect a nei em?
Damdawi dang ang bawkin statin hian side effect a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. Side effect awm tam ber leh hmuh tur awm lo ber berte hi han thlir ila.
| Side Effect a awm thei | Hrilhfiahna |
|---|---|
| Muscle na a na | Hei hi a side effect tam ber a ni. Damdawi ei thin zinga 5% atanga 20% vel a nghawng thei a ni. Chutiang a nih chuan statin dang hman dan tur te, a dose tihtlem dan tur te, nitin ni lovin ni hnih danah ei tum tur te chu i doctor nen sawiho rawh. Doctor nen inbia hmasa lovin i damdawi ei kha bansan ngai suh. |
| Liver a chhiat phah | Hei hi a tlem hle. I doctor chuan a tul chuan thisen test turin a ti ang a, i liver enzymes te chu a enfiah ang. Damdawi dang (e.g. Panadol) i ei a nih chuan i doctor hnenah pawh hrilh bawk ang che. |
| Zunthlum vei theihna a ni | Zirna thenkhatah chuan statin ei hian thisen sugar level tlem a tisang thei tih an hmuchhuak. Mahse, he natna hi zunthlum vei theihna chance sang tak nei tawh (e.g., overweight, metabolic syndrome) te zingah a awm tlangpui. |
| Thil dang hmuh tur awm lo | Hriatrengna hloh, buaina leh neuropathy te hi an report tlem hle. Hengte hian dose sang tak ei thinte chauh a nghawng tlangpui. |
Damdawi i ei dawnin eng thil dang nge i ngaihtuah tur?
Statin ei i tum emaw ei lo emaw pawh nise, nunphung thlak danglam hi a ngai a ni. Chuta tang chuan tlanchhuahna a awm lo.
Lung natna 80% - 90% hi kan thlak danglam theih tur risk factors avanga lo awm a ni tih hre reng ang che. Chu chu hengte hi ven theihna chance ropui tak kan nei tihna a ni.
Hei hi ei leh in tha tak (reduced sugar), active lifestyle, meizuk loh leh i taksa rihna control-na atanga siam a ni. A châng chuan i nunphungah inthlâk danglamna nasa tak i siam chuan damdawi i ei tûr chu i tihtlem thei a ni. Hei hian side effects awm theihna a ti tlem bawk.
Mahse, kan tihdanglam theih loh thil thenkhat a awm a, chu chu i kum leh i genes te hi a ni. Chuvangin, mi thenkhat chuan nunphung tha tak nei mahse damdawi an mamawh mai thei.
I doctor nen inbia ang che.
Hemi chungchangah hian rinhlelhna i la nei a nih chuan a tha ber chu i doctor nen zalen taka inbiakna neih hi a ni. Hemi chungchangah hian hriat belh duh nei chuan zawt rawh. I chhungkuaa mi tu emaw chuan thinlung natna an nei em tih (chhungkaw history), i C-reactive protein (CRP) level engzat nge a nih, leh gestational diabetes i vei tawh em tih te hi sawiho rawh.
A châng chuan damdawi a pêk hmain doctor chuan thisen kalna kawnga calcium awm leh awm loh enfiah nân special scan a nei thei bawk.
Statin hi damdawi tangkai tak ni mahse, mi zawng zawng tan a tha lo. Statin atanga result i hmuh tlem chuan, a nih loh leh a side effect avanga i ei theih loh chuan cholesterol tihhniamna damdawi chi dang a awm bawk.
A pawimawh ber chu i doctor nen hemi chungchang hi sawipui fo hi a ni. I rilru put hmang zawng zawng, i zawhnate, i hlauhthawnna zawng zawng hrilh rawh. A ngaithla ang che a, i tana tha ber tur thutlukna siam turin a pui ang che.
Take-Home Thuchah a ni
- Statins hi cholesterol tihhniamna atana damdawi tha tak a ni. Mahse, mi zawng zawng tan a tul lo. He damdawi ei leh ei loh chungchanga thutlukna siam hi nang leh i doctor hian in siam dun tur a ni.
- Damdawi i ei emaw ei lo emaw pawh nise, nunphung hrisel (ei leh in tha, exercise, leh meizuk loh) neih hi a pawimawh hle. Chu chu enkawlna lungphum a ni.
- Statin hian side effect a neih tam ber chu taksa ruh natna a ni. Heng zinga pakhat tal i tawn chuan doctor hnenah hrilh nghal rawh. I damdawi ei kha titawp ngai suh la, i doctor thurawn tel lo chuan i dose pawh thlak ngai suh.
- Lung natna i vei theihna tur chu i thisen cholesterol (LDL) level chauh ni lovin, thil dang tam tak, i kum, i chhungkaw chanchin leh hriselna dinhmun dangte a\angin a innghat a ni.
- I hriselna chungchanga thutlukna tha ber siam tur chuan i doctor nen zalen tak leh rinawm takin inbiak fo thin ang che.
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