Cholesterol control nana 'Statins' chungchanga hriat tur awmte

I thisen test hnuhnung berah khan i cholesterol level a sang deuh tih a lang em? I "bad cholesterol" emaw LDL level pawh a sang tih i hmuh khan tlem chuan hlau leh lungkhamna i nei em? Chutiang a nih chuan i doctor chuan ‘Statin’ chi damdawi ei tan turin a lo hrilh che a ni mai thei. Chuvangin vawiinah hian mi tam tak tan chuan ‘Statins’ chungchang hi awlsam takin han sawi ila.

Awle, heng ‘Statin’ te hi eng nge ni?

A awlsam zawngin sawi ila, ‘Statins’ hi i thisena cholesterol level tihhniam nan doctor-te’n an pek thin damdawi chi khat a ni a, a bik takin cholesterol "tha lo" chu a tihniam thei a ni.

Cholesterol chungchang kan sawi hian chi hnih kan hre fo thin a ni lawm ni?

1. LDL (Low-Density Lipoprotein): Hei hi cholesterol "tha lo" kan tih chu a ni . I thisen kalna kawngte chu tui phurtu pipe angin ngaihtuah rawh. He LDL cholesterol hian a tih chu chu pipe chhungah chuan oily sludge ang maiin a deposit a, zawi zawiin thisen kalna kawng a ti tawi a ni. ‘Statin’ chi thenkhat chuan he cholesterol tha lo hi 50% emaw a aia tam emaw a tihniam thei a ni.

2. HDL (High-Density Lipoprotein): Hei hi cholesterol "tha" kan tih chu a ni . Thisen kalna kawnga cholesterol tha lo lo awm tawh chu a la khawm a, taksa atanga lak chhuah turin liver-ah a thlen thin. Bawlhhlawh khawntu ang mai a ni.

Statins hian LDL cholesterol tha lo a tihziaawm mai bakah thisen a thau chi dang triglycerides a tihziaawm bakah HDL cholesterol tha level tlem a tisang bawk.

Heng damdawi te hi ni khatah vawi khat, a ruala ei tura tih a ni tlangpui. Statin thenkhat chu zan lama ei hian a thawk tha ber. Hei hi kan taksain zanah cholesterol a siam tam zawk vang a ni. Mahse, statin thar zawk thenkhat chu ni khata engtik lai pawha ei a nih pawhin chutiang bawk chuan hna a thawk tha hle. I doctor chuan hei hi a hrilhfiah ang che.

He damdawi hian taksa chhungah engtin nge hna a thawh?

Hei hi thawnthu ngaihnawm tak a ni. I liver hi cholesterol siamna factory ber niin han ngaihtuah teh. Dik tak chuan kan taksa mamawh cholesterol 75% chu kan thin (liver)-ah a lo chhuak a ni. A bak zawng chu kan ei leh in atanga lo chhuak a ni.

Chuvangin, liver hian enzyme a nei a, chu chu he cholesterol siamna atana pawimawh tak a ni. A hming chu HMG-CoA reductase tih a ni. Statin damdawi hian gatekeeper angin hna a thawk a, HMG-CoA reductase enzyme chu liver a thlen loh nan a block a ni. Tichuan liver hian cholesterol siamna atana a mamawh raw material a hloh ta a ni. Chuvang chuan liver-in cholesterol a siam chhuah zat chu nasa takin a tlahniam a ni. I hrethiam em?

A awlsam zawngin sawi ila, ‘Statin’ hi thisen a cholesterol tha lo awm zat tihziaawmna damdawi a ni a, thisenah cholesterol siam chhuah a tibuai a ni.

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Engvangin nge ‘Statins’ hi kan mamawh?

A chhan ber chu heart attack leh stroke hlauhawmna tihziaawm nan a ni.

Ka sawi tawh ang khan thisenah cholesterol tha lo a pun chuan thisen kalna kawng bang ah a awm thin. Damdawi lamah chuan hei hi ‘Atherosclerosis’ kan ti thin. Hetianga cholesterol lo pungkhawm hi ‘plaque’ an ti a. Hei hian thisen kalna kawng chhunga hmun a ti tlem a, thisen kal a tikhawlo bawk.

Thinlung thisen petu thisen kalna kawngkhar chu hetiang hian a inkharkhip a nih chuan eng nge thleng ang tih han ngaihtuah teh? Thinlung hian a mamawh oxygen leh nutrients a hmu lo. Chu chuan heart attack a thlen thin. Tin, he ‘plaque’ hi thluaka thisen petu artery-ah a puak a, thisen zam (blood clot) a lo awm chuan stroke a thlen thin.

Statins hian cholesterol a tihniam a, heng dinhmun hlauhawm tak takte hi nasa takin a ti tlem a ni.

‘Statins’ chi hrang hrang hman tam berte chu engte nge ni?

‘Statin’ hi chi hrang hrang a awm a. I doctor chuan i hriselna dinhmun, cholesterol level leh thil dang ngaihtuah chungin i tana tha ber chi chu a pe ang che.

A chang chuan ‘statin’ chu damdawi dang nen pill khatah a lo thleng thin. Entirnan, damdawi pakhat ezetimibe an tih chu simvastatin nen.

Tute nge ‘Statins’ ei tura rawt?

Doctor chuan thinlung natna i vei theihna zawng zawng a zirin statin a pe ang che. Hei hi thil tam takah a innghat a, chung zingah chuan i kum, i mipa leh hmeichhia, i chhungkaw chanchin, leh i zuk leh hmuam te pawh a tel. Statins hi a tlangpuiin a hnuaia mite tan hian a tha ber a ni:

• Ei leh in leh exercise nei chung pawha cholesterol level (a bik takin LDL level 190 mg/dL aia sang) tihhniam thei lote tan .
• Diabetes mellitus vei leh kum 40-75 inkar, LDL cholesterol level 70 mg/dL aia tam nei tan.
• Heart attack, stroke, emaw peripheral artery disease (PAD) vei tawhte tan .
• Kum 40-75 inkar, LDL level 70 mg/dL aia sang, thinlung natna vei theihna sang tak nei tan.
• Chhungkaw zinga mi (nu leh pa, unau) te hian an naupan lai atanga thinlung natna an nei a , cholesterol level sang tak an neih chuan.

Hei hian side effect a nei em?

Hei hi mi tam tak tan chuan harsatna a ni. Damdawi dang ang bawkin statin hian side effect a nei thei tih hi a dik a ni. Mahse a pawimawh ber chu mi tam zawkin side effect engmah an tawk lo. Side effect tenau lo awm thin pawh damdawi ei chhunzawm zel a nih chuan a bo vek ang.

Pawimawh: Side effects i neih chuan nangmah chauhin i damdawi ei kha bansan ngai suh. A tha ber chu i doctor nen inbia ang che. Statin i ei tur chi hrang hrang thlak emaw, a hman dan tur siam danglam emaw hmangin i buaina chu i chinfel theih mai thei.

Statin ei loh tur an awm em?

Awle. Statin hi naupai, nau hnute pe lai leh thin natna khirh tak tak nei tan chuan hman a tha lo. Damdawi dang i ei lai pawh i doctor hnenah i hrilh tur a ni. Thei tui, a bik takin grapefruit leh pomegranate tui hian statin thenkhat nen an inzawm thei a, chuvangin chu pawh chu i doctor zawt la.

Damdawi i ei tawh loh chuan eng nge thleng ang?

Statin i ei tawh loh chuan i cholesterol level chu a awmna hmunah a sang leh ta a ni. Chu chu heart attack leh stroke i neih theihna chu a sang leh ta tihna a ni. Chuvangin dam chhung damdawi a ni tlangpui.

Doctor hmuh nghal hun tur

Statin i ei laiin a hnuaia symptoms te hi i neih chuan doctor rawn la nghal rawh.

• Tuar theih loh i tih chuan i taksa ruh emaw, i ruh emaw, natna nasa tak emaw, chak lohna emaw i nei a nih chuan.
• Taksa na i neih chuan khawsik nen .
• Nangmah ta a niI mit emaw i vun emaw a sen (jaundice) a lan chuan.
• I zun chu tea hnah tui ang maia rawng dum a nih chuan .

Chutiang dinhmunah chuan damdawi in pakhata Emergency Treatment Unit (ETU) pan a tha ber.