Ndizachilendo kumva mantha pang'ono dokotala wanu akakuuzani kuti cholesterol yanu ili m'magazi mwanu. Nthawi zambiri, chinthu choyamba chomwe amakuuzani kuti muchite ndikuwongolera zakudya zanu ndi masewera olimbitsa thupi, sichoncho? Izi zikutanthauza kuchepetsa mafuta okhuta, kuchotsa kwathunthu mafuta osinthika, kuchepetsa shuga, ndikuchita masewera olimbitsa thupi tsiku lililonse.
Komabe, nthawi zina, kusintha kwa moyo kokha sikungathe kulamulira cholesterol 'yoyipa' m'thupi lanu, kutanthauza kuchuluka kwa cholesterol ya LDL (Low-Density Lipoprotein). Pamenepo dokotala wanu angakulangizeni kuti muyambe kumwa mankhwala kuti akuthandizeni. Koma kumbukirani, simungasiye zizolowezi zabwino zimenezo chifukwa choti mwayamba kumwa mankhwala, eti? Muyenera kuchita zonse ziwiri. Tiyeni tiwone mankhwala ochepetsa cholesterol awa.
Kusankha koyamba: Ma Statin
Mwachidule, awa ndi mankhwala otchuka komanso ogwiritsidwa ntchito kwambiri omwe madokotala amapereka pa cholesterol. Amathandiza kuchepetsa cholesterol yanu 'yoyipa' ya LDL, kuchepetsa mtundu wina wa mafuta otchedwa triglycerides, ndikuwonjezera pang'ono milingo ya cholesterol yanu 'yabwino' ya HDL.
Kafukufuku wapeza kuti kugwiritsa ntchito ma statins kumachepetsa kwambiri chiopsezo cha matenda a mtima monga matenda a mtima.
Nazi zina mwa ma statins omwe amaperekedwa nthawi zambiri:
- Atorvastatin (Lipitor)
- Rosuvastatin (Crestor)
- Simvastatin (Zocor)
- Fluvastatin (Lescol)
- Lovastatin
- Pravastatin (Pravachol)
Kodi ma statins ali ndi zotsatirapo zoyipa?
Monga mankhwala ena onse, izi zingayambitse zotsatirapo zazing'ono. Koma si aliyense amene amalandira mankhwalawa. Omwe amapezeka kwambiri ndi kusokonezeka kwa m'mimba, kupweteka kwa minofu, kapena kutupa. Nthawi zambiri, kuwonongeka kwa chiwindi kumatha kuchitika. Palinso chiopsezo chochepa cha shuga wambiri m'magazi ndi matenda a shuga amtundu wa 2. Koma chiopsezocho ndi chochepa kwambiri, ndipo akuti chiopsezocho n'chochepa poyerekeza ndi ubwino wa ma statins.
Chofunika kwambiri: Ngati mukumwa mankhwala a statin, pewani kumwa madzi a mphesa ndi mphesa, chifukwa zingasokoneze kuyamwa kwa mankhwalawa komanso kugwira ntchito kwake.
Mitundu ina ya mankhwala ndi momwe amagwirira ntchito
Palinso mankhwala ena ambiri kupatula ma statin. Nthawi zina, dokotala wanu angasankhe kupereka imodzi mwa izi pamodzi ndi statin, kapena m'malo mwa munthu amene ali ndi vuto la ziwengo ku ma statin.
| Mtundu wa mankhwala | Kugwira ntchito ndi zomwe muyenera kudziwa |
|---|---|
| Mankhwala omwe amagwira ntchito m'matumbo (Zotsatira za Bile Acid) | Izi zimamangirira ku ndulu m'matumbo, zomwe zimalepheretsa kuti isalowenso m'thupi. Popeza ndulu imapangidwa ndi cholesterol, imachepetsa kuchuluka kwa cholesterol m'thupi. Zitsanzo: Cholestyramine, Colesevelam. Zotsatirapo zake: kudzimbidwa, kudzimbidwa, kusasangalala m'mimba. |
| Ezetimibe (Zetia) | Izi zimaletsa thupi kuyamwa cholesterol kuchokera ku chakudya m'matumbo ang'onoang'ono ndipo nthawi zambiri zimaperekedwa pamodzi ndi ma statins. Zotsatirapo zake: kupweteka kwa minofu kapena msana, kutsegula m'mimba, kupweteka m'mimba. |
| Zoletsa za PCSK9 | Mankhwalawa ndi atsopano komanso amphamvu. Amaperekedwa kwa anthu omwe cholesterol yawo singathe kulamulidwa ndi mankhwala achikhalidwe kapena omwe ali ndi cholesterol yambiri m'majini (familial hypercholesterolemia). Amaperekedwa ngati jakisoni. Zitsanzo: Alirocumab (Praluent), Evolocumab (Repatha). Zotsatirapo zake: Zizindikiro monga kuyabwa, kutupa, kupweteka, ndi chilonda chozizira pamalo omwe jakisoni amaperekedwa. |
| Niacin (vitamini B3) | Vitamini yomwe imachepetsa LDL ndikuwonjezera HDL. Komabe, palibe umboni womveka bwino wosonyeza kuti kupereka chowonjezera ichi kwa munthu amene akumwa ma statins kumachepetsanso chiopsezo cha matenda a mtima. Zotsatirapo zake: kuyabwa, kutopa, mutu. |
| Ma Fibrate | Izi zimathandiza kwambiri kuchepetsa kuchuluka kwa triglycerides ndikuwonjezera cholesterol 'yabwino' ya HDL. Zitsanzo: Fenofibrate, Gemfibrozil. |
| Omega-3 | Mankhwala a omega-3 amphamvu omwe amaperekedwa ndi dokotala angathandize kuchepetsa triglycerides. Komabe, zowonjezera mafuta a nsomba zomwe zimaperekedwa kwa ogulitsa sizikutsimikiziridwa kuti zili ndi zotsatira zomwezo. Chifukwa chake, musagwiritse ntchito popanda upangiri wa dokotala . |
Tsatirani malangizo awa kuti mugwiritse ntchito mankhwala moyenera.
Mukapatsidwa mankhwala, kuti mugwiritse ntchito bwino, muyenera kuwagwiritsa ntchito monga momwe dokotala wanenera. Kupanda kutero, sadzapereka zotsatira zomwe mukufuna.
Chitani chizolowezi chanu cha tsiku ndi tsiku.
- Dziwani bwino chifukwa chake mukumwa mankhwalawa. Ndikofunikira kumvetsetsa vuto lanu.
- Imwani mankhwala anu nthawi yomweyo tsiku lililonse. Chitani izi chizolowezi. Ndi bwino kuyika chikumbutso pafoni yanu.
- Musasiye kumwa mankhwala anu kapena kusintha mlingo popanda kulankhula ndi dokotala wanu. Ngakhale mutakhala bwino tsopano, cholesterol ndi mdani wobisika yemwe sawonetsa zizindikiro. Chifukwa chake, ndikofunikira kumwa mankhwala anu monga momwe mwalangizidwira.
- Gwiritsani ntchito bokosi la mapiritsi la sabata iliyonse. Kumayambiriro kwa sabata, ikani mankhwala onse a sabata imeneyo. Mwanjira imeneyi, simudzaphonya tsiku lililonse.
Lankhulani momasuka ndi dokotala.
- Uzani dokotala wanu za mankhwala ena aliwonse, mavitamini, kapena mankhwala achikhalidwe a Ayurvedic omwe mukumwa, chifukwa zinthu zina zimatha kusokonezana ndi mankhwala a cholesterol.
- Ngati mtengo wa mankhwala ndi vuto, musachite manyazi kulankhula ndi dokotala wanu. Pakhoza kukhala njira zina zotsika mtengo kapena njira zina zothetsera vutoli.
- Funsani dokotala wanu pasadakhale zomwe mungachite ngati mwaphonya mlingo wa mankhwala. Dziwani zinthu monga kumwa mankhwalawa nthawi yomweyo mukakumbukira kapena kudikira mpaka mlingo wina wotsatira.
- Musanachite opaleshoni iliyonse kapena mankhwala oletsa ululu, monga kuchotsa dzino, onetsetsani kuti mwauza dokotala kapena dokotala wa mano za mankhwala omwe mukumwa.
- Funsani dokotala wanu za kumwa mowa. Kumwa mowa ndi mankhwala ena kungapangitse kuti zotsatirapo zake ziwonjezeke kapena kuchepetsa mphamvu ya mankhwalawo.
Ngati mukuvutika kumvetsa zomwe dokotala wanu akunena, bwerani ndi mnzanu wodalirika kapena wachibale wanu. Zinthu zimakumbukiridwa bwino anthu awiri akamamvetsera.
Uthenga Wopita Nawo Kunyumba
- Gawo loyamba komanso lofunika kwambiri pakulamulira cholesterol nthawi zonse ndikukhala ndi zakudya zabwino komanso moyo wochita masewera olimbitsa thupi . Mankhwala ndi thandizo lowonjezera.
- Ngakhale kuti ma statins ndi mtundu wa mankhwala omwe amagwiritsidwa ntchito kwambiri, dokotala wanu yekha ndi amene angakuuzeni mankhwala oyenera komanso mlingo woyenera kwambiri atatha kufufuza magazi anu ndi thanzi lanu.
- Mankhwala aliwonse akhoza kukhala ndi zotsatirapo zake. Ngati mukukumana ndi zizindikiro zachilendo, monga kupweteka kwa minofu, musachite mantha ndipo dziwitsani dokotala wanu.
- Ndikofunikira kwambiri kumwa mankhwala anu monga momwe mwalangizidwira, panthawi yoyenera, komanso mu mlingo woyenera. Pewani kusiya kumwa mankhwala anu kapena kusintha mlingo popanda kufunsa dokotala wanu.
- Ndi chitetezo chanu kupatsa dokotala wanu kufotokozera kwathunthu mankhwala onse, mavitamini, ndi zowonjezera zomwe mukumwa.
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