Tangoganizani mukupita kukawona dokotala wanu kuti akakuyezeni magazi. Mutawerenga lipotilo, dokotalayo akuti, "Mulingo wanu wa LDL (woipa) cholesterol wakwera pang'ono." Funso loyamba lomwe limabwera m'maganizo mwanu ndi lakuti, "O, kodi ndiyenera kumwa mankhwala ochepetsa cholesterol tsopano?" Yankho la izi si losavuta monga kale. Ndi zovuta pang'ono tsopano. Tiyeni tikambirane mfundo yake.
Kodi mungatani kuti mupereke statin?
Kale, panali malamulo omveka bwino pa izi. Ngati mulingo wa cholesterol m'magazi mwanu unali woposa mulingo winawake, dokotala wanu angakulangizeni kuti musinthe moyo wanu ndikuyambitsa kumwa mankhwala a statin.
Moyo wathanzi ukadali wofunikira. Izi zikutanthauza kudya zakudya zopatsa thanzi, kuchepetsa mafuta okhuta, komanso kuchita masewera olimbitsa thupi nthawi zonse . Koma yankho la funso loti kodi nditenge ma statins ndi losiyana pang'ono tsopano. Izi zasintha pambuyo poti bungwe la American Heart Association (AHA) ndi bungwe la American College of Cardiology (ACC) asintha malangizo awo.
Pakadali pano, pokhapokha ngati mulingo wanu wa cholesterol yoipa (LDL) uli wokwera kwambiri (190 mg/dL kapena kupitirira apo) ndi pomwe mungayambe kumwa mankhwala kutengera mulingo umenewo. Kupanda kutero, dokotala wanu adzaganizira zinthu zina zingapo. Mwachitsanzo:
- Kodi muli ndi matenda ashuga?
- Malinga ndi chowerengera cha zoopsa, kodi chiopsezo chanu chokhala ndi matenda a mtima kapena sitiroko m'zaka 10 zikubwerazi chili pa 7.5% kapena kupitirira apo?
Zinthu zambiri ngati izi tsopano zikuganiziridwa popanga chisankho. Koma chinthu chimodzi choyenera kukumbukira ndichakuti madokotala ena satsatira malangizo atsopanowa ndendende. Chifukwa chake, asanakupatseni mankhwala, dokotala wanu adzakambirana nanu za zinthu zina zonse zomwe zimayambitsa matenda a mtima.
Pomaliza, chisankho chotenga statin ndi chisankho chomwe inu ndi dokotala wanu muyenera kupanga limodzi, choncho ndikofunikira kudziwa bwino izi.
Kodi chimachitika ndi chiyani kwenikweni ndi ma statin awa?
Mwachidule, statin ndi mtundu wa mankhwala ochepetsa cholesterol. Ngati mutenga imodzi, kuchuluka kwa cholesterol yoyipa (LDL) m'thupi lanu kumatha kuchepetsedwa ndi 35% mpaka 50% kapena kuposerapo, kutengera mtundu ndi mlingo womwe mumamwa. Izi zitha kuchepetsa kwambiri chiopsezo chanu chokhala ndi matenda a mtima kapena sitiroko.
Ma statin amagwira ntchito m'chiwindi mwathu. Amaletsa enzyme m'thupi mwathu yomwe imapanga cholesterol. Kuphatikiza apo, amachitanso chinthu china chofunikira. Izi zikutanthauza kuti, amalimbitsa ma cholesterol deposits (plaque) omwe amamangiriridwa ku makoma a mitsempha yathu yamagazi ndikuchepetsa kutupa komwe kumachitika nawo. Izi ndizofunikira kwambiri, chifukwa ngati cholesterol deposits (plaque) iyi iphulika mwadzidzidzi, imatha kupanga magazi kuundana ndikuyambitsa matenda a mtima kapena sitiroko.
Palibe vuto kupereka ma statin kwa munthu amene kale anali ndi vuto la mtima kapena sitiroko, chifukwa mankhwalawa atsimikiziridwa kuti amathandiza kupewa vuto la mtima kapena sitiroko kachiwiri.
Kodi ma statins ali ndi zotsatirapo zoyipa?
Monga mankhwala ena aliwonse, ma statins amatha kukhala ndi zotsatirapo zake. Komabe, si aliyense amene amalandira. Tiyeni tiwone zotsatirapo zake zomwe zimapezeka kawirikawiri komanso zomwe sizipezeka kawirikawiri.
| Zotsatira Zam'mbali | Kufotokozera |
|---|---|
| Kupweteka kwa minofu | Izi ndi zotsatira zoyipa kwambiri. Zingakhudze 5% mpaka 20% ya anthu omwe akumwa mankhwalawo. Ngati izi zitachitika, lankhulani ndi dokotala wanu za kusintha kugwiritsa ntchito statin ina, kuchepetsa mlingo, kapena kuyesa kumwa tsiku lililonse m'malo mwa tsiku lililonse. Musasiye kumwa mankhwala anu musanalankhule ndi dokotala wanu kaye. |
| Kuwonongeka kwa chiwindi | Izi zimachitika kawirikawiri. Dokotala wanu adzalamula kuti magazi ayesedwe kuti aone ma enzymes a chiwindi chanu ngati pakufunika kutero. Ngati mukumwa mankhwala ena (monga Panadol), uzani dokotala wanu za mankhwalawo. |
| Chiwopsezo cha matenda a shuga | Kafukufuku wina wasonyeza kuti kumwa ma statins kungayambitse kuwonjezeka pang'ono kwa shuga m'magazi. Komabe, vutoli nthawi zambiri limapezeka mwa anthu omwe ali kale pachiwopsezo chachikulu chotenga matenda a shuga (monga kunenepa kwambiri, matenda a metabolic syndrome). |
| Zotsatira zina zosowa | Kutaya kukumbukira, kusokonezeka maganizo, ndi matenda amitsempha kwanenedwa kawirikawiri. Izi nthawi zambiri zimakhudza okhawo omwe amatenga mlingo waukulu. |
Ndi chiyani china chomwe muyenera kuganizira mukamamwa mankhwala?
Kaya mwasankha kumwa mankhwala a statin kapena ayi, kusintha moyo wanu ndikofunikira. Palibe njira yothawira zimenezo.
Kumbukirani, 80% - 90% ya matenda a mtima amayamba chifukwa cha zinthu zomwe zingatipangitse kusintha. Izi zikutanthauza kuti tili ndi mwayi waukulu wopewa izi.
Izi zimachokera ku zakudya zabwino zopatsa thanzi (shuga wochepa), moyo wochita zinthu mwachangu, kupewa kusuta fodya, komanso kuwongolera kulemera kwanu. Nthawi zina, ngati mutasintha kwambiri moyo wanu, mutha kuchepetsa kuchuluka kwa mankhwala omwe muyenera kumwa. Izi zimachepetsanso chiopsezo cha zotsatirapo zoyipa.
Komabe, pali zinthu zina zomwe sitingathe kusintha, monga zaka zanu ndi majini anu. Chifukwa chake, anthu ena angafunike mankhwala ngakhale atakhala ndi moyo wabwino.
Lankhulani ndi dokotala wanu.
Ngati mukukayikirabe za izi, chinthu chabwino kuchita ndikulankhula momasuka ndi dokotala wanu za izi. Mufunseni kuti akuuzeni zambiri za izi. Kambiranani zinthu zina monga ngati pali aliyense m'banja mwanu amene ali ndi matenda a mtima (mbiri ya banja), kuchuluka kwa mapuloteni a C-reactive (CRP) omwe muli nawo, komanso ngati munadwalapo matenda a shuga a mimba.
Nthawi zina, asanapereke mankhwala, dokotala angachite scan yapadera kuti aone ngati calcium ili m'mitsempha yamagazi.
Ngakhale kuti ma statin ndi mankhwala othandiza kwambiri, si oyenera aliyense. Ngati simukupeza zotsatira zokwanira kuchokera ku ma statin, kapena ngati simungathe kuwamwa chifukwa cha zotsatirapo zake, pali mitundu ina ya mankhwala ochepetsa cholesterol.
Chofunika kwambiri ndikulankhula ndi dokotala wanu za izi nthawi zonse. Muuzeni zonse zomwe mukumva, mafunso anu, zomwe mumaopa. Adzakumverani ndikukuthandizani kupanga chisankho chomwe chili chabwino kwa inu.
Uthenga Wopita Nawo Kunyumba
- Ma Statin ndi mankhwala othandiza kwambiri pochepetsa cholesterol. Koma si ofunikira kwa aliyense. Kusankha kumwa mankhwalawa kapena ayi ndi chinthu chomwe inu ndi dokotala wanu muyenera kupanga limodzi.
- Kaya mukumwa mankhwala kapena ayi, kukhala ndi moyo wathanzi (kudya bwino, kuchita masewera olimbitsa thupi, komanso kusasuta fodya) ndikofunikira. Umenewo ndiye maziko a chithandizo.
- Zotsatira zoyipa kwambiri za ma statins ndi kupweteka kwa minofu. Ngati mukukumana ndi chilichonse mwa izi, uzani dokotala wanu nthawi yomweyo. Musasiye kumwa mankhwala anu kapena kusintha mlingo wanu popanda upangiri wa dokotala.
- Chiwopsezo chanu cha matenda a mtima sichimatsimikiziridwa ndi kuchuluka kwa cholesterol m'magazi mwanu (LDL), komanso ndi zinthu zina zambiri, monga zaka zanu, mbiri ya banja lanu, ndi matenda ena.
- Kuti mupange zisankho zabwino kwambiri zokhudza thanzi lanu, nthawi zonse lankhulani momasuka komanso moona mtima ndi dokotala wanu.
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