Kodi dokotala wanu wakupatsani mankhwala a cholesterol ? Kodi mudamvapo kupweteka m'thupi lanu, makamaka minofu yanu, mutayamba kumwa mankhwalawo? Ngati ndi choncho, simuli nokha. Anthu ambiri omwe amamwa ma statins , mtundu wa mankhwala ochepetsa cholesterol, adakumanapo ndi izi. Koma musachite mantha. Tiyeni tiwone chifukwa chake izi zimachitika, zomwe zingachite pa izi, komanso nthawi yomwe tiyenera kuda nkhawa kwambiri nazo.
Heart disease risk
Check the risk of developing a heart disease within the next 10 years with the Framingham Score
Choyamba, tiyeni tiwone, kodi statin iyi ndi chiyani?
Mwachidule, ma statin ndi mtundu wa mankhwala omwe madokotala amapereka kuti achepetse cholesterol "yoyipa", kapena LDL cholesterol, m'thupi lathu. Awa ndi mankhwala ofunikira kwambiri. Chifukwa ndi gulu lotetezeka la mankhwala omwe atsimikiziridwa kuti amachepetsa chiopsezo cha matenda oopsa monga matenda a mtima ndi sitiroko. Ichi ndichifukwa chake madokotala padziko lonse lapansi nthawi zambiri amalemba mankhwalawa.
N’chifukwa chiyani mankhwala awa amapweteka minofu yanga?
Madokotala sakudziwabe chomwe chimayambitsa izi. Koma pali malingaliro angapo. Choyamba ndi chakuti mankhwalawa akhoza kukhala ndi zotsatira zochepa pa momwe maselo athu a minofu amagwiritsira ntchito mphamvu. Ganizirani maselo athu a minofu ngati mainjini ang'onoang'ono. Mankhwalawa angapangitse kusiyana pang'ono pa momwe mainjini amenewo amagwirira ntchito. Chiphunzitso china ndi chakuti mankhwalawa angayambitse kutuluka pang'ono kwa zinthu monga calcium ndi mapuloteni kuchokera ku maselo a minofu. Anthu ena akhoza kukhala okhudzidwa kwambiri ndi kusintha kumeneku kuposa ena.
Ndipo palinso chinthu china. Ndicho "chotsatira cha nocebo." Izi zikutanthauza kuti, ngati tiganiza pasadakhale, "O... ngati nditamwa mankhwalawa, minofu yanga idzapweteka," timakhala ndi mwayi womva ululuwo. Ngakhale kuti uwu ndi vuto la maganizo, ululuwo ndi weniweni.
Kupweteka kwa minofu kumeneku, ngati kukuchitika, nthawi zambiri kumachitika mkati mwa miyezi ingapo yoyambirira mutayamba kumwa mankhwala kapena mutawonjezera mlingo. Mungamve kupweteka kapena kufooka kosalekeza m'mapewa anu, ntchafu, m'chiuno, kapena pamene tsitsi lanu lapindika. Anthu ambiri amamva ululu uwu mofanana mbali zonse ziwiri za thupi lawo.
Ndani ali pachiwopsezo chachikulu chopeza ululu uwu?
Si aliyense amene amamwa ma statins amene amamva ululu umenewu. Koma anthu ena ali pachiwopsezo chachikulu. Tiyeni tiwone kuti ndi ndani.
| Choopsa | Kufotokozera |
|---|---|
| Zaka | Kukhala ndi zaka 80 kapena kuposerapo. |
| Kukula kwa thupi | Chiwopsezochi ndi chachikulu pang'ono kwa akazi aang'ono. |
| Matenda omwe alipo | Kukhala ndi matenda a minofu, impso, chiwindi kapena chithokomiro. |
| Mlingo wa mankhwala | Kumwa mankhwala ambiri a statin. |
Chofunika kwambiri ndichakuti, musasiye kumwa mankhwalawo mukangomva minofu yanu ikupweteka. Kambiranani ndi dokotala wanu kaye. Iye adzakupatsani yankho labwino kwambiri.
Chabwino, kodi timatani ndi ululu wa minofu uwu?
Mukauza dokotala za izi, adzakupatsani njira zingapo zothetsera vutoli. Tiyeni tiwone zomwe zili.
Pumulani pang'ono monga momwe dokotala wanu adakulangizirani (Statin Vacation)
Izi zikutanthauza kusiya kumwa mankhwalawa kwa milungu itatu kapena inayi motsogozedwa ndi dokotala wanu. Ngati ululu wayamba chifukwa cha statin, ululuwo uyenera kutha mkati mwa nthawi imeneyi. Njira ina ndikumwa mankhwalawa tsiku lililonse m'malo mwa tsiku lililonse. Izi zingathandize kuchepetsa cholesterol yanu popanda kuyambitsa kupweteka kwa minofu.
Kusintha mlingo wa mankhwala
Nthawi zina, kuchepetsa mlingo wa statin kungathandize kuchepetsa kapena kuthetsa ululu wa minofu. Koma pali zabwino ndi zoyipa za izi. Kuchepetsa mlingo kungayambitsenso kuchuluka kwa cholesterol m'magazi mwanu. Chifukwa chake, chisankhochi chiyenera kupangidwa mutakambirana ndi dokotala wanu.
Kusintha kupita ku mankhwala ena
Ngati muli ndi vuto ndi mtundu wina wa statin, mutha kupeza mpumulo mwa kusintha mtundu wina wa statin. Kapena pali mankhwala ena ochepetsa cholesterol omwe si a statin. Mutha kufunsa dokotala wanu za izi.
| Mankhwala osakhala a statin | Momwe imagwirira ntchito (mwachidule) |
|---|---|
| Ezetimibe | Zimalepheretsa thupi kuyamwa cholesterol kuchokera m'matumbo ang'onoang'ono. |
| Zosakaniza za asidi ya bile | Zimaletsa cholesterol m'magazi kuti isabwererenso m'thupi. |
| Zoletsa za PCSK9 | Imafulumizitsa njira yochotsera cholesterol ya LDL m'thupi. |
| Zoletsa za ACL (monga Bempedoic acid) | Zimalepheretsa kupanga cholesterol "yoyipa" ndi chiwindi. |
Samalani ndi zina zomwe mumatenga.
Onetsetsani kuti mwauza dokotala wanu za mankhwala ena aliwonse, mankhwala azitsamba , kapena mavitamini omwe mukumwa, chifukwa zinthu zina zimatha kusokonezana ndi ma statins ndikuwonjezera chiopsezo chanu cha zotsatirapo zoyipa. Mwachitsanzo:
- Madzi a mphesa
- Mankhwala ena othamanga magazi ( Calcium channel blockers )
- Mankhwala oletsa chitetezo chamthupi
- Mankhwala ena opha mabakiteriya ndi maantibayotiki
- Mitundu ina ya mahomoni
Kuchita masewera olimbitsa thupi
Ndi zachilendo kumva kupweteka mukatha kuchita masewera olimbitsa thupi. Komabe, kafukufuku wina wapeza kuti kuchita masewera olimbitsa thupi pang'ono kungachepetse kupweteka kwa minofu komwe kumachitika chifukwa cha ma statins. Ngati ndinu watsopano kuchita masewera olimbitsa thupi, funsani dokotala wanu kuti ndi masewera olimbitsa thupi ati omwe ali oyenera kwa inu. Komabe, ngati mukuchita masewera olimbitsa thupi okhwima kwambiri (monga kuthamanga marathon), ululu wanu ungawonjezeke. Pazochitika zotere, dokotala wanu angakufunseni kuti musiye kumwa statin yanu kwa tsiku limodzi kapena awiri.
Kusintha kwa moyo
Mwa kudya zakudya zabwino pamtima (zokhala ndi ulusi wambiri, mafuta ochepa okhuta komanso osinthika ) komanso kuchita masewera olimbitsa thupi osachepera mphindi 150 pa sabata, mutha kuchepetsa cholesterol yanu "yoyipa" (LDL) ndikuwonjezera cholesterol yanu "yabwino" (HDL). Ndikofunikiranso kusiya kusuta ngati mukusuta. Ndi kusintha kwa moyo wanu, mutha kuchepetsa mlingo wa ma statin omwe muyenera kumwa.
Kodi kupweteka kwa minofu kumakhala koopsa liti?
Nthawi zambiri, kupweteka kwa minofu komwe kumachitika chifukwa cha ma statins sikoopsa. Komabe,Kawirikawiri , mwa anthu ochepa okha mwa anthu miliyoni omwe amamwa ma statin, matenda oopsa otchedwa rhabdomyolysis amatha kuchitika. Izi zimachitika pamene maselo a minofu amawonongeka kwambiri. Kumwa ma statin ambiri kapena kumwa ma statins ndi mankhwala ena kumawonjezera chiopsezochi.
Ngati mukukumana ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi pamodzi, mwina ndi vuto ladzidzidzi. Imbani dokotala wanu nthawi yomweyo . Kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala chapafupi nanu.
- Kupweteka kwambiri kwa minofu
- Mkodzo wofiira kapena wakuda
- Thupi likufooka kwambiri
Pa nthawi ngati iyi, dokotalayo adzayesa magazi ndi mkodzo kuti atsimikizire ngati vutoli lilipo.
Uthenga Wopita Nawo Kunyumba
- Statin ndi mankhwala ofunikira kwambiri pa thanzi la mtima wanu.
- Kupweteka kwa minofu ndi zotsatira zoyipa zomwe zimachitika kawirikawiri chifukwa cha mankhwalawa, koma nthawi zambiri sikoopsa.
- Musasiye kumwa mankhwala a statin pazifukwa zilizonse popanda kulankhula ndi dokotala wanu .
- Pali njira zambiri zothanirana ndi ululu uwu. Mutha kuchita zinthu monga kusintha mlingo, kusintha mankhwala, ndikusintha moyo wanu.
- Kupweteka kwambiri kwa minofu, mkodzo wakuda, ndi kufooka ndi vuto ladzidzidzi. Pitani ku ETU ya chipatala nthawi yomweyo.
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