Ni ibisanzwe kumva ufite ubwoba gato iyo muganga wawe akubwira ko cholesterol yawe iri hejuru gato mu maraso yawe. Akenshi, ikintu cya mbere bakubwira ni ukugenzura imirire yawe n'imyitozo ngororamubiri, sibyo? Ibyo bivuze kugabanya ibinure byuzuye, gukuraho burundu ibinure bya trans, kugabanya isukari, no gukora imyitozo ngororamubiri buri munsi.
Ariko, rimwe na rimwe, guhindura imibereho byonyine ntibishobora kugenzura urugero rwa cholesterol 'mbi' mu mubiri wawe, ni ukuvuga urugero rwa cholesterol ya LDL (Low-Density Lipoprotein). Icyo gihe ni bwo muganga wawe ashobora kukugira inama yo gutangira gufata imiti igufasha. Ariko ibuka ko udashobora kureka iyo ngeso nziza kuko watangiye gufata imiti, sibyo? Ugomba gukora byombi. Reka turebe iyo miti igabanya cholesterol.
Amahitamo ya mbere: Statines
Muri make, iyi ni yo miti ikunzwe cyane kandi ikoreshwa cyane n'abaganga kuri cholesterol. Ifasha kugabanya cholesterol yawe 'mbi' ya LDL, ikagabanya ubundi bwoko bw'ibinure byitwa triglycerides, kandi ikongera gato urugero rwa cholesterol yawe 'nziza' ya HDL.
Ubushakashatsi bwagaragaje ko gukoresha imiti ya statine bigabanya cyane ibyago byo kurwara indwara z'umutima n'imitsi nko kurwara indwara z'umutima.
Dore zimwe mu miti isanzwe ya statine:
- Atorvastatin (Lipitor)
- Rosuvastatin (Crestor)
- Simvastatin (Zocor)
- Fluvastatin (Lescol)
- Lovastatin
- Pravastatin (Pravachol)
Ese imiti ya statine igira ingaruka mbi?
Kimwe n'indi miti yose, iyi miti ishobora gutera ingaruka mbi nto. Ariko si buri wese uyifata. Ikunze kugaragara ni ukubabara mu gifu, kubabara imitsi, cyangwa kubyimba. Ni gake cyane, kwangirika k'umwijima bishobora kubaho. Hari kandi ibyago bike byo kwiyongera kw'isukari mu maraso na diyabete yo mu bwoko bwa 2. Ariko ibyago ni bike cyane, kandi bivugwa ko ingaruka ari nke cyane ugereranyije n'inyungu za statine.
Icy'ingenzi kurushaho: Niba ufata umuti wa statin, irinde burundu umutobe wa grapefruit n'umutobe wa grapefruit, kuko bishobora kubangamira uburyo uyu muti ushyirwamo n'imikorere yawo.
Ubundi bwoko bw'imiti n'uko ikora
Hariho indi miti myinshi itari statine. Hari igihe muganga wawe ashobora gufata icyemezo cyo gutanga imwe muri iyi miti hamwe na statine, cyangwa nk'indi miti isimbura iyo umuntu afite ubwivumbure kuri statinee.
| Ubwoko bw'ibiyobyabwenge | Imikorere n'ibyo ugomba kumenya |
|---|---|
| Imiti ikora ku mara (Ibikoresho byo gupima aside y'ibinure) | Ibi bihambira ku nyongo iri mu mara, bikayibuza kongera kwinjira mu mubiri. Kubera ko nyongo ikorwa muri cholesterol, igabanya ingano ya cholesterol mu mubiri. Ingero: Kolestyramine, Kolesevelam. Ingaruka mbi: kuribwa mu nda, kubyimba ibinure, kubabara mu gifu. |
| Ezetimibe (Zetia) | Ibi bibuza umubiri kwinjiza cholesterol mu biribwa biri mu mara mato kandi akenshi bitangwa hamwe na statins. Ingaruka mbi: kubabara imitsi cyangwa umugongo, impiswi, kubabara mu gifu. |
| Ibikoresho bibuza PCSK9 | Iyi ni imiti mishya kandi ikomeye. Ihabwa abantu bafite cholesterol idashobora kugenzurwa hakoreshejwe uburyo busanzwe bwo kuvura cyangwa bafite cholesterol nyinshi mu ngirabuzimafatizo (familial hypercholesterolemia). Itangwa nk'urushinge. Ingero: Alirocumab (Praluent), Evolocumab (Repatha). Ingaruka mbi: Ibimenyetso nko kuribwa, kubyimba, kubabara, no kumva urimo guterwa inshinge. |
| Niyasine (vitamine B3) | Vitamine igabanya LDL ikongera HDL. Ariko, nta gihamya ifatika igaragaza ko guha iyi nyongera ku muntu ufata imiti ya statine bigabanya cyane ibyago byo kurwara indwara z'umutima. Ingaruka mbi: kunyara, kuribwa, kuribwa umutwe. |
| Fibrate | Ibi ahanini bifasha kugabanya urugero rwa triglyceride no kongera cholesterol 'nziza' ya HDL. Ingero: Fenofibrate, Gemfibrozil. |
| Omega-3 | Imiti ya omega-3 ifite imbaraga nyinshi ishobora gufasha kugabanya triglycerides. Ariko, inyongeramusaruro z'amavuta y'amafi zitangwa ku isoko ntizagaragaye ko zigira ingaruka nk'izo. Rero, ntuzikoreshe utabanje kugirwa inama na muganga . |
Kurikiza aya mabwiriza kugira ngo ukoreshe umuti neza.
Iyo umaze kwandikirwa umuti, kugira ngo uwukoreshe neza, ugomba kuwukoresha neza nk'uko muganga abivuze. Bitabaye ibyo, ntabwo uzatanga umusaruro wifuza.
Bigire akamenyero kawe ka buri munsi.
- Menya neza impamvu ufata uyu muti. Ni ngombwa gusobanukirwa uburwayi bwawe.
- Fata umuti wawe ku gihe kimwe buri munsi. Ibi bibe akamenyero. Ni byiza gushyiraho ikimenyetso cyo kukwibutsa kuri telefoni yawe.
- Ntureke gufata imiti yawe cyangwa ngo uhindure urugero utabanje kuvugana na muganga. Nubwo waba wumva umeze neza ubu, cholesterol ni umwanzi udasobanutse ugaragaza ibimenyetso. Kubwibyo, ni ngombwa gufata imiti yawe uko byategetswe.
- Koresha agasanduku k'ibinini ka buri cyumweru. Mu ntangiriro z'icyumweru, shyiramo imiti yose y'icyo cyumweru. Muri ubwo buryo, ntuzabura umunsi n'umwe.
Vugana na muganga nta guhisha.
- Bwira muganga wawe indi miti, vitamine, cyangwa imiti gakondo ya Ayurvedic/Ayurvedic urimo gufata, kuko hari ibintu bishobora kugira ingaruka ku miti ya cholesterol.
- Niba ikiguzi cy'imiti ari ikibazo, ntugatinye kuvugana na muganga wawe. Hashobora kubaho ubundi buryo buhendutse cyangwa ubundi buryo bwo gukemura ikibazo.
- Baza muganga wawe mbere y'igihe icyo wakora mu gihe wabuze ingano y'imiti. Menya ibintu nko kuyifata vuba ubyibuka cyangwa gutegereza kugeza ku yindi ngano.
- Mbere yo kubagwa cyangwa gusinziriza, nko gukuramo iryinyo, banza ubwire muganga cyangwa umuganga w'amenyo imiti ufata.
- Baza muganga wawe ibyerekeye kunywa inzoga. Kunywa inzoga hamwe n'imiti imwe n'imwe bishobora kongera ingaruka mbi cyangwa kugabanya imikorere y'imiti.
Niba ufite ikibazo cyo kumva icyo muganga wawe avuga, jyana n'inshuti yawe wizewe cyangwa umuntu wo mu muryango wawe. Ibintu byibukwa neza iyo abantu babiri baguteze amatwi.
Ubutumwa bwo kujyana mu rugo
- Intambwe ya mbere kandi y'ingenzi mu kugenzura cholesterol ni uguhora urya indyo yuzuye no kugira ubuzima buzira umuze . Imiti ni ubufasha bw'inyongera.
- Nubwo imiti ya statine ari yo ikoreshwa cyane, muganga wawe ni we wenyine ushobora kugena umuti ukubereye n'ingano yawo nyuma yo gusuzuma ibizamini by'amaraso yawe n'uko ubuzima bwawe buhagaze.
- Umuti uwo ari wo wose ushobora kugira ingaruka mbi. Niba ugize ibimenyetso bidasanzwe, nko kubabara imitsi, ntugatinye kandi ubibwire muganga wawe.
- Ni ingenzi cyane gufata imiti yawe neza neza nk'uko byategetswe, mu gihe gikwiye, kandi mu gipimo gikwiye. Irinde guhagarika imiti yawe cyangwa guhindura igipimo utabanje kugisha inama muganga wawe.
- Ni ku bw'umutekano wawe guha muganga wawe ibisobanuro byuzuye by'imiti yose, vitamine, n'inyongeramusaruro ufata.
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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.