Iyo muganga wawe akubwiye ko urugero rwa cholesterol mu maraso yawe ruri hejuru, ikintu cya mbere ugomba gukora ni uguhindura imirire yawe n'uburyo ubayeho. Ibyo bivuze kugabanya ibinure byuzuye, gukuraho burundu ibinure bya trans, kugabanya isukari, no gukora imyitozo ngororamubiri buri gihe. Niba ukoze ibi bintu, ariko cholesterol "mbi" yawe, cyangwa cholesterol ya LDL , ntigabanuke uko ukeneye, muganga wawe ashobora kukubwira gutangira gufata imiti. Ariko ibuka ko nubwo wafata imiti, ugomba gukomeza ingeso nziza wavuze mbere.
Noneho reka turebe imiti abaganga batanga kugira ngo bagabanye cholesterol ya LDL n'uko ikora.
Ubwoko bw'ingenzi bw'imiti igabanya cholesterol
Hari ubwoko bwinshi bw'imiti itangwa kugira ngo igabanye cholesterol. Reka tuvuge kuri buri imwe ukwayo.
Statine
Iyi ni yo miti ya mbere abaganga bashobora guha abantu bafite cholesterol nyinshi. Iyi miti igabanya cyane cyane cholesterol mbi (LDL). Inafasha kandi kugabanya triglycerides, ubundi bwoko bw'ibinure mu maraso, kandi ikongera gato urugero rwa cholesterol "nziza" (HDL).
Ubushakashatsi bwagaragaje ko ibyago byo kurwara indwara ziterwa n'umutima nk'indwara z'umutima bigabanuka cyane iyo ukoresheje imiti ya statine.
Ingero z'imiti ya statin:
- Atorvastatin (Atorvaliq, Lipitor)
- Fluvastatin (Lescol)
- Lovastatin
- Pitavastatin (Livalo)
- Pravastatin (Pravachol)
- Kalisiyumu ya Rosuvastatin (Crestor)
- Simvastatin (Zocor)
Ingaruka mbi: Hari abantu bashobora kugira ibibazo byo mu gifu (nk'uburibwe mu gifu no kubyimba), kwangirika k'umwijima (bidakunze kubaho), no kubyimba imitsi. Hashobora kandi kwiyongera gato k'ibyago byo kurwara isukari nyinshi mu maraso na diyabete yo mu bwoko bwa 2. Ariko, FDA ivuga ko ibyiza by'uyu muti biruta ibyago.
Icy'ingenzi kurushaho: Niba ufata imiti ya statin, irinde kurya imbuto z'umuhondo no kunywa umutobe w'imbuto z'umuhondo burundu, kuko imbuto z'umuhondo zishobora gutuma umubiri wawe udafata iyi miti.
Imiti ikora mu mara
Iyi miti ishobora kugabanywamo ibyiciro bibiri by'ingenzi.
1. Resins z'aside y'ibinure
Iyi miti ikora mu mara yawe. Muri make, ifatana n'inkondo y'umura, ivanwa n'umwijima, ikayirinda kongera kwinjira mu maraso. Inkondo y'umura igizwe ahanini na cholesterol. Bityo iyi nzira igabanya ingano ya cholesterol mu mubiri.
- Ingero: Cholestyramine (Prevalite), Colesevelam (WelChol), Colestipol (Colestid)
- Ingaruka mbi: Kurya impatwe, kubyimba inda no kubabara mu gifu ni byo bikunze kugaragara cyane.
2. Ezetimibe (Zetia)
Uyu ni umuti utandukanye. Ezetimibe ikora mu kubuza cholesterol kwinjira mu mara yawe mato. Akenshi itangwa hamwe na statin. Byagaragaye ko ku bantu barwaye indwara y'umutima, gufata uyu muti hamwe na statin bishobora kugabanya gato ibyago byo kongera gutera indi ndwara y'umutima.
- Ingaruka mbi: Kubabara imitsi, kubabara umugongo, impiswi, no kubabara igifu bishobora kubaho.
Indi miti igabanya cholesterol
Uretse imiti yavuzwe haruguru, tuzamenya n'indi miti myinshi ikoreshwa mu bihe byihariye.
| Ubwoko bw'umuti | Ibisobanuro n'imikoreshereze |
|---|---|
| Ibikoresho bibuza PCSK9 Ex: Alirocumab (Praluent), Evolocumab (Repatha) | Iyi ni ubwoko bushya bw'imiti. Ihabwa abantu bafite cholesterol idashobora kugenzurwa hakoreshejwe impinduka mu mibereho yabo na statine. Ikoreshwa uretse statine, cyane cyane ku bantu bafite ikibazo cya gene gitera cholesterol nyinshi (Heterozygous Familyal Hypercholesterolemia - HeFH) no ku bantu bafite indwara z'umutima. Ni inshinge zitangwa buri byumweru 2. |
| Niyasine (vitamine B3) Urugero: Niaspan, Niacor | Iyi ni vitamine B. Iyo itanzwe nk'umuti ku rugero rwo hejuru, igabanya LDL kandi ikongera HDL. Ariko, nta gihamya kigaragaza ko gufata niacin hamwe na statin bigabanya cyane ibyago byo kurwara indwara z'umutima. |
| Fibrate Urugero: Fenofibrate, Gemfibrozil (Lopid) | Ibi ahanini bifasha kugabanya ubwoko bw'ibinure byitwa triglycerides. Bishobora kandi kongera urugero rwiza rwa cholesterol (HDL). |
| Ibikoresho bibuza ACL Urugero: Bempedoic (Nexletol) | Iyi miti ikora mu kubuza ikorwa rya cholesterol mu mwijima. Ihabwa by'umwihariko abantu barwaye HeFH n'indwara z'umutima na atherosclerotic (ASCVD). |
Ijambo rirambuye kuri Omega-3s
Hari abantu batekereza ko inyunganiramirire y'amavuta y'amafi ishobora kugabanya ibyago byo kurwara indwara z'umutima. Ariko nta gihamya ifatika ibigaragaza. Ariko, inyunganiramirire ya omega-3 ikomeye ishobora kugabanya urugero rwa triglyceride. Rero, ntugure capsules z'amavuta y'amafi muri farumasi gusa ngo uzifate wenyine. Vugana na muganga wawe ku bijyanye nabyo.
Itondere ibi bintu mu gihe ukoresha imiti
Mu gihe ufata imiti ya cholesterol, ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe neza. Iyo utayifashe neza, ntabwo uzabona inyungu zose z'umuti.
- Menya neza icyo ufata uyu muti. Usobanukirwe neza uko umeze n'uko umuti ukora.
- Fata umuti wawe ku gihe kimwe buri munsi. Ibi bibe akamenyero.
- Ntureke gufata imiti yawe cyangwa ngo uhindure urugero rw'imiti utabanje kuvugana na muganga wawe. Nubwo waba wumva umeze neza ubu, fata imiti yawe uko wabitegetswe kugeza igihe muganga wawe azakubwiriye.
- Kora gahunda yo gufata imiti yawe. Biroroshye gukoresha agasanduku k'ibinini kanditseho iminsi y'icyumweru. Wuzuze mu ntangiriro z'icyumweru.
- Niba ikiguzi ari ikibazo, vugana na muganga wawe. Ntugabanye urugero rw'imiti ukoresha kugira ngo uzigame amafaranga. Kubikora nta musaruro bizatanga.
- Ntugakoreshe indi miti cyangwa imiti y’ibimera utayiguze utabanje kubibaza muganga. Hari ibintu bishobora kugira ingaruka ku miti yawe ya cholesterol.
- Niba wabuze dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze uyifate ku gihe giteganijwe. Baza muganga wawe ibi mbere y'igihe.
- Mu gihe uri mu rugendo, fata imiti yawe hafi. Niba uri mu rugendo iminsi myinshi, fata nibura imiti ingana n'icyumweru kimwe hamwe na kopi y'umuti watanzwe.
- Mbere yo kubagwa ukoresheje ikinya, nko gukuramo iryinyo, bwira muganga imiti ufata.
- Baza muganga wawe ibyerekeye kunywa inzoga. Inzoga zishobora kongera ingaruka mbi z'imiti imwe n'imwe no kugabanya imikorere yayo.
- Niba bigoye kumva icyo muganga avuga, jyana n'inshuti yawe wizewe cyangwa umuntu wo mu muryango wawe.
Ubutumwa bwo kujyana mu rugo
- Ikintu cya mbere kandi cy'ingenzi mu kugenzura cholesterol ni ugukomeza indyo nziza no kubaho ubuzima busanzwe .
- Ubuvuzi ni ubufasha gusa kuri ubwo buzima. Ntugacike ku ngeso nziza ngo ni uko ufata imiti gusa.
- Fata umuti muganga wawe yakwandikiye, mu gipimo gikwiye, mu gihe gikwiye, mu gihe gikwiye. Ntugahagarike kuwufata wenyine.
- Niba ugize ikibazo kidasanzwe cyangwa ingaruka mbi zikomoka ku muti, menyesha muganga wawe ako kanya.
- Menyesha muganga wawe indi miti cyangwa inyongeramusaruro ufata.











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