Ese nawe ufite cholesterol nyinshi? Ese twavuga kuri uyu muti wa statin?

Tekereza ugiye kureba muganga wawe kugira ngo agupime amaraso. Nyuma yo gusoma raporo, muganga aravuga ati: "Urugero rwa cholesterol mbi ya LDL (ifite LDL) ruri hejuru gato." Ikibazo cya mbere kikuje mu mutwe ni iki: "Ese, ngomba gufata uyu muti ugabanya cholesterol ubu ngubu?" Igisubizo kuri ibi ntabwo cyoroshye nkuko byari bimeze mbere. Ubu biragoye gato. Reka tugere ku mpamvu nyamukuru.

Ni gute wafata icyemezo cyo gutanga statin?

Mu bihe byashize, hari amategeko asobanutse neza kuri ibi. Niba urugero rwa cholesterol mu maraso yawe rwari ruri hejuru y’urugero runaka, muganga wawe yakugira inama yo guhindura imibereho yawe no gutangira gufata umuti wa statin.

Ubuzima bwiza buracyari ngombwa. Ibyo bivuze kurya indyo yuzuye, kugabanya ibinure byuzuye, no gukora imyitozo ngororamubiri buri gihe . Ariko igisubizo cy'ikibazo cyo gufata imiti ya statine kiratandukanye gato ubu. Ibi byahindutse nyuma y'uko Ishyirahamwe ry'Abanyamerika ry'Umutima (AHA) na Koleji y'Abanyamerika y'Ubumenyi bw'Imitima (ACC) bavuguruye amabwiriza yabo.

Muri iki gihe, ni igihe urugero rwa cholesterol mbi (LDL) yawe ruri hejuru cyane (190 mg/dL cyangwa irenga) uzatangira imiti ishingiye kuri urwo rugero. Bitabaye ibyo, muganga wawe azasuzuma izindi mpamvu nyinshi. Urugero:

• Urwaye diyabete?
• Dukurikije igikoresho cyihariye cyo kubara ingaruka, ese ibyago byawe byo kurwara indwara y'umutima cyangwa indwara yo gucika intege mu myaka 10 iri imbere biri ku kigero cya 7.5% cyangwa kirenzeho?

Ibintu byinshi nk'ibi ubu biritabwaho mu gufata icyemezo. Ariko ikintu kimwe ugomba kwibuka ni uko bamwe mu baganga badakurikiza neza ayo mabwiriza mashya. Kubwibyo, mbere yo kuguha umuti, muganga wawe azakubwira ibindi bintu byose bishobora gutera indwara z'umutima.

Ni iki koko kigenda gike kuri iyi miti ya statine?

Muri make, statin ni ubwoko bw'umuti ugabanya cholesterol. Iyo uwufashe, urugero rwa cholesterol mbi (LDL) rushobora kugabanukaho 35% kugeza kuri 50% cyangwa birenga, bitewe n'ubwoko n'ingano ufata. Ibi bishobora kugabanya cyane ibyago byo kurwara indwara y'umutima cyangwa indwara yo gucika imitsi.

Statines ikora mu mwijima wacu. Ibuza enzyme mu mubiri wacu ikora cholesterol. Byongeye kandi, zigira ikindi kintu cy'ingenzi. Ni ukuvuga ko zituza ububiko bwa cholesterol (plaque) bufatanye n'inkuta z'imitsi yacu y'amaraso kandi zikagabanya ububyimbirwe bubaho. Ibi ni ingenzi cyane, kuko iyo ubwo bubiko bwa cholesterol (plaque) butunguye, bushobora gutuma amaraso agwa bigatera indwara y'umutima cyangwa indwara yo gucika imitsi.

Nta kibazo gihari mu guha umuntu wamaze kugira indwara y'umutima cyangwa indwara yo gucika kw'imitsi, kuko iyi miti byagaragaye ko ifasha mu gukumira indwara y'umutima cyangwa indwara yo gucika kw'imitsi.

Ese imiti ya statine igira ingaruka mbi?

Kimwe n'indi miti iyo ari yo yose, imiti ya statine ishobora kugira ingaruka mbi. Ariko, si buri wese uzibona. Reka turebere hamwe ingaruka mbi zikunze kugaragara n'izidakunze kugaragara.

Ni iki kindi ugomba gutekerezaho mu gihe ufata imiti?

Waba uhisemo gufata statin cyangwa utafata, guhindura imibereho ni ngombwa. Nta kibazo na kimwe gishobora guterwa n'ibyo.

Ibi bishingiye ku ndyo nziza ifite intungamubiri (igabanuka ry'isukari), ubuzima busanzwe, kwirinda kunywa itabi, no kugenzura ibiro byawe. Hari igihe, iyo uhinduye cyane ubuzima bwawe, ushobora kugabanya ingano y'imiti ukeneye gufata. Ibi bigabanya kandi ibyago byo kugira ingaruka mbi.

Ariko hari ibintu bimwe na bimwe tudashobora guhindura, nk'imyaka yawe n'uturemangingo twawe. Bityo, hari abantu bashobora gukenera imiti nubwo baba bafite ubuzima bwiza.

Vugana na muganga wawe.

Niba ugifite gushidikanya kuri ibi, ikintu cyiza wakora ni ukuganira na muganga wawe ku buryo bweruye kuri ibi. Mubaze amakuru arambuye kuri ibi. Muganire ku bindi bintu nko kumenya niba hari umuntu wo mu muryango wawe ufite indwara y'umutima (amateka y'umuryango), urugero rwa poroteyine ya C-reactive (CRP) ruri, ndetse niba warigeze kurwara diyabete yo mu gihe cyo gutwita.

Hari igihe, mbere yo kuguha umuti, muganga ashobora gukora isuzuma ryihariye kugira ngo arebe niba hari calcium mu mitsi y'amaraso.

Nubwo imiti ya statine ari ingirakamaro cyane, ntabwo ikwiriye buri wese. Niba utabonye ibisubizo bihagije kuri statine, cyangwa niba udashobora kuyifata bitewe n'ingaruka mbi, hari ubundi bwoko bw'imiti igabanya cholesterol.

Igikuru ni ukuganira na muganga wawe kuri ibi buri gihe. Mubwire ibyo wumva byose, ibibazo byawe, n'ubwoba bwawe. Azagutega amatwi kandi agufashe gufata icyemezo cyiza kuri wewe.