Reka twige neza ku miti igabanya cholesterol mbi (LDL Cholesterol) yawe?

Iyo tubonye ko urugero rwa cholesterol mu maraso yawe ruri hejuru muri raporo, ikintu cya mbere dutekerezaho ni ukugenzura imirire yacu no gukora imyitozo ngororamubiri, sibyo? Icyo ni cyo kintu cya mbere tugomba gukora. Kugabanya ibinure byuzuye, gukuraho burundu ibinure bya trans, kugabanya isukari, no gukora imyitozo ngororamubiri buri gihe ni ingenzi cyane.

Ariko, hari igihe izi mpinduka mu mibereho yawe gusa zidahagije kugira ngo zigabanye urugero rwa cholesterol ya LDL, ibi bikaba byangiza umubiri wawe. Icyo gihe ni bwo muganga wawe ashobora kugufasha gufata imiti.

Noneho reka turebe ubwoko bw'imiti abaganga batanga kugira ngo bagabanye cholesterol mbi (LDL), uko ikora, n'icyo tugomba kwitondera mu gihe dukoresha iyi miti.

Ni iyihe miti ya statine hafi ya bose bazi?

Muri make, imiti ya statine ni yo miti ya mbere muganga aguha kugira ngo igabanye cholesterol. Ikora mu kugenzura ikorwa rya cholesterol n'umwijima wawe. Ibi bigabanya urugero rwa cholesterol mbi (LDL) mu maraso yawe. Ifasha kandi kugabanya ubundi bwoko bw'ibinure byitwa triglycerides no kongera gato urugero rwa cholesterol "nziza" (HDL).

Ubushakashatsi bwagaragaje ko gukoresha imiti ya statin bigabanya cyane ibyago byo kurwara indwara z'umutima n'imitsi yo mu bwonko.

Imiti ikora imbere mu mara

Ibi bikorera cyane cyane mu mara yawe.

Resins z'aside y'ibinure

Iyi miti ikora ihuza n'ikintu cyitwa "bile" gitangwa n'umwijima (nawo ugizwe na cholesterol) ikarinda ko yongera kwinjira mu maraso. Ibi bivuze ko ifasha mu buryo butaziguye kugabanya ingano ya cholesterol mu mubiri.

• Ingero: Cholestyramine (Prevalite), Colesevelam (WelChol), Colestipol (Colestid)
• Ingaruka mbi: Ikunze kugaragara ni impatwe, kubyimba inda no kubabara mu gifu.

Ezetimibe

Uyu ni umuti utandukanye. Ezetimibe (Zetia) ikora mu kubuza cholesterol kwinjira mu mara yawe mu mara. Akenshi itangwa hamwe n'umuti wa statin. Ibi bizatuma ingaruka zo kugabanya cholesterol zigira akamaro kanini.

• Ingaruka mbi: Kubabara imitsi, kubabara umugongo, kubabara mu gifu, no gucibwamo bishobora kubaho.

Ubwoko bushya bw'imiti yitwa PCSK9 Inhibitors

Iyi ni imiti mishya kandi ihenze. Ubusanzwe ikoreshwa ku bantu bafite urugero rwa cholesterol rutagenzuwe n'impinduka mu mibereho yabo no kuvura statine. Cyane cyane ihabwa abantu bafite ikibazo cya gene gitera cholesterol nyinshi (nka Heterozygous Familyal Hypercholesterolemia - HeFH) cyangwa abasanzwe bafite indwara z'umutima kandi statine zonyine ntizihagije.

Ibi si ibinini, ahubwo biza nk'urushinge munsi y'uruhu buri byumweru bibiri. Bikora mu kuziba poroteyine yitwa PCSK9, bikongera ubushobozi bw'umubiri bwo gukura cholesterol ya LDL mu maraso.

• Ingero: Alirocumab (Praluent), Evolocumab (Repatha)
• Ingaruka mbi:Kubera ko ibi ari bishya, nta byinshi bizwi ku ngaruka mbi z'igihe kirekire. Ibintu byonyine byatangajwe kugeza ubu ni ukuryarya, kubyimba, ububabare, no gukomereka aho batewe inshinge, ndetse n'ibimenyetso nk'izuru riva n'umuriro.

Reka twige gato ku bundi bwoko bw'ubuvuzi.

Uretse ubwoko bw'imiti nyamukuru twavuze haruguru, hari ubundi bwoko bwinshi bw'imiti.

Niyasini

Iyi ni ubwoko bwa vitamine B. Iyo itanzwe nk'umuti ku rugero rwo hejuru, ishobora kugabanya cholesterol ya LDL no kongera cholesterol ya HDL. Ariko, ubushakashatsi ntibwagaragaje ko kongera niacin muri statins bigabanya cyane ibyago byo kurwara indwara z'umutima. Ingaruka mbi nyamukuru ni ukurya ibinure, kuribwa, gucika intege no kuribwa umutwe.

Fibrate

Iyi miti ikora cyane cyane mu kugabanya ikorwa ry'ibinure byitwa triglycerides no kongera urugero rwiza rwa cholesterol (HDL).

• Ingero: Fenofibrate, Gemfibrozil (Lopid)

Ibikoresho bigabanya ubukana bwa ATP Citrate Lyase (ACL)

Aside Bempedoic (Nexletol) ni ubwoko bw'umuti ukora no mu kubuza ikorwa rya cholesterol n'umwijima.

Omega-3s

Abantu benshi batekereza ko gufata inyunganiramirire y'amavuta y'amafi muri farumasi bishobora kugabanya ibyago byo kurwara indwara z'umutima. Ariko nta gihamya kigaragaza ko gufata inyunganiramirire y'amavuta y'amafi, nk'uko bikunze kumera muri vitamine, na byo bikora. Ariko, omega-3 nyinshi zanditswe na muganga zishobora kugabanya urugero rwa triglyceride no kugabanya ibyago byo kurwara indwara z'umutima ku bantu bari mu kaga.

Menya neza ko uzirikana ibi bintu mu gihe ukoresha imiti ya cholesterol!

Iyo umaze kwandikirwa umuti, ni ngombwa kuwukoresha neza uko wanditswe, bitabaye ibyo ntuzabona inyungu zose.

• Menya impamvu ufata uyu muti: Saba muganga wawe gusobanukirwa neza impamvu wahawe uyu muti n'icyo uzakora.
• Fata umuti wawe ku gihe kimwe buri munsi: Gira akamenyero ko gufata umuti wawe buri munsi. Hitamo isaha imwe y'umunsi.
• Ntureke gufata imiti yawe nubwo waba wumva umeze neza: Ntureke gufata imiti yawe cyangwa ngo uhindure ingano yayo utabanje kubibaza muganga. Nubwo waba wumva umeze neza kandi nta kibazo ufite, komeza gufata imiti yawe.
• Itegure: Koresha agasanduku k'ibinini kanditseho iminsi y'icyumweru. Uzuza mu ntangiriro z'icyumweru kandi ntuzigera wibagirwa gufata imiti yawe.
• Komeza gahunda y'imiti:Shyira akamenyetso ku karimi kawe igihe cyose ufata umuti wawe. Niba muganga wawe ahinduye imiti yawe, andika na yo.
• Ntugabanye ingano y'umuti kugira ngo uzigame amafaranga: Kugira ngo ubone inyungu zuzuye z'umuti, ugomba gufata ingano nyayo. Niba ikiguzi ari ikibazo, ntugatinye kuvugana na muganga wawe. Ashobora kuguha igisubizo gitandukanye.
• Bwira muganga wawe ibyerekeye indi miti: Bwira muganga wawe ibyerekeye vitamine iyo ari yo yose, imiti y’ibimera, cyangwa indi miti ufata, kuko imwe ishobora kugira ingaruka ku miti ya cholesterol.
• Niba wibagiwe gufata dose: Fata dose ukimara kubyibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Baza muganga wawe ibisobanuro kuri ibi.
• Mu rugendo: Bika imiti yawe. Niba ugiye mu rugendo rurerure, fata nibura imiti ingana n'icyumweru kimwe hamwe na kopi y'umuti wawe.
• Mbere yo kubagwa: Bwira muganga wawe cyangwa umuganga w'amenyo imiti ufata mbere yo gusinzira cyangwa gukurwa iryinyo.
• Itondere inzoga: Inzoga zishobora kongera ingaruka mbi z'imiti imwe n'imwe no kugabanya imikorere yayo. Baza muganga wawe ibijyanye n'inzoga kandi ushake inama.