Muri iki gihe, abantu benshi mu gihugu cyacu bakoresha ubwoko runaka bw'imiti kugira ngo bagenzure cholesterol. Wenda nawe uri umwe muri bo. Hari abantu benshi batangiye gufata imiti iyo bagiye kwa muganga kubera ko cholesterol yabo iri hejuru gato. Ubusanzwe, tumenyereye imiti yo mu bwoko bwa 'statin'. Ariko bamwe bababara imitsi n'ibindi bibazo bitewe n'iyi miti. Bityo ushobora kuba utekereza uti: "Ese nta bundi buryo bwo kuyisimbura? Ese nta miti mishya kandi myiza yabonetse?" Mu by'ukuri, hamwe n'iterambere rya siyansi y'ubuvuzi, uburyo bushya n'imiti byagaragaye kugira ngo bigenzure cholesterol. Uyu munsi, reka tuvuge kuri ibyo bintu bishya.
Ese igihe cyo guha abantu bose umuti umwe cyararangiye?
Bitandukanye n’uko byari bimeze mu bihe byashize, uburyo bwo kuvura cholesterol bwarenze uburyo bwo "gukoresha uburyo bumwe bukwiranye na bose", aho buri wese ahabwa statin imwe. Ubu abaganga barimo kugerageza guhuza uburyo bwo kuvura buri muntu. Muri make, uburyo bwiza bwo kuvura buhitamo hashingiwe ku bintu byinshi, harimo imyaka yawe, izindi ndwara ufite (nka kanseri), n'amateka y'umuryango wawe.
Ndetse n'ubushakashatsi buriho ubu burimo kureba uburyo bwo kuvura bubereye abantu bakuze n'uburyo bubereye abantu bafite izindi ndwara. Bityo hari umwanya munini wo kuvugana na muganga wawe no gushaka uburyo bwiza bwo kuvura.
Ni ubuhe buryo bugezweho bwo kugenzura cholesterol?
Uretse imiti ya statin, ubu hari ubundi buryo butandukanye. Iyi miti ishobora kuba ingirakamaro cyane, cyane cyane ku bantu bafite ikibazo cyo kugenzura cholesterol yabo bakoresheje statins gusa, cyangwa ku bantu bagira ingaruka mbi zikomoka kuri statins. Reka turebere hamwe ibyo ari byo.
| Umuti / Ubuvuzi | Mu magambo make, imikorere | Ni nde ukwiriye kurusha abandi? |
|---|---|---|
| Nexletol (Aside Bempedoiki) | Igabanya ikorwa rya cholesterol mu mwijima. Ariko, igira ingaruka ku buryo butandukanye bwo gufata enzyme (ACL pathway) ugereranije na statins. | - Ku bafite indwara za cholesterol nyinshi mu muryango (Familial Hypercholesterolemia). - Ku bantu basanzwe bafite indwara z'umutima kandi bifuza kugabanya cyane cholesterol yabo. |
| Ibikoresho bibuza PCSK9 (urugero: Repatha, Praluent) | Uru ni urukingo. Rukora mu buryo butandukanye rwose n'imiti ya statine. Rufasha umwijima gukura cholesterol mbi (LDL) mu maraso. | - Ku bantu badashobora kwihanganira ububabare bw'imitsi buterwa na statine. - Ku bafite ingorane zo kugenzura cholesterol bakoresheje statins. - Ku bafite indwara za cholesterol nyinshi mu muryango. |
| Pitavastatin (Livalo) | Iyi nayo ni ubwoko bwa statin, ariko ububabare bw'imitsi ni buke cyane ugereranije n'indi miti. | - Ubundi buryo bwiza ku bantu bahuye n'ububabare bw'imitsi mu gihe bakoresha indi miti ya statine. |
Andi makuru arambuye kuri uyu muti
- Inhibitors za PCSK9: Hari abantu bashobora kugira ubwoba iyo bumvise izina "PCSK9 Inhibitors" bakibaza bati "Ese ngomba gukingirwa buri munsi?" Oya, si byo. Ugomba gukingirwa buri byumweru bibiri gusa. Rero ntabwo ari ikibazo gikomeye. Ingaruka ebyiri z'ingenzi za statins, ububabare bw'imitsi no kwangirika k'umwijima, hafi ya zose ntabwo zibaho kuri uyu muti.
- Indwara ya Hypercholesterolemia yo mu muryango: Iyi ni indwara iterwa n'uturemangingo. Muri make, umubiri w'aba bantu ntushobora kongera gukoresha neza no gukuramo cholesterol mbi (LDL). Kubera iyo mpamvu, urugero rwa cholesterol mu maraso yabo ruhora ruri hejuru. Inhibitors za PCSK9 ni uburyo bwiza cyane bwo kuvura aba bantu.
Ikindi kintu ni uko hari abantu bafite urugero rwa cholesterol ruri hejuru cyane ku buryo biba ngombwa ko bahabwa ubuvuzi bwitwa `LDL apheresis`, bukuraho cholesterol mbi mu maraso. Byaba byiza utangiye gufata imiti nka Nexletol mbere yuko ugera kuri iyo ntambwe.
Ubuvuzi bwonyine ntibuhagije! Guhindura imibereho ni ngombwa
Nubwo imiti mishya yasohoka ingana iki, hari ikintu kimwe tudakwiye kwibagirwa: agaciro k'ubuzima bwiza.
Tekereza, iyo ugiye kwa muganga, akakubwira ati "Cholesteroli yawe iri hejuru gato, reka dutangire imiti. Muri icyo gihe, genzura indyo yawe n'imyitozo ngororamubiri byibuze iminota 30 ku munsi."
Ubu hari abantu bamwe bavuga bati “Muganga, nzagenzura indyo yanjye gato, ariko nta mwanya mfite wo gukora siporo.” Abandi bafata ikinini bakibwira bati “Ubu nshobora kurya no kunywa icyo nshaka cyose.” Ubu buryo bwombi ni bubi.
Wibuke ko ukoresheje indyo nziza no gukora imyitozo ngororamubiri ihoraho, ushobora kugabanya urugero rwa cholesterol mbi (LDL) ku manota agera kuri 20-30. Iyo ubikoze, ushobora kugabanya urugero rw'imiti wahawe, kandi mu bihe bidasanzwe, uhagarike burundu gufata imiti.
Bityo rero, vugana na muganga wawe mu buryo bweruye. Vuga ukuri niba koko ushobora guhindura imibereho yawe. Hanyuma ashobora gusuzuma ibintu bishobora kugutera ibyago (nk'indwara z'umutima, gucika intege mu bwonko) hanyuma agafata umwanzuro niba ukeneye imiti cyangwa niba guhindura imibereho byonyine bishobora kugufasha. Iki ni icyemezo kigomba kuganirwaho hagati yanyu mwembi.
Ubutumwa bwo kujyana mu rugo
- Uretse imiti gakondo ya statin, ubu hari imiti myinshi igezweho kandi ifite akamaro yo kurwanya cholesterol.
- Niba ufite ingaruka mbi nko kubabara imitsi biturutse kuri statine, ganira na muganga wawe ku bindi bisubizo nka PCSK9 Inhibitors cyangwa Pitavastatin.
- Ubu hari uburyo bwiza cyane bwo kuvura indwara za cholesterol nyinshi mu buryo bw’umwimerere.
- Uko imiti wafata yaba iri kose, ni ngombwa kugira indyo yuzuye no gukora imyitozo ngororamubiri buri gihe. Ibi bishobora no gutuma ugabanya urugero rw'imiti ufata.
- Buri gihe ganira na muganga wawe mu buryo bweruye kandi mu kuri kugira ngo umenye uburyo bwiza bwo kuvura.
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.