Kana ukaudzwa kuti une cholesterol yakakwira, chiremba wako angangotanga kukutora mushonga westatin. Ndiwo mushonga unowanzo shandiswa watinoziva. Asi sainzi yezvekurapa iri kuvandudzika zuva nezuva. Nhasi ndichakuudza nezvemamwe marapirwo matsva uye epamusoro-soro auya uye ari kuuya kuzodzora cholesterol. Aya akafanana neramangwana remishonga.
Zvinhu zvitatu zvatinofanira kuziva nezve cholesterol kutanga
Tisati tataura nezvemishonga mitsva, zvakakosha zvikuru kurangarira zvinhu zvitatu izvi nezve cholesterol.
1. Cholesterol ndiyo honzeri huru yezvirwere zvemwoyo: Masero emuviri wedu anoda cholesterol. Asi kana yakawandisa, inogona kuva nengozi huru. Cholesterol iyi yakawandisa inogona kuungana mutsinga dzedu dzeropa (plaque), izvo zvinogona kudzivhara. Ichi ndicho chikonzero chikuru chekurwara nemwoyo.
2. Pane mushonga weizvi: Kunyangwe kana cholesterol yakachengetwa mutsinga dzeropa, kune mishonga inoshanda nhasi inogona kuideredza nekuidzora.
3. Kurapa uku kwakachengeteka: Mishonga iyi yakachengeteka uye inoshanda zvikuru. Dzimwe nguva panogona kuva nemigumisiro midiki, asi inogona kudzorwa nekutaura nachiremba wako. Saka usazvidya mwoyo.
Mishonga mitsva inopfuura statins
MaStatins ndiwo mushonga unonyanya kushandiswa pakurapa cholesterol, asi pari zvino kwava nemishonga yepamusoro-soro iripo. Ngatitarisei mimwe yacho.
| Rudzi rwemushonga | Kushanda kuri nyore uye pfungwa dzinokosha |
|---|---|
| Ezetimibe (Zetia) | Uyu mushonga unopihwa pamwe chete nemastatins. Iye zvino hauchadhuri zvakanyanya. Unonyanya kubatsira vanhu vane makore anopfuura makumi manomwe nemashanu. Uyu mushonga wakanaka kune avo vane dambudziko rekudzora huwandu hwecholesterol yavo vachishandisa mastatins chete. |
| Zvidziviriri zvePCSK9 | Izvi zvinochinja-chinja chaizvo. Aya ndiwo marudzi ema antibodies e monoclonal anopiwa sejekiseni. Zvichitaurwa zviri nyore, cholesterol 'yakaipa' mumuviri wedu, ndiko kutiLow-density lipoprotein (LDL) inofanira kuenda kuchiropa kuti icheneswe. Asi puroteni inonzi PCSK9 inokanganisa kucheneswa kweLDL iyi. Mushonga uyu unovhara puroteni iyoyo yePCSK9. Ipapo chiropa chinogona kuchenesa nekubvisa cholesterol yeLDL nekukurumidza. |
| Inclisiran (Leqvio) | Izvi zvakafanana ne'jekiseni' re cholesterol. Ijekiseni rinopihwa mwedzi mitanhatu yega yega. Rinokanganisa molekyuru inonzi RNA , inotakura ruzivo mumajini edu, uye inoderedza kugadzirwa kweproteni yePCSK9 yambotaurwa. Izvi zvinoreva kuti mushonga wakanangana zvikuru. |
| Bempedoic Acid | Izvi zvakafanana ne statins, asi zvinokanganisa chikamu chakasiyana chekugadzirwa kwecholesterol. Hazvikonzeri kurwadziwa kwetsandanyama (myalgia) kunoitika ne statins. Zvisinei, zvinogona kuwedzera huwandu hwe uric acid uye kuwedzera kune vanhu vane gout. Panewo kutaurwa nezvengozi yekuputika kwetsinga. Saka, zvakakosha kugara uchitaura nachiremba wako paunenge uchishandisa mushonga uyu. |
| Vascepa (Oiri yeHove Yakacheneswa) | Iri harisi piritsi rako remafuta ehove raunowanzo tenga kubva ku pharmacy. Iri ioiri yehove yakakosha inonyorerwa nachiremba. Ine EPA yakacheneswa chete. Kana uri kutora statins asi triglyceride yako ichiri yakakwira, izvi zvinogona kubatsira kuderedza njodzi yako yekurohwa nemoyo uye sitiroko. |
Cholesterol inobva mumajini (Familial Hypercholesterolemia)
Kune vamwe vanhu, zvisinei nekuti vanodya zvakanaka sei uye vanoita maekisesaizi, vane cholesterol yakakwira zvakanyanya. Chikonzero cheizvi chirwere chinobva mumajini avo, chinonzi familial hypercholesterolemia (FH) . Kune vanhu ava, zvakaoma kudzora cholesterol yavo nekurapwa kwakajairika.
"Sei ndichifanira kugara ndichipa mhosva cholesterol yangu?" Izvozvo ndizvo zvinobvunzwa nevarwere vangu vane FH nguva dzese. Tinofanira kunzwisisa kuti iyi haisi mhosva yavo, inyaya yemajini.
Fungidzira kuti mishonga mitsva yakaita se'PCSK9 Inhibitors' inobatsira sei vanhu vakaita seizvi. Nekuda kwemishonga iyoyo, kekutanga munhoroondo, vanhu vane FH vane sarudzo yekurapwa inobudirira.
Zvimwe zvishoma nezve 'mushonga wekudzivirira cholesterol'
Kunyange hazvo vamwe vanhu vangafarira pfungwa yekutora Inclisiran mwedzi mitanhatu yega yega, vamwe vangatya. "Ndichatora mushonga uyu kwemwedzi mitanhatu here? Uye kana ndikava nemigumisiro yakaipa, ichagara kwemwedzi mitanhatu here?" Zvakanaka kubvunza mibvunzo yakaita seiyi. Kurukurai chero zvinokunetsai kana kutya kwamunoita nachiremba wenyu nezvemushonga wamuri kutora. Ikodzero yenyu.
Mishonga chete haina kukwana! Mararamiro ndiwo musimboti
Kunyangwe tichitaura zvakawanda sei nezvekurapa kwepamusoro-soro, pane chinhu chimwe chete chausingafaniri kukanganwa. Uye ndiwo mararamiro ane hutano.
- Kudya: Zvakakosha kudya chikafu chinoderedza cholesterol (oats, bhari, nzungu, miriwo, michero), uye kudzivisa kudya zvakagadzirwa nemafuta, zvakaita semasoseji, meatballs, nezvimwewo. Ongororo dzinoratidza kuti 58% yechikafu chatinodya chakagadziriswa zvakanyanya.
- Kurovedza muviri: Kurovedza muviri zuva nezuva hakuna kungobatsira chete pakudzora cholesterol, asiwo kumuviri wese.
- Kusvuta nedoro: Kurega zvachose zvinhu izvi kwakakosha zvikuru pahutano hwemwoyo.
Chimbofunga, kunyangwe ukatora mishonga woderedza huwandu hwemafuta mumuviri wako, kana ukaramba uchidya zvekudya zvisina hutano uye usingaite maekisesaizi, njodzi yako yekubatwa nechirwere chemwoyo haizodziki zvakanyanya.
Piritsi harimbofi rakatsiva mararamiro ane hutano. Zviviri izvi zvinofanira kushanda pamwe chete.
Kana uchitova nechirwere chemwoyo, wakamborwara nemoyo, kana kuti wakamboiswa stent, hauna nguva yekumirira. Unofanira kutanga kutora mishonga yako nekukasika, sezvakarairwa nachiremba wako. Unofanirawo kuchinja mararamiro ako.
Mharidzo Yekuenda Nayo Kumba
- Cholesterol ndiyo inonyanya kukonzera chirwere chemwoyo. Asi musazvidya mwoyo, kune mishonga inoshanda uye yakachengeteka yekurapa chirwere ichi.
- Pamusoro pemishonga inonzi statins, pari zvino kune nzira dzekurapa dzakanyanya kunangana dzakadai sePCSK9 inhibitors neInclisiran.
- Kana uine chirwere chemafuta ane cholesterol (FH), mushonga mutsva uyu unogona kukubatsira zvikuru.
- Kana muine mibvunzo nezvemushonga wamuri kutora, iva nechokwadi chekukurukura nachiremba wenyu.
- Chinhu chinonyanya kukosha: Kunyangwe mushonga wacho wakanaka sei, haugone kudzora cholesterol yako usina mararamiro ane hutano (kudya kwakanaka, kurovedza muviri). Mishonga ingori rutsigiro chete, hwaro hwemararamiro ako hunofanira kuva hwaro.
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