Fungidzira uchienda kunoona chiremba wako kuti anoongororwa ropa. Mushure mekuverenga mushumo, chiremba anoti, "Chikamu checholesterol yako yeLDL (yakaipa) chakakwira zvishoma." Mubvunzo wekutanga unouya mupfungwa dzako ndewekuti, "Oh, ndinofanira here kutora mushonga uyu wekuderedza cholesterol izvozvi?" Mhinduro yeizvi haisi nyore sezvayaive kare. Zvava kuoma zvishoma ikozvino. Ngatitaurei nezvepfungwa yacho.
Ungasarudza sei kupa statin?
Kare, kwaive nemitemo yakajeka yeizvi. Kana huwandu hwecholesterol muropa rako hwaive pamusoro peimwe nhanho, chiremba wako aikukurudzira kuti uchinje mararamiro ako uye utange kushandisa mushonga westatin.
Mararamiro ane hutano achiri kukosha. Izvi zvinoreva kudya chikafu chine hutano, kuderedza mafuta akawandisa, uye kuita maekisesaizi nguva dzose . Asi mhinduro yemubvunzo wekuti kutora mastatins kwasiyana here ikozvino. Izvi zvakachinja mushure mekunge American Heart Association (AHA) neAmerican College of Cardiology (ACC) vagadzirisa gwara ravo.
Parizvino, kana huwandu hwecholesterol yako yakaipa (LDL) hwakakwira zvakanyanya (190 mg/dL kana kupfuura) ndipo paunotanga mushonga zvichienderana nehuwandu ihwohwo. Zvikasadaro, chiremba wako achafunga nezvezvimwe zvinhu zvakati wandei. Semuenzaniso:
- Une chirwere cheshuga here?
- Sekureva kwekarukureta yengozi chaiyo, njodzi yako yekuva nechirwere chemwoyo kana sitiroko mumakore gumi anotevera iri 7.5% here kana kupfuura?
Zvinhu zvakawanda zvakaita seizvi zvava kufungwa nezvazvo pakusarudza. Asi chimwe chinhu chekurangarira ndechekuti vamwe vanachiremba havatevedzere nhungamiro itsva idzi chaizvo. Saka, vasati vakupa mushonga, chiremba wako achataura newe nezvezvimwe zvinhu zvese zvinokonzera chirwere chemwoyo.
Pakupedzisira, sarudzo yekutora statin chisarudzo chaunofanira kuita iwe nachiremba wako pamwe chete, saka zvakakosha kuti uve neruzivo rwakakwana nezveizvi.
Chii chaizvo chinoitika neaya ma statins?
Muchidimbu, statin imhando yemushonga unoderedza cholesterol. Kana ukatora mumwe, huwandu hwecholesterol yako yakaipa (LDL) hunogona kuderedzwa ne35% kusvika 50% kana kupfuura, zvichienderana nerudzi uye uwandu hwaunotora. Izvi zvinogona kuderedza zvakanyanya njodzi yako yekurwara nemoyo kana sitiroko.
Mastatins anoshanda muchiropa chedu. Anovhara enzyme mumuviri wedu inogadzira cholesterol. Pamusoro pezvo, anoita chimwe chinhu chakakosha. Kureva kuti, anodzikamisa cholesterol deposits (plaque) yakabatana nemadziro etsinga dzedu dzeropa uye anoderedza kuzvimba kunoitika pamwe chete nawo. Izvi zvakakosha zvikuru, nekuti kana cholesterol deposits idzi (plaque) dzikangoerekana dzaputika, dzinogona kuumba ropa rakagwamba uye kukonzera chirwere chemwoyo kana sitiroko.
Hapana dambudziko pakupa mishonga yemastatins kumunhu akamborwara nemoyo kana sitiroko, nekuti mishonga iyi yakaratidzwa zvakasimba kuti inobatsira kudzivirira chirwere chemwoyo kana sitiroko chechipiri.
Ko statins dzine mhedzisiro yakaipa here?
Kufanana nemishonga yese, statins dzinogona kuva nemigumisiro yakaipa. Zvisinei, havasi vese vanoiwana. Ngatitarisei migumisiro yakaipa inowanzoonekwa uye isingawanzoitiki.
| Mhedzisiro Yepadivi | Tsananguro |
|---|---|
| Kurwadziwa kwetsandanyama | Uyu ndiwo mhedzisiro inonyanya kuitika. Inogona kukanganisa 5% kusvika 20% yevanhu vanotora mushonga. Kana izvi zvikaitika, taura nachiremba wako nezvekuchinjira kune imwe statin, kuderedza dose, kana kuedza kuutora mazuva ese panzvimbo pemazuva ese. Usamborega kutora mushonga wako usati watanga wataura nachiremba wako. |
| Kukuvara kwechiropa | Izvi hazviwanzoitiki. Chiremba wako acharaira kuongororwa kweropa kuti aongorore ma enzymes echiropa chako kana zvichidikanwa. Kana uri kutora mimwe mishonga (semuenzaniso Panadol), udza chiremba wako nezvayo futi. |
| Njodzi yechirwere cheshuga | Dzimwe ongororo dzakaratidza kuti kutora mishonga yemastatin kunogona kukonzera kuwedzera kudiki kwehuwandu hweshuga muropa. Zvisinei, chirwere ichi chinowanzoitika kuvanhu vatova panjodzi huru yekubatwa nechirwere cheshuga (semuenzaniso, kufuta zvakanyanya, metabolic syndrome). |
| Mimwe migumisiro isingawanzoitiki | Kurasikirwa nendangariro, kuvhiringidzika, uye tsinga dzeropa zvakambotaurwa kashoma. Izvi zvinowanzo kanganisa avo vanotora mishonga yakawanda. |
Ndezvipi zvimwe zvaunofanira kufunga nezvazvo paunenge uchitora mushonga?
Ungave wasarudza kutora statin kana kuti kwete, kuchinja mararamiro ako kunofanira kuitwa. Hapana nzira yekutiza izvozvo.
Yeukai, 80% - 90% yezvirwere zvemwoyo zvinokonzerwa nezvinhu zvinogona kuchinja. Izvi zvinoreva kuti tine mukana mukuru wekudzivirira izvi.
Izvi zvakavakirwa pakudya kwakanaka kunovaka muviri (shuga shoma), mararamiro anoshanda, kurega kusvuta, uye kudzora huremu hwako. Dzimwe nguva, kana ukaita shanduko huru mumararamiro ako, unogona kuderedza huwandu hwemishonga yaunofanira kutora. Izvi zvinoderedzawo njodzi yemigumisiro yakaipa.
Zvisinei, kune zvimwe zvinhu zvatisingakwanise kuchinja, zvakaita sezera rako nemajini ako. Saka, vamwe vanhu vangangoda mishonga kunyangwe vaine mararamiro akanaka.
Taura nachiremba wako.
Kana uchiri kusava nechokwadi nezveizvi, chinhu chakanakisa chekuita ndechekutaura pachena nachiremba wako nezvazvo. Mubvunze rumwe ruzivo nezveizvi. Kurukura zvimwe zvinhu zvakaita sekuti pane munhu mumhuri yako ane chirwere chemwoyo here (nhoroondo yemhuri), kuti C-reactive protein (CRP) level yako yakadini, uye kana wakambova nechirwere cheshuga chepamuviri.
Dzimwe nguva, chiremba asati anyora mushonga, anogona kuita scan chaiyo kuti aone kana calcium iri mutsinga dzeropa.
Kunyange hazvo mishonga yestatins iri mishonga inobatsira zvikuru, haina kukodzera munhu wese. Kana usingawane mhinduro yakakwana kubva kumishonga yestatins, kana kuti usingakwanise kuitora nekuda kwemigumisiro yakaipa, kune mamwe marudzi emishonga inoderedza cholesterol.
Chinhu chinonyanya kukosha kutaura nachiremba wako nezvenyaya iyi nguva dzose. Muudze zvese zvauri kunzwa, mibvunzo yako, zvaunotya. Achakuteerera uye achakubatsira kuita sarudzo yakakunakira.
Mharidzo Yekuenda Nayo Kumba
- MaStatins mishonga inoshanda zvikuru yekuderedza cholesterol. Asi haisi yemunhu wese. Sarudzo yekutora mushonga uyu kana kusatora chinhu chaunofanira kuita pamwe chete nachiremba wako.
- Kunyangwe uchitora mishonga kana kwete, kuchengetedza mararamiro ane hutano (kudya zvakanaka, kurovedza muviri, uye kusaputa) kwakakosha. Ndiwo musimboti wekurapwa.
- Mhedzisiro inonyanya kuitika yemishonga inonzi statins kurwadziwa kwetsandanyama. Kana ukasangana nechimwe cheizvi, taurira chiremba wako nekukasika. Usamborega kutora mushonga wako kana kuchinja mwero wako usina kurairwa nachiremba wako.
- Njodzi yako yekubatwa nechirwere chemwoyo haingoonekwi chete nemazinga echolesterol muropa rako (LDL), asiwo nezvimwe zvinhu zvakawanda, zvakaita sezera rako, nhoroondo yemhuri yako, nezvimwe zvirwere.
- Kuti uite sarudzo dzakanakisisa pamusoro pehutano hwako, gara uchitaurirana nachiremba wako pachena uye nekuvimbika.
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