Ngatidzidzei chaizvo nezvemishonga inoderedza cholesterol yako 'yakaipa' (LDL Cholesterol)?

Patinoona kuti huwandu hwecholesterol muropa rako hwakwira mumushumo, chinhu chekutanga chatinofunga nezvacho kudzora kudya kwedu uye kurovedza muviri, handiti? Ndicho chinhu chekutanga chekuita. Kuderedza mafuta akazara, kubvisa zvachose mafuta etrans, kuderedza shuga, uye kurovedza muviri nguva dzose zvakakosha zvikuru.

Zvisinei, dzimwe nguva kuchinja mararamiro aya chete hakukwani kuderedza huwandu hweLDL cholesterol mumuviri wako, izvo zvinokuvadza muviri wako. Ndipo apo chiremba wako anogona kutanga kukutora mishonga yekubatsira.

Iye zvino ngatitarisei mhando dzemishonga inonyorerwa navanachiremba yekuderedza cholesterol yakaipa (LDL), mashandiro ayo, uye zvatinofanira kungwarira pakushandisa mishonga iyi.

Ndeapi ma statins anozivikanwa nevanhu vakawanda?

Muchidimbu, mishonga inonzi statins ndiyo mhando yekutanga yemishonga inonyorerwa nachiremba yekuderedza cholesterol. Inoshanda nekudzora kugadzirwa kwecholesterol nechiropa chako. Izvi zvinoderedza huwandu hwecholesterol yakaipa (LDL) muropa rako. Inobatsirawo kuderedza rumwe rudzi rwemafuta anonzi triglycerides uye kuwedzera zvishoma huwandu hwecholesterol "yakanaka" (HDL).

Ongororo yakaratidza kuti kushandisa mishonga yestatin kunoderedza zvakanyanya njodzi yezvirwere zvemwoyo nestroke.

Mishonga inoshanda muura

Izvi zvinonyanya kushanda mukati memudumbu mako.

MaResin eBile Acid

Mishonga iyi inoshanda nekusunga kune chinhu chinonzi "bile" chinoburitswa nechiropa (chinogadzirwawo necholesterol) uye kudzivirira kuti isapindwezve muropa. Izvi zvinoreva kuti inobatsira zvisina kunanga kuderedza huwandu hwecholesterol mumuviri.

• Mienzaniso: Cholestyramine (Prevalite), Colesevelam (WelChol), Colestipol (Colestid)
• Migumisiro: Zvinonyanya kuipa kuvimbiwa, kuzvimba, uye kusagadzikana mudumbu.

Ezetimibe

Uyu mushonga wakasiyana. Ezetimibe (Zetia) inoshanda nekudzivisa zvakananga kupinza kwecholesterol kubva muura hwako hudiki muropa rako. Inowanzopihwa pamwe chete nemushonga westatin. Izvi zvinoita kuti mugumisiro wekuderedza cholesterol uve unoshanda zvakanyanya.

• Migumisiro: Kurwadziwa kwetsandanyama, kurwadziwa kwemusana, kurwadziwa kwemudumbu, uye manyoka zvinogona kuitika.

Rudzi rutsva rwemishonga inonzi PCSK9 Inhibitors

Iyi mishonga mitsva uye inodhura. Inowanzo shandiswa kuvanhu vane cholesterol isina kudzorwa nekuchinja mararamiro uye kurapwa ne statin. Inonyanya kunyorerwa vanhu vane chirwere chemajini chinokonzera cholesterol yakakwira (senge Heterozygous Familyal Hypercholesterolemia - HeFH) kana vatova nechirwere chemwoyo uye statins chete hazvina kukwana.

Aya haasi mapiritsi, asi anouya sejekiseni pasi peganda mavhiki maviri ega ega. Anoshanda nekuvharira puroteni inonzi PCSK9, zvichiwedzera kugona kwemuviri kubvisa cholesterol yeLDL muropa.

• Mienzaniso: Alirocumab (Praluent), Evolocumab (Repatha)
• Migumisiro yakaipa:Nekuti izvi zvitsva, hapana zvakawanda zvinozivikanwa nezvemigumisiro yenguva refu. Zvinhu chete zvakataurwa kusvika pari zvino kuvaviwa, kuzvimba, kurwadziwa, uye mavanga panzvimbo yekubaiwa jekiseni, pamwe nezviratidzo zvakaita semhino inoyerera nefivha.

Ngatidzidzei zvishoma nezvemamwe marudzi emishonga.

Kuwedzera kune mhando huru dzemishonga dzataurwa pamusoro apa, kune dzimwe mhando dzakawanda dzemishonga.

Niacin

Uyu rudzi rwevhitamini B. Kana ukapihwa semushonga wakakura, unogona kuderedza cholesterol yeLDL uye kuwedzera cholesterol yeHDL. Zvisinei, zvidzidzo hazvina kuratidza kuti kuwedzera niacin mumastatins kunoderedzawo njodzi yechirwere chemwoyo. Migumisiro mikuru ndeyekusviba, kuvaviwa, kusanzwa, uye musoro.

Fibrates

Mishonga iyi inonyanya kushanda nekuderedza kugadzirwa kwemafuta anonzi triglycerides uye kuwedzera mazinga akanaka echolesterol (HDL).

• Mienzaniso: Fenofibrate, Gemfibrozil (Lopid)

Zvidziviriri zveATP Citrate Lyase (ACL)

Bempedoic acid (Nexletol) imhando yemushonga unoshandawo nekudzivisa kugadzirwa kwecholesterol nechiropa.

Omega-3s

Vanhu vazhinji vanofunga kuti kutora mishonga yekuwedzera mafuta ehove kubva kuzvitoro zvemishonga kunogona kuderedza njodzi yechirwere chemwoyo. Asi hapana humbowo hunoratidza kuti kutora mishonga yekuwedzera mafuta ehove, sevhitamini yakajairika, kunoitawo zvimwe chete. Zvisinei, omega-3s yakawanda inorayirwa nachiremba inogona kuderedza huwandu hwe triglycerides uye kuderedza njodzi yechirwere chemwoyo kuvanhu vari panjodzi.

Iva nechokwadi chekuyeuka zvinhu izvi paunenge uchishandisa mushonga wecholesterol!

Kana wangonyorerwa mushonga, zvakakosha kuushandisa sezvawakanyorerwa, zvikasadaro hauzobatsirike zvizere nawo.

• Ziva chikonzero chauri kutora mushonga uyu: Kumbira chiremba wako kuti anzwisise kuti sei wakanyorerwa mushonga uyu uye kuti uchaita sei.
• Inwa mushonga wako panguva imwe chete zuva nezuva: Ita tsika yekunwa mushonga wako zuva nezuva. Sarudza nguva imwe chete yezuva.
• Usarega kutora mushonga wako kunyangwe uchinzwa zviri nani: Usarega kutora mushonga wako kana kuchinja mwero wemushonga usina kubvunza chiremba wako. Kunyangwe uchinzwa zviri nani uye pasina chakaipa newe, ramba uchitora mushonga wako.
• Ronga: Shandisa bhokisi remapiritsi rine mazuva evhiki akanyorwa pariri. Zadza bhokisi iri pakutanga kwevhiki uye hauzombofi wakakanganwa kunwa mushonga wako.
• Chengeta karenda yemishonga:Isa chiratidzo pakarenda yako pese paunotora mushonga wako. Kana chiremba wako akachinja mushonga wako, nyorawo ipapo.
• Usaderedze mushonga kuti uchengetedze mari: Kuti uwane rubatsiro rwakakwana kubva kumushonga, unofanira kutora mushonga wacho chaiwo. Kana mutengo uri dambudziko, usanyara kutaura nachiremba wako. Iye anogona kukupa imwe mhinduro yakasiyana.
• Udza chiremba wako nezvemimwe mishonga: Udza chiremba wako nezvemavhitamini, mishonga yemiti, kana mimwe mishonga yauri kutora, sezvo mimwe inogona kukanganisa mishonga yecholesterol.
• Kana ukakanganwa kutora mushonga: Tora mushonga nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, siya mushonga wausina kutora wotora mushonga unotevera panguva yakatarwa. Bvunza chiremba wako kuti akutsanangurire izvi.
• Paunenge uchifamba: Chengeta mishonga yako newe. Kana uri kuenda rwendo rurefu, tora mishonga inosvika vhiki imwe chete pamwe nekopi yemushonga wako.
• Usati wavhiyiwa: Udza chiremba wako kana chiremba wemazino nezvemishonga yauri kutora usati waitwa anesthesia kana kubviswa zino.
• Chenjerera nedoro: Doro rinogona kuwedzera migumisiro yemimwe mishonga uye kuderedza kushanda kwayo. Saka bvunza chiremba wako nezvedoro uye tsvaga mazano.