Nhasi uno, vanhu vazhinji munyika medu vanoshandisa imwe mhando yemushonga kudzora cholesterol. Pamwe iwe uri mumwe wavo. Kune vanhu vazhinji vakatanga kutora mushonga pavanoenda kunoona chiremba nekuti cholesterol yavo yakakwira zvishoma. Kazhinji, tajaira mishonga yemhando ye 'statin'. Asi vamwe vanhu vanorwadziwa netsandanyama nezvimwe zvinonetsa nekuda kwemishonga iyi. Saka ungave uchifunga kuti, "Hapana dzimwe nzira dzekurapa here? Hakuna mishonga mitsva, iri nani here?" Kutaura zvazviri, nekufambira mberi kwesainzi yekurapa, nzira itsva nemishonga zvakabudawo kudzora cholesterol. Nhasi, ngatitaurei nezvezvinhu zvitsva izvozvo.
Nguva yekupa munhu wese mushonga mumwe chete yapera here?
Kusiyana nekare, kurapwa kwecholesterol kwave kupfuura nzira yekuti "munhu wese apiwe mushonga mumwe chete", apo munhu wese anonyorerwa mushonga mumwe chete. Vanachiremba vari kuedza kugadzirisa kurapwa kunoenderana nemunhu mumwe nemumwe. Muchidimbu, kurapwa kwakanakisisa kunosarudzwa zvichibva pazvinhu zvakawanda, kusanganisira zera rako, zvimwe zvirwere zvaunazvo (zvakaita sekenza), uye nhoroondo yemhuri yako.
Kunyangwe tsvakiridzo dziri kuitwa pari zvino dziri kutarisa kuti ndeapi marapirwo akanakira vanhu vakwegura uye kuti ndeapi anonyatsoshanda kune vanhu vane mamwe matambudziko ehutano. Saka pane mukana wekuti utaure nachiremba wako wobva wawana nzira yakanakisa yekurapa.
Ndedzipi nzira dzemazuva ano dzekudzora cholesterol?
Pamusoro pemishonga yestatin, ikozvino kune dzimwe nzira dzakawanda. Izvi zvinogona kubatsira zvikuru, kunyanya kune avo vane dambudziko rekudzora cholesterol yavo ne statins chete, kana kune avo vanowana migumisiro yakaipa kubva ku statins. Ngationei kuti chii.
| Mushonga / Kurapwa | Zvichitaurwa zviri nyore, mashandiro | Ndiani akakodzera zvakanyanya? |
|---|---|---|
| Nexletol (Bempedoic acid) | Inoderedza kugadzirwa kwecholesterol muchiropa. Zvisinei, inokanganisa nzira yakasiyana yeenzyme (ACL pathway) pane statins. | - Kune avo vane zvirwere zveropa zvakakwira (Familial Hypercholesterolemia). - Kune avo vane chirwere chemwoyo uye vanoda kuderedza cholesterol yavo zvakanyanya. |
| Zvidziviriri zvePCSK9 (semuenzaniso Repatha, Praluent) | Iyi ijekiseni. Inoshanda nenzira yakasiyana zvachose neya statins. Inobatsira chiropa kubvisa cholesterol yakaipa (LDL) muropa. | - Kune avo vasingakwanise kushivirira marwadzo emhasuru anokonzerwa ne statins. - Kune avo vane dambudziko rekudzora cholesterol nekutora statins. - Kune avo vane zvirwere zveropa zvakakwira kubva kuvabereki. |
| Pitavastatin (Livalo) | Uyuwo rudzi rwe statin, asi kuwanda kwekurwadziwa kwetsandanyama kwakaderera zvikuru kana tichienzanisa nedzimwe statin. | - Imwe nzira yakanaka kune avo vakamborwadziwa netsandanyama pavaishandisa mimwe mishonga yestatin. |
Rumwe ruzivo nezvemushonga uyu
- MaPCSK9 Inhibitors: Vamwe vanhu vanogona kutya pavanonzwa zita rekuti "PCSK9 Inhibitors" vofunga kuti, "Ndinofanira kubaiwa jekiseni zuva rega rega here?" Kwete, hazvina kudaro. Unongofanira kubaiwa jekiseni mavhiki maviri ega ega . Saka hazvina basa. Migumisiro mikuru miviri ye statins, kurwadziwa kwetsandanyama uye kukuvara kwechiropa, hazviwanzoitika pamushonga uyu.
- Familyal Hypercholesterolemia: Ichi chirwere chinokonzerwa nemajini. Zvichitaurwa zviri nyore, muviri wevanhu ava haugone kudzokorodza zvakanaka uye kubvisa cholesterol yakaipa (LDL). Nekuda kweizvozvo, huwandu hwecholesterol muropa ravo hunogara hwakakwira. PCSK9 Inhibitors mushonga unoshanda zvikuru kuvanhu ava.
Chimwezve ndechekuti vamwe vanhu vane cholesterol yakakwira zvekuti vanotofanira kurapwa kunonzi `LDL apheresis`, iyo inobvisa cholesterol yakaipa muropa. Zvingave zvakanaka kutanga kutora mishonga yakaita seNexletol usati wasvika padanho iroro.
Kurapa chete hakuna kukwana! Kuchinja mararamiro kwakakosha
Hazvina mhosva kuti mishonga mitsva mingani inobuda, pane chinhu chimwe chete chatisingafaniri kukanganwa: kukosha kwemararamiro ane hutano.
Fungidzira, paunoenda kuna chiremba, anoti, "Cholesterol yako yakakwira zvishoma, ngatitangei nemishonga. Panguva imwe chete, dzora kudya kwako uye kurovedza muviri kweinenge hafu yeawa pazuva."
Iye zvino kune vamwe vanhu vanoti, "Ah, chiremba, ndichadzora kudya kwangu zvishoma, asi handina nguva yekurovedza muviri." Vamwe vanotora mapiritsi vofunga kuti, "Iye zvino ndinogona kudya nekunwa chero chandinoda." Maitiro ese aya haana kunaka.
Yeuka, nekudya zvakanaka uye kurovedza muviri nguva dzose, unogona kuderedza huwandu hwecholesterol yako yakaipa (LDL) nemapoinzi angangoita 20-30. Kana ukadaro, unogona kuderedza huwandu hwemishonga yawakanyorerwa, uye mune dzimwe nguva, rega kutora mushonga zvachose.
Saka taura pachena nachiremba wako. Taura chokwadi kana uchikwanisa kuchinja mararamiro ako. Iye anogona kuongorora zvinhu zvinokuisa panjodzi (sechirwere chemwoyo, sitiroko) uye osarudza kana uchida mishonga kana kuti kuchinja mararamiro ako chete kunogona kubatsira. Ichi chisarudzo chinofanira kukurukurwa pakati penyu mese.
Mharidzo Yekuenda Nayo Kumba
- Kuwedzera kune mishonga yechinyakare yestatin, ikozvino kune mishonga yakati wandei yemazuva ano uye inoshanda yekudzora cholesterol.
- Kana uri kusangana nematambudziko akadai sekurwadziwa kwetsandanyama kubva kumishonga inonzi statins, taura nachiremba wako nezvedzimwe nzira dzakadai sePCSK9 Inhibitors kana Pitavastatin.
- Mishonga inoshanda zvikuru yava kuwanikwa kunyanya kune zvirwere zveropa zvakawandisa kubva pakugarwa nhaka.
- Hazvinei kuti mushonga upi waunotora, zvakakosha kuti urambe uchidya zvine hutano uye uchirovedza muviri nguva dzose. Izvi zvinogona kutokubatsira kuderedza huwandu hwemishonga yaunotora.
- Gara uchikurukura pachena uye nekuvimbika nachiremba wako kuti uone kuti ndeipi nzira yekurapa yakakunakira.
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