Chiremba wako akakunyorera mushonga we cholesterol here? Wakambonzwa kurwadziwa mumuviri wako here, kunyanya mutsandanyama dzako, mushure mekutanga mushonga uyu? Kana zvakadaro, hausi wega. Vanhu vazhinji vanotora statins , rudzi rwemushonga unoderedza cholesterol, vakasangana neizvi. Asi usavhunduke. Ngationei kuti sei izvi zvichiitika, chii chingaitwa nezvazvo, uye kuti tinofanira kunetseka riini nezvazvo.
Kutanga, ngationei, chii chinonzi statin iyi?
Zvichitaurwa zviri nyore, mishonga inonzi statins imhando yemishonga inonyorerwa navanachiremba kuderedza cholesterol "yakaipa", kana kuti LDL cholesterol, mumiviri yedu. Iyi mishonga inokosha zvikuru. Nekuti imhando yemishonga yakachengeteka yakaratidzwa kuti inoderedza njodzi yezvirwere zvakakomba zvakaita sechirwere chemwoyo uye sitiroko. Ndosaka vanachiremba pasi rese vachigara vachinyora mishonga iyi.
Sei mushonga uyu uchirwadza tsandanyama dzangu?
Vanachiremba havasati vanyatsogona kutaura kuti chii chinokonzera izvi. Asi pane dzidziso dzakawanda. Imwe ndeyekuti mushonga uyu unogona kunge uine mhedzisiro diki pakushandisa simba kwemasero edu emhasuru. Funga nezvemasero edu emhasuru semainjini madiki. Mushonga uyu unogona kuita mutsauko mudiki pakushanda kwemainjini iwayo. Imwe dzidziso ndeyekuti mushonga uyu unogona kukonzera kubuda kwechinhu chakadai secalcium neprotein kubva mumasero emhasuru. Vamwe vanhu vanogona kunge vachinzwa shanduko idzi kupfuura vamwe.
Uye pane chimwe chinhu. Ndiyo "mhedzisiro ye nocebo." Kureva kuti, kana tikafunga pachine nguva, "Ah... kana ndikatora mushonga uyu, tsandanyama dzangu dzicharwadza," tinogona kunzwa kurwadziwa ikoko. Kunyangwe ichi chiri chinhu chepfungwa, kurwadziwa kwacho ndekwechokwadi.
Kurwadziwa uku kwetsandanyama, kana kukaitika, kunowanzoitika mukati memwedzi mishoma yekutanga mushure mekutanga mushonga kana mushure mekuwedzera dosi. Unganzwa kurwadziwa kunogara kuripo kana kushaya simba mumapfudzi ako, muzvidya, muchiuno, kana kuti bvudzi rako rakakombama. Vanhu vazhinji vanonzwa kurwadziwa uku zvakaenzana kumativi ese emuviri wavo.
Ndiani ari panjodzi huru yekurwadziwa uku?
Havasi vese vanotora mishonga yestatin vanorwadziwa seizvi. Asi vamwe vanhu vari panjodzi yakakura zvishoma. Ngationei kuti ndivanaani.
| Chinhu chine njodzi | Tsananguro |
|---|---|
| Zera | Kuva nemakore makumi masere zvichikwira. |
| Kukura kwemuviri | Njodzi yacho yakakwira zvishoma kuvakadzi vadiki. |
| Mamiriro ehutano aripo | Kuva nechirwere chetsandanyama, itsvo, chiropa kana chirwere chethyroid. |
| Chipimo chemushonga | Kutora mushonga we statin wakawanda. |
Chinonyanya kukosha ndechekuti, usarega kutora mushonga kana uchangonzwa tsandanyama dzako dzichirwadza. Tanga wataura nachiremba wako. Iye ndiye achakupa mhinduro yakanakisisa.
Zvakanaka, toita sei nekurwadziwa kwetsandanyama uku?
Kana ukaudza chiremba nezvenyaya iyi, achakupa mazano akati wandei ekugadzirisa dambudziko iri. Ngationei kuti ndeapi.
Zorora kwenguva pfupi sezvawakarayirwa nachiremba wako (Statin Vacation)
Izvi zvinosanganisira kurega mushonga kwemavhiki angangoita matatu kusvika mana uchitungamirirwa nachiremba wako. Kana kurwadziwa kwacho kuchikonzerwa ne statin, kurwadziwa kwacho kunofanira kupera mukati menguva iyi. Imwe nzira ndeyekutora mushonga uyu mazuva ese panzvimbo pemazuva ese. Izvi zvinogona kubatsira kuderedza cholesterol yako pasina kukonzera kurwadziwa kwetsandanyama.
Kuchinja chiyero chemushonga
Dzimwe nguva, kuderedza mushonga westatin kunogona kubatsira kuderedza kana kubvisa marwadzo emhasuru. Asi pane zvakanakira nezvakaipa zveizvi. Kuderedza mushonga kunogona kukonzera kuti LDL cholesterol yako ikwire zvakare. Saka, sarudzo iyi inofanira kuitwa mushure mekutaura nachiremba wako.
Kuchinja kuenda kune mumwe mushonga
Kana uchinetseka nerumwe rudzi rwe statin, unogona kuwana zororo nekushandisa rumwe rudzi rwe statin. Kana kuti kune mimwe mishonga inoderedza cholesterol isiri ye statin. Unogona kubvunza chiremba wako nezveizvi.
| Mishonga isiri yestatin | Mashandiro azvinoita (mumashoko akareruka) |
|---|---|
| Ezetimibe | Zvinodzivirira muviri kubva mukupinza cholesterol kubva muura hudiki. |
| Zvinosanganisa bile acid | Inodzivirira cholesterol muropa kuti isadzoke mumuviri. |
| Inhibitors dzePCSK9 | Inokurumidza kubvisa cholesterol yeLDL mumuviri. |
| ACL inhibitors (semuenzaniso Bempedoic acid) | Zvinoderedza kugadzirwa kwe "cholesterol" yakaipa nechiropa. |
Chenjerera pane zvimwe zvaunotora.
Iva nechokwadi chekuudza chiremba wako nezve mimwe mishonga, mishonga yemiti , kana mavhitamini auri kutora, sezvo zvimwe zvinhu zvinogona kukanganisa ma statins uye kuwedzera njodzi yekukanganisa. Semuenzaniso:
- Muto weGrapefruit
- Mimwe mishonga yeBP yakakwira ( Calcium channel blockers )
- Mishonga inodzvinyirira muviri
- Mimwe mishonga inorwisa fungus nemishonga inorwisa mabhakitiriya
- Mamwe marudzi emahormone
Kurovedza muviri
Zvakajairika kunzwa kurwadziwa mushure mekurovedza muviri. Zvisinei, kumwe kutsvakurudza kwakawana kuti kurovedza muviri zvine mwero kunogona kuderedza kurwadziwa kwetsandanyama kunokonzerwa ne statins. Kana uri mutsva pakurovedza muviri, bvunza chiremba wako kuti maekisesaizi api akakunakira. Zvisinei, kana uri kuita maekisesaizi anorema ( sekumhanya marathon), kurwadziwa kwako kunogona kuwedzera. Muzviitiko zvakadaro, chiremba wako anogona kukukumbira kuti urege kutora statin yako kwezuva rimwe kana maviri.
Kuchinja kwemararamiro
Nekudya chikafu chine hutano mumoyo (chine fiber yakawanda, chine mafuta mashoma akazara uye trans ) uye kuita maekisesaizi ane mwero kwemaminetsi angangoita 150 pasvondo, unogona kuderedza cholesterol yako "yakaipa" (LDL) uye kuwedzera cholesterol yako "yakanaka" (HDL). Zvakakoshawo kurega kusvuta kana uchisvuta. Nekuchinja uku kwemararamiro, unogona kuderedza huwandu hwe statins hwaunofanira kutora.
Kurwadziwa kwetsandanyama kunowanzova dambudziko riini?
Kazhinji, kurwadziwa kwetsandanyama kunokonzerwa ne statins hakuna kuipa. Zvisinei,Kashoma , muvanhu vashoma kubva pamamiriyoni vanotora mishonga yemastatin, chirwere chakakomba chinonzi rhabdomyolysis chinogona kuitika. Apa ndipo apo masero emhasuru anokuvadzwa zvakanyanya. Kutora mishonga yemastatin yakawanda kana kutora mishonga yemastatin nemimwe mishonga kunowedzera njodzi iyi.
Kana ukasangana nechimwe chezviratidzo zvinotevera pamwe chete, chingave chiri chiitiko chekukurumidzira. Fonera chiremba wako nekukasika . Kana kuti enda kuEmergency Department (ETU) yechipatara chiri pedyo newe.
- Kurwadziwa kwakanyanya kwetsandanyama
- Weti tsvuku kana kuti dema
- Muviri uchipera simba zvakanyanya
Panguva yakaita seiyi, chiremba achaita bvunzo dzeropa neweti kuti aone kana chirwere ichi chiripo.
Mharidzo Yekuenda Nayo Kumba
- Statin mushonga unokosha zvikuru pahutano hwemoyo wako.
- Kurwadziwa kwetsandanyama imhedzisiro inowanzo konzerwa nemushonga uyu, asi kazhinji hauna njodzi.
- Usarega kutora mushonga we statin chero chikonzero chipi zvacho usina kutaura nachiremba wako .
- Kune nzira dzakawanda dzekugadzirisa marwadzo aya. Unogona kuita zvinhu zvakaita sekuchinja dosi, kuchinja mishonga, uye kuchinja mararamiro.
- Kurwadziwa kwakanyanya kwetsandanyama, weti yakasviba, uye kushaya simba inyaya yekukurumidzira. Enda kuchipatara cheETU nekukasika.
Statin, cholesterol, kurwadziwa kwetsandanyama, chirwere chemwoyo, migumisiro, Statin, cholesterol , Marwadzo etsandanyama, Migumisiro, Rhabdomyolysis, hutano hwemoyo, kutonga marwadzo
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