Ugqirha wakho usenokuba ukuxelele ukuba amanqanaba e-cholesterol egazini lakho aphezulu. Oku kwandisa umngcipheko wakho wezifo ezinzulu ezifana nokuhlaselwa yintliziyo kunye ne-stroke. Enye yezona ndlela zilungileyo zokunciphisa lo mngcipheko kukulawula amanqanaba e-cholesterol yakho. Uhlobo oluqhelekileyo lwamayeza olunikwa ngoogqirha ngenxa yoku lubizwa ngokuba yi-statin. Kodwa ngamanye amaxesha, nokuba uthatha la mayeza akukuniki iziphumo ozifunayo. Uphononongo lufumanise ukuba isiqingatha sabantu abathatha ii-statin asikakwazi ukwehlisa i-cholesterol yabo ukuya kwinqanaba elisempilweni emva kweminyaka emibini. Ngoko ke, ukuba nguwe lowo, kufuneka wenze ntoni?
Kutheni ngamanye amaxesha ii-statins zingasebenzi kakuhle?
Xa i-cholesterol yakho ingasehli nangona uthatha i-statin, abanye oogqirha bayibiza le nto ngokuba 'yi-statin resistance'. Kodwa le meko ayiqhelekanga. Ukuba uthatha amayeza akho ngokuchanekileyo, kunzima ukukholelwa ukuba awasebenzi konke konke. Kodwa kusenokwenzeka ukuba awasebenzi kakuhle ngokwaneleyo. Nazi ezinye zezizathu zokuba kutheni ungafumani ziphumo ozilindeleyo.
| Isizathu esinokwenzeka | Ingcaciso elula |
|---|---|
| Ukungawathathi amayeza ngendlela efanelekileyo | Okokuqala, zibuze, "Ngaba ndithatha amayeza am kanye njengoko ugqirha endixelele, ngexesha elifanelekileyo?" Ukuba ulibala usuku okanye utsiba usuku, eso sisizathu esiphambili sokuba i-cholesterol yakho ingasehli. |
| Imiphumela | Abanye abantu bafumana iziphumo ebezingalindelekanga (umz. iintlungu zemisipha) ekunzima ukuzinyamezela ngenxa ye-statins. Ukuba yiyo loo nto ungawuthathiyo amayeza akho, qiniseka ukuba uthetha nogqirha wakho ngaloo nto. |
| Amayeza ewodwa awanelanga | Ukuba amanqanaba akho e-cholesterol ebephezulu kakhulu ekuqaleni, amayeza e-statin ewodwa asenokunganeli ukuwanciphisa. Kusenokufuneka ucinge ngezinye iindlela. |
| Ukutya okungenampilo | Ukuba utya ukutya okuninzi okunamafutha amaninzi (ukutya okunamafutha amaninzi, inyama ebomvu, iimveliso zobisi ezinamafutha amaninzi), kunzima ukuba ii-statins zodwa zinciphise i-cholesterol. Ukutya okunempilo kwentliziyo kubalulekile. |
| Kuza kuthatha ixesha elide. | Iistatin aziloyeza elikhawulezileyo. Ukuba usandul’ ukuqala ukuzisebenzisa, ugqirha wakho uhlala ekujonga ukuba i-cholesterol yakho yehlile na emva kweenyanga ezimbini. Yiba nomonde. |
| Idosi enganelanga | Kusenokwenzeka ukuba idosi oyinikweyo ayanelanga. Ugqirha wakho angacebisa ukuba unyuse idosi kancinci. |
| Ezinye iingxaki zempilo | Ukuba uneengxaki nge-thyroid yakho, isibindi, okanye izintso, i-cholesterol yakho inokuba phezulu. Ugqirha wakho uza kwenza uvavanyo lwegazi nomchamo ukujonga ezi zinto. |
| Amanye amayeza | Amanye amayeza owasebenzisayo anokuphazamisana nokusebenza kwee-statins. Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kwaneevithamini kunye nezongezo) . |
| Izizathu zofuzo (ii-genes) | Nangona kunqabile kakhulu, kukho iimeko apho abantu bengasabeli kwii-statin ngenxa yotshintsho oluthile lwemfuza. Nangona kunjalo, eyona nto ibalulekileyo kukufumana indlela yokunciphisa i-cholesterol. |
Ukuba ii-statins azisebenzi, zeziphi ezinye iindlela onokukhetha kuzo?
Ukuba ugqirha wakho akakwazi ukufumana indlela yokulawula i-cholesterol yakho ngee-statins, kukho amanye amayeza onokuwazama. Okokuqala, ungazama uhlobo olwahlukileyo lwe-statin. Kodwa khumbula ukuba onke asebenza ngendlela efanayo.
Ukuba awukwazi ukuthatha ii-statins, okanye ukuba azisebenzi, ugqirha wakho unokukunika uhlobo olwahlukileyo lwamayeza okunciphisa i-cholesterol. La ngamayeza asebenza ngendlela eyahlukileyo.
Kubalulekile: Musa ukusebenzisa naliphi na kula mayeza ngaphandle kokubonisana nogqirha wakho. Olu lwazi lolwakho kuphela.
| Udidi lweziyobisi | Ingaba isebenza kanjani |
|---|---|
| Izinto ezidibanisa i-bile acid | Ithintela umzimba ekufunxeni amafutha ekutyeni esikutyayo. |
| Izithinteli zokufunxa i-cholesterol | Iyawuthintela umzimba ekufunxeni i-cholesterol ekutyeni. |
| I-Niacin (i-asidi ye-nicotinic) | Inceda ekunciphiseni i-cholesterol embi (LDL). |
| Izithinteli ze-PCSK9 | Ithintela iproteni ekhethekileyo kwaye inceda isibindi ukususa i-cholesterol embi (LDL). |
| IiFibrates | Inokunyusa amanqanaba e-cholesterol elungileyo (i-HDL). |
| Izithinteli ze-ACL | Zisebenza ngendlela eyahlukileyo kune-statins ngokuthintela isibindi ekwenzeni i-cholesterol. Umzekelo, i-Bempedoic acid (Nexletol). |
Unyango lweemeko ezingaqhelekanga zemfuza
Ukuba i-cholesterol yakho ephezulu ibangelwa yimeko engaqhelekanga yemfuza efana ne-familial hypercholesterolemia, kukho ezinye iindlela zonyango ezithile ezikhoyo. Umzekelo, i-Lipoprotein apheresis (inkqubo esusa i-cholesterol embi egazini), amayeza athile afana ne-Lomitapide kunye ne-Mipomersen (Kynamro), kwaye kwezinye iimeko, ukufakelwa kwesibindi kunokufuneka. Ezi zigqitywa yingcali yakho.
Masitshintshe kungekuphela nje amayeza, kodwa nendlela yokuphila!
Nokuba uthatha ii-statins okanye awuzithathi, ungalibali ukuba ukutya kakuhle kunye nokuzilolonga kubalulekile ekugcineni amanqanaba e-cholesterol asempilweni. Ukuba ii-statins azinazo iziphumo ezinqwenelekayo, unokufuna ukuphinda ucinge ngento oyityayo neyiselayo.
Izinto ekufuneka uziphephe:
- Amafutha agcweleyo: Inyama ebomvu, iimveliso zobisi ezinamafutha apheleleyo, kunye nokutya okuqhotsiweyo kwioyile.
- Amafutha e-Trans: La mafutha anokufumaneka kwi-margarine, kwezinye izinto ezipakishwe kwiipakethe, nakwiimveliso zebhaka.
Izinto onokuzitya ngakumbi:
- Ii-omega-3 fatty acids: Iintlanzi ezinamafutha ezifana nesalmon, i-mackerel, kunye ne-herring, imbewu yeflakisi, kunye namandongomane afana ne-walnuts.
- Ifayibha: Ii-oat, irhasi, iimbotyi, iilentile, iziqhamo nemifuno emitsha.
- Iproteni yeWhey: Iproteni enempilo efumaneka kwiimveliso zobisi.
Ukongeza kolu lawulo lokutya, ukuphila ubomi obusempilweni kunokunyusa amanqanaba akho e-cholesterol (HDL) . Kwakhona,
- Ukuyeka ukutshaya
- Ukunciphisa umzimba
- Ukunciphisa ukusetyenziswa kotywala
Izinto ezinjalo zikwanceda kakhulu ekulawuleni amanqanaba akho e-cholesterol.
Cinga nangomngcipheko wakho.
Ugqirha wakho usenokuba ukunike usukelo oluthile lwe-cholesterol. Ukuba awukafikeleli kuloo sukelo nokuba usebenzisa i-statin, kuya kufuneka uqwalasele ezinye izinto ezinokubangela isifo sentliziyo. Njengoko umngcipheko wakho usanda, ugqirha wakho unokucebisa amanyathelo aqatha ngakumbi okunciphisa i-cholesterol yakho.
Umzekelo, ukuba sele unesifo sentliziyo okanye isifo sohlangothi , kubaluleke kakhulu ukunciphisa i-cholesterol yakho. Kubaluleke kakhulu nokuba unezinye izinto ezinobungozi (ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu) ukongeza kwi-cholesterol. Ugqirha wakho unokukunceda uqonde iingozi zakho kunye noko kufuneka ukwenze ukukhusela impilo yakho.
Umyalezo Wokuya Ekhaya
- Sela amayeza akho e-statin njengoko ugqirha wakho ekuyalele, ngedosi echanekileyo, nangexesha elifanelekileyo. Ungaze uyeke ukuwasebenzisa ngokungacwangciswanga.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezivela kumayeza akho, endaweni yokuwayeka, thetha nogqirha wakho ngawo. Usenokukwazi ukutshintshela kwelinye iyeza.
- Amayeza odwa awanelanga. Ukutya okunempilo kwentliziyo kunye nokuzilolonga imihla ngemihla kubalulekile ekulawuleni i-cholesterol.
- Ukuba ii-statins zodwa azanele ukulawula i-cholesterol yakho, ungakhathazeki. Kukho amanye amayeza amaninzi anokunceda.
- Soloko uxoxa nogqirha wakho ngesicwangciso sakho sonyango kunye nezinto ezinokubangela umngcipheko, kwaye kunye ninokwenza izigqibo ezilungileyo.
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