Khawucinge nje usiya kubona ugqirha wakho ukuze ahlolwe igazi. Emva kokufunda ingxelo, ugqirha uthi, "Inqanaba le-cholesterol yakho ye-LDL (embi) liphezulu kancinci." Umbuzo wokuqala oza engqondweni yakho ngulo, "Owu, ngaba kufuneka ndithathe eli yeza lokunciphisa i-cholesterol ngoku?" Impendulo yalo mba ayilulanga njengoko yayinjalo ngaphambili. Inzima kancinci ngoku. Masifike ezantsi kwayo.
Uthatha njani isigqibo sokunika i-statin?
Ngaphambili, bekukho imithetho ecacileyo yoku. Ukuba inqanaba le-cholesterol egazini lakho lingaphezulu kwenqanaba elithile, ugqirha wakho ebenokukucebisa ukuba wenze utshintsho kwindlela ophila ngayo aze akuqalise ukusebenzisa iyeza le-statin.
Indlela yokuphila esempilweni isabalulekile. Oko kuthetha ukutya ukutya okunempilo, ukunciphisa amafutha agcweleyo, kunye nokuzilolonga rhoqo . Kodwa impendulo yombuzo wokuba kufuneka uthathe na ii-statins yahlukile kancinci ngoku. Oku kutshintshile emva kokuba i-American Heart Association (AHA) kunye ne-American College of Cardiology (ACC) zihlaziye izikhokelo zazo.
Okwangoku, kuphela xa inqanaba lakho le-cholesterol embi (LDL) liphezulu kakhulu (190 mg/dL okanye ngaphezulu) apho uza kuqala unyango olusekelwe kuloo nqanaba. Ngaphandle koko, ugqirha wakho uza kuqwalasela ezinye izinto ezininzi. Umzekelo:
- Ingaba unaso isifo seswekile?
- Ngokwesixhobo sokubala umngcipheko esithile, ingaba umngcipheko wakho wokuba nesifo sentliziyo okanye isifo sohlangothi kwiminyaka eli-10 ezayo yi-7.5% okanye ngaphezulu?
Izinto ezininzi ezinje ngezi ngoku ziyaqwalaselwa xa kusenziwa isigqibo. Kodwa into enye ekufuneka uyikhumbule kukuba abanye oogqirha abazilandeli ngqo ezi zikhokelo zintsha. Ke ngoko, ngaphambi kokuba akunike amayeza, ugqirha wakho uza kuthetha nawe ngazo zonke ezinye izinto ezibangela umngcipheko ezichaphazela isifo sentliziyo.
Ekugqibeleni, isigqibo sokuthatha i-statin sisigqibo ekufanele wena nogqirha wakho nisenze kunye, ngoko ke kubalulekile ukuba nolwazi olupheleleyo ngale nto.
Kwenzeka ntoni ngokwenene ngala ma-statin?
Ngamafutshane, i-statin luhlobo lonyango lokunciphisa i-cholesterol. Ukuba uthatha elinye, amanqanaba akho e-cholesterol embi (LDL) anokuncitshiswa ngama-35% ukuya kuma-50% nangaphezulu, kuxhomekeke kuhlobo kunye nomthamo owuthathayo. Oku kunokunciphisa kakhulu umngcipheko wakho wokuba nesifo sentliziyo okanye isifo sohlangothi.
Iistatini zisebenza esibindini sethu. Zithintela i-enzyme emzimbeni wethu eyenza i-cholesterol. Ukongeza, zenza enye into ebalulekileyo. Oko kukuthi, ziqinisa iidipozithi ze-cholesterol (i-plaque) ezinamathele eludongeni lwemithambo yegazi yethu kwaye zinciphise ukudumba okwenzekayo kunye nazo. Oku kubaluleke kakhulu, kuba ukuba ezi dipozithi ze-cholesterol (i-plaque) ziqhuma ngequbuliso, zinokwenza i-blood clot kwaye zibangele ukuhlaselwa yintliziyo okanye i-stroke.
Akukho ngxaki ekunikeni ii-statins kumntu osele enesifo sentliziyo okanye istroke, kuba la mayeza angqinwe kakhulu ukuba ayanceda ekuthinteleni isifo sentliziyo okanye istroke sesibini.
Ngaba ii-statins zineziphumo ebezingalindelekanga?
Njengayo nayiphi na imithi, ii-statins zinokuba nemiphumo emibi. Nangona kunjalo, ayinguye wonke umntu oyifumanayo. Makhe sijonge ezona miphumo mibi ziqhelekileyo nezingaqhelekanga.
| Imiphumela | Ingcaciso |
|---|---|
| Intlungu yemisipha | Esi sesona siphumo sixhaphakileyo. Sinokuchaphazela i-5% ukuya kwi-20% yabantu abasebenzisa amayeza. Ukuba oku kuyenzeka, thetha nogqirha wakho malunga nokutshintshela kwi-statin eyahlukileyo, ukunciphisa idosi, okanye ukuzama ukuyithatha yonke imihla endaweni yemihla ngemihla. Ungaze uyeke ukuthatha amayeza akho ngaphandle kokuthetha nogqirha wakho kuqala. |
| Umonakalo wesibindi | Oku kunqabile kakhulu. Ugqirha wakho uya kuyalela uvavanyo lwegazi ukuze kuhlolwe ii-enzymes zesibindi sakho ukuba kuyimfuneko. Ukuba uthatha amanye amayeza (umz. iPanadol), xelela ugqirha wakho ngawo. |
| Umngcipheko wesifo seswekile | Ezinye izifundo zibonise ukuba ukuthatha ii-statins kunokubangela ukunyuka okuncinci kwamanqanaba eswekile egazini. Nangona kunjalo, le meko idla ngokuvela kubantu abasele besengozini enkulu yokuba nesifo seswekile (umz., ukutyeba kakhulu, isifo se-metabolic syndrome). |
| Ezinye iziphumo ezingaqhelekanga | Ukulahlekelwa yinkumbulo, ukudideka, kunye ne-neuropathy ziye zaxelwa rhoqo. Ezi zihlala zichaphazela kuphela abo bathatha iidosi eziphezulu. |
Yintoni enye omele uyiqwalasele xa usebenzisa amayeza?
Nokuba uthatha isigqibo sokuthatha i-statin okanye hayi, utshintsho kwindlela ophila ngayo luyimfuneko. Akukho ndlela yokubalekela loo nto.
Khumbula, i-80% - 90% yesifo sentliziyo ibangelwa zizinto ezinobungozi esinokuzitshintsha. Oko kuthetha ukuba sinethuba elikhulu lokuthintela ezi zinto.
Oku kusekelwe kukutya okunesondlo (ukunciphisa iswekile), indlela yokuphila esebenzayo, ukuphepha ukutshaya, kunye nokulawula ubunzima bakho. Ngamanye amaxesha, ukuba wenza utshintsho olukhulu kwindlela ophila ngayo, unokunciphisa inani lamayeza ekufuneka uwathathe. Oku kunciphisa nomngcipheko weziphumo ebezingalindelekanga.
Nangona kunjalo, kukho izinto esingenakuzitshintsha, ezifana neminyaka yakho kunye nemfuza yakho. Ngoko ke, abanye abantu banokufuna amayeza nokuba baphila ubomi obulungileyo.
Thetha nogqirha wakho.
Ukuba usenamathandabuzo ngale nto, eyona nto ingcono onokuyenza kukuthetha ngokukhululekileyo nogqirha wakho ngayo. Mcele ulwazi oluthe kratya ngayo. Xoxa ngezinto ezongezelelweyo ezifana nokuba kukho umntu kusapho lwakho onesifo sentliziyo (imbali yosapho), inqanaba le-C-reactive protein (CRP) yakho, kunye nokuba ukhe waba nesifo seswekile sokukhulelwa.
Ngamanye amaxesha, ngaphambi kokuba anike amayeza, ugqirha unokwenza i-scan ekhethekileyo ukujonga ukuba i-calcium ingakanani kwimithambo yegazi.
Nangona ii-statins zingamayeza aluncedo kakhulu, azifanelekanga kuye wonke umntu. Ukuba awufumani ziphumo zaneleyo kwii-statins, okanye ukuba awukwazi ukuzithatha ngenxa yeziphumo ebezingalindelekanga, kukho ezinye iintlobo zamayeza okwehlisa i-cholesterol.
Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngale nto rhoqo. Mxelele yonke into oyivayo, imibuzo yakho, uloyiko lwakho. Uza kukuphulaphula aze akuncede wenze isigqibo esikulungeleyo.
Umyalezo Wokuya Ekhaya
- Iistatins ziziyobisi ezisebenzayo kakhulu ekunciphiseni i-cholesterol. Kodwa azifuneki kuye wonke umntu. Isigqibo sokuthatha eli yeza okanye ukungalisebenzisi yinto wena nogqirha wakho enifanele niyenze kunye.
- Nokuba usela amayeza okanye awuwasebenzisi, ukugcina indlela yokuphila esempilweni (ukutya okunempilo, ukuzilolonga, kunye nokungatshayi) kubalulekile. Eso sisiseko sonyango.
- Eyona miphumo ixhaphakileyo ye-statins ziintlungu zemisipha. Ukuba ufumana nayiphi na kwezi, xelela ugqirha wakho ngoko nangoko. Ungaze uyeke ukuthatha amayeza akho okanye utshintshe umthamo wakho ngaphandle kwengcebiso kagqirha wakho.
- Umngcipheko wakho wesifo sentliziyo awumiselwanga kuphela ngamanqanaba akho e-cholesterol egazini (LDL), kodwa nazizinto ezininzi, ezifana neminyaka yakho, imbali yosapho lwakho, kunye nezinye iimeko zempilo.
- Ukuze wenze izigqibo ezilungileyo ngempilo yakho, soloko uthetha nogqirha wakho ngokukhululekileyo nangokunyaniseka.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment