Kuqhelekile ukuba noloyiko xa ugqirha wakho ekuxelela ukuba ii-triglycerides zakho ziphezulu egazini lakho. Xa ungakwazi ukuzinciphisa nangona ulawule ukutya kwakho nokuzilolonga, usenokuba uzibuza ukuba wenze ntoni ngokulandelayo. Ngamanye amaxesha imizimba yethu ifuna uncedo oluncinci ukuze ilawule, oko kuthetha amayeza. Ngoko ugqirha wakho ukhetha njani amayeza afanelekileyo kuwe? Masithethe ngayo ngokulula.
Ngaba kufuneka ndiqale ukuthatha amayeza?
Ayingabo bonke abantu abanikwa amayeza xa i-triglycerides yabo inyukile kancinci. Inyathelo lokuqala kukuzama ukulawula la manqanaba ngokwenza utshintsho kwindlela yokuphila, njengokutya ukutya okunempilo kunye nokuzilolonga. Nangona kunjalo, ugqirha wakho unamathuba amaninzi okukunika amayeza kwezi meko zilandelayo:
- Ukuba amanqanaba akho e-triglyceride aphezulu kakhulu: oko kukuthi, aphezulu kakhulu kune-500 mg/dL. Oku kunokubangela umonakalo kwi-pancreas, ngoko ke kubalulekile ukuyilawula ngokukhawuleza.
- Ii-triglycerides eziphezulu kunye ne-cholesterol "embi" ephezulu (LDL): Ukudibana kwezi meko zimbini kwandisa umngcipheko wesifo sentliziyo kunye nestroke.
Ngaphambi kokuba ukhethe iyeza lakho, ugqirha wakho uza kuqwalasela izinto ezininzi. Umzekelo, ngaba usebenzisa amanye amayeza okwangoku? Injani imeko yakho yempilo iyonke? Konke oku kuya kunceda ekumiseleni iyeza elifanelekileyo nelikhuselekileyo kuwe.
Iindidi eziphambili zamayeza asetyenziselwa ukunciphisa i-triglycerides
Kukho iindidi ezininzi eziphambili zamayeza asetyenziselwa ukunciphisa i-triglycerides. Makhe sijonge nganye nganye ngokwahlukeneyo.
1. IiFibrate
La mayeza anciphisa kakhulu amanqanaba e-triglyceride. Ukongeza, anceda ekunciphiseni amanqanaba e-cholesterol kunye neproteni ebizwa ngokuba yi-ApoB, efumaneka kwi-cholesterol embi (LDL).
| Igama eliqhelekileyo lesiyobisi | Amanye Amagama Eempawu Kwimarike |
|---|---|
| I-Clofibrate | I-Atromid-S |
| I-Fenofibrate | ILipofen, eTricor |
| I-Fenofibroic acid | I-Fibricor, iTrilipid |
| I-Gemfibrozil | IGemcor, iLopid |
Abantu abangafanele bathathe eli yeza:
Ii-fibrate azikhuthazwa ukuba unesifo sesibindi , sezintso , okanye senyongo .
Unxibelelwano olunokwenzeka namanye amayeza:
Ngaphambi kokuba uqale ii-fibrates, xelela ugqirha wakho malunga nazo zonke ezinye iziyobisi kunye neevithamini ozithathayo, ingakumbi:
- Izinto zokunciphisa igazi (i-Anticoagulants) - umz. i-Warfarin
- Amayeza esifo seswekile
- Amanye amayeza okwehlisa i-cholesterol - umz. i-Atorvastatin (iLipitor), iSimvastatin (iZocor)
- I-insulin
2. I-Niacin
Eli liyeza eliphucula amanqanaba e-cholesterol ngelixa linciphisa i-triglycerides. I-Niacin yehlisa amanqanaba e-cholesterol embi (LDL) kunye ne-ApoB, kwaye yonyusa amanqanaba e-cholesterol "elungileyo" (HDL) .
- Igama leyeza: iNiaspan (niacin)
Abantu abangafanele bathathe eli yeza:
- Ukuba une-allergy kwi-aspirin, i-niacin, okanye i-tartrazine (idayi emthubi esetyenziswa kwamanye amayeza nokutya)
- Ukuba unengxaki yokopha
- Ukuba unesifo seswekile
- Isifo senyongo
- Isifo sentliziyo
- Isifo sesibindi okanye i-jaundice
- Isilonda sesisu
- Ukuba ulungiselela naluphi na utyando, kuquka nokukhutshwa kwezinyo
Unxibelelwano olunokwenzeka nezinye izinto:
Ngaphambi kokuba uthathe i-niacin, xelela ugqirha wakho ukuba uthatha/wenza nayiphi na kwezi zilandelayo:
- Ukuba uthatha amayeza okunciphisa igazi (umz. iWarfarin).
- Ukuba uthatha iyeza le-insulin okanye leswekile eliselwe emlonyeni (i-niacin inokunyusa amanqanaba eswekile egazini, ngoko ke ugqirha wakho unokufuna ukulungisa umlinganiselo weyeza lakho leswekile).
- Ukuba usela utywala obuninzi.
3. I-Omega-3 Fatty Acids esetyenziswa ngogqirha
Kubalulekile: Ezi azizo izongezo ze-Omega-3 eziqhelekileyo ozithengayo kwikhemesti okanye kwivenkile enkulu. Ezi ngamayeza anamandla nanedosi ephezulu anikwe ngugqirha.
La mayeza anciphisa amanqanaba e-triglyceride kwaye ngamanye amaxesha anokunyusa amanqanaba e-cholesterol elungileyo (HDL).
- Amagama amayeza: Epanova, Lovaza, Vascepa
Abantu abangafanele bathathe eli yeza:
- Ukuba une-allergies kwintlanzi okanye kwi-shellfish
- Ukuba usela iiglasi zotywala ezingaphezu kwezimbini ngosuku
- Ukuba unesifo seswekile, isibindi, ipancreas, okanye isifo se-thyroid
Unxibelelwano olunokwenzeka namanye amayeza:
Xelela ugqirha wakho ukuba usebenzisa la mayeza:
- Amayeza aqulethe i-aspirin
- Izinto zokunciphisa igazi (umz. iWarfarin, iClopidogrel)
- Iipilisi zokulawula ukuzala ezine-estrogen
- Unyango lwehomoni ye-estrogen (unyango lokutshintsha i-estrogen)
- Amanye amayeza oxinzelelo lwegazi oluphezulu okanye isifo sentliziyo (umz. iiBeta-blockers, iiDiuretics)
Kuthekani ukuba i-cholesterol iphezulu?
Amaxesha amaninzi, xa i-triglycerides iphezulu, amanqanaba e-cholesterol nawo ayanda. Ukuba unezi meko zombini, ugqirha wakho unokucebisa ukuba uqale ukuthatha amayeza okunciphisa i-cholesterol. La mayeza anokunceda ekunciphiseni amanqanaba e-triglyceride ukuya kuthi ga kwinqanaba elithile.
| Udidi lweziyobisi | Imizekelo |
|---|---|
| Izithinteli zokufunxa i-cholesterol | I-Ezetimibe (Zetia) |
| Iistatini | I-Rosuvastatin (Crestor), i-Atorvastatin (Lipitor), i-Simvastatin (Zocor) |
| Amayeza adibeneyo e-statin | Umcebisi, uSimcor |
Kwenzeka ntoni emva kokuqalisa amayeza?
Emva kokuba unikwe amayeza, kuya kufuneka ubone ugqirha wakho rhoqo emva kweeveki ezintandathu de amanqanaba akho e-triglyceride ehle. Ngexesha lokudibana, qiniseka ukuba uxoxa ngayo nayiphi na ingxaki okanye iziphumo ebezingalindelekanga onazo ngenxa yamayeza.
Qiniseka ukuba uxelela ugqirha wakho ukuba ukhulelwe, uceba ukukhulelwa, okanye uncancisa. Kusenokufuneka utshintshe amayeza akho okanye uyeke ukusebenzisa amanye amayeza.
Ugqirha wakho angawutshintsha umlinganiselo wamayeza akho ngokuxhomekeke ekubeni amanqanaba akho egazi aphucuka kangakanani. Ukuba uthatha i-fibrates okanye i-niacin, ungenza uvavanyo lwegazi ukujonga ukusebenza kwesibindi sakho kunye nezintso kwezi ndibano.
Xa amanqanaba akho e-triglyceride ekwinqanaba elimiselweyo, kuya kufuneka ubone ugqirha wakho rhoqo kwiinyanga ezi-6 ukuya kwezili-12 . Baza kwenza novavanyo lwegazi ngelo xesha ukuqinisekisa ukuba amanqanaba akho aphantsi kolawulo.
Ungaphoswa zezi ntlanganiso zokulandelela. Eli linyathelo elibaluleke kakhulu lokuzikhusela kwizifo ezinkulu ezifana nokuhlaselwa yintliziyo kunye nokubetha kwentliziyo.
Umyalezo Wokuya Ekhaya
- Inyathelo lokuqala lokulawula i-triglycerides kukutya kakuhle kunye nokuzilolonga, kodwa ngamanye amaxesha amayeza anokufuneka.
- Ugqirha wakho uza kukukhetha amayeza emva kokuqwalasela izinto ezininzi, njengemeko yakho yempilo kunye namanye amayeza owasebenzisayo.
- Qiniseka ukuba uxelela ugqirha wakho malunga nayo yonke imithi, iivithamini, okanye izongezo ozithathayo.
- Ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha wakho.
- Ukutyelela ugqirha wakho ngexesha kunye nokuhlolwa kwegazi lakho kubaluleke kakhulu kwimpilo yakho yexesha elide kunye nokhuseleko lwentliziyo.
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