Namhlanje, abantu abaninzi kwilizwe lethu basebenzisa uhlobo oluthile lwamayeza ukulawula i-cholesterol. Mhlawumbi nawe ungomnye wabo. Kukho abantu abaninzi abaqale ukusebenzisa amayeza xa besiya kugqirha kuba i-cholesterol yabo iphezulu kancinci. Ngokwesiqhelo, siqhele amayeza afana 'ne-statin'. Kodwa abanye abantu bafumana iintlungu zemisipha kunye nokunye ukungakhululeki ngenxa yala mayeza. Ngoko ke usenokuba ucinga, "Ngaba azikho ezinye iindlela ezingcono endaweni yale nto? Ngaba awekho amayeza amatsha, angcono naphumayo?" Enyanisweni, ngokuhambela phambili kwesayensi yezonyango, iindlela ezintsha kunye namayeza nawo aphumayo ukulawula i-cholesterol. Namhlanje, masithethe ngezo zinto zintsha.
Heart disease risk
Check the risk of developing a heart disease within the next 10 years with the Framingham Score
Ngaba ixesha lokunika wonke umntu amayeza afanayo liphelile?
Ngokungafaniyo nexesha elidlulileyo, unyango lwe-cholesterol luye lwadlula indlela "yokulinganisa ubungakanani obufanayo", apho wonke umntu enikwa i-statin enye. Oogqirha ngoku bazama ukwenza unyango lube lolwamntu ngamnye. Ngamafutshane, unyango olungcono lukhethwa ngokusekelwe kwizinto ezininzi, kubandakanya ubudala bakho, ezinye iimeko zempilo onazo (ezifana nomhlaza), kunye nembali yosapho lwakho.
Kwanophando lwangoku lujonga ukuba loluphi unyango olulungele abantu abadala kunye nolusebenza kakuhle kubantu abanezinye iimeko zonyango. Ngoko ke kukho indawo engaphezulu yokuba uthethe nogqirha wakho uze nesicwangciso sonyango esifanelekileyo kuwe.
Ziziphi iindlela zamva nje zokulawula i-cholesterol?
Ukongeza kumayeza e-statin, ngoku kukho ezinye iindlela ezininzi. Ezi zinokuba luncedo kakhulu, ingakumbi kwabo banengxaki yokulawula i-cholesterol yabo ngee-statins zodwa, okanye kwabo bafumana iziphumo ebezingalindelekanga ezivela kwii-statins. Makhe sijonge ukuba ziyintoni na.
| Amayeza / Unyango | Kalula nje, ukusebenza | Ngubani ofanelekileyo kakhulu? |
|---|---|---|
| I-Nexletol (I-asidi ye-Bempedoic) | Iyanciphisa ukuveliswa kwe-cholesterol esibindini. Nangona kunjalo, ichaphazela indlela eyahlukileyo ye-enzyme (indlela ye-ACL) kune-statins. | - Kwabo baneengxaki ze-cholesterol ephezulu ezizuzwe njengelifa (Familial Hypercholesterolemia). - Kwabo sele benesifo sentliziyo kwaye bafuna ukunciphisa ngakumbi i-cholesterol yabo. |
| Izithinteli ze-PCSK9 (umz. uRepatha, uPraluent) | Olu lugonyo. Lusebenza ngendlela eyahlukileyo ngokupheleleyo kune-statins. Lunceda isibindi sisuse i-cholesterol embi (LDL) egazini. | - Kwabo bangakwaziyo ukunyamezela iintlungu zemisipha ezibangelwa zii-statins. - Kwabo banengxaki yokulawula i-cholesterol ngee-statins. - Kwabo baneengxaki ze-cholesterol ephezulu ezizuzwe njengelifa. |
| I-Pitavastatin (eLivalo) | Olu luhlobo lwe-statin, kodwa ukuxhaphaka kweentlungu zemisipha kuphantsi kakhulu xa kuthelekiswa nezinye ii-statin. | - Enye indlela elungileyo kwabo baye baziva iintlungu zemisipha ngelixa besebenzisa ezinye ii-statins. |
Ulwazi oluthe kratya malunga nale yeza
- Ii-PCSK9 Inhibitors: Abanye abantu banokoyika xa besiva igama elithi "PCSK9 Inhibitors" baze bacinge, "Ngaba kufuneka ndigonywe yonke imihla?" Hayi, akunjalo. Kufuneka ugonywe rhoqo emva kweeveki ezimbini . Ngoko ke ayisiyonto inkulu. Iziphumo ezimbini eziphambili ze-statins, iintlungu zemisipha kunye nomonakalo wesibindi, azikho phantse kweli yeza.
- I-Familial Hypercholesterolemia: Le yimeko yemfuza. Ngamafutshane, umzimba waba bantu awukwazi ukuphinda usebenzise kwaye ususe i-cholesterol embi (LDL) ngokufanelekileyo. Ngenxa yoko, amanqanaba e-cholesterol egazini labo ahlala ephezulu. Ii-PCSK9 Inhibitors zilunyango olusebenzayo kakhulu kwaba bantu.
Enye into kukuba abanye abantu banezinga eliphezulu le-cholesterol kangangokuba bade banyangwe unyango olubizwa ngokuba yi-'LDL apheresis', olususa i-cholesterol embi egazini. Kungaba ngumbono olungileyo ukuqala ukuthatha amayeza afana neNexletol ngaphambi kokuba ufikelele kwelo nqanaba.
Amayeza kuphela awanelanga! Ukutshintsha indlela yokuphila kubalulekile
Nokuba amayeza amatsha aphuma kangakanani na, kukho into enye esingafanele siyilibale: ixabiso lendlela yokuphila esempilweni.
Khawucinge nje, xa usiya kugqirha, uthi, "I-cholesterol yakho iphezulu kancinci, masiqale amayeza. Kwangaxeshanye, lawula ukutya kwakho kwaye uzilolonge ubuncinane isiqingatha seyure ngosuku."
Ngoku kukho abanye abantu abathi, "Owu, gqirha, ndiza kulawula ukutya kwam kancinci, kodwa andinalo ixesha lokuzilolonga." Abanye basela ipilisi baze bacinge, "Ngoku ndingatya ndize ndisele nantoni na endiyifunayo." Zombini ezi ndlela azilunganga.
Khumbula, ngokutya ukutya okunempilo kunye nokuzilolonga rhoqo, unganciphisa amanqanaba akho e-cholesterol embi (LDL) ngama-20-30 amanqaku. Ukuba wenza njalo, unokukwazi ukunciphisa umthamo wamayeza owanikwe wona, kwaye kwiimeko ezingaqhelekanga, uyeke ngokupheleleyo ukuwasela amayeza.
Ngoko ke thetha nogqirha wakho. Thembeka malunga nokuba ungakwazi na ukutshintsha indlela ophila ngayo. Emva koko unokuvavanya izinto ezikubangela umngcipheko (ezifana nesifo sentliziyo, isifo sohlangothi) aze agqibe ekubeni uyawadinga amayeza okanye ukuba utshintsho kwindlela ophila ngayo lodwa lunokunceda. Esi sisigqibo ekufuneka sixoxwe phakathi kwenu nobabini.
Umyalezo Wokuya Ekhaya
- Ukongeza kwimithi yesiqhelo ye-statin, ngoku kukho amayeza aliqela anamhlanje nasebenzayo okulawula i-cholesterol.
- Ukuba ufumana iziphumo ebezingalindelekanga ezifana neentlungu zemisipha ezivela kwi-statins, thetha nogqirha wakho malunga nezinye iindlela ezifana ne-PCSK9 Inhibitors okanye iPitavastatin.
- Unyango olusebenza kakuhle ngoku lufumaneka ngokukodwa kwiimeko ze-cholesterol ephezulu ezizuzwe njengelifa.
- Nokuba usebenzisa amayeza anjani na, kubalulekile ukugcina ukutya okunempilo kunye nokuzilolonga rhoqo. Oku kunokukunceda nokuba unciphise umthamo wamayeza akho.
- Soloko uxoxa ngokukhululekileyo nangokunyaniseka nogqirha wakho ukuze ubone ukuba loluphi unyango olulungele wena.
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