Ngaba ugqirha wakho ukunike iyeza le- cholesterol ? Ngaba wakha waziva iintlungu emzimbeni wakho, ingakumbi kwimisipha yakho, emva kokuqala iyeza? Ukuba kunjalo, awuwedwa. Abantu abaninzi abathatha ii-statins , uhlobo lwamayeza okunciphisa i-cholesterol, baye bahlangabezana nale meko. Kodwa ungoyiki. Makhe sijonge ukuba kutheni oku kusenzeka, yintoni enokwenziwa ngako, kwaye nini apho kufuneka sikhathazeke ngakumbi ngako.
Okokuqala, masibone, yintoni le statin?
Ngamafutshane, ii-statins luhlobo lwamayeza anikwa ngoogqirha ukunciphisa i-cholesterol "embi", okanye i-LDL cholesterol, emizimbeni yethu. La ngamayeza abaluleke kakhulu. Kuba ludidi olukhuselekileyo lwamayeza abonakaliswe ukuba anciphisa umngcipheko weemeko ezinzulu ezifana nokuhlaselwa yintliziyo kunye nestroke. Yiyo loo nto oogqirha kwihlabathi liphela bewanika la mayeza rhoqo.
Kutheni le nto eli yeza lenza izihlunu zam zibe buhlungu?
Oogqirha abakakwazi ukutsho ngokuqinisekileyo ukuba yintoni ebangela oku. Kodwa kukho iingcamango ezininzi. Enye kukuba eli yeza linokuba nefuthe elincinci kwindlela iiseli zethu zemisipha ezisebenzisa ngayo amandla. Cinga ngeeseli zethu zemisipha njengeenjini ezincinci. Eli yeza linokwenza umahluko omncinci kwindlela ezisebenza ngayo ezo njini. Enye ingcamango kukuba eli yeza linokubangela ukuvuza okuncinci kwezinto ezifana ne-calcium kunye neproteni kwiiseli zemisipha. Abanye abantu banokuba novelwano ngakumbi kolu tshintsho kunabanye.
Kwaye kukho enye into. Leyo "yimpembelelo ye-nocebo." Oko kukuthi, ukuba sicinga kwangaphambili, "Owu... ukuba ndithatha eli yeza, izihlunu zam ziya kuba buhlungu," sinokuba sengozini enkulu yokuziva loo ntlungu. Nangona oku kuyinto yengqondo, intlungu iyinyani.
Le ntlungu yemisipha, ukuba iyenzeka, idla ngokuvela kwiinyanga ezimbalwa zokuqala emva kokuqala iyeza okanye emva kokunyusa umthamo. Usenokuziva ubuhlungu okanye ubuthathaka obungapheliyo emagxeni akho, emathangeni, ezinqeni, okanye apho iinwele zakho zigobile khona. Abantu abaninzi baziva le ntlungu ngokulinganayo kumacala omabini omzimba wabo.
Ngubani osengozini enkulu yokuhlaselwa yile ntlungu?
Asinguye wonke umntu othatha ii-statins ofumana le ntlungu. Kodwa abanye abantu basengozini enkulu kancinci. Masibone ukuba bangoobani.
| Into enobungozi | Inkcazo |
|---|---|
| Ubudala | Ukuba uneminyaka engama-80 ubudala nangaphezulu. |
| Ubungakanani bomzimba | Umngcipheko uphezulu kancinci kubafazi abancinci. |
| Iimeko zonyango ezikhoyo | Ukuba nesifo sezihlunu esele sikhona, izintso, isibindi okanye isifo se-thyroid. |
| Umlinganiselo wamayeza | Ukuthatha amayeza e-statin angaphezulu. |
Eyona nto ibalulekileyo kukuba, ungayeki ukuthatha amayeza xa uziva ukuba izihlunu zakho ziyaqaqamba. Thetha nogqirha wakho kuqala. Uza kukunika isisombululo esifanelekileyo.
Kaloku, senza ntoni ngale ntlungu yemisipha?
Xa uxelela ugqirha ngale nto, uza kukunika iingcebiso ezahlukeneyo. Makhe sibone ukuba zeziphi ezo zisombululo.
Thatha ikhefu elifutshane njengoko ugqirha wakho ekucebisile (iStatin Vacation)
Oku kuquka ukuyeka amayeza kangangeeveki ezi-3 ukuya kwezi-4 phantsi kwesikhokelo sikagqirha wakho. Ukuba intlungu ibangelwa yi-statin, intlungu kufuneka iphele ngeli xesha. Enye indlela kukuthatha amayeza yonke imihla endaweni yokuwathatha yonke imihla. Oku kunokunceda ukunciphisa i-cholesterol yakho ngaphandle kokubangela iintlungu zemisipha.
Ukutshintsha umthamo wamayeza
Ngamanye amaxesha, ukunciphisa umthamo we-statin yakho kunokunceda ukunciphisa okanye ukuphelisa iintlungu zemisipha. Kodwa kukho izinto ezilungileyo nezingalunganga koku. Ukunciphisa umthamo kunokubangela ukuba amanqanaba akho e-cholesterol e-LDL anyuke kwakhona. Ngoko ke, esi sigqibo kufuneka senziwe emva kokuthetha nogqirha wakho.
Ukutshintshela kwelinye iyeza
Ukuba unengxaki ngohlobo oluthile lwe-statin, unokufumana isiqabu ngokutshintshela kolunye uhlobo lwe-statin. Okanye kukho amanye amayeza angengowe-statin okwehlisa i-cholesterol. Ungabuza ugqirha wakho ngale mithi.
| Amayeza angengowe-statin | Indlela esebenza ngayo (ngamagama alula) |
|---|---|
| I-Ezetimibe | Ithintela umzimba ekufunxeni i-cholesterol emathunjini amancinci. |
| Izinto ezidibanisa i-bile acid | Ithintela i-cholesterol egazini ukuba ingaphindi ingene emzimbeni. |
| Izithinteli ze-PCSK9 | Ikhawulezisa inkqubo yokususa i-cholesterol ye-LDL emzimbeni. |
| Izithinteli ze-ACL (umz. i-Bempedoic acid) | Inciphisa ukuveliswa kwe-cholesterol "embi" yisibindi. |
Lumka malunga nezinye izinto ozithathayo.
Qiniseka ukuba uxelela ugqirha wakho malunga neminye imithi, iimveliso zezityalo , okanye iivithamini ozithathayo, njengoko ezinye izinto zinokusebenzisana nee-statins kwaye zonyuse umngcipheko wakho weziphumo ebezingalindelekanga. Umzekelo:
- Ijusi yegrapefruit
- Amanye amayeza oxinzelelo lwegazi oluphezulu ( iCalcium channel blockers )
- Izinto ezithintela amasosha omzimba
- Ezinye izinto ezilwa neentsholongwane kunye neentsholongwane
- Ezinye iintlobo zeehomoni
Ukuzilolonga
Kuqhelekile ukuba uzive ubuhlungu emva kokuzilolonga. Nangona kunjalo, uphando oluthile lufumanise ukuba ukuzilolonga okuphakathi kunokunciphisa ubuhlungu bemisipha obubangelwa zii-statins. Ukuba usandul' ukuzilolonga, buza ugqirha wakho ukuba zeziphi izilolonga ezifanelekileyo kuwe. Nangona kunjalo, ukuba wenza umthambo onzima kakhulu ( njengokubaleka i-marathon), iintlungu zakho zinokwanda. Kwiimeko ezinjalo, ugqirha wakho unokukucela ukuba uyeke ukuthatha i-statin yakho usuku olunye okanye ezimbini.
Utshintsho kwindlela yokuphila
Ngokutya ukutya okunempilo kwentliziyo (okunefayibha eninzi, amafutha agcweleyo aphantsi kunye namafutha e-trans ) kunye nokufumana ubuncinci imizuzu eli-150 yokuzilolonga okuphakathi ngeveki, unokunciphisa i-cholesterol yakho "embi" (LDL) kwaye wonyuse i-cholesterol yakho "elungileyo" (HDL). Kubalulekile nokuyeka ukutshaya ukuba uyatshaya. Ngolu tshintsho lwendlela yokuphila, unokukwazi ukunciphisa idosi ye-statins ekufuneka uyithathe.
Xa intlungu yemisipha iba yingxamiseko?
Ixesha elininzi, iintlungu zemisipha ezibangelwa zii-statin azinabungozi. Nangona kunjalo,Kunqabile kakhulu , kubantu abambalwa kwisigidi abathatha ii-statins, imeko embi ebizwa ngokuba yi -rhabdomyolysis inokwenzeka. Oku kwenzeka xa iiseli zemisipha zonakele kakhulu. Ukuthatha iidosi eziphezulu zee-statins okanye ukuthatha ii-statins kunye namanye amayeza kwandisa le ngozi.
Ukuba ufumana enye okanye ezingaphezulu kwezi mpawu zilandelayo kunye, isenokuba yingxamiseko. Fowunela ugqirha wakho ngoko nangoko . Okanye yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane nawe.
- Intlungu yemisipha enzima kakhulu
- Umchamo obomvu okanye omdaka omnyama
- Umzimba uba buthathaka kakhulu
Ngexesha elinje, ugqirha uza kwenza uvavanyo lwegazi nomchamo ukuqinisekisa ukuba le meko ikhona na.
Umyalezo Wokuya Ekhaya
- I-Statin liyeza elibaluleke kakhulu kwimpilo yentliziyo yakho.
- Iintlungu zemisipha ziziphumo ebezingalindelekanga eziqhelekileyo zale mithi, kodwa uninzi lwexesha aziyongozi.
- Musa ukuyeka ukuthatha amayeza akho e-statin nangasiphi na isizathu ngaphandle kokuthetha nogqirha wakho .
- Zininzi iindlela zokulawula le ntlungu. Ungenza izinto ezinje ngokutshintsha umthamo, ukutshintsha amayeza, nokwenza utshintsho kwindlela ophila ngayo.
- Intlungu ebuhlungu yemisipha, umchamo omnyama, kunye nobuthathaka yimeko engxamisekileyo. Yiya kwi -ETU yesibhedlele ngokukhawuleza.
I-Statin, i-cholesterol, iintlungu zemisipha, isifo sentliziyo, iziphumo ebezingalindelekanga, i-Statin, i-cholesterol , iintlungu zemisipha, iziphumo ebezingalindelekanga, i-Rhabdomyolysis, impilo yentliziyo, ulawulo lweentlungu
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