Udokotela wakho kungenzeka ukuthi ukutshelile ukuthi amazinga akho e-cholesterol egazini aphakeme. Lokhu kwandisa ingozi yakho yezifo ezingathi sína njengokuhlaselwa yinhliziyo kanye nesifo sohlangothi. Enye yezindlela ezinhle kakhulu zokunciphisa le ngozi ukulawula amazinga akho e-cholesterol. Uhlobo oluvame kakhulu lomuthi olunikezwa odokotela ngalokhu lubizwa ngokuthi i-statin. Kodwa ngezinye izikhathi, ngisho nokuphuza le mithi akukuniki imiphumela oyifunayo. Ucwaningo luthole ukuthi ingxenye yabantu abathatha ama-statin abakakwazi ukwehlisa i-cholesterol yabo ibe sezingeni elinempilo ngemva kweminyaka emibili. Ngakho-ke, uma kunguwe lowo, kufanele wenzeni?
Kungani ama-statin ngezinye izikhathi engasebenzi kahle?
Uma i-cholesterol yakho ingasehli naphezu kokuthatha i-statin, abanye odokotela bakubiza lokhu ngokuthi 'ukumelana ne-statin.' Kodwa lesi simo empeleni asivamile kakhulu. Uma uthatha imithi yakho ngendlela efanele, kunzima ukukholwa ukuthi ayisebenzi nhlobo. Kodwa kungenzeka ukuthi ayisebenzi kahle ngokwanele. Nazi ezinye zezizathu zokuthi kungani ungase ungayitholi imiphumela oyilindele.
| Isizathu esingaba khona | Incazelo elula |
|---|---|
| Ukungayithathi kahle imithi | Okokuqala, zibuze, "Ingabe ngithatha imithi yami njengoba nje udokotela engitshelile, ngesikhathi esifanele?" Uma ukhohlwa usuku noma weqa usuku, leso kungaba yisona sizathu esiyinhloko sokuthi kungani i-cholesterol yakho ingasehli. |
| Okuqhamuka uma udla imishanguzo | Abanye abantu babhekana nemiphumela emibi (isib. ubuhlungu bemisipha) okunzima ukuyibekezelela ngenxa yama-statin. Uma kungakho ugwema ukuthatha imithi yakho, qiniseka ukuthi ukhuluma nodokotela wakho ngakho. |
| Imithi yodwa ayanele | Uma amazinga akho e-cholesterol ayephezulu kakhulu ekuqaleni, imithi ye-statin yodwa ingase inganele ukuwanciphisa. Kungase kudingeke ucabangele ezinye izinketho. |
| Ukudla okungenampilo | Uma udla ukudla okuningi okunamafutha agcwele (ukudla okunamafutha, inyama ebomvu, imikhiqizo yobisi enamafutha amaningi), kunzima ngama-statins kuphela ukwehlisa i-cholesterol. Ukudla okunempilo kwenhliziyo kubalulekile. |
| Kuzothatha isikhathi eside. | Ama-statin awawona umuthi osheshayo. Uma usanda kuqala ukuwathatha, udokotela wakho uvame ukuhlola ukuthi i-cholesterol yakho yehlile yini ngemva kwezinyanga ezimbili. Bekezela. |
| Umthamo onganele | Kungenzeka ukuthi umthamo owunikezwe wona awanele. Udokotela wakho angase asikisele ukwandisa umthamo kancane. |
| Ezinye izinkinga zempilo | Uma unezinkinga nge-thyroid yakho, isibindi, noma izinso, i-cholesterol yakho ingaba phezulu. Udokotela wakho uzokwenza ukuhlolwa kwegazi nomchamo ukuze ahlole lezi zinkinga. |
| Eminye imithi | Eminye imithi oyithathayo ingaphazamisa ukusebenza kwama-statin. Tshela udokotela wakho ngayo yonke imithi oyithathayo (ngisho namavithamini kanye nezithasiselo) . |
| Izimbangela zofuzo (Ufuzo) | Nakuba kungavamile kakhulu, kunezimo lapho abantu bengasabeli khona kuma-statin ngenxa yezinguquko ezithile zofuzo. Kodwa-ke, into ebaluleke kakhulu ukuthola indlela yokwehlisa i-cholesterol. |
Uma ama-statin engasebenzi, yiziphi ezinye izinketho?
Uma udokotela wakho engakwazi ukuthola indlela yokulawula i-cholesterol yakho ngama-statin, kuneminye imithi ongayizama. Okokuqala, ungazama uhlobo oluhlukile lwe-statin. Kodwa khumbula ukuthi yonke isebenza ngendlela efanayo.
Uma ungakwazi ukuthatha ama-statin, noma uma engasebenzi, udokotela wakho angase akunikeze uhlobo oluhlukile lwemithi yokwehlisa i-cholesterol. Lena imithi esebenza ngendlela ehlukile.
Okubalulekile: Ungasebenzisi noma yimuphi wale mithi ngaphandle kokubonisana nodokotela wakho. Lolu lwazi lungolwakho kuphela.
| Isigaba sezidakamizwa | Indlela esebenza ngayo |
|---|---|
| Ama-sequestrant e-bile acid | Kuvimbela umzimba ekumunceni amafutha ekudleni esikudlayo. |
| Izithibi zokumunca i-cholesterol | Kuvimba umzimba ekumunceni i-cholesterol ekudleni. |
| I-Niacin (i-nicotinic acid) | Kusiza ekunciphiseni i-cholesterol embi (LDL). |
| Izithibi ze-PCSK9 | Ivimba iphrotheni ekhethekile futhi isiza isibindi ukususa i-cholesterol embi (i-LDL). |
| Ama-Fibrate | Kungakhuphula amazinga e-cholesterol enhle (i-HDL). |
| Izithibi ze-ACL | Zisebenza ngendlela ehlukile kunezi-statin ngokuvimbela isibindi ekwenzeni i-cholesterol. Isibonelo, i-Bempedoic acid (Nexletol). |
Ukwelashwa kwezifo ezingavamile zofuzo
Uma i-cholesterol yakho ephezulu ibangelwa yisimo esingavamile sofuzo njenge-familial hypercholesterolemia, kunezinye izindlela zokwelapha ezithile ezitholakalayo. Isibonelo, i-Lipoprotein apheresis (inqubo esusa i-cholesterol embi egazini), imithi ethile efana ne-Lomitapide ne-Mipomersen (Kynamro), futhi kwezinye izimo, ukufakelwa kwesibindi kungadingeka. Lokhu kunqunywa uchwepheshe wakho.
Masishintshe hhayi nje kuphela ezokwelapha, kodwa nendlela yokuphila!
Kungakhathaliseki ukuthi uthatha ama-statin noma cha, ungakhohlwa ukuthi ukudla okuhle kanye nokuzivocavoca kubalulekile ekugcineni amazinga e-cholesterol anempilo. Uma ama-statin engenazo imiphumela oyifunayo, ungase ufune ukucabanga kabusha ngalokho okudlayo nokuphuzayo.
Izinto okufanele uzigweme:
- Amafutha agcwele: Inyama ebomvu, imikhiqizo yobisi enamafutha agcwele, kanye nokudla okuthosiwe emafutheni.
- Amafutha e-Trans: Lawa angatholakala ku-margarine, ekudleni okupakishiwe, kanye nemikhiqizo yokubhaka.
Izinto okufanele uzidle kakhulu:
- Ama-omega-3 fatty acids: Izinhlanzi ezinamafutha njenge-salmon, i-mackerel, ne-herring, imbewu ye-flax, namantongomane afana nama-walnuts.
- I-fibre: I-oats, ibhali, ubhontshisi, udali, izithelo nemifino emisha.
- Iphrotheni yeWhey: Iphrotheni enempilo etholakala emikhiqizweni yobisi.
Ngaphezu kwalokhu kulawula ukudla, ukuphila ngendlela ematasa kungakhuphula amazinga akho e-cholesterol enhle (i-HDL) . Futhi,
- Ukuyeka ukubhema
- Ukwehlisa isisindo
- Ukunciphisa ukusetshenziswa kotshwala
Izinto ezinjalo nazo ziwusizo olukhulu ekulawuleni amazinga akho e-cholesterol.
Cabanga nangengozi yakho.
Udokotela wakho kungenzeka ukuthi ukunike umgomo othize we-cholesterol. Uma ungakafinyeleli lowo mgomo ngisho noma usebenzisa i-statin, udinga ukucabangela ezinye izici zakho eziyingozi zesifo senhliziyo. Njengoba ingozi yakho ikhula, udokotela wakho angase ancome izinyathelo ezinamandla zokunciphisa i-cholesterol yakho.
Isibonelo, uma usuvele uhlaselwe yisifo senhliziyo noma isifo sohlangothi , kubaluleke kakhulu ukwehlisa i-cholesterol yakho. Kubaluleke kakhulu futhi uma unezinye izici eziyingozi (njengesifo sikashukela noma umfutho wegazi ophakeme) ngaphezu kwe-cholesterol. Udokotela wakho angakusiza uqonde izingozi zakho nokuthi yini okudingeka uyenze ukuze uvikele impilo yakho.
Umlayezo Wokuya Nawe Ekhaya
- Phuza imithi yakho ye-statin njengoba nje udokotela wakho ekuyalele, ngesilinganiso esifanele, nangesikhathi. Ungalokothi uyeke ukuyithatha ngokunganaki.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi evela emithini yakho, esikhundleni sokuyiyeka, khuluma nodokotela wakho ngayo. Ungase ukwazi ukushintshela komunye umuthi.
- Imithi yodwa ayanele. Ukudla okunempilo kwenhliziyo kanye nokuzivocavoca nsuku zonke kubalulekile ekulawuleni i-cholesterol.
- Uma ama-statin ewodwa enganele ukulawula i-cholesterol yakho, ungakhathazeki. Kuneminye imithi eminingana engasiza.
- Xoxa njalo nodokotela wakho ngohlelo lwakho lokwelashwa kanye nezici eziyingozi, futhi ndawonye ningenza izinqumo ezinhle kakhulu.
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