Kuvamile ukuzizwa wesaba kancane lapho udokotela wakho ekutshela ukuthi ama-triglyceride akho aphezulu egazini lakho. Uma ungakwazi ukuwanciphisa ngisho nangemva kokulawula ukudla kwakho nokuzivocavoca, ungase uzibuze ukuthi yini okufanele uyenze ngokulandelayo. Ngezinye izikhathi imizimba yethu idinga usizo oluncane ukuze iwalawule, okusho ukuthi imithi. Ngakho udokotela wakho ukhetha kanjani imithi efanele wena? Ake sixoxe ngakho kalula.
Ingabe ngidinga ukuqala ukuthatha imithi?
Akuwona wonke umuntu onikezwa imithi uma ama-triglyceride akhe ephakanyisiwe kancane. Isinyathelo sokuqala ukuzama ukulawula la mazinga ngokwenza izinguquko endleleni yokuphila, njengokudla ukudla okunempilo nokuzivocavoca. Kodwa-ke, udokotela wakho cishe uyokunikeza imithi ezimweni ezilandelayo:
- Uma amazinga akho e-triglyceride ephezulu kakhulu: okungukuthi, aphezulu kakhulu kuno-500 mg/dL. Lokhu kungabangela umonakalo kumanyikwe, ngakho-ke kubalulekile ukuwulawula ngokushesha.
- Uma unezinga eliphezulu le-cholesterol "embi" (LDL) kanye nama-triglycerides: Ukuhlanganiswa kwalezi zimo ezimbili kwandisa ingozi yakho yesifo senhliziyo kanye nesifo sohlangothi.
Ngaphambi kokukhetha umuthi, udokotela wakho uzocabangela izici eziningana. Isibonelo, ingabe uthatha eminye imithi njengamanje? Siyini isimo sakho sempilo iyonke? Konke lokhu kuzosiza ekunqumeni umuthi ofanele kakhulu nophephile kuwe.
Izinhlobo eziyinhloko zemithi esetshenziselwa ukwehlisa ama-triglycerides
Kunezinhlobo eziningana zemithi esetshenziswa ukwehlisa ama-triglyceride. Ake sibheke ngayinye yazo ngokwehlukana.
1. Ama-Fibrate
Le mithi yehlisa amazinga e-triglyceride kakhulu. Ngaphezu kwalokho, isiza ekunciphiseni amazinga e-cholesterol kanye neprotheni ebizwa ngokuthi i-ApoB, etholakala ku-cholesterol embi (LDL).
| Igama elijwayelekile lomuthi | Amanye Amagama Omkhiqizo Emakethe |
|---|---|
| I-Clofibrate | I-Atromid-S |
| I-Fenofibrate | I-Lipofen, eTricor |
| I-Fenofibroic acid | I-Fibricor, i-Trilipid |
| I-Gemfibrozil | I-Gemcor, i-Lopid |
Abantu okungafanele bathathe lo muthi:
Ama-fibrate awanconywa uma unesifo sesibindi , sezinso , noma senyongo .
Ukuxhumana okungenzeka neminye imithi:
Ngaphambi kokuqala ama-fibrate, tshela udokotela wakho ngayo yonke eminye imithi namavithamini owathathayo, ikakhulukazi:
- Ama-anticoagulant okunciphisa igazi - isibonelo i-Warfarin
- Imithi yesifo sikashukela
- Eminye imithi yokwehlisa i-cholesterol - isib. i-Atorvastatin (Lipitor), i-Simvastatin (Zocor)
- I-insulini
2. I-Niacin
Lona futhi umuthi othuthukisa amazinga e-cholesterol ngenkathi wehlisa ama-triglycerides. I-Niacin yehlisa amazinga e-cholesterol embi (LDL) kanye ne-ApoB, futhi inyusa amazinga e -cholesterol "enhle" (HDL) .
- Igama lomuthi: I-Niaspan (i-niacin)
Abantu okungafanele bathathe lo muthi:
- Uma une-allergy ku-aspirin, i-niacin, noma i-tartrazine (udayi ophuzi osetshenziswa kweminye imithi nokudla)
- Uma unezinkinga zokopha
- Uma unesifo sikashukela
- Isifo senyongo
- Isifo senhliziyo
- Isifo sesibindi noma i-jaundice
- Isilonda sesisu
- Uma ulungiselela noma yikuphi ukuhlinzwa, okuhlanganisa nokukhishwa kwezinyo
Ukuxhumana okungenzeka nezinye izinto:
Ngaphambi kokuthatha i-niacin, tshela udokotela wakho uma uthatha noma yikuphi kwalokhu okulandelayo:
- Uma uthatha imithi yokunciphisa igazi (isib. i-Warfarin).
- Uma uthatha umuthi we-insulin noma wesifo sikashukela ophuzwa ngomlomo (i-niacin ingakhuphula amazinga kashukela egazini, ngakho udokotela wakho kungadingeka alungise umthamo womuthi wakho wesifo sikashukela).
- Uma uphuza utshwala obuningi kakhulu.
3. Ama-Omega-3 Fatty Acids Anamandla Kadokotela
Okubalulekile: Lezi akuzona izithasiselo ze-Omega-3 ezivamile ozithenga ekhemisi noma esitolo esikhulu. Lezi imithi enamandla nenamandla enikezwa udokotela.
Le mithi yehlisa amazinga e-triglyceride futhi ngezinye izikhathi ingakhuphula amazinga e-cholesterol enhle (i-HDL).
- Amagama emithi: Epanova, Lovaza, Vascepa
Abantu okungafanele bathathe lo muthi:
- Uma une-allergies enhlanzini noma ezinkomeni
- Uma uphuza izingilazi zotshwala ezingaphezu kwezimbili ngosuku
- Uma unesifo sikashukela, isibindi, i-pancreas, noma isifo se-thyroid
Ukuxhumana okungenzeka neminye imithi:
Tshela udokotela wakho uma uthatha le mithi:
- Imithi equkethe i-aspirin
- Izinto zokunciphisa igazi (isib. iWarfarin, iClopidogrel)
- Amaphilisi okuvimbela inzalo aqukethe i-estrogen
- Ukwelashwa ngama-hormone e-estrogen (ukwelashwa kokufaka esikhundleni se-estrogen)
- Eminye imithi yokwelapha umfutho wegazi ophakeme noma isifo senhliziyo (isib. Ama-Beta-blockers, ama-Diuretics)
Kuthiwani uma i-cholesterol iphezulu?
Ngokuvamile, uma ama-triglyceride ephezulu, amazinga e-cholesterol nawo ayakhuphuka. Uma unazo zombili lezi zimo, udokotela wakho angase akuncome ukuthi uqale ukuthatha imithi yokwehlisa i-cholesterol. Le mithi ingasiza futhi ekwehliseni amazinga e-triglyceride ngezinga elithile.
| Isigaba sezidakamizwa | Izibonelo |
|---|---|
| Izithibi zokumunca i-cholesterol | I-Ezetimibe (Zetia) |
| Ama-statin | I-Rosuvastatin (Crestor), i-Atorvastatin (Lipitor), i-Simvastatin (Zocor) |
| Imithi ehlanganisiwe ye-statin | Umeluleki, uSimcor |
Kwenzekani ngemva kokuqala umuthi?
Ngemva kokuthola imithi, cishe kuzodingeka ubonane nodokotela wakho njalo emavikini ayisithupha kuze kube yilapho amazinga akho e-triglyceride ehlile. Phakathi nalezi zikhathi zokuqokwa, qiniseka ukuthi uxoxa nganoma yikuphi ukungakhululeki noma imiphumela emibi oyitholayo ngenxa yemithi.
Qiniseka ukuthi utshela udokotela wakho uma ukhulelwe, uhlela ukukhulelwa, noma uncelisa. Kungase kudingeke ushintshe imithi yakho noma uyeke ukuthatha eminye imithi.
Udokotela wakho angase alungise umthamo wemithi yakho kuye ngokuthi amazinga akho egazi athuthuka kangakanani. Uma uthatha i-fibrates noma i-niacin, ungase futhi uhlolwe igazi ukuze kuhlolwe ukusebenza kwesibindi sakho kanye nezinso kulezi zikhathi zokwelashwa.
Uma amazinga akho e-triglyceride esengaphakathi kwamazinga ahlosiwe, kuzodingeka ubone udokotela wakho njalo ezinyangeni eziyi-6 kuya kweziyi-12 . Bazokwenza nokuhlolwa kwegazi ngaleso sikhathi ukuqinisekisa ukuthi amazinga akho alawulwa.
Ungaphuthelwa yizikhawulo zokulandelela. Lesi isinyathelo esibaluleke kakhulu sokuzivikela ezifweni ezinkulu njengokuhlaselwa yinhliziyo kanye nohlangothi.
Umlayezo Wokuya Nawe Ekhaya
- Isinyathelo sokuqala sokulawula ama-triglyceride ukudla okuhle kanye nokuzivocavoca umzimba, kodwa ngezinye izikhathi kungadingeka imithi.
- Udokotela wakho uzokukhetha umuthi ngemva kokucabangela izici eziningi, njengesimo sakho sempilo kanye neminye imithi oyiphuzayo.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, noma izithasiselo ozithathayo.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Ukuvakashela udokotela wakho ngesikhathi kanye nokuhlolwa kwegazi lakho kubaluleke kakhulu empilweni yakho yesikhathi eside kanye nokuphepha kwenhliziyo.
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