Namuhla, abantu abaningi ezweni lakithi basebenzisa uhlobo oluthile lomuthi ukulawula i-cholesterol. Mhlawumbe ungomunye wabo. Kunabantu abaningi asebeqalile ukuthatha umuthi lapho beya kudokotela ngoba i-cholesterol yabo iphezulu kancane. Ngokuvamile, sijwayele imithi efana ne-'statin'. Kodwa abanye abantu bathola ubuhlungu bemisipha kanye nokunye ukungakhululeki ngenxa yale mithi. Ngakho-ke ungase ucabange, "Azikho yini ezinye izindlela ezingasetshenziswa esikhundleni salokhu? Ingabe imithi emisha, engcono ayikaze iphume?" Eqinisweni, ngokuthuthuka kwesayensi yezokwelapha, izindlela ezintsha kanye nemithi nazo ziye zavela ukulawula i-cholesterol. Namuhla, ake sixoxe ngalezo zinto ezintsha.
Ingabe isikhathi sokunikeza wonke umuntu umuthi ofanayo sesiphelile?
Ngokungafani nesikhathi esidlule, ukwelashwa kwe-cholesterol kudlulele ngale kwendlela "efanele wonke umuntu", lapho wonke umuntu enikezwa khona i-statin eyodwa. Odokotela manje bazama ukwenza ukwelashwa kube ngokwendlela yomuntu ngamunye. Kalula nje, ukwelashwa okungcono kakhulu kukhethwa ngokusekelwe ezicini eziningi, kufaka phakathi iminyaka yakho, ezinye izimo zezokwelapha onazo (njengomdlavuza), kanye nomlando womndeni wakho.
Ngisho nocwaningo lwamanje lubheka ukuthi yiziphi izindlela zokwelapha ezilungele abantu asebekhulile nokuthi yiziphi ezilungele abantu abanezinye izimo zezokwelapha. Ngakho-ke kunendawo eyengeziwe yokukhuluma nodokotela wakho bese uqhamuka nohlelo lokwelashwa olungcono kakhulu kuwe.
Yiziphi izindlela zakamuva zokulawula i-cholesterol?
Ngaphezu kwemithi ye-statin, manje kunezinye izinketho eziningana. Lezi zingaba usizo kakhulu, ikakhulukazi kulabo abanenkinga yokulawula i-cholesterol yabo ngama-statin kuphela, noma kulabo abathola imiphumela emibi evela kuma-statin. Ake sibheke ukuthi iyini.
| Imithi / Ukwelashwa | Kalula nje, ukusebenza | Ubani ofaneleka kakhulu? |
|---|---|---|
| I-Nexletol (I-asidi ye-bempedoic) | Kunciphisa ukukhiqizwa kwe-cholesterol esibindini. Kodwa-ke, kuthinta indlela ehlukile ye-enzyme (indlela ye-ACL) kune-statins. | - Kulabo abanezinkinga ze-cholesterol ephezulu ezizuzwe njengefa (i-Familial Hypercholesterolemia). - Kulabo asebevele benesifo senhliziyo futhi abafuna ukunciphisa i-cholesterol yabo. |
| Ama-PCSK9 Inhibitors (isib. uRepatha, uPraluent) | Lona umuthi wokugomela. Usebenza ngendlela ehluke ngokuphelele kunemithi ye-statin. Usiza isibindi ukususa i-cholesterol embi (i-LDL) egazini. | - Kulabo abangakwazi ukubekezelela ubuhlungu bemisipha obubangelwa ama-statin. - Kulabo abanenkinga yokulawula i-cholesterol ngama-statin. - Kulabo abanezinkinga ze-cholesterol ephezulu ezizuzwe njengefa. |
| I-Pitavastatin (Livalo) | Lolu futhi uhlobo lwe-statin, kodwa ukwanda kobuhlungu bemisipha kuphansi kakhulu uma kuqhathaniswa nezinye izidakamizwa. | - Enye indlela enhle kulabo abaye babhekana nobuhlungu bemisipha ngenkathi besebenzisa amanye ama-statin. |
Ulwazi olwengeziwe mayelana nalomuthi
- Ama-PCSK9 Inhibitors: Abanye abantu bangase besabe lapho bezwa igama elithi "ama-PCSK9 Inhibitors" bese becabanga ukuthi, "Ingabe kufanele ngigonywe nsuku zonke?" Cha, akunjalo. Kufanele ugonywe njalo emavikini amabili kuphela. Ngakho akuyona into enkulu. Imiphumela emibi emibili eyinhloko yama-statins, ubuhlungu bemisipha kanye nokulimala kwesibindi, cishe ayikho kulo muthi.
- I-Familial Hypercholesterolemia: Lesi yisimo sofuzo. Kalula nje, umzimba walaba bantu awukwazi ukuphinda usebenzise futhi ususe i-cholesterol embi (LDL) ngendlela efanele. Ngenxa yalokho, amazinga abo e-cholesterol egazini ahlala ephezulu. Ama-PCSK9 Inhibitors ayindlela yokwelapha ephumelela kakhulu kulaba bantu.
Enye into ukuthi abanye abantu banamazinga aphezulu e-cholesterol kangangokuthi baze badinge ukwelashwa okubizwa ngokuthi i-'LDL apheresis', okususa i-cholesterol embi egazini. Kungaba ngumqondo omuhle ukuqala ukuthatha imithi efana ne-Nexletol ngaphambi kokuba ufinyelele leso sigaba.
Ukwelapha kukodwa akwanele! Ukushintsha indlela yokuphila kubalulekile
Kungakhathaliseki ukuthi kuphuma imithi emisha emingaki, kukhona into eyodwa okungafanele siyikhohlwe: ukubaluleka kwendlela yokuphila enempilo.
Cabanga nje, uma uya kudokotela, uthi, "I-cholesterol yakho iphezulu kancane, ake siqale imithi. Ngesikhathi esifanayo, lawula ukudla kwakho nokuzivocavoca okungenani isigamu sehora ngosuku."
Manje kukhona abanye abantu abathi, "O, dokotela, ngizolawula ukudla kwami kancane, kodwa anginaso isikhathi sokuzilolonga." Abanye baphuza iphilisi bese becabanga ukuthi, "Manje sengingadla futhi ngiphuze noma yini engiyifunayo." Zombili lezi zindlela azilungile.
Khumbula, ngokudla okuhle kanye nokuzivocavoca njalo, unganciphisa amazinga akho e-cholesterol embi (LDL) ngamaphuzu angaba ngu-20-30. Uma wenza kanjalo, ungase ukwazi ukunciphisa umthamo wemithi oyinikezwe, futhi ezimweni ezingavamile, uyeke ngokuphelele ukuthatha imithi.
Ngakho-ke vuleleka kudokotela wakho. Thembeka ngokuthi ungenza ngempela yini izinguquko endleleni yokuphila. Angabe esehlola izici eziyingozi (njengesifo senhliziyo, isifo sohlangothi) bese enquma ukuthi uyayidinga yini imithi noma ukuthi izinguquko zendlela yokuphila zodwa zingasiza. Lesi yisinqumo okufanele sixoxwe phakathi kwenu nobabili.
Umlayezo Wokuya Nawe Ekhaya
- Ngaphezu kwemithi yendabuko ye-statin, manje kunemithi eminingana yesimanje nephumelelayo yokulawula i-cholesterol.
- Uma ubhekene nemiphumela emibi njengobuhlungu bemisipha obuvela kuma-statin, khuluma nodokotela wakho ngezinye izindlela ezifana ne-PCSK9 Inhibitors noma i-Pitavastatin.
- Izindlela zokwelapha eziphumelela kakhulu seziyatholakala ikakhulukazi ezifweni ze-cholesterol ephezulu ezizuzwe njengefa.
- Kungakhathaliseki ukuthi uthatha muphi umuthi, kubalulekile ukugcina ukudla okunempilo nokuzivocavoca njalo. Lokhu kungase kukuvumele ngisho nokunciphisa umthamo wemithi yakho.
- Xoxa njalo ngokukhululekile nangokwethembeka nodokotela wakho ukuze unqume ukuthi iyiphi indlela yokwelapha engcono kakhulu kuwe.
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