Ukuthatha umuthi kadokotela wakho ukuze wehlise amazinga akho e-triglyceride kuwumqondo omuhle empilweni yenhliziyo yakho. Kuyisinyathelo esibalulekile ongasithatha empilweni yakho. Kodwa ngezinye izikhathi le mithi ingabangela imiphumela emibi emincane. Uma lokho kwenzeka, kuvamile ukuzizwa wesaba futhi ukhathazekile, uzibuza, "Ngenzenjani manje?" Kodwa ungakhathazeki. Kulesi sihloko, sizoxoxa ngokuthi iyini le miphumela emibi, ukuthi yini okufanele uyenze uma ivela, nokuthi kufanele ukhulume nini nodokotela wakho.
Ama-Fibrate
Lena imithi evame kakhulu ukunikezwa yokwehlisa ama-triglyceride. Izibonelo zifaka phakathi i-Fenofibrate (Lipofen, Tricor), i-Fenofibric acid (Fibricor, Trilipid), kanye ne-Gemfibrozil (Lopid). Eminye imiphumela emibi emincane futhi ngezinye izikhathi ebalulekile ingase ivele lapho kusetshenziswa le mithi.
Kalula nje, eminye imiphumela emibi ayibi kangako, kodwa ingaba yinto ecasulayo uma iqhubeka. Kodwa-ke, eminye yileyo okudingeka siyinake ngokushesha. Ake sihlukanise le mibili.
| Uhlobo lomphumela ongemuhle | Incazelo |
|---|---|
| Tshela udokotela wakho uma lezi zimpawu zikukhathaza noma ziqhubeka: | |
| Ubuhlungu besisu obuncane | Ukuzizwa sengathi uphethwe yisisu kancane. |
| Ukuqunjelwa/ukuqunjelwa | Ukuzwa igesi esiswini . |
| Uhudo noma ukuhlanza | Uhudo noma ukuhlanza. |
| Ikhanda elibuhlungu | Ikhanda elibuhlungu. |
| Ukuhlungu obusemhlane | Ukuhlungu obusemhlane. |
| Shayela udokotela wakho ngokushesha uma unalezi zimpawu: | |
| Ubuhlungu obukhulu besisu | Ubuhlungu besisu obungabekezeleleki. |
| Ubuhlungu bemisipha | Uma unezinhlungu zemisipha, ukuqaqamba, noma ubuthakathaka. |
| Izinguquko emchameni | Umchamo omnyama (njengombala wetiye), ukusha, ubuhlungu lapho uchama, noma ukwehla kokukhishwa komchamo. |
| Ubuhlungu besifuba | Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile (ushintsho ekushayeni kwenhliziyo). |
| Ukuphuzi kwesikhumba (i-Jaundice) | Ukuphuzi kwesikhumba namehlo. Lokhu kungathinta isibindi. |
Nina enithatha i-niacin
I-Niacin (njenge-Niaspan) ingenye imithi esetshenziselwa ukwelapha ama-triglycerides. Into ebaluleke kakhulu okufanele uyikhumbule lapho uthatha lokhu ukungalokothi ushintshe uhlobo lwe-niacin oluthathayo ngaphandle kokukhuluma nodokotela wakho. Izinhlobo ezahlukene zingaba nemiphumela ehlukile.
Imiphumela emibi ye-niacin
I-Niacin nayo inemiphumela emibi evamile nebalulekile.
Omunye wemiphumela emibi evame kakhulu ye-niacin ukushawa. Lokhu kwenzeka lapho ubuso nentamo kuba bomvu futhi kuzizwe kushisa futhi kushawa. Nakuba abantu abaningi besaba lokhu, ngokuvamile akulona ingozi.
Ake sibone ukuthi yimiphi eminye imiphumela emibi evela ku-niacin.
| Uhlobo lomphumela ongemuhle | Incazelo |
|---|---|
| Tshela udokotela wakho uma lezi zimpawu zikukhathaza noma ziqhubeka: | |
| Ukuhlanza | Ububomvu bobuso nentamo, ukuzizwa kushisa, ukulunywa. |
| Isikhumba esilumayo | Ukuqubuka noma ukulunywa esikhumbeni. |
| Ukukhwehlela | Ukukhwehlela ngaphandle kwesizathu. |
| Ukuhlanza/uhudo | Isicanucanu, ukuhlanza, noma uhudo. |
| Shayela udokotela wakho ngokushesha uma unalezi zimpawu: | |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula. |
| Ukuquleka | Ukuzizwa ubuthakathaka noma ukuzizwa uphelelwe amandla (uma lesi simo sikuvusa, ikakhulukazi ebusuku, vuka ngokushesha ukuze ugweme ukuquleka). |
| Ubuhlungu bemisipha | Ubuhlungu bemisipha, ukuqina, noma ubuthakathaka. |
| Umchamo omnyama | Umchamo onombala omnyama. |
| Ukushaya kwenhliziyo okungajwayelekile | Ukushaya kwenhliziyo okungajwayelekile. |
| Ukuvuvukala | Ukuvuvukala kwezingxenye zomzimba. |
| Ukuphuzi kwesikhumba (i-Jaundice) | Ukuphuzi kwesikhumba namehlo. |
Yini okufanele uyenze uma ubuso bakho bubomvu (bucwebezela)?
Njengoba lokhu kuyinto eyenzeka kubantu abaningi, kunezinto eziningana ezingenziwa ngakho.
- Gwema ukuphuza utshwala noma iziphuzo ezishisayo ngenkathi usebenzisa i-niacin.
- Ukuthatha i-aspirin noma umuthi ofanayo ongeyona i-steroidal anti-inflammatory (NSAID) imizuzu engama-30 ngaphambi kokuthatha i-niacin kungasiza ekunciphiseni lokhu. Kodwa lokhu kubaluleke kakhulu: Hlola njalo nodokotela wakho ngaphambi kokuthatha noma yimuphi omunye umuthi, njengoba abanye abantu bangase babe nokusabela okungekuhle kulo muthi.
Ngokuvamile, ngemva kokusebenzisa umuthi amasonto ambalwa, lobu bomvu bobuso buzophela kancane kancane.
Imithi ye-Omega-3
Ama-omega-3 fatty acids anikezwa ngodokotela angenye indlela yokwelapha ama-triglycerides. Izibonelo zifaka phakathi imithi efana ne-Epanova, i-Lovaza, ne-Vascepa. Lawa anokuhlushwa okuhlukile kanye nokwakheka kwawo kunamaphilisi kawoyela wezinhlanzi esiwathenga esitolo. Imiphumela emibi evela kulokhu ivame ukuba mincane kancane, kodwa ezinye izinto zingenzeka.
- Ukubhodla: Ngezinye izikhathi ungase uzwe ukubhodla okunambitheka njengenhlanzi.
- Ukunambitheka okungajwayelekile emlonyeni: Umlomo ungase uzwe ukunambitheka okungajwayelekile nokungavamile.
- Ukungakhululeki esiswini: Ungase uzizwe ungakhululekile esiswini sakho, sengathi sizophenduka.
- Ubuhlungu bamalunga: Ubuhlungu bamalunga bungase buvele.
Uma lezi zinto ezincane ziqhubeka, tshela udokotela wakho. Kodwa-ke, uma uba nezimpawu ezifana nomkhuhlane njengobuhlungu besifuba, ukushaya kwenhliziyo okungajwayelekile, umkhuhlane, ukubanda, kanye nobuhlungu bomzimba , yazisa udokotela wakho ngokushesha.
Cabanga kabili ngaphambi kokuyeka imithi!
Into yokuqala ongase uyicabange uma uzwa umphumela omubi ukuthi, 'Kulungile, ngizoyeka ukuthatha lo muthi.' Sicela ungakwenzi lokho. Ngaphambi kokwenza noma yiziphi izinguquko emithini yakho, qiniseka ukuthi ukhuluma nodokotela wakho.
Cabanga ukuthi mhlawumbe ungalawula imiphumela yakho emibi ngokushintsha isikhathi ophuza ngaso umuthi wakho (isib. ebusuku), ukuwuthatha ngemva kokudla, noma ukushintsha umthamo kancane. Noma, ungase ukwazi ukushintshela komunye umuthi osebenza kangcono kuwe. Zonke lezi zinqumo kufanele zenziwe kuphela ngeseluleko sikadokotela wakho.
Khumbula, izinguquko zendlela yokuphila (ukudla okunempilo kanye nokuzivocavoca) kuyindlela engcono kakhulu yokulawula ama-triglycerides. Kodwa-ke, ngezinye izikhathi imithi iyadingeka. Ngakho-ke ungayeki ukuthatha imithi yakho ngenxa yemiphumela emibi.
Umlayezo Wokuya Nawe Ekhaya
- Imithi yokwehlisa i-triglyceride iyinto ebalulekile okufanele uyenze ukuze uvikele inhliziyo yakho.
- Le mithi ingabangela imiphumela emibi, kodwa ivame ukuphathwa.
- Hlukanisa phakathi kwemiphumela emibi emincane nemiphumela emibi edinga usizo lwezokwelapha ngokushesha.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela.
- Uma unemiphumela emibi, udokotela wakho unezinketho ezahlukene (ukushintsha umthamo, ukushintshela komunye umuthi) ukukusiza.
- Kanye nemithi, kubalulekile futhi ukugcina indlela yokuphila enempilo.
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