Ingabe udokotela wakho ukunike umuthi we -cholesterol ? Wake wazizwa izinhlungu emzimbeni wakho, ikakhulukazi emisipheni yakho, ngemva kokuqala umuthi? Uma kunjalo, awuwedwa. Abantu abaningi abathatha ama-statin , uhlobo lomuthi onciphisa i-cholesterol, bake babhekana nalokhu. Kodwa ungakhathazeki. Ake sibheke ukuthi kungani lokhu kwenzeka, yini engenziwa ngakho, nokuthi kufanele sikhathazeke nini ngakho.
Okokuqala, ake sibone, iyini le statin?
Kalula nje, ama-statin uhlobo lwemithi odokotela abayinikezayo ukuze banciphise i-cholesterol “embi”, noma i-LDL cholesterol, emizimbeni yethu. Lena imithi ebaluleke kakhulu. Ngoba iyisigaba semithi esiphephile esiye safakazelwa ukuthi sinciphisa ingozi yezimo ezibucayi njengokuhlaselwa yinhliziyo kanye nesifo sohlangothi. Yingakho odokotela emhlabeni wonke bevame ukunikeza le mithi.
Kungani lo muthi wenza imisipha yami ibe buhlungu?
Odokotela abakakwazi ukusho ngokuqinisekile ukuthi yini ebangela lokhu. Kodwa kunemibono eminingana. Omunye ukuthi lo muthi ungaba nomthelela omncane endleleni amangqamuzana ethu emisipha asebenzisa ngayo amandla. Cabanga ngamaseli ethu emisipha njengezinjini ezincane. Lo muthi ungenza umehluko omncane endleleni lawo manjini asebenza ngayo. Omunye umbono ukuthi lo muthi ungabangela ukuvuza okuncane kwezinto ezifana ne-calcium namaprotheni avela kumaseli emisipha. Abanye abantu bangase babe nomuzwa omkhulu kulezi zinguquko kunabanye.
Futhi kukhona okunye. Lokho "umphumela we-nocebo." Okusho ukuthi, uma sicabanga kusengaphambili, "O... uma ngithatha lo muthi, imisipha yami izobuhlungu," cishe sizokuzwa lobo buhlungu ngempela. Ngisho noma lokhu kuyinto engokwengqondo, ubuhlungu bungokoqobo.
Lobuhlungu bemisipha, uma buvela, buvame ukwenzeka ezinyangeni ezimbalwa zokuqala zokuqala umuthi noma ngemva kokwandisa umthamo. Ungase uzizwe ubuhlungu noma ubuthakathaka obuqhubekayo emahlombe akho, emathangeni, ezinqeni, noma lapho izinwele zakho zigobile khona. Abantu abaningi bazizwa lobu buhlungu ngokulinganayo kuzo zombili izinhlangothi zomzimba wabo.
Ubani osengozini enkulu yokuthola lobu buhlungu?
Akuwona wonke umuntu othatha ama-statin othola lobu buhlungu. Kodwa abanye abantu basengozini enkulu kancane. Ake sibone ukuthi bangobani.
| Isici sengozi | Incazelo |
|---|---|
| Ubudala | Ukuba neminyaka engu-80 noma ngaphezulu. |
| Usayizi womzimba | Ingozi iphakeme kancane kwabesifazane abancane. |
| Izimo zezokwelapha ezikhona | Ukuba nesifo semisipha esivele sikhona, izinso, isibindi noma isifo se-thyroid. |
| Isilinganiso | Ukuthatha imithi ye-statin eningi. |
Into ebaluleke kakhulu ukuthi, ungayeki ukuthatha umuthi ngokushesha nje lapho uzwa imisipha yakho ibuhlungu. Khuluma nodokotela wakho kuqala. Uzokunikeza ikhambi elingcono kakhulu.
Nokho, senzani ngalokhu buhlungu bemisipha?
Uma utshela udokotela ngalokhu, uzokunikeza izixazululo eziningana. Ake sibone ukuthi ziyini.
Thatha ikhefu elifushane njengoba utshelwe udokotela wakho (i-Statin Vacation)
Lokhu kuhilela ukuyeka umuthi cishe amasonto amathathu kuya kwamane ngaphansi kokuqondiswa udokotela wakho. Uma ubuhlungu bubangelwa yi-statin, ubuhlungu kufanele buphele phakathi nalesi sikhathi. Enye indlela ukuthatha umuthi njalo ngemva kwezinsuku ezimbili esikhundleni sansuku zonke. Lokhu kungasiza ukwehlisa i-cholesterol yakho ngaphandle kokubangela ubuhlungu bemisipha.
Ukushintsha umthamo wemithi
Ngezinye izikhathi, ukunciphisa umthamo we-statin yakho kungasiza ekunciphiseni noma ekuqedeni ubuhlungu bemisipha. Kodwa kunezinzuzo nezingozi kulokhu. Ukunciphisa umthamo kungabangela amazinga akho e-cholesterol e-LDL akhuphuke futhi. Ngakho-ke, lesi sinqumo kufanele senziwe ngemuva kokukhuluma nodokotela wakho.
Ukushintshela komunye umuthi
Uma unenkinga ngohlobo olulodwa lwe-statin, ungase ukwazi ukuthola impumuzo ngokushintshela kolunye uhlobo lwe-statin. Noma kuneminye imithi yokwehlisa i-cholesterol engeyona eye-statin. Ungabuza udokotela wakho ngale mithi.
| Imithi engeyona eye-statin | Indlela esebenza ngayo (ngamagama alula) |
|---|---|
| I-Ezetimibe | Ivimbela umzimba ekumunceni i-cholesterol emathunjini amancane. |
| Ama-sequestrant e-bile acid | Kuvimbela i-cholesterol egazini ukuthi ingaphinde imuncwe emzimbeni. |
| Izithibi ze-PCSK9 | Kusheshisa inqubo yokususa i-cholesterol ye-LDL emzimbeni. |
| Izithibi ze-ACL (isib. i-Bempedoic acid) | Kunciphisa ukukhiqizwa kwe-cholesterol "embi" yisibindi. |
Qaphela ukuthi yini enye oyithathayo.
Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi eminye imithi, imikhiqizo yamakhambi , noma amavithamini owathathayo, njengoba ezinye izinto zingase zihlangane nama-statin futhi zandise ingozi yakho yemiphumela emibi. Isibonelo:
- Ijusi le-Grapefruit
- Eminye imithi yokucindezela kwegazi okuphezulu ( ama-calcium channel blockers )
- Izithiyo zokucindezela amasosha omzimba
- Amanye ama-antifungal kanye nama-antibiotic
- Ezinye izinhlobo zama-hormone
Ukuzivocavoca umzimba
Kuvamile ukuzizwa ubuhlungu ngemva kokuzivocavoca. Kodwa-ke, ucwaningo oluthile luthole ukuthi ukuzivocavoca okulinganiselwe kunganciphisa ubuhlungu bemisipha obubangelwa ama-statin. Uma usanda kuqala ukuzivocavoca, buza udokotela wakho ukuthi yikuphi ukuzivocavoca okufanele. Kodwa-ke, uma wenza ukuzivocavoca okunzima kakhulu ( njengokugijima i-marathon), ubuhlungu bakho bungakhula. Ezimweni ezinjalo, udokotela wakho angakucela ukuthi uyeke ukuthatha i-statin yakho usuku olulodwa noma ezimbili.
Izinguquko zendlela yokuphila
Ngokudla ukudla okunempilo kwenhliziyo (okune-fiber eningi, okunamafutha agcwele kanye nama-trans aphansi) kanye nokuzivocavoca umzimba okungenani imizuzu eyi-150 ngesonto, unganciphisa i-cholesterol yakho "embi" (LDL) futhi wandise i-cholesterol yakho "enhle" (HDL). Kubalulekile futhi ukuyeka ukubhema uma ubhema. Ngalezi zinguquko zendlela yokuphila, ungase ukwazi ukunciphisa umthamo wama-statin okudingeka uwathathe.
Kunini lapho ubuhlungu bemisipha buba yisimo esiphuthumayo?
Esikhathini esiningi, ubuhlungu bemisipha obubangelwa ama-statin abuyona ingozi. Kodwa-ke,Akuvamile kakhulu , kubantu abambalwa kwabayisigidi abathatha ama-statin, isimo esibi esibizwa ngokuthi i-rhabdomyolysis singavela. Lokhu kwenzeka lapho amangqamuzana emisipha elimele kakhulu. Ukuthatha imithamo ephezulu yama-statin noma ukuthatha ama-statin neminye imithi kwandisa le ngozi.
Uma uhlangabezana nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo ndawonye, kungaba yisimo esiphuthumayo. Shayela udokotela wakho ngokushesha . Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze nawe.
- Ubuhlungu obukhulu kakhulu bemisipha
- Umchamo obomvu noma onsundu omnyama
- Umzimba uba buthakathaka kakhulu
Ngesikhathi esinjengalesi, udokotela uzokwenza ukuhlolwa kwegazi nomchamo ukuqinisekisa ukuthi lesi simo sikhona yini.
Umlayezo Wokuya Nawe Ekhaya
- I-Statin iyisidakamizwa esibaluleke kakhulu empilweni yenhliziyo yakho.
- Ubuhlungu bemisipha buyimiphumela emibi evamile yalo muthi, kodwa isikhathi esiningi abuyona ingozi.
- Ungayeki ukuthatha imithi yakho ye-statin nganoma yisiphi isizathu ngaphandle kokukhuluma nodokotela wakho .
- Kunezindlela eziningi zokuphatha lobu buhlungu. Ungenza izinto ezinjengokushintsha umthamo, ukushintsha imithi, nokwenza izinguquko endleleni yokuphila.
- Ubuhlungu obukhulu bemisipha, umchamo omnyama, kanye nobuthakathaka kuyisimo esiphuthumayo. Yiya e -ETU yesibhedlela ngokushesha.
I-Statin, i-cholesterol, ubuhlungu bemisipha, isifo senhliziyo, imiphumela emibi, i-Statin, i-cholesterol , Ubuhlungu bemisipha, Imiphumela emibi, i-Rhabdomyolysis, impilo yenhliziyo, ukuphathwa kobuhlungu
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho