Ingabe udokotela wakho ukunike umuthi wokwehlisa i-cholesterol yakho? Ungase uwuthathe. Lawa abizwa ngokuthi ama-statin. Asiza ekusivikeleni ezifweni ezinkulu njengokuhlaselwa yinhliziyo kanye nohlangothi. Kodwa ngezinye izikhathi le mithi ingadala ukungakhululeki, ikakhulukazi ubuhlungu bemisipha. Uma kunjalo, lesi sihloko sizoba sibaluleke kakhulu kuwe. Namuhla sizokhuluma ngenkinga abantu abaningi abanayo, ebizwa ngokuthi 'ukungabekezelelani kwama-statin'.
Okokuqala, ake sibone, ayini ama-statin? Kungani esetshenziswa?
Kalula nje, ama-statin ayisigaba semithi enikezwa odokotela ukuze kwehliswe amazinga e-cholesterol "embi" esibindini nasegazini lethu. Kungenzeka ukuthi uke wezwa ngala magama: I-Atorvastatin, i-Rosuvastatin, ne-Simvastatin ngamanye ama-statin asetshenziswa kakhulu eSri Lanka.
Manje ake siqonde kancane nge-cholesterol. Ake sithi sinezinhlobo ezimbili ze-cholesterol emizimbeni yethu. Enye ifana nomngane omuhle , kanti enye ifana nesitha esibi .
- I-cholesterol enhle (i-HDL): Uma sinayo eminingi yale mikhiqizo emizimbeni yethu, kuba ngcono, ngoba isivikela ezifweni ezifana nesifo senhliziyo kanye nesifo sohlangothi.
- I-cholesterol embi (LDL): Lezi ziyizitha zethu. Uma zanda egazini, zigcina emithanjeni yethu yegazi, ziyivale futhi zandise ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi.
Imithi ye-statin isebenza ngokunciphisa amazinga e-cholesterol embi (LDL). Ngakho-ke, le mithi isiza abantu abasengozini yesifo senhliziyo ukuba baphile impilo enempilo futhi ende.
Ngakho-ke, kuyini 'ukungabekezelelani kwama-statin'?
Ukungabekezelelani kwe-statin kwenzeka lapho imiphumela emibi ye-statin idlula izinzuzo. Lokhu kusho ukuthi umzimba wakho awukwazi "ukubekezelela" umuthi. Lokhu kungaba ukungezwani komzimba noma okunye ukusabela okubi.
Uma lokhu kwenzeka, awusakwazi ukusebenzisa umuthi ukwehlisa i-cholesterol yakho. Ngokuvamile, uphawu oluyinhloko ubuhlungu bemisipha, ukuthamba, noma ubuthakathaka .
Izimpawu ezivamile 'zokungabekezelelani kwe-Statin'
Uma usuqalile ukusebenzisa ama-statin, qaphela lezi zimpawu.
| Uphawu | Incazelo |
|---|---|
| Ubuhlungu bemisipha | Kuzwakala sengathi uhlanza nje, imisipha yakho ibuhlungu. |
| Umzimba ongenampilo | Ukuzizwa ubuthakathaka kangangokuthi awukwazi ngisho nokwenza imisebenzi evamile. |
| Ubuhlungu bomzimba | Ubuhlungu obungapheli emalungeni nasemisipheni. |
Okubaluleke kakhulu: Uma uhlangabezana nanoma yiziphi zalezi zimpawu, qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuyeka umuthi. Lezi zimpawu zivame ukuphela ngemva kokuyeka ukuthatha umuthi. Kodwa-ke, uma uqhubeka nokubhekana nalezi zimpawu futhi uqhubeka nokuthatha umuthi, ungase ube sengozini yokulimala kwemisipha unomphela.
Yiziphi izici eziyingozi zokuthuthukisa 'ukungabekezelelani kwe-Statin'?
Abanye abantu banamathuba amaningi okuthola lesi simo. Ake sihlukanise lezi zinto eziyingozi zibe yizigaba ezimbili. Ezinye asikwazi ukuzishintsha, kodwa ezinye singazilawula.
| Uhlobo lwesici esiyingozi | Izibonelo |
|---|---|
| Izinto ezingaguquki |
|
| Izici ezingalawuleka |
|
Udokotela usithola kanjani lesi simo ngokunembile?
Uma ubona udokotela wakho, uzoqala ngokubuza ngezimpawu zakho, noma yimiphi eminye imithi oyiphuzayo, kanye nomlando wezokwelapha womndeni wakho. Ngemuva kwalokho, bangenza izivivinyo ezithile ukuze bathole ukuthi ama-statin abangela izimpawu zakho noma kukhona esinye isimo sezokwelapha.
- Ukuhlolwa kwegazi: Lokhu kusiza ekuvimbeleni ama-enzyme esibindi, ama-enzyme emisipha (i-Creatine Kinase), kanye nezinye izimo zezokwelapha.
- Ukuhlolwa kwemisipha: Ukuhlola ubuthakathaka bemisipha.
- Ezinye izivivinyo: Kungase kunconywe ukuhlolwa kwezakhi zofuzo noma i-muscle biopsy, kodwa lokhu kuvame ukwenziwa kaningi.
Uma 'unokungabekezelelani kwama-statin', yiziphi izixazululo ezingaba khona?
Ake sithi udokotela unqume ukuthi unalesi simo. Ungakhathazeki. Kunezixazululo eziningana zaso.
1. Ukushintsha umthamo wemithi yakho: Udokotela wakho angase anciphise umthamo wakho we-statin, noma ayeke ukuthatha imithi isikhashana ukuze abone ukuthi izimpawu zakho ziyathuthuka yini. Ngezinye izikhathi, bangase bakushintshele kolunye uhlobo lwe-statin.
2. Eminye imithi engeyona eye-statin: Uma ama-statin engasetshenziswa, kunezinye izinhlobo zemithi yokwehlisa i-cholesterol.
- Izithibi ze-ACL: Lezi zinciphisa ukukhiqizwa kwe-cholesterol embi (i-LDL) yisibindi.
- Ama-inhibitor e-PCSK9: Lawa avimba iphrotheni ekhethekile emzimbeni wethu futhi asiza ukususa i-cholesterol embi (i-LDL) emzimbeni.
- Ama-fibrate: Lawa asiza ekunciphiseni i-cholesterol embi (LDL) ngenkathi futhi ekhulisa i-cholesterol enhle (HDL).
- Ama-sequestrant e-bile acid: Lawa avimbela ukumuncwa kabusha kwe-cholesterol egazini.
3. Izinguquko endleleni yokuphila: Lokhu kubaluleke kakhulu. Uma unemithi noma ungenayo, lezi zinto zingasiza ekulawuleni amazinga akho e-cholesterol.
- Ukudla okunempilo: Yidla amafutha amancane, ushukela, nosawoti, bese udla imifino, izithelo, namakhambi amaningi.
- Ukuzivocavoca: Ukwenza okuthile okufana nokuhamba noma ukubhukuda nsuku zonke.
- Ukuyeka imikhuba emibi: ukuyeka ukubhema nokuphuza utshwala.
4. Izithasiselo: Kwezinye izimo, udokotela wakho angase ancome ukuthatha izithasiselo ezifana ne-vitamin D noma i-Coenzyme Q10 (CoQ10) ukusiza ekunciphiseni ubuhlungu bemisipha. Kodwa-ke, kubalulekile ukubonisana nodokotela wakho ngaphambi kokuqala lokhu.
Umlayezo Wokuya Nawe Ekhaya
- Ama-statin ayisidakamizwa esibaluleke kakhulu sokwehlisa i-cholesterol nokuvikela izifo zenhliziyo. Kodwa-ke, angabangela imiphumela emibi kwabanye abantu.
- Ubuhlungu bemisipha kanye nobuthakathaka yizimpawu eziyinhloko 'zokungabekezelelani kwe-Statin'. Qaphela lokhu.
- Uma uhlangabezana nanoma yiziphi zalezi zimpawu, ungalokothi uyeke ukuthatha imithi yakho wedwa. Khuluma nodokotela wakho kuqala.
- Ngisho noma 'unokungabekezelelani nama-statin', kuneminye imithi nezindlela zokulawula i-cholesterol yakho. Ngakho ungakhathazeki.
- Ukugcina indlela yokuphila enempilo kubalulekile ekulawuleni i-cholesterol.
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