Cholesterol - kurapwa kwemishonga

Muviri wako unoda cholesterol kuti ushande nemazvo. Asi imwe cholesterol muropa rako inokonzeresa kuti mari ivakwe pamadziro emukati etsinga dzako. Ichi chivakwa chinonzi plaque. Inotapudza tsinga dzako uye inogona kudzora kana kumisa kuyerera kweropa. Izvi zvinogona kutungamira kurwisa kwemoyo, kurohwa, uye kudzikisira kwetsinga kune imwe nzvimbo mumuviri wako.

Statins inofungidzirwa kuti ndiyo yakanakisa mishonga yekushandisa kune vanhu vanoda mishonga yekudzikisa cholesterol yavo.

Hyperlipidemia - kurapwa kwemishonga; Kuomarara kwetsinga - statin

Statins inoderedza njodzi yako yechirwere chemwoyo, sitiroko, uye mamwe matambudziko akafanana. Vanoita izvi nekudzikisa LDL yako (yakaipa) cholesterol.

Kazhinji yenguva iwe yauchazoda kutora mushonga uyu kwehupenyu hwako hwese. Mune zvimwe zviitiko, kuchinja mararamiro ako uye kurasikirwa nehuremu hwakawandisa kunogona kukutendera kuti urege kutora mushonga uyu.

Kuva ne low LDL uye yakazara cholesterol kunoderedza njodzi yako yechirwere chemwoyo. Asi haasi munhu wese anoda kutora statins kudzikisa cholesterol.

Anopa hutano hwako anozofunga nezvekurapa kwako zvichienderana ne:

• Yako yakazara, HDL (yakanaka), uye LDL (yakaipa) cholesterol mazinga
• Zera rako
• Nhoroondo yako yechirwere cheshuga, BP, kana chirwere chemwoyo
• Mamwe matambudziko ehutano anogona kukonzerwa necholesterol yakawanda
• Kunyangwe iwe uchisvira
• Ngozi yako yechirwere chemwoyo
• Dzinza rako

Iwe unofanirwa kutora zvimisikidzo kana iwe uri makumi manomwe neshanu kana mudiki, uye une nhoroondo ye:

• Zvinetso zvemwoyo nekuda kwekutetepa tsinga mumoyo
• Stroke kana TIA (mini sitiroko)
• Aortic aneurysm (bhuru mumutsipa mukuru mumuviri wako)
• Kuderedza tsinga kumakumbo ako

Kana iwe uri mukuru kupfuura makumi manomwe neshanu, mupi wako anogona kupa dosi yakaderera yeiyo statin. Izvi zvinogona kubatsira kudzikisira zvinogona kuitika mhedzisiro.

Iwe unofanirwa kutora statins kana yako LDL cholesterol iri 190 mg / dL kana yakakwira. Iwe unofanirwa zvakare kutora statins kana yako LDL cholesterol iri pakati pe70 uye 189 mg / dL uye:

• Iwe une chirwere cheshuga uye uri pakati pemakore makumi mana nemakumi manomwe nemashanu
• Iwe une chirwere cheshuga uye njodzi huru yechirwere chemwoyo
• Une njodzi huru yechirwere chemwoyo

Iwe nemupi wako mungangoda kufunga nezvema statins kana LDL cholesterol yako iri 70 kusvika 189 mg / dL uye:

• Iwe une chirwere cheshuga uye wepakati mukana wehosha yemoyo
• Iwe une njodzi yepakati yechirwere chemwoyo

Kana iwe uine njodzi yakakwira yechirwere chemwoyo uye yako LDL cholesterol inogara yakakwira kunyangwe nekurapwa kwesitina, mupi wako anogona kufunga nezvemishonga iyi kuwedzera kuma statins:

• Ezetimibe
• PCSK9 inhibitors, senge alirocumab uye evolocumab (Repatha)

Vanachiremba vaishandisa kumisikidza tarisiro nhanho kune yako LDL cholesterol. Asi ikozvino tarisiro iri kudzikisa njodzi yako kumatambudziko anokonzerwa nekuderera kwetsinga dzako. Mupi wako anogona kuongorora cholesterol yako mazinga. Asi kugara uchiedzwa hakuwanzo kudikanwa.

Iwe nemupi wako muchasarudza kuti ndeyipi dhizaini yaunofanira kutora. Kana iwe uine njodzi zvinhu, ungangoda kutora yakakwira dosi. kana kuwedzera mamwe marudzi emishonga. Zvinhu zvinofungwa nemupi wako kana achisarudza kurapwa kwako zvinosanganisira:

• Yako yakazara, HDL, uye LDL cholesterol mwero usati warapwa
• Kunyangwe iwe uine coronary artery chirwere (nhoroondo ye angina kana chirwere chemwoyo), nhoroondo yekurohwa, kana kudzikisira tsinga mumakumbo ako
• Kunyangwe iwe uine chirwere cheshuga
• Kunyangwe iwe uchisvuta kana uine yakakwira BP

Doses yepamusoro inogona kutungamira kumhedzisiro nekufamba kwenguva. Saka mupi wako anozotarisawo zera rako uye njodzi zvinhu zvemhedzisiro.

• Cholesterol
• Plaque inovaka mutsinga

American Chirwere cheshuga Association. Chirwere chemwoyo uye manejimendi manejimendi: zviyero zvekurapwa mune cheshuga-2020. Chirwere cheshuga. 2018; 43 (Chikwata 1): S111-S134. PMID: 31862753 pubmed.ncbi.nlm.nih.gov/31862753/.

Fox CS, Goridhe SH, Anderson C, et al. Kwidziridzo yekudzivirira chirwere chemoyo muvanhu vakuru vane chirwere cheshuga mellitus muchiedza cheuchapupu hwazvino: chirevo chesainzi kubva kuAmerican Heart Association uye neAmerican Diabetes Association. Kutenderera. 2015; 132 (8): 691-718. PMID: 26246173 pubmed.ncbi.nlm.nih.gov/26246173/.

Genest J, Libby P. Lipoprotein kusagadzikana uye chirwere chemoyo. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 48.

Grundy SM, Dombo NJ, Bailey AL, et al. 2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA Guideline pane manejimendi eropa: mushumo weAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Maitiro . J Ndiri Coll Cardiol. 2019; 73 (24): e285-e350. PMID: 30423393 pubed.ncbi.nlm.nih.gov/30423393/.

US Inodzivirira Services Task Force. Yekupedzisira kurudziro chirevo: statin shandisa yekutanga kudzivirira chirwere chemoyo muvanhu vakuru: mishonga yekudzivirira. www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/statin-use-in-adult-preventive-medication1. Yakagadziridzwa Mbudzi 2016. Yakasvika munaKurume 3, 2020.

U.S. Preventive Services Task Force kurudziro pfupiso. Statin kushandiswa kwekutanga kudzivirira kwehutano hwemwoyo muvanhu vakuru: mishonga yekudzivirira. www.uspreventiveservicestaskforce.org/uspstf/recommendation/statin-use-in-adults-preventive-medication. Yakagadziridzwa Mbudzi 2016. Yakasvika muna Kukadzi 24, 2020.

• Angina
• Angioplasty uye stent kuiswa - carotid arteri
• Angioplasty uye stent kuiswa - peripheral arteri
• Carotid tsinga chirwere
• Carotid tsinga yekuvhiya - yakavhurika
• Coronary chirwere chemoyo
• Kumira kurova kwemoyo
• Moyo unopfuura kuvhiya
• Moyo wekupfuura kuvhiya - zvishoma zvinokanganisa
• Chirwere chemwoyo uye chikafu
• Yakakwira ropa cholesterol cholesterol
• Peripheral tsinga yokunzvenga - gumbo

• Abdominal aortic aneurysm kugadzirisa - kuvhura - kubuda
• Angina - kubuda
• Angina - chii chekubvunza chiremba wako
• Angioplasty uye stent kuiswa - carotid arteri - kubuda
• Angioplasty uye stent kuiswa - peripheral arteri - kubuda
• Aortic aneurysm kugadzirisa - endovascular - kubuda
• Atrial fibrillation - kubuda
• Butter, majarini, uye mafuta ekubikisa
• Carotid arteri kuvhiya - kubuda
• Cholesterol - chii chekubvunza chiremba wako
• Kudzora kukwira kweropa rako
• Mafuta echikafu akatsanangura
• Kurumidza kudya matipi
• Kurwadziwa kwemoyo - kubuda
• Kurwisa kwemoyo - chii chekubvunza chiremba wako
• Chirwere chemwoyo - njodzi zvinhu
• Kutadza kwemoyo - chii chekubvunza chiremba wako
• Yakakwira BP - chii chaunobvunza chiremba wako
• Kudya kweMediterranean
• Peripheral tsinga inopfuura - gumbo - kubuda
• Stroke - kubuda

• Cholesterol
• Mishonga yeCholesterol
• Yakakwira Cholesterol muVana neVechidiki
• LDL: Iyo "yakaipa" Cholesterol
• Statins