Chabwino, CRP wanu mlingo ndi Wapamwamba. Tsopano Chiani?
Kodi dokotala wanu adayesa mlingo wanu wa P-proactive (CRP), ndipo mwawupeza kuti uli wokwezeka? Izi ndizofala kwambiri, ngakhale kuti akatswiri ambiri samalimbikitsa nthawi zonse kuchuluka kwa CRP.
CRP ndizomwe zimakhala zosaoneka bwino za kutupa. Izi zikutanthauza kuti pamene ma CRP ali pamwamba, ndiye kuti kutupa kukuchitika kwinakwake m'thupi.
Kotero, mwachitsanzo, ngati muli ndi matenda kapena bursitis yogwira ntchito, chiwerengero chanu cha CRP chikhoza kukhala chokwera.
Komabe, zikutanthauza kuti pamene magulu a CRP apitirirabe kukhala amphamvu kwambiri mwa anthu omwe ali ndi thanzi labwino, omwe angakhale chizindikiro choti kutupa kosatha kwa mitsempha ya magazi ilipo. Mtundu woterewu ukupweteka kwambiri kumapangitsa kuti matenda a mtima asapitirire.
- Werengani nthawi yeniyeni kuti CRP yanu iwerengedwe .
Tsopano Chiani?
N'kutheka kuti mungadabwe, kapena mantha, pozindikira kuti CRP yanu ili pamwamba. Mwamwayi, zikutheka kuti dokotala wanu amadodometsedwa ndi zomwe mungachite potsatira - popeza "choti muchite chotsatira" sizolunjika kwathunthu.
Ngakhale kuti tsopano kutukuka ndikofunika kwambiri kuti atherosclerosis , ndipo zomwe zinapangitsa CRP (yomwe ndi chizindikiro cha kutupa) imakhudzidwa ndi chiopsezo chowonjezereka cha matenda a mchere (CAD) , sizidziwika ngati CRP yokha imathandiza kuchititsa CAD, kapena ngati chithandizo chomwe chikugwiritsidwa ntchito makamaka pochepetsa malire a CRP amachepetsa kuopsa kwa mtima.
Choncho, pamene CRP yanu ikukweza chiopsezo chanu chokhala ndi CAD ndipamwamba kuposa momwe muyenera kukhalira. Koma sitidziwa kuti zimathandiza bwanji kuti tithe kuchitapo kanthu pofuna kuchepetsa ma CRP. M'malo mwake, chimene chiyenera kuchitidwa ndikutenga mwayi uliwonse kuti muchepetse chiopsezo cha mtima wanu wonse.
Chimene Chiyenera Kuchitika Patsogolo
Tsopano kuti mukudziwa CRP yanu ili pamwamba, pali mafunso awiri omwe muyenera kufunsa.
1) Ndizifukwa zina ziti zowopsa?
Mipamwamba ya CRP imakhala nthawi zonse yogwirizanitsidwa ndi zifukwa zina zoopsa za matenda a mtima.
Izi zimaphatikizapo kusuta, kunenepa kwambiri, moyo wokhala ndi moyo watsopano, cholesterol wochulukirapo , matenda opatsirana kwambiri komanso matenda opatsirana . Zonsezi ndizofunikira kwambiri, ndipo inu ndi dokotala muli ndi mphamvu zothetsera zonsezi.
Choncho, chirichonse chimene inu ndi dokotala mungasankhe kuchita pa CRP yokha, kukhala ndi CRP yokweza kumapangitsa kuti kukhale kofunika kwambiri kuti mutenge njira zowononga kuti muchepetse ziwalo zanu zonse zoopsa za mtima .
2) Ndingatani kuti ndichepetse chiwerengero changa cha CRP?
Ngakhale kudakali kosavuta kuchepetsa chiwerengero cha CRP chokwanira, njira zingapo zochepetsera CRP zadziwika:
Njira zosavomerezeka zamagetsi zothandizira CRP zimaphatikizapo kuchita masewera olimbitsa thupi, kusuta fodya , kuchepa kwa thupi komanso zakudya zokhudzana ndi mtima . Mwa kuyankhula kwina, kutenga nkhanza kuti mukhale ndi thanzi labwino kumathandizanso kuchepetsa CRP mlingo.
Mankhwalawa akhoza kuchepetsa CRP . ** Ma Statins ** amachepetsa miyeso ya CRP (13 mpaka 50%,) malinga ndi mayesero angapo a zachipatala.
Liparita (atorvastatin), Mevacor (lovastatin), Pravachol (pravastatin), Crestor (rosuvastatin) ndi Zocor (simvastatin) zonse zawonetsedwa kuti zimatsitsa magulu a CRP ndipo zasonyeza kuti kuchepetsa chiopsezo cha mtima mwa CRP (mosiyana ndi cholesterol) kuchepetsa . Komanso, chiyeso cha JUPITER chinatsimikizira momveka bwino kuti odwala omwe ali ndi miyeso yapamwamba ya CRP koma ma "cholesterol", Crestor kwambiri ndi kuchepa kwambiri mtima.
Ngakhale kuti aspirin siimachepetsa chiwerengero cha CRP, anthu omwe ali ndi ma CRP apamwamba amapindula kwambiri ndi aspirin kusiyana ndi omwe ali ndi ma CRS oyenera.
Choncho ma CRP apamwamba angapangitse mamba kuti adziwe mankhwala ena a aspirin.
Werengani zambiri za yemwe ayenera kumwa aspirin ya prophylactic .
Mawu Ochokera
Sitikudziwika ngati CRP yokha imakulitsa ngozi ya mtima, kapena ikungowononga kupweteka kwa thupi ndi kutukumula komwe kumachitika chifukwa cha zifukwa zina. Choncho ngati miyezo yanu ya CRP ikukwera, muyenera kutenga icho ngati chizindikiro chofunika kwambiri kuti ndi nthawi yodziwa kuchepetsa mavuto onse a mtima wanu pochita masewera olimbitsa thupi, osasuta fodya, kutaya thupi, kuyang'ana zakudya zanu, ndi kuteteza magazi anu.
Komabe, tsopano zikuwonekera momveka bwino kuti kugwiritsa ntchito mankhwala osokoneza bongo kumathandiza kuchepetsa chiopsezo cha mtima ndi kupweteka kwa odwala omwe ali ndi ma CRA omwe ali olemera.
Ngati muli ndi miyezo yapamwamba ya CRP, makamaka ngati muli ndi zifukwa zina zoonjezerapo zoopsa za matenda a mtima, muyenera kukambirana njira yopezera mankhwala osokoneza bongo ndi dokotala wanu.
> Zotsatira:
> Zoopsa Zowonongeka Kugwirizana, Kaptoge S, Di Angelantonio E, et al. Kukhazikika kwa mapuloteni a C-yowonongeka ndi Kuopsa kwa Matenda a mtima wa Coronary, Stroke, ndi Mort: Mmodzi Wophunzira Wophunzira Meta. Lancet 2010; 375: 132.
> Hingorani AD, Sofat R, Morris RW, et al. Kodi Ndikofunika Kuyeza Kapena Kuchepetsa Matenda a P-Reactive Pomwe Anthu Ali Pangozi A Matenda a Mtima? Mtima; 33: 2258.
> Ridker PM, Danielson E, Fonseca FA ndi al. Rosuvastatin Kuteteza Zochitika Zosakanikirana Amuna ndi Akazi Omwe Amakhala ndi Mapuloteni Owonjezera A C. New Engl J Med 2008; DOI: 10.1056 / NEJMoa0807646.
> Pemphani PS, Poulter NR, Chang CL, et al. Kufufuza kwa mapuloteni a C-yowonongeka Pambuyo pa chithandizo ndi chithandizo cha mankhwala monga Cholinga cha Kupindula ndi Atorvastatin: Zowonongedwa ndi Zotsatira za Makhalidwe a Moyo wa Anglo-Scandinavia. Mtima; 33: 486.