Aliyense amadziwa kuti kukhala ndi cholesterol chokwanira ndicho chiwopsezo chachikulu cha matenda a mitsempha yam'mimba (CAD) . Ngati muli ndi chiopsezo chachikulu chokhala ndi CAD, kapena makamaka ngati muli ndi CAD, mungakhale otsimikiza kuti dokotala wanu akukulimbikitsani kuti muchepetse makasitomala anu, ndipo mwinamwake mungapereke mankhwala osokoneza bongo kuti akuthandizeni.
Kotero zikhoza kudabwitsa kuti anthu osapitirira zaka 65 - a zaka zapakati pomwe ali ndi chiwerengero chokwanira cha CAD - zomwe angachite pazigawo za mafuta m'thupi zimakhala zotsutsana kwambiri.
N'chifukwa Chiyani Amatsutsana?
Kusiyana kulipo chifukwa chakuti anthu achikulire achotsedwa mwatsatanetsatane ku mayesero ambiri a chipatala omwe amasonyeza ubwino wa mankhwala a kolesterolini. N'zomvetsa chisoni kuti mayesero a mankhwala a mitundu yonse kawirikawiri amapewa kulemba odwala okalamba.
Izi sikuti makampani osokoneza bongo amalingalira anthu okalamba kukhala osayenera kuwamvetsera, koma m'malo mwa zifukwa zomveka komanso zachuma. Anthu okalamba ali ndi nthawi yochepa ya moyo, choncho ena mwa iwo amafa nthawi yayitali chifukwa cha zovuta zogwirizana ndi mankhwala omwe akuyesedwa. Komanso, anthu okalamba amakhala ndi matenda oposa amodzi, choncho nthawi zambiri amakhala ndi zizindikiro zambiri - zina mwazolakwika zomwe zimayesedwa ndi mankhwala oyeza. Kufa kotereku kumakhala kovuta kwambiri kuwonetsa kuyezetsa kwachipatala ndipo kungayambitse chidziwitso cha FDA cha mankhwala atsopano.
Kotero izo zakhala zotetezeka (ndi zotsika mtengo) kungosiya anthu achikulire kuchokera ku mayesero ambiri a chipatala.
Chizoloŵezi ichi chodzipatula chimatanthauza kuti sitikudziŵa pang'ono za ubwino ndi zoopsa zomwe zimachitika pochiza mafuta a mafuta m'thupi mwa anthu akuluakulu. Ndipo izi zikutanthauza kuti pamene wodwala wamkulu ali ndi makilogalamu apamwamba a cholesterol, madokotala nthawi zambiri sadziwa ngati ayenera kupereka chithandizo.
Cholesterol ndi Matenda a Mtima Okalamba
Kwa anthu onse omwe ali ndi zaka zoposa 65, matenda a mtima amachititsa anthu oposa theka la imfa. Poyerekezera, khansara imatulutsa "24%" mwa anthu omwe ali m'badwo womwewo komanso 20% mwa amayi. Choncho mankhwala omwe angachepetse chiopsezo cha matenda a mtima kwa anthu achikulire ayenera kukhala chinthu chofunika.
Komanso, cholesterol chokwanira chikugwirizanitsa ndi chiopsezo chowonjezeka cha matenda a mtima kwa anthu achikulire monga momwe zilili kwa achinyamata. Ndipotu, umboni wina umasonyeza kuti cholesterol ingakhale yofunika kwambiri poyerekeza ndi chiopsezo cha okalamba kuposa achinyamata.
Kodi Ndi Zothandiza kuchepetsa Mitsempha ya Cholesterol ya Anthu Okalamba?
Ngakhale kuti palibe umboni wochokera kwa anthu okalamba omwe akuyesedwa, kusokonezeka kwa umboni komabe kumasonyeza kuti kupatsa cholesterol chokwanira mwa okalamba ndi chinthu chomwe chiyenera kuganiziridwa mozama.
Deta yokwanira imapezeka m'mayesero angapo omwe amachititsa kuti anthu azisamalidwa. Kufufuza kusonkhanitsa deta kuchokera ku mayesero ena kumatsimikizira kuti zotsatira za mtima zingapindulsidwe pochiza mafuta apamwamba a mafuta m'thupi ndi mankhwala osokoneza bongo kwa anthu okalamba makamaka ngati achinyamata.
Kuwonjezera pamenepo, kuchepetsa matenda a mtima kwa anthu achikulire kawirikawiri kumawoneka mkati mwa miyezi ingapo chabe kuchokera kuchipatala, choncho ngakhale kuti odwalawa ndi okalamba, "sali okalamba" kuti athe kupindula ndi kupatsika kwa mafuta m'thupi.
Choncho, ngakhale kuti kupindula kwa kolesterolini kutsika kumatsimikiziridwa mochepa kwa anthu achikulire kusiyana ndi achinyamata, umboni wopezeka bwino umati palidi phindu lochizira cholesterol kwa okalamba.
Zotsatira Zachimake za Zolemba M'mabanja Achikulire
Umboni womwe ulipo umasonyezanso kuti chiopsezo cha zotsatira zochokera ku zilembo sizowonjezera odwala okalamba kuposa odwala.
Komabe, madokotala ndi odwala ayenera kulingalira kuti zina mwa zotsatira zake za maimfa (monga mavuto a minofu ndi mavuto a zidziwitso ) zingakhale zopindulitsa kwambiri kwa okalamba kuposa odwala.
Mfundo Yofunika Kwambiri
Ngati ndinu munthu wachikulire omwe ali ndi chiopsezo chachikulu cha mtima - makamaka ngati muli ndi CAD - ndiye kuti mulibe umboni wotsimikizira kuti cholesterol yanu ndi yopindulitsa, pali umboni wokwanira kuti mukhale ndi maganizo abwino kukambirana za mankhwala a kolesterolini ndi dokotala wanu.
Kwa okalamba omwe ali ndi mavuto ambiri azachipatala, ziwopsezo zowonjezereka mankhwala ena ku mankhwala ozunguza kale omwe angakhale ovuta kumakhala bwino kwambiri kuposa zomwe zingathandize. Koma kwa anthu okalamba odwala omwe ali ndi makilogalamu apamwamba a cholesterol, cholesterol-kuchepa mankhwala ayenera kuganiziridwa mozama.
Zotsatira:
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Wenger NK, Lewis SJ, Herrington DM, et al. Zotsatira za ntchito yapamwamba kapena yaing'ono ya atorvastatin odwala omwe ali ndi zaka 65 kapena kuposerapo ali ndi matenda a mtima okhwima. Ann Intern Med 2007; 147: 1.
Sacks FM, Tonkin AM, Mbusa J, et al. Zotsatira za pravastatin pa matenda a coronary zikuchitika m'magulu ang'onoang'ono omwe amatanthauzidwa ndi zifukwa zowopsa: Cholinga cha Prospective Pravastatin Pooling Project. Circulation 2000; 102: 1893.
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