Chifukwa chachikulu chimene dokotala akufuna kukuchepetserani cholesterol ndi kuchepetsa chiopsezo cha mtima ndi kufa msanga kuchokera ku matenda a mitsempha (CAD).
Ndipo ngakhale kuti magulu angapo a mankhwala avomerezedwa kuti achepetse LDL cholesterol (LDL ndi "choipa" mawonekedwe a cholesterol), mankhwala okha omwe akhala akuwonetsedwa mobwerezabwereza kuchepetsa chiopsezo cha mtima ndi kufa msanga kwa anthu omwe mtima wawo uli ndi mtima Mavuto ali pamwamba ndi statins .
Ndipotu, kufufuza kwakukulu kwatchulidwanso kuti mankhwala ena osaphatikizidwa ndi mafuta a m'thupi amatha kupweteka kwambiri.
Pakalipano, akuganiza kuti ma statins ndi abwino kusiyana ndi mankhwala ena pazowonjezera zotsatira chifukwa ali ndi zotsatira zambiri zingapo kuphatikizapo kuperewera kwa mafuta m'thupi. Zowonjezerazi "zowonjezera" zingathandize kuteteza mapepala a atherosclerotic mu mitsempha yamakono ndipo ingathandize kuteteza matenda aakulu .
Zotsatira Zopanda Cholesterol-Zochepa za Statins
Zowonjezera "zosapsa" za kuchepetsa kutsika kwa cholesterol za statins zikuphatikizapo:
- Chotsutsana ndi zotupa.
- Chotsutsa-chotsitsa.
- Chombo chokhazikika-chokhazikika.
- Kuchepetsa kuchepetsa mphamvu ya mapuloteni a C (CRP)
- Kupititsa patsogolo ntchito.
- Kuchepetsa matenda oopsa a mtima.
- Zina zowonjezera (kuchepa) kwa miyala ya atherosclerotic yokha.
Zotsatira zowonjezereka za zilembo zingakhale zofunika (kapena zofunika kwambiri) kusiyana ndi kuchepetsa mafuta m'thupi.
Mwachitsanzo, zotsatirazi sizimene zimapangitsa kuti thupi likhale ndi vuto la mtima kwambiri. Izi sizomwe mungayembekezere ngati chinthu chokhacho ndi statinsterol. Zomwe zilibe zotsatira za kuchepa kwa mafuta m'thupi zingathe kufotokozeranso chifukwa chake maimidwe angapangitse zotsatirapo kwa odwala omwe ali ndi chiopsezo chachikulu chomwe cholesterol sichikwera kwambiri.
Inde, kupindula kwakukulu kwa ma statins kwachititsa akatswiri ena kukayikira zonse " cholesterol hypothesis " (lingaliro lomwe kuchepetsa cholesterol lidzachepetsa chiopsezo). "Otsutsa" awa amakhulupirira kuti si kuchepetsa kwa cholesterol cha LDL chomwe chimapangitsa ma statins kukhala ogwira bwino pakukwaniritsa zotsatira, koma zotsatira zina za mankhwala osokoneza bongo. Kotero (iwo akupitirira kufotokozera) mwinamwake kutsika kwa cholesterol wokha sikofunikira monga momwe tonse timaganizira.
Mfundo Yofunika Kwambiri
Mulimonse momwe, dokotala wanu akamalimbikitsa mankhwala a statin monga mankhwala abwino kwambiri a mankhwala anu opatsirana a LDL cholesterol, akungosonyeza kudziwa kwake umboni wambiri wosonyeza kuti statins ndi opindulitsa kwambiri.
Mukhoza kuwerenga za mankhwala ena othandiza kuchepetsa vutoli . Ndipo apa pali nkhani yokhudza momwe mungasankhire ngati mukufuna kuchiritsidwa kwa cholesterol.
> Zotsatira:
> Liu PY, Liu YW, Lin LJ, et al. Umboni Wa Statin Pleiotropy Mwa Anthu: Zotsatira za Zolemba Zomwe Zimapangidwa Ndipo Ezetimibe Pa Co-Coated-Coiled-Coil Coil-Coled-Coil-Coil Chokhala ndi Mapuloteni Kinase Ntchito, Endothelial Function, Ndi Kutupa. Circulation 2009; 119: 131.
> Nissen, SE. Zithunzi Zazikulu M'mikono Yambiri ya Coronary Syndromes. Osati Mipata ya Lipid Yokha. JAMA 2004; 292: 1365.
> Stone NJ, Robinson JG, Lichtenstein AH, et al. 2013 ACC / AHA Malangizo On The Treatment Of Blood Cholesterol Kuchepetsa Atherosclerotic Kuopsa Kwa Anthu Okalamba: Lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines. Circulation 2014; 129: S1.