Ngakhale kuti statins yakhala yochepa kwambiri ya kuchepa kwa mtima kwazaka makumi awiri zapitazi, pakhala kutsutsana kosalekeza ponena za momwe zimakhalire zopindulitsa mwa amayi. Kwa zaka zambiri, deta kuchokera ku mayesero angapo a zachipatala athandiza, komabe sikutsimikiziridwa, kuti mphamvu za ma statins omwe ali ndi amayi omwe ali ndi matenda amtundu wa matenda (CAD) ndi othandiza . Zotsutsanazo zinasintha kwambiri mu 2015, komabe, pakufufuza mndandanda wa mayesero angapo a zachipatala, pomaliza kunena kuti maimuna a akazi amaoneka ngati othandiza ngati amuna.
N'chifukwa Chiyani Ma Statins Ndi Ofunika Kwambiri?
Mankhwala a statin amaonedwa kuti ndi ofunika kwambiri m'maganizo a mtima chifukwa ndi mankhwala okhawo omwe amatsitsimula kwambiri ndipo amathandiza kuchepetsa matenda a mtima, zilonda, ndi imfa omwe ali oopsa kwambiri.
Ndipotu, tsopano zikuwoneka bwino kuti ma statins amachita zambiri kuposa kungochepetsa cholesterol - amakhala ndi zotsatira zotsutsa-kutupa; Amathandiza kupewa kutsekemera kwa magazi; Amathandizira kukhazikitsa ziwalo zomangika zomwe nthawi zambiri zimatuluka ku matenda a mtima ndi kukwapula; ndipo zimakhalanso ndi zotsatira zina zabwino.
Madalitso apadera a mankhwala a statin pofuna kuteteza mavuto a mtima, omwe amalembedwa m'mayesero ofunikira ambiri, amachititsa madokotala ambiri kukhala ofunitsitsa kwambiri kugwiritsa ntchito mankhwalawa kwa odwala awo omwe ali ndi chiopsezo cha mtima.
Nchifukwa chiyani Panakhalapo Mtsutso Pazolemba Zachikazi?
Kusiyana kulipo chifukwa chakuti umboni wakuti statins ndi othandiza pakukweza zotsatira za mtima siwongowonjezereka kwambiri kwa akazi kusiyana ndi amuna.
Kwa zaka zambiri, mayesero akuluakulu omwe amachititsa kuti amuna ndi akazi asamakhale ndi matenda opatsirana m'mimba ( matenda a mtima) kapena matenda opatsirana , omwe ali kale ndi matenda oopsa amtundu wa AIDS (CAD) , asonyeza kuti zilembo zimathandiza kuchepetsa zochitika za mtima, kuphatikizapo matenda a mtima ndi imfa.
Kwa anthu omwe alibe CAD, koma omwe ali ndi chiopsezo cha CAD, mayesero osasinthika awonetsanso zotsatira za mtima wamtima ndi statins, ngakhale pang'onopang'ono.
Koma mukasanthula zotsatira zomwe zimapezeka pakati pa akazi omwe amalembedwa m'mayesero awa, matchulidwe a statins ambiri alephera kufika pa chiwerengero. Izi ndizo, ubwino wa zilembo mwa akazi sizinayambe.
Kodi Ndondomeko Yotani Yopanda Umboni Ndiyi?
Apa ndi pamene kutsutsana kwakhala. Pakhala pali zifukwa ziwiri zomwe zingatheke. Yoyamba, ndithudi, ndi yakuti mwina zilembo sizigwira ntchito mwa amayi monga amuna. Akatswiri ambiri amakayikira kuti izi n'zimenezo. Kulongosola kwachiwiri ndiko kungoti amayi sangathe kulembedwa ku mayesero omwe alipo kale kuti atsimikizire kuti mphamvu za ma statins zimakhala bwino. Zoonadi, m'mayesero ambiriwa, kukula kwa phindu lopangidwa ndi statins kumawoneka chimodzimodzi kwa amayi monga amuna, koma amayi sangathe kulembedwa kuti athandizidwe.
Umboni Watsopano ndi chiyani?
Kumayambiriro kwa 2015, kufufuza kwakukulu kwa meta kunasindikizidwa mu Lancet kuti, pamene msinkhu wamaganizo a mtima umaganiziridwa, ma statins amaoneka ngati othandiza kwambiri kwa amayi kusiyana ndi amuna.
Kafukufukuyu, wochitidwa ndi Cholesterol Treatment Trialists '(CTT) Collaboration, anafufuza mayesero makumi awiri ndi awiri omwe analembedwa ndi ma statins, omwe analembetsa akazi oposa 46,000. Kufufuza ndi chiwerengero chachikulu cha amayiwa kunatsimikizira kuti ma statins anali othandiza kwa amayi monga amuna kuti athetse chiopsezo chachikulu cha zochitika zazikulu za mtima. (Zochitika zazikuluzikulu za mtimazi zinali kuphatikizapo matenda a mtima, zikwapu , kusowa kwa kupweteka kapena kudutsa opaleshoni , ndi imfa ya mtima.) Phindu la ma statins linali lofanana kwa abambo ndi amai m'magulu onse a mliri wa mtima.
Kodi Ma Statins Ayenera Kugwiritsidwa Ntchito Akazi?
Tsopano tikhoza kunena kuti umboni wabwino kwambiri umasonyeza kuti ma statins ndi ofunika kwambiri kwa amayi monga momwe alili mwa amuna, komanso kuti, kuti mliri wa mliri sayenera kukhala chinthu chofunikira kuti asankhe kapena asagwiritse ntchito statins.
Kusankha zokhudzana ndi mankhwala oyenera kuyenera kukhazikitsidwa pa msinkhu wa kuopsa kwa mtima wanu, komanso kuganiziridwa mosamala ndi inu ndi dokotala wanu ponena za ubwino wa maimidwe ndi mavuto omwe angakhalepo. Ngakhale kuti zosankha izi nthawi zonse ziyenera kukhala payekha, umboni wabwino womwe ulipo umasonyeza kuti kugonana sikuyenera kukhala ndi gawo lapadera pakupanga chisankho.
> Zotsatira:
> Cholesterol Treatment Trialists '(CTT) Kugwirizana. Zogwira Mtima ndi Chitetezo cha Kupatsirana kwa LDL Pakati pa Amuna ndi Akazi: Meta-analysis of Individual Data kuchokera kwa 174,000 Opezeka pa 27 Randomized Trials. Lancet 2015; DOI: 10.1016 / S0140-6736 (14) 61368-4.
> Davignon, J. Wopindulitsa Maganizo Pleiotropic zotsatira za Statins. Chizungulire 2004; 109: III39.
> Nissen, SE. Zolemba zapamwamba za dose mu Acute Coronary Syndromes. Osati Mipata ya Lipid Yokha. JAMA 2004; 292: 1365.