Malamulo aang'ono a Statins Othandizira Odwala Odwala
Statins ndi mankhwala omwe amaletsa kwambiri mafuta m'thupi.
Mapindu a statins ndi awa:
- Kuchepetsa LDL ndi magulu a triglyceride
- Kulera ma HDL
- Kuchepetsa chiopsezo cha matenda a mtima
- Kulepheretsa kuvutika kwa mtima ndi kukwapula kwa odwala omwe ali ndi matenda a mtima
Ngakhale pakati pa phindu limene limakhalapo ndi odwala, odwala ena amasiya nawo chifukwa amaganiza kuti zotsatira zake zingawononge kwambiri kuposa zabwino.
Kodi odwala ali olondola kupeŵa statins chifukwa cha zotsatira?
Pindulani Pang'ono Kwambiri Odwala Odwala
Statins ikhoza kupindulitsa odwala omwe ali ndi mbiri ya matenda a mtima, koma chizoloŵezi chofotokozera statins kwa anthu abwino kuti achepetse chiopsezo chikhoza kutha pamapeto a mkonzi wa 2015 wofalitsidwa mu nyuzipepala yachipatala ya Prescriber. Lipotili linati atatha kutenga zilembo kwa zaka 5, anthu ochepa okha ndi omwe amapewa matenda a mtima kapena kupwetekedwa mtima. Olemba, katswiri wa cardiologist ku London ndi pulofesa wa udokotala wa ku United States, akuyitanitsa kulembanso kwathunthu kwa malangizo a America ndi Britain.
Kuwonjezeka kwa Enzyme ya Chiwindi Ndi Mphamvu Yosiyana ya Ma Statins
Mankhwala onse amtunduwu amachititsa kuti mapuloteni a chiwindi apitirize, kuphatikizapo aminotransferase (AST) ndi alanine aminotransferase (ALT), yomwe mtsogoleri wanu wothandizira zaumoyo akuyang'anila musanayambe chithandizo cha statin, miyezi itatu mutangoyamba kumene, komanso osachepera miyezi isanu ndi umodzi pamene mukuchiritsira.
Amene ali ndi michere yambiri ya chiwindi sangazindikire zizindikiro zilizonse.
Mlingo wa maimidwe ovomerezeka wa maimidwe owonjezera mavitamini a chiwindi mwa pafupifupi 1 peresenti ya odwala, kawirikawiri mkati mwa miyezi inayi yoyambirira. Mwinamwake kuwonjezeka uku kumawonjezereka kwa anthu achikulire ndi omwe amatenga mankhwala ena omwe angagwirizane ndi statins kapena kuukitsa mavitamini a chiwindi.
Zotsatira za statinzi ndizomwe zimadalira mlingo, zomwe zikutanthauza kuti kuchuluka kwa mlingo wa zilembo zomwe mukuzitenga, ndikosavuta kuti muwonjezeke m'mayimbidwe a chiwindi.
Pali zidziŵika zambiri za chiwindi chosalimba ndi chiwindi cha chiwindi chomwe chimagwirizanitsidwa ndi statins ndi mavitamini a chiwindi. Kafukufuku wamakono sakwanitsa kukhazikitsa chiyanjano chokha pakati pa ntchito ya statin ndi matenda a chiwindi.
Mapuloteni ambiri a chiwindi amayamba kubwerera pamene mukusiya kutenga zilembo.
Misala ndi Zofooka Ndizo zotsatira Zotsatira za Ma Statins
Myopathies, kapena zizindikiro za minofu monga kufooka ndi kupweteka, ndi zotsatira zina za statins.
Myopathies amachokera ku mygigi yofatsa, kapena kupwetekedwa kwa minofu , mpaka ku matenda omwe amawopsa kwambiri monga rhabdomyolysis. Chizoloŵezi chofala kwambiri chogwiritsidwa ntchito ndi statin, myalgia , chimangokhala pafupifupi mmodzi mwa odwala 1,000 omwe amatenga zilembo.
Mpata wokhudzana ndi zotsatira za statinyi ukuwonjezeka pamene mukukula, ndi mankhwala apamwamba komanso pamene mukumwa mankhwala ena. Zizindikirozi zimawoneka mkati mwa miyezi inayi ndikuyambitsa mankhwala ovomerezeka.
Rhabdomyolysis, kachilombo kena kamene kamatha kugwiritsidwa ntchito ndi statin, ndi chosowa kwambiri komanso chopha ngati sichisamalidwe bwino. Amapezeka mwa munthu m'modzi mwa anthu 10,000 omwe amatenga zilembo.
Zizindikiro za rhabdomyolysis ndizo:
- Kupweteka kwa minofu kwambiri
- Kufooka
- Kuwonjezera mopambanitsa kuchuluka kwa creatinine phosphokinase
Kodi Mapindu Amaposa Zowopsa?
Icho ndi chisankho iwe ndi wothandizira zaumoyo wanu.
Ngati mukugwiritsa ntchito zilembo zamtundu wa thanzi labwino, mwina zotsatira zake zokhudzana ndi ntchito ya statin ndizosazolowereka mukaziyerekeza ndi phindu.
Ngati wothandizira zaumoyo wanu akuwonetseratu maimidwe monga zowononga, onetsetsani kuti inu nonse muli ndi chidziwitso chonse chomwe mukufuna, kuphatikizapo zotsatila zatsopano, kuti mupange chisankho chodziwikiratu.
Zotsatira:
Armitage J. Chitetezo cha statins muzochita. Lancet . 2007; 6736 (07): 60716-8.
De Denus S, Spinler SA, Miller K, et al. Mavitamini ndi chiwindi cha chiwindi: meta-analytical. Pharmacotherapy . 2004; 24 (5): 584-591.
Harper CR ndi Jacobson TA. Mndandandanda wa statin myopathy: kuchokera ku myalgia mpaka rhabdomyolysis. Curr Opin Lipidol . 2007; 18 (4): 401-08.
Jacobson TA. Statin chitetezo: maphunziro kuchokera ku mapulogalamu atsopano a mankhwala omwe ali ndi zilembo zamsika. Am J Cardiol . 2006; 97 (8A): 44C-51C.
Spencer B. Daily Mail: Odwala Odwala Amagwiritsira Ntchito Zolemba Zomwe Angathe Kulimbana Ndi Zotsatira Zomwe Zimapindulitsa Kuposa Kupeza Thanzi Labwino '