I-cholesterol - ukwelashwa kwezidakamizwa

Umzimba wakho udinga i-cholesterol ukuze usebenze kahle. Kodwa i-cholesterol eyengeziwe esegazini lakho ibangela ukuthi imali yakheke phezu kwezindonga zangaphakathi zemithambo yegazi lakho. Lokhu kwakha kubizwa ngokuthi i-plaque. Iyanciphisa imithambo yegazi futhi inganciphisa noma imise ukuhamba kwegazi. Lokhu kungaholela ekuhlaselweni yinhliziyo, ukushaywa unhlangothi, nokuncipha kwemithambo yegazi kwenye indawo emzimbeni wakho.

Izitatimende kucatshangwa ukuthi yimithi engcono kakhulu ongayisebenzisa kubantu abadinga imithi yokwehlisa i-cholesterol yabo.

Hyperlipidemia - ukwelashwa kwezidakamizwa; Ukuqina kwemithambo - istin

Izitatimende zinciphisa ingozi yesifo senhliziyo, isifo sohlangothi, nezinye izinkinga ezihlobene. Benza lokhu ngokwehlisa i-cholesterol yakho ye-LDL (embi).

Isikhathi esiningi uzodinga ukuthatha lo muthi impilo yakho yonke. Kwezinye izimo, ukuguqula indlela ophila ngayo nokulahlekelwa isisindo esingeziwe kungakuvumela ukuthi uyeke ukuthatha lo muthi.

Ukuba ne-LDL ephansi kanye ne-cholesterol ephelele kunciphisa ingozi yesifo senhliziyo. Kepha akuwona wonke umuntu odinga ukuthatha ama-statins ukwehlisa i-cholesterol.

Umhlinzeki wakho wokunakekelwa kwezempilo uzothatha isinqumo ngokwelashwa kwakho ngokuya ngokuthi:

• Ingqikithi yakho, i-HDL (enhle), ne-LDL (emibi) amazinga e-cholesterol
• Iminyaka yakho
• Umlando wakho wesifo sikashukela, umfutho wegazi ophakeme, noma isifo senhliziyo
• Ezinye izinkinga zempilo ezingabangelwa yi-cholesterol ephezulu
• Ukuthi uyabhema noma cha
• Ingozi yakho yesifo senhliziyo
• Ubuhlanga bakho

Kufanele uthathe ama-statins uma uneminyaka engama-75 noma ngaphansi, futhi unomlando we:

• Izinkinga zenhliziyo ngenxa yemithambo emincane enhliziyweni
• I-Stroke noma i-TIA (unhlangothi omncane)
• I-aortic aneurysm (i-bulge emthanjeni omkhulu emzimbeni wakho)
• Ukuncipha kwemithambo emilenzeni yakho

Uma uneminyaka engaphezu kwengama-75, umhlinzeki wakho anganikeza umthamo ophansi we-statin. Lokhu kungasiza ukunciphisa imiphumela emibi engaba khona.

Kufanele uthathe ama-statins uma i-cholesterol yakho ye-LDL ingu-190 mg / dL noma ngaphezulu. Kufanele futhi uthathe ama-statins uma i-cholesterol yakho ye-LDL iphakathi kuka-70 no-189 mg / dL no:

• Unesifo sikashukela futhi uphakathi kweminyaka engama-40 nengama-75
• Unesifo sikashukela kanye nengozi enkulu yesifo senhliziyo
• Unobungozi obukhulu besifo senhliziyo

Wena nomhlinzeki wakho ningafuna ukucubungula izitatimende uma i-cholesterol yakho ye-LDL ingama-70 kuya ku-189 mg / dL futhi:

• Unesifo sikashukela kanye nengozi ephakathi yesifo senhliziyo
• Unobungozi obuphakathi besifo senhliziyo

Uma unengozi enkulu yesifo senhliziyo futhi i-cholesterol yakho ye-LDL ihlala iphakeme ngisho nangokwelashwa kwe-statin, umhlinzeki wakho angazicabangela lezi zidakamizwa ngaphezu kwama-statins:

• Ezetimibe
• Ama-PCSK9 inhibitors, afana ne-alirocumab ne-evolocumab (Repatha)

Odokotela babevame ukusetha ileveli eqondiwe ye-cholesterol yakho ye-LDL. Kepha manje ukugxila kunciphisa ubungozi bakho bezinkinga ezibangelwa ukuncipha kwemithambo yakho. Umhlinzeki wakho angaqapha amazinga akho e-cholesterol. Kodwa ukuhlolwa njalo akudingeki ukuthi kudingeke.

Wena nomhlinzeki wakho nizonquma ukuthi iyiphi umthamo wesitatimende okufanele nisithathe. Uma unezici zobungozi, kungadingeka ukuthi uthathe amanani aphezulu. noma engeza ezinye izinhlobo zemithi. Izici umhlinzeki wakho azocubungula lapho ekhetha ukwelashwa kwakho zifaka:

• Ingqikithi yakho, i-HDL, ne-LDL cholesterol amazinga ngaphambi kokwelashwa
• Kungakhathaliseki ukuthi unesifo se-coronary artery (umlando we-angina noma isifo senhliziyo), umlando wesifo sohlangothi, noma imithambo emincane emilenzeni yakho
• Kungakhathaliseki ukuthi unesifo sikashukela
• Noma ngabe uyabhema noma unengcindezi ephezulu yegazi

Ukweqiwa okuphezulu kungaholela emiphumeleni emibi ngokuhamba kwesikhathi. Ngakho-ke umhlinzeki wakho uzobheka nobudala bakho nezici zobungozi zemiphumela emibi.

• Cholesterol
• I-plaque buildup emithanjeni

I-American Diabetes Association. Isifo senhliziyo nokulawulwa kwezinhlekelele: amazinga okunakekelwa kwezokwelapha kusifo sikashukela-2020. Ukunakekelwa yisifo sikashukela. I-2018; 43 (Suppl 1): S111-S134. I-PMID: 31862753 pubmed.ncbi.nlm.nih.gov/31862753/.

UFox CS, uGold SH, noAnderson C, et al. Ukuvuselelwa kokuvinjelwa kwezifo zenhliziyo kubantu abadala abane-type 2 diabetes mellitus ngenxa yobufakazi bakamuva: isitatimende sesayensi esivela ku-American Heart Association kanye ne-American Diabetes Association. Ukujikeleza. 2015; 132 (8): 691-718. I-PMID: 26246173 pubmed.ncbi.nlm.nih.gov/26246173/.

UGenest J, ukuphazamiseka kweLibby P. Lipoprotein nesifo senhliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 48.

I-Grundy SM, i-Stone NJ, i-Bailey AL, et al. 2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA Guideline on the management of blood cholesterol: umbiko we American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines . UJ Am Coll Cardiol. 2019; 73 (24): e285-e350. I-PMID: 30423393 pubmed.ncbi.nlm.nih.gov/30423393/.

I-U.S. Preventive Services Task Force. Isitatimende sokugcina sezincomo: ukusetshenziswa kwe-statin ukuvimbela okuyinhloko kwesifo senhliziyo kubantu abadala: imithi yokuvimbela. www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/statin-use-in- abadala-preventive-medication1. Kubuyekezwe ngoNovemba 2016. Kufinyelelwe ngoMashi 3, 2020.

Isifinyezo sesincomo se-US Preventive Services Task Force. Ukusetshenziswa kwe-Statin ekuvimbeleni okuyinhloko kwesifo senhliziyo kubantu abadala: imithi yokuvikela. www.uspreventiveservicestaskforce.org/uspstf/recommendation/statin-use-in-adult-preventive-medication. Kubuyekezwe ngoNovemba 2016. Kufinyelelwe ngoFebhuwari 24, 2020.

• Angina
• Ukubekwa kwe-Angioplasty nokuqina - umthambo we-carotid
• Ukubekwa kwe-angioplasty kanye ne-stent - imithambo yegazi
• Isifo semithambo yeCarotid
• Ukuhlinzwa komthambo weCarotid - kuvulekile
• Isifo senhliziyo
• Isifo senhliziyo
• Ukuhlinzwa kokudlula kwenhliziyo
• Ukuhlinzwa kokudlula kwenhliziyo - kukuhlasela kancane
• Isifo senhliziyo nokudla
• Amazinga aphezulu e-cholesterol egazini
• Ukudlula emthanjeni wokudlula - umlenze

• Ukulungiswa kwe-aortic aneurysm esiswini - ukuvula - ukukhipha
• I-Angina - ukukhishwa
• U-Angina - ukuthi ubuze ini kudokotela wakho
• Ukubekwa kwe-Angioplasty kanye ne-stent - umthambo we-carotid - ukukhishwa
• Ukubekwa kwe-angioplasty nokuma okuqinile - imithambo yegazi - ukukhipha
• Ukulungiswa kwe-aortic aneurysm - endovascular - discharge
• I-Atrial fibrillation - ukukhishwa
• Ibhotela, imajarini namafutha okupheka
• Ukuhlinzwa komthambo weCarotid - ukukhipha
• Cholesterol - yini ongayibuza udokotela wakho
• Ukulawula umfutho wegazi ophakeme
• Kuchazwe amafutha ezokudla
• Amathiphu okudla okusheshayo
• Isifo senhliziyo - ukukhipha
• Isifo senhliziyo - okufanele ubuze udokotela wakho
• Isifo senhliziyo - izici eziyingozi
• Ukwehluleka kwenhliziyo - okufanele ubuze udokotela wakho
• Umfutho wegazi ophakeme - okufanele ubuze udokotela wakho
• Ukudla kwaseMedithera
• Ukudlula emthanjeni wokudlula - umlenze - ukukhishwa
• Ukushaywa unhlangothi - ukukhishwa

• Cholesterol
• Imithi Ye-cholesterol
• I-cholesterol ephezulu ezinganeni nasentsheni
• I-LDL: I-cholesterol "Engalungile"
• Izitatimende