Me kahi kiʻekiʻe kiʻekiʻe o nā lipoproteins haʻahaʻa haʻahaʻa, pono i nā hana e hāpai i ka hoʻemi ʻana i ka uku. Aia kahi ākea nui o nā lāʻau lapaʻau e hoʻopilikia pono i ka metabolism momona a pale i ka hoʻokumu ʻana o LDL.
I ka hoʻohaʻahaʻa ʻana i nā kolikoli kolamu, ua ʻōlelo ʻia nā lāʻau lapaʻau e pili ana i ka pūʻulu o nā statins a i ʻole fibrates. Ua hōʻoia i nā kālā i nā makahiki. Ua kau ʻia lākou i nā hihia kahi i loaʻa ai ke ʻano o nā lāʻau lapaʻau - ka mālama olakino, ka hana kino, ke kaumaha, a pēlā aku, ʻaʻole i hāʻawi i ka hopena i makemake ʻia.
Hiki ke kūʻai aku i ka nui o nā lāʻau lapaʻau ma ka hale kūʻai me ka ʻole ke kauka ʻana i nā kauka. Akā ʻaʻole kēia manaʻo e hiki i ka maʻi maʻi maʻi lapaʻau ke hoʻohana pono iā ia iho. No ka hoʻokō ʻana i kahi hopena therapeutic, kahi regimen kanaka no ka hoʻohana ʻana i nā lāʻau lapaʻau e pono ai.
E noʻonoʻo he aha nā peni no ka hoʻohaʻahaʻa i ka kolamu ma ke kino he mea maikaʻi loa, pehea e lawe pololei ai iā lākou, a he aha nā hopena kūpono e hiki mai i ka mea maʻi me ka maʻi maʻi?
ʻO ke kumuhana e kau nei i nā statins
Hoʻololi pinepine ʻia nā papa no ka kolamu no ka pūʻulu statin. Ke kōkua nei nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka pae o nā lipoproteins low low i loko o ke kino, e hōʻemi i ka hana o LDL i ka puʻuwai o ka mea maʻi. Hōʻike nā hōʻike i ka helu o ka OH (ka nui o ka cholesterol) e ka 30-45% mai ka pae mua, a me ka hoʻolilo ʻana o nā waiwai maikaʻi loa ma ka 40-60%.
Mahalo i ka hoʻohana ʻana o nā statins, hiki ke hoʻonui ʻia ka lipoproteins kiʻekiʻe, a me ka loli ʻana i ka hoʻopiʻi ischemic mau maʻi ma ka maʻi maʻi e hōʻemi ʻia hoʻi e 15%. ʻAʻole hāʻawi nā statins i kahi hopena mutagenic a me ka carcinogenic, ʻo ia kahi mea i hoʻohui mau ai.
Hoʻopaʻa paʻa ʻia ka lāʻau lapaʻau pilikino o ia hoʻolālā. No ka mea e koi ʻia ka hoʻokolohua piha o ka maʻi maʻi e nānā i nā āpau āpau. Ke koho ʻana i nā lāʻau lapaʻau, e noʻonoʻo:
- ʻO ka hele / ka waiho ʻana o nā hana maikaʻi;
- Kakauolelo
- Nā makahiki i ka mea maʻi;
- Nā maʻi kumuhana (hypertension, diabetes mellitus, etc.).
Inā ʻoe i kuhikuhi i ka lāʻau lapaʻau mai statins, no ka laʻana, Atorvastatin, Simvastatin, Zokor, Rosuvastatin, a laila pono lākou i ka lāʻau ma ke ʻano i kuhikuhi ʻia e ka lāʻau lapaʻau. I ka wā o ka mālama ʻana, ʻike ʻia ka ʻike koko koko maʻamau e nānā i nā hōʻailona.
ʻAʻole maʻalahi nā peni e hoʻohaʻahaʻa i ka cholesterol koko. Inā hiki ʻole i ka mea maʻi ka hoʻoholo i kekahi lāʻau lapaʻau, a laila ʻaʻole ia e koho ʻia e koho iā ia iho. Pono mākou e noi i ke kauka e hāʻawi i kahi koho ʻē aʻe e kūpono me ke kumukūʻai o ka maʻi maʻi. ʻO ka meaʻoiaʻiʻo o nā loiloi o ka hoʻopili home me ka nui o ka haʻahaʻa o ka hopena a me ka hopena therapeutic ʻaʻole wale nō i nā lāʻau lapaʻau mua, akā no nā mea hoʻonani o nā hana haole.
Ke hoʻopaʻa inoa ʻia nei ka lāʻau lapaʻau no kekahi ʻelemakule, pono lākou e noʻonoʻo i ka pilina o nā lāʻau me ka mālama ʻana i ka gout, a hypertension, a me ka maʻi maʻi. I kēia kūlana, loaʻa i nā mea maʻi he pālua ʻelua o ka hoʻomohala ʻana i ka myopathy.
Noʻo ʻia nā ʻōlelo hoʻākāka me ka noʻonoʻo ʻana i kēia mau nuances ʻē aʻe:
- I mua o nā ala o ke aʻaloponaʻeha, ʻoi aku ka maikaʻi e lawe iā Rosuvastatin, akā ma kahi liʻiliʻi no ia, e hāʻawi ana i ka hopena e makemake ai. Ke ʻae ʻia ka hoʻohana ʻia ʻana o ka lāʻau Pravaxol. ʻAʻole hopena o kēia mau lāʻau i ka maikaʻi o ka puʻu, akā ʻaʻole i hui pū ʻia me nā lāʻau ʻawaʻawa a me nā lāʻau antibakopa.
- Inā loaʻa i kahi maʻi maʻi maʻi maʻi mau lā, a i ʻole e hōʻeha ʻia iā lākou, ʻoi aku ka maikaʻi o ka hoʻohana ʻana iā Pravastatin. ʻAʻole loaʻa ka hopena o ka lāʻau lapaʻau i nā ʻeha o ka mea maʻi, no laila, hoʻemi ka hopena o ka hoʻolālā ʻana i ka myopathy me ka maʻi diabetes.
- Inā maʻi ka maʻi maʻi maʻi papalapa, a laila ʻaʻole ʻoe e inu i ka fluvastatin. Ua hōʻoia i ka maʻi ʻeha i ka hopena maikaʻi o ka lāʻau lapaʻau i ka hana o nā kuhi.
Hoʻohui ʻia ka hui ʻana o kekahi mau ʻano statins, no ka laʻana, Atorvastatin + Rosolipt.
ʻAʻole ia he mea kūpono e hoʻohui i nā statins me ka nicotinic acid. Hiki ke hoʻonāukiuki i kahi hāʻule o ka glucose i ke koko o nā maʻi maʻi maʻi, e alakaʻi ana i ka hoʻomohala ʻana i ke koko i ka ʻao gastrointestinal.
Nā hōʻailona: keʻano o nā lāʻau lapaʻau a me nā hiʻohiʻona o ka hoʻohana
Kahi pinepine ʻia nā loina. Kōkua lākou i ka hoʻoliʻiliʻi i ka pae o ka kolamu ma ke koko o nā maʻi. Hoʻohana ʻia kā lākou hoʻohana ʻana i ke kua o ka maʻi diabetes, akā naʻe, pono ke mālama ʻia i nā pilikia āpau i kekahi kiʻi. Ma muli o ka hoʻohaʻahaʻa ʻana i ka cholesterol ma muli o ka kaohi ʻana o kona hāpana ma ka ate.
Ua helu ʻia nā moʻolelo ma nā hanauna. He ʻehā o lākou. Loaʻa iā lākou nā ʻano mea ʻokoʻa, ʻokoʻa i nā contraindications, nā hopena ʻaoʻao. ʻO ka hanauna mua ka komo ʻana o ka hua mea kanu simvastatin. Manaʻo ʻia ua ʻike ʻia nā lāʻau lapaʻau o kēia hanauna, akā ua hoʻokaʻa iki ʻia lākou, no ka mea, ua puka hou aku nā papa ikaika.
ʻAʻole kuhikuhi ʻia nā papa no ka loaʻa ʻana o ka maʻi maʻi myopathy a i ʻole ka hopena kiʻekiʻe o ke kūkulu ʻana i kēia maʻi. ʻAʻole pono e lawe ʻia i ka wā o ka gestation, me ka umauma o ka manawa, i ka manawa o ka exacerbation o nā maʻi o ka ate.
ʻO ka hanauna mua o statins i hōʻike ʻia e nā lāʻau lapaʻau e like me kēia:
- Simvor;
- Simvastatin;
- Vasilip;
- Ariescore et al.
Hōʻike nā lāʻau lapaʻau i nā hoʻohālike. ʻOiai ke ʻano o nā inoa like ʻole, ʻokahi o lākou ke kumu o ka hana. Kahi ʻia ke ʻano o ka ʻāʻī. Akā ʻo ka mahina mua o ka papa therapeutic e pili pū ana i ka hoʻohana ʻana o 10 mg i ka lā. Inā kūpono, ua hoʻonui ʻia ka dosage.
ʻO nā lāʻau lapaʻau luaʻi e komo pū me nā mea maʻi fluvastatin. No kēia māhele nui, ua ʻoluʻolu pinepine ʻia ʻo Leskol Forte. Hoʻomaopopo ka hopena maikaʻi o ka lāʻau i ka mellitus maʻi diabetes, ʻoiai nā papa ʻaina i hoʻoneʻe i ka urea keu mai ke kino. No ka hoʻokō ʻana i ka hopena i makemake ʻia, pono ia i kahi papaʻai.
ʻEkolu hanauna:
- Atomax
- Tulip.
- Anvistat.
ʻO ka hana ikaika o ka lāʻau lapaʻau ma atorvastatin. Kōkua ia i ka hoʻemi ʻana i ke kahe o nā lipoproteins haʻahaʻa haʻahaʻa. ʻ sayslelo ʻia ka ʻōlelo ʻānō e lawe ʻia nā papa i hoʻokahi manawa i ka lā, e hoʻomaka me ka helu ʻana o 10 mg. ʻO ka palena kiʻekiʻe loa o kēlā me kēia lā he 80 mg. Ke hoʻemi nui nei i ka cholesterol, hiki ke hoʻohui pū i nā statins me nā lāʻau lapaʻau ʻē aʻe, no ka laʻana, Omacor.
ʻO ka hua ʻehā (hope) - nā lāʻau lapaʻau e palekana e hoʻomaʻamaʻa i ka ʻike koleka. ʻO kēia me Rosart, Rosuvastatin, Krestor. E hoʻomanaʻo he nui nā mea e ʻimi nei i ka lāʻau lapaʻau ʻo Novostatin, akā ʻaʻole ʻē ʻia kēlā lāʻau lapaʻau. Hiki ke manaʻo ʻia e huli ʻia ana ka huli ʻana iā Lovastatin.
Ka wai Rosuvastatin i ka hihia o ka intolerance lactose, nele i ka lactase, hypothyroidism, hypersensitivity, nā ala ikaika i ke kahua o ka decompensation.
Hoʻopuka i nā hoʻohaʻahaʻa i ka cholesterol koko
ʻO Fibrates kahi papa hoʻokaʻawale o nā lāʻau lapaʻau e hōʻemi i ka neʻe LDL ma muli o ka hoʻoponopono o ka syntid synthesis. I kekahi mau manawa, ua hui pū ʻia me nā statins e hōʻemi i ka ʻemi o nā hopena ʻokoʻa, akā ʻaʻole pono kēia.
ʻAʻole i kuhikuhi ʻia nā Fibrates no nā maʻi maʻi inā loaʻa iā lākou ka mōʻaukala o ka puʻuwai o ke aʻalopona, kahi hana luhi koʻikoʻi ma ke akea, paʻa ʻole a paʻa, a i ʻole cirrhosis. ʻAʻole hiki iā ʻoe ke inu i ka lāʻau lapaʻau i ka wā o ka hapai, me ka umauma umauma, ka hypersensitivity.
ʻO nā lāʻau lapaʻau nā puka kumu syntical, he nui nā hopena pākuʻi, no laila hoʻomaka ka noi ʻana me ka liʻiliʻi liʻiliʻi. E hoʻonui pinepine ʻia ma luna o kahi mahina. Hoʻopili, hiki iā ʻoe ke hoʻohana i nā kūpaʻa o ka iwi, no ka laʻana, ka umauma o ke kākā ʻia i nā waiwai o ka hoʻomaʻemaʻe i nā kīʻaha koko a me ka hoʻohemo ʻana i nā palaki kolesterol.
Nā ʻelele o ka hui fibrate.
- ʻO Gemfibrozil - maikaʻi loa nā papa kolala, akā ʻole loa. ʻO ke kumu he 1700-2000 mau rubles no ka pālākiō. Hāʻawi ka hāʻawi i ka hāʻawi i ka emi o ka neʻe ʻana o ka triglycerides, kahi i hoʻohaʻahaʻa i ka hana o nā lipids, ka mea e wikiwiki ai i ka hoʻopau ʻana o nā pōʻino kino mai ke kino. Hiki iā ʻoe ke kūʻai ma ke kīlea a kūʻai paha ma ka Pūnaewele;
- ʻO Bezafibrat kahi hana kōkua e hoʻomaʻemaʻe i nā kīʻaha koko o nā palaki kolala. Hiki ke kuhikuhi ʻia i nā maʻi maʻi āpau e loaʻa nā moʻolelo o ka maʻi naʻau coronary a me ka pectoris angina. Kumukūʻai mai 3000 rubles i kēlā me kēia pā.
Hoʻopau ka Etofibrate i ka hoʻokaʻawale ʻana i ke koko kolamu, hoʻemi i ka nānā ʻana i ke koko, e hōʻike ʻia e ka waiwai antithrombotic. Lawe ma 500 mg ma hope o ka ʻaina. E kū'ē i ke kua o ka hoʻomehana lōʻihi, pono ʻia ka mālama ʻana i ka humā.
ʻO nā hopena ʻaoʻao o nā statins a me nā fibrates
ʻO nā papa lāʻau lapaʻau e hōʻike i nā hopena hopena he nui ka hopena o ka hoʻohana ʻana i nā statins. ʻO nā lāʻau lapaʻau o kēia pūʻulu e alakaʻi pinepine ai i ka hiamoe ʻana, asoxic syndrome, hōʻeha, hōʻeha, constipation / ʻeha, ʻeha o ka ʻōpū, myalgia, hoʻonui / hoʻemi i ke koko.
Mai ka ʻaoʻao o ka pilikia o ka pōʻai o ka pūnaehana me ka neʻe ʻana o ka nānā a me ka hoʻomanaʻo i hōʻike ʻia, aia kahi malaise maʻamau, hilahila. E ulu paha ka polyneuropathy diabetik. Mai ka ʻaoʻao o ka hāwēwī - hepatitis, ka nui o ka hoʻohaʻemi ʻana i ka paona kino, jaundice cholestatic, maʻi pancreatitis - maʻi i loko o ka pancreas.
I mea e like me nā kuhikuhi i nā lāʻau lapaʻau, ʻaʻole i hoʻoholo ʻole ʻia ke kuhi ʻana o ka thrombocytopenia. Hoʻokomo ʻole nā hopena alerine. Nā hōʻike hōʻike e pili ana i ka ʻāʻī o ka ʻili, ka urticaria, ka holo a me ka puhi ʻana o ka ʻili, ka maʻiemia, ka erythema exudative.
I ka hoʻohālikelike ʻana me nā statins, ʻoi aku ka maikaʻi o nā fibrates i nā maʻi maʻi maʻi, a he hanana pinepine kekahi hanana hanana. E pili ana kēia:
- ʻʻAla
- Laumapa.
- ʻO ka haunaele hiamoe.
- Leukopenia
- Anemia.
- Aia ʻo Alopecia i nā kāne.
- Allergy
Me ka hoʻolālāʻana i nā hopena o ka hopena, pono ke hoʻoponopono ʻia e mālama - hoʻemi i ka nui o ka lāʻau a hoʻohui paha i kekahi mau lāʻau.
ʻO nā koloka e hoʻohaʻahaʻa ana i nā lāʻau
Aia mau ka hoʻopaʻapaʻa e pili ana i ka hiki o nā Aspirin mai ke kolamu kiʻekiʻe - ʻaʻole hiki i nā poʻe loea maʻi ke hele mai i kahi ʻāpana. Manaʻo kekahi kekahi i nā lāʻau hoʻēmi loa, kokoke i kahi panacea, ʻākuhi e lawe i ka wā lōʻihi e like me ka pale ʻana i ka atherosclerosis a me nā maʻi maʻi cardiovascular.
ʻAʻole kuhikuhi i nā kauka ʻē aʻe i ke ʻano o ia mea. ʻAʻohe ʻae. Akā hōʻike i nā haʻawina loiloi he haʻahaʻa loa i nā papa, no laila ʻoi aku ka maikaʻi o ka maʻi maʻi maʻa ʻole e lawe ia, ʻoi aku ka liʻiliʻi ma kā lākou iho.
No ka hōʻemi ʻana i ka kolamu ma ke kino e pono ai kahi komo hoʻopili, no laila e hoʻohui pū ʻia nā statins a me nā fibrates.
Hoʻokomo ʻia ka mālama ʻana o ka hypercholesterolemia i nā lāʻau lapaʻau:
- ʻO Probucol kahi hypolipidemic a me nā lāʻau antioxidant e kōkua i ka hoʻololi i nā kūloko LDL i ka maʻi diabetes. Hoʻopili i ka hana ʻana o ka cholesterol i ke kino o ke kanaka, e hoʻolōʻihi i ka hoʻopau ʻana o nā mea maikaʻi ʻole mai ke koko. Hoʻonohonoho ʻia e nā papa no ka manawa lōʻihi;
- ʻO Alisat kahi lāʻau hana maikaʻi a me ka pono me ka laulā ākea o ka hana. Mālama ia i ke kahe o ke koko, hoʻoneʻe i ka nānā ʻana i ke koko, hoʻohemo i nā ʻōpio koko a hoʻohemo i nā plakeka koloka. Hoʻokumu ʻia nā papa ma ke kāleka, no laila ʻaʻole lākou piha piha i nā lāʻau lapaʻau.
Me ka hypercholesterolemia, kuhikuhi ʻia nā papa e nā kauka wale nō, i ka helu ʻana i ka pae mua o LDL a me ke kūlana o ka mea maʻi. Pono ke mālama ʻia o ka maʻi diabetes me ka ʻina olakino a me ka hana kino, kahi e hiki ai iā ʻoe ke hoʻoponopono i nā pae cholesterol.
E pili ana i nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka kolesterol i loko o ka wikiō ma kēiaʻatikala.
