Hoʻokomo nui ka cholesterol kiʻekiʻe i ke olakino. No ka hōʻemi ʻana, manaʻo ʻia nā hui o nā lāʻau lapaʻau e hoʻāla i ka metabolid lipid.
Ua kau ʻia lākou ma muli o ke ʻano o ka maʻi a me nā ʻano hana o ke kino.
Nā hui a me nā helu
Hoʻomau ʻia ka kolamu nui i ke kino a waiho ʻia ma nā paia o nā kahe koko.
Hoʻomaʻi pinepine pinepine kēia i ka maʻi naʻau coronary, hōʻeha ka naʻau a me nā hōʻeha. Hoʻohana ʻia nā ʻano lāʻau like ʻole e hōʻemi i ka pae o nā momona organik.
Aia kēia papa inoa:
- ʻO nā statins he mau blockers énzim e pili i ka hana kolamu.
- Niacin - e hōʻemi iā LDL, e hōʻemi i ka hopena o nā kīnā koko.
- ʻO nā lāʻau lapaʻau e hoʻolei i ka hoʻoluhinu ʻana - e kāpae i ka loaʻa ʻana o ka kolamu ma ka ʻōpū, hoʻokuʻu i loko o ke koko.
- ʻO nā lāʻau Fibroic nā lāʻau lapaʻau e hoʻohaʻahaʻa i nā triglycerides koko.
- Nā kumuhana o nā waikawa bile - lawe i ke koʻi i ka nui mai ke kino.
Loaʻa kēlā me kēlā me kēia hakahaka ponoʻī, contraindications a me nā hopena ʻaoʻao a ua kuhikuhi ʻia ma muli o ka mōʻaukala a me ka hoʻohālike ʻana i ka pālola.
ʻO nā statins, nā waiwai a me nā hiʻohiʻona noi
ʻO nā statins nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol. ʻO kā lākou hana, ke nānā aku nei i ka pale ʻana i ka enzyme, e hoʻonāukiuki i ka hoʻokumu a me ka hoʻomohala ʻana o ka LDL (kino cholesterol).
ʻO nā statins e hōʻike ʻia e nā hanauna he 4, ʻo ka mea i manaʻo ʻia ka mea i ʻoi aku ka maikaʻi. ʻO ka inoa lapaʻau ʻo HMG-CoA reductase inhibitors.
I loko o nā puʻupuʻu, he mau wā lohi i loko o ke kō o ke kolamu, a me ke koko, ke emi ʻana o kona nui.
Hoʻolālā ka hui o nā lāʻau lapaʻau i ke ʻano o ke koko, hoʻomaikaʻi i ke ʻano o nā kīʻaha koko, nā poloka thrombosis a me nā plak atherosclerotic. Ke lawe nei i nā statins, e hōʻemi i ka emi iki o ke kō. ʻO ka hana nui ʻo ka kāohi i ka hana ʻana o nā kinipona ate.
Me ka hoʻohana pū ʻana o nā statins, aia ke emi o ka kolamu ma ka awelika o 40%. Hoʻohana e pale i nā hōʻeha a me nā puʻuwai puʻuwai. Hoʻohana ia no ka hypercholesterolemia, atherosclerosis, nā maʻi cardiovascular. He hopena kā nā loina i ka ate.
I ka wā e mālama ai me nā lāʻau lapaʻau, e nānā ʻia kahi maʻi biochemistry.
Nā wikiō mai Kauka Malysheva e pili ana i nā statins:
I waena o nā hōʻike hewa ʻole i hōʻike ʻia:
- hōʻeha, ʻeha;
- hui kūlohelohe i ʻili;
- ua hōʻemi i ka libido;
- nā puʻupuʻu a me nā eha;
- hoʻoluhi maikaʻi a me ka hoʻomanaʻo ʻana;
- nā maʻi hōʻeha;
- thrombocytopenia;
- kuʻe o ka pāpaho;
- myopathy.
Nā koho hoʻohua:
- molepole hana;
- hapai
- hana lima kino;
- makahiki a hiki i ke 18 mau makahiki;
- liilii;
- ka hoʻomaloka ʻana i nā māhele o ka lāʻau lapaʻau.
Nā moʻolelo i hōʻike ʻia e nā ʻano ʻoi loa: Zokor, Lipostat, Rovakor (1st hanauna), Leskol (2 hanauna), Atoris, Tulip, Lipobay (3 hanauna), Rosuvastin, Krestor, Akorta (nā lāʻau lapaʻau hou).
ʻO ka waika Fibroic
Kēia hua o nā fibroic acid - kahi papa o nā lāʻau lapaʻau i hoʻolālā ʻia e hoʻoponopono i ka lipid metabolism. Noho lākou i ka papa ʻelua o ka hana a me ka kaulana ma hope o nā statins.
ʻO ka lāʻau mua ma kēia pūʻulu he clofibrate. I kēia mau lā, ʻaʻole nui nā ʻāina e hoʻohana iā ia ma muli o nā mea momona nui a me nā hopena pae. Ma hope o kēlā, hoʻomaka ke hoʻohana pono iā Bezafibrates, ʻo kopiofibrates a me Fenofibrates.
ʻO kahi kūʻai hope loa ka maikaʻi loa. Hiki iā lākou ke kāohi i ke kō o ke koko, e hoʻohaʻahaʻa i nā pae waʻa uric. He kūpono kēia no nā poʻe maʻi me ka maʻi maʻi a me ka gout i ka manawa like.
ʻO ka hopena nui o nā waikamu ko lākou hoʻololi i ke ʻano o ka hana lipid metabolism. Hoʻonui ka mea hoihoi i ka LDL, hoʻonui i HDL, a hoʻomaʻamaʻa i ka metabolid lipid.
Hoʻonui i nā paia o nā kīʻaha koko, hoʻonui i elasticity, pale i ka hoʻokumu ʻana o nā pākī. Mālama ia i ka ʻaila koko. Ma lalo o ka hopena o nā fibrates, ka hoʻohaʻahaʻa o ka triglycerides, hoʻoneʻe ʻia a hoʻoneʻe ʻia me ka ulu nui o LDL. ʻO ka lawe ʻana i nā lāʻau lapaʻau e hōʻemi i nā pilikia o ka maʻi naʻau coronary. Loaʻa kahi hui o nā lāʻau lapaʻau i ka hopena maikaʻi loa ma ka moku'āina o ka ʻōnaehana cardiovascular.
Ke hōʻike nei i ka hoʻohana ʻana:
- maʻi pālolo maʻi maʻi;
- kolamu kiʻekiʻe (ma ka hoʻohui lāʻau);
- nā helu kiʻekiʻe o nā triglycerides;
- ʻike ʻole lipid;
- kohola
- ʻopi momona
- maʻi o ka hoʻokalakupua.
Pono e mālama nui ʻia i ka hoʻohui ʻana o nā fibrates a me nā lāʻau ʻē aʻe. Hiki i kēia ke hoʻonui i nā hopena maikaʻiʻole i kaʻeha a me ka puʻuwai.
Ma waena o nā hopena ʻaoʻao:
- nā maʻi hōʻeha;
- hana ʻole;
- poʻomanaʻo
- kūlohelohe;
- hoʻonui i nā maʻi hepatic;
- kuʻe o ka pāpaho;
- nā maʻi kūwaho.
ʻO nā contraindications koʻikoʻi no ka hoʻohana ʻana o nā fibrates.
- molepole hana;
- hapai a lactation;
- pilikia ʻole;
- waiʻona wai;
- cirrhosis o ka ate;
- cholecystitis calculous;
- makahiki a hiki i ke 18 mau makahiki;
- cholelithiasis.
Pono nā lāʻau lapaʻau me ka mālama nui e hoʻohana ʻia e nā ʻelemakule.
Kākoʻo o nā moʻo huile
Me kamea hoʻomalu o nā waikawa bile - kahi hui o nā lāʻau lapaʻau e pili ana i ka lipid-hoʻokuʻu ʻana i nā lāʻau. ʻO lākou nā lāʻau kahiko no ka hoʻohaʻahaʻa i ka kiʻekiʻe koko.
ʻO ka hopena nui, ʻo ka hoʻopaʻa ʻana i nā waikahe bile me nā mea hoʻopuka, ma hope o ka hana ʻana o ka cholesterol. Hoʻopili ka mea hoʻoikaika i nā waikawa a hoʻokaʻawale iā lākou.
Hōʻalo ka hoʻihoʻi ʻole ʻana o ka bile. Hāʻawi ʻia ka synthation o HDL, a lawe ʻia ka LDL mai ke koko. Hoʻohuiʻia, hemoglobin glycosylated a me kaʻili i hoʻemi ʻia i nā mea maʻi me ka maʻi maʻi.
ʻAʻole komo nā lāʻau i loko o ka ʻōnaehana hoʻonohonoho, ua hoʻoulu ʻia lākou ma waena o nā ʻōpū. Ma kēia hana, ua hoʻemi ʻia ka hoʻolālāʻana o ka hopena o ka hopena i ka liʻiliʻi. ʻO ka mea maʻamau e ʻike ʻia mai ka gastrointestinal tract - indigestion, flatulence, constipation a me ka bloating, kahi hoʻololi i ka ʻono.
I nā ʻaina nui, hiki ke hoʻēmi i nā sequestrants i ka hoʻopili ʻana o ka B6 a me nā momona i hoʻopau i nā momona D, A, K, E. Aia i nā pilikia o ke kahe koko i ka wā e mālama ai me nā lāʻau mai nā wahi o ka mucous nāhelehe, e like me ka hoʻohaʻahaʻa ʻana i ke koko.
I ka wā o ka mālamaʻana i ka FFA, ua hoʻopiʻi ka cholesterol palaka a hiki i 45%, hoʻonui ʻia ke ʻano o ka lipid complex e 20%. Hoʻonui ka lōʻihi i ka pae o ka cholesterol momona pono. Loaʻa ka hopena hypnotolesterolemic ma hope o hoʻokahi mahina o ka hoʻokele. Ma ke ʻano o nā haʻawina, ua hoʻoholo ʻia ka hopena maikaʻi o FFA i nā maʻi cardiovascular a me ko lākou hoʻopiʻi.
Nā inoa o nā lāʻau lapaʻau: Colestipol, Cholestyramine.
Nā hōʻailona no ka hoʻohana ʻana:
- puʻuwai puʻuwai;
- Maʻi maʻi Ischemic;
- dyslipidemia;
- atherosclerosis;
- hypercholesterolemia;
- nā hihia hoʻopiʻi.
Me ka mālama akahele, ua lawe ʻia nā papa no ka hoʻopili ʻana o ka ʻōpū, cholelithiasis.
Nā Kaukaʻi FFA:
- phenylketonuria;
- hopena pane;
- hypertriglyceridemia;
- pāʻālua pili
- ʻōpū;
- kūwaho;
- constipation pilau;
- ʻO ke kāula;
- hyperlipoproteinemia o nā ʻano III a me IV.
Hoʻokomo ke kau lāʻau i ka ʻili o ka ʻōpū. ʻO ka intake maikaʻi loa he hola a 4 mau hola ma hope o ka pāʻina. Kahi mua ʻia i loko o nā liʻiliʻi liʻiliʻi, a laila e hoʻonui mālie ka pākeke. Kēia hoʻolālā i ka hana hoʻomohala ʻana i nā hopena ʻaoʻao.
Hoʻopau nā Sequestrants o FA i ka lawe ʻana o kekahi o nā lāʻau lapaʻau. Hoʻopili kēia o nā antibiotic penicillin, diuretics, adrenergic blockers. Ma ka hana no ka mālama lōʻihi, hāʻawi ʻia ka biochemistry koko e nānā i nā hōʻailona.
ʻO nā mea e pale i ka hoʻopili ʻana o ka cholesterol i loko o ka ʻōpū
ʻO nā lāʻau lapaʻau e keʻae nei i ka lawe ʻole ʻana o ka cholesterol i loko o nā palu e hoʻemi ai i ka lawe ʻana mai e hoʻemi i kona neʻe ʻana i ke koko.
ʻO ka hui o nā lāʻau lapaʻau e hōʻike pū ana me Lipobon, Ezetrol, Tribusponin, Guarem. ʻAʻohe lākou i ka koko, ua hui maikaʻi lākou me nā lāʻau ʻē aʻe, ʻaʻole like me ka FFA ʻaʻole lākou e hoʻonui i ka hilo ʻana i nā waikawa bile.
ʻO ka hopena, ma hope o 14 mau lā o ka lawe i nā lāʻau lapaʻau, hoʻemi ʻia ka hōʻemi ʻana o nā kolamu ma ka 50%. ʻAʻole pili ka hoʻohana ʻana i ka meaʻai i ka bioavailability o nā lāʻau lapaʻau i hōʻike ʻia. Ma ke kaʻina o ka lawe ʻana i ka pae o ka cholesterol ke hoʻemi ia i 20%.
Nā hōʻailona no ka hoʻohana ʻana:
- homozygous familial hypercholesterolemia;
- hypercholesterolemia mua;
- ka hana pono ʻole o ka statin monotherapy;
- sitosterolemia homozygous.
Hoʻohana e hui pū me ka papa ʻaina, i ka hala ʻole o ka hopena, ua hui pū ʻia me nā statins. Hoʻohana pinepine ʻia nā palaka lipid ʻO Essentiale, Lipostabil.
I waena o nā contraindications no ka hoʻohana:
- pūpū hema;
- intolerance a i ʻole nele o ka lactose;
- hopena pane;
- ua emi malalo o na makahiki he 18;
- Hoʻohana me ka fibrates.
I waena o nā hopena hopena:
- ʻūwā;
- pāhawewe;
- nā maʻi stool (constipation a me nā maʻi);
- hana aho pili ole;
- mea momona
- lie kanikela.
ʻO ka waikawa Nicotinic
ʻO ka waikawa ʻo Nikotinic ka ʻuala wai-kūpono e pono ai no ka hana maʻamau o ke kino. Ka hopena Therapeutic: hoʻohaʻahaʻa i nā kolamu a me nā lipid kūwaho, vasodilation.
Kāohi i ka hoʻomohala ʻana o nā maʻi cardiovascular, he detoxifying a calming effect.
I ka nānāʻana, ua hoʻohuli ʻia ka hoʻohuihui nikotinic i loko o ka waiwai hoʻoikaika nicotinamide. Hoʻopili ʻo ia i nā hana metabolic i nā vitamina, kaʻenehana hana synthetic, tissue respaction.
Hoʻonui ka waiwai i ka microcirculation, hoʻomaikaʻi i nā lipoproteins, hoʻohaʻahaʻa i LDL a me nā triglycerides, a hoʻonui i ka HDL. Hoʻomili ia i loko o ka ate, ka hoʻopi ʻia e nā keiki. Loaʻa ka ʻike kiʻekiʻe o ka waiwai ma hope o 45 mau minuke.
Ka papa inoa o nā lāʻau lapaʻau: Enduracin, Niceritrol, Acipimox. ʻO ka hoʻomākaukauʻana i ka waikawa Nicotinic ka mea maʻalahi a maʻalahi hoʻi i nā mea he nui.
Nā hōʻailona no ka hoʻohana ʻana:
- ka hoʻomaka mua ʻana o ka hyperlipidemia;
- ulia pōpilikia;
- kakela vitamin PP;
- lōʻihi ke kaumaha;
- atherosclerosis;
- i ka wā e hōʻola ai ma hope o ka hōʻeha ʻana o ka naʻau a me nā hōʻeha;
- microagniopathy;
- atherosclerotic cardiosclerosis;
- nā ʻōpala ma nā membrane a me ka ʻili;
- angina pectoris;
- facial nerve neuritis;
- nā kiko o nā kīʻaha lima;
- polyneuropathy diabetic;
- enterocolitis, colitis, gastritis.
Nā koho hoʻohua:
- hypersensitivity i ka waiwai;
- ulia ʻeha o ka ʻōpū (exacerbation);
- mau makahiki ma lalo o 2 mau makahiki.
Me ka mālama aka, ua lawe ʻia ka lāʻau lapaʻau e nā poʻe me ka nele o ka ate, glaucoma, gout.
Nā hopena ʻaoʻao i ka wā o ka hoʻokele ʻana:
- ʻike ʻia ka infiltration ate momona i ka wā e lawe ana i ka lāʻau lapaʻau i nā papa kiʻekiʻe;
- hypotension;
- nā hōʻike kino kūloko;
- hoʻonui i ka huna ʻana o ka wai momona;
- ua emi ka hoʻohaʻahaʻa glucose;
- hoʻonāukiuki i ka gastosa mukosa;
- kuʻe o ka pāpaho;
- hyperemia o ka ʻili;
- ka paʻakikī o ka hoʻomohala ʻana i ka myopathy i hui pū ʻia me nā statins.
Nā hana hou
Ma waho aʻe o ka hoʻoponopono ʻana i nā lāʻau lapaʻau, aia kekahi mau ala maikaʻi a maikaʻi loa no ka hoʻohaʻahaʻa i ka cholesterol. ʻO kēia mauʻano kūpono a me nā meaʻai kūpono. Ua hoʻohana ʻia lākou me kahi liʻiliʻi o ka kolamu - a hiki i ka 18% o ke ʻano.
Hoʻohui like nā ʻōnaehana pale:
- kūlike i nā meaʻai maikaʻi mai ka meaʻai;
- ke ʻano kino, ke kaumaha, hana hoʻokahe;
- ka lawe ʻana i nā meaʻai hoʻohiolo.
E hoʻemi i ka LDL, ua hoʻohui ʻia nā meaʻai me nā momona a me nā huaora i ka meaʻai. Hōʻalo i nā momona f, nā mea i kau a me nā momona momona, nā meaʻai kai, nā kīʻaha me kahi nui o ka kolamu maikaʻi ʻole. Loaʻa ka Fiber i ka nui o ka palaoa a me nā kīʻaha, ʻo nā huaʻai, nā kīʻaha, nā mea kanu a me nā hua.
Pono ia e hoʻopau i nā meaʻai no ka hoʻohaʻahaʻa maoli i ka cholesterol maikaʻi ʻole. ʻO kēia nā mea avocados, palaoa, oliva a me ka aila molololi. ʻO nā momona momona i loko o nā iʻa iʻa e hana ʻia e ka lipid metabolism. Hiki i ka hoʻohana pono ʻana i kēia mau huahana ke hōʻemi i ka LDL e ka awelika o 10%. ʻO ka hoʻohanaʻana i ka wai lipoic a me nā huaora B ka hopena kūpono hoʻi i nā hōʻailona.
Nā ʻatikala wikiō ma kahi meaʻai e hoʻohaʻahaʻa i ka cholesterol:
ʻO ka hoʻohaʻahaʻa i nā lāʻau lapaʻau ka nui o nā hiʻohiʻona. Ua kau ʻia lākou i ka paʻakikī a me ka monotherapy, hōʻike i nā waiwai kūpono i ka wā i hoʻohana pono ʻia. Kūpono ʻia ke kumu o kēlā me kēia lāʻau lapaʻau.