Cholinga chachikulu cha chithandizo cha matenda ashuga ndi matenda ena okhudzana ndi kusintha matenda a shuga ndi mafuta m'thupi. Pofuna kupewa kukula kwa mtima wamatenda, m`pofunika kusinthitsa kuchuluka kwamafuta ochepa ngati mafuta. Kusintha kwadzidzidzi kwa cholesterol mu diabetes sikovomerezeka.
Kubweretsa kuchuluka kwa cholesterol kumachitika m'njira zingapo. Choyamba, wodwalayo ayenera kuyang'anitsitsa zakudya komanso moyo wake. Kuchepa kwa matendawa komanso kukula kwa cholesterol kumawonjezeka ndi kumwa mowa mwauchidakwa, mowa, zakudya zamafuta. Kuchepetsa thupi, ngati wodwalayo ndi wonenepa kwambiri, kudzakuthandizaninso kuchotsa zinthu zochuluka kwambiri.
Kuti achepetse cholesterol, adokotala amafunsa kuti atenge zowonjezera zamankhwala osokoneza bongo, mankhwala azitsamba. Zowonjezera ndi zinthu zomwe zimapanga kuchuluka kwa omega-3 ndi omega-6 sizilola kuti malo ogwiritsira ntchito ma atherosselotic kukula bwino, mwayi wamagazi amachepetsedwa.
Nthawi zambiri pamakhala nthawi zina pamene zakudya, zolimbitsa thupi ndi kusiya zizolowezi zoyipa sizipereka mphamvu zabwino. Zikatero, tikulimbikitsidwa kuti tigwiritse ntchito mankhwalawa motsutsana ndi cholesterol ndi atherosulinosis yamitsempha yamagazi. Inde ndipo nthawi zonse silikhala nthawi yanthawi yayitali.
Pharmacology yamakono imapereka mankhwala osiyanasiyana motsutsana ndi cholesterol yayikulu. Momwe mungachepetse cholesterol yamagazi ndi mankhwala? Kusankhidwa kwa mankhwalawa kumachitika palokha, ndikofunikira kwa:
- kupewa kupewa kosafunikira kwa thupi;
- kupeza zotsatira zabwino;
- imathandizira kuchira.
Mapiritsi onse amagawika m'magulu angapo, awa ndi ma statins, ma fibrate, mankhwala olepheretsa kuyamwa kwa cholesterol ndi nicotinic acid. Mankhwalawa atha kukhala ngati mapiritsi kapena mapiritsi.
Madera amibadwo yosiyanasiyana
Mankhwala odziwika kwambiri ochepetsa cholesterol ndi ma statins. Amasiya kupanga zinthu ngati mafuta m'chiwindi. Ngati sichipangidwa m'thupi, njira yogawa mafuta m'magazi imayamba.
Pali mibadwo ingapo ya ma statins, kutengera nthawi yopanga komanso chiyambi chogwiritsa ntchito mankhwala motsutsana ndi atherosulinosis ndi matenda ena ofanana.
M'badwo woyamba wa statins umaphatikizapo mankhwala Lovastatin, Pravastatin, Simvastatin. Mapiritsi amakhala ndi phindu ku cholesterol, amalimbana bwino ndi mafuta otsika pang'ono.Otchuka kwambiri ndi Simvastatin, pogwiritsa ntchito mapiritsi, amachotsa ma spasms amitsempha yamagazi, ndipo magazi abwinobwino a magazi amayambiranso.
Fluvastatin amadziwika kuti ndi m'badwo wachiwiri, koma mankhwalawo sanatengepo patsogolo. Chifukwa cha kawirikawiri kawiri kawiri komwe thupi limachita ndi cholesterol yokwezeka, sichimadziwika.
Madera a m'badwo wachitatu akhala angwiro, ndiwo:
- Atorvastatin;
- Torvacard
- Cerivastatin.
Ndalama izi pano ndizophunziridwa kwambiri. Cerivastatin asiya kugwiritsidwa ntchito posachedwapa, monga momwe ziliri milandu yodziwika ya kufa kwa odwala. Mapiritsi a Atorvastatin, m'malo mwake, ali ndi chisonyezo chachitetezo chachikulu, ndiwothandiza kwambiri. Njira yochizira matenda angapo sikokwanira popanda mankhwalawa.
Ma statin a m'badwo wachinayi amathandizira kuchepetsa mafuta m'thupi. Mndandanda wa mankhwalawa unaphatikizapo Rosuvastatin ndi Pitavastatin. Mankhwala m'gululi akhala opita patsogolo kwambiri komanso oyenera kuthetsedwa kwa atherosclerosis. Mapiritsi amasiyana:
- kulekerera kwabwino;
- kusowa kwa mavuto;
- zotsatira zake mwachangu.
Njira zimapangidwa mosiyanasiyana, amagwiritsidwa ntchito malingana ndi kuopsa kwa matendawa. Pambuyo popita kuchipatala, wodwalayo angayembekezere kuchepetsa kuopsa kwa kubwerezanso, kugunda kwa mtima, kufa chifukwa cha matenda awa. Chitetezo chachikulu chimawalola kuti agwiritsidwe ntchito kwanthawi yayitali.
Mwambiri, ma statin ali ndi zabwino zingapo zoonekeratu:
- kusungitsa kukhazikika kwa zolembera zomwe zilipo;
- magazi okwanira prophlaxis;
- mpumulo wa yotupa njira ya mtima makoma.
Ndi chotupa cha atherosselotic zolembera ndi mawonekedwe a chovala chamagazi m'malo mwake, pakapita kanthawi, kutupa, kugunda kwa mtima kapena stroko kumayamba. Ndi kugwiritsa ntchito ma statins nthawi zonse, njira zoterezi zimalephereka, ndikupulumutsa moyo wa wodwala.
Komabe, mankhwalawa alibe zolakwika. Chifukwa chake, muyenera kuyang'anira zochitika zonse za chiwindi, kuchuluka kwa ma enzyme. Anthu ena odwala matenda ashuga amatha kudziwa kuchuluka kwa mankhwala opatsirana, kuphatikizapo kuchepa kwa magazi, kupweteka kwa minofu, komanso chizungulire.
Ma Statin sangathe kutumikiridwa pamaso pa hypersensitivity awo ziwalo, pachimake kagayidwe kachakudya njira mu chiwindi, ndi ntchito yayikulu ya ziwalo zosadziwika bwino etiology.
Komabe, mankhwalawa samalimbikitsidwa chifukwa cha kuchepa kwa vuto la mtima, kulephera kwamtima, matenda aortic, uchidakwa, kukanika kwa chithokomiro, komanso ukalamba.
Fibates, nicotinic acid, zowonjezera zakudya
Makapiritsi ndi mapiritsi am'mafineti amatha kuchepetsa kuchuluka kwa cholesterol yotsika kwambiri, kusungunuka m'matumba a zinthu zomwe zimakhala kunja kwa mitsempha yamagazi. Kutalika kwa mankhwalawa kuyenera kutsimikiziridwa ndi dokotala payekhapayekha.
Fibates imaphatikizapo mankhwala ozikidwa pa clofibrate (Clofibrin, Corafen, Atromidine), gemfibrozil (Dopur, Lipigem), bezafibrat (Oralipin, Besalin), fenofibrate (Elasterin, Tricor).
Makapisozi amalandiridwa bwino ndi thupi la odwala matenda ashuga, koma zovuta zomwe zimachitika mthupi sizipatula. Zosasangalatsa kwambiri ndi kuchepa kwa hemoglobin, kukula kwa michere ya chiwindi, kupweteka kwa minofu ndi kufooka.
Fibates imakhalanso ndi contraindication, kuphatikiza cholelithiasis, chiwindi ndi kulephera kwa impso, matenda amisempha komanso kumverera kwakukulu pazigawo zamankhwala. Zina zomwe zimalephereka ndizovuta zamatenda, zovuta zamatumbo, uchidakwa wambiri, chifuwa cha mtedza ndi zinthu za soya.
Nicotinic acid imathandizanso kuchepetsa cholesterol, mankhwala omwe amaletsa kaphatikizidwe kazinthu zochepa. Madokotala sangapereke yankho lenileni la momwe izi zimachitikira, koma kuletsa kwa atherosulinosis pamene mukumwa Mlingo waukulu wa asidi kwatsimikiziridwa mwasayansi.
Kumbukirani kuti nicotinic acid imaperekanso mavuto osiyanasiyana:
- zotupa pakhungu;
- kutentha kwamaso pankhope, thupi lakumwamba;
- kusokoneza kwam'mimba;
- kuchuluka kwa shuga m'magazi.
Ndikofunika kuyamba kumwa mankhwalawa ndi milingo yochepa, pang'onopang'ono kuchuluka kwa mapiritsi. Mukamamwa mankhwalawa, wodwalayo ayenera kuyang'aniridwa ndi adokotala.
Kuphatikiza pa chithandizo chachikulu, adokotala atha kulimbikitsa kutenga zakudya zomwe zimachepetsa mafuta m'thupi. Kusiyana kwawo kwakukulu ndi mankhwala ndikusoweka kwathunthu kwa zomwe zimachitika. Ndi zonsezi, kuchuluka kwa zamankhwala pazakudya zowonjezera zakudya sizinatsimikizidwe.
Chotsani mwachangu cholesterol yoyipa kutanthauza:
- Atheroclephitis;
- Vita Taurine;
- Zombo zoyera za Verbena;
- Chinsinsi.
Zomwe zimagwira ntchito pazakudya zopatsa thanzi zimakhala ndi phindu pamapeto a minofu ya mtima ndi mitsempha yamagazi. Ndikotheka kukwaniritsa kukhazikika kwa chiwindi, zomwe zimalepheretsa kuyamwa kwamafuta ochepa.
Mtengo wawo umasinthasintha pamalire oyenera, zakudya zapakhomo zimafuna ndalama zochepa.
Otsatira a bile acid
Kukonzekera kwa gululi kumagwetsa cholesterol chifukwa chomanga ma bile acid, kuwasintha kukhala madzi osakwanira. Thupi laumunthu silingathe kuchita popanda zinthu izi, limakakamizidwa kuti lizitenge kuzinthu zina, ndiko kutembenuza cholesterol. Chifukwa cha izi, ndizotheka kuchepetsa ndende ya otsika-kachulukidwe lipids.
Ubwino wa bile acid sequestrants ndi kusapezeka kwa zosafunika mu thupi, zokhudza zonse zotsatira. Koma lingaliro labwino limawonedwa pokhapokha masabata angapo atagwiritsidwa ntchito mwadongosolo. Zotchedwa ziyenera kutchedwa kusintha kwa mayamwidwe a mavitamini, mchere ndi michere.
Anthu odwala matenda ashuga amawonetsedwa kuti atenga mankhwala okwanira ndi madzi ambiri. Izi nthawi zambiri zimayambitsa chisokonezo pakugwira ntchito kwamatumbo, kutsegula m'mimba, kudzimbidwa kapena kutulutsa magazi.
Mankhwala odziwika kwambiri a gululi ndi:
- Cholestipol;
- Cholestyramine.
Cholestipol imakhala ndi utomoni wosinthana ndi anion, womwe umamanga asidi a bile, umawasintha kukhala zinthu zopanda kanthu. Kugwiritsa ntchito mapiritsi kumadzetsa zomwe zimapangitsa kuti magazi azikhala otsika kwambiri, kwinaku akukhalabe otsika kwambiri.
Cholestyramine imagulitsidwa mu mawonekedwe a ufa kuchokera komwe kuyimitsidwa kumakonzedwa. Ntchito yogwira dzina lomweli imachepetsa kuyamwa kwa chinthu ngati mafuta, zidulo zamafuta, ndikuyamba kupanga ma asidi a bile kudzera m'chiwindi. Zotsatira zake, kumwa kwa cholesterol yoyipa kumachitika.
Mankhwala a cholesterol amafunikira kugwiritsidwa ntchito mosiyanasiyana. Ntchitoyo ikakhala yochepetsa kupsinjika kwa lipoprotein, ndiye kuti palibe wofanana ndi ma statins. Ndi nicotinic acid womwe umathandizira kukulitsa kuchuluka kwa zinthu zazitali kwambiri.
Triglycerides imatha kuchepetsedwa ndi kuphatikiza micros ndi nicotinic acid.
Mafuta a chithokomiro
Mankhwala osokoneza bongo a cholesterol index okwanira amachitidwanso ndi mankhwala azitsamba. Chofunikira ndi kuphatikiza mitundu yonse iwiri ya mankhwala, chifukwa cha mbewu zabwino za matendawa sizingatheke. Amaloledwa kutenga ndalama imodzi kapena zingapo nthawi imodzi.
Zipatso zokhala ndi anti-cholesterol zimalandira ndemanga zabwino: chokeberry, viburnum, rasipiberi, hawthorn ndi rose rose. Kuti ayeretse ziwiya, amagwiritsa ntchito udzu winawake, adyo, kaloti.
Pakati pa zitsamba, oats, linden, dieelle, yarrow, mamawort adatchuka kwambiri. Dandelion rhizomes, tirigu wa tirigu samakhalanso wogwira ntchito. Muthanso kugwiritsa ntchito masamba a dandelion, ali ndi mavitamini ambiri omwe amathandizira kuyeretsa kwamitsempha yamagazi. Mu chomera pali:
- biologic yogwira zinthu;
- kufufuza zinthu;
- mavitamini.
Chifukwa cha kapangidwe kachuma, mizu ya dandelion imatha kukonza chimbudzi, kupangitsa thupi kukhala lofunikira. Zomera zoterezi nthawi zambiri zimakhala gawo la mankhwala a homeopathic motsutsana ndi cholesterol.
Zida zowonongeka ndizosiyanasiyana pazinthu zingapo:
- choleretic;
- antispasmodic;
- odana ndi yotupa;
- kubwezeretsa.
Alinso ndi zophophonya zazikulu, zimaphatikizapo kufunikira kwa kugwiritsidwa ntchito kwa nthawi yayitali, komwe si odwala onse. Pankhaniyi, nthawi zonse amawonetsedwa kuti amawongolera magawo amwazi am'mwazi.
Nthawi zambiri, ntchito yochepetsa matenda osautsa okhala ndi matenda ashuga imakhala yovuta kwambiri. Dokotala adzafunika kuganizira magawo onse a matendawa, sankhani mankhwala othandiza kwambiri kuti mukhale athanzi. Chifukwa cha izi, ndizotheka kupewa zovuta komanso zowopsa za matenda amitsempha yamagazi ndi minofu yamtima.
Za mankhwala ochepetsa cholesterol akufotokozedwa mu kanema m'nkhaniyi.
