Lebaka le ka sehloohong leo ngaka ea hau e batlang ho fokotsa k'holeseterole ea hao ke ho fokotsa kotsi ea ho hlaseloa ke pelo le lefu la pele ho nako ho tswa ho lefu la methapo ea lefuba (CAD).
'Me ho sa tsotellehe hore lihlopha tse' maloa tsa meriana li amoheletsoe ho fokotsa li -cholesterol tsa LDL (LDL ke mofuta o "mpe" oa k'holeseterole), ke lithethefatsi feela tse bontšitsoeng khafetsa ho fokotsa kotsi ea ho hlaseloa ke pelo le ho shoa kapele ho batho ba nang le lefu la pelo kotsi e phahame ke statins .
Ha e le hantle, liphuputso tse kholo li bile tsa fana ka tlhahiso ea hore meriana e meng e seng e-statin ea k'holeseterole e ka ba le liphello tse mpe.
Hona joale, ho nahanoa hore li-statins li molemo ho feta lithethefatsi tse ling ho ntlafatsa liphello hobane li na le liphello tse ngata tse ntle ho phaella ho bokhoni ba tsona ba ho theola matla a k'holeseterole. Liphetoho tsena "tse ling" li ka thusa ho thibela ho senyeha ha li-plaque tsa atherosclerotic meleng ea coronary 'me e ka thusa ho thibela lefu le bohloko la coronary .
Liphello Tse Ntle tsa Cholesterol ea Litlaleho
Litholoana tsa "tse eketsehileng" tse sa fokoleng tsa k'holeseterole tsa li-statins li kenyeletsa:
- Tšusumetso e khahlanong le ho ruruha.
- Phello e thibelang ho thiba.
- Sebaka se tobileng-ho tiisa matla.
- Ho fokotseha maemong a protheine a C-reactive (CRP)
- Phetoho ea mesifa ea li-vascular.
- Ho fokotseha ha li-arrhythmias tse kotsi tsa pelo.
- Mefuta e meng ea khatello ea (athe) ea li-plaque tsa atherosclerotiki ka bobona.
Liphello tsena "tse eketsehileng" tsa li-statin li ka 'na tsa e-ba tsa bohlokoa (kapa tsa bohlokoa le ho feta) ho fokotseha ha k'holeseterole ho ntlafatsa liphello.
Ka mohlala, liphello tsena tse seng tsa k'holeseterole e ka 'na ea e-ba lebaka la hore ho fana ka li-statins nakong ea tlhaselo e bohloko ea pelo ho fana ka thuso ea bongaka hang-hang - sena hase sephetho seo u ka se lebellang haeba ntho e le' ngoe feela ea statins e ne e le ho fokotsa k'holeseterole. Ts'ebetsong ena e sa fokoleng ea k'holeseterole e ka boela ea hlalosa hore na ke hobane'ng ha li-statin li ka ntlafatsa litholoana ho bakuli ba bang ba kotsing haholo bao likarolo tsa k'holeseterole li sa tsejoeng ka ho khetheha.
Ha e le hantle, melemo e ikhethang ea li-statine e entse hore litsebi tse ling li belaelle " khopolo ea " k'holeseterole "eohle (khopolo ea hore ho fokotsa k'holeseterole e tla fokotsa kotsi). "Baikaketsi" bana ba lumela hore ha ho fokotsoe ke li-cholesterol tsa LDL tse etsang hore li-statins li atlehe ho ntlafatsa liphello, empa liphello tse ling tsa lithethefatsi tsa statin. Kahoo (ba tsoelapele ho fana ka tlhahiso) mohlomong ho theola k'holeseterole ka boeona ha ho bohlokoa joalo ka ha bohle re nahana.
The Bottom Line
Ka tsela efe kapa efe, ha ngaka ea hao e khothalletsa phekolo ea molao e le phekolo e nepahetseng ka ho fetisisa ea lithethefatsi bakeng sa k'holeseterole ea hao e phahameng ea LDL, o mpa a bontša tsebo ea hae ea bopaki bo bongata bo bontšang hore li-statin li na le molemo o ikhethang.
U ka bala ka phekolo e 'ngoe ea ho theola k'holeseterole . Hona ke sehlooho se buang ka hore na u ka etsa qeto ea hore na o hloka ho phekoloa ka k'holeseterole.
> Mehloli:
> Liu PY, Liu YW, Lin LJ, et al. Bopaki ba Statin Pleiotropy Batho: Liphello tse sa tšoaneng tsa lipolelo le Ezetimibe Ho Rho-Associated Coiled-Coil e Nang le Protheine Kinase Ketsahalo, Endothelial Function, And Inflammation. Tsamaiso ea 2009; 119: 131.
> Nissen, SE. Litemoso tse Phahameng ka ho Fetisisa Li-Syndromes Tse Ntle tsa Coronary. Hase Lipalo feela tsa Lipid. JAMA 2004; 292: 1365.
> Stone NJ, Robinson JG, Lichtenstein AH, le al. 2013 ACC / AHA Tataiso ea Ts'oaetso ea Mali ea Cholesterol ea Mali Ho fokotsa kotsi ea tšoaetso ea lefu lena ho batho ba baholo: Tlaleho ea American College of Cardiology / American Heart Association Mosebetsi oa Lihlahisoa tsa Boitlhakiso. Tsamaiso ea 2014; 129: S1.