Khatello ea mali e phahameng le k'holeseterole e phahameng ke maemo a tloaelehileng ka ho fetisisa a ka lebisang ho lefu la pelo haeba e hlokomolohuoa. Litaba tse molemo ke hore maemo a mabeli a phekoloa ka mekhoa ea phetoho ea bophelo le / kapa meriana.
Ho na le meriana e mengata e ka sebelisoang ho thusa ho laola khatello ea mali e phahameng, empa maemong a mang, lithethefatsi tsena li ka ba le phello likarolong tsa hau tsa k'holeseterole le triglyceride .
Khatello ea mali e meng-ho fokotsa meriana e ka ntlafatsa boemo ba hau ba molomo empa ha e le hantle lithethefatsi tse ling li ka mpefala. Ka lehlohonolo, esita le haeba meriana ena e phahamisa k'holeseterole ea hau, hangata phello e fokolang feela le ea nakoana.
Khatello ea Mali e Nang le Tlhaho e sa Lebeleng
Liphuputso li bontšitse hore meriana e latelang ea khatello ea mali ha e na matla, ha ho le joalo, lihlopheng tsa k'holeseterole tsa hau, ho akarelletsa:
- Reserpine (Sereplan)
- Hydralazine (Apresoline)
- Potassium-sparing diuretics, joaloka spironolactone (Aldactone)
- Angiotensin-e fetola li-enzyme inhibitors (tse tsejoang hape e le ACE inhibitors) tse kang lisinopril (Zestril), ramipril (Altace), quinapril (Accupril), joalo-joalo.
- Angiotensin II receptor blockers (e tsejoang hape e le ARB) e akarelletsang lithethefatsi tse kang telmisartan (Micardis), valsartan (Diovan), losartan (Cozaar), joalo-joalo.
- Li-block li-calcium tse kang amlodipine (Norvasc), felodipine (Plendil), verapamil (Verelan)
Meriana e ka 'nang ea E-ba le Tšusumetso e Ntle Maemong a Hao a Bokoetliso
Ho na le meriana e meng e atisang ho sebelisoa ke khatello ea mali e ka 'nang ea e-ba le phello e fokolang ka k'holeseterole ea hau. Lithethefatsi tsena li ka eketsa LDL ea hau, kapa "bad", li-cholesterol, litekanyetso tsa hau tsa k'holeseterole le triglycerides le ho theola cholesterol ea HDL .
Lithethefatsi tsena li kenyelletsa:
- Meriana e phahameng ea diuretiki tse ling, joaloka li-dioprotetic loop (furosemide, torsemide) le thiazide diuretics (hydrochlorothiazide, metazolone)
- Li-beta tse ling, tse kang bisoprolol (Zebeta), nadolol (Corgard), metoprolol (Toprol, Lopressor), propranolol (Inderal), atenolol (Tenormin), nebivolol (Bystolic)
Liphuputso li bontšitse hore ho noa meriana ena ho ka eketsa tekanyo ea hau ea k'holeseterole ka bonyane 5 ho isa ho 10 mg / dL. Hobane liphetoho tsena li atisa ho ba tsa nakoana le tse nyenyane, sena ha sea lokela ho ba sesosa sa ho khaotsa ho noa meriana ea khatello ea mali.
Cholesterol-Ho Fokotsa Khatello ea Mali ea Mali
Ho na le mefuta e meng ea khatello ea mali e theolelang meriana e 'nileng ea bontšoa hore e fokolisa k'holeseterole ea hau hanyane, hammoho le ho phahamisa k'holeseterole ea HDL ka boikokobetso. Tsena li kenyelletsa:
- Alpha-1 adrenergic blockers, e kang prazosin (Minipress) kapa doxazosin (Cardura)
Le hoja meriana ena e na le phello e ntle linomoro tsa hau tsa k'holeseterole, phello ena e ka 'na ea se ke ea lekane ho phekola k'holeseterole e phahameng le eona.
Mofani oa hao oa tlhokomelo ea bophelo o tla khetha meriana e nepahetseng ea mali bakeng sa hau. Haeba u e-na le litekanyetso tse phahameng tsa k'holeseterole le / kapa triglyceride, mofani oa hao oa tlhokomelo ea bophelo o tla hlahloba litekanyetso tsa hau tsa lipilisi nako le nako 'me a ka fetola lethal dose kapa au fetisetsa meriana e meng ea khatello ea mali ho itšetlehile ka karabo ea hau ho lithethefatsi.
Haeba u tšoenyehile ka meriana ea khatello ea mali ea hao e sebelisanang le lipilisi tsa hau, o lokela ho rarolla mathata a hao le mofani oa tlhokomelo ea bophelo.
Lisebelisoa:
Dipiro JT, Talbert RL. Pharmacotherapy: Pathophysiological Approach, 9th, 2014.
Tlaleho ea boraro ea Lenaneo la Thuto ea Cholesterol ea National (NCEP) Lekala la Boiphihlelo ho Tseba, ho Hlahloba le ho Phekoloa ha Li-Cholesterol Tse Phahameng ka ho Fetisisa (PDF), July 2004, Mekhatlo ea Sechaba ea Bophelo: National Heart, Lung, le Blood Institute.
Micromedex 2.0. Truven Health Analytics, Inc. Greenwood Village, CO.