Amayeza for cholesterol: ngamandla

Yinto akukho mfihlakalo ukuba cholesterol kwemfuneko igazi yingozi kwimpilo, ngokukodwa ngokuphathelele kwiinkqubo ezesifuba nemithambo. Xa into iqala kwemfuneko zidipozithwe ekuhambeni kwexesha iindonga imithambo yegazi, yabumba umonakalo cholesteric ethintela ukuhamba kwegazi into enegalelo ekwenzeni ngezifo kwentliziyo kunye ukungaqheleki nemithambo.

uhlobo cholesterol

Kuyaqondakala ukuba umzimba ufuna ezinye cholesterol, ngaphandle akunakwenzeka ukuba ubukho bomntu. Le nto yinxalenye iseli inwebu, kuyimfuneko ukuba ukusebenza kwenkqubo luvo kunye nezinye izigqeba nto.

Xa kuqhutywa kwi element isiqulatho excess libhekisela ebizwa ngokuba yi-cholesterol embi, apho sinxulumana iproteni ukwenza lipoprotein - yikhompawundi entsha ngokupheleleyo. Kukho iindidi ezimbini lipoproteins: ezixineneyo nezisezantsi. Ngoko ke, kumanqanaba igazi lipoprotein esezantsi ezinoxinano kwaye isoyikiso empilweni.

Kumanqanaba okuqala esi sifo kucetyiswa ukuba esitya ukutya ekhethekileyo wenze umthambo ukuze umzimba. Kodwa la manyathelo ngokwaneleyo, yaye kwakufuneka zokucoca izitya imithi cholesterol.

Izazinzulu ziye kudala uzama ukwenza iziyobisi ngempumelelo zehlisa cholesterol. Noko ke, isisombululo egqibeleleyo ayikho, kwaye iqela ngalinye amayeza, kunciphisa cholesterol, iye zombini ezilungileyo nezingalunganga.

Ukusetyenziswa statins

Ukuza kuthi ga ngoku, statins - yeyona iyeza kakhulu cholesterol. Ziyakhuthazwa ukuba zithathe indawo yokuqala kumgangatho ephakamileyo kweziyobisi. Amaninzi, oogqirha amisele amachiza ukuba zenze ezi maqela alandelayo:

• simvastatin ( "Zocor", "Vasilip");
• atorvastatin ( "eTulip" "Torvakard" "Lipitor" "Atoris" "Liptonorm");
• rosuvastatin ( "Rozukard", "AKORT" "Crestor", "Roxer").

Kwiimeko ezinqabe kakhulu, statins asetyenziswa, ezinxulumene iyeza kuqala sizukulwana cholesterol aphezulu. Kweli qela ziquka fluvastatin ( "Lescol"), lovastatin ( "Mevacor" "Holetar") pravastatin. isigaba nganye inayo ukusebenza yayo iziyobisi kunye nobukhali amanyathelo lipid-lisibekele. I-statins kunawo njengangoku ingqalelo ukuba rosuvastatin kunye atorvastatin. Ubuninzi umthamo nokunyamezeleka mihla le iqela lokuqala yi-40 mg, okwesibini - 80 mg.

Thatha amayeza cholesterol kuyimfuneko kanye ngosuku emva kwemini. Oku kubangelwa yindlela yabo yokusebenza. Statins zivala i-enzayim kwesibindi okuvuselela ekumisweni cholesterol. Yaye ekubeni kwenziwe ubuninzi cholesterol waphawula ebusuku, sebenzisa i statin kufuneka kube lixesha lokulala. Lo mgaqo usebenza ngokukhethekileyo kwizizukulwana zokuqala ezimbini iziyobisi (simvastatin, lovastatin kunye pravastatin). rosuvastatin Modern kunye atorvastatin elide zisuswe umzimba, ngoko Akukhathaliseki ngexesha lokusetyenziswa kwazo.

Kukho zithetha njani ukuba unyango cholesterol yingozi esibindini. Noko ke, le esixhasayo ayikho inyaniso. Kwezinye nezifo zesibindi statins negalelo ekuphuculeni imeko welungu (umz, unyango okunamafutha kwesibindi). Kodwa ezimbi kakhulu hepatic ukuthatha statins ezingavumelekanga kuba xi eliphezulu leziqalelo egazini kungakhokelela kuphuhliso neziphumo eziyingozi ezibi: ukusilela kwezintso, kunye rhabdomyolysis. Ngoko ke, kufuneka kukhunjulwe ukuba amachiza statin zinamandla, ebangela (ngamaxesha ambalwa) reactions icala, ukusetyenziswa kwazo kunokwenzeka kuphela kumiselwa emva kokuba iimviwo ngugqirha ngokucokisekileyo.

Izinto eziluncedo ze statins

Iziyobisi musa nje ukwehlisa isixa cholesterol, kodwa zinciphisa amathuba okuba nengxaki sentliziyo yegazi. Zinelungelo iqondo eliphezulu ukhuseleko ngexesha ukusetyenziswa ixesha elide. Ifuthe statins kuza emva kweeveki ezimbini kuphela ukususela ekuqaleni ukusetyenziswa.

ukushiyeka

Ubukho kwinkcaso yento ephilayo (kwiimeko ezinqabileyo): intlungu kwezihlunu, iintlungu esiswini, isicaphucaphu. Ngexesha unyango kufuneka qho emva kweenyanga ezintandathu ukuba iimvavanyo umsebenzi kwesibindi. Xa amathamo aphezulu kunokubangela iziphumo ezingalindelekanga, ezisongela ubomi.

Ukusetyenziswa fibrates

La amayeza yezabelo acid fibric. Iqela amachiza cholesterol ziquka fenofibrate, ciprofibrate, bezafibrate, gemfibrozil kunye clofibrate. Ichiza isebenzayo izenzo "Traykor", ethetha ukuba kudidi fenofibrate.

Fibrates statins Zingaphantsi malunga nefuthe kwinqanaba lipoprotein loxinano eliphantsi cholesterol iyonke, kodwa efuthe kumgaqo lipoproteins lwetshiphu emsebenzi-mninzi kunye triglycerides njengabongamileyo kunabo. Ngokusetyenziswa fibrates kwi ayinzuzo utshintsho yothutho cholesterol. La machiza iziyobisi cholesterol zizinto umgca wesibini lisetyenziswa emva statin unyango kuba unyango lwe hypercholesterolemia. Imixube ekucetyiswa xa amanqanaba aphezulu triglycerides, gipoalfaholesterinemii ekwanti.

cholesterol Ukunciphisa inhibitors

Namhlanje eRashiya, kuphela iqela ezetimibe ichiza elinye. Igama amayeza cholesterol - "Ezetrol '. Yabelwe kwakhona amayeza "Inedzhi", okuhlanganisa i indibanisela simvastatin kunye ezetimibe. Indlela yesenzo ezi arhente uphula cholesterol kukufakwa ukusuka iphecana isisu, oko ke kusehlisa izinga igazi into.

Le eziluncedo ziquka ukhuseleko ezetimibe aphezulu amayeza, kuba ichiza ntoni ukungena kungena egazini. Bangakwazi ithathwe kubantu abanesifo sesibindi, kwakunye kwizigulane ngenxa yezizathu ezahlukahlukeneyo contraindicated ukusetyenziswa statins. Le unyango cholesterol (ncomo bathi ngayo) zingasetyenziswa kunye statin, evumela ukuba isiphumo ngokubonisana nezinyangayo.

Bobubi ezetimibe engaphantsi kakuhle xa kuthelekiswa statins, ngokunjalo neendleko eziphezulu.

sequestrants enyongweni acid

Cholesterol kunegalelo yokuzala ye asidi inyongo; eziyimfuneko ukuze umzimba ukuba ukugaya. sequestrants Isicelo lula ndibopha asidi ibile ducts, inguqu yabo iikhompawundi ezingenakunyibilika kunye zinomgutyulo. Umzimba, uyasabela ukungabikho asidi inyongo, eqalisa ukuba bazipha ngokunzima ukusuka cholesterol, leyo kunciphisa umxholo. Eyona ndlela zonyango, la machiza ukuze cholesterol zisetyenziswa kunqabile kakhulu. It ebhaliswe amachiza amabini ngoweqela le sequestrant bile acid, - "Colestipol" yaye "Cholestyramine". Noko ke, ukuba abayi kuphunyezwa kummandla Russia.

Le uncedo lwala machiza yi Namanyathelo athathwa kwingingqi zabo, azikho bafakwe egazini. Bobubi ziquka incasa ezingemnandi, ubude ukwamkelwa, ukuphazamiseka absorbability kwamafutha kunye neevithamini. Le medicament kungabangela ukopha kwalo.

Ichiza "Niacin"

Vitamin PP okanye nicotinic acid, owaziwa kakuhle ukuba abaninzi. Medicament "Niacin" - amayeza cholesterol - oogqirha bacebisa iimpendulo uthathe amathamo aphezulu (umthamo imihla grams ukuya ku-4). Ukuwa cholesterol kwenzeka iintsuku ezimbalwa lokusebenzisa nicotinic acid. Lipid-yandisa ifuthe ichiza "Niacin" sele fundanga ngokupheleleyo. Abaphandi bathi ukuba vitamin PP luthintela nokuhlangulwa asidi yokugcina amanqatha, inceda ukwehlisa cholesterol embi.

Okuhle ichiza iziphumo okukhawulezayo, ithuba ukusetyenziswa ngaxeshanye satin. Ichiza kuphucula microcirculation, kuba nomphumela vasodilatory. Ukunqongophala imithi ukusebenzisa ngeedosi ezinkulu umphumela lipid-yandisa, ubukho iziphumo ebezingalindelekanga ezifana ubuso kwaqapheleka.

Ukusetyenziswa omega-3 fatty polyunsaturated

Eli qela bubonakaliswe ongeziweyo esebenzayo eziphilayo ezahlukeneyo ngokubanzi kunye neziyobisi. Elaziwa kakhulu ke ioli intlanzi "Omacor." Umgaqo ukusebenza ubuxoki ekunciphiseni nokuzala triglycerides wesibindi kunye nokwandisa inani receptors ababandakanyekayo okunamafutha acid igcwala. Isiphumo ukuhla lipoproteins ezisezantsi-mninzi. Izinto eziluncedo ze iziyobisi ukhuseleko oluphezulu, ezihamba inyathelo anti-arrhythmic.

ukusebenza Low, esebenzisa kuphela njengesongezelelo unyango aqhelekileyo (fibrates kunye statins) igciniweyo amayeza disadvantageous.