Mishonga inokurudzirwa zvichienderana nekuongorora kwehuwandu hwehuwandu hunowanikwa
Statin drugs ndeimwe yemishonga inonyanya kutaurwa muUnited States nekutengesa kwegore gore rinodarika $ 18 mabhiriyoni, maererano nekutsvaga kubva kuNorweswestern University Feinberg School of Medicine muChicago.
Statin zvinodhaka zvinozivikanwa kuti zvakanyanya kuderedza kusangana kwekurwadziwa kwepfungwa kana kurohwa nekuderedza huwandu hwe "bad" cholesterol muropa.
Asi havasati varairwa zvichienderana chete nemhinduro yemunhu yeropa. Nhasi, mishonga yemasimini inoshandiswa apo munhu ane chiverengero chekufungidzirwa, mumwe-mu-10 wekushaya chirwere chemwoyo kana kurohwa pamakore gumi anotevera.
Rwendo rweStatin Rwakagamuchirwa
Imwe mitemo yemishonga gumi nemana ikozvino inogamuchirwa neU.S. Food and Drug Administration, kusanganisira vana-fixed-dose combination drugs. Aya manomwe anonyanya kushandisa zvinodhaka ndeokuti:
- Lipitor (atorvastatin)
- Lescol (fluvastatin)
- Mevacor (lovastatin)
- Livalo (pitavastatin)
- Pravachol (pravastatin)
- Zocor (simvastatin)
- Crestor (rosuvastatin)
Mitengo yakawandisa yakawanda inowanikawo.
Kubatsirwa kweStatin Zvinodhaka
Statin madhigirii ediki pasi cholesterol maitiro nekudzivisa chiropa chechiropa, inozivikanwa seHMG Co-A reductase, iyo inokonzera cholesterol synthesis. Kushandiswa kwemishonga iyi nguva dzose kunobatanidza nekuderedza kukuru mu "yakaipa" LDL cholesterol, kuderedzwa kunononoka mu triglycerides , uye kuwedzera kuduku mu "yakanaka" HDL cholesterol .
Izvi zvinokonzera kushandura kune zvimwe zvepfungwa dzemwoyo, kusanganisira:
- Kupera kwekuvakwa kwepakisi pamadziro emaseroti
- Kugadzikana kwepalakuti kuitira kuti varege kubvisa uye kukonzera kuvhiringidzika kwemukati mumoyo kana muuropi
- Yakaderedza kugadzirisa kupisa sezvakayerwa neC-reactive protein (CRP) test
- Kupera ropa rekuvhara ropa pachinzvimbo chekudzivirira
Izvi zvinogona kubatsira kubatsira kuderedza ropa, kunyanya kune vanhu vane hypertension vasati vasati vashandurwa ropa.
Nharaunda Dzakabatana Dzematauriro
Kunyange zvazvo zvinodhaka zvinoshandiswa zvinopa zvipo zvinokosha kune vanhu vari pangozi yehutano hwepfungwa, panogona kuva nemigumisiro inobatanidza nekushandiswa kwavo. Vazhinji vanyoro kuenzanisa zvakasimba uye vanowanzogadzirisa kana muviri uchishandura pakurapa. Zvose zvinosanganisira:
- Nausea
- Gesi
- Kushungurudza mudumbu
- Headache
- Chizutu
- Kuneta
- Mapundu
- Kurara kunetseka
- Yakaderedza kufunganya
- Muscle aches
Statins inogonawo kukonzera kukwirira mumavhenekisi emuropa mukati memumwe wevashandi 100. Muzviitiko zvakawanda, kuwedzera uku hazvibatanidzi nekuora kwakakomba kana kusingaperi kwechiropa, asi kutarisirwa kunofanira kutorwa kana mitemo inorayirwa kune vanhu vane chirwere chisingaiti chechiropa.
Statins inoitawo kuwedzera mukana wekuwedzera chirwere cheshuga chechipiri mune vamwe, kunyanya vakadzi vepommenopausal .
Ndiani Anofanirwa uye Haafaniri Kutora Statins
Pakave nekukakavara pamusoro pemakore sekuti kana mitemo yakakosha kana inobatsira zvakafanana mumapoka ose. Izvi zvakasanzwisiswa nevamwe sekureva kuti mitemo haibatsiri uye, yakaipisisa zvakadaro, inogona kuva inokuvadza.
Izvi hazvisi chokwadi.
Muna 2016, hurumende yeUnited States Preventive Services Task Force (USPTSF) yakabudisa mirayiridzo yakagadziriswa ichitaura kuti uchapupu hwaive "husina kukwana" kurumbidza kutanga mazita emunhu pakati pevanhu 76 nevakuru avo vasina kumbove nehupenyu hwekurwadziwa kwepfungwa kana kurohwa.
Mashoko aya haasi kutsiura kwemasimendi muboka iri kana kuti pfungwa yokuti vanhu vanofanira kumira kutora mishonga yavo yepamutemo pavanenge vava nemakore 76. Asi, inoratidza kuti zvingave zviduku uye kuti kutarisirwa kwekliniki kunoda kuitwa pamhosva -case basis.
IU.SSTSTF yakabudisa zvakare mazano pamusoro pekushandiswa kwemasimoni mumapoka evanhu anotevera:
- Kurapa nechepasi-kusvika kuenzanisi-dose statins inokurudzirwa kuvakuru 40 kusvika ku75 vasina kumbove nekurwadziwa kwemwoyo kana kurohwa asi vari pangozi yeimwe. Kutsigirwa kunoitwa kuburikidza kana munhu wacho ane chimwe kana zvimwe zvinowanzoisa mungozi yehutano hwehutano uye zvinopfuura 10 muzana inotaridzika dambudziko rekurwadziwa kwemwoyo kana kurohwa mumakore gumi anotevera.
- Mishonga inogona kutanga zvakare, nekutarisirwa kwekliniki, kune vanhu vakuru vezera rimwechete vane rimwe kana kuti mamwe maitiro ehutano hwepfungwa uye nengozi inotarirwa pakati pe7,5 muzana uye 10 muzana.
> Sources:
> Taylor, F .; Huffman, M .; uye Ebrahim, S. "Statin Therapy for Primary Prevention of Cardiovascular Disease." JAMA. 2013; 310 (22): 2451-2. DOI: 10.1001 / jama.2013.281348.
> US Preventive Services Task Force. "Statin Kushandiswa Kwekudzivirira Kukuru Kwezvirwere Muvanhu Vakuru - US Preventive Services Task Force Recommendation Statement." JAMA. November 16, 2016; 316 (19): 1997-2007. DOI: 10.1001 / jama.2016.15450.