Mankhwala mafuta m'thupi: bwino momwe iwo

Ndi palibe chinsinsi chimene mafuta owonjezera magazi ndi zovulaza thanzi, makamaka kachitidwe mtima ndi mtima. Pamene mankhwala akuyamba owonjezera anakaika pa nthawi pa Mitsempha, anapanga mipukutuyi cholesteric kungafoole kayendedwe ka magazi kuti kumathandiza kuti kudwala mtima ndi kuvutika mtima.

mitundu mafuta

Iwo ankadziwa kuti thupi ukusowa mafuta m'thupi, popanda sikutheka pamoyo wa munthu. Nkhanizi ndi mbali ya selo nembanemba, m'pofunika kuti lidzigwira ntchito ya ubongo ndi ziwalo zina.

Pamene imachitika pa muyeso zili mchitidwe amatanthauza otchedwa mafuta zoipa, zimene zimagwiritsa mapuloteni ndi kupanga lipoprotein - pawiri zatsopano. Pali mitundu iwiri ya lipoproteins: mkulu ndi otsika kachulukidwe. Choncho, kuchuluka misinkhu mwazi wa otsika kachulukidwe lipoprotein ndi kuopseza thanzi.

Mu masiteji koyamba matenda Ndi bwino kutsatira kudya zakudya zapadera ndi kuchita Zochita zimawachitikira zolimbitsa thupi. Koma zonsezi kosakwanira, ndi zofunika kukonza ziwiya mankhwala mafuta.

Asayansi akhala akuyesa kuti akonze mankhwala kuti bwino Sachita mafuta m'thupi. Komabe, njira yabwino kulibe, ndipo gulu lililonse la mankhwala, kuchepetsa mafuta m'thupi, lili ndi ubwino komanso kuipa.

Ntchito statins

Pakali pano, statins - ndi mankhwala abwino kwa mafuta m'thupi. Iwo amalimbikitsidwa kutenga malo oyamba pa msinkhu apamwamba mankhwala. Nthawi zambiri, madokotala mankhwala mankhwala kupanga magulu otsatirawa:

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

Nthawi zina, statins ntchito, zokhudza mbadwo mankhwala oyamba chifukwa mkulu mafuta. Mu gulu ili monga fluvastatin ( "Lescol"), lovastatin ( "Mevacor" "Holetar") pravastatin. Aliyense gulu ali mankhwala kugwira kwake mwini ndiponso azikhala zamadzimadzi-kutsitsa kanthu. The statins zambiri panopa ankaona kuti rosuvastatin ndi atorvastatin. The pazipita chocheperako tsiku mlingo wa gulu loyamba ndi 40 mg, wachiwiri - 80 mg.

Tengani mankhwala mafuta m'pofunika kamodzi pa tsiku masana. Ichi ndi chifukwa limagwirira zochita. Statins ndigwire chiwindi enzyme kumene kumapangitsa mapangidwe mafuta. Ndipo popeza kubalana pazipita mafuta anati usiku, ntchito statin ayenera kukhala pamaso yogona. lamulo ili makamaka ntchito woyamba mibadwo awiri a mankhwala (simvastatin, lovastatin ndi pravastatin). Modern rosuvastatin ndi atorvastatin yaitali m'thupi, kotero nthawi ya ntchito zawo zilibe kanthu.

Pali stereotype kuti mankhwala mafuta zoipa chiwindi. Komabe, mfundo zimenezi si zoona. Mu ena matenda chiwindi statins zimathandiza patsogolo chikhalidwe cha limba (mwachitsanzo, chithandizo mafuta m'chiwindi). Koma aakulu pathologies kwa chiwindi kutenga statins oletsedwa chifukwa mkulu wa ndende zinthu m'magazi kungachititse kuti chitukuko cha kuopsa chowawa: kulephera impso, ndi rhabdomyolysis. Choncho, tiyenera kukumbukira kuti mankhwala statin ndi woopsa, kuchititsa (kawirikawiri) mbali zosiyanasiyana, ntchito zawo zimatheka ndi kupereka pambuyo bwinobwino kuchipatala.

Ubwino statins

Mankhwala sitimangotseka kuchepetsa mafuta m'thupi, komanso kuchepetsa mwayi wa osauka mtima ndi mtima mavuto. Ali ndi digiri yapamwamba ya chitetezo pamene ntchito yaitali. Zotsatira za statins akubwera pambuyo masabata awiri okha kuyambira chiyambi cha ntchito.

zolakwa

Pamaso pa zochita zoipa za lake (mu nthawi zina): ululu minofu, kupweteka m'mimba, kunyansidwa. Pa mankhwala miyezi sikisi iliyonse chofunika kutenga chiwindi mayesero ntchito. Pa mlingo waukulu angathe kuyambitsa zotsatira zoyipa, moyo pachiswe.

Ntchito fibrates

Mankhwalawa ndi fibric opangidwa kuchokera acid. Gulu la mankhwala mafuta m'thupi monga fenofibrate, ciprofibrate, bezafibrate, gemfibrozil ndi clofibrate. Mankhwala yabwino kwambiri amachita "Traykor" yoimira gulu la fenofibrate.

Fibrates statins amakhala otsika ndi nkhani yaikulu mlingo wa otsika kachulukidwe lipoprotein ndi okwana mafuta m'thupi, koma chikoka pa mkulu-kachulukidwe lipoproteins ndi triglycerides ali opambana iwo. Pogwiritsa ntchito fibrates pa mlingo majini kusintha zoyendera mafuta. Izi mankhwala mankhwala mafuta ndi mzere wachiwiri umagwiritsidwa pambuyo statin mankhwala zochizira hypercholesterolemia. Formulations analimbikitsa pamene mpweya wambiri wa triglycerides kutali gipoalfaholesterinemii.

zoletsa mafuta mayamwidwe

Today mu Russia, mmodzi mankhwala ezetimibe gulu. Dzina la mankhwala mafuta - "Ezetrol. Perekani komanso mankhwala "Inedzhi", chomwe chili ndi mitundu simvastatin ndi ezetimibe. Limagwirira cha zochita za wothandizila awa ndi kuphwanya mafuta mayamwidwe kwa mundawo matumbo, motero kuchepetsa mlingo magazi ndi zinthu.

ubwino monga mkulu ezetimibe chitetezo cha mankhwala, chifukwa mankhwala Kodi mkatikati mu m'magazi. Iwo akhoza kumwedwa kwa anthu ndi chiwindi matenda, komanso odwala amene zifukwa zosiyanasiyana ndi contraindicated ntchito statins. Izi mankhwala mafuta m'thupi (ndemanga kunena za izo) zikhoza kugwiritsidwa ntchito pamodzi ndi statin, zomwe zimathandiza kuti zotsatira kuzikonzanso achire.

The kuipa ezetimibe ndi molongosoka poyerekeza ndi statins, komanso kukwera mtengo.

sequestrants ya ndulu asidi

Mafuta kumathandiza kuti kubalana zidulo ya ndulu, zomwe ndi zofunika kwa thupi kugaya. Ntchito sequestrants facilitates kumanga zidulo ya ndulu, kusinthika awo mu mankhwala insoluble ndi excretion. thupi, poona kupanda zidulo ya ndulu, wayamba kubereka iwo intensively kwa mafuta m'thupi, amene amachepetsa zili. Leni yochizira matenda, mankhwala kwa mafuta ntchito kwambiri kawirikawiri. Iwo mayina mankhwala awiri cha gulu la ya ndulu asidi sequestrant, - "Colestipol" ndi "Cholestyramine". Komabe, iwo sadatsatire m'gawo la Russia.

Ubwino wa mankhwala awa ali kanthu chawo, iwo odzipereka mu m'magazi. The kuipa monga kukoma zosasangalatsa, nthawi kulowa, zipolowe absorbability kunyama ndi mavitamini. The medicament zingachititse chodziwa magazi.

Mankhwala "Niacin"

Vitamini PP kapena asidi nicotinic, lodziwika bwino kwa anthu ambiri. Medicament "Niacin" - mafuta m'thupi mankhwala - madokotala amalangiza kutenga mayankho pa mlingo waukulu (tsiku buku la magalamu mpaka 4). Kugwa kwa mafuta m'thupi kumachitika masiku angapo a ntchito asidi nicotinic. Zamadzimadzi-kutsitsa zotsatira za mankhwala "Niacin" si bwino kuphunzira. Ofufuza amasonyeza kuti vitamini PP kumathandiza kupulumuka kwa zofikira zidulo mafuta, kuthandiza kuchepetsa mafuta m'thupi zoipa.

Ubwino wa mankhwala ndi zotsatira mofulumira, n'zotheka ntchito munthawi yomweyo bafuta. Mankhwala bwino microcirculation, ali vasodilatory kwenikweni. Kupanda mankhwala ndi ntchito Mlingo lalikulu zamadzimadzi-kutsitsa tingati pamaso mavuto monga reddening nkhope.

Ntchito Omega-3 polyunsaturated mafuta zidulo

gulu ukufanizidwa ambiri osiyana kwachilengedwenso zina yogwira ndi mankhwala. The wodziwika nsomba mafuta ndi "Omacor." Mfundo ntchito lagona kuchepetsa kubalana mu triglycerides chiwindi ndi kuwonjezera chiwerengero cha zolandilira nawo mafuta asidi makutidwe ndi okosijeni. Chifukwa ndi kuchepa otsika kachulukidwe lipoproteins. Ubwino wa mankhwala ndi mkulu chitetezo, concomitant odana arrhythmic kanthu.

Low dzuwa, ntchito kokha monga adjunct kuti mankhwala ochiritsira (fibrates ndi statins) ndi disadvantageous deta mankhwala.