Ole kolose maualuga e afaina ai le soifua maloloina. Ina ia faʻaitiitia, vaega o vailaʻau e masani ai lipid metabolism ua fuafuaina.
Latou ua faatonuina e fua i le natura o le faʻamaʻi ma uiga faʻaaoga o le tino.
Vaega ma le faʻavasegaga
Ole gaʻo ole kolose o loʻo taofia ile tino ma teuina ile puipui o alatoto.
E tele lava, e iʻu ai i le faʻamaʻi o le fatu, fatu ma le stroke. E faʻaaoga vailaʻau eseese e faʻaititia ai le maualuga o le gaʻo gaʻo.
O lenei lisi e aofia ai:
- Statins o ni enzyme blockers o loʻo aʻafia i le gaosia gaʻo.
- Niacin - faʻaititia le LDL, faʻaititia le aʻafia o toto toto.
- O vailaʻau e telegese ai le faʻaaogaina - taofi le faʻaaogaina o kolesterol i totonu o le manava, ia faʻamatuʻuina atu ile toto.
- Fibroic acid o vailaʻau e tuʻuina i lalo le toto triglycerides.
- Sequestrants o bile acid - aveese faʻateʻa sili atu o le talo mai le tino.
O fofo taitasi ei ai ona lava uiga faʻapitoa, contraindications ma itu aʻafiaga ma ua tuʻuina atu e faʻavae i luga o le gasegase o le talafaasolopito ma le auiliiliga tapulaa
Statins, a latou meatotino ma tusi apalai
Statins o vailaʻau e faʻaititia le kolose. Ole latou gaioiga e faʻatautaia ile taofiofia ole enzyme, e faʻaosofia ai le fausiaina ma le atiaʻeina ole LDL (kolose leaga).
Statins e fai ma sui o le 4 augatupulaga, o le mea mulimuli ua manatu e sili ona aoga. Ole igoa faʻafomaʻi ole HMG-CoA reductase inhibitors.
I le ate, o loʻo iai le faʻagesegese o le tuʻufaʻatasiga o le kolose, male toto, faʻaititia lona aofaʻi.
O le vaega o vailaʻau faʻaleleia tulaga lelei o le toto, faʻaleleia le tulaga o alatoto, poloka thrombosis ma atherosclerotic faʻailoga. A faʻapea e ave le statins, atonu e iai le faʻaititia o le suka i le suka. O le gaioiga autu o le poloka lea i le gaosia o le ate enzymes.
Faatasi ai ma le faʻaaoga tatau o statins, ua i ai se faʻaititia o le kolose i le averesi o le 40%. Faʻaaogaina e puipuia ai maʻi ma oso fatu. E faʻaoga mo le hypercholesterolemia, aterosklerosis, cardiovascular faamaʻi. E iai le afaina o le ate ile fua.
A togafitia ma fualaau faasaina, e siaki le biochemistry toto.
Vitio mai ia Dr. Malysheva e uiga i statins:
Faatasi ai ma mea leaga o loʻo matauina:
- tiga le ulu, insomnia;
- afaina ai o le paʻu o le paʻu;
- faʻaititia le libido;
- maso tiga ma tiga;
- leaga le gauai ma le manatuaina leiloa;
- faʻalavelave o le gastrointestinal;
- thrombocytopenia;
- solia o le ate;
- myopathy.
Contraindications mo faʻaaogaina:
- gasegase o le ate;
- maitaga
- fatugaʻo fatu;
- matua e oo i le 18 tausaga;
- faʻasusu;
- le faʻaletonu i vaega o le vailaʻau.
O fuainumera o loʻo avea ma sui o loʻo taua i lalo: Zokor, Lipostat, Rovakia (1st tupulaga), Leskol (2nd tupulaga), Atoris, Tulip, Lipobay (3rd tupulaga), Rosuvastin, Krestor, Akorta (fou tupulaga vailaʻau).
Fibroic acid
Ole faʻasologa ole vailaʻau ole fibroic - ose vasega o vailaʻau ua mamanuina e faʻasaʻo ai le metabolism lipid. Latou nofoia le vaega lona lua o le lelei ma lauiloa pe a uma statins.
O le muamua vailaʻau i lenei vaega o clofibrate. O aso nei, e tele atunuʻu e le faʻaaogaina ona o lona maualuga oona ma ona aʻafiaga. Ina ua mavae lena, amata ona faaaogaina Bezafibrates, Cyprofibrates ma Fenofibrates.
O le nofoaga mulimuli o le sili sili lea. E mafai foi ona latou taofiofi le suka i le toto, maulalo le uric acid. E faʻapitoa lenei mea mo tagata maʻi suka ma le gout i le taimi e tasi.
Ole faʻafitauli taua ole acid e latou te suia le faʻavasegaina o lipid metabolism. Ole gaioiga galue e faʻaititia le LDL, faʻateleina le HDL, ma faʻalauteleina le lipid metabolism.
Faʻamalosia puipui o alatoto, faʻateleina le lalelei, puipuia le faʻatulagaina o plaques. E taofia ai le toto faʻapipiʻi. I lalo o le faatosinaga o fibrates, o le tuufaatasiga o triglycerides e faʻaititia, o le vaeluaina ma le taofia o le tuputupu aʻe LDL e faʻavavevave. A inu vailaʻau e faʻaititia ai lamatiaga o le maʻi fatu. O se kulupu o vailaʻau o loʻo iai se aoga faʻapitoa ile tulaga o le cardiovascular system.
Faailoga mo faʻaaoga e:
- o le maʻi suka dyslipidemia;
- maualuga kolose (i le tuufaatasiga togafitiga);
- maualuga maualuga o triglycerides;
- le paleni ole gaʻo;
- gugu
- afaina
- metabolic syndrome.
Lapataiga e tatau ona faia i le tuʻufaʻatasia fibrates ma isi vailaʻau. Lenei mafai ona faateleina ai le leaga aʻafiaga i fatugaʻo ma le ate.
Faatasi ai ma aafiaga itu e matauina:
- faʻalavelave o le gastrointestinal;
- le afaina le faʻagaioiga o fatugaʻo;
- tiga le ulu
- afaina ai lagona;
- faʻaopoopoina i totonu o faʻamaʻi loto;
- solia o le ate;
- popole neura.
Le autu contraindications mo le faaaogaina o fibrates:
- gasegase o le ate;
- maʻitaga ma faʻasusu;
- le mafai o fatugaʻo;
- ava malosi;
- cirrhosis o le ate;
- fuafuaina cholecystitis;
- matua e oo i le 18 tausaga;
- cholelithiasis.
Fualaʻau ma le faʻaeteete tatau ona faʻaaogaina e tagata matutua.
Sequestrants o bile acid
Ma leEquestrants o bile acid - o se kulupu o vailaʻau e fesoʻotaʻi ma lipid-faʻaititia vailaʻau. O vailaʻau faʻapitoa e faʻaititia ai le maualuga o le kolose ile toto.
Ole faʻafitauli autu ole fusifusia lea ole gaʻo ole bile acid ma le faʻatonuga mulimuli ane ai, taofia o le gaosiga o le kolose. O le vailaʻau malosi e fusifusia i gaʻo ma faʻamavae latou.
O le fesuisuiai faʻaaogaina o le talo ua taofia. O le tuufaatasiga o HDL ua saunia, ma e aveina le LDL mai le toto. E le gata i lea, o le glycosylated hemoglobin ma le kulukose ua faʻaititia i tagata ua maua i le maʻi suka.
O vailaʻau e leʻo faʻaaogaina i totonu o le totoga, latou te 'aveʻese i totonu o le tino. I lenei itu, o le atinaʻeina o aʻafiaga e faʻaititia i se mea laititi. O le mea masani lava e le masani ai o loʻo maitauina mai le gastrointestinal tract - le faʻaipoipoga, le faʻamalosi, ma le faʻamaʻi ma le faʻapopoleina, o se suiga o tofo.
I maualuga maualuga, sequestrants mafai ona faʻaititia ai le mitiia o le B6 ma gaʻo-soluble vitamini D, A, K, E. E i ai tulaga lamatia o le palapala i le taimi o togafitiga ma vailaʻau mai lapisi mucous membranes, pe a faʻaititia le toto coagulation.
Ile taimi ole togafitiga ole FFA, e ave ese atu le leaga ole kolose e oʻo ile 45%, o le tulaga ole lipid complex e faʻaleleia e le 20%. O le faʻaaogaina umi taimi e faʻateleina ai le maualuga o kolose aoga. Ole Hypocholesterolemic afaina na ausia ile averesi pe a maeʻa le masina faʻatautaia. I le gasologa o suʻesuʻega, na iloga le aʻafia o le lelei o le FFA i faʻamaʻi o fatu ma a latou faʻafitauli.
Igoa o fualaau faasaina: Colestipol, Cholestyramine.
Faailoilo mo faaaoga.
- fatu fatu;
- Ischemic fatu faamaʻi;
- dislipidemia;
- aterosklerosis;
- hypercholesterolemia;
- faʻafitauli o faʻamalositino.
Ma le faaeteete, o fualaau e ave mo le manava faʻamama, cholelithiasis.
Contraindications FFA aofia:
- phenylketonuria;
- iva le mafaufau;
- hypertriglyceridemia;
- faʻaitiitia o le tili moli;
- papala manava;
- toto le mautonu;
- manava fusu;
- taofia pili;
- hyperlipoproteinemia o ituaiga III ma IV.
O vailaʻau e aafia ai le faʻaaogaina o le loto. O meaʻai e sili ona lelei o le itula pe 4 itula pe a uma le taumafataga. Muamua faatonuina i tui laiti, ona faasolosolo lea ona faasolosolo faateleina. O lea polokalame e faʻaititia ai le atinaʻega o aʻafiaga.
Sequestrants of FAs afaina ai le faʻaaogaina o le tele o vailaʻau. E aofia ai penicillin antibiotics, diuretics, adrenergic blockers. Ile faagasologa ole togafitiga umi, ole biochemistry ole toto e tuʻuina atu e mataitu mea ai.
O lona uiga e faʻat taofia le mitiia o le kolose i totonu o le tino
O vailaʻau e taofia le faʻaaogaina o le gaʻo i le gaʻo faʻamama le faʻaititia e faʻaititia ai lona toto i le toto.
O le vaega o vailaʻau ua tuʻuina mai e aofia ai Lipobon, Ezetrol, Tribusponin, Guarem. Latou te le faʻamalieina i totonu o le toto, latou te tuʻufaʻatasia ma isi vailaʻau, e le pei ole FFA latou te le faʻaopoopoina le faʻamaloloina o vailaʻau aisa.
O le mea ua tupu, ua maeʻa 14 aso o le inuina o fualaʻau, ua faʻaititia le gaʻo gaʻo i le 50%. O le taimi e tasi e faʻaaoga ai meaʻai e le aʻafia ai le maua faʻavasegaina o vailaʻau a le vasega. Ile faʻagasologa ole aveina ole maualuga ole kolose na faʻaititia ile 20%.
Faailoilo mo faaaoga.
- homozygous aiga aiga hypercholesterolemia;
- maualuga hypercholesterolemia;
- le lelei o le statin monotherapy;
- homozygous sitosterolemia.
Faʻaaoga faʻatasi ma le meaʻai fofo, i le leai se aafiaga, latou te tuʻufaʻatasia ma statins. E tele taimi e faʻaaogaina ai le lipid correctors Essentiale, Lipostabil.
I totonu o le faʻailoga mo faʻaaogaina:
- faaletonu o le ate;
- faapaleni pe o le le lava o le lactose;
- iva le mafaufau;
- matua e i lalo ifo o le 18 tausaga;
- faʻaaoga faʻatasi ile fibrates.
Faatasi ai ma aafiaga itu na matauina:
- afaina;
- mativa;
- faʻafitauli o mea leaga (manava tatā ma le manava tata);
- afaina le ate;
- vaivai
- tiga le ulu.
Nicotinic acid
Nicotinic acid o se vai-soluble vitamini e manaʻomia mo le masani faʻagaioia o le tino. Togafitiga togafitiga: faʻaititia o kolose ma lipid fasi, vasodilation.
E taofia le atiaʻeina o faʻamaʻi cardiovascular, ei ai le faʻafofogaina ma faʻafilemu aafiaga.
A inuina, o le nicotinic acid ua liua i le mea malosi nicotinamide. O ia e aafia i le metabolic process o vitamini, synthetic processing, tisu respiratory.
Ole vailaau faʻaleleia microcirculation, faʻalauteleina lipoproteins, faʻaititia LDL ma triglycerides, ma faʻateleina HDL. E faʻamamaina i le ate, faʻapolo i fatugaʻo. O le maualuga o le faʻatusatusaina o le mea ua ausia i le 45 minute
Lisi o vailaʻau: Enduracin, Niceritrol, Acipimox. Ole sauniuni Nicotinic acid e taugofie ma taugofie mo le tele.
Faailoilo mo faaaoga.
- tulaga muamua o le hyperlipidemia;
- cerebrovascular faalavelave;
- faaletonu vitamini PP;
- faaumiumi uumi;
- aterosklerosis;
- i le toe faʻafouina pe a maeʻa fatu fatu ma ma stroke;
- microagniopathy;
- atherosclerotic cardiosclerosis;
- papala i luga o le membrane mucous ma paʻu;
- angina pectoris;
- neura o le tino;
- spasms o vae o taʻavale;
- o le maʻi suka polyneuropathy;
- enterocolitis, kolitis, gastritis.
Contraindications mo faʻaaogaina:
- lagona le mafaufau i le mea;
- papala pepeti o le manava (faʻateleina);
- i lalo ifo o le 2 tausaga.
Ma le faʻaeteete, o le vailaʻau e inu e tagata ma le afaina o le ate, glaucoma, gout.
Tali aafiaga ile taimi ole pulega:
- ua mataʻiina le gaʻo ole gaʻo pe a ave le vailaʻau ile maualuga o tui;
- lotomaulalo;
- aliali paʻu manu;
- faateleina le faʻailoaina ole faʻamaʻi pelu;
- faʻaititia le kulukose o le faʻapalepale;
- afaina o le faʻatupu o le mukosa;
- solia o le ate;
- toto maualuga o le paʻu;
- le lamatiaga o le faʻavaeina o myopathy pe a tuʻu faʻatasi ma statins.
Faaopopo metotia
I le faʻaopopo atu i le faʻasaʻoina o vailaʻau, o loʻo iai isi auala aoga ma lelei tele mo le faʻaititia o le kolose. E aofia ai le soifua maloloina lelei ma le soifua maloloina. E faʻaogaina e le laititi o le faʻateleina ole kolose - e oʻo ile 18% ole masani.
O puipuiga puipuia e aofia ai:
- faʻateʻeseina o meaʻai leaga mai le meaʻai;
- gaioiga faamalositino, mafatiaga, faamalositino;
- ave meaʻai e faʻaititia ai le kolose.
Ina ia faʻaititia le LDL, ua tele meaʻai taumafa ma vitamini ua faʻaopopo i le meaʻai. E aofia ai trans gaʻo, falai ma gaʻo meaʻai, meaʻai tuuapa, ipu meaʻai ma le maualuga o le leaga o kolose. O loʻo iai le tele ole alava i falaoa atoa, saito, legumia, fualaʻau ma fualaʻau.
E aoga le faʻaaluina o taumafa e masani ona faʻaititia le leaga o le kolose. O nei avoka, saga, olive ma suauu o le sunflower. O gaʻo gaʻo o loʻo i totonu o le suauʻu iʻa e masani ona faʻaaogaina e le metabolism lipid. Ole faʻaogaina tatau o nei oloa faʻaitiitia le LDL i le averesi o le 10%. O le faʻaaogaina o le lipoic acid ma B vitamini e i ai foi lona lelei i faʻailoga.
Vitio mea i luga o se taumafataga e faʻaititia ai kolose:
Cholesterol faʻaititia vailaʻau ei ai le tele o foliga. Ua faatonuina i latou i le lavelave ma monotherapy, faʻaalia mea lelei pe a faʻaaogaina saʻo. O le mafuaʻaga o vailaʻau taʻitasi e tatau ona taʻuamiotonuina.