Roj Cholesterol - tshuaj kho mob

Koj lub cev xav tau cov roj (cholesterol) ua haujlwm tau zoo. Tab sis cov roj (cholesterol) hauv koj cov ntshav ua rau koj cov ntshav nyob hauv cov phab ntsa sab hauv. Qhov buildup no yog hu ua cov quav hniav. Nws nqaim koj cov hlab ntsha thiab tuaj yeem txo lossis tso ntshav ntshav. Qhov no tuaj yeem ua rau lub plawv nres, mob hlab ntsha hlwb, thiab nqaim ntawm cov hlab ntsha lwm qhov ntawm koj lub cev.

Statins tau xav tias yog cov tshuaj zoo tshaj plaws los siv rau cov neeg uas xav tau tshuaj los txo lawv cov rog.

Hyperlipidemia - kho tshuaj; Ua kom nruj ntawm cov hlab ntsha - statin

Statins txo koj txoj kev pheej hmoo mob plawv, mob hlab ntsha tawg, thiab lwm yam teeb meem cuam tshuam. Lawv ua li no los ntawm kev txo qis koj qhov roj (cholesterol) LDL (phem).

Yuav luag txhua lub sijhawm koj yuav tsum tau noj hom tshuaj no mus tas koj lub neej. Muaj qee kis, hloov koj txoj kev ua neej thiab poob phaus ntxiv yuav tso cai rau koj kom tsis txhob noj cov tshuaj no.

Muaj ntshav tsawg tsawg LDL thiab cov roj (cholesterol) tag nrho txo ​​koj cov kev pheej hmoo mob plawv. Tab sis tsis yog txhua tus yuav tsum tau noj cov statins kom txo cov roj (cholesterol).

Koj tus kws kho mob yuav txiav txim siab txog koj txoj kev kho mob raws li:

• Koj tag nrho, HDL (zoo), thiab LDL (phem) cov theem roj
• Koj lub hnub nyoog
• Koj li keeb kwm mob ntshav qab zib, ntshav siab, lossis kab mob plawv
• Lwm qhov teeb meem kev noj qab haus huv uas tuaj yeem yog los ntawm cov zaub mov siab
• Txawm koj haus luam yeeb lossis tsis haus los xij
• Koj qhov kev pheej hmoo ntawm kab mob plawv
• Koj hom neeg

Koj yuav tsum siv cov tshuaj statins yog tias koj muaj hnub nyoog 75 lossis qis dua, thiab koj muaj keeb kwm ntawm:

• Teeb meem lub plawv vim muaj hlab ntsha hauv lub plawv
• Stroke lossis TIA (mob stroke me)
• Aortic aneurysm (a suge hauv cov hlab ntsha tseem ceeb hauv koj lub cev)
• Qhov nqaim ntawm cov hlab ntsha mus rau koj ob txhais ceg

Yog tias koj muaj hnub nyoog laus dua 75 xyoos, koj tus kws kho mob yuav sau ntawv muab tshuaj tsawg dua rau cov statin. Qhov no yuav pab txo qis qhov tshwm sim.

Koj yuav tsum noj cov tshuaj statins yog tias koj cov roj (cholesterol) LDL yog 190 mg / dL lossis siab dua ntawd. Koj kuj yuav tsum noj cov tshuaj statins yog tias koj cov roj LDL roj tshuav li ntawm 70 txog 189 mg / dL thiab:

• Koj muaj ntshav qab zib thiab muaj hnub nyoog 40 txog 75 xyoo
• Koj muaj ntshav qab zib thiab muaj kev pheej hmoo siab los ntawm kab mob plawv
• Koj muaj feem yuav muaj kab mob plawv

Koj thiab koj tus kws kho mob yuav xav muab cov tshuaj statins yog tias koj li roj LDL yog 70 txog 189 mg / dL thiab:

• Koj muaj ntshav qab zib thiab nruab nrab muaj kab mob plawv
• Koj muaj kev pheej hmoo nruab nrab rau kab mob plawv

Yog tias koj muaj kev pheej hmoo siab ua mob plawv thiab koj cov ntshav roj LDL nyob siab heev txawm tias siv tshuaj statin, koj tus kws kho mob yuav txiav txim cov tshuaj no ntxiv rau statins:

• Ezetimibe
• PCSK9 inhibitors, xws li alirocumab thiab evolocumab (Repatha)

Cov kws kho mob tau siv los tsim qib siab rau koj qhov roj (cholesterol) LDL. Tab sis tam sim no txoj kev tsom xam yog txo koj cov teeb meem los ntawm kev nqaim ntawm koj cov hlab ntsha. Koj tus kws kho mob yuav soj ntsuam koj cov qib roj (cholesterol). Tab sis kev nquag mus kuaj tsis tshua xav tau.

Koj thiab koj tus kws khomob yuav txiav txim siab tias koj yuav tsum noj dab tsi ntawm statin. Yog tias koj muaj lwm yam xwm txheej, koj yuav tsum tau txhaj ntau dua. lossis ntxiv lwm hom tshuaj. Cov ntsiab lus uas koj tus kws kho mob yuav txiav txim siab thaum xaiv koj cov kev kho mob suav nrog:

• Koj tag nrho, HDL, thiab LDL qib roj ua ntej kev kho mob
• Txawm hais tias koj muaj mob rau cov hlab ntshav hlab plawv (keeb kwm ntawm angina lossis plawv nres), keeb kwm ntawm mob stroke, lossis txoj hlab ntsha hauv koj ob txhais ceg nqaim
• Seb koj puas muaj ntshav qab zib
• Txawm koj haus luam yeeb lossis ntshav siab

Cov koob tshuaj ntau dua tuaj yeem ua rau muaj kev mob tshwm sim thaum sijhawm. Yog li koj tus kws muab kev pab tseem yuav txiav txim xyuas koj lub hnub nyoog thiab qhov txaus ntshai rau cov kev phiv

• Cov roj khov ua tiav
• Cov quav hniav buildup hauv cov hlab ntsha

Koom Haum Asmeskas Mob Ntshav Qab Zib. Kab mob plawv thiab kev tswj hwm pheej hmoo: cov qauv kev kho mob hauv ntshav qab zib-2020. Ntshav Qab Zib Kho MobCov. 2018; 43 (Cov Khoom Siv 1): S111-S134. PMID: 31862753 pubmed.ncbi.nlm.nih.gov/31862753/.

Fox CS, Golden SH, Anderson C, li al. Hloov kho kev tiv thaiv kab mob plawv rau cov neeg laus uas muaj ntshav qab zib hom 2 mellitus hauv cov ntawv pov thawj tsis ntev los no: cov lus tshaj tawm scientific los ntawm American Heart Association thiab American Diabetes Association. Kev ncigCov. Xyoo 2015; 132 (8): 691-718. PMID: 26246173 pubmed.ncbi.nlm.nih.gov/26246173/.

Genest J, Libby P. Lipoprotein cuam tshuam thiab mob plawv. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 48.

Grundy SM, Pob Zeb NJ, Bailey AL, li al. 2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA Cov Lus Taw Qhia ntawm kev tswj cov ntshav hauv cov ntshav ntshav: ib daim ntawv tshaj tawm ntawm American College ntawm Cardiology / American Heart Association Task Force ntawm Kev Ntsuas Ua Haujlwm Cov. J Am Coll CardiolCov. 2019; 73 (24): e285-e350. PMID: 30423393 pubmed.ncbi.nlm.nih.gov/30423393/.

Teb Chaws Asmeskas Kev Pabcuam Tiv Thaiv. Cov lus pom zoo kawg: kev siv statin rau kev tiv thaiv kab mob plawv rau cov neeg laus: cov tshuaj tiv thaiv. www.uspreventiveservicestaskforce.org/Page/Document/Re ထောက်ခံationStatementFinal/statin-use-in-adults-preventive-medication1. Hloov kho thaum Lub Kaum Ib Hlis 2016. Nkag rau Lub Peb Hlis 3, 2020.

Teb Chaws Asmeskas Kev Pabcuam Tiv Thaiv Kev Ua Haujlwm Pab Pawg Pom Zoo cov ntsiab lus. Kev siv Statin rau kev tiv thaiv kab mob plawv rau cov neeg laus: cov tshuaj tiv thaiv. www.uspreventiveservicestaskforce.org/uspstf/re អនុសាសន៍ation/statin-use-in-adults-preventive-medication. Hloov kho Kaum Ib Hlis 2016. Mus saib Lub Ob Hlis 24, 2020.

• Angina
• Angioplasty thiab stent tso kawm - carotid leeg
• Angioplasty thiab stent muab tso rau - cov hlab ntsha peripheral
• Carotid leeg ntshav kab mob
• Carotid leeg txoj hlab ntshav phais - qhib
• Coronary mob plawv
• Plawv nres
• Kev phais plawv bypass
• Kev phais mob hauv lub plawv bypass - tsawg tus tus
• Kev mob plawv thiab kev noj haus
• Cov ntshav siab hauv cov qib siab
• Peripheral artery bypass - txhais ceg

• Kho lub plab anortic aneurysm kho - qhib - kev tso tawm
• Angina - tawm hauv
• Angina - yuav tsum nug koj tus kws kho mob li cas
• Angioplasty thiab stent tso kawm - carotid leeg - tso tawm
• Angioplasty thiab stent muab tso rau - cov hlab ntsha peripheral - tawm
• Aortic aneurysm kho - endovascular - paug
• Atrial fibrillation - paug tawm
• Butter, margarine, thiab roj ua noj
• Carotid leeg txoj kev phais - kev tshem tawm
• Roj Cholesterol - qhov yuav tsum nug koj tus kws kho mob
• Tswj koj cov ntshav siab
• Kev noj haus cov rog piav qhia
• Cov lus qhia zaub mov nrawm
• Plawv nres - tso tawm
• Plawv nres - dab tsi yuav nug koj tus kws kho mob
• Kab mob hauv lub plawv - yam txaus ntshai
• Lub plawv tsis ua hauj lwm - yuav tsum nug koj tus kws kho mob li cas
• Ntshav siab - yuav tau nug dab tsi ntawm koj tus kws kho mob
• Mediterranean noj
• Peripheral artery bypass - txhais ceg - paug
• Mob Stroke - tawm

• Cov roj khov ua tiav
• Cov Tshuaj Noj Roj
• Cov Roj Cholesterol Tshaj Hauv Cov Menyuam yaus thiab Cov Hluas
• LDL: Cov Roj (Cholesterol) "Tsis Zoo"
• Statins