Statins uye cholesterol: mhedzisiro yekutarisisa

Chikumi 4, 2010 - Kushandiswa kwema statins - mhuri yemishonga yekudzikisa cholesterol muropa - inogona kukonzera akati wandei mhedzisiro inobata maziso, chiropa, itsvo uye tsandanyama.

Izvi zvinoratidzwa nevatsvagiri vekuBritain vakaongorora marekodhi evarwere vanopfuura mamirioni maviri, 2% avo vaive kana kuti vakamborapwa nema statins.

Zvinoenderana nedhata yakaunganidzwa, kune yega vashandisi gumi, kutora statins makore anopfuura 10 kunodzivirira 000 zviitiko zvechirwere chemoyo, uye 5 nhamba yekenza esophageal.

Zvisinei, zvinokonzerawo 307 zvimwe zviitiko zvecataract, 74 zviitiko zvekushaya simba kwechiropa, 39 zviitiko zve myopathy uye 23 mamwe maitiro ehutano hwepakati kana hwakanyanya hwekutadza kwetsvo, zvakare kune vese vashandisi gumi vezvinodhaka pamusoro pemakore 10.

Aya maside effects aionekwa kakawanda muvarume sevakadzi, kunze kwemyopathy - kana kuderera kwetsandanyama - izvo zvakakanganisa kaviri varume vazhinji sevakadzi.

Uye kana izvi zvipingamupinyi zvakaitika mumakore ose e5 umo varwere vakateverwa, kunyanya panguva ye1re gore rekurapwa ndivo vainyanya kuwanda.

Mhuri ye statin ndiro boka rinonyanya kunyorerwa remishonga pasi rose. MuCanada, 23,6 miriyoni statin prescriptions yakagoverwa muna 20062.

Iyi data inoshanda kune ese marudzi ema statins anoshandiswa muchidzidzo, kureva simvastatin (yakanyorerwa vanopfuura 70% yevatori vechikamu), atorvastatin (22%), pravastatin (3,6%), rosuvastatin (1,9%) uye fluvastatin (1,4). ,XNUMX%).

Nekudaro, fluvastatin yakakonzera mamwe matambudziko echiropa zvichienzaniswa nemamwe mapoka ema statins.

Maererano nevatsvakurudzi, chidzidzo ichi ndechimwe chevashoma kuyera huwandu hwemigumisiro inokuvadza yekutora statins - kunyanya kuenzanisa mhedzisiro yeizvi pakuderedza njodzi yemoyo kune placebo.

Zvakare, vanotenda kuti matambudziko akaonekwa haafanire kuvharidzira kuderera kwe24% kwezvirwere zvemoyo izvo zvakapihwa nekutora zvinodhaka, mukati mehurongwa hwechidzidzo ichi.

Kuteerera varwere zvakanyanya

Mukuona kwemigumisiro yakanyorwa muchidzidzo ichi, vatsvakurudzi vanokurudzira kuti vanachiremba vatevere varwere vavo zvakanyanya kuti vakurumidze kuona migumisiro inogona kuitika, kugadzirisa kana kumisa mishonga yavo, kana zvichidiwa.

Aya ndiwowo mafungiro emuongorori wemwoyo Paul Poirier, mutungamiriri wechirongwa chekudzivirira mwoyo uye kugadzirisa paInstitut de cardiologie et de pneumologie de Québec.

Dr Paul Poirier

"Chidzidzo ichi chinotipa nhamba chaidzo dzekuitika kwemhedzisiro, uye dzakakomba," akadaro. Uyezve, mukiriniki, apo murwere anorapwa ne statins ane muscular dystrophy kana zvinetso zvechiropa, mushonga wacho unomiswa. “

Ngozi yakakura yekutambura necataract inokatyamadza Paul Poirier. “Mashoko aya matsva uye haasi madiki nekuti anobata vanhu vakuru vanenge vatorwara izvo zvinogona kuwedzera rimwe dambudziko,” anoenderera mberi.

Sekureva kwachiremba wemoyo, mhedzisiro iyi yambiro zvakare kune nyika dziri juggling zano rekuita kuti ma statins awanikwe pasina mushonga.

"Zviri pachena kuti kushandiswa kwema statins kunoda kuongororwa uye kunoda kuti varwere vaziviswe zvakakwana nezvezvingangoitika," anowedzera chiremba wemwoyo.

Asi kupfuura izvozvo, chidzidzo cheUK chinoshanda sechiyeuchidzo kune vanachiremba vanorapa varwere vavo nema statins.

“A statin mushonga unotakura njodzi uye tinofanira kutevera varwere zvakanyanya. Pamusoro pezvose, tinofanira kuteerera uye kutenda murwere anonyunyuta nezvezviratidzo, kunyangwe izvi zvisina kunyorwa muzvinyorwa zvesainzi: murwere haasi nhamba kana avhareji uye anofanira kurapwa nenzira yakasarudzika ”, anopedzisa D.r Peya muti.

 

Martin LaSalle - PasseportSanté.net

 

1. Hippisley-Cox J, and said, Zvisingatarisirwi zvinokonzeresa statins muvarume nevakadzi muEngland neWales: vanhu-based cohort kudzidza vachishandisa QResearch dhatabhesi, British Medical Journal, rakabudiswa paIndaneti 20 May 2010,; 340: c2197.

2. Rosenberg H, Allard D, Prudence anosungirwa: kushandiswa kwema statins muvakadzi, Chiito chekuchengetedza hutano hwevakadzi, Chikumi 2007.

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