Mishonga remafuta akawandisa, sei kunobudirira ivo

Hazvina chakavanzika zvakawandisa remafuta akawandisa muropa riri utano, kunyanya cardiac uye vascular nehurongwa. Kana fuma kunotanga zvakawandisa rakachengetedzwa pamusoro nguva pamusoro pamasvingo midziyo ropa, iro aumba cholesteric plaques ruchavhiringidza kufamba ropa chinowedzera zvokurwara kwomwoyo uye vascular abnormalities.

remafuta akawandisa marudzi

Zvinonzi kunzwisisa kuti muviri inoda imwe remafuta akawandisa, pasina hazvibviri kwomunhu. Mashoko aya chikamu muchitokisi Kamudzira, zvakakodzera kuti nokushanda kwenhengo tsinga uye dzimwe nhengo.

Kana kuitwa musi zvakawandisa kugutsikana maatomu akafanana zvinoreva inonzi remafuta akawandisa akaipa, iyo kusonganirana puroteni chokuumba lipoprotein - remubatanidzwa zvachose itsva. Kune mhando mbiri lipoproteins: yakakwirira uye vakaderera arambe achirema. Saka, vakawedzera ropa kwevari yakaderera arambe achirema lipoprotein uye chinotyisidzira utano.

In kwokutanga nzendo chirwere Zvinokurudzirwa kuomerera chaiwo kudya uye kuita kurovedza inosanganisira kurovedza muviri. Asi nezviyero izvi hazvina kukwana, uye vaida kuchenesa midziyo kubva remafuta akawandisa mishonga.

Masayendisiti kare kuedza kuumba mushonga kuti zvinobudirira lowers remafuta akawandisa. Zvisinei, munhu akakwana kugadzirisa hakuwaniki, uye boka rimwe nerimwe mishonga, kunoderedza remafuta akawandisa, rine zvose zvakanakira nekuipira.

Kushandiswa statins

To musi, statins - ndiwo mushonga nokuda remafuta akawandisa. Vanokurudzirwa kutora pakutanga pagungano anotoita nenhumbi. Kakawanda, vanachiremba varayire kushandisa mishonga kuti zvinotevera mapoka:

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

Mune zvisingawanzoitiki zvinoitika, statins inoshandiswa, ukama wokutanga chizvarwa mushonga mukuru remafuta akawandisa. In boka iri zvinosanganisira fluvastatin ( "Lescol"), lovastatin ( "Mevacor" "Holetar") pravastatin. Woga woga ane ayo zvinodhaka efficacy pachavo nekuomarara lipid-richikwidibira chiito. Zvakawanda statins dziri seva rosuvastatin uye atorvastatin. Kufadza zvinotonzi daily chipimo chemushonga boka rokutanga riri 40 MG, wechipiri - 80 MG.

Tora mushonga remafuta akawandisa zvakakodzera kamwe zuva masikati. Izvi imhaka yavo mashandiro nezvaaiita. Statins adzikatidza chiropa enzayemu kuti kunomutsa paumbwe remafuta akawandisa. Uye sezvo kunonyanyisa kubereka vana remafuta akawandisa kwakacherechedzwa usiku, shandisa statin anofanira kuva pamberi yokurara. Kutonga uku ndiko kunonyanya kushanda kune zvizvarwa vokutanga vaviri zvinodhaka (simvastatin, lovastatin uye pravastatin). Modern rosuvastatin uye atorvastatin yakareba kubva mumuviri, saka nguva yavo kushandiswa hazvina basa.

Pane kufanana nevechiduku kuti mushonga remafuta akawandisa zvinokuvadza chiropa. Zvisinei, pfungwa iyi haisi yechokwadi. Mune dzimwe chiropa zvirwere statins kubatsira kuvandudza mamiriro nhengo (semuenzaniso, Mabatirwo mafuta chiropa). Asi zvikuru hepatic pathologies kutora statins wairambidza nekuti mukuru wevasungwa kwezvinhu zvine maatomu akafanana zviri muropa kungaita kuti pave nengozi nemigumisiro: itsvo kukundikana, uye rhabdomyolysis. Saka, zvinofanira kurangarirwa kuti mishonga statin vari zvakakomba, zvichiita (kashoma) divi siyana, avo kushandiswa zvinogoneka chete varwere pashure kwazvo kuongorora zvokurapa.

Zvakanakira statins

Drugs regai kuti kuderedza uwandu remafuta akawandisa, asi kuderedza mikana kusimukira mwoyo uye vascular matambudziko. Vane anokudzwa yakachengeteka munguva kushandiswa kwenguva refu. Maratidzirwo statins kunobva pashure pemavhiki kubva pakutanga kushandiswa maviri chete.

kutadza

Kuvapo akaipa zvinoitwa nhengo (mu zvisingawanzoitiki kacho): tsandanyama marwadzo, abdominal kurwadziwa, kuda kurutsa. Panguva kurapwa kwemwedzi mitanhatu ose kunodiwa kutora chiropa ushande nemiedzo. At dzakakwirira mishonga inogona kukonzera marwadzo, upenyu pangozi.

Kushandiswa fibrates

mishonga ava fibric asidhi nomukaka. The boka remafuta akawandisa zvinodhaka zvinosanganisira fenofibrate, ciprofibrate, bezafibrate, gemfibrozil uye clofibrate. Inonyatsobudirira zvinodhaka anoita "Traykor", kureva chikamu fenofibrate.

Fibrates statins dzakaderera panyaya nezvainoita padanho yakaderera arambe achirema lipoprotein uye zvachose remafuta akawandisa, asi simba pamatunhu arambe achirema lipoproteins uye triglycerides vakuru kwavari. Kuburikidza kushandiswa fibrates pamwero wokuchinja zviratidzo ari kuchinja remafuta akawandisa zvifambiso. mishonga izvi nokuti remafuta akawandisa zvinodhaka uri mutsetse rechipiri rinoshandisirwa pashure statin kurapa nokuda nokurapa hypercholesterolemia. Formulations vanorumbidzwa apo mukuru kwevari triglycerides, yoga gipoalfaholesterinemii.

remafuta akawandisa Absorção de Água FIs

Nhasi mu Russia, mumwe mushonga ezetimibe boka chete. Zita mushonga remafuta akawandisa - "Ezetrol '. Ipa zvakare mishonga "Inedzhi", iro rinobatanidza wemishonga simvastatin pamwe ezetimibe. The mashandiro chiito kuti vamiririri izvi zviri kutyora remafuta akawandisa Absorção de Água kubva intestinal turakiti, nokudaro kuderedza ropa pamwero mumwe fuma.

Zvazvakanakira zvinosanganisira yakakwirira ezetimibe kuchengeteka mishonga, nokuti mushonga asingadi kupinda mukati muropa. Vanogona kutorwa vanhu vane chiropa chirwere, uyewo varwere nezvikonzero zvakasiyana-siyana zviri contraindicated kushandiswa statins. mushonga uyu remafuta akawandisa (wongororo vanoti nezvazvo) inogona kushandiswa pamwe statin, iyo rinobvumira kunowedzerwa kuchirapa kushanda.

Zvazvakashatira ezetimibe iri zvishoma zvokufambisa richienzaniswa statins, uyewo kudhura.

Bile asidhi sequestrants

Remafuta akawandisa chinowedzera kuti kubereka vana bile acids, izvo zvakafanira kuti muviri kugaya. Application sequestrants hwezvekukurukurirana tichisunga bile acids, tinoshandurwa yavo insoluble yeimwe uye excretion. The muviri, achiona kushayikwa bile acids, inotanga zvichiberekana navo kuzviita kubva remafuta akawandisa, izvo zvinoderedza zvirimo. Actual okurapa, mishonga izvi nokuda remafuta akawandisa anoshandiswa chaizvo kashoma. It vakanyoresa zvinodhaka maviri vechigaro boka bile iine acid sequestrant, - "Colestipol" uye "Cholestyramine". Zvisinei, havasi chinozoiswa munharaunda Russia.

Kunakisa zvinodhaka izvi ndiko kuita yavo, havana woga kupinda muropa. Zvazvakaipira zvinosanganisira kusingafadzi kuravira, ya kubvuma, nenyonganiso absorbability kwemafuta uye mavhitaminzi. The medicament anogona kukonzera rakawedzera kubuda ropa.

The mushonga "Niacin"

Vhitamini PP kana nicotinic acid, aizivikanwa zhinji. Medicament "Niacin" - remafuta akawandisa mushonga - vanachiremba vanoti kutora mhinduro pa yakakwirira mishonga (zuva vhoriyamu anosvika 4 magiramu). Kuwa remafuta akawandisa kunoitika vaviri mazuva kushandisa nicotinic acid. Lipid-achideredza kushanda zvinodhaka "Niacin" haasi zvakazara kudzidza. Vaongorori vanoti vhitamini PP kunodzivisa kupukunyuka mafuta chakazara acids, kubatsira kuderedza remafuta akawandisa zvakaipa.

The mukana zvinodhaka riri nokukurumidza zvabuda, mukana mawa kushandisa satin. The mushonga anovandudza microcirculation, ane vasodilatory migumisiro. Kushaikwa mushonga kushandisa mishonga makuru nokuda lipid-achideredza zvazviri, kuvapo nemishonga akadai Hwakatsvuka chiso.

Kushandiswa naOmega-3 polyunsaturated mafuta acids

boka iri anomiririrwa zvoutachiona vanoshingaira yokuvirisa zvikuru zvakasiyana uye zvinodhaka. Yakanakisisa kuvazivisa ndivo mafuta hove uye "Omacor." Nheyo kushanda nhema mukuderedza kubereka mu chiropa triglycerides uye kuwedzera uwandu receptors zvinobatanidzwa mafuta asidhi oxidation. Zvinoguma nokuderera yakaderera arambe achirema lipoproteins. Zvakanakira zvinodhaka zvakakwirira kuchengeteka, concomitant Anti-arrhythmic chiito.

Low kunyatsoshanda, achishandisa chete somunhu adjunct kune kwakajairika kurapwa (fibrates uye statins) riri disadvantageous mishonga Data.