Cholesterol - togafitiga o vailaʻau

E manaʻomia e lou tino le toto e galue lelei ai. Ae o le sili atu kolisi i lou toto mafua ai teu i luga o puipui o totonu o ou toto toto. O lenei faaputuga e taʻua o le maa. E vaiti lau alatoto ma mafai ai ona faʻaititia pe taofi le tafe o le toto. Ole mea lea e mafai ona oso ai le fatu ile papala, papala, ma le faʻaititia o alatoto i se isi mea o lou tino.

O Statins e manatu o ni vailaʻau e sili ona lelei e faʻaaoga mo tagata e manaʻomia vailaʻau e tuʻu ai i lalo le latou kolisi.

Hyperlipidemia - togafitiga o vailaʻau; Faʻaʻaʻa o alatoto - statin

Statins faʻaititia lou ono maua i faʻamaʻi fatu, stroke, ma isi faʻafitauli fesoʻotaʻi. Latou te faia lenei mea i le tuʻuina i lalo o lou LDL (leaga) cholesterol.

Tele o taimi e te manaʻomia ai e inu lenei vailaʻau mo aso o totoe o lou olaga. I nisi tulaga, o le suia o lou olaga ma le leiloa o le sili atu mamafa ono ono faʻatagaina oe e taofi le inuina o lenei vailaʻau.

O le maualalo o le LDL ma le aofaʻi o le kolene e faʻaititia ai lou aʻafia i maʻi fatu. Ae le o tagata uma manaʻomia ave statins e tuʻu i lalo kolesterol.

O lau fomaʻi tausi soifua o le a filifili i lau togafitiga faʻavae i luga o:

• Lou aofaʻi, HDL (lelei), ma le LDL (leaga) tulaga o le cholesterol
• Lou tausaga
• Lou talaʻaga o le maʻisuka, toto maualuga, poʻo maʻi fatu
• Isi faʻafitauli tau soifua maloloina e ono mafua mai ile maualuga ole kolesterol
• Pe e te ulaula pe leai
• Lou lamatiaga o le fatu fatu
• Lou atunuʻu

Oe tatau ona ave statins pe a fai o oe o 75 pe laʻititi, ma o loʻo ia oe se talaʻaga o:

• O faʻafitauli o le fatu ona o le faʻaitiiti o alatoto i le fatu
• Ta poʻo le TIA (mini stroke)
• Aano ole aneurysm (o le puta i le alatoto autu i lou tino)
• Faʻaitiitiina o alatoto i ou vae

A faʻapea e te matua nai lo le 75, e ono faʻatonuina e lau kamupani tuʻutuʻuga se paʻu maualalo ole statin. E ono fesoasoani lea e faʻaititia ai ni aʻafiaga e ono tutupu.

Oe tatau ona ave statins pe a fai o lou LDL kolisi e 190 mg / dL pe maualuga atu. Oe tatau foi ona ave statins pe a fai o lau LDL kolisi i le va o le 70 ma le 189 mg / dL ma:

• E maua oe ile maʻi suka ma e i le va o tausaga 40 ma le 75
• E maua oe ile maʻisuka ma maualuga le aʻafiaga o faʻamaʻi fatu
• E maualuga lou aʻafia i maʻi fatu

Oe ma lau 'auʻaunaga ono manaʻo e mafaufau statins pe a fai o lau LDL cholesterol e 70 i le 189 mg / dL ma:

• E maua oe i le maʻisuka ma se tulaga faigata mo faʻamaʻi fatu
• E i ai lau tulaga lamatia mo fatu fatu

A faʻapea e maualuga le aʻafia o oe ile maʻi fatu ma e tumau maualuga lou LDL cholesterol e oʻo lava ile togafitiga ole statin, e ono mafaufau foʻi lau tautua i nei vailaʻau faʻaopopo i statins:

• Ezetimibe
• O mea taofiofi ole PCSK9, pei ole alirocumab ma le evolocumab (Repatha)

Fomaʻi na masani ona seti se tulaga faʻatulagaina mo lau LDL cholesterol. Ae o lenei o le taulaʻi o le faʻaititia o lou tulaga lamatia mo faʻafitauli mafua mai i le vavalalata o ou alatoto. E mafai ona vaʻavaʻaia e lau tausimaʻi le maualuga o lou toto. Ae e seasea manaʻomia suʻesuʻega masani.

O oe ma lau 'auʻaunaga e filifili poʻo le a le fualaʻau o le statin e tatau ona e inuina. Afai e i ai ni tulaga faʻaletonu, oe ono manaʻomia le sili atu tui. pe faʻaopopo isi ituaiga fualaʻau. Faʻamatalaga o le a iloiloina e lau 'auʻaunaga pe a filifilia sau togafitiga aofia ai:

• Lou aofaʻi, HDL, ma LDL kolisi tulaga aʻo leʻi faia togafitiga
• Pe o iai sau maʻi o le alatoto (talaʻaga o angina poʻo le faʻafitauli o le fatu), o se talaʻaga o le papala, poʻo le vaiti o alatoto i ou vae
• Pe e te maʻi suka
• Pe oe ulaula pe maua i le toto maualuga

Ole maualuga ole tui e ono iʻu ai ile aʻafiaga o taimi ile taimi. Ma o lau kamupanī o le a mafaufau foi i lou matua ma tulaga lamatia mea mo aʻafiaga.

• Cholesterol
• Laupapa faʻaputuga fale i alatoto

American Diabetes Association. Faʻamaʻi ole fatu ole fatu ma faʻatautaia le tulaga lamatia: faʻataʻitaʻiga ole tausiga faʻafomaʻi ile maʻisuka-2020 Maʻi suka. 2018; 43 (Faʻaopopo 1): S111-S134. PMID: 31862753 pubmed.ncbi.nlm.nih.gov/31862753/.

Fox CS, Golden SH, Anderson C, et al. Faʻamatalaga lata mai i le puipuia o faʻamaʻi fatu i tagata matutua ma le ituaiga 2 suka mellitus e tusa ai ma molimau lata mai nei: o se faʻasaienisi faʻamatalaga mai le American Heart Association ma le American Diabetes Association. Faasalalauina. 2015; 132 (8): 691-718. PMID: 26246173 pubmed.ncbi.nlm.nih.gov/26246173/.

Genest J, Libby P. Lipoprotein faʻafitauli ma faʻamaʻi fatu. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: O Se Tusitusiga o Faʻafomaʻi Cardiovascular. 11th lomiga. Filatelefia, PA: Elsevier; 2019: chap 48.

Grundy SM, Stone NJ, Bailey AL, et al. 2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA Faʻasinoala i luga o le faʻatautaia o le toto suka: o se lipoti a le American College of Cardiology / American Heart Association Task Force on Clinical Practice Guide. . J Am Coll Cardiol. 2019; 73 (24): e285-e350. PMID: 30423393 pubmed.ncbi.nlm.nih.gov/30423393/.

U.S. Puipuiga Tautua Auaunaga Malosiaga. Faʻamatalaga mulimuli faʻamanuiaga: statin faʻaaogaina mo le muamua puipuia o faʻamaʻi fatu fatu i tagata matutua: vailaʻau puipuia. www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/statin-use-in-adults-preventive-medication1. Faʻafouina ia Novema. Avanoa ia Mati 3, 2020.

Ua fautuaina e le US Preventive Services Task Force le aotelega. Faʻaaogaina Statin mo le muamua puipuiga o faʻamaʻi fatu fatu i tagata matutua: vailaʻau puipuia. www.uspreventiveservicestaskforce.org/uspstf/recommendation/statin-use-in-adults-preventive-medication. Faʻafouina ia Novema. Avanoa ia Fepuari 24, 2020.

• Angina
• Angioplasty ma stent tulaga - carotid alatoto
• Angioplasty ma stent tuu - peripheral alatoto
• Faʻamaʻi o le alatoto o Carotid
• Taotoga o le alatoto Carotid - matala
• Maʻi fatu fatu
• Maʻi fatu
• Heart bypass taotoga
• Heart bypass taotoga - minimally invasive
• Maʻi fatu ma meaʻai
• Ole toto maualuga ole toto maualuga
• Peripheral artery bypass - vae

• Faʻaleleia o le manava o le manava o le manava - matala - lafoa
• Angina - faʻateʻaina
• Angina - o le a lau fesili i lau fomaʻi
• Angioplasty ma stent tulaga - carotid alatoto - faʻateʻaina
• Angioplasty ma stent faʻatulagaina - peripheral alatoto - faʻateʻaina
• Faʻaleleia o le aneurysm aortic - endovascular - faʻateʻaina
• Atrial fibrillation - faʻateʻaina
• Pata, margarine, ma suauʻu kuka
• Taotoga o le alatoto Carotid - faʻateʻaina
• Cholesterol - o le a le mea e te fesili ai i lau fomaʻi
• Faʻatonutonuina lou toto maualuga
• O gaʻo meaʻai na faʻamatalaina
• Motugaafa meaai vave
• Maʻi fatu - faʻateʻa
• Fatu fatu - o le a le mea e te fesili ai i lau fomaʻi
• Maʻi fatu - afaina tulaga
• Le lava fatu - o le a le mea e fesili ai i lau fomaʻi
• Toto maualuga - o le a le mea e fesili ai i lau fomaʻi
• Meaʻai i Metitirani
• Peripheral artery bypass - vae - lafoa
• Ta - faʻateʻa

• Cholesterol
• Vailaau Cholesterol
• Maualuga Cholesterol i Tamaiti ma Talavou
• LDL: Le "Leaga" Cholesterol
• Statins