Statins a me ka kolesterol: nā hopena e nānā pono

Iune 4, 2010 - ʻO ka hoʻohana ʻana i nā statins - he ʻohana lāʻau e hoʻohaʻahaʻa i ke kiʻekiʻe o ka cholesterol koko - hiki ke hana i nā hopena ʻaoʻao e pili ana i ka maka, ate, puʻupaʻa a me nā ʻiʻo.

Hōʻike ʻia kēia e nā mea noiʻi Pelekania nāna i nānā i nā moʻolelo o nā mea maʻi ma mua o 2 miliona, 16% o lākou i mālama ʻia a i ʻole i mālama ʻia me nā statins.

Wahi a ka ʻikepili i hōʻiliʻili ʻia, no kēlā me kēia 10 mea hoʻohana, ʻo ka lawe ʻana i nā statins ma luna o 000 mau makahiki e pale i nā hihia 5 o ka maʻi puʻuwai, a me 271 ka nui o nā hihia o ka maʻi maʻi esophageal.

Eia nō naʻe, ʻo ia ke kumu o 307 mau hihia hou o ka cataracts, 74 mau hihia o ke akepaʻa, 39 mau hihia o ka myopathy a me 23 mau hihia hou aʻe o nā hihia haʻahaʻa a koʻikoʻi paha o ka hiki ʻole o ka renal, no kēlā me kēia 10 mea hoʻohana i ka lāʻau lapaʻau ma mua o 000 mau makahiki.

Ua ʻike pinepine ʻia kēia mau hopena ʻaoʻao i nā kāne e like me nā wahine, koe wale no ka myopathy - a i ʻole ka hoʻohaʻahaʻa ʻana i ka ʻiʻo - i hoʻopilikia ʻia ma kahi o ʻelua mau kāne ma mua o nā wahine.

A inā loaʻa kēia mau hopena ʻaoʻao i loko o nā makahiki 5 i hahai ʻia ai nā mea maʻi, ʻoi aku ia i ka wā o ka 1re makahiki o ka lapaau ana o lakou ka mea pinepine.

ʻO ka ʻohana statin ʻo ia ka māhele o nā lāʻau i kuhikuhi ʻia ma ka honua. Ma Kanada, 23,6 miliona mau lāʻau statin i hāʻawi ʻia i 20062.

Pili kēia mau ʻikepili i nā ʻano statins a pau i hoʻohana ʻia i ke aʻo ʻana, ʻo ia hoʻi simvastatin (i kuhikuhi ʻia no ka ʻoi aku o 70% o nā mea komo), atorvastatin (22%), pravastatin (3,6%), rosuvastatin (1,9%) a me fluvastatin (1,4). ,XNUMX%).

Eia nō naʻe, ʻoi aku ka nui o nā pilikia o ka ate i ka fluvastatin ma mua o nā ʻano statins ʻē aʻe.

Wahi a ka poʻe noiʻi, ʻo kēia haʻawina kekahi o nā mea liʻiliʻi e ana i ka nui o nā hopena maikaʻi ʻole o ka lawe ʻana i nā statins - ka hoʻohālikelike ʻana i ka hopena o kēia mau mea i ka hōʻemi ʻana i ka pilikia cardiovascular i kahi placebo.

Eia kekahi, ke manaʻoʻiʻo nei lākou ʻaʻole pono nā pilikia i ʻike ʻia e hūnā i ka emi ʻana o 24% o nā hihia maʻi cardiovascular i hāʻawi ʻia e ka lawe ʻana i nā lāʻau lapaʻau, i loko o ke ʻano o kēia noiʻi.

Hoʻolohe hou aku i nā maʻi

Ma muli o nā hopena ʻaoʻao i helu ʻia i loko o kēia noiʻi, ʻōlelo ka poʻe noiʻi e hahai pono nā kauka i kā lākou mau maʻi e ʻike koke i nā hopena ʻaoʻao e hiki mai ana, e hoʻoponopono a hoʻōki i kā lākou lāʻau lapaʻau, inā pono.

ʻO kēia hoʻi ka manaʻo o ka cardiologist Paul Poirier, ka luna hoʻomalu o ka papahana pale a me ka hoʻoponopono hou ʻana ma ka Institut de cardiologie et de pneumologie de Québec.

Dr Paul Poirier

"Hāʻawi kēia haʻawina iā mākou i nā helu maoli e pili ana i ka hiki ʻana o nā hopena ʻino, a he koʻikoʻi lākou," i ʻōlelo ai ʻo ia. Eia kekahi, i loko o ke keʻena keʻena, ke loaʻa ka mea maʻi i mālama ʻia me nā statins i ka muscular dystrophy a i ʻole nā ​​pilikia o ka ate, hoʻopau ʻia ka lāʻau lapaʻau. “

ʻO ka pilikia nui o ka loaʻa ʻana o ka maʻi cataracts kahaha iā Paul Poirier. "He mea hou kēia ʻike a ʻaʻole ia he mea koʻikoʻi no ka mea e pili ana i ka poʻe ʻelemakule i maʻi ʻē aʻe, kahi pilikia e hoʻohui i kahi pilikia hou," hoʻomau ʻo ia.

Wahi a ka cardiologist, he ʻōlelo aʻo nō hoʻi nā hopena no nā ʻāina e ʻimi nei i ka manaʻo o ka hana ʻana i nā statins i loaʻa me ka ʻole o ke kau ʻana.

"Ua maopopo ka hoʻohana ʻana i nā statins e pono ai ka nānā ʻana a koi i nā mea maʻi e hoʻomaopopo pono i nā hopena ʻaoʻao," hoʻohui ka cardiologist.

Akā ʻoi aku ma mua o kēlā, ʻo ke aʻo ʻana o UK he mea hoʻomanaʻo i nā kauka e mālama ana i kā lākou mau maʻi me nā statins.

"ʻO kahi statin kahi lāʻau lapaʻau e lawe i nā pilikia a pono mākou e hahai pono i nā mea maʻi. Ma luna o nā mea a pau, pono mākou e hoʻolohe a manaʻoʻiʻo i ka mea maʻi e hoʻopiʻi nei i nā hōʻailona, ​​​​ʻoiai inā ʻaʻole i helu ʻia kēia mau mea i loko o ka palapala ʻepekema: ʻaʻole ka maʻi he helu helu a i ʻole ka awelika a pono e mālama ʻia ma ke ʻano kūʻokoʻa ", hoʻopau i ka D.r Laau pea.

 

ʻO Martin LaSalle - PasseportSanté.net

 

1. Hippisley-Cox J, ¶ AL, Nā hopena i manaʻo ʻole ʻia o nā statins i nā kāne a me nā wahine ma ʻEnelani a me Wales: ka noiʻi cohort e pili ana i ka heluna kanaka me ka hoʻohana ʻana i ka ʻikepili QResearch, Pelekikena Pelekane Pelekane, paʻi ʻia ma ka pūnaewele 20 Mei 2010,; 340: c2197.

2. Rosenberg H, Allard D, Prudence oblige: ka hoʻohana ʻana i nā statins i nā wahine, Hana no ka pale ʻana i ke olakino o nā wahine, Iune 2007.

Waiho i ka Reply