Created at:1/13/2025
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Ko te waikawa Bempedoic he rongoā hou e whakaheke ana i te cholesterol e āwhina ana ki te whakaheke i ngā taumata cholesterol "kino" LDL i roto i tō toto. He mea hanga motuhake mō te hunga e hiahia ana i te āwhina atu ki te whakahaere i ō rātou cholesterol, ina koa kāore i te nui te statins anake, i te wā rānei e pā ana ngā pānga taha e kore e pai.
E mahi ana tēnei rongoā i te rerekē mai i te statins, e whai ana i tētahi enzyme motuhake i roto i tō ate e whakaputa ana i te cholesterol. Whakaarohia he taputapu anō i roto i te kete taputapu a tō tākuta hei āwhina i te tiaki i tō ngākau me ngā oko toto mai i ngā pānga wā-roa o te cholesterol tiketike.
Ko te waikawa Bempedoic te mea nui e whakamahia ana hei whakaheke i te LDL cholesterol i roto i ngā pakeke e mate ana i te mate ngākau atherosclerotic, i te hypercholesterolemia whānau heterozygous rānei. Koinei ngā kupu rongoā mō ngā āhuatanga e raru ana tō tinana ki te whakahaere i te cholesterol i te taiao, kua whanake rānei te hanga parataiao i roto i ō uaua.
Ka tohutohu pea tō tākuta i tēnei rongoā mēnā kei te tango kē koe i te statin engari kei te hiahia tonu koe i te whakahekenga cholesterol atu. He kōwhiringa anō tēnei mēnā kāore e taea e koe te whakawhāiti i te statins nā te mamae o te uaua, i ētahi atu pānga taha rānei e uaua ai te tango i aua rongoā.
Ko te tikanga e whakamahia ana te rongoā hei wāhanga o te huarahi whānui e uru ana ki te kai hauora mō te ngākau me te whakakori tinana i te wā katoa. Kāore i te tikanga hei whakakapi i ēnei huringa oranga engari hei mahi tahi me rātou mō te whakahaere cholesterol pai ake.
E mahi ana te waikawa Bempedoic mā te aukati i tētahi enzyme e kīia ana ko te ATP citrate lyase i roto i tō ate, e whai wāhi ana ki te whakaputa cholesterol. He ara rerekē tēnei i te whakamahinga o te statins, e waihanga ana i tētahi kōwhiringa whakakapi, kaua hei whakakapi.
He whai hua te rongoā nei ki te whakaheke i te cholesterol LDL, te tikanga ka whakaheke i ngā taumata mā te 15-25% ina whakamahia ana anake. Ina honoa ki te statin, ka nui ake te pānga whakaheke cholesterol, e āwhina ana i a koe ki te whakatutuki i ō taumata whāinga.
Ko tētahi āhuatanga motuhake o te waikawa bempedoic ko te mea e kiia ana e ngā tākuta he "prodrug." Ko te tikanga ka kaha anake i muri i te tukatuka a tō tinana, ina koa i te ate i te wā e hangaia ana te cholesterol. Mā tēnei whakahohenga whāinga pea e āwhina ki te whakaiti i ētahi o ngā pānga taha e pā ana ki ngā uaua ka puta mai i ētahi atu rongoā cholesterol.
Ko te tikanga ka tangohia te waikawa bempedoic kotahi i te rā hei papa 180mg, ā, ka taea e koe te tango me te kore rānei he kai. He māmā ake te mahara o te nuinga o te tangata ina tango ana i te wā kotahi i ia rā, pēnei i te parakuihi, te tina rānei.
Me horomia te papa katoa me te karaihe wai. Kaua e kuru, e ngaungau, e whati rānei i te papa, nā te mea ka pā tēnei ki te āhua o te rongoā e mimiti ana, e tukatukahia ana e tō tinana.
Mēnā kei te tango koe i ētahi atu rongoā, ina koa ngā whakaheke toto pēnei i te warfarin, tērā pea me mātakitaki tata atu tō tākuta i a koe. Ka taea e te waikawa Bempedoic te whakanui i ngā pānga o ētahi whakaheke toto, nā reira he mea nui te wā me te whakarite tahi me tō kaiwhakarato hauora.
Ko te tikanga he rongoā wā-roa te waikawa Bempedoic me tango tonu e koe kia mau tonu ai ōna painga whakaheke cholesterol. Me tango e te nuinga o te tangata mō ngā marama, ngā tau rānei, pērā i ētahi atu rongoā cholesterol.
Tērā pea ka tirohia e tō tākuta ō taumata cholesterol i muri i te 8-12 wiki o te maimoatanga kia kite i te pai o te mahi o te rongoā. I runga i ēnei hua, tērā pea ka whakatikahia e rātou tō inenga, ka tūtohu rānei i ētahi atu maimoatanga hei āwhina i a koe ki te whakatutuki i ō whāinga cholesterol.
He mea nui kia kaua e mutu te tango i te waikawa bempedoic ohorere me te kore e kōrero tuatahi ki tō tākuta. Ki te whakamutua e koe te rongoā, ka hoki pea ō taumata cholesterol ki ō rātou taumata teitei o mua, ka piki ake pea tō tūponotanga ki ngā raruraru ngakau i te roanga o te wā.
He pai te whakawhitiwhiti a te nuinga o te tangata i te waikawa bempedoic, engari pērā i ngā rongoā katoa, ka pānga taha pea ki ētahi tāngata. Ko te rongo pai he iti noa ngā pānga taha nui, ā, he maha ngā tāngata kāore he pānga taha.
Koinei ngā pānga taha tino noa ka pā ki a koe, me te mōhio he iti noa te ōrau o te hunga e tango ana i te rongoā:
He ngawari noa ēnei pānga taha, ā, he pai ake i te wā e urutau ana tō tinana ki te rongoā. Ki te pā ki a koe ētahi tohumate e mau tonu ana, e raruraru ana rānei, kaua e whakaroa ki te kōrero ki tō kaiwhakarato hauora.
He pānga taha iti noa iho engari he nui ake te kino e hiahia ana kia āwhina tonu te rongoā. Ahakoa he onge ēnei, he mea nui kia mōhio koe ki a rātou:
Ki te pā ki a koe ētahi o ēnei tohumate nui ake, whakapā atu ki tō tākuta i te wā tonu. Ka taea e rātou te āwhina ki te whakatau mēnā e pā ana ngā tohumate ki te rongoā, me te whakatika i tō mahere maimoatanga ki te tika.
Kāore te waikawa bempedoic e tika ana mō te katoa, ā, ka āta whakaaro tō tākuta ki tō hītori hauora i mua i te whakahau. He wāhi me ngā āhuatanga me karo tēnei rongoā, me whakamahi rānei me te tūpato anō.
Kāore koe e tango i te waikawa bempedoic mēnā he mate ate tōna, mēnā rānei ka whakaatu ngā whakamātautau mahi ate i ngā hē nui. I te mea ka tukatukahia te rongoā e te ate, ka pā te mahi ate kua pāngia ki te āhua e whakahaere ana tō tinana i te rongoā.
Mēnā kei te hapū koe, e whakamahere ana rānei koe kia hapū, e whāngai ū ana rānei, kāore te waikawa bempedoic e tūtohutia. Kāore anō kia whakatūria te haumaru o tēnei rongoā i te wā e hapū ana, e whāngai ū ana rānei, nō reira ka kī tō tākuta i ngā huarahi kē hei whakahaere i tō cholesterol i ēnei wā.
Ko ngā tāngata he hītori o ngā raruraru uaua, o ētahi āhuatanga ira e pā ana ki te mahi uaua, me whai mātakitaki motuhake, me ngā rongoā kē rānei. Ka kōrero tō tākuta i ēnei whakaaro ki a koe i runga i tō hītori hauora takitahi.
Kei te wātea te waikawa Bempedoic i raro i te ingoa mōhio Nexletol ina whakamahia ana anake. Koinei te puka rongoā e whakahaua ana i te nuinga o te wā, ā, ka kitea pea e koe i te whare rongoā.
He rongoā huinga anō e kīia ana ko Nexlizet, kei roto i te waikawa bempedoic me te ezetimibe (tētahi atu rongoā whakaheke cholesterol). Ka whakahau pea tō tākuta i tēnei huinga mēnā e hiahia ana koe ki ngā painga o ngā rongoā e rua kia eke ki ō whāinga cholesterol.
Kei roto i ngā ingoa mōhio e rua te whakauru kaha kotahi, engari ka whakawhiwhia e te puka huinga te kaha whakaheke cholesterol anō mā te aukati i te ngongo cholesterol i roto i ō whekau, me te whakaiti i te hanga cholesterol i roto i tō ate.
Ki te kore te waikawa bempedoic e tika ana mōu, he maha atu ētahi rongoā whakaheke cholesterol ka whakaarohia e tō tākuta. Ka whakawhirinaki te whiriwhiri ki tō āhuatanga motuhake, ētahi atu āhua hauora, me te pēhea tō urupare ki ngā rongoā o mua.
Ko ngā statins tonu te rongoā tuatahi mō te nuinga o te hunga he nui te cholesterol. Kei roto i ēnei rongoā ko te atorvastatin, simvastatin, me te rosuvastatin. He whai hua rātou, ā, kua nui te rangahau mō rātou, ahakoa ka pā te pānga taha e pā ana ki ngā uaua ki ētahi tāngata.
Ko te Ezetimibe tētahi atu kōwhiringa e mahi ana mā te aukati i te urunga o te cholesterol i roto i ō whekau. He maha ngā wā ka whakamahia tahi me ngā statins, hei rānei kōwhiringa mō te hunga e kore e taea te whakawhāiti i ngā statins. Ko ngā aukati PCSK9 he rongoā hou, kaha ake, ka hāpai mā te werohanga, e rāhui ana mō te hunga he tino nui te cholesterol, he āhua ira rānei.
Ka mahi tahi tō tākuta me koe ki te kimi i te huarahi pai rawa atu i runga i ō taumata cholesterol, ngā āhuatanga tūpono, me ō hiahia whaiaro. I ētahi wā ka pai ake te whakakotahitanga o ngā rongoā i tētahi rongoā anake.
He rerekē te mahi a te waikawa bempedoic me ngā statins, ā, he pai ō rātou ake, nō reira ehara i te mea ko tētahi te mea
He painga motuhake a te waikawa Bempedoic, ina koa mo nga tangata e pa ana ki te mamae o te uaua me nga statins. He iti ake pea te ahua o nga paanga taha e pa ana ki nga uaua, he whiringa pai tenei mo nga turoro e kore e aro ki nga statins. He pai hoki te mahi tahi me nga statins mo nga tangata e hiahia ana ki te whakaiti i te cholesterol.
Ka whakaarohia e to taakuta nga mea penei i o taumata cholesterol, te tupono ki te mate ngakau, nga wheako rongoa o mua, me etahi atu ahuatanga hauora i te wa e whakatau ana ko tehea rongoa, te huinga ranei o nga rongoa te mea pai mo koe.
Ko te waikawa Bempedoic te nuinga e kiia ana he haumaru mo te hunga mate huka, a he mea nui te whakahaere i te cholesterol mena he mate huka koe na te mea ka piki ake to tupono ki te mate ngakau. Heoi, ka ata tirotirohia koe e to taakuta na te mea ka pa te mate huka ki te ahua o to tinana ki te tukatuka i nga rongoa.
E kii ana etahi rangahau tera pea he painga iti te waikawa bempedoic ki nga taumata huka toto, ahakoa ehara tenei i tana kaupapa tuatahi. Ka haere tonu to taakuta ki te aro turuki i to whakahaere mate huka me to maimoatanga cholesterol kia pai ai te whakahaere i nga ahuatanga e rua.
Mena ka tango pohehe koe i te nui atu i to horopeta i tohua o te waikawa bempedoic, kaua e mataku. Ahakoa me karo koe ki te tango i etahi atu horopeta, he horopeta rua i etahi wa kaore pea e raru nui i te nuinga o nga tangata.
Whakapa atu ki to taakuta, ki te kaimuku rongoa ranei mo te arahi, ina koa kua nui ake te tango i a koe i te mea i tohua, ki te pa ana koe ki etahi tohu rereke. Ka taea e ratou te tohutohu ki a koe mehemea e tika ana etahi aroturuki motuhake, mahi ranei i runga i te nui o te rongoa taapiri i tangohia e koe.
Mēnā ka wareware koe ki te horopeta o te waikawa bempedoic, tangohia i te wā e mahara ana koe, ki te kore e tata ana te wā mō tō horopeta e whai ake nei. I taua wā, waiho te horopeta i warewarehia, ka haere tonu ki tō hōtaka horopeta.
Kaua e tango e rua ngā horopeta i te wā kotahi hei utu mō te horopeta i warewarehia, nā te mea ka piki ake pea tō tūponotanga ki ngā pānga taha. Mēnā he maha ngā wā e wareware ana koe ki ngā horopeta, whakaarohia te whakatakoto i tētahi whakamaharatanga ia rā, te tango rānei i tō rongoā i te wā kotahi i ia rā hei wāhanga o tō tikanga.
Me whakamutu anake koe i te tango i te waikawa bempedoic i raro i te tohutohu a tō tākuta. He rongoā wā roa tēnei, ā, ki te whakamutu ohorere koe, ka hoki pea ō taumata cholesterol ki ō rātou taumata teitei o mua.
Ka whakaaro pea tō tākuta ki te whakamutu, ki te huri rānei i tō rongoā mēnā ka pā ki a koe ngā pānga taha nui, mēnā ka huri ō whāinga cholesterol, mēnā rānei ka puta ētahi atu āhuatanga hauora e kore ai te rongoā e tika. Ka mahi rātou ki a koe kia mōhio kei a koe tētahi mahere kē atu e tika ana mō te whakahaere i tō cholesterol.
Ko te inu waipiro āhua te tikanga e whakaaetia ana i te wā e tango ana i te waikawa bempedoic, engari he mea nui kia kōrero tēnei ki tō tākuta. Ka pā te waipiro ki tō mahi ate me ō taumata cholesterol, nō reira ka hiahia tō tākuta ki te mōhio kei te uru pai te whakamahi waipiro ki tō mahere maimoatanga whānui.
Mēnā he raruraru ate tō, e tango ana rānei koe i ētahi atu rongoā e pā ana ki te waipiro, ka tūtohu pea tō tākuta kia whakawhāitihia, kia karo rānei te waipiro. Kia pono ki tō kaiwhakarato hauora mō tō inu waipiro kia taea e rātou te hoatu ki a koe te tohutohu e tika ana mō tō āhuatanga.