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Normal
cholesterol is essential and beneficial, because it is a major
constituent of membranes, nerve fibers, hormones (such as male sex
hormone, female), vitamins (such as vitamin D), helps the liver produce
bile acids, beneficial for digestion.
It is divided into two kinds of cholesterol:
- Type of benefit:
A type of complexes between lipoprotein cholesterol with high molecular
weight, functional carry cholesterol in the blood vessels outside the
area.
- Harmful type:
A type of complexes between lipoprotein cholesterol with low molecular
weight, which functions as the fat stick to artery walls causing
atherosclerosis.
Normal cholesterol less than 200 mg% full. When greater than 240mg% is high. But
only when the type of harmful cholesterol is too high (greater than
180mg%) and cholesterol is beneficial too low (less than 35 mg%) then
there are the cholesterol balance disorders. Physician based on balance disorders and medical history of the patient decided not used drugs. Do not be so thorough understanding not too worried, voluntary drug use.
Drug Therapy
Cholesterol-lowering drugs are usually four main groups, but the most common are fibrat and statin groups.
-
Group fibrat: brand-common is lypanthyl (member 100mg, 300mg), reduce
harmful cholesterol, increase good cholesterol, restore normal balance
of these two categories. Thanks
so much to reduce the amount of cholesterol in the blood (if used
long-term) and thereby reduce the risk of atherosclerosis.
However,
this type of medication often hurt body (more common for people with
diffuse myalgias), adversely affecting the kidneys and liver (increased
index transaminnaza). Therefore
not be used for liver and kidney failure, with normal use should also
periodically check liver function (measured indicators transaminaza).
- Statin group: Special commonly used pharmaceutical lescol (20mg member). Compared
with that, then this group reduces bad cholesterol and increase good
cholesterol levels more powerful, better thus preventing the risk of
atherosclerosis and other heart diseases.
Another advantage is absorbed rapidly and completely (about 98%). Drugs have toxic effects on the group as there is also a similar recommendation. Also no adequate information for children under 18 should not be used for this object.
- Group niacin: common brand-niacin (Tablets 5, 50, 100, 150 and 500 mg, 1 mL syringe containing 0.17% niacin). The drug dilates small arteries, capillaries, reducing blood cholesterol. Often used in combination with statins.
It
should be used with caution for pregnant women, nursing mothers, not
suitable for children, extreme caution when used for gallstones, people
with coronary artery disease. Careful monitoring of patients with a history of jaundice, liver disease, or if you have peptic ulcer medication. Ban with liver dysfunction, gastrointestinal ulcers, bleeding artery.
- Group resin: a brand commonly used as cholestyramine or cholestipal. It
lowers lipoprotein type low molecular weight (ie indirectly reduce
harmful cholesterol) and thereby reduce the amount of cholesterol down
by 25-30%, reduce the accumulation of lipids in addition to the circuit.
However,
the nature of the ion exchange resin drug is not absorbed from the
gastrointestinal tract, after 3-6 weeks without medication, the amount
of low molecular weight and lipoprotein cholesterol increased. It can cause constipation and diarrhea, vomiting, but will go away when you stop taking.
Currently, we also use a new drug called lipotropic, is actually a mixture of substances open, transporting fat. This
mixture increases the production of lecithin thus dissolving
cholesterol, cholesterol angiogenesis, preventing the risk of
atherosclerosis ...
The aforementioned drugs often expensive, difficult to use. Physicians
only when there is imbalance cholesterol disorders and the real history
of the disease without heart disease, diabetes.
Healing dining room
In the remaining cases, doctors often recommend treatment with a drug that does not perform proper diet, namely:
-
The amount of energy provided by fat daily only account for less than
30% (about 700Kcalo) compared to total daily energy needs (about 2,200
kilocalorie). Structure fat must change. Reduce saturated fats (fatty meats, butter, cheese, margarines ...). Eat less saturated fat (soybean oil, sunflower oil, sesame oil ...) because they reduce cholesterol and lower bad cholesterol.
- Do not eat a lot of foods with high cholesterol. Demand is 300 mg cholesterol daily. An average egg yolk cholesterol 215mg. Daily food not only eggs but also other types of cholesterol (such as meat, milk, liver, butter, animal hearts ...). Every week should eat three eggs are medium. In 100g prawns with 195mg cholesterol, but few to eat 100g of prawns a day so it does not mention the shrimp diet. Red
meat (beef, buffalo, pigs ...) cholesterol and fatty acid pompous and
the 2 physical presence is not conducive to heart disease.
-
Eat more fruits and vegetables (because they lower cholesterol) as the
type of apple, grapefruit, oranges, tangerines, cabbage, radishes,
cabbage, broccoli, carrots, tomatoes, eggplant, papaya, garlic, It acts,
onion, ginger chili. Every day should eat 200 grams 100 grams of green vegetables and fruits small, 200 grams of ripe fruit.
- Eat more fish to eat meat, choose oily fish, omega-3 fats found in fatty fish oil reduces blood lipids, blood cholesterol.
Thus, people with high cholesterol should not abstain too; if you know how to eat healthy can still fat. In
addition to the above regimen, patients need regular exercise patience
(like cleaning, climbing stairs, exercise, bonsai care ...) to reduce
fat.
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