膽固醇到什麼指標，才需要吃藥？注意！他汀類藥物有這種副作用。

Recently a friend asked me He is not fat either No other cardiovascular disease But a physical examination revealed high cholesterol The doctor suggested that he take blood-lipid-lowering medicine I think if your cholesterol is high Increases risk of heart disease Then this friend went online to check it out. See what kind of medicine this medicine is What impact will it have on his health? What are the side effects? Today we will take this as a case Let’s analyze it with you When your cholesterol is high The doctor advises you to take medicine So how should you make a choice? Health is our greatest wealth Let's take care of it together I am Dr. Yang In the United States, you actually take cholesterol-lowering drugs is very common Usually statins In total, 47 million Americans take these drugs The reason is that it can reduce the risk of heart attack and stroke Of course it sounds good So if we analyze How it works and its side effects You might have different ideas We will continue to discuss it later Let’s first take a look at this statin drug How does it work? In fact, its principle is very simple It just inhibits your liver from producing cholesterol. Cholesterol is a very important chemical in our body or nutrients It removes fat from our body Transported to various parts of the body where needed Carry back fat that is not needed by the body Put it in the liver for storage It is also the basis for many important nutrients For example, various hormones in the body Hearing this will bring contradictions to our psychology On the one hand, cholesterol is high Said to increase risk of heart disease and stroke On the other hand, cholesterol is so important Then we take cholesterol-lowering pills Will there be any problems then? If you simply have high cholesterol Should you take this medicine? My suggestion is no Under what circumstances You have high cholesterol Do I need to take blood-lipid-lowering medicine? At least according to the results of current research You have heart disease caused by atherosclerosis in other words If you already have heart disease caused by atherosclerosis Do you take blood-lipid-lowering medicine? May reduce your risk of stroke and heart attack Why there is atherosclerosis You need to take cholesterol-lowering drugs? It’s because of cholesterol, fat, blood cells and other substances in the blood When it forms this plaque in the arteries Cholesterol is a waxy, fat-like substance It can accumulate in the middle layer of blood vessel walls cause inflammatory reaction over time Inflammatory debris can grow eventually fell into the blood Cause myocardial infarction and cerebral thrombosis in this case You take cholesterol-lowering medicine You may reduce the rate at which plaque grows It is also possible to resolve problems caused by plaque cellular inflammatory response in other words It doesn’t mean that your blood lipids are higher I need to take blood-lipid-lowering medicine. Rather, it means that you are sure you already have In case of heart disease caused by atherosclerosis You need to take this medicine Or do you think within 10 years you will develop this disease So some people take it as a preventive medicine There are two types of cholesterol in the blood One is that cholesterol in the blood is produced by the liver It digests fatty foods and produces hormones The other is cholesterol from the diet Mainly in animal foods Like dairy products, eggs, meat, poultry, etc. So if we reduce the cholesterol in our diet also helps us Lower blood cholesterol But some of us because of genetic factors He produces more cholesterol So some people have problems with their digestive system He will absorb more cholesterol Healthy Diet Anti-Inflammation Exercise These are important factors in lowering cholesterol So before you take cholesterol pills You have to do these first So how do you know you have high cholesterol? Just check Then you have 8 to 12 hours don't eat anything Then check the concentration in your blood Then two kinds of cholesterol will be checked high-density lipoprotein It moves extra cholesterol from the blood to the liver The liver then breaks it down and excretes it from the body women's health Should be at 50 mg per deciliter Men should be at 40 milligrams per deciliter or higher The other thing he measured was called low-density lipoprotein cholesterol. LDL cholesterol They think it's bad cholesterol In fact, this is not accurate. Because our bodies need both of them His task is to remove fat Transported to where the body needs it So if the cholesterol is high increases the buildup of plaque in artery walls So healthy results It should be less than 100 milligrams per deciliter So take the good and bad things in the blood Plus another triglyceride Triglycerides are present in cells So triglycerides Having high cholesterol and heart disease problems among people with obesity and diabetes Often higher Normally it should be less than 150 So after doing this kind of inspection You know good cholesterol and bad cholesterol and the amount of triglycerides to decide how you can adjust your diet How to reduce it through nutrition The most important thing is that you also need to decide whether you need to take medicine Then you are sure that you do have high cholesterol problem Even if you improve your diet and exercise, you still can’t reduce it. Then should you consider taking statins? Statins do three things First, it can reduce In the blood and can be deposited in the arteries Amount of bad cholesterol Second, each of us has some plaques on our body. This drug can have a covering effect Make it less likely to fall off Thirdly it also prevents cholesterol Deposited in the inner membrane of cells It also has some anti-inflammatory and antioxidant effects Therefore, for those who already have atherosclerosis cardiovascular and cerebrovascular patients Statins may play an important role in the prevention and treatment of So what is its effect? Can it achieve the purpose we hope to achieve? According to research, statins can reduce cholesterol Looks like a 30%-50% reduction At the same time, as we just said Already have atherosclerosis among cardiovascular patients will reduce their mortality and heart disease and risk of stroke You must pay attention here That's the subject of his research Is a patient who already has atherosclerotic heart disease This medicine is effective if you are not sure you already have atherosclerosis Caused by heart disease Just increased cholesterol It is recommended that you try to use non-drug methods to lower your cholesterol Drug as a heterogeneous chemical it is through interference Even blocking the body’s normal physiological and biochemical reactions to work For example, statins It is an enzyme that inhibits the liver's production of cholesterol. to work So this enzyme is in the liver Of course it's useful Because the body needs cholesterol The liver has such a mechanism to produce cholesterol There is such an enzyme to promote its occurrence Then you suppressed it You are actually destroying the body A normal physiological and biochemical reaction Usually this effect is more obvious So that's why body needs cholesterol you suppressed it That will cause unwanted side effects So some people experience muscle pain and weakness 10%-15% of people will have this symptom Some people will increase their blood sugar So if you are already in prediabetes When are you taking anti-cholesterol drugs? Then you may want to consider this factor Because diabetes itself Also increases the risk of cardiovascular disease And once you take medicine Then you have to keep eating Because if you just rely on drugs to control your symptoms then you can't stop using it But if you use medication as a temporary relief while in your lifestyle Improvements in diet, exercise, and stress reduction Then you may use the drug for a period of time You can slowly reduce Even stop using the drug Otherwise, you should stop taking the medicine. Everything will bounce back to you Because you know the causes of high cholesterol You didn't pay attention to it So drugs, to a large extent it acts as a mask for symptoms Mitigating the consequences of disease But it doesn't solve The cause of this disease Then statins In addition to the muscle pain we just talked about cause liver damage Increased risk of type 2 diabetes It can also cause side effects on our nervous system The brain needs fat Anything that affects fat production and transport can cause neurological problems So statins It can also cause confusion in people’s consciousness Memory loss and other brain dysfunction problems So for women Have a lower risk of heart disease But after menopause, they Cholesterol problems will arise The risk of atherosclerosis is also increased estrogen in youth Protective effect on the heart But after menopause Heart disease risk in women It will also increase to the same level as men So for women We should also pay attention to this issue There is a Preventive Services Task Force in the U.S. There is a very interesting suggestion He said anyone aged 40-75 If within the next 10 years The risk of developing atherosclerosis is 10% or higher Consider using statins So how does he judge the risk of these people? He is here to calculate your gender Ethnicity Blood pressure Smoking history diabetes and age If we take a look here We don’t have a choice about race and gender. But control blood pressure, don’t smoke, control blood sugar This is what we can control So instead of relying on drugs Might as well put some effort into these aspects Of course, if you have a strong family history Then you need to think about it In addition, some people have already had heart disease or stroke Already have peripheral arterial disease and your bad cholesterol level is higher than 190 Although 100 is considered high But you need to be above 190 Consider using this drug again If you are between 40 and 75 years old have diabetes And your bad cholesterol level is above 70 you need to consider In addition, those who are at high risk of heart disease and stroke Your bad cholesterol is above 70 It is also necessary to consider using Then there are still people doing CT scans now Let’s look at the calcium score in this blood vessel. If the amount of calcium in plaque is high You may also be advised to use this type of medication having said so much In fact, everyone is still very hesitant about taking medicine. The problem lies in lifestyle changes Can it lower everyone’s cholesterol? it's actually really easy Just make comprehensive improvements to your lifestyle Switch to more low-sugar fruits and vegetables in your diet Whole grain foods Legumes, Nuts, Fish and Poultry Center Some Healthy Diets or eat a mediterranean diet Or a plant-based diet At the same time, increase physical activity, quit smoking, and quit drinking. Manage your weight and diabetes well Then you may no longer need to take statins Or a small amount is needed Even if you take normal amounts of statins If you can do this improvements in lifestyle The time you need him will also be shortened If we summarize today’s content Just take statin drugs or not depends on several very important factors first factor That is, do you already have atherosclerosis? cardiovascular and cerebrovascular diseases Second, have you ever had a myocardial infarction? or symptoms of cerebral infarction Third, do you have a strong family history? and other risk factors On this basis Your bad cholesterol levels If it exceeds the normal indicator Do you need to consider taking statins? Long-term use of these drugs can cause side effects So don’t rely on drugs In terms of your own lifestyle make great improvements This includes dietary adjustments Increased exercise Relief of mental stress and get enough sleep If you have any experience and opinions in this regard Please share with us in the message area What's the problem? Also brought up here A glimpse into the world to protect your health See you next time on the show

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Id: O9qhU0Mf4vg

Length: 14min 37sec (877 seconds)

Published: Thu Apr 04 2024