Kowane mutum ya sani cewa samun ciwon ƙwayar cholesterol mai girma shine babban hadarin haɗari ga cututtuka na jijiyoyin jini (CAD) . Idan kana da babban haɗari don inganta CAD, ko ma idan kana da CAD, za ka tabbata cewa likitanka zai bukaci ka rage ƙananan cholesterol, kuma zai iya yin amfani da kwayar likita don taimaka maka yin haka.
Saboda haka yana iya zama abin mamaki cewa mutane sama da shekarun 65 - yawan shekarun da ke da babbar tasiri na CAD - abin da za a yi game da matakan cholesterol da aka hawan ya kasance mai rikitarwa.
Me yasa hujja?
Tambayar ta wanzu saboda an kori tsofaffi daga yawancin gwaje-gwaje na gwaji da ke nuna amfanin maganin cholesterol. Abin takaici ne cewa gwaje-gwaje na miyagun ƙwayoyi iri daban-daban sun hana kauda marasa lafiya da yawa.
Wannan ba saboda kamfanonin miyagun ƙwayoyi suna la'akari da tsofaffi mutane ba su cancanci kulawarsu ba, amma ga dalilai masu amfani da tattalin arziki. Tsofaffi suna da raƙataccen rai, saboda haka wasu daga cikinsu zasu mutu a yayin gwajin gwaji mai tsawo don dalilan da ba su da alaka da gwajin da aka gwada. Har ila yau, mazan tsofaffi suna da ƙwayar kiwon lafiya fiye da ɗaya, saboda haka suna da alamun bayyanar cututtuka - wasu daga cikinsu zasu iya zama daidai ba daidai ba ga likitan gwajin. Irin wannan mutuwar da "cututtuka" da bayyanar cututtuka na iya ƙaddamar da bincike na gwajin ƙwararrakin jini kuma zai iya barazana ga amincewa da FDA na sabuwar magani.
Saboda haka ya kasance mafi aminci (kuma mai rahusa) don barin mutane da yawa daga gwajin gwaji masu yawa.
Wannan aikin cirewa yana nufin cewa mun san ƙananan ƙananan game da ƙayyadaddun amfani da hadarin da ke biyan matakan cholesterol da aka taso a cikin tsofaffi. Kuma wannan, bi da bi, yana nufin cewa idan tsofaffin masu fama da halayen ƙwayar cholesterol, likitoci ba su da tabbas idan sun bayar da magani.
Cholesterol da cututtukan zuciya a cikin tsofaffi
A cikin maza da mata a cikin shekaru 65, cututtukan zuciya na zuciya fiye da rabin mutuwar. Idan aka kwatanta, ciwon daji yana samar da "kawai" 24% na mutuwar maza a cikin wannan rukuni da 20% a cikin mata. Sabili da haka magani wanda zai iya rage yawan cutar cututtukan zuciya a cikin tsofaffi ya kamata ya zama abu mai ban sha'awa.
Bugu da ƙari, haɓakar cholesterol mai haɓaka yana haɗuwa da ƙari ƙwayar cutar zuciya a cikin tsofaffi kamar yadda yake a cikin ƙananan mutane. A gaskiya, aƙalla wasu shaidu sun nuna cewa cholesterol na iya kasancewa mafi mahimmanci mahimmanci game da hadarin a cikin tsofaffi.
Shin yana da amfani ga matakin ƙananan cholesterol a cikin tsofaffi?
Duk da rashin shaida daga jarrabawar gwaji a cikin tsofaffi, ƙaddamar da shaida ba ta nuna cewa magance ƙwayar cholesterol a cikin tsofaffi shine wani abu da ya kamata a yi la'akari sosai.
Ana samun cikakkun bayanai daga dama daga gwaji na asibitoci da aka bazu a kan maganin cholesterol don ba da damar yin nazarin subgroup a cikin tsofaffi. Nazarin binciken bayanai daga wasu gwaje-gwajen sun tabbatar da cewa za a inganta ingantattun cututtukan zuciya ta hanyar zalunta ƙwayoyin cholesterol da magungunan kwayoyi a cikin tsofaffi a kalla kamar yadda a cikin matasa.
Bugu da ƙari kuma, rage yawan cututtukan zuciya da na tsofaffi da yawa a cikin lokuta kadan na fara farfadowa, don haka duk da cewa wadannan marasa lafiya sun tsufa, ba su da "tsufa" don samun kwarewar cholesterol da ragewa tare da statins.
Saboda haka, yayinda amfanin amfanar cholesterol ya kasa tabbatar da tabbas a cikin tsofaffi fiye da matasa, shaidar da ta fi dacewa ta tabbatar da cewa akwai gagarumin amfani wajen magance cholesterol a cikin tsofaffi.
Hanyoyin Shafi na Dokoki a cikin Tsofaffi
Bayanan da aka samo a gaba ya nuna cewa hadarin lalacewar kwayoyin ba shi da mafi girma a cikin marasa lafiya fiye da yadda yake a cikin marasa lafiya.
Duk da haka, likitoci da magunguna suna bukatar la'akari da cewa wasu daga cikin illa mai tasiri na statins (irin su matsalolin tsoka da rashin lafiya ) zasu iya zama mafi mahimmanci a cikin tsofaffin marasa lafiya.
Layin Ƙasa
Idan kun kasance tsofaffi wanda ke dauke da hatsarin zuciya mai tsanani - ko ma idan kuna da CAD - to, duk da rashin tabbacin "tabbatarwa" cewa maganin cholesterol yana amfani, akwai shaida mai yawa don yin kyakkyawar ra'ayin da akalla sami tattaunawa game da maganin cholesterol tare da likitanku.
Ga tsofaffi waɗanda ke da matsaloli masu yawa na kiwon lafiya, ƙananan haɗari na ƙara da sauran magani ga tsarin likitanci na rigakafin ƙila zai iya haɓaka amfanin da ya dace. Amma ga mutanen kirki masu tsufa da yawan matakan cholesterol, za a yi la'akari sosai game da farfado da zazzaɓin cholesterol-lowering.
Sources:
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Allen Maycock CA, Muhlestein JB, Horne BD, et al. Anyi amfani da maganin kutsawa tare da rage yawan mace-mace a duk fadin kungiyoyin mutane da dama tare da ciwo mai cututtuka, ciki har da marasa lafiya. J Am Coll Cardiol 2002; 40: 1777.
Wenger NK, Lewis SJ, Herrington DM, et al. Ayyukan yin amfani da ƙananan ƙwayar cuta a cikin marasa lafiya 65 da haihuwa ko kuma tare da ciwon zuciya na zuciya. Ann Intern Med 2007; 147: 1.
Sacks FM, Tonkin AM, Shepherd J, et al. Hanyoyin pravastatin a kan cututtukan cututtuka na jijiyoyin jini a cikin rukunin subgroups da aka bayyana ta hanyar haɗari na haɗin jini; Yanayin 2000; 102: 1893.
Savarese G, Gotto AM Jr, Paolillo S, et al. Amfanin statins a cikin tsofaffi marasa lafiya ba tare da kafa cutar kwakwalwa ba. J Am Coll Cardiol 2013; 62: 2090.