Tang lipid mau

Tags: tang huyet ap, Sieu am tim, co the, binh thuong, benh ly, dieu tri, da duoc, xet nghiem, mau, thuoc, dung, co, nang


Tang lipid mau
Toi nam nay 45 tuoi bi benh tang lipide mau va tang huyet ap. Toi da duoc chup mach vanh ket qua binh thuong, sieu am tim chua thay dau hieu benh ly, nhung nguc nang va met.

Toi da dung thuoc Atorvastatin 20mg/ ngay cung voi Tanatril 10mg/ngay, dung thuong xuyen da duoc 2 nam. Cu 3 thang toi thu men gan 1 lan, van trong gioi han binh thuong nhung dao gan day toi bi co rut co (chuot rut). Toi da ngung su dung thuoc chuyen hoa Lipide va van uong Tanatril. Toi co the ngung thuoc HA duoc khong va neu tiep tuc uong thi thuoc co gay tac hai gi khi su dung keo dai co the suot doi, con thuoc chuyen hoa Lipide mau thi khi nao duoc uong lai?(Le Thi Anh)

Mo trong mau cao: cho coi thuong!
>> Bi roi loan lipid mau, co the dung sua?

Tra loi cua phong mach online:

Benh roi loan chuyen hoa lipide (tang lipide mau) va benh tang huyet ap deu la yeu to nguy co chinh cua benh dong mach vanh. Co co ket qua chup mach vanh binh thuong va sieu am tim khong dau hieu benh ly nhung van thinh thoang bi nang nguc va met, cac trieu chung nay co the do:

- Roi loan chuc nang cac vi tuan hoan mach vanh: qua trinh xo vua dong mach do tang lipide mau, do tang huyet ap chua gay hep cac dong mach vanh lon nhung co the lam giam van chuyen mau toi cac mach mau rat nho, dan toi cac con dau nguc khi gang suc du chup mach vanh binh thuong (chup mach vanh chi giup quan sat duoc cac mach mau co kich thuoc trung binh va lon, con cac tieu dong mach, cac vi mach khong the danh gia).

- Benh tang huyet ap co the lam roi loan kha nang thu gian cua tim va can tro viec tim day mau ra ngoai, 2 dieu nay co the gay u mau o phoi lam met, nang nguc va kho tho.

Dieu tri tang lipide mau luon bao gom 2 phuong phap song song: dung thuoc va khong dung thuoc. Phuong phap khong dung thuoc chinh la che do an giam mo, tap the duc de giam can nang va vong bung (neu thua can).

Ve phuong phap dung thuoc, co nhieu loai thuoc giam lipide khac nhau, moi loai deu co nhung uu diem va han che rieng. Vi vay cac bac si se tuy theo loai tang lipide mau cua benh nhan (phai lam xet nghiem bilan lipide) de ke toa thuoc.

Atorvastatin la mot thuoc ha lipide mau moi thuoc nhom uc che HMG-CoA-reductase, co tac dung ha cholesterol va LDL rat tot, ha triglyceride trung binh, la mot trong nhung thuoc ha lipide rat duoc cac bac si ua dung hien nay. Tuy nhien cung nhu cac thuoc dieu tri tang lipide mau khac, thuoc co the gay tang men gan va, hoac gay ly giai co van. Co da kiem tra men gan deu dan va thay binh thuong, nhu vay co the yen tam la khong bi hoai tu gan do thuoc. Trieu chung cua ly giai co van la dau nhuc co va xet nghiem mau co men co tang cao (CPK, Myoglobin), co can thu xet nghiem nay de co chan doan chac chan truoc khi ngung thuoc.

Con trieu chung vop be co the do thieu calci, dac biet tren phu nu trung nien va gia. Neu thuc su la thuoc da gay tang men co thi tuy theo muc do nang nhe ma cac bac si se quyet dinh giam lieu hay ngung thuoc mot thoi gian. Sau mot thoi gian hien tuong ly giai co on dinh (vai 3 thang), neu xet nghiem bilan lipide mau van cao du da an uong kieng cu thi nen bat dau cho benh nhan dung thuoc lai voi lieu thap tang cao dan va theo doi.

Ve benh tang huyet ap, day la mot benh ly do nhieu nguyen nhan va yeu to thuc day phuc tap. Cho den nay, benh nay van chua duoc dieu tri tiet can (tru khi tang huyet ap co nguyen nhan), cho nen viec uong thuoc la “truong ky”. Trong thoi gian dung thuoc, so di huyet ap binh thuong la do luon co mot luong thuoc nhat dinh trong co the de kiem che huyet ap, neu ta nghi la benh da khoi va ngung thuoc thi huyet ap se tang len lai va co the nang hon truoc.

Cac thuoc chua tang huyet ap moi (trong do co Tanatril) deu rat it tac dung phu va co the duoc dung lau dai mot cach an toan. Tuy nhien co nen di kham benh dinh ky moi 1 – 3 thang de cac bac si theo doi thi hay hon la tu uong. Chuc co dieu tri benh tot.

BS VU NGOC HUY - Khoa Tim mach can thiep BV CHO RAY

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Tìm hiểu: tang huyet ap, Sieu am tim, co the, binh thuong, benh ly, dieu tri, da duoc, xet nghiem, mau, thuoc, dung, co, nang

Xem Bản Tiếng Việt Có Dấu: Tăng lipid máu

Ban co the doc ban tieng Viet co dau cua bai viet Tăng lipid máu bang cach nhan chuot vao duong dan tren.

Lien he ve tin Tang lipid mau

Nhan xet, hay lien he ve tin Tang lipid mau co the gui bang duong dan o duoi. Ban nen gui kem tieu de bai viet Tang lipid mau de lam tham khao. Bai viet nay thuoc chuyen de Tin suc khoe trong chuyen muc Suc khoe.

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Xem tiep ... Tin suc khoe
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