Drug treatment. For the pharmacological treatment of hypercholesterolaemia and hyperlipidaemia in general use 3 types of drugs:
* Bile acid resins. These drugs lower cholesterol by the liver is used to synthesize bile acids that are substances that form in the liver and used in the digestion of food.
* Fibrates. These fall mainly triglycerides
and that in turn prevents the formation of proteins that are carried.
* Statins. These are the most modern drugs, with greater power to lower cholesterol and fewer side effects. Cause increased degradation of cholesterol and decrease their training to act as inhibitors of enzymes involved in the formation and degradation of cholesterol, mainly of bad cholesterol. On these substances is on the research being conducted that are emerging with new statins that control cholesterol lower doses and therefore with fewer side effects.
could hypercholesterolemia be cleared?
NO. What is done is to keep blood cholesterol levels within the range considered normal with proper treatment, making its effect diminishes as a risk factor for cardiovascular disease.
How to prevent hypercholesterolemia?
If due to a genetic disease then there is no prevention possible, yes there if polygenic hypercholesterolemia as we try to control environmental factors and particularly dietary influence it.
The best way to prevent it is making a balanced diet rich in low-cholesterol foods such as vegetables, fruits, cereals, etc.. and low in foods that are high in saturated fat and cholesterol. This is must add the realization of moderate exercise, as indicated in paragraph treatment to help maintain a healthy weight. These two actions also help to prevent or control other risk factors for cardiovascular disease, with some frequency, are associated with hypercholesterolemia, such as hypertension, diabetes or obesity.
What are the diseases which associated with hypercholesterolemia?
The increase in blood cholesterol levels has a direct relationship with mortality from coronary heart disease (angina and myocardial infarction) and cerebrovascular disease.
It is associated with other diseases are also major risk factors for themselves and are mainly hypertension, diabetes, sedentary lifestyle, obesity, smoking, which is to be monitored and treated appropriately.
What should be done if you have hypercholesterolemia?
It is important that people with hypercholesterolemia continue regular medical controls, whose frequency depends not only cholesterol but also the cardiovascular risk of the person who is defined by the presence or absence of other risk factors already discussed, or the existence of heart disease. Once the diagnosis has been made on whether the person has heart disease, start with the hygienic-dietetic treatment.
If the risk is high (more than two risk factors or concomitant presence of diabetes) should make checks every month for the first three months, including Analytical determination of lipids and glucose and blood pressure taken. Later checks shall be performed within three months, and once achieved the therapeutic target, ie cholesterol levels are within normal limits, analytical tests are conducted every six months. If the hygienic-dietetic treatment not achieved therapeutic goals should start with conservative treatment and continue with the controls already mentioned, with the exception of whether statin treatment is introduced which would have to perform analytical checks a month of starting it.
If the risk is moderate or low (less than two risk factors) will carry out checks every six months initially and then annually.
What shouldn’t have done if you have hypercholesterolemia?
At no time should abandon the treatment, particularly the drug without medical prescription has been since we are dealing with a disease whose control is of great importance for reducing the risk of heart disease.
There are other risk factors is important to notice, although the modification is not possible, whether they will influence when addressing the treatment of hypercholesterolemia are: gender (men have higher cardiovascular risk than women premenopausal, after menopause the risk is equal because it removes the protective role exerted by female sex hormones), age (risk increases with age, is higher in men from age 45, and the women from age 55), family history of CHD (coronary heart disease or sudden death before age 55 in father or other male first-degree relatives or before 65 years in the mother or other relatives female first degree).
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