For middle-aged and elderly friends, it is very common to be old and have abnormalities in some indicators, especially problems such as elevated blood lipids. The increase in blood lipids, especially the total cholesterol, the rise of LDL cholesterol, is the pathological basis and risk factors that bring about atherosclerotic cardiovascular disease, so for friends with hyperlipidemia arteriosclerosis problems, actively controlling blood lipid levels is one of the key points in controlling the risk of cardiovascular disease.
Faced with the problem of how to regulate and control blood lipid levels, different people will have different ideas, some friends can follow the doctor's instructions to use drugs rationally, and some friends are always worried about the side effects of long-term medication, and try to do a variety of other ways to control the risk of disease. Different choices, bringing different results, today's popular science article, to share with you two vivid examples of real life, I hope to be able to scientifically and reasonably control the risk of cardiovascular disease, can be enlightened.
Lao Zhang and Lao Sun from elementary school is the same class, has always been a good friend, and people to middle age, but also pay attention to their own health, 50 years old together to do health examinations, and coincidentally, both people have found high blood lipid lDL cholesterol problem, Lao Zhang's LDL cholesterol reached 4.8mmol / L, and Lao Sun's reached 5.1mmol / L; both also found carotid atherosclerotic plaque, although not very large, but also relatively problematic, However, through the evaluation of other examination indicators, the doctor warned them both, and their situation belongs to the high-risk group of cardiovascular disease risk, and if risk factors such as high blood lipids are not actively controlled, the risk of cardiovascular disease in the next 10 years will exceed 10%.
Listening to the doctor's words, Lao Zhang and Lao Sun were quite shocked, originally in good health, how did they become a high-risk cardiovascular group, what should be done in the end? The plan given by the doctor is to actively control the level of blood lipids, control the LDL cholesterol to less than 2.6mmol/L, and the corresponding doctors also prescribe atorvastatin to Lao Zhang and Lao Sun, let them insist on taking it, and regularly review the blood lipid indicators.
Lao Zhang likes to follow the doctor's advice, insists on eating the statin prescribed by the doctor after returning home, and regularly goes to the hospital to review and prescribe drugs, in daily life, he also pays more attention to healthy eating and actively strengthens exercise. Has been insisted on for more than 3 years, blood lipid level regular examination, has been controlled at about 1.7mmol / L, recently to check the body, the carotid artery in the middle membrane thickening degree has been reduced, has not reached the degree of "plaque", it can be said to have reached the degree of remission, atherosclerosis has been well improved.
In the past 3 years, with the continuous reduction of drug prices, Lao Zhang has spent more than 2,000 yuan on the drug cost of atorvastatin for 3 years, especially in recent months, the use of atorvastatin collected, the drug cost has dropped to only about ten yuan a month, saving more money for their own healthy diet, exercise and other aspects, better to ensure the health of the body.
Lao Sun is a "careful person", he took the medicine given by the doctor home, he first carefully read the instructions, saw the long list of adverse reactions listed in the instructions, especially the risks of elevated transaminases, rhabdomyolysis, etc., Lao Sun quickly threw the medicine aside, but did not take the medicine, blood lipids are higher than Lao Zhang, how should it be controlled? Therefore, Lao Sun went everywhere to find some "no side effects" health care products to control blood lipids, 3 years later, Lao Sun ate a variety of health care products, deep sea fish oil, natto, red yeast and so on, all kinds of eating.
When Lao Zhang went to check the body, Lao Sun said: What you are eating is medicine, it is a three-point poison of medicine, you need to go to regular examination, these health care products I eat, there are no toxic side effects, no need to review anything, you can definitely control blood lipids. In this way, Lao Sun spent a lot of money to buy health care products, but suddenly one day when exercising, suddenly severe chest tightness chest pain symptoms, after rest can not be alleviated, fortunately the family called 120 emergency telephone in time, to the hospital after the discovery of the diagnosis of acute inferior wall myocardial infarction, fortunately sent to the hospital in time, after the emergency rescue of the chest pain center, through the stent surgery to re-open the infarction of blood vessels, only to turn the crisis into safety, but because of the onset of more urgent, there is no lateral branch circulation improvement, the heart muscle has been irreversibly damaged because of lack of oxygen, Heart function has also declined, Lao Sun from a high risk of cardiovascular disease to a patient with existing cardiovascular disease, the precautions in later life and the need to use more drugs.
In the past 3 years, Lao Sun bought a variety of lipid-lowering health care products, before and after spending nearly 100,000 yuan, because the cost is too large, normal diet and life, also affected, the old Sun after the first aid is very depressed: I ate such expensive health care products, why the body is not healthy, but also suddenly had a heart attack, it is really "the same person different life" ah.
After admission to the hospital, the relevant examination indicators of the grandson, let the grandson also be surprised, the original thought that the blood lipids that are well controlled by health care products, low-density lipoprotein cholesterol not only did not decrease, but rose to 5.6mmol / L, and the original blood pressure was not high, but also rose to 160/100mm / Hg, such some of the indicator changes, but also caused the old grandson to accelerate atherosclerosis, and eventually led to myocardial attack.
In the face of Lao Sun's doubts, the doctor told Lao Sun the following 4 points -
1, for the control of chronic diseases, the various health care products on the market can not have a clear curative effect, health care products are a product with health care effects, and do not have disease control and treatment effects.
2, whether it is deep-sea fish oil, or natto, red yeast, the adjustment effect of blood lipids is not clear, if you buy health care products, you may also bring other health hazards and risks because of the illegal addition of them.
3, regulate the control of disease risk, in addition to adhering to the doctor's instructions for rational use of drugs, regular review is equally important, regular inspection is an important measure to determine the effectiveness and safety of drugs, take statin drugs, regularly review blood lipid levels, can understand whether their blood lipids are up to standard, and regular review of liver function, creatine kinase and other levels can better avoid the risk of adverse reactions.
4, want to control the risk of cardiovascular disease, only control the blood lipid indicators is not enough, if blood pressure, blood sugar and other indicators are elevated, should also be actively controlled, some of the daily life smoking, obesity and other risk factors, should also actively quit smoking and strengthen weight control, only through comprehensive risk factor control, can better control the risk of disease.
After listening to the doctor's words, Lao Sun finally understood that it is one thing to attach importance to health, and it is another thing to take a really correct method to prevent and control the risk of disease, if you can not control the disease in the right way, not only spend a lot of money, but also bring health hazards and risks, really is not worth the loss.
To share with you such 2 contrasting examples, it is not to encourage everyone to take medicine, or to eat statins, but in the case of really needing medication, I hope that everyone can really make the right health choices and actively control the risk of disease through rational medication. We also welcome everyone to actively forward and share, so that more people can see such health knowledge, let us work together to spread reliable health science knowledge.