Statement: The content of this article is written by quoting authoritative medical information combined with personal opinions, the source of the literature and screenshots have been marked in the text, in order to facilitate everyone's reading and understanding, some of the storylines have fictional components, which are intended to popularize scientific health knowledge, please be aware.
Aunt Li is a patient with a five-year hyperlipidemia age, and during the summer vacation, Aunt Li's family had the idea of traveling to escape the heat, and going out to play is the so-called "eating, drinking and having fun".
In order to prevent blood lipids from rising, Aunt Li privately increased the intake of lipid-lowering drugs.
At first, Aunt Li didn't feel anything abnormal, but after eating like this for a few days, one day after lunch, Aunt Li suddenly felt a wave of dizziness when she got up, and then sat in the same position for a long time before relieving herself.
After this change, Aunt Li also realized that there must be something wrong with her blood lipids, so she hurriedly came to the hospital for an examination, but what made Aunt Li feel strange was that the test results showed that Aunt Li's blood lipid level was not only not high, but lower than usual.
In the face of this result, Aunt Li thought that it was simply because she had sat for a long time that caused vertigo, but the doctor told Aunt Li that it was not, and the doctor said that the reason for this situation was that Aunt Li's blood lipid level had decreased greatly in a short period of time, and the blood lipid level was too low, which was actually very dangerous, and sometimes even caused cerebral hemorrhage!
Patients with hyperlipidemia should not be too anxious to lower their lipids, the body may not be able to bear it!
Seeing Aunt Li's situation above, everyone may feel a little puzzled, why is it a bad thing to lower blood lipids?
Dear readers, in order to popularize more content that is beneficial to everyone, the author works hard every day, and it is not easy to create, so he has to add a short 5-second advertisement to the article, and you can read the full text for free by watching. I know it might be a little intrusive, but it does give me the motivation to keep writing. Your understanding is my biggest motivation! I'll try to bring more quality content!
In the face of this question, we have to answer it separately, because Aunt Li has two problems above, one is that the blood lipid drop is too large in a short period of time, and the other is that Aunt Li's blood lipid drop is too low in the end.
First of all, let's talk about the problem of blood lipid reduction, which is relatively easy to understand, for patients to see the most common sentence of blood lipid regulation is long-term stable control, blood lipids in a short period of time to reduce too much will definitely cause adverse effects on the body.
If this is not easy to understand, you can try to think like this: the body has adapted to a blood lipid level, and before and after maintaining this value, all functions of the body can function normally; However, now that the blood lipids have suddenly dropped very low, multiple systems in the body may be out of order!
Lipid itself is also a nutrient in the blood, although the function is not high under normal circumstances, but substances such as triglycerides, glyceric acid and other substances also assume a certain function in the brain blood supply and function, and the short-term reduction is too large to cause cerebral blood supply and function deficiency, at this time the patient is prone to dizziness and other conditions.
In addition, in the long run, such large changes in blood lipids are not conducive to regulating the secretion of hormones and transmitters in blood lipids, and lipids themselves play a very important role in the brain, so such changes are easy to cause disorders in the normal function of brain tissue.
This is called "overkill" for fear of anything!
Everyone should remember that although blood lipids are the main culprits in our body that cause increased blood viscosity and thrombosis, many types of lipids have certain benefits for vascular stability.
For example, many people have heard that lipoproteins have a pair of opposing lipoprotein brothers - low-density lipoprotein and high-density lipoprotein. HDL is the "righteous" side, for example: HDL has a certain antioxidant effect and can help us repair broken blood vessels.
And the "bad guy" LDL is one of the most critical goals of our lipid-lowering drugs to lower blood lipids! However, mainland medical researchers have found that it is not a good thing for low-density lipowhite to drop too low.
Fuwai Hospital Study: If blood lipids are too low, it may increase the risk of cerebral hemorrhage and dementia
This is a Mendelian randomized study published by a team of experts from Fuwai Hospital in mainland China, in which the experimenters studied in detail 353,000 United Kingdom patients from the United Kingdom Biobank and 41,000 Chinese patients from the China-PAR project in China.
At the same time, the experimenters conducted a Mendelian randomization study of these volunteers, and correlated their LDL levels with the risk of hemorrhagic stroke, coronary heart disease and other diseases.
According to the newly released "Guidelines for the Management of Blood Lipids in China" in mainland China in 2023, the level of LDL cholesterol should be less than 1.8mmol/L, and in this study, it is also pointed out that on the basis of this basic index, for every 1mmol/L increase in LDL, the risk of coronary heart disease in China will increase linearly by 106%.
This is in line with our traditional beliefs, but then the risk of intracerebral hemorrhage has shown the opposite results!
Unlike the risk of infarct cardiovascular disease, the risk of intracerebral hemorrhage is reduced by 28% for every 1 mmol/L increase in LDL, and the risk of geriatric disorders such as dementia is also reduced by 25%!
In fact, the statement that lipids cannot be lowered too low has not been put forward in recent years, and "bad" fat can be reduced too low will lead to other diseases Studies have existed before, such as a previous study on the association between "bad" cholesterol content and cancer risk in the "Canada Medical Association" impurities.
Studies have clearly pointed out that when the overall content of so-called "bad" cholesterol is less than 2.8mmol/L, it will increase the risk of cancer in our peritoneum, urinary tract, blood system and digestive tract, and when its content is higher than 3.5mmol/L, it will in turn increase the risk of cancer in the breast, skin and bones.
Therefore, from these studies, we can see that for patients with hyperlipidemia, controlling blood lipid levels is a long-term job, and the dosage cannot be increased arbitrarily on a whim, otherwise too low blood lipids will put themselves in other dangers.
How are patients with hyperlipidemia treated? The "Guidelines for the Management of Blood Lipids in China" tells you in all aspects
After reading the above description, many patients with hyperlipidemia must think to themselves, this hyperlipidemia is so strictly regulated, and a little carelessness will increase the risk of other diseases, so how should we receive treatment in life?
In the face of this problem, it is not difficult to solve, for our daily life hyperlipidemia recuperation program, we have a gold standard, that is, the "Chinese Blood Lipid Management Guide", let's lead you to learn some of the information that is closely related to us.
The guidelines cover a wide range of aspects, and the main ones that need to be understood and learned by our patients are the following:
First of all, in the process of blood lipid management, what indicators are what we need to pay special attention to, after all, blood lipid is a general concept, many patients can't tell whether their blood lipid control is good or bad after getting the test results, at this time, the following picture can be a good help to everyone.
This picture is also the low-density lipoprotein we mentioned above, which is one of the most critical information to assist patients in controlling blood lipids.
So at this time, some friends may ask, knowing whether blood lipids are normal or not, how should we prevent and control them?
Do I need to take medication?
This is also a concern for most patients with hyperlipidemia, many of whom feel that they have obvious dyslipidemia but the doctor tells them that they only need dietary regulation, while some patients are dazzled by the many lipid-lowering drugs.
Especially in recent years, when various new lipid-lowering drugs have emerged one after another, many patients feel that new drugs are good drugs but do not understand the "old" drugs prescribed by doctors, which also gives us suggestions in the "Guidelines".
The guidelines divide patients into different registries!
Of course, this does not require everyone to understand, it is good to have an understanding, for different situations, we do have different treatment plans to correspond, everyone just follow the doctor's explanation!
Of course, for patients with hyperlipidemia, the prevention and treatment of complications is also an important part of blood lipid management, after all, many patients with hyperlipidemia are relatively old and often accompanied by many other types of chronic diseases, and the guidelines also give recommendations in this regard.
For example, the guidelines for diabetic patients give a detailed explanation, remind patients which indicators should be paid special attention to, and recommend patients to take both LDL-C and non-HDL-C as lipid reduction goals.
For other diseases, such as atherosclerosis and the regulation of blood lipids in the elderly, detailed indicators are also given in the guidelines.
Finally, the guidelines also point out that the regulation of blood lipids is a long-term, chronic or even lifelong process, so it is very necessary to review the physical examination on time during this process.
The guidelines state that for patients who simply take diet to control blood lipids, they need to be tested for relevant indicators after 3-6 months of diet control, and if the test results meet the standard, they can continue to control blood lipids without taking drugs.
If the blood lipid is abnormal, the patient needs to be treated with medication, and even the patient who meets the target should be followed up with a timely physical examination every six months to one year to avoid the abnormal blood lipid from rising and the patient cannot be detected in time.
For patients who have just started taking the drug, they need to check the relevant indicators in time within 4-6 weeks after taking the drug, such as blood lipids, liver enzymes and creatine kinase, etc., with the extension of the drug time, the time of the re-examination can also be relatively extended to a physical examination for three months, six months or even a year.
Summary:
Patients with dyslipidemia must pay more attention to the control of blood lipids!
It is not good to have high blood lipids, and it is also not good to have too low blood lipids. As a study has been found by mainland scholars: blood lipids are lowered too low, or increase the risk of cerebral hemorrhage and dementia!
As for how to control blood lipid levels, you must not decide privately, and it is recommended to take medication and make lifestyle changes under the guidance of a doctor. Of course, if you are interested, you can also take a look at the "Guidelines for the Management of Blood Lipids in China"; Learn more about the relevant content so that you can be more secure and healthy on the road to controlling your blood lipids.
Bibliography:
[1] Song Yanhua. "The Significance of Lipid Examination and the Harm of Hypolipidemia".2010.12.15.
[2] Wang Fang. "Why should the blood lipids of patients with coronary heart disease be lowered a little lower".2022.10.05.
[3] Jin Wei'e. Four Questions and Answers on the Prevention and Treatment of Blood Lipids.2017.12.15.
#长文创作激励计划#