Master Zhang, 60 years old this year, found high blood lipids for several years, repeatedly checked the high cholesterol, LDL cholesterol has been hovering around 6-8mmol/ L.
LDL cholesterol is higher than 4.9 mmol/L, which is a high-risk group. That is to say, when our LDL cholesterol is 4.9mmol/L higher, even if there is no cardiovascular and cerebrovascular disease, even if there is no hypertension, diabetes and other diseases. It is also a high-risk group, and it is also prone to cardiovascular and cerebrovascular diseases, and it should also reduce LDL cholesterol to 2.6mmol/L.
A long time ago, the doctor suggested that Master Zhang start taking "statin drugs", but Master Zhang heard that "statin" hurts the liver and did not dare to eat. So Master Zhang began to control his diet and insisted on exercise to control cholesterol and LDL cholesterol.
But people with cardiovascular knowledge know that the main reason for the rise in LDL cholesterol is autometabolism, or hereditary. Cholesterol and LDL cholesterol are less affected by diet, so even if Master Zhang eats a healthy diet, cholesterol and LDL cholesterol are still higher than normal, and LDL is still above 6mmol/L.
Master Zhang is still worried that "statin drugs" will hurt the liver, so he is still reluctant to eat "statin drugs".
Decoction pills were started in July
Later, Master Zhang heard that drinking soup medicine can lower blood lipids, have no side effects, and at the same time protect blood vessels and protect the heart. So I found the person who prescribed the soup medicine, and the person who prescribed the medicine said that eating it for a month could come down.
Liver function impairment was reviewed in early August
Master Zhang, after eating 20 pairs of decoctions, felt that the appetite was poor, often nausea, so he went to the hospital to review the liver function, and found that the transaminases were more than ten times higher: alanine aminotransferase 829 IU/L (normal reference value 9-50IU/L), aspartate aminotransferase 414IU/L (normal reference value 15-45IU/L).
The doctor diagnosed drug-induced liver injury and quickly stopped the decoction.
The thing that Master Zhang was most worried about happened happened, but what caused Master Zhang's liver damage was not "statin drug", but a drug that had no side effects advertised by someone, which made Master Zhang very remorseful, angry, worried, and depressed.
In the months that followed, Mr. Zhang refused to take any medication, fearing that his liver would become permanently damaged.
Fortunately, a month later, Master Zhang's review of liver function transaminases has returned to normal, which can be said to be a blessing in misfortune.
Although liver function has returned to normal, LDL cholesterol is still very high, and this problem must be solved. Otherwise, after a few years, the blood vessels will grow plaques, and then the cardiovascular stenosis will be more troublesome, and the occurrence of cardiovascular and cerebrovascular diseases will be more troublesome.
Try to take "statin" in October
In the case that Master Zhang thought that there was no way, he finally said that he tried to take statin, but he did not dare to eat the full amount of statin, but chose half of the statin, that is, eating half a day statin.
Taking medicine every day is very worried, always afraid that their liver will have problems again. It should have been 1 month to recheck, Master Zhang rechecked once in half a month, but fortunately half a month to recheck the liver function is normal.
Liver function and lipids are reviewed in November
At the beginning of November, Master Zhang took half a tablet of statin for 1 month, and went to the hospital on time to draw blood for laboratory tests, Alanine aminotransferase 28IU/L (normal reference value 9-50IU/L), aspartate aminotransferase 22IU/L (normal reference value 15-45IU/L).
Liver function is normal, and blood lipids have also decreased from 7mmol/L to 5.7mmol/L. However, because the amount of statin taken by Master Zhang was insufficient, the LDL cholesterol still did not meet the standard.
So it was suggested that Master Zhang eat 1 tablet of his ting, that is, the full amount of statin drugs.
Liver function and lipids are reviewed in December
At the beginning of December, Master Zhang took 1 tablet of statin for 1 month, and went to the hospital on time to draw blood for testing, alanine aminotransferase 21IU/L (normal reference value 9-50IU/L), aspartate aminotransferase 22IU/L (normal reference value 15-45IU/L).
Liver function is normal, and blood lipids have also decreased, from 5.7mmol/L to 4.17mmol/L. That is, in the case of Master Zhang taking a full dose of statin, LDL has dropped to his personal minimum.
Although it is his personal minimum, it is not an ideal level, because his LDL cholesterol has been higher than 4.9 mmol/L for a long time, so he has to reduce his LDL cholesterol to less than 2.6 mmol/L.
Therefore, it is recommended that Master Zhang add yi folding wheat cloth on the basis of thalis.
Master Zhang is actually still very worried about his liver problems, you see he is looking for someone to help him check the side effects of the drug, the result is that the message was sent wrong, sent to me here, ^_^ !
Popular science key points:
1, statin is not a liver injury drug, statin drug is a potential cause of liver function damage, but just like almost all drugs, this is just a manifestation of "is the drug three points of poison". Side effects of the drug will only occur in a small number of people, so do not exaggerate the liver damage effect of statin drugs.
2. Do a good job of monitoring to avoid serious consequences, during the period of taking statin, do a good job of regular review, and recheck in the 1st, 3rd, 6th and 12th months. Timely release, timely treatment, statin-induced liver damage is transient, can be recovered after discontinuation. The most critical thing is that only a small number of people will have liver damage.
3, statin drug side effects, will be clear, generously written in the drug instructions, this can be seen by everyone. When the doctor prescribes a statin, he will also clearly tell the patient to review liver function regularly. This is called opening the window and saying something bright, without having to hide it.
Master Zhang didn't know what medicine he had taken until now, which led to his liver damage!
Because he has no prescription!
hehe! ......
(Objectively record the real case, without too many so-called views, I believe most people can understand, as for less trolls, you can choose your own choice, medical treatment will not be forced, just like Master Zhang in July.) ）