Sunday, 19 August 2018

Hyperlipidaemia


FART  TASHAHHUM AL-DAM   (HYPERLIPIDAEMIA)

FART  TASHAHHUM AL-DAM   (Hyperlipidaemia) is a condition characterized by abnormally elevated levels of lipids and/or lipoproteins  in the blood. It makes the patients susceptible to accelerated atherosclerosis leadings to cardiovascular diseases and stroke.
 Hyperlipidemias are divided into primary and secondary subtypes. Primary hyperlipidemia is usually due to genetic causes (such as a mutation in a receptor protein), while secondary hyperlipidemia arises due to other underlying causes such as diabetes. Lipid and lipoprotein abnormalities are common in the general population and are regarded as modifiable risk factors for cardiovascular diseasedue to their influence on atherosclerosis. In addition, some forms may predispose to acute pancreatitis.

Risk factor   

Family history
Obesity
Junk food
Alcohol and tobacco
Lack of physical activity
Fat and carbohydrate-rich diet
Stress and anxiety
Middle and old age

Clinical features
Asymptomatic
Hyperlipidemia has no symptoms, so the only way to detect it is to have your doctor perform a blood test called a lipid panel or a lipid profile. This test determines your cholesterol levels. Your doctor will take a sample of your blood and send it to a lab for testing, then get back to you with a full report. Your report will show your levels of:
total cholesterol
low-density lipoprotein (LDL) cholesterol
high-density lipoprotein (HDL) cholesterol
triglycerides

Complications
Coronary artry disease (CAD)
Heart attack
Stroke

Prevention
Get regular lipid profile test
Reduce saturated fat intake
Maintain healthy life style
Exercise for 45 minutes daily at least five days a week
Make a habit of sound sleep for 6-8hour
Restrict salt intake to<5gm/day

Avoid
Tobacco and alcohol
Junk and smoked foods
Red,dried and salted meat & fish
Mental stress and anxiety

Mangement
Unani medicine offers following  therapies for the management of the disease
Illaj bil ghidha  (dieto-therapy)
Eat a heart-healthy diet
Making changes to your diet can lower your “bad” cholesterol levels and increase your “good” cholesterol levels. Here are a few changes you can make:
Choose healthy fats. Avoid saturated fats that are found primarily in red meat, bacon, sausage, and full-fat dairy products. Choose lean proteins like chicken, turkey, and fish when possible. Switch to low-fat or fat-free dairy. And use monounsaturated fats like olive and canola oil for cooking.
Cut out the trans fats. Trans fats are found in fried food and processed foods, like cookies, crackers, and other snacks. Check the ingredients on product labels. Skip any product that lists “partially hydrogenated oil.”
Eat more omega-3s. Omega-3 fatty acids have many heart benefits. You can find them in some types of fish, including salmon, mackerel, and herring. They can also be found in some nuts and seeds, like walnuts and flax seeds.
Increase your fiber intake. All fiber is heart-healthy, but soluble fiber, which is found in oats, brain, fruits, beans, and vegetables, can lower your LDL cholesterol levels.
Learn heart-healthy recipes. Check out the American Heart Association’s recipe page for tips on delicious meals, snacks, and desserts that won’t raise your cholesterol.
Eat more fruits and veggies. They’re high in fiber and vitamins and low in saturated fat.

Cucumber, bottle gourd, ridge gourd, water melon,grapes
Khall (vinegar)
Ma al-jubn (whey)
Ilaj bil dawa (pharmacotherapy)
If lifestyle changes aren’t enough to treat your hyperlipidemia, your doctor may prescribe medication. Common cholesterol- and triglyceride-lowering medications include:
statins, such as:
atorvastatin (Lipitor)
fluvastatin (Lescol XL)
lovastatin (Altoprev)
pitavastatin (Livalo)
pravastatin (Pravachol)
rosuvastatin (Crestor)
simvastatin (Zocor)
bile-acid-binding resins, such as:
cholestyramine (Prevalite)
colesevelam (WelChol)
colestipol (Colestid)
cholesterol absorption inhibitors, such as ezetimibe (Zetia)
injectable medications, such as alirocumab (Praluent) or evolocumab (Repatha)
fibrates, like fenofibrate (Fenoglide, Tricor, Triglide) or gemfibrozil (Lopid)
niacin (Niacor)
omega-3 fatty acid supplements
other cholesterol-lowing supplements

single unani drugs
Arjun
Muqil
Zanjabil
Zira siyah
Darchini

Compound drugs
Majun shir alvi khani
Arq zira
Safuf muhazzil

Ilaj bil tadber (regimenal therapy)

Riyadat (exercise)
Hammam (turkish bath)
Fasad(venesection)

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