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Hipertrigliceridemia familiar - Treatment

Tratamiento:

El objetivo del tratamiento es controlar las afecciones que pueden elevar los niveles de triglicéridos, tales como la obesidad, el hipotiroidismo y la diabetes.

El médico le puede solicitar que suspenda el consumo de alcohol. De igual manera, usted debe discutir con el médico el uso de pastillas anticonceptivas, debido a que algunas de ellas pueden elevar los niveles de triglicéridos.

El tratamiento también implica evitar el exceso de calorías y alimentos ricos en grasas saturadas y carbohidratos. Ver también: cardiopatía y dieta

Si los altos niveles de triglicéridos persisten a pesar de los cambios en la dieta, se pueden necesitar medicamentos. El ácido nicotínico, el gemfibrozilo y el fenofibrato han demostrado que bajan los niveles de triglicéridos en personas con esta afección.

Expectativas (pronóstico):

Las personas que padecen esta afección presentan un mayor riesgo de arteriopatía coronaria y de pancreatitis.

La pérdida de peso y el control de la diabetes ayudan a mejorar el pronóstico.

Complicaciones:

  • Pancreatitis
  • Arteriopatía coronaria
  • Reviewed last on: 5/23/2010
  • David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., and David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine.

Referencias

Mahley RW, Weisgraber KH, Bersot TP. Disorders of lipid metabolism. In: Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. Williams Textbook of Endocrinology. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 36.

Semenkovich CF. Disorders of lipid metabolism. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 217.

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