Mafuta a cholesterol ndi chimodzi mwazofunikira kwambiri, amawonetsa chiopsezo chotenga ma atherosulinosis a mitsempha yamagazi, mapangidwe a cholesterol plaret pamakoma awo. Kapangidwe kazinthu ngati mafuta ndi mowa wa lipophilic, kamapezeka m'ziwalo za thupi.
Pambuyo pazaka 40, munthu aliyense amalimbikitsidwa kuti akafufuze ndikuyezetsa magazi ndi mitsempha yamagazi ndi mitsempha. Chofunika kwambiri ndi kuyesa kwa zovuta za metabolism ya metabolism ndi matenda a shuga, chifukwa ndi mwa odwala a gululi omwe amakumana ndi zovuta nthawi zambiri.
Pali njira zambiri zodziwira cholesterol, zonse zamankhwala ndi enzymatic. Njira za enzymatic zimachitika nthawi zambiri. Wodwala matenda ashuga amathanso kugula njira zoyeserera payekha kuti apange kafukufuku muchipatala, koma kugwira ntchito kwawo sikungafanane ndi kulondola kwa mayeso a labotale. Kusintha kwa kutentha, chinyezi ndi zina kungakhudze magwiridwewo.
Akapereka magazi kwa cholesterol
Zizindikiro zikuluzikulu zochititsira kafukufuku pazomwe zimapangitsa kuti cholesterol yotsika pang'ono ikhale matenda a minofu ya mtima ndi mtima, kunenepa kwambiri. Nthawi zambiri mavuto okhala ndi cholesterol amakhudzana ndi kusuta kwa nthawi yayitali, njira zopangira matenda a chiwindi ndi impso, matenda a endocrine, komanso kuchuluka kwa shuga.
Ngati munthu ali, kuwonjezera pa matenda a shuga, omwe ndi amodzi mwa mavuto omwe ali pamwambapa, ayenera kuyesedwa kwa cholesterol kamodzi pa nthawi ya maphunzirowa. Pamitengo yapamwamba, kafukufukuyu amachitika miyezi isanu ndi umodzi iliyonse.
Zomwe cholesterol yathunthu ipitilira malire ovomerezeka, ndikofunikira kudziwa mawonekedwe a lipid (kusanthula kwa lipoproteins zonse). Imachitika m'mawa pamimba yopanda kanthu, njira isanachitike, kwa maola pafupifupi 8 simungathe kudya kalikonse, kuphatikizapo kumwa tiyi; khofi timadziti.
Kumwa madzi nthawi zonse sikuletsedwa. Ndi zovulaza kudya zakudya zamafuta usiku watha, ndikulimbikitsidwa kupewa kudya kwambiri, koma ndikosavutanso ndi njala.
Nthawi zambiri, magazi amatengedwa ngati chisonyezo cha cholesterol yathunthu. Ndi mtengo wabwinoko, kuchuluka kwa milomo ya lipoproteins sikupita kupitirira zomwe sizinachitike; palibe chifukwa chowonjezera chazinthu zachilengedwe.
Zitha bwanji? Tsiku loti lisanachitike, mowa ndi wocheperako, osachepera ola limodzi zinthu zisanafike, musasute, osapatula:
- zolimbitsa thupi;
- kusewera masewera;
- mavuto.
Ngati munthu anali wofulumira musanafufuze, akuyenda mwachangu, amafunika kukhala pansi ndikupumula pang'ono. Ngati ndi kotheka, muyenera kugona pansi kwa mphindi 20-30.
Pakufunika njira zolimbitsa thupi, radiology, mayeso a rectal, chopereka cha magazi chimachitika musanazindikire. Muyeneranso kudziwitsa dokotala zamankhwala omwe mukumwa, atha kukhudza zotsatira zakuwunika.
Ma reagents omwe ali ndi chidwi kwambiri amagwiritsidwa ntchito kuti adziwe chinthu chonga mafuta, kupereka zotsatira zodalirika. Ndi ma Lab angati omwe amatha kuwunikira? Nthawi yakukonzekera kuyesedwa kwa magazi imatha kuyambira masiku 1 mpaka 3.
Muyezo wapamwamba wa cholesterol yokwanira umatengera zaka za anthu odwala matenda ashuga, woyezedwa m'mamilimita angapo pa lita imodzi ya magazi (dzina la mmol / l).
Ma cholesterol athunthu mwazonse ali pamlingo wosaposa 5.0, chifukwa phunziroli palibe mfundo zomveka bwino.
Magawo osiyanasiyana a cholesterol
Mbiri ya lipid (kafukufuku wowonjezera pa cholesterol) imapereka kukhazikitsidwa kwa zizindikiro za cholesterol yathunthu, kuchuluka kwa triglycerides, ndi kuchuluka kwa atherogenicity. Malinga ndi zomwe zapezeka, kuwerengera kwamatumbo a ziwongo akuti.
HDL (lipoproteins yapamwamba kapena cholesterol yabwino).
Zaka, zaka. | Amuna | Akazi. |
0-14 | 0,78-1,68 | 0,78-1,68 |
15-19 | 0,78-1,68 | 0,78-1,81 |
20-29 | 0,78-1,81 | 0,78-1,94 |
30-39 | 0,78-1,81 | 0,78-2,07 |
Opitilira 40 | 0,78-1,81 | 0,78-2,20 |
LDL (lipoproteins otsika kapena cholesterol yoyipa)
M'badwo. | Amuna | Akazi. |
0-19 | 1,55-3,63 | 1,55-3,89 |
20-29 | 1,55-4,53 | 1,55-4,14 |
30-39 | 2,07-4,93 | 1,82-4,40 |
40-49 | 2,33-5,31 | 2,07-4,92 |
50-59 | 2,33-5,31 | 2,33-5,70 |
60-69 | 2,33-5,57 | 2,59-6,09 |
Opitilira 70 | 2,33-4,92 | 2,46-5,57 |
Cholesterol wabwino sangathe kukhazikika pamakoma a mitsempha yamagazi, omwe amayendetsedwa ku chiwindi. Thupi limakhala silidutsa 1.0 mmol / L. Holesterol yamavuto imayambitsa kupezeka kwa atherosulinotic malo, zomwe zili m'magazi siziyenera kupitirira 3 mmol / l.
Cooleffic okwanira pansi pa magawo atatu akuwonetsa chiopsezo chochepa cha kuwonongeka kwa mtima, chisonyezero choposa zisanu chikuwonetsa kukhalapo kwa mitsempha ya mitsempha, chiwopsezo chachikulu cha matenda a mtima, kuwonongeka kwa ziwalo zina zamkati.
Tekinolo yamakono imapangitsa kuti kugwiritsira ntchito kusanthula kwapadera kwama cholesterol, komwe kumagulitsidwa ku pharmacy. Mkhalidwe wofunikira kuti mupeze zotsatira zokwanira ndikofunikira kukonzekera. Kusanthula kwanyumba kumatengedwa pamimba yopanda kanthu kotero, kusindikiza kumaperekedwa patebulo, chizindikirocho chikuyenera kuwonetsedwa m'mamilioni.
Kuwunika kwa cholesterol ndikofunikira kwa odwala matenda ashuga omwe amamwa mankhwala a cholesterol. Amakulolani kuti muwongolere luso la mankhwalawa.
Kudziyang'anira pawokha kumasonyezedwa kwa odwala omwe ali ndi matenda a mtima omwe ali ndi zaka zopitilira 60. Mwa akazi, kuwunika kolesterol kumafunika pa nthawi ya kusintha kwa thupi.
Ubwino ndi zovuta za cholesterol ndi chiyani
Sikuti cholesterol yonse yamwazi imapindulanso chimodzimodzi thanzi la munthu, ndipo si cholesterol iliyonse yomwe ili yovulaza. Thupi limagwira ntchito zingapo, makamaka limakhazikitsa maselo, limatenga nawo gawo pakupanga mahomoni a steroid, bile.
Popanda cholesterol, mayamwidwe abwinobwino ndi kuchuluka kwa vitamini D ndikosatheka, kutsimikizira kuchuluka kwa cell, kuteteza maselo ofiira a hemolysis. Thupi limapweteketsa chifukwa choti silitha kusungunuka m'madzi, popanda zonyamula zapadera sizimayenda m'magazi.
Apoproteins amakhala onyamula, pamodzi ndi iwo cholesterol mitundu sungunuka mankhwala - lipoproteins. Pali mitundu ingapo ya ma lipoproteins: okwera, otsika kwambiri komanso otsika kwambiri, ma chylomicrons.
Molekyu imodzi ya cholesterol yapamwamba kwambiri imatengedwa ndi mamolekyulu anayi a protein. Katunduyu amakhala chida chomangira cha:
- maselo;
- mahomoni;
- vitamini D.
Kuchokera kwa iwo kuti chiwindi chimayendetsa bile, popanda icho chimbudzi chamafuta sichingatheke. Ma lipoproteins apamwamba kwambiri amatha kuchotsa thupi pazinthu zochepa. Mu zovuta, mulingo wa cholesterol ndi mapuloteni ndi amodzi.
Cholesterol yoyipa imatha kudwala matenda ashuga kuchokera ku chakudya, imakhazikika pamakoma a mtima ndikuwakwiyitsa. Pamene cholesterol yotsika pang'ono imatenga nawo gawo pakumanga maselo, maselo omwe amapezeka amakhala okalamba msanga, mphamvu zawo komanso kupezeka kwa zinthu zopindulitsa ndizochepa kwambiri.
Ngakhale zonse, cholesterol yoyipa ndiyofunikanso kuti ikhale ndi thanzi labwino. Mankhwalawa amachotsa poizoni wowopsa, amapereka chitetezo cha mthupi kwa lipoproteins ochepa kwambiri. Pomaliza, pali mamolekyulu anayi a cholesterol pa molekyulu iliyonse. Izi ngati mafuta ngati chinthu choopsa. Zimasungidwa m'matumbo, zimayambitsa sitiroko, kugunda kwamtima ndi gangore.
Miyezo ya HDL, LDL, VLDL imawerengera za odwala omwe ali ndi matenda ashuga. Mwanjira ndi kukayezetsa magazi, wodwalayo awone mizere 4:
- cholesterol yathunthu;
- HDL
- PLNP;
- VLDL.
Kolesteroli wotsika kwambiri kwambiri amatchedwa triglycerides.
Magawo osiyanasiyana a miyeso amagwiritsidwa ntchito powunikira: mg / 100 ml, mg%, mmol / l, mg / dl. Maudindo atatu oyambilira ali ofanana. Chotsirizachi chimawerengeredwa ndikuchulukitsa chizindikiro chilichonse choyambira ndi 38.6.
Kuchepetsa kachulukidwe ka lipoprotein, kumabweretsa chiopsezo chotsika kwambiri pazitseko zamitsempha yamagazi, mapangidwe amkati, milingo yamagazi.
Zomwe zimayambitsa matendawa ndizonenepa kwambiri, kugwiritsa ntchito mafuta ochulukirapo, chakudya chamagulu, kusuta, kuchita masewera olimbitsa thupi.
Zifukwa zina ndizogwiritsa ntchito kuchuluka kwa mafuta oyeretsa, matenda a chithokomiro komanso kapamba, kugwiritsa ntchito mankhwala kwa nthawi yayitali. Vutoli likuyenera chimodzimodzi kwa amuna ndi akazi.
Kuyesedwa kwa magazi kwa cholesterol kukufotokozedwa mu kanema m'nkhaniyi.