Kuchepa kwa thupi ndi chochitika chachilengedwe m'miyoyo ya akazi chomwe chimachitika pamene kuchuluka kwa mahomoni a estrogen ndi progesterone amatsika. Nthawi imeneyi, thupi limaletsa kupanga mazira.
Amadziwika kuti cholesterol yokhala ndi kusintha kwa thupi imatenga gawo lalikulu pakusintha zizindikiritso zofunika kwambiri za thupi.
Njira yokhayo yodziwira zonyansidwa ndikumayezetsa magazi kuti muone kuchuluka kwa mahomoni. Kudzinyenga kumeneku ndi komwe adotolo amapita.
Kuti muchepetse mavuto omwe amadza chifukwa chakusintha kotere, ndikofunikira kudziwa chifukwa chake kusamba kumakhudza cholesterol.
Pakusintha kwa msambo, thumba losunga mazira limatulutsa estrogen, ndipo milingo yake imayamba kutsika kwambiri mthupi, ndikupangitsa kusintha kofunikira zingapo. Musanafike kusamba, mkazi akamayamba kulemera, mwina amakhala ndi chithunzi chomwe chimakhala ndi mafuta ambiri mu ntchafu. Mawonekedwe awa amatchedwa "mawonekedwe a peyala." Pambuyo pa kusamba, azimayi amakonda kulemera kuzungulira kumimba (kunenepa kwambiri), kawirikawiri mawonekedwe awa amatchedwa mawonekedwe a "apulo".
Amakhulupirira kuti kusinthaku pakugawa kwamafuta amthupi kumapangitsa kuchuluka kwa cholesterol ndi LDL (otsika kachulukidwe lipoproteins) kapena "yoyipa" cholesterol, komanso kuchepa kwa HDL (density lipoproteins) kapena cholesterol yabwino " ndi mtima.
34 peresenti yokha ya azimayi azaka za 16-16 zakubadwa omwe anali ndi cholesterol yamagazi apamwamba kuposa 5 mmol / L, poyerekeza ndi 88 peresenti kuyambira azaka 55-64.
Nkhani yabwino ndiyakuti sachedwa kwambiri kusamalira mtima wanu. Zakudya zoyenera komanso moyo wathanzi zimathanso kukoletsa cholesterol mwa azimayi azaka makumi asanu ndi limodzi ndi kupitirira. Komanso, kuti muchepetse kuchuluka kwa cholesterol ndi kusintha kwa thupi, ndikofunikira kutsatira zakudya zoyenera.
Momwe mungayang'anire ntchito yanu?
Kuyeza magazi m'thupi kumafunika kuyesa kosavuta. Makamaka ngati mkazi ali ndi zaka zopitilira 45 ndipo amadutsa msambo.
Muyenera kukambirana ndi dokotala wanu pasadakhale omwe angalangize za mtundu woyenera wa matenda.
Kwa azimayi ambiri, kudya mokwanira komanso kuchita masewera olimbitsa thupi ndiwo maziko abwino pa thanzi lawo lalitali.
Kuti muthane ndi cholesterol yodyeka, muyenera kutsatira malangizo osavuta awa:
- Idyani mafuta oyenera.
- Chepetsani kudya kwamafuta ambiri, monga, muchepetse nyama yamafuta, mafuta a mkaka, makeke okoma ndi zina zambiri.
- Musanagule zinthu, onani zomwe zalembedwapo, ndibwino kuti musankhe zinthu zokhala ndi mafuta ochepa (3 g pa 100 g yazinthu kapena zochepa).
- Muziphatikiza zakudya zomwe zimalembetsedwa ndi zolembapo zam'munda muzakudya zanu.
Zotsirizira, monga zimatsimikizidwira, zimachepetsa cholesterol "yoyipa" LDL.
Chifukwa chake, amagwiritsidwa ntchito ngati gawo la chakudya chamagulu komanso chikhalidwe.
Ndikofunikira kuti mzimayi yemwe akuyamba kusamba adzipangire masewera olimbitsa thupi. Ayenera kukhala ndi masewera olimbitsa thupi okwanira, ayenera kuyesetsa kukhala olimbitsa thupi kwa mphindi 30 tsiku lonse sabata yonse.
Muyenera kukhala ndi thanzi labwino, koma pewani zakudya zosafunikira zomwe sizigwira ntchito nthawi yayitali.
Osteoporosis ndi vuto lalikulu lathanzi kwa okalamba, makamaka akazi.
Ndikofunika kuphatikiza zakudya zomwe zili ndi calcium yambiri:
- mkaka
- tchizi
- yogati
- masamba obiriwira.
Amathandizira kukhala ndi mafupa athanzi. Vitamini D ndiwofunika kuti mukhale ndi thanzi labwino, lomwe timapeza kuchokera pakhungu la dzuwa. Izi zimafunikira zosachepera 5 za zipatso ndi masamba tsiku lililonse. Ndikofunikanso kudya magawo awiri a nsomba sabata iliyonse, imodzi yomwe imayenera kukhala yamafuta (ndikofunika kusankha mitundu ya nsomba yomwe imakhala m'madzi akumpoto).
Chiwopsezo chotenga matenda a mtima mwa mkazi chimawonjezeka pa nthawi ya kusamba.
Zowona, sizikudziwika ngati chiwopsezo chowonjezereka chimayambitsidwa ndi kusintha kwa mahomoni komwe kumachitika chifukwa cha kusamba, kukalamba pakokha, kapena kuphatikiza kwazinthu izi.
Kodi akatswiri akukambirana za chiyani?
Kafukufukuyu mosakayikira amadzutsa kukayikira kuti kusamba, osati njira yakukalamba yachilengedwe, ndiye amachititsa kuti cholesterol iwonjezeke kwambiri.
Zambirizi zimasindikizidwa mu Journal of the American College of Cardiology, ndipo zimagwiranso ntchito kwa akazi onse, ngakhale akhale amtundu wina.
"Amayi akamayandikira kusiya kubereka, azimayi ambiri amakhala ndi cholesterol yowonjezereka yomwe imawonjezera mwayi wokhala ndi matenda amtima," adatero wolemba mabuku wina, Karen A. Matthews, Ph.D., pulofesa wa zamisala komanso matenda opatsirana pa University of Pittsburgh.
Kwa zaka 10, a Matthews ndi anzawo adatsatiridwa ndi azimayi okwana 1,054 pambuyo pake. Chaka chilichonse, ochita kafukufuku adayesa omwe akuchita nawo kafukufukuyu pa cholesterol, kuthamanga kwa magazi ndi zina zomwe zimayambitsa matenda a mtima, kuphatikiza magawo monga glucose wamagazi ndi kuchuluka kwa insulin.
Pafupifupi mayi aliyense, monga momwe zimakhalira, mafuta a cholesterol adalumphira pakusamba. Kusamba kumachitika pafupifupi zaka 50, koma kumatha kuchitika mwachilengedwe zaka 40 ndipo kumatenga zaka 60.
Pakatha zaka ziwiri atasiya kusamba komanso atasiya kusamba, avareji ya LDL komanso cholesterol yoyipa imawonjezeka ndi mfundo za 10,5, kapena pafupifupi 9%.
Avereji yonse ya cholesterol imawonjezeka kwambiri ndi pafupifupi 6.5%.
Ndiye chifukwa chake, azimayi omwe adayamba kusamba kuti asamasambe ayenera kudziwa momwe angachepetse cholesterol yoyipa.
Zowopsa zina, monga kuchuluka kwa insulin komanso kuthamanga kwa magazi, zimachulukanso panthawi ya kafukufuku.
Zofunikira pakufufuza
Kudumpha kwa cholesterol komwe kunanenedwa mu kafukufukuyu kumatha kukhudzanso thanzi la azimayi, atero a Vera Bittner, MD, pulofesa wa zamankhwala ku Yunivesite ya Alabama ku Birmingham, yemwe adalemba mkonzi woyenda ndi kafukufuku wa Matthews.
"Kusintha sikuwoneka ngati kofunika, koma ngati mayi weniweni amakhala ndi moyo zaka zambiri atasiya kusamba," akutero Bittner. "Ngati wina anali ndi cholesterol m'magawo otsika kwambiri, kusintha kwakung'ono sikungakhudze.
Phunziroli silinapeze kusiyana kulikonse pakuwoneka pa kusintha kwa kusintha kwa kubereka kwa cholesterol ndi mtundu.
Akatswiri sakudziwa momwe mtundu ungasokonezere ubale pakati pa kusintha kwa thupi ndi mtima, chifukwa kafukufuku wambiri mpaka pano wachitika mu azimayi aku Caucasus.
Matthews ndi mnzake adatha kuphunzira zamtunduwu chifukwa maphunziro awo ndi gawo la kafukufuku wokulirapo wa zaumoyo wa amayi, omwe akuphatikizidwa ndi azimayi ambiri aku Africa-America, Hispanic, ndi Asia-America.
Malinga ndi a Matthews, kafukufuku wofunikira akufunika kuti azindikire kulumikizana komwe kumachitika pakati pa kusintha kwa thupi ndi kuopsa kwa matenda a mtima.
Kafukufuku wapano sakufotokozera momwe kuchuluka kwa cholesterol kungakhudzire kuchuluka kwa kugunda kwa mtima ndi kufa kwa azimayi panthawi yakusamba.
Pomwe kafukufukuyu akupitiliza, a Matthews akuti, iye ndi anzawo akuyembekeza kuti atchule zizindikiro zochenjeza zomwe zikuwonetsa kuti ndi azimayi omwe ali pachiwopsezo chachikulu cha matenda a mtima.
Kodi azimayi ayenera kukumbukira chiyani?
Amayi akuyenera kudziwa kusintha komwe kumakhala pachiwopsezo cha kusamba, akutero Dr. Bittner, ndipo akuyenera kukambirana ndi madokotala awo ngati akuyenera kuyang'ana kolesterol yawo pafupipafupi kapena ayambe kulandira chithandizo chotsitsa cholesterol. Zomwe zimachitika ndi cholesterol zimatha kukhala kuti mkazi, mwachitsanzo, angafunike kutenga statin.
Kukhalabe ndi thanzi labwino, kusiya kusuta fodya komanso kupereka chitetezo mthupi mokwanira ndikofunikira kuti magazi azikhala ndi magazi okwanira.
Kumbukirani kuti kusamba kungakhale kovuta kwambiri kwa amayi ngati simulimbitsa thupi mokwanira.
Kuchita masewera olimbitsa thupi panthawiyi kumathandiza kuthana ndi mavuto azaumoyo. M'malo mwake, kusamba ndi nthawi yabwino kuti amayi ayambe kukhala ndi moyo wathanzi.
Ngati kusinthasintha kwa mwezi kumayamba kusokera ndipo kusintha kulikonse paumoyo kuwonekera, muyenera kukayezetsa dokotala woyenera.
Ndikofunikira kumvetsetsa ngati kusintha kwa kubereka kudakweza cholesterol. Pankhani yankho labwino, muyenera kudziwa momwe mungachepetse magwiridwe antchito.
Kuti muwunikire izi pawokha, muyenera kudziwa kuti ndi njira yanji yomwe imakhala yovomerezeka kwa mkazi nthawi imeneyi, komanso kuchuluka kwa cholesterol yomwe imawonekera.
Momwe mungathandizire thupi pa nthawi ya kusintha kwa thupi?
Amayi onse omwe amakhala ndi kusintha kwa kubereka ayenera kudziwa momwe angachepetsere cholesterol yoyipa, ndipo, motero, kuwonjezera bwino.
Kuti muchite izi, ndikofunikira kusintha zakudya zanu, komanso kusankha masewera olimbitsa thupi oyenera.
Ndikulimbikitsidwa kupewa kupewa kuyang'ana pamavuto akakhala kuti nkotheka.
Mwambiri, kuti muchepetse liwiro ndi kuthetsa kudumpha kwa cholesterol, muyenera:
- Chotsani zakudya zopanda pake zamafuta az nyama kuzakudya zanu.
- Pewani kudya mwachangu komanso zakudya zina zolakwika
- Sankhani zolimbitsa thupi.
- Pitani kwanu pafupipafupi.
- Yang'anani kulemera kwanu.
Mukamatsatira malangizo onsewa pafupipafupi, mutha kuchepetsa kusintha koyipa.
Inde, muyenera kukumbukira kuti osati cholesterol yochuluka kwambiri yomwe imayambitsa kuwonongeka m'moyo wabwino, komanso kuchepa kwa cholesterol yabwino kumatha kukhala ndi zotsutsana ndi thanzi. Ndiye chifukwa chake, ndikofunikira kuyang'anira mawonetsedwe awiriwa nthawi imodzi.
Madokotala ambiri amalimbikitsa kuti azimayi munthawi imeneyi moyo wawo amwe mankhwala apadera omwe amachepetsa kusintha kwa mahomoni. Koma ndalama zotere ziyenera kuperekedwa ndi adotolo ndipo ndizoletsedwa kuti azitenga okha.
Momwe mungakhazikitsire kuchuluka kwa mafuta a cholesterol akufotokozedwa mu kanema munkhaniyi.
