Cholesterol ndi chinthu chonga mafuta chomwe chimamangilira kumapuloteni ndikupangitsa kuti mapangidwe a atherosulinotic. Ndi ma depisits amafuta mkati mwa mitsempha yomwe imayambitsa chitukuko cha atherosermosis mu shuga mellitus.
Katunduyo ndi wa m'gulu la mafuta. Kochepa - 20%, amalowa mthupi la munthu ndi chakudya chochokera kuchinyama. Zotsalazo - 80%, zimapangidwa m'chiwindi. Kwa magwiridwe antchito a ziwalo ndi machitidwe, cholesterol yoyenera iyenera kuonedwa.
Cholesterol ikakhala magawo 18, izi zimawonetsa kuchuluka kwazomwe zimachitika kangapo, zomwe zimabweretsa chiwopsezo ku thanzi la munthu ndi moyo. Kodi cholesterol ndi zingati? Nthawi zambiri, mulingowo ukukwera mpaka magawo 5, mtengo wake umachokera ku 5 mpaka 6.4 mmol / L - zomwe zimakhala zowonjezereka pang'ono, kuzunzika kovuta kumayambira pa 7.8 mmol / L.
Tiyeni tikambirane mwatsatanetsatane za omwe odwala matenda ashuga akukumana nawo ndi cholesterol yamauniti 18, komanso chochita pamkhalidwe wotere?
Kodi 18 mmol / l amatanthauza chiyani cholesterol?
Cholesterol ndi chinthu chosalowerera ndale. Komabe, pamene chigawochi chimamangirira kumapuloteni, chimayikidwa m'makoma amitsempha, omwe amachititsa kusintha kwa atherosselotic.
Ndi chitukuko cha hypercholesterolemia, ndikofunikira kuganizira kuchuluka kwa triglycerides - mawonekedwe apadera a cholesterol chinthu, kuchuluka kwake komwe kumapangitsa kuti ma cell a mtima ndi mitsempha iwoneke.
Kuopsa kwa kagayidwe ka mafuta kumakambidwa nthawi yomwe njira zophatikizana zimapezeka. Makamaka, izi ndi kuwonjezeka kwa LDL komanso kuwonjezeka kwa kuchuluka kwa triglycerides pakati pa kuchepa kwa HDL - cholesterol yabwino.
Ndi mtengo wa cholesterol wamagulu 18, njirazi mthupi zimawonedwa:
- Makoma otupa amalimba chifukwa chotsatira mafuta ngati chinthu;
- Mkhalidwe wamagazi amachepetsa kwambiri;
- Njira yonse yoyendetsera magazi imasokonekera;
- Ntchito ya ziwalo zonse ndi machitidwe zimachepa chifukwa chakuyenda bwino kwa magazi.
Pozindikira panthawi yayitali kwambiri, ndikotheka kuyimitsa njira za pathological, zomwe zingachepetse chiopsezo chilichonse ku zotsatirapo zochepa. Kuperewera kwa mankhwalawa kumabweretsa kuwonongeka kwa mtima, chifukwa chotsatira chamkati pamtima, vuto la matenda oopsa, matenda a mtima.
Nthawi zina mapangidwe a atherosulinotic mu matenda osokoneza bongo amakula kwambiri, chifukwa omwe magazi amapanga. Chovala chamagazi chimalepheretsa kapena kutchinga kuti magazi azituluka.
Zowopsa zomwe zili ndi cholesterol yayikulu - kuchokera ku mayunitsi 18, ndi magazi owonongeka.
Chovala chamagazi chimatha kupita kulikonse - ngakhale muubongo. Kenako pamachitika sitiroko, yomwe nthawi zambiri imabweretsa imfa.
Zizindikiro za High Cholesterol
Kumayambiriro kwa chitukuko cha pathological process, zizindikiro sizikupezeka.
Wodwalayo sazindikira kusintha kulikonse pamatenda ake. N`zotheka kukayikira kuphwanya mafuta kagayidwe pambuyo matenda.
Ichi ndichifukwa chake ndi matenda ashuga ndikofunikira kupereka magazi a cholesterol kangapo pachaka.
Chizindikiro cha cholesterol cha mayunitsi 18 chimaposa zomwe zimachitika katatu, motero, chiopsezo chotenga ma pathologies a mtima ndi mitsempha ya magazi ndi okwera kwambiri. Pakadali pano, pali zinthu zingapo zofunika kuchita kuti kuchepetsa nkhawa.
Zizindikiro zoyambirira za hypercholesterolemia zimasiyanitsidwa, zomwe odwala samalabadira, kuwalumikiza ndi mawonekedwe a matenda oyambira - matenda ashuga. Zizindikiro za LDL yapamwamba zimawonekera kumbuyo kwa zolephera zoyambirira zamkati pamtima. Izi zikuphatikiza:
- Ndi chisangalalo, kusapeza bwino mu sternum kumayamba.
- Kumverera kolemetsa pachifuwa polimbitsa thupi.
- Kuwonjezeka kwa kuthamanga kwa magazi.
- Kulankhula momveka bwino. Zizindikiro zikuwonetsa cholesterol plaque mu ziwiya zamiyendo.
Angina amadziwika kwambiri ndi hypercholesterolemia. Ululu m'chifuwa umawonedwa mwachisangalalo, zolimbitsa thupi. Koma ndi mtengo wa mayunitsi 18, kupweteka kumawonetsedwa nthawi zambiri m'malo abata. Zizindikirozi zimachitika chifukwa chopendekera ziwiya zomwe zimachepetsa minofu ya mtima.
Ndi zowonongeka zamatumbo am'munsi, kufooka kapena kupweteka m'miyendo kumamveka mukamayenda, panthawi yolimbitsa thupi. Zizindikiro zowonjezera zimaphatikizapo kuchepa kwa ndende, kuwonongeka kwa kukumbukira.
Zizindikiro zakunja za hypercholesterolemia zimasiyananso. Kutsekeka kwa lipid kungayambitse mapangidwe a xanthomas - neoplasms pakhungu lomwe lili ndi maselo amafuta. Mapangidwe ake ndi chifukwa chakuti gawo la LDL limapukusidwa pakhungu la munthu.
Nthawi zambiri, neoplasms imawoneka pafupi ndi mitsempha yayikulu yamagazi, imakonda kuchuluka ngati kuchuluka kwa cholesterol yoyipa kumachuluka.
Mankhwala a hypercholesterolemia
Cholesterol yamayunitsi 18 ndi yochuluka. Ndi chizindikiro ichi, chithandizo chovuta ndichofunikira, kuphatikizapo zakudya, masewera ndi mankhwala. Kuti achulukitse mulingo, mankhwala ochokera ku gulu la statin amagwiritsidwa ntchito nthawi zambiri.
Statins amawoneka ngati zinthu zopangidwa zomwe zimachepetsa kupanga ma enzymes ofunikira kuti apange cholesterol. Kafukufuku wachipatala adawonetsa kuti mankhwalawa amachepetsa LDL ndi 30-35%, pomwe akuwonjezera lipoproteins yapamwamba ndi 40-50%.
Ndalama ndizothandiza. Nthawi zambiri, kugwiritsa ntchito mankhwalawa kumalimbikitsidwa: Rosuvastatin, Atorvastatin, Simvastatin, Fluvastatin, Lovastatin. Kugwiritsa ntchito kwawo ndikoyenera kwa cholesterol yamayunitsi 18. Koma ndi matenda a shuga a m'mellitus amatchulidwa mosamala, chifukwa mankhwalawa amakhudza njira za metabolic, angayambitse kuchepa kwakukulu kwa shuga m'magazi.
Zotsatira zina zoyipa ndizophatikiza:
- Asthenic syndrome, kugona tulo, mutu, kusokonezeka kwam'mimba, kusokoneza kwam'mimba, m'mimba;
- Chizungulire, zotumphukira neuropathy;
- Zovala zotayirira, kukula kwa kapamba kapamba, kupweteketsa mtima;
- Nyamakazi ya mafupa, kupweteka kwa minofu;
- Thupi lawo siligwirizana ndi mawonekedwe a khungu (zotupa, kuyaka, kuyabwa, erythema)
- Kuchepa kwa Erectile mwa amuna, kulemera, kutumphuka.
Ma Statin amatchulidwa pokhapokha atazindikira mozama. Ngati pali kuphwanya kagayidwe ka mafuta, dokotala amawunika zonse zomwe zingachitike. Mlingo tikulimbikitsidwa kuganizira za jenda, kulemera, msinkhu wa wodwala. Zindikirani kukhalapo kwa zizolowezi zoyipa, zomwe zilipo somatic pathologies - matenda ashuga, matenda oopsa, hyperthyroidism.
Popereka mankhwala kwa odwala okalamba, ziyenera kukumbukiridwa kuti kuphatikiza ndi mankhwala a shuga, gout, matenda oopsa oopsa kumaonjezera ngozi ya myopathy kangapo.
Pozindikira matenda a hypercholesterolemia, nthawi zonse amangoikidwa ndi adokotala, potengera mulingo wa LDL, machitidwe a thupi, kuchuluka kwa shuga m'magazi komanso nthawi ya matenda a shuga. Kuwunikira kwakanthawi kachitidwe ka chithandizo kumachitika - miyezi iwiri iliyonse.
Kodi cholesterol imauza chiyani katswiri muvidiyoyi.
