Kuti muwonetsetse thanzi lanu, muyenera kuyesedwa nthawi ndi nthawi. Pambuyo pa zaka 40, mndandanda wazotsatira zoyeserera umaphatikizapo zizindikiro za biochemical, makamaka, cholesterol (cholesterol). Kodi ndi chiyani ndipo chizindikirocho chikuwonetsedwa bwanji poyesa magazi?
Chifukwa chiyani kusanthula ndikofunikira?
Ambiri omwe ali ndi mawu oti "cholesterol" amatanthauza chinthu chomwe chimapweteka m'thupi. M'malo mwake, cholesterol imakhalapo m'maselo ndipo imathandizira m'njira zofunika. Mankhwala, mfundo zomwe zili m'magazi zimatsimikiziridwa.
Ndikofunikira kuyang'anira magwiridwe antchito ndikuletsa kuchepa kapena kuwonjezeka. Madokotala amalimbikitsa kuyang'ana cholesterol kamodzi pazaka zisanu, ndipo patatha zaka 40 - kamodzi pazaka zitatu.
Kusanthula kumayikidwa milandu ingapo:
- ndikupimidwa pafupipafupi;
- pa mayeso apadera;
- pa matenda a chiwindi matenda;
- ndi matenda ashuga;
- kuwongolera mphamvu ya cholesterol pochiza mankhwala;
- pa matenda a chithokomiro;
- pa matenda a lipid zotchinga;
- pa matenda a atherosulinosis;
- pakuwunika kuopsa kwa stroko ndi mtima.
Mu phunziroli, cholesterol yathunthu yatsimikizika, komanso LDL, HDL ndi kuchuluka kwake. Mbiri ya lipid ndi yofunika kuti chithunzi chokwanira chikhale chodwala.
Lowensens lipoproteins (LDL), yotchedwanso cholesterol yoyipa, ndi owopsa. Amakhala osapindulitsa ndipo amapanga zikwangwani pazotengera. Kuchuluka kwa mitengo kumawonjezera chiopsezo cha matenda a mtima, atherosulinosis, ndi stroke.
High density lipoproteins (HDL), mwanjira ina, cholesterol yopindulitsa, imagwira ntchito yayikulu pakugwira ntchito kwa thupi. Amathetsa cholesterol yoipa, amalimbikitsa kuyamwa kwa mavitamini osungunuka mafuta, amaletsa mapangidwe, ndikuchita nawo mahomoni.
C cholesterol yonse imakhala ndi zizindikiro ziwiri zam'mbuyomu. Kuchepetsa kumatha kunena za vuto la lipid metabolic, zovuta zama psychophysical, zapamwamba - zokhudzana ndi kuopsa kwa atherosulinosis ndi matenda ashuga.
Zambiri zolondola zathanzi zimatha kupereka mbiri ya lipid. Zimakupatsani mwayi wodziwa matendawa ndikuzindikira zoopsa zomwe zingachitike.
Kuphatikizika kwa mbiri ya lipid kumaphatikizapo cholesterol (yonse, yoyipa, yabwino), mphamvu yogwirizana ya atherogenicity ndi triglycerides.
Atherogenicity Index (IA) ndi gawo la cholesterol yathunthu yomwe ili ndi HDL ndi LDL.
Chizindikiro chimawunikira momwe kagayidwe ka mafuta ndikuwonetsera kuopsa kwa matenda a mtima, atherosclerosis, amathandizira kudziwa matenda a chiwindi ndi chithokomiro. Mothandizidwa ndi IA, kusintha kwa cholesterol kusintha kwamankhwala kumayendetsedwa.
Triglycerides, mafuta osaloĊµerera m'mbali zina, ndi gwero lofunikira la mphamvu lomwe limabwera kuchokera ku chakudya ndipo limapangidwa mu minofu. Mankhwalawa atha kupereka zambiri zowonjezera pakuwunika kwa mtima, matenda a mtima, matenda a mtima, matenda a mtima ndi matenda ena angapo.
Kodi mayeso a cholesterol amatani?
Choyamba, wodwalayo amayeza mayeso a cholesterol. Pamakhalidwe abwinobwino, palibe chowonjezera chowonjezera chofunikira.
Pamalo okwera, kuwunikira kowonjezereka kumayikidwa kuti athe kudziwa mbiri ya lipid.
Nthawi zina, mbiri ya lipid imayikidwa kuti ikhale ndi vuto la mtima, pomwe mukumwa mankhwala ochepetsa lipids.
Kuyesedwa kwa cholesterol kumachitika m'mawa (pamaso pa 11.00) pamimba yopanda kanthu. Magazi ofufuzira amatengedwa kuchokera mu mtsempha.
Pa kudalirika kwa zotsatila, wodwalayo akulimbikitsidwa kutsatira malamulo:
- kupatula zakudya zamafuta tsiku loti lisanayesedwe;
- osamadya maola 10 musanayambe kuphunzira;
- masabata awiri isanachitike kafukufukuyu kuti aletse mankhwala ena, makamaka, fibrate, statins, niacin;
- kupatula mowa masana.
Phunzirolo lisanachitike, tsatirani malamulo okonzekereratu.
Onani cholesterol yathunthu pogwiritsa ntchito chosanthula chapadera. Ngati muli ndi chipangizo, mutha kuyesa kunyumba. Magazi a capillary amatengedwa kuti awoneke.
Ubwino waukulu wa muyeso woterowo ndikuti munthu amalandira zotsatira mu mphindi zisanu. Kuwunikira koyeserera ndikoyenera kwambiri kuwunikira chizindikiro. Kuti mupeze matenda athunthu, ndikofunikira kuti mupange mawunikidwe a Laborator.
Kufotokozera Makhalidwe
Nthawi zambiri, milingo ya cholesterol ili m'magulu a 3-5.4 mmol / L. Ndi chizindikiro cha 5.5-6.5 mmol / L, Hypercholesterolemia imatsimikizika, oposa 7.9 mmol - hypercholesterolemia yapezeka.
Makhalidwe ovomerezeka a HDL amawonedwa kuti ndi kuchokera ku 1.2 mmol / L, a LDL - kuyambira pa 2,5 mpaka 4,3 mmol / L.
Mu Chilatini chikusonyezedwa: cholesterol - CHOL, cholesterol yoyipa - LDL, cholesterol yabwino - HDL.
Chizindikiro cha index ya atherogenic ndichokera pa 2 mpaka 2.9. Mtengo wovomerezeka kwa akazi ndi mayunitsi 3.2, kwa amuna - mayunitsi 3.5. Mwa anthu omwe ali ndi vuto lalikulu la atherosclerosis, IA ili ndi magawo 4-7.
Mlozera wa atherogenicity walembedwa pakuwunika kwa zilembo zaku Latin - CATR.
Mlingo wovomerezeka wa triglycerides ndi 0.55 - 2.25 mmol / L. Ndi zizindikiro za pafupifupi 2.27 mmol / L, palibe chowopsa chokhala ndi mtima wamitsempha yamagazi, ngati zovuta za cholesterol ndizabwinobwino.
Ma Latin akuti triglycerides ndi TRIG.
Kodi ndikupatuka kotani?
Ndi cholesterol yokwezeka, mbiri ya lipid ndiyofunikira.
Zomwe zimayambitsa cholesterol:
- matenda a shuga;
- matenda a mtima;
- matenda a chiwindi
- kunenepa
- matenda a mtima;
- mavuto ndi kapamba;
- matenda a impso
- kugwiritsa ntchito mafuta komanso zakudya zopanda pake.
Zomwe zimakhudza kuchepa ndikuphatikizapo:
- kuchepa magazi kwa osiyanasiyana etiologies;
- zochitika zovutitsa;
- kuphwanya lipid kagayidwe;
- kusala, malabsorption chakudya.
Ndi kuchuluka kwakuipa kapena kuchepa kwa cholesterol yabwino, zomwe zimapangidwira triglyceride zimawonjezeka.
Komanso, kusintha kwa gawo lalikulu la chizindikirochi kumaonedwa motere:
- vuto la mtima;
- kulephera kwaimpso;
- matenda a shuga;
- hepatitis;
- matenda a mtima mitsempha;
- kapamba
- kulolerana kwa shuga;
- matenda a mtima.
Mukamamwa mankhwala oletsa kubereka, kuwonjezeka kwa triglycerides kumatha kuonedwa. Kutsika kwa zizindikiro kukuwonetsa kuvulala kosiyanasiyana, kuperewera kwa zakudya m'thupi, kuwotcha, kudya kwambiri kwa omega-3s.
Zizindikiro zowonjezera za kuthekera kwa ma atherogenic zikuwonetsa kuti kukwezedwa kwa LDL kumakhazikika mthupi. IA yowonjezereka imasonyezanso kupezeka kwa atherosulinosis mwa wodwala. Mulingo wochepetsedwa siowopsa.
Zoyenera kuchita ndi zopatuka?
Ndi zopatuka zazing'ono pakuwunika, tikulimbikitsidwa kusintha moyo. Choyamba, wodwalayo ayenera kusiya kusuta ndi kumwa mowa. Amachepetsa komanso kusokoneza kagayidwe kamafuta. Kuchita zinthu zochepa kumathandizira kuti pakhale njira zopendekeka. Kusankha zolimbitsa thupi limasinthasintha ndikusintha kagayidwe ka lipid.
Pa gawo loyambirira la cholesterol yokonza, chidwi chimalipidwa pakudya koyenera. Ndikulimbikitsidwa kuyimitsa kanthawi kochepa kugwiritsa ntchito soseji ndi zakudya zina zakonzedwa, zinthu zomwe zimakhala ndimafuta a mayonesi (mayonesi, margarine), mbale zowotchera ndi zosuta, mazira ophika, zakudya zamafuta (kirimu, kirimu wowawasa), mbatata.
Chepetsani kuchuluka kwa zakudya zotsekemera komanso zopatsa mphamvu muzakudya zanu. Muyenera kukonda zokonda zomwe zimakhala ndi mafuta azipamba. Mu zakudya ayenera kupezeka nsomba zamitundu yosiyanasiyana, mtedza, mbewu monga chimanga. Masamba ndi zipatso zimathandiza kuyang'anira mafuta m'thupi.
Zojambula pazakanema zochepetsera cholesterol:
Masabata atatu atatha kukonza ntchito ndikusintha zakudya, kusanthula kwachiwiri kumaperekedwa. Pofuna kupatuka pamiyezo, dokotala amachita zowonjezereka ndipo, kutengera chithunzi cha chipatala, amapereka mankhwala.
Kuyesedwa kwa cholesterol ndikofunikira kuti muwunike thanzi lanu. Zimathandizira kuzindikira matendawa munthawi yake, kuzindikira zoopsa zomwe zikuchitika komanso kupewa njira zopewera. Zambiri zimapezeka pakuwunika kwa zamankhwala.