Momwe mungachepetse cholesterol ndi azimayi?

Ngati ndinu mayi wa postmenopausal, dokotala wanu angakulimbikitseni kuti muchepetse cholesterol kapena mankhwala a statin (amphamvu kwambiri a lipid-omwe amachepetsa ma statins), omwe atha kupha. Kafukufuku watsopano wawonetsa kuti chithandizo cha statin chimawonjezera chiopsezo cha matenda ashuga ndi 71 peresenti mwa azimayi omwe ali ndi vuto lotsatira. Popeza matenda ashuga ndi omwe amayambitsa matenda a mtima, maphunziro awa amakayikira malingaliro omwe aperekedwa pakutsogolera mabungwe azachipatala ndi madotolo. Malangizo omwe azimayi amatenga kuti apewe kugunda kwa mtima amawononga kwambiri kuposa zabwino.

Zapezeka kuti ma statins amatha kuthandizanso ndi vuto lachiwiri la mtima, koma osati loyambirira. Mutha kuwatenga ngati muli ndi vuto la mtima, koma samalani ngati dokotala akuwalimbikitsa kugwiritsa ntchito ngati simunakhalepo ndi vuto la mtima.

Kafukufukuyu akuwonetsa maubwino a ma statins, komanso zomwe zimapangitsa chifukwa cha thupi.

Kafukufuku watsopano wawonetsa kuti amayi omwe amatenga ma statins ali pachiwopsezo cha 48% cha matenda a shuga.

Kafukufukuyu adasanthula zambiri kuchokera ku kafukufuku wamkulu komanso wothandizidwa ndi boma, Women Health Initiative, omwe anathetsa chikhulupiriro chathu chakuti Premarin amaletsa matenda a mtima kwa azimayi omwe ali ndi vuto lotsatira.

M'malo mwake, potengera phunziroli mwachisawawa koma lochita kusamaliridwa, chithandizo chobwezeretsanso estrogen, chomwe chinaganizira za muyeso wa golide wothandizira kupewa matenda a mtima, adapita kukawonongeka limodzi ndi mapulojekiti ena omwe adalephera m'mbiri ya zamankhwala, monga Diethylstilbestrol (syntrogen estrogen ), Thalidomide (tranquilizer yokhala ndi zotsatira zoyipa), Viox (osankha COX2 inhibitor, ali ndi anti-yotupa, analgesic, antipyretic ndi antiaggregant de kanthu), Avandia (mankhwala antidiabetesic) ndi ena ambiri.

Kafukufuku watsopanoyu adawunika zotsatira za ma statins pagulu la azimayi 153,840 opanda matenda ashuga komanso ali ndi zaka zapakati pa 63.2. Pafupifupi azimayi asanu ndi awiri mwa amayi 100 aliwonse amamwa kumwa mankhwala a statin pakati pa 1993 ndi 1996. Masiku ano pali azimayi ambiri omwe amamwa mankhwala a statin, ndipo ambiri aiwo ali pachiwopsezo cha kuvulala kwa ma statin.

Pazaka zitatu zophunzira, milandu yatsopano 10,242 idanenedwa - kuwonjezeka kwa 71 peresenti kwa chiwopsezo mwa azimayi omwe sanatengepo ma statins kale. Chiyanjanochi chidasungidwa ngakhale chiwonjezeko cha 48 peresenti cha chiwopsezo cha matenda ashuga, ngakhale mutaganizira zaka, mtundu / fuko, kulemera, kapena index ya thupi. Kuwonjezeka kwa chiwopsezo cha matenda kwakhala kosasinthika kwa ma statins onse pamsika.

Izi zimachitikanso kwa odwala omwe ali ndi vuto la mtima komanso osalephera. Modabwitsa, chiopsezo chotenga kachilomboka mwa azimayi ochepa thupi chinali chachikulu kwambiri. Amayi achichepere nawonso anakhudzidwa. Chiwopsezo chotenga matenda a shuga chinali 49% kwa akazi oyera, 57% kwa azimayi achi Spain, ndi 78% kwa azimayi aku Asia.

Koma monga madotolo otsogola akuti, "chisankho chachitika, ndipo simuyenera kusakaniza chowonadi." Ofufuzawo akuti sitisintha malingaliro athu pakugwiritsa ntchito ma statins popewa matenda oyamba a mtima.

Pakufufuza kwakukulu kwa meta komwe kunatulutsidwa m'magazini ya Lancet chaka chatha, asayansi adapeza kuti ma statin amawonjezera mwayi wokhala ndi matenda ashuga ndi 9 peresenti. Ngati omwe angatenge ma statins adatsatiradi malangizowo ndikuwatenga (ndikuthokoza Mulungu, 50% yokha ya zomwe amauzidwa amatenga ndi odwala), pakadakhale odwala matenda ashuga ena mamiliyoni atatu ku America. Wow!

Kafukufuku wina waposachedwa amakayikira chikhulupiriro choti cholesterol yayikulu imakulitsa chiopsezo cha matenda a mtima mukamakula. Zotsatira zake, ngati muli ndi zaka zopitilira 85, cholesterol yambiri imakutetezani kuti musafe ndi vuto la mtima komanso, kuimfa yomwe yayambitsidwa ndi matenda aliwonse.

Kodi cholesterol ingakupheni bwanji?

Kafukufuku waposachedwa adapeza kuti anthu okalamba athanzi amakhala ndi cholesterol yambiri yokhudzana ndi ziwengo zochepa zomwe sizimagwirizana ndi matenda amtima. Izi ndizofunikira kwambiri chifukwa mamiliyoni a mankhwala ochepetsa cholesterol mwa okalamba amalamulidwa tsiku ndi tsiku, koma palibe mgwirizano womwe unapezeka pakati pa cholesterol yapamwamba ndi imfa ya matenda amtima mwa anthu azaka 55 mpaka 84, komanso kwa iwo aliyense wazaka zopitilira 85, timawona zosiyana - cholesterol yapamwamba imawonetsa chiopsezo chochepa cha kufa ndi matenda a mtima.

Makampani opanga zamankhwala, mabungwe azachipatala ndi ofufuza asayansi omwe mabulogu awo amathandizidwa ndi othandizira azamankhwala amapitilizabe kulimbikitsa zozizwitsa za ma statins, koma maphunziro ngati awa ayenera kutipangitsa chidwi. Kodi tikuwononga zambiri kuposa zabwino?

Akatswiri a Cardio amalimbikitsa kubaya ma statin m'madzi ndikuwapatsa zakudya zodyera mwachangu, komanso kupezeka kudzera pa counter, potero amakhulupirira kuti izi zimatsitsa cholesterol yotsika momwe zingathere. Maphikidwe a Statin amaperekedwa mwachangu pachipembedzo, koma kodi amagwira ntchito kuti apewe kugunda kwa mtima ndi kufa ngati simunakhale ndi vuto la mtima?

Pansi pamzere: AYI! Ngati mukufuna kudziwa chifukwa chake, werengani.

Matendawa ndi osathandiza pamtima.

Posachedwa, Cochrane Gulu, gulu lapadziko lonse lapansi la asayansi odziyimira pawokha, adawunikanso kafukufuku onse wamkulu wama statin. Kuwunikaku sikunawonetse phindu la kugwiritsa ntchito ma statins popewa kugunda kwa mtima ndi kufa. Kuphatikiza apo, maphunziro ena ambiri amatsimikizira izi ndipo amawonetsa pafupipafupi komanso zovuta zina zoyambitsidwa ndi kugwiritsa ntchito mankhwalawa. Ngati asayansi atawona kuti kumwa magalasi awiri amadzi m'mawa kupewa kupewa matenda a mtima, ngakhale titakhala ndi umboni wochepa, tikanagwira lingaliroli. Ubwino wina, kuchepa kwapang'ono.

Koma izi sizikugwira ntchito kwa ma statins. Nthawi zambiri, mankhwalawa amachititsa kuti minofu iwonongeke, kukokana kwa minofu, kufooka kwa minofu, kupweteka kwa minofu, kuleza mtima (ngakhale pakalibe kupweteka komanso kuwonjezeka kwa creatine phosphokinase (amagwiritsidwa ntchito kuti azindikire kuwunika kwa myocardial infarction, myopathy, etc.) - michere ya minofu), kukanika kwa kugonana, kuwonongeka kwa chiwindi. ndi mitsempha ndi zovuta zina mu 10-15 peresenti ya odwala omwe amawatenga. Zitha kupangitsanso kuwonongeka kwakukulu kwama cell, minofu ndi mitsempha, komanso kufa kwa maselo ngati palibe chizindikiro chilichonse.

Palibe kuchepa kwa maphunziro komwe kumakupangitsa kukayikira phindu la ma statins. Tsoka ilo, kafukufukuyu sapindula mabiliyoni a madola omwe ma statins amapanga pakutsatsa ndi kutsatsa. Kafukufuku m'modzi wamkulu adatsimikizidwa ngati umboni kuti ma statins amagwira ntchito kuti apewe kugunda kwa mtima, koma mdierekezi ali tsatanetsatane.

Kafukufukuyu anali kafukufuku wa JUPITER5, omwe adawonetsa kuti kutsitsa LDL (otsika kachulukidwe lipoprotein kapena cholesterol yoyipa) popanda kuchepetsa kutupa (kuyesedwa ndi protein ya C-reactive) sikuletsa chiopsezo cha matenda a mtima kapena imfa. Zotsatira zake, ma statins amachepetsa kutupa, chifukwa chake kafukufukuyu adawoneka ngati umboni wakuchita bwino kwa mankhwalawa. Koma zindikirani kuti samachepetsa cholesterol (yomwe ma statins amapangidwira), koma amangochepetsa kutupa. Ndipo anthu omwe amagwiritsa ntchito kafukufukuyu ngati umboni wotenga ma statins amanyalanyaza mfundo yoti pali mankhwala ena abwino kuposa awa.

Komabe, kafukufuku wina sanapeze phindu la ma statins mwa amayi athanzi omwe ali ndi cholesterol yayikulu kapena mwa wina wazaka zopitilira 69. Kafukufuku ena akuwonetsa kuti kutsika kwambiri kwa cholesterol kungayambitse matenda a mtima WAMBIRI. Mayeso a ENHANCE adawonetsa kuti kulandira mankhwala oopsa a cholesterol omwe ali ndi mankhwala awiri (Zokor ndi Zetia) adatsitsa cholesterol mwambiri kwambiri kuposa mankhwala amodzi, koma adayambitsa mapulogalamu ambiri osasinthika ndipo sanachepetse chiopsezo chodwala mtima.

Maphunziro ena amakayikira kuyang'ana kwathu pa LDL kapena cholesterol yoyipa. Timayang'ana pa izi, popeza tili ndi mankhwala abwino kuti tichepetse, koma sivuto. Vuto lenileni ndi mulingo wotsika wa HDL (high density lipoprotein), womwe umayamba chifukwa cha insulinitensity (shuga kapena diazhenie).

M'malo mwake, kafukufuku akuwonetsa kuti ngati mungachepetse kuchuluka kwa cholesterol yoyipa (LDL) mwa anthu omwe ali ndi HDL yotsika (cholesterol yabwino), chomwe ndi chizindikiro cha matenda ashuga - omwe amatsogolera kunenepa kwambiri, prediabetes ndi matenda ashuga - ndiye kuti palibe phindu.

Anthu ambiri amangonyalanyaza mfundo yoti 50-75% ya anthu omwe ali ndi vuto la mtima ali ndi kuchuluka kwa mafuta m'thupi. Kafukufuku wamatenda a mtima ku Honolulu adapeza kuti odwala okalamba omwe ali ndi cholesterol yotsika amakhala pachiwopsezo chachikulu cha kufa kuposa odwala omwe ali ndi cholesterol yapamwamba.

Kwa odwala ena omwe ali ndi ziopsezo zingapo kapena matenda am'mbuyomu, mankhwalawa ndi opindulitsa, koma ngati mutayang'anitsitsa, zotsatira zake sizikhala zosangalatsa. Uwu ndi masewera onse manambala. Kwa amuna omwe ali pachiwopsezo chachikulu (anthu omwe ali onenepa kwambiri komanso othamanga magazi, matenda ashuga, komanso / kapena mbiri ya banja yodwala matenda a mtima) ndipo ndi ochepera zaka 69, pali umboni wina wazopindulitsa za mankhwalawa, koma amuna 100 amafunikira chithandizo chopewa chimodzi chokha vuto la mtima

Izi zikutanthauza kuti amuna 99 mwa 100 omwe amamwa mankhwalawa samalandira phindu. Otsatsa ogulitsa akuti amachepetsa chiopsezo ndi 33 peresenti. Zikumveka zabwino, koma zikungotanthauza kuti chiwopsezo cha matenda amtima chimachepa kuchokera 3 mpaka 2 peresenti.

Ngakhale pali umboni wokwanira woti ma statin ali ndi chithandizo chamankhwala chabwino, akadali mankhwala 1 ku United States. Zomwe sizikudziwika bwino ndizakuti 75% ya omwe amapatsidwa ma statin amaperekedwa kwa anthu omwe sangalandire phindu. Kodi mtengo wokwanira maphikidwe amenewa ndi uti? Koposa madola 20 biliyoni pachaka.

Komabe, mu 2004, National Cholesterol Research Programs idakulitsa zomwe analangizira, ikulimbikitsa anthu ambiri opanda matenda a mtima kuti atenge ma statins (13 mpaka 40 miliyoni). Kodi tikuganiza chiyani?

Kodi nchifukwa ninji asayansi olemekezeka amatsutsa zopeza zambiri zofufuza zomwe ma statins samaletsa matenda a mtima mwa anthu omwe sanakumane ndi vuto la mtima?

Yankho ndi ndalama. Akatswiri asanu ndi atatu mwa akatswiri asanu ndi anayi omwe ali mgululi omwe adapanga izi anali ndi mgwirizano wazachuma pantchito yopanga mankhwala. Akatswiri ena makumi atatu mphambu anayi omwe si akatswiri othandiza anzawo adapereka pempholo pofuna kutsutsa malingaliro a National Institute of Health, akuti umboniwo udali wofooka.

Kodi azimayi amatani?

Nthawi yakwana yoti ibweretse lingaliro losasinthika ili lonena za Ubwino wama statins kumadzi oyera. Koma poyamba, ndiroleni ine ndizindikire kena. Ngati mwadwala matenda a mtima kapena matenda a mtima, umboni umatsimikizira kuti ma statin amathandizadi kupewa matenda obwera ndi mtima, motero pitilizani.

Komabe, muyenera kudziwa kuti maphikidwe ambiri a statins amaperekedwa kwa anthu athanzi omwe cholesterol yawo ndiyokwera pang'ono. Kwa anthu awa, chiwopsezocho chimaposa phindu.

Zolemba zomwe zimachitika ndi kafukufuku waposachedwa pakati pa azimayi omwe amamwa mankhwala ochepetsa mafuta a cholesterol omwe ndawafotokozera m'nkhaniyi adawonetsa kumveka kwa izi (pa zoopsa za ma statins). Dr. Kirsten Johansen wa University of California, San Francisco adati azimayi omwe alibe matenda amtima ali pachiwopsezo chachikulu cha matenda a shuga. Zofunikira pakuchepetsa chiopsezo ndi maubwino a ma statin pazoyang'anira kupewa, zomwe zikuwonetsa kuti kusanthula meta sikubweretsa phindu lililonse pobera anthu onse ».

M'mawu osavuta, adanena kuti amayi opanda matenda a mtima sayenera kugwiritsa ntchito mankhwala a statin chifukwa:

1) Umboni ukuwonetsa kuti sagwira ntchito kuti apewe matenda amtima ngati simunakhalepo nawo.

2) Amachulukitsa mwayi wokhala ndi matenda ashuga.

Kuthana ndi zinthu zoopsa, monga cholesterol yambiri, ndikulakwitsa. Tiyenera kuthana ndi zomwe zimayambitsa - zomwe timadya, kuchuluka kwa masewera olimbitsa thupi, kuthana ndi nkhawa, kulumikizana kwathu ndi zinthu zachilengedwe ndizolumikizana kwambiri ndi chitukuko cha thanzi lathu komanso kupewa matenda kuposa mankhwala aliwonse omwe ali pamsika.

Kumbukirani kuti zomwe mumayika paphiri lanu zimakhala ndi mphamvu kwambiri kuposa chilichonse chomwe mungapeze pansi piritsi.

Bukhu langa latsopanoli, The Blood Sugar Solution, lomwe limatuluka kumapeto kwa Okutobala, limapereka chidziwitso cholondola pazomwe muyenera kuyika pathebulo lanu kuti muchepetse ndikusintha shuga. Ili ndi yankho lokwanira pamavuto azaumoyo omwe akukumana ndi dziko lathu masiku ano. Kuti mudziwe zambiri ndikukhala ndi buku laulere la bukulo, pitani Www.drhyman.com.

Tsopano ndikufuna kumva kuchokera kwa inu ...

Mukuganiza chiyani za ma statins?

Kodi mudatenga kale ma statins? Mudakumana ndi chiyani?

Chifukwa chiyani, mukuganiza, gulu lachipatala limapereka mankhwala omwe kafukufuku wasonyeza kuti sagwira ntchito?

Chonde siyani malingaliro anu powonjezera ndemanga pansipa.

Kusamalira thanzi lanu,

(i) Abramson J, Wright JM. Kodi malangizo othandiza kutsitsa lipid ndi umboni? Lancet. 2007 Jan 20,369 (9557): 168-9

(ii) Sirvent P, Mercier J, Lacampagne A. Zidziwitso zatsopano zamomwe amagwiritsidwa ntchito ndi myotoxicity. Curr Opin Pharmacol. 2008 Jun, 8 (3): 333-8.

(iii) Kuncl RW. Magulu ndi zida za poizoni wa myopathy. Curr Opin Neurol. 2009 Oct, 22 (5): 506-15. PubMed PMID: 19680127.

(iv) Tsivgoulis G, et. al, Presymptomatic Neuromuscular Disrupt Disclosed following Statin Treatment, Arch Intern Med. 2006,166: 1519-1524

(vi) Ridker PM, Danielson E, Fonseca FA, Genest J, Gotto AM Jr, Kastelein JJ, Koenig W, Libby P, Lorenzatti AJ, MacFadyen JG, Nordestgaard BG, Shepherd J, Willerson JT, Glynn RJ, Gulu Lophunzira la JUPITER. Rosuvastatin popewa zochitika zam'mimba mwa amuna ndi akazi omwe ali ndi mapuloteni othandizira a C-yogwira. N Engl J Med. 2008 Nov 20,359 (21): 2195-207.

(vii) Abramson J, Wright JM. Kodi malangizo othandiza kutsitsa lipid ndi umboni? Lancet. 2007 Jan 20,369 (9557): 168-9

(ix) Brown BG, Taylor AJ Kodi ENHANCE Ikuthana ndi Chidaliro pa Kutsitsa LDL kapena Ezetimibe? Engl J Med 358: 1504, Epulo 3, 2008 Mkonzi

(x) Barter P, Gotto AM, LaRosa JC, Maroni J, Szarek M, Grundy SM, Kastelein JJ, Bittner V, Fruchart JC, Kuthana ndi Opeza Zoyesa Zatsopano. HDL cholesterol, otsika kwambiri a LDL cholesterol, ndi zochitika zamtima. N Engl J Med. 2007 Sep 27,357 (13): 1301-10.

(xi) Hansson GK Kutupa, Kuthanso kwa Matenda, ndi Coronary Artery Disease N Engl J Med 352: 1685, Epulo 21, 2005

(xii) Schatz IJ, Masaki K, Yano K, Chen R, Rodriguez BL, Curb JD. Cholesterol ndi zoyambitsa zonse zomwe zimapha anthu okalamba ochokera ku Honolulu Heart Program: kafukufuku wa cohort. Lancet. 2001 Aug 4,358 (9279): 351-5.

Momwe mungayang'anire ntchito yanu?

Kuyesa cholesterol yamagazi kumafuna 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:

  1. Idyani mafuta oyenera.
  2. Kuchepetsa kudya zamafuta ambiri, kuti, kuchepetsa kudya kwamafuta, mafuta a mkaka, makeke okoma ndi zina zambiri.
  3. Musanagule zinthu, onani zomwe zalembedwapo, ndibwino kuti musankhe zinthu zokhala ndi mafuta ochepa (3 g pa 100 g yazinthu kapena zochepa).
  4. Muziphatikiza zakudya zomwe zimalembetsedwa ndi zolembapo zam'munda muzakudya zanu.

Zotsirizirazi, monga zimatsimikiziridwa mwa chipatala, 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 kwakanthawi.

Osteoporosis ndi vuto lalikulu lathanzi kwa okalamba, makamaka akazi.

Ndikofunikira kuphatikiza zakudya zomwe zili ndi calcium yambiri:

Amathandizira kukhala ndi mafupa athanzi. Vitamini D ndiwofunika kuti mukhale ndi thanzi labwino, lomwe timapeza kuchokera pakhungu la dzuwa.Izi zimafunikira mitundu isanu ya zipatso ndi masamba tsiku lililonse. Ndikofunikanso kudya magawo awiri a nsomba sabata iliyonse, imodzi yomwe imayenera kukhala yamafuta (ndikofunika kusankha mitundu yamafuta am'madzi omwe amakhala kumadzi 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 imagwira ntchito kwa azimayi onse, ngakhale atakhala amtundu wanji.

"Amayi akamayandikira kusiya kubereka, azimayi ambiri amakhala ndi cholesterol yowonjezereka, yomwe imawonjezera mwayi wokhala ndi matenda amtima," anatero wolemba mabuku wina, Karen A. Matthews, Ph.D., pulofesa wa zamisala ndi matenda opatsirana pa matenda ku University of Pittsburgh.

Kwa zaka 10, Matthews ndi anzawo adatsatiridwa ndi azimayi 1,054 atasiya kusamba. 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 kawirikawiri 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

Kudumphadumpha kwa cholesterol komwe kunanenedweratu kumatha kusokoneza 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.

"Zosintha sizikuwoneka ngati zazing'ono, koma ngati mayi weniweni amakhala ndi moyo zaka zambiri atasiya kusamba," akutero Bittner. "Wina wina akadakhala ndi cholesterol m'munsi pazomwe zikuchitika, kusintha kwakung'ono sikungakhudze. Koma ngati vuto la munthu wina lakhala likuchita malire m'magulu angapo, kuchuluka kumeneku kumawaika pachiwopsezo chamankhwala omwe amayenera kuyamba mwachangu. "

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 maphunziro ambiri mpaka pano achitidwa mu azimayi aku Caucasus.

Matthews ndi mnzake adatha kuphunzira zamtunduwu chifukwa kafukufuku wawo ndi gawo limodzi la kafukufuku wamkulu wokhudza zaumoyo wa azimayi, omwe amaphatikizapo azimayi ambiri aku Africa-America, Hispanic, ndi Asia-America.

Malinga ndi a Matthews, kafukufuku wowonjezereka 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 vuto la mtima ndi kufa kwa azimayi panthawi yakusamba.

Pomwe kafukufukuyu akupitiliza, akutero a Matthews, 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, 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 kumathandizira kuthana ndi zovuta zomwe zingachitike ndi thanzi. 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 kwapereka cholesterol. Pankhani yankho labwino, muyenera kudziwa momwe mungachepetse magwiridwe antchito.

Kuti muwunikire izi pawokha, muyenera kudziwa kuti ndi njira yanji yovomerezeka kwa mkazi nthawi imeneyi, komanso momwe cholesterol yapamwamba 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.

Ngati ndi kotheka, ndikulimbikitsidwa kuti mupewe kukhudzana ndi zovuta.

Mwambiri, kuti muchepetse mtengo ndi kuthetsa kudumpha kwa cholesterol, ndikofunikira:

  1. Musachotse chakudya chopatsa thanzi m'mafuta achinyama kuchokera pamenyu yanu.
  2. Pewani kudya mwachangu komanso zakudya zina zolakwika
  3. Sankhani zolimbitsa thupi.
  4. Pitani kwanu pafupipafupi.
  5. Yang'anani kulemera kwanu.

Mukamatsatira malangizo onsewa pafupipafupi, mutha kuchepetsa kusintha koyipa.

Inde, muyenera kukumbukira kuti osati cholesterol yochuluka kwambiri yomwe imayambitsa kusokonekera mu thanzi, komanso kuchepa kwa cholesterol yabwino kumatha kukhala ndi zotsatira zoyipa pa 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 kufotokozedwa ndi adokotala ndipo kuyamba kudzipeza nokha ndizoletsedwa.

Momwe mungakhazikitsire kuchuluka kwa mafuta a cholesterol akufotokozedwa mu kanema munkhaniyi.

Cholesterol chamagazi akuluakulu: momwe mungachepetse kunyumba popanda mankhwala

Kwa zaka zambiri osavutika ndi CHOLESTEROL?

Mutu wa Bungwe: “Mudzadabwa momwe zimakhalira zosavuta kuchepetsa mafuta m'thupi mwakumwa tsiku lililonse.

Asayansi adatsimikizira kwa nthawi yayitali kuti mafuta a cholesterol akupanga atherosulinosis. Cholesterol chokwera kwambiri chimatha kusintha moyo wa munthu usiku wonse - amuchotsetsa munthu wathanzi, wathanzi kukhala munthu olumala. Imfa chifukwa cha kugunda kwa mtima ndi matenda opha ziwalo ndi pafupifupi theka la anthu onse amene amafa.

  • Cholesterol - mapindu ndi kuvulaza
  • Kuopsa kokweza cholesterol
  • Upangiri wachipatala pakuchepetsa cholesterol
  • Zakudya zopanda mafuta a cholesterol
  • Ndi mitundu yanji ya zakudya zomwe zimalimbikitsidwa kuti muchepetse cholesterol?
  • Zakudya zamafuta a cholesterol
  • Zomwe nsomba zimatsitsa cholesterol
  • Njira za anthu

Pofuna kuthana ndi matendawa, mankhwala amagwiritsidwa ntchito. Koma si onse ndipo si nthawi zonse omwe amawonetsedwa. Chifukwa chake, taganizirani momwe mungachepetse cholesterol popanda mankhwala. Kodi mungachepetse bwanji mlingo wake kudzera muzakudya ndipo ndizotheka kuti muchepetse mankhwala "oyipa" a cholesterol wowerengeka? Onani nkhani izi.

Owerenga athu adagwiritsa ntchito bwino Aterol kutsitsa cholesterol. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Cholesterol - mapindu ndi kuvulaza

Cholesterol ndi mafuta oyera okhala ndi mafuta. Mu thupi, amatenga nawo mbali machitidwe onse ofunikira:

  • Popanda iyo, kupanga mahomoni azimayi ndi akazi sikungatheke.
  • Amatenga nawo gawo pamagulu osakhala ogonana: cortisol, aldosterone, corticosteroids.
  • Izi zimapezeka mu membrane wa khungu.
  • Ndiye maziko a vitamini D.
  • Amatulutsa bile.
  • Popanda izo, kagayidwe pakati pa khungu ndi malo othandizira ndi kosatheka.

Pali cholesterol "yoyipa" komanso "yabwino" (yofanana ndi cholesterol). Kulowetsa magazi, amaphatikiza ndi mapuloteni ndikuzungulira ndikumapangidwa ndi mitundu iwiri. Chimodzi mwa izo ndi lipoproteins yapamwamba (HDL), ndipo inayo ndi lipoproteins (LDL) yotsika.

Pogwiritsa ntchito cholesterol choyipa "choyipa" chiyenera kumvetsedwa ngati LDL. Akachuluka kwambiri m'magazi, amawasunga mwachangu, ndikubowola chimbudzi. Ndipo pomwepo chiwopsezo cha matenda amtima chikuchulukirachulukira. Cholesterol imabwera ndi zinthu zanyama - soseji, mkaka wamafuta ndi nyama yokonzedwa. Koma zitha kuchotsedwa pazinthu zokhala ndi CHIKWANGWANI - masamba, zipatso, phala.

Kuopsa kokweza cholesterol

Magazi a cholesterol m'magulu osiyanasiyana amasiyana malinga ndi jenda komanso zaka. Wapakati cholesterol yonse mwa amuna ndi akazi imayambira pa 3,6 mpaka 5.2 mmol / L. Komabe, ndi ukalamba, msambo wake umachuluka. Mpaka zaka 40, cholesterol yokwanira kuchokera pa 5,17 mpaka 6.27 mmol / L. Akuluakulu, kuyambira 6.27 mpaka 7.77 mmol / L.

Kuchuluka kwa cholesterol kumawonjezera chiopsezo cha matenda monga:

  • angina pectoris, myocardial infarction,
  • sitiroko
  • atherosulinosis ya ziwiya zamagawo akumunsi,
  • aimpso mtima sclerosis.

Cholesterol wokwezeka amatha kupezeka ali ndi zaka zilizonse. Nthawi zina, hypercholesterolemia ndi vuto la majini. Chifukwa chake, ndikofunikira kuyang'ana mulingo wake mwa anthu ena ali ndi zaka 20.

Upangiri wachipatala pakuchepetsa cholesterol

Kutengera ndi matenda, madokotala a mafayilo osiyanasiyana amapereka malingaliro pazomwe angachepetse cholesterol. Ndipo nthawi zambiri kukhazikitsa njira zochizira kumalumikizidwa ndi kusintha kwa moyo wa munthu. Kuchepetsa cholesterol, malamulo otsatirawa ayenera kuonedwa:

  • Kukana kwathunthu chakudya chofulumira, chakudya chofulumira, tchipisi, ma hamburger, makeke amphika, makeke. Izi zokha zimathandiza kuchepetsa kwambiri mafuta m'thupi.
  • Kukana zakudya yokazinga. Zakudya zimayenera kukhala zophikidwa, kuwiritsa, kuthira kapena kukonzedwa. Mukamayamwa, ma carcinogens amapangidwa.
  • Kukana kwa mafuta - margarine ndi mafuta ophikira. Amathandizira kuchuluka kwa LDL m'magazi. Mafuta a trans mu zakudya amatchedwa "mafuta a hydrogenated". Ayenera kusinthidwa ndi mafuta amasamba - maolivi, soya, ndi mpendadzuwa.
  • Zosasiyidwa kuchokera pazakudya ndizopangidwa ndi nyama, cholesterol yambiri.
  • Kuphatikizidwa mumndandanda wazakudya zomwe zimatsitsa cholesterol ya LDL - fiber, masamba, zipatso.
  • Chakudyacho chikuyenera kuphatikiza nsomba zamafuta omwe ali ndi cholesterol "yabwino".
  • Zakudya za soya zimathandiza kuchepetsa mafuta m'thupi. Muli mapuloteni ambiri, amathandizira kuchepetsa kudya kwa zakudya zoyipa, komanso kuchepetsa kunenepa.
  • Zochita zilizonse zolimbitsa thupi zimachepetsa "zoyipa" ndikukula "mafuta" abwino.
  • Kusuta kufafaniza. Nicotine imawononga makoma amitsempha yamagazi, ikuthandizira kuyika kwa LDL mkati mwawo.

Cholesterol wokwera imabweretsa chiwopsezo ku thanzi, koma ili ndi vuto lotha kuthana.

Mutha kupirira nazo, kusiya zizolowezi zoyipa, kusintha njira ya moyo. Pogwiritsa ntchito njira zodzitetezera, mutha kutsitsa cholesterol yamagazi popanda mankhwala.

Zakudya zopanda mafuta a cholesterol

Ngati kuchuluka kwa cholesterol kwanyamuka, muyenera kusintha kaye zakudya zanu. Madokotala amapereka malingaliro amomwe angachepetse cholesterol yamagazi ndi chakudya.

Zakudya zamafuta zomwe zimachokera ku nyama sizimachotsedwa pamenyu chifukwa zimakhala ndi cholesterol yambiri.

Izi ndi monga:

  • nyama yamafuta, kuphatikiza nyama yamkango,
  • mwanawankhosa, nkhumba ndi mafuta anyama,
  • Ubongo wa ng'ombe ndi cholembera cholesterol,
  • chiwindi, impso,
  • dzira yolk
  • zopangidwa mkaka kwambiri - kirimu, batala, kirimu wowawasa, tchizi zolimba,
  • mayonesi
  • trans mafuta (margarine ndi mafuta ophikira) amathandizira kuti pakhale cholesterol "yoyipa" mthupi,
  • granular ndi red caviar,
  • nkhuku yokongoletsedwa
  • chisamba, nkhanu,
  • zopangidwa ndi nyama - ma pastes, masoseji, soseji, mphodza.

Zogulitsa zoyenera komanso momwe zimakonzekedwera zimachepetsa "zoyipa" ndikuwonjezera kachigawo kolesterol "chabwino".

Ndi mitundu yanji ya zakudya zomwe zimalimbikitsidwa kuti muchepetse cholesterol?

Akatswiri azindikira kuti ndi zinthu ziti zomwe zimakupatsani mwayi kuti muchepetse cholesterol popanda mapiritsi, mutchinjirize mtima ndi mitsempha yamagazi. Zosankha ziyenera kukhala ndizophatikiza izi:

  • Zomera ndi ma pectin omwe amachotsa cholesterol "yoyipa". CHIKWANGWANI chimapezeka m'masamba, zipatso, ndi mbewu zonse.
  • Zakudya zomwe zimakhala ndi mafuta ochulukirapo a polyunsaturated. Amapezeka m'madzi am'madzi amnyanja (nsomba, salmon, trout).
  • Bzalani zakudya zokhala ndi mafuta a monounsaturated acids. Ambiri aiwo ali m'mafuta ozizira opanikizidwa, komanso opendedwa komanso opindika.

Ma asidi awa amalimbikitsa cholesterol "yabwino". Chifukwa chake, m'magazi mumakhala kufanana kwa HDL ndi LDL. Kumbukirani kuti atherosclerosis imayamba kuphwanya zigawozigawo.

Zakudya zamafuta a cholesterol

Zakudya zimalimbikitsidwa kuphatikiza masamba, zipatso ndi mbewu monga chimanga zomwe zimachepetsa cholesterol. Mwa izi, katundu wothandiza kwambiri amakhala ndi zinthu zotere:

  • Ma Leamu - nyemba, mphodza, soya, kugwiritsa ntchito nthawi zonse komwe kumathandizira kuchepetsa mafuta m'thupi popanda kugwiritsa ntchito mankhwala. Ngati mumadya mbale ya nyemba patsiku, cholesterol imachepa pakatha milungu itatu. Zinthu za nyemba zimatha kutsika kawiri mu LDL.
  • Barley, yemwe amadziwika kuti barele wa ngale, amakhala ndi michere yambiri yomwe imakhala ndi ma glucans, omwe amachepetsa LDL. Madokotala akapereka lingaliro la momwe angachepetse cholesterol mwachangu, amalangizidwa kuphika barele kapena ufa wa pilaf ndi masamba. Balere, monga palibe phala lina, amachepetsa kwambiri lipids yamagazi. Mbewu yonseyi ya tirigu ndiyenso njira ina yabwino kuposa mpunga.
  • Oatmeal opangidwa kuchokera ku chimanga kapena tirigu ndiwothandizanso polimbana ndi cholesterol. Oat chinangwa ndiothandiza kwambiri.
  • Chepetsani mtedza wa LDL. Ma almond, omwe ali ndi ma phytosterols mu peel, ali ndi tanthauzo lotchulidwa. Amaphatikizika m'matumbo ndi mafuta opaka, ndikupanga insoluble inayake yosalowa m'magazi. Mutha kuzigwiritsa ntchito mwanjira yawo yoyera kapena kuwonjezera ku saladi. Ma almond amatetezanso motsutsana ndi atherosulinosis chifukwa cha antioxidants ndi vitamini E.
  • Ma Avocados amakhala ndi mafuta ophwanya. Amawonjezera cholesterol "yabwino". Avocados amathanso kudyedwa ndi mandimu ndi mchere kapena kuwonjezeredwa ku saladi.
  • Zakudyazi ziyenera kuphatikizapo mafuta a masamba osapsa - mpendadzuwa, soya. Muli ma phytosterols.
  • Kaloti ali ndi michere yambiri, ma antioxidants, ndi Vitamini A. Kudya kaloti awiri patsiku kumathandizira kuti muchepetse cholesterol ndi 5-10% m'masabata 2-3. Kuphatikiza apo, kaloti amasintha kukumbukira.
  • Ma Cranberries amachokera ku antioxidants ndi vitamini C.Mchiritsi wachilengedwe uyu amatsuka mitsempha ya magazi ku cholesterol, amaletsa kugunda kwa mtima, sitiroko.
  • Zomera za mazira ndizopamwamba mu fiber. Zingwe za Eggplant zimamanga ndikuchotsa LDL pamatumbo. Izi zimathandizanso ntchito zamtima chifukwa cha potaziyamu.
  • Zopangira mkaka ziyenera kudyedwa ndi mafuta ochepa - mpaka 2,5%.
  • Kuti muchepetse cholesterol, malonda a soya amalimbikitsidwa - mkaka, tchizi ndi tofu curd.
  • Maapulo amaphatikizidwa muzakudya kuti muchepetse cholesterol. Khungu lawo limakhala ndi ma polyphenols ndi ma antioxidants, omwe amalepheretsa kudziunjikira ndi kusokera kwa cholesterol "yoyipa" pakhoma lamkati lamitsempha yamagazi. Ndi bwino kudya musanadye.
  • Othandizira kutsitsa kholesterol ndi adyo ndi ginger. Mwakufulumizitsa kagayidwe, amathandizira kugwiritsa ntchito zakudya zamafuta.

Pofuna kuthana ndi cholesterol, maolivi, ogwiriridwa ndi mafuta opendekera ndi mankhwala. Muli ndi mafuta achilengedwe a monounsaturated omwe amasungunula zolembera za atherosrance. Mulinso ma antioxidants Omega-6, Omega-3, omwe amateteza mitsempha yamagazi pazinthu zowonongeka. Mukamagwiritsa ntchito mafuta a maolivi m'malo mwa mafuta a nyama, kuchuluka kwa mafuta m'thupi kumachepetsa kwambiri.

Mafuta oyambitsidwa mukamadyedwa mu 1 tbsp. l patsiku amachepetsa cholesterol yonse ndi 29% kwa miyezi isanu. Mafuta amagulitsidwa muma super ndi ma hypermarkets. Pogula, muyenera kulabadira kuti imasungidwa m'mabotolo agalasi yakuda, chifukwa mafuta acids amawola m'kuwala.

Zomwe nsomba zimatsitsa cholesterol

Ndi cholesterol yambiri, zakudya zomwe zimakhala ndi mafuta ochulukirapo a polyunsaturated amaphatikizidwa muzakudya. Kuchulukitsitsa kwa ma asidi amenewa (mpaka 14%) kumapezeka mu nsomba - nsomba, chum salmon, trout, mackerel, tuna. Omega-3 mu nsomba amachepetsa cholesterol, amalepheretsa mapangidwe a atherosulinotic plaque, amasunga kusokonekera kwamitsempha yamagazi ndikuwonjezera magazi. Ndi cholesterol yokwezeka, tikulimbikitsidwa kuphika nsomba katatu pa sabata. Gawo la nsomba yophika ndi 100-150 magalamu.

Momwe mungayang'anire cholesterol

Ngakhale mankhwala asanapatsidwe mankhwala, muyenera kuwunika mawonekedwe a magazi. Ndi kusintha kwa kubereka, cholesterol imatha kuchuluka, ndipo nthawi zambiri izi zimachitika mwadzidzidzi. Muyenera kuganizira izi pazizindikiro zoyambira kusamba zikaonekera, ndipo ngati pali zinthu zina zomwe zikudziwikiratu kale. Amayi azaka zopitilira zaka 45 amalimbikitsidwa kuti azindikiridwa pafupipafupi.

Ngati thanzi lanu lili labwino kapena labwino, muthanso kukhala ndi chakudya chokwanira, kuchita masewera olimbitsa thupi komanso kusiya zizolowezi zoyipa. Koma kwa ambiri, munthawi yasintha kuchuluka kwa mahomoni, thanzi limasiya kwambiri. Amayi otere ayenera kukambirana momwe angawongolere mkhalidwe wawo ndi akatswiri.

Malangizo pazokhudza moyo ndi zakudya:

  • Idyani mafuta apamwamba kwambiri. Mafuta owopsa amapezeka muzakudya zabwino, nyama zamafuta, mkaka wonse. Zothandiza - muzomera. Zakudya zamatenda, ma marinade ndi nyama zomwe zimasuta ndizovulaza.
  • Pewani kuchita masewera olimbitsa thupi. Zochita zolimbitsa thupi zatsimikiziridwa kuti zimalola kuti chombo chikhale choyera nthawi yayitali.
  • Muzikhala wathanzi pamlingo wokwanira. Kuchepetsa thupi mwachangu sikulinso kovutirapo kuposa kunenepa kwambiri. Chifukwa chake, ngati mukufuna kuchotsa ma kilogalamu angapo, chakudyacho chikuyenera kukambirana ndi a gastroenterologist. Ndi kulemera kwabwinobwino, sikokwanira kusunthira ndikuyang'ana zipatso, ndiwo zamasamba ndi zitsamba, komanso kuphatikiza muzakudya zokwanira zam'madzi ndi nyama yazakudya.
  • Kudya calcium yokwanira. Kuperewera kwa zinthuzi kumapangitsa kuti matenda a mafupa asinthe. Calcium yambiri imapezeka mu yoghurts, tchizi, tchizi chanyumba, masamba masamba ndi mkaka wathunthu. Muyenera kusamala ndi zinthu zamkaka - malinga ndi akatswiri ena, sizikuthandizira kudzikundikira, koma kutsuka kwa chinthuchi kuchokera mthupi.
  • Yang'anirani kuthamanga kwa magazi. High cholesterol ndi kuthamanga kwa magazi ndizogwirizana kwambiri.
  • Kupindulitsa kwa zakudya ndi vitamini D. Ndiwambiri m'madzi am'nyanja, makamaka m'mafuta amchere, omwe amathandizidwanso chifukwa cha mafuta ake a omega-3 acids. Osachepera 3 serving yamafuta a nsomba amayenera kudyedwa pa sabata.

Magwero a mavitamini D ndi ma ray a ultraviolet. Anthu omwe akukhala kumadera omwe kulibe dzuwa lokwanira ayenera kumwa mavitamini.

Mayeso a cholesterol

Ndi chakudya choyenera, chikhalidwe cha cholesterol ndichoncho:

  • chonse - zosakwana 4 mmol / l,
  • LDL (otsika kachulukidwe) - ochepera 2 mmol / l,
  • HDL (kachulukidwe kakakulu) - zoposa 1 mmol / l,
  • triglycerides - zosakwana 1.7 mmol / l.

Kolesterol yathunthu imaphatikiza mitundu itatu: triglycerides, LDL ndi HDL. Kuchuluka kwake kumawerengeredwa ngati kuchuluka kwa mawuwo. Momwe kuchuluka kwa cholesterol yoyipa (LDL) sikunyalanyazidwira, imayikidwa kokha pamakoma amitsempha yamagazi. Koma mwa anthu ena, hypercholesterolemia imafika pachimake kotero kuti chinthucho chimadziunjikira kumapiri am'mwambamwamba, kutsogolo kwa patella ndi kumapazi, komanso kwa azungu amaso. Amayi otere amafunikira chithandizo chokwanira.

Kuchuluka kwa cholesterol ndi kusintha kwa thupi

Mkulu akamakula, mafuta ambiri m'thupi mwake amakhala m'magazi ake, motero, amapanga mitundu yosiyanasiyana yopanga mibadwo yosiyana. Kuphatikiza apo, kusintha kwa thupi kumadziwika ndi kulumpha kwakuthwa m'zinthu izi. Chifukwa chake, mwa amayi ndi abambo omwe ali ndi zaka 45-55, zizindikirazi zimasiyana kwambiri. Mwa amayi omwe ali ndi zaka zopitilira 50, Zizindikiro ziyenera kukhala pamtunda wa 4-7 mmol / L. Ngati sakukwanira mumtunduwu, ndikofunikira kuyesedwa ndipo ngati kuli koyenera, kuthandizidwa.

Chithandizo Chapamwamba cha Cholesterol

Therapy imapangidwa kuti muchepetse kuchuluka kwa LDL, ndikuwonjezera kuchuluka kwa cholesterol yopindulitsa (HDL). Mitundu yofatsa imatha kusintha posintha zakudya. Chakudyacho chimapangidwa m'njira yoti chikhale ndi fiber, masamba ndi zipatso zambiri. Kuchuluka kwamafuta, nyama chakudya, mkaka wonse ndi mkaka wokhala ndi mafuta ambiri umachepetsedwa.

Kuphatikiza apo, chakudyacho chimapangidwa ndi zovuta zovuta zamankhwala, zomwe zimakhala ndi beets, kaloti, turnips, swede. Komanso, adokotala angakulimbikitseni kuti musinthe pamachitidwe anu achizolowezi. omwe ali ndi ntchito yokhala pansi ayenera kuyenda kwambiri ndipo ngati kuli kotheka, ayendetse anthu ochepa. Muyenera kusiya kusuta, kumwa mowa, kuyang'anira kuwonda.

Maphunziro apakatikati olimba amalola kuti muchepetse kuchuluka kwa triglycerides ndikuwonjezera zomwe zili ndi HDL (high density lipoproteins).

Mankhwala a High Cholesterol

Pambuyo popereka zakudya zapadera, dokotala amayang'anira wodwalayo kwa miyezi 3-6. Ngati zinthu sizinayende bwino kapena kufooka, mankhwala ndi omwe amapatsidwa. Pali magulu awiri azamankhwala omwe amagwiritsidwa ntchito kuti achepetse triglycerides ndi LDL: statins ndi fibrate. Ma Statin amagwira ntchito kuti muchepetse cholesterol yonse, ndipo ma fiber amathandizira kuwonjezera cholesterol yathanzi ndikuchepetsa LDL.

Pali gulu lina la mankhwalawa - cholesterol mayamwidwe othandizira m'magazi. Monga gawo la zovuta mankhwala, amathandizira kuwonjezera mphamvu ya ma statins.

Kuwunika kwa cholesterol

Pazaka zakukalamba, ndikofunikira kupereka magazi kamodzi pazaka zisanu kuti muwone ngati mulingo wa LDL m'mwazi ukukwera. Izi ndizofala ku mayiko a ku Europe, ndipo madokotala amatenga nawo mbali popewa kuposa chithandizo.

Kukhala ndi malingaliro ofunikira ku thupi kumapewa mavuto ambiri, chifukwa matendawa amatha kuchiritsidwa koyambirira. M'magawo omaliza, zimachitika kuti odwala sangathenso kuthandizidwa. Ndiwowongolera ndi kukonza ma cholesterol pazinthu zovomerezeka zomwe zimathandiza kukhala ndi thanzi.

Zomwe zimayambitsa ngozi zimaphatikizapo kuwonjezera kulemera. Zadziwika kuti azimayi omwe thupi lawo limalemera makilogalamu 30 kapena kupitirirapo kuposa apo amakhala ndi vuto lalikulu la cholesterol. Chifukwa chake, azimayi achikulire kuposa zaka 45 omwe awona chizolowezi cholemera ayenera kuyendera dokotala wazachipatala kapena wa endocrinologist.

Kusiya kusuta fodya ndi kumwa mowa, kusiyanitsidwa ndi zakudya zamafuta ndi zotsekemera, zolimbitsa thupi zotheka kumachepetsa cholesterol yoyipa. Mulingo woyenera kwambiri sukwaniritsidwa nthawi yomweyo, motero muyenera kudzipangira tokha ntchito yayitali. Komabe, zotsatira zake zisangalatsa koposa mwezi umodzi. Kutsitsa cholesterol yoyipa, yocheperako ndi Climacteric syndrome. Poganizira mawonekedwe a thupi, dokotala yemwe akupezekapo angakuuzeni kuchuluka kwa zomwe ziyenera kutsimikizidwa.

Zomwe azimayi ayenera kukumbukira

Dr. Bittner akuchenjeza kuti ndikubwera kwa kusintha kwa thupi, zinthu zomwe zikuwoneka kuti zikuwoneka zikuwonjezeka. Sizofunikira kungoyang'anira kuchuluka kwa lipoproteins ndi triglycerides, komanso kuunikanso ma pathologies omwe angatheke. Ndikofunika kuganiziranso za chibadwa chamtundu wa matenda amtima.

Zizindikiro zoyambirira za kusamba zitawonekera, simuyenera kupewa kuchita masewera olimbitsa thupi, koma, kuwonjezera nthawi yoyenda tsiku ndi tsiku. Ngati thanzi lanu limalola, mutha kuchita masewera olimbitsa thupi osavuta kapena kuyamba kuchita masewera olimbitsa thupi a yoga.

Ndikofunikira kumvetsetsa nokha ngati kusintha kwa thupi kwayambitsa kuchuluka kwa lipoprotein. Ngati ndi choncho, ndikofunikira kukambirana ndi dotolo za mwayi wokhala ndi ma statins kapena mankhwala ena. Koma izi sizitanthauza kuti nthawi zonse ndikosatheka popanda mankhwala. Kupatuka pang'ono pazikhalidwe zoyenera kumakonzedwa ndi zakudya zoyenera komanso moyo wabwino. Samalirani thupi lanu ndipo mukhale athanzi!

Njira za anthu

Pali wowerengeka azitsamba ochepetsa cholesterol. Koma ziyenera kugwiritsidwa ntchito mosamala, poganizira momwe munthu akumvera:

  • Nyumba zimakonza decoction wamakhalidwe achikale ndi masamba aku valerian. Mwa izi, 1 tbsp. l osakaniza owuma kutsanulira kapu ya madzi otentha, kunena mphindi 15, kenako chikho cha ¼ katatu patsiku kwa masabata awiri.
  • Kusakaniza kwa mbewu ya fulakesi kumathandizanso. Kuti muchite izi, pogaya nthanga mu chopukusira cha khofi ndikusakaniza ndi madzi kupita ku zamkati. Tengani phala la 1 tsp. musanadye. Mbewu zitha kuwaza mu chakudya chomaliza.
  • Muzu wa Dandelion, womwe umakhala ufa, umagwiritsidwa ntchito 1 tsp. chakudya chisanachitike.

Kukonzekera kwazitsamba Tykveol kapena makapisozi okhala ndi mafuta am'madzi amathandizira kuchepetsa mafuta m'thupi. Mankhwala azitsamba amagwiritsidwa ntchito limodzi ndi chakudya chamagulu.

Pomaliza, tazindikira. Maziko a chithandizo chochepetsera cholesterol ndi zakudya zoyenera. Mfundo zake ndikugwiritsa ntchito zinthu zomwe zimachepetsa "zoyipazo" ndikuwonjezera cholesterol "yabwino". Njira yoyenera yophikira. Kuthandizira zakudya, mungagwiritse ntchito wowerengeka azitsamba. Zakudya zopatsa thanzi zimamasulira HDL ndi LDL. Izi zili pamutu wopewetsa kupweteka kwa mitsempha ndi zotsatira zake - kugunda kwa mtima, sitiroko.

Kusiya Ndemanga Yanu