Cholesterol 10: zikutanthauza chiyani, muyenera kuchita ngati mulingo wachokera ku 10
Kwa zaka zambiri osavutika ndi CHOLESTEROL?
Mutu wa Bungwe: “Mudzadabwa momwe zimakhalira zosavuta kuchepetsa mafuta m'thupi mwakumwa tsiku lililonse.
Kwa zaka makumi angapo, kutsutsana kozungulira cholesterol, mafuta omwe amapangidwa ndi chiwindi gawo lalikulu, ndikubwera ndi chakudya, sanathe. Maubwino okhala ndi moyo wathanzi amayitanitsa njira yopatula zakudya zamafuta a cholesterol zomwe zimapangidwa ndizosangalatsa - mazira, kirimu wowawasa, batala, nyama, mafuta anyama. Zikuwoneka - apa ndiye, lingaliro la momwe mungachepetse cholesterol mwachangu! Koma, tsoka, sikuti zonse zili zomveka apa.
Owerenga athu adagwiritsa ntchito bwino Aterol kutsitsa cholesterol. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
About cholesterol yabwino ndi yoyipa
Atadutsa m'mimba yokumbamo monga gawo la chakudya ndikulowa m'chiwindi, cholesterol imakulungidwa ndi membrane wopangidwa ndi mapuloteni osungunuka ndi madzi. Makapisozi a cholesterol awa amaperekedwa ndi magazi ku ziwalo zonse zomwe, monga chinthu chofunikira, ndizofunikira. Cholesterol ndiyofunikira:
- monga zomangira (zomanga ma cell membrane),
- njira yogawa maselo, motero, kukonzanso thupi.
- kupanga mafupa,
- kapangidwe ka mahomoni ogonana.
Izi makapisozi a cholesterol amasiyana pamlingo: amatha kukhala okwera komanso otsika. Cholesterol wotsika kwambiri nthawi zambiri amatchedwa "yoyipa", chifukwa ndiwofunikira kwambiri m'magazi omwe amatsogolera ku mapangidwe omwe amalimba ndikuletsa kuwala kwa ziwiya. Cholesterol yothandiza nthawi zonse imakhala yachuma kwambiri, ndipo kuthekera kwa atherosclerosis mwa munthu kumakhala kotsika, kukwera kwambiri m'magazi. Kupindulitsa kwake ndikuti imatha kugwira cholesterol yoyipa pakasunthira ndikuyiperekeza ku chiwindi, komwe imasinthidwa kukhala bile ndikusiya thupi.
Likukhalira kuti thupi silingakhale ndi moyo popanda cholesterol, koma zakuti anthu opitilira 90% omwe anafa ndi vuto la mtima komanso sitiroko adachitika motsutsana ndi kuchuluka kwake kwakukulu kuposa anthu athanzi.
Kodi yankho lavutoli ndi chiyani?
80% ya cholesterol yonse mwa ife imapangidwa m'chiwindi, imatchedwa endo native, ndipo 20% yokha imachokera ku chakudya, chotchedwa exo native. Thupi limayendetsa njirayi - ngati cholesterol singaperekedwe mokwanira ndi chakudya, njira zomwe zimapangitsa kuti chiwindi chake chikhale cholimba zimayambitsa, ndipo motsatana.
Pokhapokha mapangidwe amisomali am'mimba amayenera kutsika magazi m'thupi, chifukwa ndiomwe amapanga, makamaka, "otsika kachulukidwe" komanso "okwera kwambiri" (owopsa komanso opindulitsa) onyamula mafuta awa ku ziwalo zonse ndi matupi athu. Njira zochepetsera cholesterol ziyenera kuthandizira kuchepetsa cholesterol amkati, ndipo, panonso, kukhalabe ndi chiwopsezo chokwanira cha zigawo zopindulitsa ndi zovulaza.
Njira zakulembera cholesterol
Mutha kuyang'anira kaphatikizidwe m'thupi la cholesterol ndikuchepetsa kuchepa kwake kwakanthawi mosiyanasiyana: mankhwala, zakudya, kuchepetsa kudya zakudya zina mokulira, kuonjezera kuchuluka kwa magalimoto, ndikufulumizitsa kuchotsa kwake m'thupi. Kuletsa kaphatikizidwe pogwiritsa ntchito mankhwala apadera sikofunikira nthawi zonse, pokhapokha ngati zikuwoneka kuti zikuwopseza kwambiri chifukwa cha zovuta zomwe zimawopseza moyo, popeza nthawi zambiri makonzedwe awo amakhumudwitsa ena. Tilankhula za momwe tingachepere cholesterol yamagazi mwachangu komanso moyenera.
Kuchepetsa kaphatikizidwe
Mapangidwe a cholesterol amatha kuchepetsedwa pogwiritsa ntchito njira zotsatirazi.
- Muchepetse zakudya zamafuta ambiri. Zokha, mafuta awa alibe cholesterol yambiri, koma kumakulitsa kaphatikizidwe kake m'chiwindi. Pankhaniyi, zomwe zimatchedwa "Japan phenomenon" zikuwonetsa. Chijapani, chomwe moyo wake umakhala wansanje ndi pulaneti yonse, zopangidwa ndi nyama zokhala ndi mafuta zimakomedwa ndi msuzi wa soya, omwe, chifukwa cha kukhalapo kwa soya, ndi antioxidant wamphamvu komanso mafuta opha oxidizing. Amawaletsa, kuwaletsa kuti asasanduke makapisozi a cholesterol "yoyipa". Ndizofunikira kudziwa kuti maziko azakudya zawo si mafuta, koma ma nyemba, chimanga, tirigu ndi zakudya zam'nyanja, komanso msuzi wambiri wa soya. Tiyenera kukumbukiridwa kuti mafuta a nsomba ndiwosiyana ndi lamuloli, chifukwa imagwira ntchito pamafuta athanzi omwe ali ndi mafuta a polyunsaturated mafuta omwe, m'malo mwake, amathamangitsa mafuta osafunikira a cholesterol. Modabwitsa, chowonadi ndi chakuti chomwe chimasokoneza nsomba, ndizothandiza kwambiri.
- Sinthani kulemera. Asayansi atsimikizira kuti kilogalamu iliyonse ya minofu yowonjezera ya adipose kumbali yathu imapangitsa kupanga 20 mg ya cholesterol patsiku. Ngati pali kulemera kochulukirapo, ndiye kuti izi zikuwopseza kale ndi kuphwanya kwakukulu.
- Kuchepetsa kwakanema kwa zakudya zopatsa mphamvu. Zakudya zomanga thupi, chifukwa cha kapangidwe kake, sizingapangitse mafuta ophatikizika koma zimayambitsa izi m'njira zina. Kudya kwawo mopitilira muyeso kumabweretsa kupangika kwamafuta, omwe, omwe amawayika m'madimba a mafuta m'thupi, nawonso, amakhudza kale kupanga kwa cholesterol malo.
Kuchepetsa kudya
Zakudya zochepa zomwe zimakhala ndi mafuta omwe thupi limagwiritsa ntchito kuti lipange mankhwala ovulaza ndi njira yotsimikizika komanso yothandiza yochepetsera cholesterol popanda mankhwala osokoneza bongo komanso kudziteteza ku mavuto a mtima ndi magazi.
Zogulitsa 100 g | Cholesterol ili ndi (mg) |
Cottage tchizi 5% | 32 |
Soseji zophika | 53 |
Mkaka, mkaka wophika wopanda mkaka | 46 |
Ayisikilimu | 48 |
Soseji yophika | 60 |
Kirimu 20% | 64 |
Nsomba yamafuta ochepa | 65 |
Nyama Yankhuku | 82 |
Mchiuno, mafuta, brisket | 85 |
Nkhumba yophika | 89 |
Soseji yophika komanso yosuta | 88-90 |
Chilankhulo | 91 |
Wowawasa zonona | 93 |
Nyama yankhuku | 91 |
nyama yakuda ya nkhuku - mwendo, kumbuyo | 92 |
Ng'ombe Yapakatikati | 94 |
Aliyense nsomba zamzitini | 96 |
Nsomba nsomba | 95 |
Mwanawankhosa wowiritsa | 98 |
Shirimp | 140 |
Dzira yolk | 202 |
M'mimba mwa mbalame | 215 |
Ankhandwe, Amphaka | 310 |
Chiwindi | 439 |
Cod chiwindi | 750 |
Ndikosatheka komanso kosagwirizana kwathunthu kupatula mazira, kirimu wowawasa, nyama, mafuta anyama pamenyu; ali ndi mafuta, kuwonjezera pa cholesterol, zinthu zofunika kwambiri kuti mukhale ndi moyo. Komabe, mazira achizolowezi a 2 mmawa amayenera kusinthidwa ndi ma yolks awiri pa sabata (mapuloteni amatha kudyedwa kosatha).
Mafuta mafuta a masamba ambiri
"Chodabwitsa cha ku France" chikuwonetsa pankhaniyi. Anthu okhala ku France ndi ku Italy, ngakhale amadya nyama yambiri, ali ndi zotsika kwambiri za matenda amtima. Chinsinsi chake ndikuti m'maiko ano, mafuta a azitona amatchuka kwambiri, omwe ndi ngwazi ya antioxidant - imakhala ndi 65% oleic acid, omwe amakanika bwino mafutawa onse ndikuwachotsa m'thupi. Mwa njira, vinyo, omwe nthawi zambiri samachita popanda, alinso antioxidants abwino.
Mafuta ophikira ndizofunikanso pazinthu zofunika za phospholipids, 1 molekyulu yomwe imatha kusungunula mamolekyulu atatu a cholesterol ndikuchoka m'thupi.
Kuchuluka kwa michere yazakudya
Kuchulukitsa zakudya zamafuta ndikuzisinthanitsa ndi zakudya zomwe zimakhala ndi mafuta a kolesterol ndi njira yachangu komanso yothandiza yochepetsera cholesterol. Ma acid omwe amakhala ndi matumbo amatha kulowa m'magazi ndikubwerera mu gawo latsopano la cholesterol. Ngati, zikudutsa, zimatengedwa m'matumbo pa fiber fiber - lignin, pectin, cellulose, ndi ena, ndiye kuti matumbo amatsanulidwa ndipo, chifukwa chake, kuchuluka kwa cholesterol kumachepa.
Chofunika kwambiri ndi luso la "mankhwalawa" pazinthu zotsatirazi zomwe zimayambitsa nthawi yochepa. Izi ndi:
- "Ufumu" wonse wamasamba ndi katsabola, chilantro, tsabola wa belu, mitundu yonse ya kabichi, udzu winawake, parsley, kaloti, wopanga fiber. Kudya kwawo kambiri kumapatsanso thupi Vitamini C, antioxidant wabwino kwambiri yemwe angapangitse cholesterol yopindulitsa, kwinaku akupondereza cholesterol yoyipa.
- Mtedza umathandiza kwambiri chifukwa umakhala ndi mafuta osapanga mafuta omwe amachepetsa cholesterol yotsika kwambiri. Maamondi ndiwothandiza kwambiri. 50-70 magalamu a kudya tsiku lililonse adzakhala ndi zotsatira zabwino pa thanzi lamitsempha yamagazi.
- Mphamvu yofunikira ya anticholesterol imakhala ndi fulakesi wamba. Ayenera kukhala pansi mu chopukusira khofi ndikuwotcha chilichonse mbale.
- Njira yofulumira komanso yotsika mtengo ndi adyo watsopano. Kuti muwone zotsatira zowonekera (kuchepetsa kwa 10-15%), ma clove atatu patsiku ayenera kumwedwa.
Chinsinsi cha anthu 1: 10-12 sing'anga wonunkhira amaponda ndikumangirira m'magalasi awiri amafuta a maolivi kwa masiku 7. Zotsatira zomwe zimapangidwira zimawonjezeredwa zopanda malire ku chakudya chilichonse.
Chinsinsi cha anthu 2: 300-350 g wa adyo chimadulidwa, nchotheka kudzera mu chopukusira nyama, chomwe chimatsanulidwa ndi magalamu 200 a vodika ndikuchiyika kwa masiku 10. Zotsatira zakuchiritsira zimadzetsedwa ndikugwiritsa ntchito kulowetsedwa kwa 25-30 akutsikira musanadye katatu katatu patsiku, kusakaniza, ngati kungatheke, ndi mkaka wochepa. Njira ya chithandizo ndi kufikira kulowetsedwa kutha.
- Anyezi wopanda mafuta umakweza mulingo wa cholesterol yopindulitsa ndi 25-30%, ngati amadya 50 magalamu tsiku lililonse. Mosiyana ndi adyo, omwe amathanso kuwiritsa, anyezi sangaphike.
- Lebo: nyemba, soya, mphodza, nandolo. Ngati mungawadye owiritsa mu galasi patsiku, cholesterol yoyipa imatsika. Pakadutsa masabata awiri awiri amatha kuchoka pa 20%
- Mafuta Zodzikongoletsera za oats, odzola, chimanga - zimathandizanso kuchepetsa mafuta m'thupi. Ngati pakati pa mwezi m'mawa uyamba ndi mbale ya phala, ndiye kuti mutha kuyembekezera kuti mwina pofika mwezi wa 10-15 pang'onopang'ono.
- Zipatso zonse ndizothandiza kuchepetsa cholesterol yoipa, popeza zimakhala ndi salicylic acid, womwe umalepheretsa magazi kuundana.
- Amuna a mankhwala a folks amapereka mankhwala awo momwe angachepetse kuchuluka kwa mafuta m'thupi m'magazi. Amalangiza kuti kapu ya katsabola iphatikizidwe ndi supuni ziwiri kapena zitatu za mizu ya tebulo, yosemedwa ndikuwonjezera magalasi angapo a uchi. Kusakaniza kumatsanulidwa ndi malita awiri a madzi otentha, ndikuyika kwa maola 24. Amamwa magalamu 15-20 musanadye katatu pa tsiku 5-6 patsiku, osungidwa mufiriji.
Zakudya za Vitamini
- Niacin (niacin, vitamini PP) amathandizira kutsekereza malo a atherosclerotic zolembera pazitseko zamitsempha yamagazi, chifukwa chake kuzitenga magalamu 3-4 patsiku ndizothandiza kwambiri.
- Vitamini C - imathandizira kuchotsa mafuta m'thupi, iyenera kumwedwa pakadutsa 1-2 magalamu, ikhoza kuphatikizidwa ndi mavitamini ena.
Osati ndi mkate wokha ...
Zakudya zilizonse zomwe timafuna, palibenso chinthu china chofunikira chomwe chimayambitsa cholesterol yapamwamba - hypodynamia, kapena kusowa kwa magalimoto. Zakhazikitsidwa kuti atherosulinosis imawonedwa pafupipafupi pakati pa ogwira ntchito zamisala kuposa omwe amagwira ntchito zolimbitsa thupi.
Sinthani cholesterol imathandizira magawo olimbitsa thupi. Kuthamangira kwa mphindi 20, kuyenda pafupipafupi kwa ola limodzi tsiku lililonse, masewera olimbitsa thupi osavuta, komanso kupenda zakudya komanso kuyambitsa zakudya zopatsa thanzi kumakuthandizani.
Cholesterol 10: izi zikutanthauza chiyani, bwanji ngati mulingowo ukufalikira pa 10.1 mpaka 10,9?
Cholesterol ndi mtundu wamafuta omwe amafanana kwambiri ndi kapangidwe ka njuchi. Thupi limapezekanso m'maselo, mitsempha, ndimatumbo, limatenga gawo mu metabolism, kuphatikizapo kupanga mahomoni. Ndi magazi, cholesterol imafalikira m'thupi lonse.
Pali lingaliro lakuti kuchuluka kwa zinthu zokhala ngati mafuta kumayambitsa chitukuko cha ma atherosselotic plaograph pamakoma a mtima. M'malo mwake, izi ndizomwe. Madipoziti oterewa amayambitsa matenda owopsa, makamaka matenda a stroke. Komabe, muyenera kudziwa kuti pali cholesterol yomwe imapindulitsa thupi.
Nthawi zambiri, cholesterol iyenera kukhala pamlingo wa 5 mmol / L. Kutsitsa ndikuwonjezera chizindikirochi nthawi zambiri kumakhala kodzaza ndi mawonekedwe a matenda. Ngati zotsatira za kuwunikiraku zikuwonetsa cholesterol ya mfundo 10 kapena kuposerapo, ndikulimbikitsidwa kuchitapo kanthu mwachangu kukhazikitsa bata.
Chifukwa chiyani cholesterol imakwera
Cholesterol yafika pa 10, zikutanthauza chiyani? Chifukwa choyamba choonjezera cholesterol ndikuphwanya chiwindi, chiwalochi ndi chomwe chimagwiritsidwa ntchito popanga zinthuzo. Ngati wodwala matenda ashuga sagwiritsa ntchito zakudya zamafuta a cholesterol, chiwindi chake chitha kugwira ntchito yake bwino. Thupi limawononga pafupifupi 80% ya cholesterol kuti ipange bile acid.
Pakadutsa malungo, ziwalo 20% zotsalazo zimasungidwa m'magazi, ndende ya cholesterol imafika poopseza - mpaka 10,9 mmol / l.
Chifukwa chachiwiri madokotala amatcha kunenepa kwambiri, ndipo odwala matenda ashuga awa ndivuto. Kudzikundikira pang'onopang'ono kwa zinthu ngati zamafuta kumawonetsedwa moipa kwambiri mkati ndi mkati mwa metabolic.
Kuti apange minofu yatsopano ya adipose, chiwindi chimalandira chisonyezo chotulutsa cholesterol yambiri.
Anthu onenepa kwambiri nthawi zonse amakhala ndi cholesterol yayikulu, palibe piritsi limodzi lomwe lingathandize kuti libweretsere pansi. Ndizotheka kuthetsa vutoli pokhapokha kuchepa thupi, kuchuluka kwa mapaundi owonjezera nthawi zonse kumakhala kofanana ndi mulingo wa cholesterol.
Chinanso chomwe chingayambitse cholesterol pamwamba pa 10 mmol / L ndi kupezeka kwa neoplasms yoyipa. Monga kunenepa kwambiri, thupi limafunikira cholesterol yochulukirapo kuti ipange maselo.
Pakakhala kusokonezeka pakugwira ntchito kwa ziwalo za mtima, cholesterol idalumphira 10 mmol / l, tikulimbikitsidwa kusinthana ndi zakudya zapadera ndikumwa mankhwala osokoneza bongo. Amayamba ndi kukhazikitsidwa kwa ma statins, pafupifupi, njira ya chithandizo iyenera kukhala osachepera miyezi isanu ndi umodzi. Chofunikira kuti muchiritse ndi:
- moyo wokangalika
- kusewera masewera
- njira yopuma ndi ntchito.
Poganizira kuti kuchuluka koyamba kwa cholesterol kumatha kubwereranso, kuphatikiza, adokotala amalimbikitsa kugwiritsa ntchito ma fiber. Ndizotheka kuti mankhwalawa sabweretsa zotsatira zomwe akufuna. Kutalika kwa mankhwalawa kuyenera kuwonjezeka mpaka kuchuluka kwa zinthu zonenepa ngati mafuta kumachepetsedwa ndi theka.
Cholesterol okwera kwambiri samapatula chithandizo cha moyo wonse ndi mankhwala ndi zakudya. Pankhaniyi, thupi silitha kuthana ndi matendawa, liyenera kuthandizidwa.
Njira zowongolera cholesterol yowonjezera: chakudya
Ngati cholesterol yathunthu yafika 10, ndiyowopsa bwanji ndipo ikuyenera kuchita chiyani? Pali njira yosavuta yodziwira kuperekera chakudya choyenera, sikuyenera kupitilira kukula kwa kanjedza. Kuwonjezeka kwa chiwerengerochi kumadzetsa mavuto.
Mwanjira ina, kudya mopanda malire kumayambitsa matenda owopsa, njira zosasinthika. Komanso, ndikofunikira kumwa mankhwala omwe ali otetezeka poyamba, mtedza, zipatso, masamba.
Kuti mutsatire gawo lomwe mwalimbikitsa silikhala ntchito yosatheka, muyenera kudya zakudya zazing'ono. Menyuyi iyenera kukhala ndi fiber yambiri yothandizira kuwongolera kunenepa.
Muyenera kumvetsetsa kuti si mafuta onse omwe amawononga thanzi la odwala matenda ashuga. Pali zakudya zina momwe ma lipids osakwaniritsidwa amapezekamo:
- nsomba zam'nyanja
- azitona akuda
- mafuta a masamba.
Tisaiwale zamtundu wapamwamba wa zopatsa mphamvu zamtunduwu, chifukwa chake simuyenera kunyamulidwa ndikuwazunza.Kugwiritsa ntchito moyenera kumathandizira kukhala ndi cholesterol yoyenera.
Madokotala oletsa cholesterol pamwambapa amalimbikitsa kudya zakudya zoyenera. Amakhala ndi mpunga, buckwheat, oatmeal ndi tirigu. Pali mbewu zambiri monga chimanga ndi fiber, zomwe zimathandizira kuti matenda a glycemia akhale ochepa, potero amachepetsa mafuta m'thupi. Nutritionists amatsatira kutsatira Pevzner chiwerengero cha zakudya zisanu tebulo, zimathandiza kukwaniritsa zotsatira zazikulu.
Chinthu cha omega-3 chimakhala chofunikira kwambiri ndi cholesterol yambiri; chimalepheretsa kuchitika kwa cholesterol plaques. Katunduyu amapezeka mu sardines, trout, nsomba, nsomba.
Nsomba sizingaphikidwe, zimaphikidwa, kuwiritsa kapena kuphika. Mukamaphika, katunduyo amataya zinthu zake zofunikira, kunyamula ziphuphu zofooka za anthu odwala matenda ashuga.
Owerenga athu adagwiritsa ntchito bwino Aterol kutsitsa cholesterol. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Payokha, Omega-3 angagulidwe ku pharmacy ngati chakudya chowonjezera.
Kukula kwa Moyo vs. Kukula kwa Cholesterol
Chimodzi mwazofunikira kwambiri kuti mukhale ndi thanzi labwino ndi masewera olimbitsa thupi. Vutoli ndikuti odwala ambiri amakhala ndi ntchito yongokhala, sasuntha kwambiri, ndipo nthawi yakwana yopanda masewera.
Pali zosunthika zochepa zoyenera kuchitidwa. Masana muyenera kuyenda pang'ono pang'onopang'ono kwa theka la ola. Nthawi iliyonse ndikofunikira kuwonjezera nthawi yoyenda. Magwiridwe oterowo amawonetsa thanzi labwino, ndipo njira zoyeretsera magazi kuchokera ku malo amafuta zimayambitsidwa. Zotsatira zake, cholesterol siimayikidwa, magazi amayenderera bwino kudzera m'matumbo.
Ngati cholesterol yapitilira 10,1, wodwalayo ayenera kupanga lamulo kuti azidya chakudya chokha. M'malo opangira zakudya zamagulu, monga zakudya zachangu, mafuta omwewo amagwiritsidwa ntchito pokazinga zingapo, kukulitsa kuvulaza kwa chakudya.
Ngakhale zakudya zopatsa thanzi zomwe zili ndi njirayi zimakhala zowopsa pankhani ya cholesterol. Pakanapanda kusankha, muyenera kukhala okhutira ndi zopatsa, ndikulimbikitsidwa kuti muziganizira bwino chisankho cha mbale, muzingodya:
Payokha, chizolowezi chomwa khofi yambiri ziyenera kudziwika. Malinga ndi ziwerengero, pogwiritsa ntchito makapu oposa awiri a khofi tsiku lililonse, kuchuluka kwa mafuta m'thupi kumakwera. Ngati mavuto okhala ndi chizindikiro cha chinthu chokhala ngati mafuta alipo kale, kuchuluka kwake kumafika pa 10,2-10.6, khofi imatha kuwonjezera cholesterol koposa.
Malingaliro omaliza adzakhala ovalira nyengo ndipo ngati kuli kotheka, onetsetsani kuti mukugona mokwanira. Ndi chiwopsezo cha matenda oopsa, cholesterol 10.4-10.5 kapena kuposa, kuzizira kuyenera kupewedwa. Kupanda kutero, mitsempha ya magazi imapanikizika kwambiri, pali dontho lakuthwa mu mulingo wa nitric oxide, kupendekera kwa lumen ya mtima.
Wodwala matenda ashuga atakhala pachiwopsezo cha matenda a matenda a m'mimba, ndikofunikira kuti agone mokwanira. Komabe, ndikosayenera kugona kugona. M'magawo onse awiriwa, pali kuphwanya kukonza kwa shuga ndi ma lipids omwe amalandidwa m'thupi. Ndikofunikira kuwongolera magawo awa mwakuwonjezera pogula mizere ya glucose ndi cholesterol mu pharmacy.
Katswiri muvidiyoyi munkhaniyi akufotokozerani momwe mungachepetse mafuta m'thupi.
Tiyeni tikambirane za momwe tiyenera kuchitira cholesterol yayikulu
Cholesterol ndi lipid pawiri yomwe imapangidwa m'chiwindi ndikuyenda m'magazi ndikofunikira kuti thupi la munthu lipange ziwalo zonse za cell, kupanga mahomoni a steroid ndi bile. Chofunikira ichi mokulira chimakhala mdani wamitsempha yamagazi ndipo chimayambitsa kufa kwakukulu chifukwa cha kugunda kwa mtima ndi sitiroko.
Zolinga Zokwera
Cholesterol ndi chinthu chamkati chopangidwa popanda thupi. 15-20% yokha yake imalowa m'magazi ndi chakudya, chifukwa chake kuchuluka kwa cholesterol sikungokhala mu zakudya zopanda pake za munthu. Mlandu pa izi ndi:
- chibadwa
- hypothyroidism (hypothyroidism),
- matenda ashuga
- hypomania
- cholelithiasis
- kuvutitsidwa kwa beta-blockers, okodzetsa, immunosuppressants,
- kusuta, uchidakwa,
- zakudya zopanda thanzi.
Kuwopsa kwa cholesterol yayikulu
Mafuta Cholesterol
- mu mapuloteni-lipid maofesi: HDL, LDL, VLDL (cholesterol chowonjezera) - 60-70%,
- mwaulere - 30-40% ya okwanira.
Kumangirira zozungulira ziwiri, umodzi umakhala wofanana. Zizindikiro zotsatirazi za cholesterol yathunthu m'magazi zimadziwika kuti ndizabwinobwino:
Zaka zazaka | Norm (mmol / L) | |
Amuna | Akazi | |
1-4 | 2,9-5,25 | |
5-10 | 2,26-5,3 | |
11-14 | 3,08-5,25 | |
15-19 | 2,9-5,18 | 3,05-5,18 |
20-29 | 3,21-6,32 | 3,16-5,8 |
30-39 | 3,37-6,99 | 3,3-6,58 |
40-49 | 3,7-7,15 | 3,81-6,86 |
50-59 | 4,04-7,77 | 4,0-7,6 |
60-69 | 3,9-7,85 | 4,09-7,8 |
70 ndi akulu | 3,73-7,25 |
Chizindikiro chomwe chimaposa zaka zakubadwa chimawerengedwa kuti chikuwonjezeka. Gulu lowopsa la matenda amitsempha yama mtima limaphatikizapo amuna opitilira 55 ndi amayi opitilira 65 omwe ali ndi cholesterol yokwanira m'magazi> 4.9 mmol / L.
Kodi chiwopsezo chowonjezeka chimakhala chowopsa bwanji?
Cholesterol yochulukirapo ikhoza kuyikidwa kukhoma lamkati la mitengo ikuluikulu komanso mitsempha yamagazi ya mtima, zomwe zingayambitse mawonekedwe a cholesterol plaque.
Khalani omasuka kufunsa mafunso anu kwa wazachipatala wa nthawi zonse mwachindunji patsamba lino. Tikuyankha motsimikiza: Funsani funso >>
Chikwangwani chitha kutsekeka kwathunthu kwa chithokomiro cham'mimba ndikupangitsa angina pectoris komanso kulephera kwamtima kosatha. Ngati chidacho chadzaza ndi cholesterol, imagwa chifukwa chotupa kapena kuchuluka kwa ziwiyazo ndikulowa m'magazi, kuphwanya kwaphokoso kwambiri kumachitika.
"Cholesterol gruel" yokhala ndi zolembera zowonongeka imasunga mitsempha yaubongo ndikupangitsa kuti ischemic stroke.
Kuwopsa kwa vuto la mtima ndi sitiroko | Mulingo wa cholesterol yathunthu m'magazi (mmol / l) |
Zochepera | 6,22 |
Kukonza mankhwala
Mankhwala omwe amachepetsa cholesterol yamagazi amatchedwa ma statins. Zoyipa kuti zigwiritse ntchito:
- gawo la kuchuluka kwa chiwindi, matenda a chiwindi,
- mimba, yoyamwitsa,
- wosakwana zaka 18
- kuchuluka kwa matenda a impso,
- tsankho
- kumwa nthawi imodzi.
Dzina lamankhwala | Mlingo mg | Mlingo wochepera, mg | Mlingo wamba, mg | Mulingo waukulu mg | Mtengo, pakani. |
Simvastatin (Zokor, Vasilip, Simgal, Simvakard) | 10, 20 | 10 | 20-40 | 40 | 60-300 |
Lovastatin (Mevacor, Holetar, Medostatin) | 20, 40 | 20 | 40 | 40-60 | Kuyambira 500 |
Pravastatin (Lipostat) | 10, 20, 40 | 10-20 | 40-80 | 60 | Kuyambira 700 |
Fluvastatin | 20, 40 | 20 | 40 | 40-80 | Kuyambira 2000 |
Atorvastatin (Liprimar, Atoris, Tulip, Torvakard) | 10, 20, 40, 80 | 10 | 10-20 | 40-80 | 130-600 |
Rosuvastatin | 5, 10, 20, 40 | 5 | 5-10 | 20-40 | 300-1000 |
Malangizo pazakudya za anthu omwe ali ndi cholesterol yayikulu m'magazi ikufanana ndi tebulo No. 10, 10C malinga ndi Pevzner. Kuwongolera zakudya ndi njira yodalirika yochotsera zakudya zomwe zimayambitsa kukhathamiritsa kwa mafuta m'thupi.
Malangizo onse
- Mtengo wamagetsi watsiku ndi tsiku suyenera kupitilira 2600 Kcal.
- Zakudya zomanga thupi ndi 90 g (zomwe 55-60% zimapatsidwa mapuloteni amanyama).
- Kudya kwamafuta tsiku ndi tsiku sikuposa 80 g (pomwe osaposa 60% amapatsidwa mapuloteni amanyama).
- Zopatsa mphamvu - zosaposa 350 g.
- Chiwerengero cha zakudya patsiku - 5-6.
- Osaposa 5 mg wa mchere patsiku.
- Kuchuluka kwamafuta owopsa si zoposa 1% ya chakudya chonse.
- Zakudya za tsiku ndi tsiku ziyenera kukhala ndi magalamu 30-45 a fiber masamba, 200 g zamasamba atsopano, 200 g zipatso zatsopano.
- Kumwa nsomba tsiku lililonse 2-3.
- Osapitirira 20 g mowa tsiku lililonse kwa amuna ndipo osaposa 10 g ya akazi.
Zitsanzo za zakudya
1 Chakudya cham'mawa chotsatira: bere la nkhuku yophika, mbatata yophika, amadyera, saladi watsopano wa tomato, nkhaka, chipatso chowuma kapena tiyi wopanda mphamvu ndi mandimu.
2 kadzutsa: Oatmeal odzola, nthochi, apulo, sangweji ya cod.
Chakudya chamasana: kanyumba tchizi kassassole kapena msuzi wamafuta ochepa, ndiwo kagawo ka ng'ombe, apulo, nthochi kapena lalanje, msuzi wa rosehip.
Chakudya chamadzulo: supu ya masamba ophika, msuzi wa buckthorn, nkhaka, phwetekere kapena peyala.
Zakudya Zovomerezeka
- Masamba, zipatso,
- mkate wa lilime, chinangwa
- Kalulu wowiritsa kapena wowira, ng'ombe, nkhuku,
- nsomba yamchere yophika kapena yophika yamchere yokhala ndi mchere pang'ono ndi zonunkhira,
- zipatso kanyumba tchizi casseroles,
- phala ndi mbali yamkati ya semolina, Buckwheat, oatmeal,
- masamba abwino, ophika, owiritsa, ophika,
- Zipatso zatsopano
- zoyera
- kuchuluka kwa mtedza, wokondedwa,
- tchizi zosasunthika
- mafuta ochepa mkaka,
- masamba osapanda masamba,
- mabulosi, zakumwa za zipatso, zakudya zonunkhira, zipatso zoperewera, mankhwala a zitsamba.
Zakudya Zosalimbikitsa
- Yothira mafuta, mbale zakusuta,
- nyama yamafuta, nkhuku ndi nsomba, mafuta anyama,
- makeke, pasitala, mkate woyera, mpunga,
- sodas zabwino, chokoleti,
- zonunkhira, msuzi,
- bowa
- dzira
- khofi wamphamvu, tiyi, koko
- masoseji
- mafuta amkaka, kuphatikiza tchizi,
- zogulitsa zomwe zimakhala ndizapamwamba zambiri, zowonjezera, zowonjezera, zokuthandizira zowonjezera.
Kuchiza ndi wowerengeka azitsamba
Ndipo tsopano tiyeni tikambirane za momwe tiyenera kuchitira cholesterol yapamwamba ndi mankhwala wowerengeka. Kumbukirani kuti chithandizo cha mankhwala wowerengeka chokhala ndi wowerengeka sayenera kuthana ndimankhwala ndikuletsa kugwiritsa ntchito ma statin.
- Onjezani madontho 20 a phula la phula ku kapu yamadzi. Tengani phula lamadzi katatu patsiku musanadye.
- Ponda muzu wa ginger mu chopukusira cha adyo, onjezerani madontho atatu a mandimu ku tiyi. Mutha kumwa madzi a muzu wa ginger m'mawa ndi madzulo.
- Tani tiyi wa ginger wogwiritsa ntchito supuni ziwiri zamatumbo a ginger wodula, onjezani magawo angapo a mandimu ku teapot.
- Momwemonso tiyi wochokera ku maluwa a linden amapangidwa (supuni ziwiri za maluwa owuma pa lita imodzi yamadzi). Tiyi yabwino imakhala yabwino m'mawa, pachakudya chamadzulo komanso madzulo. Mutha kusungunula mungu wa 1 g wa mungu wa tiyi akamamwa tiyi.
- Konzani nokha mafutawo, momwe mungafunikire magawo 10 a adyo mu makapu awiri a mafuta. Finyani msuzi kuchokera ku adyo ndikusakaniza ndi mafuta, lolani kuti ubwere. Gwiritsani ntchito kuvala masaladi.
- Konzani kulowetsedwa pa katsabola. Tengani 1/1 chikho cha katsabola watsopano, supuni ya pansi ya valerian. Thirani madzi otentha ndikuphika kwa mphindi 20. Lolani kuti zibwereke kwa masiku angapo, kupsyinjika. Imwani kulowetsedwa musanadye chilichonse ndi supuni ya uchi.
- Thirani supuni ziwiri za uchi wa njuchi mumsavuchi, kutsanulira kapu ya madzi otentha ndikumawotcha kwa maola awiri pa moto wochepa. Zisiyeni zizivuta. Sefa kulowetsedwa musanagwiritse ntchito. Imwani katatu patsiku musanadye.
Zithandizo za anthu ndizothandiza kwambiri poletsa kupangika kwa cholesterol plaque.
Zochita zolimbitsa thupi
Chotsani kusachita masewera olimbitsa thupi chifukwa cha kufooka kwa mtima komanso mtima.
Kuchita masewera olimbitsa thupi sikuyenera kuwononga moyo wanu. Njira zothandiza kwambiri ndizochita zolimbitsa thupi zolimbitsa thupi. Amapangidwa kuti azilimbitsa khoma lam'mimba ndi minofu ya mtima ndikuphatikiza:
- Kuyenda kapena kuyenda mu mpweya watsopano,
- Kuyendetsa mosavuta pa liwiro loyenera
- masewera olimbitsa thupi m'mawa (squats, miyendo yolowera, kudumphira pamalopo),
- kusinthasintha ndi zolimbitsa thupi,
- kulimbitsa thupi ndi ma dumbbells,
- aerobics kapena kusambira.
About mkulu cholesterol ndi zochita mu izi
Yemwe mungalumikizane ndi thandizo
Mutha kulumikizana ndi GP wakwanuko kuti ayesedwe magazi a magazi anu osiyanasiyana. Wochiritsirayo amasankha mankhwala, ndipo ngati kuli kotheka, adzakutumizirani kwa dokotala wamtima, yemwe angasankhe mankhwalawa kutengera mtundu wamtima wanu, zomwe zimayambitsa matenda, kuchuluka kwa cholesterol, zaka, kulemera kwa thupi ndi matenda ena.
Ndipo pomaliza - mungatani kuti muchepetse cholesterol popanda mankhwala
Kodi chizindikiro 10-10.9 chimatanthawuza chiyani?
Munthu amene ali pachiwopsezo amafunika kukayezetsa magazi pafupipafupi
Pafupifupi 80% ya cholesterol amadziwika kuti amapangidwa m'chiwindi ndi matumbo. Chifukwa chake, zonena kuti zinthu zonga izi ngati mafuta ndizowopseza kwambiri zimakhala zolakwika. Ngati thupi limagwira ntchito yopanga cholesterol nthawi zonse, ndiye kuti pamafunika njira zina.
Popeza cholesterol siyisungunuka m'madzi, mayendedwe ake amachitika pogwiritsa ntchito ma lipoprotein, opangidwa ndi:
- mamolekyulu a cholesterol
- mapuloteni othandizira.
Chifukwa chake, ma low lowens lipoproteins (LDL) ndi mkulu (HDL) amadziwika. Chilichonse chazosinthazi chimagwira ntchito yake. Chifukwa cha kapangidwe kake, LDL (cholesterol yoyipa) imatha kulira ndikutulutsa, zomwe zimayambitsa malo a atherosulinotic. Ngakhale kuchuluka kwa cholesterol, kotchedwa koyipa, kumakhalabe kwabwino, musadandaule.
Cholinga cha HDL, ndiye kuti, cholesterol yabwino, ndikuchotsa LDL, yomwe idalowa ndi chakudya. Nthawi zambiri, komabe, metabolidi ya lipid imalephera, ndipo kuwunika kungawonetse cholesterol 10 - mtengo wofunikira. Zofananazo zikuwonetsa kukhudzidwa kwa zinthu zina, kuchotsedwa kwa komwe kumapangitsa kuti mafuta a cholesterol azikhala bwino.
Cholesterol chikakwera kufika pa 10 ndi kupitirira apo, ndikofunikira kudziwa tanthauzo la kutani molondola. Zizindikiro zotsatirazi zimawoneka ngati zabwinobwino:
- cholesterol yathunthu - 5.2-5.5 mmol / l,
- coheroffhero ya atherogenic (pakati pa HDL ndi LDL) - 2-3,
- Zolemba za LDL - kuyambira 2 mpaka 3 mmol / l.
Kuchokera pazomwe tafotokozazi, zikuwonekeratu kuti chizindikiro cha 10-10.9 ndi chizindikiro kumayambiriro kwa chithandizo, chifukwa kuwonongeka kwamitsempha yokhala ndi ma atherosclerotic plaques kumatha kubweretsa stroke, kugunda kwa mtima komanso ngakhale kufa.
Kuchuluka kwa cholesterol kumayambitsa mkwiyo:
- kunenepa kwambiri chifukwa chogwiritsa ntchito zakudya zamafuta,
- chibadwire
- matenda a kapamba
- Matenda a hepatic ndi aimpso,
- mowa ndi chikumbumtima cha bongo,
- kusowa zolimbitsa thupi,
- mimba.
Fodya imathandizira kukula kwa cholesterol yovulaza: mosasamala mtundu wa fodya kapena ndudu, mafayilo amtundu wa oxidize a LDL, chifukwa chake, atengekedwa ndi kusuta, munthu amalola zolembera zamtundu wa atherosrance.
Munthu amene ali pachiwopsezo amafunika kukayezetsa magazi pafupipafupi. Zomwe zimapangitsa cholesterol kukhalanso muubwana, chifukwa chake, ana amafunikanso kukayezetsa kuti adziwe ngati mwana ali ndi cholesterol yayikulu kapena ayi.
Zoyenera kuchita
Kuti mupewe kupezeka kwa cholesterol malo, muyenera kudya nsomba
Ngati mitundu iyi ya lipid ikupereka cholesterol yokwera kwambiri, adokotala angakuwuzani zochita, mutenge mankhwala oyenera. Choyamba, wodwalayo asinthe zakudya zamasiku onse. Ndi mitengo yayikulu ya LDL, mwayi wokhala ndi stroko ndi kugunda kwamtima ndiwokwera. Chifukwa chake, mafuta a nyama ali pamndandanda woletsedwa.
Chakudya chimadyedwa m'magawo ang'onoang'ono 5-7 patsiku. Menyuyi iyenera kuphatikizapo zipatso ndi ndiwo zamasamba zomwe zili ndi antioxidant katundu, chifukwa chomwe milingo ya LDL ithepa.
Kupewa mapangidwe a cholesterol plaque, ndikofunika kudya nsomba zokhala ndi omega-3s:
Ndikofunika kudya nsomba zophika, zophika kapena zophika.
Kuchita masewera olimbitsa thupi komanso kuyenda kwa tsiku ndi tsiku komwe kumachepetsa cholesterol yoyipa kumapangitsa kuti muchepetse kusankha kwa LDL, chifukwa chake kupsinjika kwapakati kumafunikira kuti muchepetse cholesterol ya LDL, koma dokotala wanu musanatsike cholesterol yanu. Ndikofunika kuonetsetsa kuti palibe zotsutsana, chifukwa chake masewera omwe akhoza kukhala ovulaza.
Mankhwala
Cholesterol yayikulu imatanthawuza kugwiritsa ntchito mankhwala kuchokera ku gulu la ma statins. Ali ndi katundu woletsa kupanga ma enzyme, popanda momwe mafuta amafuta a cholesterol sangatheke. Kuti mankhwalawa akhale othandiza monga momwe mungathere, muyenera kutsatira zakudya zapadera.
Kuphatikiza apo, ma statins ali ndi anti-yotupa.Poletsa kutupa pamalo opangira mapangidwe a atherosulinotic, amachepetsa kuwonongeka kwamitsempha.
Mukamagwiritsa ntchito ma statins, ndikofunikira kuyang'anira pafupipafupi zomwe zili LDL. Ngati atalandira chithandizo chamankhwala kwa miyezi itatu, mankhwalawo amachotsedwa ndipo akupitiliza kuwunika momwe zinthu zikuyenderera mthupi. Nthawi zambiri odwala amafunika kudya ma statin nthawi zonse, chifukwa popanda iwo, kuchuluka kwa cholesterol kumadzukanso.
Mndandanda wa mankhwala omwe ali ndi mankhwala ambiri ali ndi:
- Simvastatin. Zotsatira zake zimawonekera masabata angapo atayamba chithandizo. Kusintha komwe kumanenedwa kumatha kuchitika pakatha mwezi umodzi kapena iwiri. Mankhwalawa amatengedwa piritsi limodzi piritsi. Amachotsedwa m'thupi mwachangu mokwanira - pafupifupi maola 12.
- Lovastatin. Zotsatira zake sizimawoneka nthawi yomweyo, koma nthawi yomweyo zimadziwika ndi kuyamwa pang'onopang'ono. Kulandila ndi osakwatiwa - madzulo.
Funso loyenerera ndikuti: ngati wodwalayo amamwa mankhwalawa, kodi ndikofunikira kumwa ma statins pakachitika zovuta? Popeza mankhwalawa amatha kusokoneza thupi, dokotalayo amatha kusintha mankhwalawo kapena kuwachotsa.
Kuphatikiza ma statins, amapereka:
- fibrate - mankhwala omwe amakhudza kuchuluka kwa cholesterol,
- nicotinic acid, yomwe imachepetsa kuchuluka kwa LDL ndikuchepetsa chiopsezo cha thrombosis.
Chithandizo cha anthu
Ngati mukuwona kuwonjezeka kwa LDL munthawi yake ndikugwiritsa ntchito wowerengeka, muthanso kusintha mafuta m'thupi
Zitha kuchepetsa mavuto a cholesterol oyipa chifukwa cha zakudya zoyenera komanso mankhwala azikhalidwe. Kuti mupeze kufunika kogwiritsa ntchito njira zachikhalidwe, muyenera kufunsa dokotala. Izi zikuthandizira kuthetsa zovuta zonse zomwe zimachitika chifukwa cha mbewu zina.
Maphikidwe ochepetsa LDL:
- Ndikofunika kuwonjezera pazakudya zingapo zomwe zidayimitsidwa kale mu uvuni ndi mbewu zosakanizidwa za fulakesi.
- Phula wa mankhwala a Propolis amagwiritsidwa ntchito mphindi 30 asanadye, 10 imatsika katatu patsiku. Kutalika kwa mankhwala ndi miyezi itatu.
- Chiuno chophwanyika m'chiuno (125 g) chimatsanulidwa ndi vodka (250 g) ndikusiyidwa kwa masabata awiri. Njira yolowa - katatu patsiku, 20 g musanadye.
- Garlic (1 makilogalamu) imasenda, kudula mutizidutswa tating'ono ndikuyika 3 lita imodzi. Kenako, ikani masamba a currant ndi chitumbuwa, horseradish (50 g), katsabola pang'ono ndi mchere (80 g). Madzi owiritsa amathiridwa pamwamba (madzi ayenera kuphimba adyo). Mtsukowo umakutidwa ndi gauze ndikuwukhira firiji kwa masiku 7. Kulowetsedwa umagwiritsidwa ntchito mukatha kudya 1 tbsp. l Katatu patsiku.
Ngati cholesterol ikukwera mpaka 10, mawonekedwe a cholesterol plaque m'matumbo, musafunse - kodi izi ndizambiri kapena zabwinobwino. Atherosulinosis imatha kupha anthu ovuta kwambiri. Mukaona kuwonjezeka kwa LDL munthawi yake ndikugwiritsa ntchito wowerengeka, muthanso kusintha cholesterol yabwino, yomwe ingapewe zovuta.
Kuchuluka kwa cholesterol, makamaka paubwana, kumabweretsa zotsatirapo zosasangalatsa. Chifukwa chake, ndikofunikira kuti musachedwe kulandira chithandizo ndikutsatira mosamalitsa malangizo azachipatala.
Cholesterol 10 - amatanthauza chiyani
Cholesterol ndi mowa wachilengedwe womwe uli ndi katundu wamafuta. Zambiri mwa zinthu zotere zimapangidwa ndi thupi lokha, ndiye kuti, poyambira cholesterol ndi amkati. Ziwalo zomwe zimatha kupanga gawo ili la mawonekedwe a magazi a lipid zimaphatikizapo makamaka chiwindi ndi matumbo. Ma cholesterol ena onse (20%), amabwera makamaka akamadwala - ndi chakudya.
Popeza cholesterol ndi mtundu wa mowa, sasungunuka m'madzi. Chifukwa chake, kuti mukhale ndi kusunthika, kumangiriza zovuta zosiyanasiyana zopangidwa ndi mapuloteni. Pamodzi ndi iwo, amapanga zinthu zam'madzi zam'magazi, zomwe zimatchedwa kutengera mtundu wa mapuloteni onyamula.
Zigawo za cholesterol zimasiyanitsidwa: lipoproteins (okwera, otsika kwambiri komanso otsika kwambiri - HDL, LDL ndi VLDL), triglycerides, chylomicrons. Awiri kwambiri omwe amatchedwa cholesterol abwino ndi oyipa (HDL ndi LDL, motsatana). Ma cholesterol ogwirira ntchito ochulukirapo, amayenda momasuka m'magazi ndipo, mosiyana ndi owopsa, otsika kachulukidwe, samamatira kumakoma amitsempha yamagazi ndipo samapanga ziphuphu zodziwika bwino.
Muyezo wa cholesterol m'mwazi ndi wofika 5.2 - 5.5 mmol pa lita. Komabe, ziwerengerozi zimadalira mwachindunji jenda ndi zaka. Kutengera ndi iwo, pansipa pali tebulo la cholesterol yabwinobwino:
Ndi hypercholesterolemia kuchokera pa 10,1 mpaka 10,9 mmol / l, wopangidwa chiopsezo chachikulu kuchuluka ndi kulowa kwa mtima makoma ndi mafuta m'thupi. Kodi izi zikutanthauza chiyani? Kuchulukitsa pafupipafupi kwamavuto amkatundu wamagazi - kugunda kwa mtima, stroko, atherosulinosis. Chifukwa chake, manambala oterewa mu mbiri ya lipid ndi chizindikiro chachindunji cholumikizana ndi katswiri wa zamankhwala ndikuyesa kwathunthu.
Zoyenera kuchita ndi zomwe zingakhale ndi zotsatirapo zake
Zoyenera kuchita ngati thupi litapereka mwadzidzidzi chotere? Choyamba, ngati kupatuka kwa cholesterol mu mbiri ya lipid ndizokwera kuposa 10 mmol pa lita, muyenera kufunsa dokotala. Adzapatsidwa malingaliro pawokha, omwe atha kusintha kusintha zakudya, masewera olimbitsa thupi, ndi mankhwala othandizira.
Ngati simuchita kanthu pa nthawi ndipo osavomereza izi, njira zosasintha siziyamba mthupi. Ngati cholesterol index ya 10 mmol kapena apamwamba ndi chizindikiro chotsimikizika cha njira ya atherosulinosis m'makoma amitsempha. Matenda a mtima - kugunda kwa mtima, mikwingwirima - ndizovuta kwambiri, ndipo mwatsoka, zotsatila zake pafupipafupi.
Zimayambitsa High Cholesterol
Pali zinthu zambiri zomwe zimayambitsa cholesterol:
- Kunenepa kwambiri chifukwa cha kuperewera kwa zakudya m'thupi. Poterepa, muzu wavutowu nthawi zambiri umakhala chakudya chamafuta kwambiri mu chakudya chamafuta azinyama.
- Wophedwa ndi cholowa. Izi zikuphatikiza zosiyanasiyana za congenital hypercholesterolemia ndi zina hyperlipidemic pathologies.
- Matenda a biliary system ndi impso.
- Kulephera kuchita masewera olimbitsa thupi. Ndi ntchito yochepetsedwa, pali cholesterol yochulukirapo, yomwe sikuti imagwiritsidwa ntchito ndi thupi. Palibe kopita - amayamba kutsatira makhoma amitsempha yamagazi.
- Zizolowezi zoyipa - uchidakwa, kusuta. Ma radicals aulere omwe amapangidwa pakusuta amalowa m'magulu amtundu wa cholesterol, omwe ali ndi LDL, ndikuwonjezera kaphatikizidwe. Chifukwa chake, kusuta kumapangitsa mapangidwe a atherosulinotic plaques.
- Matenda a chithokomiro
Anthu omwe ali ndi gawo limodzi kapena angapo a mfundozi m'mbiri ya anthu amakhala m'magulu oopsa, ndipo amayenera kutenga mbiri ya lipid pafupipafupi. Kuyesedwa kwa magazi kumeneku kumaphatikizaponso kuzindikira kwa HDL, LDL, cholesterol yathunthu, magazi triglycerides ndi coheroffic ya atherogenicity.
Ndizofunikira kudziwa kuti nthawi zina - mwachitsanzo, pa nthawi yomwe mayi ali ndi pakati - chizindikiro cha cholesterol chitha kuchuluka. Ichi ndi chizolowezi chakuthupi chomwe chimalumikizidwa ndi kusintha kwa mahomoni m'thupi.
Moyo & Zakudya
Munthu yemwe akuvutika ndi cholesterol yayikulu amalimbikitsidwa kuti asinthe moyo wake, kuti abweretse mphamvu ya masewera olimbitsa thupi ndi physiotherapy. Mitundu yodulidwa idzathandizira kuthandizidwe kwa chithandizo china.
Chotsatira chofunikira chizikhala kusintha kwa zakudya za tsiku ndi tsiku. Muyenera kuchotsa ku menyu zakudya zopatsa shuga kwambiri komanso mafuta azinyama. Chakudya chizigawika m'magulu 5-7 patsiku, m'magawo ang'onoang'ono. Onjezani zipatso, ndiwo zamasamba, zakudya zopezeka mu omega-3 mafuta acids - mafuta a nsomba, nsomba, nsomba. Zakudya zokhuthala ziyenera kusinthidwa ndi zophika kapena zophika. Tiyenera kukumbukira kuti kudya mokwanira komanso zakudya zofunikira kumatha kuchepetsa cholesterol yokwanira ndi 10-15%, chifukwa ambiri mwa lipid awa amapangidwa ndi thupi lokha.
Sinthani zakudya ndi moyo
Maziko olimbana ndi cholesterol yowonjezereka iyenera kukhala kusintha kwa zizolowezi: muyenera kusintha kadyedwe kuti kazipeza zakudya zamafuta ochepa komanso zama calorie ochepa, mukhale munthu wolimbitsa thupi (olimbitsa thupi m'mawa, akuyenda, chipinda cholimbitsa thupi kapena masewera a aliyense), kusiya kusuta ndi mowa. Kwa zomwe zili pamwambapa zikuyenera kuwonjezeredwa za kuchepetsa kunenepa komanso kukhala ndi chiyembekezo chachilengedwe, zochitika, nthawi zambiri zimabweretsa chifukwa chabwino chogwirizira.
Mwa njira, pochita imodzi mwa malangizo othandizawa, mutha kungotumiza zotsatira za ena awo. Mwachitsanzo, ngati mumadya zakudya zopatsa thanzi pang'ono komanso osachulukitsa m'mimba musanagone, ndiye kuti kunenepa kwambiri kumatha.
Ngati mumachita masewera olimbitsa thupi ndikuyenda pafupipafupi m'malo omwe mumakonda, kusangalala kwanu kumabwera palokha ndipo sikufunika kupangidwa. Nachi chitsanzo china: kudzigwira nokha kumawonjezera kukana kwanu kupsinjika.
Funso: "Nanga bwanji ngati cholesterol yapamwamba?" Idzazimiririka yokha.
Kwa omwe amatsatira zakudya zotsekemera, nyama, zamchere, komanso zosangalatsa zimatha kupezeka pakati pa zakudya zopatsa thanzi. Maswiti ndi makeke amatha kusinthidwa ndi zipatso zouma, nyama yamafuta - osati mafuta, zakudya zamchere zambale zokhala ndi mandimu.
Okonda zokometsera komanso osafunikira nkhawa: popeza kukoma kwawo kumakhala ndi zokometsera zachilengedwe zambiri "zoyenera".
Muyenera kukhala ndi chizolowezi china chabwino chomwe muyenera kugwiritsa ntchito m'masitolo: kuwerenga zomwe zimapangidwazo ndi zomwe zili pamalembedwe.
Ngati munthu sasuntha kwambiri, ayenera kudya pang'ono, ndiye kuti pamakhala zovuta zochepa zaumoyo. Zocheperako. Kupatula apo, kuyenda ndi moyo, ngakhale atakhala mawu ofufutidwa. Chifukwa chake, mukuyenera kusunthira, posachedwa kuposa pambuyo pake. Chifukwa mutha kuchedweratu.
Gwiritsani ntchito zakudya zomwe zimachepetsa mafuta m'thupi
Zinthu zothandizirazi, zomwe zimatchedwa cholesterol, sizimangopangidwa mkati mwa thupi, komanso zimabwera komweko ndi zakudya zomwe zimakhala ndi mafuta a cholesterol. Zotsatira zake, kuchuluka kwa cholesterol kumapangidwa komwe kumakhala kowopsa kwambiri ku thanzi.
Sungani izi skew zitha kupanga zinthu zomwe zimachepetsa cholesterol. Izi ndi monga: soya ndi nonfat mkaka, nkhuku, nsomba, chimanga, nyemba, masamba, mafuta masamba, zitsamba, zokometsera zachilengedwe, zipatso, zipatso zouma, mtedza, zipatso.
Momwe mungaphikirere izi siziri funso lomaliza. Bwino - kuphika pamoto, kuwotcha, kuphika, koma osaphika. Mbalame iyenera kuphikidwa popanda khungu, momwe mumakhala mafuta ochulukitsa ambiri. Mukamasankha nyama yankhuku, munthu sayenera kuyiwala kuti nyama yoyera ndiyothandiza kwambiri kuposa nyama yofiira.
Masamba, zipatso, zitsamba makamaka zimadyedwa zosaphika. Za zipatso za malalanje, ulusi wophatikiza yoyera suyenera kunyalanyazidwa: zimakhala ndi mavitamini ambiri ofunikira m'thupi. Gwiritsani ntchito mchere pang'ono, zomwe zimagwiranso ntchito kwa shuga.
Kugwiritsa ntchito mankhwala osokoneza bongo
Zakudya ndi katundu zikapanda kuthandiza, ndipo cholesterol imakwezedwa pamlingo wa 8, 9, 10 kapenanso 12, chochita pankhaniyi. Choyamba, phunzirani kuti kudya bwino komanso kuchita masewera olimbitsa thupi kuyenera kupitilizidwa mulimonse.
Izi zidzatsimikiziridwa ndi adokotala. Ndipo kuthandiza kusintha kuchuluka kwa cholesterol, wodwalayo adzapatsidwa mankhwala omwe angamuthandize.
"Amagwira ntchito" bwino ngati wodwala azithandiza yekha, ndiye kuti, amakhala ndi moyo wathanzi.
Malinga ndi machitidwe azachipatala, mankhwala a gulu la statin ndi othandiza kwambiri kutsitsa cholesterol. Kuphatikiza apo, amalimbikitsa moyo wa munthu, chomwe ndi kusiyana kwawo kwakukulu ndi mankhwala ena omwe amachepetsa cholesterol. Atorvastatin, rosuvastatin, simvastatin ndi mayendedwe awo analimbikitsidwa kwambiri. Ma Statin amatengedwa kamodzi patsiku asanagone.
Kugwiritsa ntchito ma statins kumaphatikizidwa ndi kafukufuku wokhazikika wodwala wodwalayo kuti asinthe mlingo: kuyesa kwa magazi ndi zamitsempha, kuyesa kwa chiwindi.
Opaleshoni komanso popanda opaleshoni
Ngati matendawa anyalanyazidwa kotero kuti nkosatheka kuzengereza, ndipo funso la "cholesterol yayikulu: mutani?" Arises kwambiri, ndiye kuti zombo zotsekedwa ziyenera kutulutsidwa mwachangu ku malo a atherosulinotic. Pankhaniyi, pali njira ziwiri: balloon angioplasty ndi carotid endarterectomy.
Mutha kubwezeretsanso magazi mozungulira m'matumbo ndikuletsa kuchuluka kwa mafuta m'thupi, omwe amayambitsa matenda ambiri oopsa, pogwiritsa ntchito balloon angioplasty.
Iyi sinjira yopanda opaleshoni yochitidwa ndi buluni yaying'ono yomwe imayikiridwa ndi catheter kudzera pakubowola pakhungu.
Kubweretsa balloon mokakamizidwa kumakulitsa lumen mu chombocho, ndipo ngati kuli koyenera, limakhazikika ndi fungo kuti tisayambirenso.
Panthawi yomwe kubwezeretsa lumen sikungachitike chifukwa cha kupezeka kwa cholesterol plaque mu botolo, ndikofunika kugwiritsa ntchito opaleshoni - carotid endarterectomy. Ikachitidwa, zolembazo zimachotsedwa.
Njira zonsezi zimachitika pamaziko oyeserera a mitsempha yamagazi a wodwalayo.
kuchenjeza Matenda aliwonse ndi bwino kuti asalowe m'thupi lanu. Nthawi zina, muyenera kudya pomwepo, kusuntha kwambiri. Ngati mphindi yakusowa, sikuti zonse zimatayika. Kumwa mankhwala, ngakhale ma opaleshoni ayenera kukhala phunziro labwino kuyambitsa moyo watsopano, kutsogoza kubwezeretsanso thanzi / Chenjezo.
Ndiyenera kuda nkhawa ndi cholesterol yamagazi 7.0-7.9 mmol?
Mafuta akulu kwambiri a cholesterol ndiwofunikira kwambiri pakulimbikitsa matenda a atherosulinosis ndi matenda ena okhudzana ndi matenda a mtima, matenda amitsempha yamagazi ndi zina zambiri. Komanso, zikhalidwe za chizindikiro cha lipid metabolism ndizosakwanira ndipo zimatha kusiyanasiyana malinga ndi jenda komanso zaka za wodwalayo.
Mulingo wapamwamba wa cholesterol musanayambe kusintha kwake kukhala wovuta ndi 7.8 mmol / L. Kodi izi zikutanthauza chiyani? Momwe mungachepetse cholesterol yayikulu? Choyambirira kuchita ndikumvetsetsa chifukwa chake lipid iyi imafunikira m'thupi, komanso momwe kukhazikika kwake m'magazi kungayendetsedwere.
About cholesterol
Cholesterol, kapena cholesterol, ndi gawo lofunikira pama cell a thupi lomwe limasunga umphumphu wawo komanso limalepheretsa zomwe zimapangitsa kuti zikhale zovuta.
Cholesterol imakhala pamakoma amitsempha yamagazi, ndikupanga zolembera ndi zigawo
Pali njira ziwiri zopangira lipid iyi:
- Idyani chakudya.
- Kupanga kwa minyewa ya chiwindi mothandizidwa ndi encyme HMG-CoA reductase, komwe ndi chandamale cha mankhwala ena a hypocholesterolemic, mwachitsanzo, ma statins.
Kwambiri, njira yachiwiri imakhudza kuchuluka kwa cholesterol yathunthu m'madzi a m'magazi.
Cholesterol ndiye lipid yofunika kwambiri m'thupi, kutengapo gawo pazinthu zambiri zathupi.
Kuphatikiza pazomwe zikunenedwa kuti zilowe mu khungu, cholesterol imakhalanso ndi phindu lina:
- Ndi gawo logonera momwe mahomoni a steroid omwe amapangidwa m'matumbo a adrenal, testicles ndi ovary, etc.
- Ndikofunikira kuti mapangidwe a bile acids, ofunikira pakuphwanya mafuta m'matumbo a lumen.
- Zimatenga gawo mu kagayidwe ka timadzi tambiri tosungunuka.
Cholesterol ikhoza kukhala yamitundu iwiri: "zabwino" ndi "zoyipa"
Ntchito zachilengedwe zosiyanasiyana zotere zimapangitsa cholesterol kukhala chinthu chofunikira kwambiri pamoyo wamunthu, ndikupereka nthano za kuvulaza kotheratu. Pachifukwa ichi, ndikofunikira kudziwa zambiri zamitundu ya cholesterol yomwe imadziwika kuti "yabwino" komanso "yoyipa" mwa anthu.
Cholesterol chabwino komanso choyipa
Tizigawo ting'onoting'ono timazungulira magazi a anthu, awiri omwe ndi mamolekyulu ophatikizika kwambiri m'mapangidwe awo:
- Triglycerides.Amapangidwa mkati mwa khoma lamatumbo nthawi ya mayamwidwe ndipo mwa njirayi amatengedwa kupita ku chiwindi, komwe amalowa mu mawonekedwe osiyanasiyana a metabolic.
- Low Density Lipoproteins (LDL). Amakhala ndi cholesterol "yoyipa" ndipo amatenga nawo mbali popanga maselo a atherosulinotic, poti amatenga mafuta kuchokera ku maselo a chiwindi kupita ku khoma la chotengera. Ndi kuchepetsedwa kwawo komwe kumatheka polimbana ndi kupitilira kwa atherosulinosis.
- High Density Lipoproteins (HDL). Amadziwika kuti "cholesterol" wabwino kwambiri, womwe umagwirizanitsidwa ndi mphamvu yawo yochotsa cholesterol ndi lipids ku plaque ndi malinga a artery, ndikuwabwezeretsa ku chiwindi. Momwemo amatha kugwiritsidwa ntchito pothandiza zotsatira zachilengedwe. Mulingo waukulu wa HDL umalepheretsa kusintha kwa ma atherosulinotic mu mitsempha yamunthu.
Kudziwa mitundu yayikulu ya lipids m'magazi kumalola odwala kuti asachite mantha ndi cholesterol yayikulu, kapena cholesterol pamwamba 7.2 mmol / l, koma kuwafikira kuchokera pamalo abwino kwambiri.
Lipids wamba magazi
Kuchuluka kwa cholesterol m'madzi a m'magazi kumatha kuchoka pa 3,3 mmol / L mpaka cholesterol 7.8 mmol / L. Zotsatira zonse, zazikulu kuposa mtengo wa "6", ndizambiri, ndipo ndizowopsa pachitukuko cha atherosulinosis ndi matenda ena. Malinga ndi malingaliro a World Health Organisation, cholesterol yolondola sayenera kupitirira 5 mmol / l.
Zizindikiro zamtundu wa lipid zimatha kusiyanasiyana malinga ndi labotale yomwe idachitikira kafukufukuyu. Chifukwa chake, ndikofunikira kumveketsa bwino zizindikirozo pamalo osanthula.
Mlingo wa cholesterol yathunthu ukusintha ndi zaka
Ngati mulingo uwu udakwezeka, chiwopsezo chokhala ndi mavuto otsatirawa chikuwonjezeka:
- Njira yodziwika bwino yamatenda am'mitsempha osiyanasiyana a thupi.
- Matenda a mtima komanso kulowetsedwa kwa mtima.
- Kuchepa kwakanthaŵi kwa ischemic ndikugwera kwa ischemic kwaubongo.
- Ischemic kuwonongeka kwa colon ndi matumbo ochepa.
- Matenda a Lerish omwe amaphatikizidwa ndi magazi operewera mpaka kumapeto.
Muzochitika zoterezi, ndikofunikira kuchepetsa milingo ya lipid kuti ipititse patsogolo kudalirika kwakanthawi komanso kusintha moyo wamunthu. Zowonongeka zambiri zimachokera ku low lowens lipoproteins, zomwe zimapangitsa kukula kwa malo a atherosulinotic.
Zimayambitsa kuchuluka lipids magazi
Mafuta a cholesterol okwanira ndi LDL amatha kuukitsidwa chifukwa cha zinthu zambiri, kuphatikizapo zonse zobadwa nazo komanso zinthu zokhudzana ndi moyo.
- Chimodzi mwazifukwa zofunika kukweza cholesterol kupita ku 7.7 mmol ndiwotukuka ndi zolakwika zobadwa nazo mu majini omwe amagwirizana ndi metabolism yamafuta m'maselo. Pankhaniyi, kupatuka mu kusanthula kwadziwika kale paubwana.
- Chakudya chopatsa thanzi chimathandizira kwambiri ku zovuta zomwe zilipo, popeza zakudya zamafuta kwambiri zimathandizira kuphatikizika kwa LDL. Izi zimaphatikizapo nyama yamafuta, soseji ndi tchizi zolimba, confectionery, etc.
- Kukhala moyo wongokhala komanso kusachita masewera olimbitsa thupi nthawi zonse kumabweretsa kuchuluka kwa LDL komanso kuchepa kwa HDL m'magazi.
- Kunenepa kwambiri kumalumikizidwa ndi chiopsezo chotenga matenda a atherosulinosis, myocardial infarction ndi matenda ena amtima.
- Kusuta fodya komanso kumwa mowa mwauchidakwa kumathandizanso LDL komanso kuletsa kupangika kwa lipoproteins yapamwamba.
- Pali matenda omwe amachepetsa mulingo wa HDL ndikuwonjezera LDL: matenda a shuga, impso ndi chiwindi, endocrine pathology, etc.
Kukhala moyo wongokhala ndi chimodzi mwa zifukwa zomwe zikuwonjezera mafuta m'thupi.
Munthawi zonsezi, adotolo amayenera kuwunika wodwalayo pogwiritsa ntchito njira zowunika zasayansi ndi zida kuti adziwe zomwe zimayambitsa hypercholesterolemia.
Chithandizo Chapamwamba cha Cholesterol
Zoyenera kuchita ngati cholesterol imaposa 7.1 mmol / l kapena kungochulukitsa zomwe zikuchitika? Muzochitika zoterezi, ndikofunikira kufunafuna chithandizo chanthawi yake ndikulandila chithandizo choyenera. Mitundu yonse ya mankhwala a hypercholesterolemia imatha kugawidwa osakhala mankhwala osokoneza bongo.
Mankhwala osagwiritsa ntchito mankhwala
Ngati wodwala ali ndi hypercholesterolemia ndi kuchuluka kwa cholesterol pamwamba pa 7.4 mmol / l kapena wopitilira 5 mmol / l, ndiye kuti chithandizo chikuyenera kuphatikizanso ndi kusintha kwamoyo
- Kuchita masewera olimbitsa thupi pafupipafupi komanso kuchita masewera olimbitsa thupi osiyanasiyana.
- Kuchulukitsa zipatso ndi ndiwo zamasamba m'zakudya.
- Matenda a kugona komanso kudzuka.
- Kulimbana ndi kunenepa kwambiri komanso kunenepa kwambiri.
- Kusiya zizolowezi zoipa (kumwa mowa mwauchidakwa komanso kusuta).
- Kupewa zinthu zosautsa mtima.
Ngati malingaliro awa amapangidwa gawo la moyo, ndiye kuti odwala ambiri hypercholesterolemia amayamba kutsika ngakhale osagwiritsa ntchito mankhwala. Komabe, chithandizo chotere chiyenera kuchitika nthawi zonse moyang'aniridwa ndi achipatala.
Masewera ndi cholesterol yothandiza kwambiri
Mankhwala
Pofuna kuthana ndi hypercholesterolemia, pali mankhwala ambiri ochokera m'magulu osiyanasiyana a mankhwala. Ndikofunika kuyimitsa nthawi yayitali pakati pawo:
Kugwiritsa ntchito mankhwala kuyenera kuchitidwa pokhapokha ngati dokotala akuwuzani.
- Statins (Rosuvastatin, Atorvastatin, Lovastatin, ndi zina) amakhudza mphamvu ya enzyme HMG-CoA reductase, yomwe imakhudzidwa ndikupanga cholesterol m'magazi a chiwindi. Kutseka kwake kumapangitsa kutsika kwa lipid, kutanthauza kuchepa kwa hypercholesterolemia ndi kusintha kwa matendawo kwa wodwalayo. Chofunikira pakugwiritsira ntchito ma statins ndikusankhidwa kwa mulingo woyenera, chifukwa mankhwalawa angayambitse zotsatira zoyipa kuphwanya malamulo oyendetsera.
- Fibates, yomwe imakhudzanso kaphatikizidwe ka lipid, amagwiritsidwa ntchito kwambiri kukonza mulingo wawo m'magazi. Mankhwalawa amaphatikizapo fenofibrate, gemfibrozil, etc.
- Zoletsa za mayamwidwe a cholesterol kuchokera ku matumbo lumen (Ezetimibe) ndi bile acid sequestrants (Cholestyramine, Colextran, ndi zina) amagwiritsidwa ntchito ngati gawo la mankhwala osakanikirana, ndikuwonjezereka kwa cholesterol ya wodwala pamwamba pa 7.3 mmol / L.
Statins, Fibates, Inhibitors - mawu awa amaphatikiza gulu la mankhwala ochepetsa cholesterol yamagazi.
Njira yophatikizidwa yothandizira kugwiritsa ntchito mankhwala osokoneza bongo komanso kusintha kwa moyo kumatha kupirira ndi hypercholesterolemia mwa odwala, kupewa kutukula kwa wamba atherosulinosis ndi matenda ena okhudzana nawo.
Kuwonjezeka kwa cholesterol yamagazi, makamaka pamtunda wa 7.7 mmol / L, ndi chiopsezo chachikulu cha matenda amtima omwe amayamba chifukwa cha kusintha kwa mitsempha ya mitsempha. Kuzindikiritsa anthu omwe ali ndi hypercholesterolemia, kuwunika kwawo ndi chithandizo choyenera ndi ntchito yofunikira kwambiri yamankhwala amakono, ndi mtima makamaka.
Cholesterol 10.0-10.9 mmol / L - zikutanthauza chiyani?
Ponena za cholesterol, chitukuko cha matenda omwe amayamba chifukwa chamafuta owonjezera ngati mafuta nthawi zambiri chimanenedwa. Koma kupezeka kwake mthupi ndikofunikira kwambiri kuti ziwalo ndi machitidwe zizigwira ntchito mokwanira.
Komanso, kukula kwabwinobwino kwa mwana (wamaganizidwe ndi thupi) sikungatheke popanda cholesterol yokwanira. Pali chizolowezi chophatikizidwa ndi hydrophobic pawiri, kupatuka komwe kumabweretsa matenda osiyanasiyana.
Funso lidzakhala logwirizana: cholesterol 10 - amatanthauza chiyani ndi kuthana ndi kuphwanyidwa?
Ndipo posachedwa, asayansi apeza kuti ma statins amatha kulowetsa m'malo ... maapulo wamba!
M'mayiko otukuka, ma statin amafunsidwa kuti azitha kupewa matenda a mtima kapena mtima.
Mwachitsanzo, munthu wachita opaleshoni ya mtima kapena opaleshoni ya m'magazi, amakhala ndi cholesterol yambiri, kuphatikizanso chinthu china chowopsa - ukalamba, abambo, matenda ashuga kapena matenda oopsa - ndiye ma statins ndi oyenera. Muzochitika zina zonse, uku ndikuwombera kuchokera kumanzere kumpheta.
JUICES PAKUTI CHOLESTEROLKamodzi akatswiri azakudya ataganiza momwe angalimbane ndi cellulite mothandizidwa ndi timadziti. Tinapanga maphunziro - ndipo zidapezeka kuti zimathandizira kutsitsa cholesterol.Tsiku 1: karoti wa karoti - 130 g, msuzi kuchokera ku mizu ya udzu winawake - 75 g.Tsiku 2: karoti wa karoti - 100 g, madzi a beetroot - 70 g (sungani mufiriji kwa maola 1.5-2), madzi a nkhaka - 70 g.Tsiku 3: karoti wa karoti - 130 g, madzi a udzu winawake - 70 g, msuzi wa apulo - 70 g.Tsiku 4: karoti wa karoti - 130 g, madzi a kabichi - 50 g.Tsiku 5: mandimu a lalanje - 130 g .. Sikoyenera kutsatira mosamalitsa kuchuluka kwa kudya kwa mandimu, wina akhoza m'malo mwa wina. Chachikulu ndikuti timadziti timayenera kumangidulidwa kumene ndikusungidwa kwa maola osaposa 2-3. Musanamwe kumwa, onetsetsani kuti mukugwedeza zomwe zili m'magalasi: pamatope pansi - ndizothandiza kwambiri. |
Olga Smirnova
: Meyi 10, 2016
Chifukwa chiyani cholesterol yapamwamba imakhala yoopsa
Chiyero china cha cholesterol chimazungulira m'magazi a munthu aliyense wathanzi. Sterol ndiyofunikira pakumanga kwa malinga a maselo, kaphatikizidwe wa vitamini D, mahomoni ena. Makamaka cholesterol yambiri imakhala ndi minyewa yamanjenje.
Komabe, cholesterol yowonjezera imatha kukhazikika pamakoma a mitsempha yayikulu. Chifukwa chake atherosulinosis imayamba kukulira. Kwa nthawi yayitali, thanzi la munthu silisokonezedwa. Poyamba, zolembera za cholesterol ndizochepa kwambiri kuti zisokoneze magazi. Komabe, ngati mafuta a cholesterol akhazikika kwambiri, amayamba kukwera.
Mapepala akulu amakhala chotchinga chotchinga magazi. Pa gawo loyambirira, matulukidwe a mitsempha imangotsika, ndipo utatsekedwa kwathunthu, kuyenda kwa magazi m'mitsempha yowonongeka kumayima. Nthawi zina fumbi la cholesterol limatuluka ndikutseka chidebe m'botolo.
Kusintha komwe kumachitika kumabweretsa magazi osakwanira ku ziwalo - ischemia. Chifukwa chachilendo cha kapangidwe kake ndi ntchito zake, mtima ndi ubongo nthawi zambiri zimakhala zoyambirira kuvutika. Kupita patsogolo kwa atherosulinosis kumakhala kofupika ndi kukula kwa zovuta zakupha - myocardial infarction, stroke.
Zolemba za cholesterol nthawi zambiri zimakhudza ziwiya zazikulu zamiyendo. Munthu amayamba kusokonezeka nthawi ndi nthawi akamayenda, amazindikira kuwonongeka kwa khungu la miyendo yake. Kenako zilonda za trophic zimawonekera, ululu umakhalapo pakuyenda, nthawi zina pakupumula. Kawirikawiri matendawa samatha necrosis ya m'munsi miyendo, yomwe imafuna kuduladula.
Zoyambitsa Hypercholesterolemia
Cholesterol 10: zikutanthauza chiyani. Kuchuluka kwa cholesterol kotere kwa anthu osakwanitsa zaka 35 nthawi zambiri kumakhala kovuta kwambiri chifukwa cha matenda osokoneza bongo kapena chilema cha majini omwe ali ndi vuto la cholesterol synthesis. Mwa anthu achikulire, sterol yayikulu imawonetsa kuphwanya zingapo pazotsatira zaumoyo wathanzi, komanso matenda osachiritsika: shuga mellitus, kulephera kwa chithokomiro.
Mndandanda wathunthu wa zomwe zimayambitsa cholesterol yayikulu ndi motere:
- kusuta
- uchidakwa
- Zakudya zokhala ndi mafuta ochulukirapo, cholesterol, mafuta a trans, osauka mu fiber
- zam'munsi zochulukitsa za lipoprotein,
- kumangokhala
- onenepa kwambiri
- matenda a chiwindi, bile ducts,
- hypothyroidism
- matenda ashuga
- kuchepa kwa somatostatin.
Kuchotsera kwa kusanthula
Mafuta a cholesterol a 10 mmol / L amadziwika kuti ndi chisonyezo chosasangalatsa cha m'badwo uliwonse. Mulingo wambiri wa sterol umawonetsa kuphwanya kwakukulu kwa lipid metabolism, chiopsezo chachikulu cha zovuta zamtima.
Afotokozere za kunyalanyaza kwa matendawa, ngati munthu kwa nthawi yayitali sanayang'ane thanzi lake, akusuta kwambiri, amamwa kwambiri mowa. Achinyamata ayenera kukayezetsa mokwanira, chifukwa kwa iwo 10 mmol / L cholesterol ndichinthu chodabwitsa. Mwina sanakonzekere bwino kusanthula kapena labotale inalakwitsa.
Gome. Mitundu ya cholesterol ya amuna ndi akazi a mibadwo yosiyana.
Kuti mudziwe zomwe zimayambitsa, dokotalayo amakopa chidwi cha mbiriyakale yazachipatala, Zizindikiro, Zotsatira za kafukufuku wina. Ndizowonjezera zomwe zimapangitsa kuti pakhale zovuta zenizeni. Inde, cholesterol yayikulu yokha imangowonetsa kuti munthu ali pachiwopsezo chotenga matenda amtima, koma samanena chilichonse pazifukwa zake.
Zochizira
Tinene cholesterol 10 yanu: choti muchite ndi momwe mungachepetse. Kutalika kwambiri kwa sterol kumeneku kumafunika chithandizo chamankhwala. Ndizosatheka kudziyimira pang'onopang'ono cholesterol kuchokera 10 mmol / l kupita pamlingo wamba. Njira zochizira matendawa zimatengera zomwe zimayambitsa matendawa, komanso kupezeka kwa zovuta zamtunduwu.
Gawo loyamba la maphunziro othandizira ndikuwunika chakudya komanso zomwe amadwala Nthawi zambiri zimakhala zizolowezi zoyambitsa matenda. Popanda kuwachotsa, kukwaniritsa kuchuluka kwa cholesterol ndikosatheka. Kudya koyenera kokhala ndi cholesterol yayikulu kumatanthauza malamulo awa:
- Kukana zakudya zomwe zimakhala ndi mafuta a trans. Mafuta a Trans amapangidwira nthawi yamafuta azakudya masamba a masamba. Chifukwa cha iye, amakhala oyenera kusungidwa kwanthawi yayitali. Njira yokhayo yodziwira ngati chida chili ndi lipids zovulaza kapena ayi ndikuphunzira phindu la zinthuzo. Opanga maudindo akuwonetsa chizindikirochi pa phukusi. Mafuta a Trans ndi owopsa pakuwonjezera kwake cholesterol, amachepetsa chitetezo chamthupi. Ngakhale ndizocheperako, koma kuzigwiritsa ntchito pafupipafupi kumawonjezera mwayi wokhala ndi atherosulinosis,
- Chepetsani kudya zakudya zamafuta ambiri a cholesterol. Nyama yofiyira, makamaka mitundu yamafuta, zonona, dzira la mazira, zonenepa zamkaka, tchizi tchizi, kanjedza, mafuta a kokonati amakhala ndi mafuta ambiri, omwe amalimbikitsa mafuta m'thupi. Achotseni pachakudya sikofunikira. Ndikukwanira kuchepetsa kugwiritsa ntchito izi pazinthu zingapo / sabata,
- Kuphatikizidwa muzakudya zamafuta omwe ali ndi mafuta osapangika amafuta, kuphatikizapo mafuta a omega-3. Mafuta ophikira, mbewu, nthomba, mitundu yonse ya mtedza, nsomba zamafuta ndizothandiza kwambiri zam'mlomo wathanzi. Akhale alendo pafupipafupi pa tebulo lanu. Ndikulimbikitsidwa kudya hering'i, mackerel, mackerel, nsomba, nsomba kawiri / sabata,
- Zakudya zambiri zamafuta, mavitamini ndi michere yambiri m'masamba, zipatso, chimanga, nyemba, chinangwa. Chifukwa chake, ziyenera kupangidwa monga chakudya. Zipatso zimakhala ndi shuga ambiri achilengedwe. Chifukwa chake musadye chakudya chawo,
- 1.5-2 malita a madzi / tsiku. Ndikusowa kwa madzi, thupi limatulutsa cholesterol yambiri. Mutha kupewa kuwonjezeka kwa sterol pomwa madzi okwanira.
Kuchuluka kwa cholesterol kumadaliranso ndi moyo. Zizolowezi zina zoyipa, zikhalidwe zomwe zimachitika kale zimawononga thanzi la mitsempha yamagazi, zimayambitsa kuchuluka kwa cholesterol, ndikuchepetsa mphamvu ya thupi yokana atherosclerosis. Kuwachotsa kumathandizira kusintha zizindikiritso. Kuti muchite izi, muyenera:
- kusiya kusuta
- kusuntha kwambiri, kuchita masewera,
- lekani kumwa mowa
- khalani ndi thanzi labwino.
Odwala matenda a shuga, hypothyroidism amapita m'malo mwa chithandizo. Kubweretsa mahomoni opanga kumatha kusintha thanzi, kutsika kwa sterol. Odwala omwe ali ndi kuthamanga kwa magazi ayenera kumwa mankhwalawa omwe amakulitsa mulingo wake. Hypertension imapangitsa kuti makoma a chotengera asangalatse, imawonjezera mwayi wokhala ndi kuvulala, chiwopsezo chotukula atherosclerosis.
Ngati cholesterol yanu ndi 10: muyenera kumwa ma statins. Mlingo wa sterol woterewu umawonedwa kuti ndi wapamwamba kwambiri. Chifukwa chake, upangiri wofotokozera ma statins kapena ma analogues awo (ma fibrate, othandizira a bile acids, cholesterol mayamwidwe) ndiwosakanika. Komabe, malinga ndi malangizo, ma statin amangoperekedwa kwa anthu omwe kwakanthawi amangotsatira zakudya zomwe zimatsitsa cholesterol. Kuperewera kwa mankhwalawa kumapangitsa kuti mankhwalawo amwe mankhwala. Popeza thupi limakwaniritsa kuchepa kwa cholesterol synthesis mwa mayamwidwe a sterol ku chakudya.
Statin ndi gawo limodzi lofunika la mankhwala a odwala omwe ali ndi cholowa cha cholesterol metabolism. Mwa odwala, zakudya sizimalola kuti zitheke. Nthawi zonse zimaphatikizidwa ndikusankhidwa kwa ma statins kapena mankhwala ena otsitsa a lipid.
Zinthu zomwe zidakonzedwa ndi olemba polojekitiyi
malingana ndi ndondomeko yakusinthaku.