Triglycerides Amakwezedwa - Kodi Zimangotanthauza Kuyesa Magazi, Zomwe Zimayambitsa ndi Chithandizo

Triglyceride kapena trig ndi mtundu wamafuta womwe thupi la munthu limalandira kuchokera ku chakudya, ndikusintha ma calories kukhala mphamvu. Ma triglycerides okwera sikuti amawonetsa matenda amtima, koma amachepetsa kuthamanga kwa magazi kupita ku minofu yayikulu, ndikuyambitsa mavuto akulu azaumoyo. Anthu omwe ali ndi cholesterol yochulukirapo nthawi zambiri amakhala ndi TG yambiri. Kuyang'ana triglycerides mu biochemical magazi test kumachitika limodzi ndi lipid sipekitiramu. Kuunika uku kumatsimikizira:

cholesterol yathunthu
TG
LDL (cholesterol yoyipa)
HDL (cholesterol yabwino).

Kodi ma triglycerides okwera amatanthauza chiyani?

Malinga ndi akatswiri ambiri apakhomo ndi akunja (makamaka, kuchokera ku AHA - "The American Heart Association"), ma triglyceride okwera kwambiri, kwakukulu, akuwonetsa zovuta mu LIVER kapena Pancreas. Komanso chiwopsezo chowonjezeka cha matenda ashuga kapena mtundu wa shuga wachiwiri (poganizira za insulin / kukana, zomwe tikambirana pambuyo pake m'nkhaniyi).

ZIDZAKHALA ZABWINO KUDZIWA:

Ponena za momwe zimakhalira - mwachitsanzo, TG yayikulu mu plasma ya azimayi ndi abambo pamavuto opezeka ndi matenda amtima, zotsatira za maphunziro amakono zawonetsa zotsutsana. Chifukwa chake, OSATANI (!) Akatswiri onse amavomereza kuti makamaka - malo okwera a triglycerides - ndi amodzi mwa matenda "oyipa" amtima, ubongo ndi mtsempha wamagazi (atherosulinosis).

Ndipo pali zifukwa ziwiri zazikulu izi:

Choyamba, kuchuluka kwa TAG (triacylglycerides) m'magazi nthawi zambiri kumachitika limodzi ndi mavuto monga kunenepa kwambiri, matenda oopsa, komanso matenda ashuga. Komanso mitengo yotsika ya "good" cholesterol ya HDL ndipo, mowonjezereka, idakulirakulira - yoyipa "LDL cholesterol. Pankhaniyi, ndizovuta kudziwa kuti ndi mavuto ati omwe amayambitsidwa Moyipa ndi kuchuluka kwa triglycerides - KULIMA KWA MMA.
Kachiwiri, zotsatira zaposachedwa kwambiri, kutenga nawo gawo kwa odwala omwe ali ndi vuto la majini kupita ku ma triglycerides apamwamba (achibale / cholowa), adawonetsa kuti SATANI (!) omwe ali pachiwopsezo chotenga matenda amtima. Ngakhale pali umboni wina wosonyeza kuti triglycerides yapamwamba ikhoza kusewera pazovuta zina, KOMA (!) Ndizochepa.

DZITSANI KUTI MUZITHANDIZA:

Zomwe triglycerides zimawonetsa poyesa magazi

Kuwona kuchuluka kwa mafuta mkati mwa mitsempha ndi mitsempha ndi gawo la mbiri ya lipid, yomwe imapangitsa kukhalapo kwa matenda a mtima. Triglycerides poyesedwa magazi amawonetsa kuthekera kwa kukhala ndi matenda oopsa, matenda amtima, coralary infarction, ndi zina zambiri. Akuluakulu amalimbikitsidwa zaka zisanu ndi zinayi zilizonse. Ana amafunika kuyesedwa kamodzi asanafike zaka 10 kuti adziwe ngati pali zovuta zina zobadwa nazo.

Mlingo wa triglycerides

Kuchuluka kwa lipids m'magazi kumadalira zaka, jenda komanso kukula kwa munthu. Asanayambe kusanthula, kusala kudya kwa maola 9 ndikulimbikitsidwa. Munthawi imeneyi, mumatha kumwa madzi firiji yokha. Nthawi zina muyenera kusiya kumwa mankhwala ena, kuphatikizapo ascorbic acid. Zotsatira zoyesedwa zalembedwa pagome lotsatira:

Ana ndi achinyamata, (mmol / l)

Makanda oyamwa, (mmol / L)

Zimayambitsa kuchuluka kwa triglycerides m'mwazi

Ma triglycerides Amakwezedwa - Kodi Amatanthauza Chiyani? Izi zimatha kudwala matenda osiyanasiyana. Izi zikuphatikiza:

kunenepa
matenda ashuga
atherosulinosis
hypothyroidism
matenda a impso
cholowa lipid bwino matenda.

Palinso zifukwa zina zokwezera magazi triglycerides:

kudya kwambiri
kumwa pafupipafupi
moyo wolakwika
kumwa mankhwala monga corticosteroids, beta blockers, njira zakulera pakamwa.

Kodi kukwezedwa kwa ma triglycerides kumatanthauza chiyani?

Kuwonjezeka kwa lipids kumatha kukhala chizindikiro cha matenda omwe ali pamwambapa. Nthawi zambiri, munthu sangaikire kuti ali pachiwopsezo mpaka atamuyeza. Elevated triglycerides amatanthauza kuti wodwalayo ayenera kutsatira zakudya zomwe zingamuthandize kulimbitsa magazi ake komanso kuchepetsa cholesterol. Zikuwonetsanso kuti pali chiopsezo cha matenda amtima, matenda a chiwindi ndi hepatitis.

Anakweza triglycerides m'magazi mwa amuna

Mukugonana kwamphamvu, mulingo wa TG nthawi zonse umakhala wocheperako kuposa wocheperako. Kukwezedwa kwa triglycerides m'magazi mwa amuna kumatha kuchitika chifukwa cha kusuta, kumwa kosalekeza, kudya kwambiri, komanso kupanikizika pafupipafupi. Mukalandira zotsatira za mayeso, muyenera kufunsa dokotala ndipo mukalandira chithandizo.

Kukweza Triglycerides mwa Akazi

Zikafika pamlingo wapamwamba wa lipid, azimayi amakhala pachiwopsezo chachikulu kuposa amuna. Zokwera triglycerides mwa akazi zimachitika:

mukumwa mapiritsi oletsa kubereka omwe amaphatikiza ndi estrogen,
pa mimba
ndi ovary polycystic,
kusamba
ndi zovuta zamafuta,
kusabereka.

Triglycerides Amawonjezeka Nthawi Yokhala Ndi Mimba

Kuwonjezeka kwa lipids m'magazi a amayi panthawi yomwe mwana akukula sichachilendo. Mwa amayi ambiri apakati, cholesterol imadzuka panthawiyi, ndipo izi ndizabwinobwino, zomwe sizinganenedwe za triglycerides. Amayi oyembekezera akuyenera kuchepetsa kugwiritsa ntchito zinthu zomwe zili ndi TG kuti zizowoneka ngati zabwinobwino. Ngati triglycerides imakwezedwa panthawi yapakati, izi sizitanthauza kuti mwana wosabadwayo amakula ndi zovuta zina. Nthawi zambiri chifukwa chotsatira chotsatira cha kuyesaku ndi kudya mopepuka, kusintha kwa mphamvu yamafuta m'thupi.

Triglycerides imakwezedwa mwa mwana

Kodi kuchuluka kwa triglycerides ndikuti? Zomwe zimayambitsa kwambiri zimafotokozedwa pansipa:

kunenepa kwambiri komanso kunenepa kwambiri
kuperewera kwa chakudya
kumwa kwa zinthu zopweteka (tchipisi, chakudya chothamanga, maswiti),
majini obadwa nawo.

Pamene triglycerides imakwezedwa mwa mwana, kuthetsa vutoli kumakhala kovuta kwambiri. Zimakhala zovuta kwa ana kufotokoza chifukwa chake makolo amakana zinthu zawo zatsamba. Muyenera kukakamiza mwana kapena wachinyamata kudya zakudya zopatsa thanzi, kumwa mafuta a nsomba. Makolo ayenera kuyang'anitsitsa zakudya za mwana, zochita zake zolimbitsa thupi. Kuphatikiza apo, ndikofunikira kufunsa dokotala ndikuwunikira bwino thupi.

Chithandizo cha Elevated Triglycerides

Njira yabwino kwambiri yochotsera triglyceridemia ndikukhala wathanzi. Ngati ma triglycerides m'mwazi akwezedwa, amatha kuchepetsedwa ndikutsatira izi:

Muyenera kuchita masewera olimbitsa thupi pafupipafupi, perekani zolimbitsa thupi.
Ndikofunika kutsatira chakudya: kuchepetsa kudya zamafuta osapatsa thanzi, idyani zakudya zomwe zimakhala ndi fiber.
Ndikofunikira kukana mowa.
Siyani kusuta.

Chithandizo cha triglycerides okwera sichitha pamenepo. Nthawi zina muyenera kumwa mankhwala otsatirawa:

ma statin (amalembanso kuchuluka kwa misempha yayikulu lds),
nicotinic acid
Ma fiber (sangatengedwe ndi ma statins).

Zakudya za okwera triglycerides m'mwazi

Zakudya zoyenera ndizofunikira kwambiri zomwe zimatha kutsitsa cholesterol komanso TG mwachangu. Poyamba, ndikofunikira kuchepetsa calorie kudya m'njira zovomerezeka. Ndikwabwino kugwiritsa ntchito njira zonse zomwe zafotokozedwazo palimodzi kuti muchotse chiopsezo cha matenda a mtima. Zakudya za okwera triglycerides m'mwazi zimaphatikizanso ntchito zotsatirazi:

mbewu zonse
masamba, zipatso,
konda nyama pang'ono
skim mkaka,
mafuta a polyunsaturated (awa ndi omega-6 ndi omega-3 mafuta acids omwe amapezeka mu nsomba zofiira, mafuta a linseed, mtedza),
mafuta ophikira (avocado, mafuta a azitona).

Patsamba sangadye:

nyama zamafuta,
shuga woyengetsa (ndibwino kugwiritsa ntchito zotsekemera zotengera),
mankhwala a ufa
nyemba
mowa
chakudya zamzitini
maswiti ndi uchi.

Pambuyo pa miyezi ingapo ya chithandizo chotere, mulingo wa TG ndi cholesterol uyenera kubwerera mwakale. Umboni waukulu wa izi ndi kuchepa thupi komanso kukhala wathanzi. Komabe, wodwalayo adzafunikanso kukayezetsa ndi kupereka magazi kuti awunikenso. Mwina adokotala amulangizani kuti apitirize kutsatira zakudya zomwe tafotokozazi, perekani zolimbitsa thupi zolimbitsa thupi, kusiya zizolowezi zoyipa.

Triglycerides ndi okwera. Kodi zikutanthauza chiyani

Triglycerides (Triglycerides, TG) - mafuta omwe munthu amalandila ndi chakudya. Thupi limazisinthira kukhala gwero lamphamvu ndi zopatsa mphamvu zofunika kuti mukhale ndi moyo wonse.

Chizindikiro gawo lamafuta amwazi limatengera machitidwe ndi zifukwa zosiyanasiyana. Okalamba munthu, amakhala osalowerera m'zinthu zam'magazi m'magazi ake. Zizindikiro zodziwika bwino ndi izi:

170-200 mg / dl - kuchuluka kolondola kwa TG mwa akulu.
86-110 mg / dl. - kwa mwana mpaka zaka zitatu.
103-146 mg / dl - malire a ana kuyambira zaka zitatu.

Kutanthauzira kwamagulu: mg / 100 ml x 0.0113 ==> mmol / L.

Timaperekanso tebulo latsatanetsatane Zizindikiro zodziwika bwino za TG kutengera jenda ndi zaka.

Hypertriglyceridemia - mkhalidwe womwe umadziwika ndi kupatuka ku chizolowezi cha chizindikiro cha triglycerides mu plasma yamagazi. Anthu ambiri omwe amakhala ndi nkhawa chifukwa cha thanzi lawo amakhala ndi chidwi ndi funso loti chiyani komanso chiyani.

Ngati kuwunika kukuwonetsa kuti triglycerides imakwezedwa, izi zikuwonetsa kusayenda bwino kwa kayendetsedwe kazinthu zina kapena chinthu.

Ambiri okwera seramu TG zogwirizana ndi chiopsezo cha chitukuko kutsatira matenda a mtima dongosolo:

matenda oopsa
matenda a mtima a ischemic,
vuto la mtima
matenda ena a mtima ndi mitsempha yamagazi.

Monga lamulo, pakupenda ndi TG yapamwamba, mafuta ena onse ammagazi, kuphatikiza cholesterol, ayeneranso kupitilira muyeso. Izi zikutanthauza kuti zizindikiro za lipids zina zolumikizidwa. Mlingo wa cholesterol umatsimikiza kuchuluka kwa chiwopsezo cha hypertriglyceridemia kwa moyo wabwinobwino wamunthu.

Thupi lathu limakhala ndi cholesterol choyipa komanso chabwino. Ngati munthu amene ali ndi mlingo wokwanira wa triglyceride ali ndi kuchuluka kwake, ndiye kuti, pali cholesterol "chabwino" komanso cholesterol "choyipa" chochepa, ndiye kuti chiwopsezo cha matenda amtima chichepa. Kuchuluka kwa cholesterol "yoyipa" m'magazi motsutsana ndi hypertriglyceridemia kungayambitse kukula kwa atherosulinosis ndi matenda ena a mtima.

Izi zimadzetsa funso loti kuchuluka kwazinthu za m'madzi a m'magazi kumaonetsa ndi cholesterol yachilendo.

Kuchuluka kwa TG kuli chizindikiro cha chitukuko matenda otsatirawa:

zachilengedwe, mwachitsanzo, matenda a shuga,
endocrine, mwachitsanzo, hyperchilomicronemia,
m'mimba, mwachitsanzo, kapamba,
virus hepatitis ndi cirrhosis (uchidakwa, biliary), kutsekeka kwa biliary thirakiti.

Zolemba mwa akazi

Mukalumikizana ndi dokotala, odwala nthawi yomweyo amakhala ndi chidwi ndi funso la zomwe amatanthauza ngati triglycerides imakwezedwa mwa akazi. Kwenikweni, kumvetsetsa izi sikovuta. Madokotala amazindikira zifukwa zazikulu zingapo zomwe zimathandizira kukulira kwa triglycerides m'mwazi wa akazi. Izi zikuphatikiza:

Kugwiritsa ntchito mankhwala osokoneza bongo. Ngati mayi wapezeka ndi kuchuluka kwamafuta osagwirizana ndimagazi ake, ndiye kuti adokotala amatha kuphatikiza triglycerides wambiri ndi kugwiritsa ntchito mankhwala a mahomoni. Mapiritsi ambiri othandizira kubereka komanso othandizira amakhalanso a gulu la mahomoni. Zonsezi zimasokoneza mayendedwe a mahomoni, zimayambitsa kusokonezeka kwa metabolic ndikuwonjezera zomwe zili mu lipid.
Nthawi yamimba. Triglycerides imatha kukwezedwa panthawi yapakati popanda chiopsezo chotenga zovuta zilizonse. Kusintha kwa milingo ya lipid panthawiyi kungathe kufotokozedwanso kukonzanso kwamachitidwe onse ndi ziwalo za amayi oyembekezera. Amayi ambiri mu trimester yoyamba amakonda kudya kwambiri. Thupi, motero, limagwira ntchito pakuphatikiza michere ndi zopatsa mphamvu kwa mwana wosabadwayo. Magazi nthawi yomweyo amasintha kachulukidwe kake, ndipo kuchuluka kwa lipids kumawonjezeka kwambiri.

Zolemba mwa amuna

Kuchuluka kwa lipid mu plasma mwa amuna ndiwokwera kwambiri kuposa azimayi. Mukakhala wamkulu, zizindikiro zimasiyana ndi 30-50%.

Mukafunsidwa chifukwa chake triglycerides imatha kukwezedwa m'mwazi wa amuna, yankho lotsatirali lingaperekedwe. Zomwe zili ndi lipid mwa amuna zimatha kuwonjezeka ndi kugwiritsa ntchito mankhwala a mahomoni ofunikira kuti mumangidwe minofu yogwira komanso yachangu. Ubwino wa triglycerides mwa abambo umasintha malinga ndi moyo wosayenera, womwe umaphatikizapo:

kupsinjika kwanthawi zonse
kuperewera kwa zakudya m'thupi
kusuta fodya komanso kumwa mowa mwauchidakwa.

Kuwonjezeka kwa magazi a triglycerides mwa amuna kumafunika kuzindikiritsa chomwe chimayambitsa komanso kulandira chithandizo cha panthawi yake. Pofuna kuchepetsa kuchuluka kwa zomwe zili ndi lipid, amuna omwe amagwiritsa ntchito mahomoni ayenera kusiya kugwiritsa ntchito.

Odwala omwe akutsogolera njira yolakwika samangofunika kusintha, komanso kuti athetse zomwe zimayambitsa. Amuna ena amayenera kumwa ma immunosuppressants, kulandira chithandizo chodalira mowa, etc.

Zomwe zimayambitsa, zizindikiro ndi zotsatira za mitengo yokwera

Triglycerides mpaka 2.0 mmol / L ndi chikhalidwe kwa munthu wamkulu. Kuchuluka kovomerezeka kwa zinthuzo kuli mpaka 2.26 mmol / l. Zopatuka zina zonse zikuwonetsa kukula kwamavuto mumachitidwe ndi ziwalo za thupi la munthu.

Odwala omwe amapita kwa dokotala ali ndi vuto lotere amakhala ndi nkhawa kwambiri ndikufunsidwa chifukwa chake triglycerides imachuluka. Mwa zina zazikulu zomwe zimapangitsa kuti triglycerides apezeke ndi awa:

cholowa m'malo mwake
kuchepa kagayidwe ndipo, monga, kunenepa kwambiri,
LHAT akusowa
kumangokhala, kumangokhala
kukomoka
kumwa mowa mwauchidakwa komanso zakudya zopatsa mphamvu zopatsa mphamvu,
nthawi yapakati
kugwiritsa ntchito mankhwala a mahomoni
matenda ashuga
matenda sss
Matenda a chithokomiro,
matenda a impso ndi adrenal glands.

Kuchepa kwa triglyceride metabolism kumangokhala ndi zowonetsera zochepa zomwe sizidziwika, chifukwa chake kudziyimira pawokha kunyumba izi ndizovuta. Awa ndi mafunde osakhazikika pakupanikizika ndi shuga m'magazi, kutsitsa cholesterol "yabwino", kutopa, kugona komanso kugona pang'ono.

Kuzindikiritsa munthawi yake zomwe zimayambitsa nyengo yopweteketsa yomwe ma triglycerides amakwezedwa kumathandizira kupewa zotsatira zoyipa. Inde, odwala nthawi zambiri amapita kwa dokotala kuti akumane ndi zovuta. Izi zikuphatikiza:

atherosulinosis
kuphwanya lipid mafuta kagayidwe,
mtima
kuphwanya magwiridwe antchito a chiwindi, matumbo,
kuwonongeka kwa kapamba.

Kuyesa kwa Triglyceride

Kuti mupeze mulingo wa lipid wamagazi ndi kuchuluka kwa triglycerides, kusanthula kwa lipid kumachitika. Zotsatira zimaperekedwa mkati mwa masiku 1-2. Njira yodziwira chizindikiro ndi kuyesa kwa homogeneous enzymatic colorimetric.

Lipidogram - njira yowerengera kuchuluka kwa cholesterol, otsika kachulukidwe lipoproteins (LDL), kukachulukana kwambiri (HDL) ndi triglycerides kudzera mu matenda a Laborator. Kuwerenga kuchuluka kwa zam'mapid ndi njira yofunikira yophunzirira matenda amtima komanso endocrine.

Kukonzekera kuyesedwa kwa labotale kumaphatikizapo kuletsa kudya, ndiye kuti, kuyesedwa kwa magazi kumatengedwa mwamphamvu pamimba yopanda kanthu. Masiku awiri 2-3 mayeso asanachitike, madokotala amalimbikitsanso kuti amwe mowa.

Pambuyo pakuzindikira, odwala ali ndi chidwi chodziwira zotsatira za kusanthula. Mutha kuwerengera momwe mungagwiritsire ntchito mfundo zomwe mwapatsidwa pamwambapa.

Ngati mayeso amomwe ammagazi a anthu adawonetsa kuti triglycerides imakwezedwa, wodwala ayenera kufunsa katswiri. Kudzichitira nokha mankhwala pamenepa ndikosavomerezeka!

Dokotala yekha ndi amene amadziwa momwe angachitire bwino kapena mankhwala omwe ayenera kuperekedwa kwa wodwala payekhapayekha. Ngati, chifukwa cha mayeso amomwe amapezeka m'magazi, zimawonetsedwa kuti wodwalayo wakweza triglycerides, katswiri amatha kumutsitsa kuti apezenso matenda ena.

Momwe mungachepetse triglycerides

Odwala omwe awonetsa zonyansa mu mbiri ya lipid, funsani dokotala ndi funso, zikutanthauza chiyani ngati triglycerides iwonjezereka m'magazi ndipo ingachepe bwanji.

Mankhwalawa matenda monga hypertriglyceridemia amafunika njira yolumikizira. Chithandizocho chimaphatikizapo kupita ku maphunziro a zamankhwala, kuchita masewera olimbitsa thupi komanso kutsatira zakudya.

Pa gawo loyamba, wodwalayo amapatsidwa ntchito masewera olimbitsa thupi nthawi zonse komanso zakudya zoyenera. Ndi chithandizo chakanthawi, njira zonsezi zimathandiza kuchepetsa TG m'magazi.

Kuchita masewera olimbitsa thupi pafupipafupi kumapereka mwayi wambiri kuchira kwa odwala omwe apezeka ndi mafuta ochulukirapo osafunikira - triglycerides. Maphunziro akuthupi angaphatikizepo kuyenda kwa m'mawa ndi madzulo, kuvina ndi kuyenda kupita kuntchito.

Kuchita masewera olimbitsa thupi nthawi zambiri sikokwanira kuchira kwathunthu, kotero odwala samasiya kuda nkhawa chifukwa chochepetsa triglycerides. Mwayi wochira umachulukirachulukira pamene wodwala amatsata chakudya ndikamakhala ndi moyo wathanzi.

Zakudya zoyenera kwa hypertriglyceridemia zimatanthawuza kuchepa kwa kuchuluka kwa lipids kudyedwa m'zakudya, popeza kukana kwathunthu mafuta kumatha kubweretsa zotsatira zosasangalatsa zatsopano. Mwa zakudya zomwe mukufuna malirephatikizani:

ufa ndi zinthu zophika mkate,
zakumwa zoziziritsa kukhosi
shuga ndi zinthu zonse zomwe zimakhala ndi zobisika,
mowa
chakudya chamaphwando achangu
nyama yamafuta.

Ngakhale odwala ambiri sangathe kulingalira zakudya zawo za tsiku ndi tsiku popanda izi, azisintha m'malo mwake ndi maphikidwe ena omwe amapezeka tsiku lililonse. Nutritionists amapereka malangizo a momwe angadye odwala omwe apezeka ndi hypertriglyceridemia.

Zakudyazi ziyenera kukhala monga chimanga, masamba atsopano ndi zipatso, nyama yochepa kwambiri, mkaka wachilengedwe, polyunsaturated (Omega-3 ndi Omega-6 acid) ndi mafuta a monounsaturated.

Zingatheke bwanji kuti TG ichotsedwe m'magazi ngati kudya, kukhalabe ndi moyo wathanzi komanso kuchita masewera olimbitsa thupi nthawi zonse sikubweretsa zotsatira zomwe mukufuna? Pankhaniyi, madotolo amatengedwa mankhwala. Atafunsidwa kuti achepetse bwanji magazi triglycerides, amalimbikitsa awa:

Fibates ndi mankhwala omwe amalepheretsa kaphatikizidwe ka mafuta, mwachitsanzo, nicotinic acid.
Ma Statin ndi amodzi mwa mankhwala omwe amagwiritsidwa ntchito kuti matenda a LDL asinthe komanso mwachitsanzo, mapiritsi a simvastatin.
Mafuta osasinthika omwe amasintha ma lipid, monga Omega-3.

Chithandizo wowerengeka azitsamba ziyenera kuchitika pambuyo povomerezana ndi adokotala. Mankhwala achikhalidwe ndi gawo limodzi la zovuta mankhwala. Madokotala amalimbikitsa kuwonjezera njira yayikulu ya chithandizo chazakumwa zakumwa zamasamba kapena kulowetsedwa kuchokera kumilililiyoni komanso wort wa St. John, kugwiritsa ntchito mafuta ndi mafuta a nyanja.

Kukhazikika kwa triglycerides kumatheka pokhapokha ngati mayeso athunthu ndi zovuta, adagwirizana ndi katswiri.

Kufunafuna nthawi yoyenera chithandizo chamankhwala kumapewetsa zovuta - matenda ashuga, kapamba, matenda amtima komanso zotsatira zina zosasangalatsa. Sizingatheke kuchepetsa msanga kuchuluka kwa TG kunyumba - njira, nthawi ndi mwambo popangira zizolowezi zabwino.

Udindo ndi ntchito ya triglycerides

Aliyense amadziwa kuti glucose imakhala gawo lalikulu lamphamvu mthupi la munthu. Ndikofunikira kuti kagwiridwe kazonse kazinthu zonse zama cell, ziwalo ndi minofu. Zakumwa zake zimawonjezeka ndi nkhawa komanso kulimbitsa thupi, zimachepetsa kugona.

Chosangalatsa ndichakuti, mosasamala kanthu za chakudyacho, glucose imadziunjikira ndipo pang'onopang'ono imatha kuwamwa zikafunika.

Zambiri mwa izo zimakhala m'matumbo a minofu ndi adipose, m'chiwindi. Kuphatikiza apo, pomaliza komanso m'misempha imasungidwa mu mawonekedwe a glycogen, ndipo m'maselo amafuta amasintha kukhala mafuta ache, kenako kukhala glycerin, yomwe imapanga triglycerides.

Njirayi imayamba motsogozedwa ndi insulin, ndiye kuti, kuchuluka kwa glucose m'magazi kuyenera kuchepa, ndipo kupezeka kumapita kumaselo amafuta. Choyamba, thupi limadya glycogen, ndiye kuti pakufunika kuwonongeka kwa triglycerides.

Mukamayesa magazi a biochemical pamlingo wa TG, ndikofunikira kuti muganizire za jenda, zaka za munthuyo, popeza zikhalidwe ndizosiyana ndipo zimatengera zizindikiritsozi.

Mwa akazi

Mwa akazi, pazaka zambiri, kuchuluka kwa triglycerides kumawonjezeka, kotero ayenera kukhala otsika pang'ono kuposa amuna:

Kuyambira zaka 15 mpaka 20 - 0.41-11.54 mmol / L.
Kuyambira wazaka 21 mpaka 40 - 0.43-1.64.
Kuyambira 41 mpaka 50 - 0.45–2.15.
Ali ndi zaka 50 - 60 - 0.52 - 2.64.
Pambuyo pa zaka 60, mpaka 2,7 mmol / L.

Pa nthawi yomwe mayi ali ndi pakati pa mahomoni, msana wa triglyceride umasinthasintha, ndipo pambuyo pobereka umabwezeretseka wokha.

Amuna

Mwa amuna, kuchuluka kwa triglyceride ndiwokwera kuposa azimayi, komanso amasintha ndi zaka:

Kuyambira wazaka 15 mpaka 20 - 0.44-1.80 mmol / L.
Kuyambira wazaka 21 mpaka 55 - 0.53-3.6.
Kuyambira 56 ndi akulu - 0.64-2.9.

Ngati zomwe zili mu TG ndi zapamwamba kakhumi kuposa apo, ndiye kuti matenda obadwa nawo amatengedwa - triglyceridemia yoyamba.

Kwa ana, miyambo ndi motere:

Kuyambira pa kubadwa mpaka chaka chimodzi cha moyo - 0-0-0.94 mmol / L.
Kupitilira apo, atsikana osakwana zaka 15 kuyambira 0.4 mpaka 1.48.
Mwa anyamata, 0.35-1.41.

Zifukwa zamitengo yapamwamba

Ngati pali kuchuluka kwa triglycerides, ndiye zifukwa zotsatirazi ndizomwe zimayambitsa:

Kulemera kwambiri kwa thupi.
Matenda a shuga.
Matenda a impso.
Lipid kusalinganika kwachilengedwe.
Kuzunza.
Mowa.
Atherosulinosis
Hypothyroidism

Pakhoza kukhala zifukwa zina:

Kusayang'anira zochitika za tsiku ndi tsiku, zakudya zopanda pake.
Kugwiritsa ntchito mosagwiritsa ntchito mankhwala ena, monga corticosteroids, kulera kwapakamwa, oletsa beta.

Kuchuluka kwa lipids m'magazi kungathe kuwonetsa kukhalapo kwa ma pathologies omwe ali pamwambapa, ndipo wodwalayo amadziwa za izi pokhapokha atatha mayeso. Pankhaniyi, muyenera kutsatira zakudya zapadera, zomwe zimathandiza kuchepetsa mafuta m'thupi. Momwe zimawonjezera mwayi wokhala ndi matenda amtima ndi mtima, chiwindi cha mitundu yosiyanasiyana, matenda amitsempha.

Zifukwa zakuchulukira kwa amayi

Mwa akazi achikulire, kupatuka kwawamba kumawonedwa nthawi zambiri kuposa amuna, pomwe zifukwa zokulira za triglycerides nthawi zambiri zimakhala motere:

Kulandila njira zakulera zamkamwa, zomwe zimaphatikizapo estrogen.
Nthawi yamimba.
Polycystic ovarian matenda.
Kusiya nthawi.
Zovuta pamlingo wamafuta.
Kusabereka

Pakakhala pakati, mulingo wa lipid nthawi zambiri umakhala wokwezeka kuposa wabwinobwino, nthawi zambiri izi zimayendera limodzi ndi kuchuluka kwa cholesterol, ndipo izi ndizabwinobwino. Kuwonjezeka kwa chizindikirocho kumayambitsa nkhawa yayikuru, chifukwa chake, amayi oyembekezera ayenera kuchepetsa kuchuluka kwa zinthu zomwe zimakhala ndi TG.

Nthawi zambiri, kupatuka kwachilendo masiku ano kumachitika chifukwa cha kuphwanya maziko a mahomoni, kawirikawiri - chifukwa chotenga pathupi kapena zovuta zina pakubala kwa mwana wosabadwayo.

Ndi kuphwanya kwakukulu komwe kumakhudzana ndi kudya kwambiri pakubala kwa mwana, magaziwo amakhala akucheperachepera, mwana wosabadwayo amakumana ndi vuto la oxygen komanso kuperewera kotunga zakudya. Zikatero, adotolo amasankha chithandizo chokwanira komanso chofatsa.

Zomwe zimapangitsa amuna kukhala ndi mfundo zapamwamba

Mwamuna wamkulu, chizolowezicho chimakhala chokulirapo kuposa pakugonana koyenera. Kupitilira apo nthawi zambiri kumachitika chifukwa chomwa mowa mwauchidakwa, mankhwala opangira fodya, nthawi zambiri amadziwonetsera motsutsana ndi maziko a zovuta zomwe zimapangitsa, kudya kwambiri.

Mwa mwana, zinthu zotsatirazi zimayambitsa kuchuluka kwambiri:

Kunenepa kwambiri.
Zakudya zopanda pake.
Down Syndrome.
Makamaka.

Muzochitika zotere, chisamaliro ndi kuleza mtima kwa makolo kumafunika, popeza mwana ayenera kukhala ozolowera chakudya chopatsa thanzi, kupatula zakudya zamasamba osiyanasiyana, kudya tchipisi.

Palinso kufunika kupatsa ana mafuta a nsomba. Kuphatikiza apo, kuyendetsedwa ndi dokotala ndikofunikira, komanso kufufuza mozama.

Zizindikiro za triglycerides yachilendo

Zizindikiro nthawi zambiri zimawonedwa motere:

Kuchulukitsa kosasimbika.
Shuga wamagazi osasunthika.
Kuchepetsa kuchuluka kwa cholesterol "yabwino" (lipensitroteins yapamwamba).
Kutsutsa kwa thupi ku insulin.

High triglycerides imatsogolera mamasukidwe am'madzi a plasma, omwe amakhala ndi mavuto ena: kuthamanga kwa magazi kumachepetsa, maselo, ziwalo ndi machitidwe amakumana ndi njala.

Zosintha zimawononga thanzi la wodwalayo:

Chisoni.
Kuchepetsa ntchito.
Lethargy.
Anachepetsa chilako.

Ngati pali kupatuka kwakukulu kuchokera ku chizolowezi, ndiye kuti muyenera kulandira chithandizo chokwanira, chokhazikitsidwa ndi dokotala woyenera.

Zitha kukhala zotsatirapo zake

Mkulu wa TG m'magazi angayambitse zovuta:

Type 2 shuga.
Matenda oopsa
Matenda a mtima.
Stroko
Hepatitis.
Matenda a chiwindi.
Ischemia
Atherosulinosis
Pancreatitis

Ngati magazi amayesedwa ndi kuchuluka kwa triglycerides

Kusanthulaku kukuwonetsedwa motere:

Pambuyo zaka 20 (kupatula chitukuko cha atherosulinosis).
Cholesterol yayikulu.
Makamaka.
Matenda oopsa
Matenda a shuga.
Kulemera.
Kulephera kwa lipid metabolism.
Matenda amitsempha yamagazi.
Mankhwala (kuwongolera zotsatira).
Angina pectoris.

Pambuyo pazaka 20, zaka zisanu zilizonse ndikulimbikitsidwa kuti mupimidwe, izi zimapangitsa kupewa matenda ambiri.

Kufunikira kwa kukonza TG

Ngati pali kupatuka kuchoka ku mtundu wa TG, ndiye kuti kuwunika kwachiwiri kumayikidwa. Milandu pomwe chithunzichi sichisintha, njira ziyenera kuchitidwa kuti muchepetse triglycerides, chifukwa pali chiopsezo cha matenda akulu amtima, monga ischemia, atherosclerosis, myocardial infarction, ndi ma pathologies ena.

Kukula kwa magawo

Ngati kafukufuku wa biochemical awulula TG yayikulu, makamaka ndi kukhalapo kwa zizindikiro zosasangalatsa, ndikofunikira kuti muchitepo kanthu. Momwe mungachepetse TG m'magazi, adokotala azindikira, kutengera mtundu uliwonse pawokha. Cholinga cha mankhwalawa chimatengera zomwe zimayambitsa, kuchuluka kwa kupatuka, ma concomitant pathologies.

Mankhwala

Pofuna kuphwanya mlingo wovomerezeka m'njira yowonjezereka, adokotala amatha kukupatsani mankhwala. Chithandizo cha mankhwala osokoneza bongo chimaphatikizapo kugwiritsa ntchito mankhwala monga:

Fibates. Ntchito kukonza lipid kagayidwe, kuponderezedwa kwa mafuta synthesis.
Nicotinic acid Chimalimbikitsa kupanga "cholesterol" wabwino ". Amachita ngati ma fiber.
Madera Sinthani kapangidwe ka cholesterol "chabwino", choletsa ntchito za "zoyipa".
Omega-3 Fatty Acid. Mankhwalawa ndi ochuluka mumafuta a nsomba, amathandiza kuti magazi azikhala ochepa komanso kuti magazi azithamanga, amachepetsa njala ya okosijeni.

Simungathe kumwa mankhwala a statin ndi mafupa a fibrate nthawi imodzi, chifukwa izi zimatha kuchokera ku minyewa ya dystrophy.

Ndi kuwonjezeka kwa kuchuluka kwa nicotinic acid, chizungulire, kufupika kwamphamvu kumachitika. Mankhwala ochulukirapo a omega-3 acids amachititsa kuti magazi azitha komanso kuti magazi azithamanga.

Ngati chifukwa chowonjezeka TG chinali kugwiritsa ntchito njira zakulera, ndiye ndikofunikira kusiya kuzitenga, izi zimapangitsa chizindikirocho kukhala chofanana. Mu shuga mellitus, ndikokwanira kusintha mankhwalawa kukhala analogue.

Thandizani mankhwala achikhalidwe

Kuphatikiza pa mankhwalawa kuti muchepetse triglycerides, pali mankhwala ena wowerengeka omwe amathandizira kuwerengera magazi, koma musanagwiritse ntchito, upangiri waluso ndi wofunikira, makamaka pokhudzana ndi chithandizo cha ana.

Thirani kapu ya nyemba ndi madzi wamba ndikusiya maola 8. Kenako wiritsani mpaka pang'ono ndipo idyani pa supuni kangapo patsiku. Mankhwalawa ayenera kupitilizidwa kwa mwezi umodzi.
Onjezani Mbeu Zonona Zazikulu Zazikulu Zapamwamba
Pogaya maluwa a linden kukhala ufa ndikuudya supuni katatu patsiku.

Ngati maphikidwe akagwiritsidwa ntchito molakwika, thupi limakhala losagwirizana, chifukwa zosakaniza zonse zimakhala ndi zinthu zambiri zogwira ntchito.

Mankhwala othandizira zakudya komanso zakudya

Kuthandiza odwala pokhapokha ndi mankhwala sikothandiza ngati satsatira zakudya zapadera. Kufunika:

Chepetsani kumwa shuga ndi confectionery.
Musachotse chakudya mwachangu, zakudya zosavuta.
Osamadya mafuta a nkhumba, mafuta a masamba, nyama yamafuta.
Osamazunza mazira (makamaka ma yolks) ndi mkaka wonse, chifukwa zinthu izi zimakhala ndi cholesterol yambiri.

Pazakudya ziyenera kukhalapo:

Zipatso zatsopano, masamba.
Mitundu yamafuta ochepa, nsomba.
Zakudya zam'nyanja.
Nyemba, nandolo, nyemba, zophika pamadzi.
Mtedza.
Mafuta a nsomba.
Mbewu zonse za tirigu.

Nthawi zambiri, kuti achulukitse kuchuluka kwa magazi, ndikokwanira kuthetsa zakumwa zoledzeretsa ndi kusuta ndudu, pitani m'masewera. Kuphatikiza apo, njirazi ndizoyenera pochizira komanso prophylactic.

Triglycerides ndi shuga (shuga)

High triglycerides imatha kuwonetsa kukana (kuyambira lat. Resistentia - "kukana") kupita ku insulin. Ndiye kuti, timadzi tofunikira kwambiri, ntchito yake yayikulu ndikuchepetsa "kuchuluka kwambiri" kwa glucose m'magazi a m'magazi. Chifukwa chake, ngati thupi laumunthu liyamba kukhala ndi insulin / kugonjetsedwa, ndiye kuti kuchuluka kwa shuga m'magazi kumachuluka kwambiri, zomwe zimapangitsa kuti matenda ayambe kudwala monga matenda a shuga mellitus (mtundu II).

Malinga ndi data ya WHO: insulin / suti yolephera, monga imodzi mwa "mfundo" zisanu zofunika kwambiri za metabolic syndrome (nthawi zambiri molumikizana ndi "mfundo" ina isanu - hypertriglyceridemia / ie, milingo yayikulu ya triacylglycerides), ku Europe kuli pafupifupi Anthu 60 miliyoni. Komabe, koposa zonse, madokotala samadandaula ndi kuchuluka kwamtunduwu, koma kuchuluka kwa anthu omwe SADZIWA zomwe ali nazo kale ndi zovuta zazikulu za insulin!

Nthawi yomweyo, posachedwa, zoopsa zomwe zingayambitse matendawa (malinga ndi American Diabetes Association) zakwera ngakhale pakati pa achinyamata ndi achinyamata. Kwenikweni, "zikomo" chifukwa chokhala ndi moyo wopanda ntchito (monga kudya, maswiti ogulitsira, kumwa izi - "Coca-Cola"). Ndiye chifukwa chake, ngakhale mukuganiza kuti thanzi lanu silabwino, mukufunikabe kukayezetsa kuchipatala kamodzi pa zaka 4-5 zilizonse. Kuphatikiza mbiri ya lipid (zinadzina - lipid mbiri) - kuyesa kwa magazi kwamomweku kudziwa kuchuluka kwa mafuta (triglycerides), komanso lipids yamagawo onse.

Triglycerides ndi Pancreas

Asayansi apeza kuti kuchuluka kwa triglycerides m'magazi (oposa 5.2 mmol / l / kapena 500 mg / dl.) Kochulukirapo kumawonjezera mwayi wokhala ndi (OP) pachimake pancreatitis (i.e., kutupa kwa kapamba). Ndipo milingo yayikulu kwambiri (yoposa 11.2 mmol / l / kapena 990 mg / dl.) Patsogola kale zovuta zazikulu za OP, zodzala ndi imfa (kuyambira 7 mpaka 15%). Popeza amakhulupirira kuti mafuta ochulukirapo a mafuta (osakhala "omangidwa" mu seramu ndi albin) amakhala ndi TOXIC pamatumbo a pancreatic. Chifukwa chake, izi zimafunika pokhudzana ndi lokha - kuchepetsedwa mwachangu kwa triglycerides yapamwamba (ndi mankhwala)!

Triglycerides ndi "kunenepa kwambiri" kwa chiwindi

Elevated triglycerides ndi chimodzi mwazomwe zimayambitsa "kunenepa kwambiri" kwa chiwindi. Zomwe zimachitika kawirikawiri: mu 70% ya milandu chifukwa cha "kukonda" kwambiri zakumwa zoledzeretsa komanso mu 30% - "chifukwa cha" kukonda "zakudya" zosayenera. Mwachilengedwe, mafuta ochulukirapo "ochulukirapo" "amawunjikana" - osati "m'makwinya" am'mimba, omwe ndi, m'chiwindi, mtundu wa "fakitale ya lipid". Monga lamulo, "chiwindi chamafuta" sichinatchulidwe / kutulutsa chizindikiro (chogwirizana ndi "kunenepa kwambiri"), chifukwa chake chimakhala chowopsa kwambiri, chomwe chimatchedwa cirrhosis. Omenyayo ndi osayembekezeka komanso opweteka kwambiri (ngakhale anali wowoneka kutali)!

Kuwona kuchuluka kwa TG koyezetsa magazi, dokotala yemwe akupezekapo atenga chidwi ndi wodwalayo - ndipo adzakuwitsani chiwindi (kuti chiwonjezeke) za kuopsa pansi pa hypochondrium yoyenera. Ndipo pamapeto pake, adzakulemberani (ngati pangafunike) - mayesero a chiwindi (FPP). Ine.e. Kuphatikiza konse koyesa kwamagazi amomwe amamuwonetsa zomwe zimawonetsa kuchuluka kwa bilirubin (yathunthu ndi yomangika), ALT (alanine / transaminase) ndi AST (aspartate / transaminase). Mwachitsanzo, kuwonjezeka kwa mfundo za ALT, molingana ndi zizindikiro za AST, zimawonetsa mwachindunji kwa katswiri yemwe akupezekapo - kuwonongeka kwa chiwindi.

Zomwe zimayambitsa Triglycerides

Zomwe zimayambitsa kwambiri triglycerides m'magazi ndi amuna ndi awa: mavuto azaumoyo (omwe afotokozedwa pamwambapa) kapena kungokhala ndi zaka (kutanthauza kuti ndi achikulire). The etiology yocheperako kwambiri ndi cholowa chamabadwa (achibale).
Zina zoyambitsa kulumpha ndi njira yolakwika ya moyo. Kuphatikiza: zizolowezi zoipa (kusuta fodya, kumwa mowa mwauchidakwa), kusachita masewera olimbitsa thupi ("kugona" komanso ntchito), komanso chakudya "choyipa". Makamaka kudya kwambiri "zakudya zamasitolo."
Mu zotsatira za kuyezetsa kwamwazi wamagazi mwa amayi apakati, monga lamulo, kuchuluka kwa triglycerides amathanso "kudumpha" (mu 2nd ndi 3 trimester). Momwemonso - nthawi ya kusintha kwa thupi, nayenso, chifukwa cha kusintha kwa mahomoni m'thupi.
Ndipo pamapeto pake, mfundo zapamwamba za TG zitha kupezeka chifukwa chomwa mankhwala ena. Zocheperako, kuchokera ku mankhwala omwe amachepetsa kuthamanga kwa magazi (beta-blockers, thiazide diuretics) kapena immunosuppressants (makamaka, cyclosporine). Nthawi zambiri mu AMBUYE - mutatenga gulu la mankhwala a mahomoni (mwachitsanzo, njira zakulera zamkamwa) kapena SMRE.

NKHANI YOTHANDIZA PA ZINSINSI “ZABWINO”:

Ndizofunikira kudziwa kuti mukatha kudya (pambuyo pa mphindi 15-30) zomwe zili mu triglyceride zimatha kuchuluka monga (!) Nthawi 5-10, koma kenako (pang'onopang'ono) mubwereranso gawo loyamba (pambuyo pa maola 8-12). Ichi ndichifukwa chake, kuyesa kwa magazi a biochemical kuchuluka kwa TG ndi lipids zina (zochokera kumitsempha ya ulnar) kumaperekedwa mwamphamvu pamimba yopanda kanthu!

Momwe mungabwezeretsere triglycerides kukhala yabwinobwino?

Pulogalamu yochepetsera zolimbitsa / zofunikira kwambiri za triglycerides (pamakhalidwe abwino) imaphatikizanso: Kusintha kwakhadi pamakhalidwe ndi zakudya. Kuchepetsa msanga kuchuluka kwa TG m'magazi, madokotala amakupatsirani mankhwala, i.e. kumwa mankhwala apadera.

ZOPHUNZITSIRA ZAMBIRI ZOKHUDZA Ichi (KUTI "A" TO "Z") ZOTSIMULE NKHANIYI:

Kusintha kwamoyo

Kuti muchepetse kuchuluka kwa triglycerides kukhala abwinobwino (pofika zaka), mudzayenera kusiya "zosangalatsa" zambiri m'moyo! Kuchokera kwa ena - zidzakhala zofunikira kutembenukira kwakanthawi, kuchokera kwa ena - kwamuyaya. Njira yabwino: kupanga mgwirizano ndi katswiri wazamisala, kuti "asawononge" thupi lanu - "chithandizo cha mzimu", "zoyipa" zotere zimatanthawuza "kusuta, uchidakwa kapena kudya kwambiri. Padziko lapansi pali njira zambiri zabwino - popanda kuvulaza thanzi lanu!

Kuphatikiza apo, muyenera "kuyambitsa" m'moyo wanu - masewera olimbitsa thupi (kuyambira masewera olimbitsa thupi kuyambira masewera olimbitsa thupi: mphindi 30 mpaka 40, osachepera 3-4 pa sabata). Zachidziwikire, simuyenera kuzitenga nthawi yomweyo - bala la akatswiri othamanga! Muyenera kuyamba yaying'ono, pazotsatira za madokotala - kutengera zaka zanu, jenda komanso thanzi lanu lonse. Zinthu zonsezi zimachepetsa moyenera kuchuluka kwama "triglycerides" m'magazi! Nthawi zina - zolembedwa / zazifupi.

Kusintha kwa chakudya

Mwambiri, inu nokha mumaganizira kale kuti ngati pali kuphwanya kwa lipid (i.e., FAT) m'magazi, chidwi chachikulu chimayenera kulipidwa kumafuta onse ndi kuchuluka kwa zopatsa mphamvu. Choyamba, muyenera kukana "Sungani" ma trans ("zakudya zazakudya zabwino"), komanso zina zazakudya munjira (zakudya zachangu, ma hambur, ndi zina). Kuphatikiza apo, tengani zakudya za "chakudya" ndi PROTEIN, ndipo tsiku lililonse - tsamira CELL. M'malo mwa nyama yamtundu uliwonse "yofiyira" - sinthani kuyera / nkhuku (kokha popanda zikopa), ndipo koposa zonse - osachepera 2 pa sabata kudya mbale zamafuta. Mwachilengedwe - OSAKONZEDWA! Ngati mukusowa, ndiye kuti njira yabwino / yina ndi mafuta a flaxseed (kuwonjezera pa saladi wa masamba). Limbikitsani luso lakunyumba la OWN!

Mankhwala

Monga lamulo, madokotala odziwa zambiri komanso odalirika sathamangira 'kukongoletsa' odwala awo ndi mtundu wina wa mankhwala - makamaka olimba, ndipo, okwera mtengo / ofunika. Komabe, nthawi zina (pamiyeso yovuta / yayikulu ya triglycerides), kugwiritsidwa ntchito kwake kudzakhala MOYO / KWAMBIRI! Pamodzi ndi mankhwala ena ofunikira kuchiza matendawa, omwe, kunena mosamalitsa, akuwonetsedwa ndi hypertriglyceridemia (i.e. Kuchuluka kwa TG m'magazi). Mankhwala othandiza kwambiri - makamaka a triglycerides okwera mafupa, niacin, OMEGA-3 ndipo nthawi zambiri - ma statins. Ingoyesani kusinkhasinkha nokha! Ngakhale kugwiritsidwa ntchito kwambiri kwa mankhwalawa, ngati kumagwiritsidwa ntchito molakwika, ndi koopsa kwambiri ndi zovuta zambiri.

Zambiri za hypertriglyceridemia mwa abambo

Mlingo wa triglycerides mwa amuna umachulukana ndi zaka. Chifukwa cha kuchuluka kwambiri kwa cholesterol ndi TG, amuna nthawi zambiri kuposa azimayi amadwala matenda am'mtima oyambira, ubongo, stroko, myocardial infarction.

Ma triglycerides okwera mwa amuna azaka zonse nthawi zambiri amakhala chifukwa cha kuperewera kwa zakudya, zizolowezi zoyipa. Zomwe zimayambitsa ndi matenda a shuga, myocardial infarction, komanso matenda a impso. Amuna okalamba omwe ali ndi gout amakhala ndi TG yapamwamba kwambiri.

Zambiri za hypertriglyceridemia mwa akazi

Mwa akazi, mulingo wa triglycerides umasiyana pang'ono ndi zaka. Zinthu zimasintha pambuyo pa kusintha kwa kusintha kwa msambo. Thupi lachikazi limaleka kupanga ma estrojeni omwe amalepheretsa kukula kwamafuta osalowerera. Pachifukwa ichi, milingo ya magazi ya lipid imasinthasintha kuzungulira kuzungulira.

Triglycerides imakwezedwa panthawi yapakati - izi ndizabwinobwino. Kuyesedwa kwa magazi kumawonetsa poyambira kuwonjezeka kwa ndende yachiwiri, ndi zamadzimadzi pazitatu. Chodabwitsachi chikufotokozedwa ndi kuchepa mwachangu kwa minyewa ya adipose, kusintha kwa mphamvu ya mahomoni yomwe imakhudza metabolidi ya lipid.

Amayi omwe ali ndi TG yapamwamba nthawi zambiri amakhala operewera, amakhala ndi moyo wopanda thanzi. Matenda a shuga, pancreatitis ndi zina zomwe zimapangitsa hypertriglyceridemia achinyamata, azaka zapakati. Amayi okalamba nthawi zambiri amakhala ndi vuto la hypothyroidism, amakhala ndi vuto la impso. Izi zimachitika limodzi ndi kuchuluka kwa mafuta a triglycerides.

Momwe mungawongolere mafuta osalowerera ndale

Kwa nthawi yayitali, kuchuluka kwa triglycerides ndi asymptomatic. Koma nthawi yomweyo, zotsatira zabwino za chithandizo zimatheka ngati chithandizo chayamba nthawi imeneyi.

Mlingo wa cholesterol ndi TG ndikulimbikitsidwa kuyang'aniridwa pafupipafupi ngakhale pakalibe madandaulo okhudzana ndi zaumoyo. Kusanthula kokwanira kosonyeza zomwe zidutswa zamafuta osiyanasiyana zimatchedwa mbiri ya lipid. Kuyesa koyambirira kwa magazi kumatengedwa wazaka za 9-11, wachiwiri - 17-21. Kutsimikizidwanso kwina kwa metabolidi ya lipid kumachitika nthawi 1 / zaka 4. Anthu omwe amakonda kudwala matenda a mtima oyamba ayenera kuyezetsa magazi pafupipafupi.

Kuti muphunzire kuchuluka kwa triglycerides, ndikofunikira kutulutsa magazi kuchokera m'mitsempha. Musanalembetse, muyenera:

samalani chakudya chamagulu a maola 12-16, simungathe kudya, komanso kumwa khofi, tiyi, timadziti. Chakumwa chokhacho chololedwa ndi madzi.
ndizoletsedwa kumwa mowa kwa maola 24 kuyezetsa magazi,
m'mawa musanatsutse magazi, simuyenera kusuta, kusewera masewera, kuchita mantha.
Mphindi 5 isanachitike phunziroli, ndibwino kuti mukhale pang'ono.

Zotsatira za kusanthula nthawi zambiri zimakhala zokonzeka tsiku lotsatira la bizinesi.

Zomwe zimayambitsa matenda a triglyceride zimachuluka

Nthawi zambiri, ngati triglycerides imakwezedwa, izi zikutanthauza kuti munthuyo sakudya moyenera, sasuntha kwambiri, amanenepa. Kukumana kwa mafuta osalowererapo kumawonjezeka ndi mowa.

Zomwe zimayambitsa zimakhudzana ndi matenda osiyanasiyana a dongosolo:

kapamba
matenda a chiwindi
hypothyroidism
matenda a mtima
myocardial infaration
gout
Down syndrome
glycogenosis,
anorexia amanosa
matenda a impso
cholowa cholowa chamafuta kagayidwe.

Triglycerides ikhoza kukwezedwa pakumwa imodzi mwamankhwala awa:

retinol
estrogen
opanga beta
cyclosporin
interferon
diazepam
corticosteroids
katekisimaamu.

Ngati cholesterol imakhala yachilendo komanso triglycerides imachuluka

Kuwonjezeka kwa kuchuluka kwa cholesterol ndi TG nthawi zambiri kumawonedwa pawiri. Koma mwa anthu ena, ma triglycerides okwera amaphatikizidwa ndi mafuta enieni a cholesterol. Choyambitsa chachikulu cha izi ndi zopatsa mphamvu zopitilira muyeso. Munthu amatha kutsatira malamulo onse azakudya omwe amathandizira cholesterol yotsika, koma ngati kuchuluka kwa zopatsa mphamvu kumakhala kokwanira kuposa kuchuluka komwe kumagwiritsidwa ntchito, kuchuluka kwa triglycerides kukwera.

Chifukwa china chachilendo kwambiri ndicho matenda obadwa nawo kapena omwe amatengedwa ndimatenda osafunikira amthupi osaloledwa:

mabanja hyperchilomicronemia,
systemic lupus erythematosus,
Hyperlipidemia yapabanja,
m'mabanja hypertriglyceridemia.

Momwe mungachepetse triglycerides

Ngati zotsatira zoyesedwa zikuwonetsa kuti triglycerides imakwezedwa, ndiye nthawi yosamalira thanzi lanu. Ngati hypertriglyceridemia ndi chizindikiro cha matenda, muyenera kuthana ndi mankhwalawa. Nthawi zina, mutha kutsitsa TG ndi chakudya, zizolowezi zabwino, ndikumwa mankhwala omwe dokotala wakupatsani.

Zotsatira zoyesedwa zikusonyeza kuti cholesterol yokwanira kapena mafuta osalowerera ndale, chakudya ndicho chinthu choyamba chomwe dokotala amakupatsani. Odwala ambiri amatha kukhazikika kwa triglycerides pokhapokha ngati ali ndi zakudya zoyenera. Mwamwayi, sizitanthauza kuti pali ziletso zingapo.

Malamulo oyambira azakudya zoyenera:

Siyani mowa. Anthu ochulukirapo omwe amamwa mowa, omwewo umakhala wokwera kuposa triglycerides. Nutritionists awerengera kuti pafupifupi 30 ml ya mowa wambiri womwe umagwiritsidwa ntchito nthawi zonse umachulukitsa kuchuluka kwa mafuta osalowerera ndendende ndi 5-10%. Pazifukwa izi, zidakwa nthawi zambiri zimakhala ndi mitengo yayikulu kwambiri ya TG.
Chepetsa shuga wanu. Suprose ndi kalori yosavuta yomwe imatsala pang'ono kulowa. Thupi limagwiritsa ntchito mphamvu zochepa pakuthira kwawo, kumakhalabe ndi ma calorie okwanira omwe amatha kusinthidwa kukhala mafuta. Amayi amalangizidwa kuti asadye mopitilira 6 tsp tsiku lililonse. shuga, amuna osaposa 9 tsp. Kuchuluka kwake kuyenera kuphatikizapo kuchuluka kwa shuga: zakumwa za shuga, timadziti / timadzi tokoma, confectionery. Mwachitsanzo, kapu ya madzi a mphesa - iyi ndi kuchuluka kwa supuni 8 za shuga.
Yang'anirani kuchuluka kwa fructose. Zipatso zina, makamaka zipatso zouma, zipatso zokazinga, manyuchi amakhala ndi shuga wambiri wa fructose. Zabwino kwambiri ndi zoumba, zipatso. Iwo ndi 60-67% shuga. Nutritionists amalimbikitsa kuti anthu asamadye mopitilira 50 g ya fructose patsiku.
Mpunga, mbatata, pasitala - pang'ono. Zogulitsazi zimakhala ndi zopatsa mphamvu mosavuta, thupi limalandira zopatsa mphamvu zochuluka.
Masamba, zipatso, tirigu wathunthu, nyemba - Zakudya zamafuta ambiri ziyenera kukhala maziko azakudya. Ngati zakudya zomwe zili mu chakudya sizokwanira, kuchuluka kwa mafuta osalowerera kumayamba kuchuluka.
Mafuta ochulukirapo ambiri, opepuka. Mafuta okwanira omwe ali ndi mafuta ofiira ali ndi nyama yofiira, mafuta a nyama, tchizi chamafuta, tchizi, zonona - gwiritsani ntchito moyenera. Mafuta osasankhidwa amakhala ndi mafuta a masamba, mtedza, ndi mbewu.
Mafuta nsomba kawiri / sabata. Nsomba, makamaka mitundu yake yamafuta (hering'i, mackerel, tuna, nsomba), ili ndi mafuta osakwaniritsidwa. OMEGA 3 amachepetsa cholesterol ya LDL ndipo amathandizadi pochiza komanso kupewa matenda a mtima.

Zakudya izi tikulimbikitsidwa kuti zitsatidwe moyo wonse kupewa matenda a mtima.

Moyo wathanzi

Matenda a kunenepa kwambiri amathandiza cholesterol ndi triglycerides. Kuwonongeka kwa 5-10% yokha ya misa kumachepetsa kuchuluka kwa mafuta osalowerera peresenti 20, malinga ndi zina, kutulutsa kilo iliyonse kumachepetsa kuchuluka kwa triglycerides ndi 2%.

Ndikofunikira kuyang'ananso malingaliro anu pakuchita zolimbitsa thupi. Anthu omwe amayenda osachepera mphindi 30 patsiku amakhala ndi mafuta ochepa kwambiri osagwirizana ndi nzika zina zomwe sizigwira ntchito kwenikweni. Nthawi yokwanira kusewera masewera nthawi itatha chakudya. Zochita zolimbitsa thupi zimathandizira kugwiritsa ntchito zopatsa mphamvu "zowonjezera", zimalepheretsa kukhala lipids.

Madokotala awerengetsa kuti munthu amatha kuchepetsa triglycerides ndi 50% pachaka chotsatira kutsatira kadyedwe, kuphatikiza kulemera, komanso kuchita zolimbitsa thupi.

Zithandizo za anthu

Cholesterol ndi triglycerides akhoza kutsitsidwa ndi wowerengeka maphikidwe. Ndiwothandiza makamaka kuwaphatikiza ndi zakudya. Zida zotsatirazi zatsimikizira bwino:

Muzu wa ginger ndi uchi. Ochepetsa zoipa LDL cholesterol, triglycerides, bwino kagayidwe, normalization magazi. Kuti mukonze kusakaniza, perekani muzu wapakatikati wa ginger wabwino pa grater yabwino, onjezani 3-4 tbsp. l wokondedwa, sakanizani. Idyani 1 tbsp. l nthawi iliyonse chakudya.
Cinnamon Zothandiza pazomwe zili ndi ma lipids am'magazi, zimasintha kagayidwe. Onjezani zakudya zosiyanasiyana, koma zabwino kwambiri zotengedwa ndi uchi. Sakanizani 2 tbsp. l wokondedwa, 3 tsp sinamoni ufa. Thirani m'magalasi atatu amadzi ozizira. Imwani kapu imodzi 3 katatu / tsiku.
Muzu wa licorice. Thirani 2 tbsp. l licorice muzu 500 ml ya madzi. Bweretsani kwa chithupsa, kuziziritsa kwa mphindi 15, kuzizira. Msuzi wokhazikika umatengedwa mu kapu imodzi kanayi / chenicheni - masiku 15.
Nyemba Ma legamu amathandizanso kuteteza matenda a lipid. Zilowani nyemba zosachepera 200 g nyemba, wiritsani ndi mchere pang'ono. Gawani ma seva angapo, idyani patsiku.Njira ya mankhwala ndi mwezi.

Matenda osachiritsika, kumwa mapiritsi pafupipafupi - mwayi wofunsa dokotala musanayambe. Zithandizo za anthu amtundu wawo zimakhala ndi zotsutsana, zoyipa.

Kodi triglycerides m'magazi ndi chiyani?

Triglycerides ndimapangidwe a lipid omwe amayendayenda m'magazi ngati gawo la lipoprotein complexes.

M'mafomu osagwirizana ndi mapuloteni (liporotein) ma protein, ma triglyceride omwe amapezeka m'magazi sapezeka.

Gawo lalikulu la zigawo za triglyceride limalowa m'thupi la munthu ndi chakudya. Triglycerides imatha kupangidwanso ndi hepatic ndi mafuta zimakhala, komanso maselo a epithelium yamatumbo.

Pazida zonse za lipid, triglycerides ndizofunikira kwambiri zamagetsi ndi magawo omwe amagwiritsidwa ntchito pakupanga mamembala a maselo ambiri mthupi.

Pankhaniyi, kuchuluka kwa triglycerides m'magazi ndikofunikira pakugwira ntchito kwathunthu kwamankhwala ambiri ndi ziwalo.

Kudzikundikira kwa zinthu izi kumachitika m'maselo amafuta. Ngati ndi kotheka, triglycerides imasweka m'maselo amafuta ndi hydrolysis kupita ku glycerin ndi ma FA (mafuta acids) ndi kulowa kwawo m'magazi limodzi ndi lipoprotein.

Zizindikiro za triglycerides m'magazi zimatsimikiziridwa ndi zaka komanso jenda la wodwalayo.

Mlingo wambiri wa triglycerides umayendetsedwa ndi chiwopsezo chachikulu cha kukwera kwamaso wamagazi, kukulitsa kwa thrombosis ndi micothrombosis, kupezeka kwa ma atherosselotic plaques m'mitsempha ya mtima, kuchepa kwa elasticity ya mtima, kukula kwa kusokonezeka kwa magazi mu ubongo, myocardial pathologies a ischemic chiyambi, zotupa za pancreatic) .

Low triglycerides imayendera limodzi ndi chiwopsezo chachikulu cha kuperewera mphamvu m'matumbo, kaphatikizidwe ka mahomoni ndi zinthu zogwira ntchito, mapangidwe a nembanemba m'maselo, etc.

Tiyeneranso kudziwa kuti mapangidwe a triglyceride amathanso kugwira ntchito ngati gwero la glucose synthesis (kutaya kwa gawo lalikulu la glucose, glycogen). Ndi mulingo wokwanira wa shuga m'magazi, gawo lina lingasinthidwe kukhala triglycerides. Chifukwa cha izi, kuchepa kwa shuga m'magazi pansi pa kayendetsedwe ka insulin ndikupanga nkhokwe zake m'matupi a adipose.

Ndani amafunika kuyesedwa kwa magazi triglyceride?

Kuwunikira kwa magazi a triglycerides ndi mbiri yovuta ya lipid ndikulimbikitsidwa kuti ichitidwe kwa odwala onse azaka zopitilira 25 kamodzi pazaka zisanu (malinga ndi zowonetsera, kusanthula kumachitika nthawi zambiri).

Kuwunikira pafupipafupi kwa triglycerides kumasonyezedwa kwa:

purine kagayidwe kachakudya
zotupa zotupa za kapamba,
myocardial infaration
ngozi zamisala,
matenda obadwa nawo omwe amayambitsidwa ndi matenda a metabolic,
matenda ashuga
kagayidwe kachakudya matenda
atherosulinotic zotupa zam'mimba,
matenda oopsa
angina pectoris
ma ischemic pathologies a mtima,
uchidakwa.

Osachepera kamodzi pachaka, kuwunika uku kuyenera kuchitidwa ndi odwala omwe ali pachiwopsezo chachikulu cha mapangidwe a mtima. Gululi limaphatikizapo anthu:

ozunza fodya ndi mowa,
kunyalanyaza zolimbitsa thupi,
kudya zakudya zopanda pake (chakudya chofulumira, mafuta ndi zakudya zokazinga, koloko, maswiti, ndi zina).
ndi mbiri yakulemetsa yabanja (kupezeka kwa matenda amtima mu abale),
Nthawi zambiri ndimavutika ndi nkhawa, kusowa tulo, kugwira ntchito mopitirira muyeso,
ndi matenda ashuga (makamaka pakapita nthawi matenda),
ndi matenda a mtima ndi mitsempha yamagazi.

Komanso magawo a lipid amawunikira panthawi ya lipid yotsitsa kuti azitha kuyendetsa bwino.

Kodi kuyezetsa magazi kwa triglyceride kumachitika bwanji?

Kusanthula kumachitika mosamala pamimba yopanda kanthu. Asanatole zakuthupi, madzi okha osakhala ndi kaboni amaloledwa kumwa. Zakumwa zina kapena zinthu zina zimatha kusintha zotsatira za kafukufukuyu.

Tiyeneranso kukumbukira kuti mankhwala ambiri amatha kukhudza kwambiri mulingo wa triglycerides m'mwazi.

Triglycerides imakwezedwa m'magazi mwa odwala omwe amatenga beta-blocking, catecholamine, corticosteroid, cyclosporin, diazepam, diuretic, estrogen, interferon, retinol kapena miconazole.

Kutsika kwa magazi triglycerides kumatha kuwonekera mwa anthu omwe amatenga ascorbic acid, aminosalicylic acid ®, asparaginase ®, clofibrate ®, heparin ®, mafuta a nsomba, kukonzekera kwa prazosin.

Mlingo wa kuchuluka kwa triglycerides

Chizindikiro chofananira chazomwe zimapangidwa ndi mawonekedwe a triglyceride pakuwunika ndi osachepera 1.7. Ma mfundo pansipa imeneyi amagwirizana ndi chiwopsezo chochepa cha mtima (SSR).

Mukamasulira mfundo zowonjezereka, ndikofunikira kulingalira kuchuluka kwa kupatuka kwa zizindikiro kuchokera pazomwe zikuchitika.

Gawo kuyambira 1.7 mpaka 2.2 limawerengedwa ngati cholowera kumalire lolingana ndi SSR wamba.

Miyezo yambiri ya SSR imafanana ndi milingo ya triglycerides m'magazi kuyambira 2.3 mpaka 5.6.

Kuwonjezeka kwa pamwamba pa 5.6 kumawerengedwa kuti kumakhala pachiwopsezo chachikulu chokhala ndi vuto lalikulu la metabolic, kuwonongeka kwa mtima, mitsempha yamagazi ndi kapamba.

Triglycerides ndi okwera - izi zikutanthauza chiyani mwa akazi?

Kuwonjezeka kwapang'onopang'ono kwa zotsatira zoyeserera kumatha kuchitika pakubala.

Kupatuka koteroko kwa mfundo sizoyambira ndipo sikufuna chithandizo. Kupatula ndikofunikira kwakukulu pama triglyceride wambiri, limodzi ndi kuchuluka kwambiri kwa mimba, kukula kwa placental vascular thrombosis, fetal hypoxia, etc.