Kodi miyambo ya cholesterol ndi shuga wamagazi ndi yotani, momwe amsinkhu ndi akazi, kuyezetsa

Mwazi wa glucose uyenera kutengedwa pamimba yopanda kanthu, ngati kuli koyenera, phunzirolo limabwerezedwa mutatha kudya. Akuluakulu, kuchuluka kwa glucose 3.89 - 5.83 mmol / L amadziwika kuti ndiwozonse. Mu okalamba, zomwe zimakhala 6.6 mmol / L ndizovomerezeka, komabe, chikhalidwe chomwe anthu azaka zino azikhala 450 mmol / L. Chizindikiro chotere - chibadwa cha shuga - ndicho gawo labwino la shuga kwa munthu wamkulu.

Chizindikiro cha glucose mwa ana ndi amayi apakati ndi chosiyana pang'ono. Chifukwa chake, kwa ana, msambo wa 3.33 - 5.55 umawoneka ngati wabwinobwino. Pa nthawi yoyembekezera, shuga wa m'magazi amakhala ndi mitundu yambiri - 3.30 - 6.60. Kuwonjezeka kwa shuga kumayambitsidwa ndi matenda a chithokomiro komanso matenda ena a ziwalo ndi machitidwe, osakwanira kupanga insulin ndi shuga mellitus, omwe amafunikira chithandizo chachikulu. Magawo a glycemic mu prediabetes:

  • kuwerenga pamimba yopanda kanthu - 5.50 - 7.00,
  • Zizindikiro za shuga, kusanthula kunatengedwa mutatha kudya (pambuyo pa maola 1 - 2) - 7.00 - 11.00 (kutsimikiza kwa index ya glycemic),
  • glycated hemoglobin (kuchuluka kwa maselo ofiira ofiira) - 5.70 - 6.40%.

Zizindikiro za glycemic zomwe zikuwonetsa matenda ashuga:

  • kusala kudya (kawirikawiri kumachitika m'mawa) - zoposa 7.00,
  • kuyezetsa magazi mutadya (komweko pambuyo pa maola 1 - 2) - kupitilira 11.00,
  • candied hemoglobin (glycated) - woposa 6.40%.

Kudya moyenera kumathandizanso kukhazikika pamafungo a glycemic mothandizidwa ndi shuga ndi ma carbohydrate (ufa, uchi, kupanikizana, kapena zina), komanso masewera olimbitsa thupi oyenera malinga ndi zaka komanso momwe thupi limakhalira (kuyenda tsiku lililonse, kuchita masewera olimbitsa thupi ndikuthamanga). Osachepera insidious ndi shuga wochepa (pakuwunika komwe kunachitika pamimba yopanda kanthu - osakwana 3.3). Mkhalidwe wa hypoglycemic umayamba ndi:

  • matenda a pancreatic
  • matenda a impso
  • kuvulala kwambiri kwa chiwindi,
  • matenda a hypothalamus ndi adrenal glands.

Zigawo za cholesterol: zabwinobwino m'magazi

Ngati magawo a glycemic zonse zili zomveka komanso zomveka, ndiye kuti ndi cholesterol chithunzi chovuta kwambiri chimatuluka. Mlingo wa cholesterol lipids m'magazi umasiyana malinga ndi jenda komanso zaka zake ndipo umaphatikizapo kutsimikiza kwa triglycerides, okwana, "oyipa" komanso "othandiza" cholesterol zovuta. Mmol / L - gawo la muyeso wa kuchuluka kwa mafuta a cholesterol m'magazi.

LDL cholesterol

Magawo a cholesterol "yoyipa":

  • zinthu zabwinobwino - 2.60 - 3.30,
  • chololeka - 3.40 - 4.10,
  • matenda overestimated - 4.10 - 4.90,
  • okwera kwambiri - oposa 4.90,
  • zofunika kwa anthu omwe ali pachiwopsezo cha matenda amtima - osakwana 2.60,
  • zofunika ndi kuwopsa kwa mtima / matenda a mtima - osachepera 1.80.

Cholesterol zoyendetsedwa ndi jenda komanso zaka

  • nthawi yophukira-yozizira - kuchuluka 2 - 4%,
  • kusamba - kumayambiriro kwa chiberekero kutuluka magazi, kuchuluka kwa 10%, patapita nthawi mpaka 6 - 8%,
  • mwa amayi apakati - kuchuluka kwa 12 - 15%,
  • angina akuwukira, kuchuluka kwa matenda oopsa, kupuma kwamatenda - kuchepa kwa 13 - 15% (kusintha masiku otsiriza a 1,30),
  • oncology - kuchepa kwambiri kwa zigawo za lipid m'magazi (chotupa chokulirapo chimafunikira mitengo yayikulu yamafuta azikombole).

Zomwe zili ndi "zoipa" komanso "zabwino" cholesterol

Kugawikana kukhala "kothandiza" kachulukidwe kakakulu ndi kovulaza 'koopsa' kumakhala kwakukulu. Udindo waukulu wa cholesterol "yabwino" ndikuyeretsa bedi lamitsempha, pomwe ma antipode ake "owopsa" omwe amakhala ndi kachulukidwe kotsika amakhala.

Komabe, kachulukidwe kakang'ono kolesterol kamapangitsa kuti zinthu zopangidwa ndi mabakiteriya zizisungunuka, motero magawo onse a lipid ofunikira amafunikira m'magazi. Ichi ndichifukwa chake ndizomveka kunena za kuchuluka mwazinthu za LDL ndi HDL. Zaumoyo wamitsempha yamagazi ndi thupi lonse, mulingo woyenera kwambiri ndi chizindikiro chodziwika bwino chomwe chimagawika pamlingo wapamwamba kwambiri wa lipids - ochepera 6.

Mulingo woyenera wa cholesterol m'magazi ukhoza kutsimikizidwa kokha ndi katswiri woyenera, kutengera kuyesa kwa thanzi la wodwala aliyense. Chiwopsezo cha kukhala ndi atherosulinosis imatsimikiziridwa pakuganizira kukhalapo kapena kusapezeka kwa matenda ophatikizika (kumawonjezera ndi matenda oopsa, mitsempha ya varicose, matenda a shuga, etc.

Mulingo wamba wa lipid

Nthano yabodza yochepetsera cholesterol kudzera muzakudya zofooketsa yakhala ikuwonongeka kuyambira kale. Umboni wotsimikizika: 20% yokha ya cholesterol yomwe imaperekedwa ndi chakudya imatengedwa ndi thupi, ndipo ndi magawo 10% a cholesterol okha omwe amawonetsa kuyesa kwa magazi. Zotsalira zimapangidwa ndi chiwindi chokha - labotale lachilengedwe lachilengedwe lonse lomwe limatha kupanga zinthu zambiri zofunika pantchito zofunikira.

Cholesterol ndi chinthu chofunikira popanga maselo a ma cell. Kuperewera kwake (zakudya, zamasamba) kumapangidwira chifukwa cha kupangika kwake mkati mwa thupi. Komanso, kuletsa kwake kudya ndi zakudya kumapangitsa kuti pakhale kuchuluka kwa mafuta m'thupi la chiwindi.

Kusunga magawo a cholesterol abwinobwino, mlingo wa tsiku ndi tsiku wa chakudya chokwanira 300 mg umafunika, pomwe kuchuluka kwa mafuta m'zakudya kumachepera 40 - 50%. Chakudya chamagulu 5 patsiku chimathandiza anthu kuti azikhala ndi mafuta ambiri. Amayi oyembekezera okha omwe ali ndi mitengo yokwezeka pang'ono komanso odwala omwe ali ndi cholesterol yambiri amakhala ndi zakudya zomwe zimaletsa kugwiritsa ntchito mazira, batala, mkaka, kirimu wowawasa komanso zovuta kugaya mafuta. Nsomba zamafuta, mtedza, zipatso za malalanje, masamba, mchere wamadzi ndi tiyi wobiriwira ndizolandiridwa.

Malangizo oterewa amachita ngati njira zodzitetezera. Kuwonjezeka kwakukulu kwa mafuta a cholesterol kumafuna kuwunikira kowonjezereka komanso chithandizo chachikulu cha mankhwala. Kudzipangira nokha sikulimbikitsidwa. Chithandizo cha mankhwala osokoneza bongo chimachitika pokhapokha malinga ndi dokotala, motsogozedwa ndi kuwerengera magazi komanso kuphatikiza kukonza kukonza (zakudya, zolimbitsa thupi, kusiya zizolowezi).

Kudziwa kuchuluka kwa cholesterol ndi glucose m'magazi anu kumatanthauza kudziteteza ku matenda akulu a mtima (matenda oopsa, atherosclerosis) komanso kuwonongeka kwakukulu kwa minofu yamtima. Ndipo chizolowezi cha shuga ndi chizindikiro cha kugwira ntchito kwa kapamba komanso kupatula shuga. Ndiye chifukwa chake ndikofunikira ndi cholinga chopewa kupereka magazi kamodzi pachaka kuti mudziwe magawo a cholesterol ndi glucose.

Mlingo wa shuga

M'zaka za zana la 20, pakuyesa odwala, shuga wamagazi ndi mafuta a cholesterol adakhazikitsidwa mwa amayi ndi abambo omwe alibe shuga komanso odwala matenda ashuga. Munthawi yabwinobwino, cholembera pamimba yopanda kanthu ndikatha kudya sayenera kupitirira 5.5. Nthawi zambiri zimasiyana kuchokera ku 3.9 mpaka 5. Ngati mumadya maswiti kapena zakudya zamafuta ambiri - shuga umakwera mpaka 6.9, koma osapitilira apo. Pambuyo kanthawi kochepa, chizindikirocho chimasintha palokha.

Mu matenda a shuga, shuga omwe amasala kwambiri ndi 7 mmol / L, ndipo atatha kudya amakwera kwambiri - amafikira 10. Madokotala amalimbikitsa kuti musamalire kwambiri kuchuluka kwa shuga, musanayambe chithandizo, popereka upangiri pazakudya zokha. Pakadwala, vuto la zakudya zamafuta ochepa limafotokozedwa, apo ayi, mwayi wokhala ndi matenda ashuga umakhala wambiri - kugwira ntchito bwino mu mtima, impso, matenda am'munsi, ndipo masomphenya amachepa msanga.

Nthawi zonse kwa amuna

Zabwino kwambiri za mankhwala a glucose m'magazi a anthu zimachokera ku 3.2 mpaka 5.2. Mukalamba, chiwerengerochi chitha kuchuluka mpaka 7, 7. Chiwopsezo cha matenda osokoneza bongo chimachulukitsidwa kwa omwe amasuta, amuna onenepa kwambiri, kulephera kwa mtima. Izi zikutanthauza kuti muyenera kuyang'anitsitsa thanzi - pitani kuchipatala pafupipafupi, kukayezetsa.

Nthawi zonse kwa akazi

Ngakhale pakufunika kuyang'anira kuchuluka kwa shuga m'magazi, si azimayi onse omwe amayang'anira izi ndipo amadziwa za kulumikizana ndi ntchito pafupifupi ziwalo zonse ndi machitidwe. Popita nthawi, kuchuluka kwa zinthu kumawonjezeka. Pankhaniyi, ndikofunikira kumvetsetsa zomwe kuchuluka kwa cholesterol ndi shuga m'magazi ndi zaka. Mulingo wovomerezeka umatengera zaka zake:

  • mpaka zaka 30 - kuyambira 4.2 mpaka 6,
  • Zaka 31 - 50 - kuyambira 4,2 mpaka 6,
  • Zaka 51 - 70 - kuyambira 4.5 mpaka 6.5,
  • pambuyo pa 71 mpaka 6.9.

Potengera zomwe zafotokozedwazo, wodwala amatha, podziyimira pawokha, amvetsetsa ngati zonse zili mdongosolo. Pankhani yakuphwanya kawirikawiri, funsani dokotala.

Hyperglycemia

Shuga owonjezera ndi hyperglycemia. Zamoyo zomwe zimapangitsa shuga:

  • chithokomiro ntchito
  • kusadya bwino,
  • kusowa zolimbitsa thupi
  • matenda ashuga
  • kuphwanya kaphatikizidwe ka insulin - timadzi timene timayendetsa shuga.
  • prediabetes.

Zowonetsa zazikulu za hyperglycemia ndi:

  • kuchuluka kukodza
  • kufuna kugona nthawi zonse
  • kusowa kwa magwiridwe
  • kufooka wamba
  • kuwonongeka kowoneka,
  • kuwonda kwambiri
  • kamwa yowuma.

Kusunga ma glycemic indices ndikwabwinobwino, ndipo ndizotheka kuchepetsa kuchuluka kwambiri pogwiritsa ntchito njira zosiyanasiyana. Ndikwabwino kuzichita kwathunthu.

Choyamba, ndikofunikira kusintha zakudya, kudya zakudya zokwanira, kuchepetsa shuga. Izi ndi maswiti, makeke, makeke, etc.

Ndikofunikira kumachita masewera nthawi zonse, omwe adokotala angakulimbikitseni. Magwiridwe antchito amasankhidwa malinga ndi kuthekera kwa wodwalayo, msinkhu wake ndi machitidwe a matendawa ndi thupi lonse.

Hypoglycemia

M'malo mwake, kutsitsa mishuga ya shuga kulinso koopsa. Ngati kuchepa kwa kuchuluka kwa shuga ndi cholesterol kwapezeka, ndiye kuti izi zikuwonetsa:

Matendawa ali ndi zizindikiro zofanana:

  • kufooka wamba
  • kutopa ndi kugona,
  • kuwonongeka kwa khungu.
  • nthawi zina kuwonjezeka kwa kukula kwa zamitsempha, zomwe zimapweteka pakumverera.

Kuti muwonjezere zizindikiro, thandizo la dokotala limafunikira. Amakhazikitsa mayeso kuti adziwe zomwe zalephera. Choyamba, muyenera kuyamba moyo wathanzi komanso wakhama, idyani moyenera. Nthawi yomweyo, mungafunike mankhwala. Mankhwala aliwonse sayenera kusankhidwa pawokha kapena kusinthidwa ndi maphikidwe achizungu. Izi zikuyenera kuchitika ndi katswiri.

Ndi thanzi labwinobwino komanso kukhala ndi thanzi labwino, zizindikiro za m'magazi sizikula, ndipo mwakutero, anthu samalabadira kuchuluka kwa shuga, osawongolera. Izi zonyalanyaza izi zimabweretsa kukhazikitsidwa kwa mkhalidwe wamatenda.

Makamaka mayeso azachipatala pafupipafupi amafunikira kwa odwala omwe ali ndi vuto la mtima, ntchito zamtima.

Kuti muzindikire shuga, muyenera kutenga magazi kuchokera chala kapena mtsempha. Uku ndikuyezetsa magazi koyenera. Decoding mwa akulu, zomwe zimakhazikitsidwa patebulo, shuga ndi cholesterol zimawerengedwa. Zomwe zatulutsidwa zimafunikira kukonza komwe dokotalayo amasankha.

Thandizo la matenda ashuga limaletsedwa, chifukwa, poyamba, ndizowopsa kwa woperekayo.

Kugwirizana pakati pa cholesterol ndi glucose wamagazi

Kafukufuku wazachipatala amatsimikizira mgwirizano womwe ulipo pakati pa shuga ndi shuga wamagazi ndi cholesterol. Anthu omwe ali ndi shuga komanso cholesterol yambiri amakhala ndi matenda ashuga.

Zizindikiro zake zimaphwanyidwa chifukwa cha zifukwa izi:

  • Zambiri zaosuta,
  • kunenepa
  • matenda oopsa
  • uchidakwa
  • kusowa kwa masewera olimbitsa thupi.

Koma njira yolumikizirana ndi kudalira idawerengeredwa mosakwanira, chifukwa chake, sizotheka nthawi zonse kudziwa kuti ndi chiani chophwanya chomwe chikuphatikizira chinacho.

Madotolo atayamba kuwerengera zotsatira za phunziroli, amawona kuti ngakhale chiwonetsero chochepa kwambiri mu amodzi mwa Zizindikiro zimakweza kuwonjezeka kwachiwiri. Ndizosatheka kuziphatikiza zonse. Magawo onsewa amakula ndi zaka.

Makhalidwe oyerekeza amawonetsa kuti shuga ndi cholesterol wamba mwa munthu wamkulu zimagwirizana kwambiri ndi zakudya. Zakudya zamafuta ambiri zimawonjezera. Komanso, ndi ukalamba, chitetezo cha thupi chimakulirakulira, ndipo kapangidwe kake ka magazi kamakhudzana kwambiri ndi vuto lomwe limadza.

Gulu la lipoproteins

Kumapeto kwa zaka za zana la 20, mikangano yambiri inachitika mu sayansi ya zamankhwala zokhudzana ndi zoopsa ndi mapindu a cholesterol m'thupi la munthu. Ambiri anali ndi lingaliro kuti awa ndi zinthu zoyipa zomwe zimadzetsa matenda ambiri. Gawo lina la asayansi logawaniza cholesterol kukhala yothandiza komanso yopweteketsa.

Koma palibe lingaliro lomwe lingawonedwe kukhala lolondola kwathunthu. Lipids - amachita gawo lofunikira m'miyoyo ya anthu. Amatenga nawo mbali pantchito ya ziwalo ndi machitidwe, koma zina zimathandizira pakukula kwa ma pathologies - kuthamanga kwa magazi, thrombosis. Mphamvu ya lipids imafanana ndi mapuloteni omwe adalumikizidwa nawo, osati kuchokera pakapangidwe kake. Lipoproteins ndi omwe amachititsa izi. Amatha kukhala amitundu yosiyanasiyana:

  • kachulukidwe kakang'ono - amasunthira tinthu tambiri kuchokera ku chiwindi kupita ku madongosolo ena, kuchuluka kwawo kumakwiyitsa matenda a mtima ndi mitsempha yamagazi,
  • kuchuluka kachulukidwe - mosiyana ndi mtundu wapitalo, amathandiza kupewa matenda a mtima, kunyamula lipids kuchokera ku ziwalo kupita ku chiwindi,
  • triglycerides - mphamvu yosunga thupi la munthu, imayikidwa pambuyo kudya zakudya zamafuta, ndipo chifukwa chosowa chakudya, thupi limagwiritsa ntchito ngati mphamvu.

Zopindulitsa katundu wa cholesterol

Cholesterol, monga shuga, imafunika ndi thupi kuti ikhale ndi moyo. Pazigawo zam'magazi, amatenga nawo mbali pama metabolic process, amathandizira kupanga mavitamini ofunikira, mahomoni, amateteza ulusi wamitsempha ku kuvulala. Koma cholesterol yokhazikika kwambiri yomwe imachita motere, chinthu chochepa kwambiri chimachulukitsa zovuta za kupezeka kwa cholesterol plaque.

Zomwe zimatha kukhazikitsidwa kudzera mu biochemistry yamagazi.

Cholesterol

Mafuta a cholesterol ndiofunika kwambiri. Ichi ndi chinthu chonga mafuta chomwe chimatsala pang'ono kusungunuka m'madzi, ndipo m'magazi mumatengedwa ndi mapuloteni apadera - liporoteins. Chifukwa cha kupezeka kwa cholesterol yotsika komanso yayitali, kuchuluka kwa zinthu zomwe zili m'magazi, komanso kuchuluka kwa magawo ake, ndizofunikira. Mukamaganiza za masiku onse, osati zaka zokha, komanso jenda imaganiziridwa. Monga lamulo, kuwonjezeka kwa msanjowu kumayendetsedwa ndi kuwonjezeka kwa ESR.

Malamulo a akazi

Chifukwa cha kagayidwe kogwiritsa ntchito ka thupi la amayi achichepere, ngakhale ndi kuperewera kwa zakudya m'thupi komanso kusowa kwa zochitika zamagalimoto, cholesterol imakhalabe yachilendo. Koma izi ndizotheka mpaka zaka 30. Matenda a shuga, kulephera kwa impso kumatha kudzutsa lakuthwa kwambiri pamlingo uliwonse.

Mwa azimayi patatha zaka 30 mpaka 50, kupanga estrogen, timadzi timene timayendetsa kuchuluka kwa mafuta m'thupi, amachepetsa. Mfundo zotsatirazi ndizomwe zimapezeka mu cholesterol:

  • mulingo wamba ndi wabwinobwino 3.6 - 5.2 mmol / l,
  • okwera 5.2 - 6.19,
  • kuchuluka kuchokera ku 6.19,
  • kachulukidwe kolesterol wabwinobwino 3.5, kuchuluka kuchokera 4,
  • kachulukidwe kawirikawiri 0,9 - 1.9, owopsa pa thanzi; osakwanira - osakwana 0.78.

Kuyesa

Pamafunika kuwunika za shuga ndi cholesterol m'mawa, mpaka maola 11. Kukonzekera zopereka zamagazi ndi motere:

  1. Maola 12 musanapite ku dotolo, ndibwino kuti musamadye ndi kukana zakumwa zilizonse, makamaka za mowa ndi mowa wina. Ndi chololedwa kumwa madzi owonekera chabe - Umu ndi momwe thupi limakonzekerera kusanthula, ndipo zotsatira zake sizipotozedwa.
  2. Kuti zotsatira zake zizikhala zolondola momwe mungathere, muyenera kukana kudya zonunkhira, zokazinga, zamchere kale masiku angapo musanawunike, makamaka sabata. Njira iyi ikhoza kufotokozedwa - zakudya zina zimakhudza kwambiri mafuta komanso mafuta a m'magazi, kupotoza kuwunikaku.
  3. Asanapange kusanthula, ndikofunikira kudziwitsa katswiri za mankhwala omwe amatengedwa molingana ndi zowonetsa posachedwa. Maantibayotiki ena ndi mankhwala ena amphamvu amatha kusintha zolakwika.

Funso pafupipafupi kwa odwala ndi kuti kodi magazi amachokera kuti? Mwazi ukhoza kutulutsidwa kuchokera mu mtsempha kapena chala.

Wodwalayo amapatsira kusanthula kwatsatanetsatane kapena kwazinthu zingapo. Biochemical ndiyosavuta - imawonetsa kuchuluka kwa lipids m'magazi, kutsatira kwake ndi zomwe zimachitika.

Ndikofunikira kuti iwo akuyenera kuchita kafukufuku pa kuchuluka kwa cholesterol kuti amvetsetse moyenera momwe angapezere mayeso moyenera. Amachitika mu chipatala, 5 ml ya magazi ndi yokwanira. Kuphatikiza pa kusintha zakudya zomwe zizolowereka, ndikofunikira kusiya zolimbitsa thupi tsiku lisanafike magazi. Ngati zakonzedwa bwino, zotsatira zodalirika zimadziwika tsiku lotsatira.

Pamankhwala, mutha kugula kuyesa kuti mupange kuwonongedwa kwa shuga kunyumba. Awa ndimitengo yapadera yotaya, ndi yosavuta kuyigwiritsa ntchito. Kusanthula kwina ndi kofunikira kwambiri kwa aliyense wodwala matenda ashuga kuti apeze shuga.

Magulu owopsa

Kuti tipewe zovuta zomwe sizingasinthe chifukwa cha matenda a m'magazi, ndikofunikira kumvetsetsa bwino zomwe zimachitika ndi shuga ndi cholesterol. Kukula kwa zinthu kumachitika ndi matenda otere:

  • kuchuluka cholesterol ndi mapapu embolism, ischemia, sitiroko, angina pectoris, kugunda kwa mtima, minofu necrosis,
  • kuchuluka kwa shuga kunenepa kwambiri, mafupa am'mimba, shuga, matenda aimpso.

Kukhalabe ndi chizolowezi cha shuga ndi cholesterol, komanso ngati pakuwonjezeka - kutsika, madokotala amalangiza kuti azisamalira menyu komanso kuchita masewera olimbitsa thupi. Ndikofunikanso kusiya zizolowezi zonse zoyipa - izi zimachepetsa chiopsezo cha zotsatirapo zoyipa za matenda ashuga ndi atherosulinosis ndi 30%, kuwonjezera mphamvu ya mankhwalawa. Chaka chilichonse, kuyezetsa kuchipatala kumayenera kupeza vutoli panthawi yake.

Ngati tikukambirana zaumoyo, ndiye kuti lamulo limathandizira kuti kupewa nthawi zonse kulibwino komanso kosavuta kuposa chithandizo. Shuga, cholesterol sichoncho. Ndikofunika kuyang'anitsitsa izi nthawi zonse, kuyesa kukhala ndi moyo wathanzi, kudya zakudya zabwino komanso kuphatikiza zakudya zopezeka m'zakudya zomwe zimathandizira shuga ndimagazi komanso kupewa mafuta.

Kusiya Ndemanga Yanu