Cholesterol yayikulu: kodi izi zikutanthauza chiyani ndipo zikuyenera kuchitidwa?

Cholesterol m'thupi la munthu imachita ntchito yofunika, kotero kupezeka kwake sichizindikiro zoyipa. Komabe, pali magawano pazigawo “zabwino” ndi “zoyipa” za chinthuchi. Kuyesedwa kwa magazi kwa cholesterol ikusonyeza kwambiri, muyenera kuyamba kuichepetsa. Kuchita izi ndizovomerezeka ndi zakudya, maphikidwe a wowerengeka, kapena mankhwala.

Momwe mungapezere cholesterol yamagazi kunyumba

Zizindikiro zikapitirira kuposa momwe zimakhalira, ndizotheka kuti mavuto osiyanasiyana amatuluka m'thupi omwe amakhudzana ndi kuwonongeka kwa ziwiya (zotchinga, kupendekera kwa lumen). Mulingo wambiri wa mankhwala (hypercholesterolemia) ungayambitse kukula kwa stroko, myocardial infarction. Zikuwombedwa ndi mtima komanso mtima wamunthu. Kuchepetsa msanga zinthu zoyipa m'magazi, mapiritsi amagwiritsidwa ntchito kutsitsa cholesterol. Ngati mlingo wabwinobwino ukuwonjezeka pang'ono, mutha kugwiritsa ntchito maphikidwe a wowerengeka, zakudya.

Palibe mankhwala

Sikuti munthu aliyense ndiwokonzeka kudwala kuti ayambe kumwa mankhwala, omwe nthawi zambiri amakhala amtengo wokwera mtengo. Zikakhala kuti kuchepa pang'ono kumafunikira, kudya mafuta ochepa kumathandiza. Kuchepetsa kudyedwa kwa zakudya zina ndikuwonjezera zina kumatha kuchepetsa magazi m'thupi. Komanso, mankhwala achikhalidwe omwe amakhala ndi maphikidwe a tinctures, decoctions a adyo, zitsamba ndi oats amatha kupulumutsa.

Ndi mafuta othandizira kuchepetsa mafuta

Zakudya zomwe zili ndi cholesterol yokwera sizokhazikika, zilibe nthawi yapadera, mutha kutsatira. Simungathe kudya yokazinga, mchere, zonunkhira, mowa. Mutha kupanga zakudya mwakufuna kwanu, kutengera zinthu zotsalazo zomwe zingakuthandizeni kuthana ndi cholesterol yayikulu magazi:

  1. Zakudya zomanga thupi: pasitala, buledi, tirigu, zipatso, ndiwo zamasamba.
  2. Mapuloteni: tchizi tchizi, nsomba zoyera, nyama yofiira yamafuta ochepa, nyama yoyera (nkhuku yopanda khungu). Zakudya za nyama zimaphika, kuphika kapena kuwotcha, masamba ophika ndi abwino monga mbale yakumbuyo.
  3. Mazira - osapitilira 4 patsiku, koma ngati mungalekanitse yolk, ndiye kuti kugwiritsa ntchito sikuchepera.
  4. Shuga - osapitirira 50 g patsiku ndi cholesterol yowonjezereka.
  5. Zogulitsa mkaka wowonda ndizotheka, koma zimadalira mafuta osaposa 1%.

Zithandizo za anthu a Fster kwa cholesterol yayikulu

Pali mitundu yapadera yothandizidwa ndi wowerengeka ndi mankhwala omwe amatsitsa mafuta ambiri. Kuti muyeretse ziwiya za ma atherosselotic kukula, muchepetse chiopsezo cha mapangidwe a cholesterol, chotsani poizoni, njira zina ndizoyenera. Zida zotsatirazi zimatengedwa kuti ndizotchuka komanso zopindulitsa:

  1. Kulowetsedwa kwa calendula. Kuchepetsa cholesterol yayikulu, idyani madontho 30 musanadye, maphunzirowa ayenera kukhala mwezi (osachepera).
  2. Mbewu za fulakesi Mutha kuwagula ku pharmacary ndalama zochepa. Mankhwala a cholesterol okwanira, amawonjezeredwa ku chakudya chonse kapena chamtundu wosweka.
  3. Alfalfa Mphukira zazing'ono za zitsamba kudya masamba 15-20 a udzu patsiku mu mawonekedwe osaphika. Masamba a chomera amatha kupera, madzi amatha kudzipatula. Mankhwala ndi katatu patsiku, gwiritsani ntchito malita awiri.
  4. Finyani 10 mavala a adyo kudzera pa atolankhani, onjezani makapu awiri a mafuta. Lekani osakaniza aime masiku 7. Gwiritsani ntchito kulowetsedwa ngati mankhwala monga zokometsera chakudya.

Mankhwala

Pankhani ya kusintha kwakukulu pamalingaliro ndi chithandizo chofunikira chofunikira cha mafuta ambiri m'mwazi, mankhwala amathandizidwa ndi mankhwala. Pali magulu angapo a mankhwalawa omwe ali oyenera kulandira chithandizo. Monga lamulo, wodwala yemwe ali ndi cholesterol yayikulu amawayikira:

  1. Madera Mankhwala a cholesterol, omwe amalepheretsa kupanga ma enzyme omwe amapanga mapangidwe ake. Malinga ndi kuchuluka kwa zamankhwala, ndizotheka kukwaniritsa kuchepetsa 60%. Mankhwala osokoneza bongo omwe ali mgululi amawonjezera kuchuluka kwa lipoproteins (HDL) yayikulu kwambiri, yomwe imateteza thupi ku matenda a mtima, stroke, ndipo amatha kuchepetsa kuchuluka kwa triglycerides. Mankhwala ofala kwambiri pagululi anali Lexol, Baikol, Mevacor. Chinsinsi chachikulu ndi mimba, mwa anthu ena zimatha kukhumudwitsa m'matumbo.
  2. Ma asidi a Fibroic amathandizira kuchepetsa miliri ya triglycerides, lipoproteins yotsika kwambiri, yomwe imayambitsa kukula kwa atherosulinosis mopitirira muyeso. Chepetsa mafuta m'thupi mwa kulemba clofibrate, gemfibrozil, fenofibrat.
  3. Gulu la mankhwala omwe amalumikizana ndi bile acid. Mankhwala amathandizidwa nthawi zambiri ngati ma statins. Nthawi zina magulu awa a mankhwalawa amatengedwa nthawi yomweyo, zomwe zimapangitsa kuti nkhondoyi ithe komanso kuthandizira kuchiritsa matendawa mwachangu. Monga lamulo, pamitengo yokwezeka, kuti athe kuchepetsa iwo mwachangu, Colestid kapena Questran ndi omwe amapatsidwa.

Dokotala uti kuti mulumikizane

Cholesterol okwera m'magazi amakhala ndi vuto pa ntchito ya mtima, mtima. Cardiologist akuchita nawo mankhwalawa, koma pofuna kutsimikizira adzatumiza kukayezetsa magazi ambiri. Malinga ndi iye, ndizosavuta kudziwa ngati munthu ali ndi cholesterol yayikulu, chifukwa chake zimakhala zolondola kuchita nthawi yomweyo kuchipatala. Kuti muthane ndi zomwe zimayambitsa cholesterol kuchuluka, muyenera kudziwa zomwe zimathandizira. Madokotala atha kukulemberani mankhwala othandizira ndi kuchepetsa njira: endocrinologist, psychapist, cardiologist.

Ndemanga za Chithandizo

Kirill, wa zaka 38 Mavuto a mtima adayamba, adapita kwa dokotala wamtima, ndipo adati ndimakhala ndi vuto la cholesterol yambiri. Pambuyo pa kusanthula, zidapezeka kuti chifukwa chake chinali chakudya chopanda thanzi. Tsopano ndimatsatira kudya mosasamala popanda zokazinga, zokometsera, zamchere, ndimadya shuga pang'ono. Zinakhala zosavuta mwezi watatha kusintha zakudya.

Nadezhda, 27. Ali kuchipatala ndi myocardial infarction, adotolo adati chifukwa chake ndi cholesterol yayikulu. Ndidayenera kulandira mankhwala osokoneza bongo ndi ma statins. Zinakhala zosavuta nthawi yomweyo, koma kuyambira tsopano ndakhala ndikudya za moyo. Gawo lovuta kwambiri linali kusiya mowa kwathunthu, koma thanzi linali lofunikanso.

Anastasia, wazaka 33 ndinayesa kuchita zinthu ndi anthu wowerengeka, koma zonsezi sizinandithandize. Kugwiritsa ntchito polimbana ndi cholesterol yayikulu inali zakudya zoyenera zokha. Zakudya sizovuta, ndizosavuta kutsatira, koma yokazinga sizikwanira. Dokotalayo adalimbikitsa kumwa ma statins, koma ndidadya moyenera.

Kodi mayeso awa amalembedwa liti?

Tanthauzo la cholesterol limawonetsedwa kwa odwala otsatirawa:

  1. Amayi omwe amatenga kulera kwa mahomoni kwa nthawi yayitali,
  2. Amayi amiseche
  3. Amuna opitirira 35
  4. Anthu omwe ali pachiwopsezo ndi cholowa
  5. Pofika zaka zinazake,
  6. Odwala matenda ashuga ndi hypothyroidism,
  7. Zambiri
  8. Zizolowezi zoipa
  9. Pamaso pa zizindikiro za systemic atherosulinosis.

Akatswiri ambiri amakhulupirira kuti ntchito yokhala chete, moyo wongokhala, kusachita masewera olimbitsa thupi pafupipafupi, kudya mopitirira muyeso, kudya zakudya zambiri zopanda pake ndizomwe zimapangitsa kudziwa kukula kwa atherosulinosis komanso zomwe zimayambitsa cholesterol yayikulu mwa anthu.

Mafuta a cholesterol m'mwazi

Kuchuluka kwa cholesterol kumatha kusintha m'magawo 3.6-7.8 mmol / L. Komabe, madokotala akuti mulingo wa cholesterol uli wonse pamwamba pa 6 mmol / L umatengedwa kuti ndi wokwezeka ndipo umabweretsa chiopsezo chathanzi, chifukwa zimatha kuyambitsa matenda a atherosulinosis, mwakulankhula kwina, zotchinga m'magazi, ndikupanga chotchinga magazi kupita m'mitsempha ndi m'mitsempha.

Kugawika kwa cholesterol yamagazi:

  • Optimum - 5 kapena kuchepera mmol / l.
  • Modzikweza pang'ono - 5-6 mmol / l.
  • Cholesterol okwera kwambiri - 7.8 mmol / L.

Nthawi yomweyo, mitundu ingapo ya mankhwala awa imasiyanitsidwa:

  • HDL - lipoproteins yapamwamba kwambiri, imayendetsa mafuta m'thupi kupita ku chiwindi kuti ikwaniritse.
  • LDL - lipoproteins yotsika kwambiri yopangidwira kunyamula cholesterol kuchokera ku chiwindi kupita ku minofu.
  • VLDL - lipoprotein otsika kwambiri omwe amakhala ndi cholesterol amkati, triglycerides m'thupi.

Kukwezedwa kwa cholesterol m'mwazi kumathandizira kukulitsa zotupa za mitsempha ya m'magazi ndipo ndi imodzi mwazinthu zangozi zomwe zingayambitse matenda opatsirana a mtima monga angina pectoris (matenda a mtima wamitsempha) komanso kulowerera m'mitsempha, kugunda kwamchiberekero ndi kuchepa kwapang'onopang'ono.

Zimayambitsa High Cholesterol

Chifukwa chiyani amayi ali ndi cholesterol yayikulu magazi, izi zimatanthauzanji ndikuyenera kuchita? Chiwopsezo cha cholesterol chokwezeka chimawonjezereka pamilandu yakubadwa kwa cholowa, ngati abale apamtima akudwala atherosulinosis, matenda amitsempha yamagazi kapena matenda oopsa.

Ndi zaka, chiopsezo chotenga hypercholesterolemia chimakulanso. M'zaka zapakati, kuchuluka kwa cholesterol kumadziwika kwambiri mwa amuna, koma ndikayamba kusintha kwa msambo, azimayi amatha chizolowezichi pafupipafupi ngati abambo.

Komabe, zifukwa zazikuluzikulu za cholesterol yapamwamba mwa akazi kapena amuna zimapezeka mwachilengedwe:

  1. Khalidwe lolephera kugwira ntchito kwa odwala: Kuleza thupi, kusuta, kuledzera,
  2. Matenda ophatikizika: kunenepa kwambiri, matenda a shuga, matenda amtundu wamatumbo owoneka bwino,
  3. Zokonda pachakudya: Zakudya zokhazikika zamafuta, nyama zoyambira, zosakwanira zamasamba ndi zipatso zazakudya.

Zonsezi pamwambapa ndizoyankha mwachindunji chifukwa chake cholesterol imatha kudzutsidwa, makamaka, izi ndi zotsatira zachindunji za malingaliro osayenera paumoyo wa munthu.

Nazi zina mwazomwe mungazindikire cholesterol kuposa yokhazikika:

  • angina chifukwa kufupika kwa mitsempha ya mtima.
  • kupweteka kwa mwendo panthawi yolimbitsa thupi.
  • kupezeka kwa magazi ndi zigawo za mitsempha yamagazi.
  • Kutumphuka kwa zikwangwani, chifukwa, kulephera kwa mtima.
  • kupezeka kwa xanthomas ndi mawanga achikaso pakhungu, nthawi zambiri m'malo amaso.

Cholesterol yayikulu yokha ilibe zizindikiro. Zizindikiro zimachitika mu atherosclerosis, zotsatira zovomerezeka zomwe zimapezeka kwambiri chifukwa cha cholesterol. Ngati mutha kugwira chimfine chifukwa cha kuzizira pang'ono, ndiye kuti cholesterol yokwezeka m'magazi nthawi zina imapezeka pokhapokha ngati pali vuto la mtima.

Mwanjira ina, musadikire mpaka zizindikiro za cholesterol yayikulu zikadziwonetsa. Ndikwabwino kuyezetsa kamodzi pazaka 1-5 (kutengera ngozi).

Kodi kuchitira cholesterol yayikulu?

Pofuna kuchepetsa cholesterol yayikulu m'magazi, njira yophatikizidwa ndiyofunikira. Funsani othandizira anu azaumoyo kuti akuthandizeni.

Kutengera ndi chiwopsezo, njira zosiyanasiyana zochiritsira zimagwiritsidwa ntchito:

  • kusiya zizolowezi zoipa,
  • olimbitsa thupi
  • kuwonda
  • Zakudya zapadera
  • mankhwala.

Zimathandizira kuchepetsa cholesterol yamagazi mwa akazi ndi amuna:

  • zolimbitsa thupi 5-6 pa sabata kwa mphindi 30-60,
  • osamadya zakudya zokhala ndi mafuta a trans,
  • idyani michere yambiri m'zololedwa chokhala ndi chakudya chamagulu ochepa,
  • Idyani nsomba zamchere zamchere kamodzi kapena kawiri pa sabata kapena kumwa ma omega-3 acid acid,
  • kusiya kusuta
  • khalani okonza kapena kumwa mowa pang'ono.

Tiyenera kudziwa kufunikira kwa mayeso azachipatala pafupipafupi, chifukwa matenda ambiri ndiosavuta kuchiritsa koyambirira, pomwe palibe chomwe chimavutitsa munthu. Kumbukirani: zovuta zomwe zimadza chifukwa cha cholesterol yayikulu sizisintha, ndipo chithandizo sichichotsa mavuto omwe alipo, koma chimangolepheretsa kukula kwatsopano.

Zogulitsa Zopangira Cholesterol

Pofuna kuchepetsa hypercholesterolemia, muyenera kuchepetsa zakudya zopatsa cholesterol m'zakudya zanu:

  • nyama yofiira - ng'ombe, nyama yamwana,
  • dzira yolk
  • nkhumba yamafuta, mwanawankhosa, mafuta,
  • wolakwa,
  • masoseji, masoseji,
  • bakha nyama
  • mayonesi
  • chakudya zamzitini
  • chakudya cham'mimba,
  • zakudya zokazinga
  • margarine
  • khofi
  • zakudya zomwe zimakhala ndimafuta a trans, zomwe zimatchedwa chakudya chofulumira: tchipisi, zoyambitsa, etc.,
  • mkaka wamafuta ambiri: tchizi, kirimu, kirimu wowawasa, mkaka, ayisikilimu, batala, ghee,
    oysters, nkhanu, shrimp, caviar. Mwachitsanzo, lobster yolemera 100 g. ili ndi 70 mg. cholesterol.

Musaiwale kuti pafupifupi, 30% yokha ya cholesterol imalowa m'magazi kuchokera kunja. Zina zonse zimapangidwa ndi thupi palokha. Chifukwa chake, ngakhale mutayesa kutsitsa mafuta awa mothandizidwa ndi zakudya zingapo, simungathe "kuchotsa" gawo lake lofunika.

Akatswiri amalimbikitsa kuti azitsatira zakudya zopanda mafuta a cholesterol osati chifukwa chopewa, koma pongofuna mankhwala, pomwe kuchuluka kwa mafutawa kuli kwenikweni.

Cholesterol yotsitsa zakudya

Kuphatikiza pa kuchepetsa zakudya zomwe zimakweza cholesterol, mutha kuwonjezera zakudya zomwe zimachepetsa cholesterol muzakudya zanu.

  • mapeyala
  • nyongolosi ya tirigu
  • brown mpunga chinangwa
  • nthangala za sesame
  • mpendadzuwa
  • pistachios
  • dzungu nthanga
  • paini mtedza
  • Felize
  • ma alimondi
  • mafuta a azitona
  • amadyera mwanjira iliyonse,
  • nsomba zamtchire ndi sardine - mafuta a nsomba,
  • mabulosi abulu, rasipiberi, sitiroberi, cranberries, lingonberries, aronia, makangaza, mphesa zofiira.

Komanso, kusiya khofi ndikusinthanitsa ndi tiyi wobiriwira wopanda mphamvu kwambiri kumachepetsa cholesterol ndi 15%.

Kuchita masewera

Njira yosavuta kwambiri komanso yachilengedwe yosungira zombo bwino ndikuyenda: kugwira ntchito zolimbitsa thupi, masewera olimbitsa thupi, kuvina, kuyenda, m'mawu, chilichonse chomwe chimabweretsa chisangalalo cha minofu. Mwa anthu omwe akuchita masewera olimbitsa thupi, cholesterol yathunthu imakhala yotsika, ndipo "zabwino" ndizokwera.

Kuyenda kwa theka la ora molimbitsa thupi katatu pa sabata, kotero kuti kuthamanga kwa mtima kumawonjezereka osaposa 10-15 kumenyedwa pa miniti - njira yabwino kwambiri yothandizira.

Mankhwala

Kuphatikiza pa njirazi monga kuwonjezera masewera olimbitsa thupi, kukhalabe ndi moyo wathanzi komanso kudya zakudya zopatsa thanzi, munthu yemwe ali ndi cholesterol yambiri atha kupatsidwa mankhwala, kuphatikizapo:

  1. Tricor, Lipantil 200M. Mankhwalawa amachepetsa cholesterol mwa odwala matenda ashuga.
  2. Kukonzekera: Atomax, Liptonorm, Tulip, Torvakad, Atorvastatin. Pankhaniyi, yogwira mankhwala ndi atorvastatitis.
  3. Ariescore, Vasilip, Simvastatit, Simvastol, Simgal ndi ena. Zomwe zimagwiritsidwa ntchito mu lirilonse la mankhwalawa ndizofanana - ndi simvastatin.

Kuphatikiza apo, mutatha kufunsa dokotala, mutha kuyesa kudya zakudya zowonjezera zakudya. Si mankhwala, koma amatha kuthandizira cholesterol yotsika.

Kusiya Ndemanga Yanu