Matenda a shuga ndi chilichonse chokhudza izi
High cholesterol mu shuga ndi chizindikiro chosadukiza cha wodwalayo.
Izi ndichifukwa choti pakuwonjezeka kwa cholesterol (mu cholesterol ya ku America), gulu loipa la mtima limatsekedwa.
Kukwera kwamphamvu kwa lipids m'magazi, kumakhala pachiwopsezo chachikulu cha matenda ammimba, omwe, nawonso, amawonjezera chiopsezo cha matenda a shuga.
Pankhani imeneyi, ndikofunikira kwambiri kuyeza kuchuluka kwa mafuta m'thupi la shuga.
Pali mitundu iwiri ya cholesterol amkati, malinga ndi kuchuluka kwake, kuphatikiza mapuloteni onyamula:
- lipoproteins otsika kwambiri otsika kwambiri (LDL, VLDL) "zoipa" atherogenic lipids ndipo ndi zovulaza thupi,
- lipoprotein okwera kwambiri komanso okwera kwambiri (HDL, HDL), m'malo mwake, ali ndi antiatherogenic zochita ndipo amateteza chiwopsezo cha kukhala ndi atherosulinosis yamitsempha yamagazi.
Anthu odwala matenda ashuga amadziwika ndi kuwonjezeka kwa LDL komanso kuchepa kwa HDL poyerekeza ndi kuchuluka kwa anthu athanzi labwino. Kuwonjezeka kwa milingo ya LDL ndi TAG kumakhala ndi chiopsezo chokhala ndi mavuto owopsa a mtima. Kuchepa kwa shuga kagayidwe kamatenda kumayambitsa kusalinganika pakati pa magawo onse a lipoproteins. Kuwonjezeka kwa lipids zamagazi m'magazi a shuga kumalumikizidwa ndi njira zotsatirazi:
- Mwazi wa wodwala yemwe ali ndi matenda osokoneza bongo wafotokozeranso kudzipereka ndi mawonekedwe a lipids yaulere.
- Chifukwa chodwala kwa nthawi yayitali, endothelium yam'mimba imakhala yosalimba komanso yokhala ndi chilema.
- Kuwonjezeka kwa glucose kumabweretsa kuwonjezereka kwa kufalikira kwa nthawi ya atherogenic lipoproteins mu seramu.
- Mitundu yotsika ya anti-atherogenic lipids imawonjezera ngozi zamatenda amtima.
- Kukhazikika kwa zigawo za lipid pazombo zimakulitsa nthawi ya shuga.
- Kuphatikiza kwa ma pathologies onsewa kumawonjezera zotsatira za iliyonse.
Pokhudzana ndi njira zomwe zili pamwambapa, mphamvu yonse ya serum cholesterol yomwe ili ndi shuga yayikulu imayang'aniridwa pafupipafupi. Wodwala wotere amayenera kulembetsa ku endocrinologist ndi psychapist.
Mtengo wa cholesterol mu shuga
Malinga ndi kafukufuku waposachedwa wazachipatala, cholesterol yokwanira mu shuga imayambitsa kupita patsogolo kwamphamvu kwa angiopathy ndikuwonjezera kwambiri chiopsezo cha matenda amtima.
Ngakhale kuphatikiza kwa matenda ophatikizika awa, kumachitika bwino pakubala mankhwala.
Kuyang'anira kusamalira glycemia mwachangu, kuthamanga kwa magazi ndi ndende ya lipoprotein kumathandizira kuti wodwalayo akhale ndi vuto.
Mu matenda a shuga a mtundu woyamba (wachinyamata) wowunikira glycemia, palibe kuchuluka kwa mbiri ya lipid. Koma kwa odwala matenda ashuga angiopathy ndi matenda a shuga a 2, zinthu sizili choncho.
Kuyesedwa kwa magazi kwa lipids mu mtundu 2 wa shuga kumadziwika ndi:
- utachepa HDL
- magawo otsika a HDL
- kuchuluka kwa LDL
- kuchuluka kwa VLDL,
- kuchuluka kwa cholesterol yathunthu,
- Milingo ya TAG ikuwonjezeka.
Kusintha koteroko kwa lipid kumapangitsa kuti ma lipotroteins a atherogenic apangidwe pa makoma a endothelium ndipo kumabweretsa kutsekeka kwa lumen ya mitsempha. Mapulogalamu ochepa a antiatherogenic lipids sangathe kulimbana ndi kupitilira kwa zotupa za atherosulinotic m'mitsempha. Triglycerides imakhudzanso mavuto a kagayidwe ka metabolic. Chifukwa cha kusweka kwa chotengera, ziwopsezo zamagazi zomwe zimapereka magazi zimayamba.
Mu kuperewera kwa vuto la kuperewera kwa m'thupi komanso kuperewera kwa okosijeni, minyewa ya dystrophy imayamba, pachimake - necrosis. Wodwala matenda a shuga okhala ndi cholesterol yayikulu ali ndi mwayi wopeza matenda am'mimba kwambiri kapena kuwonongeka kwa ubongo posachedwa.
Kuphatikiza apo, matenda ashuga micro- ndi macroangiopathy amapita patsogolo ndi mawonekedwe a atherosulinotic process.
Cholesterol okwera muubwana: zoyambitsa, chithandizo
Matenda a mtima ndi matenda ochulukirachulukira amakhala atangoyamba kumene. Kupewa matenda kuyenera kuchitika kale kuyambira paubwana. Kupatula apo, cholesterol imadzuka osati mwa akulu okha, komanso mwa ana. Kolesteroli wotalikirapo amene amakhalabe muubwana, ndiye kuti matenda a mtima akakula. Chifukwa chake, ndikofunikira kuyang'anira kuchuluka kwa cholesterol m'magazi a ana.
Tiyeni tiwone chifukwa chake pali cholesterol yayikulu mwa ana? Ndi zinthu ziti zomwe zimapangitsa kuti chiwonjezere? Momwe mungathanirane ndi ana omwe ali ndi cholesterol yayikulu? Tidzafotokozera bwino nkhaniyi.
- Kodi cholesterol ndi chiyani?
- Chifukwa chiyani cholesterol imakwera
- Pamene cholesterol imayang'aniridwa ali mwana
- Momwe mungachepetse cholesterol
- Mankhwala
Kodi cholesterol ndi chiyani?
Thupi longa mafuta lotchedwa cholesterol (limafanana ndi cholesterol) limapezeka mwa anthu ngati magawo awiri - lipoproteins ("good" high-density lipoproteins (HDL) ndi "low" low-density lipoproteins (LDL). Gawo lililonse la cholesterol yathunthu imachita ntchito zake. HDL imatengera kagayidwe ka mafuta, mapuloteni ndi chakudya. LDL "yoyipa" imapanga nembanemba yamaselo onse, amatenga nawo mbali popanga mahomoni ogonana ndi cortisol. LDL imatanthauzanso kagayidwe ka mavitamini ndipo imapanga ma placenta a mayi panthawi yapakati. Izi ndizofunikira pakukula kwa ubongo wa ana.
Lipoprotein "yoyipa" yokhala ndi milingo yayikulu m'magazi imayikidwa kukhoma lamkati lamitsempha yamagazi momwe amalembera.
Pankhaniyi, atherosulinosis imapangidwa pang'onopang'ono, zomwe zimayambitsa matenda a mtima. Atherosulinosis imayambitsa vasoconstriction, yomwe imayendera limodzi ndi kufalikira kwawo kwathunthu kapena kwathunthu. Ndi zochulukirapo, matenda a ischemic. Kusokoneza kayendedwe ka magazi ndi mtima ndi ubongo, ma atherosulinosis sangathe koma kusokoneza ntchito ya ziwalozi. Zotsatira za kufalikira kwamitsempha yamagazi ndi vuto la mtima kapena sitiroko.
Atherosulinosis imapangidwa pakakhala kusayanana pakati pa cholesterol cha "choyipa" ndi "chabwino". Mukamaunika cholesterol yathunthu, kuchuluka kwa triglycerides kumathandizidwanso.
Chifukwa chiyani cholesterol imakwera
Cholesterol mu ana amadzuka pazifukwa izi:
- Kwambiri, ndimadyedwe osapatsa thanzi komanso moyo wabwino. Izi zikuyenera kumveredwa ngati kuphwanya zakudya komanso kugwiritsa ntchito zakudya zoyipa zomwe zili ndi cholesterol yambiri. Margarine ndi mafuta ophikira omwe makolo amagwiritsa ntchito kuphika ndi mafuta, omwe amachepetsa "oyipa" ndikuchepetsa lipoprotein "zabwino".
- Choyambitsa cholesterol chachikulu mwa mwana chitha kukhala cholowa. Ngati achibale anali ndi stroke, matenda a mtima kapena angina pectoris, ndizotheka kuti mwana amakhalanso ndi cholesterol yayikulu. Matenda omwe makolo amakumana nawo amathanso kulera ana akamakula ndi kufikira zaka 40-50.
- Ana omwe ali ndi matenda ashuga kapena matenda oopsa amakhala oti akhoza kukhala ndi cholesterol yambiri.
- Matenda a mtima ndi ana ndi nthawi yoyang'ana magazi m'thupi.
- Kusuta fodya kumawonjezera cholesterol.
- Kulephera kuchita zolimbitsa thupi.
Maola okhala pakompyuta ya ana amathandizira kunenepa kwambiri, ndipo izi zimabweretsa chiwopsezo chowonjezeka cha cholesterol ndi chitukuko cha matenda ena oyanjana.
Pamene cholesterol imayang'aniridwa ali mwana
Kuchulukitsa cholesterol kwa ana kumayenderana ndi chiopsezo cha matenda a mtima. Chifukwa chake, ndikofunikira kuyang'anira kuchuluka kwake kuyambira paubwana.
Mafuta a cholesterol ana:
- kuyambira zaka 2 mpaka 12, mulingo woyenera ndi 3.11-55.8 mmol / l,
- kuyambira wazaka 13 mpaka 17 - 3.11-5.44 mmol / l.
Kuyesedwa kwa magazi kwa cholesterol kwa ana kumachitika kokha atakwanitsa zaka ziwiri.
Poyambirira, tanthauzo la mafuta ndilosasintha. Mwana ali ndi zaka 2 amafufuzidwa ngati ali m'gulu loopsa. Gululi limaphatikizapo ana omwe ali pansi pa izi:
- ngati m'modzi wa makolo ali ndi vuto la mtima kapena sitiroko asanakwanitse zaka 55,
- ngati makolo ali ndi cholesterol yayikulu,
- mwana amadwala matenda a shuga kapena kuthamanga kwa magazi.
Ngakhale ndi zodziwika bwino, ana omwe ali pachiwopsezo amawunikira kuwunikira zaka zisanu zilizonse.
Momwe mungachepetse cholesterol
Ndi kuwonjezeka kwa LDL, madokotala amagwiritsa ntchito zovuta:
- Maziko a mankhwalawa ndi zakudya zoyenera. Zosankha ziyenera kukhala zosiyanasiyana. Ana amafunikira kudyetsedwa kasanu patsiku m'magawo ang'onoang'ono. Pewani kudya kwambiri. Musachotsere chakudya kumapeto kwa usiku.
- Chips, shawarma, ma fries achi french, ma hamburger omwe alibe ndi mayonesi samachotsedwa pakudya. Amakhala ndi cholesterol yoyipa, imathandizira kukulitsa kwa atherosulinosis.
- Zosankha sizimapatula mafuta a trans - margarine, mafuta ophikira. Amasinthidwa ndi mafuta amasamba - maolivi, soya.
- Nyama zamafuta, ubongo, chiwindi, impso sizimachotsedwa kwathunthu. Zosinthazo siziphatikiza zakudya zosuta, mafuta, okazinga. Mukamawaza, zakudya zophatikiza ndi zamankhwala amodzi zimapangidwa.
- Nyama ya nkhuku yoyera yopanda khungu, nkhuku, nyama ya kalulu imalimbikitsidwa.
- Chepetsani zinthu zamkaka zamafuta ambiri - zonona wowawasa, zonona. Ikani yogati, kefir, mkaka wowotchera, tchizi tchizi chotsika 1% mafuta. Pakatha zaka ziwiri, mutha kupatsa mkaka 2%. Zosankha zimaphatikizapo mitundu yofewa ya tchizi - feta, mozzarella, tchizi cha Adyghe, tchizi chowonjezera.
- Muchepetse michere yamagetsi mosavuta - zinthu zophika, chokoleti, koloko ndi zakumwa za zipatso. Chepetsa kudya kwanu shuga ndi maswiti.
- Zosankha zake zimaphatikizapo zipatso ndi ndiwo zamasamba. Musanadye, ndikofunikira kupereka saladi. Amabweza thupi ndi mavitamini, komanso amakulolani kuchepetsa kuchuluka kwa zakudya zopatsa mphamvu kwambiri.
- Zosankha zake zikuphatikiza mafuta ochulukirapo a polyunsaturated omwe amapezeka mu nsomba zam'nyanja yamafuta ndi mafuta osakanizidwa ozizira.
- Mbewu zonse za chimanga - mpunga, oat, buckwheat - zimathandizira kuchepetsa mafuta m'thupi.
- Zosankhazo zikuphatikiza nyemba (nyemba, mphodza) zomwe zimatsitsa LDL.
- Anyezi, adyo ndi zonunkhira zina zimagwiritsidwa ntchito. Mwakufulumizitsa kugaya, amathandizira kuchepetsa cholesterol ndi kulemera.
- Ngati mwana wanu ali ndi cholesterol yambiri, muyenera kudziwa kuphika zakudya. Amatha kuphika, kuwiritsa, kuwotchera, koma osaphika.
Ngakhale atakhala ndi zakudya zabwino, ana amalemera ngati asuntha pang'ono.
M'malo mokhala pakompyuta, ndikofunika kudziwa ana omwe ali mgulu la masewera. Mutha kutenga kulembetsa ku dziwe. Kuchita masewera olimbitsa thupi kumachepetsa cholesterol ndi shuga m'magazi. Chifukwa cha moyo wathanzi, chitetezo chathupi komanso kukana matenda zimakulitsidwa.
Mankhwala
Ana omwe ali ndi cholesterol yayikulu komanso chiopsezo cha matenda am'mimba amapatsidwa zakudya zabwino ndikukhalanso ndi thanzi labwino. Koma nthawi zina, mukatha zaka 8-10, mankhwalawa ndi mankhwala. Kukonzekera kwazitsamba zama Polycosanol kumagwiritsidwa ntchito. Mankhwalawa amachepetsa LDL "yoyipa" ndikukulitsa "wabwino" HDL. Chimodzi mwa izo ndi Phytostatin.
Zotsatira zake, timakumbukira kuti ana nthawi zambiri amakhala ndi kuchuluka kwa mafuta m'thupi. Choyambitsa kwambiri ndikusowa kwa zakudya m'thupi. Zamoyo zimathandizanso kwambiri. Matenda amtima amawononga ana omwe ali pachiwopsezo, komanso cholesterol yayikulu. Chithandizo chachikulu ndicho zakudya zoyenera. Kuphatikiza apo, ana amakopeka ndi masewera kapena masewera olimbitsa thupi. Zakudya zabwino komanso kuchita masewera olimbitsa thupi zimachepetsa chiopsezo cha matenda ndikakula.
About cholesterol
Tiyeni tiyambe ndi omwe adziwa. Cholesterol ndi chinthu ndichilengedwe, mafuta osungunuka achilengedwe. Mu thupi la zolengedwa zonse, ndimakhala mbali ya khoma la khungu, ndikupanga kapangidwe kake ndikuchita nawo kayendedwe ka zinthu kulowa m'selo ndi mosemphanitsa.
Cholesterol okwera m'magazi amatha kuyambika pazifukwa zambiri ndikupangitsa kuwonongeka kwa mtima ndi mtima. Koma, ngakhale izi, thupi limafunikira kuti:
- pulasitiki khoma la foni,
- kusamutsa kwa zinthu zina kudzera m'njira zina zake,
- Vitamini D kaphatikizidwe
- chimbudzi chabwinobwino, kuchita nawo mapangidwe a bile acid,
- mahomoni ogonana, momwe iwo ali gawo.
Mitundu ndi miyeso yokhutira
Cholesterol imakhala ikuzungulira mthupi ndi magazi, kuchokera ku maselo ndi minyewa kupita kuchiwindi kuti ichotse. Kapena, momwemonso, cholesterol yophatikizidwa m'chiwindi imatengedwa ndi minofu. Transport imachitika ngati gawo la lipoprotein - mankhwala a protein ndi cholesterol. Komanso, pali mitundu ingapo ya mankhwala awa:
- LDL - lipoproteins yotsika yopangidwa kuti inyamule mafuta m'thupi ku chiwindi kupita nayo minofu,
- VLDLP - lipoprotein otsika kwambiri omwe amakhala ndi cholesterol amkati, triglycerides m'thupi,
- HDL - lipoproteins yapamwamba kwambiri, imayendetsa mafuta m'thupi kupita ku chiwindi kuti ikwaniritse.
Kuchokera pamwambazi, zikuwonekeratu kuti kukwera kwambiri kwa HDL, ndizosavuta kupeza atherosclerosis. Ngati kuchuluka kwaziphatikizo zake zina m'magazi kukwera, ichi ndi chizindikiro cholakwika. Mwambiri, ziwiya zimakhudzidwa kale ndi atherosulinosis. Zomwe zili triglycerides ndizofunikanso. Mulingo wawo wokwera nawonso ndi wosakomera khoma la mtima, ndipo akuwonetsa kuwonongeka kwakuchulukirapo kwa ma VLDL kumasulidwa ndi kutulutsidwa kwa cholesterol.
Ndani akuwonetsedwa kusanthula ndi momwe amadzipereka
Kuyesedwa kwa magazi kwa cholesterol yathunthu ndi gawo la kuwunika kwa zamankhwala.
Mwazi umatengedwa kuchokera mu mtsempha. Kusanthula kumaperekedwa m'mawa pamimba yopanda kanthu. Ndikofunikira kupatula ntchito zamafuta, mowa usiku. Ndikulimbikitsidwanso kupewa kusuta.
Tanthauzo la cholesterol limawonetsedwa kwa odwala otsatirawa:
- Anthu omwe ali pachiwopsezo ndi cholowa
- Pofika zaka zinazake,
- Odwala matenda ashuga ndi hypothyroidism,
- Zambiri
- Zizolowezi zoipa
- Amayi omwe amatenga kulera kwa mahomoni kwa nthawi yayitali,
- Amayi amiseche
- Amuna opitirira 35
- Pamaso pa zizindikiro za systemic atherosulinosis.
Chifukwa chiyani amakwezedwa?
Pali zifukwa zingapo zomwe zimayambitsa hypercholesterolemia. Izi zikuphatikiza:
- Kubadwa kwamtundu - kudziwikiratu mtima wa cholesterol wosakhazikika wophatikiza HDL,
- Kunenepa kwambiri - mwa anthu onenepa kwambiri, cholesterol yambiri imayikidwa mu minofu yamafuta,
- Zakudya zopanda pake - kudya kwambiri zakudya zamafuta a nyama, michere yochepa komanso mavitamini,
- Khalidwe labwino
- Matenda ophatikizika, monga matenda a shuga kapena hypothyroidism,
- Kusuta - kumathandizira kuwonjezeka kwa LDL ndi VLDL, komanso kuphipha kwamitsempha yamagazi, potero kumathandizira kukulitsa kwa atherosulinosis,
- Kupsinjika - kumabweretsa kulimba mtima ndipo kumachulukitsa hypercholesterolemia.
Zimawoneka bwanji
Hypercholesterolemia m'magawo oyamba samadziwonetsa. Chotsatira, zizindikiro za matenda omwe akudwala:
- Zowawa, kupanikiza kupweteka kumbuyo kwa sternum ndi angina pectoris kapena kupumira movutikira,
- Kupweteka kwambiri pachifuwa ndi kulowerera m'mitsempha,
- Chizungulire, mseru, kusokonezeka masoka ndi kukumbukira - zizindikiro za zotupa za atherosrance
- Vuto lamavuto, kuperewera kapena ziwalo zam'mphepete mwa stroko,
- Kulamulira kwapakati - kupweteka kumadera otsika ndi kuwonongeka kwa ziwiya zawo,
- Mawanga achikasu pakhungu ndi xanthomas, omwe ndi ma cholesterol osachepera.
Ndiye chifukwa chake kuli kofunikira kwambiri kuwongolera cholesterol yomwe ili pachiwopsezo cha anthu omwe ali pachiwopsezo cha mtima ndi matenda a mtima.
Momwe mungakhalire moyo wopitilira
Kuchepetsa cholesterol pamlingo wofunidwa, kupewa kutulutsa kwa systemic atherosulinosis, zakudya, kusintha kwa moyo kumathandiza.
Ndi atherosulinosis yomwe ilipo, mankhwala akuwonetsedwa, ndipo mankhwala ena sangakhale apamwamba.
Zakudya sizichita gawo lofunikira kwambiri, chifukwa 20% yokha ya cholesterol yomwe imalowa m'thupi ndi chakudya, koma ndichinthu chovomerezeka. Komanso, zinthu zina zimathandiza kuchotsa zotsalira zake.
Kodi zakudya za hypercholesterolemia ziyenera kukhala chiyani? Choyamba, timayika mndandanda wazakudya zomwe zimayenera kuchepetsedwa kapena kuperewera zakudya zatsiku ndi tsiku. Izi zikuphatikiza:
- Zakudya zamafuta
- Chiwindi
- Dzira,
- Margarine ndi mayonesi,
- Zinthu zamafuta amkaka kwambiri,
- Mafuta amphongo (ng'ombe zamkango - cholembera cholesterol).
Pofuna kuyang'ana zomwe zili mu cholesterol muzakudya zoyambirira, timalimbikitsa kugwiritsa ntchito gome.
Tsopano lingalirani zinthu zomwe zingagwiritsidwe ntchito ndipo ziyenera kudyedwa ndi kuwonjezereka kwa cholesterol yamagazi ndi atherosulinosis. Ndikulimbikitsidwa kuphatikiza muzakudya zanu:
- Ma nyemba (nyemba, nandolo, soya) - chifukwa cha kuchuluka kwa fiber ndi pectin,
- Zitsamba zatsopano (sipinachi, parsley, anyezi wobiriwira ndi nthenga za adyo), zomwe zimakhala ndi anti-atherogenic,
- Garlic - imapereka kuchepa kwa mafuta m'thupi,
- Masamba ofiira ndi zipatso (tsabola, beets, yamatcheri),
- Mafuta ophikira (maolivi, mpendadzuwa),
- Zakudya zam'nyanja.
Zakudya zanu zatsiku ndi tsiku ziyenera kukhala zamagulu onse, zimakhala ndi mavitamini ndi michere yonse yofunikira. Ndikwabwino kudya pang'ono, m'magawo ang'onoang'ono. Pewani kudya zakudya zopanda pake nthawi yogona.
Zochita za tsiku ndi tsiku komanso moyo wawo
Chofunikira pakuchiritsa bwino, kuwonjezera pa chakudya, ndikutsata malamulo ena:
- Kupumula kwathunthu ndi kugona, osachepera maola 8,
- Kapangidwe ka michere ya kugona, kupumula ndi kudya,
- Magulu osuta fodya komanso uchidakwa,
- Pewani kupsinjika ndi kuchuluka kwa nkhawa zamaganizidwe,
- Kulimbana ndi moyo wokhazikika (mphindi zolimbitsa thupi, kukana mayendedwe ngati nkotheka kuyenda wapansi, kuthamanga kosavuta),
- Kulimbana ndi kunenepa kwambiri komanso chithandizo chokwanira cha matenda osachiritsika.
Muyezo wa cholesterol mwa akazi azaka 50 ndi akulu
Kwa zaka zambiri osavutika ndi CHOLESTEROL?
Mutu wa Bungwe: “Mudzadabwa momwe zimakhalira zosavuta kuchepetsa mafuta m'thupi mwakumwa tsiku lililonse.
M'moyo wonse, kuchuluka kwa cholesterol yamagazi kumasiyana kwambiri. Mwachitsanzo, kuchuluka kwa cholesterol yamagazi mwa akazi pambuyo pa zaka 50 ndi zosiyana kwambiri ndi zomwe zimachitika mwa amayi achichepere. Munthawi yomwe imayamba zaka makumi awiri, thupi la mkazi limatetezedwa ndi mahomoni ogonana, makamaka estrogen. Chifukwa chake, kuchuluka kwa cholesterol kumachepa.
- Kodi chifukwa cha kuchuluka kwa cholesterol ndi chiyani?
- Cholesterol wamba mwa akazi
- Mavuto ochokera ku High Cholesterol
- Momwe mungachepetse cholesterol?
- Kugwirizana pakati pa matenda ashuga ndi cholesterol
Kukongoletsa kwabwino konse kachitidwe konse m'thupi kumasintha ka nthawi zosiyanasiyana komanso mothandizidwa ndi zinthu zakunja. Chifukwa chake, mwachitsanzo, pakakhala pakati, mtsikana amatha kukhala ndi cholesterol yambiri komanso lipoproteins, chomwe ndi chizolowezi. Koma kunja kwa mimbayo, mulingo wa cholesterol m'mwazi uyenera kukhala wopyola malire. Kukula kokhazikika kwa chizindikiro ichi, kupezeka mobwerezabwereza, kumatha kuwonetsa chiopsezo chotenga matenda a atherosclerosis.
Owerenga athu adagwiritsa ntchito bwino Aterol kutsitsa cholesterol. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Kodi chifukwa cha kuchuluka kwa cholesterol ndi chiyani?
Zomwe zimayambitsa kuchuluka kwa lipids zamwazi zitha kukhala moyo. Muubwana, thupi lathu limakhala ndi njira zoteteza zomwe zimalipira kuphwanya konse kwaboma. Koma ndi zaka, makamaka pamene zaka makumi anayi mpaka makumi asanu zibwera, njira izi zimafooka. Mwinanso aliyense azikumbukira momwe adagonera usiku wonse kuchita zinthu zosangalatsa kapena kusangalalo usiku masiku ake ophunzira. Koma chaka chilichonse chimawonjezera kutopa, ndipo mukakalamba osagona mokwanira mumafunikira masiku angapo kuti muchira. Momwemonso ndi kapangidwe ka magazi. Muubwana, cholesterol yowonjezereka imachotsedwa bwino. Pambuyo pakuchepa kwa kayendetsedwe kake ka inshuwaransi, imayamba kuyikidwa pamakoma a mitsempha yamagazi mu LDL.
Thanzi ndi gawo limodzi lathanzi komanso moyo wautali. Kusamala kwake kumathandiza kuti thupi likonzenso mphamvu zamafuta, michere, mavitamini ndi michere. Kunenepa kwambiri kumachitika chifukwa cha kudya kwambiri mafuta ndi chakudya chamagulu omwera. Kudya zakudya zokhala ndi mafuta ambiri omwe amapezeka kumabweretsa mafuta ambiri m'mwazi, omwe amawonetsedwa poyesa magazi.
Zoterezi zimakhalanso zowopsa mkazi akamafuna kudziletsa pazonse. Ndi zaka, mkazi amafunitsitsa kudzisamalira ndikuwoneka bwino. Chilichonse chowonjezera chodzikakamiza paukalamba chimakhala chazovuta zina. Chowonadi ndi chakuti mafutawa amakhudzidwa ndi kapangidwe ka mahomoni ogonana. Ndi kuletsa kwawo kwambiri mu zakudya, dongosolo la kubereka limavutika, msambo wabwinobwino umasokonezeka, tsitsi limatuluka ndipo misomaliyo imachotsedwa. Anthu okhwima amatha kusankha zakudya potsatira malingaliro awo, koma osayeneranso kuiwala za kuchuluka. Komanso, simukuyenera kuganiza kuti mzimayi akangakwanitsa zaka 51, ayenera kusiya zakudya zomwe amakonda. Chilichonse chiyenera kukhala choperewera. Chifukwa chake, pokonzekera chakudya, muyenera kukumbukira za kuchuluka kwake komanso kufunika kwake. Funso lalikulu lili kuchuluka kwake komanso kuchuluka kwake.
Kudziletsa nokha mu mafuta komanso zakudya zamafuta kumabweretsa zotsatira zosasangalatsa! Kuchita koteroko sikuchepetsa cholesterol, koma kumatha kuvulaza thanzi.
Kafukufuku wina akuwonetsa kuti anthu omwe amatsatira zakudya zamasamba samadwala atherosulinosis. Ndizomveka. Mafuta achinyama simalowa mthupi, zomwe zimapangitsa kuti pakhale mafupa pazitseko zamitsempha yamagazi. Ngati mukukayika kapena mafunso, kufunsa dokotala.
Cholesterol wamba mwa akazi
Pafupifupi 80% ya cholesterol yomwe imapangidwa m'thupi, ndipo 20 okha amachokera ku chakudya. Koma mthupi, chinthuchi chimapangidwa mwanjira ina kuchokera kuzomwe zimachokera kunja. Cholesterol sitingayione kukhala yoyipa mwanjira iliyonse; imatenga nawo mbali pakuchitika mthupi. Popanda kukhalapo kwake, ndizosatheka kupanga mahomoni ndi vitamini D. Amatenga nawo mbali pakapangidwe kazinthu kakang'ono ka selo, ndikupanga maziko ake. Maselo amitsempha komanso chitetezo mthupi amafunika cholesterol kuti igwire bwino ntchito.
Ndikofunikira kuyang'anira cholesterol m'moyo wanu wonse! Chizindikiro ichi chikuwonetsa momwe mitsempha yamagazi imakhalira komanso momwe thupi limagwirira ntchito.
M'magazi, cholesterol imayendetsedwa ngati mawonekedwe a zomanga ma lipoprotein. Amabwera osalimba chifukwa cha zomwe ali ndi lipid. Kuchuluka kwawo kuchulukitsa kachulukidwe. Kutengera ndi mawonekedwe awa, lipoproteins ali ndi malo osiyanasiyana.
Chifukwa chake, HDL (high density lipoproteins) imanyamula mamolekyulu a cholesterol kupita ku chiwindi kuchokera kuzinthu. LDL, i.e. lipoproteins yotsika kwambiri imanyamula chinthuchi kuchokera ku chiwindi kupita ku minofu, komanso maofesi okhala ndi kachulukidwe kochepa kwambiri. Pansipa pali tebulo lokhala ndi cholesterol yabwinobwino kwa akazi okulirapo zaka 50.
Kuthandiza magazi / zaka | Zaka 50-55 | Zaka 56-60 | Zaka 61 ndi akulu |
C cholesterol chonse | 4.15-7.40 | 4.40-7.7 | 4.40-7.60 |
HDL | 0.95-2.35 | 0.95-2.40 | 0.97-2.50 |
LDL | 2.25-5.2 | 2.30-5.40 | 2.33-5.80 |
Mutayang'anitsitsa tebulo, mutha kuwona kuti ndi zaka, zizolowezi mwa akazi zimawonjezeka pang'ono. Izi ndi zowona kwa amayi ndi abambo. Zotsatira zake, kuchuluka kwa cholesterol kwa amuna pambuyo pa zaka 30 kumakhala kotsika kwambiri poyerekeza ndi kuchuluka kwa magazi kwa akazi okulirapo zaka 50.
Izi zimachitika makamaka chifukwa chakuti pali kuchepa kwa chitetezo chomwe mahomoni ogonana amapereka. Amakhala ndi chitetezo choteteza thupi, chimateteza ku kukula kwa matenda amtima, kuwonongeka kwa myocardium ndi ubongo. Tsoka ilo, kuthekera uku kumapitirira pokhapokha pakubala. Chifukwa chake, kuchuluka kwa cholesterol mwa akazi pambuyo pa zaka 50 ndi mtengo wosinthika, womwe umatha kusintha, monga momwe tikuwonera patebulo.
Mavuto ochokera ku High Cholesterol
Kuchuluka kwa cholesterol m'mwazi kumadziwonetsera mu mawonekedwe a atherosclerotic plaques. Zili pakhoma lamitsempha yama magazi, zotchinga magazi oyenda bwino. Mwachizolowezi, magazi amayenda m'matumbo mochita kupweteka, i.e. molunjika, ngakhale kuyenderera, popanda zopinga. Chikwangwani chikawoneka m'zotengera zam'madzi, magazi amayenda. Kukhalapo kwa zopinga kumabweretsa chipwirikiti cham'deralo mukuyenda. M'malo awa pambuyo pake magazi amawumbika.
Zomwe zimapangidwira ndizosavuta: mafuta, calcium ndi minofu yolumikizana. Zimakhudzana mwachindunji ndi kuchuluka kwa cholesterol m'magazi. Mapilogalamu okha amakula pang'onopang'ono, koma ndi kuwonjezeka kwa zomwe zili m'magazi, kukula kwawo kumathandizira. Chifukwa chake, ndi zaka, muyenera kudziwa kuchuluka kwa ma triglycerides ndi lipoprotein omwe ali m'magazi.
Kukula mwachindunji kwa mapepala kumatha kulepheretsa lumen ya ziwiya zazing'ono, zomwe zimasokoneza magazi. Zidutswa zing'onozing'ono zomwe zimatha kubisa zing'onozing'ono zimatha kutuluka. Kuwonongeka kochepa kwa khoma la mtsempha wamagazi, komwe kumawonetsedwa ndi banga kapena mafuta ochepa, kumatha kudwala kwambiri. Monga tafotokozera pamwambapa, zolembazi zili ndi calcium, zomwe zimapangitsa kuti ikhale yovuta, ndikuwonjezera khoma la mtsempha wamagazi. Chifukwa cha kuwonongeka, chotengera chimakhala cholimba, kutaya zotanuka ndikuziteteza.
Pangozi ndi azimayi achikulire kuposa zaka 50 ndi amuna okulirapo kuposa 40- 40. Monga tafotokozera pamwambapa, chitetezo cha mahormoni chimagwira nthawi ya kubereka, kenako kuchepa. Chifukwa chake, amayi pambuyo pa 50 ayenera kudziwa kuchuluka kwa ma triglycerides ndi lipoproteins m'thupi lawo:
Momwe mungachepetse cholesterol?
Zakudya ndizofunikira pakukonzanso kwathunthu kwa matenda a metabolic, omwe adayambitsa kuwonjezeka kwa shuga ndi cholesterol.
Malangizo pazomwe mungachepetse cholesterol yamagazi:
- Kuchepetsa kudya zamafuta. Sankhani nyama zopanda mafuta. Mkaka ndi mkaka wa mafuta apakatikati.
- Chotsani khungu pakuphika nkhuku. Muli ndi mafuta ndi mafuta ambiri.
- Masoseji aliwonse opangira mafakitale ndi oletsedwa kotheratu. Amakhala ndimafuta ambiri osakwaniritsidwa komanso opatsirana, omwe, monga tafotokozera pamwambapa, amakhala ndi zotsatira zoyipa kwambiri pa thanzi.
- Ndi zakudya ziti zomwe ndizoyenera kutsitsa cholesterol? Zakudya za ku Mediterranean ndi chida chodziwika pokhalira kuwerengera magazi moyenera. Amalamuliridwa ndi nsomba zam'madzi ndi nsomba, momwe mumakhala mafuta ambiri odzola, mafuta acids.
- Zakudya zothamanga ziyenera kuletsedwa. Gululi limaphatikizanso tchipisi, ma cookers ndi zoseweretsa zina.
- Ngati ndi kotheka, sinthani mapuloteni m'malo zakudya ndi ndiwo zamasamba. Imapezeka m'miyendo yambiri.
- Pokonzekera saladi ndi mbale, gwiritsani ntchito mafuta a masamba athanzi: zopindika, maolivi, sesame, etc. Chonde dziwani kuti si mafuta onse omwe angagwiritsidwe ntchito kukazinga. Ndikwabwino kusiyiratu njira iyi yophika.
- Masamba ndizothandiza kwambiri m'zakudya, zimakhutitsa thupi ndi mchere ndi mavitamini. Mulinso michere yambiri, yomwe imathandizira kuchotsa zinthu zomwe sizikufunidwa pakugaya. Njira zophika zomwe amakonda kwambiri ndizo kuyang'anira ndi kuphika.
Kugwirizana pakati pa matenda ashuga ndi cholesterol
Madokotala azindikira ubale wamphamvu pakati pa kuchuluka kwa shuga ndi cholesterol m'magazi. Chizindikiro chotsirizira chimakwera ndi kuchuluka kwa shuga pakuyesedwa kwa magazi. Uwu ndi ubale wanjira ziwiri. Amayi azaka zopitilira 50 ali ndi chiopsezo chowonjezereka cha matenda ashuga, makamaka chifukwa cha kadyedwe koyenera.
Mwachitsanzo, chiopsezo chotenga matenda amtundu wa 2 ndichotsika, kukwera kwambiri kwa HDL ndi mosemphanitsa. Chifukwa chake, shuga ndi chisonyezo chofunikira chomwe sichingachotsedwe. Kuphatikiza apo, kukonza shuga ochulukirapo komanso cholesterol kumachitika ndi njira zomwezo kunyumba.
Pogwiritsa ntchito chimodzi mwazizindikirozi, mutha kukopa zina. Ngati mumagwiritsa ntchito zakudya zomwe zimachepetsa shuga, magazi anu amachepetsa.
Pomaliza, ziyenera kunenedwa kuti kukonza cholesterol ndikofunikira osati pakukalamba. Mukayamba kuyang'anira izi, nthawi yayitali simusokonezedwa ndi zovuta zama metabolic ambiri.
Zithandizo za anthu
Njira zachikhalidwe zimakhazikika pakugwiritsa ntchito mbewu, masamba ndi zipatso zomwe zimatha kutsitsa cholesterol ndikuchotsa owonjezera kuchokera mthupi.
Chifukwa chake chimodzi mwazomera ndi adyo. Ndikokwanira kugwiritsa ntchito cloves wa 2-3 wa adyo patsiku, ndipo kuwunikako ndikwabwino. Muthanso kuphika ma infusions osiyanasiyana a adyo osakanikirana ndi mandimu kapena, mwachitsanzo, ndi uchi. Kuti muchite izi, pototsani magalamu 200 a adyo wobooleka mu chopukusira nyama, onjezerani supuni ziwiri za uchi ndikufinya msuzi wa ndimu imodzi. Sakanizani zonsezi, pafupi kwambiri ndi firiji. Tengani supuni patsiku.
Hawthorn ali ndi zabwino. Kuyambira kale, zopangira zake za mowa zakhala zikugwiritsidwa ntchito polimbikitsa thanzi.
Mutha kukonzekera tokha mosakaniza ndikusakaniza theka la kapu ya zipatso zosankhidwa ndi 100 ml ya mowa. Izi zimasakanizidwa kwa milungu itatu, pamalo amdima, oyambitsa zina. Mutha kugometsanso maluwa a hawthorn. Brew zouma hawthorn ndi madzi otentha.
Nthambi zamphukira, rye chinangwa, ndi mtedza ndizabwino. Kuphatikiza apo, kugwiritsa ntchito tiyi wobiriwira kumakhudza kuchuluka kwa cholesterol m'magazi, chifukwa cha zomwe zili tannin.
Ngati atherosulinosis yapangidwa kale kapena chithandizo sichikuyenda mwanjira zina, ndikofunikira kuti musankhe mankhwala.
Mankhwala omwe agwiritsidwa ntchito:
- Statins (Vasilip, Torvacard) ndi mankhwala omwe amagwiritsidwa ntchito kwambiri komanso ogwira mtima. Mankhwala a Statin ndiwotalika, ndipo odwala atherosulinosis amakhala okhazikika.
- Ma Fibrate (Gemfibrozil, Tricor) - omwe amagwiritsidwa ntchito kwambiri ndi msana wa triglycerides. Kutha kuwonjezera zomwe zili mu HDL.
- Bile acid sequestrants, cholesterol mayamwidwe zoletsa sizothandiza kwenikweni ndipo sizigwiritsidwa ntchito kwenikweni.
Kuchiza matenda kumakhala kovuta komanso kokwera mtengo kwambiri kuposa kupewa. Chifukwa chake samalani thanzi lanu, idyani moyenera komanso masewera olimbitsa thupi ndipo mayeso anu amakhala abwinobwino kwa zaka zambiri.
Kuchita kwa insulin ndi cholesterol m'magazi
Masiku ano, maphunziro akuchitika pokhudzana ndi kuchuluka kwa insulin pa zamankhwala am'mwazi, kuphatikiza pa milingo ya lipid. Kuchulukitsidwa kwachulukidwe ka insulin ya m'magazi kumabweretsa kuwonjezeka kwa magawo a atherogenic lipids ndi kuchepa kwa ndende ya antiatherogenic lipids. Kuphatikiza apo, mfundo za cholesterol zapamwamba ndizodziwika kwa odwala omwe ali ndi vuto lalikulu la insulin.
Zochita zolimbitsa thupi zimayambitsa kutsika kwa cholesterol. Izi ndizofunikira kuti kunenepa kapena kunenepa kwambiri. Kwa odwala omwe ali ndi mtundu woyamba wa shuga, kuwongolera glycemia kumatha kuchepetsa cholesterol imodzi.
Ndi kuyang'anira bwino shuga, kuchuluka kwa mafuta m'thupi kumadziwika.Tsoka ilo, mwanjira yolakwika ya hypoglycemic mu mtundu woyamba wa matenda ashuga, hyperlipidemia yamphamvu imakulanso.
Izi zimabweretsa chiopsezo chokulirapo cha atherosulinosis m'gululi la odwala. Pafupifupi odwala onse omwe ali ndi matenda ashuga, kuwonongeka kwa mitsempha kumadziwika. Zovuta zomwe zimapezeka pa endothelium zimadziunjikira mamolekyulu a cholesterol.
Izi zimabweretsa kukula kwamphamvu kwa zinthu za atherogenic ndikuwonjezera kuopsa kwa thrombosis, kutsekeka kwa lumen ya mitsempha ndi kukula kwa matenda oopsa a coronary.
Njira zazikulu zamankhwala
Njira yolimba yotsitsira cholesterol yamagazi ndi kusinthidwa kwamoyo.
Wodwala ayenera choyamba kufunsa katswiri wa zamankhwala kuti amupatse upangiri.
Ndikofunikanso kutsatira mosamalitsa mankhwalawo, kumwa iwo mosamalitsa monga adanenera.
Malangizo otsatirawa okhudzana ndi kudya kwamafuta kumathandizira kuti matendawa akhale abwino komanso moyo wabwino kwa wodwala:
- Kugwiritsa ntchito mafuta ochulukirapo komanso mafuta othamanga kumatha kuwonjezera kuchuluka kwa mafuta m'thupi. Ntchito zawo ziyenera kukhala zochepa.
- Palibe chifukwa chochotsera mafuta pachakudya.
- Mafuta othandizira kwambiri pazakudya ndi mafuta a polyunsaturated. Oyimira bwino omwe ali Omega-3 ndi Omega-6 mafuta acids. Ma asidi ambiri a omega amapezeka m'mafuta azomera zam'madzi ndi nsomba zam'madzi.
Njira yotsimikiziridwa yowerengeka yothetsera kuphipha kwa shuga m'magazi ndikusintha cholesterol ndi moyo wathanzi, mtundu ndi mtundu wa zakudya.
Chithandizo chachikulu cha hypercholesterolemia ndikugwiritsa ntchito ma statins. Gulu la mankhwalawa limatchulidwa kuti antiatherogenic. Matenda a 2 a shuga ndi cholesterol yayikulu ndi matenda, nthawi zambiri, ofanana.
Gulu lokonzekera zamankhwala liyeneranso kuphatikizidwa ndi kusintha kwa moyo, kusintha kwa zakudya, kupatsidwa mphamvu ndi zomera komanso mafuta athanzi, komanso zochitika zina zolimbitsa thupi. Kuchita kotereku kumathandizira kuti muchepetse mavuto obwera chifukwa cha mtima. Chithandizocho chimatanthauzanso ndi mbiri ya lipid, zizindikiro zaumoyo wa wodwalayo, zaka zake komanso kupezeka kwa zinthu zomwe zingawopseze.
Ubale pakati pa matenda ashuga ndi atherosclerosis akufotokozedwa mu kanema munkhaniyi.