Zoyenera kuchita popenda cholesterol 12 mmol

Zambiri - ichi ndi cholesterol yonse yomwe ili m'magazi, mosasamala kanthu momwe imapangira. Chizindikiro chake m'magulu osiyanasiyana a mibadwo chimachokera pa 3 mmol / l pakubadwa mpaka 7.77 mmol / l pakukalamba.

Ndipo ngati wakula kale, cholesterol yafika 12 kapena ikupangika molimba mpaka 15 kapena kuposa - chochita pamenepa? Kodi Hypercholesterolemia yayikulu ingakhudze bwanji thanzi?

Cholesterol pamtunda wa 12 mmol / L - amatanthauza chiyani

Ngati munthu alibe chibadwa chobadwa nacho chomwe chimayambitsa kuphatikizika kwa cholesterol, kapena matenda okhudzana ndi metabolic, ndiye kuti kuwonjezereka kwake kumayendetsedwa ndi kudya kosavomerezeka ndi moyo. Inde! Magulu a cholesterol amawonjezeka pakapita nthawi, koma izi ndizosintha zazing'ono zomwe zimagwirizana ndi zaka komanso jenda:

  • mwa amuna, abwinobwino, kuchuluka kwa cholesterol okwanira kumagwera paubwana ndi kukhwima, komwe kumalumikizidwa ndi kuchuluka kwa androgens, ndipo pofika msinkhu amayamba kutsika (onse mahomoni ogonana ndi cholesterol),
  • mwa atsikana ndi amayi, cholesterol level amapindika pang'onopang'ono, ndikupanga kulumpha panthawi yoyembekezera motsutsana ndi maziko amasinthidwe amakulu a mahomoni.

Pakuwunika momwe kagayidwe ka lipid kalili, kuchuluka konse kwa cholesterol palokha kumatenga gawo, monganso kuchuluka kwa magawo a lipoproteins amitundu yosiyanasiyana, makamaka pakati pa LDL ndi HDL. Mokulira zisonyezo za woyamba komanso kutsika kwachiwiri, ndizotheka chiopsezo cha cholesterol mu makulidwe amisempha ndi mapangidwe a atherosranceotic malo.

Chidziwitso chonse cha kagayidwe ka cholesterol chitha kupezeka ndikulemba mayeso a nthawi ndi nthawi (1-2 kawiri pachaka) pamlingo wa lipid. Mbiri ya lipid ikuwonetsa chisonyezo cha HDL, LDL, VLDL, cholesterol yathunthu, ma triglycerides ndi mapuloteni onyamula katundu, komanso zomwe ali munsi mwake zomwe zimapezeka patebulo lapadera lomwe limaganizira za jenda ndi zaka za phunziroli.

Cholesterol 12 mmol / L kapena kuposa chikuwonetsa kuphwanya kwakukulu lipid kagayidwe. Izi ndizowonjezera chizindikiro chabwinobwino nthawi 2. Pakadali pano, sizikupanga nzeru kudandaula za kupatsa magazi "kolakwika" kapena zolakwa zake, ngakhale kwa sabata lathunthu tisanawunike. Pankhaniyi, muyenera kutenga nthawi yomweyo zinthu zazikulu:

  • muwoneke kupezeka kwa matenda a chiwindi, impso, chithokomiro, shuga.
  • kuyang'ana kuchuluka kwa matendawa, ngati alipo kale,
  • kambiranani ndi dokotala zamankhwala zomwe zimayambitsa matenda ena omwe samakhudzira cholesterol yeniyeni,
  • sinthani mphamvu
  • yambani kumenya nkhondo
  • pang'onopang'ono kusiya zizolowezi zoipa.

Nthawi yomweyo, ndikofunikira kumwa mankhwala omwe amachepetsa cholesterol ndikuchepetsa magazi (ma statins ndi ma fiber). Amasankhidwa ndi dokotala kutengera chithunzi cha mbiri ya lipid. Ndipo sanayikiridwe maphunzirowa, koma moyo. Nthawi zambiri, maganizowa sakhala olemetsa - tikulimbikitsidwa kumwa mankhwala kamodzi patsiku. Ndi mankhwala oyenera komanso kukhulupirika kwa wodwala, mafuta a cholesterol amachepetsa LDL ndi 40-60%, ndi HDL ndi 30-45%.

Ngati simutenga miyeso yonse pamwambapa mulidilamu wotsatira, mutha kuwona manambala 12.8, 12.9, ndipo ngakhale mwambiri - 13 kapena kuposerapo.

Kuwonjezeka kwa zizindikiro kumatha kukhala chifukwa cholakwika posankha mankhwala, pomwe mankhwala ofooka sangathe kuthana ndi udindo wochotsa cholesterol "yoyipa". Potere, adotolo ayenera kuunikanso nthawi yoika odwala ndikusintha chida champhamvu kwambiri. Koma sikuti zonse zimatengera mankhwala: "haraka" pokwaniritsa malangizo azachipatala okhudzana ndi kusintha kwa machitidwe azingakhudze manambala a cholesterol.

14.0 - 15,9 ndiokweza

Ndi mfundo za 14 mmol / l ndi kupitilira, chiopsezo chokhala ndi metabolic metabolism, makamaka atherosulinosis, imachuluka kwambiri. Wodwalayo, monga kale, samadzimva kuyipa kwama cholesterol. Zotsatira zake zimapezeka patapita nthawi (chilichonse mwanjira inayake), ndipo adzadziwonetsa mu kufalikira kwa ziwalo zotumphukira kapena ziwalo zofunika. Chifukwa chake, ndikofunikira kuthana ndi izi pogwiritsa ntchito njira zonse zomwe zingatheke.

Kodi mafuta m'thupi amayesedwa bwanji?

Mlingo wa cholesterol ndi chizindikiritso chomwe madokotala amazindikira kuchuluka kwa ngozi zomwe zili pamwambazi. Ntchito zambiri zasayansi ndi akatswiri zatsimikizira kuti kulondola kwa chizindikirochi ndikokwera kwambiri. Mafuta a cholesterol akakwera, ndiye kuti titha kulankhula za maonekedwe a zovuta ndi ziwiya. Pankhaniyi, funso lalikulu limatsalira: cholesterol 12 chochita?

Nthawi zambiri, kugwiritsa ntchito mitundu yonse ya mankhwala apadera omwe amaletsa kaphatikizidwe ka cholesterol mwachindunji amati, ndipo zakudya zomwe zimakhala ndi cholesterol yochepa zimapangidwanso.

Cholesterol wokwera ndi yemwe amayambitsa komanso zotsatira za machitidwe ena mthupi, chifukwa chake amayenera kuwongoleredwa mosamala. Ndi ndendende njira zomwe zinapangitsa kuti chiwonetsero cha cholesterol chiwonjezeke, chomwe kufunika kwake kwatha kutikwanira, tikufunika kulandira chithandizo.

Kuti tipeze yankho lavutoli, tiyenera kudziwa bwino za cholesterol, momwe tingathanirane ndi vutoli komanso chifukwa chake likufunika konse. Nthawi yomweyo, ndikofunikira kufotokozera kuti thupi lathu limafuna cholesterol ndipo silili konse loyipa kwa thupi lathu.

Zoyenera kuchita kuti muchepetse magazi m'thupi?

Akatswiri adatha kudziwa zifukwa zazikulu zomwe zimapangitsa kuti cholesterol iwonjezeke.

Malinga ndi kuchuluka kwa kufunika, magulu otsatirawa amasiyanitsidwa omwe amakhudza chisonyezo:

  • Yodzikongoletsa Mafuta Yothandiza Cholesterol
  • Mafuta a polysaturated omwe amathandiza kutsitsa chinthu m'magazi,
  • Zakudya za cholesterol, zomwe zimathandiza kuwonjezera cholesterol.

Kutsitsa Cholesterol 12

Chepetsani mafuta. Mitundu yotsogola yamafuta imachita bwino pakukweza mafuta m'thupi. Ndiye chifukwa chake kukakhala koyenera kuti muchepetse kudya zakudya zamafuta: nyama, tchizi, mafuta oyengeka.

M'malo mpendadzuwa ndi mafuta. Izi ndi zina (mafuta a canola, avocado, nandolo mafuta) kukhala ndi mafuta okwanira.

Poyamba anthu ankakhulupirira kuti mafuta a monounsaturated amatha kuthana ndi cholesterol. Tsopano akatswiri ali ndi chidaliro chonse kuti zinthu izi zimathandizira ngakhale kuchepa kwa mafuta m'thupi.

Chepetsani kudya kwanu kwa dzira. Izi sizitanthauza kuti wodwalayo ayenera kuletsa kugwiritsa ntchito mazira kotheratu. Ngakhale kuti mazira ali ndi cholesterol yambiri, kugwiritsa ntchito kwawo ndikofunikira kwa wodwala aliyense. Pali zinthu zina zokwanira pazinthu izi.

Opaleshoni

Ngati matendawa anyalanyazidwa kwambiri ndipo osachedwanso, ndiye kuti funso la "cholesterol yapamwamba" limakhala lofunikira kwambiri kwa munthu. Pankhaniyi, zombo zotsekedwa ziyenera kutulutsidwa mwachangu kuchokera ku malo a atherosulinotic. Pankhaniyi, pali njira ziwiri zokha: carotid endarterectomy ndi balloon angioplasty.

Kuti abwezeretse magazi moyenera komanso kuti asiye mafuta m'thupi m'magazi, zomwe zingayambitse matenda akulu, balloon angioplasty amafunika. Njirayi imagwiridwa ndi baluni yapadera, yomwe nthawi zambiri imayikidwa ndi catheter yaying'ono kudzera paboola pakhungu.

Kutulutsa kwamphamvu kwa baluni popanikizidwa kumathandizira kukulitsa lumen mu chotengera, ndipo, ngati kuli kotheka, ikhoza kukhazikitsidwa ndi stent kuti isabwerenso kubwereranso.

Kutsitsa cholesterol 12 ndikotheka m'njira zingapo, chifukwa ndikofunikira kutsatira malingaliro omwe ali pamwambawa. Ngati kubwezeretsanso kwa lumen sikungachitike chifukwa chowoneka ngati cholesterol plaque mu botolo, ndiye kuti opareshoni, yomwe ndi carotid endarterectomy, imakhala yothandiza kwambiri. Pomwe ikuphedwa, chidacho chimachotsedwa kwathunthu. Malingaliro oterowo amatengera kafukufuku wakale wamigazi yamagazi a wodwala.

Zoyenera kuchita ndi cholesterol yayikulu

Mfundo yayikulu pakuchotsa matenda a lipid metabolism inali kuchepa kwa kuchuluka kwa "koyipa" m'magazi ndikubwezeretsanso kuchuluka kwa cholesterol "yabwino". Ndipo osadikirira nthawi yomwe cholesterol ifika pa 12 mmol / l. Kupatula apo, ngakhale ndi ziwerengero zochepa, pamakhala chiopsezo cha thanzi la mtima, ubongo, impso, matumbo ndi miyendo.

Adotolo azisamalira mankhwalawa: amawunika kuchuluka ndi kuyenera kwa lipoprotein m'magazi, ndikupanga nthawi yoyenera. Adziwonetsanso mndandanda woyenera, wopanda mafuta zamagulu, amalankhula zokhudzana ndi zolimbitsa thupi kwa wodwala wina, ndipo limodzi ndi Unduna wa Zaumoyo, atha kusiya kusuta fodya ndikuledzera.

Zotsatira zake kuti kuchita bwino pochiritsa Hypercholesterolemia ndikupulumutsa moyo wa munthu kumatengera kwakukulu kwa wodwalayo.

Mafuta a cholesterol m'mwazi

Lipid yachilendo m'magazi a munthu wathanzi si yoposa 5 mmol / L. Ndi kuwonjezereka kwakanthawi pang'onopang'ono kwa ndende ya 6.4 mmol / lita, madokotala nthawi zambiri samamveka mawu.

Koma ngati kuchuluka kwa cholesterol kumapitilira 7.8 mmol / l, izi zikuwonetsa kukhalapo kwa mavuto azaumoyo. Chifukwa chake, ngati chiwerengerochi chikafika thwelofu, pali chiopsezo cha kufa mwadzidzidzi chifukwa cha vuto la mtima kapena stroko.

Ndikofunikira kumvetsetsa kuti zizindikirozo zimatha kukhala osiyana mwa anthu osiyana zaka komanso zaka. Makamaka, mwa amuna, kuchuluka kwa cholesterol komwe kumayambira ukalamba kumakhala kwakukulu kuposa mwa amayi, kotero munthu wathanzi amayenera kukayezetsa magazi kamodzi kamodzi pazaka zisanu.

  1. Pazaka 40, kuchuluka kwa cholesterol mwa amuna kumatha kukhala 2.0-6.0 mmol / L, patatha zaka khumi kufala kumafika pa 2.2-6.7 mmol / L, ndipo pazaka makumi asanu chiwerengerochi chitha kuchuluka mpaka 7.7 mmol / L.
  2. Mwa azimayi ochepera zaka 30, msinkhu wa 3.08-5.87 mmol / L amadziwika kuti ndi wabwinobwino, paukalamba - 3.37-6.94 mmol / L, mwa anthu achikulire chiwerengerochi chitha kufikira 7.2 mmol / L

Mahomoni ogonana achikazi amatha kuthana ndi kuchuluka kwa cholesterol m'magazi, chifukwa chake, kutha msambo, kutenga pakati, kusintha kwa msambo, manambala nthawi zambiri amasiyana pamitengo yoyenera, yomwe imakhala yovomerezeka. Komanso zomwe zimakhala mu cholesterol ndizosiyana mwa anthu athanzi komanso odwala omwe ali ndi matenda amtima.

Ndi matenda a shuga, chiopsezo chotenga matenda a atherosulinosis ndi zovuta zimachuluka, motero muyenera kuyesa magazi pafupipafupi.

Kuti muchite izi, ndibwino kugwiritsa ntchito glucometer yapadziko lonse, yomwe imatha kuyeza kuchuluka kwa shuga ndi cholesterol kunyumba.

Zoyambitsa Milandu

Cholesterol m'thupi la munthu imatha kukula chifukwa cha zinthu zingapo. Udindo wofunikira mu izi umachitika ndi chibadwa chamtsogolo cha wodwalayo. Ngati m'modzi mwa makolo akuphwanya kagayidwe ka lipid, mu 75 peresenti, vutoli limaperekedwa kwa mwana.

Nthawi zambiri kuperewera kwa zakudya m'thupi komanso kukhala ndi moyo wopanda thanzi kumadzipangitsa kumva. Kuti musamalire thanzi lanu, muyenera kuwunika menyu, osapatula zakudya zamafuta ndi zakudya zamafuta abwino.

Mayonesi, tchipisi, makeke, zakudya yokazinga, zakudya zomalizidwa ziyenera kuchotsedwa muzakudya. Zakudya zotere zimachulukitsa cholesterol ndikuwonongeka kwa mtima. Anthu odwala matenda ashuga amalangizidwa kuti azitsatira njira yapadera yochiritsira yopanda mafuta ndi mafuta osokoneza bongo.

  • Thanzi limakhala loipa kwambiri chifukwa cha kunenepa kwambiri. Mukamachepetsa thupi, kuchuluka kwa cholesterol yoyipa ndi triglycerides kumachepa.
  • Kukhala moyo wongokhala kumakhudzanso mawonekedwe a magazi. Kuchita masewera olimbitsa thupi pafupipafupi kwa mphindi 30 patsiku kumathandizira kuchotsa lipids zovulaza. Kuchita masewera olimbitsa thupi kumabweretsa kukulira kwa cholesterol yabwino komanso kumathandizira kuphunzitsa minofu ya mtima.
  • Mukukalamba, kuchuluka kwa cholesterol kumakhala kwakukulu, komwe kumalumikizidwa ndi kusintha kwa mahomoni, kukhalapo kwa matenda osiyanasiyana achiwiri. Ndikofunikira nthawi zonse kuyezetsa magazi kuti muchepetse kukula kwa atherosulinosis.
  • Kuphatikiza pa kukhalapo kwa kubadwa mwachindunji, matenda opatsirana mwamagetsi angakhudze mulingo wa lipids. Ngati pali vuto, zomwe zimachitika wodwalayo amayang'aniridwa kuyambira ali mwana.

Mbiri ya lipid yowonongeka ikhoza kukhala ndi mankhwala. Izi zikuphatikiza anabolic steroids, corticosteroids, ndi mapiritsi olembera.

Kuphatikiza kuchuluka kwa lipids kumawonjezeka ndi shuga, kulephera kwaimpso, matenda a chiwindi, kusowa kwa mahomoni a chithokomiro.

Zoyenera kuchita ndi cholesterol yayikulu

Choyamba, muyenera kubwezeretsa moyo wabwinobwino ndikusinthanso zakudya zanu. Menyuyi imaphatikizanso mbewu monga chimanga, zipatso ndi masamba tsiku lililonse.

Kulipiritsa pafupipafupi kumathandiza kwambiri, ndikofunikanso kuyang'anira machitidwe ogona, kusiya zizolowezi zoipa, ndikuchotsa mapaundi owonjezera. Zakudya zopatsa thanzi ziyenera kukhala ndi zakudya zamafuta ochepa, masaladi amawonetsedwa ndi mafuta a masamba.

Ngati vutoli ndi lalikulu ndipo njira zoyambira sizikuthandizira, dokotala amakupatsani mankhwala.

  1. Kuchepetsa cholesterol, kugwiritsa ntchito ma statins kumachitika, koma pankhaniyi muyenera kutsatira malangizo, lingalirani za contraindication ndikutsatira malangizo onse a madokotala kuti asayipitse.
  2. Pochiza odwala azaka zopitilira 16, salicylic ndi nicotinic acid amagwiritsidwa ntchito. Zakudyazo ziyenera kuphatikizapo zakudya zomwe zili ndi niacin kapena vitamini B.
  3. Pazinthu zotsogola, ma fibrate amagwiritsidwa ntchito pochiza, koma adokotala amafotokozera dongosolo la mankhwalawo payekha, kutengera mtundu wa wodwalayo.

Popeza kukwezedwa kwa cholesterol kumabweretsa zotsatirapo zoyipa, pazizindikiro zoyambirira za kuphwanya, chilichonse chikuyenera kuchitidwa kuti matenda a lipid agwiritsidwe ntchito ndikuyimitsa kukula kwa pathologies.

Kuti mupeze zotsatira zodziwika bwino, kuyezetsa magazi kumachitika m'mawa m'mimba yopanda kanthu. Kafukufuku wotsatira amachitika miyezi isanu ndi umodzi atayamba chithandizo. Ngati zinthu sizinasinthe komanso mafuta a cholesterol akadali okwera, adotolo ayenera kudziwa chomwe chimayambitsa kuphwanyidwaku ndikuwunikanso dongosolo la mankhwalawo.

Ndi mankhwala, mankhwala a cholesterol amayang'aniridwa pafupipafupi. Pofuna kuwonongeka, mulingo wa mankhwala omwe amwedwa umachulukitsidwa kapena chithandizo ndi ma fiber chimayikidwa.

Zakudya zamagulu

Zakudya zochiritsa zimakhala ndi ndemanga zabwino ndipo zimathandiza. Wodwala ayenera kudyetsedwa m'njira yoti awononge cholesterol yoyipa. Chifukwa cha izi, zakudya zamchere komanso zamafuta sizimasiyidwa. Muyenera kudya osachepera kasanu patsiku, pomwe mbali zake ndizikhala zochepa.

Kuonjezera kuchuluka kwa lipids zabwino, tikulimbikitsidwa kudya 100 g ya mackerel kapena tuna kawiri pa sabata. Zakudya zoterezi zimalepheretsa mapangidwe magazi, omwe amawerengedwa ndi atherosulinosis.

Mtedza umathandizanso, mlingo wawo uyenera kukhala 30 g patsiku. Pazovala masaladi ndi mbale zina, ndibwino kugwiritsa ntchito mafuta a azitona, soya, ndi mafuta opaka. Onetsetsani kuti mumadya zakudya zokhala ndi fiber zambiri, monga chinangwa, tirigu, mbewu, nyemba, masamba, zipatso ndi zitsamba zatsopano.Izi ndizofunikira kwambiri kuti shuga athe kuchepetsa shuga.

Kusintha kagayidwe kachakudya, chotsani poizoni, gwiritsani ntchito zipatso za zipatso, beets, chivwende. Yothandiza komanso yoteteza madzi ku lalanje, chinanazi, mphesa, maapulo, zipatso zamtchire.

Pazakugawidwa komanso kuchuluka kwa cholesterol kofotokozedwera kanema munkhaniyi.

Kodi cholesterol yamagazi ndimtundu wanji?

Owerenga athu adagwiritsa ntchito bwino Aterol kutsitsa cholesterol. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Cholesterol m'thupi la munthu imagwira ntchito zofunika kwambiri. Ili gawo lamakoma am'nyumba ndipo imathandizira kuti iwonso akhalenso mwatsopano. Komabe, kuchepa kwake kumabweretsa kukula kwa matenda ambiri, omwe ambiri ndi matenda amtima ndi mtima.

Muyeso wa cholesterol yathunthu m'magazi a akazi amasiyana ndi amuna komanso amasintha ndi zaka, makamaka zaka 50. Amayi panthawi ya kusintha kwa thupi amalangizidwa kuti azisamalira thanzi lawo ndikupereka magazi a cholesterol pachaka.

Mitundu ya Cholesterol

Mwanjira yake yoyenera, mafuta m'thupi sangakhale m'thupi. Ma mamolekyulu amafuta ndi gawo limodzi la lipoprotein a protein, omwe ali amitundu iwiri:

  • kukwera kwambiri - "kothandiza" cholesterol. Amathandizira oxidative zimachitikira, bwino kagayidwe ndipo amachepetsa mitsempha ya magazi owonjezera mafuta.
  • cholesterol yocheperako - "yovulaza" cholesterol, imatha kuyikidwa m'mitsempha yamagazi ndi m'maselo omwe amayambitsa matenda amtima. Mosiyana ndi cholesterol "yathanzi", tinthu tating'onoting'ono timakhala akuluakulu.

Mtundu wachitatu wa cholesterol - triglyceride, umapezeka m'matumbo a subcutaneous. Amadziwikanso m'thupi kuchokera mu chakudya ndipo ndimomwe amachititsa kunenepa kwambiri.

Mafuta cholesterol, chizolowezi kwa akazi

Kuti muwone kuwerengera magazi, kusanthula kwa labotale ndikofunikira:

  • muyezo - akuwonetsa cholesterol yonse
  • lipidogram - imapereka zotsatira zowonjezera, ndiye kuti, imazindikira kuchuluka kwa triglycerides, "yopindulitsa" ndi "yoyipa" cholesterol

Chiyeso cha muyeso wa cholesterol ndi <mmol⁄l ›kapena‹ mg⁄dl ›. Mwa akazi, pafupifupi thunthu la zinthuzi limachokera ku 5.2 mpaka 6.2. Mukamayang'ana kusanthula, kulemera kwa thupi komanso moyo wa wodwala zimatengedwa.

Magawo a cholesterol yamagazi mwa akazi, pathebulo

M'badwoZambiriZothandizaZowopsa
20—253,29—5,601,49—4,110,95—2,09
30—353,49—6,091,89—4,090,99—2,09
403,79—6,511,99—4,590,89—2,38
50—554,09—7,482,39—5,190,97—2,49
55—604,58—7,793,39—5,450,97—2,5
60—654,51—7,892,59—5,880,99—2,49
65—704,49—7,892,50—5,71091—2,51
Opitilira 704,53—7,392,58—5,350,86—2,49

Paubwana, njira zonse za metabolic zimagwira ntchito pa liwiro lokwanira, pokonza ngakhale lipoprotein yotsika kwambiri komanso triglycerides. Cholesterol abwinobwino mwa akazi ochepera zaka 30 amasungidwa:

M'badwoZambiriZothandizaZowopsa
15—203,099—5,1980,999—1,9101,529—3,559
21—253,168—5,5090,859—2,941,479—4,129
26—303,322—5,7580,996—2,191,87—4,269

Pambuyo pa zaka 40

Nthawi imeneyi imadziwika ndi kuchepa kwapang'onopang'ono pantchito yobereka. Kuchuluka kwa mahomoni ogonana (estrogen) kumayamba kuchepa. Ndi ma estrojeni omwe amateteza mkazi kuti asalumphe zigawo za cholesterol.

Mulingo wovomerezeka wa cholesterol yamagazi mwa akazi pambuyo pa zaka 45 ukukula msanga:

M'badwoZambiriZothandizaZowopsa
46—503,99—6,8690,889—2,582,09—4,80

Ngati mayi ali wathanzi - Zizindikiro siziyenera kupitilira mzere womwe ukusonyezedwa patebulopo.

Patatha zaka 50

Pazomwe zili ndi cholesterol m'magazi a akazi pazaka izi, ndikofunikira kumveketsa bwino kamodzi pachaka. Ndikulimbikitsidwa kuyang'anira lipoproteins yokhala ndi kachulukidwe kakang'ono. Sayenera kupitilira 5.39 mmol⁄l.

Kusintha kwa thupi pakadali pano ndi kosapeweka, chifukwa chake, pafupifupi zaka 60, cholesterol "choyipa" chimatha kukula mpaka 7.59 mmol⁄l.

Kuyambira kuyambira zaka 70, kufunikira kwa lipoprotein wotsika kwambiri kumatha kuchepetsedwa. Izi sizoyambitsa matenda. Amayi okalamba sayenera kuda nkhawa ngati cholesterol yapamwamba siyikupitilira mtundu wa 4.499-7.59mmol⁄l.

! Pazaka pafupi kwambiri ndi senile, pali kuchepa kwa mafuta m'thupi. Kuchuluka kwa chinthu ichi ndi chizindikiro cha matenda owopsa.

Zizindikiro zoyambirira za cholesterol yayitali ndizochepa, koma pakapita nthawi, zovuta zofananira zimayamba kuonekera. Chizindikiro choyamba ndikuphwanya magazi, pomwe mafuta ambiri amachepetsa magazi. Zotsatira zake, kutuluka kumayamba kuyenda pakati pa zombozo pang'onopang'ono. Izi zimadzetsa kuperewera kwa oksijeni ku ziwalo ndi minyewa, zomwe zimakhudza maonekedwe ndi mkati mwa mkazi:

  • Zofooka. Choyamba, amayamba ndi kutopa wamba. Koma patapita kanthawi, mayiyu samadzidalira ngakhale atagona usiku
  • Mutu - kumachitika motsutsana ndi maziko osowa tulo
  • Kuchepetsa kukumbukira - ndi kovuta kuti wodwalayo azingoyang'ana zazinyengo. Makamaka ovuta kwa azimayi omwe amagwira ntchito yamisala
  • Kuchepetsa maonedwe - m'miyezi 10-12, masomphenya amatha kutsikira kwa ma diopita awiri
  • Kuyenda kwa khungu la zidendene ndi miyendo - mkhalidwe wosasangalatsa umayendetsedwa ndi kumverera kwa "kugwedezeka" kwamitsempha yam'munsi ndi phazi

Kukula kwa cholesterol yamagazi mwa akazi sikuyenera kuyambitsa zilembo. Kumva kusasangalala ndi chizindikiro cha “kusachita bwino” mthupi. Chifukwa chake, mkati mwa kuyeserera, dokotala amayambira kutumiza wodwala kuti akayezetse magazi.

Pitani pazomwe zili

Momwe mungalimbikitsire cholesterol

Ngati chizolowezi cha cholesterol chamagazi mwa azimayi chikuyandikira chizindikiro chachikulu, kupewa kuyenera kuyamba. Izi ndizofunikira pambuyo pa zaka 60, chifukwa kuchuluka kwa lipids otsika kwambiri kumatengera zakudya za akazi. Matenda a mtundu wa zakudya ndiwo maziko a zigawo zonse za cholesterol.

Kuchita masewera olimbitsa thupi mochulukirapo kumakhudza kuwonjezeka kwa cholesterol "yothandiza", yomwe ndiyofunikira kuthana ndi lipids "zovulaza". Chisokonezo chimalimbikitsidwa kwambiri kwa odwala omwe ali ndi vuto la atherosulinosis ndi anthu omwe adadwala matenda a mtima komanso a mtima.

Kudya kwa zakudya zowonjezera komanso mavitamini kumalimbitsa chitetezo cha mthupi, kukonza kagayidwe ka mafuta. Ngati kufupika kwa mafuta m'thupi m'magazi kumakhala kwakukulu kwambiri, dokotala amakupatsani mankhwala omwe amaletsa kuyamwa kwamafuta m'matumbo, komanso kupanga lipoproteins ndi maselo a chiwindi.

Mukuyenera kumvetsetsa kuti palibe zakudya ndi masewera sizingathandize ngati mayi asuta. Ponena za mowa, mawonekedwe ocheperako pang'ono amapindulitsa ngakhale. Komabe, kugwiritsa ntchito molakwa zakumwa zomwe zimakhala ndi zakumwa kumabweretsa matenda a chiwindi komanso kufooka kwa mitsempha yamagazi.

Pazomwe zimapezeka mu cholesterol mwa abambo, aliyense ayenera kudziwa akakwanitsa zaka zapakati.

Zoyenera kuchita ngati cholesterol ikuchokera 12.1 mpaka 12,9?

  • Imakhazikika pamisempha ya shuga kwa nthawi yayitali
  • Imabwezeretsa kapangidwe ka insulin

Kwa anthu azaka zopitilira 30, madokotala amalimbikitsa kuti azichita mayeso a cholesterol magazi pafupipafupi. Izi zipangitsa kuti pakhale kuphwanyidwa kwakanthawi ndikuchita zoyenera kupewa kuti pakhale zovuta zazikulu. Pambuyo pa kafukufuku wa labotale, mutha kudziwa zambiri za LDL ndi HDL.

Pamene cholesterol yathunthu 12.5-12.8 ndi chisonyezo kwambiri. Ngati njira sizinatenge nthawi komanso chithandizo choyenera sichinayambike, munthu amatha kufa ndi matenda a atherosclerosis, omwe nthawi zambiri amayambitsa matenda a mtima komanso stroko. Ndi matenda a shuga, chiwopsezochi chimawonjezeka nthawi zambiri, motero odwala matenda ashuga ayenera kuwunika momwe alili.

Chifukwa chowonjezera mafuta m'thupi m'mitsempha yamagazi, mawonekedwe a cholesterol plaque, omwe amachepetsa lumen ndikuchepetsa mphamvu ya mitsempha. Zotsatira zake, michere siyilowa ziwalo zofunika. Komanso, masango amatsogolera ku thrombosis, yomwe imakhala yowopsa pamoyo wa wodwalayo.

Kodi cholesterol yodziwika ndi chiyani m'magazi ndi kuopsa kochulukitsa

Nkhani zina zamankhwala othandiza sizimangotchulidwa m'magulu azachipatala okha, koma zimapezeka pagulu. Izi zimaphatikizapo mbali zazikulu za kagayidwe ka mafuta m'thupi, makamaka, kuchuluka kwa cholesterol m'magazi. Mutuwu ndiwofunikira kwambiri, chifukwa umayambitsa mikangano yambiri. Kufotokozera kwa cholinga chenicheni cha cholesterol, momwe zilili komanso kufunika kosasamala, zaperekedwa mumtunduwu.

Kodi chinthu ichi ndi chiani?

Pachabe, ambiri amaganiza kuti cholesterol ndi chinthu chovulaza thupi la munthu. Mosakayikira, zotsatira zake zoyipa m'matumbo ndi pamtima pakuchitika kwakukulu pazomwe zimachitika. Koma musaiwale kuti kuchepetsa mafuta m'thupi m'magazi kulibe ngozi. Chifukwa chake, mokhudzana ndi chinthuchi, ndalama zoyenera zokha ndi kusungitsa zomwe zili mulingo woyenera ziyenera kulingaliridwa. Ndikofunikira kwambiri kuti chiwalo chikukula ndipo chimakhudzidwa ndi kuphatikiza kwa mahomoni azomwe zimachokera ku steroidal: mahomoni a adrenal, mahomoni achigololo achikazi ndi amuna.

Ndizosiyana

Cholesterol ndiyosatheka kusungunuka m'madzi. Chifukwa chake, m'thupi laumunthu, limazungulira ngati gawo la zovuta zamapuloteni, zomwe zimaloleza kuti ziziphatikizidwa pakuphatikizidwa kwa membrane wa maselo ndi kagayidwe kake mu chiwindi. Mapangidwe oterewa amatchedwa lipoproteins. Amatha kutsimikiza pogwiritsa ntchito kuyezetsa magazi osiyanasiyana, powunika mayeso:

  • C cholesterol chonse - chimawonetsa kusunthika m'thupi,
  • Mlingo wa triglycerides - mafuta ovuta monga mawonekedwe a esters, glycerin, mafuta acids ndi cholesterol,
  • Mlingo wotsika kwambiri wa lipoprotein. Amasankhidwa ndi chidule cha zilembo LDL. Pambuyo pakuphatikizika kwa chiwindi, ali ndi udindo wonyamula cholesterol kupita ku maselo,
  • Mlingo waukulu wa lipoprotein. Zitha kutsimikiziridwa ndi chidule cha HDL. Ma lipoprotein, mosiyana ndi LDL, ndi omwe amachititsa kuti mafuta azigwiritsa ntchito kwambiri kapena kuchuluka kwa cholesterol kuchokera ku maselo ndi magazi kupita chiwindi, komwe amawonongeka ndikupanga mitundu ingapo yophatikizidwa ndi mitundu ina ya metabolism.

Lingaliro la cholesterol yoyipa ndi yabwino

Cholesterol choyipa chimawerengedwa kuti chomwe, ngati chikhala ndi minofu, chimayambitsa kuphwanya kapangidwe kake ndi ntchito yawo. Makamaka, choopsa kwambiri cha chinthu ichi ndi kuwonongeka kwa makoma a zombo zazikulu komanso zazing'ono. Izi ndizotheka ngati munthu wakuthwa mopitirira muyeso wa mitundu ina ya cholesterol:

  1. Ma lipoproteins otsika kwambiri, omwe amapangidwa mopindulitsa ndi kuwonjezeka kwa cholesterol yamagazi. Chifukwa cha iwo, cholesterol imalowa mosavuta mu ma cell a mtima endothelium, pomwe imayikidwa mu mawonekedwe a atherosranceotic plaques,
  2. Triglycerides. Amakhala gawo lalikulu la cholesterol ndipo, pakachitika kuvunda, zimakulitsa kuchuluka kwake.

Ponena za cholesterol yabwino, lipoproteins yapamwamba kwambiri imatanthauziridwa. Izi, zonyamula mafuta ochulukitsa a m'magazi kupita ku chiwindi, zimathandizira kuchepa kwa zinthu zake za m'madzi a m'magazi. Chifukwa chake, adalandira dzina lotere.

Ndikofunikira kukumbukira! Mawu akuti cholesterol oyipa ndi abwino ndi omangika, chifukwa chilichonse chimakwaniritsa udindo wake m'thupi. LDL ndi triglycerides zimapangidwa pakakhala cholesterol yochulukirapo ndi chakudya m'thupi ndipo zimangowonetsa kuwopsa kwa thupi. Ndikofunikira kwambiri kuyesa kukwaniritsa bwino osati kungochotsa zakudya zokhala ndi cholesterol muzakudya, koma mwa kupanga malire pakati pa LDL ndi HDL!

Zomwe zimatsimikizira zomwe zili mu cholesterol m'madzi a m'magazi

Mwa zisonyezo zonse za kagayidwe ka cholesterol, pali miyambo yonse yovomerezeka. Koma ndizofunikira, popeza kusinthasintha kwa cholesterol kumadalira zinthu zambiri:

  • Okwatirana - mwa akazi ochepera zaka 45-50, cholesterol ndi yotsika kuposa m'magazi a munthu wamsinkhu umodzi. Pambuyo pofika m'badwo uno, mulingo wa chinthu ichi uyenera kukhala wokwera kwambiri mwa akazi,
  • Zaka - muubwana, kuchuluka kwa cholesterol ndizotsika kuposa akuluakulu. Caka ciliconse pamakhala kuwonjezeka kwa kuchuluka kwake,
  • Zizolowezi zoipa ndi moyo. Aliyense wa iwo (kusuta, kumwa mowa mwauchidakwa, kudya zakudya zamafuta komanso kudya mwachangu, moyo wokhazikika) zimakhudza kagayidwe ka cholesterol munjira yoti iwonjezere kuchuluka kwake m'magazi a anthu,
  • General mkhalidwe ndi kukhalapo kwa matenda. Matenda monga matenda a shuga, kunenepa kwambiri, matenda oopsa, zovuta zina za endocrine ndi metabolic, matenda amchiwindi ndi kugaya chakudya, matenda am'mimba komanso mtima zimakhudza kuchuluka kwa plasma cholesterol. Kwa odwala oterowo, chizindikiritso chapadera chapangidwa, chomwe chikuyenera kuwonedwa kuti athandizire kuchepetsa matenda.

Zomwe zimapatsa kuchepa kwa cholesterol ndi momwe angayang'anire cholesterol

Tinakambirana kale za chikhalidwe cha cholesterol komanso momwe mungawerengere mayeso a cholesterol molondola. Komabe, pali zikhulupiriro zambiri zabodza zokhudza cholesterol "choyipa" ndi "chabwino". Ndani ayenera kudziwa cholesterol yawo? Munthawi ziti komwe kuli kofunikira kuti muchepetse cholesterol - ndipo idzaperekera chiyani thanzi? Anatero Yevgeny Vladimirovich Shlyakhto - wa ku Russia wotchuka wamtima, wamkulu wa National Medical Research Center. V.A. Almazova, Purezidenti wa Russian Cardiology Society, Phunziro la Russian Academy of Sayansi.

Munthu amabadwa ndi zotengera zoyera komanso zotanuka. Popita nthawi, khoma lamitsempha limakhala lolimba, ndipo ma lipid ma chikasu amawoneka, pomwe nthawi yakutukuka amasintha kukhala zigawo zam'mphepete mwa mitsempha yamagazi. Matendawa amatchedwa atherosclerosis.

Mapangidwe a atherossteotic amabisa chimbudzi chapakati komanso chachikulu m'mitsempha ndipo potero zimayambitsa matenda a okosijeni a ziwalo zofunika monga mtima (mu nkhani iyi, angina pectoris amakula), ubongo (pamenepa ndi gangrene).

Ndi kufalikira kwathunthu kwamitsempha yamagazi kapena kupangika kwa magazi (mapazi a magazi) pamipaka, vuto la mtima, stroke kapena kufa mwadzidzidzi kumatha. Kukhazikitsidwa kuti munthawi yamakonzedwe ndikukula kwa zolembera, gawo lalikulu limachitika ndi kuwonjezeka kwa cholesterol yamagazi.

Cholesterol chabwino komanso choyipa

Cholesterol ndiye chinthu chachikulu chomangira m'thupi. Amapita kukapanga maselo, mahomoni, vitamini D, minyewa yamanjenje. Magawo awiri mwa atatu a cholesterol amapangidwa mwachindunji m'thupi (makamaka m'chiwindi), ndipo gawo lina lachitatu (300-400 mg) limachokera ku zinthu zomwe zimakhala ndi cholesterol. Kuchuluka kwa cholesterol kumapangidwa chifukwa cha kusinthanitsa kwachulukidwe ka bile acid (750-1250 mg).

Ndi kuwonjezeka kwa cholesterol yamagazi yoposa 5.2 mmol / l, kuchuluka kwake kumayikidwa mu khoma la chotengera ndikupangitsa kufupika kwawo.

Cholesterol ndi chinthu chosagwira madzi chomwe chimanyamulidwa m'magazi ngati ma cell apadera otengera - lipoproteins. Lowensens lipoproteins (LDL) ili ndi cholesterol yambiri, amatchedwa "cholesterol" yoyipa ". LDL yowonjezereka m'magazi, imakhala yovuta kwambiri kukhala ndi vuto la mtima kapena stroke.

Kuti zitsimikizire bwino m'thupi, chilengedwe chimapanganso cholesterol "yabwino" - high osachulukitsa lipoproteins (HDL). Ntchito yayikulu ya HDL ndikuwonetsetsa kuti cholesterol ikutuluka kuchokera m'magazi kubwerera ku chiwindi, komwe imagwiritsidwa ntchito - "imatha". Kukwera kwambiri kwa cholesterol "yabwino", ndibwino.

Ndikofunikira kwambiri kudziwa kuchuluka pakati pa cholesterol yathunthu ndi cholesterol yabwino (OXC / HDL), yomwe iyenera kukhala yochepera 4. Ndi mphamvu yolingana (OXC / HDL) yomwe imatsimikiza kuchuluka kwa mapangidwe kapena chiwonongeko cha zolembera za atherosselotic.

M'magazi a anthu, pali mafuta amtundu wina - triglycerides (TG). Iwo ndiye gwero lalikulu lamphamvu.

Ndi kuwonjezeka kwa TG> 2 mmol / L, chiwopsezo cha kupangika kwa zolembera ndi kukula zimakulanso, makamaka mwa amayi ndi odwala omwe ali ndi matenda osokoneza bongo.Mlingo wa TG umadalira pa chakudya, kulemera kwa thupi, komanso pazifukwa zina zingapo (kumwa mankhwala akumwa, kumwa mowa, kuchuluka kwa zochitika zolimbitsa thupi).

Chifukwa chiyani kuli kofunikira kuyang'anira cholesterol?

Ngati mwapezeka kuti muli ndi matenda oopsa kwambiri, angina pectoris kapena claudication yocheperako, ngati mukukumana kale ndi vuto la myocardial infarction, stroke, mtima kapena opaleshoni yamitsempha yamagazi, ndiye kuti cholesterol m'magazi anu iyenera kuyang'aniridwa mwapadera.

Matenda omwe ali pamwambawa, limodzi ndi kusuta fodya, kunenepa kwambiri kapena mbiri yakale yabanja yodwala matenda a mtima, ndizowonjezera zowopsa ndipo mwa izo zokha zitha kubweretsa mwadzidzidzi kufa, kugunda kwa mtima kapena stroke.

Zingatheke kuti mothandizidwa ndi njira zapadera (coronary angiography, vascular ultrasound), madokotala apeza kale mapangidwe a atherosranceotic m'matumbo anu. Pankhaniyi, mwa kuwongolera kuchuluka kwa cholesterol m'magazi, mumachita zomwe zimayambitsa matenda anu - ndikulepheretsa chikhazikitso cha zomangamanga ndikupanga zofunikira zoyambiranso chikhalachi.

Kafukufuku wa asayansi awonetsa kuti ndi kuchepa kwa cholesterol yamagazi ndi 1%, mwayi wokhala ndi vuto la mtima kapena sitiroko umachepetsedwa ndi 2%, ndikuchepa kwa LDL cholesterol pa 1.0 mmol / l kumachepetsa chiopsezo cha kufa kuchokera ku CVD komanso kusadwala kwamtima koopsa pofika 20-25. %

Malinga ndi ziwerengero, odwala omwe amawongolera cholesterol yawo ndi 30-40% poyerekeza ndi zochitika zina zamtima zazikulu komanso 30% yochepa kufa chifukwa cha zomwe zimachitika kawirikawiri. Mwapadera milandu (13-14%), kuchepa kwa thupi kapena “kuyambiranso” kwa zolembapo. Komabe, ziyenera kukumbukiridwa kuti kusintha kwa matendawa kumachitika pokhapokha miyezi 6-12 kuchokera pomwe kolesterol yotsika, yomwe ili zaka 2-3 kupitilira kwa anatomical kuchepa. Chifukwa chake, khalani oleza mtima ndipo mudzachita bwino!

Ndikofunikanso kulingalira kuti kuchepa kwadongosolo kwa cholesterol m'mwazi kumabweretsa kusintha koyenera mu mawonekedwe a mitsempha yamagazi. Kuchotsa cholesterol m'mwazi kumabweretsa kutuluka kwake kuchokera ku "depot" - khungu, mitsempha yamagazi ndipo, koposa zonse, zolembera.

Chifukwa chake, pamakhala pang'onopang'ono mafuta okhala ndi lipids mkati mwa zolembazo ndi minofu yolumikizika yolumikizana, ndipo zolembazo zikuwoneka ngati simenti kuchokera mkati. Zilumba zowirira sizimatha kung'ambika m'mbali ndikupereka magazi, mawonekedwe ake amakhala osalala.

Kuphatikiza apo, kuchepetsa kwadongosolo kwa cholesterol pang'ono kumabwezeretsanso kuchuluka kwa mitsempha yamagazi, ndipo izi zimathandiza kulimbana bwino ndi matenda oopsa.

Kafukufuku wasayansi awonetsa kuti palibe kulumikizana pakati pa cholesterol chotsika komanso chochepa komanso khansa ya malo aliwonse, kuchuluka kwa omwe amadzipha komanso kufa chifukwa cha ngozi. M'malo mwake, njira yolimbirana yochepetsera cholesterol "yoyipa" yokhala ndi mankhwala amakono (ma statins) imathandizira kukhazikika kwa ma atherosselotic plaques mwachangu (pafupifupi chaka) ndikuwongolera zizindikiro za angina pectoris, komanso kumachepetsa chiopsezo chodwala mtima kapena kufa mwadzidzidzi.

Odwala omwe ali ndi chiopsezo cha mtima kwambiri (SSR), cholesterol LDL chandamale cha 1.0 mmol / L mwa amuna ndi> 1,2 mmol / L mwa akazi ndi chizindikiro chotsika.

Ngati mwapatsidwa mankhwala ochepetsa mphamvu ya mafuta m'thupi

Ndikofunikira kudziwa kuti mankhwala ochepetsa mphamvu ya cholesterol osalowa m'malo mwa zakudya ndipo amayenera kumwedwa mosalekeza - nthawi zambiri kwa moyo. Pokhapokha ndikotheka kusintha matenda anu.

Mankhwala ochepetsa mphamvu ya cholesterol nthawi zambiri amavomerezedwa ndi odwala: zochitika zoyipa sizidutsa 1%. Ngati zizindikiro zachilendo zikuwoneka (kufooka kwa minofu, kupweteka m'mbali kumanja), onetsetsani kuti mwakumana ndi dokotala.

Chithandizo chotsitsa cha cholesterol sichilowa m'malo mwa zakudya: kuphatikiza zakudya ndikumamwa mankhwalawa kumathandizira kuchepetsa kuchepa kwa cholesterol "yoyipa" m'magazi ndikupanga zofunikira za kuyimitsa kapena kupangira matenda a mtima m'mitsempha yama mtima ndi ziwalo zina zofunika.

Kutsitsa cholesterol ndi mankhwala osokoneza bongo ndi njira yayitali yomwe imatenga, monga lamulo, kwa moyo. Ndi kusiya mwadala kapena kukakamiza kusiya mankhwala, cholesterol imabweranso pamlingo wake woyambirira, koma osati pamwamba pake. Chifukwa chake, ndi kusiya kwa mankhwala oterowo, chiopsezo cha zovuta zakupha (kugunda kwa mtima, stroke) zimakulanso.

Kusintha koyenera koyamba mkati mwa ziwiya kumayambira pakatha mwezi umodzi chiyambireni kuyambitsidwa kwa mafuta a cholesterol, ndipo zizindikiro za angina pectoris zimatha kusintha pambuyo pa miyezi 6. Chiwopsezo cha matenda a mtima kapena stroko chingathe kuchepa osati kale kuposa chaka chimodzi cha kumwa mapiritsi omwe amachepetsa cholesterol.

Chizindikiro chachikulu cha cholesterol metabolism

Munthu amene akufuna kufufuza mkhalidwe wa mafuta a metabolism m'thupi, makamaka cholesterol, ayenera kukumbukira kuti sikofunikira kuzindikira zovuta zonse za chizindikiro. Kuchokera pakuwona kufananitsa mbali zachuma komanso kutuluka kwa zamankhwala, ndibwino poyamba kudziwa kuchuluka kwa mafuta m'thupi omwe amapezeka m'madzi a m'magazi. Ngati pali zopatuka kuzolocha, sikuti ndizotheka zokha, komanso ndikofunikira kuti muphunzire zizindikiro zina zonse zokhudzana ndi cholesterol metabolism m'thupi (LDL, HDL ndi triglycerides). Miyezo yawo m'magawo a mmol / l amawonetsedwa patebulo lowoneka.

M'badwoAmunaAkazi
C cholesterol chonse
Zaka 18-202,93-5,13,11-5,17
Zaka 21-303,44-6,313,32-5,8
Zaka 31 mpaka 403,78-73,9-6,9
Zaka 41-504,1-7,154,0-7,3
Zaka 51-604,04-7,144,4-7,7
Zaka 60 ndi kupitirira4,0-7,04,48-7,82
Ana kuyambira azaka ziwiri mpaka 122.9-5.1 mmol / L
Lowensens lipoproteins
Chizindikiro chazaka zonse zamagulu onse azaka2,3-4-71,9-4,4
High osalimba lipoproteins
Chizindikiro chazaka zonse zamagulu onse azaka0,74-1,80,8-2,3
Triglycerides
Chizindikiro chazaka zonse zamagulu onse azaka0,6-3,60,5-2,5

Kawuniwuni wapa zopatuka zomwe zingachitike

Kuwunika zomwe zimapezeka mu cholesterol metabolism m'thupi, muyenera kumangapo pazotsatira zenizeni za mayeso omwe amayerekezedwa ndi mtengo wokhazikika. Pankhaniyi, kusintha konse komanso kusiyanasiyana kuyenera kukumbukiridwa, momwe miyambo ya magazi lipid yowonekera iyenera kukhala yamunthu aliyense payekha. Monga lamulo, kufunikira koteroko kumangokhala pokhapokha ngati pakufunika kulimbikitsa mafuta ochepa. Izi zimachitika chifukwa cha zovuta zomwe zimachitika mthupi la munthu limodzi ndi kuchuluka kwa cholesterol, komwe kumatchedwa hypercholesterolemia.

Kuopsa kwa hypercholesterolemia yomwe yakhalapo kwa nthawi yayitali ndikuti cholesterol imatha kulowa mkati mwa khoma lamitsempha, ndikupanga zisindikizo ndi zolembera momwe zimachepetsa lumen ya chombo. Popita nthawi, malo amenewa amatha kupindika ndi kupangika kwina kwa magazi mderali. Njira imeneyi imayambitsa matenda monga akulu komanso ang'onoting'ono arteryosulinosis, matenda amitsempha yamagazi a muubongo ndi mtima.

Tiyenera kulankhula za hypercholesterolemia pamene gawo lokwezeka la zomwe zimatchedwa atherogenic tizigawo ta cholesterol (cholesterol yathunthu, LDL ndi triglycerides) ipezeka. Chofunikira kwambiri chiyenera kukhala cholesterol yathunthu, yomwe imawunikidwa motere:

  1. Chizindikiro chokhazikika kwa munthu wathanzi labwino yemwe alibe zizindikiro za kunenepa kwambiri komanso matenda a mtima ndi osapitirira 5.2 mmol / l,
  2. Hypercholesterolemia yolimbitsa imawonetsedwa pamene kuchuluka kwa cholesterol kwathunthu kukwera mpaka 7.8 mmol / l.
  3. Hypercholesterolemia yayikulu, yomwe imawerengedwa kuti ndi chiopsezo chachikulu pakukula kwa matenda a atherosulinosis ndi mtima, akuti ngati cholesterol chopezeka 7.8 mmol / l wapezeka.
  4. Odwala omwe ali ndi matenda a shuga mellitus, kugunda kwa mtima, matenda oopsa, ubongo wa ischemic komanso kunenepa kwambiri, ndikulimbikitsidwa kukhalabe ndi cholesterol pamlingo wa 4-4,5 mmol / L.

Pochita izi, ndizosowa kwambiri kukumana ndi zochitika zochepetsera mafuta m'thupi. Matendawa amatchedwa hypocholesterolemia. Ndizotheka ndi kufooka kwambiri kwa thupi la munthu kapena mavuto akulu a chiwindi. Nthawi yomweyo, cholesterol mwina sabwera ndi chakudya, kapena kaphatikizidwe kake kamakhala koletsedwa, chifukwa mafuta onse amawonongeka pokwaniritsa zosowa za thupi. Izi zimadzetsa chiwopsezo ku thanzi pokhudzana ndi kuphwanya kapangidwe kake ndi ziwalo zonse.

Ndikofunikira kukumbukira! Chizindikiro chimodzi chofunikira pakuwunika mafuta a cholesterol pang'onopang'ono kuchuluka kwa mafuta m'thupi ndi kutsimikiza kwa kuchuluka kwa magazi a m'magazi. Chizindikiro chake ndi kusiyana pakati pa cholesterol yathunthu ndi chiyerekezo cha HDL mpaka LDL. Zomwe zimachitika sizimapitilira 4. Kupanda apo, ngakhale kuchuluka pang'ono kwa cholesterol yokwanira kuyenera kuwonedwa kuti ndi kowopsa!

Kusiya Ndemanga Yanu