Kuchuluka kwa cholesterol mwa akazi: zimayambitsa ndi kulandira chithandizo, kudya moyenera, njira zodzitetezera
Pakadali pano, matenda a atherosclerosis ndi amodzi mwa matenda ofala kwambiri a mtima. Chifukwa chake, ndi madandaulo aliwonse, ndipo ngakhale kungakhale kuti pali chiwopsezo chowonjezeka cha matenda awa, kafukufuku wa zasayansi amayikidwa kuti adziwe kuchuluka kwa cholesterol yonse. Ngati chiwonetsero chikuwoneka, chiwonetsero chotsatira chotsatira ndi lipidogram mwatsatanetsatane. Amayi pa nthawi yayitali ya moyo amakhala otetezedwa ku zovuta ndi mtima ndi mitsempha yamagazi, komabe, kusintha kwa mahomoni komwe kumachitika pa nthawi ya kusamba, chiwopsezo cha kukula kwawo chikukula kwambiri.
Kodi cholesterol yayikulu mwa akazi imatanthawuza chiyani ndipo nditani? Tikumvetsa!
Kodi cholesterol ndi chiyani?
Kuti mumvetsetse bwino za zotsatira ndi kumvetsetsa momwe matendawo amakulira, ndikofunikira kumvetsetsa tanthauzo la magawo omwe amaphunziridwayi momwe amapangira thupi.
Gawo loyamba lazidziwitso limayamba, monga tanena kale, ndi kutsimikiza mtima kwa kuchuluka kwa mafuta m'thupi. Kusanthula uku kumawerengedwa kuti ndi njira yachidule ndipo kukhathamira kwa magazi kuchokera chala ndikokwanira kuchita. Cholesterol palokha ndi gawo lofunikira la njira zambiri zomwe ndi maziko a thupi lathanzi. Pulogalamu iyi yokhudzana ndi ma alcohols imagwira ntchito zotsatirazi mthupi la mayi wathanzi:
- Ndi gawo lofunikira kwambiri la membrane (chipolopolo chakunja) cha khungu lililonse mthupi. Amapatsa mphamvu ndikuphatikiza pakati pamafuta acids ndikumata simenti ya lipoprotein.
- Kuyendetsa mafuta okwera kwambiri. Mwa njira, ndi iwo omwe lipoprotein maofesi apamwamba komanso otsika kwambiri amapangidwa, omwe amadziwika muzochita zamankhwala monga "zabwino" komanso "zoyipa" cholesterol.
- Kuphatikizika kwa ma acid acid kumachitika m'chiwindi kuchokera ku cholesterol yomweyo. Amadziwika kuti amatenga gawo lofunikira pakulowetsa mafuta m'matumbo. M'mabuku amakono pamakhala umboni wa gawo lawo lofunikira mu njira zina mthupi, mwachitsanzo, pakuchita zinthu zosiyanasiyana zamkati.
- Kapangidwe ka mavitamini D pakhungu3) limayamba pakhungu mothandizidwa ndi kuwala kwa dzuwa, ndiye kuti chiwindi chimagwira gawo limodzi pamtunduwu, chifukwa ma cell omwe cholesterol imathandizanso. Gulu lama mavitamini makamaka limayendetsa kusinthana kwa phosphorous ndi calcium. Zokwanira zokwanira pa zinthuzi ndizofunikira makamaka nthawi yapakati komanso pakubala.
- Kuphatikizika kwamahomoni a steroid - mahomoni achimuna ndi amuna, ma estrogens (komanso progesterone) ndi androgen, motere, omalizawa amapangidwanso mwanjira yaying'ono m'thupi la mkazi. Mahomoni, mapangidwe ake omwe amafunikira cholesterol, imaphatikizanso adrenal cortex zinthu - aldosterone ndi cortisol.
- Kuchuluka kwa cholesterol kuyenera kudutsa mkaka wa m'mawere, chifukwa mwana amafunikira kukula kwathunthu, poyambirira, kwamanjenje. Izi ndichifukwa choti mpaka 20% ya chinthu ichi imaphatikizidwa mu msana ndi ubongo, makamaka, mtolo wa myelin wa mitsempha - gawo lofunikira pakudzipatula kwawo ndikulimbikitsa kufalitsa.
Popeza amagwira ntchito zosiyanasiyana za cholesterol, sizovuta kuganiza kuti kusowa kwa thupi m'thupi komwe kumapangitsa chidwi chake.
Kodi pali kusiyana kotani pakati pa cholesterol "yabwino" ndi "yoyipa"?
Kuti mumvetsetse bwino tanthauzo lake pakupanga atherosulinosis, ndikofunikira kukhazikika pazofotokozedwa kale za lipoprotein. Cholesterol imatha kunyamulidwa m'magazi ngati mbali ya lipoprotein (LPs) yotsatirayi:
- 1) HDL (kachulukidwe kachulukidwe) ndivuto lothandiza, kunyamula mafuta kuchokera ku ziwiya kupita kuchiwindi kukakonza - cholesterol iyomwe imapita ku kaphatikizidwe wamafuta acid,
- 2) LPPP (wapakati pamagawo) - otsogola a LDL sakhala ofunika kwambiri machitidwe azachipatala, chifukwa chake, siali gawo la mbiri ya lipid,
- 3) LDL (kachulukidwe kakang'ono) ndiye cholesterol "yoyipa" kwambiri yomwe imatulutsa mafuta omwe amapangidwira m'chiwindi ndikumayambitsa minofu, pomwe zovuta zake zimapangidwira mosavuta motsogozedwa ndi zinthu zotsutsana, zomwe zimayambitsa kukula kwa atherosulinosis,
- 4) VLDLP (kachulukidwe kotsika kwambiri) imatenganso mafuta ku chiwindi ndikuwonjezera kuchuluka kwa lipids (mafuta) m'magazi, ikasweka, ma STD amapangidwa.
Chifukwa chake, magawo awiri amagwira ntchito yofunika kwambiri kuneneratu zamatenda a mtima: HDL ndi LDL. HDL cholesterol, kukhala "yabwino," iyenera kukhala yabwinobwino. Ngati yafupika, makamaka poyerekeza ndi kuchuluka kwa cholesterol yokwanira, izi zikuwonetsa chithunzi chosavomerezeka cha mbiri ya lipid. Kuwonjezeka kwa chizindikiro cha LDL kumakhala kowopsa kwambiri ndipo kumawonetsa zovuta kapena zomwe zilipo ndi makoma a zotengera.
Phunziroli, zizindikiritso zina zimawerengeredwa zomwe zimapereka chithunzi chonse chazomwe zimapangitsa mafuta metabolism. Mbiri ya lipid imatsimikizanso mulingo wa triglycerides, komanso mgwirizano wapadera wa atherogenicity.
Mafuta cholesterol: zimayambitsa kupatuka kuzinthu wamba
Magazi a cholesterol abwinobwino mwa akazi ndi osiyana pang'ono ndi omwe ali mwa abambo. Monga tawonera kale, mahomoni ogonana achikazi amateteza ku kukula kwa njira za atherosulinotic. Chifukwa chake, zomwe zili mumagazi zizikhala zocheperachepera kuposa amuna. Mbiri yabwinobwino ya lipid pamutuwu iyenera kuwoneka motere:
- mulingo wa cholesterol wathunthu uli m'mitundu 3.1-5 mmol / l,
- HDL - pamtunda wa 0.85-2.28 mmol / l,
- LDL - pamlingo wa 1.9-4.5 mmol / l,
- VLDLP - 0.2-0.5 mmol / l,
- Kuthekera kwa atherogenicity - mpaka 3 (mpaka 4 ndikuloledwa),
- Triglycerides - 0.5-2.6 mmol / L.
Mwa njira, pankhani yovomerezeka muzikhalidwe zamakono zamasayansi, zokambirana zimapitilizabe. Chizolowezi cholimba, kuchepa, miyambo. Pali umboni kuti kuchuluka kwa cholesterol yokwanira sikuyenera kupitirira 4.5 mmol / L. Koma, ziyenera kudziwika kuti kwa anthu achikulire, mulingo wazizindikiro muzochita wamba umaloledwa mpaka 6 mmol / l.
Zina mwa zifukwa zomwe zikuwonjezera kuchuluka kwa cholesterol yamagazi mwa akazi ndi awa:
- ntchito kwa nthawi yayitali njira za kulera,
- cholowa chokhudzana ndi matenda a atherosulinosis ndi matenda osiyanasiyana amafuta a metabolism,
- kusintha kwa thupi
- kunenepa kwambiri -
- kuchepa kwa chithokomiro (hypothyroidism),
- matenda ashuga
- kupezeka kwa zizolowezi zoipa.
Zinthu zotere ziyeneranso kuphatikiza pakati ndi kuyamwitsa, koma, monga lamulo, kutha kwa kuyamwitsa, mulingo wa chinthucho umabweranso pazikhalidwe zabwino. Mwa amayi oyembekezera, kuchepa kwa cholesterol kokwanira kumatha kuchulukanso kuposa kumene kumamuwona mwana asanabadwe. Ndipo izi zimatengera m'badwo wa mkazi.
Njira zochepetsera cholesterol yamagazi
Ndi kuchulukitsa pang'ono kwa miyambo, ndizotheka kukwaniritsa kubwereranso kwama cholesterol pazikhalidwe zofunikira mothandizidwa ndi kukonza zakudya. Pankhaniyi, muyenera kutsatira Malamulo awa:
- konderani mafuta a masamba, kuchepetsa kudya nyama - kuchita bwino nthawi yomweyo kumawonetsa mafuta a maolivi nthawi zonse,
- Zakudya zamafuta ndi nsomba zam'madzi ziyenera kupatula kwathunthu kuchokera muzakudya
- osagwiritsa ntchito margarine ndi mafuta ena oyipa, makamaka kanjedza,
- ndikofunikira kuphatikiza zipatso ndi masamba ambiri m'zakudya zanu,
- mankhwala ena amkaka sayenera kuphatikizidwa ndi menyu: tchizi cholimba ndi chokonzedwa ndi mafuta kuposa 30%, ayisikilimu, kirimu wowawasa, mkaka wokhala ndi mafuta,
- osayesa kugwiritsa ntchito makeke okometsera, makamaka omwe ali ndi mararine,
- ndikofunikira kuchotsa mazira a mazira ku menyu ndikuchepetsa kudya soups ndi borsch pa msuzi wa nyama.
Kuphatikiza apo, ndikofunikira kuphatikiza pazakudya zomwe zimathandizira kutsitsa cholesterol m'magazi. Mwa zina mwazipatso pali mbewu za fulakesi, walnuts, amondi, barele ndi adyo. Mulinso zinthu zabwino monga menyu tiyi wobiriwira ndi chokoleti chakuda.
Komabe, ziyenera kudziwika kuti ngakhale ndi kuwonjezeka pang'ono kwa kuchuluka kwa mafuta m'thupi, muyenera kufunsa dokotala kuti akupatseni malangizo. Njira iliyonse yodzichiritsira tokha imatha kukhala ndi zolakwika ndipo zimangoyambitsa kukhumudwa kwa vutolo. Kuti muchiritse bwino komanso kuti mukhale ndi thanzi labwino, pulogalamu yothandizira odwala imayenera kukhazikitsidwa pamodzi ndi katswiri, kuyesedwa kowonjezereka kuyenera kuchitika, ndipo, mwina, mankhwala ayenera kuyikidwa.
Zomwe zili ndi zomwe zimagwira
Cholesterol, cholesterol ndi gawo la organic, mafuta achilengedwe osungunuka.kuphatikizidwa ndi khoma la cell.
- Lowensensens lipoproteins (LDL) - "yoyipa".
- Ma lipoproteins apamwamba kwambiri (HDL) ndi "abwino."
Ntchito yake yayikulu ndikuyendetsa zinthu mu cell ndi mosemphanitsa.
Amatenga nawo mbali popanga mahomoni achikazi, posinthana ndi mavitamini osungunuka mafuta, popanga vitamini D, amateteza ma membala am'mimba, amadzipatula minyewa yamitsempha, ndizowonjezera pakapangidwe ka bile.
30% ya cholesterol imachokera ku zakudya ndipo zina zonse zimapangidwa ndi thupi lokha.
Kusanthula kwa cholesterol - ziwerengero zofunikira kuchokera ku pulogalamu ya "Live wathanzi!":
Mulingo wapamwamba
Zifukwa zazikulu chifukwa chomwe cholesterol indexer ingakulire:
- kusuta
- kusowa kochita masewera olimbitsa thupi, kukhala pansi,
- mimba
- kumwa kwambiri mowa,
- matenda ashuga
- chibadwire
- kunenepa
- matenda a impso
- matenda oopsa
- matenda kapamba
- kuchuluka kwambiri kwa kuthamanga kwa magazi (matenda oopsa),
- matenda a chiwindi.
Izi zimawerengedwa kuti ndizabwino kwambiri pakuwonjezereka kwa mafuta m'thupi. Nthawi zambiri, zizindikiro za matenda zimayamba kuzindikirika.
Vuto lonse - thanzi loperewera la azimayizomwe zimalumikizidwa ndi kuyambika kwa kusintha kwa thupi.
Zomwezi zimachitikanso panthawi yomwe muli ndi pakati.. Mayi wamtsogolo, chifukwa cha kusintha mthupi, limodzi ndi kudzutsidwa kwakukulu, sangathe kuzindikira vuto lalikulu ndi kufalikira kwa cholesterol.
Popeza kupanga progesterone, mahomoni omwe amachititsa kuti mafuta ayambe kuchulukana, ukuwonjezeka panthawi yomwe apatsidwa bere, dokotala atha kulimbikitsa kuti mayi woyembekezera apimikize magazi kangapo kupatula kuchuluka kwa mafuta m'thupi.
Ndipo chiyani kuchuluka kwa akazi:
- wazaka 20 - 3,16-5.6 mmol / l,
- wazaka 30 - 3.36-5.95 mmol / l,
- wazaka 40 - 3,81-6.52 mmol / l,
- wazaka 50 - 4.0-7.3 mmol / l,
- wazaka 60 - 4.2-7.5 mmol / l,
- ali ndi zaka 70 - 4.48-7, 42 mmol / l.
Pazomwe mayeso amachitika ndi kusintha kwa msambo, werengani m'mabuku athu.
Momwe mungadziwire mtundu wa khungu pakapezekazi.
Maphikidwe a masks okula tsitsi omwe ndiosavuta kupanga kunyumba pazinthu izi.
Ndani ali pachiwopsezo
Madotolo amakhulupirira izo zoyambitsa matenda zingakhale moyo wongokhala, kumwa kosalekeza kwa zakudya zamafuta ndi zopatsa mphamvu zambiri, kudya kwambiri.
Zaka za mkazi ndizofunikanso pankhaniyi.. Popita nthawi, kuchuluka kwa cholesterol mu theka la umunthu wa anthu kumatha kusintha.
Izi zimadalira kukhalapo kwa matenda ndi ma pathologies. Kumwa mowa mosasamala kwa zakumwa zoledzeretsa, kusuta fodya, zakudya zopanda pake kumapangitsa kuti thupi lichepe.
Zotsatira zake, kusokonezeka kwa metabolic, matenda osiyanasiyana komanso kulumpha lakuthwa m'magazi a cholesterol.
Zindikirani High Cholesterol mwa amayi, pazizindikiro izi:
- kupweteka kwambiri m'mutu
- chizungulire
- kupezeka kwa magazi
- kupweteka ndi kulemera m'miyendo mukutulutsa pang'ono,
- mawonekedwe a chikasu pakhungu ndi m'diso (xanthoma),
- kulephera kwa mtima.
Kuwonjezeka kwa cholesterol palokha sikuyenda ndi zizindikiro: Amadzuka pambuyo pakupanga kwa atherosulinosis - chifukwa chachikulu cha matenda.
Chifukwa chake, muyenera kupereka magazi kuti muwoneke kamodzi kamodzi zaka 1-5 popewa.
Zovuta zotheka
Cholesterol chamagazi owonjezereka mwa mkazi kwa nthawi yayitali imakhala yowopsa komanso nthawi zambiri zimayambitsa ma pathologies otsatirawa:
- matenda amtima, omwe amadziwika ndi kuphwanya kwa magazi kupita ku myocardium,
- vuto la mtima
- angina chifukwa kuchepa kwa mitsempha ya m'mimba,
- sitiroko.
Ndikofunika kwambiri kuti vutolo lithe Kukula kwake, atapereka mayesowo panthawi yake ndikutembenukira kwa dokotala.
Ndi dokotala uti yemwe ndiyenera kulumikizana naye
Zoyenera kuchita ngati kusanthula kwawonetsa kuchuluka kwa cholesterol mwa mkazi: ngati pali lingaliro kuti mulingo wamagazi ndiwokwera, ndiye muyenera kulumikizana ndi a mtima.
Mu luso lake ndi kubwezeretsa dongosolo la mtima. Pambuyo pakufufuza, adotolo adzalembera kuyesedwa kwa magazi komwe kumapangitsa kuti adziwe ngati ali ndi matendawa ndikuwapatsa chithandizo.
Mankhwala
Mafuta ambiri a cholesterol izikhala gwero lamankhwala okhala ndi mafuta m'mitsempha yamagazi.
Izi madandaulo adzakuthandizani kuchepetsa kuthamanga kwa magazi, chifukwa chomwe ubongo ndi mtima umaleka kulandira magazi okwanira ndi mpweya wabwino kuti uzigwira bwino ntchito.
Chithandizo cha matendawa chimakhazikika kumwa lipid-kuchepetsa mankhwala.
Nthawi zambiri, dokotala yemwe ali ndi hypercholesterolemia (cholesterol yayikulu m'magazi) amapereka mankhwala ngati awa:
- Gemfibrozil (Lopid, Gipoliksan, Normolil, Gavilon), Fenofibrat, Clofibrat. Amapezeka mu mapiritsi ndi makapisozi. Amayikidwa 2 pa tsiku, kapisozi imodzi (piritsi). Mankhwalawa amalepheretsedwa kwa amayi apakati komanso anthu omwe ali ndi matenda a ndulu.
- Vitamini B3, PP ndi Niacin May Lower Cholesterol. Tengani 2-6 g. patsiku, kugawa mlingo 3 waukulu. Pofuna kupewa kuchepa kwamafuta m'chiwindi, methionine imayikidwa nthawi imodzi.
- Mankhwala omwe ali m'gulu la bile acid sequestrant angathe kuthana ndi cholesterol yambiri. Ndi Cholestyramine, Questran, Cholestan. Mankhwala a ufa amapezeka. Nthawi zambiri anagawira 4 g. 2 pa tsiku.
- Mankhwala a gulu la ma statins amathanso kuchepetsa kupanga lipoprotein: Fluvastatin, Simvastatin, Pravastatin, Rosuvastatin. 5-10 mg patsiku ndi mankhwala.
Chithandizo cha anthu
Njira zochiritsira zosagwiritsidwa ntchito masiku onse zimathanso kucheletsa cholesterol.
Nthawi zambiri azitsamba amalimbikitsa kudya periwinkle. Hafu ya supuni imodzi yokha ya udzu, wodzazidwa ndi kapu imodzi ya mkaka kapena madzi, muchotse matenda.
Imwani mankhwalawa kamodzi patsiku musanadye. Mtundu wa hawthorn umathanso cholesterol yotsika. 2 tbsp. l Zomera zouma zimatsanulira kapu yamadzi otentha.
Mankhwala amtsogolo akuyenera kuthiriridwa kwa mphindi 20. Iyenera kumwedwa supuni katatu patsiku. Caucasian dioscorea amachepetsa cholesterol bwino.
Pukuta mphukira za mbewu ndikusakaniza wofanana ndi uchi. Tengani theka la supuni 2 mpaka 4 pa tsiku.
Kutalika kwa mankhwalawa ndi masiku 10. Masamba a Walnut amagwiranso ntchito ndi matenda.
Pukuta masamba 5 ndikutsanulira 500 ml ya madzi otentha. Msuzi umaphatikizidwa kwa ola limodzi.Tengani theka kapu katatu pa tsiku musanadye.
Za momwe mungachepetse cholesterol yamagazi:
Tikukufotokozerani momwe mungapangire chopukutira cha mpiru kuti muchepetse kunenepa. Dziwani zambiri pompano!
Kodi mungasankhe bwanji tsitsi malinga ndi mawonekedwe a nkhope ya mkazi? Malangizo othandiza ali m'nkhani yathu.
Ndemanga pa keratin lamination eyelashes yaperekedwa patsamba lino.
Zomwe sizingachitike ndikuwonjezeka
Kuchepetsa cholesterol yayikulu m'magazi, Zotsatirazi ziyenera kutayidwa:
- mafuta
- mwanawankhosa, nkhumba,
- yolks
- wolakwa,
- ng'ombe, nyama yamwana,
- margarine
- khofi
- chakudya zamzitini
- mayonesi
- bakha nyama
- masoseji, masoseji,
- chakudya chopatsa mphamvu (maswiti, makeke, makeke),
- chakudya chofulumira
- mafuta ophikira kwambiri amkaka ndi mkaka.
Musachotse zakudya mafuta, okazinga, zokometsera komanso zokometsera.
Madyedwe: Pangani menyu zakudya
Kuthandizira kupanga "cholesterol" chabwino "komanso kukana mapangidwe" oyipa ", zakudya za fiber, mafuta achilengedwe a monounsaturated, mafuta a polyunsaturated ayenera kudyedwa (Omega-3, Omega-6, Omega-9) ndi pectin.
"Chabwino" cholesterol imapezeka m'mitundu yamitundu yamafuta - mackerel, tuna. Kugwiritsa ntchito nsomba kawiri pa sabata kuchuluka kwa magalamu 100 owiritsa, mutha kuchepetsa chiwopsezo cha kuundana kwa magazi, kusungitsa magazi m'malo owonongeka.
Ndikwabwino kudzaza masaladi ndi maolivi, ma sesame kapena mafuta opaka. Kugwiritsa ntchito kugwiritsa ntchito azitona.
Musanagule, muyenera kulabadira zolembedwazi. Kukhazikikako kuyenera kuwonetsa kuti nyumbayo ilibe zinthu zosinthidwa mwabwinobwino.
Chimodzi mwazakudya zomwe zimalimbikitsa kwambiri amayi pistachios, amondi, ma cashews, nthanga za mpendadzuwa, mtedza wa paini ndi mtedza wa ku Brazil.
Ichi ndi chakudya chamafuta kwambiri, chomwe nthawi zambiri chimaphatikizidwa ndi polyunsaturated, ndiko kuti, chopatsa thanzi kwambiri. 30 g ya mtedza ayenera kudyedwa patsiku..
CHIKWANGWANI chimathandiza kwambiri pankhaniyi.. Izi zimapezeka mumasamba, njere, chinangwa, tirigu, zipatso, nyemba, masamba.
Zinthu zomwe zimakhala ndi pectinCholesterol owonjezera amachotsedwa m'mitsempha yamagazi. Zinthu zambiri zimapezeka mu maapulo, njere, zipatso za citrus, beets.
Tiyi yobiriwira imatha kuyesa cholesterol "choyipa" komanso "chabwino". Madzi ochepa ali ndi zofanana.
Mwa zakumwa zimatha kusiyanitsidwa zipatso, lalanje, chinanazi, apulo, mphesa, beetroot ndi karoti. Muyenera kuyamba mwa kutenga supuni imodzi patsiku.
Tsiku lililonse liyenera kudyedwa mafuta ochepa wowawasa mkaka.
Kupanga chakudya ndikofunikira: pankhani ya matenda chakudya chamuwisi.
Momwe mungapewere
Anthu omwe ali ndi zochita zambiri amakhala ndi mafuta ochepa. Sport imapangitsa kuti zombo ziwoneke bwino.
Ngati mukuthamanga kapena mukuyenda mothamanga katatu pa sabatandiye kuti mutha kupewa kukweza mafuta m'thupi.
Khama komanso mgwirizano ndi ena amachepetsa mwayi woipa wa cholesterol.
Musaiwale kuwongolera kunenepa, popeza kunenepa kwambiri ndi chinthu chofunikira kwambiri pakubwera kwa matenda a mtima ndipo, monga chotsatira chake, kuchuluka kwa mafuta m'thupi.
Popewa matenda am'mimba, amalimbikitsidwa chaka chilichonse perekani magazi kuti muwoneke.
Cholesterol okwera mwa akazi akhoza kukhala chifukwa cha matenda ambiri ndi ma pathologies.
Chifukwa chake ndikofunikira kuyang'anira thanzi lanu - Nthawi zambiri pitani kukaonana ndi gynecologist, mtima ndi kukayezetsa magazi.
Mitundu ya Kuphwanya
Popeza njira ya chitukuko cha hypercholesterolemia, izi zitha kufotokozedwa motere:
- Kukula kwa hypercholesterolemia sikutanthauza zotsatira zilizonse zosamutsidwa. Nthawi zambiri, cholowa chamtsogolo chakuwonjezereka kwa mafuta amafuta a cholesterol chimakhala chifukwa chodwalitsa. Fomu yoyamba ndiyosowa, pali mitundu ingapo ya chitukuko chake. Ndi chidziwitso chokhala ndi cholowa cha mwana, mwana amatenga majini kuchokera kwa mayi ndi bambo. Ndi heterozygous - kuchokera kwa kholo limodzi lokha.
- Kukula kwachiwiri kwa vutoli kumawonedwa chifukwa chakuwonekera kwa ma pathologies ena kapena zikhalidwe zomwe wodwala adakumana nazo.
- Kukula kwa mawonekedwe a alimentary kumawonedwa ndi kudya kwambiri mafuta a nyama zomwe zinayambira.
Kusankhidwa kwa njira yeniyeni ya chithandizo kumatengera mtundu wa chisokonezo ndi zifukwa zake.
Zomwe zimayambitsa High Cholesterol mwa Akazi
Njira yayikulu yothetsera vutoli imachitika chifukwa chodziwitsidwa ndi majini osalongosoka omwe amalandila kwa makolo. Kukula kwa fomu yachiwiri kungayambitsidwe ndi:
- Matenda a shuga - matenda omwe mumakhala kuphwanya zakudya zamafuta osavuta a m'maselo a thupi.
- Matenda owopsa a chiwindi - mikhalidwe yomwe kutuluka kwa ndulu kumasokonezeka ndikukula kwa matenda a ndulu.
- Magulu ena a mankhwala: mahomoni, mankhwala osokoneza bongo okhathamiritsa, ma immunosuppressants, beta-blockers.
- Matenda a chithokomiro: Kukula kwa hypothyroidism.
Mwa amayi apakati, kuchuluka kwa kolesteroli kumawonjezera. Zizindikiro zonse zimabwezedwa mwana atabadwa.
Ngati kuchuluka kwa mafuta m'thupi kumalumikizidwa ndi chakudya cha mayi, ndiye kuti kuphwanya kungakhale:
- Kupita (mosachedwa) - chifukwa cha nkhanza imodzi yamafuta ochulukirapo a mafuta. Nthawi zambiri, zizindikilo zimangobwerera zokha.
- Wokhazikika - mkazi mwadongosolo amadya zakudya zamafuta.
Pali zinthu zina zomwe zingakhudze kuchuluka kwamafuta a cholesterol m'madzi a m'magazi:
- Kukhala ndi moyo wongokhala.
- Kukula kwa matenda oopsa (kuchuluka kwambiri kwa kuthamanga kwa magazi).
- Kugwiritsa ntchito mafuta ochulukirapo a nyama zomwe zidachokera.
- Kupeza zinthu zoipa: Kusuta, kumwa.
- Kulemera kwakukulu.
Amayi azaka zapakati pa 50 ndi odwala omwe amayamba kusamba, komanso kukhalapo kwa mbiri ya mabanja a milandu ya hypercholesterolemia, vuto la mtima, stroke ischemic, kufa mwadzidzidzi, ali pachiwopsezo.
Kodi cholesterol yapamwamba imawonekera bwanji?
Mwa zisonyezo zakunja zosonyeza kuchuluka kwa mafuta m'thupi, kupezeka kwa:
- Cholesterol amaika m'miyope, yomwe imawoneka ngati mutu wachikasu wosuntha.
- Makina a lepid a cornea ndi oyera ofiira pafupi ndi cornea yamaso. Ngati chizindikiro chofananacho chimawonedwa mwa azimayi ochepera zaka 45, izi zikuwonetsa kukula kwa mtundu wamtundu wa matendawa.
- Mitundu yowonda ya nodular yodzazidwa ndi zinthu ngati mafuta. Tizilombo timene timatha kupangika pafupi ndi dera la tendon: mwachitsanzo, m'manja.
Ngati chitukuko cha mawonetseredwe amachitidwe chikuwoneka, ichi ndi chizindikiro choopsa chomwe chikuwonetsa mwayi waukulu wopanga matenda a atherosclerosis. Pankhaniyi, ndikofunikira kukaonana ndi dokotala ndikuwunikanso, ngati pakufunika kutero.
Zizindikiro
Kuti adziwe zoyenera, dokotalayo amamufufuza mayiyo ndikumuuza mayiyo, kupereka njira zina zowunikira.
- Pakufufuza kwakuthupi, adokotala amafotokoza za kupangidwe kwama cholesterol pamaso ndi thupi la mkazi. Amayeza kuthamanga kwa magazi, kumvetsera kuyera kwa mtima wamiyendo, kukoka.
- Pakufufuza kwamlomo, adokotala amaphunzira kuti mapangidwe a cholesterol osungirako amachokera m'matumbo ndi nkhope nthawi yayitali bwanji ndi zomwe wodwalayo angagwirizanitse ndikupanga timitsempha ta totupa kapena ma lipid.
- Kupeza mbiri yapaubwino kumapangitsa kuti adziwe zomwe wodwala ndi abale ake apamtima adakumana nazo, ngati kukula kwa matendawa kunali kogwirizana ndi ntchito yaukadaulo, zolimbitsa thupi, zakudya, moyo.
- Kuphatikiza kuyesedwa kwa magazi kumakupatsani mwayi wodziwa njira zotupa ndi kupezeka kwa zovuta zamtundu umodzi.
- Kupitilira kuyezetsa kwamwazi wamagazi, mutha kudziwa kuchuluka kwa creatinine, komanso shuga ndi mapuloteni, uric acid.
- Chifukwa cha kuyesedwa kwa magazi a immunological, kuchuluka kwa mapuloteni a C-reactive (mapuloteni, kuchuluka kwake komwe kumawonjezereka panthawi yopanga ndondomeko yotupa), ma antibodies ndi tizilombo tating'onoting'ono tomwe timatha kutenga nawo gawo pakukula kwa atherosulinosis.
- Ngati cholowa chamtundu chimakayikiridwa, kuwunika kwa majini kumagwiritsidwa ntchito kuti adziwe majini omwe amayambitsa kupezeka kwa hypercholesterolemia.
Chisamaliro chachikulu chimalipidwa kuzowonetsa mbiri ya lipid - imodzi mwanjira zazikulu zodziwira kuchuluka kwa cholesterol. Maphunziro amtunduwu amakupatsani mwayi wodziwa kuchuluka kwake:
- "Cholesterol yoyipa" (otsika kachulukidwe lipoproteins), yomwe imakhudzidwa ndikupanga atherossteosis ndikupanga cholesterol plaques.
- "Cholesterol yabwino" (high density lipoproteins), yomwe imaletsa kuchitika kwa atherosulinosis ndikuyeretsa mwachilengedwe makoma amitsempha yamagazi ku LDL.
- Maphunziro amtunduwu amathandizanso pakutsimikiza kwa cohero la ma atherogenic (kuchuluka kwa zomwe zimayambitsa cholesterol "chabwino" ndi "yoyipa").
Pambuyo pophunzira zotsatira za kuwunika komanso kupimidwa mwa munthu, dokotala amatha kusankha njira yoyenera yolandirira.
Chithandizo cha cholesterol yayikulu iyenera kuchitika mokwanira. Ngati matenda alionse amakhudza kukula kwa vutoli, ndiye kuti amayesayesa kuti athetse vuto lomwe limayambitsa matendawa.
Mankhwala
Chithandizo cha mankhwala osokoneza bongo chimagwiritsidwa ntchito magulu otsatirawa a mankhwala:
- Ma Statist omwe amathandizira kuchepetsa kupanga ndi kuchuluka kwa cholesterol, komanso kupereka zotsutsana ndi zotupa. Mankhwala osokoneza bongo omwe ali mgululi amatha kukulitsa chiyembekezo cha moyo wa wodwalayo pochepetsa chiopsezo chokhala ndi zochitika zomwe zingawononge moyo. Mankhwalawa sagwiritsidwa ntchito pakukanika kwa chiwindi, kusalolera kwa zinthu zogwiritsidwa ntchito kapena zothandiza. Statin sagwiritsidwa ntchito pochiza azimayi oyembekezera komanso othinana, komanso odwala azaka zazing'ono. Potengera momwe mankhwala a statin amathandizira, nthawi zambiri amafunika kupereka magazi kuti ayesere kugwira ntchito kwa chiwindi ndi minyewa ya mafupa.
- Fibates ndimagulu a mankhwala omwe zochita zawo zimapangidwira kukonzanso triglycerides (mamolekyu ang'onoang'ono a chinthu chonga mafuta), komanso kukulitsa kuchuluka kwa kuchuluka kwa kachulukidwe ka lipoproteins ("zabwino" cholesterol). Fibates imatha kuphatikizidwa ndi mankhwala ochokera ku gulu la statin malinga ndi lingaliro la adokotala. Contraindication pakugwiritsa ntchito gulu la mankhwalawa ndiwofanana ndi ma statins.
- Mafuta a Omega-3,6,9- mafuta osapezeka omwe amapezeka m'mafuta a nsomba ndi mafuta a masamba (flaxseed, sesame, rapeseed). Zinthu izi zimathandizira kuchepetsa triglycerides komanso kuchepetsa chiopsezo chokhala ndi mtima wamtima.
- Chifukwa cha mankhwala ochokera ku bile acid sequestrant group, bile acid ndi cholesterol amamangidwa pamodzi ndikuchotsedwa kwawo kwina m'thupi. Mankhwala osokoneza bongo a gululi amatha kuthandizidwa panthawi ya amayi apakati, amayi oyamwitsa ndi ana. Mwina chitukuko cha zosafunikira zimachitika m'njira yotulutsa, mavuto a kukoma, kudzimbidwa.
Kudzipatsa tokha sikulimbikitsidwa, chifukwa mwina sikungafunike zomwe zimapangitsa kuti pakhale zovuta. Ndikulimbikitsidwa kuperekera kusankha kwa mankhwala enieni, komanso kuchuluka kwake, kuchuluka kwake komanso nthawi yayitali yogwiritsira ntchito, kwa katswiri wodziwa bwino kwambiri, wodziwa ntchito yemwe amaganizira zotsatira za mayeso, kupezeka kwa ma concomitant pathologies ndi machitidwe a thupi la wodwalayo.
Mankhwala osagwiritsa ntchito mankhwala
Njira zosagwiritsa ntchito mankhwala a hypercholesterolemia amatanthauza kutsatira malingaliro otsatirawa:
- Ndikofunikira kuteteza kulemera kwa thupi.
- Chitani chidwi ndi zolimbitsa thupi zolimbitsa thupi ndikuyenda mu mpweya wabwino. Kusambira, masewera olimbitsa thupi, ndi katundu wojambulidwa ndizothandiza pochiritsa. Kusankhidwa kwa mtundu wa zochita zolimbitsa thupi komanso kuchuluka kwa mphamvu yake kumalimbikitsidwa kuti apereke kwa katswiri wa physiotherapy.
- Kusiya kusuta fodya ndi zizolowezi zina zoyipa.
- Munthawi yake komanso chithandizo chapamwamba kwambiri cha zomwe zimayambitsa komanso zomwe zimayenderana ndi ma pathologies.
Zakudya za cholesterol yapamwamba
Chakudya chopatsa thanzi m'magazi chikutanthauza:
- Kukana mafuta a nyama, nyama zosuta, zakudya zamzitini, zakudya zonunkhira kwambiri, zamchere komanso zonunkhira.
- Zakudya zamafuta ochepa komanso zakudya zina zopezeka m'matumbo a omega-3,6,9-acids ziyenera kuwonjezeredwa m'zakudyazo.
- Kugwiritsa ntchito masamba atsopano ndi zipatso zomwe zimakhala ndi fiber, komanso zitsamba zatsopano ndi zipatso, ndikulimbikitsidwa.
- Kuledzera sikulimbikitsidwa.
Zomwe zimachitika posachedwa kwa azimayi omwe amafunafuna chithandizo chanthawi yake ndikutsatira malangizo a dotolo ndi zabwino. Mankhwalawa atangoyamba kumene, amachepetsa chiwopsezo cha zovuta.
Ndi cholesterol iti yomwe imakwezedwa ndipo ndi yanzeru?
Kwa nthawi yayitali padziko lonse lapansi, cholesterol imadziwika kuti ndi yoipa. Pafupifupi zakudya zonse zomwe zili ndi cholesterol (monga zigawenga) siziletsedwa. Panali zakudya zamitundu yambiri zamagetsi ndi ma TV. Chifukwa chachikulu chomwe chimapangitsa kuti anthu azidana ndi cholesterol ndi zolembera za atherosselotic. Woyamba kudziwika ndi madotolo aku America pa nthawi yayitali ya asitikali (ankhondo aku Vietnam).
Asayansi ati kuti zolembera zokha (ndipo palibe china) zomwe zimayambitsa matenda a atherosclerosis, matenda oopsa omwe amaphwanya kutanuka ndi kuzungulira kwa sitimayo, komwe kumayambitsa kugunda kwa mtima kapena kugunda kwa sitiroko. Koma popita nthawi, zidapezeka kuti matenda amtunduwu amayamba chifukwa cha zinthu zina: matenda opatsirana, mkhalidwe wamanjenje, kusachita masewera olimbitsa thupi, ndi zina zambiri.
Kanema wachidule: amapezeka bwanji cholesterol plaques? (42 sec)
Ponena za cholesterol palokha, zidapezeka kuti zimatha kukhala zabwino komanso zoyipa. Kupitilira apo, zidapezeka kuti cholesterol yabwino ndi chinthu chofunikira, chotsika chomwe sichikhala chowopsa kuposa mlingo woyipa kwambiri. Mu terminology yamankhwala, mayina awo ndi: HDL ndi LDL (lipotroteins apamwamba / otsika). Chizindikiro chimodzi chofunikira cha cholesterol yotsika ndikuvutika mtima kwambiri. Ngati palibe chochita ndi vutoli mwa amuna, kuchepa kwa potency kumachitika, mwa amayi pali amenorrhea.
Gawo lotsatira pakuphunzira mutuwu ndizopeza kuti zofunikira za cholesterol yamagazi mwa amayi ndi abambo zimasintha ndi zaka. Izi ndichifukwa cha zinthu zambiri. Mwachitsanzo, cholesterol yokwera mwa akazi pambuyo pa 50 imachitika chifukwa cha kusintha kwa thupi m'thupi komwe kumayamba chifukwa cha kusamba. Koma mtundu wake (onani TABLE) mkati mwa malire ovomerezeka umawoneka ngati wabwinobwino. Kwa atsikana achichepere ndi amayi okalamba - zikhalidwe za cholesterol ndizosiyana.
Zizindikiro za cholesterol yayikulu (tebulo)
Poyamba, tikukulimbikitsani kuti muzidziwitsa bwino za zizindikiro zosadziwika bwino za cholesterol. Zosawerengeka, chifukwa amatha kulembetsa zovuta zina zambiri zaumoyo. Wosayenera - chifukwa ndiziwalo izi zomwe zimafotokozera vuto lathu.
Zizindikiro zosadziwika
Zombo zapamadzi: | Dongosolo la miyendo: |
---|---|
posachedwa nthawi zambiri amadwala mutu (osati "mutu" watsopano), | kupweteka kwa minofu (poyenda), kukokana usiku (kapena m'mawa), |
kusowa tulo (kupweteka mutu) sikumapuma usiku | Posachedwa zala zanu zayamba kuzimiririka, |
chizungulire chowirikiza, chomwe chimatsagana ndi "kuyipa" m'maso, | mapazi nthawi zambiri "amaundana" (pakupumula) |
Mwaona zosakhazikika pakugwirizanitsa kayendedwe (zinthu sizikhala "m'manja"), | Khungu lasintha (zilonda zam'mimba zaoneka), |
kukumbukira kwasowa (nkovuta kuyang'ana malingaliro / ntchito za tsiku ndi tsiku). | mitsempha "yotupa" kwambiri (simunazindikire izi kale). |
Zizindikiro zoyipa
Nthawi zambiri zimawonetsedwa kale mu gawo lovuta la matenda.
(omwe amapangika m'maso a m'maso (nthawi zambiri, pafupi ndi mlatho wamphuno) ndi "zopindika" zamtundu wosasangalatsa / wachikasu, kukula kukula pakapita nthawi / zatsopano zimawonekera),
- lipoid corneal chipilala
(chochitika chofala kwambiri kwa osuta (amuna ndi akazi) osakwana zaka 50, koma kwakukulu - ali amsinkhu / chibadwa).
chithunzi cholid arc (chithunzi) | xanthelasma (chithunzi) |
Khalidweli
Mayina azachipatala: cholowa monga cholowa, dysbetalipoproteinemia ndi ena. Kotsimikizika ndi kusanthula kwa majini. Chomwe chikuchitika ndikuti pakakhala vuto monga kuchuluka kwa mafuta m'thupi m'magazi a m'modzi wa makolo, mwayi wokhala wolandirayo umakulirakulira kuchokera pa 30 mpaka 70%. Izi ndichifukwa choti majini "oyipa" / osalongosoka, monga lamulo, ali ODZULULA. Makamaka kwa azimayi okayikira, timalengeza kuti nthawi zambiri chilengedwe chimachita zinthu mwachilungamo. Ndiye kuti, timalandira zabwino koposa zoipa!
Izi zimaphatikizapo: ma pathologies, ndi matenda omwe adasamutsidwa kale. Choyamba, awa ndi matenda a chiwindi: hepatitis yacute / yayitali (dzina lina: jaundice), komanso matenda ena omwe amatsogolera kutsekeka kwa bile ducts. Otsatirawa matenda a shuga mellitus, nyamakazi ya m'mimba, chifuwa chachikulu, "zilonda" zaimpso, matenda oopsa, matenda a mtima, ndi zina zambiri. Mndandandawo ndiwamkulu, chifukwa chake (chifukwa chomwe mayiyo ali ndi cholesterol yayikulu) chitha kutsimikiziridwa ndi dokotala, malinga ndi zotsatira za mayeso ndi kuzindikira. Ndipo, chofunikira kwambiri, CHOLINGA CHA KUKHUMUDWITSA ayeneranso kupatsidwa - Pokhapokha dokotala.
Kuperewera kwa zakudya m'thupi
Cholesterol okwera mwa atsikana azaka 25-30, nthawi zambiri, amatha chifukwa cha HARMFUL DIETS (mwachitsanzo, kuchotsa ma kilogalamu "owonjezera"). Kwa azimayi atatha zaka 40 (makamaka akugwira ntchito) - kusintha pamlingo kumatha kuphatikizidwa ndi zakudya za "cafe" (zakudya zachangu, ma hamburger, pizza kapena "zokhwasula" zina masana). Pankhaniyi, mukufunika zakudya zoyenera komanso zosankha bwino, chifukwa nzoletsedwa kukana chakudya chilichonse chomwe chili ndi mafuta. Kupanda kutero, mutha kupeza vuto linanso, osati laling'ono, lomwe limafotokozedwa mwatsatanetsatane m'nkhaniyi:
Zizolowezi zoipa
Kusuta (komanso, kungokhala, ndi mamuna kapena bwenzi lakampani), uchidakwa kapena uchidakwa. Amakhulupirira kuti vinyo wabwino (kutanthauza kuti wapamwamba kwambiri komanso wokwera mtengo) ndi njira yabwino kwambiri yopeŵera matenda ambiri. Ndizabwino kwambiri thanzi la mayi, koma vuto ngati cholesterol yayikulu, silothandiza. Ponena za zakumwa zoledzera zapamwamba / mowa wambiri kapena mowa, muyenera kuziwonjezera kwakanthawi - ngakhale patchuthi chachikulu. Ndipo ngakhale mutachira komaliza, chepetsani kugwiritsa ntchito zomwe mwakhazikitsidwa ndi akatswiri - madokotala.
Zaka za akazi (makamaka pambuyo pa zaka 50-60)
Pankhaniyi, zifukwa zikuluzikulu za cholesterol yayikulu ndi mapeto osasangalatsa ku nthawi ya kusintha kwa thupi (yomwe, mothandizirana, imathandizira kuwonjezeka kwa cholesterol yoyipa ya LDL ndipo, chifukwa chake, kulemera msanga). Otsatirawa ndi: kupsinjika mtima (nkhawa za ana okalamba, kupuma pantchito, ndi zina zambiri), moyo wosachita masewera (mwachitsanzo, poyerekeza ndi momwe zidalili zaka zachichepere), komanso zakudya zopanda thanzi (timadya kwambiri kuti - ZOSAVUTA, Osatinso KUGWIRITSITSA).
Kukhala moyo wongokhala - kusachita masewera olimbitsa thupi
Monga lamulo, azimayi amakhala ndi "SITTING JOB", kuphatikiza chilichonse, anthu amakono amakonda kusala "kukhala" (kutsogolo kwa kompyuta: malo ochezera, masewera, ndi zina). Chifukwa chake mavuto omwe ali m'magazi "osasunthika" (komanso owopsa kwambiri ndi lipoprotein otsika kwambiri). Pankhaniyi, cholesterol yowonjezereka mwa azimayi ithandizanso kuletsa: chakudya chochepa / chosavomerezeka (chofunikira, chovomerezedwa ndi kuvomerezedwa ndi dokotala) komanso kuchita masewera olimbitsa thupi pafupipafupi. Kusankha koyenera ndikusainira dziwe kapena kuthamanga kwa m'mawa. Zonse zimatengera mawonekedwe amunthu.
Mimba
Kolesteroli wokwera wamagazi mwa amayi apakati amatha kupezeka wachiwiri kapena wachitatu trimester. Munthawi yofunikira iyi ya moyo, mulingo umatha kukwera ndi 15%. Koma osadandaula kwambiri! Pankhaniyi, hypercholesterolemia yolimbitsa thupi sikhala "matenda" yayikulu kapena kukhazikika kwa masinthidwe amtundu wamtima. Mlingo wambiri wa lipids umatheka chifukwa chopanga kwambiri mafuta m'thupi la chiwindi m'thupi la ana.
Msambo
Malinga ndi mawonekedwe ena a kapangidwe ka mafuta accohols, motsogozedwa ndi estrogens (mahomoni achigololo achikazi), theka loyamba la mkombero, cholesterol level "imatha kudumphira" pafupifupi 10%. Koma izi zimatengedwa kuti ndizachilengedwe - palibe chifukwa chodera nkhawa. Chotsatira pakubwera. Malinga ndi akatswiri, ma lipoproteins okwera amatha kuonedwa mu theka lachiwiri lazungulira, koma kale zochepa (5 - 8%).
Zomwe zimayambitsa cholesterol yayikulu
Kuperewera kwa zovuta zopuma / zamaganizidwe, kusintha kwa nyengo / nyengo, komanso kugwiritsa ntchito mankhwala kwakanthawi (ndi zotsatira zoyipa). Zowopsa ndizomwe "mapiritsi" omwe amayi "amadzipatsa" (malinga ndi magazini kapena nyuzipepala).
Chithandizo chokhacho chikuopseza moyo! Dzitchinjirize ku zinthu zopusa.
Kodi cholesterol ndi ntchito yanji mthupi
Kuphatikiza pa mafuta (lipids), zinthu ngati mafuta (lipoids) zimapezekanso m'thupi. Ma lipoid amaphatikiza ma phospholipids, glycolipids ndi ma steroids, zomwe ndizofunikira pazinthu zonse zachilengedwe za thupi (cell membranes).
Membranes ndi 60% mapuloteni ndi 40% lipoid. Cholesterol (kapena cholesterol) imakhalanso ndi steroid lipoid. Chifukwa chake, popanda cholesterol, kukhalapo kwa maselo ngati mabungwe odziyimira pawokha sikosatheka.
Cholesterol ndiwotsogolera:
- bile acids (koyenera kuti emulsation yamafuta azakudya komanso chimbudzi chokwanira),
- mahomoni a steroid (adrenal cortex, mahomoni ogonana amuna ndi akazi),
- Vitamini D (wopangidwa kuchokera ku cholesterol kokha mothandizidwa ndi kuwala kwa dzuwa, popanda mavitamini a magazi ndi mapangidwe a mafupa ndizosatheka).
Kuchuluka kwa cholesterol - muyenera kuchitanji, momwe muyenera kuchitira?
Funsoli limayankhidwa bwino ndi inu - katswiri woyenera wa zamankhwala, monga lamulo, atatha mayeso odutsa komanso kufufuza mozama / kufunsidwa / kuphunzira zamatenda oyamba. Nthawi zambiri, munthu woyamba kuuza wodwalayo za vuto la cholesterol yayikulu m'magazi ndi wochiritsira kwanuko. Kupitilira, malinga ndi momwe zinthu ziliri, atha kukutumizirani kwa akatswiri ena (mupeza mndandanda watsatanetsatane waiwo PANO) Mwachitsanzo, kwa endocrinologist kapena gastroenterologist, koma nthawi zambiri - mwachindunji kwa a mtima.
Dokotala kufunsira
Chithandizo cha mankhwala osokoneza bongo nthawi zambiri chimagwiritsidwa ntchito povulala kwambiri. Kuti mudziwe momwe mungagwiritsire ntchito cholesterol yayikulu mwa mkazi kapena mwamunayo, ndikofunikira kudziwa chomwe chimayambitsa (kuzindikira mizu yvutoli, osangotula zipatsozo nthawi zonse). Kuti muyambe (ngakhale ndi "pang'ono" chosasiyidwa), dokotala azikulangizani:
- Tsatirani zakudya.
Ndipo ndi cholesterol yapamwamba ya azimayi ochepera zaka 50 - 60, tebulo # 10 lingasankhidwe.Webusayiti yathu mutha kuzidziwa bwino zofunikira zamagulu a mafuta a cholesterol - ayenera kuphatikizidwa ndi chiyani? Pamasamba ena mungadziwe: zomwe zimadya cholesterol chochepa, ndipo zomwe, zimawonjezera.
- Zochita zolimbitsa thupi.
Munthu aliyense payekha malinga ndi zaka komanso mawonekedwe a thupi. Kwa azimayi achichepere, yankho labwino limakhala kuthamangira m'mawa, kwa okalamba - dziwe losambira, la anthu okalamba - kuvomerezedwa kuyenda mu mpweya watsopano (tsiku lililonse, osachepera ola limodzi, osachepera ma kilomita asanu, makamaka kupaki).
- Kukana zizolowezi zoipa.
Tsoka ilo, azimayi ambiri amakono amasuta ndipo amakonda vinyo wabwino.
- Lemberani mankhwala.
Monga tafotokozera pamwambapa, pokhapokha pamavuto / povuta kwambiri. Nthawi zambiri awa ndi ma statins (gulu lapadera la mankhwala omwe amatchinga ntchito ya enzyme yapadera yomwe imayang'anira kupanga cholesterol m'chiwindi). Kapena zoletsa - kuletsa kuyamwa kwa lipids m'matumbo.
Kutsatira malamulo atsopano a moyo
- Pangani mndandanda watsopano.
Kuti mumvetsetse zomwe ziyenera kuphatikizidwamo ndi zomwe zimafunikira kupatula, mutha kudziwa maulalo:
"Zosangalatsa zina za moyo" (zakudya zokazinga) zidzasiyidwa kwamuyaya kuti zithetse zaka zawo. Ndipo izi ndizowopsa! Kuchokera pazinthu zina - kukana kwakanthawi mpaka cholesterol yayikulu m'magazi itatsika kukhala yokhazikika.
- Sinthani masinthidwe amasana.
Kuphatikiza masewera olimbitsa thupi, kuyenda mu mpweya wabwino, kulembetsa nawo malo olimbitsa thupi, dziwe losambira, kupeza dimba / kanyumba. Zonse zimatengera zaka. Asayansi amakono azindikira kuti ngakhale nyimbo zabwino (zambiri zakale) zimatha kutsitsanso cholesterol.
Muyenera kuyambitsa bizinesi iyi "osati kuyambira Lolemba" kapena "mawa", koma pakali pano!
Kupimidwa pafupipafupi
Kuti muthane ndi cholesterol yayikulu / yotsika, ndikofunikira kuchita kafukufuku wapadera wa magazi kamodzi kamodzi pachaka. Mwambowu ndi wofunikira kwambiri kwa anthu odwala matenda oopsa, matenda ashuga, ndi matenda amtima. Chofunikira kwa azimayi omwe ali onenepa kwambiri, osuta fodya komanso otsogolera moyo wokhazikika (ntchito ya azimayi, makamaka "amangokhala"). Pakupatuka pang'ono pazikhalidwe zonse, muyenera kufunsa dokotala!
Kodi cholesterol imachokera kuti?
Chifukwa chakufunika kwazinthu izi pakugwira bwino ntchito kwa thupi, chilengedwe sichidalira chakudya chake mwangozi, koma idapanga njira yopanga cholesterol m'chiwindi. Nthawi yomweyo, amabwera ndi chakudya. Kutengera cholesterol yomwe idalandidwa kuchokera kunja, chiwindi chimasintha kuchuluka kwa zinthu zomwe zimapangidwa mthupi ndi zosowa zapanopa, ndikukhalabe wofunikira m'magazi, kuyambira pomwe chinthucho chimapita kukamanga zimangirizo ngati kuli kofunikira. Chifukwa chake, mwa anthu, kuthekera kolamulira cholesterol yamagazi posankha zakudya zapadera ndizochepa.
Thupi laumunthu limakhala ndi cholesterol pafupifupi 140 g, yomwe pafupifupi 1,2 g imatsitsidwa tsiku lililonse. Kuti mukhale ndi thanzi labwino, muyeso womwewo umayenera kulandiridwa ndi chakudya ndikupanga thupi. Ndipo izi zimachitika - ndi chakudya, 0,4 g wa cholesterol amabwera, ndipo chiwindi chimatsalira kuti apange 0,8 g wosowa.
Cholesterol chabwino komanso choyipa
Ngati mumayesa cholesterol yathunthu, ndiye kuti mulingo woyenera kwambiri sayenera kukhala woposa 5.2 mmol / L. Ndi kuyezetsa magazi koposanso, gulu la organic lalitali (lomwe nthawi zambiri limatchedwa labwino) komanso lotsika (lotchedwa loyipa) limatsimikizika payokha. Kuti mumvetse tanthauzo la mitundu iyi ya cholesterol, munthu ayenera kumvetsetsa momwe mafuta amayendetsedwa m'thupi la munthu.
Mafuta acids, momwe mafuta amchakudya amawonongeka m'matumbo, amatumizidwa ndi ma cell apadera - ma chylomicrons, ndipo cholesterol imayendetsedwa ndi otsika osalimba a lipoproteins (LDL) ndi high density lipoproteins (HDL). LDL imasamutsa ndikuyika zofunikira mumakoma a mitsempha, ndipo HDL imasamutsa cholesterol ku chiwindi ndikuchisamutsira ku tinthu tina. Kuchokera apa potsatira tanthauzo la mitundu iwiriyi ya ma lipoprotein ngati "oyipa" ndi "abwino".
Cholesterol - chifukwa cha atherosulinosis
Mafuta a cholesterol okwanira palokha samayenda ndi zizindikiro zilizonse. Zizindikiro zimachitika mu atherosulinosis, zomwe zimachitika chifukwa cha zinthu zochulukitsitsa.
Ndi matenda atherosselotic, ziwiya zamtima, ubongo ndi ziwalo zina zimakhudzidwa, ndikupanga mapangidwe a atherosselotic akakhazikitsa lumen yawo m'mitsempha. Kuphatikiza apo, mwa amayi, pakhoza kukhala kusokonezeka m'magazi a ziwalo zam'magazi ndikupanga zovuta zotsatirazi:
- mutu
- chizungulire
- myocardial infaration
- matenda am'mimba
- thrombosis
- necrosis ya zala.
Kapangidwe ka ma atherosselotic plaques kumaphatikizapo cholesterol, chifukwa chake, kukula kwa zotumphukazi ndikumveka - cholesterol (kutanthauza, LDL) ndi chiopsezo cha atherosulinosis. Zinthu zapamwamba za HDL zimachepetsa ndikuletsa kupangika kwa zinthu m'makoma amitsempha yamagazi.
Kuchuluka kwa cholesterol kwanthaŵi yayitali kungayambitse kupangika kwa matenda akuluakulu a mtima (matenda a mtima, kugunda kwa mtima, kufooka kwaimpso ndi chiwindi, ndi zina zambiri).
Amayambitsa cholesterol yayikulu magazi
Kukumana kwa chinthu m'thupi kumayendetsedwa ndi kuchuluka kwa mahomoni a chithokomiro komanso estrogens, komanso cholesterol pazakudya.
Monounsaturated oleic acid mothandizila sizimakhudza mafuta a cholesterol, momwe mafuta acids ena amafanizidwa ndi momwe amathandizira. Mafuta akunyowa anyama akamadyedwa ndi chakudya, kuchuluka kwa zinthu zamafuta am'magazi kumakwera. Amapezeka m'mitundu yambiri pazinthu zotsatirazi zochokera ku nyama: batala, ng'ombe, mutton, mafuta a nkhumba, batala la cocoa.
Kuchuluka kwa cholesterol ndi munthu payekha. Udindo wa chibadwa umatsutsidwa.
Njira yosayenera imayambitsa kuwonjezeka kwa cholesterol mwa amayi, komanso matenda ena ndi mawonekedwe amachitidwe:
- kusuta
- uchidakwa
- zolimbitsa thupi
- mimba
- kusintha kwa thupi
- matenda ashuga.
Trans isomers of monounsaturated FAs imachulukitsa cholesterol.
Chithandizo Chapamwamba cha Cholesterol
Kuti matenda a cholesterol azitha kukula, zakudya zotsatirazi ziyenera kuyambitsidwa m'zakudya:
- zipatso ndi masamba
- skim mkaka,
- Zakudya zophika kapena zophika,
- nyama yoyera.
Kukula kochepa kwa cholesterol, zomwe zimakhala m'machitidwe ake ndizofanana ndi zochitika zolimbitsa thupi (ngati zingatheke, kuthamanga tsiku lililonse pamtunda wa 4 km kapena kuyenda kwa 1-1.5 maola).
Chakudya chofulumira chimathandizira kuwonjezera cholesterol, chifukwa chake muyenera kudya zakudya zanu mozama.
Ndi kuchuluka kwa zinthu, dokotala amatha kukupatsani mankhwala. Kwenikweni, ma statin adayikidwa kuti aletse kaphatikizidwe kazinthu zophatikizana m'chiwindi.
Posankha - mafuta a nsomba kapena mafuta a camelina
Kugwiritsa ntchito mafuta ochulukirapo a polyunsaturated acid acid (PUFAs) kumabweretsa kutsika komanso kuchepetsa matenda a cholesterol. Mwa izi, mafuta achilengedwe a linoleic ndi linolenic okha ndiwo amawonedwa kuti ndiofunikira. Ma FA ena onse (onse opanikizika ndi ophatikizidwa) amakhala opangidwa mthupi la munthu kuchokera kuma protein ndi mapuloteni.
Kuchokera ku PUFA, cholesterol imachepetsa kwambiri linoleic acid, yomwe ndi ya omega-6 fat acid acid. PUFA wina, linolenic, ndi wa banja la FA omega-3s. Mlingo wa cholesterol pawokha suchepetsa, koma umachepetsa zomwe zimachitika m'magazi, ndipo mukalowetsa ma FAs omwe mumakhala zakudya zamafuta omwe ali ndi omega-3, kuchuluka kwa zinthu zoipa kumachepa. Chifukwa chake, linolenic acid imachita chimodzimodzi ndi linoleic.
Izi zikutanthauza kufunikira kwa kukhalapo kwa ma acid onse muzakudya. Kufunika kwa ma FAs a mabanja a omega-3 ndi omega-6 kumatsimikizika pamaziko a kuchuluka kofunikira popewa kuchepa, kutsekeka kwawo kwamankhwala ndi ziwalo zimagwira monga chizindikiro chosakwanira cha ma asidi awa. Malingana ndi zikhalidwe za Russian Federal Service for Supervision of Consumer rights Protection and Human Welfare, gawo lokwanira kugwiritsa ntchito la omega-3 banja la FAs ndi 1 g, gawo logwiritsiridwa bwino kwambiri ndi 3 g.Pabanja la mabanja la omega-6, malo okwanira amafotokozedwa ngati 10 g, ndipo mulingo woyenera kwambiri suwonetsedwa.
Kuphatikiza pa kuchuluka kwa mafuta a omega-3 ndi omega-6 acids m'zakudya mosiyana, kuchuluka pakati pawo ndikofunikira. Omega-6 sayenera kupitilira omega-3 nthawi zopitilira 10, popeza ma asidi awa amapikisana ndi thupi pazinthu wamba. Ndi owonjezera imodzi, mayamwidwe a enawo akuipiraipira. Chiwerengero choyenera kwambiri komanso chokhazikika chokhazikika pakati pa omega-3 ndi omega-6 PUFA chimawerengedwa ngati chiyerekezo kuyambira 1: 2 mpaka 1:10.
Pazakudya za anthu amakono, gawo ili lasintha kwambiri mokomera omega-6 ndikufika pa 1: 20-1: 30, chifukwa cha kupezeka kwakukulu kwa mafuta a mpendadzuwa kwa anthu, kuchepa kwa zakudya zam'madzi komanso kuchepa kwa mazira a omega-3 FA, mkaka ndi nyama yanyama, kudyetsa kuphatikiza kophatikiza ndi mbewu. Kuwongolera vutoli, kukonza zakudya ndikofunikira, i.e. M'malo mwa mafuta a mpendadzuwa ndi mafuta a nsomba kapena camelina, mpiru kapena mafuta ophikira.
Kugwiritsira ntchito molakwa zakudya zamafuta ochepa kumatha kuyambitsa cholesterol yambiri (pamene thupi silikupeza ndi chakudya, imayamba kupanga zinthu mwachangu).
Kudya amadyera
Mosiyana ndi herbivores, thupi la munthu limasinthidwa kwakanthawi kuti liwonjezere magazi m'thupi. Anaphunzira kuthana ndi zotsalira zake. Zinthu zokhala ndi CHIKWANGWANI cha mbewu zomwe zimathandizira kukula kwa lactobacilli ndi bifidobacteria, zomwe zimachotsa ma asidi a bile m'matumbo, pomwe, cholesterol imapangidwa m'chiwindi, imathandizira kuchotsedwa kwachilengedwe.
Zinthu zopaka mkaka zimathandiza kukhalabe ndi microflora yathanzi.
Greens ndiye gwero lolemera kwambiri la antioxidants lomwe limaletsa kukhudzana ndi cholesterol ndikuletsa kuti isakhazikike pamakoma amitsempha yamagazi. Zomera zamasamba sizikhala ndi iwo, m'malo mwake, zimakhala ndi mitundu yofananira (phytosterols). Chifukwa cha kufanana kwa mankhwala ndi cholesterol, ma phytosterols amalowa mu mpikisano ndi iwo ndikuwugwetsa, kumapangitsa kuyamwa kwake ndikulimbikitsa kutulutsa. Chifukwa chake, zakudya zokhazikika zokhazikika zimachepetsa magazi m'thupi. Nthawi yomweyo, ma phytosterols m'thupi samadzikundana, chifukwa samalowa kwambiri m'matumbo.
Nthawi zambiri, kusatsatira malamulo a moyo wathanzi kumabweretsa mafuta ambiri m'thupi. Sinthani kulemera kwanu, perekani zakudya zoyipa, pitani m'masewera ndipo mulingo wa zinthu pang'onopang'ono udzabwezeretsa bwino. Mu milandu yayikulu kwambiri, ndikofunikira kutsatira mosamalitsa njira zochizira zotchulidwa ndi katswiri.