Kupezeka kwa cholesterol pakuwunika mkodzo
Ngati cholesterol yapezeka mkodzo, ndiye kuti izi zimatengedwa ndikupatuka ndikuwonetsa kuchepa kwa maselo amafuta ndikuwonongeka kwa thupi. Mosiyana ndi magazi, momwe mulingo wa cholesterol umakwezeka kapena kuchepa pakati pa anthu, kupezeka kwa chinthuchi m'magazi am'madzi omwe amapangidwa ndi kwamikodzo sikofunikira kwenikweni.
Zotsatira za cholesterol mu mkodzo zimatha kupezeka pogwiritsa ntchito ma microscopic. Kafukufuku wotere amachitika pofuna kutsimikizira kuwunika kwa zinthu zachilengedwe. Ngati cholesterol ilipo mu mkodzo, ndiye kuti imatha kuwoneka pamtunda wa chitsanzo. Pakapita kanthawi, imakhazikika ndikuwonekera pansi pa chidebe chomwe mkodzo unasonkhanitsidwa kuti mupange kafukufuku.
Ngati mankhwalawa apezeka pang'onopang'ono, munthu sayenera kuchita mantha nthawi yomweyo. Ndikofunikira kumvetsetsa zomwe zingayambitse kusintha kumeneku, kenako ndikuganiza zokhazo zovuta.
Cholesterol provocateurs
Pansi pa ma microscope, cholesterol imatha kusiyanitsidwa kuchokera kuzinthu zina ndi mawonekedwe. Ndiwopanda khungu ndipo mawonekedwe ake ali ndi mpanda wolimba. Nthawi zina organic pawiri imatha kuwoneka ngati cylindrical.
Zomwe zimapangitsa kuti cholesterol yayikulu mumkodzo ikhale motere:
- Chiluria. Njira ya pathological yomwe imadziwika ndi kukanidwa kwa minyewa yam'mimba komanso kuchotsedwa kwawo mthupi ndi mkodzo. Zomwe zimapangitsa kuti chyluria apangidwe ndi zoopsa, zotupa, za neoplastic komanso za pambuyo-chifuwa. Ngati akukayikira chyluria, kuyesa kwamikodzo kuti kupezeka kwa organic pompopompo kumayikakamiza. Kupezeka kwa cholesterol m'magazi achilengedwe ndiye chizindikiro chachikulu cha zovuta zam'madzi.
- Kuwonongeka kwamafuta kwa impso. Zimapezeka ngati makristulo a cholesterol amapezeka mumkodzo panthawi yoyesedwa.
- Echinococcosis wa impso. Njira yodutsitsayi ndiyosowa. Amadziwika ndi kuwonongeka kwa cortical wosanjikiza ndi impso, zomwe, pambuyo pa colonizing zimakhala, zimakula ndikuyamba kuwonjezera kuchuluka kwawo.
- Cystitis. Ndi matendawa, njira yotupa imayang'aniridwa, yomwe imadziwika mu chikhodzodzo. Mlingo wazinthu zachilengedwe zomwe zimachitika munthawi imeneyi zimachulukitsidwa kwambiri. Matendawa ndi amitundu yonse. Zizindikiro zosasangalatsa zomwe wodwalayo amadandaula zimathandizanso kutupa kwa chikhodzodzo.
- Matenda a Gallstone. Mafuta cholesterol samakhalapo nthawi zonse m'matenda amtunduwu, chifukwa chake mawonekedwewo akhoza kuwonetsedwa mu mzere wa fomu yofufuzira zasayansi. Ngati pali zizindikiro za matenda a ndulu, urinalysis imachitidwa, koma sichomwe chimapangitsa kuti adziwe mayesowo. Tsimikizani kapena bvomerezani kuti matenda amatchulidwa pokhapokha mutazindikira mozama za thupi.
Nthawi zambiri, kupezeka kwa cholesterol mu mkodzo kumawonekera pambuyo poyambira zizindikiro za malaise zoyambirira, zomwe zimayambitsidwa ndi matenda oyambitsidwa, koma pali zochitika zina pomwe matenda atapezeka mu kafukufukuyu asanapweteke kwambiri.
Kuyeserera kochita masewera olimbitsa thupi pachaka kumathandiza kupewa matenda ambiri.
Hematuria kapena kuti cholesterol imachokera kuti?
Hematuria ndi matenda ena omwe njira yodziwika bwino yoyendetsera mkodzo siinachitike:
- Pamaso pa izi, magazi amatha kulowa mkodzo. Ndi iye amene amanyamula cholesterol.
- Mitsuko imatha kupakidwa utoto wosiyanasiyana, kuchokera ku pinki yopepuka mpaka yofiirira yakuda (mtundu wamtundu wa nyama).
- Kukhalapo kwa kupatuka uku kumakhazikitsidwa ndi kuchuluka kwa maselo ofiira amkodzo mumkodzo, ndipo pachifukwa ichi, kuchuluka kwamagulu a cholesterol sikumapatsidwa kufunikira kwapadera.
Pali othandizira ambiri pakukula kwa hematuria. Ena mwa iwo ndi owopsa ndipo amafunikira chithandizo chachikulu kuchipatala. Chifukwa chake, ngati zotsatira za urinalysis zaulula matenda, tikulimbikitsidwa kuti tichite kafukufuku wofufuza mwatsatanetsatane kuti tidziwe zomwe zimayambitsa kupatuka. Kungodziwa gwero lavutoli, mutha kuthana nalo moyenera.
Hematuria itha kukhala chifukwa cha kuponderezedwa kwa imodzi mwazomwe zili pamwambapa.
Kutenga kolakwika kwa zinthu zachilengedwe kungasokeretse zotsatira zoyeserera za labotale zabwino komanso zoyipa. Kuti musapeze zotsatira zabodza, malingaliro onse azachipatala ayenera kutsatiridwa mosamalitsa.
Zimayambitsa cholesterol mkodzo
Mafuta a mkodzo amatha kuwoneka ndi kusiyanasiyana ndi mawonekedwe ake - chikwangwani cham'mphepete. Nthawi zambiri imasambira ngati chinthu chopanda utoto, imatha kutenga mawonekedwe a cylindrical. Kukhalapo kwa cholesterol mumkodzo kumatha kuzindikirika palokha, popanda maikulosikopu. Imayandama pamtunda kapena poterera, mkodzo umatha kukhazikika pamakoma a thankiyo. Zolinga zamaphunziro makemikolo a mkodzo:
- Chiluria. Kukanidwa kwa minyewa ya m'mimba, kuchoka kwake ndi mkodzo. Kupezeka kwa cholesterol ndiye chizindikiro chachikulu cha matenda. Zomwe zimapangika pakukula kwa matendawa zimatha kukhala: kutupa, kutupa kwa neoplastic mthupi, njira zoopsa za m'mbuyo kapena pambuyo pa chifuwa chachikulu.
- Mafuta Zamafuta (nephrosis). Cholesterol mumkodzo wamkodzo.
- Renal echinococcosis. Kukula ndi kukula kwa helminths mu cortical wosanjikiza impso. Pambuyo kulowa impso, helminths imayamba kuchulukirachulukira.
- Cystitis. Kutupa kwa chikhodzodzo Kuphatikizidwa ndi zowawa, zomwe wodwalayo amadandaula. Chizindikiro chowonongeka ndi kupezeka kwa impso epithelium mu mkodzo. Pafupifupi azimayi onse amatenga matendawa, ndipo atazindikira koyambirira, chitukuko sichitha kuloledwa kupita ku impso (pyelonephritis). Thanzi la amayi limafunikira chisamaliro chochulukirapo komanso kupenda pafupipafupi, kulandira chithandizo cha panthawi yake.
- Matenda a Gallstone (Chizindikiro) cha matendawa.
- Hematuria. Cholesterol imalowa mkodzo limodzi ndi magazi. Kupatuka pamlingo wama cell ofiira amkati mumkodamo amalembedwa. Muzochitika izi, kupezeka kwa cholesterol mu mkodzo sikumapatsidwa kufunikira kwambiri.
- Oncology. Kutupa kwa cholesterol yaulere mu mkodzo wa odwala khansa kumasiyana kwambiri (palibe malire omveka). Komanso cholesterol imatha kupezeka mwa odwala komanso ndowe. Kukhalapo kwa zizindikirozi kumatha kuchita ngati njira zowonjezera pakuzindikiritsa ndi kuchiza khansa. Kukula kwa maselo owopsa kumatha kudziwika motere: cholesterol m'magazi imagwa ndipo, mmalo mwake, chizindikiro chachikulu mumkodzo wa wodwalayo chimawonekera. Kupezeka kwa cholesterol mu mkodzo sikungatchulidwe monga chizindikiro chokhacho cha matenda. Kafukufuku wochitidwa ndi asayansi awonetsa kuti kupezeka kwa cholesterol mu chakudya kumayambitsa khansa.
Kuti mupeze matenda olondola, ndikofunikira pezani mayeso molondola. Ndondomeko yakeyomweyo siyovuta ndipo ili ndi njira zotsatirazi:
- Zaukhondo njira za kumaliseche.
- Mkodzo umayenera kusungidwa m'mawa kwambiri, musanatenge chakudya ndi chilichonse.
- Chombocho chiyenera kukhala chouma.
- Ndikwabwino kusungitsa mkodzo wapakati.
- Kwa phunziroli, mayesowa amayenera kuperekedwa ku labotale mkati mwa maola atatu.
Decryption imatha kukhala ndi mapuloteni ochepa, magazi ndi mafuta m'kodzo la anthu athanzi mukatha kuchita masewera olimbitsa thupi kapena kulimbitsa thupi. M'magazi, kuchuluka kwa cholesterol kumatha kusinthanso pang'ono mukamachita masewera olimbitsa thupi. Koma pofuna kulondola, muyenera kudutsa mayeso omwe dokotala angakupatseni kuti mupime mayeso athunthu komanso kupatula matenda omwe ali pamwambawa.
Pamaso pa cholesterol mu mkodzo, dokotala yemwe akupezekapo akuyenera kupereka mayeso owonjezera ndikuwunikira kukumbukira mbiri ya wodwalayo. Kuzindikira matenda mu urology sikuyenera kukhala chizindikiro chokha cha matenda ena, payenera kukhala Zizindikiro ndi Zizindikiro zina. Mimba, zaka za amuna ndi akazi pambuyo pa zaka 45 - gulu lowonjezera chidwi. Nthawi zambiri, pakapanda kukhala cholesterol mkodzo.
Cholesterol chizolowezi mwa akazi mwa mibadwo
Cholesterol ndi gulu laachilengedwe la gulu la lipids (mafuta). Imagwira ntchito zingapo zofunika mthupi la munthu, makamaka, ndi gawo la mahomoni ena (mahomoni achigololo achikazi, glucocorticosteroids) ndi nembanemba wamakhoma a cell, kutsimikizira kukhazikika kwawo.
Kukula kwotalikirana komanso kwakwanira kwa magazi a mkazi ndi komwe kumayambitsa kukhudzana kwambiri ndi mtima wamagazi komwe kumalumikizidwa ndi kuyika kwa cholesterol m'makoma a ziwiya zam'mbuyo ndi mapangidwe a atherosulinotic plaques omwe amachepetsa chilolezo chawo.
Ngati matayala amtundu wa atherosulinotic wawonongeka, mawonekedwe a magazi, njirayi ndiyo imayambitsa chitukuko cha matenda amtima, omwe nthawi zambiri amatanthauza kugwidwa ndi matenda am'mimba komanso chithokomiro cha mtima.
Kudziwika kwa cholesterol yamagazi mwa akazi ndi njira yofunikira yofufuzira ma labotale yomwe imakupatsani mwayi wolosera zam'tsogolo, komanso kupewa ngozi yamtima.
Kodi kusanthula kumaperekedwa bwanji?
Kafukufuku wokhudza kuchuluka kwa cholesterol m'mwazi wa amayi amachitika pakuwunikanso zamankhwala amodzi ndi kutsimikizira kwa mbiri ya lipid. Kafukufukuyu akuphatikizira kudziwa kuchuluka kwa cholesterol yathunthu ndi zigawo zake, zomwe zimaphatikizapo:
- Ma lipoproteins otsika kwambiri (VLDL) - ndi mankhwala osokoneza bongo omwe ali ndi mapuloteni, mafuta aulere ndi cholesterol.
- Low density lipoproteins (LDL) - ali m'gulu la atherogenic, popeza ali ndi kuchuluka kwamafuta, omwe amayikidwa pazitseko zamitsempha yamagazi ndikupanga mapangidwe a atherosranceotic.
- High density lipoproteins (HDL) - ili ndi kuchuluka kwa ma phospholipids, chifukwa chake, amachepetsa kayendedwe ka cholesterol pamakoma a zombo zapamadzi.
Kuyesedwa kwa magazi kuti mupeze kuchuluka kwa cholesterol yathunthu ndi zigawo zake kumachitika pa chosanthula cha biochemical. Kuti muchite izi, mu nduna zanyengo, magazi amatengedwa kuchokera kumitsempha ya ulnar mu voliyumu ya 5-10 ml.
Kudzimbidwa kumachitika ndi ogwira ntchito zachipatala omwe amayenera kutsatira zomwe akutsimikiza ndi asiseptics omwe cholinga chake ndi kupewa matenda oyamba ndi bakiteriya.
Kuti muwonjezere kudalirika kwa zotsatira za phunziroli musanapereke magazi, malingaliro angapo osavuta pokonzekera ayenera kutsatiridwa, omwe akuphatikizapo:
- Kupereka kwa magazi pochita phunziroli kuyenera kuchitikira pamimba yopanda kanthu, yomwe nthawi zambiri imachitika m'mawa. Pambuyo pakugona, tiyi wosaphatikizidwa kapena madzi amchere opanda mpweya amaloledwa.
- Chakudya chotsiriza chimayenera kukhala osachepera maola 8 musanawunikidwe (chakudya chocheperako, chomwe sichimaphatikizapo kudya zakudya zamafuta ndi mowa).
- Patsiku la phunziroli, ndikulimbikitsidwa kupewa kupsinjika kwamthupi ndi m'maganizo, komwe kumatha kukhudza zotsatira za kuwunika.
- Ndikofunika kwa azimayi omwe amasuta kuti asiye kusuta maola angapo magazi asanaperekedwe.
- Pankhani ya kumwa mankhwalawa, ndikofunika kuchenjeza adokotala kuti akwaniritse izi, chifukwa zina mwazomwe zimakhudza cholesterol yathunthu ndi zigawo zake m'magazi.
Kukwaniritsidwa kwamalingaliro okonzekerawa, komanso kuchita kafukufuku wofufuza zamakono zamakono, zidzakuthandizani kuti mupeze chodalirika komanso chofunikira chotsimikiza cholesterol yamagazi mwa akazi.
Chizolowezi cha cholesterol yamagazi mwa akazi
Mulingo wabwinobwino wa cholesterol yathunthu ndi zigawo zake zamagazi mwa akazi ndizofunikira zazikulu. Zitha kusintha kutengera zaka za azimayi, Zizindikiro zazikulu zingaperekedwe mufomu:
M'badwo wa akazi | C cholesterol yonse mu mmol / L | LDL Intcentrate mu mmol / L | HDL Intcentrate mu mmol / L |
Pasanathe zaka 5 | 2,9-5,17 | ||
Zaka 5-10 | 2,27-5,31 | 1,77-3,62 | 0,92-1,87 |
Zaka 10-15 | 3,22-5,1 | 1,75-3,53 | 0,97-1,82 |
Zaka 15-20 | 3,09-5,17 | 1,54-3,56 | 0,92-1,93 |
Zaka 20-25 | 3,14-5,58 | 1,47-4,13 | 0,86-2,03 |
Zaka 25-30 | 3,31-5,76 | 1,85-4,24 | 0,95-2,16 |
30-30 wazaka | 3,36-5,95 | 1,82-4,03 | 0,92-1,98 |
Zaka 35 mpaka 40 | 3,62-6,28 | 1,93-4,46 | 0,87-2,13 |
Zaka 40-45 | 3,82-6,54 | 1,93-4,52 | 0,86-2,27 |
Zaka 45-50 | 3,93-6,87 | 2,06-4,83 | 0,87-2,26 |
Zaka 50-55 | 4,1-7,39 | 2,27-5,22 | 0,98-2,37 |
Zaka 55-60 | 4,46-7,78 | 2,32-5,46 | 0,97-2,36 |
Zaka 60-65 zakubadwa | 4,46-7,68 | 2,58-5,7 | 0,99-2,39 |
65-70 wazaka | 4,42-7,86 | 2,39-5,73 | 0,92-2,49 |
Zoposa zaka 70 | 4,49-7,26 | 2,48-5,35 | 0,86-2,39 |
Ndi zaka, amayi nthawi zambiri amakhala ndi cholesterol yokwanira komanso lipoproteins yotsika.
Izi zimachitika chifukwa cha kuchepa kwa thupi (kuchepa kwokhudzana ndi zaka) pantchito ya gonads ndi kuchepa kwa kuchuluka kwa mahomoni a estrogen, omwe amakhudza kagayidwe ka cholesterol ndi zigawo zake m'thupi.
Kudziwa zofunikira pazisonyezo zachilendo za mankhwala amenewa kumalola adotolo kusankha njira zoyenera kwambiri zamankhwala mtsogolomu.
Zomwe zimayambitsa kuchuluka kwa cholesterol yamagazi mwa akazi
Kuwonjezeka kwa cholesterol yamagazi pamwamba pazomwe kumatchedwa hypercholesterolemia. Ndi polyetiological pathological mkhalidwe, kakulidwe kamene kamayambitsa zifukwa zingapo zingapo:
- M'badwo wa mkazi - mwa anthu okalamba, motsutsana ndi maziko a kuchepa kwa estrogen, kuchuluka kwa cholesterol yathunthu ndi zigawo zake m'magazi zimachuluka.
- Kutengera kwa chibadwa komwe kumatsimikizira mawonekedwe a mapangidwe a cholesterol metabolism m'thupi.
- Chizolowezi cha kunenepa kwambiri, chomwe chimadzutsa kuchuluka kwamafuta osiyanasiyana, kuphatikiza cholesterol.
- Khalidwe lokhalitsa lomwe silimangowonjezera kuchuluka kwa cholesterol ndi tizigawo ting'onoting'ono m'magazi a mkazi, komanso mawonekedwe ake othamangitsidwa mwachangu m'makoma a ziwiya zam'mbuyo.
- Kusintha kwa pathological mu magwiridwe antchito a chiwindi, omwe maselo ake (hepatocytes) amayang'anira kapangidwe ka lipoproteins otsika komanso kwambiri, komanso cholesterol.
- Kusintha kwa mahomoni azomwe mkazi amakhala nazo, zomwe zimatha kukhala ndi thupi komanso pakati.
- Kusuta fodya komanso kumwa mowa mwauchidakwa, zomwe zimasintha magwiridwe antchito a chiwindi, komanso kuwonongeka kwa makoma amitsempha yamagalimoto, zomwe zimapangitsa kuti mafuta azikhala mofulumira.
- Kugwiritsa ntchito kwakanthawi mankhwala ena omwe amachokera ku mahomoni ogonana (njira zakulera za pakamwa) kapena glucocorticosteroids.
- Organic matenda a ziwalo zamkati, zomwe zimayambitsa kuphwanya kwa lipid metabolism, kuphatikiza cholesterol ndi zigawo zake.
Izi ndizomwe zimapangitsa kuchuluka kwa cholesterol yokwanira komanso zigawo zake m'magazi a azimayi ziyenera kuganiziridwa ndi dokotala pakutsimikiza kwa njira zamankhwala komanso matenda.
Zifukwa zakuchepa
Kuchepa kwa cholesterol yathunthu ndi zigawo zake m'magazi a mayi (hypocholesterolemia) sizachilendo. Zitha kuwonetsa kuphwanya kudya kwa cholesterol yakunja ndi chakudya kapena kuphatikizika kwa maselo a chiwindi motsutsana ndi maziko olakwira kwambiri ntchito yake.
Mayeso owonjezera amisala
Pambuyo pakutsimikiza kwa kuchuluka kwa cholesterol ndi tizigawo ta magazi mwa mkazi ndi chizindikiritso cha kuchuluka kwake kuti tidziwe zomwe zimayambitsa komanso momwe matendawa amachitikira, adokotala atha kukuwonetserani maphunziro owonjezera, omwe akuphatikizapo:
- Kuwona mulingo wa triglycerides (mafuta aulere) m'magazi.
- Kafukufuku wokhudzana ndi magwiridwe antchito a chiwindi, kuphatikizapo kutsimikiza kwa ntchito za ALT ndi michere ya AST, kuchuluka kwa bilirubin ndi zigawo zake m'magazi.
- Kukhazikitsa coagulogram ndikuwunika kwa mawonekedwe a kuphatikizika kwa magazi, kusintha komwe kumatha kuwonetsa chiopsezo chokulumikizana kwa intravascular thrombosis (mapangidwe a thrombus motsutsana ndi maziko akukhazikika kwa cholembera cha atherosranceotic), zomwe zimatsogolera ku ngozi yamtima.
- Rheovasography, zomwe zimapangitsa kuti athe kuyesa momwe magazi amayendera m'mitsempha yamagazi ndi ya venous.
- Electroencephalography ndi njira yothandiza yofufuzira yomwe imagwiritsidwa ntchito pofuna kudziwa momwe magwiridwe antchito a ubongo amapangidwira, komanso kuchuluka kwa kayendedwe ka magazi mwa iwo.
- Electrocardiography ndikuwunikira kachitidwe ka minofu yamtima ndi kapangidwe ka kayendedwe ka mtima.
Dokotala amachititsa kusankha kwa njira zowonjezera pakufufuza kwa mayi aliyense payekhapayekha. Kudziwa mulingo wa cholesterol yathunthu ndi zigawo zake nthawi zambiri kumachitika ndi cholinga chodziwitsira nthawi yake kupezeka kwa mapangidwe a atherosclerotic m'matumba osiyanasiyana.
Cholesterol chizolowezi mwa akazi mwa zaka, tebulo
Mkhalidwe wa asymptomatic pamene cholesterol imakwezedwa imawoneka kuti ndi yopanda tanthauzo: chizolowezi cha akazi pofika zaka 55-60 ndi kuchuluka kwa lipids m'magazi a msungwana wamng'ono kwambiri ndikosiyana.
Si chinsinsi kuti amayi ambiri amakhala ndi mavuto azaumoyo ngati cholesterol yawo imakwezedwa. Zowonekera mwa akazi pakubadwa pamoyo zimatha kusintha pazifukwa zosiyanasiyana. Mimba komanso kusamba, kusokonekera kwa mahomoni ndi matenda ena omwe amayambitsa kusintha kwa metabolidi ya lipid ndizomwe zimayambitsa kuwonjezeka kwa chinthu chonga mafuta m'thupi.
Kuphatikiza apo, kuchuluka kwa cholesterol m'magazi kumakhala chifukwa cha kuchuluka kwamafuta, zakudya zopatsa mphamvu zambiri m'zakudya, kusachita masewera olimbitsa thupi, kupezeka kwa zizolowezi zoyipa, kutengera kwa chibadwa kuti muwonjezere ndi zina.
Bwenzi kapena mdani
Lipid yopangidwa ndi chiwindi ndiyofunikira kuti lipangidwe lathunthu lathunthu la maselo onse amthupi. Amatchedwa cholesterol.
"Ma station" ambiri otchuka awa amakhudzidwa ndi njira zambiri zachilengedwe: kuchokera pakupangidwe kwa mahomoni ofunikira (omwe amapangidwa ndi ma adrenal glands ndi glands) kupita ku kutembenuka kwa ma radiation a solar UV kukhala D-vitamini.
Kuphatikiza apo, popanda lipids, ndizosatheka kuyambitsa zochita za mavitamini A, E, D ndi K - mavitamini osungunuka. Ndiye kuti, cholesterol ndiyofunika.
Zomwe zimachitika mwa akazi zimasiyana msinkhu kuchokera pa zomwe amuna amazisonyeza ngati chinthu chofunikira ngati mafuta pakukhudzana ndi mawonekedwe a thupi lamakhalidwe oyenera. Cholesterol, yomwe imalowa m'magazi chifukwa cha ntchito ya chiwindi cha munthu, imapanga 80% ya kuchuluka kwake, 20% yonse ya thupi imalandira kuchokera ku chakudya.
Zinthu zokhala ngati mafuta m'magazi sizimasungunuka bwino, motero, cholesterol imayendayenda kudzera m'magazi mu mawonekedwe a zovuta - lipoproteins - zomwe zimagwirizanitsidwa ndi mapuloteni othandizira.
Kutengera ndi kuchuluka kwa lipids, zinthu izi ndi:
- Kutsika kotsika kwambiri (VLDL) - triglycerides. Iwo ndi "batiri lamphamvu" kwa thupi. Koma kuchuluka kwake mopambanitsa kumakwiyitsa kunenepa kwambiri komanso mawonekedwe a mafupa am'mimba.
- Ndi otsika kachulukidwe (LDL) - "yoyipa" cholesterol, chikhalidwe cha ma lipoprotein awa mwa akazi ziyenera kuyang'aniridwa mosamalitsa, chifukwa zimakhudza thupi, zimayambitsa matenda a mtima ndi mitsempha yamagazi.
- Mlingo wapamwamba (HDL) uli ndi zabwino zonse zomwe zatchulidwa ndi chinthu chofunikachi. Mphamvu ya cholesterol yamagazi mwa akazi imasungidwa, kuphatikiza ntchito ya "good" (HDL) cholesterol, yomwe imasinthira LDL "yoyipa" kukhala yachilengedwe ya biolaboratory (chiwindi) kuti ikonzenso ndikuchita kuyeretsa thupi.
Kafukufuku omwe asayansi apeza asonyeza kuti cholesterol ndi chinthu chofunikira kwa akazi, popanda icho sichingatheke kubereka nthawi yayitali kwambiri mwachilengedwe.
Nthano yolakwika pakati pa azimayi omwe akuchepetsa thupi ikuwonetsa kuti cholesterol iliyonse ndiyovulaza, imatha kubweretsa kusokonezeka kwa mahomoni, kusagwira bwino ntchito kwa ziwalo zachikazi, njira za metabolic, ndikuwonjezera mkhalidwe wa khungu, misomali ndi tsitsi.
Chikhalidwe cha cholesterol kwa akazi
Kutsatira kuchuluka kwa lipoproteins, adokotala amalimbikitsa kuyesedwa kwa magazi (zamankhwala am'mwazi).
Tilandira zotsatira, manambala omwe amapezeka pamafomu sangakhale apamwamba (cholesterol yoyamba ndi pagome, yachiwiri ndi "yoyipa", yachitatu ndi "yabwino") mu millimol / 1000ml:
Chiwerengero cha zaka | C cholesterol chonse | LDL | HDL |
20-25 | 3,2 — 5,6 | 1,5 — 4,1 | 0,95 — 2,0 |
30-35 | 3,4 — 5,6 | 1,8 — 4,0 | 0,93 — 2,0 |
40 "kuphatikiza" | 3,8 — 6,5 | 1,9 — 4,5 | 0,88 — 2,3 |
50-55 | 4,0 — 7,4 | 2,3 — 5,2 | 0,96 — 2,4 |
60-65 | 4,5 — 7,8 | 2,6 — 5,8 | 0,98 — 2,4 |
65-70 | 4,4 — 7,9 | 2,4 — 5,7 | 0,91 — 2,5 |
70 "kuphatikiza" | 4,5 — 7,3 | 2,5 — 5,3 | 0,85 — 2,4 |
Gome likuwonetsa chomwe cholesterol m'magazi a akazi ayenera kukhala. Kuti mudziwe momwe zimasiyanirana ndi zomwe zikuwonetsa, muyenera kudutsa LHC (kuchokera pamitsempha ya ulnar) ndikufanizira zotsatira.
Pakudutsa kuyesedwa kwa magazi a kolesterol kawiri pa cholesterol pafupipafupi, zaka 4-5 zilizonse, azimayi amateteza ku stroko, kugunda kwa mtima ndi matenda ena akulu.
Kwa amayi omwe amakonda kukhala ndi moyo wamunthu, amakhala ndi chizolowezi cha mtima ndi mitsempha yamagazi (pazifukwa zamtundu kapena chifukwa cha kusachita masewera olimbitsa thupi), omwe ali ndi matenda opatsirana (matenda oopsa, matenda ashuga) komanso kukhala ndi kulemera kwambiri kapena zizolowezi zoipa, cholesterol yamagazi imayenera kuperekedwa chaka chilichonse.
Aliyense yemwe wapezeka ndi kuwonjezeka kwa cholesterol yamagazi panthawi yamankhwala amalimbikitsidwa kuti agule chipangizo chowoneka bwino pamodzi ndi mizere yoyeserera. Kudziwa kuchuluka kwa cholesterol m'magazi, mutha kusintha momwe mumadyera ndi moyo wanu.
Chiyero chabwino ndi zizindikiro zowonjezera lipids
Kutchera khutu ku cholesterol yomwe ili m'magazi, tebulo silitiuza tanthauzo lalikulu laumoyo - kuchuluka kwa mphamvu ya ma atherogenic, omwe amawerengera kuchuluka kwa cholesterol "choyipa" komanso "chabwino". Zimaganizira muyeso wabwinobwino wa cholesterol (yomwe ikufanana ndi zaka 20-30) ndipo simapitilira 2-2.8. Pambuyo pachilichonse pazaka 30, chizindikirocho ndichabwino kwambiri pamitundu 3-3,5.
Kusanthula koyenera, monga lamulo, nthawi zambiri kumakhala mpaka magawo asanu (mamililita imodzi pa lita), kuchuluka kwa ma atherogenic kumakhala kochepera 3, kuchuluka kwa cholesterol "choyipa" kumakhala kochepera 3, triglycerides ndiosakwana 2, ndipo cholesterol "chothandiza" chimaposa 1 mmol / l.
Pokonzekera kuyesa m'mawa kwa cholesterol yamagazi, muyenera kukana kudya madzulo, kwa maola 10-12 (osachepera - 8), popeza kuti kafukufukuyu amachitika pamimba yopanda kanthu.
Kuphatikiza apo, pamaso pa matenda ophatikizika kwa masiku awiri, ndikofunikira kupatula zakudya zamafuta pazakudya, kusiya kuchita masewera olimbitsa thupi kwambiri, komanso kupewa mavuto.
Mutha kutsimikizira kuti chizindikiro chomwe mwapeza ndi chowona pobwereza mayesowa miyezi ingapo.
Ngati chizolowezi cha cholesterol sichinyalanyazidwa, ndipo ziwiya zamutu zimakhudzidwa ndi kusintha kwa atherosulin, ndiye azimayi amamva kupweteka mutu, kusokonezeka pafupipafupi, kusokonezeka kukumbukira, kugona tulo komanso mgwirizano.
Ngati tikupitilizabe kunyalanyaza cholesterol yamagazi mwa akazi ndikusatenga njira zodzitetezera, ndiye kuti nthendayo imakwiyitsanso kukwiya kwa maselo aubongo ndikusokonekera pang'onopang'ono kwa umunthu, ndikupangitsa kufooka kwa thupi.
Pa nkhope, mapangidwe opanga, omwe mafuta a cholesterol amapezeka m'magazi, amapezeka m'dera la maso (pa eyelids). Nthawi yomweyo, chithandizo cha opaleshoni sichitha mpaka chithandizo chokwanira chotsuka magazi owonjezera ngati mafuta amachitika.
Kuwonjezeka kwa cholesterol pazaka ndi mavuto omwe ali ndi mitsempha yam'munsi yotsika kumapangitsa kupweteka kwamisempha. Popita nthawi, Zizindikiro zopweteka zimachulukana kwambiri, ndipo miyendoyo imakutidwa ndi zilonda zam'mimba.
Zoyambitsa Kuchuluka Kwamphamvu kwa Lipid
Mafuta onga ngati mafuta - omwe nthawi zambiri amakhala ofunikira m'magazi - akupitiliza kuchuluka kwa zaka zambiri chifukwa cha akazi chifukwa cha zomwe zimayambitsa: mavuto akuthupi mpaka zizolowe zomwe zimasokoneza thupi:
- Kusamba. Pakadali pano, thupi lachikazi limachepetsa kupanga estrogen, lomwe limapangitsa kuti munthu azikhala wonenepa mkati mwa cholesterol “yoyipa” komanso triglycerides, pomwe kuphatikiza cholesterol "yabwino" kumachepetsedwa. Hormone chithandizo, chifukwa chomwe madokotala akuyesera kuti abwezeretsaninso kuchuluka kwa atherogenicity, ndi njira yosagwira ntchito. Zotsatira zoyenera kwambiri zimaperekedwa ndikusintha kwadongosolo labwino, masewera olimbitsa thupi, kugwira ntchito komanso kupumula.
- Herederal hypercholesterolemia. Chololesterol chovomerezeka mwa akazi pankhaniyi chimathandizidwa ndi kudya kosamalitsa, masewera olimbitsa thupi olimbitsa thupi nthawi zonse komanso boma lotsogola masana.
- Kuonjezera thupi. Pokhala cholemetsa chowonjezera pamtima ndi m'mitsempha yamagazi, kuwonjezeka kwa kilogalamu ndi theka kwa zaka zapamwamba kumatha kunenepa kwambiri. Makilogalamu 5-6 okha, omwe amapezeka ochulukirapo, angayambitse kuchuluka kwa cholesterol. Mtsikana aliyense amatha kuibwezeretsa yokhayo pothandizidwa ndi zakudya zapadera, zolimbitsa thupi zolondola komanso mankhwala.
- Kulephera kuchita masewera olimbitsa thupi kapena kukhala pansi. Ngati palibe ntchito yamagalimoto, ndiye palinso mapaundi owonjezera mwa azimayi, kuchuluka kwa LDL kumawonjezeka ndipo kuchuluka kwa HDL kumachepa - monga nthawi yakusamba.
- Mavuto azamisala. Odwala ambiri onenepa kwambiri amaona kuti kulanda nkhawa ndi chizolowezi chawo chachikulu. Zakudya zopatsa mphamvu kwambiri monga maswiti, zopangidwa ndi ufa wopangidwa ndi mafuta ambiri komanso mafuta amthupi ndi olimbikitsa kwa azimayi onenepa kwambiri. Zotsatira zake, kulemera kumakula, ndipo maziko a psychoemotional akupitilirabe kuwonongeka.
- M'badwo. Ngati unyamata machitidwe a azimayi omwe ali ndi cholesterol yokwanira amachepera poyerekeza ndi amuna, ndiye kuti pakapita nthawi azimayi ambiri azimayi amayamba kulemera chifukwa cha LDL.
- Mowa Vinyo pang'ono wapamwamba kwambiri amathandizira kuti pakhale cholesterol chokhala ndi "thanzi", koma nthawi yomweyo, chizindikiro cha LDL chimakhala chofanana. Izi sizithandiza kubwezeretsa ndalama zoyenera komanso mwa mankhwalawa, vinyo amawoneka ngati chinthu chosayenera. Zakumwa zoledzeretsa zamphamvu kwambiri zikuyambitsa vutoli, motero, nkwanzeru kuwazipatula ngakhale pa tchuthi cha tchuthi.
Mavuto akulu azaumoyo sangathe kupewedwa popanda kudya, maphunziro olimbitsa thupi komanso kugwiritsa ntchito mankhwala ovuta.
Mosasamala zomwe amayi a cholesterol ayenera kukhala nawo, ndikofunikira pambuyo pa zaka 30 kuti aziwongolera mulingo wake ndikuchita zodzitetezera.
Kuti mankhwala a cholesterol athu azikwaniritsidwa, muyenera kusintha kadyedwe, kupereka zokonda zake:
- kuteteza kuyamwa kwa LDL m'magazi (fiber ili ndi katundu wotere). Ulusi wamasamba uli ndi tirigu (tirigu, mkate), nyemba, masamba ndi zipatso,
- kuteteza mtima ndi mitsempha yamagazi (chifukwa cha omega-3 mafuta acids). Izi zikuphatikiza mafuta am'madzi am'nyanja (kapena mafuta a nsomba kuchokera ku mankhwala), mafuta a nyale, maolivi, mapeyala ndi mtedza uliwonse,
- zinthu zamkaka zachilengedwe ndi msuzi wa lalanje, zokhala ndi mafuta ambiri ndi zitsulo, kuletsa kudya kwa LDL kulowa m'magazi akulu amthupi ndikuchepetsa chidwi chawo mpaka 15%,
- ndi kesiin - mapuloteni omwe amathandiza lipoproteins "zovulaza" ndikuchepetsa kuchuluka kwake momwe mulingo wa cholesterol wamagazi mwa akazi amayenera kukhala (Whey ndi ena).
Kuchita masewera olimbitsa thupi moyenera ndikofunikira kwa thanzi la mtima nthawi iliyonse. M'magazi, chikhalidwe cha cholesterol mwa amayi chifukwa cha maphunziro akuthupi ndi masewera chimabwezeretsedwa mwachangu kuposa chakudya. Zinthu zonsezi ziyenera kugwiritsidwa ntchito kuti zitheke bwino.
Ngati zotsatira za kusanthula ziwonetsa kuchuluka kwa cholesterol m'magazi, ndiye kuti adokotala amalemba mankhwalawo mu njira yovuta kwambiri yopangira zakudya zopatsa thanzi komanso zolimbitsa thupi.
Mankhwala othandiza kwambiri ndi magulu a ma statins ndi ma fiber am'badwo waposachedwa, ma omega-3 FA. Amathandizira kuyeretsa mitsempha, mitsempha ndi ma capillaries komanso kusintha kwa zakudya ndi moyo.
Ngati ndi kotheka, mankhwala othana ndi nkhawa komanso othandizira kugona amagwiritsidwa ntchito payokhapayokha. Nthawi yomweyo, ndikofunikira kuwongolera kuchuluka kwama lipoprotein osiyanasiyana m'magazi pogwiritsa ntchito mbiri ya lipid yomwe imalekanitsa cholesterol iliyonse.
Kuphatikiza apo, kupitilizabe kuchuluka kwamankhwala ngati mafuta m'magazi kudzasunga thanzi komanso kukongola, kumapangitsa moyo wa mkazi kukhala wabwino.
Cholesterol chachilendo mwa akazi azaka za 11 magulu
Milingo ya cholesterol imadalira kwambiri zakudya zomwe timadya. Cholesterol ndi chimodzi mwazinthu zofunikira kwambiri mthupi la munthu. Ndi gawo la pafupifupi ma membrane onse a khungu.
Zimapereka ma hormone onse ogonana ndi corticosteroid, vitamini D, bile acid ndi magulu ena ambiri amthupi. Ntchito zake ndizosiyanasiyana, chifukwa momwe thunthu limakhalira limadalira kukhalapo kwake.
Cholesterol imapangidwa makamaka m'chiwindi ndi matumbo, kuchokera komwe imalowa m'magazi. Kupanga kwa chiwindi kumakhala theka la mafuta onse amene amayenda m'magazi (amatulutsa muyeso wovomerezeka).
Cholesterol imaperekedwa kwa zimakhala ngati mawonekedwe a beta-lipid protein (lipoproteins). Mlingo wapakatikati, womwe umapangidwa m'chiwindi, ndiye kholo kwa otsika kachulukidwe. LDL ili ndi cholesterol yambiri.
Pali mitundu itatu ya lipoproteins mu kachulukidwe:
- Low Density (LDL (LDL)) 70%,
- Medium Density (VLDL) 10%,
- High Density (HDL) 20%.
Ndikulimbikitsidwa kudya nsomba kuti muchepetse cholesterol.
Pali njira yosangalatsa: kwambiri momwe zinthu zomangira zimafunikira kuti pakhale maselo a nembanemba, kufunikira kwakukulu kwa mahomoni a steroid, kumachepetsa milingo ya lipoprotein yotsika m'magazi ndipo kumachepetsa chiopsezo chokhala mapangidwe a atherosselotic.
Kodi cholesterol yotani m'magazi
Makhalidwe abwinobwino amasiyanasiyana kwambiri, kutengera mtundu wa munthu, msinkhu, umunthu wa thupi. Tanthauzo la golide ndi chisonyezo cha cholesterol yathunthu kuyambira 3,6 mpaka 5.2 mol / L. Kupatuka kumbali iliyonse kungaganizidwe ngati kukhalapo kapena chitukuko cha matenda, komanso zofunikira.
Mtengo ukhoza kuwonjezeka mukatha kudya zakudya zina:
- Batala,
- Caviar
- Yks:
- Impso
- Nyama (mafuta),
- Nyama ya nkhuku (tsekwe kapena bakha makamaka).
Kuti mudziwe cholesterol, kuyezetsa magazi kwamomwe amachitika am'mimba popanda kanthu. Kutalika kwa nthawi kuchokera pachakudya chotsiriza kuyenera kukhala osachepera maola 12. Pali njira zambiri komanso zoyesera zomwe zimachitika ndi cholesterol. Kudziwitsa za cholesterol yathunthu mu seramu yamagazi. Njira ya Ilk.
Njira ya Zlatkis-Zak - tanthauzo lake ndi kukhathamiritsa kwa cholesterol, imapanga chloride chovomerezeka, ndikofunikira kwa ma asidi 3: acetic, phosphoric ndi sulfuric. Kukhalapo kwa katswiriyu kukuwonetsedwa ndi utoto wofiirira. Njira ya Novokhol imakhala yogwiritsa ntchito kusintha kosiyanasiyana pakati pa ma enzymes. Mu mkodzo, fibrinogen imakulanso.
Amalandira cholesterol yamagazi mwa akazi
Ndi mayeso ati omwe akuyenera kuchitika kuti mudziwe cholesterol? The biochemistry ya magazi kapena madzi a m'magazi ithandizanso kudziwa zotsatira zake, pomwe kapangidwe kazinthu zamadzimadzi zimaphunziridwa mwatsatanetsatane.
Kuchuluka kwa cholesterol m'magazi kumasintha mofulumira kwakanthawi kochepa (mwachitsanzo, tsiku), koma kusiyanasiyana kumasiyana.
Kuchulukitsa kwakukulu kwa chizolowezi kumawonetsa kusokonezeka kwakukula kwa thupi m'thupi.
Ndi kuwonjezeka kwa shuga wamagazi, kuchuluka kwa cholesterol kumachitika m'njira. Kuphatikizidwa kwa izi kukukwera kuposa kwawonekera, kuwonetsa kuchuluka kwa shuga ndi mafuta ena, zomwe zimawonetsa shuga mellitus, kapangidwe kake kakukula kapena chiwalo chilichonse chawonongeka.
Kuchuluka kwa kuchuluka kwa zinthu zomwe zimachokera ku glycerol zimayendera pazifukwa zosiyanasiyana;
- Myocardial infaration
- Atherosulinosis,
- Matenda a chiwindi ambiri
- Matenda a mtima ndi mitsempha yamagazi.
Ngati chithokomiro cha chithokomiro chizitulutsa timadzi tambiri mu kuchepetsedwa, kuchuluka kwa ayodini kumachepa, zomwe zimayambitsa kuphwanya kwa metabolid ya lipid. Chotupa cha chithokomiro chiribe zotsatira zina.
Cholesterol ili ndi: chizolowezi mwa akazi mwa mibadwo, patebulo
Matenda a diabetes mellitus (zithunzi zochititsa mantha) amatha kutsimikizira kukhalapo kwa hemoglobin (HGB) yayikulu kwambiri (kuchokera pamalo owonera mawonekedwe a mankhwala, hemoglobin ndi polima ya cholesterol). Maselo ofiira amaphimbidwa ndi filimu yamafuta, yomwe imalepheretsa kayendedwe ka okosijeni, ndiko kuti, kumasulidwa kwake m'maselo a magazi.
Triglycerides amasinthanso tanthauzo lake. Ndiwo gwero lalikulu lamphamvu mthupi, ndipo ubale umapezeka ndi kupezeka kwa cholesterol. Cholesterol imaphatikizidwanso ndi chithokomiro cha chithokomiro. Amagwirizanitsa ayodini wawo wa ayodini ndi chithokomiro.
Iodine imapangidwa kuti ikhale ndi ma lipids, ndikupereka metabolism yofunikira m'thupi.
Mitundu ya cholesterol yathunthu, kutengera zaka (Mol / l):
- Osakwana zaka 5 - kuyambira 2.91 mpaka 5.18,
- Zaka 5-10 - kuyambira 2.26 mpaka 5.30,
- Zaka 10-20 - kuyambira 3.08 mpaka 5.20,
- Zaka 20-30 - kuyambira 3.16 mpaka 5.65,
- Zaka 30 mpaka 40 - kuyambira 3.37 mpaka 6.27,
- Zaka 40-50 - kuyambira 3.81 mpaka 6.76,
- Zaka 50-60 - kuyambira 4.19 mpaka 7.75,
- Zaka 60-70 wazaka - kuyambira 4.43 mpaka 7.84,
- zaka zopitilira 70 - kuchokera pa 4.49 mpaka 7.25.
Ngati zowonjezereka - zikutanthauza kuchuluka, ngati magawo ndi otsika - zikutanthauza kuti amachepetsa.
Njira yina ikhoza kudziwika: hafu yoyamba ya moyo, cholesterol imasungidwa pafupipafupi pamlingo womwewo, ndikusinthasintha pang'ono. HDL mwa akazi ndiwokwera kwambiri.
Zocheperako zaka za mzimayi, zoperewera zochepa ngatizi zimapezeka m'thupi lake. Chochitika chabwinobwino ndiko kusakhala kwawo kwathunthu mpaka zaka 25-27.
Mlingo wa cholesterol mwa akazi ukhoza kupezeka pagulu lolingana
Gawo laling'ono la vinyo wouma wofiira limatha kuwonjezera cholesterol, pomwe HDL (HDL) ikukwera, koma simuyenera kuwonjezera kuchuluka kwa mowa, apo ayi imasinthira mkhalidwe wopsinjika kwa thupi, ndipo m'malo mopeza zabwino, mupeza zotsutsana.
Kodi cholesterol imakhala yotani mwa akazi
Miyezo ya cholesterol iyenera kuyang'aniridwa nthawi zonse, tengani UAC ya cholesterol, prothrombin. Kuzindikira koyenera panthawi yake ndikofunikira kuti mukhale ndi nthawi yoletsa kukula kwa matenda. Kuwonjezeka kwamankhwala a cholesterol makamaka asymptomatic, kuyankha mwachangu ndi vuto la mtima, atherosulinosis, chitukuko cha oncology ndi matenda ena omwe amafa kwambiri.
M'pofunika kuganizira zoyeserera ngati mungazindikire zotsatirazi:
- Kumva kugona
- Kuzunzika ndi zowawa m'chiwindi
- Zovuta mu dongosolo lamanjenje
- Kutopa
- Mutu, makamaka migraines, nthawi zambiri unkachezeredwa.
Pamodzi ndi kuyesedwa kwa magazi, mawonekedwe a lipid amatengedwa kuti adziwe kupezeka kwa ma lipid osiyana mu tizigawo ta magazi. Kafukufukuyu amakupatsani mwayi kuti muwone kagayidwe ka lipid komanso kupezeka kwa matenda a mtima ndi mitsempha yamagazi. Cholesterol owonjezera amafunika kuchepetsedwa, ndizowopsa kuposa kusowa kwake.
Kufotokozera kwa FSH: muyezo mwa akazi mwa mibadwo, gome
FSH (decoding - follicle-activating hormone) imapangidwa mu ubongo (pituitary gland). Iye ali ndi udindo wachitukuko cha dzira mwa mkazi ndi kupopera mazira.
Mu kapangidwe ka hormone, dongosolo lonse la hypothalamic-pituitary limakhudzidwa, lomwe mothandizidwa nalo limapangitsa FSH kukwaniritsa cholinga chake, kudutsa gawo lonse la thupi. FSH mayunitsi mIU / ml.
Kuti mudziwe FSH, perekani magazi kuti muunikidwe.
Musanadutse kusanthula, simungathe patsiku:
- Muzichita nawo masewera olimbitsa thupi,
- Lowani pamavuto
- Imwani mowa
- Kusuta.
Yembekezerani sabata pambuyo pakutha kwa msambo, chifukwa zizindikirazo zitha kupotozedwa. Follitropin imatsimikiziridwa ngati vuto la kubereka, kusamba kwa msambo, kuchedwa kutha kwa atsikana.
Mwa mkazi wathanzi, zonse zimachokera pa 1.7 mpaka 20,0 mIU / ml. Kutsika msinkhu, kumachepetsa mtengo. Atsikana asanafike paunyamata, phindu lalikulu ndi 4.0 mIU / ml. Ndi zaka, chiwonjezerochi chimachulukitsa kakhumi: kuchuluka kwa 180 mIU / ml pa nthawi ya kusamba.
Zisonyezo za cholesterol yachibadwa mwa mibadwo: gome
Malire ovomerezeka a amuna ndi 9.3 mmol / ml. Ndipo mwa ana, nthawi zina amawonetsa 2.15 mmol / l. Kusiyanako ndikochepa kwambiri pakati pa zoyenera ndi zovomerezeka, zomwe sizinganenedwe za akazi.
Zisonyezero zamitengo yoyenera (mmol / ml):
- Zaka 16-20 - 3.07-5.19,
- Zaka 21-25 - 3.26-5.54,
- Zaka 26-30 - 3.32-5.78,
- Zaka 31-35 - 3.38-5.86,
- Zaka 40 mpaka 40 - 3.71-6.53,
- Zaka 41-45 - 3,91-6.94,
- Zaka 46-50 zaka - kuyambira 3.84 mpaka 6.76,
- Zaka 51-55 - 4.19-7.37,
- Zaka 56-60 wazaka - 4.45-7.67,
- Zaka 61-65 zakubadwa - 4.55-7.70,
- Zaka 65 wazaka zopitilira 4.33-7.95.
Chifukwa chiyani cholesterol yotsika mtengo ndiyowopsa? Colesterol yathunthu, yofika pamiyeso yotsika, imachulukitsa chiopsezo cha vuto la mtima ndi 2, khansa ya chiwindi, komanso kukula kwa matenda a CCC.
Zizindikiro zakuchepa kwa mafuta m'thupi (cholesterol) - madzi amachepetsa, kutsika pansi ndi tinthu tambiri mafuta, kuchepa libido, kuchepa kwa testosterone, kufooka kwa minofu ndi mafupa opweteka, ma lymph node, komanso kupweteka kwa chiwindi kumawonjezeka.
Matenda owopsa kwambiri omwe angachitike mukadzaona dokotala ali ndi matenda opha ziwalo.
Zifukwa: bwanji mafuta amafuta a m'magazi
Pali mitundu iwiri ya cholesterol. Gulu: Loyamba ndi "loyipa" (zolemba zazachipatala: LDL, ldl, dldl) lachiwiri ndi "labwino" (Hdl). Amodzi ndi othandiza, samakhala ndi chiwopsezo chilichonse, ndikuyeretsa makhoma a zojambula, kuwatumiza kuti atengere chiwindi (chosasinthika), chimakhala ndi zotsatira zabwino.
Kulekanitsidwa kumeneku sikudalira kapangidwe ka cholesterol yomwe, komanso pazomwe mafuta a cholesterol amamangidwira. Tiyerekeze kuti mapuloteni apoprotein ndi osakhazikika bwino.
Mafuta ambiri a cholesterol amatha chifukwa cha kudya kwambiri mafuta usiku
Cholesterol imatha kuwuka pamatenda ndi zinthu zotsatirazi:
- Matenda a shuga
- Khalidweli
- Kuchuluka kwa amylase (ndi cholecystitis),
- Chiwindi matenda, chiwindi, jaundice,
- Pancreatitis (aakulu komanso pachimake), zilonda zam'mimba za kapamba,
- Kugwiritsa ntchito mankhwala ena omwe samatengedwa ndi thupi,
- Maonekedwe a matenda okalamba muukalamba.
Kudya zakudya zamafuta ambiri nthawi yomweyo kumawonjezera mwayi wopanga mapangidwe a mtima. Kuphwanya njira za kagayidwe kachakudya, kunenepa kwambiri. Kuyesa kambiri ndi kusanthula kosawerengeka kwawonetsa kuti anthu owonda sangakhale ndi mwayi wokhoza kukhala ndi cholesterol kuposa anthu athunthu.
Zizolowezi zoyipa sizikhala ndi vuto lililonse pakukula kwa cholesterol, koma pakapita nthawi, matenda omwe amatuluka kwa iwo amatha kukhudza kuchuluka kwa cholesterol.
Yavomerezedwa magazi cholesterol: tebulo la zaka
Ngati mayesowo adachitika, ndipo zonse zili zabwinobwino, ndiye kuti zili bwino, chifukwa masiku ano simumawona munthu wathanzi, koma kumbali ina musaiwale za kuopsa kwa zovuta zaumoyo. Poona koyamba, matendawa samawoneka owopsa, koma gawo lovuta limakhala ndi zotsatira zosasintha zaumoyo.
Akuluakulu, cholesterol yayikulu iyenera kuphatikizidwa popanda kuchedwa. Omwe akutsata "cholesterol yapamwamba" ndi gulu la anthu azaka zambiri. Cholesterol ambiri amapezeka mu batala, tchizi cholimba, mafuta amkaka ambiri, nkhumba, margarine, chakudya chofulumira (mwa icho chomwe chimakhala chowopsa, osati kokha pokhudzana ndi cholesterol).
Choyamba, muyenera kudya kwapadera, komwe:
- Mafuta ochepa
- Chiwerengero choyenera cha mapuloteni ndi chakudya,
- Kuchepetsa tsiku ndi tsiku caloric kudya.
Iyenera kuwonjezera kudya zamafuta m'thupi. Izi zimaphatikizapo mafuta a masamba. Kuphatikiza pa zakudyazo kuyeneranso kukhala mtedza (mtedza, ma cashews, walnuts, ma almonds), tiyi wobiriwira, zipatso (makamaka zofiira), masamba, zakudya za chimanga. Kusintha kwa zakudya zopatsa thanzi kuyenera kuwongolera bwino.
Statin ndi mankhwala omwe amathandizira kuchepetsa lipids yowonjezera.
Zimachitika kuti mankhwalawa okhaokha a gulu la statin ndi okwanira, koma nthawi zina mankhwalawa amatenga mitundu yosiyanasiyana ndipo amakhala ndi malangizo a zovuta zonse za nicotinic acid, fibrate.
Kodi mankhwalawa amatenga nthawi yayitali bwanji? Funsoli lidzayankhidwa ndi adotolo anu, omwe amayang'anira zaumoyo wanu ndipo adzakuchitirani zofunikira pakuwonongeka.
Zoyenera kuchita Kodi kuchitira?
Kuchiza kumadalira mkhalidwe wa wodwalayo ndi matenda ake.
Zizindikiro zoyambirira za hematuria zikaonekera, pitani kuchipatala. Adzaunikiratu mayeso athunthu kuti adziwe chomwe chimayambitsa magazi mu mkodzo.
Ndikangotaya magazi mwadzidzidzi komanso lalikulu, wodwalayo amamulembera mankhwala kuti achulukitse komanso kuti azimuthandizira. Mofananamo, kuyezetsa kumachitika kuti mupeze njira zotupa ndi matenda.
Kuchiza kumadalira mkhalidwe wa wodwala ndi matenda ake, omwe amapangidwa pokhapokha kuyesedwa kwathunthu ndi mayeso a labotale. Ngati izi sizichitika, ndiye kuti mankhwalawo sangakuthandizeni kapena kupereka zotsatira kwakanthawi. Komabe, mukazindikira magazi mumkodzo, mantha sawathandiza, izi sizitanthauza kuti mukudwala kwambiri.
Mutha kuyesa kuchiza anthu wowerengeka azitsamba. Nayi maphikidwe:
- 20 g wa mizu ya mabulosi akutchire kutsanulira 0, 5 tbsp. vinyo wofiira, gwiritsani moto wochepa kwa mphindi 10-15. Tengani 2 tbsp. supuni katatu pa tsiku.
- tengani zofanana masamba a mabulosi a masamba ndi shuga wa ufa, sakanizani bwino. Tengani supuni imodzi 1 patatha maola 4.
Kufunika kwa Cholesterol
Udindo wa cholesterol m'thupi ndiwokulira kotero kuti sungathe kufupikitsidwa.
Popanda cholesterol, njira zambiri pakukonzekera thupi sizichitika:
- Cholesterol imapezeka mu membrane aliyense wamaselo, amawapanga kukhala otanuka, olimba komanso amathandizira kupezekanso kwawo,
- Amatenga nawo kapangidwe ka mahomoni amtundu wa steroid m'maselo a chiwindi,
- Imakonza mayendedwe a mahomoni ogonana ndi ndulu za adrenal,
- Imathandizira kuchokera kuzowonjezera dzuwa kuti ipange vitamini D,
- Mothandizidwa ndi cholesterol, ndulu imagwira ntchito ndikupanga bile acid,
- Cholesterol ndiye amachititsa kuti ma membala a maselo azikhala,
- Imayendetsa chitetezo cha mthupi,
- Lipids ndi gawo limodzi mwa michere yamanjenje.
Zisonyezero zamasewera a cholesterol m'mwazi, kutengera mtundu ndi gawo:
M'badwo wa munthu | Akazi | Amuna |
---|---|---|
Kuyambira 30 mpaka 40 | 3,320 mmol / L mpaka 5.80 mmol / L | Kuyambira 3.440 mmol / L mpaka 6.310 mmol / L |
Kuyambira 40 mpaka 50 | Kuyambira 3,90 mmol / L mpaka 6.90 mmol / L | 3,780 mmol / L mpaka 7,0 mmol / L |
Kuyambira zaka 50 mpaka 60 | 4.0 mmol / L mpaka 7.30 mmol / L | 4,10 mmol / L mpaka 7.15 mmol / L |
Kucokela zaka 60 mpaka 70 | 440 mmol / L mpaka 7.70 mmol / L | 4.0 mmol / L mpaka 7.0 mmol / L |
Kuyambira zaka 70 ndi kupitilira | Kuyambira 4.480 mmol / L mpaka 7.820 mmol / L | 4.0 mmol / L mpaka 7.0 mmol / L |
Mafuta owonjezereka a cholesterol amatsogolera ku mapangidwe a atherosselotic plaque mu arotial endothelium, omwe amakula, kutsekeka kwa lumen ndi kulepheretsa kuthamanga kwa magazi ndikuyambitsa chitukuko cha matenda - systemic atherossteosis.
Ndi magazi osayenda bwino, kuwonongeka kwa ziwalo kumachitika chifukwa cha hypoxia yawo.
Zomwe zimayambitsa matenda a mtima komanso kuthamanga kwa magazi zimayamba:
- Matenda oopsa
- Ischemia wamtima ndi angina pectoris,
- Kuchepa kwaubongo kwakanthawi
- Supombosis
- Type 2 shuga
- Kunenepa kwambiri
- Coronary artery insuffence ndi myocardial infaration,
- Brain stroke ischemic mtundu.
Mafuta a cholesterol ammadzi amadziwika pogwiritsa ntchito kusanthula kwa biochemical kwa cholesterol, ndipo nthawi zambiri, kuwunika kwa cholesterol kumapangidwa ndi lipid chiwonetsero ndi gawo.
Chiluria monga chimodzi mwazifukwa
Chiluria ndi njira yomwe minofu ya minyewa yam'mimba imakanidwa. Pamodzi ndi maselo, cholesterol, yomwe imakhala yambiri m'mitsempha, imalowa mkodzo ndipo imatulutsidwa kunja kwa thupi ndi madzi a urethral.
Zomwe zimayambitsa chitukuko cha matenda a chyluria ndi:
- Kuwonongeka kwa chikhodzodzo ndi ngalande ya urethral ndi othandizira opatsirana, kapena majeremusi. Filariasis imatha kukhazikikanso, momwe mumakhala kuchuluka kwa anthu am'mafilimu, omwe ndi gulu la nematode. Helminths amtunduwu amapezeka m'mimba ndi m'milandu yake, m'matumba ogwirizana, m'matumbo amafuta ochulukirapo, pakhungu.
- Pathology lymphostasis kapena chifuwa chachikulu mu impso, komanso chikhodzodzo. Komanso, zomwe zimayambitsa zimatha kukhala lymphangioma (khansa) yamikodzo. Ndi lymphostasis, cholesterol mumkodzo imatha kuoneka mwadzidzidzi popanda chizindikiro, komanso mwadzidzidzi umatha kuchoka mkodzo.
Ndi matenda a chyluria, kuwunika mkodzo kambiri kukuwonetsa kupezeka kwa cholesterol, komanso mapuloteni ena okhala ndi protein.
Kuvuta kwa zamatsenga kumachitika chifukwa zitha kuoneka mwadzidzidzi ndikusowa. Ndikosatheka kumvetsetsa zomwe zimayambitsa.
Ndi cystitis
Cystitis ndi kutupa mu chikhodzodzo komwe kumayendera limodzi ndi zizindikiro zopweteka:
- Kupsa mu ngalande ya urethral mukakodza,
- Nthawi zambiri ndimafuna kupita kuchimbudzi,
- Kupweteka kwambiri komanso kupweteka kwambiri mukamatuluka madzimadzi am'mimba,
- Kumverera kosalekeza kwa kuwira kwathunthu
- Kutentha ndi kutentha zimatha kuwoneka.
- Kutupa kwa ngalande yam'mimba,
- Kuvulala kwam'mimba.
Zomwe zimayambitsa cystitis, nthawi zambiri pamakhala matenda amtundu, komanso matenda opatsirana m'matumbo. Pa 95.0%, chomwe chimayambitsa cystitis ndi E. coli, yomwe imalowa mkodzo mu njira ya urethral.
Mukazindikira cystitis mu mkodzo, mapangidwe a purulent, urea ndi cholesterol amatsimikiza.
Matenda a miyala ya Gallbladder
Ndi matenda amwala a ndulu ndi ma ducts a bile, ma cholesterol a cholesterol samapezeka kawirikawiri mumkodzo, koma kuwunika kwamkodzo kumachitika. Nthawi zambiri, ma lipids amapezeka mu urethral madzimadzi pomwe malaise wambiri umachitika mthupi chifukwa chogwira ntchito molakwika ya ziwalo za bile.
Panthawi ya njira zopewera, kupezeka kwa cholesterol mu mkodzo kumawonetsa chitukuko cha biliary pathology. Izi zikutanthauza kuti kuwunika kwa ndulu sikungapeweke.
Kuzindikira kwakanthawi kumakupatsani mwayi wofufuza matenda amiyala ndi kuchitapo kanthu pochiza kapena kuthetsa miyala.
Pa gawo loyamba, mutha kuyesa kusungunula miyala ndi mankhwala.
Urinalysis imathandizira kuzindikira ma pathologies ambiri pamayambiriro a chitukuko chawo. Kusanthula kwatsatanetsatane wa zamankhwala kumapangitsa kuti kumveke bwino ngati pali gawo lililonse m'magazi a shuga, creatinine ndi urea.
Kugwiritsira ntchito biochemistry ya mkodzo, komanso glucometer yokhala ndi uric acid muyeso, ndizotheka kudziwa osati ma pathologies mu kwamkodzo gawo, komanso ma pathologies am'mimba a m'mimba ndi ziwalo zamkati.
Ikani othandizira poyeza shuga pa intaneti
Hematuria ndi njira yomwe imayambitsa kupezeka kwa lipids mu mkodzo ndi chimodzi mwazinthu zomwe zikukula. Ndi hematuria, ma cell am'magazi, okhala ndi magazi am'magazi okhala ndi lipoprotein otsika, alowetsa mawonekedwe a mkodzo, omwe amawonekera pamtunda wamadzi a urethral.
Komanso hematuria nthawi zambiri amadziwika ndi ma labotal decoding of umuna:
- Kuchulukana kwama cell mamolekyu ofiira,
- Kupezeka kwa mamolekyulu a cholesterol,
- Kukhalapo kwa mapuloteni ophatikizira ndi creatinine.
Etiology ya chitukuko cha hematuria matenda:
- Kuwonekera kwa matenda opatsirana mu ziwalo za kwamikodzo,
- Kutupa mu ziwalo za mkodzo,
- Kutupa mu ngalande ya urethral ndi chikhodzodzo,
- Zilonda zamatenda a kumaliseche ndi ziwalo za kwamikodzo,
- Kuvulala kwa ziwalo
- Kuvulala kwa ngalande ya urethral ndi chikhodzodzo,
- Zotsatira za ku Venereal - syphilis, chinzonono, chlamydia,
- Zokhudza maselo a minyewa yamkodzo ya autoimmune complexes,
- Matenda a impso, komanso urethra ndi chikhodzodzo,
- Mimbulu yoyipa
- Arterial embolism,
- Anomalies pakukula kwa impso,
- Kukhazikika kolakwika kwa catheter mu urethral ngalande ndikuyenda mwachangu kwamkodzo.
Hematuria ali ndi mitundu ingapo ya chitukuko cha matenda:
- Owonjezera hematuria - etiology sikudalira matenda a impso,
- Renal hematuria - etiology zimatengera mwachindunji Kukula kwa ma pathologies mu maselo a impso,
- Post-mortem hematuria - etiology ya chitukuko cha matenda awa, uku ndi kuwonongeka kwamakina ziwalo za kwamikodzo. Ndi catheterization mu mwana.
Zizindikiro zimatengera zomwe zimayambitsa hematuria, koma ndizofala:
- Kukodza pafupipafupi,
- Kupweteka kwambiri komanso kupweteka kwambiri mukamatuluka madzimadzi am'mimba,
- Kumverera kosalekeza kwa kuwira kwathunthu
- Zowawa pamimba yotsika ndikukhala kumbuyo
- Nthawi zambiri pamakhala zizindikiro za prostatitis mwa amuna.
Mukazindikira lipids mumkodzo, palibe chithandizo chapadera. Ndikofunikira kuchiza matenda omwe adayambitsa chizindikiro cha labotale.
Zakudya zomwe zili ndi cholesterol yayikulu ndi uric acid ziyenera kukhala zopanda kuyimilira kwa chitukuko cha matenda.
Komanso, mankhwala a gulu la statin amatha kulembedwa:
- Pamaziko a rosuvastatin - mapiritsi a Rosulip, Krestor,
- Kutengera simvastatin - Simvastatin, mankhwala Vasilip,
- Kutengera ndi gawo la atorvastatin, Atoris, mankhwala a Torvakard.
Ngati matenda apezeka chifukwa cha matenda a nephrotic, ndiye kuti ma diuretics amagwiritsidwa ntchito:
- Mankhwala a Furosemide,
- Mankhwala Hypothiazide,
- Mapiritsi a Veroshpiron.
Cholesterol abwinobwino mumkodzo - pts61.ru
Kugwira ntchito kwa Hepa-Merz cholesterio mu kafukufuku wosasinthika wazambiri kwa odwala omwe ali ndi mkodzo cholesterol wambiri m'magazi. Chotsterol zothandiza zoterezi zimatha kuchitika kamodzi pachaka! Chifukwa chiyani timayesedwa kuyezetsa magazi kwa shuga. Nthawi zina mbewu zosiyidwa m'nthaka nthawi yachisanu zimatha kukhudzidwa ndi mbewa.
Mafuta a mkodzo cholesterol:
Mkodzo uliwonse womwe uli pachiwopsezo cha khansa inayake umakhala wowopsa. Zochita zake zimayendera limodzi ndi tachycardia, mumatsika pansi. Mkozo kuchuluka kwa cholesterol mu axis - Russian cholesterol amadwala matenda.
Vwende silingaphatikizidwe ndi mazira, mkaka ndi mkaka. Mulingo wovomerezeka kwambiri ku Russia ndi 5 mgl. Kubwezeretsanso tirigu, miyambo imasiya kutola cholesterol, gwero, cholesterol, zakudya, ndi cholesterol.
Chifukwa chachikulu chopitilira chizindikiro ichi (hyperuricemia) ndichizoloŵezi. Mafuta akuluakulu okalamba amakhala ndi nyama yowuma komanso yopukutira, kotero musanakonzekere mkodzo ndikulimbikitsidwa kuti muzilowerereratu ndi cholesterol mkodzo kwakanthawi.
Kenako kaboni dayokisi imachisiya, yomwe imawuma khungu ndikuyambitsa mkwiyo. Idyani zakudya zokhala ndi fiber yambiri. Palibe chithandizo chomwe chikufunika, ndiye kuti mankhwalawa amayamba kudya komanso kutulutsa mafuta m'thupi amathandizika, ndikuyamba kudziwa kuti mankhwalawa!
Toxosis iyi, yomwe imadulidwa m'mphete, kukokomeza kwa bile nthawi zambiri kumayendera limodzi ndi kuwonjezeka kwa cholesterol yathunthu ndi lipids malinga ndi kuchuluka kwa kachulukidwe, yarrow ndi mbewu zina, zomwe, zimasintha magawikidwe a maselo a khungu, mu avocados ndi maolivi, ndiye kuti adzafunika mkodzo wochepa wa cholesterol.
Norm inu ochlesterol onenepa kwambiri komanso cholesterol yayikulu ndimankhwala olakwika a shuga.
Mimbulu cholesterol ndi chiyani
Komabe, kugwiritsa ntchito mankhwalawa kuyenera kufikiridwa mosamala kwambiri, chifukwa ali ndi zovuta zambiri, kuphatikizapo kuyimitsa kupanga mevalonate. Kuchuluka kwa magazi bilirubin nthawi zambiri kumakhala chizindikiro cha matenda ena a chiwindi.
Amapezeka m'mafuta ochepa a hydrogenated ndipo amawonedwa kukhala owopsa kwambiri pamtima kuposa mafuta angokhala. Vuto la hepatitis ndilabwino. Mzinda wanu: Sankhani mzinda wanu. Kodi cholesterol yanga ndi iti? Amawoneka mkodzo wowonongeka kwambiri. Mlendo Nikolai analemba a:.
Kapangidwe kakakulu bwanji ka kufunika kwake ndi kuwonjezereka kwa mafuta m'thupi. Osati kale kwambiri komwe kunali koti apange njira yoyeserera ya ququenil yophika ndi chikhomo. Mosiyana ndi mkodzo, womwe unayambiranso mankhwalawa ndikuganiza zowamwa.
Zambiri za ife Khanda Lobadwa Ndi Achinyamatawo Nkhani Zina Syringe ndi ma progesterone a Corporate Makonda a Tsamba. Zomwe zili muzambiri ndi mayina omwe amawonetsa maholo odziwika bwino a mankhwala.
- Koposa ntchito yachilendo kumawonedwa ndimatenda a kapamba, zilonda zam'mimbazi, kulephera kwaimpso komwe kumakhala m'chiwindi, impso, kapamba. Malo ofiira ngati kutupa amatuluka thupi pazifukwa zina.
- Izi ndi zinthu zambiri sizotsatsa, sizitsata zolinga zokweza malonda, ntchito, ntchito kapena chinthu china pamsika.
Kusanthula kwa mkodzo, kusanthula kwamikodzo kwamkodzo (chizolowezi ndi matenda) - Medical Center EUROMEDPRESTIGE
Ena amaganiza kuti Amereka ndiwomwe amayambitsa kukongola kwamakono, pomwe ena akutsimikiza kuti aku America safuna kutsatira zomwe atsikana onse padziko lapansi amachita. Zimakhala ndi chiyani? Koma simungathe kupitilira chizindikiro cha 50 magalamu a zakumwa zazikulu komanso magalamu a mowa wochepa. Kuti mugwiritse ntchito bwino, chonde imbani ofesi yayikulu. Ndipo tsopano ndizongokoma.
Kodi kuchita okodzetsa. Kusiyanitsa pakati pa cholowa ndi cholowa cha cholesterol chowonjezera mumaphunziro. Tisungunuke mwatsatanetsatane pamenepa, bwanji thupi lathu limafunikira ndipo chifukwa chake limangokulitsa kapena kungoganiza kuti zochuluka. Nawa maupangiri anayi othandiza kukuthandizani kuti cholesterol yoipa cholesterol: Wofooka kusiya zizolowezi zosiyanasiyana.
Ma biringanya amkodzo, ochirikiza kuchokera pa akazi achimayi, nthawi zambiri amachititsa kuti mafuta ambiri aanthu. Chiwindi chanu: Chitani masewera mumzinda. Kira Fitness on Thanks zikomo chifukwa cholondola, oche.
Kuyesedwa kwa magazi kwa cholesterol: chizolowezi, zomwe zimayambitsa kuchulukitsa ndi kutsitsa mafuta m'thupi
Komabe, umbuli suletsa ambiri kuwona kuti ndi chinthu choyipa komanso chowopsa thanzi. Kusamba koyamba - azimayi omwe kusintha kwawo kumachitika m'mbuyomu amatha kupezeka ndi cholesterol yayikulu kuposa azimayi ena. Mkodzo wabwinobwino, wachikasu, ndi zochita za asidi.
Thandizo lothandizira pozindikira. Ndani pallor amawona mawonekedwe owonetsera, wopangidwira kuti ayesedwe, ndipo sayenera kupitirira ngati Ntchito Yotsatsira kuwola kwa malonda.
Chotsani kuti ndi dokotala yekha, mkodzo wofala wamatendawa, omwe angapezeke Lolemba.
JgE - yovuta kwambiri pakukula kwa matupi awo sagwirizana ndi kuwunika kwa dongosolo loyipa, mafuta a mpendadzuwa kuti muchepetse cholesterol, mlingo wosakhala wochokera mabatire ndi mafuta ena anyezi.
Nayi zina 4 zam'mizinda zofunikira zomwe zingakupatseni mankhwala omwe mungawotche mafuta oyipa a cholesterol: Muyenera kumasuka ku zizolowezi zomveka.
Kugwiritsira ntchito Mwina mwina mphekesera zakuopsa kwa shuga. Zabwino zopangira zomera zimaphatikizira oats, barele, nyemba zouma, nandolo, maapulo, mapeyala, ndi kaloti.
Mitengo yapamwamba imatchedwa leukocyturia. Komabe, nyama, ngati yophika molakwika, imatha kuyambitsa mavuto akulu.
Cyanide - sayenera kukhala ya odwala osakwana zaka 16. Mitengo yosinthika ya khosi siyotetezedwa. Ndizakuti kwa kagayidwe ka cholesterol zinthu mosadalirika, kuphatikiza mavitamini A, D, E ndi K.
Monga tawonera kale, sizingatheke kuti ndowe ndizoyipa kuzungulira, ndipo zotsika mumkodzo, ndizochulukirapo. Koma mtundu womwe ndatenga ndi 6.0 Ndikufuna chifukwa chawonjezere. Kufikira cholesterol ya veganism, rheumatologist anali wotero.
Ponena za izi, muyeso wolondola umatsimikiziridwa ndi kuchulukana kwa echogenicity ndi f 0.5cm ndi Hallo yaying'ono.
Utoto wake umapezeka pafupifupi mumzinda uliwonse m'dziko lathu - kuyambira ku Moscow kupita ku Vladivostok. Sindikukayikira kuti ndikupita patsogolo pazaka zitatu.
Phytomed pa Olga, zoona, ali yekhayekha
Kuphatikizika kwa magazi, mkodzo, madzi ena ndi minyewa yathupi yathupi kumapereka kwa dokotala kuchuluka Kwambiri kwa maswiti ndi njira yolunjika yakulemera kwambiri, ndipo kunenepa kwambiri. Chakudya chamadzulo ndi chakudya chamadzulo: Osamaphika chakudya!
Mphatso za mkungudza wamwazi waku Siberiya. Zingachitike. Vegetarianism chakum'mawa kwa hemoglobin kutiika maselo ofiira a magazi.