Zokhudza kugonana pa cholesterol yamagazi

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

Dokotala amayenera kuyamba kulandira chithandizo cha kulephera kwa mtima mwa wodwala popeza zomwe zimayambitsa matenda awa ndikuwunika magwiridwe antchito a myocardium. Chifukwa chake, ngati muthandizira rheumatism wodwala wokhala ndi chilema chowonekera komanso matenda amtima wamatenda, mutha kusintha bwino mkhalidwe wake.

Ma antihypertensives ndi okodzetsa omwe amakhala munthawi yomweyo kuthamanga kwa magazi kumapereka zotsatira zabwino. Odwala omwe ali ndi thyrotoxicosis ndi mankhwala akukonzekera ayodini.

Tiyenera kuthana ndi matenda a kunenepa kwambiri, mitundu ina ya arrhythmias. Ndikosavuta kudziwa chithandizo cha kulephera kwa mtima pazoyambitsidwa kwambiri ndi atherosulinosis, yovuta kwambiri chifukwa chokhala ndi myocardial infarction.

Mwa anthu achikulire, chimfine chosasinthika ndi chibayo zingayambitse kulephera. Achinyamata ali ndi angina.

Kodi wodwala amafunikira chiyani?

Ndikofunikira payekha kuti wodwala azindikire momwe angachitire zolimbitsa thupi. Siyenera kuyambitsa kutopa, kufupika, kupweteka kwamkati, kupweteka mumtima, kapena kulemera mu hypochondrium yoyenera.

Ndi vuto la mtima ndi matenda a mtima omwe alipo kale zingayambitse:

• zokumana nazo zovuta
• kuchita masewera olimbitsa thupi
• kusowa tulo
• kudya kwambiri usiku,
• uchidakwa.
• "Ma bedi" a zogonana.

Koma izi sizitanthauza kuti odwala ayenera kugona nthawi yayitali. Mtendere uyenera kuchoka. Ngati munthu sangathe kulimbikitsidwa ndi zokambirana, ndiye kuti njira yocheperako iyenera kutumizidwa mankhwala ochepetsa zitsamba (valerian Ting, mamawort) kapena sedative.

Ndi kuchotsedwa kwa zizindikiro, mutha kulola kuyenda kwakunja, ntchito zapanyumba zopepuka komanso zamaluwa.

Kodi ndifunika chakudya chapadera?

Mfundo yofunika yazakudya zoperewera ndi vuto la mtima ndi yunifolomu komanso yochepa pamatumbo, kudya zakudya zopukutira mosavuta.

Ndi zizindikiro zazikulu, zopatsa mphamvu za calorie zimatha kuchepa kwambiri. Koma izi ndizosavomerezeka kupitiliza kwa nthawi yayitali, popeza kusowa kwa mavitamini ndi michere kumabweretsa kusintha kosinthika kwa dystrophic mu myocardium ndikuwonjezeranso mkhalidwe wa odwala.

Wodwala ayenera kulandira pafupifupi lita imodzi yamadzi. Ngati nthawi yomweyo akumva ludzu, ndiye kuti mutha kuwonjezera kuchuluka kwake mpaka malita 1.5, kwinaku mukuchepetsa mchere wambiri mpaka 1-2 g. Zatsimikiziridwa kuti mwa odwala omwe ali ndi vuto limodzi la kusowa kwa chakudya, chakudya chopanda mchere kawiri pa sabata chimawongolera mgwirizano wam'mnyewa.

Nthawi yomweyo, saloledwa kugwiritsa ntchito ma broths olemera, nyama zosuta, tchizi zamchere, marinade. Chakudyacho chimaphatikizapo oatmeal, mpunga wowiritsa, mbatata zophika, maapricots owuma, m'chiuno zouma, zoumba zoumba. Ichi ndi chakudya cha potaziyamu. Zimathandizira kuchotsa kuchuluka kwamadzimadzi m'thupi komanso kupereka zamagetsi zofunikira zamagetsi.

Woopsa milandu, chakudya chochepa tikulimbikitsidwa. Timapereka chitsanzo cha zakudya pazabwino za I.F. 4-sabata Lorie:

• Sabata 1, kalori okhutira 1100 Kcal - mkaka 0,8 l, mkate wa tirigu 200 g, mazira owiritsa 2 zidutswa, zipatso kapena msuzi wa masamba 100 ml,
• Masabata awiri, zopatsa mphamvu za calorie 1700 Kcal - 0,5 makilogalamu a masamba ophika ndi osenda, 200 g mafuta (makamaka masamba) amawonjezeredwa,
• Masabata atatu, zopatsa mphamvu za calorie zimawonjezeka mpaka 2020 Kcal - mutha kuwonjezera 50 g ya phala, 100 ml ya mkaka + 10 g shuga (mu phala), 0,2 kg wa zipatso zosaphika,
• Masabata 4, zopatsa mphamvu za kalori 2210 Kcal - 100 g yophika nyama yolumikizidwa.

Popeza odwala salola kuletsa mchere, tikulimbikitsidwa kuwonjezera zokometsera: katsabola, tsabola, chitowe, viniga, tsamba la bay, adyo, sorelo, anyezi, horseradish, mpiru.

Vinyo wa tebulo wofiyira sikuvulaza kumwa 50 ml kawiri pa sabata. Ndikofunikira kupanga regimen yodzidyetsa 6-7 patsiku, m'magawo ang'onoang'ono, kuti musadzaze kwambiri m'mimba komanso osapangitsa kuti diaphragm ikwere. Madzulo, kapu ya kefir kapena msuzi wa rosehip ndiyothandiza.

Momwe mungaperekere chithandizo choyamba?

Ngati vuto lakukhudzana ndi vuto la mtima loopsa lachitika pagulu ndipo likuyendera limodzi ndi kupuma movutikira, kumveka ngati mukupumira, kutsekemera kwa nkhope, komanso milomo yake, ndiye muyenera kuyimbira ambulansi nthawi yomweyo.

Wodwala sayenera kugona, mutha kukhala pampando kapena kutsamira pamapilo okwera. Tsegulani zenera, tsegulani kolala kuti mulowe mpweya.

Mutha kupereka piritsi ya nitroglycerin pansi pa lilime.

Malo osambira ophwanya phazi amathandizira kunyumba.

Chithandizo cha mankhwala osokoneza bongo

Chithandizo cha mankhwala osokoneza bongo zimatengera mtundu wa kulephera kwa mtima: pachimake kapena chovuta. Pazakudya zolemetsa za pachimake, mankhwala ochita zinthu mwachangu amatumizidwa mwachangu:

• Yankho la Promedol kapena Morphine limathandizira kupuma movutikira mothandizidwa ndi zoletsa kupumira,
• ndi kuthamanga kwa magazi, ma ganglion blockers (Pentamine) amagwiritsidwa ntchito pang'onopang'ono pogwiritsa ntchito njira yotsitsa, amalola "kuyika" mpaka 30% ya kuchuluka kwa magazi pazowoneka ndipo izi zimachepetsa katundu pamtima,
• mkati perekani piritsi la Nitroglycerin, Nitroprusside, malo ake amagwiritsidwa ntchito kuti achepetse mitsempha yamagazi,
• mankhwala osankhidwa ndi Strofantin ang'onoang'ono Mlingo, musanagwiritse ntchito, ndikofunikira kuchita ECG kupatula blockade ya mtima dongosolo lamkati
• diuretics (okodzetsa) akuwonetsedwa motsutsana ndi maziko abwinobwino kapena kuthamanga kwa magazi,
• kukhazikitsidwa kwa Eufillin kumakulitsa kuphatikizika kwa systolic, kumachitika pakatha mphindi 15, kumathandizira kutulutsa mkodzo,
• Wodwala amafunikira mpweya wabwino kuti achulukitse oxygenation, magazi amakhala ngati atapanikizika ndi baluni, osati pilo.

Zithandizo "zakale" ngati Camphor, Caffeine, Cordiamin sizikulimbikitsidwa pakadali pano chifukwa cha "kuzungulira" kwamphamvu minofu ya mtima yotopa. Amawonetsedwa pokhapokha mitsempha.

Kodi kulephera kosatha kumathandizidwa bwanji?

Kuphatikiza pa regimen komanso zakudya zoyenera, magulu azamankhwala amagwiritsidwa ntchito pochiritsa.

Cardiac glycosides ndi mankhwala osokoneza bongo monga jakisoni, mapiritsi, madontho, rectal suppositories. Amasankhidwa ndi dokotala yekha malinga ndi chiwembu. Ndikofunikira kuyang'anira kuchuluka kwa migwirizano yamtima, kuwongolera ECG. Mankhwala oopsa amakhala owopsa chifukwa cha bongo wawo wambiri, chifukwa amatha kudziunjikira m'thupi.

Kuchitikako kumawonjezera kukula kwa mphamvu yakuchita kwa myocardium, kumachepetsa zamkati, kumawonjezera nthawi yopumula ndi magazi m'magawo a mtima, ndikuwonjezera mphamvu ya kukodzetsa.

Kukonzekera kwa nkhanizi kumapezeka pazinthu zomera: digitalis, strophanthus, Adonis vernalis, adonis, kakombo wa chigwa, jaundice, hemp kendir, jute.

Ma diuretics amagwiritsidwa ntchito pogwiritsa ntchito ophatikizira pamodzi: Furosemide, Veroshpiron, Spironolactone, Hypothiazide. Onetsetsani kuti mwasankha mankhwalawa omwe sayambitsa kuchotsedwa kwa potaziyamu m'magazi. Nthawi yomweyo, odwala amalimbikitsidwa kuti atenge Panangin kapena Asparkam (kukonzekera kwa potaziyamu).

Ngati mtima walephera, mankhwalawa akuphatikizapo:

• calcium antagonists (isoptin),
• anabolic steroids (Retabolil),
• othandizira magazi kuti ateteze magazi,
• ma multivitamin.

Makhonsolo aanthu

Chithandizo cha kulephera kwa mtima ndi mankhwala wowerengeka chingathe kuchirikiza chithandizo cha mankhwala, koma osachotsa. Kuphatikiza apo, ndizotheka kuwonjezera zovuta zotsutsana ndi malingaliro a ochiritsa. Chifukwa chake, kugwiritsa ntchito njira zosiyanasiyana kuyenera kuvomerezana ndi dokotala osati kugwiritsa ntchito njira zosatsimikizirika.

• Zabwino zopindulitsa za hawthorn (zipatso ndi maluwa), m'chiuno mwadzuwa zakhala zikudziwika kale ndikuvomerezedwa ndi mankhwala.
• Kupititsa patsogolo diuretic katundu wa mankhwala, mutha kugwiritsa ntchito mbewu za caraway, zipatso za fennel, parsley, udzu winawake, masamba a birch, masamba a lingonberry.
• Hyssop decoction ndi inhalation ndi eucalyptus zimathandiza mosavuta kutsokomola sputum nthawi yayitali m'mapapu.

Zithandizo zodziwika bwino za kulephera kwa mtima zimaphatikizanso izi:

• decoction wa mizu ya elecampane ndi oats kunena 2 maola, kutenga ndi uchi milungu iwiri musanadye supuni,
• ndikofunikira kukonzekera mu thermos decoction wamasamba a hawthorn (mutha kugwiritsa ntchito zipatso ndi maluwa), mamawort, timbewu tonunkhira, ndimu, tikulimbikitsidwa kuti muwonjezere chofufumitsa chophika cha nyemba zosaneneka zobiriwira, tengani chikho 1/3 musanadye.
• Zipatso za viburnum zimatha kudyedwa mwatsopano kapena kuzizira pang'ono, kufinya msuzi,
• kusamba kopitilira pogona pogona kumathandizanso kukhazika mtima pansi ndikuthandizira ntchito ya mtima,
• ndi edema, zamkati waungu dzungu kapena dzungu dzungu amathandiza.

Mankhwala achikhalidwe omwe alembedwa sayenera kugwiritsidwa ntchito pamavuto odwala. Pochiza odwala chifukwa cholephera mtima, nthawi zonse muyenera kuyembekeza kupambana, osayesa kukwaniritsa zotsatira mwachangu mwa njira zina zilizonse. Ndikofunika kusankha mosamala mlingo wa mankhwala omwe akudziwika kale.

Zokhudza kugonana pa cholesterol yamagazi

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

Mafuta ambiri a cholesterol amkati amakhala ndi chiopsezo chachikulu osati thanzi, komanso moyo wa munthu.

Kuphwanya mbiri ya lipid kumakhudzana mwachindunji ndi chiopsezo cha thrombosis mu kama wamitsempha, komanso zovuta zambiri zamtima.

Pofuna kukonza mulidi ya lipids, ndichizolowezi kupereka mankhwala apadera a lipid kuphatikiza zakudya zamagulu komanso masewera olimbitsa thupi. Komabe, malinga ndi kafukufuku waposachedwa ndi ofufuza aku America, pali zotsatira zazikulu zogonana pa cholesterol.

Mphamvu ya cholesterol pa potency

Chiwalo chachimuna chimakhala ndi mitundu yambiri ya mbali komanso zam'mimba zotsekemera. Izi zikufotokoza chodabwitsa cha erectile ntchito.

Mukukonzekera, mitsempha yovunda yam'mimba imadzaza ndi magazi ambiri.

Ndi chitukuko cha atherosclerosis, mitsempha yama caliber osiyanasiyana, yotikakamiza ya m'chiuno kakang'ono, imakhudzidwa. Kutseka kwa lumen kwa zotengera zomwe zimayambitsa kukula kwa erection kumayambitsa kukula kwa zovuta zosagwirizana ndi kugonana kwa amuna.

Ngakhale mwamunayo ali ndi libido yotchedwa libido (kufuna kugonana), mbolo simalowa gawo lokonzekera.

Kulimbikira kwamphamvu kwa potency kumayamba chifukwa cha kuchepa kwa mtima. Chilema pakubwera kwa magazi kwa matupi am'madzi atatha kale kuyambitsa kukulira kwa mbolo.

Kuwonongeka kwa minyewa yolimba kumakhudzanso kuperewera kwa gawo - maliseche amatha kulowa malo opanda mphamvu.

Mavuto a Potency amadziwika ndi:

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

1. kuphwanya thanzi
2. kuchepa mphamvu ndi kupirira,
3. chiwopsezo chowonjezereka cha masoka owopsa a mtima,
4. mavuto abanja
5. kusabereka
6. Kukula kwa chikhalidwe cha anthu.

Chifukwa chake, kukomoka kwa potency sikuti ndi vuto lalikulu chabe lazachipatala, komanso vuto la pagulu.

Zimayambitsa High Cholesterol

Chifukwa chachikulu chotsogolera kuwonjezeka kwa cholesterol ya atherogenic ndiko kusowa bwino kwa zakudya zamafuta ndi mafuta ambiri am'mimba pazakudya. Kuphatikiza apo, omalizirawa, mpaka pano, apatsidwa gawo lapadera pachiwopsezo cha kudwala matenda a mtima.

Malinga ndi World Health Organisation, kusuta fodya ndiye chinthu chofunikira kwambiri pakukula kwa mankhwala a atherosulinosis.

Zomwe zimapangitsa kukweza mafuta m'thupi zimagawika khola komanso mitundu.

Zosakhazikika ndi zifukwa zomwe sizingathetsedwe kapena kusinthidwa:

• Paulo Malinga ndi ziwerengero, abambo amatha kukhala ndi atherosulinosis.
• M'badwo. Mukamakula munthu ameneyo, ndiye kuti amatha kudwala. Izi zimachitika chifukwa chakuchepa kwa kukana kwa thupi ndi zinthu zakunja.
• Khalidweli. Tsoka ilo, chizolowezi cha atherosulinosis chimafalikira kuchokera kwa makolo kupita kwa mwana. Mutha kuchepetsa mwayi wokhala ndi matendawa ndi moyo wathanzi.

Zinthu zosinthika, kapena zomwe zikuyenera kuwongolera kuchipatala:

1. Moyo. Kutanthauzira kwaposachedwa ndikofunikira kwambiri pakupewera kwa cholesterol yayikulu. Kusintha kwakhalidwe kumatha kuchepetsa kale mwayi wokhala ndi matenda amtima mkati mwa mwezi woyamba.
2. Kusuta. Monga tafotokozera pamwambapa, WHO imakhulupirira kuti kusuta ndi "komwe kumayambitsa matenda."
3. Zakudya Masiku ano, kununkhira kwenikweni kumayimbidwa ngati zakudya. Malinga ndi kafukufuku waposachedwa, kuchuluka kwa zakudya zamagulu ochepa omwe amapezeka m'thupi kumakhudza kwambiri mafuta a cholesterol. Amathandizira kapangidwe ka triglycerides m'chiwindi. Mafuta, nawonso, samakhala ndi vuto la metabolidi ya lipid.
4. Mowa Ma molekyulu a Ethanol amawononga maselo a chiwindi, mwakutero amapangitsa kuphwanya kugwiritsa ntchito cholesterol.
5. Matenda a shuga ndi matenda omwe amayendera limodzi ndi zovuta zazikulu za matenda a metabolic. Mtundu uliwonse wa matenda ashuga umatha kuputa matenda a atherosulinosis.
6. Matenda aliwonse a impso, omwe amachititsa kuti mafuta ena a m'thupi azidwala.
7. Mimba Nthawi yapakati, kukhathamiritsa kwa cholesterol kumatheka, komwe kumayambitsanso vuto la mtima.
8. Amayambitsa Iatrogenic. Mankhwala osavomerezeka osokoneza bongo amatha kusokoneza kagayidwe.
9. Mavuto osokoneza bongo. Mahomoni opsinjika amathandizira kusokonezeka kwa metabolic.

Mutha kuchepetsa chiopsezo cha atherosulinosis mwa kusintha zomwe zimayambitsa kukula kwake.

Kupewa kukanika kugonana ndi hypercholesterolemia yayikulu

Njira yoyamba yopewera matendawa ndi "kulumikiza" zakudya zamafuta ochepa. Zakudya zopatsa thanzi komanso kuchita masewera olimbitsa thupi, malinga ndi njira zamakono zochizira, zimatha kukhala ngati monotherapy pochiza matenda osavuta a atherosulinosis.

Zakudya zimakhala ndikuwona madongosolo ndi malamulo ena. Simalola munthu kudya zakudya zosiyanasiyana.

Tiyenera kumvetsetsa kuti mafuta ochokera ku nyama ndiye gwero lalikulu la cholesterol. Zakudya zonenepa kwambiri za kholesteroli zimaphatikizapo nyama yamafuta, mafuta amkaka, ndi mayonesi.

Pankhaniyi, malonda awa ali ndi vuto lalikulu kwambiri pa metabolid ya lipid.

Kuti mupewe matendawa, muyenera kuchepetsa pang'onopang'ono kuchuluka kwa chakudya chamafuta, monga shuga, maswiti, makeke.

Kuchepetsa mafuta m'thupi amatha kupha mafuta. Muli mafuta ambiri a Omega-3 ndi Omega-6 acid, omwe ndi olimbana ndi cholesterol mwachindunji.

Cholesterol yotsika imatha kusamalidwa ndikuphatikiza masamba abwino, osakhazikika muzakudya zanu.

Zakudya wamba zopewera matenda ambiri, kuphatikizapo atherosclerosis, zimawerengedwa ngati chakudya cha ku Mediterranean.

Amatha kuthana ndi vuto loyambira la metabolic.

Zakudya, kugonana kochita masewera olimbitsa thupi, kuchita masewera olimbitsa thupi komanso kufikira dokotala ndizothandiza kupewa atherosclerosis.

Kodi cholesterol ndi chiani komanso kuti ndi yowopsa bwanji yomwe idauzidwa katswiri mu kanemayu.

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

Mafuta Cholesterol

Malinga ndi ziwerengero zapadziko lonse lapansi, chomwe chimayambitsa kufa ndi matenda amtima. Atherosulinosis ndi zovuta zake: kupweteka kwamkati, kukomoka, kulephera kwa mtima, kukhala nawo amodzi mwa mndandanda. Popeza atherosulinosis ndi chimodzi mwazotsatira za vuto la lipid metabolism, makamaka cholesterol metabolism, m'zaka makumi angapo zapitazi gulu lino lawonedwa kuti ndi loopsa kwambiri. Komabe, munthu ayenera kudziwa kuti cholesterol yowonjezera m'thupi ndi chimodzi mwazotsatira za moyo wamakono. Choyamba, thupi la munthu ndi njira yokhazikika yomwe singathe kuyankha nthawi yomweyo kupita patsogolo kwaukadaulo. Zakudya zamunthu wamakono ndizosiyana kwambiri ndi zakudya za agogo ake. Mitundu yofulumira ya moyo imathandizanso kusokoneza ma metabolic. Nthawi yomweyo, ndikofunikira kukumbukira kuti cholesterol ndi imodzi mwazinthu zachilengedwe komanso zofunikira zapakatikati ya metabolism.

Kodi cholesterol ndi chiyani?

Cholesterol kapena cholesterol ndi chinthu chonga mafuta kuchokera ku gulu la ma alcohols apamwamba, osapatsidwa madzi. Pamodzi ndi phospholipids, cholesterol ndi gawo limodzi lamatumbo am'mimba. Cholesterol ikaphulika, mankhwala opangira zinthu zotsogola kwambiri amapangidwa: ma asidi a bile, vitamini D3 ndi mahomoni a corticosteroid; ndikofunikira kuti mavitamini osungunuka azikhala ochepa. Pafupifupi 80% ya chinthuchi imapangidwa m'chiwindi, munthu winayo amalandila ndi chakudya chochokera kuchinyama.

Komabe, cholesterol yayikulu siyabwino, yowonjezera imayikidwa mu ndulu ndi pazitseko zamitsempha yamagazi, ndikupangitsa matenda a ndulu ndi atherosulinosis.

M'magazi, cholesterol imayenda mozungulira ma lipoproteins, omwe amasiyana mu mphamvu ya physicochemical. Amagawidwa kukhala "oyipa", cholesterol ya atherogenic ndi "zabwino", anti-atherogenic. Gawo la atherogenic limakhala pafupifupi 2/3 ya cholesterol yonse. Mulinso ma lipoprotein otsika kwambiri komanso otsika kwambiri (LDL ndi VLDL, motsatana), komanso tizigawo ting'onoting'ono. Ma lipoproteins otsika kwambiri amadziwika kwambiri kuti triglycerides. M'mabuku akunja, amaphatikizidwa pansi pa dzina wamba "atherogenic lipoprotein", omwe akuwonetsedwa ndi chidule cha LDL. Mauthengawa amatchedwa "oyipa" mwapang'onopang'ono, popeza ndizomwe zimayambitsa mafuta, kuphatikiza cholesterol "yabwino".

Ma lipoproteins apamwamba kwambiri (HDL, cholesterol "chabwino") amapanga 1/3 yonse. Mitengo iyi imakhala ndi ntchito yotsutsa-atherogenic ndipo imathandizira kuyeretsa kwa makoma a mtima oyika ma tizigawo ting'onoting'ono.

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

Malire wamba

Musanayambe nkhondo yolimbana ndi "mdani Nambala 1", muyenera kuyerekezera kuchuluka kwa mafuta a cholesterol, kuti musapitenso kwina ndikutsitsa zomwe zili pansi kuti zitsike kwambiri. Kuyesa mkhalidwe wa lipid metabolism, kuyesa kwamwazi wamagazi kumachitika. Kuphatikiza pazomwe zenizeni zonse za cholesterol, chidwi ziyenera kuperekedwa pazachigawo cha atherogenic ndi antiatherogenic. Kuphatikizidwa kwa mankhwala kwa anthu athanzi ndi 5.17 mmol / L; ndipo matenda opatsirana a shuga ndi matenda amtima, mulingo wovomerezeka ndiwotsika, osapitirira 4.5 mmol / L. Zigawo za LDL nthawi zambiri zimakhala mpaka 65% yathunthu, ina yonse ndi HDL. Komabe, pagulu la zaka 40 mpaka 60, nthawi zambiri pamakhala kuchuluka kumeneku komwe kumasunthidwa kumayendedwe "oyipa" okhala ndi zisonyezo wamba zofananira.

Tiyenera kudziwa kuti kuchuluka kwa cholesterol m'magazi ndi chisonyezo champhamvu, kutengera jenda, zaka, kupezeka kwa matenda ena

Mafuta a cholesterol ndiokwera kwambiri mwa akazi kuposa anzawo, zomwe zimatsimikiziridwa ndi kuyesedwa kwa magazi. Izi zimachitika chifukwa cha kuthupi kwa thupi la Horona.

Kutsika kocheperako

Kuphatikiza pa malire apamwamba a cholesterol m'magazi, kupezeka kwa malire ochepa kuyenera kukumbukiridwa. Mfundo "yocheperako pang'ono" ndiyolakwika, kuperewera kwa cholesterol (hypocholesterolemia) imapezeka m'malo ovuta kwambiri, nthawi zina osakhala oopsa ngati atherosclerosis ndi matenda a mtima. Hypocholesterolemia imatha kutsagana ndi:

• Njira za tumor,
• Chifuwa chachikulu, sarcoidosis ndi matenda ena am'mapapo,
• Mitundu ina ya magazi m'thupi
• Zowopsa za chiwindi,
• Hyperthyroidism
• Dystrophy
• Zowotcha kwambiri,
• Njira zotupa za purulent mu minofu yofewa,
• Zilonda zamkati mwa dongosolo lamanjenje,
• Typhus.

Malire otsika a HDL amawonedwa kuti 0,9 mmol / L. Ndi kuchepa kwinanso, chiopsezo chokhala ndi matenda amtima wapamtima chimawonjezeka, chifukwa antiatherogenic lipoproteins amakhala ochepa kwambiri ndipo thupi limalephera kupirira kupangidwa kwa zolembedwa za atherosulinotic. Kuchepa kwa LDL nthawi zambiri kumachitika motsutsana ndi maziko azomwezo ndi zomwe zimachitika mu cholesterol yonse.

Cholesterol yayikulu

Zina mwazomwe zimayambitsa cholesterol yayikulu pazotsatira zoyesa magazi:

• Mafuta ochulukirapo a nyama ndi mafuta mu chakudya,
• Kulephera kuchita masewera olimbitsa thupi,
• Chithandizo ndi magulu ena a mankhwala,
• M'badwo
• Zambiri zakutsogolo kwa mahomoni,
• Khalidweli.

Mwa osuta, kuchepa kwa zomwe zili m'magulu oteteza a lipoproteins ndizodziwika bwino. Kunenepa kwambiri, monga lamulo, kumayendetsedwa ndi kuchuluka kwa triglycerides m'mwazi ndi kuchepa kwa kuchuluka kwa HDL, komabe, chomwe chimayambitsa ndi chotsatira chake sichinafotokozedwe bwino.

Holesterol yakukwera yapezeka m'mayendedwe otsatirawa:

• Matenda a chiwindi
• Matenda a mtima wa Ischemic,
• Zotupa zapansi,
• Hypothyroidism,
• Matenda a impso limodzi ndi zizindikiro zazikulu zakulephera kwa impso,
• Kusowa kwanyengo,
• Matenda a shuga
• Mowa.

Kuchulukana kwakanthawi kochepa kwa cholesterol kumadziwika panthawi yapakati. Kuphulika kwa metabolidi ya lipid kumatha kubweretsa nkhawa yayikulu.

Kudziwika kwa cholesterol yamagazi

Kuyesedwa kwa magazi kwamomwe kumapangitsa kuti azindikire zonse za cholesterol, zomwe ndi kuchuluka kwa kuzama kwa LDL ndi HDL. Zomwe zimapangidwira gawo lililonse ndizosiyana ndipo zotsatira za kuyezetsa magazi zimafaniziridwa ndi tebulo momwe zimadziwika ndi cholesterol pazaka za amuna ndi akazi. Ma tebulo awa akuwonetsa kuchuluka kwa kuzungulira komwe cholesterol sikukhudza thanzi. Kupatuka kwazomwe zimachitika sikuti nthawi zonse kumawonetsa njira zamatenda, chifukwa kuchuluka kwa cholesterol kumasinthasintha malinga ndi nyengo ndi zina zina. Posachedwa, zidapezeka kuti cholesterol imadalira anthu amitundu yosiyanasiyana.

Ndani akuwonetsedwa mayeso a cholesterol?

Kuyesedwa kwa magazi kwa cholesterol kumalimbikitsidwa kuti kumachitika pafupipafupi, zaka zingapo zilizonse. Choyamba, mbiri ya lipid imalimbikitsa anthu omwe ali ndi chiopsezo. Mwa zina mwazowunikira:

• Matenda a mtima
• Kunenepa kwambiri
• Zizolowezi zoipa
• Matenda oopsa
• Kugwiritsa ntchito mankhwala a mahomoni, ma beta-blockers, ma diuretics ena,
• Kugwiritsa ntchito ma statins,
• Maphunziro xanthelasm ndi xanthoma.

Magazi kuti awunike amatengedwa kuchokera m'mitsempha yopanda kanthu. Kuti mupeze zotsatira zodalirika, tikulimbikitsidwa kuti muchepetse chakudya chamadzulo usiku ndikukana chakudya chamafuta mawa musanapite ku labotale. Popereka malangizo, dokotalayo adzalangiza wodwalayo mwatsatanetsatane za zomwe zimachitika pokonzekera phunzirolo.

Kusanthula kwa biochemical kwa magazi kumapangitsa ma coefficients a HDL alpha-cholesterol ndi LDL beta-cholesterol.

• 4,6 - 5.8 - kuchuluka,
• > 6.0 - kwambiri

Zipangizo ndi zoyeserera zowunika kunyumba lipids zam'magazi zilipo. Ndiwofunika kwambiri kwa anthu omwe amafunikira kuwunika kwambiri magazi.

Amayi amakhala ndi cholesterol yochulukirapo m'magazi awo kuposa abambo ndipo zomwe zimamera zimakula. Ziwerengero zomwezo muzowunika zachidziwitso ndizabwino kwa m'badwo umodzi wazomwe zimachitika tsoka lina. Odwala athanzi amatha kuyang'ana pa zotsatirazi:

• Zaka 20-25 - 1.9-2.7,
• Zaka 30-30 - 2.2-3.1,
• Zaka 35-40 - 3.0-4.3,
• Zaka 45-50 wazaka - 4.2-5.2,
• Zaka 50-55 - 4.3-6.1,
• Zaka 55-60 wazaka - 4.1-6.8,
• Zaka 60-65 wazaka - 4.4-7.6.

Zotsatira zilizonse zokhudzana ndi mbiri ya lipid inayake, dokotala amaziwulula. Pankhaniyi, thanzi la wodwalayo, momwe amakhudzidwira ndi mahomoni ndi zina zomwe zimakhudza cholesterol zizidziwikiridwa. Kutengera ndi kukhalapo kwa zinthu zomwe zingayambitse chiopsezo ndikuzindikira kupatuka kwazinthu zovomerezeka zomwe munthu amazipangira, adotolo apereka malingaliro oyenerera kapena kupereka njira yothandizira.

Amuna ali pachiwopsezo chotenga matenda a mtima, ndipo cholesterol yamagazi iyenera kutsika kuposa azimayi. Kwa abambo athanzi, zomwe zimapezeka mu cholesterol pamibadwo zimawoneka ngati:

• Zaka 20-25 - 2.8-4.6,
• Zaka 30-30 - 3.0-5.2,
• Zaka 35 mpaka 40 - 3.2-6.0,
• Zaka 45-50 wazaka - 3.4-6.4,
• Zaka 50-55 - 3.9-6.7,
• Zaka 55-60 wazaka - 4.1-7.4,
• Zaka 60-65 wazaka - 4.2-7.6.

Pamaso pa zinthu zina zomwe zimakhudza kuchuluka kwa cholesterol, malire a zomwe munthu angachite akhoza kusiyanasiyana pang'ono ndi ziwonetsero zaka. Kuwona kuchuluka kwa momwe zimakhudzira thanzi ndi kufunikira kwawongoleredwe ndikutha kwa dokotala.

Ngati cholesterol yachilendo ikupezeka motsutsana ndi zikhalidwe zilizonse, chithandizo cha matenda oyambitsidwa ndi mankhwala. Nthawi zina, kuchotsa maziko kumakhala kokwanira kusintha mawonekedwe a lipid.

Choyamba, wodwalayo amalimbikitsidwa pakukonzanso moyo. Choyamba, muyenera kusintha mtundu wa chakudya. Zakudya zakale za hypercholesterolemia zimaphatikizapo kuletsa kugwiritsa ntchito mafuta a nyama, mafuta a trans ndi oletsedwa kwathunthu. Pali lingaliro lina la chakudyacho, akatswiri ena amalimbikira kuletsa zakudya zamafuta, chifukwa kuchuluka kwawo pazakudya kumakhudzanso cholesterol kuposa mafuta achilengedwe. Mwanjira ina, koma kukonza zakudya kumachitika motsogozedwa ndi dokotala, poganizira zomwe zingatheke. Kugwiritsa ntchito yokazinga sikulimbikitsidwa, pomwe mukuphika, tikulimbikitsidwa kuphika, kutsitsa, chithandizo cha nthunzi.

Njira yothandiza kuchepetsa mafuta m'thupi ndi kuchita zolimbitsa thupi. Kuchita masewera olimbitsa thupi pafupipafupi kumakhazikitsa kuchuluka kwa lipoproteins "zabwino" ndi "zoyipa" mwa malire.

Odwala amalangizidwa kusiya kusuta ndikuchepetsa kumwa.

Ngati kusintha kwa moyo wathanzi pazifukwa zina sikokwanira, wodwalayo amapatsidwa mankhwala. Kusankhidwa kwa mankhwalawa kumatengera zaka, concomitant pathologies, kuchuluka kwa chiwopsezo cha kukhala ndi mtima. Wodwala amatha kutumizidwa:

• Madera Gulu la mankhwalawa limaletsa kaphatikizidwe ka cholesterol ndipo limathandizira kuwonjezera milingo ya HDL. Zikuoneka kuti, othandizira ena pagululi amathandizira kuti ziwonongeko za atherosulinotic. Statin amalembedwa ndi adotolo okha, mankhwala omwe amadziletsa okha ndi oletsedwa.
• Otsatira a bile acid. Mankhwala osokoneza bongo omwe ali mgululi amalepheretsa zochita za bile acid ndipo amathandizira kuwonjezeka kwa kupanga kwawo kuti agwiritse ntchito cholesterol yambiri.
• Cholesterol mayamwidwe zoletsa amachepetsa kuyamwa kwa pawiri kuchokera ku chakudya.
• Niacin (Vitamini B3). Mlingo waukulu, umalepheretsa kuphatikizika kwa LDL, koma ndizotheka kuti kuwonongeka kwa chiwindi ndikotheka. Simalumikizidwa kawirikawiri, pokhapokha ngati ndizosatheka kugwiritsa ntchito ma statins.
• Fibates. Izi gulu la mankhwala amachepetsa triglyceride kupanga.

Ma pharmacological othandizira onse omwe amagwiritsidwa ntchito ku hypercholesterolemia ali ndi zovuta zina, kotero kuthekera kwa kugwiritsidwa ntchito kungathe kuyesedwa ndi katswiri. Kuphatikiza kwa mankhwala, Mlingo, nthawi ya maphunzirowa imayikidwa polemba mbiri ndikuwunika wodwalayo.

Kodi ndi ziti zomwe zimakhazikika mu amuna?

Creatinine ndiye chinthu chomaliza chomwe chimapezeka pakupanga mapuloteni. Amapangidwa m'matumbo am'mimba ndikumasungidwa mu dongosolo lamagazi. Minofu yambiri yomwe munthu amakhala nayo, imachulukitsa kuchuluka kwa creatinine m'magazi. Imapukusidwa kudzera mu njira ya mkodzo, chifukwa chake ndi chofunikira kwambiri pakuwonetsa impso. Ngati m'moyo wonse munthu amakhala ndi thupi losasintha, ndiye kuti mtundu wa creatinine uzikhala wokhazikika.

Likupezeka za creatinine

Zizindikiro zakusanthula

Zovuta zilizonse pakugwira ntchito kwa impso ndikugwira ntchito kwa minofu ya minofu ndizizindikiro zakuwunikira. Zizindikiro ndi matenda otsatirawa angayambitse nkhawa:

• Mavuto pokodza (kupweteka, kuwawa, ndi zina).
• Dystrophy ya minofu ya minofu.
• Matenda a ziwalo za endocrine.
• Kulephera kwina.
• Kuwona mphamvu zamankhwala pochotsa impso kapena kwamikodzo dongosolo.
• Mimba, popeza mkhalidwe uwu, katundu pa impso umachuluka kwambiri.

Zambiri zokhudzana ndi kusanthula uku

MTHANDIZO! Dokotala yekha ndi amene angawongolere ndi kuzikula.

Mlingo wa creatinine m'thupi ukhoza kupezeka m'njira zingapo, zomwe ndizosiyana pazidziwitso:

Funsani dokotala wanu kuti akuuzeni ngati muli ndi matenda ena

Anna Ponyaeva. Amaliza maphunziro awo ku Nizhny Novgorod Medical Academy (2007-2014) ndi Residency in Clinical Laboratory Diagnostics (2014-2016). Funsani funso >>

• Kuyesa kwamwazi wamagazi.
• Chilolezo cha Creatinine: Chiyerekezo cha kuchuluka kwa michere mkodzo kuthira magazi. Kuvomerezeka pang'onopang'ono ndi kuthekera kwa thupi kuyeretsa magazi a zinthu zovulaza.
• Chiwerengero cha nayitrogeni kuti creatinine. Zogwiritsidwa ntchito kuti mudziwe kuchuluka kwa kuchepa kwa madzi m'thupi.

MTHANDIZO! Njira yophunzitsira kwambiri ndiyo kutsimikiza kwa creatinine chilolezo. Akuluakulu a creatinine amawonetsedwa usiku, ndipo otsika kwambiri m'mawa.

Kukonzekera kwa kusanthula

Kuyesa kwamwazi wamagazi:

• Magazi amayenera kuperekedwa m'mawa pamimba yopanda kanthu.
• M'masiku ochepa, muchepetseni kuchuluka kwa zopezeka nyama muzakudya.

Kupenda kwamkodzo kwamkati:

• Kukhala waukhondo mosamala kwamtunduwu ndikofunikira, koma popanda kugwiritsa ntchito mankhwala omwe amapha ma microflora achilengedwe.
• Tsiku lisanafike kusanthula, muyenera kumwa pafupifupi malita awiri a madzi oyera (chikhalidwe chathupi la munthu wamkulu).
• Malangizo osonkhanitsa mkodzo watsiku ndi tsiku: mutadzuka, muyenera kukodza (mkodzo sufunikira kusonkhanitsidwa), nthawi zotsatizana (maora 24), mkodzo uyenera kusungidwa mumchombo ndikusungidwa m'malo amdima, ozizira. Mkodzo womaliza ukhale mkodzo wam'mawa tsiku lotsatira.

Nthawi zambiri amuna

Milingo ya Creatine imachepa ndi msinkhu ngati minofu ya minofu imachepa.

Mlingo wa creatinine mumkodzo wotulutsidwa masana umadalira thupi ndi thupi. Kwa amuna, chizolowezi ndi 122-220 μmol pa kilogalamu ya kulemera. Kukula kwa nayitrogeni ndi creatinine kuyambira 10: 1 mpaka 20: 1.

Chilolezo cha Creatinine mwa amuna:

MTHANDIZO! Ndi kukula kwa matenda a impso, kuchuluka kwa creatinine m'magazi kumakwera, ndipo mkodzo, m'malo mwake, umachepa.

Kupatuka kuchoka pazomwe zimachitika

Kutalikirana kuchokera pazomwe nthawi zonse sikuwonetsa matenda oopsa.Kuchuluka kapena kuchepa kwa gawo la creatinine m'magazi kungakhale kwachilengedwe. Ogwiritsa ntchito zamasamba, othamanga omwe ali ndi minofu yayikulu, mitundu ndi ma bellinas omwe amatsatira zakudya zosasunthika. Muzochitika izi, kupatuka kwazizolowezi sizovuta kwambiri monga momwe zimayendera ziwalo zamkati.

Mulingo wokwera

Zomwe zimapangitsa kuchuluka kwa creatinine m'magazi kumatha chifukwa cha zolimbitsa thupi komanso kukulira kwa ma pathologies akulu.

Zokhudza thupi

• Gulu lalikulu la minofu, mwachitsanzo, othamanga olemera komanso omanga thupi.
• Kuwonekera kwa mapuloteni amanyama mu chakudya.
• Kulandila kwa mankhwala odana ndi kutupa: "Ibufrofen", "Nurofen".
• Kugwiritsa ntchito maantibayotiki.

Pathologies akuphatikiza ndi matenda otsatirawa:

• Kulephera kwamkati mwa mtundu uliwonse.
• Zosokoneza mu endocrine system. Matenda a chithokomiro chokhudzana ndi kuchuluka kwake komanso kuchuluka kwa mahomoni.
• Kuphwanya kwamitsempha yama mtima m'mitsempha, komwe kumapangitsa kuti mpweya ubwere wa minyewa yaimpso ndikuchepetsa magwiridwe awo.
• Matenda a oncological.
• Kuwonongeka kwa minofu: kuvulala ndi misozi, Crash syndrome.
• Kuthetsa madzi m'thupi (pakuwonjezereka kuchuluka kwa magazi onse).
• Matenda a shuga.

Ngati simuchiza matenda a impso, zovuta zingapo zimatha kuchitika:

• Mavuto pokodza: ​​kuchokera pakukhalira kwathunthu kwamkodzo mthupi kupita pakatulutsidwe kwambiri (mpaka malita awiri patsiku).
• Kupweteka pafupipafupi kumbuyo.
• Kutupa (chifukwa cha kusayenda kwamadzi m'thupi).
• Kuthamanga kwa magazi.

Zofunika! Kudziwika kwa mtundu wa creatinine ndikosavomerezeka pakuwonetsetsa matenda, chifukwa kuwonjezeka kumawonongeka ndikuwonongeka kwa impso zambiri.

Momwe mungachepetse mulingo

Malangizo pochepetsa milingo ya creatinine amasiyanasiyana, kutengera zomwe zikuwonjezera. Ngati mulingo wachepa pang'ono ndipo chifukwa cha mayeso palibe njira yayikulu yomwe imawululidwa, ndiye kuti malangizo otsatirawa akuyenera kutsatidwa:

• M'pofunika kuti zakudya azisintha. Kwa munthu wamkulu, chosowa cha sabata ndi nyama ndi magalamu 450 (magalamu 150 katatu pa sabata). Nyama sayenera kukhala wonenepa kwambiri komanso wopatsa mphamvu kwambiri; kalulu, nyama yamwana wamphongo, nkhuku, nkhuku ndizoyenera. Pulogalamu yofunikira tsiku ndi tsiku la mapuloteni ndibwino kuti mutenge kuchokera pazomera zomwe mudachokera. Patsani zakudya zanu zakudya zamafuta ambiri kuti muthe kusintha matumbo: porridge (oatmeal, buckwheat, mapira), mkate wa chinangwa.
• Pewani madzi m'thupi. Munthu wamkulu ayenera kumwa malita awiri amadzi oyera. Izi ndizovuta kuzizolowera, chifukwa chake musunge zolemba zomwe mwamwa, tengani botolo lamadzi kuntchito kapena kuyenda. Kumbukirani kuti kudya kofunikira kwambiri m'mawa kumawa m'mimba yopanda kanthu.
• Chepetsani zolimbitsa thupi. Ngati ndinu katswiri wazantchito, ndiye kuti thanzi lanu ndibwino kudumpha nyengo yopikisana ndikubwezeretsa impso.

Ngati, kuwonjezera pa kuchuluka kwa creatinine, matenda akulu a impso ndi kwamikodzo amadziwika, chithandizo chikuyenera kuyang'aniridwa ndi katswiri. Njira zazikulu zochiritsira matenda aimpso:

• Mankhwala amathandizidwa kuti azisinthasintha zochita za mapuloteni.

CHIYAMBI! Miyezi yodzipangira yamagazi ya creatinine ndiyowopsa ku thanzi.

Zomwe zimayambitsa ndi zizindikilo za otsika kwambiri

Zizindikiro ndizofatsa, pali kufooka wamba mu minofu, chizungulire komanso kuchepa kwa ntchito. Mankhwala a Creatinine amachepetsedwa chifukwa cha matenda otsatirawa komanso momwe zinthu zilili mthupi:

• Miyezi isanu ndi umodzi yoyambirira ya kutenga pakati.
• Anemia, magazi m'thupi.
• Kuchepetsa kwambiri minofu ya minofu (kulephera kwa miyendo).
• Zakudya zopanda pake (kusowa kwa mapuloteni).
• Njala, matenda a anorexia.
• Leukemia
• Kufa ziwalo.

Mitengo yowunikira pafupifupi

Kuphatikiza apo, mutha kuwona zolemba zina zomwe zingakhale zothandiza. Wothamanga amalankhula za kuyezetsa magazi kosiyanasiyana, kuphatikiza ndi creatinine.

Cholesterol - chifukwa chofunikira?

Cholesterol (kuchokera ku cholembera wachi Greek - bile ndi stereo - yolimba, yolimba) - adayamba kuwoneka mu miyala yayikulu kuchokera pano ndikupeza dzina. Ndi mowa wachilengedwe wosadziletsa wa lipophilic. Pafupifupi 80% ya cholesterol imapangidwa m'thupi (chiwindi, matumbo, impso, gren adrenal, glands), 20% yotsalayi ndiyenera kuchokera kuzakudya zomwe timadya.

Mukazungulira m'magazi, cholesterol, ngati pakufunika, imagwiritsidwa ntchito ngati chida chomanga, komanso kaphatikizidwe kazinthu zovuta kwambiri. Popeza samatha kulowa m'madzi (ndipo, moteronso, m'magazi), kayendedwe kake ndizotheka mwanjira zokhala zovuta zopanga madzi, zomwe zimagawidwa m'mitundu iwiri:

Low Density Lipoproteins (LDL)

High Density Lipoproteins (HDL)

Zonsezi ziyenera kukhala zowerengeredwa mosamalitsa, voliyumu yawo yonse iyeneranso kupitilira muyeso. Izi zimatha kudzetsa matenda akulu a mtima dongosolo.

Ntchito za cholesterol m'thupi:

- kuwonetsetsa kulimba kwa maselo a khungu, kukonza momwe ziliri kuphatikizira mamolekyulu osiyanasiyana,

- kapangidwe ka vitamini D,

- adrenal synthesis ya steroid (cortisone, hydrocortisone), wamwamuna (androgens) ndi mahomoni achikazi (estrogen, progesterone),

- mu mawonekedwe a bile acid amathandizira popanga bile ndi kuyamwa kwa mafuta pakudya chimbudzi,

- amatenga nawo mbali pakapangidwe kakang'ono ka ubongo, potukula luso la kukumbukira ndi kukumbukira.

M'malo mwake, si cholesterol yomwe imayambitsa kuvulaza, koma kusinthasintha kwake mosalekeza. Mavuto azaumoyo amatha kuchititsa kuti muyeso komanso kusowa kwa thupi.

Zotsatira zoyipa za cholesterol

Malinga ndi ziwerengero, anthu omwe anamwalira ndi matenda amtima anali ndi milingo yochepa kwambiri ya ma lipoprotein, koma okhala ndi lipoprotein otsika kwambiri.

Lipoproteins yokhala ndi cholakwika chosawerengeka kapena chokhala ndi nthawi yayitali m'magazi imatha kukhazikika pazitseko zamitsempha yamagazi ndikupangitsa atherosulinosis.

Matendawa amatha kupezeka m'magamba amtundu wa vasotoramu, omwe pakapita nthawi amakula ndikuchulukitsa calcium yambiri. Zotsatira zake, kuunikira kwa ziwiya kumachepa, amatayika (stenosis), izi zimapangitsa kuchepa kwa kaperekedwe ka okosijeni ndi michere kumtima ndi matupi komanso kukula kwa magazi a angina pectoris (kuchepa kwamitsempha yamagazi kumayendera mbali zina za mtima chifukwa cha kutsekeka kwa mitsempha ya m'mimba kumatsatana ndi kupweteka komanso kusakhudzika m'chifuwa) . Nthawi zambiri, ndendende chifukwa chophwanya magazi, vuto la mtima kapena kuphwanya kwa magazi kumachitika. Kapangidwe ka cholesterol plaque kumabweretsa kuwonongeka kwa khoma lamkati la ziwiya, magazi amatha kupanga, omwe pambuyo pake amatha kutsekeka pamitsempha kapena kutuluka ndikuyambitsa embolism. Komanso, chotengera chomwe chatayika bwino chimatha kuphulika ndikuwonjezereka kwa kuthamanga kwa magazi.

Udindo wa lipoproteins

HDL imawonedwa ngati lipoprotein "yabwino" chifukwa chakutha kusungunula cholesterol malo ndikuyichotsa pamakoma amitsempha, kuchuluka kwake pokhudzana ndi LDL ("yoyipa" lipoprotein), ndibwino. LDL imatulutsa cholesterol kuchokera ku ziwalo zomwe zimapangira mu mitsempha, ndipo ndi kuchuluka kwawonjezeredwa m'ndipangamu, mamolekyu akulu osapindulitsa amodzi amaphatikizana ndi mawonekedwe amafuta, angagwirizanitsidwe ndi zotengera ndikutseka. Popeza akhala akupanga njira za oxidative, cholesterol imakhala yokhazikika ndipo imalowerera mosavuta m'makoma a mitsempha.

Ma antibodies apadera amayamba kupanga zochuluka kwambiri pa LDL yomwe imapangitsa kuti pakhale oxidized. Izi zimapangitsa kuwonongeka kwakukulu kwa makhoma a mitsempha. Kuphatikiza apo, cholesterol imathandizira kuchepetsa nitric oxide, ndikuwonjezera mwayi wokhala ndi matenda amtima.

Nitric oxide imagwira ntchito yofunika kwambiri mthupi:

- imachepetsa magazi, imachepetsa kuthamanga kwa magazi, imalepheretsa mapangidwe amitsempha yamagazi.

- imagwira ntchito yofunika kwambiri polimbana ndi mabakiteriya ndi ma virus omwe amalowa mthupi, ndikuwononga maselo a khansa,

- kumawonjezera mphamvu minofu,

- amatenga nawo gawo pakusinthana kwa chidziwitso pakati pa maselo osiyanasiyana, ndi neurotransmitter mu ma synapses.

Kuchepetsa mulingo wa nitrous oxide mu thupi kugwedeza ntchito yamagulu onse amthupi.

HDL sikuti imangochotsa cholesterol m'mwazi kuti ibwererenso ku chiwindi, komanso imalepheretsa makutidwe ndi okosijeni a LDL.

Zizindikiro zakukula kwa mafuta m'thupi

Kuwonjezeka kwa cholesterol kumalumikizidwa ndi kuphwanya kwa metabolid ya lipid (mafuta). Izi zitha kukhala chizindikiro cha atherosulinosis, komanso matenda ena akuluakulu:

- impso (kulephera aimpso kulephera, glomerulonephritis),

- kapamba (chifuwa chachikulu),

- shuga mellitus (matenda oopsa ogwirizana ndi kuphatikizika kwa insulin chifukwa cha maselo a beta am'mapapo a Langerhans mu kapamba),

- hypothyroidism (kuchepa kwa mahomoni ndi chithokomiro cha chithokomiro),

Zizindikiro za atherosulinosis zimachitika chifukwa chakuchepa kwa lumen ya ziwiya chifukwa chokhala ndi cholesterol yayitali komanso yopitilira, komanso kuwonongeka kwa magazi m'magawo osiyanasiyana amtsempha.

Zizindikiro zake zazikulu ndi:

- angina pectoris (kusokonezeka mwadzidzidzi kapena kupweteka pachifuwa chifukwa cha kulimbitsa thupi kapena kupsinjika),

- arrhythmia (kusinthasintha kwa kayendedwe kabwino),

- cyanosis ndi kutupa kwa ziwalo zotumphukira zathupi (zala, zala),

- Pang'onopang'ono mwendo kukokana (pakapita nthawi,

- kuiwala kukumbukira, kusasamala,

- kuchepa kwa luntha la luntha,

- ma lipid amana achikasu-pinki pakhungu (xanthomas) nthawi zambiri amawonekera pakhungu la eyelids ndi m'malo olumikizirana mafupa.

Zotsatira za HDL ndi LDL pa thanzi lathu

Komabe, lingaliro lomwe kuchuluka kwa HDL ndi LDL lipoproteins limakhudza mkhalidwe waumoyo ndipo kuchuluka kwawo kumabweretsa zotsatira zoyipa pantchito ya chamoyo chonse. Komabe, izi sizowona konse. Inde, matenda omwe ali pamwambawa adzatsagana ndi kuchuluka kwa lipoprotein ambiri, koma ndikofunikira kwambiri kuti chiwonjezerochi ndi chiani m'magazi a "zabwino" za HDL ndi "zoipa" LDL. Ndikuphwanya gawo lomwe kumabweretsa mavuto azaumoyo. Posankha zomwe zili za lipoprotein m'magazi, zisonyezo 4 zimatengedwa: kuchuluka kwa cholesterol, mulingo wa HDL, LDL ndi triglycerides.

C cholesterol chonse m'mwazi - 3.0 - 5.0 mmol / L,

Poopseza atherosclerosis, cholesterol yathunthu imakwera ku 7.8 mmol / l,

LDLatamuna - 2.25 - 4.82 mmol / l,

LDL mwa akazi - 1.92 - 4.51 mmol / l,

HDLatamuna - 0.72 - 1.73 mmol / l,

HDL at azimayi - 0.86 - 2.28 mmol / l,

Triglyceridesmwa amuna - 0.52 - 3.7 mmol / l,

Triglyceridesmwa akazi 0.41 - 2.96 mmol / L.

Chomwe chikuwonetsa kwambiri ndi kuchuluka kwa HDL kupita ku LDL motsutsana ndi cholesterol yonse. M'thupi lathanzi, HDL imakhala yapamwamba kwambiri kuposa LDL.

Chithandizo chothandiza kwambiri cha cholesterol yayikulu

Pali mankhwala ambiri omwe amachepetsa cholesterol m'malo omwe chizindikirochi chimayambitsa ngozi, kapena kale kumayambiriro kwa chitukuko cha atherosulinosis. Ndikofunikira kupereka msonkho wa moyo wathanzi, gawo lofunikira lomwe limakhala ndi zakudya zoyenera. Zikatero, kudya komanso kuchita masewera olimbitsa thupi mokwanira sizingangobwezeretsanso kuchuluka kokha kwamagazi, komanso kuchiritsa kwathunthu thupi lanu.

Kuti muthandizike mwachangu, mankhwala akukonzekera amagwiritsidwa ntchito:

— Madera - mankhwala otchuka kwambiri, lingaliro la zochita zawo ndilo kuti aletse kaphatikizidwe ka cholesterol m'chiwindi poletsa ma enzyme ofanana. Nthawi zambiri amatengedwa nthawi 1 patsiku asanagone (panthawiyi, kupanga kolesterol m'thupi kumayamba). The achire zotsatira zimachitika pambuyo 1-2 milungu mwadongosolo makonzedwe, ndi ntchito kwa nthawi yayitali iwo osavomerezeka. Zotsatira zoyipa, nseru, kupweteka pamimba ndi minofu zimatha kuwonetsedwa, kawirikawiri, pamatha kukhala ndizomverera zaumwini. Mankhwala a Statin amatha kuchepetsa cholesterol ndi 60%, koma ngati atengedwa nthawi yayitali, amayenera kuyesedwa pafupipafupi kwa AST ndi ALT. Mitundu yodziwika bwino: cerivastatin, fluvastatin, lovastatin.

- Fibates yambitsa kupanga HDL, akulimbikitsidwa triglycerides ya 4.5 mmol / L. Ndikulimbikitsidwa kwambiri kuti musagwiritse ntchito ma statins. Zotsatira zoyipa zimawonekera mwa mawonekedwe am'mimba, kukhumudwa, kusanza, kusanza, ndi kupweteka kwam'mimba. Oimira gulu ili la mankhwala: clofibrate, fenofibrate, gemfibrozil.

— Otsatira a bile acid. Gululi la mankhwalawa silimalowa m'magazi, koma limagwira kwanuko - limagwirira kuma bile acid, omwe amapangidwa kuchokera ku cholesterol, ndikuwachotsa m'thupi mwachilengedwe. Chiwindi chimayamba kuchuluka kwa ma asidi a bile, pogwiritsa ntchito cholesterol yambiri kuchokera m'magazi, mawonekedwe owoneka bwino amapezeka mwezi umodzi chiyambireni mankhwala, ndipo ma statins amatha kutengedwa nthawi yomweyo kuti athandize zotsatira zake. Kugwiritsa ntchito mankhwala kwakanthawi kochepa kumatha kuyambitsa kuphwanya mafuta ndi mavitamini, kutuluka magazi ndizotheka. Zotsatira zoyipa: kuponderezana, kudzimbidwa. Mankhwalawa ndi monga: colestipol, cholestyramine.

— Cholesterol Absorption Inhibitors kusokoneza mayamwidwe a lipids kuchokera m'matumbo. Mankhwala omwe ali mgululi amatha kuperekedwa kwa anthu omwe ali ndi milandu yokhudza kutenga ma statins, chifukwa samatengedwa m'magazi. Ku Russia, ndi mankhwala amodzi okha a gulu la cholesterol mayamwidwe, ezetrol, omwe adalembetsa.

Njira zomwe zili pamwambazi zimagwiritsidwa ntchito ponyalanyaza ngati zikufunika kuti muchepetse mafuta m'thupi mosavuta, ndipo kusintha m'moyo wanu sikungapereke zomwe mukufuna. Koma ngakhale mutamwa mankhwala othandizirana, musaiwale za kupewa, komanso zowonjezera zachilengedwe, zomwe zimatenga nthawi yayitali kudya zikuthandizani kupewa matenda amtima wamtsogolo.

Zithandizo za Folk zothandizira kuchepetsa magazi m'thupi

- Niacin (nicotinic acid, vitamini PP, vitamini B₃) Makina ochitapo kanthu sanaphunziridwe kwathunthu, koma kuyesa kumawonetsa kuti patatha masiku ochepa kumwa mavitamini A ambiri, mulingo wa LDL ndi triglycerides m'magazi umatsika kwambiri, koma kuchuluka kwa HDL kumakwera mpaka 30%. Tsoka ilo, sizimachepetsa chiopsezo chokhala ndi zovuta zamtima ndi kuukiridwa. Kuti muchite bwino, mutha kuphatikiza niacin ndi njira zina zamankhwala.

— Omega-3 ndi omega-6 mafuta osapanga mafuta. Mafuta a nsomba ndi nsomba zam'nyanja, komanso mafuta ophimbidwa ndi masamba (osakhazikika). Amakhala ndi zotsatira zabwino pamitsempha yamagazi, amalepheretsa kuchuluka kwa mafuta nthawi yogwira, amathandizira kuchepa kwa cholesterol komanso kuthamanga kwa magazi, kusintha magazi, kulimbitsa mitsempha yamagazi ndikuwapatsa kutanuka, kupewa kutaya mtima, komanso kutenga nawo gawo pazinthu zokhala ndi mahomoni - ma prostaglandins. Kudya pafupipafupi kwa magwero ofunikira amafuta achilengedwe kudzakhudza mozizwitsa ntchito ya thupi lonse, makamaka, kudzathandizira kupewa chitukuko cha atherosulinosis.

— Vitamini E. Antioxidant wamphamvu kwambiri, amalepheretsa kuwonongeka kwa LDL ndi mapangidwe amipanda yamafuta.Pakukhazikika kwa zotsatira zabwino, muyenera kugwiritsa ntchito vitamini pafupipafupi.

— Tiyi yobiriwira muli ma polyphenols - zinthu zomwe zimakhudza metabolidi ya lipid, amachepetsa cholesterol "yoyipa" ndikuwonjezera zomwe zili "zabwino". Kuphatikiza apo, tiyi muli ndi antioxidants.

- adyo. Garlic mwatsopano tikulimbikitsidwa kugwiritsa ntchito kutsitsa cholesterol, kupewa mapangidwe amitsempha yamagazi (amalowetsa magazi). Zinthu zomwe zimapanga adyo ndizophatikiza ndi sulufule, makamaka, alliin.

— Mapuloteni oyipa. Pochita, ali ofanana ndi estrogens - amachepetsa mwayi wa atherosulinosis. Genistein imalepheretsa oxidation wa LDL chifukwa cha antioxidant yake. Kuphatikiza apo, soya imathandizira kupanga bile, potero imathandizira pakuchotsa cholesterol m'thupi.

— Mavitamini B₆ (pyridoxine), B₉ (folic acid), B₁₂ (cyanocobalamin). Kuchuluka kwa mavitaminiwa m'zakudya kumathandizira kuti minofu ya mtima igwire bwino ntchito, kuchepetsa kwambiri mwayi wokhala ndi matenda a mtima ndi matenda a mtima.

Ndi zinthu ziti zomwe zimathandizira kukulitsa cholesterol ndi kukula kwa atherosulinosis?

Nthawi zambiri, anthu omwe ananyalanyaza thanzi lawo kwa nthawi yayitali amadwala atherosulinosis. Mukayamba kusintha moyo wanu, ndiye kuti simungathe kukhala ndi matenda akulu. Nazi zinthu 4 zofunika kwambiri zomwe zimapangitsa kuti magazi a magazile:

— Khalidwe labwino. Ndi kusunthika kochepa, kusowa kwa kuchita kwakuthupi, kuchuluka kwa cholesterol "choyipa" kumakwera, ndikupanga chiwopsezo cha kukula kwa matenda amtima.

— Kunenepa kwambiri Kuchepa kwa lipid kagayidwe kumayenderana kwambiri ndi cholesterol yayikulu. Anthu opirira kwathunthu amakhala ndi matenda osiyanasiyana a mtima.

- kusuta. Zimayambitsa kuchepa kwamitsempha yamagazi, kuwonjezeka kwamitsempha yamagazi, thrombosis, komanso kunyamula chiwopsezo cha matenda a mtima.

— Kudya kwa mafuta a nyama zochuluka zimatsogolera kukuwonjezeka kwa LDL.

— Khalidweli. Lingaliro lakukweza cholesterol limafala. Chifukwa chake, anthu omwe achibale awo akudwala matendawa amayenera kuwunika thanzi lawo mosamala.

Moyo wathanzi ngati njira yolimbana ndi cholesterol

Monga momwe mumatsatira zakudya zoyenera komanso moyo wokangalika, chiopsezo chokhala ndi matenda osiyanasiyana chimachepa. Izi ndizowona makamaka kwa anthu omwe ali pachiwopsezo. Mwa kusintha moyo wanu, mukukonzekera ntchito yamoyo yonse, ngakhale mutakhala kuti muli ndi vuto lililonse, zida zamkati zamkati zimatha kuthana ndi chiwopsezo.

Masewera olimbitsa thupi amayendetsa kagayidwe kake, phunzitsani minyewa yamtima nthawi imodzi ndi minyewa yamafupa, amathandizira kuti magazi azitulutsa bwino ziwalo zonse ndi machitidwe ena (pakulimbitsa thupi, magazi ochokera ku depot amapitilira gawo lonse, izi zimapangitsa kuchuluka kwa ziwalo zokhala ndi oxygen ndi michere).

Masewera olimbitsa thupi amathandizanso kulimbitsa makhoma a mitsempha ya magazi, kupewa kutulutsa mitsempha ya varicose.

Musaiwale za kufunikira kwa zakudya zoyenera. Osagwiritsa ntchito moyenera zakudya. Thupi liyenera kulandira zakudya zonse zomwe zimafunikira mulingo woyenera, mavitamini ndi michere, fiber. Mitundu yokwanira yamasamba, zipatso, chimanga, nyama yopanda, nsomba zam'nyanja ndi nsomba zam'madzi, mafuta osasankhidwa a masamba, mkaka ndi mkaka wowawasa uyenera kupezeka muzakudya. Ngati pali mavitamini osowa m'zakudya zilizonse, ndikofunika nthawi ndi nthawi kukonzekera zomwe zili ndi mavitamini.

Kusiya kusuta kudzachepetsa chiopsezo chokhala osati atherosulinosis, komanso matenda ena angapo, monga bronchitis, zilonda zam'mimba, komanso khansa.

Sport ndiye njira yabwino yothanirana ndi kupsinjika, imachepetsa dongosolo lamanjenje. Kuchita masewera olimbitsa thupi pafupipafupi, kaya kuthamangira kumalo osungirako masewera olimbitsa thupi kapena maola atatu mu masewera olimbitsa thupi, kumathandizira kuchotsa kusasamala komanso kukwiya komwe kwachitika tsiku lonse, othamanga ambiri amakhala ndi chisangalalo panthawi yophunzitsira. Zatsimikiziridwa kuti anthu okangalika sakhala opsinjika kwambiri kuposa omwe amakhala moyo wopanda.

Pomaliza

Monga mukuwonera, cholesterol ndi yofunika kwambiri yomwe imagwira ntchito zingapo zofunika. Ndikofunikira pamoyo wathu, koma m'thupi kuchuluka kwake sikuyenera kupitilira muyeso. Kuthamanga kwa chiŵerengero cha milingo yayitali komanso yotsika kumakhala ndi zotsatirapo zoyipa kwambiri.

Chithandizo chabwino kwambiri ndicho kupewa nthawi. Njira yothandiza kwambiri yolepheretsa kuchuluka kwa mafuta m'thupi ndi kukhala ndi moyo wathanzi.

Mukasiya zizolowezi zoipa ndikuyamba kutsatira malamulo omwe ali pamwambawa, mudzayiwaliratu za mavuto azaumoyo.