Cholesterol 7

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

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

Pakuwunikira zotsatira zoyeserera, dotolo samangotengera kuchuluka kwa maselo ofiira am'magazi ndi maselo oyera, komanso cholesterol yonse. Mafuta ngati awa amathandizira gawo lolimbikitsa kwambiri kumankhwala am' cell, kumawonjezera kukana kwa thupi ma virus ndi mabakiteriya.

Cholesterol ambiri amapangidwa ndi chiwindi, matumbo, ndi ziwalo zina zamkati. Munthu amalandila zochepa ndi chakudya. Kuti matenda asinthe, ndikulimbikitsidwa kutsatira zakudya zapadera. Ngati izi sizithandiza, kugwiritsa ntchito mankhwalawa kukuwonetsedwa.

Kuphatikiza pa kuthamanga, chinthu chokhala ngati mafuta ndichofunikira pakapangidwe ka mahomoni achikazi ndi amuna, komanso kutsimikizira kwa kuchuluka kwa ma membala am'mimba. Amathandizanso pakupanga ma bile acids, amathandizira magwiridwe antchito am'mimba.

Cholesterol imayenda ndi mapuloteni apadera, kutengera izi, magulu atatu azinthu amadziwika. Ma lipoproteins otsika kwambiri (LDL) ndi owopsa, amawatulutsa kudzera m'magazi ndipo amachititsa kuti mapangidwe a atherosselotic akhome pa makoma amitsempha yamagazi ndi mitsempha.

Kuwonjezeka kwa chizindikiro cha cholesterol choyipa kumayambitsa matenda akulu a mtima, ndikuwopseza ndi matenda:

1. sitiroko
2. vuto la mtima
3. ischemia
4. angina pectoris.

Ndi ma pathologies awa, cholesterol imafika pamtunda wa 7.7 ndi 7.8 mmol / l.

Cholesterol 7 ndi pamwamba chikakhazikika, ndizowonjezera zazomwe zimachitika. Vutoli liyenera kufunidwa pakulakwitsa kwa thupi. Ndikosatheka kukwaniritsa mulingo woterewu wokhala ndi zakudya zosayenera.Chholesterol kuyambira 7 mpaka 8 ndi chizindikiro choopsa.

Ma high density lipoproteins (HDL) nawonso amatalikirana, amatchedwa cholesterol yabwino. Thupi limawonetsedwa zowonongeka m'masamba amtundu wa atherosulinotic, limabweza cholesterol yoyipa m'chiwindi, ndikuwichita.

Pali lipoproteins ochepa kwambiri (VLDL), ali ndi ma triglycerides ochulukirapo komanso cholesterol. Ndi kuwonjezeka kwa chinthuchi, kuphwanya kwakukulu kwa lipid metabolism kumapezeka, limodzi ndi matenda a mtima.

Zimayambitsa High Cholesterol

Chofunikira pa cholesterol yayikulu imawonedwa ngati chibadwa. Ndi vuto lotere lobadwa nalo, kuchuluka kwa chinthu chonga mafuta kumafika pa 7.6-7.9, mosasamala kanthu kuti mwamunayo kapena mkazi ndi wamkulu bwanji. Malingaliro amibadwo iliyonse akhoza kupezeka pagome.

Chifukwa china chidzakhala kuperewera kwa vuto la kuperewera kwa zakudya, zomwe zimakhala ndi nyama ndi mafuta ambiri. Nthawi zina, kudya komwe kumayambitsa matenda a cholesterol kumapangitsa kuti matenda asamagwire bwino ntchito.

Chifukwa china ndi moyo wolakwika, ntchito yokhala chabe. Popanda kuchita masewera olimbitsa thupi, minofu yamtima imadzaza ndi mafuta, momwe amagwirira ntchito amasokonekera. Kuthamanga kwa magazi kumathandizira kuoneka ngati ma poma pazitseko zamitsempha yamagazi.

Mndandanda wazomwe zimayambitsa cholesterol yayikulu umaphatikizapo kunenepa kwambiri. Anthu odwala matenda ashuga omwe ali ndi kulemera kwakukulu amatha kugwiritsidwa ntchito mopitirira muyeso, popeza katundu pamtima amawonjezeka, myocardium imagwira ntchito kuvala, minofu imafooka.

Zotsatira zamatenda am'magazi, kugunda kwa mtima koyambirira, stroko zimachitika. Mwanjira iyi, pafupifupi lipid index imachokera ku mfundo 7 mpaka 8.

Zizolowezi zoyipa ziyeneranso kukhala zomwe zimayambitsa vutoli; kusuta ndi kumwa mowa kumakhudzidwa ndi kupanga maselo a cholesterol apamwamba kwambiri.

Mothandizidwa ndi matenda a shuga mellitus, cirrhosis ya chiwindi, ndi zovuta za endocrine system, cholesterol imayambira pa 7.2-7.3 mpaka 7.4-7.5 mmol / l. Kuti mutsimikizire za matendawa, akuwonetsa kuti akudziwitsani, amatsimikizira kapena amakana mantha.

Wodwala adzafunika kupereka magazi kuti afufuze, pali malamulo angapo ochita mayeso. Masiku atatu asanafike panjira amakana kudya zakudya zamafuta a nyama, tikulankhula izi:

• batala
• wowawasa zonona
• mafuta
• ankasuta nyama.

Nthawi yotsiriza iwo samadya pasanathe maola 12 asanakwane zosonkhanitsa zachilengedwe. Ndikofunika kwambiri kumwa madzi oyera oyera osagwiritsa ntchito gasi musanachitike. Kupereka magazi kuyenera kukhala theka loyamba la tsiku, makamaka m'mawa.

Kutsatira malangizowo, palibe kukayikira pankhani ya kulondola kwa zomwe mwapeza. Komabe, ngati mungazindikire zotsatira za 7 ndi pamwambapa, muyenera kupitiliza phunzirolo kamodzi.

Ngati mayeserowa mobwerezabwereza atsimikizira zotsatirazi, nthawi yomweyo amayamba kulandira chithandizo.

Kodi kuchuluka kwa lipoproteins ndi chiyani?

Pamene kusanthula kwawonetsa mfundo zisanu ndi ziwiri, wodwalayo amayamba kuda nkhawa ndi izi, sakudziwa momwe matendawo azidzakhalira. Dokotala nthawi zambiri amapereka mankhwala payekha, poyang'ana zomwe zimayambitsa kuphwanya.

Zotsatira zakunyalanyaza matendawa ndi matenda a impso, matumbo, mtima wamatumbo, zochitika za atherosulinotic m'malo osiyanasiyana amitsempha ndi mitsempha.

Zotsatira zilizonse ndizobera, njira zonse zokhudzana ndi kuphatikiza kwa lipoproteins yochepa ndizofunikira kwambiri. Ngakhale mazana a chizindikiro cha chinthu, mwachitsanzo, 7.20, 7.25, 7.35 mmol / l, amatengedwa.

Mankhwala ndi chakudya chamagulu amathandizidwa kuti muchepetse cholesterol.

Ndi mankhwala osokoneza bongo, nkhondo yolimbana ndi chinthu chochepa mphamvu imaperekedwa ndi mankhwalawa:

1. ma statins
2. mafupa
3. cholesterol mayamwidwe zoletsa.

Atorvastatin, mapiritsi a Lovastatin adayamba kukhala ma statins. Amagwiritsa ntchito mfundo yoletsa ma enzymes ena omwe amachititsa kuti pakhale cholesterol. Zotsatira zake, pambuyo pa chithandizo, mankhwalawa a lipoprotein amatsika bwino, wodwalayo amamva bwino.

Dziwani kuti kukhala ndi pakati ndikolepheretsa kugwiritsa ntchito mankhwalawa. Ponena za milingo, amasankhidwa payekha.

Mitundu yomwe imagwiritsidwa ntchito kwambiri ndi gemfibrozil, fenofibrat. Mankhwalawa amangokhala okha, monga ma statins, koma ali oyenera kwambiri kupewa kupewa kuyambiranso. Kugwiritsa ntchito mafupa kumakhala koyenera chifukwa chochepetsedwa pang'ono kuchokera pazomwe zili bwino zamagazi.

Cholesterol mayamwidwe zoletsa Cholestyramine, Colextran amathandizira kukonza chizindikiro cha zinthu zokwanira ndi zotsika kwambiri zamafuta ngati zinthu. Samagwiritsidwa ntchito pawokha, amalimbikitsidwa ngati gawo la zovuta mankhwala pamodzi ndi ma statins kapena ma fibrate.

Zoletsa zomwe zikuchitika ndizosiyana pang'ono ndi mankhwala omwe ali pamwambapa, sizimaletsa ma enzyme, koma mwamphamvu siyani kuyamwa kwa mafuta. Kugwiritsa ntchito ma inhibitors ndizotheka ndi cholesterol yosaposa 7.4 mmol / L. Pambiri, kuchuluka kwa mankhwalawa kumachepetsedwa kangapo.

Njira zina zochepetsera cholesterol zimathandizira kuonjezera mphamvu ya maphunziro. Mutha kupanga zithandizo zozimira mankhwala anu nokha kunyumba.

Chifukwa chomwe cholesterol yamagazi imakwera limafotokozedwa mu kanema munkhaniyi.

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

Mafuta a cholesterol 7 ndi 3 - choti achite ndi zomwe zili zowopsa ndichizindikiro

1. Cholesterol - chinthu chomanga maselo: mulingo wovomerezeka
2. Kodi chiwopsezo cha cholesterol yayikulu ndi chiyani?
3. Momwe mungazindikire cholesterol yayikulu
4. Cholesterol yotsitsa mankhwala
5. Zothandiza kuchepetsa mafuta m'thupi

Simuyenera kuwonjezera ndi kuyika cholesterol "kuleza mtima", kunena kuti ndi ngozi yayikulu mthupi. Mfundo ndi kuchuluka kwake. Fanizoli ndi mankhwala, popanda zomwe wodwala sangachite, koma kumwa mopitirira muyeso kumatha kukhala pangozi moyo.

Ngati cholesterol ndi 7.3 mmol / L, kodi mulingo oopsa kapena ndi alamu abodza. Kuti tiyankhe funsoli, ndikofunikira kuthana ndi mfundo zomwe sizoyenera kuchita mantha nazo.

Cholesterol - chinthu chomanga maselo: mulingo wovomerezeka

M'mawu osavuta, cholesterol ndi mafuta ofanana ndi omwe amaphatikizidwa pakupanga maselo, amapanga mavitamini, amatenga nawo mbali mu metabolism, ndikupanga mahomoni ogonana. Pofuna kuti thupi lipatsidwe zinthu zomangamanga, 80% yake imapangidwa ndi chiwindi, matumbo, ma adrenal gland, gonads, mpumulo womwe munthu amalandira ndi chakudya.

Kuti mumvetsetse ngati mulingo wa cholesterol 7.3 mmol / l ndi wowopsa thanzi, titembenukira ku miyezo:

• Kwa munthu wazaka 25 - 4.6 mmol / l,
• Mwa akazi azaka 40-50 - 6.6 mmol / l,
• Amuna kuyambira wazaka 40 - 6.7 mmol / L,
• Amayi kuyambira wazaka 60 - 7.7 mmol / l.

Pali zambiri mwatsatanetsatane zomwe zimakhala ndi cholesterol "chabwino" (HDL) ndi "yoyipa" (LDL), molingana ndi zaka komanso jenda, chifukwa chake, muyenera kufunsa dokotala.

Pakuwongolera zambiri, mutha kutenga monga kuvomerezedwa ndi European Society of Atherosclerosis:

• C cholesterol chonse - 5.2 mmol / l,
• Lowensens lipoprotein cholesterol (LDL) - 3-3.5 mmol / L,
• High density lipoprotein cholesterol (HDL) - 1.0 mmol / L.

Kutengera ndi zomwe tafotokozazi, cholesterol 7.3 mmol / L imawoneka kuti yachulukira. Komabe, ngati tikulankhula za kuchuluka kwa azimayi omwe ali ndi zaka zopitilira 60, ndiye kuti palibe malo achitetezo. Ndipo ngati chisonyezo choterechi chikupezeka mwa mwana, wamwamuna kapena wamkazi wazaka zazing'ono, ndiye kuti pali chizindikiro chachikulu chakufunika koti achitepo kanthu.

Kodi chiwopsezo cha cholesterol yayikulu ndi chiyani?

Mitundu yonse iwiri ya cholesterol ndi zovuta zama protein-mafuta, zinthu ngati zamafutazi zimazungulira kudzera mthupi. Kuyambira pomwe kuchuluka kwa LDL kumachulukira, amapanga zisindikizo (zomwe zimayambitsa), zomwe zimayambitsa kuuma kwa mitsempha (atherosulinosis).

Ngati ntchito ya cholesterol "yoyipa" ichuluka, izi zimakhudza mapangidwe, mawonekedwe amtundu womwe calcium imakhazikika.

Mitsempha yolumikizidwa ndi mapepala ochepa komanso osachepera, stenosis imawonedwa. Mwazi utadzaza ndi mpweya sufika pamtima. Pali ululu, womwe ndi chizindikiro cha angina pectoris, vuto la mtima lingachitike - kulowetsedwa kwa myocardial.

Chovala chamagazi chimatha kuwoneka mkatikati mwa mtsempha wosakhazikika. Zimalepheretsa kuthamanga kwa magazi ndipo kugunda kwa mtima kapena kugunda kumachitika.

Momwe mungazindikire cholesterol yayikulu

Sikuti nthawi zonse thupi lathu limatha kuyankha panthawi yokhala ndi cholesterol yambiri, mwachitsanzo, 7.3 mmol / l kapena kuposa mwa amuna. Pokhapokha atachita kale "ntchito zonyansa": zotengera zimakhala zopanda mphamvu ndikuchepetsedwa momwe zingathere, zizindikiro za matenda omwe amayamba chifukwa cha cholesterol yowonjezera amayamba kuonekera.

Zizindikiro zochititsa chidwi kwambiri ndi izi:

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

1. Kupweteka pachifuwa (angina pectoris),
2. Charcot's syndrome (pakatikati pamilandu),
3. Kuzungulira eyel, ma pinki achikasu achikasu amawoneka pamisempha ya mwendo wapansi komanso pansi pa malo ena pakhungu.

Cholesterol yotsitsa mankhwala

Chithandizo cha mankhwala osokoneza bongo ziyenera kutembenukiranso ngati mulingo wa cholesterol ndi wovuta kwambiri komanso woposa 7.3, komanso kupitirira kupitirira 10. Komabe, kumwa mankhwalawa sikumapatula vuto lalikulu - kukhalabe ndi moyo wathanzi.

Mankhwala ofunikira a cholesterol yayikulu:

• Statins (flavustatin, lovastatin, cerivastatin). Nthawi zina zochita zawo zimatha kuchepetsa cholesterol yamagazi koposa nthawi 2,
• Fibroic acid (Tricor, Lopid, Atromed-S) amathandizira kuthamangitsa makutidwe a oxidation amafuta acid,
• Colestid ndi Questran ndi mankhwala omwe amaphatikiza ndi bile acid, omwe amachepetsa ntchito ya kubereka cholesterol.

Zothandiza kuchepetsa mafuta m'thupi

Chithandizo cha matenda oyambitsidwa ndi cholesterol yayikulu, pamene msamba wakewo ukukwera kuposa 7.3, ayenera kufikiridwa kwathunthu.

Moyo wokangalika, kusiya zizolowezi zoyipa ndikumwa mankhwala kuyenera kuthandizidwa ndi zowonjezera zapadera:

• Vitamini E - antioxidant wamphamvu kwambiri yemwe amateteza kuoneka kwama cholesterol,
• Omega-3 - amapezeka m'mafuta a nsomba, ndi othandizira odana ndi kutupa, amathandiza kuti magazi asamawonekere komanso amachepetsa kuchitika kwa atherosulinosis. Ili ndi gawo la mafuta a flaxseed, primrose ndi mafuta opukutidwa,
• Tiyi yobiriwira ndi antioxidant yomwe imasintha kagayidwe ka lipid, ndikupangitsa kuchuluka kwa cholesterol kutsika.
• Magazi amadzimadzi, amalimbana bwino ndi kupangika kwa magazi. Aliin (mankhwala a sulufule), omwe ali gawo la adyo, ali ndi mphamvu zopanda machiritso zomwe zimatsitsa cholesterol,
• Mapuloteni a soya ali ndi genistein - antioxidant wamphamvu, amalepheretsa makutidwe ndi okosijeni a LDL, amathandizira kubisalira kwa bile acid,
• Niacin (Vitamini B3) amalimbikitsa mafuta acids, omwe amathandiza kuchepetsa triglycerides,
• Folic acid (B12 ndi B6) imachepetsa mulingo wa homocystine, womwe umayambitsa zovuta za mtima. Ndi kuchepa kwa mavitaminiwa, chiwopsezo cha matenda a mtima ndi matenda a mtima.

Ndikofunikira kudziwa vutoli pakapita nthawi, pezani thandizo la dokotala ndikutsatira malangizo onse. Kupitilira apo, siyani zizolowezi zoyipa, idyani zakudya zopatsa thanzi ndikupita kukayezetsa.

Kodi cholesterol yotani m'magazi

Masiku ano, palibenso anthu amene sanamve za cholesterol. Komabe, sikuti aliyense anali wokhoza kumvetsetsa bwino kuti ndi mtundu wanji wa chinthucho. Koma gawo ili limagwira ntchito yayikulu pakukula kwamatenda ambiri amtima, endocrine pathologies, matenda a impso ndi chiwindi. Kuti mupeze bwino mankhwalawa, dokotala ayenera kudziwa kuchuluka kwa cholesterol yoyenera kukhala m'magazi a anthu amisinkhu yosiyanasiyana. Ndipo kwa odwala omwe amawunika zaumoyo wawo, izi zithandizanso kudziwa kupatuka kwakanthawi ndikupempha thandizo kwa katswiri.

Lingaliro la cholesterol

Kuchokera pamalingaliro amakanidwe, mankhwala a cholesterol ndi mowa wamafuta a polyhydric omwe ali m'gulu la zigawo za cell.

Mwanjira ina, cholesterol imathandizira kulimbitsa maselo, titero kunena kwake, zinthu zomanga za makoma akunja ndi amkati mkati. Kuphatikiza apo, cholesterol imakhudzidwa:

• popanga bile acid
• kapangidwe ka vitamini D
• kaphatikizidwe ka mahomoni ogonana
• mitsempha ya fiber kudzipatula

M'magazi, cholesterol imachokera ku chakudya (pafupifupi 20%), ndipo gawo lalikulu limapangidwa ndi chiwindi (zoposa 80%).

Zimatsimikiziridwa kuti kuchuluka kwa kugaya chakudya kumadalira kuchuluka kwa ma asidi a bile omwe amatsitsa mafuta m'matumbo, kuwaletsa kuti asalowe m'magazi. Mwambiri, cholesterol ndi gawo lofunikira, popanda momwe magwiritsidwe antchito amthupi onse ndizosatheka.

Mitundu ya Cholesterol

Cholesterol siyitha kusungunuka m'madzi, motero imazungulira kudzera m'maselo a thupi monga gawo la lipoproteins kapena mapuloteni ena. Mlingo wa cholesterol m'magazi umatsimikizika ndi kuphatikiza kwa mankhwala awa. Mukamawunikira zamankhwala am'magawo amodzi, zigawo izi ndizosiyanitsidwa:

• cholesterol yathunthu - mafuta onse m'thupi la munthu
• triglycerides - zovuta za mafuta zomwe zimapezeka makamaka m'madzi a m'magazi
• otsika osalimba lipoproteins - mu mawonekedwe omwe akuwonetsedwa ndi LDL. Udindo wa zinthu izi ndikuyendetsa cholesterol kuchokera ku ma cell a chiwindi kudzera minofu.
• mkulu osalimba lipoproteins - chidule ngati HDL. Ntchito yawo ndikusintha cholesterol yochuluka kuchokera m'magazi ndi maselo kuti abwerere ku chiwindi kuti akonzedwe

Zisonyezo za cholesterol m'magazi ndizomwe zimapangidwira zigawo zomwe zili muyezo.

Cholesterol ndi "yoyipa" komanso "yabwino"

Muyezo wa cholesterol yokwanira m'magazi ndi mulingo pakati pazigawo zonse zamafuta. Koma zimachitika kuti "yoyipa" yamtundu wa cholesterol uyamba kudzikundikira m'thupi, ndikuwononga mitsempha yamagazi ndi ma cell minofu.

"Choipa" cholesterol ndi:

• LDL - ma lipoprotein otsika kwambiri omwe amatha kulowa khoma la mtima ndikupanga cholesterol malo
• Triglycerides - ndi nkhokwe za mafuta ndipo nthawi yakusokonekera mamolekyulu amonjezera kuchuluka kwa cholesterol

Cholesterol "Chabwino" ndi HDL kapena lipoprotein wamkulu. Amatsuka mitsempha yamagazi ndi madzi a m'magazi ponyamula cholesterol yaulere ku chiwindi, komwe imatayidwa.

Zimayambitsa kusintha kwa cholesterol ndende

Zomwe zimavomerezeka ndi cholesterol yabwino m'magazi ndizofunikira, chifukwa kusinthasintha kwa magazi kumatengera zinthu zambiri:

• Amuna - akazi azaka 50 ali ndi magawo otsika, mosiyana ndi amuna amsinkhu umodzi. Izi ndichifukwa cha kukhalapo kwa estrogen (mahomoni ogonana) kuteteza thupi la mkazi. Pambuyo pa kusintha kwa kubereka, magazi a amayi amadzuka
• Age - mwa ana, kuchuluka kwa mafuta m'thupi kumakhala kotsika kuposa akuluakulu. Kuchuluka kwa zaka
• Zizolowezi zoyipa - kusuta fodya kumawononga makhoma amitsempha yamagazi ndikusokoneza chiwindi. Izi zimakwiyitsa kupanga cholesterol "choyipa" choyipa, chomwe chimayikidwa mumakoma oyamba.
• Kusuta zakudya zamafuta ndi zakudya zachangu
• Kukhalapo kwa matenda achilengedwe komanso osachiritsika. Cholesterol okwera ndi "mnzake" wa matenda a shuga, matenda a endocrine, matenda a chiwindi ndi impso, komanso cholowa cha hypercholesterolemia.

Kuchuluka kwa cholesterol yathunthu kumachitika mwa amayi apakati. Izi sizoyambitsa matenda, chifukwa mafuta amafunikira kuti chitukuko cha mwana chikhale komanso zomwe zimakula.

Kuopsa kwa hypercholesterolemia posakhalitsa chithandizo ndikupanga mapepala omwe amachepetsa lumen ya mitsempha. Popita nthawi, zikwangwani zimasokonekera ndipo magazi amawoneka m'malo mwake. Momwe magazi amalepheretsedwera, zimakhala ndi ziwalo zimayamba kudwala ischemia. Nthawi zina, magazi atatuluka chifukwa cha kuthamanga kwa magazi, ma emboli amachoka. Kuyenda kudutsa m'magazi, ma embolus amatamira mchombo chaching'ono, kutseka ndikubweretsa matenda oyipa monga kugwa mwadzidzidzi kapena kugunda kwa mtima.

Hypocholesterolemia ndimikhalidwe yovuta kwambiri pamene thupi limasowa mafuta a cholesterol. Zomwe zimayambitsa matendawa zimatchedwa mavuto a chiwindi kapena kutopa kwambiri komwe kumachitika chifukwa chokhala ndi nthawi yayitali pakudya. Cholesterol wotsika, monga cholesterol yambiri, imayambitsa thanzi.

C cholesterol chonse

Akatswiri azachipatala nthawi zambiri amasiyanitsa zaka za cholesterol pazaka. Asayansi apeza kuti munthu wamkulu akamakula, amapeza mafuta ambiri. Koma izi sizimakhudzana nthawi zonse ndi matenda aliwonse, m'zaka zapitazi, njira za metabolic zimasintha, ndipo izi zimakhudzanso kapangidwe ka magazi.

Mlingo wa cholesterol yathunthu pagome la magazi

Mlingo wabwinobwino wa cholesterol m'mwazi wa munthu wamkulu wathanzi uyenera kusungidwa mkati mwa 5.29-6.29 mmol / lita. Kupatuka kuchoka pachizolowezi mpaka pamlingo wokulirapo kapena wocheperako kumawonetsa kukhalapo kwa "zolakwika" mu ntchito ya ziwalo zamkati.

Pitani pazomwe zili

Kusiyanitsa pakati pa amuna ndi akazi

Kuwonjezeka kwa cholesterol ndi ukalamba mwa azimayi kumachitika chifukwa cha kusintha kwa mahomoni. Zizindikiro sizimangosintha pa nthawi ya kusintha kwa thupi, komanso panthawi yomwe muli ndi pakati.

Mlingo wa cholesterol m'magazi: gome la mibadwo ya akazi

Paubwana, njira zonse za metabolic m'thupi la mkazi zimachitika mwachangu, zakudya zimatenga bwino, ndipo mafuta ochulukirapo amachotsedwa mwachilengedwe. Chifukwa chake, ngakhale kukhalapo kwa zizolowezi zoipa kumalola cholesterol kukhalabe yopanda malire. Komabe, pamaso pa endocrine pathologies, matenda a shuga ndi kulephera kwa chiwindi, cholesterol imatha kuwonjezeka ndi mayunitsi angapo ngakhale ali aang'ono.

Amayi ambiri atakwanitsa zaka 30 ayenera kudziwa kuchuluka kwa cholesterol m'magazi, chifukwa ndi m'badwo uno momwe metabolic njira zimayamba kuchepa, ndipo mwayi wa hypercholesterolemia ukuwonjezeka. Gulu lamavuto limaphatikizapo azimayi omwe akusuta komanso kumwa makhwala. Pazaka izi, ndikofunikira kuyamba kuwongolera zakudya, chifukwa thupi limakhala lovuta kulimbana ndi zakudya zolemera.

Pambuyo pa zaka 40, ndi nthawi ya kusintha kwa msambo, kuchuluka kwa estrogen m'thupi la akazi kumachepetsedwa kwambiri. Izi zimabweretsa spikes pakukula kwa cholesterol. Njirayi ndiyosapeweka, chifukwa imatengedwa ngati thupi.

Ali ndi zaka 50 komanso kupitilira apo, ndikulimbikitsidwa kuti aziwunika zakudya. Ndikofunika kuti chakudya cha mayi tsiku lililonse chizikhala ndi mafuta ochepa a nyama komanso chakudya chambiri chambiri. Kuphatikiza apo, muyenera kusiya kusuta, kumwa mowa ndikuyesera kuyenda momwe mungathere.

Mafuta cholesterol: abwinobwino mwa amuna

Mwa amuna, mosiyana ndi akazi, thupi silitetezedwa ndi mahomoni ogonana. Pofika ali aang'ono, madokotala amalangiza anthu kuti azigonana mosalakwitsa. Amuna azaka zapakati amakhala atayamba kale kukhala ndi vuto la atherosulinosis, kumachitika kwa stroko komanso mtima.

Mapiritsiwo akuwonetsa cholesterol m'magazi, yofanana mwa amuna ndi akazi achikulire ndi yosiyana. Mukugonana kofowoka, cholesterol imakwera pakapita zaka, ndipo mwa amuna pambuyo pa 50, imayamba kuchepa.

Zizindikiro za hypercholesterolemia nthawi zambiri zimawonetsedwa mwa amuna monga:

• angina pectoris
• mafuta mawonekedwe pakhungu
• kupuma movutikira komanso kuchita masewera olimbitsa thupi pang'ono
• kupweteka kwa mwendo
• mikwingwirima yaying'ono
• kulephera kwa mtima

Kudziwa cholesterol yamagazi ndikuyenera kuchita ndikuwongolera, simungakhale ndi matenda osakonzekera, kukhala ndi mphamvu komanso kusangalala kwambiri.

Kusanthula kwa cholesterol

Munthu amene asankha kuti adziwe kuchuluka kwa cholesterol yake koyamba ndikokwanira kukhazikitsa chisonyezo. Ngati manambala omwe akuwunikirawo angakhale osiyana kwambiri ndi momwe amafunidwira, ndikofunikira kutumiza magazi ku mbiri ya lipid. Kuwerengera kwa tizigawo ta cholesterol kuthandizira kukhazikitsa molondola zomwe zimayambitsa kusintha kwa matenda.

Mlingo wa cholesterol m'magazi a anthu umatsimikiziridwa pogwiritsa ntchito kuyezetsa magazi a labotale. Ndikofunikira kuyendera labotale m'mawa, pamimba yopanda kanthu. Pamaso pa njirayi (masiku awiri kapena atatu), mankhwala, masewera, zakumwa zoledzeretsa komanso zamafuta siziphatikizidwa. Ndikofunika kuti musiye kusuta (makamaka patsiku lopereka magazi).

Zotsatira za lipid mbiri zikuwonetsa kuchuluka kwa cholesterol "chabwino" ndi "choyipa", komanso kuwonetsa mulingo wa triglycerides.Ngati LDL yapamwamba kuposa 4,99 mmol / lita - wodwalayo ali pachiwopsezo cha matenda a coronary.

HDL ikakhala yoposa 5.99 mmol / lita, wodwala sayenera kuda nkhawa. Izi zikusonyeza kuti cholesterol "yabwino" imachepetsa mamolekyulu a "oyipa", ndikuwachotsa kumtunda kuti akatayike. Komabe, chizindikiritso cha osakwana 2.99 mmol / lita chimawonetsa kusintha kwa thupi.

Kuti muwonongeke molondola, wodwalayo akulimbikitsidwa kukaonana ndi dokotala. Adzakuwuzani kuchuluka kwa cholesterol ya munthu m'magazi ndi zomwe akuyenera kuchita kuti akonze.

Kutsitsa cholesterol m'mwazi wa amayi kumalumikizidwa ndi kuphwanya kwamanjenje kapena kuchepa kwa zakudya.

Chifukwa chiyani kuyeza mafuta m'thupi

Cholesterol ndi mowa wonga mafuta womwe umagwiritsidwa ntchito ndi thupi la munthu pakupanga mavitamini D, mahomoni a steroid, komanso kapangidwe kazinthu zopanga ma cell. Pafupifupi 75% ya sterol imapangidwa ndi thupi, zotsalazo zimachokera ku chakudya. Ambiri a cholesterol onse amapangidwa ndi chiwindi, kuwapatsa ndi maselo onse amthupi. Tizilombo ta adrenal, khungu, ndi matumbo zimatulutsa sterol pazosowa zawo.

Pobadwa, ana onse amakhala ndi cholesterol yotsika. Kufikira zaka zaunyamata, kuchuluka kwa kuchuluka kwa andende kuli chimodzimodzi kwa atsikana ndi anyamata. Chilichonse chimasintha ndi kuyamba kwa msambo. Thupi la mzimayi limayamba kupanga mahomoni - estrogens, omwe salola kuti sterol ikule. Thupi la amuna limapangitsanso estrogen, koma yochepa kwambiri. Chifukwa chake, cholesterol yawo ikukula moyo wawo wonse. Mwa akazi, mseru wa sterol umangowonekera pambuyo pa kusintha kwa kusintha kwa msambo.

Kwa abambo, cholesterol ya 7.1-7.2 mmol / L ndizodziwika kuyambira azaka zapakati pa 45, kwa amayi, cholesterol ya 7.3-7.4 mmol / L amadziwika kuti ndi wabwinobwino pambuyo pa 50. Thupi la amayi apakati limapanga cholesterol yochulukirapo kuposa masiku onse. Chifukwa chake, cholesterol chizindikiro cha 7.7-7.8 mmol / l ndichachilendo kumapeto kwa trimester yachiwiri. Khanda lisanabadwe, limatha kukula mpaka 9 mmol / l.

Pali zifukwa zitatu zowunika kuchuluka kwa cholesterol:

• Kupenyerera. Wokhala ndi ana azaka za 9-11, kenako 17-21, achikulire zaka zisanu ndi zinayi zilizonse. Ndikofunikira kuti matenda apezeke panthawi yake, malingaliro a munthu pakukhazikitsa matenda amtima,
• Matenda oyambira. Amakulolani kuti mufotokozere za matenda oyambira, komanso kudziwa kuchuluka kwa matendawo,
• Kuwunika momwe odwala aliri ndi sterol yambiri. Zimapatsa dokotala mwayi wowunika momwe wodwalayo alili, kuwunika momwe mankhwalawo amathandizira.

Chifukwa chiyani cholesterol yapamwamba imakhala yoopsa

Cholesterol okwera (hypercholesterolemia) ndi chiopsezo chotukula kwa atherosulinosis, chizindikiro cha labotale yamatenda ena. Ngati zomwe zili sterol yamagazi ndizambiri, zimayamba kukhazikika pamakoma a ziwiya zowonongeka. Izi zimayamba mapangidwe a cholesterol malo.

Poyamba, amawoneka ngati mawanga am'mafuta, mikwingwirima, sasokoneza ma kayendedwe ka magazi. Komabe, kukula kwa mapepala kumayendera limodzi ndi kufinya kwa mlengalenga, zomwe zimapangitsa kuti chotchingira. Chiwalo chomwe magazi ake amakhala m'mitsempha amasiya kulandira mpweya wokwanira ndi michere. Mapale a atherosselotic amatha kuchoka, ndikubisa chotengera.

Maukonde a mtima wathu ndi osadalirika. Selo lililonse la minofu yamtima limadyetsedwa ndi chotengera chimodzi chokha. Mphesa yam'madzi yotereyi ikang'ambika, mtima wake umasowa mu mpweya. Matendawa amatchedwa matenda a mtima.. Koma ngati lumen ya coronary artery itasinthika kwathunthu, ena mwa maselo amataya chakudya ndikufa - myocardial infarction imayamba.

Maselo aubongo amadya ziwiya zingapo. Komabe, amafunikira kwambiri pakubwera kwa magazi.Kuperewera kwa okosijeni kumayambitsa matenda a ischemic ubongo, vuto lalikulu kwambiri lomwe ndilo stroke.

Pamene atherosclerosis ikukhudza ziwiya zazikulu zamiyendo, chakudya cham'mimba cham'mimba chimasokonekera. Khungu limakhala losalala, mabala amachiritsa bwino. Odwala amamva kupweteka kwambiri poyenda. Vuto lalikulu kwambiri ndi kuphwanya kwamiyendo, komwe kumafuna kudulidwa miyendo. Nthawi zambiri, mtundu wonyalanyaza wa matenda umawonedwa mwa odwala matenda ashuga.

Kulemba zotsatira

Pamwambapa, tidazindikira chifukwa chake kuchuluka kwa cholesterol sikofanana kwa amuna, akazi, ana, achinyamata, okalamba. Mwachitsanzo, cholesterol ya 7.5 mmol / L ndi chizindikiro chodziwika bwino kwa amayi pambuyo pa zaka 55, koma sizovomerezeka kwa msungwana. Chifukwa chake, kusinthaku kumayamba ndi tanthauzo la chizolowezi.

Njira yabwino ndiyoti mupeze miyezo kuchokera ku labotale yomwe idawunikira. Izi zidzakhala ziwerengero zolondola kwambiri zomwe zikuwonetsa kuchuluka kwa kuyesa kwa cholesterol pakadali pano. Komabe, kumvetsetsa kofikira kungapezeke mwa kuphunzira tebulo lodziwika.

Gome. Cholesterol wamba mwa ana, azimayi, amuna.

Tinene kuti cholesterol yanu ndi 7.6 mmol / L. Ndiwe msungwana wosabadwa wazaka 30. Zomwe zimachitika mu m'badwo uwu zimawerengedwa ngati chisonyezo cha 3.32-5.75 mmol / L. Chifukwa chake, cholesterol ya 7.6 mmol / L imaposa malire apamwamba ndi 32%. Uku ndikupatuka pang'ono, komwe nthawi zambiri kumalumikizidwa ndi kuperewera kwa zakudya m'thupi, kusuta fodya, kumwa mowa mwauchidakwa, kunenepa kwambiri. Ngati mukumwa mankhwala oletsa kubereka pakamwa, kuwonjezera kuchuluka kwa sterol kungakhale zotsatira zoyipa kumwa mankhwalawa.

Zoyambitsa Hypercholesterolemia

Anthu ambiri omwe ali ndi cholesterol yambiri amachititsa kuti akhale atherosulinosis. Mwa zina mwa zifukwa zofala:

• Zakudya zokhala ndi mafuta ochulukirapo, cholesterol, kuchepa kwa fiber
• uchidakwa
• kusuta
• kumangokhala
• onenepa kwambiri.

Komanso cholesterol yambiri imakonda kukhala chifukwa cha matenda ashuga, kuchepa kwa chithokomiro. Zomwe zimayambitsa ndikusowa kwa kukula kwa mahomoni, matenda a chiwindi, ndi kutsekeka kwa ndulu.

United States National Institute of Health and Medicine ikuvomereza kuti anthu onse omwe ali ndi cholesterol ya 7.5 mmol / L kapena apamwamba akafufuze matenda amtundu: Famter heterozygous, homozygous hypercholesterolemia. Ma pathologies onsewa amaphatikizidwa ndi kuphwanya kagayidwe ka cholesterol, kamene kamatsalira kwambiri, mosasamala zakudya. Mtundu wowonjezereka wa matendawa ndi homozygous hypercholesterolemia, popeza mwana amalandila jini losalimba kuchokera kwa makolo onse awiri.

Chithandizo Chapamwamba cha Cholesterol

Cholesterol 7.0-7.9 sikuti ndi chisonyezo chofuna chithandizo chamankhwala cham'tsogolo. Amayesa kusintha mtundu wa sterol mwamphamvu: powunikiranso moyo wawo komanso zakudya. Njira yabwino:

• Siyani kusuta. Kusuta kumawonjezera sterol yoyipa, kumatsitsa zabwino
• Sunthani zina. Ngakhale kuyenda kwa theka la ola kungathandize kukwaniritsa zowoneka bwino. Kuchita masewera olimbitsa thupi aerobic kumakupatsani mwayi wopeza zotsatira zabwino. Chifukwa chake, ndibwino kupita kukacheza ku masewera olimbitsa thupi, kuthamanga kapena kukwera njinga osachepera katatu / sabata,
• Mowa - kawirikawiri, m'magawo ang'onoang'ono. Kuledzera kumawonjezera katundu pa chiwindi, kumawonjezera cholesterol,
• Mafuta okometsedwa (nkhumba, ng'ombe, tchizi chamafuta, tchizi, kirimu) - kangapo / sabata. Kudya pafupipafupi zakudya izi kumawonjezera cholesterol. Pa masiku ena, perekani zokonda zanu zamasamba - mafuta, mtedza, mbewu. Amakhala ndi mafuta ochulukirapo.
• Nsomba zamafuta, walnuts, ma almond, mbewu za fulakesi - osachepera 2 / sabata. Zakudya izi ndizokhala ndi mafuta ambiri a omega-3 acid, omwe ndi ofunikira pakuchita bwino kwa mtima.Zambiri za omega-3 mafuta acid zimatsika mitundu yonse ya cholesterol yoyipa, zimawonjezera kuchuluka kwa zabwino,
• 1.5-2 malita a madzi oyera / tsiku. Kupereka thupi ndi madzi okwanira kumathandizira kuletsa kuphatikizika kwa chosakanizira monga yankho ku kuchepa kwa madzi m'thupi.

Chithandizo cha matenda opatsirana omwe amayambitsidwa ndi cholesterol yayikulu ndi gawo lofunikira la mankhwalawa. Kusankhidwa kwa mankhwala kumadalira mtundu wa matenda:

• matenda oopsa - okonzedwa ndi mankhwala omwe amachepetsa kuthamanga kwa magazi,
• matenda osowa kwa mahomoni (shuga mellitus, hypothyroidism, kusowa kwa somatostatin) - zimaphatikizanso kuyambitsa kwa mahomoni osowa kwa wodwala,
• matenda a chiwindi, biliary mankhwala - amafuna chakudya, kugwiritsa ntchito mankhwala omwe amathandizira kupanga bile, hepatoprotectors, antispasmodics. Masamba akulu kwambiri amathandizidwa mwachangu.

Mankhwala a Hypolipidemic omwe amachepetsa cholesterol ndi tizigawo tina ta lipid timayikidwa kuti titha kulephera kudya, kusintha kwa moyo, komanso kuchiza matenda osachiritsika. Nthawi zambiri, odwala ndi mankhwala opatsidwa. Ndi kusalolera kwawo kapena kuwonjezeka pang'ono kwa sterol - mafupa, mafuta omega-3 mafuta kukonzekera, cholesterol mayamwidwe, cholesterol mayamwidwe.

Zinthu zomwe zidakonzedwa ndi olemba polojekitiyi
malingana ndi ndondomeko yakusinthaku.

Kodi chizindikiro 7-7.9 chimatanthawuza chiyani

Ndi kuchuluka kwa cholesterol pamwambapa 7, sitiroko ndiyotheka

Kuwerenga kwa cholesterol yamagazi pamwambapa 6 kumawerengedwa kuti ndi okwera kwambiri ndipo kumafuna kuchepetsedwa mwachangu. Zizindikiro pamlingo 7 ndi gawo loyamba la mapangidwe a atherosulinosis.
Pa mulingo wa 7 mpaka 7.9 mmol, mndandanda wazotsatira zamatenda umayamba:

• Atherosulinosis m'malo osiyanasiyana. Nthawi zambiri, miyendo imakhudzidwa ndi kufalikira kwa mitsempha yamagazi, komanso malo omwe magazi amadzisonkhana.
• Ischemia wamtima. Chifukwa cha kupangidwa kwa ma blockages m'mitsempha yama coronary, chiwopsezo cha matenda a mtima ndi minyewa yamtima chikuwonjezeka,
• Stroko Kupezeka kwa sitiroko nthawi zambiri kumachitika chifukwa cha vuto la cholesterol. Izi zimachitika makamaka nthawi zambiri pomwe chiwopsezo cha kunenepa kwambiri chikuwonjezeka.
• Nthawi zambiri, chifukwa cha cholesterol owonjezera, matenda a ischemic matumbo amachitika, ndipo matumbo amayamba. Zotsatira zake, kugaya chakudya kumavutika.
• Kuphwanya magazi kumadera akumunsi. Matendawa amapezeka chifukwa cha atherosulinosis yogawa ngalawa ya chombo.

Ngati chizindikiro chimodzi kapena zingapo zikuchitika, ndikofunikira kuchepetsa cholesterol kuchokera 7 mpaka 5 posachedwa.

Gulu lowopsa lodwala limaphatikizapo anthu onse onenepa. Izi zimawerengedwa kuti ndizofunikira kwambiri. Ndiwo mafuta omwe amakhala ndi thupi lokwanira lomwe limapanga zinthu zoyenera kupanga mapangidwe a atherosclerosis.

Anthu omwe akudwala matenda amtima wamtunduwu nawonso ali pachiwopsezo. Ndi kufooka kwa mitsempha yamagazi ndi mtima, chiopsezo cha matenda ena ndi chachikulu. Izi ndichifukwa choti chitetezo chamunthu chimasokonekera kwambiri.

Amayi oyembekezera ayenera kukhala atcheru makamaka. Miyezo ya cholesterol panthawi yapakati imatha kukhala yosatsimikizika. Mkazi amayenera kuwunika zochita za thupi lake nthawi zonse.

Popeza ndizosatheka kuzindikira kukhalapo kwa cholesterol yayikulu, ndikulimbikitsidwa kuti kusanthula kuchitike osachepera 1-2 pamwezi. Chifukwa chake, ngakhale kusintha pang'ono m'mafuta a cholesterol kumatha kuzindikirika, ndipo adzachitapo kanthu kuti athetse matendawa.

Zimayambitsa High Cholesterol

Pali zinthu zambiri zomwe zimaphatikizapo zonse zomwe zikuyembekezeka komanso zopezeka chifukwa cha moyo.

Nthawi zambiri, pamakhala chibadwa chamunthu. Maonekedwe a cholesterol pamtunda wa mamiliyoni 7 pa lita imodzi muubwana kumawonetsera kufalikira kwa matendawa kuchokera kwa kholo limodzi kapena awiri.

Zomwe ndi nthawi yomwe thupi limadya ndilofunikanso.Zakudya zopanda pake, zochulukirapo, kapena zosayenera zimapangitsanso mafuta ambiri.

Tiyenera kudziwa kuti izi sizikugwira ntchito pazinthu zonse. Zakudya zamafuta zokha, soseji ndi zophika zomwe zingaphatikizidwe muzakudya zoyenera.

Kuperewera kwa ntchito kumabweretsa kuchuluka kwa mafuta m'thupi. Popeza kulibe kwina komwe kumagwiritsa ntchito mphamvu kuchokera ku chakudya, kumadziunjikira. Chiwerengero cha lipoproteins yotsika kwambiri imachuluka ndipo kuchuluka kwa lipoproteins okwera kumatsika, izi zimatsogolera ku atherosclerosis.

Nthawi zambiri chinthu choopseza chimakhala cholemetsa. Izi zimakwiyitsa kudzikundikira kwa cholesterol yochulukirapo.

Mowa ndi kusuta zimalepheretsa kupanga lipoprotein yapamwamba kwambiri. Izi zimathandizira kuti inapitiliza kaphatikizidwe kachulukidwe kachulukidwe ka lipoprotein komanso kapangidwe ka mtima.

Kutsika ndi kuchuluka kwa lipoproteins yama kachulukidwe kosiyanasiyana kumayambitsidwa ndi matenda osachiritsika. Matenda a endocrine dongosolo ndi matenda amtundu wa shuga ndi amodzi mwa matenda ochepa omwe amakhudza cholesterol yokhazikika.

Mosasamala kanthu za chomwe chikuwoneka m'mafuta a kolesterol, adokotala amayenera kuwonetsetsa kuti apezeka ndi matendawa. Mankhwalawa, ndikofunikira kuti muchepetse zomwe zimayambitsa, osati zizindikirazo.

Zoyenera kuchita

Ngati pali cholesterol yambiri m'magazi - kuyambira 7, muyenera kufunsa dokotala nthawi yomweyo. Dokotala azindikiritsa njira yamankhwala komanso mtundu wanji wa chithandizo chomwe chidzalembetsedwe: ndi mankhwala kapena osalandira.

Chithandizo cha mankhwala osokoneza bongo chimagwiritsidwa ntchito pamene kuchuluka kwa cholesterol kumafika pamalo okwera 7.7 m / mol

Mankhwala osagwiritsa ntchito mankhwala

Ngati sipakufunika chithandizo chamankhwala, mapangidwe a physiotherapy ndi zakudya okhwima ndiwo mankhwala.
Chakudyachi ndichipamwamba kwambiri, mapuloteni, mafuta ndi mafuta. Njira yakuchiritsira imeneyi imatenga nthawi yayitali kuposa mankhwala, koma mavuto omwe angathe kupewedwa.
Chakudyacho chimawonedwa motere:

• Kuyambira pachakudya mpaka pamlingo wocheperako, chinthu chomwe chimakhala ndi cholesterol yambiri sichimayikidwa. Zogulitsa izi zimaphatikizapo: batala ndi mafuta mafuta.
• Mitengo yambiri yamafuta imagwiritsidwa ntchito. Mitundu imakhala ndi ma fiber ofunikira, omwe amathandizira kupanga lipoprotein yapamwamba.
• Kuperewera kwa tizilombo toyambitsa matenda. Izi zimagwira ntchito pazakudya. Popeza, popanda kuwona kupumula kwamaganizidwe, kupatula kwa zinthu sikupanga nzeru.

Katundu wamasewera wotsatira zakudya azikhala wochepa komanso pang'ono ndi pang'ono. Kutsika kwambiri kwa thupi kumatha kukulitsa kapena kuwonetsa zizindikiro za matenda osiyanasiyana.

Mankhwala

Chithandizo cha mankhwala osokoneza bongo chimagwiritsidwa ntchito pazochitika zomwe cholesterol imaposa mamiliyoni 7.7 pa lita. Kulowerera koteroko ndikofunikira chifukwa cha kuwonongeka kwakanthawi kwamthupi kapena ngati palibe nthawi yayitali.

Mwa mankhwala, pali magulu atatu: ma statins, ma inhibitors ndi ma fibrate.

Ziphuphu zimagwiritsidwa ntchito kukhazikitsa lipids ndi cholesterol m'thupi.

Ma Inhibitors amagwiritsidwa ntchito pokhudza cholesterol kudzera m'matumbo a lumen. Kugwiritsa ntchito mankhwalawa ndikulimbikitsidwa kuti akhale ndi cholesterol yama milimita 7.3 pa lita.

Statin amadziwika ngati mankhwala otchuka kwambiri a cholecystitis. Chinthu chachikulu mukamamwa mankhwalawa ndikusankhidwa kwa Mlingo. Kuwonjezeka kwa chizolowezi kumabweretsa kuchepa kwambiri kwa cholesterol ndikukula kwa boma ladzidzidzi.

Kugwiritsa ntchito mankhwala nthawi zambiri kumachitika pokhapokha potsatira njira yosagwiritsa ntchito mankhwala. Izi zimathandizira kayendedwe ka chilengedwe cha cholesterol.

Mukamachiza, chinthu chachikulu chomwe muyenera kukumbukira ndikuti kupatuka kulikonse pazakudya, katundu kapena kuchuluka kwa mankhwalawa kumabweretsa zotsatira zosayembekezereka. Nthawi zambiri, matenda osachiritsika amachitika.

Pochiza cholesterol ndi 7%, chinthu chachikulu ndikuwonetsetsa kuchuluka kwa lipoproteins okwera komanso otsika.

LDL cholesterol imakwezedwa - zikutanthauza chiyani?

Moni owerenga okondedwa! Nkhaniyi ikukamba za cholesterol ya LDL. Tikambirana zifukwa zomwe akuwonjezekera. Mudziwa zomwe zimapangitsa kuti pakhale mowa wamagetsi komanso momwe mungachepetse cholesterol kunyumba.

LDL cholesterol ndi kachulukidwe kachulukidwe ka lipoprotein cholesterol, chinthu chomwe chimadziwika kuti cholesterol yoyipa kapena yoyipa. LDL ndiye njira yayikulu yoyendera ya organic pofikira, ndiye mtundu uwu wa mafuta omwe amaperekedwa mwachangu ku ziwiya ndi ziwalo zamkati.

Cholesterol ya LDL imalumikizidwa kwambiri ndi chiopsezo chotenga matenda a atherosulinosis, poyerekeza ndi HDL cholesterol, chifukwa chakuti kachidutswa kakumwa ka mafuta a LDL kamalumikizana ndimitsempha yamagazi ndi ziwalo zamkati.

Mukamayenda m'matumbo a cholesterol ochulukirapo, maselo amitsempha yamagalasi amatenga tinthu timene timatulutsa. Mothandizidwa ndi zinthu zakomweko, mapangidwe a atherosselotic zolembera amapezeka. Mapilala amachepetsa lumen ya ziwiya ndipo zimayambitsa thrombosis, zomwe zimayambitsa matenda monga kugunda kwa mtima ndi sitiroko.

Pamene LDL Cholesterol Ili Pamwambamwamba

About cholesterol ya LDL inena liti zofunikira zimaposa 4.52 mmol / lita mwa akazi ndi 4.8 mmol / lita imodzi mwa amuna. Ndi kuchuluka kuchuluka kwa otsika osalimba lipoprotein cholesterol, chiopsezo kukulitsa mavuto a mtima dongosolo ndi ubongo ukuwonjezeka.

Mafuta ambiri a cholesterol m'magazi amakwiya chifukwa cha mtima wake. Zotsatira zake pakupanga zolembera komanso kupendekera kwa lumen ya mitsempha ndi mitsempha, kusokonezeka kwa magazi kumachitika, makamaka mtima, impso ndi ubongo zimadwala chifukwa cha kusintha kwa ma pathological.

Cholesterol chabwino komanso choyipa

Mtengo wa cholesterol yokwanira imaphatikizapo zikuyimira za LDL ndi HDL cholesterol. HDL - lipoproteins yapamwamba kwambiri, yotchedwa cholesterol "yabwino".

Cholesterol ikapangidwa m'chiwindi, lipoprotein yotsika pang'ono imatenga chinthucho ndikuchisamutsa ku maselo.

Njirayi ndi yachilengedwe komanso yofunikira kwa thupi la munthu, ndipo pakakhala kuti pali zinthu zoyipa, ndizotetezeka kwathunthu.

Ngati chiwindi chikutulutsa cholesterol yochulukirapo, LDL imatha kutaya pa kayendedwe, ikasunthika tinthu tosiyanasiyana ndikukhazikitsa zikwangwani pamakoma amitsempha yamagazi.

Mlingo wapamwamba wa lipoproteins umasinthanitsa kayendedwe ka zinthu, ndikupulumutsa cholesterol ku maselo kupita ku chiwindi mu mawonekedwe a bile. HDL imakhala ndi anti-atherogenic zotsatira - amachotsa ma deporits a mowa wamafuta m'makoma amitsempha yamagazi ndikuletsa kupangika kwatsopano kwachilengedwe.

Onani vidiyo yotsatirayi kuti mumve zambiri za cholesterol yabwino ndi yoyipa.

Chikhalidwe mwa akazi ndi amuna

Gome limawonetsa kuchuluka kwa kuchuluka kwa mafuta m'thupi mwa amuna ndi akazi kutengera zaka, ma mmol / lita:

Momwe mungadziwire - kuchuluka kapena kutsitsidwa

Miyezo ya cholesterol imayesedwa ndi kuyezetsa magazi kwa labotale. Kuyesedwa kumachitika pamimba yopanda kanthu, m'mawa wodwala amaloledwa kumwa madzi. Kuyesedwa ndikotheka kokha maola 12 mutatha chakudya chatha, koma kusungika sikungatenge maola opitilira 14.

Asanayambe kuyesedwa, mankhwala amayimitsidwa kwa milungu ingapo. Milandu yomwe kuchotsedwa kwa mankhwalawa kumapangitsa kuti wodwalayo akhale ndi moyo wathanzi komanso chofunikira, ndikofunikira kupatsa adokotala chidziwitso chonse cha mankhwala omwe atengedwa ndikuwonetsa kuchuluka kwa ndalamazo.

Zomwe zimachepetsa cholesterol

Ndi kuchuluka kwa cholesterol m'magazi, wodwalayo amayankhidwa kulandira chithandizo chachikulu, zomwe zimapangitsa kuti patry secretion yamafuta akumwa, chithandizo chotsitsa cholesterol cha LDL, komanso zakudya zamankhwala. Zakudya zapadera sizimapatula zakudya zamafuta ambiri ndipo zimaphatikizapo zakudya zomwe zimakhala ndi HDL yambiri.

Odwala akulangizidwa kudya:

• nsomba zam'nyanja, komanso zowonjezera zapadera zochokera m'mafuta a nsomba,
• mafuta a azitona
• mtedza ndi mbewu, makamaka zopindika,
• barele ndi oats,
• maapulo, mapeyala,
• Tomato
• adyo
• kaloti
• nandolo
• nyemba zouma.

Kuti ayeretse ziwiya, menyu amaphatikiza zikwangwani, ma supimmons, madzi a mandimu opsa, mavwende, tiyi wobiriwira, chokoleti chamdima, oat chinangwa.

Muphunzira zambiri za zakudya za cholesterol yayikulu kuchokera patsamba lotsatirali.

Mankhwala ochepetsa cholesterol

Chithandizo chachikulu cha kuphatikiza cholesterol cha LDL m'magazi ndi ma statins. Statin amachepetsa kubisala kwa mowa wamafuta ndi chiwindi, kutsekereza ntchito ya enzyme yayikulu, yomwe imayang'anira kupanga cholesterol yoyipa.

Mankhwala ochokera ku gulu la ma statins:

Komanso, odwala amapatsidwa ma fibrate. Ziphuphu zimawononga LDL m'magazi, kupatula pang'ono mafuta amafuta a cholesterol:

Chithandizo chachikulu chotsitsa cholesterol chimaphatikizapo nicotinic acid. Mankhwala kuchokera pagululi amalepheretsa kuphatikiza cholesterol yoyipa, chifukwa chomwe amachepetsa kuchuluka kwa mowa m'magazi.

Zithandizo za anthu

Monga mankhwala othandizira, amaloledwa kugwiritsa ntchito mitundu ina ya mankhwala kutsitsa cholesterol. Nayi maphikidwe:

• Flaxseed - onjezerani supuni imodzi ya fulakesi, yomwe idaphwanyika kale m'matope, ku chakudya, 1 nthawi patsiku. Gwiritsani ntchito mankhwalawa tikulimbikitsidwa kwa mwezi umodzi.
• Selari - wiritsani mapesi a udzu winawake m'madzi otentha kwa mphindi 5-7, kuwaza mafuta omwe anamaliza ndi mbewu za sesame ndi shuga.
• Mizu ya licorice - pogaya mizu ya licorice, supuni ziwiri za zopangira, kutsanulira 500 ml ya madzi otentha, wiritsani kwa mphindi khumi pa moto wochepa, tsitsani mankhwalawa. Tengani gawo limodzi mwa magawo atatu a galasi kanayi pa tsiku. Njira ya mankhwalawa imatenga milungu iwiri, ndiye kuti mupumule kwa mwezi umodzi.

Kutsitsa cholesterol kunyumba

Kuchepetsa kuchuluka kwa mafuta a LDL cholesterol m'magazi, kumwa mankhwala sikokwanira - popanda kusintha moyo mutatha maphunziro anu, kuwonjezereka kwa zizindikiro zamtengo wapatali kudzachitikanso.

Njira zodzitetezera zimaphatikizapo:

• Kukana zakudya zopanda zakudya - mafuta, zakudya zokazinga, zakudya zam'zitini, ma marinade, nyama zosuta, nyama yophika buledi ndi zotentha, chakudya chofulumira, kuphatikizidwa zamasamba atsopano ndi zipatso, chimanga chathanzi,
• Kuchotsa zizolowezi zoipa - mowa ndi kusuta,
• kuchepa thupi kunenepa kwambiri,
• zochitika zolimbitsa thupi tsiku ndi tsiku - masewera, masewera olimbitsa thupi, masewera olimbitsa thupi kapena kuyenda mwachilengedwe.

Malamulo osavuta awa amathandizira kuchepetsa cholesterol ndikuletsa kuti isakwatiranso.

Ndikofunikanso kuchiza matenda onse munthawi yake, ambiri aiwo amadzetsa kubisala kwa zinthu zachilengedwe.

Zofunika kukumbukira

Mtengo wa cholesterol yonse imaphatikizapo:

• LDL cholesterol - "yoyipa" cholesterol,
• HDL cholesterol ndi cholesterol chabwino.

Kutengera zaka, kuchuluka kwa cholesterol kumasiyana:

• kuyambira 3.1 mpaka 7.8 mmol / lita - mwa akazi,
• kuyambira 2.9 mpaka 7.05 mmol / lita - mwa amuna.

Kuti muchepetse cholesterol ya LDL, lembani:

• mankhwala - satin, michere, nicotinic acid,
• mankhwala azitsamba ndi zakudya,
• kukonza moyo.

Tikuwonani m'nkhani yotsatira!

Chingachitike ndi chiyani ndipo sichingachitike ndi cholesterol yayikulu?

Zoyenera kuchita ndi cholesterol yayikulu komanso momwe mungadye?

Chilichonse sichodziwika bwino: cholesterol imapezeka m'maselo ndi minofu, imagwiritsa ntchito njira zamafuta metabolism.Chakudya cholesterol cholowa m'thupi ndi nyama, ndipo mitundu ina iwiri ya cholesterol imapangidwa ndikuzungulira magazi m'magazi.

• minyewa yotsika kwambiri (yoipa)
• kukala kwambiri (kwabwino) - kumatsuka mitsempha.

Mukuyang'anira kolesterol, kuchuluka kwa mitundu yake ndikofunikira. Zoyenera kuchita kuti muwonjezere cholesterol yabwino ndikuchepetsa zoipa?

Cholesterol yoyipa imadzuka pazifukwa izi:

• kusowa zolimbitsa thupi,
• kudya kwambiri komanso kunenepa kwambiri
• uchidakwa
• kusuta
• kudya zakudya zonenepa kwambiri.

Chiwopsezo chowonjezera cholesterol chowonjezereka chimakhala ndi chibadwa chamtsogolo, matenda ashuga, matenda oopsa. Kuwopsa ndi matenda a chiwindi, impso ndi chithokomiro, kutenga pakati, kusamba.

Kuchepa kwa cholesterol yowonjezereka kumadaliranso jenda ndi zaka: mwa abambo ndi okalamba ndizapamwamba kuposa azimayi, achinyamata ndi anthu azaka zapakati.

Ngati zizindikirozo zafika poopsa, wodwalayo amakhala ndi matenda oopsa, matenda ashuga, kunenepa kwambiri kapena ali ndi zaka zopitilira 75, ndiye kuti dokotala amalembera:

• ma statins
• michere ya micro
• mankhwala omwe amachepetsa kupanga cholesterol ndi chiwindi kuphatikiza ndi bile acid.

Mu matenda a mtima, ma statin amatengedwa moyo. Dokotala yekha ndi amene ayenera kusankha mankhwala - pamaziko a kusanthula ndi momwe thupi lonse la wodwalayo lilili.

Zoyenera kuchita ndi cholesterol yayikulu ngati palibe zowonjezera zoopsa:

• onjezerani zolimbitsa thupi - yendani kapena thamanga, Chitani masewera olimbitsa thupi, pitani dziwe ,vina,
• lekani kusuta ndi kumwa mowa,
• kugona maola 7−9 pa tsiku kuti thupi lizichira,
• sinthani khofi ndi tiyi wamasamba obiriwira,
• sinthanso kulemera.

Ndikofunika kuti munthu azidya zakudya zamagulu a cholesterol mwachangu ndi dokotala kapena katswiri wazakudya. Malangizo onse:

• lembani mafuta zinyama pachakudya - batala, tchizi, mazira, mafuta anyama, nyama yamafuta, offal,
• sinthani batala ndi maolivi wosapsa, wamphesa, chimanga kapena mpendadzuwa,
• kupatula kugwiritsa ntchito mafuta - margarine, mayonesi, masoseji,
• Idyani mapuloteni osakhazikika - zakudya zamafuta ochepa, mafuta ochepa, nkhuku kapena nsomba,
• kuchulukitsa zakudya zanu ndi zakudya zomwe zimakhala ndi fiber yambiri, zomwe zimamwa ndikuchotsa mafuta mu chakudya chamagaya - nyemba, chimanga kuchokera ku mbewu zonse, masamba, zipatso ndi zipatso.

• maapulo, mapeyala, ma apricots, zipatso za malalanje, mphesa zofiira, mapeyala, makangaza,
• cranberries, blueberries, lingonberries, cranberries, sitiroberi, raspberries,
• kaloti, anyezi, adyo, tomato, mitundu yonse ya kabichi,
• tsamba letesi, sipinachi, katsabola, parsley,
• nyongolosi ya tirigu
• oat chinangwa ndi phala
• mbewu za fulakesi, sesame, mpendadzuwa, dzungu,
• mtedza - pistachios, mkungudza, ma amondi,
• nsomba zam'madzi zamchere - nsomba, sardines.

Mavitamini C, E ndi Gulu B ndi othandiza pa cholesterol yapamwamba.

Pakatha miyezi isanu ndi umodzi, pitilizani kuwunikanso. Ngati cholesterol yayikulu ikulimbikira, ndichitenji? Lumikizani mankhwala monga adanenera adotolo anu ku zakudya zanu komanso zolimbitsa thupi.

Woopsa milandu, kumwa mankhwala kuti muchepetse ndi kukhala ndi cholesterol yambiri ayenera kukhala moyo wonse - ndikuyesa kuyesedwa koyenera. Odwala ena kuti azikhala ndi cholesterol yokhazikika ndizowongolera zokwanira zaumoyo ndi zakudya.

Cholesterol chachikulu ndi chizindikiro chowopsa

Cholesterol ndi pawiri - hydrocarbon, yomwe ndi yamgulu la ma alcohols amafuta. Dzinalo lama kemikali ndi cholesterol, mwa mawonekedwe ake oyera ndi makhristalo oyera omwe alibe kukoma kapena kununkhira.

Mu thupi laumunthu, cholesterol imapangidwa modzikonzera ndipo imalowetsa ndi chakudya choyambira nyama: nyama, offal, nsomba, mkaka ndi mazira.

Kupanga kwa mafuta ambiri a cholesterol, pafupifupi 80%, kumachitika m'chiwindi, ena onse amapangidwa m'makoma a matumbo, gren adrenal, khungu, ndi ziwalo zina.

Ma cholesterol ake enieni, samatha kunyamulidwa m'thupi lonse, chifukwa madzi samatha. Kutumiza kwa cholesterol m'thupi kumatheka ndi mapuloteni omwe amapanga nawo omwe amatchedwa lipoproteins. Lipoproteins mu kapangidwe kake ndiosowa, pakati pawo pali mitundu yayikulu 4 yomwe imasiyana wina ndi mzake pakachulukidwe komanso misa.

Kuchokera pakuwona mankhwala othandiza, cholesterol yotsika kwambiri, yomwe ndi gawo la lipoprotein yotsika kwambiri ndi cholesterol yapamwamba kwambiri, yomwe imapangira lipoprotein yamagetsi ophatikizika m'magazi am'magazi, siyokhayokha. Popanga atherosulinosis, gawo lalikulu limaseweredwa ndi milingo yayikulu yotsika lipoproteins (LDL) ndi zomwe zili zochepa zam'mapapo a liporproteins (HDL).

Udindo wa cholesterol m'thupi la munthu

Thupi lamunthu wamba limakhala ndi pafupifupi 350 magalamu a cholesterol: 90% yam'maselo am'mimba yomwe imakhala ndi zigawo zonse zopanda gawo ndi 10% m'magazi a magazi monga gawo la lipoproteins.

Cholesterol ambiri amapezeka muubongo ndi chingwe cha msana, ngati gawo la myelin sheath of nerve endings. Mu chiwindi, ma asidi a bile amapangidwa kuchokera kwa iwo, popanda zomwe mafuta abwinobwino omwe amapanga chakudya ndizosatheka.

Pafupifupi 70% ya cholesterol yonse yopangidwa m'thupi patsiku imagwiritsidwa ntchito pazolinga izi.

Cholesterol ndiye chida chachikulu cha kuphatikiza kwa ma steroid ndi mahomoni ogonana. Mwa amuna, kuperewera kwa cholesterol mthupi kumabweretsa mavuto akulu ogonana, ndipo mwa akazi, amenorrhea imatha kuchitika.

Nkhondo yolimbana ndi cholesterol pakubala kwa ana makamaka makamaka pa nthawi ya pakati siikhala yovomerezeka, chifukwa isanayambike kusintha kwa thupi, mahomoni achigololo achikazi amaletsa kuyika kwa cholesterol pamakoma amitsempha.

Ponena za amayi apakati, ndizosavomerezeka kuti azimenya nkhondo ya cholesterol, chifukwa izi zimatha kubweretsa kuphwanya kwakukulu kwa chitukuko cha intrauterine. Mlingo wabwinobwino wa cholesterol mwa makanda ndi ana aang'ono ndikofunikira kwambiri, kuchepa kwake kumawopseza kukula kwa rickets, chifukwa cha kusokonekera kaphatikizidwe ka vitamini D.

Kodi pali ngozi yotani ya cholesterol yambiri?

Zoopsa ndi cholesterol yayikulu yamagazi, yomwe ndi gawo la lipoproteins yotsika. Ndi lipoproteins omwe ali ndi kachulukidwe kakang'ono kamene kali ndi mphamvu ya atherogenic. Ndizimodzi mwazinthu zazikulu zowopsa pakupanga atherosulinosis.

LDL imabweretsa chiwopsezo chachikulu ku mtima. Holesterol yomwe ili mkati mwake imakhala yosavuta kufotokozera ndipo imayikidwa pa endothelium yam'mitsempha, imayambitsa cholesterol malo, omwe ndi omwe amapangitsa kuti atherossteosis ipangidwe.

Kusintha kwa atherosulinotic mu mitsempha kumabweretsa kukula kwa matenda amtima:

• matenda a mtima (CHD),
• angina pectoris
• myocardial infaration
• kusokoneza endarteritis,
• pachimake ubongo
• matenda oopsa, etc.

Matendawa nthawi zambiri amapha ndipo ndi omwe amayambitsa kulumala m'maiko ambiri.

Chifukwa chiyani cholesterol yamagazi imakwezedwa?

Zomwe zimayambitsa cholesterol yayikulu zimapezeka mwachilengedwe:

• Khalidwe losayenera la wodwala: Kulephera kuchita masewera olimbitsa thupi, kusuta fodya, kumwa mowa mwauchidakwa, kupsinjika pafupipafupi.
• zomwe amakonda: kudya zakudya zamafuta nthawi zonse, nyama zoyambira, osakwanira masamba ndi zipatso zazakudya.
• Matenda oyamba: kunenepa kwambiri, matenda a shuga, matenda a minyewa yodziwika bwino,
• zina zokhudza thupi (mwachitsanzo, zomwe zimayambitsa cholesterol yayikulu mwa amayi nthawi zambiri zimakhala kusintha kwa mahomoni m'thupi nthawi ya kusintha kwa thupi.

Kuchuluka kwa cholesterol kumawonedwa mwa anthu omwe ali ndi cholowa chamtsogolo, pomwe abale ake apamtima amadwala atherosclerosis. Akafika paukalamba, ngozi ya hypercholesterolemia imachulukirachulukira. Amuna ndi amuna amakhalanso pachiwopsezo.

Cholesterol

Nthawi zambiri, anthu amaphunzira kuti adakweza cholesterol, zizindikiro zikayamba, zotupa za mitsempha ya mitsempha. Kukhala ndi mavuto azaumoyo kumapangitsa munthu kufunsa thandizo kuchokera kwa dokotala.

Kuti mumve zambiri za zomwe zimakhala ndi cholesterol yathunthu m'magazi, komanso kuchuluka kwa cholesterol yoyipa ndi yabwino, kafukufuku wamankhwala amodzi amachitika - kutsimikiza kwa mbiri ya lipid.

Nthawi zambiri, chidziwitso cha kafukufuku wotere ndikuwonekera kwa chizindikiro cha cholesterol chowonjezereka mwa wodwala:

• ngozi yamatenda,
• matenda a mtima
• matenda oopsa
• kunenepa
• matenda a impso ndi chiwindi.

Mbiri ya lipid imaphatikizapo izi:

1. cholesterol yathunthu (cholesterol yathunthu) ndiye lipid yayikulu yamagazi, imapangidwa ndi hepatocytes, ndipo imalowanso m'thupi ndi chakudya. Chizindikirochi ndi chimodzi mwazofunikira kwambiri pakumanga kwa lipid, ndikuwonetsa kwambiri kagayidwe kamafuta m'thupi, komanso mosawerengera kuopsa kokhala ndi atherosclerosis. Kukula kwake ndi mulingo wa cholesterol wa 3,3 - 5.5 mmol / l,
2. otsika kachulukidwe lipoproteins (LDL) - ndi imodzi mwamagawo atherogenic, a lipid. Mtundu wa LDL ndi 1.7 - 3.6 mmol / l,
3. highensens lip liprrinsins (HDL) - kachigawo kameneka ka lipids kamakhudza thupi, kulepheretsa mawonekedwe a atherosranceotic mapangidwe m'mitsempha. Mphamvu ya antiatherogenic ya HDL imatsimikiziridwa ndi kuthekera kwawo kusamutsa cholesterol ku chiwindi, pakugwiritsa ntchito kwake pambuyo pake komanso kuchotsa kwa thupi kudzera m'matumbo. Mtundu wa HDL ndi osachepera 0,9 mmol / l,
4. triglycerides ndi ndale zopanda mafuta. Zomwezo zimawonedwa kuti ndi 0,4 - 2.2 mmol / L.
5. atherogenicity index (atherogenicity coeffnty) ndi chizindikiro chodziwika ndi kuchuluka kwa atherogenic) komanso zabwino (antiatherogenic) lipid zigawo. Chikhalidwe cha atherogenic coefferate: osapitilira 3.5.

Posachedwa, zitha kuyang'ana cholesterol osayendera labotore yachilengedwe. Izi zitha kuchitika pogwiritsa ntchito chipangizo choyezera cholesterol kunyumba. Mita mita cholesterol ndi yosavuta kugwiritsa ntchito. Nthawi ndi nthawi muziwunika kuchuluka kwa lipids tikulimbikitsidwa kuti muyambe zaka 25.

Zoyenera kuchita ngati magazi a cholesterol adakwezedwa?

Tazindikira kale chifukwa chake zomwe cholesterol imakwera, choncho mutha kuzikopa ndikuchotsa zoopsa zake.

Ndi zizindikiro za cholesterol yathunthu pamtunda wa 6.6 - 7.7 mmol / l, muyenera kuyang'ananso zakudya zanu ndikusintha momwe mungakhalire, ngati mulingo ndi 8.8 - 9.9 (LDL woposa 4.4) mmol / l, ndiye izi kale ndi chifukwa chodetsa nkhawa, ndipo ndibwino kuonana ndi dokotala pankhani ngati imeneyi.

Kodi kuchitira cholesterol yayikulu?

Choyamba, ndikofunikira kusiya zizolowezi zoipa ndikukhala ndi moyo wathanzi, kukulitsa zolimbitsa thupi.

Pankhani yazakudya, muyenera kuchepetsa zakudya zomwe zimapangitsa kuti pakhale cholesterol yoyipa: mafuta a nyama, kuphatikizapo mafuta amkaka, mazira, nyama, nkhumba.

Pazithandizo zamankhwala, mankhwala a magulu osiyanasiyana a pharmacological amagwiritsidwa ntchito: ma statins, zotumphukira za asidi a nicotinic, fiboates, othandizira a bile acid ndi ena.

Momwe mungakulitsire cholesterol yabwino yamagazi?

Pachifukwa ichi, ndizothandiza kwambiri kudya zakudya monga:

• nsomba zam'nyanja yozizira (nsomba za nsomba, trout, cod, mackerel, sardine ndi ena),
• Amadya mafuta amitundu yosiyanasiyana, azisinthiratu mafuta a nyama,
• miyendo yayitali kwambiri
• Zipatso zatsopano, zipatso, masamba ndi mtedza ziyenera kudyedwa tsiku ndi tsiku.

Ngati magazi a cholesterol akwezedwa: chochita ndi chiani chowopsa

Cholesterol chokwezedwa chimayambitsa zochitika zomwe zimakhudza mkhalidwe wa thupi.

Mosakayikira, kuwonjezeka kwazinthu izi kumavulaza thanzi. Ndipo pankhaniyi, ndikofunikira kusintha mseru wa cholesterol posachedwa. Kodi nchifukwa ninji chipangizochi chili chowopsa? Kumbali imodzi, zikadapanda kukhala m'magazi, thupi limamverera kusowa kwa vitamini D, sikadatenga mafuta.

Komabe, mahomoni sakanapangidwa.

Koma nthawi yomweyo, cholesterol yowonjezereka imakhazikika m'matumbo ndipo, ikadzikundikira, imapangitsa magazi kutuluka. Izi zili ndi zovuta monga kugwidwa kapena kugunda kwa mtima. Chifukwa chake, ndikofunikira kusankha chithandizo choyenera. Cholesterol sichimadzichotsa mwachilengedwe.

Zomwe zimawopseza owonjezera

Cholesterol ndi phula yofunika kwambiri kuti thupi lizigwira ntchito bwino. Koma ngati kuchuluka kwake m'magazi kwachuluka, chinthuchi chimayamba kudziunjikira. Amabisalira amapangidwa mozungulira omwe
minyewa yamphongo imapangidwa. Zotsatira zake, zolembera zamtundu wa atherosclerotic zimawonekera, chikhomo cha chotengera chimachepa, kutuluka kwa magazi kumachepa.

Ngati mitsempha yatsekeka, ndiye kuti magazi amayenda ndipo minyewa, yomwe idalandira chilichonse chofunikira mchiwiya ichi, imafa. Ndiye, ngati zolembera zikupangika mumtima, chiopsezo chokhala ndi angina pectoris chikuwonjezeka, zomwe zimapangitsa kukhala ndi stroke kapena vuto la mtima.

Kusuta ndi kuchita

Ngati magazi a cholesterol adakwezedwa, ndiye kuti muyenera kusiya kusuta. Kusintha kwa thupi, munthu ayenera kuwonjezera zochita zolimbitsa thupi. Ngakhale mutachita masewera olimbitsa thupi osavuta, kulimbana ndi cholesterol kumabweretsa zotsatira zomwe mukufuna m'miyezi iwiri yoyambirira.

Zochita za Cardio ziyenera kusankhidwa. Maphunziro sayenera kupitilira theka la ola. Muthanso kuchita mphindi ziwiri.

Mankhwala

Ngati kuyezetsa magazi kukuwonetsa kuti kuchuluka kwa cholesterol kwakwezeka, ndipo chizindikirocho sichikugwira ntchito kuti muchepetse chizindikirochi, izi ziyenera kuthandizidwa. Kuchotsa koyenera kwa gulu lovulaza mthupi limaperekedwa ndi ma statins - mankhwala omwe amakhala ambiri.

Kafukufuku watsimikizira kuti ma statins samangothandiza kuthana ndi cholesterol, komanso amakhalanso ndi thanzi. Chifukwa chakuti mankhwalawa alibe zotsatira zoyipa, kugwiritsa ntchito kwawo kwakanthawi kumaloledwa.

Ma statin achilengedwe

Kuphatikiza adyo muzakudya zanu za tsiku ndi tsiku kumathandizanso kuchepa kwa LDL. Kuphatikiza apo, adyo ndi njira yabwino kwambiri yoletsera kudzikundikira kwa cholesterol m'makoma amitsempha yamagazi.

Ngati chizindikiro cha cholesterol chitha, ndiye kuti mutha kuchichepetsa pogwiritsa ntchito muzu wachikasu waku Canada, womwe umathandiza kuchiza matenda onse amitsempha yama mtima ndi mtima.

Muzu wachikasu umayambitsa kupanga mafuta opindulitsa a chiwindi, omwe amachotsa zinthu zovulaza m'thupi

Kuphatikizidwa kwa zakudya zopangidwa ndi fiber pazosankha kumatsitsa magulu a LDL. CHIKWANGWANI chimagwira ngati statin, kusonkhanitsa cholesterol m'matumbo, kupewa kupezeka kwake m'magazi.

Ngati magazi a cholesterol adakwezedwa, tikulimbikitsidwa kuyang'ana kwambiri pakugwiritsa ntchito nsomba zamitundu yamafuta kapena mafuta a nsomba m'mapiritsi.

Mafuta a nsomba amakhala ndi mafuta omega-3 acids, ofunikira kuti apangidwe ndi lipid.

Polycosanol, yomwe imapezeka m'm nzimbe, imadziwika kuti ndi gawo labwino kwambiri lachilengedwe. Mutha kugula ngati mawonekedwe a makapisozi. Policosanol imatha kuletsa mapangidwe, imathandizira kukhazikika, komanso kuchepetsedwa kwa lipoprotein index.Kuphatikiza apo, apolisi amalimbana bwino ndi kunenepa kwambiri.

Malangizo onse

Pofuna kulimbitsa thupi LDL mthupi, chakudyacho chiyenera kusinthidwa, monga kusiya kudya zakudya zokhala ndi cholesterol. Muyeneranso kupewa maswiti ndi ma confectionery, chifukwa amakhala ndi zopatsa mphamvu zamagetsi, zomwe zimathandizira kuti cholesterol ikuluze.

Muyenera kuwongolera kunenepa kwanu, chifukwa anthu onenepa kwambiri amakhala ndi mankhwala owopsa m'magazi awo kuposa anthu omwe ali ndi thupi labwino.

Zochita zolimbitsa thupi ndi masewera olimbitsa thupi ndi gawo lofunikira popewa matenda a atherosulinosis. Kuchita masewera olimbitsa thupi kuyenera kuchitidwa pafupipafupi. Kuchita masewera olimbitsa thupi kumathandizira kuchepetsa milingo yama lipoprotein oyipa mwakuwonjezera kudya kwawo ndi maselo pakufunika mphamvu.

Muyenera kusiya zizolowezi zoipa. Mowa ndi chikonga zimayipa kwambiri pamitsempha yamagazi komanso thanzi la chiwindi. Powonjezera zipatso, ndiwo zamasamba, ndi zakudya zina zokhala ndi CHIKWANGWANI mu zakudya zimachepetsa chiwopsezo chowonjezeka cha cholesterol.

M'pofunikanso kuchita pafupipafupi kuti mupewe kukula kwa matenda a endocrine system: matenda a shuga, matenda a chiwindi, bile ndi impso.

Cholesterol ndi phula lomwe tanthauzo lake limakhala losasintha kwa thupi. Imodzi imavulaza thanzi ndikuwonetsetsa kuti magwiridwe antchito aliwonse. Izi zimayenera kupezeka mthupi, koma moyenera.

Ndikofunikira kupezeka pafupipafupi ndi matenda a magazi, chifukwa kuchuluka kwa chiwopsezo chotengera atherosclerosis kumadalira kuchuluka kwa LDL.

Chizindikiro mkati mwa mtundu wabwinobwino chimathandizira kubereka kwa maselo, kulimbitsa minofu yam'mimba, chimateteza ku mathero a mitsempha komanso zimakhudza ntchito zina zambiri zofunikira.

Cholesterol owonjezera amakhudza mwachindunji mkhalidwe wamakoma amitsempha yamagazi, omwe amachepetsa mphamvu ya mtima ndi kusokoneza magazi. Musanafike pamapeto ndi kuyamba kulandira chithandizo, ndikofunikira kupereka magazi kuti mupeze kafukufuku. Ndizotheka kuti kuchepetsa cholesterol sikofunikira.

Chifukwa chake, ntchito yayikulu ndikuletsa kudziunjikira kwa cholesterol yoyipa. Ndipo chifukwa cha izi ndikofunikira kutsatira zakudya zoyenera ndi moyo. Kuphunzitsa masewera, kuyendera adokotala panthawi yake, kusiyidwa ndizowonjezera - zonsezi ndizofunikira thanzi.

Ngati muli ndi cholesterol yayikulu

Januware 25, 2009, 09:29

Nthawi zambiri timamva kuchokera pazowonera pa TV kuchokera kwa madokotala komanso anthu omwe amadziwa kuti zakudya zomwe zimakhala ndi cholesterol ziyenera kuchepetsedwa. Izi nthawi zambiri zimatsutsidwa, kunena kuti, kwenikweni, cholesterol siivulaza thupi la munthu. Kuphatikiza apo, maselo amthupi, makamaka chiwindi, amatulutsa, motero cholesterol kuchokera ku chakudya sichingativulaze.

Kodi cholesterol ndiyowopsa kapena yopindulitsa ndipo ndiyoyenera kumenya nayo?

Cholesterol ndi chinthu chonga mafuta chomwe ndicofunikira kwambiri kwa munthu. Cholesterol ndi gawo limodzi mwa nembanemba ya maselo onse mthupi, pali zambiri za izo m'matumbo amanjenje, cholesterol ndiyofunikira kuti pakhale mahomoni ambiri.

Koma! Thupi lenilenilo limatulutsa cholesterol yochuluka kwambiri kuposa yokwanira kukwaniritsa zofuna zake. Komabe, munthu amalandiranso cholesterol ndi chakudya. Cholesterol m'thupi, choyambirira, m'magazi a munthu amakhala ochulukirapo, ndiye kuchokera kwa mnzake amasintha kukhala mdani wakufa.

Kodi cholesterol imagwira ntchito bwanji ikakhala yochuluka?

Cholesterol owonjezera amadziunjikira mumakoma amitsempha yamagazi. Kuzungulira madipoziti awa, cholumikizira kapena, mwa kuyankhula kwina, minofu yochepa imakula, mawonekedwe a calcium. Izi zimapanga zolembera. Imachepetsa kuunika kwa chotengera, kuchepetsa magazi, ndipo kulowa kwa thrombus kumatsogolera kutuluka kwake.

Chombocho chikatsekedwa, magazi amayenda, ndipo minofu ya chiwalo chomwe chidadyetsa chiwiya ichi pang'onopang'ono imafa, osalandira mpweya ndi michere. Ngati blockage ikuchitika mumtima, angina pectoris imayamba, kenako infarction yamkati wam'magazi, ngati kugwidwa kwa ubongo kumachitika muubongo.

Nthawi zina ziwiya zamiyendo zimakhudzidwa, ndiye kuti munthu akumva ululu wosapweteka ndipo nthawi zambiri amalephera kuyenda. Belu loyamba lotsogolera kuopsa kopezeka ndi matendawa ndi kuchuluka kwa mafuta m'thupi.

Aliyense woposa zaka 20 ayenera kudziwa kuchuluka kwa cholesterol yao. Kuti muchite izi, mumangofunika pafupipafupi - osachepera zaka zingapo - kuyezetsa magazi kwa kuchuluka kwa cholesterol yonse ndi zomwe zili m'mitundu yosiyanasiyana yoyendera - lipoproteins.

Kodi ziwerengerozo zikutanthauza chiyani?

Mu kuyezetsa magazi, muwona mulingo wa cholesterol (cholesterol), komanso ziwerengero zina. Chowonadi ndi chakuti m'magazi a anthu cholesterol amayendetsedwa limodzi ndi mapuloteni, ndipo zovuta zoterezi zimatchedwa lipoproteins.

Lowensens lipoproteins (LDL) ndi owonda kwambiri osatsika kwambiri (VLDL) ali ochepa mapuloteni, ndi okulirapo ndipo ali ndi cholesterol yambiri komanso mafuta - triglycerides. Kulowa khoma la chotengera, amanyamula cholesterol owonjezera m'mitsempha. Kuwonjezeka kwa misempha yamagazi ndendende zigawozi zimabweretsa kukula kwa atherosclerosis.

Ma lipoproteins apamwamba kwambiri (HDL) ndi ochepa kukula, ali ndi puloteni ina kusiyana ndi LDL. Kulowa khoma la chotengera, amagwira cholesterol ndi kupita nako chiwindi. Kutsika pang'ono kwa HDL, i.e. cholesterol mu "zabwino" maofesi, ndizochedwa chiopsezo cha atherosulinosis.

Mulingo woyenera wa cholesterol ndi magawo ena okhudzana ndi magazi:

Onani cholesterol yanu!

Zipangizo zopangidwa makamaka m'malo azachipatala. Dziwani zambiri zamalo azaumoyo ndi ntchito yawo mdera lanu.

Mafuta cholesterol: abwinobwino, otsika komanso okwera

Matenda a mtima ndi amodzi mwa oyamba mndandanda wazakudya zopweteka pakati pamagulu onse odwala. Cholinga chachikulu cha ambiri a iwo ndi kuchuluka kwa mafuta m'thupi m'magazi ndi zovuta zina zokhudzana ndi mtima ndi mtima. Kodi chinthu ichi ndi chiyani ndipo ndi chiani?

Cholesterol ndi kudzikundika konga mafuta komwe kumayikidwa m'mitsempha yamagazi, kumachepetsa kupezeka kwake m'magazi ndipo ndimomwe kumayambitsa matenda osokoneza bongo, matenda oopsa komanso mitsempha.

Zomwe zimadziwika kuti cholesterol plaques zitha kutchinga chotchacho, ndikuletsa kudya mtima kapena chiwalo china. Ngati chotupa cha carotid chikuvutikapo, pamakhala vuto loti limayambitsa matenda, lomwe likuluza moyo wake kwa wodwalayo.

Pankhani imeneyi, ndikofunikira kuyang'anitsitsa kuchuluka kwa cholesterol m'magazi, makamaka kwa odwala omwe ali ndi cholowa chambiri.

Cholesterol ndi Atherosulinosis

Kuwonjezeka kwa cholesterol yamagazi kumawonetsa makamaka kusapeza kwa metabolic. Wodwala wotereyu ali pachiwopsezo chifukwa cha chitukuko cha atherosulinosis. Poterepa, pali kulumikizana bwino pakati pa zomwe zili LDL m'magazi ndi kuthekera kwa zovuta zamtima:

• Chiwopsezo chachikulu: zoposa 6.21 mol / L.
• Borderline state: 5.2-6.2 mol / L.
• Chiwopsezo chochepa: zosakwana 5.17 mol / L.

Kupereka atherosclerosis zinthu ndi kunenepa kwambiri komanso matenda ashuga. Kuphatikiza apo, zimatsimikiziridwa mwasayansi kuti kudya zakudya zokhala ndi cholesterol sikuti nthawi zonse chifukwa chachikulu cha atherossteosis. Mapuloteni ena monga lipoprotein otsika kwambiri komanso otsika kwambiri amakhala ndi gawo lalikulu mu izi.

Mulingo wambiri, HDL kapena LDL: ndi chizindikiro chanji choyenera kuyang'ana

Chizindikiro chilichonse chimatilola kuti tiwone momwe zinthu zinayendera pakadula kolesterolo ndikugwiritsa ntchito kwake pambuyo pake.

Mlingo wa cholesterol yokwanira umakhala ndi chiwopsezo cha atherosulinosis ambiri.Zokha, chizindikiro ichi sichokwanira kuphunzitsa: kuchititsa chithunzi chonse cha matenda a lipid metabolism, maphunziro owonjezera amachitika.

Lowensens lipoproteins

LDL imagwira cholesterol m'chiwindi ndikuwanyamula m'maselo ndi minyewa ya ziwalo zonse. Ichi ndi "choyipa" cholesterol, chomwe chili ndi mphamvu ya atherogenic - kuthekera kolumikizana ndi makoma amitsempha yamagazi, kupendekera lumen, ndikupanga ma atherosranceotic malo.

Malinga ndi zomwe zikuwonetsa LDL, zoopsa ndi magawo a kukula kwa njira ya pathological amaweruzidwa:

• kuyambira 2,5 mpaka 3.3 mmol / l - zolimbitsa thupi, pakalibe kuyambitsa zinthu zowopsa, ayi
• kuyambira 3,4 mpaka 4.1 - kuthekera kokulira kwa atherosulinosis,
• kuyambira 4.1 mpaka 4,9 - ndendende ndikuwonetsa matendawa
• Pamwambapa 4.9 zikutanthauza kuti matendawo akupita patsogolo, chiwopsezo cha zovuta chikukula.

High Density Lipoproteins

Maselo a ziwalo ndi minyewa atasokoneza kuchuluka kwa cholesterol yaulere yofunikira pazofunikira zawo, HDL imalanda ndalama yotsalayo ndikuyibwezeretsa ku chiwindi kuti ichotsenso. Ma lipoproteins apamwamba kwambiri ndi "abwino" cholesterol, amalepheretsa kukula kwa zolembedwa za atherosselotic.

Kusiyana pakati pa LDL ndi HDL.

Zisonyezo zakuthupi za HDL - 1.0-2.0 mmol / l, ngati:

1. Pamwambapa ndi chizindikiro chabwino, chiopsezo chotengera atherosulinosis chimakonda zero.
2. Otsika kuposa 0.8 mmol / L - amatanthauza kuti matendawa akupita patsogolo, zovuta zimatheka.

Ripoti la zamankhwala lotsatira zotsatira zake, mukuzindikira zonse zitatu:

• kuchuluka kwa chiwopsezo kumakhala kosavomerezeka kwambiri kuphatikiza mafuta ochuluka a cholesterol ndi lipoproteins yotsika ndi zochepa za HDL,
• pomwe chizindikiro chachikulu chotsutsana ndi maziko azowonjezereka a ma lipoprotein okwera komanso otsika a LDL sichingawopseze kwambiri.

Mukamasulira zotsatira za kusanthula, zimadziwikanso kuti milingo ya cholesterol ndi lipoproteins ndi amodzi ndipo zimatengera zaka, kusiyana kwa jenda, matenda omwe alipo, momwe amakhalira ndi zakudya.

C cholesterol chokwanira 7.0-7.9 - kodi izi ndizofanana kapena zambiri?

Pafupifupi 70-75% ya cholesterol imapangidwa ndi chiwindi ndipo pafupifupi 25% imachokera ku chakudya.

Kutengera maphunziro ambiri, akatswiri adazindikira kuchuluka kwamankhwala okhudzana ndi zakumwa zachilengedwe zamafuta izi m'madzi a m'magazi.

Munthu akabadwa amakhala ndi cholesterol 1 mpaka 3 mmol / L. Mukamakula, kuchuluka kwake kumawonjezereka malinga ndi zomwe mahomoni ogonana amachita:

• motsogozedwa ndi androgens, kuchuluka kwa cholesterol kumawonjezeka anyamata ndi amuna azaka zapakati, ndipo mwa okalamba amachepetsa,
• estrogens amachepetsa cholesterol, chifukwa mwa akazi chimawonjezeka pang'onopang'ono, chimafikira pazofunikira kwambiri panthawi ya postmenopausal.

Gome ili pansipa likuwonetsa zikuyimira cholesterol yathunthu (mmol / l) kutengera jenda ndi zaka.

Monga momwe tikuwonera patebulopo, zinthu zomwe zili zofunikira kwambiri kwa abambo omwe adutsa zaka 50 ali pamlingo wa 7.10-7.17 mmol / l.

Miyezo ya cholesterol kuyambira 7.2-7.6 komanso mpaka 7.85 mayunitsi amatengedwa ngati malire apabwinobwino kwa akazi achikulire. Chifukwa cha kuchepa kwambiri kwa mapangidwe a estrogen.

Mokulira zimachulukitsa kuchuluka kwa cholesterol yokwanira panthawi yoyembekezera - mpaka 7.9-13.7 mmol / l, zizindikiro zowonjezera zaka zimawerengedwa kuti ndizovomerezeka.

Ali ndi zaka 45, kuchuluka kwa cholesterol m'magawo 7.0-7.9 mmol / l mwa amayi ndi abambo kumaonedwa ngati kofunikira, amafunikira mayeso athunthu ndi njira zochepetsera.

Zizindikiro zonyansa

Mavuto a cholesterol metabolism amawonekera pokhapokha pakuwonongeka kwakukulu kwa makoma a mtima, gawo loyambirira la matendawa limakhala ngati asymptomatic.

Zizindikiro zoyambirira za cholesterol yochuluka m'mwazi zitha kufotokozedwa:

• mtima kupweteka pachifuwa
• kulemera ndi kuwuma kwamiyendo mukuyenda,
• Kutupa ndi kumverera kogundana kumapazi pambuyo pogwira ntchito mwamphamvu, kusintha kwamiyendo kwa varicose,
• mawonekedwe akumaso amaso kuzungulira kuzungulira kwa maso, kutsika kopenyerera.
• Kuchepetsa kukumbukira ndi kuvuta kuyang'ana,
• kutopa kwambiri ndi asthenia m'mawa mutagona usiku wonse,
• kunenepa kwam'mimba
• imvi yoyambirira komanso kuchepa kwamphamvu mwa amuna.

Komabe, imawerengedwa kuti ndi chizindikiro chodziwika bwino cha malo amafuta amchere odzaza ndi oyera oyera achikasu - xanthomas kapena xanthelasms. Nthawi zambiri zimakhala pamakoma pafupi ndi maso, zimatha kupezekanso pafupi ndi khola la khungu ndi miyendo, pamwamba pa matayala, pamaondo, mikono, zala kapena matako.

Umu ndi momwe xanthomas amawonekera ndi kuwonjezereka kwapang'onopang'ono kwa cholesterol.

Kuti muwone kusowa kwa cholesterol panthawi, pafupipafupi - pachaka - amayeza magazi a cholesterol ndi lipoproteins.

Kodi chizindikiro pamwambapa 7 mmol / l chikutanthauza chiyani?

Kuchuluka kwa cholesterol kwamitundu yoposa 7.0 kumawonetsa kuti thupi silingathe kuthana ndi kugwiritsidwa ntchito kwa chilengedwe cha lipophilic mowa ndipo amafunika kuthandizidwa.

Kupanda kutero, atherosclerosis mosalephera imapezanso - ulesi, koma wowopsa wamitsempha yamagazi, momwe mawonekedwe am'mitsempha amachepa pang'onopang'ono chifukwa cha kuchuluka kwamafuta pamakoma.

Kapangidwe ka cholesterol plaques pamakoma amitsempha yamagazi.

Zotsatira zake, kupezeka kwa magazi, ndipo ndi okosijeni, glucose, michere kwa ziwalo ndi minofu, kumachepa, mpaka kufa ndi njala (ischemia) komanso kukula kwa magwiridwe antchito.

Matenda a hypercholesterolemia aperekedwa:

• matenda a mtima
• arrhythmias
• matenda oopsa
• kulankhulirana pang'onopang'ono
• zilonda zam'mimba.

Ndi kulekanitsidwa kwa thrombus kapena atherosselotic plaque ndi kutsekeka kwathunthu kwa lumen ya mtsempha wamagazi, ngozi yam'mimba imatha kufika pamlingo wosangalatsa ndikuwonekera:

• kugunda kwamtima - kufa kwa chidutswa - myocardium, impso, matumbo,
• ubongo - ischemic kapena hemorrhagic - sitiroko.

Chizindikiro choposa 7 mmol / l ndi chizindikiro chosinthira zakudya ndi moyo kuti mupewe mavuto.

Zifukwa zotheka

Zotsatira za kusanthula kwa cholesterol zitha kuwonetsa kuchuluka ngati tsiku loti chakudya chambiri chisanadye kapena mafuta atapezeka kuti akonzekeretse phunziroli.

Kukhalitsa kwa hypercholesterolemia kumachitika:

1. Poyamba - genetically kutsimikiza kapena alimentary (chifukwa cha kudya kwambiri mafuta).
2. Sekondale - Zotsatira za pathologies a ziwalo monga hypothyroidism, matenda a shuga, kunenepa kwambiri, matenda a ndulu, kusowa kwa chiwindi.

Zomwe zimayambitsa kusowa kwa lipid ndi monga:

• kusachita masewera olimbitsa thupi
• mtundu wamunthu womwe umakonda kutengera chidwi,
• kusuta
• kumwa kwambiri.

Zomwe zimapangitsa kuti kudumpha kwama cholesterol kumakhale kumwa mitundu yina: block-blockers, diuretics, immunosuppressants.

Zoyenera kuchita kuti matenda a cholesterol asinthe?

Kuthetsa matenda a cholesterol metabolism, njira yophatikizika imachitidwa.

Njira zosagwiritsa ntchito mankhwala ndizophatikiza:

Momwe mungakulitsire cholesterol yabwino.

Kukonza zakudya - kukana mafuta m'thupi okhala ndi mafuta ndi zinthu zamkaka komanso chakudya chamafuta mosavuta. Ndikulimbikitsidwa kuti muzidya magawo ang'onoang'ono a mbale zowiritsa kapena zotentha - pang'ono, kangapo ka 5-6 patsiku. Zakudya zanu zimakhala ndi mkaka wokhala ndi mafuta ochepa komanso nsomba zam'nyanja, nyama yopanda mphamvu, mumatha masamba ambiri, mbewu ndi nyemba, zipatso.

Nthawi zambiri, akatswiri a zamankhwala amapereka mankhwala kuti achepetse cholesterol mwa odwala omwe ali ndi zaka zosakwana 40 ngati vuto lomwe silinadze chifukwa cha mankhwala silinadze. M'magulu awo omenyera ufulu alipo magulu angapo a mankhwala a hypocholesterolemic.

1. Statins (Atorvastatin, Rosuvastatin) - amatha kuchepetsa kuchepa kwa cholesterol poletsa zomwe zimapangidwa ndi chiwindi ndikuwononga lipoproteins yotsika kwambiri. Amakhala ndi anti-kutupa, amateteza makoma amitsempha yamagazi, amawonjezera mphamvu ndikuwonjezera lumen.
2. Fibates (Bezafibrat, Fenofibrate, Clofibrate) - njira yawo yochitira zinthu ikuchokera pakuwonjezereka kwa kupanga lipoproteins zapamwamba komanso kukakamiza kubweretsanso kwa cholesterol. Kuwononga triglycerides, kulimbitsa khoma lamitsempha ndikuchepetsa kutupa.
3. Otsatira (Cholestan, Cholestipol) - mankhwala osokoneza bongo.

Amapanga ma insoluble osaphatikizika ndi ma acid a bile ndipo amakakamiza chimbudzi chawo kutuluka m'matumbo, mwakutero kukakamiza chiwindi kuti chimalize mafuta m'thupi momwe amapangira bile.

Ndi mankhwala ati omwe amafunikira muzochitika zonse zimasankhidwa ndi cardiologist poganizira zomwe wodwalayo ali ndi mbiri yakulemetsa. Amamwa mankhwala ochepetsa mphamvu ya cholesterol pokhapokha limodzi ndi njira zosagwiritsa ntchito mankhwalawa pochiza hypercholesterolemia, apo ayi zotsatira zake ndizochepa.

Pozindikira panthawi yake dyslipidemia, kuwongolera cholesterol, LDL ndi HDL cholesterol ndikulimbikitsidwa ndi akatswiri chaka chilichonse, osadikirira kuwonekera kwa zizindikiro zosadziwika za atherosulinosis. Milandu yopitilira magawo a thupi, njira zosagwiritsa ntchito mankhwalawa zimagwiritsidwa ntchito pofuna kuchepetsa matenda a cholesterol. Pakusintha kwamphamvu pambuyo pa miyezi itatu, lemberanani ndi mtima kuti mupeze chithandizo chamankhwala.

Kodi lipoproteins ndi chiyani

Mapuloteni ophatikizira ndi ma lipids, omwe ali mbali yamatumbo am'mimba ndi mafupa am'mitsempha, ozungulira momasuka m'magazi, amatchedwa lipoproteins. Chipangizochi chili ndi mankhwala osiyanasiyana ndipo chimagawidwa m'magulu anayi:

1. Wapamwamba kachulukidwe phospholipids. Kuwerengera kwa mapuloteni ndi lipids mwa iwo ndi 52 mpaka 48 peresenti.
2. Low Density Cholesterol (LDL). Maderali ali ndi protein 21 peresenti mpaka 79 peresenti.
3. Ochepetsa kwambiri a triglycerides (VLDL), lipids amaposa 91 peresenti.
4. Ma Holomicrons, pafupifupi okhala ndi lipids.

Kuthamanga kwambiri kwa milomo m'magazi, kumachepetsa chiwopsezo cha matenda a mtima, kukhumudwa, matenda a mtima, matenda a Alzheimer's. Nthawi zambiri, magazi amatha kukhala ndi 0,5 mmol / L. VLDLP ndi 2.1-4.7 mmol / L. LDL Kuwonjezeka kwa zizindikirozi kumachitika chifukwa cha zifukwa zingapo.

Chofala kwambiri ndi matenda a metabolic. Ngati matenda amtunduwu akuwonekera mu kuchepa kwa chiwerengero cha zolandilira zomwe zimakhudzidwa ndi LDL, lipoprotein yamtunduwu ilibe nthawi yolowera mu minofu ndikukhazikika pamakoma amitsempha yamagazi. Zotsatira zake, zolembera za atherosclerotic zimawoneka zowopsa kwa thanzi la wodwalayo.

Chifukwa china chophwanya kuchuluka kwa lipoproteins m'magazi kumayenderana ndi kuperewera kwa zakudya, pomwe munthu akudya kwambiri kwa nthawi yayitali kapena, m'malo mwake, amadya mafuta ambiri komanso chakudya chama protein ochepa. Atherosulinosis imathanso kudwala chifukwa cha matenda amchiwindi, omwe amapanga lipoprotein, komanso impso ndi matumbo, omwe amayendetsa ndikuthandizira gawo ili.

Mafuta Cholesterol

Polankhula za kuchuluka kwa cholesterol m'magazi, kuchuluka kolondola pakati pa HDL ndi LDL (VLDL) kuli m'maganizo.Chiwerengerochi mwa odwala akuluakulu sayenera kupitirira katatu. Ma lipoprotein otsika kwambiri mthupi, amakhala pachiwopsezo cha matenda a mtima komanso matenda opha. Pansipa pali tebulo lomwe lili ndi cholesterol

Ana kuyambira wazaka ziwiri mpaka 12: 4.4-55

Kuyeza muyezo wamba mwa achikulire kuyenera kutengera zaka, popeza azimayi atasiya kusamba komanso amuna atakwanitsa zaka 50, kuchuluka kwa cholesterol m'magazi kumawonjezeka.

Ponena za ana, zimawoneka zoyenera kuwunikira izi pokhapokha ngati pali matenda akulu kapena cholowa cholakwika.

Odwala ena a ana amayang'anira cholesterol mpaka zaka 9 sizoyenera.

Zizindikiro za cholesterol yapamwamba (hypercholesterolemia)

Kuzindikira matendawa ndizovuta kwambiri chifukwa chakuti matendawa amawonekera, ndipo nthawi zambiri amakhala asymptomatic. Molunjika, cholesterol yokwera imasonyezedwa ndi:

• Kupsinjika ndi zopweteka pachifuwa ndi mumtima.
• Kuwonongeka kwamtima.
• Zotumphukira mtima thrombosis.
• Kusamba koyamba kwa akazi.
• Kudziletsa.
• Kupweteka kwam'mlenze ndi kufooka kwa malekezero am'munsi chifukwa cha zovuta zamagazi.
• Kuthamanga kwa magazi.

Chizindikiro chodziwika bwino cha atherosulinosis ndi maonekedwe a mitsempha yachikasu pansi pa khungu la eyelids, yokhala ndi cholesterol (xanthelasm). Kukayikira kwa hypercholesterolemia kumafunikira kuwunika mozama kuti adziwe zomwe zimayambitsa ndikuchotsa matenda omwe amayambitsa. Odwala amapatsidwa maphunziro awa:

• Kuyesa kwamwazi wamagazi.
• Kusanthula kwa majini kuti mupeze chinthu chomwe chimabweretsa cholowa.
• Kuyeza kwa kuthamanga kwa magazi.
• Urinalysis
• Lipogram.

Dotolo amatenganso deta pamatenda omwe alipo odwala komanso kupezeka kwa zizolowezi zoipa. Izi zimakuthandizani kuti muyambe kulandira chithandizo munthawi yake komanso kupewa zovuta zazikulu ngati stroko, kuchepa kwa kanthawi kochepa komanso kugunda kwa mtima.

Chithandizo cha matenda a cholesterol metabolism

Kuti athetse vuto la lipid kagayidwe, mankhwala ndi zofunika kukonzanso matendawa ndi zakudya zimayikidwa. Mwa mankhwala, othandiza kwambiri ndi:

• Nicotinic acid
• Ma antioxidants.
• Madera
• Zofufuma zomwe zimamanga cholesterol m'matumbo.
• Imawoneka bwino, imathandizira kagayidwe.

Panthawi yoti mafuta am'matumbo asokonekere, Pancreatin ndi Guarem ndi mankhwala, omwe ali ndi matenda a chiwindi - Essenitsale. Kubwezeretsa kuchuluka kwa cholesterol chabwino ndi choyipa m'magazi - Probucol. Chithandizo chowonjezera chimaphatikizapo jakisoni wa vitamini B2.

Zakudya zoyenera

Kuti mukhale ndi ziwiya zoyera popanda zolembera, simuyenera kungokhala ndi moyo wathanzi ndikuwongolera cholesterol yamagazi, komanso kuyang'anira kudya kwanu, kupatsidwa zomwe zili mu cholesterol muzakudya

Kuti musavutike kuthana ndi zoopsa zomwe zingachitike pazinthu zina, mutha kugwiritsa ntchito tebulo lotsatirali likuwonetsa zomwe zili mu cholesterol mu magalamu 100 a chakudya: