Kubaluleke Kangakanani amanqanaba e-Triglyceride?
I-Triglycerides yindlela eqhelekileyo yeoli enomzimba. Enyanisweni, phantse zonke iikhalori ezigqithiseleyo, nokuba uyazifumana ekudleni amafutha okanye udla i-carbohydrates, ziguqulwa zibe zi-triglycerides kwaye zigcinwe kumathishini akho anamafutha.
Ulwalamano phakathi kwamazinga egazi le-triglyceride kunye nomngcipheko wesifo senhliziyo luye lwacaca kakhulu kunokuba igazi le-cholesterol liphezulu .
Nangona kunjalo, uphando ngoku luye lwaluqinisekisa ukuba kukho inxaxheba ecacileyo phakathi kwamanqanaba aphezulu e-triglyceride kunye nenengozi ye-cardiovascular risk .
Kutheni amazinga aphezulu e-Triglyceride aphakamisa ingozi ye-Cardiovascular Risk
Inqanaba eliphakamileyo le-triglycerides egazini (imeko ebizwa ngokuba yi-hypertriglyceridemia) inxulumene nomngcipheko ophezulu weengqondo zentliziyo-ngokukodwa, ukuhlaselwa kwentliziyo kunye nokubetha -kwindoda kunye nabasetyhini. Ukongeza koko, abantu abane- coronary artery disease (CAD) kunye ne-triglycerides ephakamileyo banomngcipheko ophezulu wokufa kwangaphambi kwexesha kunabantu abane-CAD kunye namazinga aqhelekileyo e-triglyceride.
Amanqanaba aphezulu e-triglyceride, ngokubhekiselele, ahambelana ngokukodwa kunye nezinye izinto eziphambili zeepid, ezibandakanya amazinga aphantsi kwe- cholesterol ye-HDL , iincinci ezincinci, ezininzi ze-LDL , kunye nokuxhathisa kwe-insulin . Ukuxhatshazwa kwe-insulin, kwakhona, kudibene nexinzelelo lwegazi kunye nokukhuluphala. Ngoko, amanqanaba aphezulu e-triglyceride aqheleke kubonakala kubantu abanomfutho ophezulu kakhulu wobuncwane.
Kule bantu, iziganeko eziphezulu zezifo zentliziyo ayimangalisi.
Ukwahlulelwa kweeNqanaba zeGazi zeTriglyceride
Amanqanaba egazi le-Triglyceride ahlelwa njengolu hlobo lulandelayo:
- Iinqwenelekayo: Amazinga e-Triglyceride angaphantsi kwama-150 mg / dL
- Umgangatho ophezulu: I-Triglyceride Levels phakathi kwe-150 no-199 mg / dL
- Ephakamileyo: Amanqanaba e-Triglyceride phakathi kwama-200 no-499 mg / dL
- Ephakamileyo kakhulu: Amanqanaba e-Triglyceride kwi-500 mg / dL okanye ngaphezulu
Ngokubanzi, ukuphakama kwinqanaba lakho le-triglyceride, iphakamileyo yakho yengozi yengqondo. Ukongezelela, amanqanaba e-triglyceride "kwindawo ephakamileyo kakhulu" angabangela i- pancreatitis , i-pancreas enobungozi kunye nokuba yingozi.
Izizathu
Amanqanaba e-triglyceride aphakanyisiwe aqhelekileyo kubonakala kubantu abakweqile kakhulu kunye nabasondezayo, kwaye banomdla wokunyamezela kwe-insulin okanye i- type 2 yesifo sikashukela .
Ezinye iimeko ezinxulumene namanqanaba aphezulu e-triglyceride ziquka:
- Hypothyroidism
- Iingxaki zeengxaki, ngakumbi i- nephrotic syndrome
- Ukukhulelwa
- Amachiza, kuquka ukutshintshwa kwe-estrogen, i-tamoxifen, kunye ne-block blockers
Ukongezelela, iimeko ezininzi zezofuzo zichongiwe ezibonakaliswe ngamanqanaba egazi aphezulu e-triglyceride. Ezi ziquka i-chylomicronemia, i-hypertriglyceridemia yomndeni, i-dysbetalipoproteinemia yomndeni, kunye ne-hyperlipidemia yohlobo oluhlangeneyo.
Ngalunye lwezi zifo zofuzo zibonakaliswa yizinto ezingaqhelekanga kwiipoproteins ezithwala i-triglycerides egazini. Abantu abaneendawo eziphakanyiswayo kwiimpawu ze-triglyceride bangabandezeleka kwimiphumo ye-hypertriglyceridemia (i-pancreatitis okanye isifo se-cardiovascular) nangona bengenasisindo.
Unyango
Iingcebiso zokuphatha i-hypertriglyceridemia azikho njengezicacileyo njengeengcebiso zokuphatha i-cholesterol . Ngoko ukuba unamazinga aphezulu e-triglyceride, kuya kufuneka uxoxe ngeendlela zokonyango kunye nodokotela wakho.
Ukungabikho kweziphakamiso zonyango oluchanekileyo kubangelwa kukuba, ngelixa amazinga aphakamileyo e-triglycerides adibene nomngcipheko wokwanda kweengqondo zomzimba, ubungqina bokuba unokunciphisa umngcipheko ngokukodwa ngokunciphisa amanqanaba e-triglyceride ngokunyanisekileyo. Le nto ihambelana nenyaniso yokuba abaninzi abantu abane-hypertriglyceridemia banemiba eminye yemingcipheko-kwaye zonke izinto ezijongene nobungozi zifumana unyango ngexesha elinye.
Kukude kunzima ukuxelela ukuba uphuculo olunjani kwiziphumo luhlobene ngokukodwa nokunciphisa amanqanaba e-triglyceride.
Nangona kungekho zikhokelo zonyango oluqinileyo, kukho izikhokelo eziqhelekileyo zokunyanga i-hypertriglyceridemia:
- Iinqanaba ze-triglyceride kumgangatho ophakamileyo weendlela zokuphila, ukucetyiswa kwindlela yokuphila, kuqukwa nokutya (ukuphepha amafutha amaninzi kunye namafutha e- trans , ukutya ezininzi iziqhamo kunye nemifuno, nokugwema utywala), ukulahleka kwesisindo, ukuzivocavoca, ukuyeka ukutshaya , ukulawula iswekile yegazi kunye lawulo lwegazi .
- Kwiimilinganiselo ze-triglyceride kwimiba ephakamileyo , ukulungiswa okufanayo kwendlela yokuphila kuphakanyiswa, kunye nokunciphisa amazinga e-cholesterol ye-LDL, ngokweengcomo zakutshanje zokuphatha i-LDL cholesterol.
- Kwiinqanaba ze-triglyceride kwindawo ephakamileyo kakhulu , injongo ephambili kukukhusela i-pancreatitis ngokunciphisa amanqanaba e-triglyceride ukuya ngaphantsi kwe-500 mg / dL (ngokuqhelekileyo ngeziyobisi ze-fibrate okanye i- niacin ), okwesibini ukujolisa ukunciphisa i-LDL ye-cholesterol ngokweengcebiso zakutsha nje unyango lwe-LDL cholesterol.
ILizwi
Amanqanaba aphakanyisiweyo e-triglyceride anxulumene nomngcipheko we-cardiovascular high, kwaye amanqanaba aphezulu kakhulu e-triglyceride angabangela ukuphazamiseka kwe-pancreatitis.
Kwinkoliso yabantu, i-triglycerides ephezulu ivela ngaphakathi kwimiqathango yemingcipheko yesifo senhliziyo. Ngoko ke, ukuba unamanqanaba aphezulu e-triglyceride, iziganeko ezintle ukuba izinto zakho ezinobungozi zengqondo zikhona "ezijoliswe kuyo," kwaye unomsebenzi omningi ongakwenza ukuze unciphise umngcipheko wakho . Wena kunye nogqirha wakho kufuneka usebenzisane kunye nokuceba isicwangciso sokunciphisa umngcipheko olungele wena.
> Imithombo:
> Ford, ES, Li, C, Zhao, G, et al. I-Hypertriglyceridemia Nonyango lwayo lwe-Pharmacologic phakathi kwethu Abantu abadala. Arch Intern Med 2009; 169: 572.
> Rosenson RS, Davidson MH, Hirsh BJ, et al. I-Genetics And Causality Of Lipgroterine-Rich Rich Lipoproteins Kwi-Atherosclerotic Cardiovascular Disease. J Am Coll Cardiol 2014; 64: 2525.
> Ingxelo yesithathu yeNkqubo yeSizwe ye-Cholesterol Education (NCEP) Iphaneli yoLwazi kwiNgcaciso, ukuVavanywa, kunye nokuPhathwa kweGosa eliPhezulu le-Cholesterol kwiBantu abadala (i-Panel Treatment Panel III): ingxelo yokugqibela. ISebe lezeMpilo laseMzantsi Afrika kunye neenkonzo zeNkonzo zabantu; IiNkonzo zeMpilo kaRhulumente; AmaZiko eZiko lezeMpilo; I-Heart Heart, i-Lung, ne-Blood Institute. Uhambo luka 2002; 106: 3143.