Uvavanyo lwe-cholesterol lunokukunceda uqonde umngcipheko wesifo senhliziyo
Iplanethi yepilisi okanye ye-cholesterol yindlela yokuhlolwa kwegazi esetyenziselwa ukucacisa inani leoli egazini lakho, kwaye ukulinganisa amafutha egazi kuyisisombululo esibalulekileyo ekuqaliseni umngcipheko wesifo senhliziyo.
Kukho iinxalenye ezine zeoli eziphambili eziza kubalwa kwipaneli yakho yepilid:
- I-cholesterol iyonke
- I-low-density lipoprotein (LDL)
- I-high-density lipoprotein (HDL)
- Triglycerides
Kodwa yintoni na le mafutha, kwaye iziphumo zakho ezizodwa zithetha ntoni? Nazi izinto ezisisiseko malunga nendlela yokutolika iphaneli yekholesterol yakho kunye noko kuthetha ntoni kwimpilo yakho yentliziyo.
Amanqanaba onke e-Cholesterol
Enye yezifundo oza kuzibona kwiziphumo zebhubhoratri yile nombolo ebizwa ngokuba "yi-cholesterol iyonke," ekuxelela inani elipheleleyo lamafutha onayo egazini lakho.
NgokweNational Heart, Lung, ne-Blood Institute, i-cholesterol yeyona nto ifanelekileyo ingaphantsi kwama-200 mg / dL. Amanqanaba phakathi kwama-200 mg / dL kunye ne-239 mg / dL athatyathwa njengomda we-cholesterol ephakamileyo ngelixa amazinga angaphezulu kwama-240 mg / dL athathwa njengophakamileyo.
Ewe, kubalulekile ukuba uqaphele ukuba akufanele unqume amazinga e-cholesterol yakho nje ngezinga lakho le-cholesterol yakho. Kunoko, izinga lakho le-cholesterol lifuna ukugqitywa kwakhona kwi-LDL, i-HDL, kunye ne-triglycerides ukwenzela ukukunika ingqiqo kwengozi yesifo senhliziyo.
Iipoproteins eziphezulu
I-lipoproteins ephezulu, okanye i- HDL , ithathwa ngokuba yi-"cholesterol efanelekileyo", kuba indima ye-HDL emzimbeni kukuthatha i-cholesterol kwisibindi ngenxa yokuhlaziywa okanye ukucutshungulwa, ngokuchasene nokuvumela i-cholesterol ukuba ijikeleze egazini.
Yingakho iqondo eliphezulu le-HDL libhekwa njengelungileyo.
Enyanisweni, amanqanaba angaphezu kwama-60 mg / dL akholelwa ukuba ngokwenene ayakhusela kwisifo senhliziyo.
Amazinga e-HDL phakathi kwama-40 no-59 mg / dL athatyathwa njengezinga elimkelekileyo, kunye nephakamileyo izinga elibhetele. Inqanaba le-HDL ngaphasi kwe-40 mg / dL. Kule meko, izinga eliphantsi le-HDL liyona nto ingozi enkulu yesifo senhliziyo.
I-Genetics inokudlala indima kwi-HDL, kwaye abafazi bavame ukuba namazinga aphezulu e-HDL kunamadoda. Oko kwathiwa, indlela yokuphila kunye nokubhema yimiba emibini yenkcazo efaka isandla kwizinga eliphantsi le-HDL kwaye liphantsi kolawulo lwakho, ngokungafani nokwenziwa kofuzo okanye ubulili bakho.
Triglycerides
I-triglycerides ephakamileyo iphinda iphakame umngcipheko wesifo senhliziyo. Umgangatho we-triglyceride we-borderline ophakathi kwe-150 ukuya ku-199 mg / dL ngelixa i-high-triglyceride level enye enye i-200mg / dL okanye ngaphezulu.
Nangona iimeko ezithile zofuzo okanye amayeza angabangela ukuba abanye abantu babe namazinga aphezulu e-triglyceride, abaninzi banamanqanaba aphakamileyo ngenxa yemigudu yokuphila engafanelekanga yokutya ukutya okunomdla kakhulu we-carbohydrates, ukusela kakhulu utswala, ukutshaya umsila, nokungawusebenzisi-kunye Kakade, oku kukhokelela ekugqithiseni okanye ngokugqithiseleyo.
Iipoprotein eziNcinci
I-lipoproteins ephantsi, eyaziwa ngokuba yi-LDL, ithathwa ngokuba yi "cholesterol embi".
Olu hlobo lwe-lipoprotein lujikeleza kwisibindi ukuya kwezinye izitho kunye nezicubu zomzimba, zithwala i-cholesterol apho kufuneka khona. I-LDL inegalelo ekutheni i-fat build-up kwimibhobho yomntu, ekugqibeleni ekukhokelela ekunciphiseni nasekukhuselweni kwemibhobho, ebangela ukuhlasela kwentliziyo okanye ukubetha.
Izikhokelo zangoku zamanqanaba eLDL zi:
- Amanqanaba e-LDL ngaphantsi kwama-100 mg / dL athatyathwa ngokufanelekileyo.
- Amanqanaba e-LDL phakathi kwe-100 ukuya ku-129 mg / dL athatyathwa kufuphi okanye ngaphezulu.
- Amanqanaba e-LDL phakathi kwe-130 ukuya kwe-159 mg / dL ayicingwa phezulu.
- Amanqanaba e-LDL phakathi kwe-160 ukuya ku-189 mg / dL aqwalaselwa phezulu.
- Amazinga e-LDL angaphezulu kwe-190 mg / dL acingwa kakhulu.
Ngokuqhelekileyo, ukutya okuninzi kumafutha "amabi" afana namafutha azalisiweyo (umzekelo, ibhotela kunye nenyama ebomvu) kunye namafutha esitokisi (umzekelo, ukutya okuthosiweyo kunye nempahla ebhaka) kuncedisa kwizinga eliphezulu le-LDL phakathi kwezinye izinto ezifana ne-genetics kunye nokungabikho yomsebenzi.
Izinga eliphezulu leLDL
Ngelixa iinqanaba zeLDL ezikhankanywe ngasentla zifakwa kwiindidi ezintle, oogqirha abayisebenzisi kwakhona le mibala-batshintshe indlela yabo, bathetha. Esikhundleni sokujolisa kwinombolo ethile yeLDL (umzekelo, ukuphakamisa imithi ye-cholesterol yomntu kuze kube yilapho i-LDL yabo ingaphansi kwe-130mg / dL), oogqirha ngoku baphatha umntu kunye nempilo yabo yonke "intliziyo".
Ngamanye amagama, oogqirha basebenzisa izinga leLDL lomntu njengento eyodwa ekufikeleleni umngcipheko wabo jikelele wokuba nesifo senhliziyo okanye ukubetha. Ngokusekelwe kulo mngcipheko wesifo se-cardiovascular disease, ugqirha unokuncoma indlela yokuziphatha kwaye ngamanye amaxesha imithi yokunciphisa i-cholesterol (ebizwa ngokuba yi- statin ).
Imizekelo yeendlela zokuziphatha ezinempilo entle ziquka:
- Ukutya ukutya okuphantsi kwamafutha azalisiweyo (kunye neeriti zentengiso)
- Ukusebenzisa imihla ngemihla
- Ukuphepha ukutshaya
ILizwi
Ukufumana amazinga e-cholesterol ekuhlolwe yiyona nto ibalulekileyo yokunyamekela kwakho. Enyanisweni, ngokwe-American Heart Association, wonke umntu oneminyaka engama-20 nangaphezulu aphephe iinqwelo ze-cholesterol ihlolwe rhoqo kwiminyaka emine ukuya kweyesithandathu (kwaye ngokuphindaphindiweyo, ukuba unayo imbali yesifo senhliziyo okanye uthatha i-statin.)
> Imithombo:
> American Heart Association. (2017). Iimpawu Zakho zeCholesterol zithetha ntoni.
I-Heart Heart, i-Lung, ne-Blood Institute. (2016). Yintoni i-Cholesterol?
> I-Stone N et al. 2013 IC / AHA Isikhokelo kwiNyango yeGazi yeCholesterol ekunciphiseni ubungozi be-Atherosclerotic ye-Cardiovascular Risk kuBantu abadala. Ingxelo ye-American College of Cardiology / i-American Heart Association Task Force kwiZikhokelo zokuSebenza.