I-Lipidologists Inokukunceda Ukukhusela Iintliziyo Zengqondo
Iipidologists ngabagqirha banceda ukulawula i-cholesterol yakho kwaye ufumane unyango oluya kufana neemfuno zakho. EUnited States, phantse omnye umntu wesithathu ngaphezulu kweminyaka engama-20 anesifo se-cholesterol esiphezulu, umngcipheko wokuhlaselwa kwintliziyo kunye nesifo . Akumangalisi ke ngoko ukuba uhlobo olutsha lwezonyango lwezokwelapha luye lwavela ukuze luphathwe iinqununu zezigulane ezinokubangela ukongela ubomi besifo sengqondo.
Ezi zengcali ezintsha kwiindawo zonyango zibizwa ngokuba yi-lipidologists.
I-lipidologist ngugqirha oye wafumana uqeqesho olongezelelweyo ekulawuleni kwe-cholesterol, ukuhlolwa kweengozi ze-cardiovascular, nokungenelela. Ukongeza kwinqanaba lezokwelapha, i-lipidologist inesiqinisekiso esibhaliweyo esibonisa ukuzaliswa koqeqesho olukhethekileyo.
I-Lipidology i-Emerges njenge-Specialty Medical
Le ntsi isaselula kakhulu, kodwa ikhula, i-lipidologists eziqinisekisiweyo eziyi-625 e-US ngo-2015 kunye ne-100 ngaphezulu ethatha uvavanyo ngamnye ngonyaka. I-American Board ye-Clinic Lipidology, iqela elijongene nekharityhulam ye-certified, liyabona iqela lokugqibela lokuphumelela ngo-2005. Nangona kunjalo, iipidologists ayifumananga ukuba ibonwe yi-American Board yezoNyango zeZonyango, inhlangano ebusayo yamacandelo ekhethekileyo zonyango.
Nangona kunjalo, intsimi ye-lipidology, okanye ukufundwa kwezinto ezinamafutha egazini, ngokuqinisekileyo kukhula okhethekileyo.
I-Heart Heart, iLung ne-Blood Institute, isahlulo seZiko leZiko lezeMpilo, liye laphuhlisa iNkqubo yeSizwe ye-Cholesterol Education (NCEP). Le nkqubo yakhiwa ngenzame yokujongana nendlela i-cholesterol isebenza ngayo nendlela yokujonga nokugcina ii-cholesterol ezinempilo. Okwangoku, abaninzi abantu bafunda kuphela ngezinga labo le-cholesterol ngokufumana isampuli yegazi esetyenziswe ngexesha lokuhlolwa kwonyaka.
Nini Ukubonisana nePilidologist
Ngokwe-American Heart Association, inqanaba elifanelekileyo le-cholesterol nganye kufuneka libe ngaphantsi kwezigidi ezingama-200 nge-deciliter (mg / dL) yegazi. Amazinga e-Cholesterol phakathi kwama-200 no-240 mg / dL athatyathwa njengengozi emgangathweni yempilo, ngelixa amanqanaba aphezulu kune-240 mg / dL yingozi enkulu yokugula kwesifo senhliziyo. Kweentlobo ezahlukeneyo ze-cholesterol, i-lipids ephantsi-density ( LDL ) kufuneka ibe ngaphantsi kwe-100 mg / dL; i-lipids ephezulu ( HDL ) kufuneka ibe ngaphezu kwe-60 mg / dL.
Kuba abaninzi abantu baxabana namazinga aphezulu e-cholesterol, ugqirha wezononophelo olusisiseko luza kubonisa kuqala ukuba utshintsho lwezinto eziphilayo , ezifana nokunamathela kwisondlo esincinci kunye nokwandisa amanqanaba omsebenzi. I-NCEP icebisa ukuzama ukuguquka kweenyanga ezintathu zokuphila ngaphambi kokuqala nayiphi na imithi ye-cholesterol .
Ukuba ezi zinguqu zendlela yokuphila azanele, i-NCEP iyacebisa ukuba iqale inkqubo yeyeza yokwelapha ye-LDL phantsi kwekhokelo logqirha. Ukuba le gciwane le-regimen alizange linciphise kakuhle amanqanaba e-cholesterol kwizinga eliphilileyo kwiiveki ezingama-12, iqela licebisa ukuba libone i-lipidologist. I-cardiologist kufuneka ibonwe ukuba ngaba ugqirha wezempilo oyintloko okanye isigulane unokukhathazeka ngokukhawuleza ngesifo senhliziyo, okanye ukuba isigulane sinomnye umngcipheko, njengengcinezelo ephezulu yegazi okanye isifo sikashukela .
Izigulane kufuneka zijonge kunye nenkampani yabo yenkampani yomshuwalense ukuqinisekisa ukuba kuqeshwe i-lipidologist.
I-Lipidologists Inokuyilungiselela ngakumbi ukuvavanya ukuhlolwa kweCholesterol
I-lipidologist iyakucetyisa ukuhlolwa kwe-cholesterol ephezulu. Uvavanyo lwe-cholesterol oluqhelekileyo lubonisa iintlobo ezintathu ze-lipid: i- HDL , i-LDL, kunye ne- triglycerides , olunye uhlobo lwamafutha atholakala emzimbeni. Iimvavanyo ze-cholesterol ezithuthukisayo zibonelela ngokubaluleka kweeklasi ze-cholesterol, ukubonelela ngesilinganiselo 13 somngcipheko we-cardiovascular risk.
Ezi zilinganiso ezi-13 ziquka ubukhulu be-cholesterol ubuncinci, uhlobo olusandul 'ukufumana ingozi yesifo senhliziyo, kunye namanqanaba e- apolioprotein B100 , iprotheni eyanceda umzimba ukuba usikhulule kwaye ususe i-cholesterol kwiiseli.
Ukusebenzisa olu vavanyo oluphezulu lwe-cholesterol, i-lipidologist inokubonelela ngoncedo olulodwa. Ngokomzekelo, abanye abantu bangadinga imishanguzo eyenzelwe ukuphucula ukudluliselwa nokususwa kwe-cholesterol ye-LDL. Abanye abantu banokufuna kuphela utshintsho oluthile olukhethekileyo lokutya, njengokunciphisa ityuwa, ukwandisa i-fiber, okanye uchithe ngaphantsi kwe-7% yeekhalori zemihla ngemihla.
I-lipidologist, ngokuxhomekeka kwiimfuno zomntu, inokuphinda icebise i- MRI ukucacisa inani leoli ekhoyo kwiisisipha ze-muscle. Uphando lubonisa ukuba amanqanaba aphezulu e-lipid ahlanganiswa nokukhuluphala, uhlobo lwesifo sikashukela kunye nezinye izinto ezinobungozi zesifo senhliziyo.
Nangona ii-lipidologists eziqinisekisiweyo ziye zafumana uqeqesho olukhethekileyo lolawulo lwe-cholesterol, iimvavanyo ezifanayo zonyango kunye nezoonyango ezicebisayo nazo zinokumiselwa ngumgqirha wezonyango okanye oyena-cardiologist. Enyanisweni, iNational Heart, Lung ne-Blood Institute ikhuthaza ukuba i-lipidologist isebenze ngokubambisana nesigqirha sokunakekelwa kwezigulane, isigqirha sokubhalwa kwezilwanyana, umongikazi kunye nekhemisti. Oku kuya kuvumela ilungu ngalinye leqela ukuba likwazi zonke iziphakamiso ezinikezelwa isigulane. Isigulana sinokukhuthaza ukukhulumisana phakathi kwamalungu ekomiti ngokugcina i-journalist yokulawula i-cholesterol, ebhala utshintsho lokutya , ukusetyenziswa , amayeza kunye neziphumo zokuvavanya .
Imithombo:
Inkqubo yoBungqina beeNgcali zeLipical Clinic . 2008. I-American Board ye-Clinical Lipidology.
"Iipilisi eziPhakamileyo zokuThuthukisa i-Cholesterol yezothutho kunye ne-High-Density Lipoprotein." Ikholeji yaseMerika yeCardiology yonyaka weSayensi yeSession 2007 . Mar. 2007. Ikholeji yaseMerika yaseCarology. 6 kuMatshi 2008.
I-Goodpaster, uBret., Et. al .. "I-Lipid Concentration Muscle I-Skeletal Muscle Imagination eqinisekiswa yiMagnetic Resonance Imaging." I-American Journal of Clinical Nutrition. 79. 5. Meyi 2004. 748-754. 5 kuMatshi 2008.
INgxelo yesithathu yeNkqubo yeMfundo yeSizwe ye-Cholesterol (NCEP) Iqela lezakhono kwi-Detection, Assessment and Treatment of High Blood Cholesterol kwi-Adult. " I-Guideline Clearinghouse kaZwelonke . 31 Matshi 2008. 6 kuMeyi 2008.
"Iifomethi: Izinto ezilandelayo." I-Cholesterol Yokunciphisa Amachiza . 2007. I-National Heart Lung ne-Blood Institute.