Ngaba icholesterol yam ingaphantsi kakhulu?

Umxholo

• Yintoni kanye kanye icholesterol?
• Zithini iingozi zecholesterol ephantsi?
• Iimpawu zecholesterol esezantsi
• Imiba yomngcipheko wecholesterol esezantsi
• Ukuchonga i-cholesterol esezantsi
• Ukunyanga i-cholesterol ephantsi
• Ukuthintela i-cholesterol ephantsi
• Imbonakalo kunye neengxaki
• I-Q & A: Kukuphi ukutya okunamafutha asempilweni?
• Q:
• A:

Amanqanaba echolesterol

Iingxaki ze-cholesterol zihlala zinxulunyaniswa ne-cholesterol ephezulu. Kungenxa yokuba ukuba une-cholesterol ephezulu, usengozini enkulu yesifo sentliziyo. Ikholesterol, into enamafutha, inokuyivala imithambo yakho kwaye inokubangela ukuba uhlaselwe sisifo sentliziyo okanye ukubetha ngokungaphazamisi ukuhamba kwegazi kumthambo ochaphazelekayo.

Kungenzeka ukuba i-cholesterol ibe sezantsi kakhulu. Nangona kunjalo, oku kuncinci kakhulu kune-cholesterol ephezulu. I-cholesterol ephezulu inxulumene kakhulu nesifo sentliziyo, kodwa i-cholesterol esezantsi inokuba yinto yezinye iimeko zonyango, ezinje ngomhlaza, uxinzelelo kunye noxinzelelo.

I-cholesterol inokuyichaphazela njani imiba emininzi yempilo yakho? Okokuqala, kufuneka uqonde ukuba yintoni i-cholesterol kunye nendlela esebenza ngayo emzimbeni wakho.

Yintoni kanye kanye icholesterol?

Ngaphandle kokudibana neengxaki zempilo, icholesterol yinto edingwa ngumzimba. Ikholesterol iyimfuneko ukwenza iihomoni ezithile. Iyabandakanyeka ekwenzeni ivithamin D, enceda umzimba ukuba uthathe i-calcium. Icholesterol ikwadlala indima ekwenzeni ezinye zezinto ezifunekayo zokwetyisa ukutya.

Ikholesterol ihamba egazini ngohlobo lweepopoproteins, eziziimolekyuli ezincinci zamafutha ezisongelwe ngeprotein. Zimbini iintlobo eziphambili ze-cholesterol: i-low-density lipoprotein (LDL) kunye ne-high-density lipoprotein (HDL).

Ngamanye amaxesha i-LDL ibizwa ngokuba yi-cholesterol "embi". Kungenxa yokuba luhlobo lwecholesterol enokuvala imithambo yakho. I-HDL, okanye i-cholesterol "elungileyo", inceda ukuzisa i-cholesterol ye-LDL ukusuka kwigazi ukuya kwisibindi. Ukusuka kwisibindi, i-cholesterol engaphezulu kwe-LDL iyasuswa emzimbeni.

Isibindi sidlala enye indima ebalulekileyo kwi-cholesterol. Uninzi lwecholesterol yakho lwenziwa kwisibindi sakho. Ezinye zivela kukutya okutyayo. I-cholesterol yokutya ifumaneka kuphela kwimithombo yokutya kwezilwanyana, njengamaqanda, inyama kunye neenkukhu. Ayifumaneki kwizityalo.

Zithini iingozi zecholesterol ephantsi?

Amanqanaba aphezulu e-LDL anokuhliswa ngamayeza, anjengee-statins, kunye nokuzilolonga rhoqo kunye nokutya okusempilweni. Xa i-cholesterol yakho yehla ngenxa yezi zizathu, kuhlala kungekho ngxaki. Ngapha koko, icholesterol esezantsi ibhetele kuneyona cholesterol ininzi ixesha elininzi. Yilapho i-cholesterol yakho iwa ngaphandle kwesizathu esicacileyo sokuba ufanele uqaphele kwaye uxoxe ngayo nomboneleli wakho wezempilo.

Ngelixa iziphumo ezichanekileyo zecholesterol esezantsi kwezempilo zisafundwa, abaphandi banenkxalabo malunga nokuba i-cholesterol ephantsi ibonakala ichaphazela njani impilo yengqondo.

Uhlolisiso olwenziwe ngo-1999 kwiYunivesithi yaseDuke ngabafazi abaselula abasempilweni bafumanisa ukuba abo bane-cholesterol esezantsi banamathuba okuba neempawu zoxinzelelo kunye noxinzelelo. Abaphandi bacebisa ukuba ngenxa yokuba icholesterol iyabandakanyeka ekwenzeni iihomoni kunye nevithamin D, amanqanaba asezantsi anokuchaphazela impilo yengqondo yakho. I-Vitamin D ibalulekile ekukhuleni kweseli. Ukuba iiseli zengqondo aziphilanga, unokufumana uxinzelelo okanye uxinzelelo. Unxibelelwano phakathi kwe-cholesterol esezantsi kunye nempilo yengqondo alukaqondwa ngokupheleleyo kwaye kusenziwa uphando.

Uphononongo olwenziwe ngo-2012 kwiAmerican College of Cardiology Scientific Sessions lufumene ubudlelwane obunokwenzeka phakathi kwecholesterol ephantsi nomngcipheko womhlaza. Inkqubo echaphazela amanqanaba e-cholesterol inokuchaphazela umhlaza, kodwa uphando oluninzi luyafuneka ngesihloko.

Enye enye inkxalabo malunga ne-cholesterol ephantsi ibandakanya abafazi abanokukhulelwa. Ukuba ukhulelwe kwaye une-cholesterol esezantsi, ujongene nomngcipheko ophezulu wokuhambisa umntwana wakho ngaphambi kwexesha okanye ukuba nosana olunesisindo esiphantsi sokuzalwa. Ukuba uhlala une-cholesterol esezantsi, thetha nogqirha wakho malunga nento ekufuneka uyenzile kule meko.

Iimpawu zecholesterol esezantsi

Kubantu abane-cholesterol ephezulu ye-LDL, kuhlala kungekho zimpawu de kuhlaselwe sisifo sentliziyo okanye ukubetha. Ukuba kukho ukubhloka okunzulu kumthambo wecoronary, unokufumana iintlungu zesifuba ngenxa yokuncipha kwegazi ukuya kwimisipha yentliziyo.

Nge-cholesterol ephantsi, akukho zintlungu zesifuba ezibonisa ukwakhiwa kwezinto ezinamafutha kumthambo.

Ukudakumba noxinzelelo kunokuvela kwizizathu ezininzi, kubandakanya ne-cholesterol esezantsi. Iimpawu zoxinzelelo kunye noxinzelelo zibandakanya:

• ukungabi nathemba
• uvalo
• ukudideka
• ukuphazamiseka
• kunzima ukwenza isigqibo
• utshintsho kwiimvakalelo zakho, ukulala, okanye iipateni zokutya

Ukuba ufumana naziphi na kwezi mpawu zingasentla, bona ugqirha. Ukuba ugqirha wakho akacebisi uvavanyo lwegazi, buza ukuba kufanelekile na.

Imiba yomngcipheko wecholesterol esezantsi

Imiba yomngcipheko wecholesterol esezantsi ibandakanya ukuba nembali yosapho kwimeko, ukuba semthethweni okanye ezinye iinkqubo zonyango lwegazi, kunye nokunganyangwa.

Ukuchonga i-cholesterol esezantsi

Ekuphela kwendlela yokuchonga ngokufanelekileyo amanqanaba akho e-cholesterol kukuvavanya igazi. Ukuba une-cholesterol ye-LDL engaphantsi kweemiligram ezingama-50 kwidesilitha nganye (mg / dL) okanye i-cholesterol yakho iyonke ingaphantsi kwe-120 mg / dL, une-cholesterol esezantsi ye-LDL.

I-cholesterol iyonke ichazwa ngokongeza i-LDL kunye ne-HDL kunye neepesenti ezingama-20 ze-triglycerides yakho, nolunye uhlobo lwamafutha egazini lakho. Inqanaba le-LDL ye-cholesterol phakathi kwe-70 kunye ne-100 mg / dL ithathwa njengefanelekileyo.

Kubalulekile ukugcina umkhondo wecholesterol yakho. Ukuba khange uhlolisise i-cholesterol yakho kule minyaka mibini idlulileyo, cwangcisa idinga.

Ukunyanga i-cholesterol ephantsi

I-cholesterol yakho ephantsi inokubangelwa yinto ethile ekudleni kwakho okanye imeko yomzimba. Ukuze unyange i-cholesterol esezantsi, kubalulekile ukuqonda ukuba ukutya ukutya okune-cholesterol eninzi akunakusombulula ingxaki. Ngokuthatha iisampulu zegazi kunye nokuvavanywa kwezempilo yengqondo, iingcebiso malunga nokutya kunye nendlela ophila ngayo zinokwenziwa ukunyanga i-cholesterol yakho esezantsi.

Ukuba inqanaba lakho le-cholesterol lichaphazela impilo yakho yengqondo, okanye ngokuchaseneyo, unokumiselwa ukuba uxinzeleleke.

Kwakhona kunokwenzeka ukuba amayeza e-statin abangele ukuba i-cholesterol yakho yehle kakhulu. Ukuba kunjalo, idosi yonyango okanye amayeza akho anokufuna uhlengahlengiso.

Ukuthintela i-cholesterol ephantsi

Kuba ukuba nenqanaba lecholesterol ephantsi kakhulu ayisiyiyo into exhalabisa abantu abaninzi, kunqabile kakhulu ukuba abantu bathathe amanyathelo okuthintela oko.

Ukugcina amanqanaba akho e-cholesterol elungelelanisiwe, fumana uvavanyo rhoqo. Gcina ukutya okusempilweni ngentliziyo kunye nendlela yokuphila esebenzayo ukunqanda ukuthatha ii-statins okanye amayeza oxinzelelo lwegazi. Yazi nayiphi na imbali yosapho yeengxaki ze-cholesterol. Kwaye okokugqibela, nikela ingqalelo kwiimpawu zoxinzelelo noxinzelelo, ngakumbi nayiphi na into ekwenza uzive unobundlobongela.

Imbonakalo kunye neengxaki

I-cholesterol ephantsi idibene neengxaki ezithile zempilo. Ingumngcipheko wokuba ne-intracerebral hemorrhage ephambili, eyenzeka kakhulu kubantu abadala. Ikwanomngcipheko wobunzima bokuzalwa obuphantsi okanye ukuzalwa ngaphambi kwexesha kwabafazi abakhulelweyo. Okona kubalulekileyo, i-cholesterol esezantsi ithathwa njengomngcipheko wokuzibulala okanye indlela yokuziphatha enogonyamelo.

Ukuba ugqirha wakho uqaphela ukuba i-cholesterol yakho iphantsi kakhulu, qiniseka ukuba uthetha malunga nokuba ufuna ukukhathazeka. Ukuba uziva iimpawu zokudakumba, unxunguphalo, okanye ukungazinzi, icholesterol esezantsi inokuba yinto.

I-Q & A: Kukuphi ukutya okunamafutha asempilweni?

Q:

Kukuphi ukutya endifanele ndikutye ngakumbi ukuze ndifumane amafutha asempilweni ngaphandle kokunciphisa inqanaba lam le-cholesterol?

Isigulana esingaziwayo

A:

Ukutya okunemithombo esempilweni yamafutha, anjengeentlanzi ezinamanqatha (isalmon, ityhuna, njl.njl.), Kunye neavokhado, amandongomane, kunye neminquma okanye ioyile yomnquma, lukhetho olufanelekileyo.

UTimothy J. Legg, PhD, CRNPAIimpendulo zimele uluvo lweengcali zethu zonyango.Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.