Amanqanaba e-cholesterol ahluka njani kwabasetyhini (kunye nexabiso lesalathiso)
Umxholo
- 1. Ngexesha lokukhulelwa
- 2. Ngexesha lokuyeka ukuya exesheni
- Iimbangela ze-cholesterol ephezulu kubasetyhini
- Unyango njani
- Amaxabiso esalathiso seCholesterol
Ikholesterol kubantu basetyhini iyahluka ngokwenqanaba lamahomoni kwaye ke, kuxhaphake kakhulu kwabasetyhini ukuba babe nelona zinga liphezulu le-cholesterol ngexesha lokukhulelwa kunye nokuyeka ukuya exesheni, kwaye kubalulekile ukuba utye ngokufanelekileyo, ngakumbi kula manqanaba, ukunqanda iingxaki kunye nokunciphisa umngcipheko wesifo sentliziyo.
I-cholesterol ephezulu ihlala ingabangeli zimpawu kwaye ukuxilongwa kwayo kwenziwa kuvavanyo lwegazi oluvavanya i-cholesterol iyonke kunye namaqhezu ayo (i-LDL, i-HDL kunye ne-VLDL), kunye ne-triglycerides. Kubalulekile ukwenza olu vavanyo ubukhulu becala kwiminyaka emi-5, ngakumbi emva kweminyaka engama-30, okanye ngonyaka ukuba kukho umngcipheko we-cholesterol ephezulu, njengesifo seswekile, uxinzelelo lwegazi oluphezulu okanye ixesha lokukhulelwa, umzekelo.
1. Ngexesha lokukhulelwa
Ikholesterol iqala ukwanda ngokwendalo ngexesha lokukhulelwa ukusuka kwiiveki ezili-16 zokukhulelwa, ifikelela kabini ixabiso ebenalo lowo mfazi ngaphambi kokuba akhulelwe. Olu lutshintsho oluqhelekileyo kwaye oogqirha abaninzi abanaxhala lonyuko, kuba luye lubuyele esiqhelweni emva kokuba umntwana ezelwe.
Nangona kunjalo, ukuba owasetyhini ebesele ene-cholesterol ephezulu ngaphambi kokuba akhulelwe okanye ukuba utyebe kakhulu kwaye unoxinzelelo oluphezulu lwegazi, ugqirha unokucebisa ukuba kutshintshwe indlela yokutya ukuthintela iingxaki ngexesha lokukhulelwa kunye nokuthintela umfazi ukugcina i-cholesterol ephezulu emva ukuzala.
Nantsi into enokuyenza ukulawula i-cholesterol xa ukhulelwe.
2. Ngexesha lokuyeka ukuya exesheni
Ikholesterol ikwathanda ukwanda ngexesha lokuyeka ukuya exesheni, olu luhlobo oluqhelekileyo nolulindelekileyo. Nangona kunjalo, njengakulo naliphi na inqanaba, amanqanaba aphezulu kakhulu e-cholesterol ekuyekeni ukuya exesheni kufuneka anyangwe, njengoko enyusa umngcipheko wezifo zentliziyo ezinje ngokuhlaselwa sisifo sentliziyo.
Inqanaba elisezantsi lecholesterol kwabasetyhini kungenxa yobukho be-estrogen egazini, kwaye ngenxa yokuba i-estrogen yehla kakhulu emva kweminyaka engama-50, ngeli xesha ikholesterol ithande ukwanda kwabasetyhini.
Unyango kule meko lunokwenziwa ngokunyanga i-hormone kwiinyanga ezi-6. Ukuba amanqanaba e-cholesterol akabuyeli kwinto yesiqhelo, owasetyhini kufuneka athunyelwe kugqirha wezifo zentliziyo okanye endocrinologist ukuqala unyango oluthile olunokubandakanya ukusetyenziswa kwamayeza.
Iimbangela ze-cholesterol ephezulu kubasetyhini
Ukongeza ekubeni unxulumene nokukhulelwa kunye nokuyeka ukuya exesheni ngenxa yotshintsho lwehomoni, ezinye izizathu zecholesterol ephezulu kubafazi zezi:
- Ifa;
- Ukusetyenziswa kwee-anabolic steroids, iipilisi zokulawula ukuzalwa kunye / okanye ii-corticosteroids;
- IHypothyroidism;
- Isifo seswekile esingalawulwayo;
- Ukutyeba kakhulu;
- Ukungabikho kwezintso;
- Ukunxila;
- Ukuhlala nje kuphela.
Xa owasetyhini enazo naziphi na kwezi meko, usengozini enkulu yokuba nesifo sentliziyo, njengokuhlaselwa sisifo sentliziyo okanye ukubetha, ngoko ke unyango lokwehlisa i-cholesterol kufuneka luqaliswe kwangoko ngaphambi kweminyaka engama-50 okanye ngokukhawuleza kufunyaniswe ukuba icholesterol itshintshiwe.
Ekuqaleni, unyango luquka utshintsho kwimikhwa yokutya ehambelana nomsebenzi womzimba. Ukuba amaxabiso ahlala ephezulu emva kweenyanga ezi-3 zotshintsho kwindlela yokuphila, kuyacetyiswa ukuba uqale amayeza athile ukunciphisa i-cholesterol.
Unyango njani
Unyango lwecholesterol kwabafazi lunokwenziwa ngokutshintsha indlela otya ngayo, ukwenza umthambo kunye nokusebenzisa amayeza anceda ukulawula amanqanaba e-cholesterol kunye nokuthintela iingxaki.
Ukusetyenziswa kwamayeza kuhlala kuchazwa ngugqirha xa i-cholesterol ye-LDL (i-cholesterol embi) ingaphezulu kwe-130 mg / dL, kwaye xa ingalawulwa kuphela ngotshintsho kwindlela yokutya kunye nokusebenza komzimba. Unyango lwe-cholesterol ephezulu xa ukhulelwe lunokwenziwa ngokutya okufanelekileyo kwaye iyeza kuphela elinokusetyenziswa kweli nqanaba yicholestyramine.
Abasetyhini abane-cholesterol ephezulu kufuneka balumke kakhulu xa besebenzisa ipilisi yolawulo lokuzalwa, ngakumbi leyo isekwe kwiprogesterone, njengoko iphakamisa i-cholesterol nangakumbi, inyusa umngcipheko wesifo sentliziyo kunye nokuhlaselwa sisifo sentliziyo.
Bukela le vidiyo ilandelayo kwaye ufunde ngakumbi malunga nento onokuyenza ukunciphisa i-cholesterol:
Amaxabiso esalathiso seCholesterol
Ixabiso lereferensi yecholesterol yabantu abadala abangaphezu kweminyaka engama-20 ubudala yagqitywa nguMbutho waseBrazil woHlahlo lweKlinikhi [1] [2] kuthathelwa ingqalelo umngcipheko wentliziyo kuqikelelwa ngugqirha ocelayo njengaye:
Uhlobo lwecholesterol | Abantu abadala ngaphezulu kweminyaka engama-20 |
I-cholesterol iyonke | ngaphantsi kwe-190 mg / dl-enqwenelekayo |
I-cholesterol ye-HDL (elungileyo) | enkulu kune-40 mg / dl-enqwenelekayo |
I-LDL cholesterol (embi) | Ngaphantsi kwe-130 mg / dl - umngcipheko ophantsi wentliziyo ngaphantsi komyinge we-100 mg / dl- umngcipheko ophakathi kwentliziyo Ngaphantsi kwama-70 mg / dl - umngcipheko ophezulu wentliziyo Ngaphantsi kwama-50 mg / dl -umngcipheko ophezulu kakhulu wentliziyo |
I-cholesterol ye-HDL engekho (isixa seLDL, VLDL kunye ne-IDL) | ngaphantsi komyinge we-160 mg / dl - umngcipheko ophantsi wentliziyo Ngaphantsi kwe-130 mg / dl- umngcipheko ophakathi wentliziyo ngaphantsi komyinge we-100 mg / dl - umngcipheko ophezulu wentliziyo Ngaphantsi kwama-80 mg / dl -umngcipheko ophezulu kakhulu wentliziyo |
I-Triglycerides | ngaphantsi kwe-150 mg / dl-ukuzila-okunqwenelekayo Ngaphantsi kwe-175 mg / dl-ayizili ukutya-iyanqweneleka |
Beka iziphumo zovavanyo lwakho lwecholesterol kwikhaltyhuleyitha kwaye ubone ukuba konke kulungile:
I-Vldl / i-Triglycerides ibalwe ngokomgaqo we-Friedewald