Ebizibu by’obulamu bibiri ebisinga okubeera mu bantu baffe ennaku zino bye bino: kolesterol omungi ne puleesa , oba “ puleesa ” nga ffenna bwe tukimanyi. Oyinza okuba n’ekimu oba byombi ku bino. Bino ebibiri biba ng’enjuyi bbiri ez’ekinusu kimu, era emirundi mingi emu egenda n’endala. Mu butuufu, abantu abasoba mu 60% abalina puleesa nabo balina kolesterol omungi. Bino byombi bya bulabe eri obulamu bw’omutima gwaffe. Naye amawulire amalungi gali nti, tusobola okufuga empisa zino zombi mu ngeri y’emu nga tulina emitendera mitono egyangu. Kino ka twogere mu bujjuvu leero.
Kakwate ki akaliwo wakati w’ebintu bino ebibiri?
Enkolagana eriwo wakati wa puleesa ne kolesterol eringa ekitala eky’amasasi abiri.
Lowooza ku misuwa gyo ( emisuwa ) ng’enkola ya payipu ezitwala amazzi mu maka go. Cholesterol kika kya busa n’obucaafu obuzimba munda mu payipu zino okumala ekiseera. Omubiri bwe guba tegusobola kuggya kolesterol ateetaagisa mu musaayi, kolesterol ono ow’enjawulo atandika okuzimba ku bisenge by’emisuwa. Ng’obucaafu bwe bukuŋŋaana munda mu payipu y’amazzi ne buzibikira payipu, emisuwa gye gigenda gifunda mpolampola ne gikaluba nga kolesterol ono yeeyongera.
Kati teebereza, okusindika amazzi ge gamu okuyita mu ttanka efunda, mmotoka erina okuteeka amaanyi amalala , nedda? Mu ngeri y’emu, omutima gwaffe gulina okukola ennyo okusinga bulijjo okusobola okuyisa omusaayi mu misuwa egy’omusaayi egyfunda n’egikaluba. Puleesa etondebwawo omutima bwe gupampagira omusaayi n’amaanyi amangi y’eyo gye tuyita puleesa oba “ puleesa enkulu.”
Kati katutunuulire oludda olulala olw’emboozi. Puleesa tekoma ku kubaawo. Puleesa oluvannyuma lw’ekiseera eyonoona ebisenge by’emisuwa, n’ereeta obukwate obutonotono n’enjatika . Ebifo bino ebyonooneddwa biringa ebinnya mu kkubo. Kyangu nnyo kolesterol asusse mu musaayi okukuŋŋaanyizibwa n’ateekebwa mu binnya bino.Kale, puleesa eyonoona emisuwa, era ebitereke bya kolesterol mu bitundu ebyo ebyonooneddwa byeyongera. Enzirukanya eno ogitegedde?
Abanoonyereza ku by’obujjanjabi bakyanoonyereza ku kakwate akasingawo wakati w’ebintu bino byombi. Kisoboka okuba nti kino era kiyinza okukwatibwako enkola y’enkola ya Renin-Angiotensin System (RAS), enkola y’obusimu ne puloteyina mu mubiri gwaffe efuga puleesa .
Ekikulu nti kolesterol omungi ne puleesa byombi bye bimu ku bintu ebikulu ebiyinza okuvaako endwadde ez’amaanyi ng’omutima n’okusannyalala. Bw’oba olina byombi, akabi ke kasingako awo.
Okugatta ku ekyo, embeera zino zombi kitundu ku kibinja ky'endwadde eziyitibwa ``Metabolic Syndrome'', era ekyongera ku bulabe bwa sukaali.
Oyinza otya okufuga embeera zino zombi?
Omutendera ogusooka era ogusinga obukulu mu kuddukanya embeera zino zombi kwe kukola enkyukakyuka ennungi mu bulamu bwaffe. Singa ebintu bino bigobererwa bulungi, emirundi mingi bisobola okuddukanyizibwa awatali ddagala.
| Enkyukakyuka mu bulamu | Eky’okukola n’obukulu bwakyo |
|---|---|
| Endya ennungi | Mu mmere yo ssaamu ebibala, enva endiirwa, ebinyeebwa, emmere ey’empeke, enkoko (etaliimu lususu), ebyennyanja, entangawuuzi n’amafuta g’enva endiirwa. Kendeeza ku nnyama emmyufu (ente, embizzi), ennyama erongooseddwa nga sosegi, emmere erimu omunnyo omungi, n’ebyokunywa n’emmere ebirimu ssukaali . (DASH diet) (Mediterranean diet) nteekateeka bbiri ennungi ezisemba okulya ku kino. |
| Okusigala nga okola (okukola dduyiro) . | Funa dduyiro ow’amaanyi ag’ekigero waakiri eddakiika 150 buli wiiki. Kino tekiteekwa kuzingiramu kugenda mu jjiimu. N’ekintu eky’angu ng’okutambula amangu, okusenya oluggya oba okuzannya n’abaana kijja kukola. Kino kiyinza okuyamba okukendeeza ku kolesterol ne puleesa. |
| Okugejja ennyo | Omugejjo gukosa butereevu kolesterol ne puleesa. Bw’ogenda weeyongera omugejjo, kolesterol wo “omubi” (LDL) gweyongera ate kolesterol wo “omulungi” (HDL) n’akendeera. Okukendeeza wadde ebitundu 5% ku 10% ku buzito bwo obusukkiridde kiyinza okukosa ennyo kolesterol ne puleesa. |
| Okunywa sigala n’omwenge | Okunywa sigala kikendeeza ku kolesterol wo "omulungi" (HDL) . Okunywa omwenge omungi kiyinza okulinnyisa puleesa ne (Triglycerides) , ekika ekirala eky’amasavu mu musaayi. Bino byombi byongera obulabe bw’okufuna endwadde z’omutima. Kale, ddala weewale emize gino. |
| Okumira eddagala bwe kiba kyetaagisa | Singa enkyukakyuka mu bulamu bwokka tezifuga miwendo gyo, omusawo ayinza okukuwa eddagala. Bayinza okuwandiika eddagala erikendeeza ku kolesterol (Statins) oba eddagala eddala erifuga puleesa. Kikulu okumira eddagala lino ddala nga omusawo bw’akugamba, mu ddoozi entuufu, n’ekiseera ekituufu. |
Lwaki kino twetaaga okukikebera?
Ekisinga okuba eky’obulabe ku mbeera zino zombi kwe kuba nti teziraga bubonero bwonna mu ntandikwa. Balinga "abatemu abasirise" abatukola obulabe mu nkukutu munda. Engeri yokka gy’oyinza okumanyamu ekirungo kya kolesterol ekituufu ne puleesa gy’eri kwe kwekebeza. Ekyo kitegeeza okupima puleesa yo n'okukola okukebera omusaayi okwangu (a `Lipid Profile`).
Olw’okuba embeera zino zibeerawo ku myaka emito okusinga edda, ekibiina ekigatta omutima mu Amerika kiwa amagezi buli muntu ng’amaze emyaka 20 okwekebejjebwa buli kiseera , ateese ku mpisa ze n’omusawo, era bwe kiba kyetaagisa, amukebere.
Okwetaaga ensonga endala? Okunoonyereza kulaga nti okubeera ne kolesterol omungi oba puleesa mu bavubuka, ne bwe kiba nti emiwendo egyo gifugibwa mu myaka egy’obukulu, kyongera nnyo emikisa gy’okufuna endwadde z’omutima mu biseera eby’omu maaso.
Okugeza, omuwendo gwa kolesterol omubi (LDL) omungi mu bavubuka guzuuliddwa nti gwongera obulabe bw’okulwala omutima ebitundu 64% mu bulamu obw’oluvannyuma. Mu ngeri y’emu, puleesa, ennamba ey’okungulu (`systolic`) n’eya wansi (`diastolic`), kizuuliddwa nti eyongera ku bulabe bw’okulwala omutima ebitundu 37% ne 21%.
N’olwekyo, okwekebejjebwa buli kiseera tekikoma ku kutaasa bulamu, wabula n’okwewala ssente ennyingi n’okunyigirizibwa kw’obwongo olw’obujjanjabi ng’obulwadde bumaze okweyongera.
Obubaka Obutwala Awaka
- Kolesterol omungi ne puleesa mbeera bbiri ezikwatagana ennyo era zongera obulabe bw’endwadde ez’amaanyi ng’endwadde z’omutima n’okusannyalala.
- Embeera zino zombi tezirina bubonero bwa maanyi mu ntandikwa. N’olwekyo, okwekebejja buli kiseera oluvannyuma lw’emyaka 20 kikulu nnyo.
- Embeera zino zombi zisobola okuddukanyizibwa obulungi nga tuyita mu mize emirungi egy‟obulamu nga emmere ennungi, okukola dduyiro buli kiseera, okufuga omugejjo, n‟okwewala okunywa sigala/omwenge.
- Mu mbeera ng’enkyukakyuka mu bulamu bwokka tezimala, okumira eddagala erikulagidde ng’omusawo bw’akulagidde kiyinza okukendeeza ennyo ku bulabe bwo.
- Bw’oba olina ekikweraliikiriza ku kolesterol oba puleesa, tobibuusa maaso. Kakasa nti olaba omusawo wo n’obateesa.
Cholesterol, puleesa, puleesa, endwadde z’omutima, okufuga kolesterol, okufuga puleesa, obulamu obulungi
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