Chifukwa chiyani cholesterol ndi yoipa m'thupi? Tiyeni tiphunzire bwino za atherosclerosis

Tonsefe timaopa pang'ono mawu oti "cholesterol," sichoncho? Nthawi zambiri timamva kuti cholesterol yambiri ingayambitse matenda a mtima ndi sitiroko. Pali zoona zambiri mu nkhaniyi. Pamene cholesterol ikuwunjikana m'mitsempha yathu yamagazi ndikuyamba kutsekeka, ndipamene matenda oopsa awa amakhala vuto. Chifukwa chake lero, tiyeni tikambirane za zomwe cholesterol iyi imasunga, momwe imapangidwira, komanso momwe tingapewere kuti ikhale yathanzi.

Kodi cholesterol ndi atherosclerosis ndi chiyani?

Mwachidule, zili ngati dothi lomwe limasonkhana mkati mwa mapaipi athu amadzi ndikutseka pakapita nthawi. Cholesterol, mafuta, ndi zinthu zina zimasonkhana m'mitsempha yamagazi, yotchedwa mitsempha, ndikupanga "ma plaques." Mu zamankhwala , njirayi imatchedwa atherosclerosis .

Choyambitsa chachikulu cha izi ndi cholesterol ya LDL . Monga tonse tikudziwira, iyi imatchedwa "cholesterol yoyipa" . Cholesterol ya LDL iyi ndi yomwe imawononga makoma a mitsempha yamagazi ndikuyamba kukhazikika pamenepo. Choopsa kwambiri ndichakuti izi zimachitika mwakachetechete mkati mwa thupi kwa zaka zambiri popanda zizindikiro zilizonse.

Kodi mafuta ochulukirapo a cholesterol amapangidwa bwanji?

Izi sizichitika mwadzidzidzi. Iyi ndi njira yovuta kwambiri yomwe imatenga zaka zambiri. Tangoganizani kuti mitsempha yathu ili ngati machubu okhala ndi malo osalala komanso osalala mkati. Njirayi imachitika motere.

• Gawo 1: Kuwonongeka kwa khoma la mitsempha: Zinthu monga cholesterol yambiri, kusuta fodya, kuthamanga kwa magazi, ndi matenda a shuga zimatha kukanda, kapena kuwononga, mkati mwa mitsempha (endothelium). Zili ngati kukanda khoma lokongola.
• Gawo 2: Kulowa kwa Cholesterol: Kuchokera m'malo owonongeka awa, cholesterol "yoyipa" ya LDL yomwe imayandama m'magazi imalowa pang'onopang'ono m'khoma la mitsempha. Kenako imayamba kusonkhana pamenepo.
• Gawo Lachitatu: Kupanga Ma Plaque: Maselo oyera a m'magazi athu amabwera kumeneko kuti "adye" cholesterol iyi yomwe yalowa mu khoma la mitsempha. Koma izi zili ngati nkhondo. Pakapita nthawi, maselo onse akufa ndi cholesterol amasonkhana ndikupanga unyinji wokhuthala ngati phala. Ndicho chimene timachitcha kuti cholesterol plaque.

Vutoli ndi lofala kwambiri moti nthawi zina magawo oyambirira a mafuta amenewa (mitsempha yamafuta) amatha kuwoneka ngakhale m'mitsempha ya achinyamata.

Kodi zinthu zimenezi zingawononge bwanji matupi athu?

Zikapangidwa mkati mwa khoma la mitsempha yamagazi, zinyalalazi zimatha kuchita zinthu zosiyanasiyana. Zina mwa izo sizingakule ndikukhalabe choncho. Zina mwa izo zimatha kukula ndikutseka pang'onopang'ono kuyenda kwa magazi. Koma chinthu choopsa kwambiri chomwe chingachitike ndichakuti zinyalalazi zimaphulika mwadzidzidzi (kuphulika) .

Zikatero, thupi lathu nthawi yomweyo limapanga magazi oundana kuti litseke bala. Tangoganizirani zomwe zingachitike ngati magazi oundana mwadzidzidzi apanga mkati mwa mtsempha wochepa kale ndikutseka kwathunthu? Ndicho chifukwa chachikulu cha matenda a mtima kapena sitiroko.

Kodi tingapulumuke bwanji mkhalidwe woopsa uwu?

Nkhani yabwino ndi yakuti atherosclerosis ndi vuto lomwe lingathe kupewedwa. Pali zinthu 9 zazikulu zomwe zimayambitsa 90% ya matenda a mtima. Tiyeni tiwone zomwe zili.

Monga mukuonera, zinthu zambiri zomwe zimayambitsa matendawa ndi zinthu zomwe tingathe kuziletsa . Izi zikutanthauza kuti tili ndi mwayi waukulu wopewa matenda oopsawa mwa kusintha moyo wathu.

Kodi mungachiritse bwanji ndikuwongolera?

Matenda a atherosclerosis ndi ovuta kuwathetsa kwathunthu. Komabe, ndi chithandizo choyenera komanso kusintha kwa moyo, zinthuzi zimatha kuyimitsidwa kapena kuchepetsedwa . Palinso umboni wakuti mankhwala ena amphamvu amatha kuchepetsa kapena kuchotsa zinthuzi.

Kusintha kwa Moyo

Ichi ndiye chinthu chofunikira kwambiri komanso choyamba kuchita.

• Kuchita Masewera Olimbitsa Thupi: Kaya mumachepetsa thupi kapena ayi, kuchita masewera olimbitsa thupi tsiku ndi tsiku kumawonjezera cholesterol "yabwino" ya HDL.
• Zakudya zabwino: Idyani zakudya zokhala ndi ulusi wambiri komanso mafuta ochepa. Idyani zipatso, ndiwo zamasamba, ndi masamba ambiri.
• Omega-3: Zakudya zokhala ndi omega-3 yambiri, monga nsomba zamafuta (salmon, mackerel, herring), zimatha kuwonjezera cholesterol "yabwino" ya HDL.
• Siyani kusuta: Siyani kusuta lero. Ndi mphatso imodzi yabwino kwambiri yomwe mungapatse mtima wanu.

Mankhwala

Kuwonjezera pa kusintha kwa moyo, anthu ena angapatsidwe mankhwala ndi dokotala wawo.

• Ma Statin: Awa ndi mankhwala ochepetsa cholesterol omwe amagwiritsidwa ntchito kwambiri. Amachepetsa kwambiri cholesterol "yoyipa" ya LDL. (Mwachitsanzo: Atorvastatin, Rosuvastatin, Simvastatin). Amalimbitsa ma plaque ndikuchepetsa chiopsezo cha kuphulika.
• Ma Fibrate: Izi zimathandiza kuchepetsa mtundu wina wa mafuta otchedwa triglycerides (monga Gemfibrozil, Fenofibrate).
• Mankhwala ochepetsa kuthamanga kwa magazi: Ngati muli ndi kuthamanga kwa magazi, muyenera kumwa mankhwala olembedwa kuti muchepetse kuthamanga kwa magazi monga momwe mwalangizidwira.
• Mankhwala ochepetsa magazi: Mankhwala monga aspirin ndi clopidogrel angathandize kuchepetsa chiopsezo cha magazi kuundana. Komabe, musayambe kumwa mankhwalawa musanafunse dokotala wanu kaye .

Njira zapadera zomwe zingachitike nthawi zina

Ngati mitsempha yatsekeka kwambiri ndipo zizindikiro zake n’zoopsa, madokotala angagwiritse ntchito njira zapadera.

• Angioplasty ndi Stenting:Mu izi, chubu choonda kwambiri (catheter) chimadutsa mu mtsempha wamagazi womwe uli mwendo kapena mkono kupita kumtima, ndipo baluni yaying'ono imagwiritsidwa ntchito kudzaza malo otsekedwa. Kenako, chubu chaching'ono chonga mesh (stent) chimayikidwa mu mtsempha kuti chisapapatizenso.
• Opaleshoni Yodutsa M'malo Opaleshoni: Pachifukwa ichi, madokotala amatenga mtsempha wamagazi wathanzi kuchokera mbali ina ya thupi (mwendo kapena pachifuwa) ndikupanga njira yatsopano yoti magazi aziyenda mozungulira malo otsekedwa. Mofanana ndi kupanga njira yodutsa m'malo otsekeredwa.

Popeza njira zimenezi zili ndi zoopsa zina, zimalimbikitsidwa pokhapokha ngati zinthu zafika poipa kwambiri.