Kodi muli ndi cholesterol yambiri? Kodi muyenera kumwa mankhwala? (Cholesterol yambiri) Tiyeni tikambirane!

Kodi mayeso anu a magazi adawonetsa kuti muli ndi cholesterol yambiri? Muyenera kuti munachita mantha pang'ono mutaona izi. Mwina munaganiza kuti, 'O, tsopano ndiyenera kumwa mankhwala moyo wanga wonse?' Koma musadandaule. Si aliyense amene wapezeka ndi cholesterol yambiri amene ayenera kuyamba kumwa mankhwala nthawi yomweyo. Nthawi zina, vutoli lingathe kuthetsedwa ndi zakudya zabwino komanso masewera olimbitsa thupi. Kaya mukufuna mankhwala kapena ayi zimadalira thanzi lanu lonse komanso chiopsezo chanu cha matenda a mtima.

Kodi cholesterol kwenikweni ndi chiyani?

Mwachidule, cholesterol ndi chinthu chokhala ngati phula chomwe chimapezeka m'magazi mwathu. Ndi chofunikira pazinthu zambiri m'thupi lathu, kuphatikizapo kupanga maselo ndikupanga mahomoni. Koma vuto limayamba pamene kuchuluka kwa cholesterol kumeneku kwakwera kwambiri.

Izi zikachitika, cholesterol yowonjezerayi imayamba kusonkhana mkati mwa makoma a mitsempha yathu yamagazi. Zili ngati dzimbiri lomwe limasonkhana mkati mwa chitoliro chamadzi. Pakapita nthawi, mipata iyi (yomwe timaitcha kuti 'plaque') imapangitsa kuti mkati mwa mitsempha yamagazi mukhale yopapatiza komanso yolimba. Izi zimaletsa kuyenda kwa magazi kupita kumtima ndi ubongo. Nthawi zina, magazi amaundana pamipata iyi, yomwe imatha kusweka ndikuyambitsa matenda a mtima kapena sitiroko.

Kodi pali mitundu ina ya cholesterol?

Inde, pali mitundu iwiri ya cholesterol yomwe tikukamba ndi mtundu wina wofunikira wa mafuta.

• LDL (Low-Density Lipoprotein): Ichi ndi chomwe timachitcha "cholesterol yoyipa." Pamene kuchuluka kumeneku kukukwera, kumatha kusonkhana m'mitsempha yamagazi ndikuyambitsa zoopsa zomwe zatchulidwa pamwambapa.
• HDL (High-Density Lipoprotein): Timatcha izi kuti "cholesterol yabwino." Izi zili choncho chifukwa tinthu ta HDL timeneti timachotsa cholesterol yoyipa ya LDL m'mitsempha yamagazi ndikuibweza ku chiwindi. Chifukwa chake, kuchuluka kwa HDL kukakhala kwakukulu, zimakhala bwino kwa ife.
• Ma triglycerides: Uwu ndi mtundu wina wa mafuta omwe amapezeka m'magazi. Umu ndi momwe timasungira ma calories owonjezera omwe timadya ngati mphamvu. Kuchuluka kwa izi sikwabwino pamitsempha yamagazi.

Kodi cholesterol yabwino ndi yotani?

Yerekezerani izi ndi zomwe zili mu lipoti lanu la magazi (lipoti la `Lipid Profile`). Izi ndi milingo yomwe nthawi zambiri imaonedwa kuti ndi yathanzi.

Kodi zifukwa zazikulu zomwe zimayambitsa cholesterol yambiri ndi ziti?

Matenda a cholesterol yambiri akhoza kugawidwa m'magulu awiri akuluakulu kutengera zomwe zimayambitsa.

1. Familyal Hypercholesterolemia (FH)

Imeneyi ndi matenda a majini. Ndiko kuti, amatengera kwa makolo kupita kwa ana. Anthuwa akhoza kukhala ndi LDL cholesterol yambiri kuyambira ali aang'ono . Izi zimawaika pachiwopsezo chotenga matenda a mtima ali aang'ono.

Chithandizo: Ngakhale kusintha kwa moyo (zakudya zochepa mafuta, kuchita masewera olimbitsa thupi) ndikofunikira kwa anthu omwe ali ndi vutoli, nthawi zambiri mankhwala amafunika . Gulu la mankhwala omwe amagwiritsidwa ntchito kwambiri ndi `Statins`.

2. Cholesterol yambiri yomwe imayamba chifukwa cha moyo ndi matenda ena (Cholesterol Yapamwamba Yachiwiri)

Uwu ndi mtundu wofala kwambiri. Umayambitsidwa ndi:

• Kudya zakudya zambiri zokonzedwa zomwe zili ndi mafuta ambiri okhuta komanso mafuta osinthika.
• Kusachita masewera olimbitsa thupi komanso moyo wongokhala.
• Matenda a shuga.
• Kumwa mowa mopitirira muyeso.
• Matenda a Impso Osatha.
• Kuchepa kwa ntchito ya chithokomiro (Hypothyroidism).
• Mankhwala ena (monga ma steroid).

Chithandizo: Madokotala choyamba amalangiza anthu ngati amenewa kuti ayesetse kulamulira cholesterol yawo popanda kugwiritsa ntchito mankhwala mwa kusintha moyo wawo . Izi zikutanthauza kusintha kudya zakudya zopatsa thanzi, kuchita masewera olimbitsa thupi nthawi zonse , kusiya kusuta fodya ngati muli ndi kunenepa kwambiri, komanso kuchepetsa thupi ngati muli ndi kunenepa kwambiri. Ngati zinthuzi sizikuchepetsa kuchuluka kwa cholesterol m'thupi lanu, ndiye kuti mankhwala ndi gawo lotsatira.

Kodi dokotala amasankha bwanji ngati alembe mankhwala kapena ayi?

Nayi mfundo yofunika. Dokotala wanu samangoyang'ana ziwerengero zomwe zili pa lipoti lanu la cholesterol ndikusankha. Iye adzafufuza mokwanira za chiopsezo chanu chonse cha mtima . Kuti awerengere chiopsezochi, adzaganizira zinthu zambiri, kuphatikizapo:

• Miyezo yanu yonse ya cholesterol, LDL, ndi HDL
• Kuthamanga kwa Magazi
• Zaka
• Ukazi/mwamuna
• Kaya mumasuta kapena ayi
• Kaya muli ndi matenda a shuga
• Kaya wina aliyense m'banja mwanu wakhala ndi matenda a mtima ali wamng'ono (Mbiri ya Banja)

Zonsezi zimaphatikizidwa pamodzi kuti muwerengere chiopsezo chanu chokhala ndi vuto la mtima m'zaka 10 zikubwerazi. Chisankho choyamba kumwa mankhwala kapena ayi chimadalira kwambiri kuchuluka kwa chiopsezochi.

Mwachitsanzo, ngati mulingo wanu wa LDL wakwera pang'ono, koma zina zonse zili bwino (simusuta fodya, muli ndi thupi labwino, ndipo mulibe kuthamanga kwa magazi), mungalangizidwe kusintha moyo wanu popanda mankhwala.

Nanga bwanji ngati simukudziwa bwino za chiopsezocho?

Nthawi zina chiopsezo chanu chingakhale pakati. Izi zikutanthauza kuti chiopsezo chanu sichikhala chotsika kwambiri kapena chokwera kwambiri. Pazochitika zotere, pali mayeso ena angapo omwe angakuthandizeni kusankha ngati muyambe kumwa mankhwala kapena ayi. Dokotala wanu angakulangizeni izi ngati pakufunika kutero.

• Kujambula Calcium ya Mtima: Iyi ndi njira yapadera ya CT scan. Imayang'ana malo osungira calcium m'mitsempha ya mtima yomwe imapereka magazi kumtima. Malo osungiramo magazi amenewa amatanthauza kuti mitsempha yamagazi yachepa pang'ono, ndipo chiopsezo cha matenda a mtima ndi chachikulu kuposa momwe amayembekezera.
• Kuchuluka kwa mphamvu ya thupi (high-sensitivity CRP) (hs-CRP): Uku ndi kuyezetsa magazi. Kumayesa kuchuluka kochepa kwambiri kwa kutupa m'thupi. Ngati mtengo uwu ndi wapamwamba, ndi chizindikiro cha chiopsezo chowonjezeka cha matenda a mtima.

Ndi zotsatira za mayesowa, mutha kudziwa bwino ngati mungapindule kwambiri ndi kuyamba kumwa mankhwala, kapena ngati kusintha moyo wanu ndikokwanira.