Kodi muli ndi cholesterol yambiri? Tiyeni tikambirane za hypercholesterolemia!

Kodi munayamba mwawonapo kuchuluka kwa cholesterol m'magazi? Kapena, kodi dokotala anakuuzani kuti "cholesterol yanu yoipa ndi yokwera pang'ono ndipo iyenera kulamulidwa"? Izi zitha kukhala zodziwika bwino kwa anthu ambiri. Chifukwa chake, lero tikambirana za vuto ili lotchedwa hypercholesterolemia. Mwachidule, izi zikutanthauza kuti kuchuluka kwa cholesterol "yoipa" m'thupi lanu, komwe ndi lipoprotein yotsika kwambiri (LDL - Low-Density Lipoprotein), ndi kokwera kuposa momwe kungafunikire.

Kodi hypercholesterolemia ndi chiyani? Tiyeni timvetse bwino!

Chabwino, tiyeni tifotokoze pang'ono. Hypercholesterolemia ndi pamene cholesterol yoipa, kapena "LDL" cholesterol, m'magazi mwanu imakhala yokwera kwambiri. Iyi ndi vuto la mafuta m'thupi. "LDL" ikawonjezeka chonchi, mafuta ochulukirapo amayamba kusonkhana m'mitsempha yamagazi mwanu, makamaka makoma a mitsempha yanu. Zili ngati dzimbiri lomwe limasonkhana mkati mwa chitoliro chakale chamadzi. Timatcha izi kuti atherosclerosis.

Tangoganizirani, izi zili ngati chitoliro cha madzi m'munda mwanu chomwe chatsekedwa ndi dothi ndi madzi. Mafuta akamaunjikana m'mitsempha yamagazi , amalepheretsa kuyenda kwa magazi.

Matendawa, otchedwa "Atherosclerosis," amawonjezera chiopsezo cha matenda akuluakulu monga matenda a mtima ndi sitiroko. Ndipotu, matenda a mtima ndi omwe amachititsa imfa kwambiri padziko lonse lapansi, ndipo chifukwa chachikulu ndi matenda amenewa otchedwa "Atherosclerosis."

Kodi ndi kuchuluka kotani kwa hypercholesterolemia komwe kumaonedwa kuti ndi koyenera?

Tsopano mwina mukudabwa kuti, "Kodi cholesterol yanga iyenera kukhala yokwera bwanji ndisanafike pa vuto la hypercholesterolemia?" Dokotala wanu adzazindikira izi osati pongoyang'ana kuchuluka kwa `(LDL)` kwanu, komanso poyerekezera ndi zinthu zina zomwe zimayambitsa matenda a mtima. Kawirikawiri, awa ndi milingo yomwe imaonedwa kuti ndi `(LDL)` cholesterol yapamwamba:

• Ngati palibe zinthu zina zomwe zingakuike pachiwopsezo , mulingo wa LDL ndi 190 mg/dL kapena kupitirira apo.
• Chinthu china chachikulu chomwe chimayambitsa vutoli ndi kuchuluka kwa LDL kopitilira 160 mg/dL.
• Ndi zinthu ziwiri zomwe zimayambitsa chiopsezo, mulingo wa LDL umaposa 130 mg/dL.

Kutengera ndi chiopsezo cha matenda a mtima wanu, madokotala angakulimbikitseni kuti mulingo wa cholesterol "yoyipa" (LDL) wanu ukhale pakati pa 116 mg/dL ndi wochepera 70 mg/dL.

Ndiye, kodi zinthu zoopsa zimenezi ndi ziti?

Ngati muli ndi zinthu izi, muli pachiwopsezo chachikulu chotenga matenda a mtima:

• Zaka: Chiwopsezo chimawonjezeka ndi ukalamba.
• Kuthamanga kwa magazi :Ngati pali kuthamanga kwa magazi .
• Mbiri ya banja : Ngati wina m'banjamo wadwala matenda a mtima ali wamng'ono chifukwa cha atherosclerosis.
• Matenda a shuga : Ngati muli ndi matenda a shuga mellitus.
• Cholesterol yabwino yochepa: Ngati mulingo wa `(HDL - High-Density Lipoprotein)` kapena "cholesterol yabwino" ndi wotsika.

Kodi hypercholesterolemia ndi hyperlipidemia ndi chinthu chimodzi?

Ayi. Izi ziwiri ndi zosiyana pang'ono. Hypercholesterolemia ndi mtundu umodzi chabe wa gulu lalikulu lotchedwa hyperlipidemia. Mu hypercholesterolemia, timayang'ana kwambiri kuwonjezeka kwa cholesterol ya ``(LDL)``, kutanthauza cholesterol yoyipa. Komabe, tikanena kuti ``(Hyperlipidemia)``, ikhoza kuphatikizapo kuwonjezeka kwa mafuta amtundu uliwonse (lipid) m'magazi, osati ``(LDL)`` yokha.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Muli ndi mwayi waukulu wokhala ndi cholesterol yambiri ya ``(LDL)`` ngati:

• Ngati muli ndi zaka zoposa 40.
• Ngati ndinu wochokera ku Asia, India, Filipino, kapena Vietnam.
• Ngati ndinu mkazi amene wasiya kusamba.
• Ngati ndi mkazi (nthawi zina).

Kodi hypercholesterolemia ndi yofala bwanji?

Vutoli ndi lofala kwambiri. Pa avareji, munthu m'modzi mwa anthu makumi awiri aliwonse akhoza kukhala ndi hypercholesterolemia. Pafupifupi gawo limodzi mwa magawo atatu a akuluakulu ku United States akuti ali ndi cholesterol "yoipa" (LDL). Vutoli limapezekanso ku Sri Lanka.

Kodi izi zimakhudza bwanji thupi lanu?

Monga tanenera kale, hypercholesterolemia ingayambitse mavuto mu dongosolo la mtima. Zofunikira kwambiri ndi izi:

• Stroke
• Matenda a mitsempha ya mtima (izi ndi zomwe zimayambitsa matenda a mtima)
• Matenda a mitsempha ya m'mitsempha (mavuto a mitsempha yomwe imapereka magazi m'manja ndi m'miyendo)

Kodi zizindikiro zake ndi ziti?

Apa pali gawo loopsa. Anthu ambiri omwe ali ndi hypercholesterolemia alibe zizindikiro zilizonse. Izi zikutanthauza kuti mutha kukhala bwino, popanda kusapeza bwino, koma kuchuluka kwa cholesterol yanu kumatha kukhala koopsa kwambiri. Komabe, anthu ena omwe ali ndi hypercholesterolemia yoopsa kwambiriNgati, kuchuluka kwa cholesterol kungawonekere pakhungu pamwamba pa zikope ngati ziphuphu zachikasu (Xanthelasma). Kapena, m'maselo ena olumikizana, mwachitsanzo, kuzungulira mafupa a miyendo, kuchuluka kwa cholesterol kungawonekere ngati Xanthoma. Nthawi zambiri, kuchuluka kwa cholesterol kuzungulira koyera kwa diso kungawonekere ngati mphete yoyera (Corneal arcus). Koma izi ndizosowa kwambiri.

Kodi ndi zifukwa ziti zomwe zimayambitsa hypercholesterolemia?

Pakhoza kukhala zifukwa zingapo za izi.

• Majini anu: Anthu ena akhoza kukhala ndi vuto limeneli lomwe limapezeka m'banja mwawo. Izi zimatchedwa kuti familial hypercholesterolemia.
• Zakudya: Kudya zakudya zambiri zokhala ndi mafuta ambiri okhuta komanso mafuta osinthika (monga zakudya zonenepa, chakudya chofulumira, nyama zina, zinthu zophika buledi).
• Kusachita masewera olimbitsa thupi: Kukhala ndi moyo wopanda kuchita masewera olimbitsa thupi ambiri.
• Fodya: Kusuta fodya ndi kugwiritsa ntchito fodya wina.
• Matenda ena:
• Matenda a chiwindi oletsa
• Matenda a Shuga (Diabetes Mellitus)
• Hypothyroidism (chithokomiro chosagwira ntchito mokwanira)
• Anorexia nervosa ndi vuto la kudya.
• Kulephera kwa impso kosatha
• Matenda a Nephrotic
• Mankhwala ena: Mwachitsanzo, mankhwala ena monga `(Amiodarone)`, `(Rosiglitazone)`, `(Cyclosporine)`, ndi `(Hydrochlorothiazide)` angapangitsenso kuti cholesterol ichuluke.

Kodi mungazindikire bwanji izi?

Kawirikawiri, mukapita kukayezetsa thupi chaka chilichonse, dokotala wanu adzachita izi:

• Funsani za mbiri yanu yachipatala komanso matenda a m'banja lanu.
• Amayesa thupi.
• Kuyezetsa magazi kotchedwa lipid panel kumalamulidwa. Izi nthawi zambiri zimachitika munthu akasala kudya kwa maola angapo.

Ndi mayeso amtundu wanji omwe amachitidwa?

Dokotala wanu akangochotsa zifukwa zina zomwe zimayambitsa hypercholesterolemia yanu, angakulangizeni kuti muyesedwe majini. Dokotala wanu angakulangizeninso kuti achibale ena ayesedwe, makamaka ngati muli ndi hypercholesterolemia ya m'banja lanu.

Kodi imachiritsidwa bwanji?

Cholinga chachikulu chochiza hypercholesterolemia ndikuchepetsa kuchuluka kwa cholesterol "yoyipa" (LDL) yanu ndikupewa chiopsezo cha matenda amtima. Izi zitha kuchitika m'njira zingapo:

• Kuchita masewera olimbitsa thupi kwambiri: Kuyenda, kuthamanga, kapena kusambira kwa mphindi zosachepera 30 patsiku.
• Kusunga kulemera koyenera: Ndikofunikira kwambiri kusunga kulemera koyenera kutalika kwanu.
• Kudya zakudya zokhala ndi mafuta ochepa: Kuchepetsa zakudya zokhala ndi mafuta ambiri.
• Kuchepetsa kupsinjika maganizo: Kupeza njira zochepetsera kupsinjika maganizo.
• Kumwa mankhwala ochepetsa mafuta m'thupi: Imwani mankhwalawo monga momwe dokotala wanu wanenera.
• Kupewa fodya: Kusiya kusuta fodya konse.
• Kulamulira kuthamanga kwa magazi ndi kuchuluka kwa shuga m'magazi.
• Kuchepa kwa lipoprotein: Izi ndi za anthu okhawo omwe ali ndi hypercholesterolemia yoopsa kwambiri. Izi zimaphatikizapo kugwiritsa ntchito makina kuchotsa lipoproteins (tinthu tamafuta) m'magazi anu kenako nkuwabwezeretsanso m'thupi lanu.

Kodi n’chiyani chingadyedwe ndi chiyani chomwe sichingadyedwe?

Kuti muchepetse kuchuluka kwa cholesterol "yoyipa" (LDL) m'magazi anu, mutha kuchita izi:

• Chepetsani kumwa mowa: Ndi bwino kupewa kumwa mowa momwe mungathere.
• Idyani zipatso zambiri, ndiwo zamasamba, nyemba, ndi tirigu wonse.
• Kuchepetsa zakudya zokhala ndi mafuta ambiri: Kuchepetsa zakudya za mkaka (monga tchizi, batala), nyama zina (makamaka nyama yofiira), ndi zakudya zotsekemera (monga makeke, mabisiketi).

Ganizirani zodzaza mbale yanu ndi ndiwo zamasamba ndi zipatso zokongola. M'malo mwa zakudya zokazinga ndi mafuta, sankhani zakudya zophikidwa, zophikidwa ndi nthunzi, komanso zokazinga. Ngakhale mukugwiritsa ntchito mafuta a kokonati, gwiritsani ntchito pang'ono.

Ndi mankhwala ati omwe amagwiritsidwa ntchito?

Pali mitundu ingapo ya mankhwala omwe amagwiritsidwa ntchito pochiza hypercholesterolemia:

• Ma Statin: Awa ndi omwe amagwiritsidwa ntchito kwambiri.
• Zoletsa za PCSK9 `(zoletsa za PCSK9)`
• Ezetimibe
• Zosakaniza za asidi ya bile
• Niacin
• Asidi ya Bempedoic `(asidi ya Bempedoic)`

Madokotala amaperekanso mankhwala enaake kwa anthu omwe ali ndi vuto la hypercholesterolemia m'banja.

Kodi pali zotsatirapo zilizonse za mankhwalawa?

Monga mankhwala ena aliwonse, mankhwala ochepetsa mafuta m'thupi angayambitse zotsatirapo zina. Komabe, poyerekeza ndi ubwino wa mankhwalawa, zotsatirapo zake nthawi zambiri zimakhala zovomerezeka. Zina mwa zotsatirapo zake zofala kwambiri ndi izi:

• Kudzimbidwa kapena kutsegula m'mimba.
• Kupweteka kwa minofu kapena mafupa.
• Kusasangalala m'mimba.
• Mutu .

Chofunika kwambiri ndi kuuza dokotala wanu ngati mukukumana ndi zotsatirapo zina. Iye akhoza kusintha mlingo kapena kukupatsani mankhwala ena kuti akugwirizaneni.

Kodi zotsatira za chithandizo zingayembekezeredwe mwachangu bwanji?

Patatha milungu pafupifupi 8 mpaka 12 mutayamba kumwa mankhwala anu, dokotala wanu adzayesanso mafuta ena kuti awone ngati kuchuluka kwa cholesterol m'magazi anu kwatsika. Kutengera ndi zotsatira zake, dokotala wanu adzasankha ngati pakufunika kuwonjezera mlingo wa mankhwala anu, kusintha mankhwala ena, kapena kuwonjezera mankhwala ena.

Kodi mungachepetse bwanji chiopsezo?

Mukhoza kuchepetsa chiopsezo chanu chokhala ndi hypercholesterolemia mwa kukhala ndi moyo wathanzi:

• Kuchita masewera olimbitsa thupi nthawi zonse.
• Kusunga kulemera koyenera.
• Kudya zakudya zopanda mafuta ambiri.
• Kupewa kugwiritsa ntchito zinthu zopangidwa ndi fodya.

Mwa kuchita izi, mutha kudziteteza ku cholesterol yokha, komanso matenda ena ambiri.

Kodi chimachitika ndi chiyani ngati muli ndi hypercholesterolemia?

Ngati mwapezeka ndi cholesterol yambiri ya LDL, ndi chinthu chomwe muyenera kuchita moyo wanu wonse. Koma musadandaule. Mukapanga zizolowezi zabwino kukhala gawo la moyo wanu watsiku ndi tsiku, simudzayenera kuganizira kwambiri za izi. Mutha kuyamba ndi zinthu zazing'ono. Mwachitsanzo, kudya chakudya chopanda nyama tsiku limodzi pa sabata, kapena kuyenda pang'ono mutadya chakudya chamadzulo tsiku lililonse. Mukapita kusitolo, sankhani zakudya zomwe zili ndi mafuta ochepa komanso mafuta ochulukirapo. Mwanjira imeneyi, nthawi zonse mudzakhala ndi zakudya zabwino kunyumba. Komanso, yesani kuwonjezera ndiwo zamasamba ndi zitsamba zatsopano muzakudya zanu zomwe simunadyepo kale.

Kodi chiyembekezo chili bwanji?

Ngati simuchiza matenda anu a hypercholesterolemia, mutha kukhala ndi vuto lotchedwa `(Atherosclerosis)` (kuuma kwa mitsempha). Izi zimawonjezera chiopsezo chanu chokhala ndi matenda a mtima kapena sitiroko. Komabe, ngati mutsatira moyo wathanzi, kumwa mankhwala ngati kuli kofunikira, ndikulamulira kuchuluka kwa cholesterol yanu ya `(LDL)`, mutha kuchepetsa kwambiri chiopsezo chanu cha matenda a mtima ndi sitiroko. Kafukufuku wambiri wazachipatala wapeza kuti anthu omwe amatha bwino matenda awo a hypercholesterolemia amakhala ndi thanzi labwino kwambiri.

Kodi mumadzisamalira bwanji?

Popeza kusamalira cholesterol m'thupi ndi njira yokhalira moyo wonse, muyenera kupitiriza kusintha moyo wanu ndikumwa mankhwala anu monga momwe dokotala wanu wanenera. Kumbukirani izi:

• Kuchita masewera olimbitsa thupi masiku ambiri pa sabata.
• Pewani fodya kotheratu.
• Pewani zakudya zokhala ndi mafuta ambiri okhuta kapena mafuta osinthika.

Kodi muyenera kupita kwa dokotala liti?

Musaphonye kupita kukayezetsa dokotala nthawi zonse. Adzafuna kudziwa izi:

• Kodi mankhwala anu ochepetsa mafuta m'thupi amagwira ntchito bwino?
• Kodi mukukumana ndi zotsatirapo zilizonse zoyipa chifukwa cha mankhwala anu?
• Kodi mumatsatira malangizo ake molondola?

Ngati muli ndi zotsatirapo zoyipa kwambiri, dokotala wanu angakusinthireni mankhwala ena. Angafunenso kuyang'ana kuchuluka kwa cholesterol m'magazi anu nthawi zonse kuti atsimikizire kuti ali mkati mwa malire oyenera.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukapita kwa dokotala, musazengereze kufunsa mafunso ngati awa:

• "Ndi masewera olimbitsa thupi otani omwe ndiyenera kuchita kuti ndichepetse cholesterol yanga?"
• "Kodi mungandipangire pulogalamu yomwe ingandithandize kusiya kusuta?"
• "Kodi mungandipatse kalata yoti ndikaone katswiri wa zakudya kuti andithandize pa zakudya zanga?"

Ngati mulingo wa cholesterol m'thupi lanu ndi wokwera, simuli nokha. Ili ndi vuto lomwe anthu ambiri ali nalo. Dokotala wanu ndiye bwenzi lanu lapamtima pokuthandizani kuti mulingo wanu wa cholesterol m'thupi lanu ubwerere mwakale. Iye angakulangizeni njira zokuthandizani kuchita izi. Ngati kusintha moyo wanu kokha sikukwanira, mutha kulowa nawo mamiliyoni a anthu omwe amamwa mankhwala ochepetsa cholesterol m'thupi.

Chinthu chofunika kwambiri chomwe tiyenera kukumbukira kuchokera apa (Uthenga Wopita Nawo Kunyumba)

Chabwino, kuchokera pa zomwe takambirana, izi ndi zinthu zofunika kwambiri kukumbukira:

• Hypercholesterolemia ndi kuwonjezeka kwa cholesterol yoyipa (LDL) m'magazi. Izi zimawonjezera chiopsezo cha matenda a mtima ndi sitiroko.
• Nthawi zambiri, palibe zizindikiro, choncho ndikofunikira kuti muyeze magazi nthawi zonse.
• Vutoli lingathe kuthetsedwa bwino ndi kusintha moyo (kudya bwino, kuchita masewera olimbitsa thupi, ndi kusiya kusuta) ndipo, ngati kuli kofunikira, kumwa mankhwala monga momwe dokotala wanenera .
• Musadandaule. Ngati mulankhula ndi dokotala wanu ndikuchita bwino, mutha kukhala ndi moyo wathanzi.

Choncho, samalani kuchuluka kwa mafuta m'thupi lanu. Khalani athanzi! hypercholesterolemia, cholesterol, LDL, HDL, matenda a mtima, sitiroko, zakudya, moyo