Kodi muli ndi cholesterol yambiri? Tiyeni tikambirane za Hypercholesterolemia - Nirogi Lanka

Kodi munayamba mwayang'anapo zotsatira za mayeso anu a magazi ndikuona kuti cholesterol yanu ndi yokwera kwambiri? Kapena mwina dokotala wanu wanena kuti, “Cholesterol yanu 'yoipa' yakwera pang'ono, ndipo muyenera kuyilamulira”? Simuli nokha—izi ndi zomwe zimachitika kawirikawiri kwa ambiri. Lero, ku Nirogi Lanka , tikambirana za Hypercholesterolemia . Mwachidule, vutoli limatanthauza kuti kuchuluka kwa cholesterol "yoipa" m'thupi lanu—komwe kumadziwika kuti Low-Density Lipoprotein (LDL)—kwakwera kuposa momwe munthu angaganizire.

Kodi Hypercholesterolemia kwenikweni ndi chiyani? Tiyeni tikambirane mwachidule!

Kunena zoona, Hypercholesterolemia ndi mtundu wa matenda a lipid komwe kuchuluka kwa cholesterol ya LDL m'magazi anu kumakhala koopsa kwambiri. Ganizirani za LDL ngati mafuta ochulukirapo omwe amasonkhana pang'onopang'ono m'makoma amkati mwa mitsempha yanu. Ndi ofanana kwambiri ndi momwe dzimbiri limasonkhanira mkati mwa chitoliro chakale chamadzi. Njirayi imadziwika kuti Atherosclerosis .

Tangoganizirani za mapaipi m'munda mwanu: ngati dothi litadzaza m'mapaipi, limaletsa kuyenda kwa madzi. Mitsempha yamagazi ikatsekedwa ndi mafuta , kuyenda kwa magazi kumachepa kwambiri.

Kuchuluka kwa matenda a atherosclerosis ndi chifukwa chake chiopsezo cha matenda oopsa monga matenda a mtima ndi sitiroko chimawonjezeka kwambiri. Ndipotu, matenda a mtima ndi omwe amachititsa imfa padziko lonse lapansi, ndipo matenda a atherosclerosis ndi omwe amachititsa izi.

Ndi milingo iti ya hypercholesterolemia yomwe imaonedwa kuti ndi yokwera kwambiri?

Mwina mukudzifunsa kuti, “Kodi kuchuluka kwa cholesterol yanga kumakhala kotani kwenikweni?” Dokotala wanu sadziwa izi pongoyang'ana kuchuluka kwa LDL yanu, komanso poyesa poyerekeza ndi zinthu zina zomwe zimayambitsa matenda a mtima.

Kawirikawiri, izi ndi zifukwa zomwe cholesterol ya LDL imaonedwa kuti ndi yokwera:

• Ngati mulibe zinthu zina zomwe zingakuike pachiwopsezo , mulingo wa LDL wa 190 mg/dL kapena kupitirira apo.
• Ngati muli ndi vuto lalikulu loopsa, mulingo wa LDL woposa 160 mg/dL.
• Ngati muli ndi zifukwa ziwiri kapena zingapo zomwe zingakuchititseni kuti mukhale ndi vuto la mtima, mulingo wa LDL woposa 130 mg/dL.

Kutengera ndi chiopsezo chanu cha matenda a mtima, madokotala angakulangizeni kuti musunge LDL cholesterol yanu yotsika kufika pa 116 mg/dL kapena pansi pa 70 mg/dL.

Ndiye, kodi zinthu zoopsa zimenezi ndi ziti?

Chiwopsezo chanu cha matenda a mtima chimakwera ngati muli ndi zotsatirazi:

• Zaka: Chiwopsezo chimawonjezeka pamene mukukula.
• Kuthamanga kwa magazi : Kukhala ndi kuthamanga kwa magazi .
• Mbiri ya Banja : Ngati wachibale wapafupi anali ndi matenda a mtima omwe amayamba chifukwa cha Atherosclerosis ali wamng'ono.
• Matenda a Shuga : Kukhala ndi Matenda a Shuga .
• HDL Yotsika: Kukhala ndi milingo yotsika ya High-Density Lipoprotein, kapena cholesterol "yabwino".

Kodi hypercholesterolemia ndi hyperlipidemia ndi chinthu chimodzi?

Ayi, ndi zosiyana pang'ono. Hypercholesterolemia ndi mtundu umodzi wokha womwe uli m'gulu lalikulu la Hyperlipidemia . Ndi Hypercholesterolemia, timayang'ana kwambiri kuchuluka kwa LDL (yoyipa) cholesterol. Komabe, Hyperlipidemia imakhudza kuchuluka kwa mafuta amtundu uliwonse (lipids) m'magazi, osati LDL yokha.

Ndani amene ali pachiwopsezo chachikulu?

Muli ndi mwayi waukulu wokhala ndi cholesterol yambiri ya LDL ngati:

• Ali ndi zaka zoposa 40.
• Ndi ochokera ku South Asia, Filipino, kapena Vietnamese.
• Ndi mkazi amene wafika nthawi yosiya kusamba.
• Ndi akazi (muzochitika zina).

Kodi hypercholesterolemia ndi yofala bwanji?

Ndi vuto lofala kwambiri. Malinga ndi ziwerengero, munthu m'modzi pa anthu makumi awiri aliwonse akhoza kukhala nalo. Ku United States, pafupifupi gawo limodzi mwa magawo atatu a akuluakulu amanena kuti ali ndi LDL yambiri, ndipo nthawi zambiri amapezekanso ku Sri Lanka.

Kodi zimakhudza bwanji thupi lanu?

Monga tanenera, hypercholesterolemia ingayambitse mavuto akuluakulu a mtima, kuphatikizapo:

• Stroke
• Matenda a mitsempha ya mtima (omwe amayambitsa matenda a mtima)
• Matenda a mitsempha yamagazi (mavuto ndi mitsempha yamagazi yomwe imapereka manja ndi miyendo yanu)

Kodi zizindikiro zake ndi ziti?

Gawo loopsa ndi ili: Anthu ambiri omwe ali ndi Hypercholesterolemia sapeza zizindikiro zilizonse. Mungamve bwino, koma kuchuluka kwa cholesterol m'thupi lanu kungakhale koopsa kwambiri.

Komabe, nthawi zina komanso zoopsa , anthu ena amatha kukhala ndi mafuta achikasu pansi pa khungu pafupi ndi zikope (Xanthelasma). Mafupa ofanana, otchedwa Xanthomas, amatha kuwoneka mozungulira minyewa kapena mafupa. Nthawi zina, mutha kuwona mphete yoyera mozungulira cornea ya diso (Corneal arcus). Zizindikiro zakuthupi izi sizachilendo.

Kodi n’chifukwa chiyani hypercholesterolemia imayamba?

Zinthu zingapo zimachita mbali yake:

• Majini: Anthu ena amatengera matendawa, omwe amadziwika kuti Familyal Hypercholesterolemia .
• Zakudya: Kudya mafuta ambiri okhuta ndi osinthika (monga zakudya zokazinga, zokhwasula-khwasula zopangidwa, nyama zina, ndi zinthu zophika buledi).
• Kusachita masewera olimbitsa thupi: Kukhala ndi moyo wongokhala.
• Kugwiritsa ntchito fodya: Kusuta kapena kugwiritsa ntchito zinthu zina za fodya.
• Matenda ena:
• Matenda a chiwindi oletsa
• Matenda a shuga
• Hypothyroidism (chithokomiro chosagwira ntchito mokwanira)
• Kusowa kwa magazi m'thupi (anorexia nervosa)
• Kulephera kwa impso kosatha
• Matenda a Nephrotic
• Mankhwala ena: Mankhwala monga Amiodarone, Rosiglitazone, Cyclosporine, kapena Hydrochlorothiazide nthawi zina amatha kukweza kuchuluka kwa cholesterol m'thupi lanu.

Kodi matendawa amawapeza bwanji?

Pa nthawi yoyezetsa thupi lanu pachaka, dokotala wanu nthawi zambiri amachita izi:

• Unikani mbiri yanu yachipatala komanso thanzi la banja lanu.
• Chitani kafukufuku wa thupi.
• Konzani mayeso a magazi a Lipid Panel , omwe nthawi zambiri amafunika kusala kudya kwa maola angapo.

Ndi mayeso amtundu wanji omwe amachitidwa?

Dokotala wanu akatsimikizira kuti hypercholesterolemia yanu siimayamba chifukwa cha matenda enaake, angakulangizeni kuti muyesedwe majini. Ngati mwapezeka ndi Familyal Hypercholesterolemia, dokotala wanu angakulangizeni kuti achibale anu nawonso ayeseredwe majini.

Kodi chimachiritsidwa bwanji?

Cholinga chachikulu chochiza hypercholesterolemia ndikuchepetsa kuchuluka kwa cholesterol ya LDL kuti mutetezedwe ku chiopsezo cha matenda a mtima.

Izi zitha kuyendetsedwa m'njira zingapo:

• Kuchita masewera olimbitsa thupi kwambiri: Yesetsani kuchita masewera olimbitsa thupi kwa mphindi zosachepera 30 tsiku lililonse, monga kuyenda, kuthamanga, kapena kusambira.
• Kusunga kulemera kwabwino: Kufika ndi kusunga kulemera koyenera kutalika kwanu n'kofunika kwambiri.
• Kuchepetsa mafuta okhuta: Chepetsani zakudya zokhala ndi mafuta ambiri komanso zakudya zamafuta ambiri muzakudya zanu.
• Kuthetsa kupsinjika maganizo: Pezani njira zabwino zothetsera kupsinjika maganizo tsiku ndi tsiku.
• Mankhwala ochepetsa mafuta m'thupi: Imwani mankhwala omwe dokotala wanu wakupatsani nthawi zonse.
• Kupewa zinthu zopangidwa ndi fodya:Kusiya kusuta fodya n'kofunika kwambiri pa thanzi la mtima wanu.
• Kulamulira kuthamanga kwa magazi ndi kuchuluka kwa shuga m'magazi.
• Lipoprotein apheresis: Njirayi imagwiritsidwa ntchito pochiza matenda oopsa, koma imagwiritsa ntchito makina apadera kuti isefe lipoproteins yoopsa m'magazi anu musanabwezeretse m'thupi lanu.

Kodi kudya chiyani ndi kupewa chiyani?

Kuti muchepetse cholesterol yanu ya LDL bwino, mutha kuphatikiza izi kusintha zakudya:

• Chepetsani kumwa mowa: Ndi bwino kupewa mowa momwe mungathere.
• Yang'anani kwambiri pa zakudya zatsopano: Onjezerani kudya ndiwo zamasamba, masamba obiriwira, zipatso, ndi tirigu wonse.
• Pewani zakudya zokhala ndi mafuta ambiri: Chepetsani zakudya zopangidwa ndi mkaka monga tchizi ndi batala, nyama zina (makamaka nyama yofiira), ndi maswiti okonzedwa monga makeke ndi mabisiketi.

Yesetsani kudzaza mbale yanu ndi ndiwo zamasamba ndi zipatso zokongola. Sankhani zakudya zophikidwa, zophikidwa ndi nthunzi, kapena zokazinga m'malo mwa zakudya zokazinga. Ngakhale mukugwiritsa ntchito mafuta a kokonati, kuchepetsa thupi ndikofunikira kwambiri pakudya zakudya zopatsa thanzi ku Nirogi Lanka.

Ndi mankhwala ati omwe amagwiritsidwa ntchito?

Dokotala wanu angapereke mitundu ingapo ya mankhwala ochizira hypercholesterolemia:

• Ma Statin: Awa ndi mankhwala omwe amaperekedwa nthawi zambiri.
• Zoletsa za PCSK9.
• Ezetimibe.
• Mankhwala ochepetsa asidi a bile.
• Niacin.
• Bempedoic acid.

Kwa iwo omwe ali ndi Familyal Hypercholesterolemia, madokotala angaperekenso mankhwala ena apadera.

Kodi pali zotsatirapo zoyipa pa chithandizo?

Monga mankhwala ena aliwonse, mankhwala ochepetsa cholesterol angayambitse zotsatirapo zoyipa. Komabe, ubwino wa thanzi nthawi zambiri umaposa zoopsazi, ndipo zotsatirapo zake nthawi zambiri zimatha kuthetsedwa.

Zotsatira zoyipa zomwe zimachitika nthawi zambiri zingaphatikizepo izi:

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

Chofunika kwambiri, ngati mukukumana ndi zotsatirapo zilizonse zoyipa, dziwitsani dokotala wanu nthawi yomweyo. Angasinthe mlingo wanu kapena kukusinthani ku mankhwala ena omwe akukuyenererani.

Kodi ndingayembekezere zotsatira nthawi yayitali bwanji?

Mukayamba kulandira chithandizo, dokotala wanu mwina adzabwerezanso kafukufuku wa lipid patatha milungu 8 mpaka 12 kuti awone momwe kuchuluka kwa cholesterol m'magazi anu kwayendera. Kutengera ndi zotsatirazi, angasinthe mankhwala anu, kusintha mankhwala anu, kapena kuwonjezera mankhwala osakaniza kuti akuthandizeni kukwaniritsa zolinga zanu.

Kodi ndingachepetse bwanji chiopsezo changa?

Mukhoza kuchepetsa chiopsezo chanu cha mavuto okhudzana ndi hypercholesterolemia mwa kukhala ndi moyo wathanzi:

• Kuchita masewera olimbitsa thupi nthawi zonse.
• Khalani ndi kulemera koyenera.
• Sankhani zakudya zopatsa thanzi pamtima.
• Pewani zinthu zopangidwa ndi fodya.

Makhalidwe amenewa amakuthandizani osati ku cholesterol yambiri yokha, komanso ku matenda ena ambiri osatha.

Kodi chimachitika ndi chiyani ngati ndili ndi hypercholesterolemia?

Ngati mwapezeka ndi cholesterol yambiri ya LDL, ndi njira yosamalira moyo wanu wonse. Komabe, musataye mtima. Mukangophatikiza zizolowezi zabwino mu zochita zanu za tsiku ndi tsiku, zimakhala gawo lachilengedwe la moyo wanu m'malo mokhala ndi nkhawa nthawi zonse.

Yambani ndi njira zing'onozing'ono komanso zokhazikika. Mwachitsanzo, sangalalani ndi chakudya chopanda nyama kamodzi pa sabata, kapena yendani pang'ono mutadya chakudya chamadzulo. Mukagula zinthu zogulira zakudya, ganizirani zakudya zomwe zili ndi mafuta ochepa komanso osapsa. Yesani ndi ndiwo zamasamba zatsopano kapena masamba obiriwira omwe simunayesepo kale kuti zakudya zanu zikhale zosangalatsa komanso zopatsa thanzi.

Kodi chiyembekezo cha nthawi yayitali ndi chiyani?

Ngati sichinachiritsidwe, hypercholesterolemia ingayambitse atherosclerosis (kuchepa kwa mitsempha yamagazi), zomwe zimawonjezera kwambiri chiopsezo cha matenda a mtima kapena sitiroko.

Komabe, mwa kukhala ndi moyo wathanzi komanso kumwa mankhwala ofunikira kuti muchepetse cholesterol yanu ya LDL, mutha kuchepetsa kwambiri chiopsezo chanu. Kafukufuku wambiri wazachipatala akuwonetsa kuti anthu omwe amayang'anira bwino kuchuluka kwa cholesterol yawo amakhala ndi thanzi labwino kwa nthawi yayitali.

Kodi ndimadzisamalira bwanji?

Popeza kusamalira cholesterol ndi udindo wa moyo wonse, muyenera kupitirizabe kusintha moyo wanu ndikutsatira mosamala mankhwala omwe mwapatsidwa.

Kumbukirani izi:

• Kuchita masewera olimbitsa thupi masiku ambiri pa sabata.
• Pewani kugwiritsa ntchito fodya konse.
• Pewani kudya zakudya zokhala ndi mafuta ambiri okhuta kapena osinthika.

Ndiyenera kupita kwa dokotala liti?

Musamalumphe nthawi yanu yokumana ndi dokotala. Dokotala wanu ayenera kuyang'anira:

• Ngati mankhwala anu ochepetsa cholesterol akugwira ntchito bwino.
• Ngati mukukumana ndi zotsatirapo zilizonse zoyipa.
• Kutsatira kwanu dongosolo la chithandizo lomwe limalangizidwa.

Ngati mukukumana ndi zotsatirapo zoyipa kwambiri, dokotala wanu akhoza kusintha chithandizo chanu mosamala. Kuyezetsa pafupipafupi ndikofunikiranso kuti muwonetsetse kuti kuchuluka kwa cholesterol m'magazi anu kuli bwino komanso kotetezeka.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Musazengereze kufunsa dokotala wanu mafunso awa mukapita kuchipatala:

• "Ndi masewera olimbitsa thupi ati omwe ndi abwino kwambiri kuti ndichepetse cholesterol yanga?"
• "Kodi mungandipangire pulogalamu yondithandiza kusiya kusuta?"
• "Kodi munganditumizire kwa katswiri wa zakudya kuti andithandize kukonza dongosolo langa la zakudya?"

Kukhala ndi cholesterol yambiri ya LDL sikutanthauza kuti muli nokha; ndi vuto lofala kwambiri. Dokotala wanu ndiye mnzanu wabwino kwambiri pakukwaniritsa zomwe mukufuna. Ngati kusintha kwa moyo kokha sikukwanira, kumbukirani kuti mukulowa nawo mamiliyoni ambiri omwe amayang'anira thanzi lawo bwino kudzera mu mankhwala. Ku Nirogi Lanka, tili pano kuti tikuthandizeni paulendo wanu wopita ku thanzi labwino.

Uthenga wokhudza kutenga

Mwachidule, nazi mfundo zofunika kwambiri zomwe muyenera kukumbukira:

• Hypercholesterolemia imachitika pamene kuchuluka kwa cholesterol yoyipa (LDL) m'magazi kukukwera kwambiri. Izi zimawonjezera kwambiri chiopsezo chanu cha matenda a mtima ndi sitiroko.
• Nthawi zambiri, vutoli silisonyeza zizindikiro zilizonse. Ichi ndichifukwa chake kukonzekera kuyezetsa magazi nthawi zonse ndikofunikira kwambiri pa thanzi lanu.
• Mungathe kuthana ndi vutoli bwino mwa kusintha moyo wanu —monga kudya zakudya zabwino, kuchita masewera olimbitsa thupi, komanso kupewa kusuta—pamodzi ndi mankhwala olembedwa ndi dokotala wanu monga momwe dokotala wanu walangizira.
• Chonde musachite mantha. Mukagwira ntchito limodzi ndi dokotala wanu kuti musamavutike ndi thanzi lanu, mutha kukhala ndi moyo wathanzi, wathanzi komanso wodzaza ndi mphamvu.

Yang'anirani thanzi la mtima wanu lero. Khalani bwino ndi Nirogi Lanka!

hypercholesterolemia, cholesterol, LDL, HDL, matenda a mtima, sitiroko, zakudya, moyo