Mwina mwamvapo mawu oti 'cholesterol' nthawi zambiri, sichoncho? Koma dokotala wanu akanena kuti 'hyperlipidemia', mungasokonezeke pang'ono. Musadandaule, mawu awiriwa amatanthauza chinthu chomwecho. Mwachidule, zikutanthauza kuti magazi anu ali ndi mafuta ambiri, kapena 'lipids' monga momwe timawatchulira. Imeneyi ndi vuto lofala kwambiri lomwe limapezeka pakati pa anthu ambiri m'dziko lathu.
Kodi mitundu ya lipids m'magazi ndi iti?
Pali mitundu ingapo ya mafuta m'magazi mwathu. Tangoganizani kuti magazi athu ali ngati msewu. Pali magalimoto abwino ndi magalimoto oipa pamsewuwu.
- Cholesterol ya HDL: Iyi ndi "cholesterol yabwino." Ili ngati galimoto yonyamula zinyalala. Imatenga cholesterol yosafunikira yomwe imasonkhana m'mitsempha yamagazi yanu ndikuipereka ku chiwindi. Chiwindi chimachotsa cholesterol yosafunikirayo m'thupi lanu. Chifukwa chake kukhala ndi HDL yabwino ndikwabwino kwambiri m'thupi lanu.
- Cholesterol ya LDL: Ichi ndi chomwe timachitcha "cholesterol choipa." Chili ngati galimoto yomwe imasiya zinyalala paliponse pamsewu. Cholesterol ya LDL iyi imamatira kumakoma a mitsempha yathu yamagazi. Pakapita nthawi, izi zimasonkhana ndikuyamba kutseka mkati mwa mitsempha yamagazi. Izi zimatsegula njira ya matenda akuluakulu monga matenda amtima ndi sitiroko.
- Ma triglycerides: Uwu ndi mtundu wina wa mafuta m'magazi mwathu. Amapangidwa makamaka ndi zakudya zamafuta ndi shuga zomwe timadya. Kuchuluka kwa izi sikwabwino m'thupi.
- Cholesterol ya VLDL: Monga LDL, iyi imaonedwa ngati mtundu wa cholesterol "yoyipa". Izi zikakwera, chiopsezo cha matenda a mtima chimawonjezeka.
N’chifukwa chiyani timadwala Hyperlipidemia? Kodi zimayambitsa matenda amenewa ndi chiyani?
Pali zifukwa zingapo zomwe zimapangitsa izi. Zina ndi zinthu zomwe tingathe kuzilamulira, koma zina ndi zinthu zomwe sitingathe kuzilamulira.
| Mtundu wa chifukwa | Zitsanzo |
|---|---|
| Zakudya | Zakudya zokhala ndi mafuta ambiri okhuta ndi mafuta osinthika. Zitsanzo: tchizi, mazira oundana, zakudya zokazinga, zakudya zokonzedwa, ayisikilimu, zinthu zopangidwa mu buledi, nyama yofiira (ng'ombe, nkhumba). |
| Moyo | Kusuta fodya, kumwa mowa mopitirira muyeso, kunenepa kwambiri, kusachita masewera olimbitsa thupi, komanso kupsinjika maganizo kwambiri. |
| Matenda ena | Matenda monga matenda a shuga, matenda a impso, matenda a chiwindi, hypothyroidism, polycystic ovary syndrome (PCOS), ndi lupus. |
| Mankhwala ena | Ma steroid ena, mankhwala ena othamanga magazi (Beta-blockers, Diuretics), mapiritsi oletsa kubereka, ndi mankhwala ena a HIV. |
| Zifukwa za majini zomwe zimachokera ku mibadwomibadwo | Anthu ena amatengera vutoli kuchokera kwa makolo awo. Izi zimatchedwa 'Familial Hyperlipidemia'. Anthuwa amakhala ndi cholesterol yambiri ali aang'ono kwambiri ndipo ali pachiwopsezo chachikulu cha matenda a mtima. |
Kodi zizindikiro za hyperlipidemia ndi ziti?
Chofunika kwambiri komanso choopsa apa ndi ichi: Anthu ambiri omwe ali ndi vutoli sasonyeza zizindikiro zilizonse poyamba.
Kawirikawiri, vutoli silimayambitsa zizindikiro zilizonse poyamba. Ndicho chifukwa chake lingakhale ngati "wakupha mwakachetechete." Kuyezetsa magazi kokha ndiko kungatsimikizire motsimikiza.
Koma mavuto amayamba pamene mafuta akuunjikana m'mitsempha yamagazi ndikuitseka, zomwe zimapangitsa kuti isachiritsidwe kwa nthawi yayitali. Izi zingayambitse matenda aakulu monga:
- Matenda a Mitsempha ya Mtima (CAD): Mitsempha yamagazi yomwe imapereka magazi kumtima imachepa chifukwa cha mafuta ambiri. Izi zimalepheretsa mtima kulandira mpweya ndi michere yomwe umafunikira. Izi zingayambitse kupweteka pachifuwa (angina) kapena matenda a mtima.
- Matenda a Mtima: Ma plaque onenepa omwe amasonkhana m'mitsempha yamagazi amatha kuphulika mwadzidzidzi ndikupanga magazi kuundana. Ngati magazi kuundanawa atseka kwathunthu kuyenda kwa magazi kupita ku gawo la mtima, ndi matenda a mtima. Zizindikiro zake zitha kukhala kupweteka kwambiri pachifuwa, kupweteka komwe kumafika pa nsagwada, phewa, kapena mkono, thukuta, komanso kupuma movutikira. Ngati mukukumana ndi zizindikirozi, muyenera kupita kuchipatala chadzidzidzi (ETU) nthawi yomweyo.
- Stroke: Mofanana ndi matenda a mtima, sitiroko imachitika pamene magazi amaundana ndipo amatseka mtsempha wopereka magazi ku ubongo. Zizindikiro zake zingakhale mutu waukulu, kuvutika kulankhula, kufooka mbali imodzi ya thupi, komanso kulephera kuona bwino. Izi ndi zadzidzidzi zachipatala.
- Mafuta ochulukirapo pakhungu: Izi nthawi zambiri zimawoneka ngati mafuta ambiri m'banja. Zitha kuwoneka ngati ziphuphu zachikasu pafupi ndi zikope (xanthelasmas) kapena ziphuphu pa zigongono, mawondo, ndi manja (xanthomas).
Kodi mumazindikira bwanji izi?
Njira yokhayo yodziwira ngati muli ndi hyperlipidemia ndi kuyezetsa magazi . Izi zimatchedwa 'Lipid Profile' kapena 'Lipid Panel'. Kuyezetsa kumeneku nthawi zambiri kumachitika mutasala kudya kwa maola 9-12.
Dokotala wanu adzaganizira zinthu monga zaka zanu, matenda ena, ndi mbiri ya banja lanu kuti adziwe ngati kuchuluka kwa cholesterol m'magazi anu kuli pachiwopsezo.
| Mayeso | Mulingo wathanzi (mg/dL) | Mulingo wa chiopsezo (mg/dL) |
|---|---|---|
| Cholesterol Yonse | Zochepera 200 | 240 kapena kuposerapo |
| Cholesterol (LDL) ("yoyipa") | Pansi pa 100 (pansi pa 70 kwa iwo omwe ali pachiwopsezo cha matenda a mtima) | 160 kapena kuposerapo |
| Cholesterol ya HDL ("yabwino") | Mwamuna: Zaka zoposa 40 Akazi: Opitirira zaka 50 (opitirira zaka 60 ndi abwino kwambiri) | Mwamuna: Osakwana zaka 40 Mkazi: Wosakwana zaka 50 |
| Triglycerides | Osakwana zaka 150 | 200 kapena kuposerapo |
Kodi tingalamulire bwanji vutoli?
Pali magawo awiri akuluakulu owongolera izi. Choyamba ndikusintha moyo wathu. China ndi kumwa mankhwala monga momwe dokotala wanenera, ngati pakufunika kutero.
1. Kusintha kwa Moyo
Izi ndi zinthu zomwe mungachite nokha. Izi ndi gawo lofunika kwambiri la chithandizo.
- Zakudya zabwino: Chepetsani zakudya zokhala ndi mafuta ambiri okhuta ndi mafuta osinthika. Chepetsani kugwiritsa ntchito mafuta a kokonati ndi mafuta a kanjedza. Chepetsani zakudya zokazinga, nyama yofiira, tchizi, batala, makeke, ndi mabisiketi. M'malo mwake, idyani zakudya zambiri zokhala ndi ulusi wambiri . Ma oats, mpunga wofiirira, tirigu wonse, ndiwo zamasamba, zipatso, nyemba, nandolo, ndi nyemba zonse ndi zabwino.
- Idyani nsomba: Kudya nsomba zamafuta monga salimoni, tuna, mackerel, ndi sardines osachepera masiku awiri pa sabata kungathandize kuchepetsa triglycerides.
- Maseŵero Olimbitsa Thupi: Chitani masewera olimbitsa thupi osachepera mphindi 30 patsiku, monga kuyenda mofulumira, kukwera njinga, kapena kusambira. Ngati zikukuvutani kuchita zonsezi nthawi imodzi, zigaŵireni m'magawo a mphindi 10-15 ndipo chitani kangapo patsiku.
- Siyani kusuta fodya ndi kumwa mowa: Kusiya kusuta fodya kudzawonjezera cholesterol yanu yabwino (HDL). Ndikofunikanso kusiya kwathunthu kapena kuchepetsa kwambiri kumwa mowa.
- Muziwongolera kulemera kwanu: Ngati muli onenepa kwambiri, kuchepetsa thupi kumathandiza kwambiri poletsa cholesterol.
- Kuchepetsa kupsinjika maganizo: Sungani bwino maganizo anu kudzera mu zinthu monga kusinkhasinkha ndi yoga.
2. Mankhwala operekedwa ndi dokotala
Nthawi zina, ngakhale kusintha kwa moyo wanu sikungakhale kokwanira kuti muchepetse kuchuluka kwa cholesterol m'thupi lanu. Zikatero, dokotala wanu adzakupatsani mankhwala.
- Ma Statin: Iyi ndi mankhwala omwe amagwiritsidwa ntchito kwambiri pochepetsa cholesterol. Amagwira ntchito pochepetsa kupanga cholesterol m'chiwindi.
- Mankhwala ena: Kuwonjezera pa ma statins, palinso mankhwala ena monga Ezetimibe, Fibrates, ndi PCSK9 inhibitors. Dokotala wanu adzasankha mankhwala omwe ndi abwino kwa inu.
Chofunika kwambiri: Imwani mankhwala monga momwe dokotala wanu wanenera, kwa nthawi yomwe mwapatsidwa. Musasiye kumwa mankhwala anu kapena kusintha mlingo popanda kufunsa dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Kuchuluka kwa mafuta m'thupi (hyperlipidemia) ndi kuchuluka kwa mafuta m'magazi, makamaka cholesterol "yoyipa" (LDL) ndi triglycerides.
- Kawirikawiri, zizindikiro sizimawonekera kumayambiriro, choncho ndikofunikira kupita kuchipatala nthawi zonse.
- Vutoli lingathe kudziwika mosavuta poyesa magazi mosavuta (Lipid Profile).
- Kusintha kwa moyo, monga kudya bwino, kuchita masewera olimbitsa thupi, ndi kusiya kusuta fodya, ndi njira zoyamba komanso zofunika kwambiri pochiza matendawa.
- Nthawi zina, kuwonjezera pa kusintha kwa moyo wanu, mungafunike kumwa mankhwala omwe dokotala wakupatsani.
- Kuwongolera kuchuluka kwa cholesterol m'magazi anu kungakuthandizeni kutetezedwa ku matenda akuluakulu monga matenda a mtima ndi sitiroko. Nthawi zonse lankhulani ndi dokotala wanu za izi.











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