Kodi muli ndi triglycerides yambiri m'magazi mwanu? Tiyeni tikambirane za hypertriglyceridemia!

Kodi munamvapo za mafuta m'magazi? Mwina dokotala anakuuzani kuti "ma triglycerides amaoneka ngati okwera pang'ono." Lero tikambirana za triglycerides amenewa, zomwe zimachitika akakhala okwera, komanso zomwe tiyenera kuchita nazo. Musadandaule, ndifotokoza izi mosavuta, m'njira yomwe mungamvetse.

Kodi ma triglycerides ndi chiyani? N’chifukwa chiyani ndi ofunikira kwa ife?

Mwachidule, ma triglyceride ndi mtundu wa mafuta m'magazi mwathu. Amapatsa matupi athu mphamvu. Timapeza ma triglyceride kuchokera muzakudya zomwe timadya, makamaka kuchokera ku zinthu monga batala ndi mafuta. Sikuti zokhazo, komanso tikamadya ma calories ambiri kuposa omwe matupi athu amafunikira, matupi athu amasintha ma calories owonjezerawo kukhala ma triglyceride ndikusunga. Pambuyo pake, tikamakhala ndi mphamvu zochepa, matupi athu amagwiritsa ntchito ma triglyceride osungidwawa.

Choncho, triglycerides ndi chinthu chofunikira chomwe chimatipatsa mphamvu. Komabe, ngati ziwonjezeka kwambiri m'magazi, zimawonjezera chiopsezo chodwala matenda a mtima. Ichi ndichifukwa chake ndikofunikira kuti tidziwe za vuto ili lotchedwa hypertriglyceridemia ndikuwongolera kuchuluka kwa triglycerides m'magazi athu.

Ndiye kodi triglycerides ndi yabwino bwanji?

Mulingo wa triglyceride m'magazi a munthu wamkulu uyenera kukhala wochepera 150 mamiligalamu pa decilita imodzi (150 mg/dL). Ndipotu, wochepera 100 mg/dL ndiye woyenera. Chofunika kwambiri ndi kuyeza kuchuluka kwa triglyceride yanu pamene mukusala kudya. Izi zikutanthauza kuti muyeze magazi anu mutatha kudya kapena kumwa chilichonse (kupatula madzi) kwa maola pafupifupi 10-12.

Hypertriglyceridemia imachitika pamene milingo ya triglyceride yanu ili pamwamba pa 150 mg/dL kapena kupitirira apo.

Nayi chidule chachidule cha kuchuluka kwa triglyceride m'magazi mwa akuluakulu:

• Mlingo wathanzi: zosakwana 150 mg/dL
• Kuchuluka kwa malire: 150 - 199 mg/dL
• Mlingo wapamwamba: 200 - 499 mg/dL
• Pamwamba kwambiri: 500 mg/dL kapena kupitirira apo

Mlingo wabwino wa triglyceride kwa ana ndi achinyamata (azaka 10-19) uyenera kukhala wochepera 90 mg/dL. Ngati kuchuluka kwa triglyceride m'thupi la mwana wanu kuli kokwera, ndi bwino kulankhula ndi dokotala za momwe mungachepetsere.

Kodi Hypertriglyceridemia Yoopsa Ndi Chiyani? Kodi Ndi Yoopsa?

Kuchuluka kwa triglyceridemia m'magazi kumachitika pamene kuchuluka kwa triglyceride m'magazi anu kuli 500 mg/dL kapena kupitirira apo. Anthu omwe ali ndi vutoli ali pachiwopsezo chachikulu chotenga matenda otchedwa acute pancreatitis . Uku ndi kutupa kwa kapamba komwe kumafuna chithandizo chamankhwala.

Hypertriglyceridemia ndi vuto lomwe limafuna chisamaliro ndi chithandizo. Komabe, nthawi zambiri, si vuto ladzidzidzi lachipatala.Dokotala wanu angakuthandizeni kuchepetsa vutoli. Kuchita zimenezi kungathandize kupewa mavuto omwe angakhudze mtima wanu kapena kapamba wanu.

Kodi hypertriglyceridemia ndi cholesterol ndi chinthu chimodzi?

Inde, izi ziwiri sizili zofanana. Matenda a hypertriglyceridemia ndi cholesterol yambiri ndi matenda awiri osiyana. Koma zonsezi zimagwirizana ndi zinthu zamafuta zomwe zimatchedwa lipids m'magazi mwanu.

Mafuta a m'thupi ndi zinthu zamafuta zomwe zimagwira ntchito yofunika kwambiri m'thupi lathu. Ma triglycerides ndi cholesterol ndi mitundu iwiri ya mafuta. Zonsezi zimayenda m'magazi m'tinthu tating'onoting'ono totchedwa lipoproteins.

Hypertriglyceridemia ndi kuchuluka kwa triglycerides m'magazi. Hypercholesterolemia ndi kuchuluka kwa cholesterol.

Kawirikawiri, anthu omwe ali ndi triglycerides yambiri amakhala ndi cholesterol yambiri. Triglycerides yambiri ingakhale yoopsa, makamaka ngati cholesterol yanu "yabwino", HDL (High-Density Lipoprotein), ili yochepa ndipo cholesterol yanu "yoipa", LDL (Low-Density Lipoprotein), ili yokwera.

Lankhulani ndi dokotala wanu za tanthauzo la kuchuluka kwa magazi m'magazi anu komanso momwe mungabwezeretsere kuchuluka kwa magazi m'magazi anu.

Kodi vutoli ndi lofala bwanji?

Malinga ndi kafukufuku wochitidwa ku United States, pafupifupi munthu m'modzi mwa akuluakulu asanu ali ndi triglycerides yokwera (yoposa 150 mg/dL). Komabe, chiopsezochi chimawonjezeka ndi ukalamba. Kafukufuku wapeza kuti 42% ya anthu opitirira zaka 60 ali ndi vutoli. Vutoli likhoza kukhala lofala ku Sri Lanka, chifukwa cha kadyedwe kathu komanso moyo wathu.

Kodi zizindikiro za hypertriglyceridemia ndi ziti?

Anthu ambiri omwe ali ndi hypertriglyceridemia sasonyeza zizindikiro zilizonse. Ichi ndichifukwa chake zimatha kukhala ngati "mdani wosalankhula." Anthu omwe ali ndi hypertriglyceridemia yayikulu nthawi zina amatha kukhala ndi vuto lotchedwa xanthomas. Izi ndi tinthu tating'onoting'ono ta mafuta tomwe timapanga pansi pa khungu. Nthawi zambiri timawoneka mozungulira zikope. Koma nthawi zina amathanso kukula m'malo monga mawondo, zigongono, ndi manja.

N’chifukwa chiyani kuchuluka kwa triglycerides m’thupi lathu kumawonjezeka? Kodi zifukwa zake ndi ziti?

Pali zifukwa zingapo zomwe zimayambitsa hypertriglyceridemia. Izi ndi izi:

• Zinthu zokhudzana ndi moyo
• Matenda ena oyambitsa
• Mankhwala ena
• Matenda a lipid m'majini

Tiyeni tiwone chilichonse mwa izi mwatsatanetsatane.

Mphamvu ya moyo

Moyo wathu umakhudza kwambiri kuchuluka kwa triglycerides m'thupi lathu. Chifukwa, monga ndanenera kale, tikamadya ma calories ambiri, matupi athu amasanduka triglycerides. Chifukwa chake, ngati mumadya shuga, mafuta, kapena mowa wochuluka kuposa momwe thupi lanu limafunira, kuchuluka kwa triglycerides m'thupi lanu kumatha kuwonjezeka.

Zinthu zomwe zimapangitsa kuti triglycerides ikhale yambiri m'thupi:

• Kumwa mowa wambiri: Mukudziwa, ena a ife timamwa mowa wambiri pang'ono pa maphwando. Zimenezi zimatikhudzanso.
• Kudya kwambiri chakudya chokonzedwa bwino ndi shuga: Zakudya zopangidwa ndi ufa wa buledi (monga buledi waufupi, zakudya zophika buledi), zakumwa zotsekemera, makeke, mabisiketi, ndi zina zotero.
• Kudya mafuta okhuta kwambiri: Izi zimapezeka muzakudya zokhala ndi mafuta ambiri, nyama yofiira, ndi zakudya zopangidwa ndi mafuta a kokonati.
• Kusachita masewera olimbitsa thupi (moyo wongokhala): Kukhala pamalo amodzi tsiku lonse, kugwira ntchito, komanso kusachita masewera olimbitsa thupi.

Tangoganizani, ngati tidya nsomba yophikidwa mu mafuta, msuzi wopangidwa ndi mkaka wa kokonati, ndi chakumwa chokoma kuwonjezera pa mpunga womwe timadya patsiku, ma calories owonjezera kuchokera ku zonsezi akhoza kusungidwa m'thupi ngati triglycerides.

Chifukwa cha matenda ena

Milingo ya triglyceride imathanso kukwera chifukwa cha matenda osiyanasiyana. Nazi zitsanzo zina:

• Matenda a shuga
• Hypothyroidism
• Kukana kwa insulin
• Matenda a impso
• Matenda a chiwindi
• Lupus
• Matenda a kagayidwe kachakudya
• Matenda a Nephrotic
• Kunenepa kwambiri kapena kunenepa kwambiri
• Matenda a nyamakazi

Azimayi ali ndi zinthu zina zomwe zimayambitsa matendawa:

• Kusamba
• Mimba - makamaka mu trimester yachitatu.

Chifukwa cha mankhwala ena omwe timamwa

Milingo ya triglyceride imathanso kukwera pogwiritsa ntchito mankhwala ena. Zitsanzo:

• Mankhwala oletsa matenda amisala - mwachitsanzo Clozapine, Olanzapine
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda a HIV (zoletsa ma ARV)
• Mankhwala ena othamanga magazi (Beta-blockers - osasankha)
• Corticosteroids
• Cyclophosphamide
• Estrojeni ya pakamwa
• Mankhwala "Tamoxifen".
• Thiazides - mankhwala omwe amayambitsa kukodza kwambiri

Chofunika kwambiri: Musasiye kumwa mankhwala omwe dokotala wakupatsani popanda kulankhula naye. Ngati mankhwala akukupangitsani kuti triglycerides yanu ikwere, dokotala wanu angakuthandizeni. Angasinthe mlingo kapena kukupatsani mankhwala ena.

Matenda a majini omwe amadutsa m'mibadwomibadwo

Anthu ena angakhalenso ndi triglyceride yosazolowereka ndi kuchuluka kwa cholesterol chifukwa cha majini. Zitsanzo:

• Kuchuluka kwa mafuta m'thupi m'thupi: Kuchuluka kwa triglycerides, kuchuluka kwa mafuta m'thupi m'thupi m'thupi, komanso kuchepa kwa mafuta m'thupi m'thupi m'thupi.
• Matenda a hypertriglyceridemia (mtundu wachinayi wa matenda a dyslipidemia): Kuwonjezeka kwa triglycerides kokha.
• Dysbetalipoproteinemia ya banja (mtundu wachitatu hyperlipoproteinemia): Kuwonjezeka kwa triglyceride ndi kuchuluka kwa cholesterol yonse.
• Matenda a Familyal chylomicronemia (FCS): Ma triglyceride okwera kuposa 1000 mg/dL.

Nthawi zambiri, hypertriglyceridemia imatha kuchitika chifukwa cha chimodzi kapena zingapo mwa zinthuzi. Mwachitsanzo, munthu akhoza kukhala ndi matenda a majini komanso moyo wosalongosoka. Dokotala wanu adzadziwa zomwe zili mu izi ndikukupatsani chithandizo chabwino kwambiri.

Kodi mungadziwe bwanji ngati muli ndi hypertriglyceridemia?

Pali njira ziwiri zazikulu zodziwira izi: kuyezetsa thupi ndi dokotala komanso kuyezetsa magazi.

Kuyezetsa Thupi ndi Dokotala

Dokotala adzakuyezani thupi kuti adziwe za thanzi lanu. Adzakufunsaninso za izi:

• Kodi pali aliyense m'banjamo amene ali ndi matenda a mtima, cholesterol yambiri, kapena triglycerides yambiri?
• Moyo wanu (monga kumwa mowa, kusuta fodya).
• Matenda ena omwe muli nawo.
• Mankhwala omwe mumagwiritsa ntchito.

Ndi chidziwitso ichi, dokotala wanu angamvetse chomwe chikuyambitsa kuchuluka kwa triglycerides m'magazi anu komanso chiopsezo chanu chodwala matenda a mtima.

Kuyesa Magazi

Kuyeza magazi kosavuta kotchedwa lipid panel ndiyo njira yokhayo yodziwira molondola hypertriglyceridemia. Kuyeza kumeneku kumayesa kuchuluka kwa triglyceride yanu komanso kuchuluka kwa cholesterol yanu.

Monga ndanenera kale, dokotala adzakuuzani kuti musale kudya kwa maola pafupifupi 10-12 musanayese magazi. Izi zikutanthauza kuti simuyenera kudya kapena kumwa chilichonse kupatula madzi. Kuti mupeze zotsatira zolondola, ndikofunikira kwambiri kusala kudya monga momwe dokotala wanenera.

Kodi ndi mankhwala ati abwino kwambiri ochizira izi? Ndingawachepetse bwanji?

Pali njira zitatu zazikulu zothandizira hypertriglyceridemia:

• Kusintha kwa moyo
• Mankhwala (mankhwala)
• Kuchiza zomwe zimayambitsa kuchuluka kwa triglycerides m'magazi.

Mungafunike njira imodzi kapena zingapo mwa izi. Dokotala wanu adzakukonzerani njira yabwino kwambiri yothandizira.

Kusintha kwa moyo - izi ndi zinthu zofunika kwambiri!

Chithandizo nthawi zambiri chimayamba ndi kusintha kwa moyo. Izi ndi zinthu zazikulu:

• Pewani kumwa mowa: chepetsani mowa momwe mungathere, kapena siyani mowa wonse.
• Pewani chakudya chokonzedwa bwino ndi shuga: Chepetsani kudya buledi, maswiti, ndi zakumwa zambiri momwe mungathere. M'malo mwake, idyani tirigu wonse, ndiwo zamasamba, ndi zipatso.
• Idyani nsomba zambiri, makamaka nsomba zokhala ndi mafuta omega-3 acids: nsomba monga salimoni, mackerel, herring, ndi tuna ndi zosankha zabwino.
• Kuchita masewera olimbitsa thupi kwambiri:Chitani zinthu monga kuyenda, kuthamanga, kusambira kwa mphindi zosachepera 30 patsiku. Khalani otanganidwa ndi zochita zanu za tsiku ndi tsiku.
• Yesetsani kuchepetsa thupi lanu: Yesetsani kukhala ndi thupi labwino malinga ndi kutalika kwanu.
• Sankhani mafuta abwino m'malo mwa mafuta okhuta ndi osinthika: chepetsani zinthu monga mafuta a kokonati, mafuta a kanjedza, batala, ndi margarine, ndipo gwiritsani ntchito zinthu monga mafuta a azitona, mafuta a canola, ndi mtedza.

"Zosintha zazing'ono monga kugwiritsa ntchito mafuta ochepa pophika kunyumba, kuchepetsa kuchuluka kwa zakudya zamafuta zomwe timadya kusitolo, komanso kumwa tiyi wopanda shuga m'malo mwa tiyi wotsekemera kungapangitse kusiyana kwakukulu."

Mankhwala

Ngati kusintha kwa moyo wanu kokha sikukulamulira kuchuluka kwa triglycerides m'magazi anu, dokotala wanu angakupatseni mankhwala. Mankhwala ndi ofunikira kwambiri kwa anthu omwe ali ndi hypertriglyceridemia yayikulu. Pali mitundu ingapo ya mankhwala omwe dokotala wanu angakupatseni:

• Ma Fibrate - mwachitsanzo Fenofibrate
• Mafuta a omega-3 omwe amaperekedwa ndi dokotala - mwachitsanzo Icosapent ethyl (IPE)
• Ma Statin - Ngakhale kuti awa amaperekedwa makamaka kuti achepetse cholesterol, nthawi zina amakhudzanso triglycerides.

Kulamulira matenda ena

Ngati muli ndi vuto lina la matenda (monga matenda a shuga) lomwe lingayambitse kuchuluka kwa triglycerides m'magazi anu, ndikofunikiranso kuwongolera vutoli bwino. Dokotala wanu adzakupatsani upangiri ndi chithandizo chofunikira.

Kodi hypertriglyceridemia ingapewedwe?

Zina mwa zifukwa (ukalamba, matenda ena) sitingathe kuzilamulira. Komabe, pali zinthu zambiri zomwe tingachite m'miyoyo yathu ya tsiku ndi tsiku kuti tipewe vutoli. Nazi zina mwa izo:

• Idyani zakudya zopatsa thanzi pamtima: Idyani ndiwo zamasamba, zipatso, tirigu wonse, ndi mapuloteni ambiri opanda mafuta ambiri. Chepetsani mafuta, shuga, ndi mchere.
• Khalani otanganidwa: Kuwonjezera pa kuchita masewera olimbitsa thupi omwe mwakonzekera, sunthani thupi lanu momwe mungathere nthawi zonse. Zinthu monga kukwera masitepe m'malo mwa elevator ndikuyenda pansi kupita kumadera apafupi.
• Khalani ndi kulemera koyenera.
• Chepetsani mowa: Chakumwa chimodzi chokhazikika patsiku kwa akazi ndi chakumwa ziwiri zokhazikika patsiku kwa amuna.
• Chepetsani shuga ndi chakudya chokonzedwa bwino.

Funsani dokotala wanu kuti akupatseni malangizo ena kuti akuthandizeni kuwongolera kuchuluka kwa triglycerides m'magazi anu.

Kodi chiyembekezo cha munthu amene ali ndi vutoli ndi chotani? (Outlook)

Izi zimadalira zinthu zambiri. Mwachitsanzo:

• Kodi ndi zifukwa ziti zomwe zimayambitsa hypertriglyceridemia yanu?
• Kodi mulingo wanu wa triglyceride ndi wotani?
• Ndi matenda ena ati omwe muli nawo?

Choncho, lankhulani ndi dokotala wanu kuti mudziwe bwino momwe matenda anu alili.

Koma kumbukirani, hypertriglyceridemia ndi vuto lofala, ndipo simuli nokha. Anthu ambiri amathana nalo bwino vutoli mwa kutsatira malangizo a dokotala wawo, kusintha moyo wawo, komanso kumwa mankhwala ngati pakufunika kutero.

Ndiyenera kupita kwa dokotala liti?

Onetsetsani kuti mwapita kukayezetsa matenda anu pachaka. Kuphatikiza apo, pitani kumisonkhano ina iliyonse monga momwe dokotala wanu wanenera. Ngati muli ndi mafunso kapena nkhawa, musazengereze kulankhula ndi dokotala wanu nthawi iliyonse.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Ndikofunikira kuphunzira zambiri momwe mungathere zokhudza matenda anu, zomwe zimayambitsa, ndi mankhwala ake. Mutha kufunsa dokotala wanu mafunso monga:

• Kodi kuchuluka kwa triglycerides m'magazi anga kumandidziwitsa chiyani?
• Kodi ndili ndi cholesterol yambiri?
• Kodi n’chiyani chikuchititsa kuti triglycerides yanga ikwere?
• Kodi ndingachepetse bwanji kuchuluka kwa triglycerides m'magazi anga?
• Kodi chiopsezo changa chotenga matenda a mtima ndi chotani?
• Ndi mitundu iti ya masewera olimbitsa thupi yomwe ndi yoyenera kwa ine?
• Kodi ndiyenera kupita kwa katswiri wa zakudya?

Kodi ndi liti pamene muyenera kupita ku Emergency Treatment Unit (ETU) ?

Ngati muli ndi zizindikiro izi , imbani 911 (1990 ku Sri Lanka) nthawi yomweyo, kapena pitani ku chipinda chapafupi chadzidzidzi:

• Pancreatitis yoopsa - (kupweteka kwambiri m'mimba, kusanza, malungo)
• Matenda a mtima - (kupweteka pachifuwa, kupuma movutikira, thukuta)
• Stroke - (kufooka kwa nkhope, mkono kapena mwendo, kuvutika kulankhula, kuvutika kuyenda)

Kuchuluka kwa triglyceridemia kumawonjezera chiopsezo chotenga mavuto aakulu awa. Chifukwa chake, ndikofunikira kwambiri kudziwa zizindikiro izi ndikupita kuchipatala mwachangu ngati zitachitika.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kulamulira hypertriglyceridemia kumafuna khama. Koma ndikoyenera nthawi yanu. Muyenera kusintha zina pa zochita zanu za tsiku ndi tsiku, ndipo kusinthako kungawoneke kovuta nthawi zina. Koma yambani pang'ono. Ngakhale kusintha pang'ono kungapangitse kusiyana kwakukulu pa thanzi la mtima wanu. Funsani dokotala wanu za zinthu ndi magulu othandizira kuti akuthandizeni kukwaniritsa zolinga zanu. Thanzi lanu lili m'manja mwanu!

` hypertriglyceridemia, triglycerides, cholesterol, matenda a mtima, zakudya, masewera olimbitsa thupi, moyo