Kodi munayesedwapo magazi kuti muwone kuchuluka kwa cholesterol m'magazi anu? Ngati mwayesedwapo, muyenera kuti mwazindikira kuti lipotilo lili ndi mawu monga LDL, HDL, ndi Triglycerides, pamodzi ndi zilembo za VLDL. Nthawi zambiri timamva za LDL ndi HDL. Amatchedwanso "cholesterol yabwino" ndi "cholesterol yoyipa." Koma kodi VLDL ndi chiyani? Ili ndi liwu lomwe anthu ambiri sadziwa. Chifukwa chake ngati dokotala wanu akunena kuti kuchuluka kwa VLDL m'magazi anu kuli pamwamba, ndikwabwino kumva mantha pang'ono. Koma musadandaule. Lero, m'nkhaniyi, tikambirana za VLDL yeniyeni, momwe ilili yofunika mthupi, komanso momwe ingakhudzire thanzi lathu ngati iwonjezeka, komanso momwe tingailamulire.
Mwachidule, kodi VLDL ndi chiyani?
Tanthauzo lonse la VLDL ndi “Very-Low-Density Lipoprotein”. Chabwino, kumva dzinali kunakupangitsani kusokonezeka kwambiri, sichoncho? Tiyeni tifotokoze mwachidule ndikumvetsa.
Taganizirani mitsempha yathu yamagazi ngati misewu. Misewu iyi imanyamula zinthu zambiri zomwe thupi lathu limafunikira, monga zakudya ndi mpweya. Pakadali pano, mafuta m'thupi lathu, monga cholesterol ndi triglycerides, amafunikanso kunyamulidwa m'thupi lonse. Koma pali vuto. Mafuta awa sangayende m'magazi okha, monga momwe mumawonjezera mafuta m'madzi, amalekanitsidwa m'malo mosakanikirana.
Kotero, thupi lathu lili ndi njira yapadera yoyendetsera mafutawa m'thupi lonse. Timatcha magalimoto awa kuti `(Lipoprotein)`. `Lipo` amatanthauza mafuta, `protein` amatanthauza mapuloteni. Izi zikutanthauza kuti magalimoto awa amapangidwa ndi mafuta ndi mapuloteni.
Kodi mukumvetsa tsopano? VLDL ndi galimoto yapadera kwambiri. Galimoto iyi imapangidwa ndi chiwindi chathu ndikutulutsidwa m'magazi. Ntchito yayikulu ya VLDL ndikunyamula triglycerides ndi cholesterol kuchokera ku chiwindi kupita ku ziwalo zosiyanasiyana za thupi, kutanthauza, kupita kumalo komwe mphamvu imafunika komanso komwe mphamvu imasungidwa.
Choncho VLDL ndi yofunika kwambiri kuti thupi lathu ligwire ntchito. Koma monga china chilichonse, kuchuluka kwake sikwabwino kwa thupi.
Kodi tinthu ta VLDL timapangidwa ndi chiyani?
Tikayang'ana zomwe zili mkati mwa VLDL zomwe tidakambirana kale, nthawi zambiri zimakhala mtundu wa mafuta otchedwa triglycerides. Monga momwe basi ilili ndi okwera ambiri. Ichi ndichifukwa chake madokotala amatchanso VLDL kuti "lipoprotein wolemera mu triglyceride."
Kuphatikiza apo, pali zinthu zina zingapo mu tinthu ta VLDL:
- Cholesterol
- Mafuta acids
- Mtundu wapadera wa puloteni wotchedwa apolipoprotein B (Apolipoprotein B kapena apoB).
Kafukufuku wapeza kuti kuchuluka kwa `(apoB)` m'magazi ndi komwe kumayambitsa chiopsezo chachikulu cha matenda a mtima.
Kodi cholesterol ya VLDL ndi VLDL ndi chinthu chimodzi?
Ngakhale kuti nthawi zambiri timagwiritsa ntchito mawu awiriwa mosinthana, pali kusiyana kochepa koma kofunikira pakati pa awiriwa.
Ingoganizirani motere.
- VLDL ndiye basi. Ndi galimoto yonse yopangidwa ndi chiwindi ndipo imanyamula mafuta.
- Cholesterol ya VLDL ndi imodzi mwa okwera m'basi imeneyo. Ndiko kuti, kuchuluka kwa cholesterol komwe kumayenda mkati mwa galimoto yotchedwa VLDL.
Mofananamo, LDL ndi HDL ndi mitundu iwiri yosiyana ya mabasi. Timatcha cholesterol yomwe imapita pa basi ya LDL cholesterol ya LDL. Timatcha cholesterol yomwe imapita pa basi ya HDL cholesterol ya HDL. Tsopano zamveka bwino, eti?
Kodi VLDL ndi mtundu wa cholesterol "yoyipa"?
Inde, ngati kuchuluka kwa VLDL m'magazi kukukwera kwambiri, kumagwera m'gulu la "zoipa". Ngakhale kuti matupi athu amafunikira kuchuluka kwa VLDL kuti agwire ntchito, pamene kuchuluka kwake kukukwera, kumatsegula chitseko cha matenda a mtima ndi mavuto ena ambiri azaumoyo.
Vuto lalikulu ndi vuto lotchedwa `(Atherosclerosis).` Mwachidule, izi zimachitika pamene mafuta, cholesterol, ndi zinthu zina zimasonkhana mkati mwa makoma a mitsempha yathu yamagazi (mitsempha yamagazi) ndikupanga chinthu chotchedwa ``plaque.`` Ma plaque amenewa amachepetsera pang'onopang'ono mitsempha yamagazi, monga momwe dothi limakhalira mkati mwa chitoliro chamadzi. Izi zimalepheretsa kuyenda kwa magazi.
Kodi VLDL ikugwirizana bwanji ndi izi?
Tangoganizani kuti chiwindi chathu chayamba kupanga VLDL yochulukirapo kuposa momwe chimafunira. Tsopano pali zonyamulira zambiri za VLDL m'magazi. Thupi lathu limaphwanya VLDL yowonjezerayi ndi kuigwiritsa ntchito kupanga mtundu wina wa chonyamulira wotchedwa LDL (Low-Density Lipoprotein). LDL ndiye mtundu waukulu wa chonyamulira chomwe timachitcha "cholesterol yoyipa."
Tsopano magazi ali odzaza ndi tinthu ta LDL. LDL yowonjezerayi imamatirira m'makoma a mitsempha yamagazi, komwe imayamba kupanga ma plaque omwe tawatchula kale.
Kafukufuku akusonyeza kuti kukhala ndi VLDL ndi LDL m'magazi nthawi imodzi n'koopsa kwambiri kuposa kukhala ndi milingo yambiri ya VLDL ndi LDL m'magazi nthawi imodzi.
Si zokhazo, pamene VLDL iwonongeka m'thupi ndipo LDL ikapangidwa, palinso "zidutswa" zina zomwe zatsala kuchokera ku ndondomekoyi. Izi zimatchedwa "tinthu totsalira". Izi ndi tinthu tating'onoting'ono tomwe nthawi zambiri timadzaza ndi cholesterol. Chifukwa chakuti ndi tating'onoting'ono, timakakamira mosavuta m'makoma a mitsempha yamagazi, zomwe zimapangitsa kuti magazi aziundana mofulumira.
| Matenda oopsa omwe angachitike chifukwa cha atherosclerosis (kuchepa kwa mitsempha yamagazi) | |
|---|---|
| Matenda | Kufotokozera kosavuta |
| Matenda a Mitsempha ya Mtima | Kuchepa kwa mitsempha yamagazi yomwe imapereka magazi kumtima, zomwe zimawonjezera chiopsezo cha matenda a mtima. |
| Matenda a Mitsempha ya Cerebrovascular | Kuchepa kapena kutsekeka kwa mitsempha yamagazi yomwe imapereka magazi ku ubongo kungayambitse sitiroko. |
| Matenda a Mitsempha ya M'mphepete mwa Mtsempha | Kawirikawiri, mitsempha yomwe imapereka magazi ku miyendo imachepa. Izi zingayambitse kupweteka kwa miyendo poyenda. |
| Aneurysm ya mtsempha wamagazi | Mtsempha wamagazi, womwe ndi mtsempha waukulu wamagazi m'thupi, umafooka ndipo umatupa ngati baluni. Izi zitha kukhala zoopsa kwambiri ngati zitaphulika. |
Kodi LDL ndi yoopsa kwambiri? VLDL?
Funso limene anthu ambiri amafunsa ndi ili. Ndipotu, chimodzi sichinganenedwe kuti ndi "choipa" kuposa china. Zonsezi zimathandizanso kupanga plaque m'mitsempha yamagazi. Chifukwa chake, zonse ziwiri ndizoopsa mofanana. Chofunika ndikuwongolera kuchuluka kwa zonse ziwiri ndikuzisunga pamlingo wabwino.
Kodi kuchuluka kwa VLDL kumayesedwa bwanji? Kodi kuchuluka kwabwinobwino ndi kotani?
Mulingo wa cholesterol yanu ya VLDL umayesedwa ndi mayeso a magazi otchedwa lipid panel . Mayesowa nthawi zambiri amachitika mutasala kudya kwa maola 10-12. Mayesowa akuwonetsa mulingo wonse wa cholesterol yanu, cholesterol ya HDL (yabwino), cholesterol ya LDL (yoyipa), ndi triglyceride.
Koma apa pali chinthu chapadera. Nthawi zambiri, ma lab sayesa kuchuluka kwa VLDL mwachindunji. M'malo mwake, amagwiritsa ntchito kuchuluka kwa triglycerides kuti awerengere kuchuluka kwa VLDL yanu pogwiritsa ntchito njira ya masamu.
Mwachidule, mulingo wanu wa VLDL ndi wofanana ndi mulingo wanu wa triglyceride wogawidwa ndi 5. (Mwachitsanzo, ngati triglycerides yanu ndi 150 mg/dL, mulingo wanu wa VLDL ndi wofanana ndi 30 mg/dL).
Komabe, ngati milingo ya triglyceride m'thupi la munthu ili yokwera kwambiri (monga kupitirira 400 mg/dL), njira yowerengera iyi singakhale yolondola kwambiri. Pazochitika zotere, dokotala wanu angagwiritse ntchito njira zina poyeza VLDL.
Kawirikawiri, miyezo yovomerezeka ya VLDL cholesterol ndi iyi:
- Mlingo wabwinobwino: Zosakwana 30 mg/dL (mamiligalamu pa decilita imodzi).
- Mulingo woopsa/wokwera: wofanana kapena woposa 30 mg/dL.
Kodi tiyenera kuchita chiyani ngati milingo ya VLDL yakwera?
Ngati mulingo wa VLDL wanu uli wokwera, zikutanthauza kuti muli ndi chiopsezo chowonjezeka cha matenda a mtima. Koma musadandaule, vutoli ndi losavuta kulithetsa.
Dokotala akakuthandizani, adzayang'ana kwambiri kuchepetsa kuchuluka kwa cholesterol m'thupi lanu la LDL ndi triglyceride m'malo mongoyang'ana mwachindunji kuchuluka kwa VLDL. Chifukwa pamene kuchulukako kulamulidwa, kuchuluka kwa VLDL kudzalamulidwa kokha.
Anthu ambiri omwe ali ndi VLDL yambiri akhoza kukhala ndi chimodzi kapena zingapo mwa izi:
- Ma triglyceride okwera (Hypertriglyceridemia)
- Mafuta ambiri a LDL cholesterol
- Kuchuluka kwa mafuta m'thupi (hyperlipidemia)
Nazi zinthu zina zomwe mungachite kuti muchepetse mitundu yonse ya mafuta. Ndikofunikira kulankhula ndi dokotala wanu musanayambe kugwiritsa ntchito mafuta awa.
1. Kutsatira zakudya zopatsa thanzi la mtima:
- Chepetsani mafuta, zakudya zokazinga, ndi zakudya zokazinga kwambiri momwe mungathere.
- Chepetsani zakudya ndi zakumwa zokhala ndi shuga wambiri (makeke, zakumwa zotsekemera, toffee).
- Onjezerani ndiwo zamasamba zatsopano, zipatso, zitsamba, ndi tirigu wathunthu (buckwheat, barele, oats) muzakudya zanu.
- Sankhani nsomba ndi nkhuku m'malo mwa nyama yokonzedwa.
2. Kuchita masewera olimbitsa thupi nthawi zonse:
- Chitani masewera olimbitsa thupi monga kuyenda mwachangu, kukwera njinga, kapena kusambira kwa mphindi zosachepera 30 patsiku, masiku osachepera 5 pa sabata.
- Chofunika: Ngati ndinu watsopano kuchita masewera olimbitsa thupi, funsani dokotala wanu kuti akupatseni malangizo pa masewera olimbitsa thupi omwe ali oyenera kwa inu.
3. Kusunga kulemera kwabwino:
- Ndikofunikira kwambiri kukhala ndi kulemera koyenera malinga ndi kutalika kwanu. Ngati muli onenepa kwambiri, kuchepetsa thupi kungachepetse kwambiri cholesterol yanu ndi triglycerides.
4. Kumwa mankhwala mutalandira upangiri wa dokotala:
- Nthawi zina, kusintha moyo kokha sikungakhale kokwanira kulamulira kuchuluka kwa cholesterol m'thupi lanu. Pazochitika zotere, dokotala wanu angakupatseni mankhwala monga "statins. " Ndikofunikira kwambiri kumwa mankhwala omwe dokotala wanu wakupatsani muyeso woyenera komanso nthawi yoyenera.
Nthawi zina, kuchuluka kwa triglyceride ndi VLDL kumatha kukwera chifukwa cha matenda ena monga matenda a shuga, mavuto a chithokomiro, kapena mankhwala ena omwe mukumwa. Chifukwa chake, ngati muli ndi mafunso okhudza zomwe zili mu lipoti lanu, lankhulani ndi dokotala wanu. Musadandaule, ndi malangizo oyenera komanso chithandizo choyenera, vutoli likhoza kulamuliridwa bwino.
Uthenga Wopita Nawo Kunyumba
- VLDL ndi chinthu chapadera chomwe chimapangidwa ndi chiwindi chathu chomwe chimatenga triglycerides (mtundu wa mafuta) m'thupi lonse.
- Kuchuluka kwa VLDL m'magazi kopitirira 30 mg/dL n'koopsa pa thanzi la mtima. Kungayambitse kuchepa kwa mitsempha yamagazi (atherosclerosis).
- Milingo ya VLDL nthawi zambiri siimayesedwa mwachindunji. Imawerengedwa kuchokera ku kuchuluka kwa triglyceride.
- Njira yabwino kwambiri yowongolera VLDL ndiyo kuwongolera kuchuluka kwa triglyceride ndi LDL (cholesterol yoyipa).
- Kuchuluka kwa VLDL kumatha kulamulidwa mwa kutsatira zakudya zabwino pamtima, kuchita masewera olimbitsa thupi nthawi zonse, kukhala ndi kulemera koyenera, komanso kumwa mankhwala monga momwe dokotala wanu wanenera.
- Ngati muli ndi nkhawa iliyonse yokhudza lipoti lanu la cholesterol, onetsetsani kuti mwakambirana ndi dokotala wanu.
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