Urashaka kumenya urugero rwa cholesterol yawe? (Cholesteroli nyinshi) Menya neza ibi bintu!

Uyu munsi tugiye kuvuga ku kibazo abantu benshi bafite, ariko rimwe na rimwe ntibakimenye neza. Icyo ni cyo giteranyo Kolesteroli nyinshi, cyangwa nk'uko tubyita mu buvuzi, kolesteroli nyinshi. Iyi ni indwara idasobanutse neza, kuko ishobora kugira ingaruka ku mubiri bucece nta bimenyetso bikomeye bigaragaza. Reka turebere hamwe icyo ari cyo, impamvu ari kibi, n'uburyo bwo kwirinda iki kibazo.

Kolesteroli nyinshi ni iki?

Mu magambo make, cholesterol nyinshi ni indwara aho ingano y'ibinure, cyangwa ibinure, mu maraso yawe yiyongera cyane. Ibi kandi byitwa "Hyperlipidemia" cyangwa "Hypercholesterolemia".

Imibiri yacu ikenera ingano runaka y'iyi lipide kugira ngo ikore neza. Ariko iyo imaze kuba nyinshi cyane, umubiri ntushobora kuyikoresha yose. Hanyuma iyi lipide y'inyongera itangira kwirundanya mu mitsi yawe y'amaraso, cyangwa imitsi. Yivanga n'ibindi bintu biri mu maraso maze igakora ibinure byitwa plaque .

Ibi binure bishobora kudatera ibibazo mu gihe cy'imyaka myinshi. Ariko uko igihe kigenda gihita, bishobora kwirundanya mu mitsi y'amaraso. Niyo mpamvu cholesterol nyinshi ishobora kuba mbi iyo itavuwe . Utabizi, ibi binure by'inyongera bituma plaque ziyongera. Uburyo bwonyine bwo kumenya niba ufite cholesterol nyinshi ni ugupimwa amaraso.

Iki gipimo cy'amaraso cyitwa lipid panel . Kigaragaza umubare w'ibinure biri mu maraso yawe. Icyo bita cholesterol "ifite" giterwa n'imyaka yawe, igitsina, ndetse niba warigeze kurwara indwara z'umutima.

Cholesterol nziza ugereranije n'imbi

Hari ubwoko butandukanye bwa lipide. Muri ubwo, ushobora kuba warumvise "cholesterol nziza" na "cholesterol mbi".

Cholesterol nziza yitwa High-Density Lipoprotein (HDL).Tekereza nawe, inyuguti "H" muri ibi ishobora kukwibutsa "Ifasha". Cholesteroli yawe ya `(HDL)` ijyanwa mu mwijima. Umwijima ni wo utuma urugero rwa cholesterol rungana. Utuma ingano ya cholesterol umubiri ukeneye ikanakuraho izindi. Rero, kugira ngo cholesterol ijye mu mwijima, hagomba kuba hari `(HDL)` ihagije. Iyo urugero rwa `(HDL)` rugabanutse, cholesterol nyinshi irarunda mu maraso.

Kolesteroli mbi yitwa Low-Density Lipoprotein (LDL) . Iyi ni yo ituma ibinure byiyongera mu mitsi y'amaraso. Iyo urugero rwa LDL ruri hejuru, bishobora gutera indwara z'umutima uko igihe kigenda gihita.

Ni ryari ugomba gupimwa cholesterol yawe?

Kolesteroli nyinshi ishobora gutangirira ku mwana muto, mu bwana cyangwa mu bwana. Niyo mpamvu amabwiriza ariho ubu atanga inama yo gutangira gupima umuntu akiri muto.

• Abana n'abakuze (imyaka 9 kuzamura): Ugomba gupimwa cholesterol yawe nibura buri myaka itanu. Ushobora gutangira gupimwa hakiri kare niba ababyeyi bawe bafite cholesterol nyinshi cyangwa amateka y'indwara z'umutima.
• Abagabo: Buri myaka itanu kugeza ku myaka 45. Buri mwaka umwe kugeza ku myaka ibiri kuva ku myaka 45 kugeza kuri 65. Buri mwaka nyuma y'imyaka 65.
• Abagore: Buri myaka itanu kugeza ku myaka 55. Buri mwaka umwe kugeza ku myaka ibiri kuva ku myaka 55 kugeza kuri 65. Buri mwaka nyuma y'imyaka 65.

Aya ni amabwiriza rusange gusa. Ugomba kuvugana na muganga wawe ku cyakubera cyiza. Urugero, niba uri mu kigero cy'imyaka 20 kandi ufite cholesterol nyinshi, ushobora gukenera kwipimisha buri mwaka mu gihe runaka. Abantu bafite izindi mpamvu zishobora gutera indwara z'umutima nabo bashobora gukenera kwipimisha kenshi.

Ni izihe mpamvu zitera cholesterol nyinshi?

Ibintu byombi bitera imibereho ndetse n'ingaruka za genetiki bigira uruhare mu gutera cholesterol nyinshi. Ibintu bitera imiterere y'umubiri birimo:

• Kunywa itabi no kunywa itabi: Kunywa itabi bigabanya "cholesterol nziza" (HDL) kandi byongera "cholesterol mbi" (LDL).
• Umuhangayiko ukomeye: Iyo habayeho stress , habaho impinduka mu misemburo kandi umubiri wongera umusaruro wa cholesterol.
• Kunywa inzoga: Kunywa inzoga nyinshi bishobora kongera urugero rw'ibinure bya cholesterol.
• Gukomeza gukora imyitozo ngororamubiri: Imyitozo ngororamubiri, cyane cyane imyitozo ngororamubiri, ishobora kongera urugero rwa cholesterol. Niba ukora ku ntebe yo mu biro umunsi wose, cyangwa umara igihe kinini wicaye, umubiri wawe ushobora kudakora "cholesterol nziza" ihagije.
• Indyo: Hari ibiryo bishobora kongera cholesterol, mu gihe ibindi bishobora kuyigabanya. Hari igihe abaganga bakugira inama yo guhindura imirire cyangwa bakagushyikiriza inzobere mu by'imirire.

Ese hari ibimenyetso by'uko umuntu afite cholesterol nyinshi?

Abantu benshi ntibagaragaza ibimenyetso iyo bafite cholesterol nyinshi. Nubwo waba uri kwiruka marato, ushobora kuba ufite cholesterol nyinshi. Utangira kumva ibimenyetso gusa iyo cholesterol nyinshi iteye ibindi bibazo mu mubiri wawe.

Kolesteroli nyinshi yongera ibyago byo kurwara indwara nk'indwara z'imitsi yo mu mpande zombi, umuvuduko ukabije w'amaraso, no gucika intege kw'imitsi. Kolesteroli nyinshi nayo ikunze kugaragara mu bantu barwaye diyabete.

Ni gute cholesterol nyinshi igira ingaruka ku mubiri wawe?

Iyo urugero rwa cholesterol yawe ruri hejuru igihe kirekire, ibinure byitwa "plaque" bizarundanya mu miyoboro y'amaraso yawe. Uku gukurura ibinure byitwa atherosclerosis . Abantu bafite iyi ndwara baba bafite ibyago byinshi byo kurwara indwara zitandukanye. Impamvu ni uko imiyoboro y'amaraso yacu ikora imirimo ikomeye mu mubiri wose. Rero niba hari ikibazo mu miyoboro imwe y'amaraso, kizagira ingaruka ku bindi bice nk'umuraba.

Tekereza muri ubu buryo: imiyoboro y'amaraso yawe imeze nk'imiyoboro y'amazi itwara amaraso mu mubiri wawe. Ayo mazi y'ibinure, yitwa "Plaque", ameze nk'umwanda wiyongera mu miyoboro yawe ukabuza amazi gutembera. Iyi "Plaque" yiyongera imbere mu miyoboro y'amaraso yawe, ikabuza kandi ikabuza amaraso gutembera.

Niba ufite cholesterol nyinshi, bivuze ko iyi '(Plaque)' irimo kwiyongera mu miyoboro y'amaraso yawe. Uko itinda kuvurwa, ni ko iyi '(Plaque)' irushaho kuba nini. Uko igenda iba nini, imiyoboro y'amaraso ishobora kuba mito, cyangwa se igafungwa burundu. Kimwe n'umuyoboro w'amazi wafunzwe igice, imiyoboro y'amaraso izakora igihe runaka. Ariko ntizakora neza kandi neza.

Ibyago byo kurwara izindi ndwara bitewe na cholesterol nyinshi biriyongera bitewe n'imitsi y'amaraso izibye.

Indwara y'imitsi ifata umutima (CAD)

Indwara y'imitsi y'umutima (CAD) izwi kandi nka Indwara y'umutima (CHD) n'indwara y'umutima iterwa n'imitsi. Ibi nibyo abantu benshi baba bashaka kuvuga iyo bavuze "indwara y'umutima." Ni yo ndwara ikunze kugaragara cyane mu ndwara z'umutima kandi ni yo itera urupfu mu bihugu nka Leta Zunze Ubumwe za Amerika.

CAD ibaho iyo indwara ya Atherosclerosis igize ingaruka ku mitsi y'umutima. Iyi ni imitsi itanga amaraso mu mutima wawe. Iyo umutima wawe udahawe amaraso ahagije, ushobora gucika intege ugahagarara gukora neza. CAD ishobora gutera indwara y'umutima cyangwa indwara y'umutima.

Icyo abantu benshi batazi ni uko abakiri bato nabo bashobora kugira ikibazo cya CAD.Mu by’ukuri, umuntu umwe kuri batanu bapfa bazize indwara ya CAD aba ari munsi y’imyaka 65. Niyo mpamvu ari ngombwa gupimwa cholesterol yawe ukiri muto. Uko igihe kigenda gihita, ibinure bishobora kwiyongera mu mitsi y’umutima. Abantu benshi ntibabimenya kugeza igihe bagiriye angina cyangwa ibindi bimenyetso by’indwara y’umutima.

Indwara y'imitsi ya Carotid

Iyo indwara ya atherosclerosis igize ingaruka ku mitsi yawe ya carotid, yitwa indwara y'imitsi ya carotid. Imitsi yawe ya carotid ni imitsi minini, yo imbere ijyana amaraso mu bwonko. Iyo plaque yirundanyije muri iyo mitsi ikagabanuka, ubwonko ntibubona amaraso akungahaye kuri ogisijeni bukeneye.

Indwara y'imitsi yo mu nda ishobora gutera indwara y'umutima iterwa n'indwara y'umutima (TIA), cyangwa icyo twita "mini-stroke," cyangwa indwara ikomeye yo mu bwonko.

Indwara y'imitsi yo mu mpande (PAD)

Iyo indwara ya atherosclerosis ifata imitsi yo mu maguru cyangwa mu maboko, yitwa indwara y’imitsi yo mu birenge (PAD). Imitsi yo mu maguru no mu maboko yitwa "peripheral" kuko iba iri kure y'umutima n'imbere mu mubiri wawe. PAD ikunze kugaragara mu maguru, ariko ishobora no kugaragara mu maboko.

PAD ni mbi kuko akenshi nta bimenyetso igira . Ushobora gutangira kumva ibimenyetso iyo umutsi wo mu gice cy'imbere cy'umutsi ufunze kugeza kuri 60%. Kimwe mu bimenyetso by'ingenzi ni ukubabara mu kaguru gasanzwe . Ubu ni ububabare bwo kubabara mu kaguru kawe bubaho iyo ugenda cyangwa wimuka, ariko bugashira iyo uruhuka. Iki ni ikimenyetso cy'uko amaraso atembera nabi, bivuze ko plaque irimo gukura mu mitsi.

PAD ishobora guteza ibibazo bikomeye mu maguru no ku birenge, kandi ishobora no kugira ingaruka ku bindi bice by'umubiri. Ibi biterwa nuko imiyoboro y'amaraso yawe yose ihujwe binyuze mu miyoboro y'amaraso. Rero, iyo plaque yikubise ahantu hamwe, igabanya umuvuduko w'imitsi yose.

PAD ntabwo ari kimwe na CAD, ariko indwara zombi zirafitanye isano. Umuntu ufite imwe aba afite amahirwe menshi yo kugira indi. Ibintu bishobora gutera PAD na CAD akenshi birasa.

Umuvuduko ukabije w'amaraso

Hari isano iri hagati y'umuvuduko ukabije w'amaraso (Hypertension) na cholesterol nyinshi. Ibirungo bya cholesterol (plaque) na calcium bishobora gutuma imitsi yawe ikomera kandi igacika intege. Hanyuma, umutima wawe ugomba gukora cyane kugira ngo upime amaraso muri yo. Ingaruka ni uko umuvuduko w'amaraso wawe uba mwinshi cyane.

Umuvuduko ukabije w'amaraso na cholesterol nyinshi ni bimwe mu bintu bibiri by’ingenzi bitera indwara z'umutima. Mu gihugu nka Leta Zunze Ubumwe za Amerika, umuntu umwe kuri batatu mu bantu bakuru afite umuvuduko ukabije w'amaraso, naho umwe kuri batatu afite cholesterol nyinshi. Abantu barenga kimwe cya kabiri mu bantu bakuru bo mu matsinda yombi ntibabona ubufasha buhagije mu kuvurwa, cyangwa ntibabona ubuvuzi na bumwe.

Imiti muganga wawe akwandikira ishobora gufasha cyane, ariko guhindura imibereho bishobora gufasha iyo miti gukora neza. Guhindura imibereho ni ingenzi cyane mu kugabanya cholesterol nyinshi n'umuvuduko ukabije w'amaraso. Zimwe muri izo mpinduka zirimo:

• Gabanya ibinure byuzuye n'ibinure bya Trans: Ibiryo byihuse bishobora kuba byinshi muri byombi. Ariko n'ibiribwa byo muri resitora nini bishobora kuba byinshi mu binure byuzuye, bitewe n'uburyo byateguwe.
• Gabanya ibiryo bikaranze n'ibitunganyijwe: Ibi birimo deseri zateguwe mbere n'utuntu duto.
• Gabanya Sodiyumu: Hari ibiryo birimo umunyu wihishe. Ni ngombwa gusoma ibyapa byanditseho igihe uguze ibiryo mu iduka. Hari n'amaresitora agaragaza amakuru y'imirire ku biribwa ku meza yabo.
• Reka kunywa itabi no gukoresha ibikomoka ku itabi: Kunywa itabi ni ikintu gikomeye gishobora gutera indwara z'umutima n'ibibazo by'imitsi y'amaraso.

Ese izindi ndwara zigira ingaruka ku rugero rwa cholesterol?

Hari isano iri hagati y’indwara na cholesterol. Kolesteroli nyinshi ishobora gutera indwara nka atherosclerosis. Nanone, hari indwara zimwe na zimwe zishobora kongera ibyago byo kurwara cholesterol nyinshi. Dore zimwe mu ndwara zishobora kugira ingaruka ku rugero rwa cholesterol yawe:

Indwara y'impyiko idakira (CKD)

Abantu barwaye indwara zidakira z'impyiko (CKD) bafite ibyago byinshi byo kurwara indwara z'imitsi ifata imitsi y'umutima. Ibi biterwa nuko CKD ituma ibisebe byiyongera mu mitsi yabo vuba. Abantu bafite CKD mu ntangiriro z'indwara bafite amahirwe menshi yo gupfa bazize indwara z'umutima kuruta indwara z'impyiko.

CKD ituma amaraso yawe abonekamo triglycerides nyinshi cyane ( ubwoko bw'ibinure). Yongera kandi cholesterol yawe ya VLDL (Very Low-Density Lipoprotein) . VLDL ni ubwoko bwa cholesterol itwara triglycerides. Muri icyo gihe, CKD igabanya cholesterol yawe "nziza" (HDL) kandi ikayibuza gukora neza. CKD kandi ihindura imiterere y'uduce twa cholesterol yawe "mbi" (LDL), bigatuma irushaho kugira ingaruka mbi.

ubwandu bwa virusi itera SIDA

Abantu banduye agakoko gatera SIDA bafite amahirwe akubye kabiri yo kurwara indwara y'umutima cyangwa indwara yo gucika imitsi ugereranyije n'abadafite agakoko gatera SIDA. Abashakashatsi babanje gutekereza ko iyi ndwara yiyongereye bitewe n'imiti ya SIDA (Antiretroviral Therapy). Bemeraga ko iyo miti yongera urugero rwa cholesterol mu muntu. Ariko ubushakashatsi bushya bwagaragaje ko ubudahangarwa bw'umubiri bw'umuntu ari bwo bubitera.

Nubwo ubwandu bwawe bwa virusi itera SIDA bwaba buri mu kaga, ubudahangarwa bw'umubiri bwawe bushobora kuba bukora cyane. Ibi bishobora gutuma umubiri wawe ugira ikibazo cyo kubyimba igihe kirekire . Uku kubyimba gushobora gutera ubwiyongere bw'ibinure mu maraso no kwiyongera kw'imitsi.

Inkuru nziza ni uko abantu banduye agakoko gatera SIDA ubu baramba, ariko ibyo bivuze ko hakenewe ubushakashatsi bwinshi kugira ngo hamenyekane uburyo indwara zidakira nk'indwara z'umutima zigira ingaruka kuri bo.

Indwara ya Tiroyide

Kugira indwara ya tiroyide bishobora kugira ingaruka ku rugero rwa cholesterol yawe. Ibi biterwa nuko imisemburo ya tiroyide igira ingaruka ku buryo umubiri wawe ukoresha ibinure. Ibi biterwa n'ubwoko bw'indwara ya tiroyide ufite.

• Hyperthyroidism: Iyi ndwara ituma umubiri wawe ukora imisemburo myinshi ya tiroyide. Imiti ikoreshwa mu kuvura iyi ndwara ishobora kongera urugero rwa cholesterol yawe (cholesterol yose, LDL, na HDL). Niba uri kuvurwa hyperthyroidism, vugana na muganga wawe uburyo bwo gucunga cholesterol yawe.
• Hypothyroidism: Iyi ndwara ituma umubiri wawe ukora imisemburo mike ya tiroyide. Nanone yongera urugero rwa cholesterol yawe. Muri iki gihe, kuvura indwara ya tiroyide bizagabanya urugero rwa cholesterol yawe. Ariko, ushobora no gukenera gufata imiti, nka statins, kugira ngo ugarure urugero rwa cholesterol yawe ku rugero rusanzwe. Muganga wawe azakubwira icyo ari cyo cyose cyagufasha.

Abashakashatsi bakomeje gukora ubushakashatsi ku isano iri hagati y’indwara ya tiroyide n’indwara z’umutima. Ubushakashatsi bumwe bwagaragaje ko indwara ya tiroyide ishobora gutera ibibazo by’umutima mu bundi buryo butari cholesterol cyangwa plaque yiyongera. Urugero, hyperthyroidism na hypothyroidism byombi bishobora kongera ibyago by’umuntu byo kurwara umutima.

Lupus

Abantu barwaye lupus bakunze kugira urugero rwinshi rwa "cholesterol mbi" (LDL, VLDL) na triglycerides. Bafite kandi urugero ruto rwa "cholesterol nziza" (HDL). Abantu barwaye lupus ikora bafite ibyago byinshi byo kurwara cholesterol nyinshi ugereranyije n'abantu barwaye lupus icunga neza (isina).

Lupus yongera ibyago byo kurwara indwara y'imitsi ifata imitsi y'umutima. Ibi biterwa nuko lupus ituma umubiri wawe uhora ubyimba. Uku kubyimba gutuma plaque yiyongera vuba mu mitsi yawe.

Indwara y'intanga ngabo (PCOS)

Abantu barwaye indwara y’umutima yitwa polycystic ovary syndrome (PCOS) baba bafite ibyago byinshi byo kurwara indwara z’umutima. Ibi byago biriyongera uko bagenda bakura. PCOS yongera ibyago byinshi byo kurwara indwara z’umutima, harimo diyabete n’umuvuduko ukabije w’amaraso. Abantu barwaye PCOS baba bafite amahirwe menshi yo kugira cholesterol mbi (LDL) nyinshi n’cholesterol nziza (HDL) nkeya.

Diyabete (Diabete Mellitus)

Diyabete Mellitus (Diyabete yo mu bwoko bwa 1 na Diyabete yo mu bwoko bwa 2) yikuba kabiri ibyago byo kurwara indwara z'imitsi itera umutima n'indwara z'imitsi yo mu mpande. Diyabete ifitanye isano no kugabanuka kw'urugero rwa cholesterol nziza (HDL) hamwe n'ubwiyongere bw'urugero rwa triglycerides na cholesterol mbi (LDL).

Abantu bagera kuri 7 kuri 10 barwaye Diyabete yo mu bwoko bwa 2 bafatwa na Diyabete-Related Dyslipidemia. Ibi bivuze ko bafite triglyceride nyinshi, LDL "small dense" nyinshi, n'urugero ruto rwa "high density lipoprotein." LDL "Small dense" ni ubwoko bwa poroteyine ya cholesterol ishobora gufata ku nkuta z'imitsi yawe ikayingiza. Kugira LDL nyinshi mu maraso yawe bishobora kongera ibyago byo kwirema plaque.

Abashakashatsi bakomeje gushakisha uburyo diyabete n'indwara z'umutima bifitanye isano.

Ni gute wagabanya cholesterol?

Vugana na muganga wawe uburyo bwiza bwo kugabanya cholesterol yawe. Hari abantu bashobora gukenera gusa impinduka zoroshye mu mibereho yabo, nko kugabanya ibinure byuzuye. Abandi bashobora gukenera imiti hamwe n'impinduka mu mibereho yabo. Abantu bafite izindi ndwara zigira ingaruka kuri cholesterol bashobora gukenera uburyo bugoye kurushaho. Vugana na muganga wawe ku mateka yawe y'ubuvuzi, amateka y'umuryango wawe, n'imibereho yawe. Muri kumwe, mushobora gutegura gahunda yo kugabanya cholesterol yawe.

Wibuke ko n'imigambi myiza ifata igihe kugira ngo ikore. Twese tugira ibibazo. Ni ibisanzwe kumva uremerewe, kandi ni ngombwa kubwira muganga wawe niba gahunda idakora. Hari igihe, uko imibereho yawe yahinduka kose, urugero rwa cholesterol yawe ntirugabanuka bihagije. Ibyo biterwa nuko umwijima wawe ukora cholesterol nyinshi mu mubiri wawe. Rero, hari ibindi bintu byinshi bidashobora kugufasha kandi ntaho bihuriye n'ibyo urya.

Gira intambwe imwe ku yindi, kandi wibuke ko kugira cholesterol nyinshi atari ikintu kigutera intege nke. Ni ingaruka z'uruhererekane rw'impinduka nto zibera mu mubiri wawe. Genzura ibintu ushobora kugenzura, ariko umenye ko hari imiti n'ubundi buryo bwo kuvura bwo kuziba icyuho.

Kolesteroli nyinshi ni ikintu kidasobanutse neza kandi gitangaje. Ushobora kugira ibinure byinshi mu maraso yawe imyaka myinshi utabizi. Bishobora kugaragara hakoreshejwe ikizamini cyoroshye cy'amaraso. Kolesteroli nyinshi igira ingaruka ku bantu b'ingeri zose, ndetse n'abatekereza ko bakora kandi bafite ubuzima bwiza. Hari indwara zimwe na zimwe zongera ibyago byo kurwara kolesteroli nyinshi n'indwara z'umutima. Vugana na muganga wawe ku birebana n'ibinure byinshi bya kolesteroli yawe n'icyo bikumariye.

Amaherezo, ibintu by'ingenzi cyane ugomba kwibuka

Sawa, rero, ukurikije ibyo twavuze, hari ibintu bike ugomba kwibuka:

• Kolesteroli ni indwara idasobanutse neza: ishobora gutera ibibazo mu mubiri idafite ibimenyetso bikomeye bigaragaza.
• Gupima amaraso ni ingenzi: Uburyo bwonyine bwo kumenya urugero rwa cholesterol yawe ni ukugira "Lipid Panel".
• Imyaka ntacyo ivuze:Kolesteroli ishobora kwiyongera ku muntu uwo ari we wese w’imyaka iyo ari yo yose, ndetse n’umuntu ukora imyitozo ngororamubiri buri gihe kandi akibwira ko ari muzima.
• Izindi ndwara zigira ingaruka: Abantu bafite indwara zimwe na zimwe zidakira baba bafite ibyago byinshi byo kurwara cholesterol nyinshi n'indwara z'umutima.
• Menya imibare yawe: Vugana na muganga wawe kugira ngo usobanukirwe urugero rwa cholesterol yawe n'uko igira ingaruka ku buzima bwawe.
• Ubuzima n'imiti iyo bibaye ngombwa: Iyi ndwara ishobora kugenzurwa neza no kubaho ubuzima bwiza no gufata imiti nk'uko muganga yabigutegetse.

Kwita kuri ibi bintu bizaba ingenzi cyane ku buzima bw'umutima wawe ndetse no ku buzima bwawe muri rusange!

Cholesterol , cholesterol nyinshi, indwara z'umutima, cholesterol ya LDL, cholesterol ya HDL, imitsi yazibye, ikizamini cya cholesterol