"Cholesteroli nziza" yawe imeze ite? Byose ku birebana na Cholesteroli ya HDL!

Iyo upimye cholesterol yawe, ushobora kuba warumvise ' cholesterol nziza ' na 'cholesterol mbi'. Iyo 'cholesterol nziza' ni yo HDL. None se, kubera ko abantu benshi babona ibi bitera urujijo, ese twavuga kuri cholesterol ya HDL mu buryo bworoshye, mu rurimi rwacu?

HDL ni iki?

Mu magambo make, HDL isobanura 'High-Density Lipoprotein' . Utu ni utuntu duto tugenda mu maraso yacu. Tuvuge ko ari 'service courier' mu mibiri yacu.

Izi lipoprotein zigizwe na lipide - ibinure - na poroteyine. Akazi kazo gakomeye ni ugutwara ibinure biri mu mibiri yacu, cyane cyane cholesterol, aho bikenewe, bikagera mu turemangingo. Izi fizi ntizishobora kunyura mu maraso zonyine, kuko imiterere yazo ya shimi itazibemerera. Niyo mpamvu zikeneye ubufasha bw'izi "modoka" zitwa lipoproteine.

Ese cholesterol ya HDL ni kimwe?

Yego, HDL na cholesterol ya HDL mu by'ukuri bivuga ikintu kimwe. Abantu bakunze gukoresha ayo magambo yombi kugira ngo bavuge kuri ibi bice by'umubiri n'uburyo bigira ingaruka ku buzima bw'umutima wacu.

Nubwo utu duce twa HDL tuba turimo ibinure ndetse na poroteyine, abantu babimenya bitewe n'ubwoko bw'ibinure bafite, ari byo cholesterol. Niyo mpamvu bitwa kandi cholesterol HDL.

Kuki HDL yitwa "cholesterol nziza"?

Hari impamvu HDL yitwa 'cholesterol nziza'. Ni ukuvuga ko HDL ifasha gukura cholesterol nyinshi mu mibiri yacu . Iyi gahunda ishobora kugabanya ibyago byo kurwara indwara z'umutima n'imitsi, nk'indwara z'umutima na stroke.

Ubusanzwe, cholesterol yinjira mu maraso iva mu mwijima wacu. Kuva aho, lipoprotein zavuzwe haruguru zijyana cholesterol mu turemangingo dutandukanye mu mubiri. Kubera ko cholesterol ikenewe mu mirimo myinshi y'ingenzi, nko kubaka uturemangingo no gukora imisemburo.

Ariko, hari igihe amaraso yacu yirundanya cholesterol nyinshi cyane. Ni ukuvuga ibirenze ibyo umubiri ukeneye. Icyo gihe ni bwo inzira yitwa 'gutwara cholesterol mu buryo bunyuranyije n'amategeko' idufasha.

Uku "gutwara cholesterol inyuma" ni inzira igoye. Abahanga mu bya siyansi baracyashakisha igihe HDL igira uruhare muri ibi n'uburyo ibi bitera. Nk'uko tubizi, uduce twa HDL dushobora gutwara cholesterol irenze mu maraso ikayisubiza mu mwijima. Hanyuma umwijima ucagagura iyi cholesterol ukayikura mu mubiri unyuze mu mwanda wacu.

Iki ni ikintu cyiza cyane, kuko iyo urugero rwa cholesterol mu maraso rwiyongereye, ibinure byiyongera ku nkuta z'imitsi yacu y'amaraso, bikaba bishobora kuyifunga. Niyo mpamvu tweAteriosclerosis ni uko bimeze.

Rero, HDL yitwa cholesterol 'nziza' cyangwa 'ifasha' kuko ikuraho cholesterol nyinshi. Si ibyo gusa, cholesterol ya HDL inarwanya ububyimbirwe n'ibikomoka kuri ogisijeni mu mubiri wacu, bigafasha mu gutuma uturemangingo twacu dukomeza gukomera. HDL inagira uruhare mu gukumira kubyimba kw'amaraso.

Namenya nte urugero rwanjye rwa HDL?

Ibi biroroshye kubimenya. Muganga wawe ashobora gutegeka ko upimwa amaraso yitwa 'lipid panel' . Raporo izaguha amakuru ajyanye n'ubwoko butandukanye bwa cholesterol yawe, harimo n'urugero rwa HDL yawe.

Ni ingano ingana iki ya HDL nziza?

Uburyo bwiza ni uko urugero rwa HDL rwawe rugera kuri miligarama 60 kuri desilita imwe (mg/dL) cyangwa irenga . Ubushakashatsi bwagaragaje ko kugira urugero rwa HDL ruri hejuru nk'uru bishobora kugabanya ibyago byo kurwara indwara z'umutima n'imitsi , bivuze indwara z'umutima n'imitsi yo mu bwonko.

Igipimo gisanzwe cya cholesterol ya HDL ku bantu bakuru gitandukana gato bitewe n'igitsina:

• Ku bagabo: 40 mg/dL cyangwa irenga.
• Ku bagore: 50 mg/dL cyangwa irenga.

Ariko, icy'ingenzi ni ukuganira na muganga wawe ku bisubizo bya raporo y'urutonde rw'ibinure (lipid panel report) no gusobanukirwa neza uburyo bikugiraho ingaruka.

Ese si byiza kugira HDL nkeya?

Yego, ntabwo ari byiza kugira urugero rwa HDL rutari mu rugero rusanzwe, ni ukuvuga ruri hasi. Tuvuga ko abantu bafite urugero rwa HDL ruri hasi bafite 'HDL nke'. Ibyo ni bibi ku buzima.

Ese kongera HDL nabyo ni ikibazo?

Dore ikindi kintu cy'ingenzi. Si byiza ko urugero rwa HDL ruzamuka cyane. Ni ukuvuga ko iyo rurenze 80 mg/dL, bishobora kwihutisha gukomera kw'imitsi yitwa atherosclerosis. Izindi ndwara zishobora gutuma urugero rwa HDL rugabanuka cyane cyangwa rukazamuka cyane.

Ni izihe mpamvu zitera HDL nkeya?

Hari impamvu nyinshi zishobora gutuma urugero rwa cholesterol ya HDL mu mubiri wawe rugabanuka. Reka turebere hamwe izo mpamvu:

• Indwara ya Tangier: Iyi ni indwara iterwa n'uturemangingo ituma urugero rwa cholesterol ya HDL rugabanuka cyane.
• Kurya ibinure byinshi bivanze mu mubiri: Iyi nayo ni indwara iterwa n'uturemangingo. Muri ibi, urugero rwa HDL ruragabanuka kandi urugero rwa LDL, ruzwi kandi nka cholesterol mbi, ruriyongera.
• Ibura rya ApoA1: Abantu bafite iyi ndwara ya gene ntibakora poroteyine ihagije yitwa apolipoprotein A1, ikaba ari yo ngingo nyamukuru ya HDL.
• Indwara ya metabolike:Uru ni uruvange rw'ibintu byinshi bishobora gutera indwara z'umutima n'imitsi, harimo n'urugero ruri hasi rw'urugero rusanzwe rwa HDL.
• Igipimo cy'uburemere bw'umubiri (BMI) kirenze 25 (umubyibuho ukabije/umubyibuho ukabije): Iyo ibiro byiyongereye, bishobora gutuma urugero rwa HDL rugabanuka.
• Kunywa itabi cyangwa kunywa itabi: Nikotine, ikinyabutabire kiboneka mu itabi, igabanya urugero rwa HDL. Iyi ngaruka mbi ntigaragara gusa mu itabi na bidis, ahubwo igaragara no mu bicuruzwa byose by'itabi, harimo n'ibikomoka kuri e-cigarettes.
• Ubudahangarwa bwa insuline: Iyo ibinure byiyongereye mu mubiri, biragorana ko insuline y'umubiri wacu igenzura neza urugero rw'isukari mu maraso. Ibi bishobora kandi kugabanya urugero rwa HDL.
• Imiti imwe n'imwe ufata: Imiti imwe n'imwe, urugero, beta-blockers, imisemburo imwe n'imwe, cyangwa diuretics zimwe na zimwe (imiti yongera inkari) ishobora kugabanya urugero rwa cholesterol ya HDL.

Ni izihe mpamvu zitera kwiyongera kwa HDL?

Urugero rwa HDL ruri hejuru cyane rusobanurwa nk'urugero ruri hejuru ya 80 mg/dL. Ibi byitwa 'HDL yazamutse'.

Impamvu imwe ituma urugero rwa cholesterol ya HDL yawe rushobora kuba ruri hejuru ni impinduka mu miterere y’uturemangingo . Impinduka muri zimwe mu ngirabuzimafatizo zishobora gutuma umubiri wawe ukora cholesterol ya HDL nyinshi cyangwa zikagira ibibazo byo kuyikura mu mubiri wawe. Urugero, impinduka muri gene ya CETP zishobora gutuma urugero rwa HDL rurenga 150 mg/dL.

Hari izindi mpamvu nyinshi zishobora gutuma HDL iba iri hejuru cyane:

• Hyperthyroidism: Ibi bivuze kwiyongera k'imikorere y'agahu k'imisemburo ya tiroyide.
• Kolangitis y'ibanze y'umwijima: Iyi ni indwara ifata imiyoboro y'amaraso y'umwijima.
• Indwara yo kunywa inzoga: Kunywa inzoga nyinshi.
• Imiti imwe n'imwe.

Niba urugero rwawe rwa HDL ruri hejuru cyane, muganga wawe azasuzuma impamvu maze afate umwanzuro niba ukeneye kuvurwa.

Ni gute wongera urugero rwa HDL?

Iki ni ikibazo abantu benshi bibaza. Ikintu cyiza cyo gukora ni ukuganira na muganga wawe akakugira inama zijyanye n'ubuzima bwawe ndetse n'izindi ndwara zose ushobora kuba ufite. Ariko muri rusange, hari impinduka zimwe na zimwe mu mibereho zishobora gufasha kongera urugero rwa HDL mu mubiri wawe. Reka turebe ibyo ari byo:

• Kurya indyo yuzuye umutima: Ubushakashatsi bwagaragaje ko indyo yo mu karere ka Mediterane ari nziza ku buzima bw'umutima muri rusange kandi ifasha mu kugenzura urugero rwa cholesterol. Irimo imbuto nyinshi, imboga, ibinyamisogwe (nk'ibishyimbo n'amashu), n'ibinyampeke byuzuye. Irimo kandi aside fatty ya omega-3.Ibiribwa bifasha kongera cholesterol ya HDL birimo amafi afite ibinure nka salmon na mackerel, imbuto za flax, na walnuts.
• Irinde cyangwa ugabanye ibiryo bitameze neza: Irinde donuts zikaranze cyangwa ibiryo byokeje birimo amavuta ya trans (nanone byitwa amavuta ya hydrogenated igice kimwe). Nanone, gabanya ibiryo birimo amavuta yuzuye . Urugero, sosiso, foromaje, bacon, n'amavuta.
• Imyitozo ngororamubiri: Imyitozo ngororamubiri ya aerobic ishobora gufasha kongera cholesterol ya HDL. Igamize gukora imyitozo ngororamubiri nibura iminota 30 ku munsi, iminsi itanu cyangwa irenga mu cyumweru. Niba utarakora imyitozo ngororamubiri myinshi mbere, nta kibazo. Tangira n'iminota itanu kugeza ku icumi ku munsi hanyuma wongere buhoro buhoro. Ariko menya neza ko waganiriye na muganga wawe mbere yo gutangira gahunda nshya y'imyitozo ngororamubiri.
• Komeza kugira ibiro byiza bikubereye: Kugabanya ibiro, cyane cyane ibinure byo mu nda, bifasha kongera urugero rwa HDL.
• Irinde kunywa itabi ryose: Kunywa itabi, kunywa itabi rya vape, no gukoresha ibindi bicuruzwa by'itabi bigabanya HDL. Rero, niba utarikoresha itabi ubu, ntugatangire. Niba uryikoresha, ni ngombwa kugerageza kurireka. Vugana na muganga wawe uburyo bwo kugufasha kurireka. Itabi ritakoreshejwe naryo naryo ni ribi. Niba ubana n'umuntu unywa itabi, mufashe kurireka - ni byiza kuri we kandi ni byiza kuri wewe.
• Gufata imiti: Hari igihe muganga wawe ashobora kukwandikira imiti nka 'PCSK9 inhibitors' cyangwa 'ezetimibe' kugira ngo yongere urugero rwa HDL.

Icyo dushaka kujyana muri iyi nkuru

Gusobanukirwa raporo y'ikizamini cya cholesterol yawe rimwe na rimwe bishobora kugorana, sibyo? Hari amagambo menshi yo kwiga, kandi bishobora kugorana kwibuka cholesterol 'nziza' n'cholesterol 'mbi'.

Mu gihe uvuga kuri HDL, ibuka ko 'H' isobanura 'Ifasha'. Cholesterol ya HDL ni nziza kuko ifasha gukura cholesterol irenze mu maraso yawe.

Niyo mpamvu kugira urugero rwiza rwa HDL bishobora kugufasha kugabanya ibyago byo kurwara indwara z'umutima. Niba urugero rwawe rwa HDL rutari ku rugero rukwiye, menya neza ko uganira na muganga wawe ku buryo bwo kurunoza. Ntugahangayike, akenshi, ushobora kurwanya iki kibazo ukoresheje uburyo buke bwo guhindura imibereho yawe, kandi nibiba ngombwa, ugafata imiti wahawe na muganga wawe. Amahirwe masa!

"Kolesteroli, HDL, kolesteroli nziza, indwara z'umutima, gupima amaraso, imibereho myiza, indyo