Ese ufite urugero rwa cholesterol ruri hejuru? Reka tuvuge kuri hypercholesterolemia!

Ese wigeze ubona urugero rwa cholesterol ruri hejuru mu isuzuma ry'amaraso? Cyangwa, hari umuganga wagutangarije ko "cholesterol mbi yawe iri hejuru gato kandi igomba kugenzurwa"? Ibi bishobora kuba ari ibintu bisanzwe ku bantu benshi. Rero, uyu munsi tugiye kuvuga kuri iyi ndwara yitwa hypercholesterolemia. Muri make, ibi bivuze ko urugero rwa cholesterol "mbi" mu mubiri wawe, ni ukuvuga lipoprotein ifite ubucucike buke (LDL - Low-Density Lipoprotein), ruri hejuru kuruta uko bikenewe.

Hypercholesterolemia ni iki? Reka dusobanukirwe neza!

Reka dusobanure byinshi. Hypercholesterolemia ni igihe cholesterol mbi, cyangwa cholesterol "LDL", mu maraso yawe iba iri hejuru cyane. Iyi ni indwara y'ibinure. Iyo "LDL" yiyongera gutya, ibinure byinshi bitangira kwiyongera buhoro buhoro mu miyoboro y'amaraso yawe, cyane cyane inkuta z'imitsi yawe. Ni nk'ingese ziyongera mu muyoboro w'amazi ushaje. Ibi tubyita atherosclerosis.

Tekereza, ibi bimeze nk'umuyoboro w'amazi mu busitani bwawe upfukiranwa n'umwanda n'amazi. Iyo ibinure byirundanyije mu miyoboro y'amaraso , bibuza amaraso gutembera.

Iyi ndwara, yitwa "Atherosclerosis," yongera ibyago byo kurwara indwara zikomeye nk'indwara z'umutima n'imitsi yo mu bwonko. Mu by'ukuri, indwara z'umutima n'imitsi ni zo zihitana abantu benshi ku isi, kandi impamvu nyamukuru ni iyi ndwara yitwa "Atherosclerosis."

Ni uruhe rwego rufatwa nk'iry'ibinure bikabije bya cholesterol?

Ubu ushobora kuba wibaza uti "Ni gute urugero rwa cholesterol yanjye rugomba kuba ruri hejuru mbere yuko ngera kuri iyi mimerere ya hypercholesterolemia?" Muganga wawe azabigena atari ukureba urugero rwawe rwa `(LDL)` gusa, ahubwo no kugereranya n'ibindi bintu bishobora gutuma urwara indwara z'umutima n'imitsi. Muri rusange, ibi ni ibipimo bya cholesterol ya `(LDL)` iri hejuru:

• Iyo nta bindi bintu bishobora gutera ibyago , urugero rwa LDL ni 190 mg/dL cyangwa hejuru yayo.
• Ikindi kintu gikomeye gishobora gutera ibyago ni urugero ruri hejuru rwa LDL rurenga 160 mg/dL.
• Kubera ibintu bibiri bishobora gutera ibyago, urugero rwa LDL rurenze 130 mg/dL.

Bitewe n'ibyago byo kurwara umutima, abaganga bashobora kukugira inama yo kugumana urugero rwa cholesterol "mbi" (LDL) hagati ya 116 mg/dL na munsi ya 70 mg/dL.

None se, ni ibihe bintu bishobora gutera ibyago?

Niba ufite ibi bintu, uba uri mu kaga ko kurwara indwara z'umutima:

• Imyaka: Ingaruka ziyongera uko imyaka igenda ishira.
• Umuvuduko w'amaraso ukabije :Niba hari umuvuduko w'amaraso .
• Amateka y'umuryango : Niba hari umuntu wo mu muryango warwaye indwara y'umutima akiri muto bitewe n'indwara ya atherosclerosis.
• Diyabete : Niba urwaye Diyabete Mellitus.
• Kolesteroli nziza nke: Niba urugero rwa ``HDL - High-Density Lipoprotein`` cyangwa "cholesterol nziza" ruri hasi.

Ese hypercholesterolemia na hyperlipidemia ni kimwe?

Oya. Ibi byombi bitandukanye gato. Hypercholesterolemia ni ubwoko bumwe bw'itsinda rinini ryitwa hyperlipidemie. Muri hypercholesterolemia, twibanda cyane cyane ku kwiyongera kwa cholesterol "(LDL)``, ni ukuvuga cholesterol mbi. Ariko, iyo tuvuze "(Hyperlipidemie)``, bishobora kuba birimo kwiyongera k'ubwoko ubwo aribwo bwose bw'ibinure (lipidemie) mu maraso, atari "(LDL)`` gusa.

Ni nde ugerwaho n'iki kibazo cyane?

Ufite amahirwe menshi yo kugira urugero rwa cholesterol ""(LDL)"" ruri hejuru niba:

• Niba ufite imyaka irenga 40.
• Niba ufite inkomoko muri Aziya, Ubuhinde, Filipine, cyangwa Vietnam.
• Niba uri umugore umaze gucura.
• Niba ari umugore (hari ubwo).

Hypercholesterolemia ikunze kugaragara gute?

Iyi ni indwara ikunze kugaragara cyane. Ugereranyije, umuntu umwe muri makumyabiri ashobora kuba afite hypercholesterolemia. Hafi kimwe cya gatatu cy'abantu bakuru muri Leta Zunze Ubumwe za Amerika bivugwa ko bafite urugero rwa cholesterol "mbi" (LDL). Iyi ndwara ikunze kugaragara no muri Sri Lanka.

Ibi bigira ingaruka zite ku mubiri wawe?

Nkuko twabivuze mbere, hypercholesterolemia ishobora gutera ibibazo mu mitsi n'imitsi. Iby'ingenzi ni ibi bikurikira:

• Igisebe cy'imitsi
• Indwara y'imitsi itera umutima (iyi ni yo itera indwara z'umutima)
• Indwara y'imitsi yo mu mpande (ibibazo by'imitsi itanga amaraso mu maboko no ku maguru)

Ibimenyetso ni ibihe?

Dore igice giteye ubwoba. Abantu benshi barwaye hypercholesterolemia nta bimenyetso bafite. Ibyo bivuze ko ushobora kuba umeze neza, nta kubabara, ariko urugero rwa cholesterol yawe rushobora kuba ruri hejuru cyane. Ariko, hari abantu barwaye hypercholesterolemia ikomeye cyaneIyo cholesterol ishobora kugaragara ku ruhu hejuru y'amaso nk'udusimba tw'umuhondo (Xanthelasma). Cyangwa, mu ngingo zimwe na zimwe zihuza, urugero, hafi y'ingingo z'amaguru, cholesterol ishobora kugaragara nka Xanthoma. Ni gake cyane, cholesterol igaragara hafi y'umweru w'ijisho ishobora kugaragara nk'impeta y'umweru (Corneal arcus). Ariko ibi ni gake cyane.

Ni izihe mpamvu zitera hypercholesterolemia?

Hashobora kuba hari impamvu nyinshi zibitera.

• Utunyangingo twawe: Hari abantu bashobora kugira iyi ndwara igaragara mu miryango yabo. Ibi byitwa hypercholesterolemia yo mu muryango.
• Indyo: Kurya ibiryo byinshi birimo ibinure byinshi n'ibinure bya trans (urugero: ibiryo birimo ibinure, ibiryo byihuse, inyama zimwe na zimwe, ibikomoka ku migati).
• Kudakora imyitozo ngororamubiri: Kubaho ubuzima butagira imyitozo ngororamubiri myinshi.
• Ibikomoka ku itabi: Kunywa itabi n'ikoreshwa ry'ibindi bikomoka ku itabi.
• Izindi ndwara:
• Indwara y'umwijima idakora neza
• Diyabete `(Diabete Mellitus)`
• Hypothyroidism (tiyode idakora neza)
• Anorexia nervosa ni indwara yo kurya.
• Kunanirwa kw'impyiko mu buryo buhoraho
• Indwara ya Nephrotic
• Imiti imwe n'imwe: Urugero, imiti imwe n'imwe nka `(Amiodarone)`, `(Rosiglitazone)`, `(Cyclosporine)`, na `(Hydrochlorothiazide)` ishobora kongera urugero rwa cholesterol.

Ni gute wabimenya?

Ubusanzwe, iyo ugiye kwisuzumisha umubiri buri mwaka, muganga wawe azakora ibi bikurikira:

• Baza amateka y'ubuzima bwawe n'ibibazo by'umuryango wawe.
• Akora isuzuma ry'umubiri.
• Hasabwa gupima amaraso yitwa lipid panel. Ibi bikunze gukorwa nyuma yo kwiyiriza ubusa amasaha make.

Ni ubuhe bwoko bw'ibizamini bikorwa?

Iyo umuganga wawe amaze kwemeza ko nta zindi mpamvu zitera hypercholesterolemia yawe, ashobora kukugira inama yo gupima imiterere y’umubiri. Muganga wawe ashobora kandi gusaba abandi bagize umuryango wawe ko bakora iki kizamini, cyane cyane niba ufite hypercholesterolemia yo mu muryango wawe.

Ivurwa ite?

Intego nyamukuru yo kuvura hypercholesterolemia ni ukugabanya urugero rwa cholesterol "mbi" (LDL) yawe no kwirinda ibyago byo kurwara indwara z'umutima. Ibi bishobora gukorwa mu buryo butandukanye:

• Gukora imyitozo ngororamubiri myinshi: Urugero nko kugenda, kwiruka, cyangwa koga byibuze iminota 30 ku munsi.
• Kugumana ibiro byiza: Ni ingenzi cyane kugumana ibiro bikwiranye n'uburebure bwawe.
• Kurya indyo irimo ibinure byinshi: Kugabanya ibiryo birimo amavuta menshi n'ibinure byinshi.
• Kugabanya stress: Gushaka uburyo bwo kugabanya stress.
• Gufata imiti igabanya cholesterol: Fata umuti neza neza nk'uko muganga wawe yabigutegetse.
• Kwirinda ibikomoka ku itabi: Kureka burundu kunywa itabi.
• Kugenzura umuvuduko ukabije w'amaraso n'urugero rw'isukari mu maraso.
• Kubura kwa lipoprotein: Ibi bikorerwa gusa abantu bafite hypercholesterolemia ikomeye cyane. Ibi bikubiyemo gukoresha imashini kugira ngo ukure lipoprotein (utunyangingo tw'ibinure) mu maraso yawe hanyuma wongere utwongere mu mubiri wawe.

Ni iki gishobora kuribwa n'ikidashobora kuribwa?

Kugira ngo ugabanye ingano ya cholesterol "mbi" (LDL) mu maraso yawe, ushobora gukora ibi bikurikira:

• Gabanya inzoga: Ni byiza kwirinda inzoga uko bishoboka kose.
• Kurya imbuto nyinshi, imboga, ibinyamisogwe, n'ibinyampeke byuzuye.
• Kugabanya ibiryo birimo ibinure byinshi: Kugabanya ibiryo by'amata (nk'amaforomaje, amavuta), inyama zimwe na zimwe (cyane cyane inyama zitukura), n'ibiryo biryoshye (nk'amakeke, ibisuguti).

Tekereza kuzuza isahani yawe imboga n'imbuto zifite amabara menshi. Aho kurya ibiryo bikaranze, bivanze n'amavuta, hitamo ibiryo bitetse, bitekeshejwe mu mwuka cyangwa bikaranze. Ndetse no mu gihe ukoresha amavuta ya kokonati, uyakoreshe mu rugero.

Ni iyihe miti ikoreshwa?

Hari ubwoko bwinshi bw'imiti ikoreshwa mu kuvura hypercholesterolemia:

• Statines: Iyi ni yo ikoreshwa cyane.
• Ibikoresho bigabanya ubukana bwa PCSK9 (ibikoresho bigabanya ubukana bwa PCSK9)`
• Ezetimibe
• Ibikoresho bigabanya aside y'ibinure
• Niyasini
• aside Bempedoic `(aside Bempedoic)`

Abaganga banatanga indi miti yihariye ku bantu bafite ikibazo cy’amaraso mu muryango.

Ese hari ingaruka mbi zikomoka ku buvuzi?

Kimwe n'indi miti iyo ari yo yose, imiti igabanya cholesterol ishobora gutera ingaruka zimwe na zimwe. Ariko, iyo ugereranije n'inyungu z'iyi miti, izi ngaruka zishobora kwihanganirwa. Zimwe mu ngaruka zikunze kugaragara zirimo:

• Kurya impatwe cyangwa impiswi.
• Ububabare mu mitsi cyangwa ingingo.
• Kubabara mu nda.
• Umutwe .

Icy'ingenzi ni ukubibwira muganga wawe niba ugize ingaruka mbi. Ashobora guhindura ingano y'umuti cyangwa akaguha undi muti ukubereye.

Ni mu buhe buryo ibisubizo by’ubuvuzi bishobora kwitegwa vuba?

Nyuma y'ibyumweru 8 kugeza kuri 12 utangiye gufata imiti yawe, muganga wawe azakora ikindi gipimo cy'imiti ikoze mu maraso kugira ngo arebe niba urugero rwa cholesterol yawe rwagabanutse. Ashingiye ku bisubizo, muganga wawe azafata icyemezo niba ari ngombwa kongera ingano y'imiti yawe, guhindura undi muti, cyangwa kongeramo undi muti.

Ni gute wagabanya ibyago?

Ushobora kugabanya ibyago byo kurwara hypercholesterolemia ukurikije imibereho myiza:

• Gukora imyitozo ngororamubiri buri gihe.
• Kugumana ibiro byiza.
• Kurya indyo irimo ibinure bike.
• Kwirinda ikoreshwa ry'ibikomoka ku itabi.

Ukoze ibi bintu, ushobora kwirinda cholesterol gusa, ahubwo no kwirinda izindi ndwara nyinshi.

Bigenda bite iyo ufite hypercholesterolemia?

Niba usanzwe ufite cholesterol nyinshi ya LDL, ni ikintu ugomba kugenderaho ubuzima bwawe bwose. Ariko ntugahangayike. Iyo umaze kugira ingeso nziza mu buzima bwawe bwa buri munsi, ntuzagomba kubitekerezaho cyane. Ushobora gutangirira ku tuntu duto. Urugero, kurya ifunguro ridafite inyama rimwe mu cyumweru, cyangwa gutembera gato nyuma yo kurya buri munsi. Iyo ugiye mu iduka, hitamo ibiryo birimo ibinure bike byuzuye n'ibinure bya trans. Muri ubwo buryo, uzahora ufite ibiryo byiza mu rugo. Nanone, gerageza kongeramo imboga n'ibimera bishya mu ndyo yawe utigeze urya mbere.

Uko icyerekezo kimeze ni ko kimeze?

Iyo utavuye hypercholesterolemia yawe, ushobora kurwara indwara yitwa `(Atherosclerosis)` (gukomera kw'imitsi). Ibi byongera ibyago byo kurwara indwara y'umutima cyangwa stroke. Ariko, niba uhisemo ubuzima bwiza, ufata imiti nibiba ngombwa, kandi ukagenzura urugero rwa cholesterol yawe ya `(LDL)`, ushobora kugabanya cyane ibyago byo kurwara indwara y'umutima na stroke. Ubushakashatsi bwinshi bw'abaganga bwagaragaje ko abantu bavura hypercholesterolemia yabo neza bagira ubuzima bwiza cyane.

Wiyitaho ute?

Kubera ko gucunga cholesterol ari igikorwa cy'ubuzima bwose, ugomba gukomeza guhindura imibereho yawe no gufata imiti yawe nk'uko muganga wawe yabigutegetse. Ibuka ibi bintu:

• Gukora imyitozo ngororamubiri iminsi myinshi mu cyumweru.
• Irinde burundu ibikomoka ku itabi.
• Irinde ibiryo birimo ibinure byinshi cyangwa ibinure bya trans.

Ni ryari ugomba kujya kwa muganga?

Ntucikwe no kwisuzumisha kwa muganga wawe buri gihe. Azakenera kumenya ibi bikurikira:

• Ese imiti yawe igabanya cholesterol ikora neza?
• Ese hari ingaruka mbi ufite zikomoka ku miti yawe?
• Ese ukurikiza neza inama ze?

Iyo ufite ingaruka mbi zikomeye, muganga wawe ashobora kuguhindurira undi muti. Ashobora kandi gushaka kugenzura urugero rwa cholesterol yawe buri gihe kugira ngo arebe neza ko ruri mu rugero rusanzwe.

Ni ibihe bibazo ugomba kubaza muganga?

Iyo ugiye kwa muganga, ntugatinye kubaza ibibazo nk'ibi:

• "Ni ubuhe bwoko bw'imyitozo ngororamubiri nkwiye gukora kugira ngo ngire cholesterol nyinshi?"
• "Ese ushobora kungira inama kuri gahunda ishobora kumfasha kureka kunywa itabi?"
• "Ese wampa ubutumwa bwo kubonana n'inzobere mu mirire kugira ngo amfashe mu mirire yanjye?"

Niba urugero rwa cholesterol ya LDL yawe ruri hejuru, ntabwo uri wenyine. Iki ni ikibazo gikunze kugaragara ku bantu benshi. Muganga wawe ni inshuti yawe magara mu kugufasha kugarura urugero rwa cholesterol ya LDL yawe ku buryo busanzwe. Ashobora kukugira inama y'uburyo bwo kugufasha kubikora. Niba guhindura imibereho yawe gusa bidahagije, ushobora kwifatanya n'abantu babarirwa muri za miriyoni bafata imiti igabanya cholesterol.

Ikintu cy'ingenzi tugomba kwibuka muri ibi (Ubutumwa bwo kujyana mu rugo)

Noneho rero, dukurikije ibyo twavuze, ibi ni byo by'ingenzi cyane ugomba kuzirikana:

• Hypercholesterolemia ni ukwiyongera kwa cholesterol mbi (LDL) mu maraso. Ibi byongera ibyago byo kurwara indwara z'umutima n'imitsi yo mu bwonko.
• Akenshi, nta bimenyetso bihari, bityo rero ni ngombwa kwipimisha amaraso buri gihe.
• Iyi ndwara ishobora kugenzurwa neza no guhindura imibereho (indyo nziza, imyitozo ngororamubiri, no kureka kunywa itabi) kandi, byaba ngombwa, imiti nk'uko muganga yabitegetse .
• Ntugahangayike. Iyo uganiriye na muganga wawe kandi ukabyitwaramo neza, ushobora kubaho ubuzima bwiza.

Rero, fata neza urugero rwa cholesterol yawe. Komeza ubuzima bwiza! Hypercholesterolemia, cholesterol, LDL, HDL, indwara z'umutima, indwara zo gucika imitsi, indyo, imibereho