Pawakaenda kukiriniki, chiremba akakuudza here kuti huwandu hwecholesterol yako hwakakwira zvishoma uye kuti unofanira kutanga kutora mishonga yekurapa? Kana kuti wakaona amai vako, baba vako, kana shamwari yako vachitora mishonga ye cholesterol? Paunonzwa izwi rekuti "mushonga we cholesterol," vamwe vanhu vanonzwa kutya uye kutya. "Ndinofanira kutora izvi kweupenyu hwangu hwese here?", "Izvi zvinokuvadza muviri wangu here?", "Chii chichaitika kana ndikarega kutora mushonga uyu?", nezvimwewo, zvinouya mupfungwa dzako. Saka nhasi, ngatitsanangure zvese izvi.
Kolesteroli chii chaizvo?
Zvichitaurwa zviri nyore, cholesterol rudzi rwemafuta anodiwa nemiviri yedu. Anokosha pazvinhu zvakawanda mumuviri wedu, kubva pakuvaka masero kusvika pakugadzira mahormone. Asi sezvimwe zvinhu, matambudziko anotanga kana akawandisa.
Patinotaura nezve cholesterol, tinowanzo kunzwa nezvemhando mbiri huru:
- Cholesterol yakaipa (LDL - Low-Density Lipoprotein): Iri ndiro dambudziko. Kana ikawedzera, inosara pamadziro etsinga dzedu dzeropa, zvichiita kuti dzitete zvishoma nezvishoma. Zvakafanana nengura iri kuungana mukati mepombi yemvura yekare. Tinodaidza chirwere ichi kuti `(Atherosclerosis)`.
- Cholesterol yakanaka (HDL - High-Density Lipoprotein): Iyi ishamwari yedu. Inobvisa cholesterol yakaipa yakaungana mutsinga dzeropa yoiendesa kuchiropa kuti iparadzwe. Yakafanana nemuchina wekuunganidza marara.
Kana cholesterol yakaipa (LDL) ikawedzera uye tsinga dzeropa dzikatetepa, zvinotadzisa kufamba kweropa kuenda kumwoyo neuropi. Izvi zvinowedzera zvikuru njodzi yekubatwa nezvirwere zvakakomba zvakaita sekurohwa nemwoyo uye sitiroko . Mishonga yecholesterol inopiwa kuderedza njodzi iyoyo.
Ndinofanira kutanga kutora mishonga here? Kana kuti ndinogona kungodzora kudya kwangu here?
Uyu mubvunzo unobvunzwa nevanhu vazhinji. Kana cholesterol yako yakakwira zvishoma, uye usina zvimwe zvinhu zvinokonzera njodzi (senge chirwere cheshuga kana BP), chiremba wako anotanga akurudzira shanduko dzemararamiro . Izvi zvinoreva kuti:
- Kuderedza kudya zvine mafuta akawanda, shuga, uye hupfu.
- Kudya michero yakawanda, miriwo, uye chikafu chine fibrous.
- Kurovedza muviri nguva dzose .
- Kana uchisvuta, rega zvachose.
Zvisinei, kune dzimwe nguva apo kuchinja mararamiro chete hakuna kukwana.
- Kana cholesterol yako yakakwira zvakanyanya.
- Kana uchitova nezvirwere zvakaita sechirwere cheshuga kana BP.
- Kana wakamborwara nechirwere chemwoyo kana sitiroko.
- Kana paine munhu mumhuri yako akamborwara nechirwere chemwoyo achiri mudiki.
Muzviitiko zvakaita seizvi, chiremba anosarudza kutanga kushandisa mishonga kuti akudzivirire kubva kuzvirwere zvine njodzi.
Ndeipi mishonga mikuru ye cholesterol?
Kune mhando dzakasiyana dzemishonga dzinoshandiswa kuderedza cholesterol. Chiremba wako achasarudza mushonga wakakodzera iwe zvichienderana nemamiriro ako ezvinhu, huwandu hwecholesterol, nezvimwe zvirwere. Ngatitarisei mhando huru.
| Rudzi rwemushonga | Mashandiro azvinoita | Mienzaniso (inowanikwa muSri Lanka) |
|---|---|---|
| Mishonga yeStatin | Iyi ndiyo mishonga inonyanya kushandiswa uye inoshanda zvakanyanya. Inoderedza kugadzirwa kwecholesterol nechiropa. | Atorvastatin (Lipitor), Rosuvastatin (Crestor), Simvastatin (Zocor) |
| Ezetimibe | Zvinoderedza kunyudzwa kwecholesterol kubva muzvikafu zvatinodya. Kazhinji zvinopihwa pamwe chete ne statins. | Ezetimibe (Zetia) |
| Fibrates | Izvi zvinonyanya kubatsira kuderedza rumwe rudzi rwemafuta anonzi triglycerides. | Fenofibrate, Gemfibrozil (Lopid) |
| Zvidziviriri zvePCSK9 | Iyi mishonga mitsva, ine simba guru, uye inobayiwa jekiseni. Inopiwa kuvanhu vari panjodzi huru uye vasingagoni kudzorwa ne statins. | Alirocumab (Praluent), Evolocumab (Repatha) |
Pane mimwe migumisiro yakaipa pamushonga uyu here?
Kufanana nemushonga upi zvawo, uyu unogona kukonzera migumisiro midiki. Asi musazvidya mwoyo, vanhu vazhinji havasangani nayo. Inonyanya kuzivikanwa ndeiyi:
- Kurwadziwa kwetsandanyama nemapfundo.
- Musoro.
- Kusagadzikana kwemudumbu (sekuzvimba, flatulence).
Izvi zvinowanzopera mumazuva mashoma.
Zvakakosha: Vamwe vanhu, kashoma, vanogona kukuvara tsandanyama zvakanyanya kunonzi ``Rhabdomyolysis''. Kana ukatanga kutora mushonga uyu wobva wanzwa kurwadziwa kwetsandanyama, kushaya simba, uye weti yakasviba (senge cola) mushure mekuutanga, rega kuutora nekukasika woona chiremba wako. Kana kuti enda kuchipatara che emergency (ETU) chechipatara chiri pedyo newe. Kunyangwe izvi zvisingawanzoitiki, zvakakosha kuti uzvizive.
Chiremba wako achave achitarisa ma enzymes echiropa chako uye kuongororwa kweropa usati watanga kutora mushonga uyu uye mushure mekunge watanga. Saka, chero bedzi uchitevera mirairo yachiremba wako, hapana chekunetseka nacho.
Mararamiro akakosha here paunenge uchitora mishonga?
Ehe zvechokwadi! Vanhu vazhinji vanofunga kuti kana vangonwa piritsi, dambudziko racho rinogadziriswa uye vanogona kudya nekunwa chero chavanoda. Chikanganiso chikuru ichocho. Mishonga yecholesterol ingori imwe yerutsigiro rwemararamiro ako ane hutano.
Yeuka kuti mushonga wecholesterol wakaita senhoo inodzivirira mwoyo wako nepfungwa dzako. Nhoo iyoyo inozosimba chete kana ukararama hupenyu hune hutano.
Paunenge uchitora mushonga uyu, unofanira kuramba uchidya zvakanaka uye uchirovedza muviri sezvatakambotaura. Izvi zvichabatsira kuti mushonga uyu ushande zviri nani. Nekufamba kwenguva, kana huwandu hwecholesterol mumuviri wako hwakadzorwa zvakanaka, chiremba wako anogona kuderedza huwandu hwemushonga.
Mharidzo Yekuenda Nayo Kumba
- Mishonga yecholesterol inonyorerwa kukudzivirira kubva kuzvirwere zvakakomba zvakaita sechirwere chemwoyo uye sitiroko, saka usafunge nezvayo semutoro.
- Nguva dzose tora mushonga wawakanyorerwa nachiremba wako, nechiyero chakakodzera, panguva yakakodzera. Usamborega kutora mushonga wako chero nguva.
- Kana ukanzwa kusagadzikana kusingawanzoitiki kubva pamushonga, kunyanya kurwadziwa kwakanyanya kwetsandanyama, taurira chiremba wako nekukasika.
- Hazvina kukwana kungotora mushonga chete. Kudya zvine hutano uye kurovedza muviri zvinhu zviviri zvaunofanira kuisa muhupenyu hwako.
- Sezvakataurwa nachiremba, zvakakosha zvikuru kuenda kumakiriniki nenguva uye kuongororwa ropa kunodiwa.
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