Kuongororwa kweropa rako kwakaratidza here kuti cholesterol yako yakakwira zvishoma? Kana kuti uri kunetseka zvishoma nekuti mumwe munhu mumhuri mako ane cholesterol? Vazhinji vedu tinotya chaizvo patinonzwa izwi rekuti 'cholesterol'. Asi kana tikarinzwisisa zvakanaka uye tikaribata nemazvo, chinhu chinogona kudzorwa. Zvakakosha kuziva izvi nekuti zvinowedzera njodzi yezvirwere zvakakomba zvakaita sekurwadziwa kwemoyo nekurohwa nesitiroko. Nhasi, ngatitaurei nezvekuti tingadzora sei cholesterol iyi.
Unosarudza sei nzira yekurapa inokukodzera?
Cholesterol haina kufanana kune munhu wese, saka kurapwa hakuna kufanana kune munhu wese. Chiremba wako achagadzira hurongwa hwekurapa hwakanangana newe zvichienderana nezvinhu zvakawanda, zvinosanganisira:
- Mazinga echolesterol muropa rako anoshuma: Kuti cholesterol yako yakakwira zvakadii.
- Zera uye nhoroondo yemhuri: Zera rako, kungave paine munhu mumhuri yako ane cholesterol yakakwira kana chirwere chemwoyo.
- Zvimwe zvirwere zviripo pari zvino: Une zvirwere zvakaita seshuga, BP, kana kuti wakafuta here?
- Zvaunoda: Vamwe vanhu vanoda kudzora kudya kwavo, vamwe vachida kunwa mapiritsi zuva nezuva. Zvaunoda iwe pachako zvakakoshawo pano.
- Njodzi yezvirwere zvemwoyo: Njodzi yako yekubatwa nechirwere chemwoyo, kurwara nemoyo, kana sitiroko mumakore gumi anotevera.
- Chirwere chemwoyo chagara chiripo: Kana watova nechirwere chemwoyo kana kuti wakamborwara nemoyo kana sitiroko.
Zvichitaurwa zviri nyore, kurapa cholesterol kwakafanana nekusona sutu. Inofanira kugadzirwa kuti ienderane nechiyero chemunhu wese.
Tinofanira kudzidza nezvemhando idzi dzecholesterol uye mazinga ane hutano here?
Chiremba wako achakukumbira kuti uongororwe ropa rinonzi "lipid profile." Iyi iongororo inogona kuyera mhando dzecholesterol muropa rako nemazvo uye mazinga adzo. Iyi bvunzo inoshandiswawo kuona kuti kurapwa kwako kunoshanda sei.
Hezvino zvinofanirwa kutaridzika semazinga echolesterol emunhu ane hutano:
| Rudzi rweCholesterol | Hutano hwakanaka (mu mg/dL) |
|---|---|
| Cholesterol Yese | Kana uri pasi pemakore gumi nemapfumbamwe, unofanira kunge uri pasi pemakore gumi nemanomwe. Kumunhu mukuru, inofanira kuva pakati pe125-200. |
| Cholesterol yakaipa (LDL) | Kana uri pasi pemakore gumi nemapfumbamwe, inofanira kunge iri pasi pe110. Kune munhu mukuru, inofanira kunge iri pasi pe100. |
| Cholesterol yakanaka (HDL) | Varume vanofanira kunge vaine makore anopfuura makumi mana. Vakadzi vanofanira kunge vaine makore anopfuura makumi mashanu. |
| Triglycerides | Vakuru vese vanofanira kunge vari pasi pe150. |
Asi yeuka, kana uine zvimwe zvirwere, chiremba wako anogona kukupa chinangwa chisina kunaka. Semuenzaniso:
- Kana usina chirwere chemwoyo uye uri panjodzi shoma, chinangwa chako cheLDL chingave chiri pasi pe100 mg/dL .
- Kana uine chirwere chemwoyo kana chirwere cheshuga, ungaudzwa kuti chinangwa chako cheLDL chinofanira kunge chiri pasi pe70 mg/dL .
Danho rekutanga: Chinja mararamiro ako
Kazhinji, chiremba wako haangokupi mishonga chete. Chinhu chekutanga chavachakuudza ndechekuchinja mararamiro ane hutano hwemoyo. Kana huwandu hwecholesterol yako hwakaderera, unofanira kuchinja izvi. Kana zvinhu izvi zvichibatsira kudzora cholesterol yako, ungasafanira kutora mishonga zvachose.
Kunyangwe ukatora mushonga, zvakakosha kuti urambe uchiita izvi. Ipapo uchakwanisa kuderedza huwandu hwemushonga.
Ndezvipi izvi zvinochinja mararamiro?
- Kudya kwakanaka pamoyo: Deredza chikafu chine mafuta akawandisa . Izvi zvinoreva kuderedza nyama tsvuku (nyama yemombe, nyama yenguruve), zvigadzirwa zvemukaka zvine mafuta akazara, uye chikafu chine mafuta akawanda. Pane kudaro, idya chikafu chine mafuta akawanda eomega-3 uye fiber inonyungudika. Isa hove, oats, michero, miriwo, uye nzungu mukudya kwako. Rega kudya chikafu chakaputirwa uye zvinhu zvakabikwa zvine shuga yakawanda uye mafuta etrans .
- Kurovedza muviri: Mazuva mashanu pasvondo, kamwe chete pazuvaIta maekisesaizi akadai sekufamba nekukurumidza, kumhanya, kana kushambira kwemaminitsi makumi matatu.
- Dzivisa kusvuta: Rega kusvuta uye kuputa fodya zvachose. Hazvina kunakawo kuva pedyo nemumwe munhu ari kusvuta fodya (utsi hwemumwe munhu).
- Deredza doro: Deredza kunwa doro rimwe chete pazuva kuvakadzi uye kunwa kaviri pazuva kuvarume.
- Deredza huremu: Kana wakafuta zvakanyanya, edza kudzikisa huremu hwako. Kunyangwe kudzikisa huremu hwako ne10% chete kunogona kukanganisa huwandu hwecholesterol mumuviri wako.
Mumamiriro ezvinhu api panodiwa mushonga?
Kana wakachinja mararamiro ako asi huwandu hwecholesterol yako husiri pasi pekutarisirwa, chiremba wako anogona kukupa mushonga. Mishonga inowanzo tanga kana:
- Kana huwandu hwecholesterol yeLDL yako huri 190 mg/dL kana kupfuura.
- Kana uri pakati pemakore 45-70 ekuberekwa, une chirwere cheshuga, uye une LDL level ye70 mg/dL kana kupfuura.
- Kana uri panjodzi huru yekubatwa nechirwere chemwoyo uye uine LDL level ye70 mg/dL kana kupfuura.
- Kana wakamborwara nechirwere chemwoyo, sitiroko, kana chirwere chetsinga dzeropa.
Kune mhando dzakasiyana dzemishonga dzinogona kushandiswa kuderedza cholesterol.
| Rudzi rwemushonga | Mashandiro ayo uye mienzaniso |
|---|---|
| Mishonga yeStatin | Iyi ndiyo mishonga inonyanya kushandiswa. Inoderedza kugadzirwa kwecholesterol nechiropa. Semuenzaniso: Atorvastatin, Rosuvastatin, Simvastatin. |
| Ezetimibe | Zvinoderedza kunyudzwa kwecholesterol kubva muzvikafu zvatinodya. Zvinowanzopihwa pamwe chete ne statins. |
| Mishonga Inosunga Bile Acid | Inosungana ne bile acids mudumbu uye inobvumira chiropa kushandisa cholesterol yakawandisa. |
| Fibrates | Inobatsira zvikuru kuderedza triglycerides uye kuwedzera cholesterol yakanaka (HDL). |
| Niacin | Iyi ivhitamini. Asi usamboitora usina kurairwa nachiremba wako. |
| Mishonga yemazuva ano | Kunewo mishonga mitsva yakaita sePSCK9 inhibitors, ACL inhibitors, uye siRNA therapy (semuenzaniso Inclisiran). Iyi inowanzopihwa kuvanhu vane zvirwere zvecholesterol zvakagarwa nhaka (semuenzaniso HeFH) kana avo vanoomerwa nekudzora nemimwe mishonga. |
Zvinotora nguva yakareba sei kuti zvionekwe?
Kana wangotanga kuchinja mararamiro ako, chiremba wako achakutarisa nguva nenguva. Mushure memavhiki angangoita gumi nemaviri , vachaongorora cholesterol yako zvakare vosarudza kana uchida kuchinja zvimwe zvekudya zvako kana chirongwa chako chekurovedza muviri.
Kana huwandu hwecholesterol yako hukasadzikira mushure meizvozvo, unogona kukurudzirwa kuti utange mushonga. Mushure mekutanga mushonga, ropa rako richaongororwazve mumavhiki mana kusvika masere kuti uone kana mushonga wacho uchishanda. Mushure meizvozvo, kazhinji pfungwa yakanaka kuti huwandu hwecholesterol yako huongororwe kanenge kamwe chete pagore.
Chinhu chinonyanya kukosha ndechekugara uchitaurirana nachiremba wako. Bvunza mibvunzo kana uine mibvunzo, uye taura nezvezvinokunetsa nezvekurapa kwako.
Mharidzo Yekuenda Nayo Kumba
- Cholesterol yakakwira haisi chinhu chekutya, chinhu chinogona kudzorwa nemazvo.
- Danho rekutanga uye rinokosha nderekurarama hupenyu hune hutano hwemwoyo. Izvi zvinoreva kudya zvakanaka, kurovedza muviri, uye kudzivisa tsika dzakaipa.
- Mishonga inonyorerwa kwete chete zvichienderana nehuwandu hwecholesterol yako, asiwo hutano hwako hwese uye njodzi yekubatwa nechirwere chemwoyo.
- Usambofa watanga kana kurega kutora mishonga yecholesterol usina kubvunza chiremba kana kungoti mumwe munhu akuudza kuti udaro.
- Unogona kuramba uine hutano hwakanaka nekugara uchisangana nachiremba wako nguva dzose uye kuongororwa nguva nenguva.
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