Paunonzwa izwi rekuti "cholesterol," chii chinouya mupfungwa dzako? Kazhinji, chirwere chinobata vanhu vakuru nevaya vakafuta zvishoma, handiti? Asi ungashamisika kuziva kuti kunyange munhu wechidiki, ari mumakore avo ekuma20, anogona kuva nechirwere chemwoyo chakakomba. Kutaura zvazviri, huwandu hwecholesterol yakakwira pazera diki hwakanyanya kuipa kupfuura zvatinofunga, uye vanhu vazhinji havazvizivi. Nhasi, tichataura nezvenyaya iyi isingatarisirwi, asi yakakosha zvikuru.
Brandon Wilson akatanga kurwara nemoyo aine makore makumi maviri nemapfumbamwe ekuberekwa. Rimwe zuva, akanzwa kurwadziwa kwakanyanya pachipfuva. Amai vake neshamwari yake yepamwoyo vakamumhanyisa kuchipatara (ETU). Asi pakutanga, vanachiremba vaisagona kutenda kuti munhu mudiki kudaro anogona kuva nechirwere chemwoyo. Gare gare, bvunzo dzakaratidza kuti Brandon akanga avharika ne99% mune imwe yetsinga huru dzeropa dzaiendesa ropa kumoyo wake. Aiva nechirwere chekuzvarwa nacho chinonzi high cholesterol. Nyaya iyi inotiratidza kuti cholesterol haisi nyaya yezera chete.
Ko cholesterol chii? Nei ichikosha kune vechidiki?
Zvichitaurwa zviri nyore, cholesterol rudzi rwemafuta akakosha pakukura kwemasero mumuviri wedu uye kugadzirwa kwemahormone akati wandei. Asi matambudziko anomuka kana akawandisa.
Kana tichitaura nezve cholesterol, tiri kutaura nezvemhando mbiri huru, handiti?
- LDL (Low-Density Lipoprotein) Cholesterol: Iyi ndiyo yatinodaidza kuti "yakaipa" cholesterol. Kana ikawedzera, inogona kuungana pamadziro etsinga dzedu dzeropa, ichidziita diki uye ichidzivhara. Ichi ndicho chikonzero chikuru chezvirwere zvakaita sechirwere chemwoyo uye sitiroko.
- HDL (High-Density Lipoprotein) Cholesterol: Iyi ndiyo yatinoti cholesterol "yakanaka". Izvi zvinokonzerwa nekuti inotakura cholesterol yakaipa yakawandisa kubva mutsinga dzeropa kuenda kuchiropa yoibvisa mumuviri. Saka, kuva neHDL yakakwira kwakanakira mwoyo.
Vechidiki vazhinji vanofunga kuti vanofanira kunetseka nezve cholesterol pavanokura. Asi ichocho chikanganiso chikuru. Dambudziko guru nderekuti kunyangwe cholesterol yako yakakwira, inogona kusaratidza zviratidzo paunenge uchiri mudiki. Izvi zvinoreva kuti unogona kunge uchikuvadza zvakanyanya mukati pasina matambudziko.
Njodzi ye cholesterol inogarwa nhaka - Familyal Hypercholesterolemia (FH)
Kazhinji, cholesterol inowedzera nekuda kwezvikanganiso zvemararamiro akadai sekudya kwatinodya uye kusaita maekisesaizi. Zvisinei, Familyal Hypercholesterolemia, kana kuti FH muchidimbu, chirwere chakasiyana.
FH chirwere chinokonzerwa nekusakwana kwemajini. Izvi zvinoreva kuti chinopfuudzwa kubva kuchizvarwa kuenda kune chimwe, kubva kuvabereki kuenda kuvana. Vanhu vane chirwere ichi vane chirwere chekuti miviri yavo haikwanise kubvisa cholesterol yakaipa yeLDL kubva muropa ravo nemazvo. Nekuda kweizvozvo, mazinga avo eLDL akakwira zvikuru kubva pakuzvarwa.
Zvinofungidzirwa kuti munhu mumwe chete pavanhu 250 pasi rose ane chirwere cheFH. Asi chinosuwisa ndechekuti, ruzhinji rwevanhu ava havazivi kuti vane chirwere ichi.
| Chinhu | Nhamba yepamusoro yecholesterol | Kuwanda kweCholesterol muFamily (FH) |
|---|---|---|
| Chikonzero | Zvikurukuru mararamiro (kudya, kusaita maekisesaizi, kusvuta, kufuta) | Kusakwana kwemajini kunopfuudzwa nezvizvarwa. |
| mazinga eLDL ("akaipa") | Huwandu hweropa remunhu mukuru huri pasi pe190 mg/dL. | Yakakwira zvakanyanya kubva pakuzvarwa (kazhinji inodarika 190 mg/dL mumunhu mukuru). |
| Kurapa | Zvinogona kudzorwa nekuchinja mararamiro. Mishonga inopihwa kana zvichidikanwa. | Kuchinja mararamiro chete hakuna kukwana. Kutora mishonga (semuenzaniso statins) kunokosha zvechokwadi. |
| Simba remhuri | Nhengo dzemhuri dzingangovewo nenjodzi iyi, asi haina kugarwa nhaka zvakananga nemajini. | Nhengo dzemhuri dzepedyo (vabereki, vanun'una, vana) dzine njodzi ye50%. |
Unofanira kuongorora huwandu hwecholesterol yako riini?
Uyu mubvunzo unokosha zvikuru, nekuti hapana zviratidzo, uye izvi zvinongoonekwa chete nekuongororwa.
Vanachiremba vanowanzo kurudzira:
- Kuvana: Bvunzo yekutanga inokurudzirwa pakati pemakore mapfumbamwe negumi nerimwe. Mushure meizvozvo, kuongororwa kunoitwa makore mashanu ega ega. Zvisinei, kana mumwe munhu mumhuri akamborwara nemwoyo achiri mudiki kana kuti aine cholesterol yakakwira, chiremba anogona kukurudzira kuti mwana wako aongorore cholesterol yake achiri nemakore maviri .
- Kune vechidiki: Ipfungwa yakanaka kuongororwa cholesterol yako kanenge makore mashanu ega ega mushure memakore makumi maviri. Sezvaunokura (mushure memakore makumi mashanu nemashanu kuvakadzi, mushure memakore makumi mana nemashanu kuvarume), bvunzo idzi dzinofanira kuitwa kakawanda.
Chinhu chinonyanya kukosha kutaura nachiremba wako nezvenyaya iyi woongororwa sezvaanokukurudzira. Usangofungidzira kuti, "Pamwe handina cholesterol yakakwira."
Kana uine FH, kuchinja mararamiro ako chete hakuna kukwana here?
Uyu ndiwo musiyano mukuru pakati pehuwandu hweFH nehuwandu hwecholesterol hwakajairika. Unoyeuka here nyaya yaBrandon yatakakuudza nezvayo kare? Akaonekwa aine FH paaiva nemakore masere ekuberekwa. Kubva panguva iyoyo zvichienda mberi, amai vake vakamupa kudya kwakanaka, kusina cholesterol yakawanda. Aitamba mitambo, aishingaira. Aiita zvese "zvakanaka." Pazera rake remakore ekuma20, chiremba akamupa mushonga unoderedza cholesterol (statin).
Asi kunyangwe zvakadaro, akarwara nemoyo ava nemakore makumi maviri nemapfumbamwe.
Izvi zvinorevei?
Kudya kwakanaka uye kurovedza muviri zvakakosha zvikuru kune munhu ane FH. Asi zvinhu izvozvo chete hazvigone kudzora huwandu hwecholesterol. Nekuti dambudziko harisi mumararamiro, asi mumajini. Saka, munhu ane FH achafanira kutora mushonga mumwe chete kana kupfuura unoderedza cholesterol kweupenyu hwake hwese .
"Hatidi kurasikirwa nevanhu nekuda kweFH nekuti tine mishonga yese yatinoda nhasi. Chinongodiwa chete kuiona nekukurumidza, tichiri vadiki."
Ndingawanawo FH here? Ndingaziva sei?
Kana mumwe munhu mumhuri yako (vabereki, vanun'una, vanasekuru nasekuru) akamborwara nemoyo kana sitiroko achiri mudiki (varume vari pasi pemakore 55, vakadzi vari pasi pemakore 65) , ichocho chinhu chikuru chinokonzera njodzi.
Uyewo, kana ongororo yako yecholesterol ichiratidza huwandu hweLDL huri pamusoro pe190 mg/dL (kana kupfuura 160 mg/dL mumwana), izvi zvinogona kuva chiratidzo chakasimba cheFH.
Kana uchifunga kuti uri panjodzi, pane zvinhu zvishoma zvaunogona kuita:
1. Enda kuna chiremba nekukasika: Taura zvakajeka nezvenhoroondo yehutano hwemhuri yako nachiremba wako.
2. Bvunza mhuri yako: Bvunza hama dzako nezve cholesterol nechirwere chemwoyo.
3.Endai kuna chiremba wepfungwa: Kana zvichidikanwa, chiremba wenyu achakutumirai kuna chiremba wemwoyo.
4. Zivisa mhuri yako: Kana ukaonekwa uine FH, pane mukana we50% wekuti vabereki vako, vanun'una vako, nevana vako vachava nayowo. Saka, zvakakosha kuti munhu wese aongororwe .
Iye zvino Brandon anogara zvakanaka nevana vake vashanu. Mwanasikana wake akaonekwawo aine chirwere cheFH. Asi Brandon anoti, "Ndinoziva kuti mwanasikana wangu haazove nematambudziko." Nekuti ikozvino vava kuziva kuti chirwere ichi chii uye zvekuita nacho. Kuonekwa nekukurumidza uye kurapwa kwakakodzera kunogona kuponesa hupenyu.
Mharidzo Yekuenda Nayo Kumba
- Cholesterol haisi dambudziko revanhu vakuru chete. Vechidiki nevana vari panjodziwo.
- Tsvaga kana paine munhu mumhuri yako akamborwara nechirwere chemwoyo achiri mudiki. Iro iruzivo rwakakosha zvikuru.
- Kunyangwe kana usina zviratidzo, tarisa huwandu hwecholesterol hwenyu nehwevana venyu nguva nenguva sezvakarairwa nachiremba wako.
- Kana uine chirwere cheFH chenhaka, hazvina kukwana kungodya zvakanaka uye kurovedza muviri. Unofanirawo kunwa mishonga kweupenyu hwako hwese.
- Kana chirwere ichi chikaonekwa nekukurumidza uye chikarapwa nemazvo, unogona kudzivirira matambudziko akakomba anokonzerwa necholesterol uye kurarama hupenyu hune hutano. FH haisi gwaro rerufu.
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