Wakamboona huwandu hwecholesterol yakakwira here pakuongororwa ropa? Kana kuti, chiremba akakuudza here kuti "cholesterol yako yakaipa yakakwira zvishoma uye inofanira kudzorwa"? Izvi zvinogona kunge zviri chiitiko chinowanzoitika kuvanhu vazhinji. Saka, nhasi tichataura nezvechirwere ichi chinonzi hypercholesterolemia. Zvichitaurwa zviri nyore, izvi zvinoreva kuti huwandu hwe "cholesterol" yakaipa mumuviri wako, kureva low-density lipoprotein (LDL - Low-Density Lipoprotein), hwakakwira kupfuura zvinodiwa.
Chii chinonzi hypercholesterolemia? Ngatinzwisisei chaizvo!
Zvakanaka, ngatitsanangurei zvishoma. Hypercholesterolemia inguva
iyo cholesterol yakaipa, kana kuti "LDL" cholesterol, muropa rako yakakwira zvakanyanya. Uku kurwara kwemafuta. Kana "LDL" ikawedzera seizvi, mafuta iwayo anowedzera anotanga kuungana mutsinga dzeropa rako, kunyanya madziro etsinga dzako. Zvakafanana nengura iri kuungana mukati mepombi yekare yemvura. Tinoidaidza kuti atherosclerosis.
Fungidzira, izvi zvakafanana nepombi yemvura mubindu rako yakavharwa nevhu nemvura. Kana mafuta akaungana mukati metsinga dzeropa , zvinotadzisa kufamba kweropa.
Chirwere ichi, chinonzi "Atherosclerosis,"
chinowedzera njodzi yezvirwere zvakakomba zvakaita sechirwere chemwoyo uye sitiroko. Kutaura zvazviri, chirwere chemwoyo ndicho chinokonzera rufu pasi rose, uye chikonzero chikuru chirwere ichi, chinonzi "Atherosclerosis."
Ndeipi nhanho inonzi hypercholesterolemia?
Zvino ungave uchishamisika kuti, "Kodzero yangu yecholesterol inofanira kunge yakakwira zvakadii ndisati ndasvika padanho iri re hypercholesterolemia?" Chiremba wako achaona izvi kwete chete nekutarisa nhanho yako ye '(LDL)`, asiwo nekuenzanisa nezvimwe zvinhu zvine njodzi yekurwara nemwoyo. Kazhinji, aya ndiwo mazinga e cholesterol anoonekwa seakakwira e '(LDL)`:
- Kana pasina zvimwe zvinhu zvinokonzera njodzi , huwandu hweLDL hunosvika 190 mg/dL kana kupfuura.
- Chimwe chinhu chikuru chinokonzera njodzi ihuwandu hweLDL hwakakwira hunopfuura 160 mg/dL.
- Nezvikonzero zviviri zvine njodzi, huwandu hweLDL hwakakura kupfuura 130 mg/dL.
Zvichienderana nenjodzi yechirwere chemwoyo chako, vanachiremba vanogona kukurudzira kuti cholesterol yako "yakaipa" (LDL) irambe iri pakati pe116 mg/dL uye iri pasi pe70 mg/dL.
Saka, zvinhu izvi zvine njodzi ndezvipi?
Kana uine zvinhu izvi, uri panjodzi huru yekubatwa nechirwere chemwoyo:
Ko hypercholesterolemia ne hyperlipidemia zvakafanana here?
Kwete. Izvi zviviri zvakasiyana zvishoma. Hypercholesterolemia ingori imwe yemhando huru inonzi hyperlipidemia. Mu hypercholesterolemia, tinonyanya
kutarisa pakuwedzera kwe ``(LDL)`` cholesterol, kureva, cholesterol yakaipa. Zvisinei, patinoti ``(Hyperlipidemia)``, zvinogona kusanganisira kuwedzera kwemhando ipi zvayo yemafuta (lipid) muropa, kwete ``(LDL)`` chete.
Ndiani anonyanya kukanganiswa nemamiriro ezvinhu aya?
Une mukana wekuva ne "cholesterol" yakakwira (LDL)`` kana:
- Kana une makore anopfuura makumi mana.
- Kana uri werudzi rweAsia, Indian, Filipino, kana Vietnam.
- Kana uri mukadzi apedza kuenda kumwedzi.
- Kana ari mukadzi (mune dzimwe nguva).
Hypercholesterolemia yakajairika zvakadii?
Ichi
chirwere chinowanzoitika. Paavhareji, munhu mumwe chete pavanhu makumi maviri ega ega anogona kunge aine hypercholesterolemia. Vanhu vakuru vanosvika chikamu chimwe muzvitatu muUnited States vanonzi vane mazinga e "cholesterol yakaipa" (LDL) akakwira. Chirwere ichi chinowanzoitikawo muSri Lanka.
Izvi zvinokanganisa sei muviri wako?
Sezvatakambotaura, hypercholesterolemia inogona kukonzera matambudziko muhurongwa hwemwoyo. Matambudziko makuru ndeaya:
- Kurohwa
- Chirwere chetsinga dzeropa (izvi ndizvo zvinokonzeresa kurwiswa kwemoyo)
- Chirwere chetsinga dzemuropa (matambudziko ane chekuita netsinga dzinopa ropa mumaoko nemakumbo)
Zviratidzo zvacho ndezvipi?
Heino chikamu chinotyisa.
Vanhu vazhinji vane hypercholesterolemia havana zviratidzo. Izvi zvinoreva kuti unogona kuva mushe, pasina kusagadzikana, asi huwandu hwe cholesterol yako hunogona kunge hwakakwira zvine njodzi. Zvisinei,
vamwe vanhu vane hypercholesterolemia yakanyanya.Kana cholesterol yakachengetwa ichionekwa pamusoro pemaziso semapundu eyero (Xanthelasma). Kana, mune mamwe matishu akabatana, semuenzaniso, akakomberedza majoini emakumbo, cholesterol yakachengetwa inogona kuonekwa seXanthoma. Kashoma, cholesterol yakachengetwa yakakomberedza chena yeziso inogona kuonekwa serin'i chena (Corneal arcus). Asi izvi hazviwanzoitiki.
Ndezvipi zvikonzero zve hypercholesterolemia?
Panogona kunge paine zvikonzero zvakati wandei zveizvi.
- Majini ako: Vamwe vanhu vanogona kunge vaine chirwere ichi chinoitika mumhuri dzavo. Izvi zvinonzi familial hypercholesterolemia.
- Kudya: Kudya zvekudya zvakawandisa zvine mafuta akawandisa uye mafuta etrans (semuenzaniso, chikafu chine mafuta akawanda, chikafu chinokurumidza, dzimwe nyama, zvigadzirwa zvebhekari).
- Kusaita maekisesaizi: Kurarama hupenyu husina maekisesaizi akawanda.
- Zvigadzirwa zvefodya: Kusvuta uye kushandiswa kwezvimwe zvigadzirwa zvefodya.
- Zvimwe zvirwere:
- Chirwere chechiropa chinodzivisa
- Chirwere cheshuga (Diabetes Mellitus)`
- Hypothyroidism (thyroid isingashande zvakanaka)
- Anorexia nervosa chirwere chekudya.
- Kukundikana kweitsvo kwenguva refu
- Chirwere cheNephrotic
- Mimwe mishonga: Semuenzaniso, mimwe mishonga yakaita se `(Amiodarone)`, `(Rosiglitazone)`, `(Cyclosporine)`, uye `(Hydrochlorothiazide)` inogonawo kuwedzera huwandu hwecholesterol.
Ungaziva sei izvi?
Kazhinji, kana uchienda kunoongororwa muviri gore rega rega, chiremba wako achaita zvinotevera:
- Bvunza nezvenhoroondo yako yehutano uye mamiriro ehutano hwemhuri.
- Anoongorora muviri.
- Kuongororwa ropa kunonzi lipid panel kunorayirwa. Izvi zvinowanzoitwa mushure mekutsanya kwemaawa mashoma.
Ndedzipi mhando dzebvunzo dzinoitwa?
Kana chiremba wako aramba zvimwe zvinokonzera hypercholesterolemia yako, anogona kukurudzira kuongororwa kwemajini. Chiremba wako anogonawo kukurudzira kuti vamwe vemhuri yako vaite bvunzo iyi, kunyanya kana iwe uine hypercholesterolemia yemhuri.
Inorapwa sei?
Chinangwa chikuru chekurapa hypercholesterolemia ndechekuderedza huwandu hwe "cholesterol yakaipa" (LDL) uye kudzivirira njodzi yechirwere chemwoyo. Izvi zvinogona kuitwa nenzira dzakasiyana-siyana:
- Kuwedzera maekisesaizi: Kufamba, kumhanya, kana kushambira kwemaminitsi makumi matatu pazuva.
- Kuchengetedza huremu hwakanaka: Zvakakosha kuchengetedza huremu hwakakodzera kureba kwako.
- Kudya chikafu chine mafuta mashoma: Kuderedza chikafu chine mafuta akawanda nemafuta akawanda.
- Kuderedza kushushikana: Kutsvaga nzira dzekuderedza kushushikana.
- Kutora mishonga inoderedza cholesterol: Tora mushonga sezvawakarairwa nachiremba wako.
- Kudzivisa fodya: Kurega zvachose kusvuta.
- Kudzora BP yakakwira uye huwandu hweshuga muropa.
- Lipoprotein apheresis: Izvi zvinongoitirwa vanhu vane hypercholesterolemia yakanyanya. Izvi zvinosanganisira kushandisa muchina kubvisa lipoproteins (mafuta) kubva muropa rako wozozvidzorera mumuviri wako zvakare.
Chii chinogona kudyiwa uye chisingadyiwi?
Kuti uderedze huwandu hwe "cholesterol yakaipa" (LDL) muropa rako, unogona kuita zvinhu zvinotevera:
- Deredza kunwa doro: Zvakanaka kusanwa doro zvakanyanya sezvinobvira.
- Idya michero yakawanda, miriwo, nyemba, uye zviyo zvakakwana.
- Kuderedza zvekudya zvine mafuta akawandisa: Kuderedza zvekudya zvine mukaka (senge chizi, bota), dzimwe nyama (kunyanya nyama tsvuku), uye zvekudya zvinotapira (senge makeke, mabhisikiti).
Funga nezvekuzadza ndiro yako nemiriwo nemichero ine mavara. Pane zvekudya zvakakangwa zvine mafuta, sarudza zvekudya zvakabikwa, zvakabikwa nemhepo, uye zvakakangwa. Kunyangwe kana uchishandisa mafuta ekokonati, ishandise zvine mwero.
Mishonga ipi inoshandiswa?
Kune mhando dzakasiyana dzemishonga dzinoshandiswa kurapa hypercholesterolemia:
- MaStatin: Aya ndiwo anonyanya kushandiswa.
- Zvinodzivisa PCSK9 `(zvinodzivisa PCSK9)`
- Ezetimibe
- Zvinosanganisa bile acid
- Niacin
- Bempedoic acid `(Bempedoic acid)`
Vanachiremba vanonyorawo mimwe mishonga chaiyo kune vanhu vane hypercholesterolemia yemhuri.
Pane migumisiro yakaipa here yekurapwa kwacho?
Kufanana nemishonga yese, mishonga inoderedza cholesterol inogona kukonzera mimwe migumisiro yakaipa. Zvisinei, kana ichienzaniswa nemabhenefiti emishonga iyi, migumisiro iyi inowanzo bvumidzwa. Mimwe yemigumisiro inowanzo sanganisira:
- Kuzvimba kana manyoka.
- Kurwadziwa kwetsandanyama kana majoini.
- Kusagadzikana kwedumbu.
- Musoro .
Chinhu chinonyanya kukosha ndechekuudza chiremba wako kana ukasangana nematambudziko. Iye anogona kugadzirisa mwero wemushonga kana kunyora mumwe mushonga unoenderana newe.
Mhedzisiro yekurapwa inogona kutarisirwa nekukurumidza zvakadii?
Mavhiki masere kusvika gumi nemaviri mushure mekunge matanga kutora mushonga wenyu, chiremba wenyu achaita imwe ongororo yemafuta kuti aone kana huwandu hwecholesterol yenyu hwadzikira. Zvichienderana nemhedzisiro, chiremba wenyu achasarudza kana zvichidikanwa kuwedzera mushonga wenyu, kuchinja kune mumwe mushonga, kana kuwedzera mumwe mushonga.
Nzira yekuderedza njodzi yacho?
Unogona kuderedza njodzi yako yekuwedzera cholesterol nekugara uine hutano hwakanaka:
- Kurovedza muviri nguva dzose.
- Kuramba uine huremu hwakanaka.
- Kudya chikafu chisina mafuta akawanda.
- Kudzivisa kushandiswa kwefodya.
Nekuita zvinhu izvi, unogona kuzvidzivirira kubva ku cholesterol chete, asiwo kubva kune zvimwe zvirwere zvakawanda.
Chii chinoitika kana uine hypercholesterolemia?
Kana ukaonekwa uine cholesterol yakakwira yeLDL,
chinhu chaunofanira kurarama nacho kweupenyu hwako hwese. Asi usazvidya moyo. Kana wangotanga tsika dzakanaka muhupenyu hwako hwezuva nezuva, haufanirwe kufunga nezvazvo zvakanyanya. Unogona kutanga nezvinhu zvidiki. Semuenzaniso, kudya chikafu chisina nyama zuva rimwe chete pasvondo, kana kufamba-famba mushure mekudya kwemanheru zuva rega rega. Paunoenda kuchitoro, sarudza chikafu chine mafuta akawandisa uye mafuta etrans. Nenzira iyoyo, uchagara uine chikafu chine hutano kumba. Zvakare, edza kuwedzera miriwo mitsva nemiriwo pakudya kwako kwausati wambodya.
Maonero acho akaita sei?
Kana usingarape hypercholesterolemia yako, unogona kuva nechirwere chinonzi `(Atherosclerosis)` (kuoma kwetsinga dzeropa). Izvi zvinowedzera njodzi yako yekubatwa nechirwere chemwoyo kana sitiroko.
Zvisinei, kana ukagara uchirarama hupenyu hune hutano, uchitora mishonga kana zvichidikanwa, uye uchidzora huwandu hwe cholesterol yako ye`(LDL)`, unogona kuderedza zvakanyanya njodzi yako yekubatwa nechirwere chemwoyo nesitiroko. Ongororo dzakawanda dzezvekurapa dzakawana kuti vanhu vanokwanisa kubata hypercholesterolemia yavo zvakanaka vane hutano huri nani.
Unozvitarisira sei?
Nekuti kudzora cholesterol
inzira yehupenyu hwese, unofanirwa kuramba uchichinja mararamiro ako uye kunwa mishonga yako sezvakarairwa nachiremba wako. Ramba uchifunga zvinhu izvi:
- Kurovedza muviri kwemazuva akawanda pasvondo.
- Dzivisa zvigadzirwa zvefodya zvachose.
- Dzivisa chikafu chine mafuta akawandisa kana mafuta e trans.
Unofanira kuona chiremba rini?
Usapotsa kuongororwa nachiremba wako nguva nenguva. Iye achada kuziva:
- Mushonga wako wekuderedza cholesterol unoshanda nemazvo here?
- Pane mimwe migumisiro yakaipa iri mumishonga yako here?
- Unonyatsotevedzera zvaanokurudzira here?
Kana uine migumisiro yakaipa, chiremba wako anogona kukuchinja kuti uwane imwe mishonga. Anogonawo kuda kutarisa huwandu hwecholesterol yako nguva nenguva kuti ave nechokwadi chekuti iri mukati memiganhu yakajairika.
Mibvunzo ipi yaunofanira kubvunza chiremba?
Paunoenda kunoona chiremba, usazeza kubvunza mibvunzo yakaita seiyi:
- "Ndeipi mhando yekurovedza muviri yandinofanira kuita kuti ndideredze cholesterol yangu?"
- "Mungandikurudzira here purogiramu inogona kundibatsira kurega kusvuta?"
- "Mungandipa tsamba yekuti ndione nyanzvi yezvekudya kuti andibatsire nekudya kwangu here?"
Kana huwandu hwecholesterol yeLDL yako hwakakwira, hausi wega. Iri idambudziko rinowanzoitika kune vanhu vazhinji. Chiremba wako ndiye shamwari yako yepamwoyo mukukubatsira kuti huwandu hwecholesterol yeLDL yako hudzokere pahwakajairika. Anogona kukukurudzira nzira dzekukubatsira kuita izvi. Kana shanduko dzemararamiro ako chete dzisina kukwana, unogona kubatana nemamiriyoni evanhu vanotora mishonga yekuderedza cholesterol.
Chinhu chakakosha chatinofanira kurangarira kubva pane izvi (Mharidzo Yekuenda Kumba)
Zvakanaka, kubva pane zvatataura nezvazvo, izvi ndizvo zvinhu zvakakosha kurangarira:
- Hypercholesterolemia kuwedzera kwecholesterol yakaipa (LDL) muropa. Izvi zvinowedzera njodzi yekurwara nemoyo uye sitiroko.
- Kazhinji, hapana zviratidzo, saka zvakakosha kuti ugare uchiongororwa ropa.
- Dambudziko iri rinogona kudzorwa zvakanaka nekuchinja mararamiro (kudya zvakanaka, kurovedza muviri, uye kurega kusvuta) uye, kana zvichidikanwa, mishonga sezvakarairwa nachiremba .
- Usazvidya moyo. Kana ukataura nachiremba wako uye ukazvibata zvakanaka, unogona kurarama hupenyu hwakanaka.
Saka, chengetedza huwandu hwecholesterol yako. Ramba uine hutano!
hypercholesterolemia, cholesterol, LDL, HDL, chirwere chemwoyo, sitiroko, kudya, mararamiro
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