Une huwandu hwakawanda hwe triglycerides muropa rako here? Ngatikurukurei nezve hypertriglyceridemia!

Wakambonzwa nezvemafuta emuropa here? Pamwe chiremba akakuudza kuti "triglycerides inoita kunge yakakwira zvishoma." Nhasi tichataura nezve kuti triglycerides idzi chii chaizvo, zvinoitika kana dzakwira, uye zvatinofanira kuita nezvazvo. Usazvidya moyo, ndichatsanangura izvi zviri nyore, nenzira yaunogona kunzwisisa.

Chii chinonzi triglycerides? Sei zvichikosha kwatiri?

Zvichitaurwa zviri nyore, triglycerides rudzi rwemafuta ari muropa redu. Anopa miviri yedu simba. Tinowana triglycerides kubva muzvikafu zvatinodya, kunyanya kubva muzvinhu zvakaita sebhata nemafuta. Kwete izvozvo chete, asi patinodya macalorie akawanda kupfuura anodiwa nemiviri yedu, miviri yedu inoshandura macalorie iwayo ekuwedzera kuita triglycerides yoachengeta. Gare gare, kana simba redu risinganyanyi kuderera, miviri yedu inoshandisa matriglycerides aya akachengetwa.

Saka, triglycerides chinhu chakakosha chinotipa simba. Zvisinei, kana ikawedzera zvakanyanya muropa, inowedzera njodzi yekurwara nemwoyo. Ndosaka zvichikosha kuti tizive nezvechirwere ichi chinonzi hypertriglyceridemia uye kudzora huwandu hwe triglycerides dzedu.

Saka, triglycerides yakawanda sei yakanaka?

Avhareji yehuwandu hwe triglyceride muropa remunhu mukuru inofanira kunge iri pasi pe150 milligrams pa deciliter (150 mg/dL). Kutaura zvazviri, pasi pe100 mg/dL ndiyo yakakodzera. Chinhu chakakosha ndechekuyera huwandu hwe triglyceride yako paunenge uchitsanya. Izvi zvinoreva kuti unoongororwa ropa rako mushure mekunge usina kudya kana kunwa chero chinhu (kunze kwemvura) kwemaawa angangoita 10-12.

Hypertriglyceridemia inoitika kana huwandu hwe triglyceride yako huri 150 mg/dL kana kupfuura.

Heino pfupiso yehuwandu hwe triglycerides muvanhu vakuru:

• Hutano hwakanaka: pasi pe150 mg/dL
• Kukwira kwemuganhu: 150 - 199 mg/dL
• 4.8% Yakakwira: 200 - 499 mg/dL
• Yakakwira zvakanyanya: 500 mg/dL kana kupfuura

Huwandu hwakanaka hwe triglyceride muropa hwevana nevechidiki (vane makore 10-19) hunofanira kunge huri pasi pe90 mg/dL. Kana huwandu hwe triglyceride muropa remwana wako hwakakwira, zvakanaka kutaura nachiremba kuti ungahudzikisa sei.

Chii chinonzi Severe Hypertriglyceridemia? Zvine njodzi here?

Kuwanda kwetriglyceridemia kwakanyanya kunoitika kana huwandu hwetriglyceride mumuviri wako huri pa500 mg/dL kana kupfuura. Vanhu vane chirwere ichi vari panjodzi yakakura yekubatwa nechirwere chinonzi acute pancreatitis . Uku kuzvimba kwepancreas kunoda kurapwa.

Hypertriglyceridemia chirwere chinoda kutarisirwa uye kurapwa. Zvisinei, kazhinji, hachisi dambudziko rehutano.Chiremba wako anogona kukubatsira kuderedza huwandu uhwu. Kuita izvi kunogona kubatsira kudzivirira matambudziko anogona kukanganisa moyo wako kana pancreas.

Ko hypertriglyceridemia necholesterol zvakafanana here?

Ehe, izvi zviviri hazvina kufanana. Hypertriglyceridemia uye high cholesterol zvirwere zviviri zvakasiyana. Asi zvose zvine chekuita nezvinhu zvine mafuta zvinonzi lipids muropa rako.

Mafuta emuviri zvinhu zvine mafuta zvinoita mabasa akakosha mumiviri yedu. MaTriglycerides necholesterol mhando mbiri dzemafuta. Ose anofamba neropa muzvikamu zvinotakura zvinonzi lipoproteins.

Hypertriglyceridemia kuwedzera kwe triglycerides muropa. Hypercholesterolemia kuwedzera kwe cholesterol.

Kazhinji, vanhu vane triglycerides yakakwira vanewo cholesterol yakakwira. Triglycerides yakakwira inogona kuva nengozi, kunyanya kana cholesterol yako "yakanaka", HDL (High-Density Lipoprotein), yakaderera uye cholesterol yako "yakaipa", LDL (Low-Density Lipoprotein), yakakwira.

Taura nachiremba wako nezvekuti huwandu uhwu muropa rako hunorevei uye kuti ungahudzosera sei pahunhu hwakanaka.

Dambudziko iri rakajairika zvakadii?

Zvichienderana neongororo dzakaitwa muUnited States, munhu mukuru mumwe chete pavashanu ane huwandu hwakakwira hwe triglyceride (inopfuura 150 mg/dL). Zvisinei, njodzi iyi inowedzera nekukura. Tsvagiridzo yakawana kuti 42% yevanhu vane makore anopfuura 60 vane chirwere ichi. Chirwere ichi chingave chakajairika muSri Lanka zvakare, nekuda kwekudya kwedu uye mararamiro edu.

Ndezvipi zviratidzo zve hypertriglyceridemia?

Vanhu vazhinji vane hypertriglyceridemia havaratidzi zviratidzo. Ndosaka zvichigona kuita se "muvengi akanyarara." Vanhu vane hypertriglyceridemia yakanyanya vanogona dzimwe nguva kuva nechirwere chinonzi xanthomas. Aya mabundu madiki emafuta anoumbwa pasi peganda. Anowanzoonekwa akatenderedza maziso. Asi dzimwe nguva anogonawo kukura munzvimbo dzakadai semabvi, magokora, uye zvanza.

Sei huwandu hwe triglycerides mumuviri wedu huchikwira? Ndezvipi zvikonzero?

Pane zvikonzero zvakawanda zvinokonzera hypertriglyceridemia. Izvi ndeizvi:

• Zvinhu zvinoumba mararamiro
• Zvimwe zvirwere zviri pachena
• Mimwe mishonga
• Zvirwere zvemajini emafuta

Ngatitarisei chimwe nechimwe cheizvi zvakadzama.

Simba remararamiro

Mararamiro edu ane simba guru pahuwandu hwedu hwe triglyceride. Nekuti, sezvandambotaura, kana tichidya macalorie akawanda, miviri yedu inoshanduka kuita triglycerides. Saka, kana ukadya shuga yakawanda, mafuta, kana doro kupfuura zvinodiwa nemuviri wako, huwandu hwe triglyceride yako hunogona kuwedzera.

Zvinhu zvinokonzera mararamiro emuviri zvinokonzera kuwanda kwe triglycerides mumuviri:

• Kunwa doro rakawandisa: Unoziva, vamwe vedu tinonwa doro rakawandisa panguva yemapati. Izvozvo zvinotikanganisawo.
• Kudya makabhohaidhiretsi akacheneswa neshuga zvakanyanya: Zvikafu zvakagadzirwa neupfu hwechingwa (semuenzaniso mashortbreads, chikafu chebhekari), zvinwiwa zvinotapira, makeke, mabhisikiti, nezvimwewo.
• Kudya mafuta akawandisa: Izvi zvinowanikwa muzvikafu zvine mafuta akawanda, nyama tsvuku, uye zvikafu zvakagadzirwa nemafuta ekokonati.
• Kusaita maekisesaizi (mararamiro ekugara wakangogara): Kugara panzvimbo imwe chete zuva rese, kushanda, uye kusaita maekisesaizi.

Ingofungai, kana tikadya hove yakabikwa mumafuta, muto wakagadzirwa nemukaka wekokonati, nechinwiwa chinotapira pamusoro pemupunga watinodya pazuva, macalorie ekuwedzera kubva pane zvese izvi anogona kuchengetwa mumuviri se triglycerides.

Nekuda kwezvimwe zvirwere

Huwandu hwe triglyceride hunogonawo kuwedzera nekuda kwezvirwere zvakasiyana-siyana. Heano mimwe mienzaniso:

• Chirwere cheshuga
• Hypothyroidism
• Kuramba insulin
• Chirwere cheitsvo
• Chirwere chechiropa
• Lupus
• Chirwere cheMetabolic
• Chirwere cheNephrotic
• Kufuta zvakanyanya kana kufuta
• Arthritis ine rheumatoid

Vakadzi vane zvimwe zvinhu zvinokonzera njodzi:

• Kuenda kumwedzi
• Kubata pamuviri - kunyanya mumwedzi mitatu yechitatu.

Nekuda kwemamwe mishonga yatinotora

Mazinga eTriglyceride anogonawo kuwedzera kana uchishandisa mimwe mishonga. Mienzaniso:

• Mishonga yekurwisa pfungwa - semuenzaniso Clozapine, Olanzapine
• Mimwe mishonga inoshandiswa kurapa hutachiona hweHIV (Antiretroviral (ART) protease inhibitors)
• Mimwe mishonga yeBP (Beta-blockers - isingasarudze)
• Corticosteroids
• Cyclophosphamide
• Iestrogen yemuromo
• Tamoxifen
• Thiazides - mishonga inokonzera weti yakawanda

Chinonyanya kukosha: Usamborega kutora mushonga wawakanyorerwa nachiremba usina kutaura naye. Kana mushonga uri kukonzera kuti triglycerides yako ikwire, chiremba wako achakwanisa kukubatsira. Vanogona kuchinja dosi kana kunyora mumwe mushonga.

Mamiriro ezvemajini anopfuudzwa kubva kuzvizvarwa kusvika kuzvizvarwa

Vamwe vanhu vanogonawo kuva nemazinga asina kujairika e triglyceride ne cholesterol nekuda kwezvikonzero zvemajini. Mienzaniso:

• Kuwanda kwemafuta akawandisa mumuviri: Kuwedzera kwemafuta etriglyceride, kuwedzera kwemafuta eLDL, uye kudzikira kwemafuta eHDL.
• Kuwanda kwemafuta emuviri (Familial hypertriglyceridemia) (type IV familial dyslipidemia): Kuwedzera kwemafuta emuviri (triglycerides) chete.
• Familyal dysbetalipoproteinemia (rudzi rwechitatu hyperlipoproteinemia): Kuwedzera kwe triglyceride uye huwandu hwecholesterol yese.
• Familyal chylomicronemia syndrome (FCS): Mazinga e triglyceride akakwira kupfuura 1000 mg/dL.

Kazhinji, hypertriglyceridemia inogona kukonzerwa nechimwe chezvinhu izvi kana zvimwe. Semuenzaniso, munhu anogona kunge aine chirwere chemajini pamwe nemararamiro asina kunaka. Chiremba wako ndiye achaona kuti zvinhu izvi chii uye achakupa mushonga wakanakisisa.

Ungaziva sei kana uine hypertriglyceridemia?

Kune nzira mbiri huru dzekuziva izvi: kuongororwa kwemuviri nachiremba uye kuongororwa ropa.

Kuongororwa Kwemuviri naChiremba

Chiremba achaita bvunzo yemuviri kuti azive nezvehutano hwako. Achakubvunzawo nezvezvinotevera:

• Pane mumwe munhu mumhuri ane chirwere chemwoyo, cholesterol yakakwira, kana triglycerides yakakwira here?
• Mararamiro ako (semuenzaniso doro, kusvuta fodya).
• Zvimwe zvirwere zvaunazvo.
• Mishonga yaunoshandisa.

Neruzivo urwu, chiremba wako anogona kunzwisisa chiri kukonzera triglycerides yako yakakwira uye njodzi yako yekubatwa nechirwere chemwoyo.

Kuongororwa kweRopa

Kuongororwa kweropa kunonzi lipid panel ndiyo chete nzira yekuongorora nemazvo hypertriglyceridemia. Kuongororwa uku kunoyera huwandu hwe triglyceride yako pamwe nehuwandu hwe cholesterol yako.

Sezvandambotaura, chiremba achakuudza kuti utsanye kwemaawa angangoita gumi kusvika gumi nemaviri usati waongororwa ropa. Izvi zvinoreva kuti haufanirwe kudya kana kunwa chero chinhu kunze kwemvura. Kuti uwane mhinduro chaiyo, zvakakosha kutsanya sezvakaudzwa nachiremba.

Ndeapi marapirwo akanakisa eizvi? Ndingaaderedza sei?

Kune nzira nhatu huru dzekurapa hypertriglyceridemia:

• Kuchinja kwemararamiro
• Mishonga (mishonga)
• Kurapa zvikonzero zvinokonzera triglycerides yakakwira.

Ungangoda imwe kana kupfuura yenzira idzi. Chiremba wako ndiye achasarudza nzira yakanakisisa yekurapa.

Kuchinja mararamiro - izvi ndizvo zvinhu zvekutanga zvinokosha!

Kurapwa kunowanzotanga nekuchinja mararamiro. Izvi ndizvo zvinhu zvikuru:

• Dzivisa doro: deredza doro zvakanyanya sezvinobvira, kana kuti rega zvachose.
• Dzivisa makabhohaidhiretsi akacheneswa neshuga: Deredza kudya kwako chingwa, masiwiti, nezvinwiwa zvakanyanya sezvinobvira. Pane kudaro, idya zviyo, miriwo, nemichero.
• Idya hove dzakawanda, kunyanya hove dzakapfuma mu omega-3 fatty acids: hove dzakadai sesalmon, mackerel, herring, uye tuna dzakanaka.
• Zviedzesei zvakanyanya:Ita chimwe chinhu chakadai sekufamba, kumhanya, kushambira kwemaminitsi makumi matatu pazuva. Ivawo nesimba mumabasa ako ezuva nezuva.
• Dzora macalorie aunoshandisa kuti uderedze huremu hwakawandisa: Edza kuchengetedza huremu hwakanaka hunoenderana nehurefu hwako.
• Sarudza mafuta ane hutano pane mafuta akazara uye etrans: deredza zvinhu zvakaita semafuta ekokonati, mafuta emuchindwe, bota, uye margarine, uye shandisa zvinhu zvakaita semafuta emuorivhi, mafuta ecanola, uye nzungu.

"Kuchinja kudiki kwakadai sekushandisa mafuta mashoma pakubika kumba, kuderedza huwandu hwezvikafu zvine mafuta zvatinodya muchitoro, uye kunwa tii isina shuga panzvimbo petii ine shuga kunogona kuita mutsauko mukuru."

Mishonga

Kana kuchinja mararamiro ako chete kusingadzore huwandu hwe triglycerides mumuviri wako, chiremba wako anogona kukupa mushonga. Mishonga inonyanya kukosha kune vanhu vane hypertriglyceridemia yakanyanya. Kune mhando dzakasiyana dzemishonga dzaunogona kupihwa nachiremba:

• Fibrates - semuenzaniso Fenofibrate
• Mafuta eOmega-3 anotorwa nachiremba - semuenzaniso Icosapent ethyl (IPE)
• MaStatin - Kunyangwe izvi zvichinyanya kunyorerwa kuderedza cholesterol, dzimwe nguva zvinokanganisawo triglycerides.

Kudzora zvimwe zvirwere

Kana uine chimwe chirwere (semuenzaniso chirwere cheshuga) chingave chiri kukonzera kuwanda kwe triglycerides mumuviri wako, zvakakoshawo kudzora chirwere ichocho zvakanaka. Chiremba wako achakupa mazano anodiwa uye kurapwa.

Hypertriglyceridemia inogona kudzivirirwa here?

Zvimwe zvinokonzera (kukwegura, zvimwe zvirwere) hazvigoneki kwatiri. Zvisinei, pane zvakawanda zvatinogona kuita muhupenyu hwedu hwezuva nezuva kudzivirira chirwere ichi. Heano zvimwe zvacho:

• Idya chikafu chine hutano pamoyo: Idya miriwo yakawanda, michero, zviyo, uye mapuroteni asina mafuta akawanda. Deredza mafuta, shuga, nemunyu.
• Iva nechido: Kuwedzera pakurovedza muviri kwakarongwa, fambisa muviri wako zvakanyanya sezvinobvira panguva yaunogara uchiita zvinhu zvezuva nezuva. Zvinhu zvakaita sekukwira masitepisi panzvimbo peefiti uye kufamba uchienda kunzvimbo dziri pedyo.
• Ramba uine huremu hwakanaka.
• Deredza doro: Chinwiwa chinonwiwa chimwe chete pazuva chevakadzi uye chinwiwa zviviri pazuva chevarume.
• Deredza shuga nemacarbohydrate akacheneswa.

Kumbira chiremba wako mamwe mazano ekubatsira kudzora huwandu hwe triglycerides mumuviri wako.

Chii chiri tarisiro yemunhu ane chirwere ichi? (Outlook)

Izvi zvinoenderana nezvinhu zvakawanda. Semuenzaniso:

• Ndezvipi zvikonzero zve hypertriglyceridemia yako?
• Triglyceride level yako yakaita sei?
• Ndezvipi zvimwe zvirwere zvaunazvo?

Saka, taura nachiremba wako kuti uzive kuti chirwere chako chakaita sei chaizvo.

Asi yeuka, hypertriglyceridemia chirwere chinowanzoitika, uye hausi wega. Vanhu vazhinji vanokwanisa kugadzirisa dambudziko iri zvakanaka nekutevedzera mazano achiremba wavo, kuchinja mararamiro avo, uye kutora mishonga kana zvichidikanwa.

Ndinofanira kuona chiremba rini?

Iva nechokwadi chekuenda kunoongororwa nachiremba wako gore rega rega. Pamusoro pezvo, enda kune dzimwe nguva sezvakarairwa nachiremba wako. Kana uine mibvunzo kana zvinokunetsa, usazeza kutaura nachiremba wako chero nguva.

Mibvunzo ipi yaunofanira kubvunza chiremba?

Zvakakosha kudzidza zvakawanda sezvinobvira nezvechirwere chako, zvikonzero zvacho, uye marapirwo acho. Unogona kubvunza chiremba wako mibvunzo yakaita seiyi:

• Mazinga angu e triglyceride anondiudzei?
• Ndinewo cholesterol yakakwira here?
• Chii chiri kukonzera kuti triglycerides yangu ikwire?
• Ndingaderedza sei huwandu hwe triglyceride mumuviri wangu?
• Ndeipi njodzi yangu yekubatwa nechirwere chemwoyo?
• Ndeapi marudzi ekurovedza muviri akakodzera kwandiri?
• Ndinofanira kuona nyanzvi yezvekudya here?

Unofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana uine chimwe chezviratidzo izvi , fonera 911 (1990 muSri Lanka) nekukasika, kana kuenda kuchipatara chiri pedyo newe:

• Pancreatitis inorwadza zvakanyanya (kurwadziwa kwemudumbu, kurutsa, fivha)
• Kurwara nemoyo - (kurwadziwa pachipfuva, kufema zvishoma, kudikitira)
• Kurohwa nechirwere - (kushaya simba kana kushaya simba pachiso, ruoko kana gumbo, kuoma kutaura, kuoma kufamba)

Kuwanda kwetriglyceridemia kunowedzera njodzi yekusangana nematambudziko akakomba aya. Saka, zvakakosha kuziva nezvezviratidzo izvi uye kutsvaga rubatsiro rwechiremba nekukasika kana zvikaitika.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Kudzora hypertriglyceridemia kunoda kushanda nesimba. Asi zvakakodzera nguva yako. Uchafanira kuchinja zvimwe zvinhu zvaunoita zuva nezuva, uye dzimwe nguva kuchinja ikoko kungaita sekunge kwakaoma. Asi tanga zvishoma. Kunyangwe kuchinja kudiki kunogona kuita mutsauko mukuru muhutano hwemoyo wako. Bvunza chiremba wako nezvezviwanikwa nemapoka ekutsigira kuti akubatsire kuzadzisa zvinangwa zvako. Hutano hwako huri mumaoko ako!

` hypertriglyceridemia, triglycerides, cholesterol, chirwere chemwoyo, kudya, kurovedza muviri, mararamiro