Xa wawusiya ekliniki, ngaba ugqirha ukuxelele ukuba inqanaba lakho le-cholesterol liphezulu kancinci kwaye kufuneka uqale ukusela amayeza alo? Okanye ngaba ukhe wambona umama wakho, utata wakho, okanye umhlobo wakho esela amayeza e-cholesterol? Xa usiva igama elithi "amayeza e-cholesterol," abanye abantu baziva besoyika kwaye bexhalabile. "Ngaba kufuneka ndizithathe ezi zinto ubomi bam bonke?", "Ngaba oku kuya kuwonakalisa umzimba wam?", "Kuza kwenzeka ntoni ukuba ndiyeka ukusebenzisa la mayeza?", njl., kuza engqondweni. Ngoko ke namhlanje, masichaze konke oku.
Yintoni kanye kanye i-cholesterol?
Ngamafutshane, i-cholesterol luhlobo lwamafutha olufunekayo emizimbeni yethu. Ibalulekile kwizinto ezininzi emizimbeni yethu, ukususela ekwakheni iiseli ukuya ekuveliseni iihomoni. Kodwa njengayo nayiphi na into, iingxaki ziqala xa zininzi kakhulu.
Xa sithetha nge-cholesterol, sihlala sisiva ngeentlobo ezimbini eziphambili:
- I-cholesterol embi (LDL - Low-Density Lipoprotein): Le yingxaki. Xa isanda, ibekwa eludongeni lwemithambo yegazi yethu, iyenza inciphe kancinci kancinci. Ifana nomhlwa oqokelelana ngaphakathi kombhobho wamanzi omdala. Le meko siyibiza ngokuba yi-`(Atherosclerosis)`.
- I-cholesterol elungileyo (i-HDL - i-High-Density Lipoprotein): Le yitshomi yethu. Isusa i-cholesterol embi eqokelelene kwimithambo yegazi ize iyithwale iye esibindini ukuze itshatyalaliswe. Ifana nomqokeleli wenkunkuma.
Xa i-cholesterol embi (LDL) isanda kwaye imithambo yegazi incipha, ithintela ukuhamba kwegazi ukuya entliziyweni nasebuchotsheni. Oku kwandisa kakhulu umngcipheko wokufumana izifo ezinzulu ezifana nokuhlaselwa yintliziyo kunye nestroke . Amayeza e-cholesterol anikwa ukunciphisa loo mngcipheko.
Ngaba kufuneka ndiqale ukusebenzisa amayeza? Okanye ndingakwazi nje ukulawula indlela enditya ngayo?
Lo ngumbuzo obuzwa ngabantu abaninzi. Ukuba i-cholesterol yakho iphezulu kancinci, kwaye awunazo ezinye izinto ezinobungozi (ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu), ugqirha wakho uya kuqala akucebise ukuba utshintshe indlela ophila ngayo . Oko kuthetha ukuba:
- Ukunciphisa ukutya okuneoyile eninzi, iswekile, kunye nomgubo.
- Ukutya iziqhamo, imifuno, kunye nokutya okune-fiber.
- Ukuzilolonga rhoqo .
- Ukuba uyatshaya, yeka ngokupheleleyo.
Nangona kunjalo, kukho iimeko apho utshintsho lwendlela yokuphila lodwa lunganelanga.
- Ukuba inqanaba lakho le-cholesterol liphezulu kakhulu.
- Ukuba sele unezifo ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu.
- Ukuba ukhe wahlaselwa yintliziyo okanye isifo sohlangothi ngaphambili.
- Ukuba kukho umntu kusapho lwakho oye waba nesifo sentliziyo esemncinci.
Kwiimeko ezinje, ugqirha ugqiba kwelokuba akuqalise ukusebenzisa amayeza ukuze akukhusele kwezo zifo ziyingozi.
Ngawaphi amayeza aphambili e-cholesterol?
Kukho iintlobo ezahlukeneyo zamayeza asetyenziselwa ukunciphisa i-cholesterol. Ugqirha wakho uza kukhetha amayeza afanelekileyo kuwe ngokusekwe kwimeko yakho, amanqanaba e-cholesterol, kunye nezinye iimeko zempilo. Makhe sijonge iintlobo eziphambili.
| Uhlobo lweyeza | Ingaba isebenza kanjani | Imizekelo (exhaphakileyo eSri Lanka) |
|---|---|---|
| Iistatini | Ezi zezona ntlobo zamayeza zisetyenziswa kakhulu kwaye zisebenza kakuhle. Zinciphisa ukuveliswa kwe-cholesterol sisibindi. | I-Atorvastatin (Lipitor), iRosuvastatin (Crestor), iSimvastatin (Zocor) |
| I-Ezetimibe | Zinciphisa ukufunxwa kwe-cholesterol ekutyeni esikutyayo. Zihlala zinikwa kunye ne-statins. | I-Ezetimibe (Zetia) |
| IiFibrates | Ezi zinceda kakhulu ekunciphiseni olunye uhlobo lwamafutha olubizwa ngokuba yi-triglycerides. | I-Fenofibrate, i-Gemfibrozil (i-Lopid) |
| Izithinteli ze-PCSK9 | La ngamayeza amatsha, anamandla kakhulu, afakwa inaliti. Anikwa abantu abasengozini enkulu kwaye abangenakulawulwa ngama-statin. | I-Alirocumab (Praluent), i-Evolocumab (iRepatha) |
Ngaba kukho naziphi na iziphumo ebezingalindelekanga kweli yeza?
Njengayo nayiphi na iyeza, eli linokubangela iziphumo ebezingalindelekanga ezincinci. Kodwa ungakhathazeki, uninzi lwabantu alunazo naziphi na. Ezona zixhaphakileyo zezi:
- Ubuhlungu kwizihlunu kunye namalungu.
- Intloko ebuhlungu.
- Ukungakhululeki kwesisu (njengokudumba, ukurhawuzelela).
Ezi zifo zihlala ziphela emva kweentsuku ezimbalwa.
Kubaluleke kakhulu: Abanye abantu, ngokungaqhelekanga, banokufumana ukwenzakala okukhulu kwemisipha okubizwa ngokuba yi-"Rhabdomyolysis". Ukuba uqala ukusela eli yeza kwaye ufumana iintlungu ezinkulu zemisipha, ubuthathaka, kunye nomchamo omnyama (njenge-cola) emva kokulisebenzisa, yeka ukulisebenzisa ngoko nangoko uze ubone ugqirha wakho. Okanye uye kwicandelo likaxakeka (ETU) lesibhedlele esikufutshane nawe. Nangona oku kungaqhelekanga, kubalulekile ukuba uqaphele.
Ugqirha wakho uza kujonga ii-enzymes zesibindi sakho kunye novavanyo lwegazi ngaphambi nasemva kokuba uqale ukusebenzisa eli yeza. Ngoko ke, ukuba nje ulandela imiyalelo kagqirha wakho, akukho nto ibalulekileyo.
Ingaba indlela yokuphila ibalulekile xa usebenzisa amayeza?
Ewe ngokwenene! Abantu abaninzi bacinga ukuba xa sele bethathe ipilisi, ingxaki iyasombululwa kwaye banokutya baze basele nantoni na abayifunayo. Yimpazamo enkulu leyo. Amayeza e-cholesterol luncedo olongezelelweyo kwindlela yakho yokuphila enempilo.
Khumbula, amayeza e-cholesterol afana nekhaka elikhusela intliziyo nengqondo yakho. Elo khaka liya kuba namandla kuphela ukuba uphila ubomi obusempilweni.
Ngelixa usebenzisa amayeza, kufuneka uqhubeke nokutya okunempilo kunye nokuzilolonga esikuthethe ngako ngaphambili. Oku kuya kunceda amayeza asebenze ngcono. Ekuhambeni kwexesha, ukuba amanqanaba akho e-cholesterol alawulwa kakuhle, ugqirha wakho unokukwazi ukunciphisa umthamo.
Umyalezo Wokuya Ekhaya
- Amayeza e-cholesterol anikwa ukukhusela kwizifo ezinzulu ezifana nesifo sentliziyo kunye ne-stroke, ngoko ke musa ukucinga ukuba ngumthwalo.
- Soloko usela amayeza owalelwe ngugqirha wakho, ngedosi efanelekileyo, ngexesha elifanelekileyo. Ungaze uyeke ukuwasela nangaliphi na ixesha.
- Ukuba ufumana naluphi na uhlobo lokungakhululeki okungaqhelekanga ngenxa yamayeza, ingakumbi iintlungu eziqatha zemisipha, xelela ugqirha wakho ngoko nangoko.
- Akwanelanga ukusela amayeza nje. Ukutya okunempilo kunye nokuzilolonga zizinto ezimbini ekufuneka uzibandakanye ebomini bakho.
- Njengoko ugqirha esitsho, kubaluleke kakhulu ukuya kwiikliniki ngexesha kwaye ufumane uvavanyo lwegazi olufunekayo.
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