Ibali obungalazi malunga ne-cholesterol elungileyo (i-HDL): Ngaba i-high ayisoloko ingcono?

Uninzi lwethu luyoyika kancinci xa sisiva igama elithi cholesterol, akunjalo? Kodwa mhlawumbi uyazi ukuba kukho iintlobo ezimbini zecholesterol: 'elungileyo' kunye 'nembi'. Sonke sicinga ukuba le 'cholesterol ilungileyo', oko kukuthi, uhlobo olubizwa ngokuba yi-HDL, ilungile emizimbeni yethu nokuba iphezulu kangakanani na. Kodwa ngaba kunjalo ngokwenene? ​​Namhlanje sithetha ngento yokuba uninzi lwale cholesterol ilungileyo ngamanye amaxesha lunokuba yingxaki.

Kutheni sibiza i-HDL ngokuthi 'i-cholesterol elungileyo'?

Ngamafutshane, i-cholesterol yinto efana ne-wax efumaneka egazini lethu. Kukho iintlobo ezimbini eziphambili zayo.

1. I-LDL (i-Low-Density Lipoprotein): Le yi -cholesterol 'embi' . Xa iqokelelana, inokuqokelelana kwimithambo yegazi yethu, iyivale, kwaye ngokuhamba kwexesha, inokubangela izifo ezinzulu ezifana nokuhlaselwa yintliziyo kunye nokubetha.

2. I-HDL (i-High-Density Lipoprotein): Le sisithethi sethu, i-cholesterol 'elungileyo' . Umsebenzi ophambili we-HDL kukuthatha i-cholesterol embi (LDL) engafunekiyo emzimbeni wonke ize iyithwale iye esibindini. Isibindi siyayiqhekeza size siyisuse emzimbeni njengenkunkuma.

Cinga ngemithambo yegazi yethu njengenkqubo yemibhobho ethwala amanzi. I-LDL ifana nothuli olunamathela kuloo mibhobho. I-HDL ke ifana nomntu osusa loo mdaka aze acoce imibhobho. Yiyo loo nto sibiza i-HDL ngokuba yi-cholesterol 'elungileyo'. Xa uya kugqirha kwaye uhlolwe i-cholesterol yakho kwaye kwenziwa ingxelo ethi 'Lipid Panel' (abanye abantu bayibiza ngokuba yi-'Lipid Profile), omabini amanqanaba e-LDL kunye ne-HDL aboniswa kuyo.

Amanqanaba aqhelekileyo athathwa njengempilo ngala:

• Kumadoda: Inqanaba le-HDL elingaphezulu kwe-40 mg/dL.
• Kwabasetyhini: Inqanaba le-HDL elingaphezulu kwe-50 mg/dL.

Kuthiwa ukugcina la manqanaba kunokunciphisa umngcipheko wesifo sentliziyo kunye nesifo sohlangothi.

Ngaba kuyingozi ngokwenene ukuba namanqanaba aphezulu e-cholesterol elungileyo?

Usenokucinga, "Into elungileyo kakhulu ilungile." Kodwa xa kufikwa kwi-cholesterol ye-HDL, ibali liyinkimbinkimbi ngakumbi. Uphando olutsha lufumanise ukuba ukuba namanqanaba aphezulu e-HDL kusenokungabi lukhuselo olulindelekileyo. Kwezinye iimeko, le cholesterol ilungileyo inokuqala ukuziphatha njenge-cholesterol embi, nto leyo eyonyusa umngcipheko wesifo sentliziyo.

Okumangalisayo kukuba, ezinye izifundo zibonise ukuba abantu abanamanqanaba e-HDL aphezulu kakhulu kune-60 mg/dL banokuba sengozini ephezulu ngama-50% yokuhlaselwa yintliziyo okanye ukufa ngenxa yesifo sentliziyo kunabo banamanqanaba e-HDL aphakathi kwama-41-60 mg/dL.

Olunye uphando lufumanise ukuba abantu abanamanqanaba aphezulu kakhulu e-HDL (angaphezulu kwe-80 mg/dL kumadoda nangaphezulu kwe-100 mg/dL kubasetyhini) basengozini enkulu yokufa. Lufumanise nokuba kubantu abadala, amanqanaba e-HDL angaphezu kwe-80 mg/dL anyusa umngcipheko we-dementia nge-27%.

Kutheni ke oku kusenzeka?

Nangona isizathu soku singacacanga ngokupheleleyo, abaphandi baneengcinga ezithile. Xa imizimba yethu ikwimeko yokudumba, la masuntswana e-HDL anokutshintsha ukusebenza kwawo. Endaweni yokususa i-cholesterol embi (LDL), anceda ekucothiseni inkqubo. Oku kunokukhokelela ekwandeni kweediphozithi ze-LDL (iiplaque) kwimithambo yegazi, nto leyo enokunyusa umngcipheko wokuhlaselwa yintliziyo kunye nestroke.

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Zithini izizathu zokuba namanqanaba aphezulu e-HDL?

Kukho izizathu ezahlukeneyo zokuba amazinga e-HDL anokuba ngaphezulu kwe-60 mg/dL. Ezinye zezi ziphantsi kolawulo lwethu, ngelixa ezinye zingaphaya kolawulo lwethu.

1. Impembelelo yemfuza (Imfuza yakho)

Abanye abantu bazalwa benotyekelo lwemfuza lokuba namanqanaba aphezulu e-HDL. Nangona oku ngamanye amaxesha kunokubonelela ngokhuseleko kwisifo sentliziyo, utshintsho oluthile lwemfuza (njenge-'SCARB1 gene) lunokunyusa umngcipheko wesifo sentliziyo ngokubangela la manqanaba aphezulu e-HDL. Ukuba umntu kusapho lwakho, njengomama wakho, utata, okanye abantakwenu, unesifo sentliziyo kwaye amanqanaba akho e-HDL nawo aphezulu, kubalulekile ukuxelela ugqirha wakho.

2. Ukutya Kwakho

Ukutya okunamafutha amaninzi angahluthwanga, njengeentlanzi, amantongomane afana ne-cashews, kunye nemifuno eluhlaza, kunokunceda ukunyusa amanqanaba e-HDL. Nangona kunjalo, ukutya okunamafutha amaninzi angahluthwanga kunokunyusa amanqanaba e-cholesterol embi (LDL) kunye ne-cholesterol entle (HDL) ngokungeyomfuneko .

Ukutya okunamafutha amaninzi agcweleyo:

• Inyama ebomvu
• Ikhrimu kunye nobisi olunamafutha apheleleyo
• Ibhotolo, Itshizi
• Iimveliso zebhaka ezifana neekhekhe kunye neebhisikithi
• Ukutya okuqhotsiweyo

3. Ukusela utywala ngokugqithisileyo

Ukusela utywala kunokunyusa amanqanaba e-HDL. Ngokulinganisela , ngamanye amaxesha kunokuba luncedo. Nangona kunjalo, ukusela iziselo ezingaphezu kwesibini ngosuku kunokunyusa amanqanaba e-HDL ukuya kumanqanaba angengowasempilweni kwaye kunyuse amanqanaba e-LDL. Oku kunokunyusa umngcipheko woxinzelelo lwegazi oluphezulu, istroke, kunye nesifo sentliziyo.

4. Amanye amayeza

Amanye amayeza owasebenzisayo anokunyusa amanqanaba akho e-HDL.

• Amayeza okwehlisa i-cholesterol (amayeza e-statin)
• Iipilisi zokulawula inzala
• Unyango lokutshintshwa kwamahomoni ngexesha lokuya exesheni
• Amayeza ezifo ezinje ngesifo sokuwa (ukuxhuzula)
• Iintlobo zee-steroids (ii-Corticosteroids)
• I-insulin

5. Ukuya exesheni

Emva kokuya exesheni, amanqanaba e-estrogen kubasetyhini ayancipha. Le hormone inceda ekunyuseni amanqanaba e-HDL kwaye ikhusele intliziyo. Xa amanqanaba e-estrogen ehla, amanqanaba e-HDL anokuhlala efana, kodwa iimpawu zayo zokukhusela zinokwehla.

6. Iingxaki ze-thyroid

I-Hypothyroidism inokubangela ukuba amanqanaba e-cholesterol e-LDL kunye ne-HDL anyuke.

Unganyanga njani amanqanaba aphezulu e-HDL?

Kulungile, ngoku mhlawumbi ucinga, "Owu, kuthekani ukuba inqanaba lam le-HDL liphezulu?" Ungakhathazeki. Ukuba awunazo ezinye iimpawu okanye izinto ezinokubangela isifo sentliziyo, usenokungadingi naluphi na unyango olukhethekileyo lwamanqanaba aphezulu e-HDL.

Ugqirha wakho uza kuqala afumanise unobangela we-cholesterol yakho ephezulu. Kulapho ke kuphela apho aza kugqiba khona ukuba unyango luyimfuneko na. Ngokwesiqhelo, xa unyanga i-cholesterol, injongo ephambili kukunciphisa amanqanaba akho e-cholesterol embi (LDL).

Akukho mayeza athile avunyiweyo ukwehlisa amanqanaba e-HDL. Nangona kunjalo, unokunceda ukulawula amanqanaba akho e-HDL ngokunciphisa utywala kunye nokutya ukutya okunamafutha aphantsi .

Eyona nto ibalulekileyo kukuthetha nogqirha wakho malunga namanqanaba e-cholesterol yakho. Uza kukunika iingcebiso malunga nokuba kufuneka uhlolwe kangaphi i-cholesterol yakho, ngokusekelwe kwizinto ezikubangela umngcipheko.

Ufanele uhlolwe kangaphi i-cholesterol yakho?

Oku kuxhomekeke kwiminyaka yakho, imeko yempilo, kunye nembali yezonyango yosapho lwakho. Iingcebiso ngokubanzi zikwitheyibhile engasezantsi.