Iingxaki ezimbini zempilo eziqhelekileyo kuluntu lwethu namhlanje zi- cholesterol ephezulu kunye noxinzelelo lwegazi oluphezulu, okanye " uxinzelelo " njengoko sonke sisazi. Usenokuba nenye okanye zombini ezi. Ezi zimbini zifana namacala amabini eengqekembe ezifanayo, kwaye zihlala zihamba nenye. Enyanisweni, abantu abangaphezu kwama-60% abanoxinzelelo lwegazi oluphezulu nabo banamanqanaba aphezulu e-cholesterol . Zombini ezi zisongelo kwimpilo yentliziyo yethu. Kodwa iindaba ezimnandi zezokuba, singazilawula zombini ezi xabiso ngendlela efanayo ngamanyathelo ambalwa alula. Masithethe ngale nto ngokweenkcukacha namhlanje.
Yintoni edibanisa ezi zinto zimbini?
Ubudlelwane phakathi koxinzelelo lwegazi oluphezulu kunye ne-cholesterol bufana nekrele elintlangothi-mbini.
Cinga nje ngemithambo yegazi yakho ( imithambo yegazi ) njengenkqubo yemibhobho ethwala amanzi ekhayeni lakho. I-cholesterol luhlobo lomhlwa kunye nothuli oluqokelelana ngaphakathi kwezi mibhobho ngokuhamba kwexesha. Xa umzimba ungakwazi ukususa i-cholesterol engeyomfuneko egazini, le cholesterol eyongezelelweyo iqala ukuqokelelana eludongeni lwemithambo yegazi. Kanye njengokuba uthuli luqokelelana ngaphakathi kombhobho wamanzi kwaye luvale imibhobho, imithambo yegazi iya incipha kancinci kancinci njengoko le cholesterol iqokelelana.
Khawuthelekelele, ukuthumela amanzi afanayo ngetyhubhu encitshisiweyo, injini kufuneka ifake amandla angakumbi, akunjalo? Ngokufanayo, intliziyo yethu kufuneka isebenze nzima kunesiqhelo ukupompa igazi ngemithambo yegazi encitshisiweyo neqinileyo. Uxinzelelo oludalwa xa intliziyo ipompa igazi ngamandla angaphezulu yinto esiyibiza ngokuba luxinzelelo lwegazi oluphezulu, okanye "uxinzelelo lwegazi oluphezulu."
Ngoku makhe sijonge kwelinye icala lebali. Uxinzelelo lwegazi oluphezulu aluzenzekeli nje. Uxinzelelo lwegazi oluphezulu ngokuhamba kwexesha lonakalisa udonga lwemithambo yegazi, lubangele imikrwelo emincinci kunye nemingxunya . Ezi ndawo zonakeleyo zifana nemingxuma endleleni. Kulula kakhulu ukuba i-cholesterol engaphezulu egazini iqokeleleke ize ibekwe kule mingxuma.Ngoko ke, uxinzelelo lonakalisa imithambo yegazi, kwaye i-cholesterol egciniweyo kwezo ndawo zonakeleyo iyanda. Ngaba uyayiqonda le mjikelo?
Abaphandi bezonyango basaphanda ngonxibelelwano olunzulu phakathi kwezi zimbini. Kusenokwenzeka ukuba oku kunokuchatshazelwa kukusebenza kweNkqubo yeRenin-Angiotensin (RAS), inkqubo yeehomoni kunye neeproteni emzimbeni wethu ezilawula uxinzelelo lwegazi .
Into ebalulekileyo kukuba zombini i-cholesterol ephezulu kunye noxinzelelo lwegazi oluphezulu zezona zinto zimbini ziphambili ezibangela izifo ezinzulu ezifana nokuhlaselwa yintliziyo kunye nestroke. Ukuba unazo zombini ezi zinto, umngcipheko wakho uphezulu nangakumbi.
Ukongeza, zombini ezi meko ziyinxalenye yeqela lezifo ezibizwa ngokuba yi-"Metabolic Syndrome", nto leyo ekwandisa umngcipheko wesifo seswekile.
Ungazilawula njani zombini ezi meko?
Inyathelo lokuqala nelibaluleke kakhulu ekulawuleni zombini ezi meko kukwenza utshintsho oluthile oluhle kwindlela esiphila ngayo. Ukuba ezi zinto zilandelwa ngokufanelekileyo, zihlala zilawulwa ngaphandle kwamayeza.
| Utshintsho kwindlela yokuphila | Okufanele ukwenze kunye nokubaluleka kwako |
|---|---|
| Ukutya okunempilo | Faka iziqhamo, imifuno, iimbotyi, iinkozo ezipheleleyo, inkukhu (engenasikhumba), intlanzi, amandongomane, kunye neeoyile zemifuno ekutyeni kwakho. Nciphisa inyama ebomvu (inyama yenkomo, inyama yehagu), inyama ecutshungulweyo efana neesoseji, ukutya okunetyuwa eninzi, kunye neziselo kunye nokutya okuneswekile . (DASH diet) kunye (Mediterranean diet) zizicwangciso ezimbini ezilungileyo zokutya ezicetyiswayo koku. |
| Ukuhlala usebenza (ukuzilolonga) | Fumana ubuncinci imizuzu eli-150 yokuzilolonga ngamandla aphakathi ngeveki. Oku akufuneki kubandakanye ukuya ejimini. Nokuba yinto elula njengokuhamba ngokukhawuleza, ukutshayela igadi, okanye ukudlala nabantwana iya kwenza njalo. Oku kunokunceda ekunciphiseni i-cholesterol kunye noxinzelelo lwegazi. |
| Ukulahlekelwa bubunzima obungaphezulu | Ukwanda kobunzima kuchaphazela ngokuthe ngqo i-cholesterol kunye noxinzelelo lwegazi. Njengoko ukhula ubunzima, amanqanaba akho e-cholesterol "embi" (LDL) ayanda kwaye amanqanaba akho e-cholesterol "elungileyo" (HDL) ayancipha. Ukulahlekelwa nokuba yi-5% ukuya kwi-10% yobunzima bakho obugqithisileyo kunokuba nefuthe elikhulu kumanqanaba akho e-cholesterol kunye noxinzelelo lwegazi. |
| Ukutshaya notywala | Ukutshaya kunciphisa i-cholesterol yakho "elungileyo" (HDL) . Ukusela utywala kakhulu kunokunyusa uxinzelelo lwegazi kunye (Triglycerides) , olunye uhlobo lwamafutha egazini. Zombini ezi zinto zinyusa umngcipheko wakho wesifo sentliziyo. Ngoko ke, ngokuqinisekileyo ziphephe ezi ndlela. |
| Ukuthatha amayeza ukuba kuyimfuneko | Ukuba utshintsho lwendlela yokuphila lodwa alulawuli amanqanaba akho, ugqirha wakho unokukunika amayeza. Banokukunika amayeza okunciphisa i-cholesterol (Statins) okanye amanye amayeza okulawula uxinzelelo lwegazi. Kubalulekile ukuthatha la mayeza kanye njengoko ugqirha wakho ekuxelela, ngeedosi ezifanelekileyo, nangexesha elifanelekileyo. |
Kutheni kufuneka sijonge oku?
Eyona nto iyingozi kakhulu kwezi meko zombini kukuba azibonisi zimpawu kwasekuqaleni. Zifana "nababulali abathuleyo" abasenzakalisa ngaphakathi ngasese. Indlela ekuphela kwayo yokwazi ukuba lingakanani na inqanaba le-cholesterol yakho kunye nokuba lungakanani na uxinzelelo lwakho lwegazi kukuvavanya. Oko kuthetha ukulinganisa uxinzelelo lwakho lwegazi nokwenza uvavanyo olulula lwegazi (i-'Lipid Profile`).
Ngenxa yokuba ezi meko zenzeka ebantwaneni kunangaphambili, i-American Heart Association icebisa ukuba wonke umntu emva kweminyaka engama-20 ubudala ahlolwe rhoqo , axoxe ngemilinganiselo yakhe nogqirha, aze ahlolwe ukuba kuyimfuneko.
Ngaba ufuna esinye isizathu? Uphando lubonise ukuba ukuba ne-cholesterol ephezulu okanye uxinzelelo lwegazi oluphezulu ebutsheni, nokuba loo manqanaba alawulwa kamva ebomini, kuyandisa kakhulu umngcipheko wesifo sentliziyo kwixesha elizayo.
Umzekelo, amanqanaba aphezulu e-cholesterol embi (LDL) kulutsha afunyenwe enyusa umngcipheko wesifo sentliziyo ngama-64% kamva ebomini. Ngokufanayo, uxinzelelo lwegazi oluphezulu, inani eliphezulu (`systolic`) kunye nenani elisezantsi (`diastolic`), kufunyenwe ukuba lonyusa umngcipheko wokuhlaselwa yintliziyo ngama-37% kunye nama-21%, ngokulandelelana.
Ngoko ke, ukuxilongwa rhoqo akugcini nje ngokusindisa ubomi, kodwa kukwathintela iindleko eziphezulu kunye noxinzelelo lwengqondo lonyango xa isifo sisiya siba mandundu.
Umyalezo Wokuya Ekhaya
- I-cholesterol ephezulu kunye noxinzelelo lwegazi oluphezulu ziimeko ezimbini ezinxulumene kakhulu ezinyusa umngcipheko wezifo ezinzulu ezifana nesifo sentliziyo kunye nesifo sohlangothi.
- Zombini ezi meko azinazo iimpawu ezibonakalayo kwisigaba sokuqala. Ngoko ke, ukuhlolwa rhoqo emva kweminyaka engama-20 kubaluleke kakhulu.
- Zombini ezi meko zinokulawulwa ngempumelelo ngemikhwa emihle yokuphila efana nokutya okunempilo, ukuzilolonga rhoqo, ukulawula ubunzima, kunye nokuphepha ukutshaya/utywala.
- Kwimeko apho utshintsho lwendlela yokuphila lodwa lunganelanga, ukuthatha amayeza achazwe ngugqirha wakho njengoko eyalelwe ngugqirha wakho kunokunciphisa kakhulu umngcipheko wakho.
- Ukuba uneengxaki malunga namanqanaba akho e-cholesterol okanye uxinzelelo lwegazi, musa ukuzityeshela. Qiniseka ukuba ubona ugqirha wakho kwaye uxoxe ngazo.
I-cholesterol, uxinzelelo lwegazi oluphezulu, uxinzelelo, isifo sentliziyo, ulawulo lwe-cholesterol, ulawulo loxinzelelo, ubomi obusempilweni
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