Usenokuba ngumntu olawula ukutya kwakho kunye nokuzilolonga imihla ngemihla. Kodwa xa uvavanywa igazi lakho, inqanaba le-cholesterol yakho alinciphi, akunjalo? Ngamanye amaxesha unokucinga, "Kutheni oku kusenzeka kum ndedwa? Ndenza yonke into ngokuchanekileyo." Enyanisweni, isizathu soku asikokuphila kwakho, kodwa yinto evela kusapho lwakho, oko kukuthi, kwizizukulwana. Makhe sithethe ngale nto ngokweenkcukacha ezithe vetshe .
Mamela ibali lebhinqa eliselula eligama linguSusan Addis. Xa wayesekholejini, unina wamthumelela iphakheji encinci eneleta. Ileta yayisithi, "Yitya konke ukutya endikuthumelele kona ngoko nangoko, kuba emva kokuba uvavanyiwe igazi lakho, awusayi kukwazi ukukutya kwakhona." Ngelo xesha, inqanaba le-cholesterol likamama kaSusan lalinyukile laya kwi-500 mg/dL. (Nantoni na engaphezulu kwama-200 ithathwa njengephezulu.) Ugqirha wayeyalele ukuba abanye abantwana abathathu kusapho bavavanywe.
USusan, owayeneminyaka engama-24 ngelo xesha, wayebhityile kakhulu kwaye esempilweni ukuba angacela ugqirha ukuba amvavanye i-cholesterol. Walufumana uvavanyo nangona kunjalo. Isiphumo? I-Cholesterol yi-350 mg/dL! Kodwa ugqirha wayichitha ngelithi "iphezulu kancinci." Kodwa kwaba kuphela xa uSusan wayijonga kwincwadi apho waqonda khona ukuba ukufundwa kwakhe kuphezulu kakhulu.
Oku kungenxa yokuba uSusan unesifo esingaqhelekanga semfuza esibizwa ngokuba yiFamilial Hypercholesterolemia . Ngamafutshane, esi sifo sibangela ukuba i-cholesterol iqokeleleke emzimbeni wakho, kungakhathaliseki ubunzima bakho, ukutya, okanye umthambo.
Xa Ikwi-Gene Yakho?
Umntu omdala omnye kwabathathu emhlabeni une-cholesterol ephezulu. Kodwa imeko yemfuza esithethe ngayo ngaphambili ebizwa ngokuba yi-familial hypercholesterolemia ichaphazela iqela elincinci kakhulu, malunga nomntu omnye kwabangama-300. Kukho malunga ne-1,500 gene variants ezibangela le ngxaki. Umzali onale gene unethuba elingama-50% lokuyidlulisela kumntwana wakhe. USusan wayifumana le gene kunina. Intombi kaSusan nayo yayifumana le ngxaki, kodwa unyana wakhe akazange ayifumane.
Uninzi lwezi ntlobo zezakhi zofuzo zichaphazela iproteni ebizwa ngokuba yi-LDL receptor . Umsebenzi wale proteni kukususa i-LDL cholesterol , okanye oko sikubiza ngokuba yi-"cholesterol embi," egazini. Kodwa kubantu abanesi sifo sezakhi zofuzo, loo proteni ayisebenzi kakuhle.
Abantu abanale meko banamazinga aphezulu e-cholesterol kwasekuzalweni. Ukuba abanyangwa, banokuba nesifo sentliziyo besebancinci kakhulu.
Eyona nto ingcono kukuba unyango lwale meko lufana nolwakhe nabani na one-cholesterol ephezulu. Oko kukuthi, ukutya okunamafutha aphantsi, umthambo, kunye namayeza okunciphisa i-cholesterol . Kodwa ingxaki kukuba, nangona kukho konke oku, ukuba ulawulo lusezandleni zezakhi zofuzo, amanqanaba e-cholesterol asenokuba phezulu.
"Umntu onesimo semfuza usenokungasabeli kunyango ngendlela efanayo nomntu ongenalo. Ngoko ke imizamo yakhe isenokungaphumeleli. Kuyacaphukisa ngokwenene." - UGqr. Erica Spatz, ingcali yentliziyo.
USusan, ngelixa wayesekholejini, wayelandela ukutya okungqongqo kakhulu kwaye wayezilolonga yonke imihla, waza wakwazi ukugcina inqanaba le-cholesterol yakhe liyi-240 mg/dL kuphela. Kodwa oko kwakusephezulu. Emva kokuqala umsebenzi, wayengenakukwazi ukuqhubeka nolo hlobo lobomi. Ngoku, eneminyaka engama-54 ubudala, ulawula i-cholesterol yakhe ngamayeza kunye nokutya okunesondlo.
| Indlela yokufumana ilifa | Kalula nje... |
|---|---|
| Isifo semfuza (iFamilial Hypercholesterolemia) | Esi sisifo esingaqhelekanga esibangelwa ngqo sisiphene semfuza. Nokuba indlela yakho yokuphila ilungile kangakanani na, i-cholesterol iya kuqhubeka inyuka. Amayeza ayimfuneko. |
| Utyekelo lwemfuza | Okwenzekayo apha kukuba endaweni yokuba ufunyanwe njengelifa isifo esithile, kukho "umngcipheko" wemfuza we-cholesterol ephezulu. Indlela yokuphila inokwenza umahluko omkhulu. |
| Indlela Yokuphila Ezuzwe Njengelifa | Ngaphandle kwezakhi zofuzo ezibandakanyekayo, i-cholesterol iyanda ngenxa yokuba abantwana bamkela imikhwa engafanelekanga yokutya kunye nendlela yokuphila yokungakhathali yabazali babo. |
Ayizizo nje ii-genes, kodwa nendlela yakho yokuphila "eyizuzwe njengelifa"
Asizuzi nje kuphela iimfuza kubazali bethu, kodwa nakwimikhwa yabo. Ezi ziquka imikhwa emihle, kwaye ngelishwa, imikhwa emibi.
Imikhwa eqala ngaphambi kokuzalwa
Cinga ngako oku, amaqhuqhuva akho okungcamla aqala ukukhula ngaphambi kokuba uzalwe. Izifundo zibonise ukuba ukuba umama utya ukutya okwahlukeneyo ngexesha lokukhulelwa, umntwana wakhe usenokuba nomdla ngakumbi kwezo ncasa emva kokuzalwa.Ivumba leziqholo ezifana negalikhi, i-curry, kunye nejinja longezwa kulwelo lwe-amniotic oluginywa ngumntwana esibelekweni.
Kolunye uphando, oomama abakhulelweyo banikwa ijusi yekherothi namanzi ukuba basele. Emva kokuba abantwana babo bezelwe, oomama ababesela ijusi yekherothi baba buthathaka xa babeqala ukutya ikherothi. Uphononongo koomama ababesela ijusi yekherothi ngelixa bencancisa lufumene iziphumo ezifanayo.
Imikhwa yobuntwana
Xa usemncinci, indlela otya ngayo ibunjwa yinto etyiwayo neselwa ngabazali bakho phambi kwakho. "Njengentsapho, sitya ukutya okufanayo. Indlela abantu abaninzi abatya ngayo ixhomekeke kwinto abayityayo kwaye babeqhele ukutya besebancinci," utshilo uGqr. Spatz.
Ngokufanayo, ukutya owakunikwa njengezipho xa wawusengumntwana, kunye nokutya owawungavumelekanga ukukutya, nako kuyayichaphazela le nto. Into emangalisayo kukuba, ukuba wawungavumelekanga ukutya ukutya okunencasa nokunamafutha usengumntwana, kusenokwenzeka ukuba ube nomnqweno wokukufuna xa sele umdala.
Ngokufanayo, ukuba abazali bayasebenza, nabantwana banokuba basebenza kakhulu. Kwelinye icala, abantwana babazali abatshayayo banokuba batshaya ngakumbi , nto leyo ekwangunobangela omkhulu we-cholesterol ephezulu.
Sijongana njani nale ngozi yesizukulwana?
Iindaba ezimnandi zezokuba umonakalo obangelwa zi-genes ezingalunganga kunye nemikhwa emibi ezuzwe njengelifa unokulawulwa ngendlela efanelekileyo yokuphila kunye namayeza .
USusan uthi, "Ndandisitya itshizi eninzi ndisengumntwana, kwaye ndiyayithanda itshizi. Kodwa ngoku ndiyayiphepha imveliso yobisi enamafutha amaninzi. Andiyityi inyama ebomvu okanye amaqanda apheleleyo." Usebenzisa isixhobo sokulandelela imisebenzi ukuze azigcine ekhuthazekile ukuhlala esempilweni. Oko angenakukulawula ngokutya kunye nokuzilolonga, unokukulawula ngamayeza akhe.
Ngoku inqanaba lakhe le-cholesterol lizinzile phakathi kwama-220-240 mg/dL.
USusan uthi ufumana amandla okuqhubeka nolu hambo ngokujonga yonke into ngendlela eyakhayo. "Xa ugqirha wakho esithi i-cholesterol yakho iphezulu kwaye kufuneka wenze into ngayo, sicinga, 'Owu, andinakukwazi ukutya oku ngoku, andinakukwazi ukutya oko ngoku.' Kodwa ndacinga, 'Zeziphi izinto ezintsha endinokuzizama?'"
"Ukucinga ngolo hlobo kundincede kakhulu ukupheka ngeendlela ezintsha, ukusebenzisa iziqholo ezahlukeneyo, nokuzama izinto ezintsha ezimnandi. Zininzi izitya ezinokwenziwa ezinamafutha aphantsi, kodwa zisemnandi . Ungatya ukutya okunempilo nokumnandi."
Ngokwenene, yiloo nto nabani na angathanda ukuyidlulisela ebantwaneni bakhe, akunjalo?
Umyalezo Wokuya Ekhaya
- Ukuba awukwazi ukwehlisa amanqanaba akho e-cholesterol nokuba uzama kangakanani na, kusenokuba kukho unobangela wemfuza. Asikuko ityala lakho.
- Ukuba kukho umntu kusapho lwakho (umama, utata, abantakwenu) one-cholesterol ephezulu okanye oye waba nesifo sentliziyo esemncinci, nawe kufuneka ukhathazeke ngaso.
- Thetha ngokukhululekileyo nogqirha wakho malunga namanqanaba akho e-cholesterol kunye nembali yosapho lwakho. Fumana uvavanyo kunye nonyango olufunekayo.
- Nokuba unobangela ungowemfuza, kubaluleke kakhulu ukugcina ukutya okunempilo kunye nendlela yokuphila esebenzayo. Musa ukuyeka ezi zinto nangona usebenzisa amayeza.
- Endaweni yokukhathazeka "ngezinto ongenakukwazi ukuzitya," cinga kakuhle "ngokutya okusandul' ukuphekwa, okunempilo onokukonwabela."
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