Ngaba nawe une-cholesterol ephezulu? Ngaba kufuneka uthathe amayeza? (I-Cholesterol ephezulu) Masithethe!

Ngaba uvavanyo lwakho lwegazi lubonise ukuba une-cholesterol ephezulu? Umele ukuba woyika kancinci xa wayibona. Usenokuba wacinga, 'Owu, ngoku kufuneka ndithathe amayeza ubomi bam bonke?' Kodwa ungakhathazeki. Ayingabo bonke abantu abafunyaniswe bene-cholesterol ephezulu ekufuneka baqale ukuthatha amayeza ngoko nangoko. Ngamanye amaxesha, le meko inokulawulwa ngokutya okunempilo kunye nokuzilolonga. Nokuba uyawadinga amayeza okanye awuwadingi kuxhomekeke kwimpilo yakho iyonke kunye nomngcipheko wakho wesifo sentliziyo.

Yintoni kanye kanye i-cholesterol?

Ngamafutshane, i-cholesterol yinto efana ne-wax, enamafutha efumaneka egazini lethu. Ibalulekile kwizinto ezininzi emizimbeni yethu, kuquka ukwakha iiseli nokuvelisa iihomoni. Kodwa ingxaki iqala xa eli nqanaba le-cholesterol liphezulu kakhulu.

Xa oku kusenzeka, le cholesterol eyongezelelweyo iqala ukuqokelelana ngaphakathi kweendonga zemithambo yethu yegazi. Ifana nomhlwa oqokelelana ngaphakathi kombhobho wamanzi. Ekuhambeni kwexesha, la maqhekeza (esiwabiza ngokuba yi-'plaque') abangela ukuba ingaphakathi lemithambo yegazi libe mxinwa kwaye liqine. Oku ke kuthintela ukuhamba kwegazi ukuya entliziyweni nasebuchotsheni. Ngamanye amaxesha, amaqhekeza egazi ayakheka kwezi maqhekeza, anokuqhekeka aze abangele ukuhlaselwa yintliziyo okanye isifo sohlangothi.

Ngaba kukho iintlobo ze-cholesterol?

Ewe, kukho iintlobo ezimbini ze-cholesterol esithetha ngazo kunye nolunye uhlobo olubalulekileyo lwamafutha.

• I-LDL (i-Low-Density Lipoprotein): Le yinto esiyibiza ngokuba yi- "cholesterol embi." Xa la manqanaba enyuka, anokuqokelelwa kwimithambo yegazi aze abangele iingozi ezikhankanyiweyo apha ngasentla.
• I-HDL (i-High-Density Lipoprotein): Oku sikubiza ngokuba "yi-cholesterol elungileyo." Oku kungenxa yokuba la masuntswana e-HDL asusa i-LDL cholesterol embi kwimithambo yegazi aze ayibuyisele esibindini. Ke ngoko, xa inqanaba le-HDL liphezulu, kokukhona singcono.
• IiTriglycerides: Olu lolunye uhlobo lwamafutha afumaneka egazini. Le yindlela esigcina ngayo iikhalori ezingaphezulu esizityayo njengamandla. Amanqanaba aphezulu ezi zinto nawo awalungelanga imithambo yegazi.

Zithini iinqanaba ze-cholesterol ezisempilweni?

Thelekisa ezi namaxabiso akwingxelo yakho yegazi (ingxelo ye-`Lipid Profile`). La ngamanqanaba athathwa njengempilo ngokubanzi.

Zithini izizathu eziphambili ze-cholesterol ephezulu?

Iimeko ze-cholesterol ephezulu zinokwahlulwa zibe ziintlobo ezimbini eziphambili ngokusekwe kwisizathu sazo.

1. I-Familial Hypercholesterolemia (FH)

Le yimeko yemfuza. Oko kukuthi, ifunyanwa ngabazali ukuya ebantwaneni. Aba bantu banokuba namanqanaba aphezulu kakhulu e-LDL cholesterol kwasebuntwaneni . Oku kubabeka emngciphekweni wokufumana isifo sentliziyo besebancinci.

Unyango: Nangona utshintsho kwindlela yokuphila (ukutya okunamafutha aphantsi, umthambo) lubalulekile kubantu abanale meko, amayeza adla ngokufuneka . Udidi lwamayeza olusetyenziswa kakhulu yi-'Statins'.

2. I-cholesterol ephezulu ebangelwa yindlela yokuphila nezinye izifo (i-Secondary High Cholesterol)

Olu lolona hlobo luxhaphakileyo. Lubangelwa yi:

• Ukutya ukutya okuninzi okucutshungulweyo okunamafutha amaninzi agcweleyo kunye namafutha e-trans.
• Ukungazilolongi kakuhle kunye nendlela yokuphila yokuhlala phantsi.
• Isifo seswekile.
• Ukusela utywala ngokugqithisileyo.
• Isifo sezintso esinganyangekiyo.
• Ukungasebenzi kakuhle kwe-thyroid (i-Hypothyroidism).
• Amanye amayeza (umz. ii-steroids).

Unyango: Oogqirha baqala ngokucebisa abantu abanjalo ukuba bazame ukulawula i-cholesterol yabo ngaphandle kokusebenzisa amayeza ngokwenza utshintsho kwindlela abaphila ngayo . Oku kuthetha ukutshintshela kwindlela yokutya enempilo yentliziyo, ukwenza umthambo rhoqo , ukuyeka ukutshaya ukuba utyebile kakhulu, kunye nokunciphisa umzimba ukuba utyebile kakhulu. Ukuba ezi zinto azizilawuli inqanaba le-cholesterol yakho, amayeza linyathelo elilandelayo.

Ugqirha ugqiba njani ukuba makanike amayeza okanye angawaniki?

Nantsi into ebalulekileyo. Ugqirha wakho akajongi nje amanani akwingxelo yakho ye-cholesterol aze enze isigqibo. Uza kwenza uvavanyo olupheleleyo lomngcipheko wakho wentliziyo iyonke . Ukuze abale lo mngcipheko, baza kuqwalasela izinto ezininzi, kuquka:

• Amanqanaba akho e-cholesterol iyonke, i-LDL, kunye ne-HDL
• Ifuthe legazi
• Ubudala
• Ubufazi/ubudoda
• Nokuba uyatshaya okanye awutshayi
• Nokuba unesifo seswekile na
• Nokuba kukho umntu kusapho lwakho okhe waba nesifo sentliziyo esemncinci (Imbali yoSapho)

Konke oku kongezwa kunye ukuze kubalwe umngcipheko wakho wokuba nento efana nokuhlaselwa yintliziyo kwiminyaka eli-10 ezayo. Isigqibo sokuqala amayeza okanye ukungawasebenzisi sixhomekeke kakhulu kweli nqanaba lomngcipheko.

Umzekelo, ukuba inqanaba lakho le-LDL liphezulu kancinci, kodwa yonke enye into ikwimeko entle (awutshayi, unesilinganiselo esifanelekileyo, kwaye awunayo i-high blood pressure), ungacetyiswa ukuba wenze utshintsho kwindlela ophila ngayo ngaphandle kwamayeza.

Kuthekani ukuba awuqinisekanga ngomngcipheko?

Ngamanye amaxesha inqanaba lomngcipheko wakho lisenokuba phakathi. Oko kuthetha ukuba umngcipheko wakho awukho phantsi kakhulu kwaye awukho phezulu kakhulu. Kwiimeko ezinjalo, kukho ezinye iimvavanyo ezininzi ezinokukunceda ugqibe ukuba uza kuqala na amayeza okanye hayi. Ugqirha wakho unokucebisa ukuba kuyimfuneko.

• I-Coronary Calcium Scan: Le yi-CT scan ekhethekileyo. Ikhangela iidipozithi ze-calcium kwimithambo yentliziyo ehambisa igazi entliziyweni. Iidipozithi ezinjalo zithetha ukuba imithambo yegazi inciphile kancinci, kwaye umngcipheko wesifo sentliziyo uphezulu kunokuba bekulindelwe.
• I-CRP ebukhali kakhulu (hs-CRP): Olu luvavanyo lwegazi. Lulinganisa inqanaba elincinci kakhulu lokudumba emzimbeni. Ukuba eli xabiso liphezulu, likwabonisa ukuba kukho umngcipheko ophezulu wesifo sentliziyo.

Ngeziphumo zezi mvavanyo, unokugqiba ngokuchanekileyo ukuba uza kuzuza ngakumbi na ngokuqala amayeza, okanye ukuba utshintsho kwindlela ophila ngayo lwanele na.