Ngaba wakha wahlola iziphumo zovavanyo lwakho lwegazi waza waphawula ukuba i-cholesterol yakho iphezulu kakhulu? Okanye mhlawumbi ugqirha wakho uthe, “I-cholesterol yakho ‘embi’ iphezulu kancinci, kwaye kufuneka uyilawule”? Ngokuqinisekileyo awuwedwa—le yinto eqhelekileyo kubantu abaninzi. Namhlanje, eNirogi Lanka , siza kuxoxa ngeHypercholesterolemia . Kalula nje, le meko ithetha ukuba inqanaba le-cholesterol “embi” emzimbeni wakho—eyaziwa ngokuba yiLow-Density Lipoprotein (LDL)—linyuke ngaphezu komlinganiselo ofanelekileyo.
Yintoni kanye kanye iHypercholesterolemia? Makhe siyihlalutye!
Ukuchaneka ngakumbi, iHypercholesterolemia luhlobo lwesifo samafutha apho ubungakanani be-LDL cholesterol egazini lakho buphakama ngokuyingozi. Cinga nge-LDL njengamafutha agqithisileyo aqokelelana kancinci kancinci eludongeni lwangaphakathi lwemithambo yakho. Ifana kakhulu nendlela umhlwa oqokelelana ngayo ngaphakathi kombhobho wamanzi omdala. Le nkqubo yaziwa ngokwezonyango njenge- Atherosclerosis .
Khawucinge ngemibhobho egadini yakho: ukuba inkunkuma iqokelelana ngaphakathi kwemibhobho, ithintela ukuhamba kwamanzi. Xa imithambo yegazi ivalekile ngamanqatha , ukujikeleza kwegazi lakho kuyaphazamiseka kakhulu.
Le Atherosclerosis yiyo kanye le nto umngcipheko wakho wezifo ezisongela ubomi ezifana nokuhlaselwa yintliziyo kunye nokubetha kwentliziyo unyuka kakhulu. Enyanisweni, isifo sentliziyo sesona sibangela sokufa kwihlabathi liphela, kwaye i-Atherosclerosis yeyona nto iphambili ebangela oku.
Ngawaphi amanqanaba athathwa njenge-Hypercholesterolemia?
Usenokuba uzibuza, “Lixesha lini apho inqanaba lam le-cholesterol liba yi-Hypercholesterolemia ngokusesikweni?” Ugqirha wakho akagqibi nje ngokujonga inani lakho le-LDL, kodwa ngokulilinganisa nezinye izinto ezinokubangela isifo sentliziyo.
Ngokuqhelekileyo, le yimida apho i-cholesterol ye-LDL ithathwa njengephezulu:
- Ukuba awunazo ezinye izinto ezinokubangela umngcipheko , inqanaba le-LDL liyi-190 mg/dL okanye ngaphezulu.
- Ukuba unobungozi obukhulu, inqanaba le-LDL lingaphezulu kwe-160 mg/dL.
- Ukuba unezinto ezimbini okanye ngaphezulu ezibangela umngcipheko, inqanaba le-LDL lingaphezulu kwe-130 mg/dL.
Ngokuxhomekeke kumngcipheko wakho wesifo sentliziyo, oogqirha banokucebisa ukuba amanqanaba akho e-cholesterol ye-LDL aphantsi njenge-116 mg/dL okanye angaphantsi kwe-70 mg/dL.
Ngoko ke, zithini ezi zinto ziyingozi?
Umngcipheko wakho wesifo sentliziyo uphezulu ukuba unale ngxaki ilandelayo:
- Ubudala: Umngcipheko uyanda njengoko ukhula.
- Uxinzelelo lwegazi oluphezulu : Ukuba noxinzelelo lwegazi oluphezulu.
- Imbali yoSapho : Ukuba ilungu losapho elisondeleyo lalinesifo sentliziyo esibangelwa yi -Atherosclerosis lisemncinci.
- Isifo seswekile : Ukuphila neSifo seswekile .
- I-HDL ephantsi: Ukuba namanqanaba aphantsi e-High-Density Lipoprotein, okanye i-cholesterol "elungileyo".
Ngaba i-Hypercholesterolemia kunye ne-Hyperlipidemia ziyafana?
Hayi, zahlukile kancinci. I-Hypercholesterolemia lolunye uhlobo oluthile phantsi kodidi olubanzi lwe -Hyperlipidemia . Nge-Hypercholesterolemia, sigxile ngokukodwa kumanqanaba aphezulu e-LDL (i-cholesterol embi). Nangona kunjalo, i-Hyperlipidemia igubungela amanqanaba aphezulu alo naluphi na uhlobo lwamafutha (i-lipids) egazini, kungekuphela nje i-LDL.
Ngubani osengozini enkulu?
Unamathuba amaninzi okuba ne-cholesterol ephezulu ye-LDL ukuba:
- Bangaphezu kweminyaka engama-40 ubudala.
- Bavela eMzantsi Asia, ePhilippines, okanye eVietnam.
- Ngaba ngumfazi osele efikelele exesheni.
- Ngaba ngabafazi (kwiimeko ezithile).
Ixhaphake kangakanani iHypercholesterolemia?
Yimeko eqhelekileyo kakhulu le. Ngokwezibalo, umntu omnye kwabangamashumi amabini unokuba nayo. E-United States, phantse isithathu kwisithathu sabantu abadala baxela ukuba banamanqanaba aphezulu e-LDL, kwaye ixhaphake kakhulu naseSri Lanka.
Ichaphazela njani umzimba wakho?
Njengoko besitshilo, i-hypercholesterolemia ingakhokelela kwiingxaki ezinkulu zentliziyo, ezinje:
- Istroke
- Isifo semithambo yegazi (esikhokelela ekuhlaselweni yintliziyo)
- Isifo semithambo yegazi (iingxaki zemithambo yegazi ezibonelela ngeengalo nemilenze yakho)
Zithini iimpawu?
Le yinxalenye eyingozi: Uninzi lwabantu abaneHypercholesterolemia abanazo iimpawu kwaphela. Usenokuziva uphilile, kodwa amanqanaba akho e-cholesterol anokuba phezulu kakhulu emzimbeni wakho.
Nangona kunjalo, kwiimeko ezingaqhelekanga nezinzima , abanye abantu banokuba namafutha atyheli phantsi kolusu kufutshane neenkophe (Xanthelasma). Iintsalela ezifanayo, ezibizwa ngokuba ziiXanthomas, zinokuvela zijikeleze imisipha okanye amalungu. Kwiimeko ezingaqhelekanga, unokubona isangqa esimhlophe sijikeleze i-cornea yeliso (Corneal arcus). Ezi mpawu zomzimba aziqhelekanga.
Yintoni ebangela i-Hypercholesterolemia?
Ziliqela izinto ezidlala indima:
- I-genetics: Abanye abantu bayifumana njengelifa le meko, eyaziwa ngokuba yi -Familial Hypercholesterolemia .
- Ukutya: Ukutya amafutha amaninzi agcweleyo kunye namafutha aguqulweyo (umz., ukutya okuqhotsiweyo, izidlo ezicoliweyo, inyama ethile, kunye neemveliso zokubhaka).
- Ukungazilolongi: Ukuphila ubomi bokungahlali phantsi.
- Ukusebenzisa icuba: Ukutshaya okanye ukusebenzisa ezinye iimveliso zecuba.
- Ezinye iimeko zonyango:
- Isifo sesibindi esithintelayo
- Iswekile yemellitus
- I-Hypothyroidism (i-thyroid engasebenzi kakuhle)
- I-Anorexia nervosa
- Ukungasebenzi kakuhle kwezintso okungapheliyo
- Isifo seNephrotic
- Amayeza athile: Amayeza afana ne-Amiodarone, i-Rosiglitazone, i-Cyclosporine, okanye i-Hydrochlorothiazide ngamanye amaxesha anokunyusa amanqanaba akho e-cholesterol.
Ifunyaniswa njani le nto?
Ngexesha lovavanyo lwakho lomzimba lonyaka, ugqirha wakho uya kuthi:
- Hlola imbali yakho yezonyango kunye nemvelaphi yempilo yosapho lwakho.
- Yenza uvavanyo lomzimba.
- Yiya kuvavanyo lwegazi lweLipid Panel , oludla ngokufuna ukuzila ukutya iiyure ezininzi.
Luhlobo luni lovavanyo oluqhutywayo?
Nje ukuba ugqirha wakho aqinisekise ukuba i-hypercholesterolemia yakho ayibangelwa ziimeko ezifihlakeleyo, unokucebisa ukuba kwenziwe uvavanyo lwemfuza. Ukuba ufunyaniswe ngokukodwa ukuba une-Familial Hypercholesterolemia, ugqirha wakho unokucebisa ukuba amalungu osapho lwakho nawo aye kuhlolwa imfuza.
Iphathwa njani?
Injongo ephambili yokunyanga i-hypercholesterolemia kukunciphisa amanqanaba akho e-LDL cholesterol ukuze kukukhusele kwingozi yesifo sentliziyo.
Oku kungalawulwa ngeendlela ezahlukeneyo:
- Ukwandisa umsebenzi womzimba: Zama ukwenza ubuncinane imizuzu engama-30 yemisebenzi yemihla ngemihla, njengokuhamba, ukubaleka, okanye ukudada.
- Ukugcina ubunzima obusempilweni: Ukufikelela nokugcina ubunzima obufanele ubude bakho kubalulekile.
- Ukunciphisa amafutha agcweleyo: Nciphisa ukutya okunamafutha amaninzi kunye nokutya okunamafutha amaninzi ekutyeni kwakho.
- Ukulawula uxinzelelo: Fumana iindlela eziphilileyo zokujongana noxinzelelo lwemihla ngemihla.
- Amayeza okwehlisa i-cholesterol: Yisela rhoqo amayeza owanikwe ngugqirha wakho.
- Ukuphepha iimveliso zecuba:Ukuyeka ukutshaya kubalulekile kwimpilo yakho yentliziyo.
- Ukulawula uxinzelelo lwegazi kunye namanqanaba eswekile egazini.
- I-Lipoprotein apheresis: Igcinelwe iimeko ezinzima, le nkqubo isebenzisa umatshini okhethekileyo ukucoca ii-lipoprotein eziyingozi egazini lakho ngaphambi kokuba zibuyiselwe emzimbeni wakho.
Yintoni omawuyitye kwaye yintoni omawuyiphephe?
Ukuze wehlise ngempumelelo i-cholesterol yakho ye-LDL, unokufaka olu tshintsho lokutya:
- Nciphisa ukusetyenziswa kotywala: Kungcono ukuphepha utywala kangangoko kunokwenzeka.
- Gxila kwimveliso emitsha: Yandisa ukutya kwakho imifuno, imifuno eluhlaza, iziqhamo kunye neenkozo ezipheleleyo.
- Kuphephe ukutya okunamafutha amaninzi: Nciphisa iimveliso zobisi ezifana netshizi nebhotolo, ezinye iinyama (ingakumbi inyama ebomvu), kunye neelekese ezicutshungulweyo ezifana neekeyiki kunye neebhisikithi.
Zama ukuzalisa isitya sakho ngemifuno neziqhamo ezinemibala. Khetha ukutya okubilisiweyo, okuphekiweyo, okanye okuqhotsiweyo endaweni yokutya okuqhotsiweyo. Nokuba usebenzisa ioyile yekhokhonathi, ukumodareyitha kubalulekile ekutyeni okunempilo kwentliziyo eNirogi Lanka.
Ngawaphi amayeza asetyenziswayo?
Ugqirha wakho angakunika iintlobo ezahlukeneyo zamayeza okunyanga i-hypercholesterolemia:
- Iistatins: La ngamayeza aqhelekileyo anikwayo.
- Izithinteli ze-PCSK9.
- Ezetimibe.
- Ii-sequestrants ze-bile acid.
- I-Niacin.
- I-asidi ye-bempedoic.
Kwabo bane-Familial Hypercholesterolemia, oogqirha banokunika unyango olongezelelweyo olukhethekileyo.
Ngaba kukho iziphumo ebezingalindelekanga kunyango?
Njengayo nayiphi na imithi, amayeza okwehlisa i-cholesterol anokubangela iziphumo ebezingalindelekanga. Nangona kunjalo, iingenelo zempilo zihlala zingaphezulu kakhulu kwezi ngozi, kwaye iziphumo ebezingalindelekanga zihlala zilawuleka.
Iziphumo ebezingalindelekanga eziqhelekileyo zingabandakanya:
- Ukuqhinwa okanye urhudo.
- Intlungu yezihlunu okanye yamalungu.
- Ukungonwabi esiswini.
- Intloko ebuhlungu.
Okubaluleke kakhulu, ukuba ufumana naziphi na iziphumo ebezingalindelekanga, yazisa ugqirha wakho ngoko nangoko. Banokulungisa umthamo wakho okanye bakutshintshele kwenye iyeza ekufaneleyo.
Ndingalindela iziphumo nini?
Emva kokuba uqalise unyango lwakho, ugqirha wakho usenokuphinda ahlolisise i-lipid panel emva kweeveki ezi-8 ukuya kwezi-12 ukuze abone ukuba amanqanaba akho e-cholesterol aphendule njani. Ngokusekelwe kwezi ziphumo, banokulungisa amayeza akho, batshintshe amayeza akho, okanye bongeze unyango oludibeneyo ukukunceda ufikelele usukelo lwakho.
Ndingawunciphisa njani umngcipheko wam?
Unganciphisa umngcipheko wakho weengxaki ezinxulumene ne-hypercholesterolemia ngokwamkela indlela yokuphila enempilo:
- Zilolonge rhoqo.
- Gcina ubunzima bakho busempilweni.
- Khetha ukutya okunempilo okunempilo kwintliziyo.
- Ziphephe iimveliso zecuba.
Le mikhwa ikunceda ekukhuseleni kungekuphela nje kwi-cholesterol ephezulu, kodwa nakwezinye izifo ezininzi ezingapheliyo.
Kuthekani ukuba ndine-hypercholesterolemia?
Ukuba ufunyaniswe une-cholesterol ephezulu ye-LDL, yinkqubo yolawulo lobomi bonke. Nangona kunjalo, ungatyhafi. Wakuba udibanise imikhwa enempilo kwimisebenzi yakho yemihla ngemihla, iba yinxalenye yendalo yobomi bakho endaweni yokuba ngumthombo wokukhathazeka rhoqo.
Qala ngamanyathelo amancinci, azinzileyo. Umzekelo, yonwabela isidlo esingenanyama kanye ngeveki, okanye uhambe kancinci emva kwesidlo sangokuhlwa. Xa uthenga ukutya okuthengiweyo, beka phambili izinto ezinamafutha agcweleyo nangenamafutha agqithisileyo. Zama imifuno emitsha okanye imifuno eluhlaza ongazange uyizame ngaphambili ukuze ukutya kwakho kuhlale kunomdla kwaye kunesondlo.
Iyintoni imbono yexesha elide?
Ukuba ayinyangwa, i-hypercholesterolemia inokukhokelela kwi-atherosclerosis (ukuncitshiswa kwemithambo yegazi), nto leyo eyandisa kakhulu umngcipheko wakho wokuhlaselwa yintliziyo okanye isifo sohlangothi.
Nangona kunjalo, ngokwamkela indlela yokuphila esempilweni kunye nokuthatha amayeza afunekayo ukulawula i-cholesterol yakho ye-LDL, unokunciphisa kakhulu umngcipheko wakho. Izifundo ezininzi zonyango zibonisa ukuba abantu abalawula kakuhle amanqanaba abo e-cholesterol bahlala besempilweni ixesha elide.
Ndingazinyamekela njani?
Ngenxa yokuba ulawulo lwe-cholesterol luxanduva lobomi bonke, kufuneka uhlale uhambelana notshintsho lwakho lwendlela yokuphila kwaye ulandele ngokuqinileyo amayeza akho amiselweyo.
Gcina ezi engqondweni:
- Zilolonge uninzi lweentsuku zeveki.
- Ziphephe ngokupheleleyo zonke iimveliso zecuba.
- Kuphephe ukutya ukutya okunamafutha agcweleyo okanye anamafutha agqithisileyo.
Ndifanele ndimbone nini ugqirha wam?
Ungaze uphoswe ziintlanganiso zakho zokulandelela. Ugqirha wakho kufuneka ajonge:
- Ukuba amayeza akho okwehlisa i-cholesterol asebenza kakuhle.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga.
- Ukunamathela kwakho kwisicwangciso sonyango esicetyiswayo.
Ukuba ufumana iziphumo ebezingalindelekanga ezibi kakhulu, ugqirha wakho angalutshintsha ngokukhuselekileyo unyango lwakho. Ukuhlolwa rhoqo kubalulekile ukuqinisekisa ukuba amanqanaba akho e-cholesterol ahlala kuluhlu olukhuselekileyo nolusempilweni.
Ndingayibuza yiphi imibuzo ugqirha wam?
Ungathandabuzi ukubuza ugqirha wakho le mibuzo ngexesha lotyelelo lwakho:
- "Zeziphi iintlobo zokuzilolonga ezilungele mna ukunciphisa i-cholesterol yam?"
- "Ungandicebisa inkqubo yokundinceda ndiyeke ukutshaya?"
- "Ungandithumela kwingcali yokutya ukuze andincede ndiphucule isicwangciso sam sesondlo?"
Ukuba ne-cholesterol ephezulu ye-LDL akuthethi ukuba uwedwa; yimeko eqhelekileyo kakhulu. Ugqirha wakho liqabane lakho elingcono ekufikeleleni kumanqanaba ojolise kuwo. Ukuba utshintsho lwendlela yokuphila lodwa alwanelanga, khumbula ukuba ujoyina izigidi zabanye abalawula impilo yabo ngempumelelo ngamayeza. Apha eNirogi Lanka, silapha ukuxhasa uhambo lwakho lokufumana impilo-ntle.
Umyalezo wokuthatha
Ukushwankathela, nazi iingongoma ezibalulekileyo ekufuneka uzikhumbule:
- I-Hypercholesterolemia yenzeka xa amanqanaba akho e-cholesterol embi (LDL) egazini ephakama kakhulu. Oku kwandisa kakhulu umngcipheko wakho wokuhlaselwa sisifo sentliziyo kunye nestroke.
- Kwiimeko ezininzi, le meko ayibonisi zimpawu konke konke. Yiyo loo nto ukucwangcisa uvavanyo lwegazi rhoqo kubalulekile kwimpilo yakho.
- Ungayilawula ngempumelelo le meko ngokutshintsha indlela yokuphila —njengokutya ukutya okunempilo kwentliziyo, ukuhlala usebenza, kunye nokuphepha ukutshaya—kunye namayeza acetyisiweyo njengoko ugqirha wakho ecebisa.
- Nceda ungoyiki. Ngokusebenzisana ngokusondeleyo nogqirha wakho ukulawula impilo yakho, ungaphila ubomi obupheleleyo, obunempilo nobunempilo.
Lawula impilo yentliziyo yakho namhlanje. Hlala kakuhle neNirogi Lanka!
i-hypercholesterolemia, i-cholesterol, i-LDL, i-HDL, isifo sentliziyo, istroke, ukutya, indlela yokuphila
