Ingaba unamanqanaba aphezulu e-triglycerides egazini lakho? Masithethe nge-hypertriglyceridemia!

Ngaba wakha weva ngamafutha egazini? Mhlawumbi ugqirha ukuxelele ukuba "ii-triglycerides zibonakala ziphezulu kancinci." Namhlanje siza kuthetha ngokuba zezi triglycerides ziyintoni kanye kanye, kwenzeka ntoni xa ziphezulu, kunye nento esifanele siyenze ngayo. Ungakhathazeki, ndiza kuchaza oku ngokulula, ngendlela onokuyiqonda.

Zithini ii-triglycerides? Kutheni zibalulekile kuthi?

Ngamafutshane, ii-triglycerides luhlobo lwamafutha egazini lethu. Zinika imizimba yethu amandla. Sifumana ii-triglycerides ekutyeni esikutyayo, ingakumbi kwizinto ezifana nebhotolo kunye neoyile. Ayisiyiyo loo nto kuphela, kodwa xa sitya iikhalori ezingaphezulu kunezo zifunwa yimizimba yethu, imizimba yethu iguqula ezo khalori zingaphezulu zibe zii-triglycerides kwaye izigcine. Kamva, xa sinamandla aphantsi, imizimba yethu isebenzisa ezi triglycerides zigciniweyo.

Ngoko ke, ii-triglycerides zizinto ezibalulekileyo ezisinika amandla. Nangona kunjalo, ukuba zinyuka kakhulu egazini, zinyusa umngcipheko wokuba nesifo sentliziyo. Yiyo loo nto kubalulekile ukuba siqaphele le meko ibizwa ngokuba yi-hypertriglyceridemia size silawule amanqanaba ethu e-triglyceride.

Ngoko ke, ingakanani i-triglycerides elungileyo?

Inqanaba eliqhelekileyo le-triglyceride egazini lomntu omdala kufuneka libe ngaphantsi kwe-150 milligrams nge-deciliter (150 mg/dL). Enyanisweni, ngaphantsi kwe-100 mg/dL yeyona ifanelekileyo. Eyona nto ibalulekileyo kukulinganisa inqanaba lakho le-triglyceride ngelixa uzila ukutya. Oku kuthetha ukuba uvavanywa igazi lakho emva kokuba ungatyanga okanye usele nantoni na (ngaphandle kwamanzi) kangangeeyure ezili-10-12.

I-Hypertriglyceridemia iyenzeka xa amanqanaba akho e-triglyceride eyi-150 mg/dL okanye ngaphezulu.

Nantsi ingcaciso emfutshane yamanqanaba e-triglyceride okuzila ukutya kubantu abadala:

• Inqanaba elisempilweni: ngaphantsi kwe-150 mg/dL
• Umlinganiselo ophezulu womda: 150 – 199 mg/dL
• Inqanaba eliphezulu: 200 – 499 mg/dL
• Iphezulu kakhulu: 500 mg/dL okanye ngaphezulu

Amanqanaba e-triglyceride asempilweni kubantwana nakubantu abadala abancinci (abaneminyaka eli-10 ukuya kweli-19) kufuneka abe ngaphantsi kwe-90 mg/dL. Ukuba amanqanaba e-triglyceride omntwana wakho aphezulu, kungcono ukuthetha nogqirha malunga nendlela yokuwanciphisa.

Yintoni iSevere Hypertriglyceridemia? Ingaba iyingozi?

I-hypertriglyceridemia eqatha iyenzeka xa amanqanaba akho e-triglyceride engama-500 mg/dL okanye ngaphezulu. Abantu abanale meko basengozini enkulu yokuba nesifo esibizwa ngokuba yi-acute pancreatitis . Oku kukudumba kwe-pancreas okufuna unyango.

I-Hypertriglyceridemia yimeko efuna ingqalelo nonyango. Nangona kunjalo, kwiimeko ezininzi, ayisiyongxaki yezonyango.Ugqirha wakho anokukunceda wehlise eli nqanaba. Ukwenza njalo kunokunceda ukuthintela iingxaki ezinokuchaphazela intliziyo yakho okanye ipancreas.

Ngaba i-hypertriglyceridemia kunye ne-cholesterol ziyafana?

Ewe, ezi zimbini azifani. I-Hypertriglyceridemia kunye ne-cholesterol ephezulu ziimeko ezimbini ezahlukeneyo. Kodwa zombini zinxulumene nezinto ezinamafutha ezibizwa ngokuba yi-lipids egazini lakho.

Iilipids zizinto ezinamafutha ezenza imisebenzi ebalulekileyo emizimbeni yethu. Iitriglycerides kunye ne-cholesterol ziintlobo ezimbini zeelipids. Zombini zihamba ngegazi kwiinxalenye ezithwala ii-lipoproteins.

I-Hypertriglyceridemia kukwanda kwe-triglycerides egazini. I-Hypercholesterolemia kukwanda kwe-cholesterol.

Rhoqo, abantu abane-triglycerides ephezulu nabo banamanqanaba aphezulu e-cholesterol. I-triglycerides ephezulu inokuba yingozi, ingakumbi ukuba i-cholesterol yakho "elungileyo", i-HDL (i-High-Density Lipoprotein), iphantsi kwaye i-cholesterol yakho "embi", i-LDL (i-Low-Density Lipoprotein), iphezulu.

Thetha nogqirha wakho malunga nokuba la manqanaba egazini lakho athetha ukuthini kunye nendlela yokuwabuyisela kumanqanaba aphilileyo.

Ixhaphake kangakanani le meko?

Ngokwezifundo ezenziwe eMelika, malunga nomntu omdala omnye kwabahlanu unezinga eliphezulu le-triglyceride (ngaphezulu kwe-150 mg/dL). Nangona kunjalo, le ngozi iyanda ngokuhamba kweminyaka. Uphando lufumanise ukuba ama-42% abantu abangaphezu kweminyaka engama-60 banale meko. Le meko isenokuba yinto eqhelekileyo naseSri Lanka, ngenxa yeendlela esitya ngazo kunye nendlela esiphila ngayo.

Zithini iimpawu ze-hypertriglyceridemia?

Abantu abaninzi abane-hypertriglyceridemia ababonisi zimpawu. Yiyo loo nto inokuba ngathi "lutshaba oluthuleyo." Abantu abane-hypertriglyceridemia enzima ngamanye amaxesha banokuba nesifo esibizwa ngokuba yi-xanthomas. La ngamaqhuma amancinci amafutha aqala phantsi kolusu. Ahlala ebonakala ejikeleze iinkophe. Kodwa ngamanye amaxesha anokukhula kwiindawo ezifana namadolo, iingqiniba, kunye neentende zezandla.

Kutheni amanqanaba e-triglyceride enyuka emzimbeni wethu? Zithini izizathu?

Zininzi izizathu ze-hypertriglyceridemia. Nazi:

• Izinto ezibangela indlela yokuphila
• Ezinye izifo ezisisiseko
• Amanye amayeza
• Izifo ze-lipid ze-genetic

Makhe sijonge nganye kwezi nkcukacha zincinci.

Impembelelo yendlela yokuphila

Indlela esiphila ngayo inefuthe elikhulu kumanqanaba ethu e-triglyceride. Kuba, njengoko benditshilo ngaphambili, okukhona sisitya iikhalori ezininzi, kokukhona imizimba yethu iguquka ibe zii-triglycerides. Ngoko ke, ukuba utya iswekile, amafutha, okanye utywala obungaphezulu kunoko umzimba wakho ukudingayo, amanqanaba akho e-triglyceride anokunyuka.

Izinto ezibangela ukuba umntu abe ne-triglycerides ephezulu:

• Ukusela utywala kakhulu: Uyazi, abanye bethu basela kakhulu ngexesha leepati. Oko kuyasichaphazela nathi.
• Ukutya kakhulu iicarbohydrates ezicociweyo kunye neswekile: Ukutya okwenziwe ngomgubo wesonka (umz. ii-shortbreads, ukutya kwebhakari), iziselo ezineswekile, iikeyiki, iibhisikithi, njl.njl.
• Ukutya kakhulu amafutha agcweleyo: La mafutha afumaneka ekutyeni okunamafutha amaninzi, inyama ebomvu, kunye nokutya okwenziwe ngeoyile yekhokhonathi.
• Ukungawusebenzisi umzimba (indlela yokuphila yokuhlala phantsi): Ukuhlala kwindawo enye imini yonke, usebenza, kwaye ungawulolongi umzimba.

Khawucinge nje, ukuba sitya intlanzi ephekiweyo kwioyile, umhluzi owenziwe ngobisi lwekhokhonathi, kunye nesiselo esimnandi ukongeza kwirayisi esiyityayo ngosuku, iikhalori ezongezelelweyo kuzo zonke ezo zinto zinokugcinwa emzimbeni njengee-triglycerides.

Ngenxa yezifo ezithile

Amanqanaba e-triglyceride anokunyuka ngenxa yezifo ezahlukeneyo. Nazi ezinye zemizekelo:

• Isifo seswekile
• I-Hypothyroidism
• Ukuxhathisa i-insulin
• Isifo sezintso
• Isifo sesibindi
• I-Lupus
• Isifo seMetabolic
• Isifo seNephrotic
• Ukutyeba kakhulu okanye ukutyeba kakhulu
• Irheumatoid arthritis

Abafazi banezinye izinto ezibangela umngcipheko:

• Ukuya exesheni
• Ukukhulelwa - ingakumbi kwi-trimester yesithathu.

Ngenxa yezinye zeziyobisi esizisebenzisayo

Amanqanaba e-triglyceride anokunyuka xa kusetyenziswa amayeza athile. Imizekelo:

• Amayeza okulwa nesifo sengqondo - umz. iClozapine, iOlanzapine
• Amanye amayeza asetyenziselwa ukunyanga usulelo lwe-HIV (ii-antiretroviral (ART) protease inhibitors)
• Amanye amayeza oxinzelelo lwegazi oluphezulu (iiBeta-blockers - ezingakhethiyo)
• Ii-Corticosteroids
• I-Cyclophosphamide
• I-estrogen yomlomo
• Tamoxifen
• I-Thiazides - iziyobisi ezibangela ukwanda kokuchama

Eyona nto ibalulekileyo: Ungaze uyeke ukuthatha amayeza owanikwe ngugqirha ngaphandle kokuthetha naye. Ukuba kukho amayeza abangela ukuba i-triglycerides yakho inyuke, ugqirha wakho uya kukwazi ukukunceda. Banokutshintsha idosi okanye bakunike elinye iyeza.

Iimeko zemfuza ezidluliselwa kwizizukulwana ngezizukulwana

Abanye abantu banokuba namanqanaba angaqhelekanga e-triglyceride kunye ne-cholesterol ngenxa yezizathu zemfuza. Imizekelo:

• I-Familial combined hyperlipidemia: Ukwanda kwe-triglycerides, ukwanda kwe-LDL cholesterol, kunye nokwehla kwe-HDL cholesterol.
• I-Familial hypertriglyceridemia (uhlobo lwesine lwe-familial dyslipidemia): Ukunyuka kwe-triglycerides kuphela.
• I-Familial dysbetalipoproteinemia (uhlobo lwesithathu lwe-hyperlipoproteinemia): Ukunyuka kwe-triglyceride kunye namanqanaba e-cholesterol iyonke.
• I-Familial chylomicronemia syndrome (FCS): Amanqanaba aphezulu e-triglyceride angaphezu kwe-1000 mg/dL.

Amaxesha amaninzi, i-hypertriglyceridemia inokubangelwa yenye okanye ngaphezulu kwezi zinto. Umzekelo, umntu unokuba nesifo semfuza kunye nendlela yokuphila engafanelekanga. Ugqirha wakho uya kugqiba ukuba zeziphi ezi zinto aze akunike unyango olufanelekileyo.

Uyazi njani ukuba une-hypertriglyceridemia?

Kukho iindlela ezimbini eziphambili zokufumanisa oku: uvavanyo lomzimba ngugqirha kunye novavanyo lwegazi.

Uvavanyo lomzimba nguGqirha

Ugqirha uza kukwenza uvavanyo lomzimba ukuze afumanise ngempilo yakho. Uza kukubuza nangale mibuzo ilandelayo:

• Ngaba kukho umntu kusapho lwakho onesifo sentliziyo, i-cholesterol ephezulu, okanye i-triglycerides ephezulu?
• Indlela ophila ngayo (umz. utywala, ukusebenzisa icuba).
• Ezinye izifo onazo.
• Amayeza owasebenzisayo.

Ngolu lwazi, ugqirha wakho unokuqonda ukuba yintoni ebangela i-triglycerides ephezulu kunye nomngcipheko wakho wokuba nesifo sentliziyo.

Uvavanyo lweGazi

Uvavanyo lwegazi olulula olubizwa ngokuba yi-lipid panel yeyona ndlela ikuphela kwayo yokuchonga ngokuchanekileyo i-hypertriglyceridemia. Olu vavanyo lulinganisa amanqanaba akho e-triglyceride kunye namanqanaba akho e-cholesterol.

Njengoko benditshilo ngaphambili, ugqirha uza kukuxelela ukuba uzile ukutya kangangeeyure ezili-10-12 ngaphambi kolu vavanyo lwegazi. Oko kuthetha ukuba akufanele utye okanye usele nantoni na ngaphandle kwamanzi. Ukuze ufumane iziphumo ezichanekileyo, kubaluleke kakhulu ukuzila ukutya kanye njengoko ugqirha ekuxelela.

Zeziphi iindlela zonyango ezilungileyo zoku? Ndingayinciphisa njani?

Kukho iindlela ezintathu eziphambili zonyango lwe-hypertriglyceridemia:

• Utshintsho kwindlela yokuphila
• Amayeza (amayeza)
• Ukunyanga izizathu ezibangela i-triglycerides ephezulu.

Usenokufuna enye okanye ezingaphezulu kwezi ndlela. Ugqirha wakho uza kukumisela isicwangciso sonyango esifanelekileyo kuwe.

Utshintsho kwindlela yokuphila - ezi zezona zinto zibalulekileyo!

Unyango ludla ngokuqala ngokutshintsha indlela yokuphila. Nazi izinto eziphambili:

• Ziphephe utywala: yehlisa utywala kangangoko unako, okanye uyeke ngokupheleleyo.
• Ziphephe iicarbohydrates ezicociweyo kunye neswekile: Nciphisa ukutya isonka, iilekese, kunye neziselo kangangoko unako. Endaweni yoko, yitya ukutya okuziinkozo, imifuno kunye neziqhamo.
• Yitya ukutya kwaselwandle okungakumbi, ingakumbi iintlanzi ezityebileyo kwi-omega-3 fatty acids: iintlanzi ezifana nesalmon, i-mackerel, i-herring, kunye ne-tuna zilungile.
• Zilolonge ngakumbi:Yenza into efana nokuhamba, ukubaleka, ukudada ubuncinane imizuzu engama-30 ngosuku. Yiba nomdla kwimisebenzi yakho yemihla ngemihla.
• Lawula ukutya kwakho okuneekhalori ukuze unciphise ubunzima obugqithisileyo: Zama ukugcina ubunzima obufanelekileyo obuhambelana nobude bakho.
• Khetha amafutha asempilweni endaweni yamafutha agcweleyo kunye namafutha atshintshiweyo: nciphisa izinto ezifana neoyile yekhokhonathi, ioyile yesundu, ibhotolo, kunye nemargarine, kwaye sebenzisa izinto ezifana neoyile yomnquma, ioyile yecanola, kunye namandongomane athile.

"Utshintsho oluncinci njengokusebenzisa ioyile encinci xa upheka ekhaya, ukunciphisa ukutya okunamafutha esikutya evenkileni, kunye nokusela iti engenaswekile endaweni yeti eneswekile kunokwenza umahluko omkhulu."

Amayeza

Ukuba utshintsho lwendlela yokuphila lodwa alulawuli amanqanaba akho e-triglyceride, ugqirha wakho unokukunika amayeza. Amayeza abaluleke kakhulu kubantu abane-hypertriglyceridemia enzima. Kukho iintlobo ezahlukeneyo zamayeza ugqirha wakho anokuzinika:

• IiFibrates - umz. iFenofibrate
• Ii-omega-3 fatty acids ezibhalwe ngugqirha - umz. i-Icosapent ethyl (IPE)
• IiStatins - Nangona ezi zimiselwe kakhulu ukunciphisa i-cholesterol, ngamanye amaxesha zichaphazela ne-triglycerides.

Ukulawula ezinye izifo

Ukuba unenye imeko yezempilo (umz. isifo seswekile) enokuba negalelo kumanqanaba akho aphezulu e-triglyceride, kubalulekile nokulawula loo meko kakuhle. Ugqirha wakho uza kukunika iingcebiso kunye nonyango olufunekayo.

Ngaba i-hypertriglyceridemia ingathintelwa?

Ezinye izizathu (ukwaluphala, izifo ezithile) zingaphaya kwamandla ethu. Nangona kunjalo, zininzi izinto esinokuzenza kubomi bethu bemihla ngemihla ukuthintela le meko. Nazi ezinye zazo:

• Yitya ukutya okunempilo nentliziyo: Yitya imifuno emininzi, iziqhamo, ukutya okuziinkozo, kunye neproteni engenamafutha amaninzi. Nciphisa ioyile, iswekile, kunye netyuwa.
• Yiba nomdla: Ukongeza ekuzilolongeni okucwangcisiweyo, shukumisa umzimba wakho kangangoko unako ngexesha lemisebenzi yakho yemihla ngemihla. Izinto ezifana nokuthatha izinyuko endaweni yelifti nokuhamba ngeenyawo ukuya kwiindawo ezikufutshane.
• Gcina ubunzima bakho busempilweni.
• Nciphisa utywala: Ubuninzi yisiselo esinye esiqhelekileyo ngosuku kwabasetyhini kunye neziselo ezimbini eziqhelekileyo ngosuku kwamadoda.
• Nciphisa iswekile kunye neecarbohydrates ezicociweyo.

Cela ugqirha wakho ukuba akunike iingcebiso ezithe vetshe ukuze akuncede ulawule amanqanaba akho e-triglyceride.

Iyintoni imbono yomntu onesi sifo? (Imbono)

Oku kuxhomekeke kwizinto ezininzi. Umzekelo:

• Zithini izizathu ze-hypertriglyceridemia yakho?
• Ingakanani inqanaba lakho le-triglyceride?
• Ziziphi ezinye izifo onazo?

Ngoko ke, thetha nogqirha wakho ukuze ufumane ukuba imeko yakho injani kanye kanye.

Kodwa khumbula, i-hypertriglyceridemia yimeko eqhelekileyo, kwaye awuwedwa. Abantu abaninzi balawula le meko kakuhle ngokulandela icebiso likagqirha wabo, benze utshintsho kwindlela abaphila ngayo, kwaye bathathe amayeza ukuba kuyimfuneko.

Ndifanele ndimbone nini ugqirha?

Qiniseka ukuba uya kuhlolo lwakho lwezonyango lonyaka. Ukongeza, yiya nakweyiphi na eminye imihla yokuqeshwa njengoko ugqirha wakho eyalele. Ukuba unemibuzo okanye iinkxalabo, zive ukhululekile ukuqhagamshelana nogqirha wakho nangaliphi na ixesha.

Yeyiphi imibuzo omele uyibuze ugqirha?

Kubalulekile ukufunda okuninzi kangangoko unako malunga nemeko yakho, izizathu zayo, kunye nonyango lwayo. Ungabuza ugqirha wakho imibuzo efana nale:

• Athini amanqanaba am e-triglyceride?
• Ngaba nam ndine-cholesterol ephezulu?
• Yintoni ebangela ukuba ii-triglycerides zam zinyuke?
• Ndingawanciphisa njani amanqanaba am e-triglyceride?
• Ingakanani ingozi yam yokuba nesifo sentliziyo?
• Zeziphi iintlobo zokuzilolonga ezifanelekileyo kum?
• Ngaba kufuneka ndiye kwingcali yokutya?

Kufuneka uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba unayo nayiphi na kwezi mpawu , fowunela ku-911 (1990 eSri Lanka) ngoko nangoko, okanye uye kwigumbi likaxakeka elikufutshane:

• I-pancreatitis ebukhali - (intlungu yesisu eqatha, ukuhlanza, umkhuhlane)
• Ukuhlaselwa yintliziyo - (iintlungu zesifuba, ukuphefumla kancinci, ukubila)
• Istroke - (ukuba ndindisholo okanye ubuthathaka ebusweni, engalweni okanye emlenzeni, ubunzima bokuthetha, ubunzima bokuhamba)

I-hypertriglyceridemia inyusa umngcipheko wokuba neengxaki ezinzulu. Kungoko ke, kubaluleke kakhulu ukuzazi ezi mpawu kwaye ufune unyango ngokukhawuleza ukuba ziyavela.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukulawula i-hypertriglyceridemia kufuna umgudu othile. Kodwa kufanelekile ixesha lakho. Kuya kufuneka wenze utshintsho oluthile kwimisebenzi yakho yemihla ngemihla, kwaye olo tshintsho lunokubonakala lunzima ngamanye amaxesha. Kodwa qala kancinci. Nokuba utshintsho oluncinci lunokwenza umahluko omkhulu kwimpilo yentliziyo yakho. Buza ugqirha wakho ngezixhobo kunye namaqela enkxaso ukukunceda ufikelele kwiinjongo zakho. Impilo yakho isezandleni zakho!

i- hypertriglyceridemia, i-triglycerides, i-cholesterol, isifo sentliziyo, ukutya, umthambo, indlela yokuphila