Kule mihla, abantu abaninzi bayathuthumela kancinci xa besiva igama elithi "cholesterol," akunjalo? Sonke siyazi ukuba linxulumene ngqo nezinto ezifana nesifo sentliziyo, ukuhlaselwa yintliziyo, kunye nesifo sohlangothi. Ngoko ke, kwenziwa uvavanyo lwegazi olubaluleke kakhulu olubizwa ngokuba yiLipid Panel ukuze kufunyaniswe ukuba zingakanani na ezi fat (Lipids), oko kukuthi, i-cholesterol, ezisemzimbeni wakho nokuba zikwinqanaba elifanelekileyo na. Namhlanje, masifunde yonke into ngale nto ngokulula, ngokungathi sithetha nomhlobo.
Ngamafutshane, yintoni le Lipid Panel?
Iphaneli ye-lipid luvavanyo olulula lwegazi olulinganisa ubungakanani bamasuntswana amafutha (esiwabiza ngokuba zii-lipids) egazini lakho. Ngokwesiqhelo, olu vavanyo lulinganisa iintlobo ezahlukeneyo ze-cholesterol kunye nolunye uhlobo lwamafutha olubizwa ngokuba zii-triglycerides.
Cinga ngemithambo yegazi yethu njengemibhobho. Xa olu hlobo lwamafutha egazini, oko kukuthi, i-cholesterol, lusanda, kanye njengothuli olunamathela ngaphakathi kwipayipi yamanzi kwaye luvaleka kancinci kancinci, amafutha aqala ukuqokelelana ngaphakathi kwimithambo yegazi yethu (imithambo yegazi). Oku sikubiza ngokuba yi-"Atherosclerosis". Ekuhambeni kwexesha, xa imithambo yegazi ivaleka ngale ndlela, ukuhamba kwegazi entliziyweni nasengqondweni kuyaphazamiseka, okwandisa umngcipheko weemeko ezinzima ezifana nokuhlaselwa yintliziyo kunye nestroke .
Ngoko ke, oogqirha basebenzisa olu vavanyo lweLipid Panel ukuvavanya umngcipheko wakho wokuba nesifo sentliziyo. Olu luvavanyo olwenzelwa abantwana kunye nabantu abadala.
Yintoni elinganiswa kakhulu lolu vavanyo?
I-Lipid Panel inika ulwazi malunga neentlobo ezi-5 eziphambili zamafutha. Kubaluleke kakhulu ukuqonda ezi zinto.
| Uhlobo lweLipid | Kalula nje... |
|---|---|
| I-Cholesterol iyonke | Le yingqokelela yazo zonke iintlobo ze-cholesterol egazini lakho. Oku kusinika umfanekiso opheleleyo. |
| I-cholesterol ye-LDL (i-Low-Density Lipoprotein) | Lo "ngumlinganiswa ombi" kweli bali (iCholesterol Embi)Yile nto igcina imithambo yegazi eludongeni ize iyivale. Okukhona eli xabiso liphantsi, kokukhona lingcono. |
| I-cholesterol ye-HDL (i-High-Density Lipoprotein) | Eli "liqhawe elilungileyo" lebali lethu (iCholesterol Elungileyo) . Into eliyenzayo kukususa i-cholesterol ye-LDL embi ebekwe kwimithambo yegazi, iyise esibindini kwaye iyincede ikhutshwe emzimbeni. Ifana nesicoci. Ngoko ke okukhona eli xabiso liphezulu, kokukhona lingcono. |
| Iitriglycerides | Olu lolunye uhlobo lwamafutha oluveliswa emzimbeni ngokutya esikutyayo. Le yindlela umzimba ogcina ngayo iikhalori ezingaphezulu esizityayo. Ukonyuka kwala manqanaba kuyingozi yesifo sentliziyo kunye ne-pancreatitis. |
| I-cholesterol ye-VLDL (i-Lipoprotein eNcinci kakhulu) | Oku kukwawela kudidi lwe-cholesterol embi. Iveliswa ngakumbi kukutya esikutyileyo kutshanje. Ukuba eli xabiso liphakanyisiwe ngexesha lovavanyo lokuzila ukutya, oko kunokuthetha ukuba umzimba awulawuli kakuhle i-cholesterol. |
Ngaba nawe ungaludinga olu vavanyo?
Ewe, mhlawumbi. Ukuba unenye okanye ngaphezulu kwezi zinto zilandelayo ezibangela umngcipheko wesifo sentliziyo, ugqirha wakho unokucebisa ukuba uhlolwe i-lipid panel rhoqo.
- Ubudala: Ukuba uyindoda, uneminyaka engaphezu kwama-45 ubudala, ukuba ungumfazi, uneminyaka engaphezu kwama-50 ubudala.
- Iingxelo zangaphambili: Ukuba inqanaba lakho le-cholesterol linyukile kuvavanyo lwangaphambili.
- Ukutshaya: Ukuba ungumntu otshayayo.
- Ukutyeba kakhulu: Ukuba ubunzima bomzimba buphezulu kakhulu.
- Ukungazilolongi: Ukuba umzimba awufumani umthambo owaneleyo.
- Uxinzelelo lwegazi oluphezulu: Ukuba uxinezeleko lwegazi oluphezulu.
- Isifo seswekile: Ukuba unesifo seswekile okanye usemngciphekweni wokuba nesifo seswekile (prediabetes).
- Imbali yosapho: Ukuba umama wakho, utata, umnakwenu, okanye udadewenu ube nesifo sentliziyo esemncinci.
Ungamangaliswa, ngamanye amaxesha nabantwana abancinci kufuneka benze olu vavanyo. Ugqirha unokucebisa olu vavanyo, ingakumbi ukuba abazali bane-cholesterol ephezulu okanye ukuba umntwana utyebile kakhulu.
Ungazilungiselela njani uvavanyo? (Ingakumbi ngokuzila ukutya)
Eli linqaku elibaluleke kakhulu. Kwiimeko ezininzi , uya kucetyiswa ukuba uzile ukutya iiyure ezili-10 ukuya kwezili-12 ngaphambi kokuba wenze uvavanyo lweLipid Panel.
Kuthetha ukuthini ukuzila ukutya?
Ngamafutshane, awunakutya okanye usele nantoni na ngaphandle kwamanzi ngelo xesha. Akuyonto ilungileyo nokuhlafuna itshungama. Kuba oko sikutyayo nesikuselayo kunokuchaphazela amaxabiso, ingakumbi ama-triglycerides. Ke ngoko, ukuzila ukutya kubalulekile ukuze ufumane uhlalutyo oluchanekileyo.
Nangona kunjalo, eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngqo . Ezinye iindlela zokuvavanya zanamhlanje azidingi kuzila ukutya. Ngoko ke ngaphambi kovavanyo, buza ugqirha wakho ngqo "Ngaba kufuneka uzile ukutya? Zingaphi iiyure?"
Musa ukoyika ukutsalwa igazi lakho. Kuthatha imizuzu engaphantsi kwemihlanu. Umntu oqeqeshiweyo uza kuthatha isampuli encinci yegazi kumthambo osengalweni yakho ngaphantsi kwengqiniba yakho. Kuya kuvakala ngathi kukulunywa ziimbovane, yiyo loo nto kuphela.
Masiqonde ingxelo: Ngawaphi la manqanaba aphilileyo?
Xa ingxelo yakho ifika, thelekisa amaxabiso akuyo nala. La ngamaxabiso athathwa njengamanqanaba asempilweni (alinganiswa ngeemiligrama ngedesilitha nganye - mg/dL).
| Uvavanyo | Inqanaba elihle kakhulu / elisempilweni (Inqanaba eliLungileyo - mg/dL) |
|---|---|
| I-Cholesterol iyonke | Ngaphantsi kwe-200 mg/dL |
| I-cholesterol ye-HDL "elungileyo" | Ngaphezulu kwe-60 mg/dL |
| I-cholesterol ye-LDL "embi" | Ngaphezulu kwe-100 mg/dLIphantsi (ngaphantsi kwe-70 mg/dL yeyona ilungileyo kubantu abanezifo ezifana nesifo seswekile) |
| Iitriglycerides | Ngaphantsi kwe-150 mg/dL |
Ngaba kufuneka ndikhathazeke ukuba ixabiso elikwingxelo lahlukile?
Hayi. Musa ukoyika ngoko nangoko. Ukuba ixabiso elikwingxelo yakho lahlukile kuluhlu olusempilweni olukule theyibhile, akuthethi ukuba unesifo okanye kufuneka uthathe amayeza.
Khumbula, ayingomanani akwingxelo kuphela abalulekileyo. Ugqirha uza kwenza isigqibo emva kokuqwalasela yonke imeko yakho yempilo.
Xa exoxa ngeziphumo zakho, ugqirha wakho uya kuqwalasela nezi zinto zilandelayo:
- iminyaka yakho
- Imeko yakho yempilo iyonke
- Imbali yempilo yosapho lwakho
- Amanye amayeza owasebenzisayo ngoku
- Izinto ezibangela umngcipheko wesifo sentliziyo (umz., isifo seswekile, uxinzelelo lwegazi oluphezulu)
Ukuqwalasela konke oku, ugqirha wakho uza kuthetha nawe aze agqibe ukuba ufuna unyango okanye ukuba utshintsho kwindlela ophila ngayo luya kwanela na.
Ukuba amaxabiso angaqhelekanga, kwenzeka ntoni emva koko?
Ukuba amazinga akho e-cholesterol aphezulu, ugqirha wakho unokucebisa enye okanye ezingaphezulu kwezi zilandelayo:
1. Ukuqhubeka nokubeka esweni: Usenokucelwa ukuba uphinde uvavanye emva kweenyanga ezimbalwa.
2. Utshintsho kwindlela yokuphila: Le yeyona nto ibalulekileyo.
- Ukutshintsha indlela otya ngayo: Nciphisa ukutya okuneoyile eninzi, iswekile, kunye nomgubo, kwaye utye imifuno, iziqhamo kunye neenkozo ezipheleleyo.
- Ukuzilolonga: Yenza umthambo ubuncinane imizuzu engama-30 ngosuku, njengokuhamba, ukubaleka, okanye ukukhwela ibhayisekile.
3. Ukuqala amayeza: Ukuba utshintsho lwendlela yokuphila lodwa alukwazi ukulawula amanqanaba, okanye ukuba umngcipheko wakho uphezulu kakhulu, kuyacetyiswa ukuba uqale ukuthatha amayeza okunciphisa i-cholesterol (umz., ii-statins).
Konke oku kwenzeka emva kwengxoxo nogqirha wakho, ukuze kubekho icebo elifanelekileyo kuwe . Ngoko ke ukuba unemibuzo malunga nengxelo, ungoyiki ukubuza ugqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Lipid Panel luvavanyo lwegazi olulula, kodwa olubaluleke kakhulu olulinganisa amanqanaba e-cholesterol kunye ne-triglycerides egazini lakho.
- I-LDL yi-cholesterol "embi", evala imithambo yegazi. I-HDL yi-cholesterol "elungileyo", ecoca imithambo yegazi.
- Kusenokufuneka uzile ukutya iiyure ezili-10-12 ngaphambi kovavanyo. Hlala ulandela imiyalelo kagqirha wakho ngokuchanekileyo.
- Musa ukoyika ukuba amaxabiso akwingxelo aqhelekanga. Ugqirha wakho uza kuqwalasela impilo yakho iyonke ngaphambi kokuba agqibe ngonyango.
- Indlela yokuphila esempilweni (ukutya okunempilo, ukuzilolonga ngokwaneleyo, kunye nokuphepha ukutshaya) inokunceda kakhulu ekugcineni amanqanaba akho e-cholesterol kwinqanaba elifanelekileyo.
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