Ngubani isazi se-lipidologist - uchwepheshe we-cholesterol? Ake sithole!

Ingabe udokotela wakho ukutshelile ukuthi i-cholesterol yakho iphezulu kancane? Noma ukhathazekile kancane ngoba othile emndenini wakho une -cholesterol ephezulu ? Khona-ke lesi sihloko sizoba sibaluleke kakhulu kuwe. Namuhla sizokhuluma ngodokotela we-Lipidologist, udokotela ogxile emafutheni afana ne-cholesterol.

Ngubani ngempela i-Lipidologist?

Kalula nje, i-Lipidologist ingudokotela ogxile ezinhlotsheni zamafutha emizimbeni yethu, ikakhulukazi i-cholesterol . Lawa mafutha, abizwa ngokuthi ama-lipid, ngezinye izikhathi anganqwabelana emithanjeni yegazi yethu futhi ayivale. Kungenzeka ukuthi uke wezwa 'nge-cholesterol embi'. Indima eyinhloko yalaba odokotela ukusiza abantu abanezinkinga ze-lipid.

Cabanga nje, laba odokotela basisiza ngokudlula ukuhlolwa kwegazi okulula nokusebenzisa ulwazi lwabo. Banokuqonda okuhle ngalokhu kuphazamiseka kwamafutha, kanye nezici eziyingozi zesifo senhliziyo nesifo senhliziyo . Ucwaningo luthole ukuthi lapho amazinga 'e-cholesterol embi' emzimbeni wethu (i-LDL - Low-Density Lipoprotein) ekhuphuka, ukwakheka kwamafutha (i-atheroma) kunganqwabelana ngaphakathi kwemithambo yegazi. Lokhu kwakheka kwamafutha yilokho esikubiza ngokuthi 'i-atherosclerosis'.

Manje, bheka, lapho le cholesterol `(LDL)`, leyo cholesterol embi, inqwabelana emithanjeni yethu yegazi, iqala ukuyivala. Yingakho odokotela be-lipids bekhathazeka kakhulu ngenani `(LDL)` egazini lakho. Uma izinga lakho `(LDL)` liphezulu, usengozini enkulu yokuba nesifo senhliziyo noma isifo sohlangothi . Ngakho-ke, laba odokotela bazama ukukusiza ukulawula amazinga akho aphezulu e-cholesterol futhi banciphise ingozi yakho yokuthola isifo senhliziyo nesifo semithambo yegazi.

Izifo zenhliziyo nesifo semithambo yegazi yizona ezibangela ukufa nokukhubazeka emhlabeni jikelele. Odokotela be-lipid basebenzisa ubuchwepheshe babo ukusiza abantu abasengozini yokuthola lezi zimo ngenxa ye-cholesterol ephezulu.

Ingabe kukhona isitifiketi esikhethekile sokuba yi-lipodologist?

Yebo, ikhona ngempela. Kukhona inhlangano eMelika ebizwa ngokuthi "i-American Board of Clinical Lipidology", futhi lesi sitifiketi sochwepheshe sitholakala ngemuva kokuphumelela ukuhlolwa abakwenzayo. Ukuze avele kulolu vivinyo, udokotela kumele abe nelayisensi yezokwelapha esebenzayo yamanje. Futhi, kumele abe eseqede iminyaka emibili yesipiliyoni somtholampilo, noma kumele abe esethole isitifiketi sochwepheshe esivela kwelinye ibhodi lezokwelapha. Ngemva kokuthola lesi sitifiketi, laba odokotela kufanele basivuselele njalo eminyakeni eyi-10. Lokhu kusho ukuthi bahlala befunda izinto ezintsha.

Yini ngempela eyenziwa yi-lipodologist?

Udokotela wezifo zamafutha welapha kakhulu abantu abanezinkinga zamafutha. Nazi izibonelo ezimbalwa:

• I-Hyperlipidemia: Lokhu kwenzeka lapho inani lamafutha (ikakhulukazi i-cholesterol) egazini likhuphuka ngaphezu kwezinga elijwayelekile.
• I-Hypercholesterolemia: Yilapho izinga le-cholesterol embi esikhulume ngayo, okungukuthi, i-LDL, likhuphuka kakhulu.
• I-Hypolipidemia: Lokhu kungenye indlela. Kusho ukuthi izinga le-cholesterol egazini liphansi kunejwayelekile. Lokhu kungaba yinkinga ngezinye izikhathi.
• I-Familial hypercholesterolemia: Lokhu kuhlukile kancane. Kubangelwa izakhi zofuzo, okusho ukuthi izinga le-LDL cholesterol liphezulu kakhulu, elidluliselwa ezizukulwaneni ngezizukulwane.
• I-Hypertriglyceridemia: Lokhu kwenzeka lapho kunolunye uhlobo lwamafutha oluningi kakhulu olubizwa ngokuthi ama-triglycerides egazini. Lokhu futhi akukuhle enhliziyweni.

Ngakho-ke, lapho welapha lezi zimo, udokotela we-lipid angase akunikeze umuthi owodwa noma eminingi . Bangase futhi bakucebise ukuthi wenze izinguquko endleleni yakho yokuphila . Isibonelo, indlela yokulawula ukudla kwakho nokuzivocavoca. Kwezinye izimo ezikhethekile, bangase basebenzise nokwelashwa okubizwa ngokuthi `(Lipoprotein apheresis)`. Lokhu kuhilela ukuthatha elinye igazi lakho ngomshini okhethekile, ukususa i-cholesterol embi `(LDL)` kulo, bese ubuyisela igazi elihlanziwe emzimbeni wakho. Lokhu akuyona into eyenziwa yiwo wonke umuntu, kodwa ingaba usizo kakhulu kulabo abayidingayo.

Ubani udokotela wokuqala okufanele simbheke uma sine-cholesterol ephezulu?

Uma nje uthola ukuthi amazinga akho e-cholesterol aphezulu kancane, ungabonana nomhlinzeki wakho wokunakekelwa okuyinhloko (PCP) . Ngezinye izikhathi sibiza nangokuthi udokotela womndeni wakho. Angakusiza ukuphatha i-cholesterol yakho ezingeni eliyisisekelo.

Kodwa-ke, uma lezi zindlela zokwelapha zingasebenzi kuwe, noma uma unenkinga yokulawula amazinga akho e-cholesterol, ungase uthande ukucabanga ngokubona udokotela we-lipid. Banokuqonda okujulile nge-cholesterol kanye nezindlela zokwelapha ezahlukahlukene ezitholakalayo. Umgomo wabo oyinhloko ukukusiza ukunciphisa ingozi yakho yokuthola isifo senhliziyo noma isifo semithambo yegazi.

Abanye abantu bangase bacabange ukuthi bonke odokotela be-lipid bangodokotela benhliziyo. Kodwa akunjalo. Iningi lodokotela be-lipid linolwazi olukhethekile kwezokwelapha kwangaphakathi noma kwezokwelapha komndeni. Eqinisweni, inhlolovo yango-2010 ithole ukuthi ama-50% amalungu e-National Lipid Association ayenolwazi olunjalo. Ngakho-ke, ungabuza udokotela wakho ojwayelekile ukuthi unolwazi olukhethekile yini kwezokwelapha nge-lipid.

Ake sifunde okwengeziwe ngensimu ye-lipidology.

I-Lipidology imane nje iyigatsha lezokwelapha elifunda, lixilonge, futhi lelaphe izinkinga ze-lipid.

Udokotela wezindebe uyazi kahle lezi zinto:

• Indlela Ama-Lipoprotein Asebenza Ngayo: Lawa afana nezimoto ezithutha amafutha (njenge-cholesterol nama-triglycerides) emizimbeni yethu.
• Indlela I-Atherosclerosis Eqala Ngayo: Lokho kwakheka kwamafutha ngaphakathi kwemithambo yegazi esikhulume ngakho ngaphambili.
• Indlela ukudla nokuzivocavoca okuthinta ngayo amazinga e-cholesterol: Indlela ukudla esikudlayo nokuzivocavoca esikwenzayo okuthinta ngayo i-cholesterol yethu.
• Kunezindlela ezahlukene zokwelapha i-cholesterol ephezulu: imithi, izinguquko zendlela yokuphila, njll.
• Indlela yokwelapha abantu abanezinkinga ze-lipid ezizuzwe njengefa: Isibonelo, izimo ezifana nokuthi "Familial hypercholesterolemia".
• Indlela yokuhlola ingozi yakho yokuthola isifo senhliziyo nesifo semithambo yegazi usebenzisa izici eziyingozi: Ukunquma ingozi yakho ngokusekelwe ezintweni ezifana neminyaka yakho, umlando womndeni, nokuthi uyabhema noma cha.

Empeleni, i-lipidology iwumkhakha omusha kwezokwelapha. Yaqala ukuthuthuka ekuqaleni kwawo-2000. Kodwa-ke, isiwumkhakha obaluleke kakhulu ngoba inkinga ye-cholesterol ephezulu iyinkinga kubantu abaningi namuhla . Cabanga nje, eMelika kuphela, kuthiwa abantu abangaphezu kwezigidi ezingu-80 abaneminyaka engaphezu kwengu-20 bane-cholesterol ephezulu. Lesi simo sibonakala sikhula naseSri Lanka.

Kwenzekani uma uya kudokotela wezindebe?

Uma uya kudokotela we-lipidologist, udokotela uzoqala ngokuthatha isampula yegazi kuwe. Yilokho kuphela.Kwenziwa ukuhlolwa kwephaneli yamafutha . Lokhu kungalinganisa ngokunembile amazinga ezinhlobo ezahlukene ze-cholesterol (njenge-LDL ne-HDL) kanye nama-triglycerides egazini lakho.

Ngemuva kwalokho, udokotela uzokwenza ukuhlolwa ngokomzimba . Uzophinde akuxoxele ngomlando wakho wezokwelapha . Kubalulekile ukuxoxa ngomlando womndeni wakho, njengoba lezi zinkinga ngezinye izikhathi zingase zivele emindenini. Udokotela uzobuza nangemikhuba yakho yansuku zonke . Isibonelo, ingabe usebenzisa imikhiqizo kagwayi noma ukuzivocavoca umzimba? Konke lokhu kuzokusiza ukuthi wakhe uhlelo lokwelashwa olufanele wena.

Uma usuqalile ukuthatha imithi yokwehlisa i-cholesterol futhi wenza izinguquko endleleni yokuphila, isazi sakho samafutha cishe kuzodingeka siphinde sikubone. Lokhu kungenxa yokuthi amazinga akho e-cholesterol egazini adinga ukuhlolwa njalo ukuqinisekisa ukuthi ukwelashwa kwakho kuyasebenza. Udokotela wakho kungadingeka azame okunye ukwelashwa uma ukwelashwa okukodwa kungasebenzi.

Uma unenkinga eqhubekayo yokulawula i-cholesterol yakho, ungesabi ukucela udokotela wakho ukuthi akuthumele kudokotela we-lipidologist . Bangasebenzisa ubuchwepheshe babo ukudala uhlelo lokwelashwa olufanele wena. Abanye abantu, ikakhulukazi labo abanomlando womndeni we-cholesterol ephezulu, bangadinga ukwelashwa okuthuthukile noma inhlanganisela yokwelashwa. Ngakho-ke, ungangabazi ukucela usizo.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okufanele sizikhumbule kule ndaba? (Umyalezo Ofanele Uwuthathe Ekhaya)

Kulungile, ngakho-ke sikhulume kakhulu ngodokotela we-lipid namuhla. Ngamafuphi, nazi ezinye izinto okufanele uzikhumbule:

• Isazi se-lipids udokotela ogxile kuma-lipids, njenge-cholesterol. Bangakusiza ukunciphisa ingozi yakho yesifo senhliziyo.
• Uma unenkinga yokulawula i-cholesterol yakho ngokwelashwa okuvamile kukadokotela wakho , kungcono ukubona udokotela we-lipidologist.
• Odokotela be-lipid bazobheka konke kusukela emlandweni wezokwelapha womndeni wakho kuya endleleni yakho yokuphila bese bedala uhlelo lokwelashwa olufanele wena .
• I-cholesterol ephezulu ingaba yisitha esingabonakali. Ngakho-ke, kubaluleke kakhulu ukuhlola igazi lakho nokulandela imiyalelo kadokotela wakho.
• Uma unemibuzo, ungesabi ukubuza udokotela. Nguwe okufanele ukhathazeke kakhulu ngempilo yakho.

Ngakho-ke, ungesabi i-cholesterol, zama ukuyilawula kahle . Udokotela we-lipidologist angaba umuntu ongcono kakhulu ongakusiza kulolo hambo.

I- Cholesterol, Isazi Sezinsolo Zokudla, Amafutha, Isifo Senhliziyo, I-LDL Cholesterol, Isazi Sezinsolo Zokudla, I-Cholesterol, Izifo Zezinsolo Zokudla