Sonke siyayesaba kancane igama elithi "cholesterol," akunjalo? Uma othile ethi, "O, i-cholesterol yami iphezulu kancane," sicabanga ukuthi yisifo esikhulu. Kodwa empeleni, i-cholesterol ibalulekile emizimbeni yethu. Le cholesterol 'enhle' isiza ekwenzeni ama-hormone athile futhi ikhiqize izinto ezisisiza ekugayeni ukudla. Kodwa inkinga itholakala ku-cholesterol 'embi'. Lokhu sikubiza ngokuthi 'i-LDL (i-Low-Density Lipoprotein)'. Yilokhu okwandisa ingozi yezimo ezibucayi njengesifo senhliziyo kanye nesifo sohlangothi. Ngakho-ke uma ubheka umbiko wegazi, kubaluleke kakhulu ukunaka zonke lezi zindinganiso, hhayi nje izinga le-cholesterol iyonke.
Kwenzekani ngempela ku-LDL, i-cholesterol 'embi'?
I-cholesterol 'embi', noma i-LDL, ingabangela izinkinga ezinkulu zempilo. Cabanga ngemithambo yegazi yakho njengamapayipi athwala amanzi. Le cholesterol ye-LDL inomkhuba wokwakhela ngaphakathi kwezindonga zale mithambo yegazi. Ifana nokungcola nokungcola okwakhela ngaphakathi kwepayipi.
Uma lokhu kwenzeka, amangqamuzana amhlophe egazi ayahlangana kulezo zindawo futhi abangele ukuvuvukala okuncane. Ngokuhamba kwesikhathi, la mafutha namaseli aqongelelekile ayaqoqana futhi akhe into esiyibiza ngokuthi 'i-Plaque'. Le 'plaque' ikhula kancane kancane futhi inciphise isikhala sokugeleza kwegazi ngaphakathi kwemithambo yegazi. Okusho ukuthi, iba yimbobo epayipini.
Ukuhlaselwa yinhliziyo noma isifo sohlangothi kuvame ukwenzeka lapho udonga lwaleyo plaque luba buthaka futhi luqhekeka ngokuzumayo. Ihlule legazi libe selivela nxazonke kwesilonda. Uma leli hlule legazi livimba ngokuphelele umthambo wegazi ngokuzumayo, ukuhlinzekwa kwegazi enhliziyweni noma ebuchosheni kunganqamuka, okubangela lezi zimo ezimbi.
Ungayihlola kanjani i-cholesterol yakho?
Udokotela wakho uzohlola amazinga akho e-cholesterol ngokuhlolwa kwegazi okulula. Ngokuvamile lokhu sikubiza ngokuthi 'i-Lipid Profile'. Ngezinye izikhathi ungase ucelwe ukuba uzile ukudla amahora ayi-10-12 ngaphambi kokunikela ngegazi. Kodwa lokhu akudingeki ngaso sonke isikhathi.
Lokhu kuhlolwa kwegazi kuzokutshela ukuthi:
- Izinga Le -Cholesterol Eliphelele
- Amazinga e -LDL (Low-Density Lipoprotein), i-cholesterol 'embi'
- Amazinga e -HDL (High-Density Lipoprotein), i-cholesterol 'enhle'
- Izinga lolunye uhlobo lwamafutha egazini olubizwa ngokuthi ama-triglycerides
Konke lokhu kuyalinganiswa. Udokotela wakho uzobuyekeza lo mbiko futhi akuchazele ngokucacile ukuthi la magugu ayithinta kanjani impilo yakho nokuthi asho ukuthini.
Izindlela ezinhle zokulawula i-cholesterol 'embi'
Kunezindlela ezimbili eziyinhloko zokulawula amazinga e-cholesterol e-LDL. Enye yazo yile:Ukushintsha indlela yokuphila. Okunye ukusetshenziswa kwemithi . Into ebaluleke kakhulu okufanele uyikhumbule ukuthi ngaphambi kokuqala noma yini entsha, kungaba inqubo entsha yokuzivocavoca noma ukudla okusha, kufanele nakanjani ukhulume nodokotela wakho .
Ithebula elingezansi liqukethe imikhuba elula nenempilo ongayilandela.
| Yini engenziwa? | Okuncane ngakho |
|---|---|
| Ukufunda amalebula okudla | Hlola amalebula okudla okuthenga esitolo bese ukhetha izinto ezinamafutha agcwele aphansi. |
| Ukukhetha inyama enhle | Faka inkukhu nenhlanzi ezingenasikhumba njengenyama yakho eyinhloko. Nciphisa inyama ebomvu (inyama yenkomo, ingulube). |
| Imifino, izithelo namakhambi | Gcwalisa ingxenye enkulu yepuleti lakho ngemifino, izithelo, ubhontshisi kanye nokolweni ophelele. |
| Ukuhlala usebenza (ukuzivocavoca) | Ngisho nokuzivocavoca okulula njengokuhamba ngokushesha imizuzu engama-30 ngosuku, okungenani izinsuku ezi-5 ngesonto, kungasiza kakhulu ekwehliseni amazinga akho e-cholesterol. |
Uma udokotela wakho ethola ukuthi izinga lakho le-cholesterol ye-LDL lisaphezulu naphezu kwalezi zinguquko zendlela yokuphila, angase akunikeze umuthi obizwa ngokuthi i-statin. Ngezinye izikhathi eminye imithi nayo ingasiza.
Kungani i-cholesterol yabanye abantu ingakanciphi?
Kungase kube nezizathu eziningana zalokhu.
- Ukungayamukeli inkinga yakho ye-cholesterol: Ukucabanga ukuthi, "Oh... yilokho kanye okuyikho" kungenye yezizathu eziyinhloko ezenza abantu bangenzi izinguquko ezidingekayo endleleni yokuphila.
- Ukungathathi imithi ngendlela efanele: Ukungayithathi imithi ngesikhathi esifanele, njengoba kunqunywe udokotela.
- Ukuyeka imithi uma kuvela imiphumela emibi: Ngezinye izikhathi imithi ingabangela imiphumela emibi emincane. Uma lokhu kwenzeka, kubalulekile ukukhuluma nodokotela wakho ngokushesha futhi nixoxe ngezinye izindlela, kunokuba niyeke imithi niwedwa.
- Ukulutheka kokudla okusheshayo: Ukudla ngaphandle njalo, ukudla ukudla okunamafutha amaningi, ushukela kanye nosawoti.
- Ukuhlala endaweni eyodwa ngaphandle kokuzivocavoca.
Mhlawumbe lokhu kuyinto yesizukulwane.
Cabanga nje, kungakhathaliseki ukuthi uqaphela kangakanani ngalokho okudlayo nokuphuzayo, kungakhathaliseki ukuthi uvivinya umzimba kangakanani, i-cholesterol yakho ngeke yehle. Mhlawumbe akulona iphutha lakho. Kungaba yisimo sofuzo esithinta imindeni.
Ngokwezokwelapha lokhu sikubiza ngokuthi “i-Familial Hypercholesterolemia.” Lokhu akuyona into engavamile njengoba ungase ucabange. Ngokwesilinganiso, cishe umuntu oyedwa kwabangu-250 angaba nalesi simo.
Lokhu kubangelwa isakhi sofuzo esiguquliwe esidluliselwa emndenini siye komunye umndeni. Lesi sakhi sofuzo sinciphisa ikhono lomzimba lokususa i-LDL cholesterol egazini. Lokhu kungabangela amazinga e-LDL ukuba aphakame ngokuphindwe kabili kunokujwayelekile. Izindaba ezinhle ukuthi odokotela bangasibona lesi simo kusenesikhathi kakhulu . Ngezinye izikhathi singatholakala ekuzalweni noma ngisho nasebuntwaneni.
Nakuba izinguquko zendlela yokuphila, njengokudla kahle nokuzivocavoca, zingaba usizo kakhulu kulaba bantu, imithi ingadingeka ukunciphisa ingozi yesifo senhliziyo.
Umlayezo Wokuya Nawe Ekhaya
- Kunezinhlobo ezimbili ze-cholesterol, 'enhle' (HDL) kanye 'nembi' (LDL). Uhlobo 'olubi' olusibangela izinkinga.
- I-cholesterol 'embi' (LDL) ingavimba imithambo yegazi futhi ibangele izimo ezibucayi njengokuhlaselwa yinhliziyo kanye nohlangothi.
- Qiniseka ukuthi uhlola amazinga akho e-cholesterol ngokuhlolwa kwegazi (i-Lipid Profile) bese uxoxa ngemiphumela nodokotela wakho.
- Ukudla okunempilo kanye nokuzivocavoca nsuku zonke kubalulekile ekulawuleni i-cholesterol.
- Uma udokotela wakho ekunike imithi, yisebenzise njengoba uyalelwe. Ungalokothi uyeke ukuthatha imithi ngaphandle kweseluleko sikadokotela.
- I-cholesterol ephezulu cishe iyisimo sofuzo esibangelwa yimindeni. Akulona iphutha lakho, kodwa sidinga ukuphathwa kahle kwezokwelapha.
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