Ingabe ngezinye izikhathi ucabanga ukuthi, "Angazi ukuthi ngine-cholesterol"? Kufana nesitha esithule. Ingacasha emzimbeni wakho ngaphandle kwezimpawu, futhi ngokuzumayo ivule indlela yesifo esibi njengokuhlaselwa yinhliziyo noma isifo sohlangothi. Ngakho-ke okuwukuphela kwendlela yokwazi ngokuqinisekile ukuthi une-cholesterol noma cha ukuhlolwa kwegazi. Kodwa ingabe wonke umuntu udinga ukwenza lokhu kuhlolwa? Kufanele ukwenze kangaki? Ake sixoxe ngalokhu ngokuningiliziwe.
Heart disease risk
Check the risk of developing a heart disease within the next 10 years with the Framingham Score
Kufanele ngihlolwe kangaki i-cholesterol?
Empeleni kunzima kancane ukunikeza impendulo eyodwa kulo mbuzo. Ngoba ngisho nezinhlangano ezinkulu zezempilo emhlabeni zinikeza izeluleko ezihlukile ngalokhu. Ngakho-ke ungase ube nenkinga encane. Kulungile, ake sibone ukuthi ziyini lezi zincomo.
| Inhlangano | Isincomo |
|---|---|
| I-American Heart Association (AHA) kanye ne-CDC | Uma usengozini encane yesifo senhliziyo, kungumqondo omuhle ukuhlolwa njalo eminyakeni engu-4-6 kusukela uneminyaka engu-20. Ngemva kweminyaka engu-40, udokotela wakho uzobala ingozi yakho yokuhlaselwa yinhliziyo noma isifo sohlangothi eminyakeni eyi-10 ezayo bese enquma ukuthi kufanele uhlolwe kangaki. |
| I-National Heart, Lung, and Blood Institute (NHLBI) | Laba bantu bayayincoma futhi nasezinganeni.
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| Iqembu Elisebenzayo Lezinsizakalo Zokuvimbela lase-US (USPSTF) | Bathi kunengqondo ukuthi kuhlolwe i-cholesterol kanye ne-triglycerides okungenani njalo eminyakeni emi-5. |
Uyabona, kunomehluko omncane esincomweni ngasinye. Yingakho sithi lesi yisinqumo somuntu siqu.
Kwenzekani uma kunezinto eziyingozi?
Kodwa lezi zikhathi azifani kuwo wonke umuntu. Uma unezici ezithile ezandisa ingozi yakho yesifo senhliziyo, udokotela wakho angase akuncome ukuthi uhlolwe kusenesikhathi futhi kaningi . Yiziphi lezi zinto eziyingozi?
- Uma kukhona emndenini wakho (umama, ubaba, izingane zakini) onomlando we-cholesterol ephezulu.
- Uma kukhona emndenini oke waba nesifo senhliziyo esemncane (ngaphansi kweminyaka engu-55 kwabesilisa, ngaphansi kweminyaka engu-65 kwabesifazane).
- Uma unesifo sikashukela.
- Uma une-high blood pressure.
- Uma ubhema.
- Uma kukhona ukukhuluphala okukhulu.
Ngakho-ke, ungenzi isinqumo ngokusekelwe entweni oyibonayo ku-inthanethi noma oyizwa kumngane. Into engcono kakhulu nephephile ongayenza ukubonana nodokotela womndeni wakho, ukhulume ngezinto ezikubangela ubungozi, bese uhlolwa ngokusekelwe eseluleko sakhe.
Yini efunwa yi-'Lipid Panel' ebhalwe udokotela?
Uma udokotela wakho enquma ukuthi udinga ukuhlolwa, uzoyala ukuhlolwa kwegazi okubizwa ngokuthi 'i-Lipid Panel' . Lokhu kungakunikeza ulwazi mayelana nezinhlobo eziningana zamafutha egazini lakho. Kalula nje, nakhu okwenzekayo:
| Yini ebhekwayo (Ingxenye) | Kalula nje... |
|---|---|
| I-LDL Cholesterol | Yilokhu esikubiza ngokuthi “i-cholesterol embi.” Iqongelela ezindongeni zemithambo yegazi, iyinciphise futhi yandise ingozi yokuhlaselwa yinhliziyo kanye nohlangothi. |
| I-HDL Cholesterol | Lokhu kubizwa ngokuthi "i-cholesterol enhle" ngoba isusa i-cholesterol ye-LDL embi emithanjeni yegazi bese iyiyisa esibindini. Ngakho-ke uma iningi, kuba ngcono. |
| I-Cholesterol Ephelele | Lokhu kuyisamba sayo yonke i-cholesterol egazini lakho, okuhlanganisa i-LDL ne-HDL. |
| Ama-triglycerides | Lolu olunye uhlobo lwamafutha atholakala egazini. Umzimba ugcina amakhalori engeziwe ekudleni esikudlayo ngale ndlela. Amazinga akhuphukile ala mafutha nawo andisa ingozi yesifo senhliziyo. |
Wenzani uma kufika umbiko wokuhlolwa?
Uma usuwutholile umbiko, ungesabi noma wenze izinqumo ngokwakho ngokusekelwe ezinombolweni. Qiniseka ukuthi uyawuthatha nawe bese uhlangana nodokotela okwelaphayo.
Ngokuvamile, odokotela abaningi babheka izinga le-cholesterol eliphelele elingu- 200 mg/dL noma ngaphezulu njengeliphezulu kancane. Ikakhulukazi uma izinga le-cholesterol "enhle" (i-HDL) elingaphakathi kwalelo banga lingaphansi kuka-40-60 mg/dL, ingozi iyanda.
Kodwa umqondo omusha uwukuthi awusekeli izinqumo zakho kulezi zinombolo kuphela. Udokotela wakho uzocabangela iminyaka yakho, ubulili, ezinye izimo zezokwelapha (njengesifo sikashukela kanye nomfutho wegazi ophezulu), umlando womndeni, nokuthi uyabhema yini, futhi achaze ukuthi lezi zinombolo zithinta kanjani ingozi yakho iyonke yesifo senhliziyo. Kungenzeka ukuthi izinombolo zakho ziphakeme kancane, kodwa awunazo ezinye izici eziyingozi, nokuthi kungase kungabi khona inkinga enkulu. Ngokufanayo, uma izinombolo zakho zivamile kodwa unezinye izici eziningi eziyingozi, udokotela wakho angancoma izinguquko zendlela yokuphila noma akuqalise imithi.
Umlayezo Wokuya Nawe Ekhaya
- I-cholesterol ephezulu yisimo esithule esingenazo izimpawu, ngakho-ke kubalulekile ukuhlolwa.
- Ukuthi kufanele uhlolwe kangaki kuncike eminyakeni yakho, umlando womndeni, kanye nezinye izici eziyingozi, futhi akuyona into efanela wonke umuntu.
- Ungenzi izinqumo ngokusekelwe kulokho okufundayo ku-inthanethi noma kulokho okushiwo umngane. Khuluma nodokotela wakho bese ulandela iseluleko sakhe.
- Umuntu ongcono kakhulu wokuqonda izinombolo embikweni we-'Lipid Panel' ngudokotela wakho. Xoxa naye ngempilo yakho iyonke bese wenza izinqumo ezifanele.
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