Ungase ube ngumuntu olawula ukudla kwakho nokuzivocavoca nsuku zonke. Kodwa uma uhlolwa igazi lakho, izinga lakho le-cholesterol alinciphi, akunjalo? Ngezinye izikhathi ungase ucabange, "Kungani lokhu kwenzeka kimi ngedwa? Ngenza konke kahle." Empeleni, isizathu salokhu akuyona indlela yakho yokuphila, kodwa into evela emndenini wakho, okungukuthi, ezizukulwaneni. Ake sixoxe ngalokhu ngemininingwane ethe xaxa .
Lalela indaba yowesifazane osemusha ogama lakhe linguSusan Addis. Ngesikhathi esekolishi, unina wamthumelela iphakethe elincane elinencwadi. Incwadi yayithi, "Yidla konke ukudla engikuthumelele khona manjalo, ngoba ngemva kokuhlolwa kwegazi lakho, ngeke usakwazi ukukudla futhi." Ngaleso sikhathi, izinga le-cholesterol likanina kaSusan lase likhuphuke lafika ku-500 mg/dL. (Noma yini engaphezu kuka-200 ibhekwa njengephezulu.) Udokotela wayeseyale ukuba ezinye izingane ezintathu emndenini zihlolwe.
USusan, owayeneminyaka engu-24 ngaleso sikhathi, wayemncane kakhulu futhi ephilile ukuba acele udokotela ukuthi amhlole i-cholesterol. Wathola ukuhlolwa noma kunjalo. Umphumela? I-cholesterol ingu-350 mg/dL! Kodwa udokotela wakuchitha njengokungathi “kuphakeme kancane.” Kodwa kwaba yilapho uSusan ekubheka encwadini lapho aqaphela khona ukuthi ukufundwa kwakhe kwakuphakeme kakhulu.
Lokhu kungenxa yokuthi uSusan unesifo esingavamile sofuzo esibizwa ngokuthi i-Familial Hypercholesterolemia . Kalula nje, lesi simo sibangela ukuba i-cholesterol iqongeleleke emzimbeni wakho, kungakhathaliseki ukuthi unesisindo esingakanani, udlani, noma ukuzivocavoca umzimba.
Uma Kusezakhini Zakho Zofuzo?
Umuntu omdala oyedwa kwabathathu emhlabeni une-cholesterol ephezulu. Kodwa isimo sofuzo esikhulume ngaso ngaphambilini esibizwa ngokuthi i-familial hypercholesterolemia sithinta iqembu elincane kakhulu, cishe umuntu oyedwa kwabangu-300. Kunezinhlobo zofuzo ezingaba ngu-1,500 ezibangela lokhu. Umzali onalesi sakhi sofuzo unethuba elingu-50% lokusidlulisela enganeni yakhe. USusan wathola lesi sakhi sofuzo kunina. Indodakazi kaSusan nayo yasizuza njengefa, kodwa indodana yakhe ayizange isenze lokho.
Iningi lalezi zinhlobo zezakhi zofuzo lithinta iphrotheni ebizwa ngokuthi i-LDL receptor . Umsebenzi walo phrotheni ukususa i-LDL cholesterol , noma lokho esikubiza ngokuthi "i-cholesterol embi," egazini. Kodwa kubantu abanalesi simo sezakhi zofuzo, leyo phrotheni ayisebenzi kahle.
Abantu abanalesi simo banamazinga aphezulu e-cholesterol kusukela ekuzalweni. Uma bengelashwa, bangaba nesifo senhliziyo besebancane kakhulu.
Into engcono kakhulu ukuthi ukwelashwa kwalokhu kufana nokwanoma ubani one-cholesterol ephezulu. Okusho ukuthi, ukudla okunamafutha amancane, ukuvivinya umzimba, kanye nemithi yokwehlisa i-cholesterol . Kodwa inkinga iwukuthi, ngisho nakho konke lokhu, uma ukulawula kusezandleni zezakhi zofuzo, amazinga e-cholesterol angase abe phezulu.
"Umuntu onesifo sofuzo angase angasabeli ekwelashweni ngendlela efanayo nomuntu ongenaso. Ngakho imizamo yakhe ingase ingaphumeleli kangako. Kuyacasula ngempela." - UDkt. Erica Spatz, udokotela wezifo zenhliziyo.
USusan, ngesikhathi esekolishi, wayelandela ukudla okuqinile futhi evivinya umzimba nsuku zonke, futhi wakwazi ukugcina izinga lakhe le-cholesterol lingama-240 mg/dL kuphela. Kodwa lokho kwakusesephezulu. Ngemva kokuqala umsebenzi, wayengenakukwazi ukuqhubeka naleyo ndlela yokuphila. Manje, eneminyaka engu-54, ulawula i-cholesterol yakhe ngemithi kanye nokudla okulinganiselayo.
| Indlela yokuthola ifa | Kalula nje... |
|---|---|
| Isifo sofuzo (i-Familial Hypercholesterolemia) | Lesi yisimo esingavamile esibangelwa ngqo yisici sofuzo. Kungakhathaliseki ukuthi indlela yakho yokuphila inhle kangakanani, i-cholesterol izoqhubeka ikhuphuka. Imithi ibalulekile. |
| Ukuthambekela kwezakhi zofuzo | Okwenzekayo lapha ukuthi esikhundleni sokuthola isifo njengefa, kukhona "ingozi" yofuzo ye-cholesterol ephezulu. Indlela yokuphila ingenza umehluko omkhulu. |
| Indlela Yokuphila Ezuzwe Njengefa | Ngaphandle kokubandakanyeka kwezakhi zofuzo, i-cholesterol iyanda ngenxa yokuthi izingane zamukela imikhuba yokudla engafanele kanye nendlela yokuphila yokungenzi lutho yabazali bazo. |
Hhayi izakhi zofuzo kuphela, kodwa nendlela yakho yokuphila "ezuzwe njengefa"
Asizuzi nje kuphela izakhi zofuzo kubazali bethu, kodwa futhi nemikhuba yabo. Lokhu kuhlanganisa imikhuba emihle, kanye nemikhuba emibi.
Imikhuba eqala ngaphambi kokuzalwa
Cabanga ngakho, izinzwa zakho zokunambitha ziqala ukukhula ngaphambi kokuba uzelwe. Ucwaningo luye lwabonisa ukuthi uma umama edla ukudla okuhlukahlukene ngesikhathi sokukhulelwa, umntwana wakhe cishe uzothanda lawo ma-flavour ngemva kokuzalwa.Iphunga lezinongo ezifana negalikhi, i-curry, ne-ginger lifakwa ku-amniotic fluid umntwana ayigwinya esibelethweni.
Kokunye ukuhlola, omama abakhulelwe banikwa ujusi wekaroti namanzi ukuze baphuze. Ngemva kokuzalwa kwezingane zabo, omama abaphuza ujusi wekaroti baba nobuso obuncane lapho beqala ukudla izaqathi. Ucwaningo lomama abaphuza ujusi wekaroti ngenkathi bencelisa luthole imiphumela efanayo.
Imikhuba yobuntwana
Uma usemusha, imikhuba yakho yokudla ibunjwa yilokho abazali bakho abakudlayo nabakuphuzayo phambi kwakho. "Njengomndeni, sidla ukudla okufanayo. Imikhuba yokudla yabantu abaningi ihlobene nalokho abakudlayo futhi ababejwayele ukukudla kusukela besebancane," kusho uDkt. Spatz.
Ngokufanayo, ukudla owakuphiwa njengezipho usengumntwana, kanye nokudla owawunqatshelwe ukukudla, nakho kuyakuthinta lokhu. Into emangazayo ukuthi, uma wawungavunyelwe ukudla ukudla okumnandi nokunamafutha usengumntwana, cishe uzoba nomdlandla ngakho usumdala.
Ngokufanayo, uma abazali bematasa, nezingane zinamathuba amaningi okuba matasa. Ngakolunye uhlangothi, izingane zabazali ababhemayo zinamathuba amaningi okubhema , okuyimbangela enkulu ye-cholesterol ephezulu.
Sibhekana kanjani nale ngozi yesizukulwane?
Izindaba ezinhle ukuthi umonakalo obangelwa izakhi zofuzo ezinephutha kanye nemikhuba emibi ezuzwe njengefa ungalawulwa ngendlela efanele yokuphila kanye nemithi .
USusan uthi, "Ngangidla ushizi omningi ngiseyingane, futhi ngiyawuthanda ushizi. Kodwa manje sengigwema ubisi olunamafutha amaningi. Angiyidli inyama ebomvu noma amaqanda aphelele." Usebenzisa i-activity tracker ukuze azigcine ekhuthazekile. Lokho angenakukulawula ngokudla nokuzivocavoca, angakulawula ngemithi yakhe.
Manje izinga lakhe le-cholesterol lizinzile phakathi kuka-220-240 mg/dL.
USusan uthi uthola amandla okuqhubeka nalolu hambo ngokubheka konke ngendlela eyakhayo. "Uma udokotela wakho ethi i-cholesterol yakho iphezulu futhi udinga ukwenza okuthile ngakho, sicabanga ukuthi, 'O, angisakwazi ukudla lokhu manje, angisakwazi ukudla lokho manje.' Kodwa ngacabanga ukuthi, 'Yiziphi izinto ezintsha engingazama?'"
"Ukucabanga kanjalo kwangisiza kakhulu ukupheka ngezindlela ezintsha, ukusebenzisa izinongo ezahlukene, nokuzama izinto ezintsha ezimnandi. Kunezitsha eziningi kakhulu ezingenziwa ezinamafutha aphansi, kodwa ezisamnandi . Ungadla okunempilo futhi okumnandi."
Ngempela, yilokho noma ubani angathanda ukukudlulisela ezinganeni zakhe, akunjalo?
Umlayezo Wokuya Nawe Ekhaya
- Uma ungakwazi ukwehlisa amazinga akho e-cholesterol kungakhathaliseki ukuthi uzama kangakanani, kungase kube khona imbangela yofuzo. Akulona iphutha lakho.
- Uma kukhona emndenini wakho (umama, ubaba, izingane zakini) one-cholesterol ephezulu noma oke waba nesifo senhliziyo esemncane, nawe kufanele ukhathazeke ngaso.
- Khuluma nodokotela wakho ngokukhululekile ngamazinga akho e-cholesterol kanye nomlando womndeni. Thola ukuhlolwa nokwelashwa okudingekayo.
- Ngisho noma imbangela iwufuzo, kubaluleke kakhulu ukugcina ukudla okunempilo kanye nendlela yokuphila esebenzayo. Ungaziyeki lezi zinto ngisho noma usebenzisa imithi.
- Esikhundleni sokukhathazeka “ngezinto ongeke uzidle,” cabanga ngendlela enhle “ngokudla okusanda kuphekwa, okunempilo ongakujabulela.”
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