Ingabe nawe une-cholesterol ephezulu? Ingabe udinga ukuthatha imithi? (I-Cholesterol Ephakeme) Ake sixoxe!

Ingabe ukuhlolwa kwegazi lakho kubonise ukuthi une-cholesterol ephezulu? Kumelwe ukuthi wesaba kancane lapho uyibona. Kungenzeka ukuthi wacabanga, 'O, manje kufanele ngithathe imithi impilo yami yonke?' Kodwa ungakhathazeki. Akuwona wonke umuntu otholakale ene-cholesterol ephezulu okudingeka aqale ukuthatha imithi ngokushesha. Ngezinye izikhathi, lesi simo singalawulwa ngokudla okunempilo kanye nokuzivocavoca umzimba. Ukuthi uyayidinga imithi noma cha kuncike empilweni yakho iyonke kanye nengozi yakho yesifo senhliziyo.

Iyini ngempela i-cholesterol?

Kalula nje, i-cholesterol iyinto efana ne-wax, enamafutha etholakala egazini lethu. Ibalulekile ezintweni eziningi emizimbeni yethu, okuhlanganisa nokwakha amangqamuzana nokukhiqiza ama-hormone. Kodwa inkinga iqala lapho leli zinga le-cholesterol liphezulu kakhulu.

Uma lokhu kwenzeka, le cholesterol eyengeziwe iqala ukwakheka ngaphakathi kwezindonga zemithambo yegazi yethu. Kufana nokugqwala okwakheka ngaphakathi kwepayipi lamanzi. Ngokuhamba kwesikhathi, lawa ma-deposit (esiwabiza ngokuthi 'i-plaque') abangela ukuthi ingaphakathi lemithambo yegazi libe mncane futhi liqine. Lokhu-ke kuvimbela ukugeleza kwegazi enhliziyweni nasebuchosheni. Ngezinye izikhathi, ama-blood clots akheka kula ma-deposit, angaqhekeka futhi abangele ukuhlaselwa yinhliziyo noma isifo sohlangothi.

Ingabe kukhona izinhlobo ze-cholesterol?

Yebo, kunezinhlobo ezimbili ze-cholesterol esikhuluma ngazo kanye nolunye uhlobo olubalulekile lwamafutha.

• I-LDL (I-Low-Density Lipoprotein): Yilokhu esikubiza ngokuthi “i-cholesterol embi.” Uma la mazinga enyuka, anganqwabelana emithanjeni yegazi futhi abangele izingozi ezibalwe ngenhla.
• I-HDL (I-High-Density Lipoprotein): Lokhu sikubiza ngokuthi “i-cholesterol enhle.” Lokhu kungenxa yokuthi lezi zinhlayiya ze-HDL zisusa i-cholesterol embi ye-LDL emithanjeni bese ziyibuyisela esibindini. Ngakho-ke, uma izinga le-HDL liphezulu, kungcono kithi.
• Ama-Triglycerides: Lolu olunye uhlobo lwamafutha atholakala egazini. Lena yindlela esigcina ngayo amakhalori engeziwe esiwadlayo njengamandla. Amazinga aphezulu alawa awalungile emithanjeni yegazi.

Ayini amazinga e-cholesterol anempilo?

Qhathanisa lokhu namanani asembikweni wakho wegazi (umbiko we-`Lipid Profile`). Lawa amazinga ngokuvamile abhekwa njenganempilo.

Yiziphi izimbangela eziyinhloko ze-cholesterol ephezulu?

Izimo ze-cholesterol ephezulu zingahlukaniswa zibe izinhlobo ezimbili eziyinhloko ngokusekelwe embangela yazo.

1. I-Familial Hypercholesterolemia (FH)

Lesi yisimo sofuzo. Okusho ukuthi, sizuzwa ngabazali kubantwana. Laba bantu bangase babe namazinga aphezulu kakhulu e-cholesterol ye-LDL kusukela besebancane . Lokhu kubabeka engozini yokuthola isifo senhliziyo besebancane.

Ukwelashwa: Nakuba izinguquko zendlela yokuphila (ukudla okunamafutha aphansi, ukuvivinya umzimba) zibalulekile kubantu abanalesi simo, imithi ivame ukudingeka . Uhlobo lwemithi olusetshenziswa kakhulu yi-'Statins'.

2. I-cholesterol ephezulu ebangelwa yindlela yokuphila nezinye izifo (I-Cholesterol Ephakeme Yesibili)

Lolu uhlobo oluvame kakhulu. Lubangelwa yi:

• Ukudla ukudla okucutshungulwe kakhulu okunamafutha agcwele kanye namafutha e-trans.
• Ukungawuvivinyi umzimba kanye nendlela yokuphila yokungahlali phansi.
• Isifo sikashukela.
• Ukuphuza utshwala ngokweqile.
• Isifo Sezinso Esingapheli.
• Ukungasebenzi kahle kwe-thyroid (i-Hypothyroidism).
• Eminye imithi (isib. ama-steroid).

Ukwelashwa: Odokotela baqale beluleke abantu abanjengalaba ukuthi bazame ukulawula i-cholesterol yabo ngaphandle kokusebenzisa imithi ngokwenza izinguquko endleleni yokuphila . Lokhu kusho ukushintshela ekudleni okunempilo kwenhliziyo, ukuvivinya umzimba njalo , ukuyeka ukubhema uma ukhuluphele ngokweqile, kanye nokwehlisa isisindo uma ukhuluphele ngokweqile. Uma lezi zinto zingalawuli amazinga akho e-cholesterol, imithi iyisinyathelo esilandelayo.

Udokotela unquma kanjani ukuthi kufanele anikeze imithi noma cha?

Nansi into ebalulekile. Udokotela wakho akabheki nje izinombolo embikweni wakho we-cholesterol bese enza isinqumo. Uzokwenza ukuhlolwa okuphelele kwengozi yakho yenhliziyo iyonke . Ukuze abale le ngozi, bazocabangela izici eziningi, okuhlanganisa:

• Amazinga akho e-cholesterol ephelele, i-LDL, kanye ne-HDL
• Ukushaya kwegazi
• Ubudala
• Ubufazi/ubudoda
• Kungakhathaliseki ukuthi uyabhema noma cha
• Ukuthi unesifo sikashukela
• Kungakhathaliseki ukuthi ukhona yini emndenini wakho oke waba nesifo senhliziyo esemncane (Umlando Womndeni)

Konke lokhu kuhlanganiswe ndawonye ukuze kubalwe ubungozi bakho bokuba nento efana nokuhlaselwa yinhliziyo eminyakeni eyi-10 ezayo. Isinqumo sokuqala imithi noma cha sincike kakhulu kuleli zinga lengozi.

Isibonelo, uma izinga lakho le-LDL liphakeme kancane, kodwa konke okunye kusesimweni esihle (awubhemi, unesisindo esinempilo, futhi awunawo umfutho wegazi ophakeme), ungase welulekwe ukuthi wenze izinguquko endleleni yokuphila ngaphandle kwemithi.

Kuthiwani uma ungaqiniseki ngengozi?

Ngezinye izikhathi izinga lakho lengozi lingase libe phakathi nendawo. Lokho kusho ukuthi ingozi yakho ayiphansi kakhulu futhi ayiphezulu kakhulu. Ezimweni ezinjalo, kunezinye izivivinyo eziningana ezingakusiza ukuthi unqume ukuthi uzoqala yini imithi noma cha. Udokotela wakho angase akuncome lokhu uma kudingeka.

• I-Coronary Calcium Scan: Lokhu kuyi-CT scan ekhethekile. Ibheka ama-calcium deposits emithanjeni yenhliziyo ehambisa igazi enhliziyweni. Ama-deposits anjalo asho ukuthi imithambo yegazi inciphile kancane, futhi ingozi yesifo senhliziyo iphakeme kunalokho obekulindelekile.
• I-CRP ezwela kakhulu (hs-CRP): Lokhu ukuhlolwa kwegazi. Kulinganisa izinga lokuvuvukala elicashile emzimbeni. Uma leli nani liphezulu, futhi kuyinkomba yengozi eyengeziwe yesifo senhliziyo.

Ngemiphumela yalezi zivivinyo, unganquma ngokunembile ukuthi uzozuza kakhulu yini ngokuqala imithi, noma ukuthi izinguquko zendlela yokuphila zanele yini.