Wake wabheka umbiko wokuhlolwa kwegazi waphawula ukuthi amazinga akho " e-cholesterol " ayephezulu kancane kunalokho obekufanele abe yikho? Noma mhlawumbe uke wezwa ilungu lomndeni noma umngane ekhuluma ngakho? Kuyinto evamile kwabaningi bethu. Abanye abantu bakhathazeka kakhulu, bekubona njengosongo olukhulu empilweni, kanti abanye bakubheka kalula, bekholelwa ukuthi kuyinto "wonke umuntu anayo." Kodwa iyini ngempela i-cholesterol ephezulu, noma njengoba odokotela bekubiza kanjalo, i-hyperlipidemia ? Ake sixoxe ngalokhu ngokucacile nangokuzola, ngaphandle kokwesaba noma ukudideka, noNirogi Lanka.
Kalula nje, kuyini i-Hyperlipidemia?
Kuqondile impela: I-Hyperlipidemia isho ukuthi unamafutha amaningi egazini lakho, noma "ama-lipid," ngezinye izikhathi abizwa ngokuthi i-dyslipidemia . Ungase ucabange, "O, nginamafutha amaningi emzimbeni wami," kodwa ngicela ungesabi. Ake sichaze lokhu kabanzi.
Umzimba wakho udinga i-cholesterol ngempela.Isibindi siyayikhiqiza ngokwemvelo. Kungani? Ngoba i-cholesterol ibalulekile ekugayeni ukudla okudlayo nasekudaleni izakhi ezibalulekile njengama-hormone.
Inkinga iphakama lapha: ngaphezu kwalokho okukhiqiza isibindi sakho, udla i-cholesterol eyengeziwe ngokudla kwakho—ikakhulukazi emikhiqizweni yezilwane efana nenyama, ubisi, ibhotela, noshizi. Uma la mazinga edlula lokho okudingwa ngumzimba wakho, izinkinga zempilo ziyaqala.
Cabanga ngemithambo yegazi yakho njengemigwaqo, negazi lakho njengezimoto ezihamba kuyo. Uma amazinga e-cholesterol ephezulu kakhulu, kufana nodoti, imfucumfucu, namatshe anqwabelana kuleyo migwaqo, okubangela ukuminyana nokuvimbela ukuhamba kwezimoto. Ngokwezokwelapha, lokhu kunqwabelana kwamafutha ngaphakathi kwemithambo yegazi kubizwa ngokuthi i-atherosclerosis .
Uma ukugeleza kwegazi kuvinjelwe ngale ndlela, kuvimbela izitho ezibalulekile njengenhliziyo yakho nobuchopho ekutholeni umoya-mpilo nezakhamzimba ezikudingayo kakhulu. Yilapho kanye ingozi yangempela ikhona.
Iyini indaba ngemuva kwe-cholesterol "Enhle" kanye "Nembi"?
Cishe uke wezwa “nge-cholesterol enhle” kanye “ ne-cholesterol embi .” Kungenzeka ukuthi uke waphawula nokufundwa okuhlukahlukene njenge-LDL, i-HDL, kanye nama-triglycerides emibikweni yakho yokuhlolwa kwegazi. Ake sikuchaze lokhu ngesifaniso esilula.
Cabanga nge-cholesterol njengabagibeli abahamba ngegazi lakho. Laba bagibeli abakwazi ukuhamba bodwa; badinga izimoto ezikhethekile zokuthutha ezibizwa ngokuthi ama-lipoprotein.
| Uhlobo lwe-Cholesterol | Ngamagama Alula… | Ukuthatha Okubalulekile |
|---|---|---|
| I-LDL (I-Lipoprotein Ephansi) | Lena yi- cholesterol “embi”. Cabanga ngayo njengeloli elikhulu eliphukile phakathi nomgwaqo. Ithutha i-cholesterol isuka esibindini sakho bese iyibeka ezindongeni zemithambo yakho. Uma izinga liphezulu, kulapho ingozi yokuthi imithambo yakho ivaleke khona iba nkulu. | Ufuna ukugcina leli zinga liphansi . Ngokuvamile, noma yini engaphansi kuka-130 mg/dL iyathandwa. |
| I-HDL (i-High-Density Lipoprotein) | Leli yiqhawe lendaba yethu, i -cholesterol “enhle”. Isebenza njengeloli yokudonsa, isusa udoti emgwaqweni. I-HDL iqoqa i-cholesterol eningi ebekwe emithanjeni yakho bese iyithutha iyibuyisele esibindini sakho ukuze iphulwe futhi isuswe. | Ufuna ukugcina leli zinga liphezulu . Okungcono kakhulu, kufanele libe ngaphezu kuka-40 mg/dL, futhi amazinga angaphezu kuka-60 mg/dL amahle kakhulu. |
| Ama-triglycerides | Lezi ezinye izinhlobo zamafutha ezitholakala egazini lakho. Umzimba wakho ugcina amakhalori engeziwe ekudleni okudlayo ngale ndlela. Amazinga aphezulu angabangela ukuvaleka kwemithambo yegazi, ikakhulukazi uma ukudla kwakho kugcwele ushukela, ufulawa ocolisisiwe, namafutha angenampilo. | Kufanele ugcine la mazinga ephansi . Ngokuvamile, ukuhlala ngaphansi kuka-150 mg/dL kuwumgomo. |
Njengoba ubona, inkinga akuyona nje "i-cholesterol" ngokwayo; imayelana nokugcina ibhalansi efanele phakathi kwalezi zinhlobo "ezinhle" nezimbi".
Kwenzekani uma i-cholesterol iphezulu? Ingabe zikhona izimpawu?
Leli yiphuzu elibaluleke kakhulu futhi yingakho kufanele sinake kakhulu. I-cholesterol ephezulu ayivamile ukubangela izimpawu ezigabeni zokuqala. Ungase uzizwe uphilile kahle, yingakho abantu abaningi bengazi ukuthi banenkinga.
Kodwa-ke, umonakalo wangaphakathi uyaqhubeka buthule. Amafutha aqala ukwakheka ngaphakathi kwemithambo yakho yegazi, anciphise indlela yokugeleza kwegazi. Eminyakeni eminingana, i-plaque deposit ingaqhuma ngokuzumayo, okuholela ekuqhekekeni kwegazi okuvimba ngokuphelele imithambo yegazi.
- Uma lokhu kuvinjelwa kwenzeka emthanjeni ohlinzeka ngenhliziyo, kubangela ukuhlaselwa yinhliziyo .
- Uma kwenzeka emthanjeni ohlinzeka ngobuchopho, kuholela ku- Stroke .
Yingakho i-cholesterol ephezulu yaziwa ngokuthi “umbulali othule.” Ngokuvamile, ngesikhathi kuvela izimpawu, umonakalo omkhulu usuvele uvele. Ungalindi izimpawu; hlela ukuhlolwa kwegazi njalo nomhlinzeki wakho wezempilo.
Ezimweni ezingavamile, abantu abane-cholesterol ephezulu ezuzwe njengefa ( i-Familial Hypercholesterolemia ) bangase babe nama-fat deposits aphuzi esikhumbeni (i-Xanthomas) noma indandatho emhlophe ezungeze i-cornea (i-Corneal arcus), kodwa lezi akuzona izimpawu ezivamile.
Kungani i-cholesterol ikhuphuka? Yiziphi izici eziyingozi?
Akukhona nje isizathu esisodwa sokuba ne-cholesterol ephezulu; kunezici eziningana ezihilelekile. Ezinye zingaphansi kwamandla ethu, kanti ezinye azikho ngaphansi kwamandla ethu.
Izici zendlela yokuphila esingazishintsha:
- Ukudla Okungaphilile:Ukudla amafutha agcwele kakhulu kanye nama-trans (atholakala ekudleni okusheshayo, ezintweni ezithosiwe, kanye nemikhiqizo yokubhaka ecutshunguliwe), kanye nokudla ushukela nosawoti omningi.
- Ukuntuleka Komsebenzi Ongokomzimba: Indlela yokuphila yokuhlala phansi yandisa kakhulu ingozi.
- Ukubhema : Ukubhema kwehlisa i-cholesterol yakho "enhle" (i-HDL) futhi kulimaza izindonga zemithambo yegazi yakho.
- Ukuphuza Utshwala Okweqile: Lokhu kungakhuphula amazinga akho e-cholesterol kanye ne-triglyceride.
- Ukukhuluphala ngokweqile: Ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile kuyisici esiyinhloko esiyingozi.
- Ukucindezeleka: Ukucindezeleka okungapheli, kwesikhathi eside kungathinta amazinga akho e-cholesterol ngokungaqondile.
Izici zezokwelapha nezingalawuleki:
- Izakhi zofuzo: Uma umndeni wakho unomlando we-cholesterol ephezulu noma isifo senhliziyo, ingozi yakho iphakeme ngokwemvelo.
- Ubudala: Njengoba ukhula, amazinga akho e-cholesterol avame ukukhuphuka ngokwemvelo.
- Ezinye Izimo Zempilo: Izimo ezifana nesifo sikashukela, i-hypothyroidism, isifo sezinso, noma isifo sesibindi zingaba nomthelela emazingeni aphezulu e-cholesterol.
- Imithi Ethile: Eminye imithi yokwelapha umfutho wegazi ophakeme (njenge-beta-blockers noma i-diuretics) noma imithi yama-hormone ingathinta amazinga akho e-cholesterol.
Ungazihlola kanjani amazinga akho e-cholesterol?
Kulula. Udokotela wakho angase acele ukuhlolwa kwegazi okubizwa ngokuthi i-Lipid Profile (ngezinye izikhathi i-Fasting Lipid Profile). Lokhu kudinga ukuthi uzile ukudla amahora angu-8-12 (ukuphuza amanzi kuphela) ngaphambi kokunikeza isampula yegazi lakho.
Kusukela kulo mbiko, udokotela wakho uzothola isithombe esicacile salokhu okulandelayo:
- I-Cholesterol Ephelele
- I-LDL (I-Cholesterol Embi)
- I-HDL (I-Cholesterol Enhle)
- Ama-triglycerides
Ngokucabangela lezi zindinganiso kanye nobudala bakho, izimo zempilo ezikhona, kanye nomlando womndeni, udokotela wakho uzohlola amaphuzu akho engozi yesifo senhliziyo futhi anikeze isiqondiso esiqondene nawe.
Yini okufanele uyenze ukuze unciphise i-cholesterol yakho?
Izindaba ezinhle ukuthi i-cholesterol ilawuleka kalula. Kunezindlela ezimbili eziyinhloko.
1. Izinguquko Zendlela Yokuphila
Lesi isinyathelo sokuqala nesibaluleke kakhulu. Uma i-cholesterol yakho ingekho phezulu kakhulu, lezi zinguquko zodwa zingase zanele ukuyilawula.
- Ukudla Okunempilo Kwenhliziyo:
- Gxila emifinweni, izithelo, imifino enamaqabunga, kanye nokusanhlamvu okuphelele (irayisi elinsundu, i-oats).
- Nciphisa ukudla okunamafutha, okuthosiwe, ukudla okusheshayo, amakhekhe, namabhisikidi.
- Faka amafutha ezilwane esikhundleni samafutha ezilwane (inyama ebomvu, ibhotela, ushizi) ngamafutha anempilo njengenhlanzi (i-salmon, i-tuna, ama-sardine), amantongomane, kanye ne-avocado.
- Nciphisa ukudla kwakho usawoti noshukela.
- Ukuzivocavoca Okuvamile:
- Lwela okungenani imizuzu engama-30 yokuhamba ngokushesha, ukugijima, ukugibela ibhayisikili, noma ukubhukuda, okungenani izinsuku ezi-5 ngesonto.
- Gcina Isisindo Esinempilo:
- Buza udokotela wakho ukuthi yisiphi isisindo esifanele ubude bakho bese uzama ukufinyelela nokugcina lowo mgomo.
- Yeka Ukubhema:
- Uma ubhema, ukuyeka ukubhema kungenye yezinqumo ezinhle kakhulu ongazenzela impilo yenhliziyo yakho.
- Nciphisa Ukusetshenziswa Kotshwala.
2. Imithi
Uma izinguquko zendlela yokuphila zinganele, noma uma ingozi yakho yesifo senhliziyo iphezulu, udokotela wakho angase akunike imithi.
Uhlobo oluvame kakhulu lwemithi esetshenziswa ukwehlisa i-cholesterol yi -Statins . Lokhu kusiza ngokunciphisa inani le-cholesterol elikhiqizwa yisibindi sakho futhi kusize umzimba wakho ukhiphe i-LDL (i-cholesterol embi) egazini lakho ngempumelelo enkulu.
Lapho beqala umuthi, abanye abantu bangase babe nemiphumela emibi emincane njengobuhlungu bemisipha. Uma lokhu kwenzeka, ungayeki ukuthatha umuthi wakho; yazisa udokotela wakho ngokushesha. Bangase balungise umthamo noma bashintshe umuthi baye komunye ofanele wena. Ungalokothi uyeke ukuthatha umuthi onikezwe udokotela wedwa.
Izinto Ezibalulekile Ezithathwayo ezivela eNirogi Lanka
- I-cholesterol ephezulu (i-Hyperlipidemia) yisimo "esithule" esivame ukungabi nazimpawu zokuqala. Kubalulekile ukuhlolwa kwegazi njalo ngemva kweminyaka engu-30-40, kunokulinda ukuthi kuvele izinkinga.
- Lokhu akuyona into yokwesaba, kodwa into ongayilawula ngempumelelo ngokuzinikela.
- Ukudla okunempilo kanye nokuzivocavoca umzimba njalo kuyizinto ezibalulekile ekwelashweni kwakho.
- Uma udokotela wakho ekunike imithi, landela uhlelo lomuthi ngokucophelela. Uma ukhathazekile ngemiphumela emibi, xoxa ngakho nodokotela wakho esikhundleni sokumisa ukwelashwa kwakho.
- Ukulawula i-cholesterol akuyona ikhambi lesikhashana; kuyisibopho sempilo yakho yonke.
👩🏽⚕️ Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)
💬 🩺 Kuyini ukuhlolwa kwephrofayili ye-Lipid?
Lokhu kuhlolwa kulinganisa amazinga amafutha ahlukene (ama-lipid) egazini lakho. Ngokuvamile kuhlanganisa izingxenye ezine eziyinhloko: i-LDL ("i-cholesterol embi"), i-HDL ("i-cholesterol enhle"), i-Triglycerides, kanye ne-Total Cholesterol yakho. Lena yindlela enembile kakhulu yokunquma ukuthi une-hyperlipidemia, okuyigama lezokwelapha lamazinga aphezulu e-cholesterol.
💬 🥣 Ingabe kudingeka ngizile ukudla ngaphambi kokuhlolwa kwe-Lipid Profile?
Yebo, ngokuvamile udinga ukuzila ukudla cishe amahora ayi-10-12 ngaphambi kokukhipha igazi, yize ungaqhubeka nokuphuza amanzi. Ukuhlela ukuhlolwa kokuqala ekuseni ngemva kokuzila ukudla ebusuku kuyindlela elula yokuqinisekisa ukufundwa okunembile kwamazinga akho e-lipid egazini. Sicela ubheke umhlahlandlela wethu ogcwele ukuthola imininingwane eyengeziwe.
💬 📉 Kwenzekani uma imiphumela yami ye-Lipid Profile ikhombisa amanani aphezulu?
Ukufundwa okuphezulu kungabonisa i-hyperlipidemia, okusho ukuthi unamazinga aphezulu amafutha egazini lakho. Uma ungalawulwa, lokhu kungaholela ekuqongeleleni kwe-plaque emithanjeni yakho, okwandisa ingozi yakho yezimo ezibucayi njengokuhlaselwa yinhliziyo. Qhubeka ufunda isihloko sethu ku-Nirogi Lanka ukuze ufunde ukuthi ungayiphatha kanjani impilo yenhliziyo yakho ngempumelelo!
