Ungase ucabange, "Anginazo izinkinga, ngiphilile kakhulu." Kuhle ngempela ukuzizwa ngaleyo ndlela. Kodwa bewazi ukuthi kunezimo ezingasilimaza buthule emizimbeni yethu ngaphandle kokubonisa izimpawu? Esinye isitha esinjalo esithule "i-cholesterol ephezulu." Abantu abaningi bathola ukuthi amazinga abo e-cholesterol aphezulu kakhulu ngemva kokuba inkinga enkulu njengokuhlaselwa yinhliziyo ivele ngokuzumayo. Ngakho-ke, kubaluleke kangakanani ukuqaphela lokhu kusengaphambili futhi uthathe izinyathelo ezidingekayo ngaphambi kokuba kwenzeke? Namuhla, ake sixoxe ngokuthi iyini ngempela le cholesterol nokuthi singazi kanjani ukuthi iphakeme.
Kungani kubaluleke kangaka ukuhlola i-cholesterol?
Kalula nje, i-cholesterol uhlobo lwamafutha atholakala egazini lethu. Imizimba yethu empeleni idinga i-cholesterol ethile ukuze yakhe amaseli anempilo. Kodwa inkinga iqala lapho leli zinga le-cholesterol liphezulu kakhulu.
Cabanga ngamapayipi amanzi ekhaya lakho. Kwenzekani uma ingaphakathi lalawo mapayipi lingcolile futhi ligqwala? Ukugeleza kwamanzi kuyavaleka, ingcindezi iyakhuphuka, futhi ekugcineni amapayipi angaqhuma. Ngendlela efanayo, lapho i-cholesterol ikhuphuka, amafutha aqala ukufakwa emithanjeni yethu yegazi (imithambo yegazi). Kwezokwelapha, sikubiza lokhu ngokuthi (i-atherosclerosis) . Lapho imithambo yegazi ivaleka ngale ndlela, inhliziyo ayitholi inani elidingekayo legazi. Lokhu kungukuqala kwezimo ezibucayi njengesifo senhliziyo nokuhlaselwa yinhliziyo.
Into ebalulekile ukuthi awuzizwa ubuhlungu, ukungakhululeki, noma izimpawu ezivela ku-cholesterol ephezulu. Leyo ingozi enkulu yalokhu. Okuwukuphela kwendlela ongazi ngayo ngokuqinisekile ukuhlolwa kwegazi.
Ngokuvamile, kubalulekile ukuthi wonke umuntu ahlolwe amazinga e-cholesterol yakhe okungenani kanye njalo eminyakeni emihlanu ngemva kweminyaka engu-20. Ukwenza kanjalo kungasiza ekunciphiseni ingozi yesifo senhliziyo uma amazinga akho ephezulu. Ngisho noma usuvele unesifo senhliziyo, ukulawula i-cholesterol yakho kungasiza ekuvimbeleni umonakalo owengeziwe.
Yikuphi ukuhlolwa kwegazi okuhlola amazinga e-cholesterol?
Uma uya kudokotela, uzoyala ukuhlolwa kwegazi okulula okubizwa ngokuthi iphrofayili yamafutha ukuhlola amazinga akho e-cholesterol. Lena inqubo ejwayelekile. Lokhu kuhlolwa kunikeza ulwazi ngezinto ezine eziyinhloko. Ake sibone ukuthi ziyini.
| Kuyini ukuhlolwa? | Incazelo elula |
|---|---|
| I-LDL (I-Lipoprotein Ephansi) | Yilokhu esikubiza ngokuthi “i-cholesterol embi.” Lezi yizo ezinqwabelana ezindongeni zemithambo yegazi bese ziyivala. Uma leli nani liphansi , kungcono. |
| I-HDL (i-High-Density Lipoprotein) | Lokhu sikubiza ngokuthi “i-cholesterol enhle.” Njengomqoqi kadoti, le cholesterol ye-HDL ithwala i-cholesterol ye-LDL eningi isuka emithanjeni yegazi iye esibindini ukuze ilahlwe. Ngakho-ke uma leli nani liphakeme , kulapho siphephile khona. |
| Ama-triglycerides | Lolu olunye uhlobo lwamafutha atholakala egazini. Umzimba ugcina amakhalori engeziwe esiwadlayo ngale ndlela. Ukwanda kwaleli zinga kwandisa nengozi yesifo senhliziyo. Leli nani kufanele ligcinwe liphansi . |
| I-Cholesterol Ephelele | Leli inani eliphelele le-LDL, i-HDL, nezinye izinhlobo ze-cholesterol egazini lakho. Lokhu kukodwa akunikezi isithombe esiphelele, futhi udokotela wenza izinqumo ngokuziqhathanisa nezinye izindinganiso. |
Yini okufanele uyenze ngaphambi kokuhlolwa kwegazi?
Ngokuvamile, ucelwa ukuba uzile ukudla cishe amahora angu-9-12 ngaphambi kokuhlolwa kwegazi. Lokhu kusho ukuthi akufanele udle noma uphuze noma yini ngaphandle kwamanzi. Lokhu kwenzelwa ukuvimbela ukufundwa okungamanga kwama-triglyceride ngenxa yokudla kwakho kokugcina. Kodwa-ke, udokotela wakho noma ilabhorethri bazokunikeza imiyalelo eqondile yokuthi yini okufanele uyenze ngaphambi kokunikela ngegazi.
Kwenzekani futhi uma uhlangana nodokotela?
Udokotela wakho ngeke enze izinqumo ngokusekelwe embikweni wokuhlolwa kwegazi kuphela. Uzozama ukuqonda impilo yakho iyonke. Lokhu kungafaka:
- Ukuhlolwa okuphelele ngokomzimba: Umzimba wakho wonke uzohlolwa.
- Ukukhuluma ngomlando wakho wezokwelapha: Uzobuzwa imibuzo eminingi, njengezinye izimo zezokwelapha onazo (njengesifo sikashukela, umfutho wegazi ophakeme), imithi oyiphuzayo, nokuthi ngabe kukhona yini emndenini wakho onesifo senhliziyo.
- Uphenyo mayelana nendlela yokuphila:Bazokubuza ngezinto ezifana nokuthi udlani, ukuthi uyazivocavoca yini, ukuthi uyabhema yini, nokuthi uyaphuza yini utshwala.
- Ukulalela ukushaya kwenhliziyo yakho: I-stethoscope ilalela umsindo wokushaya kwenhliziyo yakho.
- Ukulinganisa umfutho wegazi: Ukuhlola umfutho wegazi lakho nakho kuyinto okufanele uyenze nakanjani.
Ngokuhlanganisa lonke lolu lwazi, udokotela unquma ingozi yakho yesifo senhliziyo nokuthi amazinga akho e-cholesterol akuthinta kangakanani.
Ingabe kufanele ukhathazeke uma uthola ukuthi izinga lakho le-cholesterol liphezulu?
Akunjalo ngempela. Ukwazi ukuthi amazinga akho e-cholesterol aphezulu akusho ukuthi unenkinga, kuyisinyathelo sokuqala sokuthola ikhambi. Uma umbiko wakho ubonisa ukuthi amazinga akho aphezulu kancane, udokotela wakho uzokhuluma nawe futhi anqume uhlelo lokwelashwa olungcono kakhulu kuwe.
Lokhu kungafaka izinto ezifana nalezi:
1. Izinguquko endleleni yokuphila kanye nokudla: Lena yinto yokuqala nebaluleke kakhulu. Izinto ezifana nokunciphisa ukudla okunamafutha amaningi, ushukela, nosawoti, ukudla izithelo nemifino eminingi, ukuzivocavoca nsuku zonke, nokuyeka ukubhema kungenza umehluko omkhulu.
2. Ukukunikeza imithi: Ngezinye izikhathi, ikakhulukazi uma unezinye izici eziyingozi (isib. isifo sikashukela, umfutho wegazi ophakeme, umlando womndeni wesifo senhliziyo), ukudla kanye nokuzivocavoca kukodwa kungase kunganeli ukulawula amazinga akho e-cholesterol. Ezimweni ezinjalo, udokotela wakho angase akunike imithi yokwehlisa i-cholesterol (isib. ama-statin).
Uma udokotela wakho ecabanga ukuthi ingozi yakho iphezulu kakhulu, angakudlulisela kudokotela wenhliziyo. Ngakho-ke, kubalulekile ukulandela imiyalelo kadokotela wakho ngokucophelela futhi ungesabi lutho.
Umlayezo Wokuya Nawe Ekhaya
- I-cholesterol ephezulu "iyisitha esingabonakali" esingenazo izimpawu. Okuwukuphela kwendlela yokwazi ngokuqinisekile ukuhlolwa kwegazi.
- Kubaluleke kakhulu ukuthi wonke umuntu oneminyaka engaphezu kwengu-20 ahlolwe amazinga e-cholesterol okungenani kanye eminyakeni emihlanu.
- Ukuhlolwa kwegazi okulula okubizwa ngokuthi iphrofayili yamafutha kungakunikeza isithombe esicacile samazinga akho e-cholesterol amahle (i-HDL) namabi (i-LDL).
- Ungakhathazeki uma izinga lakho le-cholesterol liphezulu. Kuyisimo esilawulekayo. Khuluma nodokotela wakho bese ulandela iseluleko sakhe.
- Ukudla okunempilo kanye nendlela yokuphila esebenzayo kuyimithi engcono kakhulu yokulawula i-cholesterol.
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