Linjani izinga lakho le-cholesterol? Ake sifunde ngokuhlolwa kwe-Lipid Profile

Sonke sesilizwile igama elithi 'cholesterol', akunjalo? Abanye abantu bayalesaba leli gama kancane. Sivame ukuzwa abantu bethi, "O, i-cholesterol yami iphezulu kancane," bese sibabuza ngokukhathazeka. Iyini ngempela i-cholesterol? Ingabe ilungile noma imbi emizimbeni yethu? Namuhla, sizokhuluma kalula, njengokungathi sikhuluma nomngane, ngokuhlolwa kwegazi okubizwa ngokuthi 'i-Lipid Profile', okwenziwa ukuze kuqashwe ngokunembile la mazinga.

Okuhle, okubi kanye nezinye izinhlobo zamafutha ku-cholesterol

Kalula nje, i-cholesterol uhlobo lwamafutha olubalulekile emizimbeni yethu. Iyasiza ekwenzeni ungqimba lwangaphandle lwawo wonke amaseli emzimbeni wethu. Kodwa-ke, odokotela sekuyisikhathi eside bazi ukuthi abantu abanamazinga aphezulu e-cholesterol iyonke basengozini enkulu yokuthola isifo senhliziyo.

Lesi sihloko sikhuluma ngqo ngezinhlobo ezimbili ze-cholesterol: i-cholesterol "enhle" kanye ne-cholesterol "embi".

1. I-cholesterol "Embi" - i-LDL (i-Low-Density Lipoprotein): Lena inkinga. Njengokugqwala okwakheka ngaphakathi kwepayipi lamanzi elidala, le cholesterol ye-LDL inamathela ezindongeni zemithambo yegazi yethu. Ngokuhamba kwesikhathi, lezi ziyakha futhi zinciphise imithambo yegazi. Lesi simo sisibiza ngokuthi i-atherosclerosis . Lapho imithambo yegazi enikeza igazi enhliziyweni incipha ngale ndlela, ihlule legazi lingakheka ngokuzumayo futhi libangele ukuhlaselwa yinhliziyo .

2. I-cholesterol "Enhle" - i-HDL (i-High-Density Lipoprotein): Leli yiqhawe lethu. Lokho i-HDL ekwenzayo ukuqoqa i-cholesterol embi (i-LDL) eqongeleleke emithanjeni yegazi bese iyiyisa esibindini ukuze ibhujiswe. Ngakho-ke, uma izinga le-HDL liphezulu emzimbeni, kulapho-ke kungcono khona kithi.

3. Ama-Triglycerides: Lolu olunye uhlobo lwamafutha olulinganiswa kanye ne-cholesterol. Amazinga aphezulu e-triglyceride nawo andisa ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi . Le ngozi iphezulu kakhulu uma unezinga eliphansi le-cholesterol enhle (i-HDL). Futhi, ama-triglycerides aphezulu angasiza ekuthuthukisweni kwesifo sikashukela.

Kwenziwa kanjani ukuhlolwa kwe-Lipid Profile?

Ukuhlolwa kwegazi okulula okulinganisa izinhlobo ezahlukene zamafutha egazini lakho kubizwa ngokuthi iphrofayili yamafutha noma iphaneli yamafutha.

Udokotela wakho uvame ukukucela ukuthi uzile ukudla amahora angu-9 kuya kwangu-12 ngaphambi kwalokhu kuhlolwa.Isizathu salokhu ukuthi amafutha avela ekudleni esikudlile muva nje angathinta amanani embikweni. Kodwa ukuzila ukudla akudingeki ngaso sonke isikhathi. Ngezinye izikhathi, uma usemncane, noma uma udokotela engafuni ukubona iphrofayili ephelele yamafutha, ukuzila ukudla akudingeki.

Ngakho-ke, iseluleko esingcono kakhulu ngalokhu ukuthi uxhumane nodokotela wakho. Qiniseka ukuthi umbuza ukuthi udinga ukuzila ukudla ngaphambi kokuhlolwa.

Zisho ukuthini izinombolo ezisembikweni wakho?

Ake sibheke ukuthi izinombolo ezikumbiko owutholayo ngemva kokuhlolwa zithini. Lawa manani alinganiswa ngama-milligram nge-deciliter ngayinye (mg/dL).

Kodwa lezi zinombolo azifani kuwo wonke umuntu. Udokotela wakho uzonquma ukuthi yimiphi imigomo efanele wena ngokusekelwe ezicini ezifana nokuthi unezinye izimo, njengesifo sikashukela noma umfutho wegazi ophakeme, nokuthi ngabe kukhona yini emndenini wakho onesifo senhliziyo. Isibonelo, umuntu osengozini enkulu yesifo senhliziyo angase elulekwe ukuthi agcine izinga lakhe le-LDL lingaphansi kuka-100, mhlawumbe lingaphansi kuka-70.

Uma amazinga e-cholesterol esephezulu kakhulu, yini esingayenza?

Ake sithi amanani embikweni wakho awekho ezingeni elifanele. Ungakhathazeki. Kunezinto eziningi esingazenza.

Okokuqala, udinga ukuqala ngokushintsha indlela yokuphila.

Ukudla okwehlisa i-cholesterol enhle kunganciphisa i-cholesterol "embi" (LDL) cishe ngo-30%.

• Nciphisa amafutha agcwele: Lawula ukudla okunamafutha njengenyama, ibhotela, ushizi, namafutha kakhukhunathi.
• Nciphisa amafutha e-trans ngokuphelele: Bheka "amafutha angena-hydrogenated kancane" kwilebula lokudla okupakishiwe. Lawa amafutha e-trans. Awaphilile neze.
• Yidla i-fiber eningi kanye nama-sterol ezitshalo: Faka izinto ezifana nezithelo, imifino, ama-oats, kanye nokusanhlamvu okuphelele ekudleni kwakho.
• Ukuzivocavoca: Ukuzivocavoca kwansuku zonke njengokuhamba, ukugijima, kanye nokugibela ibhayisikili kunciphisa i-cholesterol embi futhi kwandisa i-cholesterol enhle.
• Uma ubhema, yeka namuhla: Ukubhema kwehlisa amazinga e-HDL futhi kulimaza imithambo yegazi.

Imithi nayo iyasiza.

Ngezinye izikhathi kungaba nzima ukulawula amazinga akho e-cholesterol ngokushintsha indlela yokuphila kuphela. Ezimweni ezinjalo, udokotela wakho uzokunikeza imithi efanele.

• Ama-statin: Lena uhlobo lomuthi olusetshenziswa kakhulu futhi olusebenza kahle kakhulu. Asebenza ngokuvimbela isibindi ekukhiqizeni i-cholesterol.
• Ama-fibrate: Lawa asiza ukwehlisa amazinga e-triglyceride futhi andise amazinga e-HDL.
• Eminye imithi: Ngaphezu kwale, kuneminye imithi efana ne-Ezetimibe, i-Niacin, kanye ne-PCSK9 inhibitors. Udokotela wakho uzonquma ukuthi yimuphi umuthi okulungele wena ngokusekelwe esimweni sakho.

Ingabe i-cholesterol yodwa inquma ingozi?

Cha. Umbiko wakho we-cholesterol awuyona idokhumenti ezonquma ikusasa lakho. Khumbula, ezinye izinto ngaphandle kwe-cholesterol zithinta ingozi yakho yesifo senhliziyo. Isifo sikashukela, umfutho wegazi ophakeme, ukukhuluphala ngokweqile, ukungasebenzi kahle komzimba, ukubhema, kanye nethonya lezakhi zofuzo ziphakathi kweziyinhloko.

Ngakho-ke, udokotela wakho uzocabangela konke lokhu futhi ahlole ingozi yakho iyonke.

Ngokuvamile kunconywa ukuthi wenze lokhu kuhlolwa okungenani kanye njalo eminyakeni emi-5. Kodwa-ke, uma amanani akho ombiko engekho ezingeni elihle, noma uma unezinye izici eziyingozi, kubaluleke kakhulu ukuthi uhlolwe kaningi, njengoba kunconywe udokotela wakho.