Lipidologists Angakuthandizeni Kuteteza Matenda a Mtima
Lipidologists ndi madokotala omwe amathandiza kuchepetsa cholesterol yanu ndi kupeza mankhwala omwe angakwaniritse zosowa zanu. Ku United States, pafupifupi munthu mmodzi pa atatu alionse ali ndi zaka zoposa 20 ali ndi cholesterol chokwanira, chomwe chimayambitsa matenda a mtima komanso kupwetekedwa mtima . N'zosadabwitsa kuti mtundu watsopano wa zachipatala wapezeka kuti uchite nawo magulu a odwala omwe ali ndi matendawa.
Akatswiri atsopanowa m'madera azachipatala amatchedwa lipidologists.
A lipidologist ndi dokotala yemwe waphunzira zambiri mu kuyang'anira kwa kolesterolini, kuunika kwa mtima wa mtima, ndi kuchitapo kanthu. Kuwonjezera pa digiri ya zachipatala, lipidologist ali ndi chilembo cholembedwa chotsimikizira kuti maphunzirowa apindula.
Kutuluka kwa Lipidology monga Mwapadera wa Zamankhwala
Munda uwu udakali wamng'ono kwambiri, koma ukukula, ndi odwala 625 ovomerezeka ku dipatimenti ku United States pofika 2015 ndipo ena 100 akuyesa kukayezetsa chaka chilichonse. Bungwe la American Board of Clinical Lipidology, gulu lomwe likuyang'anira maphunzirowa, adazindikira kalasi yake yoyamba maphunziro omaliza mu 2005. Komabe, lipidologists sichiyenera kudziwika ndi American Board of Medical Specialties, bungwe lolamulira la magulu a zachipatala.
Komabe, munda wa zovomerezeka, kapena kuphunzira mafuta mu magazi, ndizopadera kwambiri.
Bungwe la National Heart, Lung ndi Magazi, Gawo la National Institutes of Health, lakhazikitsa National Cholesterol Education Program (NCEP). Pulogalamuyi inakhazikitsidwa pofuna kuyesetsa kuthana ndi momwe cholesterol imagwirira ntchito ndi momwe angayang'anire ndi kukhalabe ndi thanzi labwino la mafuta m'thupi. Pakalipano, anthu ambiri amaphunzira za ma cholesterol awo pokhala ndi mayeso a magazi omwe amakoka pakapita chaka.
Nthawi Yowunika Lipidologist
Malingana ndi American Heart Association, mlingo woyenera wa kolesteroloni wonse ayenera kukhala oposa 200 milligrams per deciliter (mg / dL) mwazi. Cholesterol imafika pakati pa 200 ndi 240 mg / dl amaonedwa kuti ndi thanzi labwino, pamene mazinga apamwamba kuposa 240 mg / dL ndizoopsa kwambiri kwa matenda a mtima. Pa mitundu yosiyana ya cholesterol, lipidysi yochepa kwambiri ( LDL ) iyenera kukhala pansi pa 100 mg / dL; high-density lipids ( HDL ) ayenera kukhala pamwamba pa 60 mg / dL.
Kwa anthu ambiri akumenyana ndi cholesterol, dokotala wamkulu amayamba kunena kuti moyo umasintha , monga kudya zakudya zopanda mafuta komanso kuchuluka kwa ntchito zolimbitsa thupi . NCEP ikuyamikira kuyesa kusintha kwa miyezi itatu musanayambe mankhwala alionse a cholesterol .
Ngati zamoyozi zisintha sizongokwanira, NCEP imalimbikitsa kuyamba ntchito yothandizira mankhwala osokoneza bongo LDL motsogoleredwa ndi dokotala wamkulu wa chisamaliro. Ngati mankhwala a mankhwalawa sanathe kuchepetsa mphamvu ya kolesterolini kuti akhale ndi thanzi labwino mkati mwa masabata khumi ndi awiri, gulu limalangizanso kuona katswiri wa mankhwala. Katswiri wa mtima ayenera kufunsidwa ngati dokotala wamkulu kapena wodwala ali ndi nkhawa yokhudza matenda a mtima, kapena ngati wodwala ali ndi zifukwa zina zoopsa, monga kuthamanga kwa magazi kapena shuga .
Odwala ayeneranso kufufuza ndi kampani yawo ya inshuwalansi kuti atsimikizire kuti kudzafika ndi a lipidologist kudzaphimbidwa.
Lipidologists May May Order More Ovuta Kuyeza kwa Cholesterol
A lipidologist angapangitse kuti ayesetse kupima kwa kolesteroloni. Kuyeza kwa kolesterolini yapamwamba kumatchula mitundu itatu yamadzimadzi: HDL , LDL, ndi triglycerides , mtundu wina wa mafuta omwe ali m'thupi. Mayesero apamwamba a cholesterol amapereka kuyang'ana kwakukulu pa magulu a cholesterol, kupereka 13 miyezo ya mtima wa mtima.
Miyeso 13yi imaphatikizapo kukula kwa mafuta m'thupi, kapangidwe kowopsa kwa matenda a mtima, ndi mapuloteni a apolioprotein B100 , omwe amathandiza thupi kupulumutsa ndi kuchotsa kolesterolo m'maselo.
Pogwiritsa ntchito mayesero apamwamba a cholesterol, lipidologist angapereke thandizo lapadera. Mwachitsanzo, anthu ena angafunike mankhwala omwe apangidwa kuti apititse patsogolo kutengerako ndi kuchotsa cholesterol cha LDL. Anthu ena amangofuna kusintha zakudya zina zowonjezereka, monga kuchepetsa mchere, kuwonjezereka kwa madzi, kapena kudyetsa zosakwana 7 peresenti ya calories tsiku ndi tsiku kuchokera ku mafuta.
Lipidologist, malingana ndi zosowa za munthu, zingalimbikitsenso kuti MRI iwerengetse kuchuluka kwa mafuta omwe alipo mu minofu ya minofu. Kafukufuku amasonyeza kuti mitsempha yambiri ya minofu imakhudzidwa ndi kunenepa kwambiri, mtundu wa shuga 2 ndi zina zoopsa za matenda a mtima.
Ngakhale akatswiri a lipidologists akhala akuphunzitsidwa mwachindunji kuti azitsatira kolesterolini, mayesero omwe amavomereza angathenso kulangizidwa ndi dokotala wamkulu wa chisamaliro kapena katswiri wa zamoyo. Ndipotu, National Heart, Lung ndi Blood Institute akulangiza kuti lipidologist ikugwira ntchito mogwirizana ndi dokotala wamkulu wa chisamaliro, adokotala, adokotala, ndi wamankhwala. Izi zidzalola wotsogolera aliyense kuzindikira zonse zomwe akupatsidwa kwa wodwalayo. Wodwala angalimbikitsenso kuyankhulana pakati pa mamembala a timu mwa kusunga magazini a kasamalonda a mafuta a m'thupi, omwe amalemba kusintha kwa zakudya , kuchita masewera olimbitsa thupi , mankhwala, ndi zotsatira zoyesa .
Zotsatira:
Mapulogalamu Ovomerezeka kwa Ophunzira Ambiri a Lipilini . 2008. American Board of Clinical Lipidology.
"Njira Zochiritsira Zochotsera Cholesterol Chotsitsa ndi Kutsika Kwambiri." Kalasi ya American College of Cardiology Chaka Chasayansi Session 2007 . Mar. 2007. American College of Cardiology. 6 Apr. 2008.
Kupititsa patsogolo, Bret., Et. Al .. "Mitsempha ya chigoba ya Lipid Concentration Imanenedwa ndi Magnetic Resonance Imaging." The American Journal of Clinical Nutrition. 79. 5. May 2004. 748-754. 5 Apr. 2008.
"Lipoti lachitatu la National Cholesterol Education Program (NCEP) Gulu la Ofufuza pa Kuzindikira, Kufufuza, ndi Kuchiza kwa Mwazi Wambiri Wamagazi mu Okalamba." National Guideline Clearinghouse . 31 Mar. 2008. 6 Apr. 2008.
"Zizindikiro Zotsatira: Zotsatira Zotsatira." Mankhwala Ochepetsa Mitsempha ya Cholesterol . 2007. National Heart Lung ndi Blood Institute.