Kodi Matenda Kapena Mankhwala Osokoneza Bongo Angayambitse Cholesterol Chokwera?

Mwayi wake ndi wakuti ngati muli ndi cholesterol kwambiri, ndi zotsatira za zinthu zodziwika monga genetics, zakudya, kusowa zolimbitsa thupi, zaka, ndi chiwerewere. Koma nthawi zina, ma okosi otsekemera amatha kutengedwa ndi matenda ena kapena mankhwala oletsedwa.

Amadziwika kuti ali achiwiri kapena amapezeka hyperlipidemia, vutoli ndilo chifukwa cha matenda ena omwe amasintha mbiri ya wodwalayo.

Koma inu mumayang'anizana ndi zoopsa zomwezi zapamwamba za cholesterol - kupweteka , matenda a mtima , ndi matenda a mtima. Mbali yapamwamba ya cholesterol yanu imayenera kuyang'aniridwa mosasamala kuti imachokera.

Kuphatikiza pa zoopsa zomwe taziwonetsa, kugwirizana pakati pa zifukwa zoyamba ndi zapadera za hyperlipidemia ndizofunika kwambiri pamene zigawo zapamwamba za triglyceride zimachitika nthawi zina zopezeka ku hyperlipidemia. Zowonjezera, izi zikhoza kuwonetsa kuperewera kwa thupi , kutukusira kwa kapangidwe komwe kawirikawiri kumayambitsa moyo.

Matenda omwe Amachititsa Mipamwamba ya Cholesterol

Kodi matenda omwe angayambitse amapeza hyperlipidemia ndi chiyani? Maureen Mays, MD, wothandizira pulofesa wa mankhwala ndi wotsogolera ntchito yothandiza kupewa matenda a cardiology ku Oregon Health ndi Science University ku Portland, Oregon.

"Ikugwirizana kwambiri ndi kunenepa kwa dziko lino," akuwonjezera.

Sikuti "cholesterol" choipa, kapena chochepa cha lipoprotein ( LDL ), particles ndi chimodzimodzi, Mays akufotokoza. Mitundu ya LDL imatchedwa tizilombo tating'onoting'ono ta LDL tomwe timadziwika kuti ndizovuta kuti tipeze matenda a atherosclerosis .

"Anthu awa omwe ali ndi shuga amakhala ndi ma LDL akuwoneka bwino, koma iwo sali," Mays akuti. "Chitsanzo chomwe mumachiwona nthawi zonse (mwachidule cha hyperlipidemia) ndipamwamba kwambiri triglycerides, pansi pa HDL , ndi timeneti tating'ono ta LDL."

Kuwonjezera pa shuga ndi matenda a shuga, matenda omwe amapezeka ndi hyperlipidemia ndi awa:

Zomwe zili m'munsizi zimakhudza kagawoti m'magazi ndi triglycerides mwanjira ina. Mwachitsanzo, hypothyroidism, ndi zotsatira zochepa za mahomoni thyroxine ndi triiodothyronine nthawi zambiri zimakhala ndi zotsatira za kuchuluka kwa mafuta m'thupi, "cholesterol" (LDL), triglycerides ndi lipids zina zokhudzana ndi matenda a mtima.

Nthawi zina, kugwirizana pakati pa matenda oyambirira ndi kupeza hyperlipidemia sikumveka bwino. Chiyanjano pakati pa anorexia nervosa, mwachitsanzo, ndi cholesterol chapamwamba chimafufuzidwabe chifukwa anthu omwe ali ndi anorexia amakhala ndi chakudya chochepa cha mafuta m'thupi.

Mankhwala Osokoneza Bongo Ndiponso Omwe Amalandira Hyperlipidemia

Mankhwala ena ndi mankhwala opatsirana amadzimadzi amapezeka ndi hyperlipidemia ndi kusintha kwina m'magazi a lipiritsi. Estrogen ndi corticosteroids zimatha kukweza ma triglycerides ndi cholesterol "chabwino" kapena HDL, pamene anabolic steroid zamlomo nthawi zambiri zimachepetsa HDL.

Mapiritsi oletsa kubadwa angathe kuwonjezera ma cholesterol ndi kuonjezera chiopsezo cha matenda a atherosclerosis, malingana ndi mtundu komanso progestin / estrogen mlingo.

Ophwanya Beta , gulu la mankhwala omwe amaperekedwa pazifukwa zina, monga kuthamanga kwa magazi , glaucoma, ndi migraines, zomwe zimawonjezera katemera wa triglycerides pothandizira miyeso ya HDL. Ma retinoids omwe amagwiritsidwa ntchito poyendetsa zinthu monga psoriasis ndi mitundu ina ya khansara ya khungu, nthawi zina amagwirizanitsidwa ndi kuwonjezeka kwa LDL ndi magulu a triglyceride.

Ma Diuretics amalembedwa kuti achepetse madzi owonjezera a thupi. Kalasi ya diuretics yomwe imatchedwa thiazide diuretics - yomwe imagwiritsidwa ntchito pochiza kuthamanga kwa magazi - imagwirizananso ndi kuchuluka kwa mafuta a cholesterol ndi triglyceride.

Pali kafukufuku wopitilira mderali chifukwa kafukufuku wina wasonyeza kuti kuchepa kwa mankhwala osakaniza ndi mankhwala ena kungakhale ndi phindu lothandizira kuchepetsa matenda a mtima.

Kawirikawiri, kuthetsa matenda opatsirana, kapena kusiya kugwiritsa ntchito mankhwala omwe amapezeka ndi hyperlipidemia, kumapangitsa kuti thupi likhale labwino kwambiri. NthaƔi zina, mankhwala ochiritsira omwe amadziwika kuti adzichepetse ma cholesterol amafunika. Izi zingaphatikizepo kusintha kwa moyo, monga kuchita masewera olimbitsa thupi komanso zakudya, koma nthawi zina, mankhwala ochepetsa mafuta a m'thupi angakhale osowa.

Chitanipo kanthu

Kulephera kuthana ndi matenda omwe amapeza hyperlipidemia kungabweretse mavuto aakulu a thanzi. Monga Mayayi amanenera, "Matenda opatsirana pogwiritsa ntchito mankhwala kapena mankhwala omwe ali ndi vuto la chiwopsezo kwenikweni ali ndi chiopsezo chachikulu cha matenda a mtima kuposa matenda oyambitsa matendawa."

Zotsatira:

Limbikitsani, A., ndi JD Brunzell "Acquired Hyperlipidemia (Secondary Dyslipoproteinemias)." Chipatala chotchedwa Endocrinology ndi Clinic Metabolism ku North America. 19: 2 (1990): 259-78.

Feillet, Francois, C. Feillet-Coudray, JM Bard, HJ Parra, E. Favre, B. Kabuth, JC Fruchart, ndi M. Vadailhet. "Plasma Cholesterol ndi Endogenous Cholesterol Synthesis Panthawi Yomwe Akugwiritsanso Ntchito M'thupi la Anorexia Nervosa." Clinica Chimica Acta. 294: 1-2 (2000): 45-56. 12 Sep. 2008.

"Hyperlipidemia - Inapezedwa." RWJobgyn.org . 2001. Chipatala cha Robert Wood Johnson Memorial. 8 Sep. 2008.

Lemanski, Paul E. "Kupyola Kuyesedwa Kachilombo ka Cholesterol: Udindo wa LDL Kuunika kwa Mtundu wa Matenda." CDPHP Medical Messenger. May 2004. Pakati pa Mankhwala Oletsa ndi Matenda a Mtima.

Mays, Maureen, pulofesa wothandizira wa mankhwala ndi mkulu wa zowonongeka, Oregon Health ndi Science University, Portland, Ore. 9 Sep. 2008.

Psaty, Bruce M., T. Lumley, CD Furberg, G. Schellenbaum, M. Pahor, MH Alderman, ndi NS Weiss. "Zotsatira zaumoyo Zotsatiridwa ndi Mankhwala Osiyanasiyana Omwe Amagwiritsidwa Ntchito Monga Amagulu Oyamba: A Network Meta-Analysis." Journal ya American Medical Association . 289: 19 (2003): 2534-44.

Mwala, Neil J. "Njira Zachiwiri za Hyperlipidemia." Madokotala a North America. 78: 1 (1994): 117-41.

Stone, Neil J. ndi Conrad B. Blum. Kusamalidwa kwa Zipangizo Muzochita Zamakono. West Islip: Professional Communications, 2006.

Weinbrenner, T., M. Zuger, GE Jacoby, S. Herpertz, R. Liedtke, T. Sudhop, I. Gouni-Berthold, M. Axelson, ndi HK Berthold. "Lipoprotein Metabolism kwa Odwala ndi Anorexia Nervosa: Phunziro Lolamulira Mlandu Pofufuza njira zomwe zimayambitsa Hypercholesterolaemia." British Journal of Nutrition . 91: 6 (2004): 959-69.

"Nchiyani Chimachititsa Cholesterol Yopambana ?" Nhlbi.nih.gov. Sep. 2008. National Lung Lung ndi Blood Institute, Matenda ndi Mavuto Index. National Institutes of Health. 16 Nov. 2014.