Mapamwamba a cholesterol a LDL ("cholesterol choipa"), otsika kwambiri a HDL ("cholesterol wabwino"), ndipo ma level high a triglyceride tsopano akudziwika kuti ndizo zifukwa zazikulu za matenda a mtima. Ndipo kwazaka makumi ambiri, akatswiri a cardiologist ndi akatswiri a zaumoyo akugogomezera kufunika koyendetsa magazi m'magazi pofuna kuyesa matenda a mtima.
Mankhwala amtundu angapo amapezeka kuti athandize kuchepetsa LDL cholesterol ndi ma triglyceride. Komabe, anthu ambiri odziwa zaumoyo angakonde kusintha mafilimu awo popanda kugwiritsa ntchito mankhwala oyenera. Nkhaniyi idzapereka zokhudzana ndi njira zina zomwe sizikugwiritsidwa ntchito mosalekeza.
Musanayambe kuchita zimenezi, pali zinthu zingapo zomwe muyenera kuzidziwa zokhudza kupatsirana kwa kolesterolini komanso zotsatira zake pazoopsa za mtima.
Chifukwa Chakuchizira Sikumapitirirabe
Ngakhale mitundu yambiri ya mankhwala ochiritsira mankhwala imatha kusintha kwambiri mitsempha ya cholesterol, gulu limodzi lokha la mankhwala likusonyezedwa mobwerezabwereza kuti likhazikitsenso matenda a mtima - statins . (Zindikirani: mankhwala osokoneza bongo a PCSK9 , omwe amavomerezedwa kuti agwiritsidwe ntchito pochiza kolesterol mu 2015, amasonyezanso malonjezano monga operekera chiopsezo choopsa. Koma kafukufuku wamakono akuwona ngati izi ziri zoona sizidzatha zaka zingapo.)
Mfundo iyi yokhudza statins imatanthauza zinthu ziwiri:
- Choyamba, si mankhwala kapena mankhwala ena omwe amathandiza kuti mitsempha ya mitsempha ikhale yowonjezereka iyenera kuwonetsa chiopsezo chachikulu.
- Chachiwiri, pali chinachake chosiyana ndi za statins. Werengani chifukwa chake ma statins ali osiyana .
Aliyense amene ali ndi matenda a mitsempha , kapena akudwala matenda a shuga kapena shuga kapena zifukwa zina zomwe zingawaike pangozi yaikulu ya matenda a mtima ayenera kuganiziridwa mozama chifukwa cha mankhwala a statin.
Ngati muli m'gulu lino, ndiye mutenga zowonjezerapo, ngakhale zitakhala zothandiza kuthetsa makutu anu, sizikwanira.
Pamene Zowonjezerapo Zikupangitsani Kulingalira
Sikuti aliyense amene ali ndi cholesterol chokwanira ayenera kutenga statin. Pali njira zothandizira kuchepetsa kuchepa kwa kolesterolini mopanda kugwiritsa ntchito mankhwala oterowo.
Ngati muli ndi thanzi labwino, ndikuwonetsetsani kuti mumakhala ndi chiopsezo chachikulu cha mtima wanu, mumakhala ndi gulu loopsa kwambiri, kapena ndikuwonetsa kuti chiopsezo chanu sichiri chokwanira kuti chithandizo chamtundu wa mankhwala chidziwitsidwe.
Choncho tiyeni tione zina mwa njira zosagwiritsidwa ntchito zosagwiritsira ntchito mankhwala ochepetsa cholesterol.
Lifestyle, Lifestyle, Lifestyle
Aliyense yemwe tiri, komanso chilichonse chomwe tili ndi vuto la mtima, njira yabwino yopeŵera matenda a mtima ndi kupwetekedwa ndikutengera moyo wathanzi. Kukhala ndi moyo wokhazikika, makamaka ngati akudya zakudya zosafunika, kukhala wochuluka kwambiri, ndi / kapena kusuta, sikungowonjezera kuchuluka kwa magazi m'magazi, koma kumapangitsanso mankhwala oopsa kwambiri omwe amachititsa kuti atherosclerosis.
Kuchita masewera olimbitsa thupi , kuchepetsa kulemera kwako, kudya zakudya zogwira mtima , kusuta fodya , ndi kuchiza matenda a shuga ndi matenda a shuga (ngati alipo) ndizofunikira osati kokha kukonzetsa mitsempha ya cholesterol koma makamaka, kuchepetsa vuto lanu la mtima.
Chilichonse chomwe mungachite-kaya chimakhala ndi mankhwala, mankhwala owonjezera, kapena mankhwala othandiza-sitingathe kuyembekezera phindu pokhapokha mutakhala ndi moyo wanu.
Zakudya Zokhudza Cholesterol ndi Triglycerides
Pali zakudya zambiri zowonjezera zakudya zomwe zatchulidwa kuti zimapangitsa kuti mafuta asapangidwe ndi mafuta m'thupi kapena triglyceride. Zambiri mwazinthu izi zatsimikiziridwa mozama pa maphunziro a sayansi. Zowonjezera zomwe zimagwiritsidwa ntchito kwambiri ndizo:
Mafuta a Nsomba ndi Omega-3 Mafuta Acids: Mafuta ambiri a nsomba omwe ali ndi ma omega-3 fatty acids ambiri amachepetsa kwambiri triglyceride, ndipo nthawi zina amalembedwa kuti anthu omwe triglyceride awo ndi okwera kwambiri.
Komabe, palibe mafuta a nsomba kapena omega-3 fatty acids omwe asonyezedwa kuti azitha kusintha kwambiri ma cholesterol.
Sterols Zomera: Chomera sterols ndi mankhwala ofanana ndi cholesterol, ndipo nthawi yowonjezera imawoneka imachepetsa kutsegula kwa mafuta m'thupi m'matumbo. Komabe, sterols chomera chokhacho chingapangitse chiopsezo cha matenda a atherosclerosis ndi mavuto ena a mtima. Bungwe la American Heart Association tsopano limalimbikitsa kuti zomera zowonjezera zimaphatikizapo kuti zisagwiritsidwe ntchito nthawi zonse ndi anthu ambiri.
Soy: Ngakhale kuti anthu ambiri amaona ngati njira yochepetsera cholesterol, kafukufuku waposachedwapa akulephera kusonyeza mphamvu iliyonse pazigawo za m'magazi.
Mafosholo Okhazikika: Mitambo yambiri , monga oats, psyllium, ndi broccoli, ikhoza kuchepetsa magazi a cholesterol. Zakudya zomwe zili ndi makina osungunuka zimakhala ndi zofunikira zina za thanzi, ndipo ziyenera kuikidwa mu zakudya popanda kukhudza magazi lipids.
Mtedza: Maphunziro osiyanasiyana a zachipatala asonyeza kuti kudya mtedza kungachepetse magazi a cholesterol ndi magulu a triglyceride, ndipo amathandizira kuchepa kwa mtima.
Teyi Yobiriwira: Kafukufuku wasonyeza kuti kumwa tiyi wobiriwira kungachepetse mpweya wa cholesterol wa LDL. Kuchuluka kwa mafuta m'thupi mwa katsabola kameneka kwakhala kovuta kusonyeza ndi tiyi ena.
Msuzi Wofiira Wofiira: Msuzi wofiira wofiira ndi mtundu wa mpunga wofukiza umene uli ndi mankhwala a statin-otchedwa monacolins. Msuzi wofiira wofiira womwe uli ndi monacolins ukhoza, monga mavitini, amachepetsa maola a cholesterol a LDL. Komabe, bungwe la US Food and Drug Administration lalamulira kuti ma monacolin ayenera kuchotsedwa ku yisiti ya mpunga musanagulitsidwe ku US. Masiku ano sizikudziwika bwinobwino zomwe mukugula pamene mukugula mpunga wofiira kuchokera kwa opanga othandizira.
Policosanol: Policosanol, mankhwala opangidwa ndi shuga anali, nthawi ina ankatchuka monga wothandizira kutsika kwa mafuta m'thupi. Koma chiyeso chachikulu, chokonzedwa bwino chokhazikitsa chithandizo chamankhwala chawonetsetsa kuti policosanol kwenikweni sichigwira ntchito pamagulu a magazi. Zikuwoneka kuti palibe chifukwa chabwino chogwiritsira ntchito ndalama zanu.
Zotsatira:
Lichtenstein AH, Deckelbaum RJ. AHA Advisor Science. Zakudya za Stanol / sterol zili ndi magawo a cholesterol a magazi. Ndemanga ya akatswiri a zachipatala ku Komiti ya Nutrition ya Council on Food, Physical Activity, ndi Metabolism ya American Heart Association. Kuthamangitsidwa 2001; 103: 1177.
Berthold HK, Unverdorben S, Degenhardt R, et al. Zotsatira za policosanol pa zizindikiro zamagulu pakati pa odwala omwe ali ndi hypercholesterolemia kapena ophatikizidwa pamodzi: kuyesedwa kosasinthika. JAMA 2006; 295: 2262.
Komiti ya American Heart Association Nutrition, Lichtenstein AH, Appel LJ, et al. Zakudya ndi machitidwe olimbikitsa kukonzanso 2006: sayansi kuchokera ku American Heart Association Nutrition Committee. Kuyendayenda kwa 2006; 114: 82.