Kukhala ndi cholesterol chokwanira cha LDL, chomwe sichidziwika kuti "choipa" cholesterol, si zabwino kwa moyo wanu wa thanzi. Komabe, maphunziro ambiri tsopano akupeza kuti sikuti kuchuluka kwa LDL kumazungulira m'magazi anu - ndi khalidwe, nanunso. Mtundu wa LDL m'thupi lanu ukhoza kuwonetsa chiopsezo chanu chokhala ndi matenda a mtima pamsewu. LDL wandiweyani ndi mtundu wa cholesterol cha LDL chomwe chimatengedwa ngati chiwopsezo chotenga matenda a mtima.
Ndi yaing'ono komanso yolemera kuposa ya LDL cholesterol ndipo ikhoza kukupangitsani kuti mukhale ndi matenda a atherosclerosis . Zimaganiziridwa kuti LDL yaing'ono, yowonjezera imathandiza kuti matenda a atherosclerosis akhale ochepa mokwanira kuti alowe m'makoma a mitsempha, amatha kukhala okosijeni, ndipo amakhalabe mwazi wautali.
Ndani Ali ndi Small, Dense LDL?
Aliyense - kuyambira akuluakulu kupita kwa okalamba - akhoza kukhala pangozi yopanga tizilombo tating'onoting'ono ta LDL. Zikuwoneka kuti kukula kwa LDL yaing'ono, yowonjezereka ikhoza kulandira, ndi chiwerengero cha pakati pa 35% ndi 45%. Kuwonjezera pamenepo, moyo umatha kugwira ntchito yofunikira pakupanga LDL yaing'ono, wandiweyani. Anthu omwe ali pachiopsezo chotenga LDL yaing'ono, wandiweyani m'magazi ndi awa:
- Anthu omwe amadya chakudya chambiri mu zakudya zawo - makamaka shuga woyengedwa.
- Anthu omwe amadya mafuta m'thupi lawo.
- Aliyense amene ali ndi matenda a shuga osadziteteza.
- Anthu omwe apezeka ndi matenda a shuga.
Kuchepetsa Mapangidwe a Small, Dense LDL
Mungathe kuchita zinthu zina kuti muchepetse mapangidwe a LDL wambiri, wandiweyani m'magazi. Ngakhale kuti simungathe kuchita zambiri ngati mwatulera kukula, LDL wandiweyani, mukhoza kusintha kusintha moyo wanu kuti muchepetse mwayi wanu wopanga gawoli.
Njira zomwe mungachepetse chiopsezo chanu chaching'ono cha LDL Cholesterol mapangidwe ndi:
- Kuchepetsa chakudya chanu cha m'magazi - makamaka shuga woyengedwa
- Gwiritsani ntchito mafuta odzaza ndi kutaya mafuta omwe mumadya
- Ngati mwapezeka kuti muli ndi shuga, muzisunga mwa kumwa mankhwala ndi kutsatira zakudya zabwino
- Kutaya thupi ngati muli ochepa kwambiri. Izi zikhoza kuchitika mwa kutsatira zakudya zabwino ndi zochitika zolimbitsa thupi.
- Ngati mutha kumwa mankhwala kuti muchepetse cholesterol wanu, mankhwala ena amachepetsa kupangidwira kochepa, LDL wandiweyani. Izi ziphatikizapo fibrates ndi statins .
- Dziwani zoopsa zanu kuti mukhale ndi matenda a mtima m'tsogolomu. Kodi muli ndi kholo lomwe linali ndi matenda a mtima pa 40? Ngati ndi choncho, mukhoza kukhala pachiopsezo cha matenda a mtima ali wamng'ono.
LDL wambiri, wandiweyani samayesedwa kawirikawiri mumayeso a kolesterolini yomwe mungalowemo mu ofesi ya odwala. Komabe, pali mayesero omwe angathe kuyeza LDL yaing'ono, yowonjezereka, yomwe ikuphatikizapo:
- VAP cholesterol mayeso
- LDL gradient gel electrophoresis
- NMR test lipoprofile
Mayeserowa akhoza kukhala okwera mtengo ndipo sapezeka pazipatala zonse.
Ngakhale kuchuluka kwazing'ono, LDL wandiweyani kungapangitse chiwopsezo cha matenda a mtima, zomwe zimayambitsa matenda a mtima popanda zifukwa zina (monga matenda a shuga ndi kudya kwambiri mafuta) sizinakhazikike.
Chifukwa cha zinthu izi, kuyesedwa kozolowereka sikukulimbikitsidwa.
Zotsatira:
Rizzo M, Berneis K. Ndani ayenera kusamalira zazing'onoting'ono zochepa kwambiri za lipoproteins? Int J Clin Pract 2007, 61, 11, 1949-1956.
Hirayama S ndi Miida T. Small LDL wochuluka: kutuluka kwadzidzidzi chifukwa cha matenda a mtima. Clinica Chimica Acta 2012: 414: 215-224.
Kumbuyo J. Mmene zimathandizira kuchepetsa mankhwala osokoneza bongo pamagulu ang'onoang'ono ochepa kwambiri a lipoprotein. Ann Azimayi 2005; 39: 523-526.
Gawo Lachitatu la Maphunziro a Zakale za Cholesterol (NCEP) Gulu la Ofufuza pa Kuzindikira, Kufufuza, ndi Kuchiza kwa Mwazi Wambiri Wamagazi mu Akuluakulu (PDF), July 2004, National Institutes of Heath: National Heart, Lung, ndi Blood Institute.
Dipiro JT, Pharmacotherapy: Njira Yophatikiza Pathophysiological., Edition 9. Maphunziro a McGraw-Hill 2014.