Njira yoyamba ndiyo kuonetsetsa kuti chithokomiro chanu chikugwira ntchito
Cholesterol ndi chinthu chowopsa chomwe chimapezeka mwachibadwa m'madera onse a thupi lanu. Mukakhala ndi cholesterol wochulukirapo, zimatha kukhala m'mitsempha yanu, kuphatikizapo mitsempha yanu yamtunduwu , yomwe imatha kuletsa mitsempha ndi kuyambitsa matenda a mtima .
Chithokomiro chosawonongeka-chilipo pafupifupi 13 peresenti ya anthu okhala ndi cholesterol (yotchedwa hyperlipidemia).
Ichi ndichifukwa chake mabungwe ogwira ntchito monga National Cholesterol Education Program ndi American Association of Clinical Endocrinologists amalangiza madokotala kuti awonetse odwala awo chifukwa cha hypothyroidism pamene matenda atsopano a hyperlipidemia amayamba.
Pezani Chithokomiro Chanu Chosavulaza
Ngati matenda a hypothyroidism akupezeka, mankhwala opatsirana ndi thyroxine (T4) m'malo mwake, angathe kusintha mitsempha ya cholesterol.
Ndipotu, malinga ndi kafukufuku wa JAMA, anthu 60 pa 100 alionse amene ali ndi matenda atsopano a hypothyroidism ndi hyperlipidemia anali ndi vuto la cholesterol yawo kamodzi kokha chitetezo chawo chabwezeretsedwa. Izi zikhoza kukhala zapamwamba, komanso, osaganizira aliyense amene ali mu phunziroli anali ndi ma cholesterol awo atasinthidwa atatha kuyambiranso ntchito yawo ya chithokomiro.
Kuchepetsa Cholesterol Yanu
Nthawi zina, cholesterol yanu imapitirizabe, ngakhale kuti mukudwala chithokomiro chanu.
Motsogoleredwa ndi dokotala, choyamba chochepetsa cholesterol yanu ndiko kutaya kulemera kwina kochepa ndikuyamba kuchita masewera olimbitsa thupi nthawi zonse. Kuwonjezera pa kulemera kwa thupi ndi kuchita masewero olimbitsa thupi, kusintha kwa chakudya chanu n'kofunika.
Zakudya
Mzere woyamba wa chiwonongeko chochepetsa cholesterol wanu ukhoza kukhala kusintha kwa zakudya zanu.
Izi zimaphatikizapo kutenga mafuta ochepa kwambiri , omwe ali ndi zakudya zambiri.
Kudya zakudya zonenepa kwambiri kumatanthauza kupeŵa zakudya monga:
- Nyama yofiira
- Zakudya zonenepa zomwe sizinakonzedwe
- Zakudya zokonzedwa
- Zakudya zamkaka zonenepa kwambiri monga mkaka wonse ndi batala
- Zosakaniza ndi maswiti monga donuts
- Zakudya zokazinga.
M'malo mwake, idyani utawaleza wa zipatso ndi ndiwo zamasamba ndikusankha zakudya zamapuloteni zomwe ziri ndi mafuta osatetezedwa, monga nsomba zonenepa (monga nsomba ndi albacore tuna) ndi mtedza wosatulutsidwa, monga amondi ndi walnuts. Zakudya zowonongeka ndi nkhuku popanda khungu ndizonso zabwino zomanga thupi.
Mbewu zonse, monga mkate wonse wa tirigu, pasta, ndi mpunga wofiira, zimakupatsani inu chiwopsezo, chomwe chingathandize kuchepetsa LDL cholesterol (yotchedwa cholesterol "choipa", chifukwa ndichochotsa mitsempha yanu).
Potsirizira pake, mukaphika, pewani kugwiritsa ntchito mafuta odzola monga mafuta a kokonati, mafuta a kanjedza, ndi mafuta a kanjedza. M'malo mwake muzigwiritsa ntchito canola, chimanga, azitona, kapena mafuta odzola.
Mankhwala
Monga tanenera kale, ngati mutasintha zakudya zanu komanso moyo wanu komanso kuti LDL-cholesterol yanu isakhale yamtali kwambiri, kapena muli pachiopsezo cha matenda a mtima kuyambira pachiyambi, dokotala angakuuzeni kuti mutenge mankhwala ochepetsa mafuta m'thupi. .
Statins amaonedwa ngati chinthu chofunikira chochepetsa ma LDL ndikuphatikizapo:
- Lipitor (atorvastatin)
- Lescol (fluvastatin)
- Mevacor, Altoprev (lovastatin)
- Pravachol (pravastatin)
- Crestor (rosuvastatin calcium)
- Zocor (simvastatin)
Palinso mankhwala osakaniza omwe ali ndi statin ndi mankhwala ena ochepetsa mafuta m'thupi. Izi zikuphatikizapo:
- Wachiwawa (lovastatin ndi niacin)
- Vytorin (simvastatin ndi ezetimibe)
Ziphuphu monga Gemfibrozil (Lopid) kapena fenofibrate (Tricor) zimaperekedwa kuti zikhale zochepa m'magulu a triglyceride. Nthaŵi zina, mlingo waukulu wa nicotinic acid, womwe umatchedwanso "niacin," akulimbikitsidwa kuti achepetse magulu a triglyceride ndi kukweza HDL . Niacin imapezeka pamwamba pake, koma iyenera kutengedwa motsogoleredwa ndi dokotala.
Zitsulo zimakhala ndi mankhwala omwe amamanga ndi bile m'magulu, ndikukakamiza chiwindi kuchotsa cholesterol ndikuchepetsa LDL. Mankhwalawa akuphatikizapo cholestyramine (Questran, Questran Light) ndi colestipol (Colestid).
Mawu Ochokera
Ngati mwakhala mukupezeka kuti muli ndi cholesterol chokwanira, onetsetsani kuti mukuwonetsani dokotala wanu chipangizo cha hypothyroidism. Angathe kuchita izi mwa kulamula kuyezetsa magazi kutchedwa TSH (chithokomiro choyambitsa hormone).
Ngati cholesterol yanu ikadali yapamwamba, ngakhale kuti mukuyimira chithokomiro chanu, inu ndi dokotala mungathe kudziwa ngati mukufunikira mankhwala otsika kwa mafuta m'thupi (kuphatikizapo kukhala ndi zizolowezi zamakhalidwe abwino).
Pamapeto pake, zakudya zopatsa mafuta m'thupi za kolesterolini sizingakhale zokhazokha, koma zimakonda kwambiri komanso zimaphatikizapo zakudya zanu.
Choncho pitani patsogolo, ndipo muzisangalala ndi kagawo ka avocado pa chofufumitsa chambewu chokha, m'malo mofikira botolo lakhuku.
> Zotsatira:
> ACC / AHA Chimasula Malangizo Otsatiridwa pa Chithandizo cha Magazi a Cholesterol pofuna kuchepetsa ASCVD ngozi, Am Fam Physician. 2014 Aug 15; 90 (4): 260-265. http://www.aafp.org/afp/2014/0815/p260.html.
> American Heart Association. (2016). Kodi Ndingatani Kuti Ndisamalimbikitse Cholesterol Wanga?
Willard DL, Leung AM, Pearce EN. Chithokomiro cha ntchito ya chithokomiro kwa odwala omwe ali ndi kachilombo koyambitsa matenda a hyperlipidemia. JAMA Intern Med . 2014 Feb 1; 174 (2): 287-89.