Mayeso a kolesterolini angakuthandizeni kumvetsetsa chiopsezo cha matenda a mtima
Pulojekiti yamagetsi kapena mafuta a mitsempha ya m'magazi ndiyeso ya magazi yogwiritsira ntchito kuchuluka kwa mafuta m'magazi anu, ndi kuyeretsa mafuta a magazi ndi chida chofunikira pozindikira kuti mumayambitsa matenda a mtima.
Pali zigawo zinayi zamtengo wapatali zomwe zidzatchulidwa pazithunzi zanu zamkati:
- Cholesteroliti chonse
- Kutsika kwakukulu lipoprotein (LDL)
- Kuthamanga kwakukulu lipoprotein (HDL)
- Triglycerides
Koma kodi mafuta awa ndi otani, ndipo zotsatira zake zenizeni zimatanthauza chiyani? Nazi zofunikira pa momwe mungatanthauzire gulu lanu la cholesterol ndi zomwe zimatanthauza moyo wanu wa thanzi.
Mitsempha ya Cholesterol Yonse
Chimodzi mwa mawerengedwe omwe mudzawona kuchokera ku zotsatira za labotolo ndi chiwerengero chotchedwa "cholesterol chonse," chomwe chimakuuzani kuchuluka kwa mafuta omwe muli nawo mu magazi anu.
Malinga ndi National Heart, Lung, ndi Blood Institute, cholesterol chofunika kwambiri ndi osachepera 200 mg / dL. Miyendo ya pakati pa 200 mg / dL ndi 239 mg / dL imalingaliridwa ndi malire a cholesterol wamtunduwu pamene mazinga kapena pamwamba pa 240 mg / dL amaonedwa ngati apamwamba.
Ndizofunika kudziwa kuti simuyenera kudziwa kuchuluka kwa mafuta a kolesterolini. M'malo mwake, mlingo wa cholesterol wanu umayenera kupitirirabe ku LDL, HDL, ndi triglycerides kuti akudziwitse kuopsa kwa matenda a mtima.
Mapuloteni Amtundu Wambiri
Mapuloteni apamwamba kwambiri, kapena HDL , amaonedwa ngati "cholesterol wabwino", chifukwa udindo wa HDL m'thupi ndi kutenga cholesterol ku chiwindi chifukwa cha kuwonongeka kapena kukonzedwa, mosiyana ndi kulola cholesterol kukhala wodwala m'magazi.
Ichi ndi chifukwa chake kukhala ndi HDL mlingo amaonedwa kuti ndibwino.
Ndipotu, miyezo yopitirira 60 mg / dL imakhulupirira kuti imateteza ku matenda a mtima.
Maseŵera a HDL pakati pa 40 ndi 59 mg / dL amaonedwa kuti ndilolandirika, ndipo apamwamba amakhala oposa. Vuto la HDL pansi pa 40 mg / dL. Pankhaniyi, chiwerengero chochepa cha HDL ndicho chiwopsezo chachikulu cha matenda a mtima.
Genetics ikhoza kugwira ntchito ku HDL, ndipo amai amakonda kukhala ndi ma leveler a HDL kuposa amuna. Izi zati, kukhala moyo wosasaka ndi kusuta ndizo zifukwa ziwiri zomwe zimapangitsa kuti pakhale njira ya pansi ya HDL ndipo mumatha kusintha, mosiyana ndi maonekedwe anu a chibadwa kapena amuna anu.
Triglycerides
Zokwera kwambiri za triglycerides zimadzetsa chiopsezo cha matenda a mtima. Mbali ya borderline triglyceride ndi ya pakati pa 150 ndi 199 mg / dL pamene kukula kwa triglyceride ndi imodzi yomwe ili 200mg / dL kapena apamwamba.
Ngakhale kuti mitundu ina ya majeremusi kapena mankhwala angapangitse anthu ena kuti akhale ndi miyendo yapamwamba ya triglyceride, ambiri amakhala okwera chifukwa chokhala ndi moyo wathanzi monga kudya zakudya zapamwamba kwambiri za m'thupi, kumwa mowa mopitirira muyeso, kusuta fodya, ndi kusagwiritsa ntchito-komanso Inde, izi zimabweretsa kulemera kwambiri kapena kunenepa kwambiri.
Kutsika Kwambiri Kwambiri Mapoproteins
Mankhwala otsika kwambiri a lipoproteins, omwe amadziwika kuti LDLs, amaonedwa kuti ndi "cholesterol choipa".
Mtundu uwu wa lipoprotein umachokera ku chiwindi kupita ku ziwalo zina ndi matenda m'thupi, atanyamula cholesterol kumene kuli kofunikira. LDL imathandizira mafuta kumanga mitsempha ya munthu, yomwe ikhoza kutsogolera kuzing'onong'ono ndi kutseka kwa mitsempha, kuyambitsa matenda a mtima kapena kusinthasintha.
Zotsatira zamakono za ma LDL ndi:
- Maseŵera a LDL osachepera 100 mg / dL amaonedwa kuti ndi abwino.
- Maseŵera a LDL pakati pa 100 mpaka 129 mg / dL amalingaliridwa pafupi kapena pamwamba.
- Maseŵera a LDL pakati pa 130 mpaka 159 mg / dL amalingaliridwa kukhala pamwamba.
- Maseŵera a LDL pakati pa 160 mpaka 189 mg / dL amaonedwa ngati apamwamba.
- Maseŵera a LDL ali pamwamba kapena 190 mg / dL amalingaliridwa kwambiri.
Kawirikawiri, zakudya zowonjezera mafuta monga "mafuta" monga mafuta omwe amadzaza (mwachitsanzo, batala ndi nyama zofiira) ndi mafuta (monga zakudya zokazinga ndi zinthu zophikidwa) zimapereka mlingo wa LDL pakati pa zinthu monga genetics ndi kusowa za zochitika zochitika.
Mlingo wokwanira wa LDL
Ngakhale kuti ma LDL omwe tatchulidwa pamwambawa ali m'gulu labwino, madokotala samagwiritsanso ntchito mipangidweyi-iwo asintha njira yawo, motero. M'malo molamba nambala ya LDL (mwachitsanzo, kukweza mankhwala a kolesteroloni wina mpaka LDL yawo isanakwane 130mg / dL), madokotala tsopano amuthandiza munthuyo ndi thanzi lawo lonse "mtima".
M'mawu ena, madokotala amagwiritsa ntchito mlingo wa LDL wa munthu monga chinthu chimodzi chothandizira kupeza chiopsezo chachikulu chokhala ndi matenda a mtima kapena kupwetekedwa mtima. Malingana ndi chiopsezo chachikulu cha matenda a mtima, dokotala angalimbikitse khalidwe labwino ndipo nthawi zina mankhwala ochepetsa mafuta m'thupi (wotchedwa statin ).
Zitsanzo za makhalidwe abwino a moyo wa moyo ndi awa:
- Kudya zakudya zopanda mafuta odzaza (ndi zero zotengera)
- Kuchita tsiku ndi tsiku
- Pewani kusuta
Mawu Ochokera
Kupeza ma okosi anu a cholesterol ndi gawo lofunika la kusamala kwanu. Ndipotu, malinga ndi American Heart Association, munthu aliyense wazaka 20 kapena kuposerapo amatenga mafuta m'thupi mwake pakatha zaka zinayi kapena zisanu ndi chimodzi (ndipo nthawi zambiri, ngati muli ndi mbiri ya matenda a mtima kapena mukukhala ndi statin.)
> Zotsatira:
> American Heart Association. (2017). Zimene Mumakonda Kutanthauza Cholesterol.
National Heart, Lung, ndi Blood Institute. (2016). Cholesterol N'chiyani?
> Stone N et al. 2013 ACC / AHA Malangizo pa Chithandizo cha Magazi a Cholesterol Pochepetsa Matenda a Atherosclerotic Aakulu mu Okalamba. Lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines.