Mipata ya Triglyceride Ndi Yofunika Motani?
Triglycerides ndi mawonekedwe ambiri a mafuta m'thupi. Ndipotu pafupifupi pafupifupi zonse zomwe mumadya, kaya mumazitenga kudya mafuta kapena kudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zam'madzi
Mgwirizano pakati pa magulu a triglyceride m'magazi ndi chiopsezo cha matenda a mtima sakhala woonekera kwambiri kusiyana ndi magazi a kolesteroloni .
Komabe, kafukufuku wasonyeza kuti pali mgwirizano woonekera pakati pa miyeso yapamwamba ya triglyceride ndi ngozi yaikulu ya mtima .
Chifukwa Chakudya Chokwera Kwambiri Kuwonjezera Mavuto a Mtima
Mtundu wokwanira wa triglycerides m'magazi (chikhalidwe chomwe chimatchedwa hypertriglyceridemia) chikugwirizanitsidwa ndi chiopsezo chowonjezeka cha matenda a mtima - makamaka mtima, ndi zikwapu - mwa amuna ndi akazi. Kuwonjezera pamenepo, anthu omwe ali ndi matenda oopsa amtundu wambiri (CAD) komanso katemera wotchedwa triglycerides ali ndi chiopsezo chachikulu cha kufa msanga kuposa anthu omwe ali ndi CAD komanso mazira oyenera a triglyceride.
Mankhwala aakulu a triglyceride, makamaka, amagwirizanitsidwa kwambiri ndi zinthu zina zosafunika kwenikweni, kuphatikizapo mafuta otsika a HDL , timadzi ting'onoting'ono ta LDL , ndi insulin kukana . Insulin kukana, nayenso, imayanjanitsidwa ndi matenda oopsa kwambiri ndi kunenepa kwambiri. Choncho, magulu akuluakulu a triglyceride amapezeka kawirikawiri mwa anthu omwe ali ndi chiopsezo chachikulu kwambiri cha mankhwala.
Mwa anthuwa, vuto lalikulu la matenda a mtima sizodabwitsa.
Chiwerengero cha Mitsempha ya Magazi a Triglyceride
Magazi a Triglyceride amagawidwa motere:
- Chofunika: Madzi a Triglyceride osachepera 150 mg / dL
- Mapiri a Borderline: Mbewu za Triglyceride pakati pa 150 ndi 199 mg / dL
- Pamwamba: Madzi a Triglyceride pakati pa 200 ndi 499 mg / dL
- Wam'mwambamwamba kwambiri: Ma level Triglyceride pa 500 mg / dL kapena kuposa
Kawirikawiri, kumakhala kovuta kwambiri kwa triglyceride, kumakhala koopsa pamtima. Kuonjezerapo, magulu a triglyceride mu "mkulu kwambiri" angayambitse kupweteka , kupweteketsa ndi kotheka kuphulika kwapascita.
Zimayambitsa
Maseŵera otchuka a triglyceride amapezeka kawirikawiri mwa anthu omwe ali olemera kwambiri komanso ochepa kwambiri, komanso omwe ali ndi chizoloŵezi choteteza insulini kapena matenda ambiri a shuga a mtundu wa 2 .
Zina zomwe zimagwirizanitsidwa ndi magulu akuluakulu a triglyceride ndi awa:
- Hypothyroidism
- Matenda a impso, makamaka matenda a nephrotic
- Mimba
- Mankhwala, kuphatikizapo isrojeni m'malo mwake, tamoxifen, ndi ena osunga beta
Kuphatikiza apo, pali mitundu yambiri ya maumuna yomwe yadziwika ndi mazigawo a m'magazi a triglyceride. Izi zikuphatikizapo chylomicronemia, hypertriglyceridemia ya banja, ma dysbetalipoproteinemia, komanso a hyperlipidemia pamodzi.
Matendawa aliwonse omwe amachititsa kuti matendawa asapangidwe m'magazi omwe amachititsa triglycerides m'magazi. Anthu omwe ali ndi ziwalo zamtundu wa triglyceride akhoza kuvutika ndi zotsatira za hypertriglyceridemia (pancreatitis kapena mtima matenda) ngakhale kuti sali olemera kwambiri kapena ochepa.
Chithandizo
Malingaliro ochizira hypertriglyceridemia sali otsimikizika monga malangizo ochizira cholesterol . Kotero ngati muli ndi mazinga akuluakulu a triglyceride, muyenera kukambirana za chithandizo ndi dokotala wanu.
Kuperewera kwa ndondomeko yotsimikizirika ya mankhwala kumayambira chifukwa chakuti, ngakhale kuchuluka kwa triglycerides kwakhala kuwonongeka koopsa kwa matenda a mtima, umboni wakuti mungachepetse chiopsezo makamaka mwa kuchepetsa kwambiri zigawo za triglyceride zikusowa. Izi zimagwirizana ndi mfundo yakuti anthu ambiri omwe ali ndi hypertriglyceridemia ali ndi zifukwa zina zambiri zoopsa - ndipo zifukwa zonsezi zimachitidwa nthawi yomweyo.
Ziri pafupi ndizosatheka kufotokoza kuchuluka kwa zotsatira za zotsatira zomwe zimagwirizana makamaka kuti zichepetse magulu a triglyceride.
Ngakhale palibe malangizo othandizira odwala, pali malangizo ena othandizira kuchiza hypertriglyceridemia:
- Mafuta a triglyceride m'mphepete mwa malire , kusintha kwa moyo, kuphatikizapo zakudya (kupewa mafuta odzaza ndi mafuta , kudya zipatso zambiri ndi masamba, kupewa kumwa mowa), kulemetsa, kuchita masewera olimbitsa thupi, kusuta fodya , kuchepetsa shuga, komanso kuthamanga kwa magazi .
- Kwa ma triglyceride m'mikhalidwe yapamwamba , kusintha kwa moyo komweko kumalimbikitsidwa, komanso kuchepetsedwa kwa ma dilasi ya LDL, malinga ndi zomwe zatchulidwa posachedwapa zokhudzana ndi mankhwala a LDL cholesterol.
- Pazigawo za triglyceride m'mwamba kwambiri , cholinga chachikulu ndicho kupewa chiwopsezo mwa kuchepetsa chiwerengero cha triglyceride pansi pa 500 mg / dL (kawirikawiri ndi mankhwala a fibrate kapena niacin ), kenaka amayesera kuchepetsa kuchepa kwa mafuta a m'thupi mwa LDL malinga ndi zomwe zatchulidwa posachedwapa. kuchiza cholesterol cha LDL.
Mawu Ochokera
Miyezo yapamwamba ya triglyceride imakhala ndi chiopsezo chachikulu cha mtima, ndipo magulu akuluakulu a triglyceride angayambitse kupanikizika.
Kwa anthu ambiri, triglycerides yapamwamba imapezeka pakakhala zoopsa zambiri za matenda a mtima. Kotero, ngati muli ndi masitepe a triglyceride, zovuta ndi zabwino kuti zizindikiro za mtima wanu zikhale "malo olemera," komanso kuti muli ndi ntchito zambiri kuti muchepetse chiopsezo chanu . Inu ndi dokotala wanu muyenera kugwira ntchito limodzi kuti mukonze njira yodzichepetsera zoopsya zomwe mukuyenera kuzichita.
> Zotsatira:
> Ford, ES, Li, C, Zhao, G, et al. Hypertriglyceridemia ndi Pharmacologic Treatment Pakati Pathu Achikulire. Arch Intern Med 2009; 169: 572.
> Rosenson RS, Davidson MH, Hirsh BJ, et al. Genetics And Causality Of Triglyceride-Rich Lipoproteins Mu Matenda Atherosclerotic Matenda a Mtima. J Am Coll Cardiol 2014; 64: 2525.
> Lamulo lachitatu la National Cholesterol Education Program (NCEP) Gulu la Atafufuza Pa Kuzindikira, Kuunika, ndi Kuchiza Kwa Magazi Aakulu Amagazi Okhudzana ndi Odwala (Okalamba Achikulire Achilendo III): Lipoti lomaliza. Dipatimenti ya Ukhondo ya US ku United States; Utumiki wathanzi; National Institutes of Health; National Heart, Lung, ndi Blood Institute. Kuyendayenda 2002; 106: 3143.