Madokotala ambiri ankalangiza kuti muwone momwe mumadya nyama, mazira, ndi mkaka wamakono chifukwa cha kuchuluka kwa mafuta okhutira ndi mafuta a kolesterolo omwe ali nawo. Kugwiritsa ntchito mafuta odzaza amatha kuwonjezera mitsempha yotchedwa lipoprotein ( LDL ) ya cholesterol, cholesterol "choipa" ndi mtundu womwe umakhudzidwa ndi kuwonjezera chiopsezo cha mtima wa mtima ndi zotsatira zake, monga matenda a mtima ndi stroke.
Koma chiwerengero cha mgwirizano pakati pa mafuta a mafuta ndi kolesterolo ndi matenda a mtima posachedwapa zafunsidwa. Masiku ano, tikudziwa kuti cholesterol yambiri imapangidwa ndi chiwindi ndipo ndi 15 mpaka 20 peresenti yokha yomwe imabwera kuchokera ku zakudya zanu.
Kupeza izi sikuli chilolezo chodyera nyama yankhumba, mazira, ndi toasted buttered. Akatswiri akupitirizabe kupatseni kuti mudye zakudya izi mopitirira malire. Ngakhale kuti zakudya izi sizingapangitse cholesterol wanu monga momwe zinalili kale, zimawononga moyo wanu wamtima mwa njira zosiyanasiyana.
Kafukufuku apeza kugwirizana pakati pa mankhwala omwe amapangidwa m'matumbo pamene zakudya izi-zomwe zimakonda kudya zakudya za kumadzulo-zimadya komanso zimachitika chifukwa cha matenda a mtima, kupweteka kwa mtima, kulephera kwa mtima, ndi imfa, zotsatira zazikulu za matenda a mtima .
Kudya Kwambiri Ndikofunika
Matumbo athu ali ndi mabakiteriya omwe amagwiritsidwa ntchito ngati fyuluta yowonjezera malo athu-chakudya chomwe timadya.
"Chomwe timadyetsa mabakiteriyawa pakapita nthawi chimakhudza zomwe zimachitika mthupi lathu lonse," anatero Stanley Hazen, MD, Ph.D. , Gawo Loyamba la Maphunziro Otsata Maphunziro a Zachilengedwe ku Cleveland Clinic, yemwe adatsogolera kafukufuku wa bungwe kudera lino.
Ma laboratory a Dr. Hazen anapanga kafukufuku ofunika kudziwa kugwirizana pakati pa tizilombo toyambitsa matenda ndi matenda a mtima pogwiritsa ntchito mankhwala omwe amatchedwa trimethylamine- N- oxyde (TMAO).
TMAO imapangidwa kuchokera ku zakudya zomwe zimapezeka m'zinthu zamtundu.
Maphunzirowa, ndi zotsatira zotsatila zotsatirazi, zikuwonetsa momwe mabakiteriya ena m'matumbo amatembenuzira choline-ndi mankhwala a lecithin omwe amapezeka mu nyama, mazira a mazira, ndi ma mkaka obiriwira-mu trimethylamine (TMA), yomwe imalowa m'magazi ndi minofu ndi chiwindi. Kumeneko, TMA imasandulika kukhala TMAO, yomwe imawoneka kuti ndiwe wofunikira kwambiri pazinthu zosiyanasiyana za matenda zomwe zimagwirizanitsidwa ndi mtima ndi zitsulo zamagazi.
Kuwonjezera apo, kafukufukuyu adawunikiritsa mgwirizano woonekera pakati pa miyeso yapamwamba ya TMAO ndi miyezo yapamwamba ya matenda a mtima, kupweteka , ndi imfa mkati mwa zaka zitatu mwa anthu, komanso matenda a mtima ofulumira.
Kafukufuku wa Dr. Hazen adasonyezanso kuti njira yomweyi imathandizira kuti matenda a mtima apite mwamsanga atangomva L-carnitine, omwe amapezeka mwachilengedwe mu zakudya zofiira kwambiri koma amakhalanso owonjezera ku zakumwa zozizwitsa. Phunziroli linapeza kuti matumbo amatembenuzira L-carnitine ku TMA (ndiyeno TMAO) ndi kuti TMAO imathandizira kudwala matenda mwa mtima mwa kusintha momwe thupi limagwiritsira ntchito mafuta a kolera. TMAO imasonyezedwanso kuti imayambitsa kutupa m'mitsempha ya mitsempha ndi kupanga mapulaneti osasunthika m'makoma a mitsempha, motero imabweretsa chiopsezo cha mtima.
Kulephera kwa Mtima
Maphunziro ena a gulu la Dr. Hazen asonyeza kugwirizana pakati pa njira ya TMAO ndi kulephera kwa mtima. Atafufuza ntchito ya TMAO kwa odwala omwe ali ndi mtima wolephera, adapeza kuti apamwamba kwambiri a TMAO, amakhala ndi chiopsezo chachikulu cha imfa ya mtima.
Dr. Hazen anati: "Kuopsa kumeneku kunakhala kovuta ngakhale kuti pali zifukwa zina zowopsa komanso popanda ntchito ya impso kapena magazi." Mu phunziro ili, maulendo apamwamba a TMAO opitirira katatu ali ndi chiopsezo cha imfa.
Matenda a Impso
Zomwe zimachitika pachikhalidwe cha anthu sizimaganizira za kuwonjezeka kwa mtima kwa anthu odwala matenda a impso (matenda omwe ali ndi matenda a impso ndi matenda a impso).
Gulu la Dr. Hazen linapeza kugwirizana pakati pa njira ya TMAO, matenda a impso, komanso kuopsa koopsa kwa mtima kwa anthu omwe ali ndi ntchito yaing'ono yochepa. Kuphatikiza pa kusonyeza mgwirizano pakati pa TMAO ndi kukweza ngozi ya mtima m'mitu yomwe ili ndi vuto la impso, iwo adapeza (mwa zitsanzo zamtundu) zomwe zimadya kwambiri kuchuluka kwa choline kudzera pa zakudya ndi kutentha kwa TMAO pa nthawi yowononga minofu yofiira (fibrosis) mu impso. Izi zingachititse kuti ntchito ya impso iwonongeke.
Phunziro limodzi, Dr. Hazen adawona anthu omwe alibe matenda a impso kwa zaka zisanu. Anapeza kuti anthu omwe ali ndi ma tmao apamwamba pamene phunziroli linayambika likhoza kuchepa mwamsanga mu ntchito ya impso, matenda a mtima, kupwetekedwa mtima, kapena kufa-poyerekeza ndi omwe ali ndi zigawo zochepa za TMAO.
Komanso, monga ntchito ya impso ikutha, ma tmao amayamba chifukwa TMAO imasokonezeka ndi impso. Dr. Hazen anati: "Ma level apamwamba a TMAO amatha kufotokoza chifukwa chake anthu omwe ali ndi matenda a impso amakhala ndi chiopsezo chochuluka chofa chifukwa cha matenda a mtima."
Kafukufuku Wambiri ndi Zomwe Zapezeka
Kafukufuku wa Dr. Hazen akupitiriza kufufuza ntchito ya TMAO mu njira zina za matenda. Zofufuza mpaka lero zimatsimikizira kuti tizilombo toyambitsa matenda, kudzera mu mbadwo wa TMAO, ndife timasewero lalikulu mu thanzi la mtima. Posachedwapa, maphunziro ochokera ku labata la Hazen kupita ku gawo la TMAO ku matenda opatsirana ammimba-matenda a mitsempha ya mwendo-komanso popanga magazi omwe angayambitse mtima ndi kupweteka.
Kupeza kuti tizilombo toyambitsa matenda ndi njira ya TMAO imagwirizanitsidwa ndi thanzi la mtima kumatsegula chitseko cha zambiri zomwe zingapite patsogolo. Kupititsa patsogolo zakudya zopatsa thanzi komanso zakudya zabwino ndizochitika zoonekeratu. Chinthu china ndi chakuti kuzindikira njirayi kumayambitsa zatsopano zoyezetsa matenda komanso njira zothandizira zowononga tizilombo toyambitsa matenda zomwe zimayambitsa matenda a mtima.
Maphunziro a upainiya a gulu la Dr. Hazen adasonyeza kuti kuyang'ana njira yoyamba yopanga TMAO-kupanga TMA, yomwe imasandulika kukhala TMAO ndi tizilombo toyambitsa matenda-ingathandize kuteteza matenda a atherosclerosis (kuuma kwa mitsempha) mu zinyama. Njira yatsopanoyi imakhala ndi lonjezo loti limagwiritsidwa ntchito ngati njira yothetsera matenda a mtima, kupweteka, komanso maonekedwe ena a matenda a atherosclerosis.
Mwachitsanzo, pamene makoswe amadyetsedwa zakudya zowonjezera kapena carnitine (zofanana ndi chakudya cha ku Western), iwo adayamba kuthamanga kwambiri ndi matenda a atherosclerosis. Pamene theka la mbewa pa zakudya zapamwamba-choline zidapatsidwa chinthu chodziwika bwino chomwe chimateteza njira yaying'ono yopititsa ku TMAO mapangidwe, kuchepa kwa mphamvu ya satana. Zachilengedwe zomwe zimagwiritsidwa ntchito pa mbewa, zomwe zimapezeka mu ozizira ozizira, maolivi osapitirira namwali ndi mafuta a mphesa, zinasonyezedwanso kuti ziri zotetezeka, ngakhale muyezo waukulu.
Kodi Izi Zikutanthauza Chiyani Kwa Inu?
Umboni watsopano umagwirizanitsa tizilombo toyambitsa matenda kuti thupi likhale ndi thanzi labwino. Ndipo zakudya ndi imodzi mwazikulu zomwe zimakhudza mitsempha ya tizilomboti ndikugwira ntchito. "Maphunzirowa, mpaka lero, akusonyeza kuti kudya zakudya zomwe munthu amadyetsa zochepa nyama ndi nyama, monga zakudya zamasamba komanso zakudya za Mediterranean, zingakhale zopindulitsa kwambiri, makamaka ngati muli ndi vuto la mtima, mtima wosalimba, kapena matenda a impso, "akutero Dr. Hazen.
Kwa ena tonsefe, akuwonjezera kuti ndi zovuta kunena ngati osadula kapena kudula nyama zofiira, mkaka, ndi mazira angatithandize kukhala ndi moyo wautali komanso wathanzi. Komabe, kuyezetsa magazi kwa TMAO kulipo tsopano ndipo Dr. Hazen adanena kuti ikhoza kuthandiza odwala aliyense kudziwa ngati ali ndi chiwerengero cha TMAO. "Kudziwa mlingo wanu wa TMAO kungakupangitseni chithunzi choopsa cha mtima wanu wamtima," akutero.