Mkulu wa Cholesterol ndi Matenda a Shuga ndi Chinsinsi cha Mtima Woipa
Asayansi akupeza umboni wakuti matenda a shuga amachititsa kuti cholesterol iwonongeke , kuwonjezereka kwambiri kuopsa kwa matenda a mtima kapena kupweteka kwapakati. Kugwirizana pakati pa zifukwa ziwirizi zikutanthauza kuti ngati muli ndi matenda a shuga, muyenera kukhala osamala kwambiri kuti muzitha kulamulira cholesterol yanu.
Gwirizanitsani Pakati pa Insulini ndi Cholesterol
Akatswiri akufufuzabe momwe matenda a shuga amasinthira mafuta m'thupi lamakono.
Amadziŵa kuti ma insulini ambiri m'magazi amatha kuwononga chiwerengero cha mafuta a koleselesi m'magazi.
Mapulogalamu apamwamba a insulin amayesetsa kukweza kuchuluka kwa LDL-cholesterol ("cholesterol choipa") chomwe chimapanga mabala m'mitsempha ndi kuchepetsa chiwerengero cha HDL cholesterol particles ("cholesterol chabwino") chomwe chimathandiza kuthetsa matope owopsa asanathe kuchotsa matenda a mtima kapena kupwetekedwa mtima. Matenda a shuga amachititsanso kuti mitundu yambiri ya triglycerides , mtundu wina wa mafuta ukuyenda m'magazi.
Mofananamo, cholesterol chokwanira chikhoza kukhalanso ndi matenda a shuga; Mafuta a cholesterol okwera amapezeka nthawi zambiri anthu omwe ali ndi matenda a shuga, ngakhale asanakhale ndi matenda a shuga. Maseŵera a LDL atayamba kukwera, akatswiri amalimbikitsa kuti azisamalira kwambiri shuga la magazi ndikuyamba kudya ndi kuchita masewera olimbitsa thupi kuti athetse matenda a shuga ndi matenda a mtima.
Izi ndi zofunika makamaka ngati muli ndi mbiri ya banja la matenda a mtima.
Kwa anthu omwe ali ndi shuga ya mtundu wa 1 , kuyang'anira shuga ya magazi kungapangitse kusiyana kwakukulu. Kuwongolera bwino shuga wa magazi kumagwirizana ndi maulendo omwe ali pafupi kwambiri ndi mafuta a shuga, ofanana ndi omwe amawoneka mwa anthu omwe alibe shuga. Koma anthu omwe ali ndi matenda a shuga a mtundu wa 1 omwe sakulamuliridwa awonjezeka m'magulu a triglyceride ndi kuchepa kwa ma CDL, omwe amathandiza kuti pakhale mitsempha yambiri.
Mtundu Wachiwiri wa shuga: Wopambana Kwambiri kuchokera ku Cholesterol
Anthu omwe ali ndi matenda a shuga a mtundu wa 2 , mosasamala kanthu koyambitsa shuga, amayamba kuwonjezeka triglycerides , adachepetsa HDL, ndipo nthawizina adawonjezeka LDL. Mbiri ya cholesterol ikhoza kupitirira ngakhale ngati shuga ya magazi imayang'aniridwa - kuwonetsera kuchitsikiti chokwanira kwambiri chokhazikitsa mapulani. Ndipotu, mapulogalamu omwe amapezeka m'mitsempha ya anthu omwe ali ndi matenda a shuga a mtundu wa 2 amakhala olemera kwambiri komanso ochepa kwambiri kuposa anthu omwe ali ndi matenda a shuga a mtundu wa 1, omwe amachititsa kuti chiopsezo chapamwamba kwambiri chokhala ndi chipsinjo chimayambitsa matenda a mtima kapena kupwetekedwa mtima.
Bungwe la American Diabetes Association limalimbikitsa kuyang'anira makilogalamu a kolesteroloni kamodzi pa chaka, kapena nthawi zambiri ngati ali pamwamba ndipo osayang'aniridwa ndi mankhwala. Kwa anthu omwe ali ndi matenda a shuga komanso matenda odwala matenda a mtima, amalimbikitsidwa kuti ma LDL m'magazi akhale oposa 100 milligrams per deciliter (mg / dL), kuti ma HDL akhale pamwamba pa 50 mg / dL, ndipo triglycerides pansi pa 150 mg / dL. Msuzi wotetezedwa wa magazi, kapena shuga, mlingowo ndi wosachepera 7% (<7%) mu test HA1C.
Kwa anthu omwe ali ndi matenda a shuga komanso matenda odwala matenda a mtima, kuphatikizapo mitsempha yotsekedwa kapena kupweteka kwa mtima, ADA imalimbikitsa LDL pansi pa 70 mg / dL.
Kufikira cholinga chochepa choterechi cha LDL kungafunike mankhwala akuluakulu a mankhwala a statin, koma akuwonetseredwa kuchepetsa kwambiri chiopsezo cha matenda a mtima. Mabala a Triglyceride ayenera kukhala pansi pa 150 mg / dL ndi HDL pamwamba pa 40 mg / dL. Azimayi omwe ali ndi matenda a shuga komanso matenda a mtima amodzi akukakamizidwa kuti akhale ndi ma HDL pamwamba pa 50 mg / dL.
Mankhwala amodzi, WelChol (colesevelam), awonetseredwa kuti athe kuchepetsa magawo onse a shuga ndi mafuta a shuga kwa anthu omwe ali ndi matenda a shuga a mtundu wa 2. Welchol amachitapo kanthu poletsa matumbo kuti asatengere mamolekyu a mafuta kuchokera ku chakudya. Ngakhale Welchol amachepetsa ma LDL , amatha kuwonjezera ma triglyceride m'magazi, ndipo sayenera kugwiritsidwa ntchito ndi anthu omwe ali ndi triglycerides.
Matenda a Mavitamini ndi Cholesterol
Anthu omwe ali ndi timagulu ta matenda monga insulin kukana, ma cholesterol osawuka, kuthamanga kwa magazi ndi kunenepa kwambiri amafotokozedwa kuti ali ndi matenda opatsirana (omwe amatchedwanso syndrome X). Kafukufuku apeza kuti odwala omwe ali otsika kwambiri a HDL ndi apamwamba kwambiri a triglycerides - zizindikilo za matenda a shuga - amakhala ndi chiopsezo chachikulu chovutika ndi matenda a mtima kapena kupwetekedwa. Anthu omwe ali ndi mbiri ya cholesterolyi amapindulanso kwambiri ndi mankhwala a statin.
Zoopsa zosiyanasiyana za matenda a mtima zimachitika m "manja ndipo zimayenera kuchitidwa pamodzi. Anthu omwe ali ndi shuga - omwe ali ndi chiopsezo chachikulu tsiku lina akuvutika ndi matenda a mtima - ayenera kusamala makamaka kuti asunge shuga ndi magazi m'thupi mwawo. Ndikofunikanso kuti mukhalebe ndi kulemera kwabwino komanso kuthamanga kwa magazi komanso kupewa kusuta.
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