Zempilo, Amayeza
LDL cholesterol yandiswa: indlela zokunciphisa kwaye yintoni na eqhelekileyo?
Cholesterol - into leyo kuyimfuneko zonke iseli komzimba. Ikhoyo nokubakho nokwakheka inwebu cell. Cholesterol kufunyanwa kwi serum wegazi kukodwa, kodwa imbaxa enye iiproteni ukuba idluliselwe. iikhompawundi ezifana kuthiwa lipoproteins.
Indima cholesterol
Cholesterol la engenamsebenzi kubaluleke kakhulu ukuba umzimba:
- le yenye yeendima ezibalulekileyo imifinya iseli, unoxanduva permeability zabo;
- It is a precursor ukuze kwakhiwe iihomoni steroid (androgens, estrogen, corticosterone, cortisol, njalo njalo.);
- kwi inxaxheba yayo Yindibanisela asidi inyongo.
cholesterol Itotali akanayo ixabiso prognostic ekumiseleni umngcipheko izifo zentliziyo kobuchopho kunye nezinye kunokwenzeka, kodwa ke ixabiso layo eliphezulu ibonisa kufuneka ukuba isifundo eneenkcukacha lipoprotein ukutya.
iintlobo lipoproteins
Kukho iintlobo ezininzi lipoproteins, kodwa kuphela leyo ebaluleke kakhulu ezimbini:
- LDL - mninzi phantsi.
- HDL - ache.
Indima ngamnye kubo ichazwa ngokungqongqo, kwaye ngqo malunga indlela ukuphazamiseka of lipid ukutya (cholesterol HDL kunye LDL), izinga kwezi zalathisi ayifundiswa ku 1.05 mmol / l kunye 4.5 mmol / l. Ukongeza, amaqhezu cholesterol kunye triglycerides na. Zonke ezi ziqendu zichazwa kwisifundo esithi lipidogram. Oku kumiselwa Uhlalutyo zengqo- cholesterol iyonke, LDL, HDL kunye triglycerides.
LDL - "okubi" cholesterol, kunye ingqalelo ukwanda ingabonisa nengozi enkulu yokuba izifo sentliziyo. LPVN, phezu koko, izenzo njengomba olukhuselayo nxamnye zisenzeka ngenxa yamafutha.
cholesterol HDL
LPVN amaxabiso cholesterol ngezantsi 1,03 mmol / l kunokubonisa umngcipheko kakhulu ukuba isifo sentliziyo kunye yegazi, kungakhathaliseki iyonke cholesterol yoxinaniso. La manani abonakalisa silubone iingozi okuqala, kwaye nazo kusetyenziswa ukuvavanya ifuthe unyango olujonge ukuthoba amanqanaba lipid egazini.
Izalathisi HDL ilingana 1,55 mmol / l okanye ngaphezulu, ngokuchaseneyo, zibonisa ukuba kukho ingozi ukuba isifo sentliziyo i negative okanye lincitshiswe ku nothi.
Xa iqhezu LPVN abathuthwayo malunga ne-25% ye-cholesterol iyonke.
LDL cholesterol
cholesterol High LDL idlala indima enkulu kuphuhliso lwe isifo sentliziyo kwaye inokuba sikombisa hyperlipidemia njengelifa. Oku kwaba ngenxa uphando olwenziweyokwakunye nyhikityha kwaye bezonyango ukuba nabo babonise iimpawu zayo atherogenic. Ukuba LDL cholesterol yaligqiba kunye triglycerides, olu dibaniso ingabonisa nengozi enkulu yokuba yegazi. Le yindibaniselwano kwenza uxilongo ekuqaleni kwesi sifo. Iziphumo zezi zifundo ukuvavanya ukusebenza unyango, ejoliswe ukuthoba lipids in serum.
Ukuba LDL cholesterol uvikivwa, mhlawumbi kuba sisiphumo ukungondleki okanye malabsorption.
Malunga nama-70% bebonke isakhiwo cholesterol LDL ohlala.
LDL cholesterol into eziphakamileyo. Yintoni kuyingozi?
Ngamagama alula, "abantu ababi" cholesterol (LDL) yi zinemoletyhule ukuba oxidize kwaye ukungena ezityeni igazi aye kwicala elingaphakathi uqweqwe atherosclerotic. kakhulu ke kuthintela ngokungafanelekanga ukuhamba kwegazi yaye nokuba ukuvimba ngokupheleleyo mithambo isitya igazi kwaye enze ihlwili legazi. Oku kukhokelela kuphuhliso iqhosha ahlekise engabalulekanga.
Ukwenziwa egazi ezinjalo imithambo yegazi unikezele igazi ebuchotsheni, kungadala istroke.
Ngenxa yokuba le sayo isitya uncipha, igazi, nomoya, ukuba izihlunu intliziyo zisondliwa nangokomthamo ayonelanga. Oku kuphakamisa uphuhliso izifo zentliziyo kobuchopho kunye nezinye. Ngaphezu koko, iindonga isitya, ezo nebhodi kanzulu atherosclerotic, ngamandla okubuyela kwimo yazo. Ukuba LDL cholesterol i eziphakamileyo, ushaya zombini intliziyo kunye nempahla.
Amanqanaba Ukwanda LDL engabangela uphuhliso amanxeba atherosclerotic le nemilenze, kunye cholelithiasis et al.
LDL cholesterol: izinga kwabasetyhini kunye namadoda
Cinga amaxabiso eqhelekileyo LDL cholesterol.
| yobudala | abantu | abafazi | iyunithi yokulinganisa |
| iminyaka ukuya ku 19 | 1,5-3,6 | 1,5-3,9 | mmol / l |
| iminyaka ukususela 20 ukuya 29 ubudala | 1.5-4.5 | 1.5-4.2 | |
| iminyaka Ukususela 30 ukuya 39 ubudala | 2,0-4,9 | 1,8-4,4 | |
| Ukususela kwiminyaka 40 ukuya 49 | 2,3-5,3 | 2,0-4,9 | |
| iminyaka ukususela 50 ukuya kuma-59 ubudala | 2,3-5,3 | 2,3-5,7 | |
| Ukususela kwiminyaka engama-60 ukuya 69 | 2,3-5,6 | 2,6-6,0 | |
| 70 nangaphezulu | 2,3-4,9 | 2,4-5,6 |
Kule theyibhile ingentla ibonisa indlela, ngokuxhomekeke utshintsho ubudala kunye ngesondo, omnye alwayo ezinkulu iprofayile lipid - LDL cholesterol. Ummiselo for abafazi yahluke kancinane zabantu. Oku kungenxa iiyantlukwano hormone phakathi kwezini. Amaxabiso eqhelekileyo LDL ngabantu abaneminyaka eyi-20 ukuya kuma-60 engaphezulwana nje kancinane kunalowo kwesiqingatha entle. Noko ke, kwiminyaka kamva, utshintsho yonke, kunye LDL cholesterol (norm) kwabasetyhini ileqeka yokusebenza zabantu yaye iba ephakamileyo kancinci. Ngoko abachatshazelwa kukungabikho hormone ababhinqileyo in ukuya exesheni.
Kwakhona kwinqanaba wayo nempembelelo kunye ukubandakanya lwengingqi. Umzekelo, uyazikhomba cholesterol abantu Indiya kunye Pakistan ziphakamile kancinci kunabo bezinye iintlanga.
Izizathu LDL yokwanda
Kwi ukwanda kwesantya LDL zingachaphazela izinto ezininzi:
- izinto okunesondlo - abadli;
- yokuphila ngokwaneleyo esebenzayo;
- izifo pathways - utyebile;
- ukutshaya;
- kotywala ngendlela engeyiyo;
- izifo yonyango - seswekile, hypothyroidism;
- wegazi;
- isifo sesibindi;
- hyperlipoproteinemia zamafa.
Indlela ukufumanisa cholesterol LDL?
Ukuze ubone inqanaba cholesterol ngokwaneleyo ukuba unikele ngegazi evela umthambo kwigumbi imithi nawuphi na eklinikhi. Kufuneka bathunyelwe likagqirha uhlalutyo LDL cholesterol. Luyafumaneka kwi ulwamkelo kwi therapist, cardiologist, ugqirha, okanye isifundo pre-zonyango.
Igazi ekuhlaziyeni LDL cholesterol uya kusasa ungatyanga. Ngobusuku obandulela, kungakuhle ukuba ukudla okunamafutha, kunye isidlo kufuneka ungadlulanga owe-19,00. Kungenjalo, amanani cholesterol elichanileyo ndakha zonakaliswa.
Isiphumo uhlahlelo zingafunyanwa ngosuku olulandelayo. Ukuba kubonakala ukuba LDL cholesterol siyandiswa, unyango amiselwe ngugqirha. Ngokwemiqathango cholesterol zizonke 10 mmol / l kunye LDL iqhezu aphezulu ezinokufundiswa ukwamkelwa esegumbini coronary okanye unyango kwesibhedlele elicwangcisiweyo. Kungenzeka, unyango statin kucetyiswa. Ukuba LDL cholesterol i eziphakamileyo, ngokunjalo iindlela jikelele kunye non-amayeza musa ukunceda, lo statin banokuthi banyulwe ubomi.
Ukwehlisa cholesterol ngaphandle amayeza
Phambi kokuqala cholesterol-yandisa iziyobisi, kufuneka ukuzama ukwenza oku ukutya eyodwa umthambo. Indlela ukunciphisa LDL cholesterol ngaphandle iipilisi? ukuzilolonga rhoqo kunganceda ekusombululeni lo mba. Akunjalo ukuya ejimini kwaye uziqeqeshe kakhulu apho. Ukuba akukho sifo kwenkqubo sentliziyo, unako ukwenza amancinci emane yemizuzu engama-30 ngexesha labo free, kodwa kufuneka sigcine iso ubume. Kufuneka ingabi ngaphezu eziqhelekileyo ngaphezu kwe-80%, okt ngoko nangoko emva kokuba emane ukubetha ibetha 100-140 ngomzuzu - .. Ingaba eqhelekileyo. Kwaye emva kokuba imizuzu 5-10, ufanele abuyele imilinganiselo yayo yesiqhelo - 60-80 ibetha ngomzuzu.
Ngamanye amaxesha runs ukuba contraindicated, kulo mzekelo, umxube egqibeleleyo ibingayi kuba ehamba imizuzu engama-40 ngesantya eqhelekileyo.
Ukudla cholesterol
Ngelo xesha umsebenzi umzimba kufuneka utshintshe nje indlela yazo incasa. Kunzima ukwenza, kodwa sithetha ngempilo, ngoko eli nyathelo kuyimfuneko.
Ukuba ngaphandle kwizidlo zonke iimveliso, ezibandakanya amaninzi namafutha. Ezi ziquka:
- Zonke ayi;
- yonke inyama;
- Zonke iikeyiki kunye ehla, iikeyiki kunye neebhiskithi;
- inyama okunamafutha;
- fat;
- oli yemifuno (ngaphandle soy, rape kunye corn);
- cream kunye cream ezimuncu;
- imayonnaise;
- no nzima.
Iziqhamo, kwemifuno kunye incindi fresh kuzo, phezu koko, kucetyiswa ukuba ukubandakanya kwisidlo sakho. Kwakhona iintlanzi zolwandle kuya kuba luncedo, okt. A. Iqulethe omega-3. sardines ingakumbi kuluncedo kunye nesalmon, kodwa iintlanzi akufuneki kugalelwa ityuwa okanye eqhotsiweyo. It iyabiliswa kakhulu okanye okuphekiweyo eziko.
Kunokuba tea green zithokombisile kwakhona othile kunciphisa cholesterol, t. K. Liquka flavonoids, bayakwazi ukomeleza iindonga imithambo yegazi.
Ezinye iingcali zikholelwa ukuba ukusela iwayini ebomvu ngezixa ezincinane kakhulu bayakwazi ukuya ukunciphisa izinga cholesterol embi. Ezinye izazinzulu kunye data musa uyavuma bathi utywala, nkqu iingedosi ezincinane, ebangela umonakalo emzimbeni. Ngoko ke, lo unyango kuhle ukuyi- logama nje zonke iingcaphephe akazange afikelele kwisivumelwano.
Kokuba kufunyaniswe ukuba kukho iimveliso, ukusetyenziswa rhoqo apho zinokuwehlisa cholesterol nge-10%. Ezi ziquka:
- Neenkozo zepistasi - abanako ukuphazamisa kukufakwa amafutha befumile yi umzimba. Kodwa ukusebenzisa kwabo kufuneka kulawulwe (hayi iiyunithi ngaphezulu kwe 10-12 ngosuku), t. To. Bona phezulu kakhulu calories.
- Ukutya okuziinkozo - oats, irhasi kunye nerayisi zasendle kunye bran ziqulathe ukuqina eziyimfuneko ukugaywa elungileyo.
- Soy, kunokuba isoflavones equlethwe kuwo, uyakwazi lisibekele LDL cholesterol.
- oyile yemifuno Polyunsaturated (iimbotyi zesoya, linseed, peanut, icanola kunye corn) kunye cholesterol aphezulu ngokutya bangayidlayo. Ezi iintlobo-oyile eziqulathe polyunsaturated fatty ekwaziyo lisibekele cholesterol. Kuyanconywa ukuba bazalise salads zabo.
- iintlanzi zolwandle kufuneka babe amaxesha ezi-3 ngeveki zifakiwe kwi menu.
- Naziphi na iziqhamo kunye nemifuno fiber enyibilikayo, zinceda kukukhupha emzimbeni LDL cholesterol. Ngakumbi luncedo ukubandakanya kwi ezityiwa ikhaphetshu, iminqathe, iziqhamo citrus, ama-apile kunye nezo. iimbotyi imidumba kakhulu luncedo.
- Bakholelwa ukuba ikonofile, ngakumbi xa zidityaniswe kunye ilamuni, ukuba uyakwazi ukucoca of umonakalo cholesterol imithambo yegazi. Ezi mveliso zimbini bayinxalenye inani elikhulu zokupheka kuthandwa yokuhlambulula imithambo yegazi kunye cholesterol lisibekele.
Ukuba LDL cholesterol ngezantsi eqhelekileyo, ngaba le meko kufuna unyango. Oku kungabangelwa ukutya kakuhle kunye ukutya osidingayo ephantsi. Kulo mzekelo, kufuneka uye umva ukutya okunempilo. Oku kuya kuba ngokwaneleyo.
unyango ngamachiza
Kwacaca ukuba ukwanda LDL cholesterol idlala indima enkulu kuphuhliso yegazi. Ukuthintela ukuyilwa kwalo zizifo kwakunye nezigulo zayo, umgangatho kufuneka iliso rhoqo kulo mbandela, ngokukodwa xa kukho ukuthambekela indyebo yalo. Ukuba LDL cholesterol i eziphakamileyo, unyango kufuneka bangenele i cardiologist.
Ukuba idayethi umthambo isenokungasebenzi ukumelana kumanqanaba aphezulu cholesterol, kufuneka imiselwe yi amayeza ngugqirha. Kungaba:
- statins;
- Niacin (nicotinic acid);
- fibrates okanye iityuwa fibric iasidi ukwehlisa izinga triglycerides kunye LPVN liyenyuka nokunciphisa ngokulandelelana "abantu ababi" cholesterol iqhezu - LDL;
- sequestrants enyongweni acid;
- inhibitors cholesterol ukufakwa (ukulungiselela "Ezetimibe");
- izongezo zokutya equlathe kumafa yalo asidi omega-3 okunamafutha.
statins
Malunga statins kufuneka uthethe ngokweenkcukacha ezingakumbi. Yokuba izinto imichiza leyo ziyakwazi ukunciphisa imveliso enqanda. Ngaphandle kwabo, ngeke ibe Yindibanisela cholesterol emzimbeni.
Kubalulekile ukukhumbula ukuba kufuneka uthathe statins yodwa ingadityaniswa nezinye iziyobisi ukunciphisa cholesterol kwaye ayikwazi ukudityaniswa kwe juice grapefruit. Oku kubangelwa yinto yokuba nokwakhiwa grapefruit inezinto enokuchaphazela isibindi transcriptase noxanduva ukudiliza statins. Ngenxa yoko, umzimba oluhlala ukufumaneka okwandisiweyo statins, ngaphezu kuyimfuneko. Oku kunokukhokelela isakhiwo wesibindi kunye izihlunu nokuthotywa.
Yeyona ixhaphakileyo statins iindidi zilandelayo eRashiya:
- Ichiza "Lovastatin" - kunganciphisa cholesterol nge-25%.
- Lithetha "Fluvastatin" - zehlisa cholesterol nge-29%.
- Medicament "Simvastatin" - kunciphisa inqanaba cholesterol nge-38%.
- Lithetha "Atorvastatin" - zinokuwehlisa cholesterol xi nge-47%.
- Ichiza "Rosuvastatin" (elinye igama layo - "Merten") - le statin kakhulu eyaziwa ukunciphisa cholesterol ukuya kwi-55%.
statins zemvelo
Koko imithi, kwindalo kukho izityalo ezininzi equlathe statins zendalo, kodwa uyazikhomba ezo zizinto eziphathekayo yezityalo ngaphantsi kakhulu idosi. Noko ke, nazo zingasetyenziswa ukunyanga.
Statins e amagqabi kunye neengcambu kunye Eleutherococcus ginseng amagqabi ngeplantain kunye owomileyo Chaga ngundo. Ezininzi ezincinane ngaphezu kwabo izityalo, apho zifumaneka kwiindawo ezisezidolophini zezi:
- lemongrass;
- iMifanekiso;
- Wort St. kaYohane;
- hawthorn;
- CARTHAMOIDES RHAPONTICUM;
- Rhodiola rosea.
Le nezityalo lungasetyenziswa zibangele okanye uhlanganise nokulungiselela izicatshulwa amanzi kulo bahlambe emanzini, babanjiswe kunye nokutya. Le unyango ingapheli, ubude bayo inokuba ukuya kwiinyanga 4-6 okanye ngaphezulu.
isiphelo
Ukuba amanyathelo non-amayeza lokulwa cholesterol musa uncedo, kwaye intsebenzo yakhe zisephezulu, kufuneka udibane nogqirha baze babambelele izindululo.
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