Ukuhlolwa kwe-cholesterol nemiphumela

I-cholesterol yinto ethambile, efana ne-wax etholakala kuzo zonke izingxenye zomzimba. Umzimba wakho udinga i-cholesterol encane ukuze usebenze kahle. Kodwa i-cholesterol eningi kakhulu ingavimba imithambo yegazi yakho futhi iholele ezifweni zenhliziyo.

Ukuhlolwa kwegazi le-cholesterol kwenziwa ukusiza wena nomhlinzeki wakho wokunakekelwa kwezempilo ukuthi uqonde kangcono ingozi yesifo senhliziyo, isifo sohlangothi, nezinye izinkinga ezibangelwa imithambo emincane noma evinjiwe.

Amanani afanele kuyo yonke imiphumela ye-cholesterol ancike ekutheni unesifo senhliziyo, isifo sikashukela, noma ezinye izinto ezinobungozi. Umhlinzeki wakho angakutshela ukuthi kufanele ube yini umgomo wakho.

Enye i-cholesterol ibhekwa njengeyinhle kanti eminye ibhekwa njengembi. Ukuhlolwa kwegazi okuhlukile kungenziwa ukukala uhlobo ngalunye lwe-cholesterol.

Umhlinzeki wakho anga-oda kuphela inani eliphelele le-cholesterol njengokuhlolwa kokuqala. Ilinganisa zonke izinhlobo ze-cholesterol egazini lakho.

Ungase futhi ube ne-lipid (noma ingozi ye-coronary risk), efaka:

• Ingqikithi ye-cholesterol
• I-low density lipoprotein (i-LDL cholesterol)
• Isisindo esiphakeme se-lipoprotein (i-cholesterol ye-HDL)
• I-Triglycerides (olunye uhlobo lwamafutha egazini lakho)
• I-lipoprotein ephansi kakhulu (i-VLDL cholesterol)

Ama-lipoprotein enziwe ngamafutha namaprotheni. Athwala i-cholesterol, i-triglycerides, namanye amafutha, abizwa ngama-lipids, egazini aye ezingxenyeni ezahlukahlukene zomzimba.

Wonke umuntu kufanele ahlolwe kuqala ukuhlolwa kwakhe eneminyaka engama-35 kwabesilisa, kanye neminyaka engama-45 kwabesifazane. Eminye imihlahlandlela incoma ukuqala lapho uneminyaka engama-20.

Kufanele uvivinywe i-cholesterol esemncane uma unayo:

• Isifo sikashukela
• Isifo senhliziyo
• Unhlangothi
• Umfutho wegazi ophezulu
• Umlando oqinile womndeni wesifo senhliziyo

Ukuhlolwa kokulandelela kufanele kwenziwe:

• Njalo eminyakeni engu-5 uma imiphumela yakho yayijwayelekile.
• Kaningi kubantu abanesifo sikashukela, umfutho wegazi ophakeme, isifo senhliziyo, isifo sohlangothi, noma ukugeleza kwegazi ezinkingeni nasemilenzeni.
• Njalo ngonyaka noma ngabe uthatha imithi yokulawula i-cholesterol ephezulu.

I-cholesterol ephelele ye-180 kuya ku-200 mg / dL (10 kuya ku-11.1 mmol / l) noma ngaphansi kubhekwa njengehamba phambili.

Ungahle ungadingi izivivinyo eziningi ze-cholesterol uma i-cholesterol yakho ikule banga elijwayelekile.

I-cholesterol ye-LDL kwesinye isikhathi ibizwa nge-cholesterol "embi". I-LDL ingavala imithambo yakho yegazi.

Ufuna i-LDL yakho ibe phansi. I-LDL eningi ixhunyaniswe nesifo senhliziyo nesifo sohlangothi.

I-LDL yakho ivame ukubhekwa njengephakeme kakhulu uma ingu-190 mg / dL noma ngaphezulu.

Izinga eliphakathi kuka-70 no-189 mg / dL (3.9 no-10.5 mmol / l) livame ukubhekwa njengeliphezulu kakhulu uma:

• Unesifo sikashukela futhi uphakathi kweminyaka engama-40 nengama-75
• Unesifo sikashukela kanye nengozi enkulu yesifo senhliziyo
• Unengozi ephakathi noma ephezulu yesifo senhliziyo
• Unesifo senhliziyo, umlando wesifo sohlangothi, noma ukusakazeka kahle kwemilenze yakho

Abahlinzeki bezokunakekelwa kwezempilo ngokwesiko babeka izinga elihlosiwe le-cholesterol yakho ye-LDL uma welashwa ngemithi yokwehlisa i-cholesterol yakho.

• Eminye imihlahlandlela emisha manje iphakamisa ukuthi abahlinzeki abasadingi ukukhomba inombolo ethile ye-cholesterol yakho ye-LDL. Imithi yamandla ephakeme isetshenziselwa iziguli ezinobungozi obukhulu.
• Kodwa-ke, eminye imihlahlandlela isancoma ukusebenzisa izinhloso ezithile.

Ufuna i-cholesterol yakho ye-HDL ibe phezulu. Ucwaningo lwabesilisa nabesifazane lukhombisile ukuthi uma iphakama i-HDL yakho, yehlisa ingozi yokuba nesifo semithambo yenhliziyo. Yingakho i-HDL kwesinye isikhathi ibizwa nge-cholesterol "enhle".

Amazinga we-HDL cholesterol angaphezu kuka-40 kuye ku-60 mg / dL (2.2 kuya ku-3.3 mmol / l) ayadingeka.

I-VLDL iqukethe inani eliphakeme kakhulu lama-triglycerides. I-VLDL ibhekwa njengohlobo lwe-cholesterol embi, ngoba isiza i-cholesterol ukuthi yakhe izindonga zemithambo.

Amazinga ajwayelekile e-VLDL avela ku-2 kuye ku-30 ​​mg / dL (0.1 kuye ku-1.7 mmol / l).

Kwesinye isikhathi, amazinga akho e-cholesterol angaba phansi ngokwanele ukuthi umhlinzeki wakho ngeke akucele ukuthi ushintshe indlela odla ngayo noma uthathe noma imiphi imithi.

Imiphumela yokuhlolwa kwe-cholesterol; Imiphumela yokuhlolwa kwe-LDL; Imiphumela yokuhlolwa kwe-VLDL; Imiphumela yokuhlolwa kwe-HDL; Imiphumela yephrofayili yobungozi; Imiphumela ye-Hyperlipidemia; Imiphumela yokuhlolwa kwesifo se-Lipid; Isifo senhliziyo - imiphumela ye-cholesterol

• Cholesterol

I-American Diabetes Association. 10. Isifo senhliziyo nokulawulwa kwezinhlekelele: amazinga okunakekelwa kwezokwelapha kusifo sikashukela-2020. Ukunakekelwa yisifo sikashukela. 2020; 43 (Suppl 1): S111-S134. I-PMID: 31862753 www.ncbi.nlm.nih.gov/pubmed/31862753.

UFox CS, uGold SH, noAnderson C, et al. Ukuvuselelwa kokuvinjelwa kwezifo zenhliziyo kubantu abadala abane-type 2 diabetes mellitus ngenxa yobufakazi bamuva: Isitatimende Sesayensi Esivela ku-American Heart Association kanye ne-American Diabetes Association. Ukujikeleza. 2015; 132 (8): 691-718. PMID: 26246173 www.ncbi.nlm.nih.gov/pubmed/26246173.

UGennest J, ukuphazamiseka kweLibby P. Lipoprotein nesifo senhliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 48.

I-Grundy SM, i-Stone NJ, i-Bailey AL, et al. 2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA Guideline on the management of blood cholesterol: umbiko we American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines . UJ Am Coll Cardiol. 2019; 73 (24): e285-e350.2018. I-PMID: 30423393 www.ncbi.nlm.nih.gov/pubmed/30423393.

Isilinganiso sikaRohatgi A. Lipid. Ku: de Lemos JA, Omland T, abahleli. Izifo Ezingamahlalakhona EzingamaCoronary: Umngane Wesifo Senhliziyo SaseBraunwald. IPhiladelphia, PA: Elsevier; 2018: isahluko 8.

• Cholesterol
• Amazinga E-cholesterol: Okudingeka Ukwazi
• I-HDL: I-cholesterol "Enhle"
• I-LDL: I-cholesterol "Engalungile"