Ingabe Kufanele Ukhathazeke Uma Ama-Triglycerides Wakho Ephansi?

-Delile

• Yini ama-triglycerides?
• Yimaphi amabanga ajwayelekile?
• Yini engadala ama-triglycerides aphansi?
• Ukudla okunempilo
• Ukudla okunamafutha aphansi kakhulu
• Ukuzila isikhathi eside
• Ukungondleki
• I-Malabsorption
• I-Hyperthyroidism
• Izidakamizwa ezehlisa i-cholesterol
• Ubungozi be-triglycerides ephansi
• Ukwelapha ama-triglycerides aphansi
• Ukuvimbela nokuthatha

Yini ama-triglycerides?

I-Lipids, ebizwa nangokuthi amafutha, ingenye yama-macronutrients amathathu ayingxenye ebalulekile yokudla. Kunezinhlobo ezahlukahlukene zama-lipids, kufaka phakathi i-steroids, i-phospholipids, ne-triglycerides. Ama-Triglycerides awuhlobo lwe-lipid umzimba ongalusebenzisa kokubili amandla asheshayo nagciniwe.

Uma udla ukudla, umzimba wakho usebenzisa izakhamzimba ezikuleso sidlo njengamandla noma uphethiloli. Kodwa-ke, uma udla ukudla ngamandla amaningi (ama-calories amaningi kakhulu), la mandla athe xaxa aguqulwa abe yi-triglycerides. Lawa ma-triglycerides agcinwa kumaseli anamafutha ukuze asetshenziswe esikhathini esizayo.

Ukukhathazeka okuvame kakhulu ngama-triglycerides amazinga aphezulu e-triglyceride. Amazinga aphezulu e-triglycerides egazini angahle atherosclerosis, ukuvimba nokuqina kwemithambo yegazi. Ngenxa yalokhu, amazinga aphezulu e-triglyceride angandisa ingozi yesifo senhliziyo, isifo senhliziyo, noma isifo sohlangothi.

Amazinga aphansi e-triglyceride angaba nokukhathazeka kwezempilo futhi. Ake sibheke ukuthi ama-triglycerides aphansi angayithinta kanjani impilo yakho nokuthi ungavimbela kanjani futhi welaphe izinkinga ezihlobene.

Yimaphi amabanga ajwayelekile?

Ukuhlolwa kwegazi okuvame kakhulu okusetshenziselwa ukubheka amazinga akho e-triglyceride kubizwa ngephaneli ye-lipid. Iphaneli ejwayelekile ye-lipid izohlola okulandelayo:

• inani le-cholesterol
• I-cholesterol ye-LDL ("embi")
• I-cholesterol ye-HDL ("enhle")
• ama-triglycerides
• isilinganiso se-cholesterol / HDL
• cholesterol engeyona eye-HDL

Udokotela wakho uzosebenzisa iphaneli ye-lipid ukuthola ukuthi amazinga akho e-triglyceride aphakathi kobubanzi obujwayelekile.

Amazinga ajwayelekile e-triglyceride angama- <150 mg / dL. Amazinga e-Triglyceride aphakathi kuka-150 no-199 mg / dL aphezulu emingceleni. Amazinga aphezulu e-triglyceride avela kuma-200-499 mg / dL. Noma yini engaphezu kuka-500 mg / dL ibhekwa njengephakeme kakhulu.

Alukho uhla lwamanje lwamazinga aphansi e-triglyceride. Kodwa-ke, uma amazinga akho e-triglyceride ephansi kakhulu, lokhu kungakhombisa isimo esingaphansi noma isifo.

Yini engadala ama-triglycerides aphansi?

Ukudla okunempilo

Siyazi ukuthi ukudla okungenampilo kungadala ama-triglycerides aphezulu, kanti ukudla okunempilo ngokuvamile kuholela kuma-triglycerides aphansi.

Inothi elilodwa elithandekayo ukuthi kwesinye isikhathi amazinga we-triglyceride aphansi angenzeka ngamazinga aphezulu we-LDL (okuvame ukukhombisa ingozi ephezulu yesifo senhliziyo). Uma amazinga we-triglyceride aphansi engcupheni yesifo senhliziyo, kepha amazinga aphezulu e-LDL ayasinyusa, yini engadala lokhu kungahambelani?

Kunezinhlobo ezimbili zezinhlayiya ze-LDL okufanele zinakwe lapho kubalwa ubungozi besifo senhliziyo:

• Izinhlayiya ze-LDL-A zinkulu, aziminyene kakhulu, futhi zehlisa ubungozi bakho.
• Izinhlayiya ze-LDL-B zincane, ziyajiya, futhi zandisa ubungozi bakho.

Uma unamazinga aphansi e-triglyceride kodwa amazinga aphezulu we-LDL, kungakhombisa ukuthi unokudla okugcwele amafutha anempilo.

Amafutha anempilo ngeke nje abangele ukwanda kwe-cholesterol enhle (i-HDL) kepha futhi angashintsha uhlobo lwezinhlayiya ze-LDL ezisegazini. Ngakho-ke, lawo mazinga aphezulu e-LDL kungenzeka angabi yinto embi empeleni.

Esikhundleni salokho, maningi amathuba okuthi ziyizinhlayiya ze-LDL eziye zaba nkulu futhi zincane kakhulu kusuka ekudleni kwamafutha enempilo. Ama-triglycerides aphansi namazinga aphezulu we-HDL egazini ngokujwayelekile azowusekela lo mbono.

Ukudla okunamafutha aphansi kakhulu

Ukudla okunamafutha aphansi akusho ukuthi akunampilo. Ucwaningo lukhombisile ukuthi ukudla okunamafutha amancane kungaba yindlela ephumelelayo yokwehlisa isisindo. Kodwa-ke, noma yini eyenziwayo ngezinga eleqile ingaba yingozi, futhi ukudla okunamafutha amancane kakhulu akuhlukile kulo mthetho.

Abantu abadla ukudla okunamafutha amancane abadla amafutha amancane kakhulu bangaba namazinga aphansi e-triglyceride. Njengoba amafutha ayingxenye ebalulekile yokwakheka komzimba womuntu, kubalulekile ukusebenzisa okungenani amafutha athile - okungcono, uhlobo olunempilo.

Ukuzila isikhathi eside

Ukuzila ukudla kungadli ukudla neziphuzo, futhi kwabanye abantu kungenye yezindlela abathuthukisa ngazo impilo yabo. Ukuzila ukudla kungaba nezinzuzo eziningi zezempilo, kusuka ekwehliseni ushukela wegazi namazinga e-lipid kuye ekusizeni ekwehliseni isisindo.

Ngo-2010 omncane, abacwaningi bathola ukuthi kubantu ababezila ukudla okungajwayelekile (uhlobo lokuzila okungajwayelekile) ngaphezu kwamasonto ayisishiyagalombili, amazinga e-triglyceride ancishiswa ngamaphesenti angama-32.

Isikhathi eside sokuzila singaveza imiphumela emangazayo. Kulabo abanamazinga asevele ejwayelekile, lokhu kungahle kuholele emazingeni aphansi kakhulu e-triglyceride.

Esikhundleni sokuzila isikhathi eside, noma ukuzila ukudla ezinye izinsuku, ukuzila ukudla okufushane ngezikhathi ezithile kungasebenza ngendlela efanayo, ngaphandle kokwehlisa amazinga akho ngokweqile. Lokhu kungasho ukuzila ukudla amahora angu-8 noma angu-16 usuku ngalunye, kunokuba weqe ukudla ngokuphelele amahora angama-24.

Ukungondleki

Ukungondleki kwenzeka lapho umzimba ungatholi ngokwanele, noma okunye okuningi kakhulu, kwezakhamzimba ezithile. Ngokusho kwalaba, abantu abadala abangaphezu kwezigidigidi ezi-2.3 e-United States babhekana nokungondleki ngandlela thile.

Ukungondleki kahle kungaholela ekushodeni kwezakhi zomzimba ezibalulekile, kufaka phakathi ama-macronutrients afana ne-lipids. Ezinye izimpawu zokungondleki zifaka:

• ukuncipha, ukulahleka kwamafutha, kanye nokulahleka kwemisipha
• izihlathi namehlo angenalutho
• ukuphuma kwesisu, noma ukuvuvukala
• izinwele ezomile neziphundu, isikhumba noma izinzipho
• izimpawu ezingokomzwelo, njengokucindezeleka, ukukhathazeka nokucasuka

Uma othile ebhekene nokungondleki okukhulu, amazinga abo e-triglyceride angaba ngaphansi kakhulu kwebanga elijwayelekile. Ukungondleki kulashwa kahle ngokwanda kokudla futhi, kwezinye izimo, ukwengeza amavithamini namaminerali.

I-Malabsorption

I-Malabsorption yisimo lapho amathumbu amancane engakwazi ukumunca kahle izakhamzimba ekudleni. Izimbangela ze-malabsorption zingabandakanya ukulimala komgudu wokugaya ukudla, izifo ezithinta umgudu wokugaya ukudla, noma nemithi ethile. Kubantu ababhekana ne-malabsorption, umzimba kungenzeka ungakwazi ukuthola kahle ama-carbohydrate, amaprotheni, noma amafutha.

Kunezimpawu eziningi ze-malabsorption. Kodwa-ke, i-fat malabsorption ingaholela esimweni esibizwa nge-steatorrhea. I-Steatorrhea iyinkomba enkulu yokuthi umzimba wakho awumunci amafutha ngokufanele. Ungaqaphela:

• indle ephaphathekile nephunga elibi
• indle enamandla futhi entanta
• gcoba noma amanoni indle yakho
• amaconsi kawoyela noma amafutha emanzini azungeze indle yakho

Abantu abanenkinga yokwamukela amafutha bangaba namazinga aphansi e-triglyceride. Ukwelashwa kwe-steatorrhea kuhilela ukubhekana nezimo ezingaphansi ezingadala i-malabsorption ngemithi nangokushintsha kwendlela yokuphila.

I-Hyperthyroidism

Indlala yegilo idlala indima ebalulekile ekulawuleni imetabolism. Kubantu abane-thyroid engasebenzi ngokweqile (i-hyperthyroidism), izinqubo ezivamile zemetabolic zingathinteka kakhulu. Ezinye zezimpawu ze-hyperthyroidism zifaka:

• indlala yegilo eyandisiwe, ebizwa nge-goiter
• ukwehla kwesisindo ngokungenhloso kanye nezinguquko zesifiso
• ukuguqulwa kokushaya kwenhliziyo
• ukuncipha kwesikhumba nezinwele
• izinguquko zokuqonda, njengokukhathazeka okwengeziwe noma ukwesaba

Enye yezinkomba ezinkulu ze-hyperthyroidism ukulahlekelwa isisindo ngokungenhloso. Ngokuvamile, lokhu kwehla kwesisindo kwenzeka kungakhathalekile ukuthi udla ini. Lokhu kusho ukuthi umzimba uhlala usebenzisa amandla amaningi kunalowo muntu awudlayo. Abantu abane-hyperthyroidism bangaba namazinga aphansi e-triglycerides ngenxa yokwanda kokusetshenziswa kwala ma-triglycerides kaphethiloli.

Ukuhlolwa kwegazi okulinganisa amazinga we-thyroxine ne-hormone evuselela i-thyroid kungasetshenziselwa ukuxilonga i-hyperthyroidism. Ngokuvamile iphathwa ngemishanguzo nezinguquko zendlela yokuphila.

Izidakamizwa ezehlisa i-cholesterol

Ngokusho kweCenters for Disease Control and Prevention, cishe “abantu baseMelika abangu-78.1 million base bevele bephuza noma benelungelo lokuthola imishanguzo yokwehlisa i-cholesterol.” Imithi ye-cholesterol, noma imishanguzo yokwehlisa i-lipid, ingenye yezindlela abantu abangawalawula ngayo amazinga abo e-cholesterol.

Kunezinhlobo eziningi zemithi yokwehlisa i-lipid, kufaka phakathi ama-statins, PCSK9 inhibitors, nokuningi. Izitatimende, ama-fibrate, ne-omega-3 fatty acid ethyl esters yizinhlobo ezintathu zemithi yokwehlisa i-lipid eyaziwa ukwehlisa amazinga e-triglyceride.

Uma ukhathazekile ukuthi imishanguzo yakho yokwehlisa i-cholesterol ibangela ukuthi amazinga akho e-triglyceride ehle kakhulu, cabanga ukukhuluma nodokotela ukuze ushintshe imithi.

Ubungozi be-triglycerides ephansi

Amazinga aphansi e-triglyceride ngokuvamile awanabungozi. Eqinisweni, ucwaningo lusekela umbono wokuthi amazinga aphansi e-triglyceride anganikeza izinzuzo ezithile zezempilo.

Ocwaningweni olulodwa lwango-2014, abacwaningi bathole ukuthi amazinga aphansi okungazili ukudla e-triglyceride ahlotshaniswa nokwehliswa kokufa kwezimbangela cishe kwabahlanganyeli bokufunda abangaba ngu-14,000.

Enye i-2017 encane ithole ukuthi amazinga aphansi e-triglyceride axhumene nokusebenza kwengqondo okuthuthukisiwe kubantu abadala asebekhulile ngaphandle komqondo.

Kodwa-ke, amazinga aphansi kakhulu we-triglyceride angaxhunyaniswa nezinye izimo, njengoba kushiwo ngenhla. Ezinye zalezi zimo kuzo ngokwazo zingaba yingozi, ngakho-ke kubalulekile ukuba welaphe isimo esingaphansi esidala ama-triglycerides aphansi.

Ukwelapha ama-triglycerides aphansi

Ukwelashwa okungcono kakhulu kwe-triglycerides ephansi ukuthola nokwelapha imbangela eyimbangela. Kwezinye izimo, njengokungondleki, kungaba lula njengokushintsha izinguquko ekudleni. Kwezinye izimo, njenge-malabsorption ne-hyperthyroidism, ukwelashwa kanye nezinguquko zokuphila kungadingeka.

Uma amazinga aphansi e-triglyceride kungumphumela wokungawatholi amafutha anele ekudleni, nazi iziphakamiso zemikhuba yokudla enempilo:

• Ukudla okuphelele kwamafutha kufanele kube noma yikuphi kusuka kumaphesenti angama-20-35 wama-calories aphelele kumuntu ojwayelekile hhayi ekudleni okunamafutha aphansi.
• Amafutha we-Monounsaturated ne-polyunsaturated kufanele kube yiningi lamafutha adliwayo ekudleni, njengoba lawa enhliziyo enhle kakhulu enempilo.
• Amafutha anelisiwe ne-cholesterol kufanele kube nomkhawulo, futhi amafutha okufakelwa akufanele neze idliwe.

Ukuvimbela nokuthatha

Ukugcina ama-triglycerides akho ebangeni elijwayelekile kulula kakhulu ngokudla okuyindilinga. I-American Heart Association (AHA) incoma lezi zinguquko ezilandelayo zokudla nezindlela zokuphila ukugcina inhliziyo yakho iphilile namazinga akho e-triglyceride ejwayelekile:

• Gcina amakhalori akho ebangeni elijwayelekile lobudala bakho, ubulili, nezinga lomsebenzi.
• Yidla ukudla okwahlukahlukene okubandakanya wonke amaqembu amakhulu okudla, ikakhulukazi izithelo, imifino, namafutha anempilo yenhliziyo.
• Gwema ukudla ngokweqile okuqukethe ama-calories angenalutho, ngoba lokhu kungagcinwa njengamafutha.

Uma ukhathazekile ukuthi amazinga akho e-triglyceride aphansi ngesinye isizathu, njengesimo esingaphansi, finyelela kudokotela wakho. Bangasebenzisa ukuhlolwa kwe-lipid, phakathi kokunye ukuhlolwa kwezokwelapha, ukuthola imbangela yamazinga akho aphansi e-triglyceride.