Izeluleko Ezi-7 Uma Uqala Ukwelashwa Kwe-Cholesterol Ephakeme

-Delile

• 1. Thola izingozi zakho
• 2. Yazi imigomo yakho
• 3. Shintsha indlela odla ngayo
• 4. Yiba namandla ngokwengeziwe
• 6. Yeka ukubhema
• 7. Cabanga ngemithi kadokotela
• Izitatimende
• Ama-sequestrants we-Bile acid
• I-cholesterol absorption inhibitors
• I-Niacin
• Ukuthatha

Iyini i-cholesterol ephezulu?

I-cholesterol yinto enamafutha ejikeleza egazini lakho. Umzimba wakho wenza i-cholesterol ethile, bese okusele ekudleni okudlayo.

Umzimba wakho udinga i-cholesterol ethile ukwakha amaseli aphilile nokwenza ama-hormone. Kepha uma une-cholesterol eningi kakhulu, iqoqa ngaphakathi kwemithambo yakho futhi ivimbe ukuphuma kwegazi. Ukuba ne-cholesterol ephezulu engalashwa kungakhuphula ingozi yesifo senhliziyo, isifo senhliziyo nokushaya uhlangothi.

Kunezinhlobo ezimbili ze-cholesterol:

• I-low-density lipoprotein (LDL) cholesterol uhlobo olungenampilo olwakha ngaphakathi kwemithambo yakho.
• I-high-density lipoprotein (HDL) i-cholesterol wuhlobo oluphilile olusiza ukusula i-cholesterol ye-LDL egazini lakho.

Uma i-LDL yakho noma amazinga e-cholesterol esewonke aphakeme kakhulu, udokotela wakho angancoma izinguquko zendlela yokuphila nemithi yokuyithuthukisa. Nawa amathiphu ayisikhombisa okusiza ukuletha izinombolo zakho ebangeni eliphilile.

1. Thola izingozi zakho

I-cholesterol ephezulu kungenzeka ingabi ukuphela kosongo enhliziyweni yakho. Ukuba nanoma yiziphi zalezi zinto ezinobungozi kungandisa amathuba akho okuhlaselwa yisifo senhliziyo noma isifo sohlangothi:

• umlando womndeni wesifo senhliziyo
• umfutho wegazi ophakeme
• ukubhema
• ukuntuleka kokuvivinya umzimba
• ukukhuluphala ngokweqile
• isifo sikashukela

Uma unalezi zinto ezinobungozi, khuluma nodokotela wakho ngezindlela zokuzilawula.

2. Yazi imigomo yakho

Buza udokotela wakho ukuthi udinga malini ukwehlisa amazinga akho e-LDL cholesterol futhi uphakamise amazinga akho e-cholesterol e-HDL. Amazinga alandelayo alungile:

• inani le-cholesterol: ngaphansi kuka-200 mg / dL
• I-cholesterol ye-LDL: ngaphansi kuka-100 mg / dL
• I-cholesterol ye-HDL: 60 mg / dL noma ngaphezulu

Izinga lakho le-cholesterol elihlosiwe lingase libe phansi kancane noma ngaphezulu, ngokuya ngobungozi bakho beminyaka, ubulili, nesifo senhliziyo.

3. Shintsha indlela odla ngayo

Ukwenza izinguquko ezimbalwa ekudleni kwakho kungasiza ekulawuleni izinombolo zakho. Gwema noma ukhawulele ukudla okuqukethe lezi zinhlobo zamafutha:

• Amafutha anelisiwe. Imikhiqizo esekwe ezilwaneni inyusa i-cholesterol ye-LDL. Inyama ebomvu, ubisi olunamafutha aphelele, amaqanda, kanye nemifino yemifino njengamafutha esundu nawokhukhunathi konke kunamafutha agcwele.
• Amafutha weTrans. Abakhiqizi bakhiqiza la mafutha okufakelwa ngenqubo yamakhemikhali eguqula uwoyela wemifino uketshezi ube uqinile. Ukudla okuphezulu kumafutha we-trans kufaka phakathi ukudla okuthosiwe, ukudla okusheshayo, kanye nezimpahla ezibhakiwe. Lokhu kudla akunamsoco omningi, futhi kuzokhipha isisindo futhi kukhuphule izinga lakho le-LDL cholesterol.

Ukudla okuningi okubalwe ngenhla nakho kune-cholesterol ephezulu, kufaka phakathi inyama ebomvu nemikhiqizo yobisi enamafutha aphelele.

Ngakolunye uhlangothi, ukudla okuthile kungasiza kwehlise i-cholesterol ye-LDL ngqo noma kuvimbe umzimba wakho ekutholeni i-cholesterol. Lokhu kudla kufaka:

• okusanhlamvu okuphelele njenge-oats nebhali
• amantongomane nembewu
• ukwatapheya
• ubhontshisi
• uwoyela wemifino onempilo njengo-sunflower, u-safflower, namafutha omnqumo
• izinhlanzi ezinamafutha njenge-salmon, i-mackerel ne-herring
• isoya
• izithelo ezinjengama-apula, amapheya, namajikijolo
• ijusi lewolintshi, imajarini, neminye imikhiqizo eqiniswe ngama-sterols nama-stanols

4. Yiba namandla ngokwengeziwe

Ukuhamba ngokushesha noma ukuhamba ngebhayisikili usuku ngalunye kungakhuphula amazinga akho e-cholesterol e-HDL, okusiza ukushanela i-LDL eyeqile egazini lakho. Zama ukungena okungenani emizuzwini engu-30 yokuvivinya umzimba ngokulingene izinsuku ezinhlanu ngesonto.

Ukuthwala isisindo esingeziwe esigabeni sakho esiphakathi kungakhuphula i-LDL yakho futhi kwehlise amazinga akho e-HDL. Ukwehla ngamaphesenti ayi-10 kuphela esisindo somzimba wakho kuzosiza ukwehlisa izinombolo zakho. Ukudla okunomsoco ongcono nokuvivinya umzimba njalo kungakusiza wehlise isisindo esengeziwe.

6. Yeka ukubhema

Ngaphezu kokukhulisa ingozi yomdlavuza ne-COPD, ukubhema kungathinta kabi amazinga akho e-cholesterol. Abantu ababhema ugwayi bavame ukuba ne-cholesterol ephelele, i-LDL ephezulu, namazinga aphansi e-HDL.

Ukuyeka kulula ukusho kunokukwenza, kunezindlela eziningi ongakhetha kuzo. Uma uzame izindlela ezimbalwa futhi wehluleka, cela udokotela wakho ukuthi ancoma isu elisha lokukusiza uyeke ukubhema okuhle.

7. Cabanga ngemithi kadokotela

Imithi kadokotela iyindlela ongakhetha ngayo uma ukuguquka kwendlela yokuphila kukodwa kungazange kuthuthukise amazinga akho e-cholesterol. Khuluma nodokotela wakho ngezinketho ezingcono kakhulu kuwe. Bazocubungula ubungozi besifo senhliziyo yakho nezinye izinto lapho uthatha isinqumo sokuthi uyayinikeza yini enye yale mithi yokwehlisa i-cholesterol:

Izitatimende

Izidakamizwa ze-Statin zivimba into edingwa umzimba wakho ukwenza i-cholesterol. Le mithi yehlisa i-cholesterol ye-LDL futhi inyuse i-cholesterol ye-HDL:

• i-atorvastatin (Lipitor)
• i-fluvastatin (Lescol XL)
• i-lovastatin (Altoprev)
• i-pitavastatin (Livalo)
• i-pravastatin (Pravachol)
• i-rosuvastatin (Crestor)
• i-simvastatin (Zocor)

Imiphumela emibi yama-statins ifaka:

• ubuhlungu bemisipha nobuhlungu
• ukwanda kwamazinga kashukela egazini
• isicanucanu
• ikhanda
• isifo sohudo
• ukuqunjelwa
• amajaqamba esiswini

Ama-sequestrants we-Bile acid

I-Bile acid sequestrants ivimba ama-bile acid esiswini sakho ukuthi angangeni egazini lakho. Ukuze wenze ezinye zalezi zinto zokugaya ukudla, isibindi sakho kufanele sidonse i-cholesterol egazini lakho, eyehlisa amazinga akho e-cholesterol.

Le mithi ihlanganisa:

• cholestyramine (Okuvunyelwe)
• i-colesevelam (Welchol)
• i-colestipol (Colestid)

Imiphumela emibi ye-bile acid sequestrants ifaka:

• isilungulela
• ukuqunjelwa
• igesi
• ukuqunjelwa
• isicanucanu
• isifo sohudo

I-cholesterol absorption inhibitors

I-cholesterol absorption inhibitors yehlisa i-cholesterol ngokuvimba ukumuncwa kwe-cholesterol emathunjini akho. Kunemithi emibili kuleli klasi. Elinye yi-ezetimibe (iZetia). Enye i-ezetimibe-simvastatin, ehlanganisa i-cholesterol absorption inhibitor kanye ne-statin.

Imiphumela emibi ye-cholesterol absorption inhibitors ifaka:

• ubuhlungu besisu
• igesi
• ukuqunjelwa
• ukukhathazeka kwemisipha
• ukukhathala
• ubuthakathaka

I-Niacin

I-Niacin ivithamini B engasiza ukukhulisa i-cholesterol ye-HDL. Imikhiqizo ye-niacin kadokotela yiNiacor neNiaspan. Imiphumela emibi ye-niacin ifaka:

• ukuqhuma kobuso nentamo
• ukulunywa
• isiyezi
• ubuhlungu besisu
• isicanucanu nokuhlanza
• isifo sohudo
• ukwanda kwamazinga kashukela egazini

Ukuthatha

Izinguquko ezahlukahlukene zokuphila zingakusiza ukwelapha amazinga aphezulu e-cholesterol. Lokhu kufaka phakathi ukudla ukudla okunempilo enhliziyweni, ukuzivocavoca njalo nokugcina isisindo esinempilo. Uma lezo zinguquko zinganele, khuluma nodokotela wakho ngemithi kadokotela engasiza ekwelapheni i-cholesterol ephezulu.