Kolesterol Yakakwira Yeropa

Cholesterol muta waxy inowanikwa muropa rako. Muviri wako unoda cholesterol kuti uvakwe masero ane hutano, asi cholesterol yakawanda inogona kuwedzera njodzi yekurwara kwemoyo. Uine cholesterol yakawanda, unogona kuumba mafuta muropa rako. Pakupedzisira, aya mafuta anokura, zvichiita kuti ropa risapfuure zvakanaka mu arteries. Dzimwe nguva, aya mafuta anogona kupwanya kamwe kamwe ndokuita clot inokonzera kurwara kwemoyo kana kurohwa. Cholesterol yakawanda inogona kuwanikwa kubva kuna vanababa kana vanambuya, asi kazhinji inokonzerwa nezvinhu zvisina hutano zveupenyu, zvichiita kuti zvidzivirirwe uye kurapwa. Kudya kwakanaka, kurovedza muviri nguva dzose uye dzimwe nguva mishonga inogona kubatsira kuderedza cholesterol yakawanda.

Kolesterol yakakwira haina zviratidzo. Kuongororwa kweropa ndiyo nzira chete yekuziva kana uine. Maererano neNational Heart, Lung, and Blood Institute (NHLBI), kuongororwa kwekolesterol kwega kwega kunofanira kuitwa pakati pemakore mapfumbamwe ne gumi nerimwe, wobva waramba uchizviita makore mashanu mushure meizvozvo. NHLBI inokurudzira kuti kuongororwa kwekolesterol kuitwe gore rimwe kusvika kuviri pagore kune varume vane makore makumi mana nemashanu kusvika makumi matanhatu nemashanu uye vakadzi vane makore makumi mashanu nemashanu kusvika makumi matanhatu nemashanu. Vanhu vane makore anopfuura makumi matanhatu nemashanu vanofanira kuongororwa kolesterol gore rega rega. Kana mhinduro dzekuongororwa kwako dzisingaenderani nezviyero zvinodiwa, chiremba wako angakurudzira kuyerwa kazhinji. Chiremba wako angakurudzirawo bvunzo dzakawanda kana uine nhoroondo yemhuri yekolesterol yakakwira, chirwere chemwoyo kana zvimwe zvinokonzera njodzi, senge chirwere cheshuga kana kuwedzera kweropa.

Maererano neNational Heart, Lung, and Blood Institute (NHLBI), bvunzo yekutanga ye cholesterol munhu inofanira kuitwa pakati pemakore mapfumbamwe ne gumi nerimwe, wobva wadzokororwa makore mashanu mushure meizvozvo. NHLBI inokurudzira kuti bvunzo dze cholesterol dziitwe gore rimwe kusvika kuviri pagore kune varume vane makore makumi mana nemashanu kusvika makumi matanhatu nemashanu uye kune vakadzi vane makore makumi mashanu nemashanu kusvika makumi matanhatu nemashanu. Vanhu vane makore anopfuura makumi matanhatu nemashanu vanofanira kuitwa bvunzo dze cholesterol gore rega rega. Kana mhinduro dzebvunzo dzako dzisingaenzani nemazinga anoda kuwanikwa, chiremba wako angakurudzira kuyerwa kazhinji. Chiremba wako angakurudzirawo bvunzo dzakawanda kana uine nhoroondo yemhuri ye cholesterol yakakwirira, chirwere chemwoyo kana zvimwe zvinokonzera njodzi, senge chirwere cheshuga kana kuwedzera kweropa.

Kolesterol inotakurwa neropa rako, rakabatana nemapuroteni. Musanganisano uyu wemapuroteni nekolesterol unonzi lipoprotein. Kune marudzi akasiyana ekolesterol, zvichienderana nezvinhu zvinokurukurwa nelipoprotein. Aya ndiwo: Low-density lipoprotein (LDL). LDL, iyo "yakaipa" kolesterol, inotakura zvikamu zve cholesterol mumusoro wako. Kolesterol ye LDL inoungana mumadziro emararteria ako, ichivaita kuti ive yakaoma uye yakamanikana. High-density lipoprotein (HDL). HDL, iyo "yakanaka" kolesterol, inotora kolesterol yakawandisa woiendesa kuuropi hwako. Lipid profile kazhinji inoyeresawo triglycerides, rudzi rwemafuta ari muropa. Kuve nemazinga epamusoro etriglyceride kunogona zvakare kuwedzera njodzi yako yechirwere chemwoyo. Zvinhu zvaunogona kudzora — senge kusava nechinhu, kuonda uye kudya kwakaipa — zvinopa mwero wekolesterol uye triglycerides. Zvinhu zvisingadzoreki zvinogona kutambawo basa. Semuenzaniso, kugadzira kwako kwemajini kunogona kuita kuti zvive zvakaoma kuti muviri wako ubvise LDL cholesterol muropa rako kana kuipwanya muchiropa. Zvirwere zvinogona kukonzera mazinga ekolesterol asina hutano zvinosanganisira: Chirwere cheitsvo chekare chirwere cheshuga HIV / AIDS Hypothyroidism Lupusmazinga ekolesterol anogona zvakare kuipa nekuda kwemamwe marudzi emishonga yaunogona kunge uchitora nezvimwe zvirwere zvehutano, zvakadai se: Acne Cancer Kufananidzwa kweropa rakakwirira HIV / AIDS Kusagadzikana kwemwoyo Kusimudzirwa kwezvikamu

Zvinhu zvinogona kuwedzera njodzi yako yekukwirira kwe cholesterol yakaipa zvinosanganisira: Kudya kwakaipa. Kudya mafuta akawanda ane saturated kana trans kunogona kukonzera cholesterol yakaipa. Mafuta ane saturated anowanikwa munyama ine mafuta akawanda nezvigadzirwa zvemukaka zvizere mafuta. Mafuta ane trans anowanzo wanikwa muzvokudya zvakapackagwa kana madesert. Kuonda. Kuve ne body mass index (BMI) ye30 kana kupfuura kunokupa njodzi yekukwirira kwe cholesterol. Kushaya kurovedza muviri. Kurovedza muviri kunobatsira kusimudzira HDL yemuviri wako, iyo "yakanaka", cholesterol. Kusvuta. Kusvuta fodya kunogona kuderedza nhanho ye HDL yako, iyo "yakanaka", cholesterol. Doro. Kunwa doro rakawanda kunogona kuwedzera nhanho yako yese ye cholesterol. Zera. Kunyange vana vaduku vanogona kuve ne cholesterol yakaipa, asi zvakajairika zvikuru muvanhu vane makore anopfuura 40. Paunokura, chiropa chako chinova chisina kukwanisa kubvisa LDL cholesterol.

Kolesterol yakakwira inogona kukonzera kuunganidzwa kune ngozi kwe cholesterol nemamwe madipoziti pamadziro emitsuya yako (atherosclerosis). Aya madipoziti (maplaques) anogona kuderedza kuyerera kweropa kuburikidza nemitsara yako, izvo zvinogona kukonzera matambudziko, akadai se: Kurwadziwa kwepfupa. Kana mitsara inopa moyo wako ropa (coronary arteries) ikabatwa, ungave nekurwadziwa kwepfupa (angina) nemamwe zviratidzo zve coronary artery disease.Kurwisa kwemoyo. Kana maplaques akabvaruka kana kupwanya, ropa rinogona kuumbwa panzvimbo yekupwanya kwe plaque - richivhara kuyerera kweropa kana kupwanya uye kuvhara artery pasi. Kana kuyerera kweropa kuenda kune chikamu chemoyo mako kuchimira, uchava nekurwisa kwemoyo.Kurova. Kufanana nekurwisa kwemoyo, kurova kunoitika kana ropa richivhara kuyerera kweropa kuenda kune chikamu cheuropi rako.

Kushanduka kwakafanana kwehupenyu hune hutano hwemoyo kunogona kuderedza cholesterol yako kunogona kukubatsira kudzivirira kuva ne cholesterol yakakwira pakutanga. Kuti ukubatsire kudzivirira cholesterol yakakwira, unogona: Kudya kudya kusina munyu kwakawanda mu michero, miriwo ne zviyo zvizere Tevedza huwandu hwemafuta emu mhuka uye shandisa mafuta akanaka zvine mwero Deredza uremu hwakawandisa uye chengeta uremu hune hutano Rega kusvuta Ita zvekutambisa mazuva mazhinji evhiki kwemaminitsi anenge 30 Inwa doro zvine mwero, kana zvakadaro Tarisa kushushikana

Kuongororwa kweropa kunotarisa mazinga echolesterol — kunonzi lipid panel kana lipid profile — kazhinji kunoratidza: Cholesterol yese Cholesterol yeLDL Cholesterol yeHDL Triglycerides — rudzi rwemafuta ari mweropa Kazhinji unoda kuve wakarega kudya, usina kudya kana zvinwiwa kunze kwemvura, kwemaawa mapfumbamwe kusvika ku12 usati waita bvunzo. Mimwe miedzo yecholesterol haidi kuve wakarega kudya, saka tevera mirairo yemuchiremba wako. Kutsanangura nhamba MuUnited States, mazinga echolesterol anoyera mu milligrams (mg) ye cholesterol pa deciliter (dL) yeropa. MuCanada nemamwe nyika akawanda eEurope, mazinga echolesterol anoyera mu millimoles paliter (mmol / L). Kuti unzwisise mhinduro dzebvunzo yako, shandisa iyi mazano akajairika. Cholesterol yese (U.S. nemamwe mamwe mazwe) Cholesterol yese * (Canada nechikuru cheEurope) Mhinduro * Mirayiridzo yeCanada neEurope inosiyana zvishoma nemirayiridzo yeU.S. Aya kuchinjwa kunobva kune mirayiridzo yeU.S. Pasi pe200 mg / dL Pasi pe5.2 mmol / L Inoda 200-239 mg / dL 5.2-6.2 mmol / L Yakakwirira pamuganhu 240 mg / dL nekupfuura Pamusoro pe6.2 mmol / L Yakakwirira Cholesterol yeLDL (U.S. nemamwe mamwe mazwe) Cholesterol yeLDL * (Canada nechikuru cheEurope) Mhinduro * Mirayiridzo yeCanada neEurope inosiyana zvishoma nemirayiridzo yeU.S. Aya kuchinjwa kunobva kune mirayiridzo yeU.S. Pasi pe70 mg / dL Pasi pe1.8 mmol / L Iri nani kune vanhu vane coronary artery disease — kusanganisira nhoroondo yekurohwa kwemoyo, angina, stents kana coronary bypass. Pasi pe100 mg / dL Pasi pe2.6 mmol / L Yakakodzera kune vanhu vari pangozi ye coronary artery disease kana vane chirwere cheshuga. Iri pedyo neyakakodzera kune vanhu vane coronary artery disease isina kuoma. 100-129 mg / dL 2.6-3.3 mmol / L Iri pedyo neyakakodzera kana pasina coronary artery disease. Yakakwirira kana paine coronary artery disease. 130-159 mg / dL 3.4-4.1 mmol / L Yakakwirira pamuganhu kana pasina coronary artery disease. Yakakwirira kana paine coronary artery disease. 160-189 mg / dL 4.1-4.9 mmol / L Yakakwirira kana pasina coronary artery disease. Yakakwirira kwazvo kana paine coronary artery disease. 190 mg / dL nekupfuura Pamusoro pe4.9 mmol / L Yakakwirira kwazvo, zvinoratidza mamiriro ezvekurasika. Cholesterol yeHDL (U.S. nemamwe mamwe mazwe) Cholesterol yeHDL * (Canada nechikuru cheEurope) Mhinduro * Mirayiridzo yeCanada neEurope inosiyana zvishoma nemirayiridzo yeU.S. Aya kuchinjwa kunobva kune mirayiridzo yeU.S. Pasi pe40 mg / dL (varume) Pasi pe1.0 mmol / L (varume) Yakaipa Pasi pe50 mg / dL (vakadzi) Pasi pe1.3 mmol / L (vakadzi) 40-59 mg / dL (varume) 1.0-1.5 mmol / L (varume) Iri nani 50-59 mg / dL (vakadzi) 1.3-1.5 mmol / L (vakadzi) 60 mg / dL nekupfuura Pamusoro pe1.5 mmol / L Iri nani Triglycerides (U.S. nemamwe mamwe mazwe) Triglycerides * (Canada nechikuru cheEurope) Mhinduro * Mirayiridzo yeCanada neEurope inosiyana zvishoma nemirayiridzo yeU.S. Aya kuchinjwa kunobva kune mirayiridzo yeU.S. Pasi pe150 mg / dL Pasi pe1.7 mmol / L Inoda 150-199 mg / dL 1.7-2.2 mmol / L Yakakwirira pamuganhu 200-499 mg / dL 2.3-5.6 mmol / L Yakakwirira 500 mg / dL nekupfuura Pamusoro pe5.6 mmol / L Yakakwirira kwazvo Vana nekuongororwa kwecholesterol Kune vana vazhinji, National Heart, Lung, and Blood Institute inokurudzira bvunzo imwe yekutarisa cholesterol pakati pemakore mapfumbamwe ne gumi nerimwe, uye wobva wadzokorora makore mashanu mushure meizvozvo. Kana mwana wako ane nhoroondo yemhuri yechirwere chemwoyo chakatanga kare kana nhoroondo yemunhu wekuzara kwemuviri kana chirwere cheshuga, chiremba wako angakurudzira kuongororwa kwecholesterol kare kana kazhinji. Rumwe Ruzivomazinga echolesterol: Anogona kuderera here? Chiyero checholesterol kana non-HDL cholesterol: Ndechipi chakakosha kwazvo? Kits dzekuongorora cholesterol: Dzinovhara here?

'Kuchinja mararamiro akadai sekuita zvemitambo nekudya zvokudya zvine utano ndiwo mutsetse wekutanga wekudzivirira cholesterol yakakwirira. Asi, kana wakaita aya kuchinja kwakakosha kwe mararamiro uye mazinga ako e cholesterol achiri kukwirira, chiremba wako angakurudzira mishonga. Kusarudza mushonga kana kusanganiswa kwemishonga kunoenderana nezvinhu zvakasiyana-siyana, kusanganisira zvinhu zvinokonzera njodzi yako pachako, zera rako, hutano hwako uye zvinogona kuitika zvinokonzerwa nemishonga. Sarudzo dzinowanzoita dzinosanganisira: Statins. Statins inodzivirira chinhu chiropa chako chinodiwa kuita cholesterol. Izvi zvinoita kuti chiropa chako chibvise cholesterol kubva muropa rako. Sarudzo dzinosanganisira atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Altoprev), pitavastatin (Livalo), pravastatin (Pravachol), rosuvastatin (Crestor) uye simvastatin (Zocor). Vamhibitor vekumedza cholesterol. Ura hwako hudiki hunomedza cholesterol kubva mukudya kwako uye hunoiisa muropa rako. Mushonga we ezetimibe (Zetia) unobatsira kuderedza cholesterol yeropa nekudzora kumedzwa kwe cholesterol yekudya. Ezetimibe inogona kushandiswa nemushonga we statin. Bempedoic acid. Uyu mushonga mutsva unoshanda nenzira imwecheteyo se statins asi hauna mukana wekukonzera kurwadziwa kwemhasuru. Kuwedzera bempedoic acid (Nexletol) kune huwandu hwakanyanya hwe statin kunogona kubatsira kuderedza LDL zvakanyanya. Piritsi resanganiso rine bempedoic acid ne ezetimibe (Nexlizet) zviripowo. Bile-acid-binding resins. Chiropa chako chinoshandisa cholesterol kuita bile acids, chinhu chinodiwa pakugaya. Mishonga ye cholestyramine (Prevalite), colesevelam (Welchol) uye colestipol (Colestid) inoderedza cholesterol zvisina kunanga nekubatanidza kune bile acids. Izvi zvinoita kuti chiropa chako chishandisa cholesterol yakawandisa kuita bile acids yakawanda, izvo zvinoderedza huwandu hwe cholesterol muropa rako. PCSK9 inhibitors. Aya mishonga inogona kubatsira chiropa kumedza cholesterol yakawanda ye LDL, izvo zvinoderedza huwandu hwe cholesterol inofamba muropa rako. Alirocumab (Praluent) uye evolocumab (Repatha) zvinogona kushandiswa kune vanhu vane mamiriro ezvinhu emajini anokonzera mazinga akakwirira kwazvo e LDL kana kune vanhu vane nhoroondo yechirwere chekoronari vane kusashivirira statins kana mishonga ye cholesterol. Inopfurwa pasi peganda mazuva mashoma ega ega uye inodhura. Mishonga ye triglycerides yakakwirira Kana iwe uinewo triglycerides yakakwirira, chiremba wako anganyora: Fibrates. Mishonga ye fenofibrate (Tricor, Fenoglide, nezvimwe) uye gemfibrozil (Lopid) inoderedza kugadzirwa kwechiropa kwako kwe very-low-density lipoprotein (VLDL) cholesterol uye inokurumidza kubviswa kwe triglycerides kubva muropa rako. VLDL cholesterol ine triglycerides zhinji. Kushandisa fibrates ne statin kunogona kuwedzera njodzi yezvinokonzerwa ne statin. Niacin. Niacin inodzora kugona kwechiropa chako kugadzira LDL uye VLDL cholesterol. Asi niacin haipe mibairo yakawedzerwa pamusoro pe statins. Niacin yakabatanawo nekuvadza kwechiropa uye kurova, saka vanachiremba vazhinji zvino vanokurudzira chete kune vanhu vasina kukwanisa kutora statins. Omega-3 fatty acid supplements. Omega-3 fatty acid supplements inogona kubatsira kuderedza triglycerides yako. Inowanikwa ne prescription kana pamusoro-pe-counter. Kana ukasarudza kutora zvinowedzerwa pamusoro-pe-counter, bvunza chiremba wako. Omega-3 fatty acid supplements inogona kukanganisa mishonga iwe uri kutora. Kusashivirira kuno siyana Kusashivirira kwemishonga kuno siyana kubva kune munhu kuenda kune mumwe munhu. Zvinokonzerwa zvakajairika zve statins ndekurwadziwa kwemhasuru nekuvadza kwemhasuru, kurasikirwa kwekuyeuka kunodzoreredzwa nekusaona, uye shuga yeropa yakakwirira. Kana ukasarudza kutora mushonga we cholesterol, chiremba wako angakurudzira bvunzo dze basa rechiropa kuti aongorore mhedzisiro yemushonga pachiropa chako. Vana nekurapa kwe cholesterol Kudya uye kurovedza muviri ndiwo kurapa kwakanakisa kwekutanga kwevana vane makore maviri nekupfuura vane cholesterol yakakwirira kana vane mafuta akawandisa. Vana vane makore gumi nekupfuura vane mazinga ekolesterol akakwirira kwazvo vanganyorwa mishonga inoderedza cholesterol, senge statins. Rumwe ruzivo Mishonga ye cholesterol: Funga nezvesarudzo Niacin kuvandudza nhamba dze cholesterol Zvinokonzerwa ne statin Statins Cholesterol yakakwirira muvana Kune njodzi here yerhabdomyolysis kubva ku statins? Kuwanda kwe niacin: Ndezvipi zviratidzo? Statins: Dzinokonzera ALS here? Ratidza rumwe ruzivo rwakabatana Kumbira musangano Pane dambudziko neruzivo rwakasimbwa pazasi uye tumira fomu zvakare. 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