Ukhetho lwe-4 oluphezulu lwe-triglycerides
Imfundo yezeMpiloIsifo sentliziyo sisona sizathu siphambili sokufa kwamadoda nabasetyhini eUnited States. Phantse isiqingatha sabo bonke abantu baseMelika (47%) banenye yezinto ezintathu zomngcipheko wesifo sentliziyo: uxinzelelo lwegazi oluphezulu, icholesterol ephezulu, okanye ukutshaya, ngokwe i-CDC . Yinto eqhelekileyo-kwaye iyingozi- ukuba imibutho emininzi ikhona kuphela ukukhuthaza impilo-esempilweni, ukusuka kwi-American Heart Association ukuya kwi Umbutho weNtliziyo yeHlabathi . Bakhuthaza abantu ukuba bazikhusele iintliziyo zabo kwaye bakhuthaze nabanye (usapho, abahlobo, abantu osebenza nabo) ukuba benze njalo. Iindaba ezimnandi zezokuba isoyikiso esinye sezempilo siyanyangeka. Zininzi iindlela zonyango oluphezulu lwe-triglycerides (kunye nothintelo) -ukusuka kwizitena ukuya kwizongezo.
I-cholesterol ephezulu ichaphazela ngaphezu kwe-102 yezigidi zaseMelika . Ngelixa kungekho zimpawu zinxulunyaniswa nale meko, ilandelwa rhoqo kumzimba wakho wonyaka. Uvavanyo olupheleleyo lwe-cholesterol egazini (kungenjalo ekubhekiswa kulo njengelipoprotein okanye iprofid lipid) inikezela ngeentlobo ezahlukeneyo zamanqanaba e-cholesterol alinganiswa ngeemiligram nge-desilitha yegazi (mg / dL) I-cholesterol enye iyilandelela ngamanqanaba e-triglyceride.
Yintoni i-triglycerides?
I-Triglycerides luhlobo lwamafutha kunye nolona hlobo lwamafutha luqhelekileyo emzimbeni wakho, utshilo uRoshini Malaney, DO, ibhodi ye-cardiologist eqinisekisiweyo IManhattan Cardiology kwisiXeko saseNew York. Ifana necholesterol, i-triglycerides yenziwa esibindini kwaye ikhona kukutya okuthile, kubandakanya ibhotolo, imajarini kunye neoyile, kunye nokunye okunamafutha aphezulu okanye ukutya okuphezulu kweecarbohydrate. Xa sisebenzisa iikhalori ezingaphezulu, iUmzimba uguqula iikhalori ezingafuneki ukuba zisetyenziswe kwangoko kwii-triglycerides, ezigcinwa kwiiseli ezinamafutha, uyongeza.
Yintoni efanelekileyo njenge-triglycerides ephezulu?
Ngoku ka I-MedlinePlus (iwebhusayithi inikwe amandla yi-Ilayibrari yeSizwe yaseMelika), amanqanaba egazi angaphantsi kwe-150 mg / dL awela phantsi kwe-triglycerides uluhlu oluqhelekileyo, ngelixa nantoni na ephezulu- eyaziwa njengehypertriglyceridemia-Inokunyusa umngcipheko wesifo sentliziyo. I-triglycerides ephakanyisiweyo inokuba luphawu lokuqala lwesifo seswekile, utshilo uKristin Thomas, MD, umfundi oqeqeshwe ngaphakathi kunye nomseki Amayeza eFoxhall eWashington, DC. (Wongeza ukuba inqanaba lokuzila ukutya kwe-triglyceride kufuneka likhuthaze uvavanyo olongezelelweyo, kubandakanya iswekile yegazi yokuzila kunye ne-hemoglobin A1c.)
I-triglycerides ephezulu kakhulu-amanqanaba egazi ngaphezulu kwe-500 mg / dL-inokubangelwa kukuphazamiseka kwemfuza kwaye inokunyusa umngcipheko wepancreatitis, kunye nesifo sentliziyo, kubandakanyaisifo sokuqina kwemithambo yegazi (ukuqina kwemithambo), uGqirha Thomas,Umbhali-mbhali we Unokuthintela iStroke ,uyacacisa. Ingabonakala yodwa okanye inxulumana nezinye iimeko ezininzi, ngokunjalo, njenge-metabolic syndrome, i-hypothyroidism, isifo sesibindi esinamafutha kunye nesifo sezintso, uGqr.Malaney utsho.
Itshathi yenqanaba leTriglycerides
Ngaba amanqanaba akho e-triglyceride kuluhlu oluqhelekileyo? Jonga kule tshathi yenqanaba le-triglycerides.
| Inqanaba lomngcipheko | Inqanaba leTriglyceride |
| Eqhelekileyo | Ngaphantsi kwee-milligram ezili-150 ngedesilitha nganye (mg / dL) |
| Umda ophezulu | I-150 ukuya kwi-199 mg / dL |
| Phezulu | 200 ukuya ku-499 mg / dL |
| Phezulu kakhulu | 500 mg / dL okanye ngaphezulu |
Yintoni ebangela i-triglycerides ephezulu?
Ngaphandle kokutya ukutya okunamafutha aphezulu kunye / okanye ukutya okune-carb ephezulu, ezinye izinto ezinokuphila zinokuba negalelo kwi-triglycerides ephezulu, ngakumbi ubunzima obugqithisileyo, ukungazilolongi, ukusela kakhulu utywala kunye nokutshaya.UGqr.Intetho yesibongo, imvelaphi, ukuhambelana kwefayili MalaneyYongeza ukuba inokuba sisiphumo esisecaleni samayeza athile, anje ngeepilisi zokulawula ukuzalwa, iibhloko ze-beta, amayeza okulwa i-antipsychotic, kunye ne-corticosteroids.
Indlela yokunciphisa i-triglycerides
Zininzi iindlela zonyango oluphezulu ze-triglycerides-ezinje ngokutya kunye notshintsho kwindlela yokuphila-onokuthi ucebise ugqirha wakho ukuba uzame kuqala, ngaphambi kokumiselwa.
Ukutya
I-Triglycerides ivela kukutya esikutyayo, kwaye kwenzeka ngokwendalo esibindini. Ukutya iswekile esezantsi, ukutya okune-carbohydrate ephantsi, kunye nokutya okuninzi okuphezulu okunotye kwi-omega-3s kunokunceda.
Kukuphi ukutya okona kutya kufanelekileyo ukuthoba i-triglycerides?
Sebenzisa ukutya kweMeditera njengesikhokelo. Khangela ukutya okufana:
- I-omega-3 yentlanzi etyebileyo (umzekelo, isalmon, isardadi, ityhuna, halibut)
- oatmeal
- iimbotyi
- amandongomane
- imifuno
- isiqhamo
- imifuno
- amazimba
Faka ioyile yomnquma endaweni yebhotolo okanye isinqumelo, xa kunokwenzeka. Khetha ubunzima ngaphezulu kwee-carbs ezilula, njengerayisi emdaka endaweni emhlophe. Nciphisa ukutya iswekile. Thintela amafutha athambileyo.
Ukusetyenziswa kotywala
Abanye bancoma ukuyeka ngokupheleleyo utywala kwi-triglycerides ephantsi, ngakumbi ukuba amanqanaba akho aphezulu kakhulu. Ukunciphisa ukusetyenziswa kunokunceda xa i-cholesterol yakho ingumda.
Zilolonge
Ukunciphisa umzimba kunokunceda ekupheliseni i-triglycerides egcinwe kumanqatha. Ukwandisa umsebenzi womzimba yindlela efanelekileyo yokuqala.
Unyango oluphezulu lwe-triglycerides
Ukuba uhlengahlengiso lwendlela yokuphila lusilela ukuthoba amanqanaba e-triglyceride, ugqirha wakho angakunika le miyalelo mine ilandelayo:
1. IiStatins
IiStatins, ezinje Atorvastatin okanye Rosuvastatin , amayeza aqhelekileyo asetyenziselwa ukunyanga amanqanaba aphezulu e-cholesterol, kunye neminye imingcipheko yesifo sentliziyo, uGqr.Malaney utsho. Ucacisa ngakumbi ukuba la machizasebenza ngokunciphisa ukuveliswa kwesibindi kwecholesterol, kwaye kwiidosi ezithile kunokuhla amanqanaba e-triglyceride ngama-50 epesenti.Kwaye ngezi zinto zintsha, zinamandla ngakumbi, zombini i-LDL (i-cholesterol embi) iithagethi kunye neethagethi ze-triglyceride zinokufikelelwa, ugqirha uThomas wongeza.
Okukhuthazayo nangakumbi: Ngokwengxelo yesayensi kaDisemba 2018 ekhutshwe yi Umbutho wentliziyo yaseMelika , sIziphumo ezivela kwimimiselo zihlala zinqabile, kwaye izibonelelo zazo zigqithile kubungozi obunokubakho.
Ezinxulumene: Funda ngakumbi malunga neziphumo ebezingalindelekanga ze-statins
2. INiacin
Kwakhona kwaziwa ngokuba yi-vitamin B3, niacin unokunciphisa i-triglycerides ngokuthintela ukukhutshwa kwee-acid zamahala ezisuka kumanqatha ngelixa usonyusa ukususwa kwe-triglycerides egazini, uGqr.UMalaney uyacacisa.Ukongeza, inokunyusa amanqanaba e-cholesterol ye-HDL (elungileyo) kunye namanqanaba asezantsi e-LDL (embi) ye-cholesterol, ngenxa yoko isetyenziselwa abantu abadala abanesifo sentliziyo kunye ne-cholesterol ephezulu, utshilo.
UGqirha Thomas uthi izigulana zihlala zikhetha i-statins kune-niacin kuba i-statins iyanyamezeleka. KwayeI-niacin ayinazibonelelo zibonakalayo kwi-statin, utshilo.
3. I-Omega-3 fatty acids
Amacwecwe oyile entlanzi—I-2 gram ngosuku-ibonakalisiwe ukunciphisa amanqanaba e-triglyceride ukuya kuthi ga kwiipesenti ezingama-30, uGqr.Malaney utsho.Ezi pilisi zisebenza ngokunqanda ukukhutshwa kwe-triglycerides esibindini nangokukhuthaza i-enzyme ecoca i-triglycerides egazini, uyaqhubeka. UGqr.Malaney wongeza athiAmalungiselelo eoyile yeentlanzi amiselweyo, anje Lovaza , ziqulathe okunamafutha acid asebenzayo ngakumbi kunononophelo olungekho mthethweni.
4. Iifibhethi
Amayeza, anjenjenge Fenofibrate kwaye Gemfibrozil , unokuhlisa amanqanaba e-triglyceride ngokufanayo kwiipilisi zeoyile zentlanzi. Iifibrate zinciphisa ukuveliswa kwesibindi se-VLDL (isuntswana elijikeleza egazini eliphethe i-triglycerides) ngelixa likhawulezisa ukususwa kwe-triglycerides egazini, uGqr.UMalaney uyacacisa. Nangona kunjalo, ulumkisa ukuba eli yeza akufuneki ukuba limiselwe abaguli abaneisifo sezintso okanye sesibindi.
Ikhadi lesaphulelo sokumiselwa
