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4 njira zamankhwala zamtundu wa triglycerides

4 njira zamankhwala zamtundu wa triglyceridesMaphunziro a Zaumoyo

Matenda a mtima ndi omwe amachititsa kufa kwa abambo ndi amai ku United States. Pafupifupi theka la anthu onse aku America (47%) ali ndi chimodzi mwazinthu zitatu zomwe zimayambitsa matenda amtima: kuthamanga kwa magazi, cholesterol, kapena kusuta, malinga ndi CDC . Ndi vuto lofala komanso lowopsa kotero kuti mabungwe ambiri amangokhalira kulimbikitsa moyo wathanzi, kuchokera ku American Heart Association mpaka World Mtima Federation . Amalimbikitsa anthu kuti aziteteza mitima yawo ndikulimbikitsa ena (abale, anzawo, anzawo) kuti nawonso atero. Nkhani yabwino ndiyakuti ngozi imodzi yathanzi imachiritsidwa. Pali njira zambiri zamankhwala zamtundu wa triglycerides (ndi kupewa) -kuchokera pama statin mpaka ma supplements.





Cholesterol wambiri amakhudza anthu aku America opitilira 102 miliyoni . Ngakhale kulibe zisonyezo zokhudzana ndi vutoli, zimatsatiridwa pafupipafupi mthupi lanu la pachaka. Kuyezetsa magazi m'magazi kwathunthu (komwe kumadziwika kuti lipoprotein kapena lipid profile) kumapereka mitundu yosiyanasiyana yamafuta am'mafuta oyesedwa mamiligalamu pa desilita imodzi yamagazi (mg / dL). Cholesterol imodzi yomwe amatsata ndi milingo ya triglyceride.



Kodi triglycerides ndi chiyani?

Triglycerides ndi mtundu wamafuta komanso mtundu wamafuta ambiri mthupi lanu, atero a Roshini Malaney, DO, katswiri wodziwa zaumoyo ndi Manhattan Cardiology ku New York City. Mofanana ndi cholesterol, triglycerides amapangidwa m'chiwindi ndipo amapezeka m'zakudya zina, kuphatikiza batala, margarine ndi mafuta, komanso zakudya zina zamafuta kwambiri kapena zopatsa mphamvu. Tikamadya ma calories owonjezera, aThupi limasintha ma calories omwe safunika kugwiritsa ntchito nthawi yomweyo kukhala triglycerides, omwe amasungidwa m'maselo amafuta, akuwonjezera.

Nchiyani chimayenerera kukhala ma triglycerides apamwamba?

Malinga ndi MedlinePlus (webusaitiyi yoyendetsedwa ndiLaibulale ya Zachipatala ku United States), magazi osakwana 150 mg / dL amagwera pansi pa triglycerides osiyanasiyana, pomwe chilichonse chapamwamba - chotchedwahypertriglyceridemia- akhoza kuwonjezera chiopsezo cha matenda a mtima. Kachulukidwe ka triglycerides amathanso kukhala chizindikilo choyambirira cha matenda ashuga, atero a Kristin Thomas, MD, omwe ndi ovomerezeka pa bolodi komanso oyambitsa nawo Mankhwala a Foxhall ku Washington, DC. (Akuwonjezeranso kuti kuchuluka kwa kusala kudya kwa triglyceride kuyenera kuyambitsa kuyesa kwina, kuphatikiza kusala magazi ndi hemoglobin A1c.)

Ma triglycerides okwera kwambiri - magazi opitilira 500 mg / dL-atha kukhala chifukwa cha matenda amtundu ndipo amatha kuonjezera chiwopsezo cha kapamba, limodzi ndi matenda amtima, kuphatikizaatherosclerosis (kuuma kwa mitsempha), Dr. Thomas,wolemba mnzake wa Mutha Kuteteza Sitiroko ,akufotokoza. Zitha kuwoneka zokha kapena mogwirizana ndi zina zambiri, monga matenda amadzimadzi, hypothyroidism, matenda a chiwindi ndi mafuta a impso, Dr.Malaney akuti.



Tchati cha mulingo wa Triglycerides

Kodi magawo anu a triglyceride amakhala osiyanasiyana? Tchulani tchati cha mulingo wa triglycerides.

Mulingo wangozi Mulingo wa Triglyceride
Zachibadwa Ochepera mamiligalamu 150 pa desilita imodzi (mg / dL)
Pamalire kwambiri 150 mpaka 199 mg / dL
Pamwamba 200 mpaka 499 mg / dL
Kwambiri kwambiri 500 mg / dL kapena kupitilira apo

Nchiyani chimayambitsa ma triglycerides apamwamba?

Kupatula pakudya zakudya zamafuta kwambiri komanso / kapena zamafuta ambiri, zinthu zina pamoyo zimatha kuyambitsa ma triglycerides, makamaka kunenepa kwambiri, kusachita masewera olimbitsa thupi, kumwa mowa kwambiri komanso kusuta.Dr.Malaneyakuwonjezeranso kuti itha kukhala zotsatira zoyipa zamankhwala ena, monga mapiritsi ena oletsa kubereka, ma beta blockers, mankhwala a antipsychotic, ndi corticosteroids.

Momwe mungachepetse triglycerides

Pali mitundu ingapo yamatenda amtundu wamtundu wa triglycerides-monga kusintha kwa zakudya ndi kusintha kwa moyo-komwe dokotala angakulimbikitseni kuti muyesere kaye musanalandire mankhwala.



Zakudya

Triglycerides amachokera ku chakudya chomwe timadya, ndipo amapezeka mwachilengedwe m'chiwindi. Kudya shuga wochepa, chakudya chochepa kwambiri cha ma carbohydrate, ndi zakudya zambiri zamtundu wa omega-3s zitha kuthandiza.

Kodi ndi zakudya zabwino ziti zomwe mungadye kuti muchepetse triglycerides?

Gwiritsani ntchito zakudya za Mediterranean ngati chitsogozo. Fufuzani zakudya monga:



  • nsomba olemera omega-3 (mwachitsanzo, nsomba, sardini, tuna, halibut)
  • phala
  • nyemba
  • mtedza
  • masamba
  • zipatso
  • masamba
  • mbewu zonse

Mafuta a maolivi m'malo mwa batala kapena mafuta anyama, ngati kuli kotheka. Sankhani zovuta pa ma carbs osavuta, monga mpunga wofiirira m'malo mwa zoyera. Chepetsani kudya shuga. Pewani mafuta opitilira muyeso.

Kumwa mowa

Ena amalimbikitsa kusiya kumwa mowa kuti muchepetse triglycerides, makamaka ngati milingo yanu ili yokwera kwambiri. Kuchepetsa kumwa kungathandize ngati cholesterol yanu ili m'malire.



Chitani masewera olimbitsa thupi

Kutaya thupi kumatha kuthandiza kutulutsa ma triglycerides omwe amasungidwa m'mafuta. Kuchulukitsa masewera olimbitsa thupi ndi njira yabwino yoyambira.

Njira zamankhwala zamtundu wa triglycerides

Ngati kusintha kwa moyo kukulephera kutsitsa milingo ya triglyceride, dokotala wanu akhoza kukupatsani chimodzi mwazotsatira zinayi zotsatirazi:



1. Zolemba

Statins, monga Atorvastatin kapena Rosuvastatin , ndi mankhwala omwe amagwiritsidwa ntchito pochiza cholesterol, komanso zoopsa zina zamatenda amtima, Dr.Malaney akuti. Akufotokozanso kuti mankhwalawantchito pochepetsa chiwindi chopanga cholesterol, ndipo pamlingo winawake imatha kutsitsa milingo ya triglyceride ndi 50 peresenti.Ndipo ndi ma statin atsopanowa, amphamvu kwambiri, zolinga za LDL (cholesterol choipa) ndi zomwe triglyceride ikhoza kufikira, Dr. Thomas akuwonjezera.

Cholimbikitsa kwambiri: Malinga ndi chidziwitso cha sayansi cha Disembala 2018 chomwe chatulutsidwa ndi American Mtima Association , sZotsatira za ma statins zimakhala zosowa, ndipo maubwino ake amaposa zovuta zilizonse zomwe zingakhalepo.



ZOKHUDZA: Werengani zambiri za zotsatira zoyipa za ma statins

2. Niacin

Amatchedwanso vitamini B3, ndiine imatha kuchepetsa triglycerides poletsa kutulutsidwa kwamafuta amafuta amafuta amafuta pomwe akuwonjezera chilolezo cha triglycerides m'magazi, Dr.Malaney akufotokoza.Kuphatikiza apo, imatha kukulitsa mafuta a HDL (abwino) cholesterol komanso kuchepa kwa cholesterol cha LDL (choyipa), chifukwa chake chimagwiritsidwa ntchito kwambiri kwa achikulire omwe ali ndi matenda amtima komanso cholesterol yambiri, akutero.

Dr. Thomas akunena kuti odwala amakonda kukonda ma statin kuposa niacin chifukwa ma statins amakhala ololera. Ndiponiacin alibe phindu lililonse pamasamba, akutero.

3. Omega-3 fatty acids

Mapiritsi a mafuta a nsomba -2 magalamu patsiku-awonetsedwa kuti amachepetsa milingo ya triglyceride mpaka 30 peresenti, Dr.Malaney akuti.Mapiritsiwa amagwira ntchito poletsa kutulutsa ma triglycerides pachiwindi komanso polimbikitsa ma enzyme omwe amachotsa triglycerides m'magazi, akupitiliza. Dr.Malaney akuwonjezeranso kutiKukonzekera kwa mafuta a nsomba, monga Lovaza , Ali ndi mafuta ochulukirapo kuposa omwe samalandira mankhwala.

4. Fibreti

Mankhwala, mongamonga Fenofibrate ndipo Gemfibrozil , Ikhoza kutsitsa milingo ya triglyceride chimodzimodzi ndi mapiritsi amafuta a nsomba. Fibrate amachepetsa chiwindi chotulutsa VLDL (tinthu tomwe timazungulira m'magazi onyamula triglycerides) kwinaku tikufulumizitsa kuchotsedwa kwa triglycerides m'magazi, Dr.Malaney akufotokoza. Komabe, akuchenjeza kuti mankhwalawa sayenera kuperekedwa kwa odwala omwe ali ndimatenda a impso kapena a chiwindi.

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