Kubalulekile Kangakanani Izinga Lama-Triglyceride?
I-Triglycerides yindlela ejwayelekile kakhulu yamafutha emzimbeni. Eqinisweni, cishe wonke amakholori angaphezu kwalokho odlayo, kungakhathaliseki ukuthi uwathola ekudleni amafutha noma odla ama-carbohydrate, aguqulwa abe yi-triglycerides futhi agcinwe emaqenjini akho amafutha.
Ubuhlobo phakathi kwamazinga egazi le-triglyceride kanye nobungozi besifo senhliziyo bube buthaka kakhulu kunezinga legazi le-cholesterol .
Kodwa-ke, ucwaningo selusungula ukuthi kukhona ubudlelwane obucacile phakathi kwamazinga aphakeme e-triglyceride kanye nengozi ephakeme yengqondo .
Kungani Izinga Eliphakeme Le-Triglyceride Landisa Ingozi Yenhliziyo
Izinga eliphakeme le-triglycerides egazini (isimo esibizwa ngokuthi i-hypertriglyceridemia) sihlotshaniswa nobungozi obukhulu besifo senhliziyo - ikakhulukazi, ukuhlaselwa yinhliziyo nokushaya - kokubili amadoda nabesifazane. Ngaphezu kwalokho, abantu abanesifo somzimba we-coronary artery (CAD) kanye ne-triglycerides ephakeme banengozi enkulu yokufa ngaphambi kwesikhathi kunabantu abane-CAD namazinga ajwayelekile we-triglyceride.
Amazinga aphezulu e-triglyceride, ngokuqhubekayo, ahlotshaniswa kakhulu nezinye izinto eziphawulekayo ze-lipid, kuhlanganise namazinga aphansi e- HDL ama-cholesterol , izinhlayiyana ezincane, ezincane ze-LDL , nokumelana kwe-insulin . Ukuphikiswa kwe-insulin, nakho, kuhlotshaniswa ne-hypertension nokukhuluphala. Ngakho-ke, amazinga aphezulu e-triglyceride avame ukubonwa kubantu abanephrofayli ye-metabolic ephezulu kakhulu engozini.
Kulaba bantu, isifo esiphakeme sesifo senhliziyo asisimangazi.
Ukuhlukaniswa kwamazinga wegazi we-Triglyceride
Amazinga egazi le-Triglyceride ahlukaniswa kanje:
- Okufiselekayo: Amazinga e-Triglyceride engaphansi kuka-150 mg / dL
- I-Borderline High: Izinga le-Triglyceride phakathi kuka-150 no-199 mg / dL
- Okuphakeme: amazinga ka-Triglyceride phakathi kuka-200 no-499 mg / dL
- Okuphakeme kakhulu: Amazinga e-Triglyceride at 500 mg / dL noma ngaphezulu
Ngokuvamile, ukuphakama izinga lakho le-triglyceride, kuphakamisa ingozi yakho yenhliziyo. Ngaphezu kwalokho, amazinga e-triglyceride "ebangeni eliphezulu kakhulu" angabangela i- pancreatitis , ukuvuvukala okunobunzima nokuyingozi kwe-pancreas.
Izimbangela
Amazinga e-triglyceride ephakanyisiwe ngokuvamile abonakala kubantu abakhuluphele ngokweqile futhi behlala phansi, futhi abanamathemba ekuphikeleni kwe-insulin noma ngaphezulu kwesifo sikashukela sohlobo lwesibili .
Ezinye izimo ezihambisana namazinga aphezulu e-triglyceride zihlanganisa:
- I-Hypothyroidism
- Izimo zezinso, ikakhulukazi i- nephrotic syndrome
- Ukukhulelwa
- Imithi, okufaka esikhundleni se-estrogen, i-tamoxifen, nezinye izivimbela ze-beta
Ngaphezu kwalokho, kunezimo eziningana zofuzo ezitholakale ezibhekene namazinga aphakeme egazi le-triglyceride. Lokhu kuhlanganisa i-chylomicronemia, i-hypertriglyceridemia yomndeni, i-dysbetalipoproteinemia yomndeni, kanye ne-hyperlipidemia yomndeni ehlangene.
Ngalunye lwalezi zifo zofuzo zibhekene nokungavamile kwamapoprotein aphethe i-triglycerides egazini. Abantu abanezinhlayiyana ezakhiwe ngezakhi zofuzo emazingeni e-triglyceride bangase bahlupheke ngenxa yemiphumela ye-hypertriglyceridemia (i-pancreatitis noma isifo senhliziyo) ngisho noma ingekho ngokweqile noma ehlala phansi.
Ukwelapha
Izincomo zokwelapha i-hypertriglyceridemia azizona ezicacile njengezincomo zokuphatha i-cholesterol . Ngakho uma unamazinga aphezulu e-triglyceride, kuzodingeka uxoxe ngezinketho zokwelashwa nodokotela wakho.
Ukuntuleka kwezincomo zokwelashwa okucacile kubangelwa ukuthi, nakuba amazinga aphezulu we-triglycerides aye ahlobene nengozi yokugula kwesifo senhliziyo, ubufakazi bokuthi unganciphisa ingozi ikakhulukazi ngokunciphisa amazinga e-triglyceride ngokuhlukumeza. Lokhu nakho kuhlobene nokuthi abantu abaningi abane-hypertriglyceridemia nabo banezici eziningi eziyingozi - futhi zonke izinto ezibeka ingozi ziphathwa ngesikhatsi esifanayo.
Kungakapheli ukuthi akunakwenzeka ukutshela ukuthi ukuthuthukiswa kwemiphumela kuhlobene kanjani ngqo ekunciphiseni amazinga e-triglyceride.
Ngenkathi kungekho miyalelo yokwelapha eqinile, kuneziqondiso ezithile ezijwayelekile zokuphatha i-hypertriglyceridemia:
- Kumanqanaba e-triglyceride emkhakheni wezinga eliphezulu , ukuguqula indlela yokuphila kunconywa, kuhlanganise nokudla (ukugwema amafutha agcwele amafutha, ukudla ukudla okuningi, nokugwema utshwala), ukulahlekelwa isisindo, ukuvivinya umzimba, ukuyeka ukubhema , ukulawula ushukela wegazi ukulawulwa kwegazi .
- Ukuze amazinga e-triglyceride aphezulu, ukulungiswa okufanayo kokuphila kuphakanyiswa, kanye nokunciphisa amazinga e-LDL cholesterol, ngokusho kwezincomo zakamuva zokuphatha i-cholesterol ye-LDL.
- Amazinga e-triglyceride ezingeni eliphakeme kakhulu , umgomo oyinhloko ukuvimbela ukucindezeleka ngokunciphisa amazinga e-triglyceride angaphansi kuka-500 mg / dL (ngokuvamile enezidakamizwa ze-fibrate noma i- niacin ), okwesibili uhlose ukunciphisa i-LDL ye-cholesterol ngokwezincomo zakamuva ukwelapha i-LDL cholesterol.
Izwi elivela
Amazinga we-triglyceride ephakanyisiwe ahlotshaniswa nengozi ephezulu yengqondo, futhi amazinga aphakeme kakhulu e-triglyceride angabangela ukuqhuma kwe-pancreatitis.
Kubantu abaningi, i-triglyceride ephakeme ivela ngaphakathi kokubekwa kwezinkinga eziningi ezibangelwa isifo senhliziyo. Ngakho-ke, uma unamazinga aphezulu e-triglyceride, izingqinamba kuhle ukuthi izifo zakho zengozi zomzimba zibeka "indawo ecebileyo," nokuthi unomsebenzi omningi ongakwenza ukuze unciphise ingozi yakho . Wena nodokotela wakho kufanele usebenze ndawonye ukuze uhlele isu lokunciphisa amathuba okuzikhethela okukufanele wena.
> Imithombo:
> Ford, ES, Li, C, Zhao, G, et al. I-Hypertriglyceridemia Nokwelashwa Kwama-Pharmacologic Phakathi Kithi Abantu abadala. I-Arch Intern Med 2009; 169: 572.
> Rosenson RS, Davidson MH, uHirsh BJ, et al. I-Genetics And Causality Ye-Lipgrothein Enamandla E-Triglyceride E-Atherosclerotic Izifo Zenhliziyo. J Am Coll Cardiol 2014; 64: 2525.
> Umbiko wesithathu weNational Cholesterol Education Program (NCEP) Iphaneli Yomhloli Ekutholeni, Ukuhlola, Nokuphathwa Kwe-High Blood Cholesterol Kubantu abadala (i-Adult Treatment Panel III): Umbiko wokugcina. UMnyango wezeMpilo waseMelika kanye nezinsizakalo zabantu; Isevisi yezempilo yomphakathi; Izikhungo zezempilo zikazwelonke; I-National Heart, Lung, ne-Blood Institute. Ukujikeleza kuka-2002; 106: 3143.