Amathuba ukuthi uma unamazinga aphezulu e-cholesterol, angumphumela wezici ezidumile ezifana nezakhi zofuzo, ukudla, ukungabi nokuzivocavoca, ubudala, nobulili. Kodwa kwezinye izimo, amazinga aphezulu e-cholesterol angabangelwa ezinye izifo noma izidakamizwa ezibekwa kabanzi.
Eyaziwa njenge-hyperlipidemia yesibili noma etholakale, lesi simo ngokuvamile siwumphumela wesinye isifo eshintsha iphrofayela ye-lipid yesiguli.
Kodwa ubhekene nezingozi ezifanayo zempilo yamazinga aphezulu e-cholesterol - ukushaya , ukushaya kwenhliziyo , nesifo senhliziyo. Izinga lakho eliphezulu le-cholesterol lidinga ukuphathwa kungakhathaliseki ukuthi livelaphi.
Ngaphandle kwezingozi eziphawuliwe, ukuxhuma phakathi kwezimbangela eziyisisekelo nezimbalwa ze-hyperlipidemia kubaluleke kakhulu uma amazinga aphezulu e- triglyceride ekhona ezimweni ezithile ze-hyperlipidemia etholakalayo. Ngokubambisana, lezi zimo ezimbili zingaholela ekutheni i- pancreatitis , ukuvuvukala kwe-pancreas ngokuvamile esongela ukuphila.
Izifo ezibangela amazinga aphezulu e-Cholesterol
Ziyini izifo ezingabangela ukutholakala kwe-hyperlipidemia? "Yizona ezimbi kunazo zonke isifo sikashukela nama- prediabetes . Yizifo ezivame ukwedlula zonke kuleli zwe," kusho uMaureen Mays, MD, uprofesa wothisha wezokwelapha nomqondisi we-cardiology yokuvimbela e-Oregon Health and Science University ePortland, e-Oregon.
"Uhlobene ngqo nokukhuluphala kwezwe," wanezela.
Akuwona wonke ama-cholesterol, noma i-lipoprotein ephansi ( LDL ), izinhlayiyana ezifanayo, amaMeya achaza. Izinhlayiya ze-LDL ezibizwa ngokuthi izinhlayiya ezincane, ezinomthamo we-LDL zibhekwa njengamathuba amaningi okuholela ekutheni i- atherosclerosis .
"Laba bantu abanesifo sikashukela banamazinga e-LDL abukeka kahle, kodwa awakhona," kusho iMeya. "Isibonelo osibona ngaso sonke isikhathi (ku-hyperlipidemia etholakalayo) yi-triglycerides ephezulu, i- HDL ephansi, nezinhlayiyana ezincane, ezincane ze-LDL."
Ngaphezu kwesifo sikashukela nama-prediabetes, izifo ezihlobene ne-hyperlipidemia etholakalayo zifaka:
- I-Hypothyroidism (isikhumba se-thyroid esingasebenzi)
- I-Cushing's syndrome (ukugula okubangelwa amazinga aphakeme we-hormone cortisol)
- Ukuhluleka kwezinso
- I-Nephrotic syndrome (isifo sezinso)
- Utshwala
- Izinkinga ezithile ze-endocrine nezidakamizwa
- Anorexia nervosa
Izimo ezibalwe kuzo zonke zithinta amazinga egazi we-cholesterol kanye ne-triglyceride ngandlela-thile. Isibonelo, i-hypothyroidism, namazinga aphansi alandelayo ama-hormone thyroxine kanye ne-triiodothyronine ngokuvamile ayoba nethonya lokukhulisa amazinga we-cholesterol, "i-cholesterol" embi (i-LDL), i-triglycerides nezinye i-lipids ezihambisana nesifo senhliziyo.
Kwezinye izimo, ukuxhumana phakathi kwezifo eziyinhloko kanye ne-hyperlipidemia etholakalayo akuqondakali kahle. Inhlangano ephakathi kwe-anorexia nervosa, isibonelo, ne-cholesterol ephakeme isaphenywa ngoba abantu abane-anorexia ngokuvamile banomuthi ophansi kakhulu wokudla kwe-cholesterol.
Izidakamizwa Ne-Acperated Hyperlipidemia
Imithi ethile nemithi yokwelapha ihlotshaniswa ne-hyperlipidemia etholakale kanye nezinye izinguquko ezingeni le-lipid blood. I-Estrogen ne- corticosteroids ingakwazi ukuphakamisa amazinga we-triglycerides kanye ne-"cholesterol" enhle, noma i-HDL, kanti i-oral anabolic steroids izodla amazinga aphansi e-HDL.
Amaphilisi okulawula ukuzalwa angakhuphula amazinga e-cholesterol futhi akhulise ingozi ye-atherosclerosis, kuye ngokuthi uhlobo kanye nesilinganiso se-progestin / estrogen.
Abavimbela i-Beta , isigaba sezidakamizwa ezibekwe ezimweni ezithile, njengokucindezela kwegazi eliphezulu , i-glaucoma, ne-migraines, ngokuvamile ziphakamisa amazinga we-triglycerides ngenkathi ehlisa amazinga we-HDL. Ama-retinoids asetshenziselwa ukuphatha izimo ezifana ne-psoriasis nezinhlobo ezithile zomdlavuza wesikhumba, ngezinye izikhathi zihlobene nokunyuka kwamazinga e-LDL namazinga we-triglyceride.
Ama-diuretics anqunywe ukunciphisa ukwakhiwa kwamanzi omzimba ngokweqile. Iklasi lezidakamizwa ezibizwa ngokuthi i-thiazide diuretics - evame ukusetshenziselwa ukwelapha ukucindezelwa kwegazi eliphezulu - liye lihlotshaniswa nokwanda kwama-cholesterol namazinga e-triglyceride.
Kukhona ucwaningo oluqhubekayo kule ndawo ngoba ezinye izifundo zibonise ukuthi ukulinganisa okuphansi kwezidakamizwa ngokuhambisana nezinye izidakamizwa kungase kube nenzuzo enhle ekunciphiseni isifo senhliziyo.
Ezimweni eziningi, ukulawula isifo esiyisisekelo, noma ukuyeka ukusetshenziswa kwezidakamizwa ezihlotshaniswa ne-hyperlipidemia etholakalayo, kuzoholela emazingeni e-cholesterol enempilo. Kwezinye izimo, imithi yokwelashwa eqondiswe ngokuqondile emazingeni aphansi e-cholesterol ingadingeka. Lokhu kungabandakanya izinguquko zokuphila, njengokuzivocavoca nokudla, kodwa kwezinye izimo, izidakamizwa ezinciphisa i-cholesterol zingadingeka.
Thatha isenzo
Ukwehluleka ukuphatha amacala okuthola i-hyperlipidemia kungabangela izinkinga zempilo ezimbi. Njengoba amaMeya athi, "Ukuphazamiseka kwamapayipi noma ukutholakala kwe-lipid empeleni kungengozi enkulu yesifo senhliziyo kunesifo esiyinhloko se-lipid."
Imithombo:
Chait, A., noJD Brunzell "I-Hyperlipidemia etholakale (i-Dyslipoproteinemias yesibili)." I-Endocrinology neMitholampilo ye-Metabolism yaseNyakatho Melika. 19: 2 (1990): 259-78.
Feillet, Francois, C. Feillet-Coudray, JM Bard, HJ Parra, E. Favre, B. Kabuth, JC Fruchart, noM M. Vadailhet. "I-Plasma Cholesterol ne-Endogenous Cholesterol Synthesis Ngesikhathi Ibuyela E-Anorexia Nervosa." I-Clinica Chimica Acta. 294: 1-2 (2000): 45-56. 12 Septhemba 2008.
"I-Hyperlipidemia - Itholakale." RWJobgyn.org . 2001. Isibhedlela sikaRobert Wood Johnson Memorial. 8 Septhemba 2008.
Lemanski, Paul E. "Ngaphandle Kokuhlolwa Kwe-Cholesterol: Umsebenzi We-LDL Ukulinganisa Ubukhulu Bamagama." I-CDPHP ye-Messenger Medical. May 2004. Isikhungo seMithi Yokuvimbela Nempilo Yenhliziyo.
Mays, Maureen, umsizi wothisha wezokwelapha kanye nomqondisi we-cardiology yokuvimbela, Oregon Health and Science University, iPortland, Ore. 9 Septhemba 2008.
Psaty, Bruce M., T. Lumley, CD Furberg, G. Schellenbaum, M. Pahor, MH Alderman, no NS Weiss. "Imiphumo Yempilo Ehlanganiswa Nezokwelapha Ezihlukahlukene Zama-Antihypertensive Used As As Agents-Line Agents: A Network Meta-Analysis." Umagazini we-American Medical Association . 289: 19 (2003): 2534-44.
I-Stone, i-Neil J. "Izimbangela Zesibili Ze-Hyperlipidemia." Imitholampilo yezokwelapha eNyakatho Melika. 78: 1 (1994): 117-41.
UMatshe, uNeil J. noConrad B. Blum. Ukuphathwa kwe-Lipids ku-Clinical Practice. West Islip: Communications Professional, 2006.
Weinbrenner, T., M. Zuger, GE Jacoby, S. Herpertz, R. Liedtke, T. Sudhop, I. Gouni-Berthold, M. Axelson, noHK Berthold. "I-Lipoprotein Metabolism Ezigulini ezine-Anorexia Nervosa: Ucwaningo Lokulawulwa Kwamacala Ukuphenya Izindlela Eziholela E-Hypercholesterolaemia." I-British Journal Yokudla . 91: 6 (2004): 959-69.
"Yini Ebangelwa I-High Blood Cholesterol?" Nhlbi.nih.gov. Sep. 2008. I-National Heart Lung ne-Blood Institute, Izifo Nezimo Index. Izikhungo zezempilo zikazwelonke. 16 Novemba 2014.