Isinyathelo sokuqala sijwayelekile ukwenza umsebenzi wakho we-thyroid
I-cholesterol yinto e-waxy eyenzeka ngokwemvelo kuzo zonke izingxenye zomzimba wakho. Uma une-cholesterol eyengeziwe ngokweqile, iphetha ngokufakwa emithinjeni yakho, kufaka phakathi imishanguzo yakho ye- coronary , lapho ekugcineni ingagcina imishanguzo futhi ibangele isifo senhliziyo .
I-Hypothyroidism-i-thyroid engasebenzi-ikhona ngamaphesenti angu-13 abantu abanezinga eliphezulu le-cholesterol (elibizwa nge-hyperlipidemia).
Yingakho imiphakathi eqeqeshiwe njenge-National Cholesterol Education Program kanye ne-American Association of Clinical Endocrinologists inxusa odokotela ukuba babonise iziguli zabo nge-hypothyroidism uma kuvela ukuxilongwa okusha kwe-hyperlipidemia.
Phatha Okokuqala I-Thyroid Engasebenzi Kokusebenza
Uma kutholakala ukuxilongwa kwe-hypothyroidism, ukwelashwa nge-thyroxine (T4) esikhundleni sakho, kungathuthukisa amazinga e-cholesterol.
Eqinisweni, ngokusho kocwaningo olwenziwe ku- JAMA, amaphesenti angu-60 abantu abane-diagnosis entsha ne-hyperlipidemia babe nesinqumo sezinga labo eliphakeme le-cholesterol uma umsebenzi wabo wegciwane uphindiswa. Leli phesenti lingase libe liphakeme, futhi, ukucabangela hhayi wonke umuntu ocwaningweni kwaba namazinga e-cholesterol awo avuselelwe ngemva kokuvuselela umsebenzi wabo we-thyroid.
Ukunciphisa Cholesterol Yakho
Kwezinye izimo, amazinga akho e-cholesterol ahlala ephakeme, naphezu kokwelashwa kwe-thyroid engasebenzi.
Ngaphansi kokuqondiswa kukadokotela wakho, isinyathelo sokuqala sokunciphisa i-cholesterol yakho ukulahlekelwa noma yisiphi isisindo esingeziwe futhi uqale ukuzivocavoca njalo. Kanye nokulahlekelwa kwesisindo nokuzivocavoca, ushintsho ekudleni kwakho kubalulekile.
Ukudla
Umzila oyinhloko wokuhlasela ekunciphiseni i-cholesterol yakho ingaba ushintsho ekudleni kwakho.
Lokhu kuhlanganisa ukwamukela amafutha aphansi, aphezulu-fiber.
Ukudla okunamafutha okuphansi okugcwala kusho ukugwema ukudla okufana nalokhu:
- inyama ebomvu
- Ukudla okunamafutha okungenakulungiswa
- Ukudla okufakiwe
- Imikhiqizo yobisi ephelele yamafutha njengobisi lonke nebhotela
- Izimpahla ezibhaka kanye namaswidi njengama-donuts
- Ukudla okuthosiwe.
Esikhundleni salokho, udle u-rainbow wezithelo nemifino bese ukhetha ukudla okunamaprotheni okucebile okuphezulu kwamafutha angenalutho, njengezinhlanzi ezinamafutha (isibonelo, i-salmon ne-albacore tuna) kanye namantongomane angenalutho, njengama-alimondi nama-walnuts. Ukudla okunomsoco nezinkukhu ngaphandle kwesikhumba nakho okukhethwa kukho amaprotheni amahle.
Izithelo zonke, njengezinkwa zokusanhlamvu zonke, i-pasta, nelayisi elibomvu, zikunikeze i-fiber, engasiza ukunciphisa i-cholesterol yakho ye-LDL (ebizwa ngokuthi i-cholesterol yakho "embi", ngoba yiyo evala imithwalo yakho).
Ekugcineni, lapho upheka, gwema ukusebenzisa amafutha agcwele njengamafutha kakhukhunathi, amafutha omnqumo, namafutha esundu. Esikhundleni sokusebenzisa ama-canola, ama-corn, ama-olive, noma ama-safflower.
Imithi
Njengoba kuphawuliwe ekuqaleni, uma wenza izinguquko ekudleni kwakho nasekuphileni kwakho kanye nezinga lakho le-LDL-cholesterol namanje liphakeme kakhulu, noma usengozini enkulu yesifo senhliziyo kusukela ekuqaleni, udokotela wakho angase akhombise ukuthi uthathe imithi yokwehla kwe-cholesterol .
Izitatimende zibhekwa njengesinqumo esiyinhloko sokunciphisa amazinga e-LDL futhi kufaka phakathi:
- I-Lipitor (atorvastatin)
- I-Lescol (i-fluvastatin)
- I-Mevacor, i-Altoprev (i-lovastatin)
- I-Pravachol (i-pravastatin)
- I-Crestor (i-rosuvastatin calcium)
- I-Zocor (i-simvastatin)
Kukhona nemithi ehlanganisiwe equkethe isithini nesinye isidakamizwa esinciphisa i-cholesterol. Lokhu kufaka:
- I-Advicor (i-lovastatin ne-niacin)
- I-Vytorin (i-simvastatin ne-ezetimibe)
Amafibrathi afana neGemfibrozil (Lopid) noma i-fenofibrate (Tricor) ngokuvamile anikwa amazinga aphansi e-triglyceride. Kwezinye izimo, ukulinganiselwa okuphezulu kwe-nicotinic acid, eyaziwa nangokuthi "i-niacin," kunconywa ukunciphisa amazinga e-triglyceride nokukhulisa i-HDL . I-Niacin iyatholakala ngaphezu kwe-counter, kodwa kufanele ithathwe ngaphansi kokuqondiswa udokotela.
Izinhlayiya ziyizidakamizwa ezibopha nge-bile acids endleleni yokugaya, ukuphoqelela isibindi ukusula i-cholesterol futhi ngaleyo ndlela kunciphise i-LDL. Lezi zidakamizwa zibandakanya i-cholestyramine (i-Questran, i-Questran Light) ne-colestipol (i-Colestid).
Izwi elivela
Uma usanda kutholakala ukuthi une-cholesterol ephezulu, qiniseka ukuthi udokotela wakho akukhiphe isikrini se-hypothyroidism. Angakwenza lokhu ngokuyala i-blood test ebizwa ngokuthi i-TSH (i-thyroid stimulating hormone).
Uma i-cholesterol yakho isakhula, naphezu kokujwayelekile komsebenzi wakho we-thyroid, wena nodokotela wakho unganquma uma udinga imithi yokwehliswa kwe-cholesterol (ngaphezu kokuthatha imikhuba enempilo yokuphila).
Ekugcineni, ukudla okunciphisa i-cholesterol akuyona kuphela ingxenye ephilile yecebo lakho, kodwa bayathandeka kakhulu futhi bayengeza kakhulu ekudleni kwakho.
Ngakho-ke hamba phambili, futhi ujabulele ucezu lwe-avocado kuwo wonke umgqomo wokudla okusanhlamvu ukuze uthole isiphuzo, esikhundleni sokufinyelela kulowo mgodi wekhukhi.
> Imithombo:
> ACC / AHA Release Release Guideline on Ukwelashwa kwegazi Cholesterol ukunciphisa ASCVD Risk, Am Fam Physician. 2014 Aug 15; 90 (4): 260-265. http://www.aafp.org/afp/2014/0815/p260.html.
> American Heart Association. (2016). Ngingayithuthukisa Kanjani I-Cholesterol Yami?
> Willard DL, Leung AM, Pearce EN. Umsebenzi we-Thyroid ukuhlolwa kweziguli ezine-hyperlipidemia esanda kutholakala. I-JAMA Intern Med . 2014 Feb 1; 174 (2): 287-89.