I-cholesterol yakho enhle isisiza ukususa i-cholesterol embi kusuka emithanjeni yakho
Ngenkathi une- triglycerides ephansi ne- LDL cholesterol ingaba nethonya elihle empilweni yakho yezempilo, ukuba namazinga aphansi we-cholesterol ye-HDL ingaba ngokumelene nawe. Kungenxa yokuthi i-HDL ibhekwa "yi-cholesterol enhle."
I-HDL (i-high-density lipoprotein) idlala indima ethandekayo yokuthi empeleni isusa i-cholesterol ye-LDL ("i-cholesterol" yakho "embi") kusuka ezindongeni zemithanguzo yakho.
Lokhu kungavimbela imishanguzo yakho ekugodleni futhi kubangele izimo ezinjenge- heart attack or stroke .
Empeleni, ucwaningo luye lwabonisa ukuthi amazinga aphansi e-HDL ahlanganiswe nengozi eyengeziwe yokuthuthukisa isifo senhliziyo . Lokhu kuyiqiniso ikakhulu uma ezinye lipids , ezifana ne- LDL cholesterol kanye ne-triglycerides, egazini lakho nazo ziphakeme. Ngokufanayo, ucwaningo lubonisa ukuthi amazinga aphezulu e-HDL axhunyaniswa nengozi ephansi yesifo senhliziyo.
Kubalulekile ukuqonda ukuthi abukho ubudlelwane obuqondile obubangelwa phakathi kwamazinga we-HDL nokuba nokuhlaselwa yinhliziyo noma ukushaya isisu-ukukhomba ukuthi ezinye izinto zidlala, futhi izinga le-HDL lomuntu liyingxenye eyodwa ye-puzzle.
Iyini izinga le-HDL elijwayelekile?
Amazinga ejwayelekile we-HDL ama-cholesterol aqala phakathi kwamama-40 no-60 nge-deciliter (mg / dL). Kodwa-ke, odokotela bagxile kakhulu kwi-HDL "inombolo" kanye nokunye okunempilo yomuntu wonke yenhliziyo nendlela izinga labo le-HDL elihambisana ngayo nalolo mfanekiso.
Ngokwesibonelo, ake sithi umuntu ukhuluphele kakhulu futhi uphuzo futhi uthola ukuthi une-HDL ephansi ekuhloleni kwegazi njalo. Esikhundleni sokumisa imithi yokwandisa i-HDL enombolweni "evamile", udokotela uzogxila ekwelulekeni kokuyeka ukubhema, ukuvivinya umzimba nokulahlekelwa isisindo-lezi zinyathelo zingakhulisa i-HDL ngokuphumelelayo.
Eqinisweni, ungase umangale uma ufunda ukuthi akekho ubufakazi obukhulu besayensi laphaya ukusekela ukusetshenziswa kwemithi yokukhulisa izinga le-HDL yomuntu.
Yini eyenza i-HDL ephansi?
Kunemibandela eminingi kanye nezinketho zokuphila ezidlala indima ekunciphiseni amazinga e-HDL. Nakuba lokhu kungase kungabi yisici kuwe, cabanga ngalezi zinkinga bese uxoxisana nodokotela wakho:
- Isifo sikashukela esingalawuleki : Ukuba namazinga aphakeme egazi lika-glucose angase abe negalelo ekunciphiseni amazinga e-HDL we-cholesterol. Kungabuye kwandise amazinga we-triglyceride nama-LDL. Ukuthola ushukela wegazi lakho ngaphansi kokulawula kungasiza ukuthi amazinga wakho we-HDL abuyele emuva ebangeni elihle. Lokhu kungenziwa ngokushintsha indlela yakho yokuphila noma ukuthatha imithi yokwelapha.
- Ukubhema: Amakhemikhali atholakala ku-cigarettes anganciphisa i-cholesterol yakho ye-HDL. Ukuyeka ukubhema kungasiza ukwandisa i-HDL yakho, futhi uvimbele nezinye izifo ezingapheli, kuhlanganise nesifo senhliziyo.
- Indlela yokuphila yangasese: Ukwenza umzimba olinganiselayo ohlelweni lwakho lwansuku zonke kungasiza ukwandisa amazinga akho e-HDL kancane. I-American Heart Association ikhuthaza ukuba i-aerobic isebenze imizuzu engu-40 nsuku zonke izinsuku ezintathu noma ezine masonto onke-izibonelo zihlanganisa ukubhukuda, ukuhamba okukhulu, ukugijima, ibhayisikili nokudansa.
- Yenza Isisindo Esiqile: Ukuba nesisindo esiningi kungabangela izimo zezempilo, kufaka phakathi ukwehla kwamazinga akho e-HDL. Uma ukhuluphele ngokweqile noma ukhuluphele, ukulahlekelwa isisindo kungakhuphula lezi zinga futhi kunciphisa ingozi yesifo senhliziyo.
- Ukudla ukudla okubi: Okudlayo nakho kungathinta amazinga akho we-HDL. Ukunciphisa amafutha agcwele (isibonelo, ibhotela, ukhilimu, ubisi obuphelele noma obunamaphesenti angu-2, inyama yenkomo, ingulube, inkukhu ngesikhumba) futhi ukufaka esikhundleni samafutha e-monounsaturated njengezinhlanzi ezinamafutha, iminqumo, kanye ne-avocados kungakhuphula i-HDL yakho.
- Izici zofuzo: Ngezinye izikhathi, amazinga we-HDL aphansi kakhulu angathola ifa. Izimo zezokwelapha ezinciphisa kakhulu amazinga e-HDL zihlanganisa isifo seTangier kanye ne-hypoalphalipoproteinemia yomndeni.
Izwi elivela
Izinga lakho le-HDL libalulekile, kodwa udokotela wakho cishe uzogxila kancane kunani eliqondile nokuningi kulokho okushiwo.
Ngamanye amazwi, uzogxila ekuchazeni izinga lakho le-HDL ngaphakathi kokuqukethwe kwezingozi zakho zesifo senhliziyo njengomlando womndeni wakho, isisindo, izinga lomsebenzi, ngabe uyabhema, nokuthi ngabe unezinye izimo zezokwelapha ezifana nomfutho wegazi ophezulu noma isifo sikashukela.
Uma udokotela wakho ekutshela izinga lakho le-HDL liphansi, zama ukungadikibala. Kunalokho, gxila amandla akho ekuthola impilo enhle, kungakhathaliseki lokho kusho ukulahlekelwa isisindo uma ukhuluphele kakhulu noma ukhuluphele kakhulu, uyeka ukubhema, noma uphume ngaphandle ukuze ugijime. Uma udinga usizo lokuhlangabezana nale migomo yokuphila, kulungile. Khuluma nodokotela wakho-kungase kube yisikhathi sokubona umsoco wezokudla noma uqale uhlelo lokulahlekelwa isisindo.
> Imithombo:
> Acharjee S et al. Izinga Eliphansi le-High-Density Lipoprotein Cholesterol Nengozi Ekhulayo Yezinkinga Ze-Cardiovascular In Stable Ischemic Heart Disease Abagulayo: Ukuhlaziywa Kwangemva Kwesimo Kusukela ku-COURAGE Trial. J Am Coll Cardiol . 2013 Nov 12; 62 (20): 1826-33.
> American Heart Association. (Ngo-Ephreli 2017). Ukuvimbela Nokuphathwa Kwe-Cholesterol Ephezulu (Hyperlipidemia).
> Andersson C, Lyass A, Vasan RS, Massaro JM, D'Agostino RB, uRobins SJ. Ingozi yesikhathi eside yemicimbi ye-cardiovascular inhlanganisela enkulu yezingxube ezinkulu ze-plasma lipid kuFramingham Heart Study. Am Heart J. 2014 Dec; 168 (6): 878-83.e1.
> Bartlett J et al. Ingabe I-Isolated Low-Density Isisindo Esiphakeme Se-Lipoprotein Cholesterol Isifo Sezinzwa Zezifo? Ukuqonda Okusha Okuvela Esifundweni Sezintambo ze-Framingham. Imibala ye-Circ ye-Cardiovasc Qual . 2016 Meyi; 9 (3): 206-12.