Izinketho zokwelashwa ezingama-4 eziphezulu ze-triglycerides

Imfundo Yezempilo

Isifo senhliziyo siyimbangela ehamba phambili yokufa kwabesilisa nabesifazane e-United States. Cishe isigamu sabo bonke abantu baseMelika (47%) banesinye sezici ezintathu zobungozi besifo senhliziyo: umfutho wegazi ophakeme, i-cholesterol ephezulu, noma ukubhema, ngokusho i-CDC . Kuyinkinga ejwayelekile — futhi eyingozi— ukuthi izinhlangano eziningi zikhona kuphela ukukhuthaza impilo enempilo yenhliziyo, kusuka kwi-American Heart Association kuya ku- I-World Heart Federation . Bakhuthaza abantu ukuthi bavikele izinhliziyo zabo futhi bagqugquzele nabanye (umndeni, abangani, nozakwabo) ukuba benze okufanayo. Izindaba ezimnandi ukuthi usongo olulodwa lwezempilo luyelapheka kakhulu. Kunezindlela eziningi zokwelashwa okuphezulu kwe-triglycerides (kanye nokuvinjelwa) -kusuka kuma-statins kuya kuma-supplements.

I-cholesterol ephezulu iyathinta abantu baseMelika abangaphezu kwezigidi eziyi-102 . Yize kungekho zimpawu ezihambisana nalesi simo, kulandelwa njalo emzimbeni wakho wonyaka. Ukuhlolwa okuphelele kwe-cholesterol egazini (okunye okubizwa ngokuthi i-lipoprotein noma iphrofayili ye-lipid) kunikeza izinhlobo ezahlukahlukene zamazinga we-cholesterol alinganiswa ngama-milligram nge-deciliter yegazi (mg / dL). I-cholesterol eyodwa eyilandelayo amazinga e-triglyceride.

Yini ama-triglycerides?

I-Triglycerides luhlobo lwamafutha nohlobo lwamafutha oluvame kakhulu emzimbeni wakho, kusho uRoshini Malaney, DO, ongudokotela wenhliziyo oqinisekisiwe IManhattan Cardiology eNew York City. Ngokufana ne-cholesterol, ama-triglycerides enziwa esibindini futhi akhona ekudleni okuthile, okufaka ibhotela, imajarini kanye namafutha, kanye nokunye ukudla okunamafutha aphezulu noma okune-carbohydrate ephezulu. Lapho sisebenzisa ama-calories angeziwe, i-umzimba uguqula amakhalori angadingi ukuwasebenzisa khona manjalo abe ama-triglycerides, abese egcinwa kumaseli anonile, uyanezela.

Yini efanelekayo njenge-triglycerides ephezulu?

Ngokuvumelana ne IMedlinePlus (iwebhusayithi inikwe amandla yi-I-United States National Library of Medicine), amazinga egazi angaphansi kuka-150 mg / dL awela ngaphansi kwebanga elijwayelekile le-triglycerides, kanti noma yini ephakeme - eyaziwa njengehypertriglyceridemia—Ingakhuphula ingozi yesifo senhliziyo. Ama-triglycerides aphakanyisiwe nawo angaba yisibonakaliso sokuqala kakhulu sesifo sikashukela, kusho uKristin Thomas, MD, ongumfundi oqeqeshwe ebhodini futhi ongumsunguli Imithi yeFoxhall eWashington, DC. (Uyanezela ukuthi izinga le-triglyceride elizila kakhulu kufanele likhuthaze ukuhlolwa okwengeziwe, kufaka phakathi ushukela wegazi ozila ukudla kanye ne-hemoglobin A1c.)

Ama-triglycerides aphezulu kakhulu — amazinga egazi angaphezu kuka-500 mg / dL — angaba ngenxa yesifo sofuzo futhi angakhuphula ubungozi be-pancreatitis, kanye nesifo senhliziyo, kufaka phakathiisifo sokuqina kwemithambo yegazi (ukuqina kwemithambo yegazi), uDkt Thomas,umbhali ngokubambisana we Ungasivimbela Isifo Sohlangothi ,kuchaza. Kungabonakala wedwa noma ngokuhlangana nezinye izimo eziningi, futhi, njenge-metabolic syndrome, i-hypothyroidism, isifo sesibindi esinamafutha nesifo sezinso, uDkt.Malaney uthi.

Ishadi lezinga le-Triglycerides

Ingabe amazinga akho e-triglyceride asebangeni elijwayelekile? Bheka leli shadi leleveli ye-triglycerides.

Izinga lobungozi	Izinga le-Triglyceride
Jwayelekile	Ngaphansi kwama-milligram ayi-150 nge-deciliter ngayinye (mg / dL)
Ukuphakama komngcele	150 kuya ku-199 mg / dL
Phezulu	200 kuya ku-499 mg / dL
Phezulu kakhulu	500 mg / dL noma ngaphezulu

Yini ebangela ama-triglycerides aphezulu?

Ngaphandle kokudla ukudla okunamafutha aphezulu kanye / noma okunama-carb amaningi, ezinye izinto zokuphila zinganikela kuma-triglycerides aphezulu, ikakhulukazi isisindo esiningi ngokweqile, ukuntuleka kokuvivinya umzimba, ukuphuza kakhulu utshwala nokubhema.UDkt.Malaneyuyanezela ukuthi futhi kungaba nomphumela oseceleni wemithi ethile, njengamanye amaphilisi okulawula ukubeletha, ama-beta blockers, imishanguzo yokulwa namaphilisi, kanye ne-corticosteroids.

Ungayinciphisa kanjani i-triglycerides

Kunezinketho eziningi zokwelashwa eziphakeme ze-triglycerides — njengokushintsha kokudla nezindlela zokuphila — udokotela wakho angancoma ukuthi uzame kuqala, ngaphambi kokuyalelwa.

Ukudla

Ama-Triglycerides avela ekudleni esikudlayo, futhi avela ngokwemvelo esibindini. Ukudla ushukela ophansi, ukudla okune-carbohydrate ephansi, nokudla okuningi kwe-fiber okunothile kuma-omega-3s kungasiza.

Yikuphi ukudla okuhle ongakudla ukwehlisa ama-triglycerides?

Sebenzisa ukudla kwaseMedithera njengesiqondisi. Bheka ukudla okufana nalokhu:

• Inhlanzi ecebile ye-omega-3 (isb., isalmon, isardadi, i-tuna, i-halibut)
• oatmeal
• ubhontshisi
• amantongomane
• imifino
• izithelo
• imifino
• okusanhlamvu okuphelele

Faka amafutha omnqumo webhotela noma isinqumelo, uma kungenzeka. Khetha okuyinkimbinkimbi ngaphezu kwama-carbs alula, njengelayisi elinsundu esikhundleni somhlophe. Nciphisa ukudla ushukela. Gwema amafutha agcwele futhi agcwele.

Ukusetshenziswa kotshwala

Abanye bancoma ukuyeka ngokuphelele utshwala ukuze wehlise ama-triglycerides, ikakhulukazi uma amazinga akho ephezulu kakhulu. Ukunciphisa ukusetshenziswa kungasiza uma i-cholesterol yakho ingumkhawulo.

Ukuzivocavoca umzimba

Ukwehla kwesisindo kungasiza ekuqedeni ama-triglycerides agcinwe emafutheni. Ukwandisa ukuvivinya umzimba kuyindlela enhle yokuqala.

Izinketho zokwelashwa okuphezulu kwe-triglycerides

Uma ukuguqulwa kwendlela yokuphila kwehluleka ukwehlisa amazinga we-triglyceride, udokotela wakho angakunika eyodwa yale miyalo emine elandelayo:

1. Izitatimende

Izitatimende, njenge I-Atorvastatin noma I-Rosuvastatin , yimithi ejwayele ukwelashwa amazinga aphezulu e-cholesterol, kanye nezinye izingozi zesifo senhliziyo, uDkt.Malaney uthi. Ubuye achaze ukuthi le mithiukusebenza ngokunciphisa ukukhiqizwa kwesibindi kwe-cholesterol, futhi kumanani athile kunganciphisa amazinga e-triglyceride ngamaphesenti angama-50.Futhi ngalezi zimiso ezintsha, ezinamandla, zombili izinhloso ze-LDL (ezimbi cholesterol) nezinhloso ze-triglyceride zingafinyelelwa, uDkt Thomas uyanezela.

Kuyakhuthaza kakhulu: Ngokwesitatimende sesayensi sangoDisemba 2018 esikhishwe yi Inhlangano Yezinhliziyo ZaseMelika , simiphumela emihle evela kuma-statins ijwayele ukungajwayelekile, futhi izinzuzo zayo zidlula noma yiziphi izingozi ezingaba khona.

OKUSHIWO: Funda kabanzi ngemiphumela emibi yama-statins

2. I-Niacin

Eyaziwa nangokuthi i-vitamin B3, i-niacin inganciphisa ama-triglycerides ngokuvimba ukukhishwa kwama-fatty acids wamafutha emafutheni ngenkathi yandisa ukunikezwa kwe-triglycerides egazini, uDkt.Kuchaza uMalaney.Ngaphezu kwalokho, ingakhuphula amazinga e-HDL (amahle) e-cholesterol namazinga aphansi e-LDL (bad) cholesterol, ngakho-ke isetshenziswa kakhulu kubantu abadala abanesifo senhliziyo kanye ne-cholesterol ephezulu, usho kanjalo.

UDkt.Thomas uthi iziguli zivame ukukhetha ama-statins kune-niacin ngoba ama-statins ayabekezeleleka. FuthiI-niacin ayinayo inzuzo ekhonjwayo ngaphezu kwesitatimende, usho kanje.

3. I-Omega-3 fatty acids

Amaphilisi kawoyela wezinhlanzi—Amagremu ama-2 ngosuku-akhonjisiwe ukwehlisa amazinga we-triglyceride ngamaphesenti angama-30, uDkt.Malaney uthi.La maphilisi asebenza ngokuvimbela ukukhishwa kwe-triglycerides esibindini nangokuvuselela i-enzyme esula i-triglycerides egazini, uyaqhubeka. UDkt.UMalaney uqhubeka athiamalungiselelo kawoyela wezinhlanzi kadokotela, njenge Lovaza , iqukethe okunamafutha acid asebenzayo kakhulu kunezithasiselo eziningi ezingezona ezokwelapha.

4. Amafibhethi

Imithi, efananjenge I-Fenofibrate futhi Gemfibrozil , ingehlisa amazinga we-triglyceride ngokufanayo namaphilisi kawoyela wezinhlanzi. Ama-fibrate anciphisa ukukhiqizwa kwesibindi kwe-VLDL (inhlayiya ejikeleza egazini eliphethe i-triglycerides) ngenkathi kusheshiswa ukususwa kwe-triglycerides egazini, uDkt.Kuchaza uMalaney. Kodwa-ke, uxwayisa ngokuthi lo muthi akufanele unikezwe iziguli ezineisifo sezinso noma sesibindi esibi.

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