Yemhuri yakasanganiswa hyperlipidemia

Yemhuri yakasanganiswa hyperlipidemia chirwere chinopfuura nemumhuri. Iyo inokonzera yakakwira cholesterol uye yakakwira ropa triglycerides.

Yemhuri yakasanganiswa hyperlipidemia ndiyo inonyanya kuzivikanwa chirwere chinowedzera mafuta eropa. Inogona kukonzeresa kutanga kwekurwadziwa kwemoyo.

Chirwere cheshuga, kudhakwa, uye hypothyroidism zvinoita kuti mamiriro acho awedzere. Njodzi zvinhu zvinosanganisira nhoroondo yemhuri yeakakwira cholesterol uye yekutanga coronary artery chirwere.

Mumakore ekutanga, panogona kunge pasina zviratidzo.

Kana zviratidzo zvikaonekwa, zvinogona kusanganisira:

• Kurwadziwa pachifuva (angina) kana zvimwe zviratidzo zvecoronary arteri chirwere zvinogona kunge zviripo pazera diki.
• Kukakama kweimwe kana mhuru mbiri kana uchifamba.
• Maronda pazvigunwe zvisingarape.
• Pakarepo kurohwa-senge zviratidzo, senge kunetseka kutaura, kudzika kune rumwe rutivi rwechiso, kushaya simba kweruoko kana gumbo, uye kurasikirwa kwehuremu.

Vanhu vane chirwere ichi vanogona kukura yakakwira cholesterol kana yakakwira triglyceride mazinga sevechiri kuyaruka. Mamiriro acho anogonawo kuongororwa kana vanhu vari mumakore makumi maviri nemakumi matatu. Iwo matanho anoramba akakwirira ese panguva yehupenyu. Avo vane mhuri yakasanganiswa hyperlipidemia vane njodzi yakawedzera yechirwere chetsinga chekutanga uye chirwere chemwoyo. Ivo zvakare vane mwero wakakwira wekufutisa uye vanowanzo kuve nekusagadzikana kweglucose.

Kuongororwa kweropa kuchaitwa kuti uone huwandu hwako hwecholesterol uye triglycerides. Miedzo icharatidza:

• Yakawedzera LDL cholesterol
• Yakaderera HDL cholesterol
• Yakawedzera triglycerides
• Yakawedzera apolipoprotein B100

Genetic kuyedza kunowanikwa kune imwe mhando yemhuri yakasanganiswa hyperlipidemia.

Chinangwa chekurapa ndechekuderedza njodzi yeatherosclerotic chirwere chemoyo.

UPENYU HUCHINJA

Nhanho yekutanga kushandura zvaunodya. Kazhinji yenguva, iwe uchaedza edhiyo shanduko kwemwedzi yakati wandei chiremba wako asati akurudzira mishonga. Kuchinja kwekudya kunosanganisira kudzikisa huwandu hwakazara mafuta uye shuga yakanatswa.

Heano dzimwe shanduko dzaungaite:

• Idya nyama yemombe shoma, huku, nyama yenguruve, uye gwayana
• Inopa zvigadzirwa zvemukaka zvine mafuta mashoma
• Dzivisa zvakapakurwa makuki uye zvakabikwa zvinhu zvine trans mafuta
• Deredza cholesterol yaunodya nekudzora mazai emazai uye nyama yenyama

Kuraira kunowanzo kurudzirwa kubatsira vanhu kuti vachinje maitiro avo ekudya. Kurera huremu uye kugara uchirovedza muviri kunogona kubatsira kudzikisa cholesterol yako mazinga.

MISHONGA

Kana shanduko yemararamiro isingachinje cholesterol yako zvakakwana, kana iwe uri panjodzi yakanyanya yeatherosclerotic chirwere chemoyo, mupi wako wezvehutano anogona kukurudzira kuti utore mishonga. Kune akatiwandei marudzi emishonga yekubatsira kudzikisa ropa remafuta cholesterol.

Mishonga iyi inoshanda nenzira dzakasiyana dzekukubatsira kuti uwane mazinga ane hutano. Vamwe vari nani pakudzikisa LDL cholesterol, vamwe vakanaka pakudzikisa triglycerides, nepo vamwe vachibatsira kusimudza HDL cholesterol.

Iyo inowanzo shandiswa, uye inonyanya kushanda mishonga yekurapa yakakwira LDL cholesterol inonzi statins. Zvinosanganisira lovastatin (Mevacor), pravastatin (Pravachol), simvastatin (Zocor), fluvastatin (Lescol), atorvastatin (Lipitor), rosuvastatin (Crestor), uye pitivastatin (Livalo).

Mimwe mishonga inoderedza cholesterol inosanganisira:

• Bhaidhi acid-inotsvaga resini.
• Ezetimibe.
• Fibrate (senge gemfibrozil uye fenofibrate).
• Nicotinic asidhi.
• PCSK9 inhibitors, senge alirocumab (Yakakosha) uye evolocumab (Repatha) Izvi zvinomiririra kirasi nyowani yemishonga yekurapa cholesterol yakawanda.

Unyatsoita sei zvinoenderana ne:

• Kukurumidza sei mamiriro acho kuongororwa
• Paunotanga kurapwa
• Iwe unotevera zvakadii chirongwa chako chekurapa

Pasina kurapwa, chirwere chemwoyo kana sitiroko zvinogona kukonzera kufa kwekutanga.

Kunyangwe nemushonga, vamwe vanhu vanogona kuramba vaine huwandu hwakawanda hwemapapu hunowedzera mukana wekurwadziwa nemoyo.

Zvinetso zvinogona kusanganisira:

• Yekutanga atherosclerotic moyo chirwere
• Kumira kurova kwemoyo
• Kurohwa

Tsvaga kurapwa panguva iyoyo kana uine kurwadziwa pachipfuva kana zvimwe zviratidzo zvekurumwa nemoyo.

Fonera mupi wako kana iwe uine yako pachako kana yemhuri nhoroondo yeakakwira cholesterol mazinga.

Kudya kwakaderera mucholesterol uye mafuta akazara kunogona kubatsira kudzora mwero weLDL muvanhu vari panjodzi huru.

Kana mumwe munhu mumhuri yako aine chirwere ichi, ungangoda kuongorora maitiro ekuzviongorora iwe kana vana vako. Dzimwe nguva, vana vadiki vanogona kunge vane hunyoro hyperlipidemia.

Izvo zvakakosha kudzora zvimwe zvinenjodzi zvekutanga kwekurwadziwa kwemoyo, sekusvuta.

Akawanda lipoprotein-mhando hyperlipidemia

• Coronary tsinga kuvharika
• Kudya zvine hutano

Genest J, Libby P. Lipoprotein kusagadzikana uye chirwere chemoyo. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 48.

Robinson JG. Kushushikana kwe lipid metabolism. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 195.