Palapala koko hoʻoneʻe: pākaukau makahiki
Manaʻo mākou e hoʻomohala ʻoe iā ʻoe iho me ka ʻatikala ma ke kumuhana: "kolesterol norm in the men in the blood, a table of level by age" me nā ʻōlelo mai nā poʻe loea. Inā makemake ʻoe e nīnau i kahi nīnau a kākau paha i nā ʻōlelo, e maʻalahi ʻoe i kēia ma lalo o ka ʻatikala. ʻO kā mākou loea endoprinologist e ʻike maoli iā ʻoe.
Wikiō (kaomi ke pāʻani). |
Nā kolamu koko i loko o nā kāne - kahi papa o nā hōʻailona maʻamau e ka makahiki
Wahi a nā kānaka ʻepekema ʻAmelika, inā hiamoe ke kanaka ma lalo o ka 5 mau hola i kēlā lā, kēia ke alakaʻi i ka pae o ka cholesterol ma ke koko. A manaʻoʻiʻo ko kā lākou mau kalana ma Kanada e hoʻohaʻahaʻa ka poʻe aloha tangerine i kā lākou kolamu kiʻekiʻe me ka ʻole o ka maopopo. ʻO nā hoʻopaʻapaʻa e pili ana i nā pōmaikaʻi a me nā pōʻino o ka cholesterol e hele ana i kekahi manawa lōʻihi.
Hōʻike nā hōʻike i ka kiʻekiʻe o ka kolamu ma mua o nā kāne ma hope o ka 35 o kēia mau ʻōuli. He aha ke ʻano o ka pae koko koko maʻamau i loko o nā kāne, a no ke aha ia e koʻikoʻi ai i ka hali?
Wikiō (kaomi ke pāʻani). |
ʻO ke kauʻana o nā ʻano āpana he hōʻailona nui ia o ka maikaʻi o ka hana lipid metabolism a me ke kumu nui e hoʻoholo i ka hiki ʻana o ka atherosclerosis. He mea nui kēia ʻike no ka cardiologists, endocrinologists, urologists, therapists, akā ʻaʻole nā mea maʻi āpau e wehe i ka ʻike i ka palapala ma nā hoʻohālike like.
Ua lohe nā kānaka āpau i nā pōʻino o ka cholesterol, a kakaikahi ka poʻe e ʻike i ke ana a pehea e hana ai i ke kino. O kahi keia
ʻO ka polikika momona polyhydric maoli ka loko o nā kinona o nā mea ola o nā mea ola a pau (me ka ʻole o nā fungi a me nā ʻāpana-nukle-manu ʻole)
Hāʻawi ia i ke kūpaʻa cell membrane.
Ke hoʻohana nei i ka terminology kūkulu hana, lawelawe ʻo XC ma kahi ʻano hoʻoikaika mesh i pono no ka masonry kiʻekiʻe kiʻekiʻe. Ma waho o kēia, ke synthes of sex sex, cortisol of bile acid, vitamin D, kuleana no ka ulu ʻana, synthesis o nā insulin, nā ʻona steroid, a me ke kākoʻo o ka ʻōnaehana hiki ʻole.
Aia i kona kiko kiʻekiʻe loa i loko o nā pūhaka o ke koko ʻulaʻula (a hiki i 23%) a me ka ate (a hiki i 17%). Loaʻa i nā selela nā pehu a me nā meninges ka kolamu.
Hāʻawi ka nuku iā mākou me ka moʻo o ka cholesterol (e pili ana i 80%), ke koena nō ke koena me ka soose, duck, lamb, beef, egg, dairy a me nā momona momona.
ʻO ia ka kolamu e hāʻawi i ka hoʻouluʻana i nā waihoma o ka huaʻai, nā kuleana no ka uha ʻana o nā momona i loko o ka ʻawaʻawa. Kākuhi ia i ka testosterone, progesterone, androgens, estrogen - ka hana sex e hoʻomalu i ka hana reproduction.
Inā hāʻule ka kolamu ma lalo o ka maʻamau, hāʻule ka pale nui o nā kāne, a nui nā ʻōpū a me nā ʻōnaehana i hōʻino.
Ma waena o nā pono maʻamau no ka kolamu kiʻekiʻe ma nā kāne:
- Pili ʻia e ka hoʻoilina. Inā pili nā ʻohana i ka maʻi maʻi o ka puʻuwai coronary, atherosclerosis, nā mea i ke kuʻi a i ka ʻeha ʻana paha, piʻi nui ka maʻi o ka hypercholesterolemia,
- Kakahi o ka hoʻomaʻamaʻa. Hoʻomaʻa ka hoʻōla i nā kolesterol "maikaʻi", hoʻomaikaʻi i ka metabolism,
- ʻO ka overeating ʻōnaehana, hoʻonāukiuki, ke kālepa ʻole ʻana,
- ʻO ka minamina mau, nā hana ʻino. Hōʻia hoʻi kahi mea hōʻoki kino hala,
- Nā maʻi ʻōnaehana endocrine
- Hypertension
- ʻO ka laupili o Renal a me ka pohō
- Oncology
- Ke lawe nei i kekahi mau lāʻau lapaʻau (diuretics, hormonal steroid),
- ʻAiuma - ke ʻano o ke kolamu o ke koko ma ke kāne ma hope o 40 mau makahiki he haʻahaʻa, a ma hope o ke 50, ua hoʻomau ʻia ka ʻike o ka cholesterol.
ʻAʻole hoʻohiki hoʻi ka cholesterol haʻahaʻa loa i kekahi mea maikaʻi. I kekahi manawa, hiki i nā kumu o ka haʻahaʻa o ka haʻahaʻa loa:
- ʻO kahi kīʻai ikaika me ka liʻiliʻi o nā palaka holoholona,
- Anemia
- ʻO nā hopena o nā maʻi maʻi maʻi
- Kūmole
- Hāpopo
- Ke ʻano holoholo nei,
- Nā maʻi koko.
ʻO kekahi o kēia mau mea e pili i ke kiʻekiʻe o ka cholesterol koko, kahi loiloi biochemical e kōkua i nā kāne e maopopo i ke kumu o ka hōʻino. Inā ʻike ʻia nā kolohe, pono ia e hoʻomaʻamaʻa i kahi loiloi makahiki a pili i nā ʻōlelo a nā poʻe loea.
ʻAʻole hōʻeha ʻo Cholesterol i ke kino a hiki i kāna mea iʻoi aku ma mua o ka pākau He mea nui e wehe ma waena o kāna mau ʻano. He koloka ʻo ka "maikaʻi" hoʻokaʻawale a hoʻoneʻe pololei ma o nā moku, hoʻopakele i nā mea a lākou e pono ai i loko o nā pūpū a me nā kiko.
Me ka hemahema o ka HDL, e emi ana ka vasticity elemakule, a me ka hopena o ka ʻōpū o ka hemorrhagic stroke e hoʻonui. ʻO ka hoʻoneʻeʻana o ka huaʻī o D no ke kōpuhi o ka calcium, ua hoʻemi ʻia, a ʻo ke ala pololei kēia i ka osteoporosis.
ʻO ka emi ʻana o ka hana o ka serotonin (ka nui o ka hauʻoli) e alakaʻi i ka kaumaha, i ka hoʻonāukiuki unmotivated, a me ka dileia senile. ʻO ka hoʻōla maikaʻi ʻana o nā momona i mea e loaʻa ai ka paona, hoʻopilikia i ka ʻōuli o ka hormonal, e hoʻonāukiuki i ka hoʻomohala ʻana i ke ʻano type type 2.
ʻO nā ʻokoʻa i ka kolesterol he ʻeha, hiki ʻole ke hōʻeha i ka luhi me ka maluhia, ka nui ʻana o ka makemake, ka palupalu o ka naʻau, nā nāwaliwali hōʻemi, ka hōʻeha ʻana o nā nū lymph, nā momona, nā ʻaʻa waiʻai.
ʻO kekahi o kēia mau ʻano maʻi he manawa ia no ka hoʻokolokolo.
ʻO ka "bad" kolesterol (LDL) he haʻahaʻa haʻahaʻa a ʻaʻole ia i nā manawa a pau me ka neʻe ʻana o ka halihali, e kau ana ma nā paia o ka moena vascular. Hoʻopilikia nā kahelehele i ka kahe o ke koko a me nā mea kanu olakino, e hoʻonui ana i ka hōʻeha o ka hoʻomohala ʻana i nā maʻi pōpilikia - atherosclerosis, ka maʻi coronary, ka maʻi naʻau coronary, ka naʻau ʻeha.
ʻO ke kolu o ke kolamu o ka cholesterol - lipoproteins me kahi haʻahaʻa haʻahaʻa loa, i synthesize i loko o ka ʻawaʻī, i hoʻolālā ʻia e halihali i ka kolamu i ka puʻuwai. I loko o ke koko, hiki ke hoʻoliewa ka nui o kā lākou huakaʻi, e like me ka hopena ma ka metabolism lipid.
Ma ke wikiō - ka manaʻo o ka poʻe cardiologists e pili ana i ka kolamu kūpono a maikaʻi ʻole.
ʻO ka nui o nā ʻano o ka cholesterol he maʻamau ka maʻamau, ua nānā ʻia ma kahi ʻōlelo lipid. I ka hihia o ka neʻe ʻana mai ke kumu maʻamau, ua aʻo ʻia ka ʻōlelo lipid ma ka nui o ka ʻike, ʻoiai ke kiʻekiʻe ka nui o ka kolamu nui ka nui o ka hoʻonui ʻia ʻana o nā ala o nā puʻuwai a me nā kīʻaha koko.
ʻO ka kolamu palekana i nā pākeke a hiki i ka 5.2 mmol / l.
I kēia lā, hoʻonoho nā kauka i nā palena like ʻole o ka pāʻalima, ʻaʻole wale ma ka makahiki wale nō, akā ʻo ka ʻenehana. Ua hoʻokololei ʻia a na ka lahui kaomi ʻana i kēia hōʻailona: no ka mea noho i India, no ka laʻana, ʻoi aku ka kiʻekiʻe o ka cholesterol koko i nā kāne ma mua o nā poʻe ʻEulopa.
Hiki ke loaʻa kahi manaʻo maopopo i kā lākou kolamu a me nā palena maʻamau i nā kāne ma ka papaʻaina.
Pono e hōʻemi ʻia ka cholesterol maʻamau i nā kāne ma waena o ka 5.2-6.2 mmol / L. I nā kāne, ʻaʻole e like me ka hapalua wahine o kānaka, ʻaʻole ka pale o ka ʻōnaehana cardiovascular e nā ʻanā wahine.
Hāʻawi ʻia ʻoi aku ka nui o nā poʻe i waena o ka wahine ikaika i ka hōʻino i ka ulaula, inu wai, momona, nā kīʻaha kiʻekiʻe calorie, a laila kiʻekiʻe ka hopena o ka loaʻa ʻana o ka atherosclerosis i ka wā ʻōpio.
ʻOkoʻa nā ʻano kīnā o kēia ʻoihana: inā ma nā wahine ma hope o ke 50, e māhuahua ka nui o ka cholesterol, a laila emi ka nui o ka cholesterol i loko o ke koko ma hope o ka 50.
I ka manawa like, e hōʻike pinepine ke kino kāne kāne i nā hōʻailona o ka hypercholesterolemia:
- Ke hana ʻana i nā moku coronary, hoʻonāukiuki i ka hoʻouka kaua ʻana o ka angina pectoris,
- ʻEleʻele a me ka wen ma ka ʻili o ka maka.
- Hoʻopuka iki ka hanu i kekahi mea hoʻoikaika kino.
- Patologi Cardiac,
- ʻO nā Microstrokes "ma nā wāwae",
- ʻEha i nā wāwae.
E hoʻomaʻamaʻa ʻia ke ʻano pilikino, nā hoʻololi i ka ʻai ʻana i ka ʻai, ka huki ʻana o ka uahi, a me ka pane kūpono ʻana i nā luhi i ka hōʻemi ʻana i kēia mau ʻike.
E kōkua nā hopena o nā hōʻike i ke kauka i ka nānā ʻana i nā āpau āpau. Inā heʻoi aku ka ʻike o LDL ma mua o 4 mmol / l, pono e hana i nā hana e hoʻoponopono e hoʻoponopono iā lākou. Inā loaʻa ka kolosolo "hoʻohana" kūpono i ka 5 mmol / l, ʻo ia ke kumu e pani ʻia nei i ka kolosolo "kino", nā leole e hoʻomaʻemaʻe ana, pale i nā moku. Ke waiho nei kēia kuhikuhi i ka 2 mmol / l, nā piʻi aʻe o ka hoʻomohala ʻana i nā ala.
Ma ka papahana "Tablet" ma kēia wikiō, e kamaʻilio ke kauka e pili ana i ke ana ʻana i nā ʻano kolamu āpau ma ka home me ka hoʻohana ʻana i kahi loiloi portable. ʻO ke kumukūʻai o nā pono kelepona paʻahana ma ka 4 a 20 tausani mau rubles. ʻO ke kumu kūʻai o nā kaha hōʻike he 650-1500 rubles.
ʻO kahi koho o kahi ala no ka hoʻoponopono ʻana i ka cholesterol he mea loea.
ʻO ke kumumanaʻina maʻamau o ka lāʻau lapaʻau no ka cholesterol kiʻekiʻe.
- Ke kuhikuhi nei i nā statins e poloka ai ka synthesis synthesis. Hoʻohana ʻia nā lāʻau lapaʻau ʻelua no ka hoʻoponopono a me ka pale. ʻO nā mea kuʻuna o ka hanauna 4 i hoʻomohala ʻia. Hoʻoholo ʻia ka wikiwiki a me ka hala o nā lāʻau lapaʻau e nā kauka wale nō, ʻoiai he nui nā hopena o nā statins.
- Hoʻemi i nā pae kolamu o ka fibrin, hoʻomehana i nā momona i loko o ke akea. Ua kūpono nā lāʻau i nā statins, e hoʻonui ana i ko lākou pono.
- Inā hoʻonāukiuki ka lāʻau lapaʻau i nā hopena kūlohelohe, kuhikuhi i nā huaora, nā lāʻau me ka acid nikotinic, nā mea kanu meaʻai e pili ana i ka lāʻau. Hoʻohana i ka aila kīleʻa e hoʻolioli ʻona i nā hopena maikaʻi ʻole o ka LDL.
- Ua kuhikuhi ʻia nā maʻi maʻi pākēnē.
- Me ka hoʻokiʻekiʻe ʻia o ke koko, hoʻohuihui hōʻailona (b-blockers, diuretics, antagonist receptor) i hoʻohui.
ʻO ka papaʻai me ka cholesterol hoʻokiʻekiʻe e kāpae i ka ʻiʻo ʻulaʻula, nā momona momona, nā huahana pā momona o nā momona momona, nā meaʻai wikiwiki, nā kīpī, a me ka ulaula. ʻO nā meaʻai momona, nā iʻa momona (ʻolima, ka salmon, ke trout, waiwai i ka momona Shch-3), nā mea kanu, nāʻaina, nā huahana wai-momona haʻahaʻa, nā wai, nā ʻai, nā wai minima e pono ai.
He mea ʻoluʻolu nā kumu i kapa ʻia ʻo Frans: ʻoiai ke aloha ʻo Farani ma ka ʻalā a me nā ʻula ʻulaʻula, he mea maʻamau ka pae o ka "maikaʻi ʻole" kolamu ma kēia lāhui.
Ma hope o nā haʻawina o ke ʻano o ke ʻano a me ka meaʻai, ua hele nā kānaka ʻepekema i ka hopena o ka ʻaila ʻoliva, ka nui o ka mea kanu, ka ʻulaʻula, ka ʻano maʻamau o ka loina Farani, ʻaʻole wale nō ka haʻahaʻa o ke kolamu, akā e hoʻolōʻihi i ke ola, ʻoiai lākou e hoʻemi ana i ka hiki ke hoʻomohala ʻia nā ʻōkuhi cardiovascular.
Me kahi haʻahaʻa o ka kolamu, i ka hoʻohui i nā lāʻau lapaʻau, pono ʻoe i kahi meaʻai kūikawā i ʻae pū aku me kāu kauka: caviar, offal beef, egg, fat cheese, nā ʻano āpau. E hoʻolaʻa i nā metabolid lipid, e hoʻomaʻamaʻa metered, ʻoi aku nā huaʻai a me nā mea kanu ʻole i ka meaʻai.
Hoʻololi ʻo Kauka Skachko i nā kaola ʻano hana maʻamau ma ka nui o nā kikoʻī.
ʻOiai ke kumu kolamu o ke koko ma ke kāne ma hope o 60 mau makahiki o ka makahiki, e like me ka papa ʻaina, e hoʻomau ana, akā ʻaʻole hiki iā ʻoe ke hoʻomaha me nā kīʻaha nāwaliwali. He mea palupalu a ka naʻau: he ʻoki.
ʻO ke kumu o ka cholesterol koko i nā kāne, pili ia i ka makahiki - ka papa o nā hōʻailona
Nā hiʻona kahi mea e hoʻoholo ai i ka hoʻomohala ʻana o ka atherosclerosis. I kēia ʻatikala, e noʻonoʻo mākou i ka kolamu - nā pōkole o nā kāne ma ka makahiki ma ke ʻano o ka papa ʻaina, a me nā hopena e hiki ai i kāna hoʻonui, nā ho'āʻo, nā kumu, ka mālama ʻana a me ka pale ʻana i kēlā mau ʻano.
ʻO ka kolololi ma nā kāne, e like me ka wahine, he hana koʻikoʻi i loko o kahi ākea o nā hana biochemical kaʻina. E pili ana i loko o ke kino ua hoʻohua ʻia nā hua he nui, aia pū me ka ulu ʻana - testosterone a me ka estrogen, a me ka cortisol - he adrenal hormone.
Cholesterol ihe mea maʻamau i nā membrane cell. ^ E Ha yM. Hoʻokomo ʻia i nā hepatocytes, nā ʻāpana koko ʻulaʻula a me nā puʻuwai o ka lolo. Kahi a ia, ke kāpili nei ke kino i nā waikawa bile, he hopena hoʻoponopono ʻOi kaulike Da laila hoʻolako mālama i ka pale palekana.
Ua hoʻokaʻawale ʻia ʻo Cholesterol ma nā ʻano ʻelua: - HDL (lipoproteins density kiʻekiʻe) a me LDL (lipoproteins haʻahaʻa haʻahaʻa). Hoʻomaʻa pinepine lākou i nā ʻōmole maikaʻi a maikaʻi ʻino (maikaʻi a me nā wai ʻino).
Loaʻa ʻia nā waiwai ʻino e ka lua, a kapa ʻia hoʻi i ka kol “kolala” ʻino. ʻO LDL ka hana o ka hoʻopili ʻana i kēlā me kēia, ka mea ua hoʻowalewale i ka endometrium o ka moku, hiki iā ia ke hōʻike iā ia iho i ke ʻano o nā kīwaha ma nā paia e hoʻonāukiuki i ka stenosis moku.
Hiki i nā ʻōnaehana like ke alakaʻi i nā helu he nui - nā hoʻopiʻi e like me ka maʻi puʻuwai coronary, atherosclerosis, varicose veins, hana ʻole, hōʻeha a me ka puʻuwai puʻuwai. I kēia manawa e kamaʻilio e pili ana i ke ʻano o ke ʻano maʻamau o lipids, ma muli o ka makahiki.
ʻO nā ʻelele o ka hapalua ikaika o ke kanaka ke hoʻololi i ka loli hormonal i ko lākou kino i nā manawa he nui. ʻO ia me kēia mea no ka hōʻike ʻana o nā hōʻike koko maʻamau no nā lipids ma hope o ka makahiki 30-35 mau makahiki e pili ana. Ma hope o kēia kau, ua ʻoi aku ka pilikia o ka hoʻomohala ʻana i nā ʻōkuhi maʻi ʻo ka naʻau a me nā kīʻaha koko. Kauka nā kauka e mālama i kēia kaʻina nānā e hana ma hope o 50 mau makahiki me kahi manawa o nā liʻiliʻi i nā 5 makahiki. A ʻoi aku ka hana o kēlā me kēia makahiki.
E noʻonoʻo ka papa kuhikuhi kahua o nā maʻamau i nā kāne pākeke e nā makahiki.
E nānā kāua i nā hiʻohiʻona no kēlā me kēia māhele makahiki.
Tihi 30 mau makahiki He maʻi maʻamau nā laina lipid a heʻuʻuku ka liʻiliʻi. Ma ke kino o nā kāne o kēia au, ke hoʻomau nei kahi hana kiʻekiʻe o nā kaʻina hoʻokalakupua, no laila ke hoʻomau ʻia ke kaulike o nā lipoproteins. Hoʻohālikelike i kēia lā:
Ma hope o 30 mau makahiki hiki i ke kāne ke hele i ka holomua o hypercholesterolemia hiki ke hele mai. Hoʻomaka mai kēia makahiki, pono ʻoe e nānā pono i ke kiʻekiʻe o ka olakino, e kaohi i nā ʻāpana o ka glucose, ke pume. Ka mālama ʻia ʻana o nā hana o nā kaʻina regenerative i ʻike ʻia.
Ke ulu nei ka hana ikaika, ʻo ka metabolism ma lalo o ke ʻano maʻamau, nā mea maikaʻi ʻole i ke ʻano o ka pono o ka ʻai maikaʻi a me nā hana maikaʻi ʻole e pili nui i ka palena o ka palekana o ka ʻōnaehana cardiovascular a, inā paha, hoʻonāukiuki i ka hoʻonui ʻana o ka cholesterol. Kāne lāʻau pili koko i loko o nā kāne ma hope o 30, a hiki i ka 40 makahiki penei:
A hala nā makahiki he kanahā aia ka hana o ka hormonal hoʻoponopono o ke kino. ʻO ke ʻano o ka testosterone, e pili ana i ka momona subcutaneous a me kona koʻikoʻi, ua hōʻemi ʻia. Me kahi helu o nā manaʻo maikaʻi ʻole i ke ola, e komo me ka diabetes type 2, ka hoʻomohala ʻana o ka momona, kahi kokoke ia i ka nui etiological nui e pili ana i ka hoʻomohala ʻana o nā ala vascular.
Kau kāne 40-45 mau makahiki Hoʻomaopopo pinepine nā kauka i ka hoʻāʻo ʻana i ke koko no ka biochemistry (i kēlā me kēia mau makahiki he 5) i mea e ʻike ai i ka LDL abnormal a me HDL i ke koko i ka wā mua. Kāne lāʻau koko koko i nā kāne o nā makahiki ma hope o 40 mau makahiki a 50:
Ma hope o 50 makahiki ʻO nā hōʻeha o nā maʻi cardiovascular a me ka atherosclerosis hoʻokahi a me ka hapa ʻelua i ʻelua mau manawa kiʻekiʻe. Hōʻike ʻia e hoʻopau i nā hana ʻino, alakaʻi i ke ʻano kelepona hou, hoʻāʻo e ʻai i ka ʻai ʻōpala.
No ka hoʻokipa ʻana i nā hōʻano kolamu ma kēia pūʻulu pilikia, ʻo nā kāne ma kā lākou mau kanalima a ʻoi aku hoʻi e hoʻāʻo ʻia i hoʻokahi makahiki i ka makahiki.
Kāne lāʻau koko koko i nā kāne ua ʻelemakule mai 50 makahiki a 60:
I nā kāne makua mai 60 a 70 paʻa ka pale o lipid, ua haʻahaʻa loa kā lākou ʻike. Hoʻomaʻamaʻa ʻia ka hopena ma nā ʻōhua cholesterol i nā maʻi maʻi hope a me nā ʻano hana.
E like me ka papa o nā waihona i ka kolamu ma hope o ka makahiki o 50, e kuhikuhi ʻia e nānā i nā ʻōnaehana biochemical koko, ECG a me ke ʻano pale o kēlā me kēia makahiki, e kūkākūkā mau me nā mea lapaʻau kūikawā.
ʻO keʻano o ka cholesterol koko ma nā kāne i hala ma hope iho 60 a 70 makahiki mau:
I nā kāne ma mua o 70 mau makahiki Hoʻemi iki ka kikoo HDL, ʻo ia ke ʻano o ka physiological. Ke ulu nei ka manawa o ka holomua o ka atherosclerosis a me nā maʻi o ka ʻōnaehana vascular. I kēia manawa, pono ia e nānā pono i ke kūlana o kou olakino, makaʻala i ka mea pono e pono ai no ke olakino maʻamau. Me he mea pale ʻana, nānā i nā nānā a me ka nānā ʻana i nā pae kolamu i kēlā me kēia mau mahina ʻeono.
No nā kāne ʻoi aku ma mua o 70 mau makahiki, mauʻano nā hōʻailona o ka kolamu a me kāna mau huaʻōlelo penei:
Ma waho, he paʻakikī ka piʻi ʻana i ka cholesterol ma muli, no ka mea ʻaʻohe mau hōʻailona e ʻōlelo nei e hiki ke hōʻike i kēia i nā wā mua.I nā kūlana hou aʻe, hiki iā ʻoe ke ʻike i nā hōʻailona o ka atherosclerosis, ka maʻi naʻau coronary (coronary heart heart) a me nā maʻi ʻē aʻe.
I nā kāne ma luna o kanalima, hiki ke hoʻonui ʻia ka nui o ka cholesterol ma nā huʻi o ka naʻau, a me nā hōʻeha ma nā wāwae i hiki ke hele aʻe inā e hele ana. Me ka hoʻohaʻahaʻa ʻana i ka wai momona momona, ua hōʻike ʻia nā mea maʻi me nā hoʻopiʻi: a ʻo ka ʻoki ʻana i ke ʻano o ke ʻano pale, hoʻemi ʻia ka libido, ke kaumaha, ka maʻi. Hōʻike pinepine ʻia ka Xanthomas i nā kāne - ʻoi aku ka ʻano o ka hōʻailona like me ka wahine wahine - ʻo ka hōʻailona a me ka hoʻāʻo ʻana i ka wahine i ʻokoʻa ʻole.
E hoʻonui i nā kolamu ʻē paha ka ʻokoʻa mau kumu. ^ E Ha yM. I ka hoʻohuiʻana i nā meaʻai o ka papaʻai, nā hana maikaʻi (i ke kīwī), nā momona, kahi ke ola pono ʻole, ka hypercholesterolemia hiki ke hana i ka hypothyroidism. I hypothyroidism e hoʻohālikelike ana i ka nui o nā hormone. A ke kuleana lākou i ka hoʻoponopono ʻana i ka kolamu ma ke koko. Ma hope o kēia, ua liʻiliʻi kekahi mau hormones - he liʻiliʻi liʻiliʻi o ka hoʻomanawanui a me ka hoʻonui ʻia ka cholesterol. Ma mua o kēlā ʻoi aku paha ma mua o ka maʻamau:
- ʻO ke ʻano hanana - i ka hoʻoilo, he nui ka poʻe i loaʻa ke ʻano o ka palaleka ʻana o lipid.
- ʻO nā maʻi me ka maʻi maʻi āpau.
- ʻO ka maʻi o Girke.
- Ka inu maikaʻi ʻana i ka waiʻona.
- Hoʻohui keiki.
- Nā hana kūlohelohe ma ka ʻōnaehana biliary - cholestasis.
Eia kekahi i ka kolamu, pono ia e hoʻokele rate triglyceride. ^ E Ha yM. No lākou, he 2-2.2 mmol / L.
I kēia manawa ʻike mākou i ka hapa nui o ka kolesterol i loko o nā kāne, ka mea maʻamau, ma muli o ka makahiki a me ka pae maʻamau o ka triglycerides i loko o ke koko, e noʻonoʻo mākou i ka mea o ka pae ma luna o kēia mau ʻāpana a he pilikia weliweli.
Me ka hypercholesterolemia e pili ana i ka wā, hoʻonui ka nui o ka kolamu ma muli o ka LDL, ka mea i manaʻo ʻia he hapa mea maikaʻi ʻole. No laila, ua hoʻonui ʻia ʻo LDL: pehea ka manaʻo?
Loaa i kēlā kolamu (hewa) nā waiwai e kau ana ma luna o nā paia vaskular, e hoʻopili ana i ka molekula a me nā molekala, a no laila, ka hana ʻana i nā kolamu kolamu. ʻO kēlā mau kaʻina hana i ka manawa ke alakaʻi i ka hanana o nā pathologies vascular, nā mea o ka ischemia a me nā maʻi cardiovascular ʻē aʻe. ʻO ka hopena nui o kēia pathogenesis he atherosclerosis. A, i ka hopena, hiki iā ia ke alakaʻi i nā hoʻopiʻi e like me ka angina pectoris, hypertension arterial, hōʻeha ka naʻau, nā hōʻeha, ka maʻi ʻeha coronary.
E mālama ʻia no ka hana ʻino ʻana i nā hōʻailona hiki a i ʻole nā lehelehe, akā kū hoʻokahi wale nō ma hope o kahi hoʻopaʻa ʻana a me ka kūkākūkā me kahi kauka ʻikenāna, ma muli o nā loiloi i hōʻiliʻili ʻia a me nā haʻawina kūikawā, e hoʻokolokolo a kuhikuhi i ka lāʻau kūpono.
Ke lawe ʻia ke koko e hoʻopaʻa i ka ʻōmole lipid, ua hoʻoholo ʻia nā huaʻōlelo penei:
- Kākoʻo Cholesterol (OH)
- ʻO nā lipoproteins kiʻekiʻe, Adol / L (HDL)
- Lipoproteins Haʻahaʻa iki, mmol / L (LDL)
- Maligali (TG)
Hoʻopili, ua kapa ʻia kēia mau mea kuhikuhi i kahi ʻōlelo lipid. Ma mua, ua ʻike mua mākou i nā hōʻailona o ke ʻano o ka cholesterol, HDL a me LDL i nā kāne i ka wā o ka makahiki. ʻO kēia hoʻoili ʻana no ka hoʻolimalima kakahiaka wikiwiki, ua nānā ʻia ke koko venous. ʻAʻohe mea hoʻomākaukau kūpono loa no ka laʻana koko, 10-12 mau hola ma mua o ka nānā ʻana, ʻaʻole i ʻai ka ʻai, ka lā ma mua o nā lāʻau lapaʻau a me ka waiʻona ʻaʻole e lawe ʻia ka ʻuhane a me ke kaumaha.
Pono e nānā pono i ka neʻe ʻana o ka cholesterol i ke koko a mālama i loko o nā palena i loa ʻia. No kēia, ua ʻōlelo mau e mālama pinepine i kahi kiʻi lipid ma nā lime, e pili ana i ka makahiki.
I mea e hōʻalo ai i nā pilikia kolesterol me ka lōʻihi, pono ʻoe e pili i nā loiloi e ʻae ʻia i kekahi. E makaʻala e pili ana i ka mea ʻai a me ke ʻai pololei. ^ E Ha yM. Pono e kūpono nā palena o nā meaʻai; Kahi nā huahana e like me: ke kime hale momona kiʻekiʻe, nā huaʻai, ka pata, ka momona, ka momona holoholona, nā kīʻaha, nā ʻiʻo momona.Pono e hāʻawi ʻia i ka makemake i nā meaʻai momona haʻahaʻa loa, no ke laʻana, nā huahana waiū me ka hapa haʻahaʻa o nā momona momona.
Pono e hoʻohui i ka meaʻai nā mea hou aku a me nā meaʻai. ^ E Ha yM. Pono ia e kaupalena ʻia, a ʻoi aku ka maikaʻi e hoʻopau pono, nā meaʻai i nā huahana a me nā huahana me nā momona transgenic (chips, crackers, puffs, donuts, etc.). Hoʻomaopopo ʻia hoʻi e ʻai i nā mea liʻiliʻi (ʻoi aʻe ka momona).
Ma kahi o nā hiʻohiʻona o ka meaʻai, ua hoʻopiʻi ʻia ka hopena huehue i nā pae kolesterol ka hoʻoikaika kino. ^ E Ha yM. Hoʻomaʻa maikaʻi ka hoʻonaʻauao kino i ke ʻano o ka momona "kino" ma ke kino. ʻOiai hoʻohana he mau hele wāwae maʻamau.
I ka hoʻohui ʻana i nā mea kūlohelohe i ka hoʻohaʻahaʻa i ka kolamu ma ka kāne, hiki i ka lāʻau lapaʻau i hoʻoiho ʻia e nā kauka. Aia kekahi mau kumu kumu mau hui lāʻaui hana e hoʻohaʻahaʻa i nā pae lipid liʻiliʻi i ke ʻano
- Nā ʻāpana. ^ E Ha yM. Ma nā ʻōlelo olakino, e like me nā lāʻau lapaʻau e like me Krestor, Liprimar, Atorvastatin, Simgal, Lipostat, Rosuvastatin, Torvakard a me nā mea hou aku e ʻike pinepine ʻia. Hoʻopā kēia mau lāʻau i nā enzymes e kuleana ai no ka hoʻopili ʻana o ka kolamu "kino". Kōkua lākou i ka hoʻomaʻemaʻe i nā moku i hoʻopilikia ʻia, a me ka hoʻihoʻi pinepine ʻana i nā mea i nalo ai. ʻO ka hoʻomākaukau o kēia pūʻulu i ka nui o nā hopena o nā ʻaoʻao a me nā contraindications, no laila, ke kuhikuhi wale ʻia e nā poʻe loea.
- Hoʻopuka ʻana. ^ E Ha yM. Canon Fenofibrate - kahi wae maʻamau o nā lāʻau lapaʻau o kēia hui, e hoʻokūpaʻa i ka pae o ka momona a me ka waikawa uric. Hoʻohana ʻia ia e like me ka lāʻau lapaʻau hou ma ka mālama paʻakikī inā loaʻa nā waiwai kolesterol ma ka 7.4 mmol / l.
- Noho resona mokulele. ^ E Ha yM. Hoʻopili ʻia LDL a hoʻopuka ʻia. Lawe ʻia kēia mau lāʻau lapaʻau me ka meaʻai.
- Nā lāʻau me nā ASA (acetylsalicylic acid, mauʻu). Hoʻēmi i ka nānā ʻana i ke koko, aia iā ia iho ke pale ʻana i ka hōʻeha ʻana o ka naʻau a me nā hōʻeha, ka thrombosis, e pale ai i ka hoʻokumu ʻia ʻana o nā plak atherosclerotic.
- Nā mea hoʻohui meaʻai hoʻokumu ʻia ma chitosan, taurine, lecithin a i ʻole nā mea kanu ʻē aʻe. Ua hoʻohālikelike ʻia kēia mau mea i nā maʻi i hoʻohiki ʻia nā lāʻau lapaʻau hou.
Hoʻopili i nā lāʻau lapaʻau, nā meaola a me nā mea lapaʻau e kōkua ai i ka hakakā no ke ʻano o ke kolamu. I nā mau makahiki, ʻo nā lāʻau kuʻuna pilikino e like me ka ʻoliala a me nā kīmi kūlohelohe, ke kāleka, ka waiū thistle herbs, artichokes (me kahi kīʻaha kūʻokoʻa a i ʻole hoʻohui), a i nā aila ʻaila (15 ml pono 30 mau minuke ma mua o kaʻai) ua hōʻoia i ko lākou mea hoʻomau.
ʻO nā mea hōʻike o ka kolamu he mea koʻikoʻi loa i ke olakino kāne. I ka wā o ka makahiki, aia kahi pūnaehana o nā loli o ka hormonal a me nā hoʻoponopono hou e pono ai i kahi hoʻololi i ke kaulahao lipid pū kekahi. No laila, ʻoi aku e nānā pinepine ʻia nā kāne ma hope o 30-40 mau makahiki a hopu i kahi kiʻi lipid i mea e maopopo ai nā loli i ka manawa a pale i ka ulu ʻana o nā hoʻopiʻi koʻikoʻi. He meaʻai kūpono, ka hana kino kūlohelohe - ke kumu no ka pale ʻana i nā pathologies kolamu.
He aha ka pae o ka kolamu o ke koko maʻamau i nā kāne i ʻoi aku ma mua o 40 mau makahiki a he aha nā mea e weliweli ai nā maʻi?
Me ka nui o ka makahiki, e māhuahua ka nui o nā maʻi cardiovascular. Kuhi ʻia nei e ka pae o ka cholesterol ma ke koko. Pono pono e kāohi i kēia kuhikuhi, ʻoiai ke kūahiʻu nei i kekahi ala i ke koʻikoʻi i ke olakino. Ma kēiaʻatikala, ʻike ʻoe i ka nui o ka kolamu koko maʻamau i nā kāne ma hope o ke 40 mau makahiki o ka makahiki a pehea e hoʻomaʻamaʻa ai i ka hōʻailona inā e kihaka ai a i lalo paha.
ʻO ke ʻano o ka cholesterol koko ma nā kāne ma hope o 40 mau makahiki (papaʻaina)
Hiki i nā kolea keʻokoʻa. Aia kahi kuhikuhi hoʻokahi o kona paʻa holoʻokoʻa i ke koko, akā ʻaʻole hiki ʻole ke loiloi i ka hopena o ka hoʻomohala ʻana i nā maʻi cardiovascular. Ma ka ʻōnaehana kaila, ua loaʻa ka kolamu ma nā ʻano o nā ʻekolu:
Ka neʻe pinepine ʻana o ka kolala free, akā he mea ʻokoʻa kēia, ʻaʻole i ʻike ʻia.ʻAʻole hoka kēia kinona, e like me kekahi o nā molekule momona, a i komo i ke koko, hoʻohui pū ka cholesterol me nā protein a hana i nā conglomerates: ʻālima me nā molekala momona, ma ka papa o ka mea he mau mea ʻona. Ua pane lākou i nā pona ate a lilo i alakaʻi i ka unmistakable transport of cholesterol i loko o ka ate. Ma laila ke hoʻokaʻawale, a pālahalaha ʻia kona mau ʻalapula ma loko o ke kino a hāʻawi i ka ʻili me ka ikaika.
Ua kapa ʻia nā Conglomerates he lipoproteins. Hoʻoholo ʻia kā lākou kūlike ma ka māhele o nā molekala momona i loko o nā kinipona a me ka nui o nā protein receptor permukaan. Manaʻo ʻia ʻo HDL "maikaʻi" (palekana) ka cholesterol. Pēlā e hoʻolako ʻia i ka ate no ka hoʻoili ʻana. He nui nā molekela momona ma ia mau conglomerates, a me nā mea taliaina he nui.
He mea hōʻeha ka LDL a me VLDL i ke kino. ^ E Ha yM. Hoʻokumu ʻia nā pololi kolesterol mai lākou. ʻO kā lākou hoʻokūkū, ma kahi ʻē aʻe, loaʻa i nā nui o nā molekite momona a he kakaikahi wale ma ke kō. I kēia hoʻohālikelike, lawe ʻia ka kolala mai ka ate i nā ʻili e hoʻolako iā lākou me nā lako a me ka ikaika.
ʻO ka hoʻokumuʻana o ka kolamu e waiho ma nā paia o nā moku koko ma muli o ka hoʻonui nui o kahi mea i loko o ke koko.
Hoʻokomo wale nā Plaque i kahi moku i hoʻopau ʻia. Hoʻokomo ʻia nā Platelets i ka manuʻa e pani ai i ke koko, a hana i kahi ʻano kapa. Aia ia he kuleana e like me LDL. Ma ke kumu o ka "makemake" e, ua hoihoi ʻia nā mea. He ʻano koko. I ka lōʻihi o ka manawa, hoʻopaʻa ʻo ia a hōʻino hou i ka moku.
Aia ma lalo iho kahi papa o nā hōʻailona o ka cholesterol i nā kāne ma hope o 40 mau makahiki. E nānā i ka hapa LDL. E hoʻoholo ana i ka pilikia o ka hoʻomohala ʻana i ka maʻi cardiovascular.
Palapala: koko koko i loko o nā kāne (e ka makahiki)
Aia ma lalo kahi papa pākuʻi kikoʻī (kolesterol - ke kumu maʻamau i ke koko o nā kāne ma ka makahiki) a me nā ʻōlelo liʻiliʻi no nā hui makahiki (ma hope o 30, 40, 50, 60 mau makahiki / LDL, HDL, ka nui). Kūleʻa, akā maikaʻi loa - nā manaʻo ʻōlelo o nā kauka. A eia kekahi, he papa papahele (triglycerides - nāʻano maʻamau i ke koko i nā kāne).
Hoʻololi ʻia nā ʻōmaʻomaʻo (kolokalia / maikaʻi koleka i nā lālau o ka papa) i nā ʻike kūmole mai nā ʻoihana kaulana o ka honua no ke aʻo ʻana i ka atherosclerosis a me nā maʻi cardiovascular. Inā makemake, ʻike hou ʻia ka ʻike ma kahi manawa. Nānā ʻia nā waiwai āpau e nā ʻenehana loea, ma hope o kā lākou ʻae - i paʻi ʻia ma ka pūnaewele.
Ma mua o ka nānā ʻana i ka papaʻaina, e nānā pono i ke ʻano o kēia mau huaʻōlelo a me nā leka - ʻelua ma ka papa o nā kiko o ka papa a me nā hopena o kahi hōʻike koko. Kahi, e like me ka biomaterial no ka noiʻi a me ka hōʻike ʻana i nā waiwai o ka kolamu a pau, hoʻohana ʻia ke koko capillary (ʻo ia hoʻi "mai ka manamana lima"). A ma ka ʻōlelo o ka ʻōlelo lipid (lipidograms) - mau wale wale nō.
Kālā kolamu (Kālā) a me Cholesterol komo (ma ka USA, Kanada a me ʻEulopa). ʻO kēia mea momona-like (waxy) mea pono no ko mākou kino. No ka mea ke komo ikaika nei i ka hana o nā hormones (a me ka vitamin D), ka hoʻomoʻa ʻana o ka meaʻai a me ka hoʻokumu ʻana o nā kinona o ka nerve. ʻO ia nō ka mea nui i ka membrane pūnaewele, hana nui i ka hana o ke lolo a me ka ʻōnaehana pale kino (pale iā mākou i ka oncology).
Eia nō naʻe, me ka nui o ia mea (ma ka ʻōlelo maʻamau, i ka māhele LDL i wehewehe iki ʻia ma lalo nei) i nā hōʻeha o ka hoʻomohala ʻana i nā kolamu kolesterol (i.e., ka ulu ʻana o ka atherosclerosis) hoʻonui. ʻO ka hopena, ke alakaʻi nei i nā blockage (occlusion) o nā kīʻaha koko a i ʻole nā ʻiwi e lākou, a no laila - ke puʻuwai a i ʻole ka hōʻeha ʻana.
Kuhi (maʻamau) nā hōʻailona o ka kolamu o nā kolamu no nā kāne: ma ka pae o 5.2 - 6.2 mmol / l (a i ʻole 200 - 238.7 mg / dl)
Ke lilo ʻana i ka momona momona / wai ʻawaʻawa (e like me ka ʻōlelo ma luna), ʻo ka kolamu a piha ʻole i ka wai. No laila, no ka huakaʻi ma o ka ʻōnaehana uila, ua 'ōlelo' ia i loko o kahi membrane protein e pili ana i nā apolipoproteins (A1 a me B).A ʻo ke kumu, hana ʻia nā mea paʻakikī e kapa ʻia ʻo kauka - lipoproteins (kiʻekiʻe / haʻahaʻa / haʻahaʻa a haʻahaʻa a hoʻoneʻe waena).
Lipoproteins haʻahaʻa haʻahaʻa (mau inoa ʻē aʻe no LDL, LDL cholesterol, beta-lipoproteins, beta-LP). Kāleka haole - LDL, LDL-C (lipoprotein haʻahaʻa haʻahaʻa, haʻahaʻa lālani lipoprotein cholesterol). ʻO lākou nā mea lawe nui o ka cholesterol i loko o ke koko, a me nā mea pale nui o ke kino mai nā mea huʻala make maʻi make. Eia nō naʻe, ua kapa ʻia ʻia ʻo "cholesterol maikaʻi". Ma muli o ka hiki ʻole o ka hoʻokumu ʻana i nā pāla atherosclerotic ma nā paia o nā moku koko a i ʻole nā ʻāpana. Ua kākau mākou e pili ana i kā lākou mau pilikia i kahi kiʻekiʻe aʻe.
Ka maʻamau (awelika) LDL no nā kāne: ma ka pae o 2.6 - 3.3 mmol / l (a i ʻole 100 - 127 mg / dl). ʻO ke kumukūʻai kiʻekiʻe ke alakaʻi i ka hypercholesterolemia.
Nā lipoproteins kūloko kiʻekiʻe (mau inoa ʻē aʻe: HDL, HDL cholesterol, alpha-cholesterol). Kāleka haole - HDL, HDL-C, Cholesterol HDL (Nā lipoprotein kūloko kiʻekiʻe, High lipoprotein kiʻekiʻe). ʻAʻole i like ko lākou "poʻe i hana mua," haʻaheo lākou i kapa ʻia ʻo "cholesterol" maikaʻi. No ka mea ʻo lākou ke kuleana no ka lawe ʻana i nā momona momona (LDL, STD) i ka puʻuwai. Ma kahi a lākou i hoʻokaʻawale ʻia ai i loko o nā kumuwaiwai bile, a laila hoʻokuʻu ʻia ma waena o nā ʻōpū.
Kahi kūpono (awelika) HDL no nā kāne: ma ka pae o 1.0 - 1.55 mmol / l (a ma 38.5 - 59.7 mg / dl). ʻO nā waiwai haʻahaʻa - hoʻonui i nā hōʻeha o ka hoʻomohala ʻana i ka atherosclerosis a i ʻole nā maʻi cardiovascular. ʻO nā waiwai kiʻekiʻe - ma kahi ʻē aʻe, ke kāhea ʻia nei e nā kauka "ʻeha lōʻihi ka lōʻihi."
I USA, i mg / dl. (i.e. in milligrams per deciliter), a ma Kanada, ʻEulopa a me Russia - i mmol / l (i.e. milimoles i pāhau). Inā loaʻa, ʻike ʻia ka papa kuhikuhi huakaʻi e like me kēia ʻōlelo ʻana:
- Kāpau (mmol / l) = kolamu (mg / dl) x 0.0259,
- Kālā (Cholesterol) (mg / dl) = cholesterol (mmol / l) × 38.665.
Nā triglycerides maʻamau i nā kāne, hiki i ke koko (i hōʻike ʻia ma ka papa ma lalo) ke loli ʻokoʻa i ka makahiki wale nō, akā pili pū i nā ʻano ʻokoʻa o ke kino. No ka hoʻomaopopo ʻana i ke kiʻi ʻoi pololei (ma ke ʻano olakino olakino), e noʻonoʻo e nīnau me ke kauka kūpono.
Lipa ʻihi (mmol / L)
Wahi a ka papaʻaina (i hōʻike ʻia ma luna), ʻike maopopo ʻia ke ʻano o ka cholesterol me nā makahiki. ʻO nā kiʻi no nā ʻōpio'ōpio a me nā kāne makua (ʻoi aku ka makahiki), ʻoiai ʻaʻole i koʻikoʻi, akā mau nō naʻe - ʻokoʻa. I nā makahiki i ulu lākou. No laila, mai kuhihewa ʻoe e hoʻopili iā ʻoe iho me kekahi ʻano o ka papa ʻaina, ma kahi (i ka pūʻali koa) ʻokoʻa ka ʻike a pau i ka helu (ma lalo o hoʻokahi "comb"). No kahi nui o nā kumu, ʻaʻole hiki i nā pae like ʻole o ke kolamu o ke koko no nā kānaka ʻōpio a me nā ʻelemakule / makua a me nā keiki.
Hoʻololi nā helu i ka wā o ka manawa, a pinepine - he ʻano maʻamau kēia. ʻAʻole pono nā kāne e "hakakā" me ka manaʻo kumu ʻole no ka manaʻo (me ka ʻole o ke kūkā ʻana i nā kauka)! Mai ka haʻahaʻa haʻahaʻa loa (i.e., ma lalo mai o ka maʻamau o ka makahiki) i loko o ka manawa he nui wale nō me ka pohō hohonu, akā, me ka hoʻohaʻahaʻa haʻahaʻa loa i ka libido (a laila potency)! Wahi a nā hualoaʻa o ka noiʻi (2000) - ke piʻi aʻe nei nā pilikia i ka 400-700% a hoʻohālikelike ʻia i nā kāne he nui o ka cholesterol a me ka triglycerides i ke koko.
(ka laulā helu: 3.57 - 6.58, LDL: 2.02 - 4.79, LDL: 0.72 - 1.63)
Inā i nā makahiki ʻōpio ua hiki ke "kipi" i ka pō ma ka lele, a laila i kēia manawa o ke ola - ke hoʻomaka ʻia nei nā lā hoʻomaha "i ke kakahiaka". Nā mea i kapa ʻia pilikia waena waena (ka noʻonoʻo ʻana i ke ʻano o ke ola), hoʻonāukiuki - ka nui o ka hoʻonui ʻana i ka kolamu LDL i nā kāne (ma muli o ke ʻano mauʻeha o ka naʻau). Eia naʻe, ʻo ka hana ʻana e hōʻemi i kona pae i ka serum o ke koko, e hoʻomanaʻo ʻia he hana kūpono ʻole (ʻo ka mea, ka lāʻau lapaʻau iho a i ʻole nā meaʻai kūpono) ke "hōʻeha" i ka cholesterol HDL maikaʻi. A he pōʻino nō kēia ʻaʻole ʻo ka hoʻonui wale ʻana i ka pilikia kahiko, akā no ka ulu ʻana o nā mea ʻē aʻe he "pilikia" hou. A ʻo kēia (i ʻōlelo ʻia ma luna aʻe) ʻo ka emi ʻana o ka potency a me ke kaumaha, a me ka hōʻeha a me nā pilikia a me nā pilikia o ka hana ʻana o ka ʻōnaehana (kahi emi nui o ka pale kino).
(ka ʻike kiko: 3.91 - 6.94, LDL: 2.25 - 4.82, LPV: 0.70 - 1.73)
Wahi a nā mākaʻina Kina: nā mea a mākou i lulu ai i ko mākou wā ʻōpio, ma hope o ka ʻāmaʻalima he mau mea kā mākou e ʻohi ai: inu i ka wai (a nui ka "ikaika", like me ke kanaka), ka uahi a (ʻoi aku ka nui o ka pā i kekahi lā) a me nā "pā". ʻO ke kumu / kiʻekiʻe o ka kolamu ma ke koko he hilinaʻi nui loa i ke ʻano o ka pūpū, a ʻaʻohe mea ʻē aʻe e "hahau" e like me ka wai ʻona. ʻO kekahi pilikia ʻano ʻē aʻe (no nā kāne hoʻokahi), ʻo ia hoʻi, hoʻohaʻahaʻa i ka cholesterol HDL, ma muli o ka ʻai "hoʻēmi" (no ka laʻana, ka nele o nā kīʻaha wela, nā kuke ʻōwili, a me ka papa ʻaina kūpono). Pono nā mea āpau i kahi pālule! ʻO kekahi ʻōlelo ʻē aʻe no ka poʻe ʻoi aku o 40 e puka i waho o ka kaʻa me ka "hoʻokaʻawale i ke koko" ma ka wāwae (ma kahi o 30 mau minuke o ka peppy e hele ana i ka lewa wai). A i ʻole kahi hale ʻaina (ma kahi o 2 mau manawa i hoʻokahi pule).
ʻO nā pae koko maʻamau i nā kāne ma hope o 50 - 55 mau makahiki
(ka ʻike lōkihi: 4.09 - 7.17, LDL: 2.31 - 5.10, HDL: 0.72 - 1.63)
ʻAʻole i like me nā wahine, ʻaʻohe ikaika o ka hapalua o ke kanaka i ka palekana i ke kūlohelohe i nā kiʻekiʻe o ka cholesterol. Hānau i ke kāne wahine - estrogens, kū a me ka hoʻōla maʻamau o ka lele ʻana o ke kolamu (no ka laʻana, i ka wā gestation). ʻO ia ke kumu, pili pono ka pilikia o ke kolamu maʻamau no nā kāne ma hope o ke kanalima makahiki - "ʻae" maoli lākou i nā pilikia. Paipai ikaika ʻia kēia ʻikepili: e pili pono (nānā pono) e nānā i ke olakino, ma ka liʻiliʻi e hoʻokahi manawa i hoʻokahi makahiki e hoʻopaʻa i nā hoʻokolohua a me nā hoʻokolohua. "Noho ʻo" i kēia hana o ka nohona e ulu koke. ʻO ka manawa e nalowale ʻaʻole pono ia! Hōʻāpā loa ʻia ke hoʻopiʻi i ke kipa i ke kauka "no ka lā ʻapōpō" a i ʻole mai ka Lāpule "
Hoʻololi i nā kāne kahiko ma ka makahiki: ma hope o 60 - 65 mau makahiki
(ka ʻike lōkihi: 4.12 - 7.15, LDL: 2.15 - 5.44, LPV: 0.78 - 1.91)
ʻO nā pilikia maʻamau e hoʻopilikia nui ʻia i ka nui o ke kolamu o ka mika no ke kāne ʻo ka "keu 60": ʻoi loa ke kaupaona ʻana, ke ʻano hana maʻalahi (no ka laʻana, no ka lohi) a me nā maʻi iā lākou iho (pūpū, hōʻiliʻili, ka ʻōpala, gland thyroid). ʻO nā ʻōlelo koi: ke ola hāmeʻa (maikaʻi: ke lawaiʻa, lawaiʻa, akā naʻe me ka wai ʻole, ka hele ʻana i kēlā me kēia lā - ma kahi o 3-5 mau mile), kaʻai kaulike (hōʻole i nā kīʻaha maikaʻi a maikaʻi ʻole ʻia) a me ka hoʻoliʻi lāʻau lapaʻau maʻamau (ma ka liʻiliʻi loa) aia ma mua o 2 mau manawa i kahi makahiki). Inā makemake mākou e ola (ma ke ano - e ola lōʻihi), a laila pono mākou e hoʻolohe i nā kauoha!
(ka liʻiliʻi o nā mea ulaula a me ka waiʻona - keu hou aʻe, hele wāwae / jogging i ka lewa aniani, e makamaka me nā dumbbells / kettlebells / barbells, e pili ana i ka makahiki).
- manaʻo maikaʻi maikaʻi nā meaʻai kūpono
(e komo pū me nā minamina a me nā minela pono ʻole, me ka nui o ka panaticism o ka mālama kolamu, inā ʻaʻole pono kēia)
- ka noʻonoʻo kūpono
(mālama mau i ka kūlana olakino maʻamau a me nā ʻuhane maikaʻi, e hoʻomanaʻo ʻo ka ʻōlelo ʻoi loa i nā pilikia "ʻōpio" he psychologist kūlohelohe, ʻaʻole cognac a i ʻole uaina).
- hana pinepine i nā hoʻokolohua a me ka hoʻomaʻamaʻa i kahi hoʻopaʻa ʻana
(e hoʻomaka ana mai 20 mau makahiki - ma ka liʻiliʻi he hoʻokahi i kēlā me kēia 3-5 mau makahiki, ma hope o ke 40-50 - ma kahi he 1 manawa o ka makahiki, ma hope o ka 60 - ʻoi aku 2 mau manawa i kahi makahiki).
M.A., Darenskaya Type 1 diabetes mellitus: / M.A. Darenskaya, L.I. Kolesnikova und T.P. Bardymova. - M .: LAP Lambert Kahuna Kumuhana, 2015 .-- 124 c.
Gurvich, M.M. Kuhiʻai no ka maʻi mellitus mellitus / M.M. Gurvich. - M.: GEOTAR-Media, 2006. - 915 p.
Antonova, R.P. ʻO nā mea lapaʻau maʻi ma ka home no nā poʻe maʻi me ka maʻi mellitus a me ka momona / R.P. Antonova. - M .: ProfiKS, 2004 .-- 240 p.- Zach, K.P. ʻO ka paleʻana i nā keiki me ka maʻi mellitus / K.P. Zack, T.N. Malinovskaya, N.D. Tronko. - M .: Buke komo, 2002. - 112 p.
- Diabetes, Laau - M., 2016. - 603 c.
E haʻi iaʻu iaʻu. ʻO Elena koʻu inoa. Ua hana wau ma ka endocrinologist ma mua o 10 mau makahiki. Ke manaʻoʻiʻo nei wau he kanaka mākeke wau i kaʻu kahua a makemake wau e kōkua i nā malihini a pau i ka pūnaewele e hoʻonā i nā paʻakikī a ʻaʻole pēlā nā hana. ʻO nā ʻikepili a pau no ka pūnaewele e hōʻiliʻili a hoʻomaʻamaʻa maikaʻi i mea e hōʻike ʻia e like me nā mea e pono ai ka ʻike. Ma mua o ka hoʻopili ʻana i ka mea i hōʻike ʻia ma ka pūnaewele, he kūkākūkā mandatory me nā mea loea.
He aha ka cholesterol?
ʻAʻole nui ka poʻe i ʻike i kekahi mea e pili ana i ka cholesterol a ʻaʻole i noʻonoʻo he mea nui ia e hana i ka diagnostics laboratorium e hoʻoholo i ka kuhikuhi o nā lipoproteins koko.
Ke alakaʻi aku nei kēia i ka mea e pili ana i kahi kuhi i ke ʻano o ke kolamu ma ke koko, hana i nā maʻi hiki ʻole ke alakaʻi i ka make ma ke wā ʻōpiopio.
ʻO kekahi mau ʻike e pili ana i ka kolamu e noho ana i ke koko ma nā ʻano he nui:
- Ua hoʻokaʻawale ʻia nā lipoproteins i nā kolikoli maikaʻi (ʻoi aku ke kiʻekiʻe) a me nā kolamu maikaʻi ʻole (haʻahaʻa a haʻahaʻa loa).
- ʻO ka hapa nui o ka cholesterol ka mea i hoʻohuihui ʻia e ka ate a hiki i ka 80.0% (ʻo ia paha ka laiki no ke kino)
- 20,0% ka nānā ʻia me ka meaʻai. ʻAʻole e komo nā molekele kiʻekiʻe kiʻekiʻe i ke kino me ka meaʻai, nā meaʻai e hoʻopiha i nā momona holoholona i ke kino me ka mololi haʻahaʻa mololi haʻahaʻa,
- ʻO kahi predisposition genetic i ka hōʻiliʻili o ka cholesterol hiki ke hana i ka pathology hypercholesterolemia,
- ʻAʻole pili ka index cholesterol kiʻekiʻe i ke kino,
- Ma hope o 20 mau makahiki no ke kāne, ua kauoha ʻia kahi pale ʻana i kēlā me kēia 3 i ka 5 mau makahiki,
- I nā wahine, pale aku nā hormones sex i ka ʻōnaehana vascular a me ka naʻau mai ka maʻi i ka menopause. Ma hope o ka menopause, ʻo ka nui o ka maʻi o ka maʻi e pili ana me ka hōʻemi o ka kolamu ma ke koko e hoʻonui i kekahi mau manawa,
- Uaʻoi aku ma mua o ka hapalua o nā poʻe i hoʻoponopono i kā lākou lipoprotein pae i ka maʻamau me ka ʻai ʻana o ka cholesterol.
- ʻO ka lāʻau lapaʻau no ka hoʻohaʻahaʻa i ka cholesterol he pūʻulu o nā fibrates a me nā statins,
- Ma ka cardiology, i ke helu ʻana i kahi ʻano o ka hōʻemi ʻana o ka puʻuwai i ka mea maʻi, pono ia e ʻike i ke kiko o ka kolamu a pau, me HDL a me LDL.
Nā kāpili i kūpaʻa
Nā kumu o ke kolamu kiʻekiʻe
ʻO nā mea nui e hoʻonāukiuki i ka hoʻonui ʻia o ka lipoproteins i loko o ke koko, he kīlepa ʻaʻai ʻole, a i ʻole holo piha ʻana i kahi moʻomeheuʻai, me ka hoʻohaʻahaʻa kino kino:
- Palaka ʻaʻai E hoʻopau i ka hoʻoliʻiliʻi liʻiliʻi ʻana aʻe e like me ka mea hiki, e hōʻole i ka kō. Pono ka liʻiliʻi o kaʻai i ka mea laʻe. Hōʻalo i nā momona trans, ʻaʻole ia e hoʻonui wale i ka index cholesterol, akā pili pū kekahi i ka hana o nā puʻuwai naʻau,
- ʻOi momona ʻopi momona. I ka puhi ʻana o ka momona o ke kino, ua hoʻemi ʻia ka LDL, a ua hāʻule ka pae o ka triglycerides i loko o ke koko. ʻO ka pohō i ka momona e hiki ke hoʻihoʻi i ka cholesterol i ka maʻamau.
- Kakahi o ka hoʻomaʻamaʻa. Ke hāʻawi nei ka ola i ka hoʻopiʻi ʻana i ke kahe o ke koko, ke alakaʻi nei i nā pāakeke atherosclerotic e hoʻokumu ana i ke koko kūhāhā. Inā hāʻawi ʻoe i ke kino e pili ana i ke kino i kēlā me kēia lā, a laila e hoʻemi ka LDL index a me ka nui o ka nui o ke kolamu nui molelala, a me ke ʻano o ke kino e emi ana a hoʻoikaika ʻia ka naʻau naʻau,
- Mākaukau i ka makahiki ma hope o 35 mau makahiki o, i ke kino kāne, ka piha o ka kolala, a me nā lipoproteins haʻahaʻa haʻahaʻa, e hoʻomaka ana e hoʻonui wikiwiki, e alakaʻi ana i ka hiki ʻana o ka atherosclerosis, me nā ala hoʻi o nā ʻōpū o ka puʻuwai,
- Nā hiʻohiʻona ʻaʻoleʻike ka wahine i mua o ka menopause i ka hoʻonui i ka kolamu, akā ma hope o ia mea, ʻike lākou i ka hōʻemi o ka LDL,
- Predisposition genetic he luhi a he pinepine ka lawelawe ʻana ma ke ʻano he anomali i ka wā e nānā ʻia ai ka hypercholesterolemia i nā keiki,
- Nā lāʻau lapaʻau nui ka poʻe e lapaʻau nei a, me ke ʻole o ke kauka lāʻau a kauka, lālau i nā lāʻau lapaʻau ʻano type or diuretics no kahi manawa lōʻihi. Hiki i kēia ke hoʻohaʻahaʻa i ka HDL a laila e piʻi ka LDL index.
Eia kekahi, ʻo nā ala lalo i ke kumu o ka kolamu kiʻekiʻe o ke koko:
- ʻO ke kulekele o ka ʻōnaehana endocrine diabetes mellitus,
- ʻO nā maʻi o ka hui endocrine o nā kelepa thyroid,
- ʻO Renal hiki ʻole
- ʻO nā maʻi maʻi ʻona
- ʻO ka maʻi koko
- Nikotine a me nā mea inu waiʻona,
- E hoʻonui i ka kolesterol i ka wā o ka gestation fetal,
- ʻO nā maʻi Ovarian i ka ʻōnaehana hānau wahine.
ʻO ke kaupaona ʻana ke kumu o ka hoʻonui ʻana o ka cholesterol i ke kino o ke kanaka
Pākuʻi ʻia ke kahu biochemistry no ke kolamu
Ke hoʻomaopopo nei i ka mea o ka pae o ka lipoproteins i loko o ke koko a me ke ʻano he mea maʻamau mai ka maʻamau, hiki wale nō me ke kōkua o lipid biochemical analysis, kahi e hōʻike nei ʻaʻole wale nō ka māka a pau i ka hoʻopili o ka lipids koko, akā, nā hōʻailona pūʻala o ka mololi kiʻekiʻe a me nā molekole haʻahaʻa kiʻekiʻe.
I mea e hāʻawi aku ai i ke koko i ka cholesterol, pono ia e hoʻomākaukau i ke kino no ka biochemistry. Ma waho o ka hoʻomākaukau ʻana, ʻaʻole i ʻike ʻia ka biochemistry o ka lipid loiloi, nā ʻokoʻa paha i nā hihia ulia i ka wā e koi iki ai e hoʻopakele i ke ola o ka mea maʻi.
Nā hana hoʻomākaukau no ka nānā ʻana:
- Mai lawe i ka meaʻai no 8 a 12 mau hola, akā ʻaʻole lōʻihi. Ka hoʻolōʻihi i ka lōʻihi e hoʻonāukiuki i ka hōʻemi o ke kino, e alakaʻi ai i nā mea hikiʻole ke deciphering biochemistry,
- Mai inu i ka waiʻona 2 mau lā ma mua o ka hāʻawi ʻana i ke koko,
- 3 mau hola ma mua o ke kaʻina e pale ai i ka ulaula.
- Hoʻohālikelike iā ʻoe iho i ka wai inu. ʻAʻole hiki iā ʻoe ke inu i ka hūnā ma mua o 15 mau mililoli o ka wai maʻemaʻe ʻole me ka wai ʻole.
- Inā ke lawe nei ka mea maʻi i ka lāʻau lapaʻau, a laila pono ʻoe e hoʻomaopopo i ke kauka. Pono e hōʻole i ka lawe ʻana i nā lāʻau liʻiliʻi ma kahi o 5 7 mau lā ma mua o biochemistry.
E noʻonoʻo i nā mea hoʻomaʻamaʻa
ʻO ka pae o ka kolamu ma ke kino o ke kanaka kahi hōʻailona kūʻokoʻa.
Ka pae o ka lipoproteins i loko o ke koko e hilinaʻi nei:
- ʻO ke kāne male a me ka wahine,
- ʻO nā ʻokoʻa e ke ʻano. I kekahi pāleke, ʻoi aku ka nui o nā lipids ma mua o ke kino o ke keiki.
- ʻO nā ʻokoʻa i loko o nā hōʻiliʻili mai ke kaumaha o ka mea maʻi. I nā pākeke me ke kaumaha o ke kino momona, ʻoi aku ka maikaʻi o ka kolamu ma ke koko ma mua o ka maʻamau.
- Me ka maʻi maʻi, aia kahi emi o ka cholesterol ma lalo o ke kumu o ka 15.0%.
Ma kēia ʻokoʻa, ʻaʻole hiki i kekahi ke ʻōlelo maʻamau i ke ʻano o ka cholesterol i nā makahiki ʻokoʻa. Aia wale nō nā mākau manamana kolamu normative i loaʻa i kā lākou pono o nā waiwai ponoʻī. Akā ke hilinaʻi nui ʻia i nā hiʻohiʻona a me keʻano o ke kino.
Nā makahiki ʻaina:
Hoʻonui ʻia ka hoʻonui ʻana i ka index kolestia i ke ʻano o ka manawa o ka hana intrauterine gestation o kahi pēpē i loko o ka wahine, a ma ka wā ʻōpiopio.
Ke hāʻawi nei ka momona, HDL ma nā liʻiliʻi liʻiliʻi e hoʻolilo i ka waiū umauma, hiki iā ia ke alakaʻi hou aʻe i kahi liʻiliʻi mai ke ʻano maʻamau, akā ʻaʻole ia he pōʻino.
ʻO nā poʻe ʻeha e hōʻeha nei i nā maʻi o ka puʻuwai naʻau, a me nā kahe o ke koko, aia kahi lua o ka maʻi mellitus, e hoʻohaʻahaʻa i ka kolamu ma lalo o ka hōʻailona normative no ka makahiki.
Pono ka ʻōlelo kikoʻī ma waena o ka ʻāpana he 4.0 mmol / L a he 5.0 mmol / L.
No ka mea he kino olakino kēlā, he ʻano maikaʻi kēia ʻano, akā no ka mea i hoʻolaʻa ʻia me nā vascular pathologies, he ʻano kolala ma lalo o ke ʻano pono e pale aku i nā hopena o kahi piʻi nui o nā lipoproteins koko ma luna o ke kuapo.
ʻO ke ʻano o ka kolamu no ke olakino olakino
ʻOiai i loko o ke kino olakino, hiki ke heluhelu pono i ka heluhelu maʻamau o ka nui o ka kolamu ma ke koko i lalo o ka mana o kekahi mau kumu:
- I ka hoʻoilo, i ka wā anuanu, aia ka loli a ma kahi o ka hōʻailona o ka lipoproteins i loko o ke koko, i lalo a piʻi i lalo mai ka pae maʻamau,
- Me nā menstruation ma nā wahine, hiki ke neʻe ʻia nā liʻiliʻi liʻiliʻi mai ke ʻano maʻamau.
- I ka wā hāpai, hoʻonui ka kolamu nui i ka awelika ma o 10,0% 15.0%,
- Ke komo nei nā maʻi a me nā puʻupaʻa i ke kino o ka pākeke, ke neʻe nei hoʻi nā hōʻailona mai ke kumu a hōʻemi i ka 10.0% 15.0%.
Mahele ʻokoʻa ka nui o ke kolamu koko
Me ka hoʻonui pinepine o ka kolamu ma ke koko, kahi pilikia o ke kino e lawe ai i kāna haʻahaʻa haʻahaʻa. Hiki i kahi ʻōlelo liʻiliʻi ke hopena i nā ala no ke kino a me ke kumu o ka hoʻomohala ʻana i nā maʻi like ʻole.
Hoʻopili i ka manawa kūpono o nā lipids i loko o nā hōʻailona normative e ʻae i nā peke, a laila e emi ʻōpū i luna.
I nā wahine (papaʻaina)
I nā wahine, ʻo ka manawa pōpilikia ka pilikia ma ka hoʻomohala ʻana i nā maʻi o ka ʻōnaehana koko, a me nā ala ʻoka hoʻi hiki mai ka hoʻonui ʻana i ka cholesterol i loko o ke koko koko, ʻo ka menopause a me ka menopause.
ʻO nā waiwai o nā lipoproteins i ke koko o kahi wahine, e hilinaʻi ana i ka makahiki, i hōʻike ʻia ma kēia papaʻaina.
Hāʻawi ʻia nā hoʻohālikelike i ka hoʻokalakupua o ke ʻanoʻano i loko o ke ana o ka ana mmol no ka 1 lita o ke koko:
ʻO ka emi ʻana o nā pae hormonal e pili i ka hoʻonui nui ʻana o ka cholesterol i ka kino wahine.
I ka kāne (ka papa)
I ka lāʻau lapaʻau, e like me nā helu helu, ʻike ʻia kahi index cholesterol kiʻekiʻe i ke kino kāne ma hope o 35 mau makahiki. I kekahi manawa ke loaʻa nei nā ʻōpiopio i nā makahiki 30 a ʻaʻole keu.
I ka mua, ke kau nei ia i kāna moʻomeheu meaʻai, ma kona makemake ʻole e hōʻeuʻeu i nā addiction (i ka u a me ka inu ʻona) a hoʻemi i ka hana kino. A ma muli o kēia, i kēlā me kēia makahiki i nā kāne, e piʻi nui ana ka nui o ka kolamu a nui aʻe ke ʻano o ka atherosclerosis.
I ke kino kāne, ʻo ka manaʻo o nā ʻano kolamu e hōʻike i kahi hōʻailona o ke kaʻina lipid.
Hōʻike ʻia ka helu lipoprotein maʻamau i ke kino kāne i ka papaʻaina.
ʻO ka lipid metabolism i nā kāne ma muli o ka hana ʻana i nā hormones sex.
I kahi keiki i ka wā hānau, aia ka ʻōmole kolene i loko o 3.0 mmol / L. He aha ke kumukūʻai maʻamau o ka lipoproteins no nā keiki, ʻaʻohe nā kauka e pane.
Nui ka kūkākūkā nui e pili ana i kēia, no laila ua hoʻokumu ʻia ka laulā o nā huahelu normative mai 2.50 mmol / liter a 5.20 mmol / liter.
Pono nā makua e nānā pono i ka hānai o ke keiki mai ka wā kamaliʻi a pale i ka momona. Hoʻemi i ka ʻai ʻana o nā keiki i ka meaʻai wikiwiki a me ka papaʻai koke, a mai hoʻohana i nā meaʻai maikaʻi i nā keiki e kuke ai i ka pāʻina.
Hoʻopiha ʻia kēia mau huahana i nā momona trans ma luna o ka pākaukau, e alakaʻi nei ʻaʻole wale i kahi kiʻekiʻe o lipids i ke koko, akā pili pū kekahi i ka choroid a hoʻoiho i ka naʻau naʻau.
Pono e hoʻokaʻawale i ka meaʻai no ke keiki me nā huaʻai hou, a me nā ʻai momona haʻahaʻa, nā iʻa kai a me nā huahana waiū.
Nā huawai hewa Triglyceride
ʻO Triglycerides me nā molekole cholesterol e lilo i mea waiwai no nā sela o ke kino. Ke ʻaʻole ʻoi aku ka triglycerides i ke kumu o ke koko, a laila hoʻomaikaʻi lākou i nā kaʻina lipid.
ʻO ka minamina o nā molekela ʻaʻole wale e hoʻonāukiuki i ka hoʻololi ʻana wela i loko o ke kino, akā ke lawelawe pū kekahi mea hōʻailona no ka hoʻoholo ʻana i ke ala o ka atherosclerosis, a me nā maʻi o ka naʻau puʻuwai.
No laila, he mea nui loa nā kuhikuhi e like me ka HDL a me ka LDL index:
ʻO nā lāʻau lapaʻau e hōʻemi ai i ka cholesterol kiʻekiʻe
Koho ʻia ka lāʻau lapaʻau lāʻau e ka kauka ponoʻī no kēlā me kēia maʻi. I ka manawa pinepine, ʻo nā lāʻau lapaʻau koʻikoʻi i hoʻohana ʻia i ka mālama ʻia he statins a me nā lāka o ka hui fibrate.
Hoʻopili maikaʻi kēia mau lāʻau lapaʻau a hoʻohui i ka hopena therapeutic o kekahi i kekahi.
- Hoʻokahi hui Hoʻomākaukau Clofibrate, hoʻomākaukau ʻana Fenofibrate, ka lāʻau Gemfibrozil,
- ʻO statin hui Ka lāʻau Lovastatin, ka lāʻau Fluvastatin, ka lāʻau Atorvastatin, ka lāʻau Rosuvastatin, ka lāʻau hoʻoliʻi kino kolamu ʻo Simvastatin.
Inā loaʻa, na ke kauka i kuhikuhi i nā pūʻulu o nā lāʻau lapaʻau e hiki mai ana:
- Nā kahu noiʻi, nā moleki-lawe i ke kolamu, Ezetrol,
- Nā Sequestrants o nā momona acid bile, cholestyramine, Colestipol.
Hoʻohana ʻia nā lāʻau lapaʻau ʻē aʻe i ka mālama ʻana, ka mea i ka manawa like i ka ʻimi i nā ala no nā mea i hoʻonui ʻia ai ka kolamu, a i ʻole ma muli o kāna kiʻekiʻe kiʻekiʻe.
- ʻO ke kolamu o ka mineral-vitamin complex e kōkua i ke kino e komo i ka lāʻau lapaʻau
- Inā he mea mākaʻikaʻi ma ke lawe ʻana i nā lāʻau lapaʻau, a laila e hoʻohana ʻia nā antihistamines,
- Pono e hoʻohana i nā lāʻau hōʻili i ka hoʻāʻo ʻia o ka plasma koko i loko o ka hoʻomaʻamaʻa ʻia, e ʻae ʻia i ka hoʻohuihui ʻia nā mea o nā lipids ma ke koko,
- Inā kiʻekiʻe ke kahe koko, ua hoʻohana ʻia nā beta blockers a me nā diuretics.
Lovastatin
Non-lāʻau lapaʻau lāʻau no ka cholesterol kiʻekiʻe
Hiki i ka hapalua o nā maʻi āpau i hiki ke hoʻoponopono i ka helu o CV ma ke koko me ka hoʻohana ʻana i ka ʻai, a me ka ukana pololei ma luna o ke kino, a me ka haʻalele ʻana i ko lākou ʻano o mua.
ʻO kahi hōʻailona o ka kolamu ma ke kino o ke kanaka kahi hōʻailona o ke ʻano o ke ola o ke kanaka a me kāna e ʻai ai.
ʻAʻole ka ʻai ʻana i ka ʻai ʻana i nā meaʻai kūpono wale nō, akā ʻo ke ala nō hoʻi e kuke ʻia ai. Pono ʻoe e kuke ʻai i ka meaʻai no kekahi mau kāne, a ʻūlū paha, a hiki nō hoʻi no ka ʻūʻele i ka umu, akā ʻaʻole kāwele wale i ka aila.
Pono e haʻalele i ka hoʻohana ʻana i ke kōpaʻa māmā o ke kō, nā loko keʻokeʻo, nā ʻuala. ʻAi i ka porridge a me ka nui o nā lau o nā lau a me nā mea kanu hou.
ʻO nā hua momona hou, ʻoi aku hoʻi nā ʻano ka acidic, ʻaʻole i hāʻawi wale i ka normalization o ka cholesterol, akā hoʻihoʻi i ke kahe koko i loko o ka ʻōnaehana.
Pono hoʻi e haʻalele i ka ʻai o nā mea momona o ka puaʻa, keiki hipa, a kāpae me ia me ka moa, ka pelukela a me ka pīpī.
Mai poina e pili ana i ka kaulike wai i loko o ke kino, inu i ka wai maʻemaʻe i kahi nui o 1.5 lita.
ʻAʻole hiki i ka mālama ʻana i nā meaʻai like ke hoʻihoʻi wale i ka kolala i ka maʻamau, akā e nalo hoʻi ke kaumaha, ka mea e hoʻomaikaʻi i ka hana ʻana o nā āpau a me nā ʻōnaehana i ke kino o ke kanaka.
ʻO nā kaʻina hana e hoʻonaninani i ka cholesterol koko
ʻO ka hoʻokaʻawale ʻana i nā kolamu ma loko o ke kaila koko, pono nā mea pono ke pale ʻia:
- ʻO ka moʻomeheu meaʻai ka meaʻai liʻiliʻi o ka cholesterol i nā meaʻai,
- Hoʻomaʻamaʻa lawelawe i ke kuhikuhi i ke koko kiʻekiʻe,
- Ma hope o 40 mau makahiki, e lawe i nā kaila antiplatelet e hoʻokaʻawale i ke koko,
- Hoʻomaʻamaʻa kū pololei i nā maʻi i maʻi ma ke ʻano a pale i kā lākou hoʻihoʻi ʻana,
- No ka pale aku, ʻōnaehana pono i ka chemotherapy blood no ka kolamu,
- E komo i ka haʻuki a hāʻawi i ke kino i nā hana kino kino i kēlā me kēia lā
- Mai hana i ke kino me ka hoʻoikaika kino ikaika,
- Hōʻalo i nā kūlana koʻikoʻi.
Hoʻomaka hoʻokele ola
ʻAʻole ʻoe e haʻalele āpau i nā huahana i loaʻa ka kolamu, no ka mea he nui o lākou e hāʻawi i nā protein o ka holoholona i ke kino.
Inā haʻalele ʻoe i nā mea hōʻino a me nā meaʻino o ka waiʻona a me ka nicotine, a me ka hoʻopiʻi mau i kou kino, a laila hoʻopau i nā huahana me ka kolesterol e alakaʻi ai i kahi kōʻai wikiwiki i ka index cholesterol.
ʻO kahi biochemistry o ke koko no ka manawa o ka cholesterol e ʻae iā ʻoe e hoʻoponopono i nā hōʻailona i ka maʻamau, ʻaʻole hiki iā ia ke hoʻomohala i nā naʻau o nā puʻuwai a me ka atherosclerosis. Me ke ala kūpono, makemake nui ka prognosis.
Koi a Haʻawina a me nā wehewehe pōkole
I loko o kā lākou hoʻokolohua ma luna o nā manu manu, nā kānaka noiʻi N.N. Hoʻokele ʻo Anichkova iā lākou no ka wā lōʻihi me ka "meaʻai kiʻekiʻe-calorie." Ma hope o ka wehe ʻana, ʻike lākou i nā loli pathological i loko o ka puʻuwai a me ke koko o nā manu, nā ʻano o ka atherosclerosis i nā kānaka. Mahalo i ka mana o Anichkov a me ka inertia o ka noʻonoʻo ʻana i ka ʻepekema o nā hanauna ma hope, e hoʻomaka ana kahi hakakā me nā kaloria, ka nui ʻana, ka hewa maikaʻi ʻole a me nā mea ʻē aʻe. I nā makahiki mua i 60 ua hoʻokumu ʻo ʻAmelika i kahi papahana e hakakā i ka cholesterol (cholesterol). Ma hope iho, ua hoʻomake he nui nā ʻāina ʻEulopa i nā hui kūʻē i ka atherosclerosis.
Manaʻo ʻia nā mea e like me ke kumu o ka loaʻa ʻana o ka nui o ke kolamu:
- momona momona
- hana haʻahaʻa kino
- ʻai i nā meaʻai momona,
- nā hana maikaʻi ʻole, ʻoi aku ka ulaula,
- makahiki - ke piʻi mai o ka atherosclerosis, hōʻeha o ka naʻau a me ka hōʻeha ma hope o 50 mau makahiki.
Ua ʻike kālā ʻia ka noiʻi ʻana i ka kolamu ponoʻī, ua wehe ʻia nā limahana hou, a ʻo nā hua ʻāpana “māmā”, pālahalaha, a me ka meaʻai o ke pēpē me ka ʻaʻole o ka kolamu ua kū mai ma ka mākeke.
Akā i ka wela o ka hakakā me ka cholesterol, ua poina kekahi mau mea i kāhea ʻia i ka hopena o nā hana i hāpai ʻia.
- ʻO nā kaukaʻi Nazi paha, ka mea nāna i hoʻokō i nā hoʻokolohua kūlohelohe i nā kahua hoʻomoana, ʻike ʻia ua "piʻi ʻia" nā kīʻaha koko me nā poli o nā kolamu i nā paʻahao he mea lōʻihi lōʻihi. ʻAʻole i emi ka nui o ka poʻe e loaʻa ana i ka atherosclerosis i nā makahiki kaua pōloli,
- ua hoʻoweliweli ka poʻe noiʻi e hōʻoia i nā mea maʻi me ka maʻamau a hōʻemi i nā pae cholesterol i emi iho i ka maʻi cardiovascular,
- i nā keiki ʻōpio a me kekahi mau pākeke, pāwiliwā i nā pōpō maʻamau, me ka ʻole o ka mālama ʻana,
- Ua helu ʻia nā pae kiʻekiʻe kolamu ma nā keiki hou.
Pono kēia mau ʻōlelo āpau e noʻonoʻo pono, no ka mea, i ka huli ʻana, ʻaʻole maopopo ʻia nā kumu e hoʻonui ai i ka kolamu. I mea e ʻike ai i nā mea e pili ana i ka piʻi o kolesterol i ke kino, pono ia e noʻonoʻo i ka mea o ke kolamu a me kāna kuleana i loko o ke kino.
“Haulea” a “Maikaʻi” Cholesterol
Aia ke kolesterol i loko o ke kino o ke kanaka i kahi manuahi a paʻa. Hoʻopili ʻia nā kolikolo Endogenous i loko o ke kino, a me ka kolamu exogenous me nā huahana e komo i loko o ka kūnaehana, kahi mai ke komo ʻana i loko o ke koko. Akā ʻaʻole palupalu nā lipids i nā wai, no laila e komo i ke koko, pono e hoʻololi ka kolesterol i kāna mau mea. Hoʻokaʻawale ʻia ka lipid e ka ʻōpala multilayer, hana i kahi ʻano o ka pumu, ka papa o ia e hoʻopili ai me ka wai. Aia kēlā me kēlā me kēia kapoti i kahi 1,500 mau mole mole. Ke kuhi i kahi pahuhopu, aia kahi "hōʻailona" protine ma luna o kona ihu, ka mea i ʻike ʻia e nā ʻĀpana cell cells. No kēia ʻike ʻana, loaʻa i nā kānaka ʻepekema ma ke Kulanui o Texas ma Austin (USA) ka Makana Nobel.
Akā, i ka mea i huli mai, ʻaʻole “kālai” āpau i lako me nā ʻōmaʻomaʻa hōʻailona like ʻole. Hopu kekahi a halihali i kūmole manuahi i loko o ka ate.
Ua kapa ʻia kēia ʻano kolamu "α-lipoprotein" a i ʻole ka "maikaʻi" cholesterol. A me ka kolamu me ka hōʻailona kauā - "β-lipoprotein" a i ʻole ka "kino" kolesterol. Ma nā palapala hōʻike, hōʻike ʻia ka "cholesterol maikaʻi" ma ka pōkole HDL, a "maikaʻi ʻole" e LDL.
HDL - nā lipoproteins density kiʻekiʻe i kūkulu ʻia i:
- nā puʻuwai o ke ake
- koko koko i ka wā o ka uhaʻi o nā molekela momona nui e kuhi ʻia ana i loko o kahi pākia liʻiliʻi mai nā meaʻai (chylomicrons),
- nā pā o loko.
Lawe lākou iā "kolikoli manuahi" a hoʻoneʻe i nā ʻoka huʻu, a hoʻolilo ʻia kekahi ʻano mea e pono ai ka hana ʻana a me ka hana ʻana o nā nui o ke kino o ke kino.
LDL - lipoproteins haʻahaʻa haʻahaʻa ʻia i hoʻonaninani ʻia e nā ʻōpū sela a me ka ʻōnaehana vascular o kahi mea kino i lalo o ka hana o nā enzyme hepatic kikoʻī.
He pono ka LDL no ka hana maʻamau:
- hui kūlohelohe
- ʻōnaehana kānana,
- iwi pili
- kini
- ʻōnaehana ʻōnaehana
- huakai heluitary.
"Density" pili i ka hoʻohālikelike o ka cholesterol free ke capsule protein. I ka "cholesterol" kino, ʻoi aku ka nui o ka pēpē manuahi ma mua o nā palena, a ʻoi aku ka haʻahaʻa. I loko o ke koko, e pāʻani ai HDL me LDL. No ke aha i kapa ʻia kekahi mau lipoproteins e "maikaʻi" a ʻo nā mea'ē aʻe he "hewa" inā makemake ʻia lākou a pau ma ke kino? Inā maʻalahi, inā "HD" hopu i ka cholesterol a hoʻokaʻawale ia mea no ka hoʻomōhala ʻana, a laila "maikaʻi" cholesterol. A ʻo LDL - ka "kino" kolamu, hiki ke waiho ʻia ma nā paia o nā kīʻaha koko, hana i nā ploluble insoluble, alakaʻi i ka maʻi cardiovascular. Eia naʻe, ʻo nā kumu o nā maʻi vascular koʻikoʻi ʻaʻole nui loa i ka "kalidad" e like me ka nui o ka kolamu.
Inā N.N. Ua hoʻohuli ʻia ʻo Anichkov i ka hana ʻana o nā pākeke ma nā paia o nā kīʻaha koko o ke kolamu ʻaʻole pono no ke kino, a laila pili ka poʻe noiʻi hou i kahi ʻano ʻē aʻe.
Wahi a kekahi hypothesis, hana ʻia nā hua i nā wahi e pōʻino ai ka moku. ʻO kēia kahi ʻano o "patch". E lilo lākou i pōʻino inā ʻaʻole hiki i ka moku ke ola hou no ka manawa lōʻihi, e hoʻopuni ʻia ka pākeke me ka calcium a ʻo ka ʻūʻī. ʻO ke kalaiwa kūpono i mua kahi lawaiʻa.A ke kumu no ke kaʻina lōʻihi o ka hoʻihoʻi ʻana o ka moku ʻo ia ka nele o ka 'kūkulu' kūkulu 'ana - nā protein.
Wahi a kekahi ʻano kumuhana hou, ʻo ia ka "hewa" kolamu e komo ana i nā paia o nā kīʻaha koko, e hōʻiliʻili ana i loko o lākou, e hana ana i ka lipolysis (e hōʻino ana i ka hana) a ke kumu o ke ʻanoʻino o ka atherosclerosis.
ʻO ke kumu a me nā hōʻailona nā ka hoʻonui ʻana i ke kolamu o ke koko i nā kāne
Inā ʻoi aku ka lōʻihi o ka manawa o ka LDL, a ʻoi aku ke koʻikoʻi o ko lākou neʻe i ke koko a, ʻoi aku, ua nui kekahi o ka "hewa" kolamu a hoʻoneʻe ʻia e nā radical hewa, a laila e piʻi aʻe ka pā o ka ulu ʻana o ka atherosclerosis. Hoʻokomo nui kēia kolala, a ʻaʻole ia e hoʻopale wale i loko o nā moku, akā ua hoʻopili pū kekahi i nā ʻano koʻikoʻi koko, me ke kumu o ka hoʻokumu ʻana o nā kīnā koko.
ʻO ke kumu no ka hoʻonui ʻana i ke kiʻekiʻe o ka kolamu o ke kolamu he gennically determin abnormalities:
- coding o ka LDL receptor, no ka mea, ʻaʻole e hiki i ka cholesterol ke komo i loko o nā pūpuna o nā ate a hoʻohana ʻia i loko iā lākou,
- ka emi ʻana o ka hoʻololi o ka kolamu ma muli o ka hoʻopiʻi ʻana i nā molekele halihali,
- ka hoʻemi ʻana i ka naʻau o ka mea i hōʻea i nā cell cell.
Hoʻopilikia wale nā ʻano kūhelu o waho a i loko o nā kulekele a alakaʻi i ka hoʻomaka ʻana o nā pathologies i ka wā ʻōpiopio.
ʻO nā mea waho loa no ka hoʻonui ʻana i ke koko kolamu:
- hoonui nui ke kino
- ka hōʻemi ʻana i ka meaʻai (overeating), ka hoʻohana ʻana i nā huahana e hōʻino ʻia i ka ʻoi aku o nā momona holoholona, nā kahu hānai a me nā mea hoʻohui ʻē aʻe.
- mau hana maikaʻi - kaʻili a me ka inu ʻona.
- nele i ka hoʻomaʻamaʻa
- ka hoʻohana ʻana o kekahi mau lāʻau lapaʻau - diuretics, steroid.
Akā i ka hoʻohui i nā mea o waho, ʻo nā mea kūloko o nā mea nui he mea nui loa i ka pale hewa ʻana o ka halihali a me ka metabolidoma lipid:
- nā maʻi hoʻohālikelike - atherosclerosis, maʻi maʻi, ka momona,
- hoʻonāukiuki a me ka ʻōpū o ka pancreas,
- nā maʻi o ka ʻōnaehana cardiovascular (CVS) - hypertension,
- paleka nā ate - ka maʻi lohi, hepatitis,
- pālahalaha
- pilikia kūlohelohe
- hoʻohālikelike.
I kēia mau lā, ʻoi aku ka inoa o nā mea noiʻi ma mua o 30 mau kumu e hoʻonui ai i ka kolamu. A ʻo kekahi kumu nui o ka cholesterinemia, ʻo ia ka makahiki o ke kanaka.
Me nā makahiki i ola, ʻo ka nui a me ka koʻikoʻi o nā loli i ke kino - e emi:
- ka wikiwiki o nā hana o ka hoʻokalakupua nui,
- ka hana kūlohelohe
- hana ate
- vascular ʻano a me ka hāmeʻe.
Ua kāhea i nā kānakaʻepekema kahi kumu hou no ka hoʻokiʻekiʻe kolesterol - psycho-emotional stress. Ka hopena i hōʻike ʻia e ka hopena piha (i kahi i loaʻa ʻole ai nā hakakā psychoemotional i ke hōʻuluʻulu kino) alakaʻi i ka hōʻuluʻulu ʻana o nā mea (lipoproteins, catecholamines) i hoʻokuʻu ʻia ma ka wā o ke kaumaha.
Elegated kolamu, ma ke ʻano ture, ʻaʻohe e haʻi i nā hōʻailona.
Akā me ka hypercholesterolemia, ua kau ʻia nā hōʻailona like ʻole:
- ke ʻano o nā ʻāpana melemele a me nā "lumps" (xanthomas) ma ka maka o nā maka, ʻili, nā tendons o nā hopena, ma ka māhele o nā ʻili o ka ʻili.
- ka hoʻokumu ʻana o kahi kaʻe hina ma ka ʻaoʻao o ke korne o nā maka,
- nā xanthomas (nā maʻi pā me nā mea i hoʻololi ʻia e piha ana i ka cholesterol) o ka mucosa o ka gastric a me nā kino o loko.
Hoʻoponopono kekahi mau mea hoʻonāukiuki i ka hōʻiliʻili o nā kolamu. Ke hoʻololi nei nā mea kūlike e pili ana i ka makahiki, ke ʻano a me ka wahine.
ʻO ke ʻano maikaʻi loa i nā wā ʻōpio ma hope o 30 mau makahiki
Ma mua o kou noʻonoʻo ʻana i ka mana o ka kolamu koko e kūpono loa no nā ʻōpio ma hope o 30 mau makahiki, pono e hoʻomaopopo ʻia he like ʻole ka hoʻololi kino ʻana o ka cholesterol. Hoʻoholo ʻia ka hana o ka kolamu nui a me ka nui o ka LDL cholesterol, e hoʻopau ana i nā kīʻaha koko, a hoʻopau ʻole i ke kahe koko i nā ʻōpiopio a pau.
ʻO ka hoʻonui pinepine ʻana o ka physiologically i nā lipids me ka makahiki e hōʻike i nā ʻano o ka cholesterol a me ka cholesterol o LDL i nā kāne i ka makahiki o 40-50 mau makahiki:
- HS huina - 3.91 - 7.15 mmol / l,.
- LDL cholesterol - 2.25 - 5.23 mmol / L.
A kū i 40 mau makahiki i ke ʻano o nā maʻi kūlike i ka cholesterol HDL.A i nā makahiki 40 o ka makahiki, he peke i loko o ka waihona o ka 'ōlelo e pili ana i ka lipoproteins density kiʻekiʻe a hiki i ka 0.88 - 2.12 mmol / l ua nānā ʻia. Ma hope o 45 mau makahiki, lilo like ke kumukūʻai (0.78 - 1.66 mmol / l).
ʻO ke koko koko maʻamau i nā kāne ma hope o ka makahiki 50-60
I kēia ʻōpiopio, ʻoi aku ka nui o nā kaʻina hana luku a me ka degenerative, ka mea e hoʻonāukiuki i ka kolamu o ka kolamu a, no laila, he hoʻonui i ka hana. Hoʻonui ka pae maʻamau o ka cholesterol free i ka 4.09 - 7.15 mmol / L. Hoʻonui hou ka hōʻailona LDL - 2.28 - 5.44 mmol / L.
Ka papa o ka kolamu ma nā kāne e ka makahiki
Hōʻike ka papa ma lalo e pili ana i ka waiwai o ke kolamu e like me nā makahiki o nā kāne.
Loaʻa makahiki | ʻO nā helu kumu o ka cholesterol (mmol / l) | ||
---|---|---|---|
koho manuahi | Kālā Cholesterol | Hōʻikeʻike HDL | |
5 | 2,95 – 5,25 | ||
5-10 | 3,13 – 5,25 | 1,63 – 3,34 | 0,98 – 1,94 |
10-15 | 3,08 – 5,23 | 1,66 – 3,34 | 0,96 – 1,91 |
15-20 | 2,91 – 5,10 | 1,61 – 3,37 | 0,78 – 1,63 |
20-25 | 3,16 – 5,59 | 1,71 – 3,81 | 0,78 – 1,63 |
25-30 | 3,44 – 6,32 | 1,81 – 4,27 | 0,80 – 1,63 |
30-35 | 3,57 – 6,58 | 2,02 – 4,79 | 0,72 – 1,63 |
35-40 | 3,63 – 6,99 | 1,94 – 4,45 | 0,88 – 2,12 |
40-45 | 3,91 – 6,94 | 2,25 – 4,82 | 0,70 – 1,73 |
45-50 | 4,09 – 7,15 | 2,51 – 5,23 | 0,78 – 1,66 |
50-55 | 4,09 – 7,17 | 2,28 – 5,26 | 0,72 – 1,63 |
55-60 | 4,04 – 7,15 | 2,31 – 5,10 | 0,72 – 1,84 |
60-65 | 4,12 – 7,15 | 2,15 – 5,44 | 0,78 – 1,91 |
65-70 | 4,09 – 7,10 | 2,49 – 5,34 | 0,78 – 1,94 |
> 70 | 3,73 – 6,86 | 2,49 – 5,34 | 0,85 – 1,94 |
Inā ʻoe e nānā pono i nā mākaʻi o ka cholesterol, ʻike ʻia kahi hiʻohiʻona o ka ulu ulu. Kūlike ʻole i nā manaʻo, ʻaʻole i hoʻonui ka pae o ka cholesterol i ka pūʻulu o nā kāne ma mua o 70, akā e hōʻemi ana. Ua hōʻike ʻia ka emi ʻana o ka kolamu LDL ma ka hui o 35-40 mau makahiki. ʻAʻole hiki ke wehewehe ʻia kēlā mau loli i ke ʻano o nā loli ʻana o ke ʻano o ke kanaka.
Ke kū nei i ka nui o ka nui o ka kolamu, e kōkua ke kīlei, e hoʻopilikia.
- ka palena o nā meaʻai kiʻekiʻe i nā momona holoholona a me ke kolamu,
- kalola o ka ai,
- hoʻonui i ka hapa o nā meaʻai i kiʻekiʻe a me nā momona momona o polyunsaturated,
- ka hoʻonui ʻana i ka helu o nā huahana i loaʻa nā huaora me ka hopena antioxidant.
ʻO ka papaʻai kūpono loa e manaʻo ʻia ʻo ke Kaiaulu. No ka ho'ōla i ke kaʻina o ka metabolism cholesterol, pono ke hoʻohaʻahaʻa ʻaʻole wale i kāna mea hoʻokomo me nā lipids holoholona, akā hoʻomākeo ʻia hoʻi ka ʻona o ka ʻona o nā meaʻai. Aia i ka paʻakikī o ka hana e hana ʻia ai e ke kanaka, kahi o nā calorie kikoʻī he 2000-2500 kcal.
Me ka hypercholesterolemia, pono e hoʻokaʻawale ka lāʻau lapaʻau, me ka hoʻohana ʻana i nā statins a me nā lipid-hoʻemi haʻahaʻa ʻē aʻe, a me ka therapeutic apheresis - ka wehe ʻana i ka kolamu LDL ma ke kahe ʻana o ke koko o ka mea maʻi ma ke kolamu me kahi sorbent e hoʻopā ai i ka kolesterol "hewa".
ʻO ka hoʻohaʻahaʻa ʻana i nā meaʻai ka meaʻai i loaʻa nā unsaturated fatty acid:
- nā huaʻai a me nā mea ʻai - kāloti, kāpeti, lettuce, avocado, hua pāpaʻi,
- kai loa
- nati - alemona, macadamia, hazelnuts, pecans, pistachios, cashews, ʻaniani, pinecones,
- iʻa - salmon, sardines, mackerel, salmon,
- aila - sunflower, flax, poppy, mustard,
- nā lauʻaila huaʻaila - oliva, soybean, rapeseed, linseed, sunflower, mani.
ʻO nā huahana a me nā aila e loaʻa i nā phytostanols a me phytosterols - nā mea like me ka kolamu a ke hoʻokūkū pū me ia i ke kaʻa o ka hoʻoliʻi ma ka ʻawaʻawa. ʻO nā hua kanu e ulu a me nā sterols e komo i ke kino, ua emi ka cholesterol i loko o ke koko. ʻO ka hoʻohana ʻana i nā mea kanu a me nā hua ʻai i loaʻa i nā stanols e 10-15% ka mea i hōʻemi i ka pae o ka endogenous a me ka exogenous cholesterol i ke koko o nā kāne.
Akā ʻaʻole ka lawa o ka pīpī o kēia mau mea i ka meaʻai e hoʻemi pono i ka cholesterol. ʻO ka noiʻi ʻana pehea e hoʻohaʻahaʻa i ka cholesterol, ua ʻike nā kānakaʻepekema ʻoi aku ka maikaʻi o ka stanol esters. ʻO kā lākou ʻike maikaʻi loa ua hoʻomanaʻo ʻia i nā aila aila. I ka makahiki 1989, ua hoʻomohala ka ʻoihana Finnish Raisio Group i ka hana o nā huahana i loaʻa nā ean stanol mai ka rapeseed a me ka aila ʻuala - mayonnaise, yogurt, hohola, kefir, waiū o ka hua Benecol.
Mahalo i ka hoʻolauna ʻana o ka papahana hoʻolaʻa olakino a me ka hoʻopuka ʻana mai i ka "ʻai lawelawe" o ka ʻōlelo Benecol i loko o ka meaʻai o kēlā me kēia lā, ʻo ka make o ka nui o ka poʻe i hiki ke kino o Finland mai nā maʻi i kumu ʻia e ka cholesterol kiʻekiʻe he 80% ka haʻahaʻa ma mua o 30 mau makahiki i hala.
ʻO nā ʻano hana hou o ka hoʻohaʻahaʻa i ka cholesterol i hoʻokumu ʻia:
- ka hoʻohana ʻana i nā lāʻau lapaʻau e pili ana i nā stenol esters - nā lula flax, ke aila ʻinike,
- ka hoʻohana ʻana o nā mea kanu e hoʻopuʻi ai i ka ʻāʻī a me ka puka ʻana o ka bile - barberry, lingonberry, vitex paia, hernia, St. John's wort, cotoneaster aronia, madder,
- Hoʻomākaukau mai nā mea kanu e hoʻohaʻahaʻa i ka cholesterol koko - ke kolo hōʻeu, licorice, Japanese Sophora, Caucasian dioscorea, cyanosis blue.
ʻO ke ala maʻalahi a me ka maikaʻi o ka hoʻoulu ʻana i ka kolamu "maikaʻi" ke kumu o ke Kaʻena a ʻo Nippon dioscorea. Ma ke kumu, e hana lākou i ka lāʻau lapaʻau no ka hypercholisterinemia - Polisponin. I ka home, hiki ke loaʻa i ka hopena therapeutic ma ke lawe ʻana i ka pauka mai ke aʻa o ka mea kanu. Lawe i ka pauka me ka meli, ka hui ʻana i ka 1 tsp. ka meli a me ka paulo. Pono e hoʻoili i ka ʻano ʻai ma hope o ka papaʻaina, 3-4 mau lā i ka lā. ʻO ka papa hana o ka lapaʻau he 1.5 mau pule, a laila no 5 mau lā he pono e hoʻomaha a hana hou i ka ʻano kāwili.
Ua loaʻa ia i ka hopena anticholesterol hopena infusion o ka papa maʻamau. No ka hoʻomākaukau, lawe 2 tsp. nā waiū a hoʻomo ʻia me ka 1 kīʻaha kolo wai i 2-3 mau hola. Lawe iā ¼ kīʻaha i 4 mau manawa i ka lā.
Hoʻokomo ka lāʻau lapaʻau me ka hopena ʻole me ka hopena ʻole, akā e lōʻihi ka lōʻihi i ka lawe ʻana i ka lau no ka lāʻau - 2-4 mau mahina.
Ka mea nui no ke kino
Aia ka cholesterol i loko o kēlā me kēia membrane cell a lawelawe ma ke ʻano he pā hale no lākou. ʻO ka chololome kahi papa i loaʻa ka momona a ʻaʻole hoʻohemo i nā wai wai.
ʻO ke koʻikoʻi o kēia momona momona i ke kino o kekahi kanaka ua kiʻekiʻe loa, no ka mea ʻole o ke kaʻina metabolic o ke kino kanaka ke hiki mai.
Mālama kēia ʻenehana hale hana i ka hana nui o nā kino kūloko (pūpū, a me ke kaola renal a me ka spleen) a hāʻawi i ka metabolism i loko o ka ʻoka o ka iwi.
I ka pae o ka hormonal, hāʻawi ia i ka synthesis o ia mau hormone:
- Haki testosterone like me ka testosterone,
- Honeoneʻa - estrogen
- Cortisol
- ʻO nā huaʻai ʻano hāpana,
- Insulin.
Ke ʻike ʻia i ka kolamu, nui ka huaora nui D i loko o ke kino, ʻo ka waiū o kahi wahine hānai e loaʻa ana nā kolamu mololi, e hōʻoia pono i ka hoʻolālā ʻana o nā mea nui a pau o ke kino o ke keiki.
ʻO kona moʻo nui loa ma nā pūnāwai o ka erythrocyte molekupene ma ka liʻiliʻi o 23.0%, a pū nō hoʻi i loko o nā pūpuna nā loko ona i loko o 17.0%.
ʻO ke kumu o ka lipoproteins no ke kino, ma kahi o 80.0%, i synthesize e ka paleka, a me ka hapa hapa o nā lipid e komo i ke kino me nā huahana meaʻai he momona momona o nā holoholona.
I ka wā e hoʻemi ana i ka pae o ka kolamu ma ke koko o ke kanaka, a laila pilikia ka nui o kona ʻano pale, a me ka emi ʻana o nā hana pale e pale ai i ke kino. i nā mea e kūpono ↑
He aha ka mea hoʻomaikaʻi maikaʻiʻole a me ka pōʻino?
ʻO Kolololi he ʻāpana o nā molekika o nā lipoproteins a ma kāna ʻano maemae i loko o ke kino e loaʻa ka hapa liʻiliʻi.
Aia he 3 mau ʻano o ka lipoproteins i loko o ke kino o ke kāne a pono ʻoe e hoʻomaopopo i ka māhele o kēia mau papa i ka ʻano o ka plasma koko.
- ʻĀLu - he mau lipoproteins koʻikoʻi molekika nui e pono ai no ke kino a lawe i ka momona momona mai ke kahe o ke kahe wai,
- LDL - he mau lipoproteins kaona momona liʻilii ʻana me nā waiwai a ke waiho ʻia ma ka choroid,
- VLDL - he mau molekuhi haʻahaʻa liʻiliʻi ka nui o ka triglycerides,
ʻO LDL a ʻo VLDL - ʻo ia ke ʻano o lipoprotein e hōʻino maikaʻi loa i ke kino o ke kāne a hoʻonāukiuki i ka atherosclerosis. Wahi a nā helu olakino, loaʻa i ke kāne ka maʻi o ka ʻōnaehana vascular me ka atherosclerosis 2 mau manawa pinepine ma mua o ke kino wahine i ka hopena o ka cholesterol.
Loaʻa i ka wahine ka hōʻiliʻili nui o HDL, a hiki i ka manawa menopause hiki i nā wahine ke hopu i nā kāne i nā hua o ka ʻano like ʻole o ka cholesterol.
Pono ka hoʻomaopopo ʻana o nā kāne i ka loiloi ʻaʻole wale nō o ka neʻe o ka kolamu ma ka koko, akā he mea nui loa ka ʻike i ka ʻike o LDL i loko. No ka LDL maikaʻiʻole kolesterol, kahi i hoʻopiha ʻia me nā plak atherosclerotic.
ʻO Kolololi he ʻāpana o nā molekika o nā lipoproteins a ma kāna ʻano maemae i loko o ke kino e loaʻa ka hapa liʻiliʻi i nā mea e kūpono ↑
ʻO wai ke ʻano o ke kāne?
Inā ʻo ka hoʻoliʻi ʻana o nā lewa kolikina a me nā molika molika molika liʻiliʻi i ka heluhelu ʻana o ka loiloi lipid biochemical e hoʻonui, a laila ʻole ke kali ʻana, pono ʻoe e hoʻokaʻa i ke kauka e haʻi aku iā ʻoe pehea e hoʻoponopono ai i ka kolamu a hoʻihoʻi ʻia i nā kumu hoʻohālike.
Pono nā kāne e nānā pono i ka pae o lipids i loko o ke koko koko, ināʻo ia i nā ʻōlelo o ka hui ʻokoʻa.
- Kainikini Nikotine
- Ke alakaʻi nei i ke ala ola,
- ʻO ke kāne kau kaumaha loa - obesity,
- ʻO ka makahiki koʻikoʻi no ka hoʻomohala ʻana i ka atherosclerosis ma hope o 40 makahiki,
- I ka hoʻonui ʻia aʻe o ke kōʻai kuhikuhi,
- Patala o nā puʻuwai naʻau,
- ʻO ka ʻōnaehana ʻōnaehana maʻi maʻi,
- He kuka koko nui.
ʻO nā kumu no ke kūwahi mai ka hana maʻamau
Hoʻopili i nā hypodynamia a me ka momona, a me nā pathologies o ka puʻuwai a me ka hoʻopuni uila, ʻo nā maʻi e hiki ai i nā mea kuʻuna i nā hōʻailona normative i ke kuhikuhi o ka hoʻonui i ka kolamu i nā kāne:
- Predisposition genetic. ʻO ka hopohopo kekahi o nā kumu maʻamau o ka hikiʻole i ka pae o ka lipoproteins plasma. Inā aia nā hoahānau i ko ka ʻohana e pilikia ana i ka atherosclerosis, ischemia o ka puʻuwai naʻau, ka angina pectoris, a i loaʻa paha i ka myocardial infarction a me ka hemorrhage i loko o ka lolo, a laila nui ka hopena o ka hoʻomohala ʻana i ka hypercholesterolemia i nā manawa he nui.
- Nā kuʻuna i nā kolo o nā pūnaehana endocrine a me nā pōʻino i ka hana ʻana o nā hormones,
- ʻO ka hana pālepona o ka naʻau
- ʻOi aku kahi maʻi mela
- Oniana mikopoli,
- Hoʻohana lōʻihi me ka diuretics, a me ke ʻano lā ʻo ka hormonal o ke ʻano kaola.
ʻO ke ʻano o ka kolamu haʻahaʻa i ke kino kāne, hiki ke hopena i ia mau ala.
- Hoʻololi kūleʻa,
- Kuhi me ka hoʻopiha piha ʻana i nā momona pipi,
- Anemia
- ʻO ka hopena o ka hoʻonāukiuki i ke kino o nā maʻi a me nā hopena,
- Maʻi maʻi pānaʻi - tuberkulosis,
- ʻO ka Hyperthyroidism o ka hui endocrine - ka lau thyroid.
- Nā huina o nā pūpū o nā ate,
- ʻO nā maʻi i ka ʻōnaehana hematopoietic.
ʻO kēia kekahi o nā kumu e hoʻopilikia ai i nā kūʻokoʻa mai ka maʻamau normative pae o ka cholesterol i nā kāne. E hoʻomaʻamaʻa kahi lipid biochemical lipid e ʻike i kahi kumu ʻoi aku ka nui o ka hoʻopunipuni.
He aha ka mea hoʻoweliweli?
Pono pono ke kolesterol i ka kino ke hele ia i loko o nā palena maʻamau a me nā helu o ka lipoproteins kiʻekiʻe molekela kiʻekiʻe ma mua o nā manawa haʻahaʻa haʻahaʻa lipid density.
Holo maikaʻi ka lipids kiʻekiʻe ma o ke kahawai a hāʻawi i nā mea i pono i nā koina āpau o ke kino kāne. ʻO ka kolamu momona kaumaha kiʻekiʻe ka mea i ka hoʻopili ʻana ma lalo o 50.0% o ka protein, ʻo ia ka mea lawe o nā mea pono i loko o ke kahe o ke kahe.
Inā hōʻemi ka HDL, a laila hoʻomaka ka choroid e hōʻeha, e nalowale ana i kāna elasticity.
Me ka elasticity maikaʻiʻole, loaʻa ka hopena kiʻekiʻe o ka umauma hemorrhagic, a me ka ruptures choroid. Aia kekahi he hemorrhage i loko o nā loko o ka lolo.
Aia nō hoʻi ka emi ʻana o ke kō o ka huaʻā o ka vitamina D, nona ke kuleana no ka lawe ʻana o nā kaluna o ka calcium ma ke kino. Ua hoʻonāukiuki kēia hoʻonāukiuki i ka palu o nā iwi iwi a me ka hoʻomohala ʻana i ka maʻi osteoporosis maʻi.
Me ka hoʻohaʻahaʻa ʻana i ka hōʻailona o ka serotonin hormone, ulu ke kanaka i ka nūnū, kahi kūlana o ke kīpē, kahi kūlana kaumaha, kahi e hiki ai i ka dementia i ka wā kahiko.
Hoʻokomo i ka metabolism momona momona e alakaʻi i ka momona, e lilo i kekahi o nā kumu o ka maʻi maʻi.
Hiki ke ʻike ʻia nā ʻokoʻa i ka pae lipoprotein e nā hōʻailona aʻe e pili ana i kahi palala i ke kūlana maʻamau o ke kino kāne.
- E hōʻemi nui kou makemake
- ʻO ka ona nāwaliwali,
- I nāwaliwali o nā pahuhopu āpau,
- Nā ʻōpū lymph a ʻeha
- E lilo ka ʻōpala i hoʻokahi pule wiki.
He mea e holo ana i loko o ke kino?
ʻO LDL kahi kolikolo haʻahaʻa haʻahaʻa loa i loaʻa ka liʻiliʻi o ka protein, no laila ʻike nā lipids i kahi mea ʻilihune a ʻo ka ʻona nā mākaʻikaʻi, a he mākaʻikaʻi iā lākou i ka choroid a hōʻiliʻili iā lākou, e hana ana i ka pāpaʻi atherosclerotic.
Hāʻawi ka plaila i ka liʻiliʻi o ka moe vascular a aia kahi hewaʻole i kēia mahele o ke kahe koko, nāna e hoʻonāukiuki i kēlā mau ala:
- Kiwi o ka atherosclerosis,
- ʻO ka hemahema o ke kīʻaha Coronary,
- ʻO ka stenosis aortic,
- Nā aneurysm o nā kīʻaha nui,
- Ischemia o ka puʻuwai - angina pectoris,
- Myocardial infarction
- Pahi o ka ischemic a me ka hemorrhagic type.
ʻO kekahi ʻano ʻē aʻe o ka lipoprotein ʻo VLDL. ʻO kēia mau molika momona koʻikoʻi loa e pono ke halihali i ka momona o ke kino i nā ʻili o nā ate, a laila e hoʻokau ʻia me ka bile ma laila. I loko o ke kino, noho lākou i ka liʻiliʻi pākahi o ka huina o ka huina o nā lipoproteins.
Ka helu o ka cholesterol i nā kāne (e ka papa makahiki)
ʻO ka palena palena o ka kolamu piha no ka pākeke kāne ma waena o 5.20 mmol / lita.
Kauka nō hoʻi ke ʻano i ka makahiki. A hiki i ka makahiki 14, ua like ka like o ka kolamu o ka wahine a me ke kāne, akā i ka wā ʻōpiopio he ʻokoʻa ka hopena o ka lipid metabolism a me nā ʻike o lipoproteins i ke koko plasma he ʻokoʻa.
Hāʻawi ʻia nā ʻōkuhi maʻamau i ka hana o ka ana mmol no ka 1 pā o ke koko.
makahiki (i nā makahiki) | pau ka kolamu kūwaho (maʻamau) | Palapala LDL (hōʻike kuhikuhi ʻia) | Hōʻike HDL, (maʻamau) |
---|---|---|---|
emi mai ma mua o 5 mau makahiki | 2.950 - 5.250 | ʻaʻoleʻa | nalo nei |
mai 5 a 10 | 3.130 – 5.250 | 1.630 – 3.340 | 0.980 – 1.940 |
mai 10 a 15 | 3.080 - 5.230 | 1.660 – 3.340 | 0.960 – 1.910 |
mai 15 a 20 | 2.910 – 5.100 | 1.610 – 3.370 | 0.780 – 1.630 |
mai 20 a 25 | 3.160 – 5.590 | 1.710 – 3.810 | 0.780 – 1.630 |
mai 25 a 30 | 3.440 – 6.320 | 1.810 – 4.270 | 0.800 – 1.630 |
30 a 35 | 3.570 – 6.580 | 2.020 – 4.790 | 0.720 – 1.630 |
mai 35 a 40 | 3.630 – 6.990 | 1.940 – 4.450 | 0.880 – 2.120 |
mai 40 a 45 | 3.910 – 6.940 | 2.250 – 4.820 | 0.700 – 1.730 |
mai 45 a 50 | 4.090 – 7.150 | 2.510 – 5.230 | 0.780 – 1.660 |
mai 50 a hiki i 55 | 4.090 – 7.170 | 2.310 – 5.100 | 0.720 – 1.630 |
mai 55 a 60 | 4.040 – 7.150 | 2.280 – 5.260 | 0.720 – 1.840 |
mai 60 a 65 | 4.120 – 7.150 | 2.150 – 5.440 | 0.780 – 1.910 |
mai 65 a 70 | 4.090 – 7.100 | 2.490 – 5.340 | 0.780 – 1.940 |
ma luna o 70 | 3.730 – 6.860 | 2.490 – 5.340 | 0.850 – 1.940 |
ʻO ka awelika lipoprotein mokulele i ka kāne ma ka waena o 5.20 - 6.20 mmol / lita.
Hoʻomehu o kahi kaʻina lipid
ʻAʻole wale ka HDL cholesterol maikaʻi a maikaʻi paha ka LDL cholesterol nui, akā ka māhele o ka maikaʻi i ka maikaʻi. Hoʻohālikelike kēia kūmole me ka hoʻohana ʻana i CAT - i ka ʻaoʻao o ka atherogenicity.
KA pila KA:
CAT = huina o ka kolamu - HDL index a hoʻokaʻawale i kēia mau kuhikuhi e ka index HDL.
pae pae kiʻekiʻe no nā kāne i ka wā ʻōpio o 20 a 30 mau makahiki paha | 2.8 |
---|---|
hōʻike no ke kino kāne ma mua o 30 mau makahiki | 3,0 - 3,50 |
Ka pae CAT i ka puʻuwai ʻōpuhi o cardiac - ischemia muscle cardiac | 4.0 a keu |
80.0% o nā kolamu a pau e hoʻopili ʻia e nā ʻāpana o ke kano a he 20.0% wale nō ka mea hoʻolono ʻia me ka meaʻai. Pono ʻoe e hoʻomanaʻo i ka ʻike koʻikoʻi - ʻoi aku ka molowa kolesterol kiʻekiʻe kiʻekiʻe e hoʻohālikelike wale ʻia e nā ʻili pūpū.
Me nā huahana HDL, ʻaʻole ia e komo i ke kino. Hāʻawi ka meaʻai i ke kino i ka lipoproteins haʻahaʻa haʻahaʻa - LDL.
Inā hōʻemi ka kolamu maikaʻi o kahi kāne, a laila haʻahaʻa ia ma mua o ka maʻamau, a laila pono e makaʻala i ka maikaʻi o nā ʻōpū o nā ate a me ko lākou hiki i ke kāpae i ka waiʻona e loaʻa ana i ka momona o ka kolamu.
Hāʻawi ka meaʻai i ke kino i ka lipoproteins haʻahaʻa haʻahaʻa - LDL. i nā mea e kūpono ↑
Nā Mana Kūlike
Hiki i ke kauka ke koho i ke ala no ka hoʻoponopono ʻana i ka kolala i ka ʻōnaehana koko o ke kāne.
Ma ka wehe ʻana i ka paukū lipid, ʻike ke kauka wai i ka papa o ka lipoproteins e lanakila ma ka kolamu maʻamau a kuhikuhi i ka hana maʻi e like me kēia.
Ua koho ʻia ka lāʻau lapaʻau no kēlā me kēia kāne kāne maʻi pākahi, akā aia ke ʻano maʻamau no ka hoʻohaʻahaʻa i ka index kolesterol:
- Ke kauka nei ke kauka i kahi pūʻulu o nā lāʻau statin e pale aku i ka synt synthesis. Hoʻokumu nā lāʻau lapaʻau i nā hanauna hou o nā lāʻau lapaʻau i hiki ke lawe wale ʻia e like me ka lāʻau lapaʻau lāʻau, akā e like me nā mea pale. Kūkala ke kauka i ke ʻano kūpono o nā lāʻau lapaʻau, no ka mea he nui nā hopena o nā statins i nā mea maʻi a me nā ʻōnaehana
- Hoʻopuka i nā lāʻau lapaʻau e hoʻoikaika i ka hana o nā statins a hoʻohemo i nā nui momona o ka kolamu ma nā pūpuna o nā puʻuwai,
- ʻO ke kolamu o nā vitamina e kōkua i ke kino e hoʻoponopono i ka hopena o nā lāʻau lapaʻau,
- Inā loaʻa iā ʻoe kahi pālolo i ka wā e lawe ai i ka lāʻau, a laila hoʻohana ʻia ka histamines, a me ka ʻaila o ka iʻa, aia nā Omega 3 a me Omega 6, maikaʻi loa ia.
- Hoʻohana ʻia me nā lāʻau antiplatelet
- Inā kiʻekiʻe ke kahe koko, ua hoʻohana ʻia nā beta blockers a me nā diuretics.
Nā hana pale a me nā ʻano mālama
Me ka hoʻonui ʻia o ka index cholesterol, e hoʻomaka mua nā lāʻau lapaʻau ʻole ma mua o ka lilo ʻana o ka index index i kiʻekiʻe, a hōʻike iā ia iho i nā hana pale.
ʻO ka pale a me ka lāʻau lapaʻau ʻole-maʻi no ka cholesterol ka mea i hoʻokaʻawale loa:
- ʻO kahi kīʻaha e hoʻokaʻawale i nā ʻona holoholona e like me ka mea hikiakā, akā i piha i nā momona maʻamau, a me ka nui o nā lau hou a me nā hua. Kōkua i ka momona momona i ka hana ʻala, a me nā ʻano moana o ka iʻa,
- Hoʻoikaika ola a hele i loko no ka haʻuki ʻana. ^ E Ha yM. Hoʻopili koke nā kāne i nā momona nui i ka wā e hoʻomaʻamaʻa ʻia
- I ka hoʻomaka ʻana o ka mālama ʻana, pono e hōʻalo nā kāne i ka ulaula a inu i ka waiʻona. ^ E Ha yM. ʻO ka hoʻohui a me ka hoʻokomoʻana o ka waiʻona i ka nui he nui ka hōʻemi o ka pā o vascular, e alakaʻi ana i ka kahe o ke koko i loko o lākou, kahi e hoʻonāukiuki ai i ka nui o nā palaka kolesterol,
- Hōʻalo i nā kūlana koʻikoʻi. ʻaʻole hoʻi i hoʻonāukiuki i nā mākaukau o ka ʻōnaehana vascular,
- E kaohi i ka manawa neʻe i ke koko, a me ka ʻōkelena o ke koko. ^ E Ha yM. ʻO ka maʻi maʻamau ka mellitus ke kumu o ka hoʻonui nui LDL i ke koko.