Cholesterol ke karolo ea bohlokoa ea 'mele oa motho le liphoofolo. Ntho ena e kenella lits'ebetsong tse ngata tsa bophelo, e fumaneha ka likarolo tsa lisele, e khothaletsa tlhahiso ea li-hormone tsa thobalano le ho monya livithamine tse itseng.
K'holeseterole e phahameng hangata e fumanoa ka lefu la tsoekere la mofuta oa 2. Ka sebele, hyperglycemia e sa foleng hangata e hlaha khahlano le semelo sa liphoso lits'ebetsong tsa metabolic le ts'ebeliso e mpe ea lijo tse se nang phepo.
Ntle le moo, ka tlolo ea ts'ebetso ea "carbohydrate metabolism", mosebetsi oa litho tse ngata le lits'ebetso oa hae o ferekane. E boetse e eketsa kotsi ea ho se sebetse hantle lipid metabolism, e lebisang ho bokelleng k'holeseterole e mpe marakong a methapo.
Kotsi ea hypercholesterolemia ke hore e etsa hore ho be le ho hlaha ha myocardial infarction, stroke, ho lahleheloa ke litho le mafu a amanang le tsamaiso ea methapo. Ka hona, motho e mong le e mong ea nang le lefu la tsoekere o lokela ho tseba ho fokotsa boemo ba cholesterol e mpe 'meleng ka mekhoa ea bongaka. Ho utloisisa sena, lenaneo "Live Healthy" le moemeli oa lona Elena Malysheva le tla thusa.
Ke cholesterol ke eng mme hobaneng e tsoha
Cholesterol e kopanya mantsoe a 2: "holi" (bile) le "sterol" (e tiileng). Ntle le ntho ena, ts'ebetso ea bohlokoa ea 'mele e ke ke ea khoneha - ke karolo ea membrane, e nka karolo ho theheng bile, methapo ea kutlo.
'Meleng oa motho, boholo ba k'holeseterole e hlahisoa ka har'a sebete. Ka hona, Malysheva o pheha khang ea hore esita le ts'ebeliso e nyane ea lijo tsa liphoofolo tse mafura, ntho ena e tla lula e patiloe litho, hobane ke karolo ea bohlokoa.
Malysheva ho cholesterol e re e na le lipoprotein tse nang le methapo e fapaneng. Haeba letšoao lena le le tlase, joale ntho eo e nkoa e le kotsi, hobane e ka eketsa li-cholesterol le lijana tsa clog. 'Me li-lipoprotein tse phahameng haholo, ka lehlakoreng le leng, li ntša cholesterol marakong a methapo.
Bakeng sa ts'ebetso e tloaelehileng, 'mele o tlameha ho ba le tekanyo e nepahetseng ea LDL ho HDL. Hangata atherosulinosis le cholesterol e phahameng ea mali li bonoa ho banna.
Ho basali, pele ho ho khaotsa ho ilela khoeli, HDL e tloaelehile. Ka hona, maloetse a pelo le pelo a qala ho a khathatsa ka mor'a ho khaotsa ho ilela khoeli.
Joalokaha ho boletsoe ka holimo, k'holeseterole e kenyelelitsoe maboteng a sele, e boloka li-acid tse mafura ho tsona ebe li etsa lipids. Empa ha li-membrane li senyeha (ho tsuba, khatello ea maikutlo, tšoaetso), liforomo tsa atherosselotic plaque, li fokolisa lumen ea vascular.
Ha letlapa le phatloha, sehokelo sa mali se ka theha, e leng se thibelang karolo eo ka botlalo. Kahoo ho na le myocardial infarction kapa stroke.
Lisosa tsa cholesterol e phahameng:
- tlhekefetso ea lijo tse mafura tse tsoang liphoofolong;
- lefu la sebete
- mekhoa e mebe (ho tsuba, botahoa);
- bophelo ba ho lula fatše;
- botenya
Lintho tse ka behang kotsing li kenyelletsa botsofaling, ho tsebahala ha liphatsa tsa lefutso, bong ba banna le lefu la tsoekere.
Mokhoa oa ho khetholla hypercholesterolemia le atherosclerosis
Lenaneong la "Live Healthy" mabapi le cholesterol, Elena Malysha o re u ka tseba hore na khatello ea cholesterol maling e sebelisa liteko tse tharo tse etellang pele. Boithuto ba pele bo u lumella ho tseba hore na khoelese ea cholesterol e felletseng maling. Ho ea ka litekanyetso tsa WHO, tloaelo ea ntho e 'meleng e fihla ho 5,2 mmol / l.
Tlhahlobo ea bobeli ea bohlokoa e senola palo ea li-triglycerides. Lintho tsena ke sengoathoana se matla haholo.
Triglycerides e bitsoa matšoao a surrogate a atherosranceosis, hobane sekhahla se phahameng sa lintho tsena se bonoa ho bakuli ba nang le botenya. Ho nona ho feta tekano ke sesosa se ka sehloohong sa nts'etsopele ea atherosclerosis, lefu la tsoekere, le khatello ea mali. Ho motho ea phetseng hantle ea se nang boima bo feteletseng, lintho tse mafura maling ha lia lokela ho feta 1,7 mmol / l.
Mokhoa oa boraro o thusang ho tseba lefu la atherosclerosis ke ho sekaseka karolelano ea LDL ho HDL maling. Tloaelo ea lipoprotein tse phahameng haholo (cholesterol e ntle) e fapana ho ea ka bong:
- bakeng sa banna - 0,72-1.63 mmol / l;
- bakeng sa basali - 0,86-2.28 mmol / l.
Mats'oao a amohelehang a boemo ba cholesterol e kotsi (LDL) maling bakeng sa basali ke 1.92-4.51 mmol / L, le bakeng sa banna - 2.02-4.79 mmol / L.
Ntle le moo, bakeng sa ts'oaetso ea hypercholesterolemia, ho ka hlahlojoa index ea atherogenic. Haeba sesupo se ka tlase ho tse tharo, joale mafura a kotsi a tlosoa lijaneng ka botsona. Ha index e feta makhetlo a mararo, ebe triglycerides, ho fapana le hoo, e bokella ka har'a likepe, e lebisang kholisong ea atherossteosis.
Leha ho le joalo, Elena Malyshe o lemosa hore ho nepahala ha sephetho sa tlhahlobo ea cholesterol ho latela boitokiso bo nepahetseng. Pele ho thuto, u ke ke ua ja, ho noa kofi kapa tee.
Mme matsatsi a mabeli pele ho nehelo ea mali, lingaka ha li khothaletse ho ja nama, esita le mefuta ea lijo, joalo ka nama ea khomo, mmutla kapa khoho.
Cholesterol e theolang lijo
Motsoako oa sejoale-joale o ithuta ka mafolofolo hore na lijo li ama cholesterol ea mali joang. Boithuto bo bontšitse hore le ntle le ts'ebeliso ea lithethefatsi ka thuso ea lijo tse nepahetseng, o ka fihlela phokotso ea LDL ka 10 - 15%.
Ka nako e ts'oanang, lijo tse phetseng hantle li loana le cholesterol e phahameng maemong ohle. Ba fokotsa ho kenngoa ha joala bo mafura mala, ba fokotsa tlhahiso ea bona 'meleng' me ba potlakisa ts'ebetso ea ho felisoa ha bona.
Motsamaisi oa lenaneo la TV "Live Healthy" o itse ho na le lihlahisoa tse tharo tse ntle haholo tse ka fokotsang k'holeseterole kapele. Sebakeng sa pele ke broccoli. Mofuta ona oa hop o na le likhoele tse kopaneng, tse liehang ho monya k'holeseterole e mpe ka mala ka 10%.
Feri ha e kenngoe kapa ho chesoa ke tsamaiso ea tšilo ea lijo. E bokella lintho tse mafura, lienfelopo ebe li li tlosa ka tlhaho 'meleng. Ho theola maemo a HDL le LDL maemong a tloaelehileng, ho kgothaletswa ho ja hoo e ka bang 400 g ya broccoli.
Sehlahisoa sa bobeli se thibelang kholo ea hypercholesterolemia ke li-mushroom tsa oyster. Li na le "statin" ea tlhaho.
Lovastin, e fumanehang ka har'a li-mushroom, joalo ka meriana, e fokotsa tlhahiso ea k'holeseterole 'meleng. Ntho ena e boetse e emisa kapa e thibela kholo ea liathomo tsa atherosselotic. Ho fetola metabolism ea cholesterol, ho lekane ho ja ligrama tse 10 tsa li-mushroom tsa oyster.
Sehlahisoa sa boraro se theolang cholesterol e mpe ke herring e ncha e sa lomosoang. Ho na le li-acid tsa omega-3 tse mafura ka har'a tlhapi tse fetolang sekhahla sa bakuli ba liprotheine, ka lebaka leo khatello ea cholesterol maling e fokotsehang mme e siea 'mele.
Ho tlosa joala bo mafura ka letsatsi, 100 g ea herring e lokela ho nooa.
Mokhoa oa ho felisa hypercholesterolemia
Phekolo ea atherosclerosis le cholesterol e phahameng e hloka hore ho sebelisoe li-statins. Tsena ke lithethefatsi tse amang lits'ebetso tsa metabolic seleng. Lithethefatsi tse ntle tse tsoang sehlopheng sena ke Simvastatin le Simvastol.
Moprofesa, ngaka ea lefu la pelo le ngaka ea mahlale Yu N. Belenkov, ea memetsoeng lenaneong la "Live Healthy", o hlalosa hore phello e tsitsitseng ea anticholesterol e ka fumaneha feela ka tšebeliso ea kamehla ea li-statins. Ntle le moo, morutehi o shebana le taba ea hore meriana e tlameha ho nooa mantsiboea. Sena ke hobane tlhahiso e phahameng ea cholesterol e etsahala qetellong ea letsatsi.
Moprofesa o boetse o re ha o nka li-statins, molao oa bohlokoa o lokela ho bonoa. Ngaka e re tlhoko ea tlhahlobo ea nako le nako ea cholesterol, e tla lumella ngaka e eang ho khetha lethal dose le sebetsang ka ho fetisisa la moriana.
Ntle le ho nka li-statins, Yuri Nikitich o fana ka tlhahiso ea ho noa Niacin. Ena ke moriana o sebelisang acid e bitsoang nicotinic e thatafatsang metabolism ea lipid.
Karolong e 'ngoe ea lenaneo la TV "Live Healthy," Toddler o buile ka sesebelisoa se sebetsang se ka folisang hypercholesterolemia. Tsena ke marotholi a Norivent ka tlhaho e nang le phello e rarahaneng 'meleng.
Melemo ea Norivent:
- e thibela ponahalo ea maloetse a pelo le methapo;
- li-lipids tsa mali;
- e tiisa botsitso ba metsi;
- e qhibilihisa mafura le lipid amana, e leng se thusang ho theola boima ba 'mele.
Motsoako o mong o sebetsang oa cholesterol o khothalletsoang ke Elena Malysheva ke holidol. Ho hlophisoa ho boetse ho na le likarolo tsa tlhaho tse thibelang ho thehoa ha liathomo tsa methapo ea methapo, ho matlafatsa methapo ea mali le ho eketsa boits'ireletso.
Litsela tse ling tsa ho fokotsa cholesterol ke ka kalafo ea ho ja le ho ikoetlisa. Maemong a tsoetseng pele, ho sebelisoa plasmapheresis. Ona ke ts'ebetso e sebetsang e u lumellang ho hloekisa mali a lipoprotein tse tlase.
Ts'ebetsong ea ho qhekella, mali a fetisoa kahara membrane, ka lebaka leo plasma e tlhotsitsoeng 'me e hloekile kantle ho mmele. Nako ea ts'ebetso ke metsotso e 40, haeba ho hlokahala, e etsoa khafetsa.
E le pheko e thusang, ho ka sebelisoa litlhare tse fapaneng. Leha ho le joalo, litlama li theola cholesterol ea tsona hanyane. Ho feta moo, lihlahisoa tse ling le limela li ka ama katleho ea lithethefatsi, ka hona, o lokela ho buisana le ngaka ea hau pele u e sebelisa.
Ka video e sehloohong sena, Dr. Malysheva, hammoho le litsebi, o tla bua ka cholesterol le mekhoa ea ho lokisa metabolism ea lipid.
