Hoʻonui ʻia nā triglycerides i ke koko wahine a me nā kāne

Hōʻike ʻia nā loli i ka ʻano o lipid ka koko. ʻO ka mea i hoʻāla ʻia ai ka triglycerides, maʻa pinepine mākou e aʻo ʻia e ka manawa kūpono, ma ke ʻano he loiloi maʻamau. ʻO nā mea hoʻohālikelike mai ke ʻano maʻamau e hōʻike i nā pilikia o ka metabolic maʻi. Inā ʻaʻole e hoʻoponopono ʻia kēia mau pilikia i ka manawa, e hōʻiliʻili nā loli o ka atherosclerotic i loko o nā moku, ʻoiai hiki ke alakaʻi iā ia ka hōʻeha o ka naʻau, ka puʻuwai naʻau, ischemia cerebral, a me ka haunaele o ka hāʻawi ʻana i ke koko i nā hiʻona, ʻeha a me nā ʻeha. Kūlike maikaʻi ka triglycerides e hoʻomaʻemaʻe maikaʻi. Ua kuhikuhi ʻia nā mea maʻi heʻai kūikawā a me nā lāʻau lapaʻau e hoʻohaʻahaʻa i nā lipids koko.

ʻO ka hana maʻamau

ʻO Triglycerides kekahi o nā lipids nui o ke koko. Hoʻokomo lākou i nā moku i ʻelua ala. Hiki mai nā triglycerides exogenous mai nā momona momona a mākou e ʻai ai. Ma hope o ka ʻai ʻana, hoʻoki ʻia ka triglycerides i ke koko, i loko o 10 mau hola i hoʻi mai ko lākou pae hou i kona waiwai mua. Hiki i 70-150 mau mea o ka triglycerides mai ka meaʻai i loko o ko mākou koko i ka lā. Hoʻololi ʻia ka triglycerides Endogenous e ka momona, nā momona momona, a me nā mea ʻole.

Hōʻalo ke kino i nā keu triglycerides nui i nā momona momona, ka mea i hoʻopau ʻia no nā hana koʻikoʻi a hōʻuluʻulu paha i nā kiko momona. Inā no kekahi kumu i ka haunaele kēia kaʻina hana, piʻi nui ka kiʻekiʻe o ka triglycerides, a hele mai ka hypertriglyceridemia ma ke koko. Inā ʻaʻole wale i ka triglycerides, akā kekahi mau lipids koko i ʻoi aku i ka maʻamau, ua hana ʻia kahi maʻi o ka hyper- or dyslipidemia wale nō.

Aia nā kūlana i kahi atherogenic. I ka pākeke me ka hyperlipidemia, hoʻonui nui ka maʻi o ka maʻi cardiovascular (CVD no ka pōkole). ʻO ka meaʻokoʻa wale nō ka lā maʻamau o nā abnormalities maʻamau e hāpai i ka ulu ʻana o ka triglycerides, ʻaʻole e hoʻonui i ka hopena o ka CVD, akā hiki iā ia ke hoʻonāukiuki i ka pancreatitis maʻa.

Ua hoʻokūpaʻa nā ʻōnaehana Laboratory no ka triglycerides i ke koko koko e pili ana i ka makahiki a me ke ʻano wahine. Hiki ke hoʻoholo ʻia ka kuhikuhi i ʻelua mau ʻāpana: hoʻohana pinepine ʻia a mmol / l, ʻoi aku ka nui o ka mg / 100 ml. Mahele like nā ʻikena o nā paʻahana like ʻole, akā eia nā palena maʻamau e hoʻohana pinepine ʻia:

ʻO ka maʻi maʻi a me nā hoʻohaʻahaʻa manaʻo e hana ia i ka wā ma mua

• Ka hana maʻamau o ke kō -95%
• Hoʻokuʻuina o ka pua thrombosis - 70%
• Hoʻopau i kahi puʻuwai ikaika -90%
• Hoʻopau i ke kiʻekiʻe o ke koko - 92%
• ʻO ka hoʻonuiʻana i ka ikehu i ka wā, hoʻomaikaʻi i ka hiamoe i ka pō -97%

I loko o nā keiki, hoʻonui nui ʻia ka triglycerides i nā 6 mau pule mua ma hope o ka hānau ʻana, ma hope o ke emi ʻana. Mai ka wā o ke kula ulu mua lākou e ulu maikaʻi nei, hāʻule wale nō i ka wā o ka ulu wikiwiki. Inā hoʻokiʻekiʻe ʻia nā triglycerides, ʻoi aku ka maʻamau o ke keiki me ka maʻi lipid metabolism nā maʻi, me ka ʻole o ka mālama ʻana, hiki ke alakaʻi i ka ulu mua o ka maʻi naʻau. ʻO ka liʻiliʻi, ʻo nā triglycerides kiʻekiʻe i nā keiki ke hopena o nā kīʻaha maikaʻi ʻole o ke a me nā nohona ola.

Hoʻohui ʻia i ke ʻano maʻamau i nā kāne

I nā kāne, ua hoʻonui ʻia nā ʻōnaehana lipid koko a me nā pilikia cardiovascular. ʻO ka make mai nā ala o nā puʻuwai a me nā kīʻaha koko e hoʻoweliweli i ka 5-10% o nā poʻe ʻelemakule, ʻoiai lākou e nānā i ka cholesterol a me ka triglycerides, ʻai maikaʻi a me ka hoʻōla. ʻO nā mea e like me ka ulaula, inu wai i ka hōʻemi, i ka hypertension hewa ʻole, ka momona, a me ka hoʻonui i ka triglycerides i nā kāne e hoʻonui i ka nui o ka make e nā manawa he nui.

Manaʻo nā kauka i nā hana hoʻāʻo no ka pae lipid hoʻomaka i ka makahiki 40. Inā e hoʻokiʻekiʻe ʻia, pono e hoʻomaka koke ka mālama ʻana. I nā kāne, nā lāʻau lapaʻau ʻole e hāʻawi i nā hopena maikaʻi: kahi papaʻai me ka hoʻōmi ʻia ʻana o ka momona o nā holoholona a me ka nui o ka momona, ka hoʻomaʻamaʻa nui ʻana, hoʻāla a me ka inu ʻawa. Hāʻawi lākou iā ʻoe e normalize i nā pae lipid, a, ma muli, a ke hōʻemi nei i ka maʻi o ka naʻau ma ka hapalua o nā kāne. ʻO ke koena 50% ʻoi aku nā lāʻau lapaʻau ʻē aʻe.

ʻO nā meaʻokoʻa i nā wahine

ʻO ka like o ka triglycerides i ka wahine i hoʻonui pinepine i kona wā kamaliʻi a i 60 makahiki. ʻO nā mea ʻē aʻe wale nō ka wahine a me ka wā ʻōpio. Hoʻonui ʻia ka triglycerides i ka wā hapai no nā kumu physiological; ʻaʻole pono kēia ʻano maʻi. Ma ka kolikoli 3, hiki ke hoʻonui lākou i ka maʻamau ma 2 mau manawa.

Ma muli o ka ʻōlima o ka hormonal, ʻo ka nui, ke olakino olakino e hōʻemi i ka triglycerides haʻahaʻa, a ʻo ka nui o nā maʻi vascular ka mea i hōʻemi ʻia ma mua o ke kāne. Me ka hoʻomaka ʻana o ka menopause, ke piʻi o ka pilikia o ka CVD, he piʻi nui ka nui o ka lipid koko, akā ʻaʻole i loli nui ka kūlana holoʻokoʻa. Hoʻāmi ʻia ka pilikia o nā pilikia o ka naʻau i nā wahine ma kahi o 10 mau makahiki, ʻo ia hoʻi, ʻo ia nō ka like me kahi kāne he 50 ona lā a me ka wahine he 60 ona makahiki.

ʻO nā ala āpau e hoʻokaʻawale i nā metabolism (maʻi o ke keiki, nā maʻi hormonal, ka maʻi diabetes) i nā wahine he nui ka hopena o ka lipid metabolism ma mua o nā kāne. No ka laʻana, hānai ka maʻi maʻi i ka nui o ka CVD i nā wahine ma o 5 mau manawa, i nā kāne ma 3 mau manawa.

Hoʻomaopopo ʻia nā wahine e hana i nā hoʻokolohua i kēlā me kēia makahiki, hoʻomaka ʻia i ke makahiki he 50, a i ka hihia o ka menopause ʻimi - koke koke o kona hoʻomaka.

Diagnosis o ka hypertriglyceridemia

Hōʻike ʻia he hōʻike koko biochemical, me ka hoʻoholo ʻana o nā pae lipid ma hope o 40 mau makahiki (50 mau makahiki no nā wahine) i ke alo o CVD, a inā he mau kumu piʻi nui o ka nui o ka CVD:

• ʻAno diabetes type 2;
• haʻi maʻi
• ulaula
• ʻōpiopio (BMI oi ma mua o 30, ʻo ka hope ma mua o 94 cm i nā kāne, 80 i nā wahine);
• heredity - maʻi maʻi ma ka wā ʻōpio ma waena o nā hoahānau pili koke;
• maʻi lipopaʻa;
• maʻi maʻi maʻi autoimmune - ʻ --lelo, psoriasis.

I ka wā o ka loiloi, ma ka liʻiliʻi e kiʻekiʻe ai nā pae o ka triglycerides, cholesterol, HDL, LDL. I nā limahana hana pilikino, ʻo ka mea paʻakikī o kēia mau noi i kapa ʻia ʻo "profile lipid" a i ʻole "profil lipid". Hāʻawi ʻia ke koko ma kahi ʻōpū ʻole, ma hope o ka pōloli mau loa 12-14 mau hola. Hiki i nā hopena kūpono ʻole ke alakaʻi i nā kūlana kaumaha, ke kaumaha o ke kino, ka inu ʻona i ka lā ma mua o ka hoʻāʻo.

Nā kumu o ka ulu lāʻau Triglyceride

Hiki i nā triglycerides Elevated ma muli o hoʻokahi a i ʻole ke kumu:

1. ʻO ka hyperlipidemia mua - ke maʻi congenital, kona kumu he gen abnormal nona ke mālama pono i ka pae o ka triglycerides a me cholesterol. Inā hoʻoilina ʻia ka huaʻa mai nā mākua ʻelua, he maʻi koʻikoʻi ka hyperlipidemia a ʻaʻole mālama ʻia i nā wā maʻamau.
2. ʻO ka hyperlipidemia lua - he hopena o ka hoʻopiliʻole i nā kaʻina hoʻokolohua. ʻO ka kumu maʻamau ʻo ia ka hypothyroidism, maʻi maʻi maʻi, ka maʻi gallstone, ka maʻi o ka ʻōpū, ka momona. Hiki ke hoʻonui ʻia no Triglycerides ma muli o ka hoʻohana o nā lāʻau lapaʻau lōʻihi: nā mea paʻa poloka adrenergic, diuretics, immunosuppressants, contraceptives waha.
3. Alimentary hyperlipidemia - he hopena o ko kākou ʻano. Inā loaʻa kaʻai i nā loina holoholona he nui a me ka momona o kaʻai haʻahaʻa, ʻaʻohe manawa ka triglycerides e emi ai.

ʻO nā mea e hoʻoholo i nā triglycerides kiʻekiʻe i nā pākeke e ola i kahi ola kino: ka hoʻemi haʻahaʻa haʻahaʻa, ka nui o ka ʻai kiʻekiʻe, ke kīnā ʻana, ka inu ʻawaʻawa, a me ke ʻano o ka hoʻoulu ʻana i kēlā me kēia ʻano hoʻokalakupua.

Inā maʻamau nā lipids

ʻOiai he paʻakikī nā maʻi metabolic, kahi kūpono no ka manaʻo e pili ka kiʻekiʻe o ka triglycerides me nā koloka kiʻekiʻe kiʻekiʻe. I ka ʻoiaʻiʻo, ua mamao loa kēia pilina mai nā lā a pau. Hoʻoulu ʻia ka nui o nā kolamu a me nā triglycerides i nā poʻe maʻi me ka dyslipidemia o nā ʻano IIb a me III, ka nui o ka nui o kēia mau ʻano he 40%. I 10%, hoʻohui pū ke kolamu kiʻekiʻe me nā triglycerides maʻamau, ʻike ʻia ka maʻi IIa.

Me ka type IV dyslipidemia, ʻoi aku ka maʻamau o ka cholesterol, a hoʻokiʻekiʻe ʻia nā triglycerides a me VLDL. Hiki i kēia kūlana ke kumu o ka lua a me ke kula kiʻekiʻe. Ua manaʻo ʻia ʻoi aku ka liʻiliʻi o nā kahe koko ma mua o nā ʻano II a me III. Ke piʻi a ʻo ka triglycerides ma mua o ka mea maʻamau, akā ma lalo o 5 mmol / l, ua loaʻa i nā mea maʻi ka nui o ka maʻi o ka naʻau. Inā hoʻokomoʻia ka triglycerides ma luna o ka 5, hiki i ka pancreatitis hoʻonā. ʻO ka molo o ka maʻi IV he 45%.

Nā ala e hoʻomaʻamaʻa i nā triglycerides

Inā hoʻāla ʻia ka triglycerides, ma nā wahine a me nā kāne, a ʻōwili nui ke ʻano o nā moku: e lilo ana ka pā i lalo o ka pā, lilo ʻole ka elastic, a me ka lumen ka moʻolelo. Hiki ke nānā wale ʻia ka manawa kūpono a me ka mālama ʻana i ka hyperlipidemia i kēia kaʻina hana.

Pehea e hoʻohaʻahaʻa ai i nā triglycerides:

1. I ka hana mua o ka mālama ʻana, ua hoʻohana ʻia nā ʻano lāʻau lapaʻau ʻole. Hoʻopili kēia o ka meaʻai, nā hoʻonaʻauao kūlohelohe, kahi hōʻole loa a me ka waiʻole.
2. ʻO ka hōʻemi ʻana i ka hōʻemi momona e loaʻa nō ka hopena maikaʻi ma ka kolamu: me nā kilokilo i nalowale, hāʻule ka nui o nā triglycerides e pili ana i ka 0,015, kolamu ma 0,05 mmol / l.
3. Hoʻohana ʻia nā lāʻau lapaʻau inā ʻaʻole i hōʻemi ʻia nā ʻōkuhi lāʻau ʻole i nā lipids maʻamau i 3-6 mau mahina. ʻO kahi mea ʻē aʻe nā mea maʻi me ka hyperlipidemia kiʻekiʻe loa, pinepine i ka pae mua. Ua hoʻohālikelike ʻia lākou i ka lāʻau a pau ka hōʻike ʻana o ke kaila ʻana i kahi kinaʻe mai ke kapu.

Hoʻoholo maikaʻi

Ua hōʻike ʻia ka hana o ka ʻai i ka pale ʻana i ka CVD ma nā ʻano he nui. Hiki i kahi manaʻo noʻonoʻo, manaʻo hoʻokūkū i ka meaʻai o nā maʻi pākeke i kekahi mau mea ʻo ka CVD i ka manawa hoʻokahi: hiki iā ia ke hōʻemi i ka triglycerides a me ka cholesterol, e hoʻomaʻamaʻa i ke koko a me ke kō.

ʻAi lā kai e ʻoi loa e hōʻemi i nā triglycerides e like me ka lāʻau lapaʻau e hōʻike ana.

Me nā kolamu kiʻekiʻe, ʻo nā loli e ʻoi loa ka hopena o ka hoʻohaʻahaʻa ʻana i nā kao momona saturated a me ka momona momona, kahi nui o ka hoʻokomo intile, a me kahi hoʻoulu hou o phytosterols.

ʻO nā ʻōmua holoʻokoʻa e pili ana i nā mea e hana ai me ka meaʻai no ka dyslipidemia:

1. Me ka nui o ke kaumaha - he hoʻohaʻahaʻa i nā kalori. Hoʻoholo ʻia ia ma ke ʻano e hiki ai ke hōʻoia i ka lilo ʻana o ka mea aneane ma kahi o 4 kg i hoʻokahi mahina.
2. ʻO ka pae kiʻekiʻe o nā mea kanu (BJU) ka 15% protein / 30% momona / 55% kākā lōʻihi,% e helu ʻia ana mai ka huina o nā calorie kiko.
3. Ke kaupalena ana i nā meaʻaiʻai momona: kolu (100 g 215 mg cholesterol), offal, ʻelemaka maoli (600 mg) a me ka lolo (1500 mg), crustaceans (150-200 mg), momona holoholona (110 mg), mea momona momona ( 85-100 mg) a me ka moa (60-90 mg). Pono ka hoʻonui ʻana o ka cholesterol i kēlā me kēia lā i kahi 200 mg.
4. ʻO ka hapa haʻahaʻa o kēlā me kēia lā i nā lau a me nā mea kanu hou ua 400 g.
5. Ke hoʻololi nei i nā momona momona me nā alapine, nā manu kīnā ʻole, ka iʻa.
6. ʻO ka hoʻohana ʻana i nā lā o nā huahana dairy i nā haʻahaʻa momona haʻahaʻa.
7. Loaʻa ka lōʻihi o nā kālbohala - nā mea kanu, nā hua ʻai, nā cereals.
8. ʻO nā ʻōmaʻomaʻo (me nā mea inu kō) ʻaʻole pono eʻoi aku ma mua o 10% o ka nui o nā huamina.
9. ʻO ka iʻa momona momona i momona Omega-3 pono e loaʻa ma ka papa ʻaina a ma kahi o ka ʻelua i ka pule.
10. ʻO ka hapa haʻahaʻa o ka lau meaʻai he 25 g i ka lā. Inā ʻaʻole lawa i kaʻai, hiki ke hoʻohui i ka bran i ka meaʻai.

Hoʻohana pilikino

Hoʻomaopopo nā kauka i ka hoʻonui ʻana i ka pae o ka hana i nā maʻi āpau: ma nā keiki a me nā pākeke, me ka ʻole o ka makahiki a me ke olakino ʻana. Ua koho kēlā me kēia maʻi i ka ukana hiki iā ia ke hana. Pono e hāʻawi ʻia ka hoʻonaʻauao kūlohelohe i lalo o 30 mau minuke i kēlā lā, ʻo ka ikaika kūpono e hoʻonohonoho ʻia e ka pulse, ʻo ia ka 60-75% o ka nui o ka nui o ka puʻuwai ma nā helu (ʻoi ʻia: 220 kipi i nā makahiki i nā makahiki). ʻO nā mea hana maikaʻi - hoʻomaʻamaʻa cardio: brisk hele, holo, kauʻau ʻana ma ke ʻano wikiwiki, aerobics, ka hula hula, a me nā mea like.

ʻO nā lāʻau hōʻiliʻili lipid

Ke kuhikuhi ʻia nei nā lāʻau lapaʻau haʻahaʻa e like me ka manawa lōʻihi, i kekahi manawa a hiki i ka hopena o ke ola. E like me nā lāʻau maikaʻi a pau, pili ka lipid-he nui i nā hopena ʻaoʻao, no laila ke kuhikuhi ʻia wale nō inā ʻaʻole nā ​​kumuhana ʻē aʻe o ka triglycerides e hāʻawi i ka hopena i makemake ʻia. Ma ka manawa like, ʻike pono ʻole ka maikaʻi o nā hopena o kēia mau lāʻau ʻoi aku ka ʻino ma mua o ka hōʻole ʻana iā lākou a ke noho nei me ka triglycerides e hoʻonui mau ʻia.

Ua hoʻopaʻa ʻia no nā lāʻau lapaʻau Lūkia no ka hoʻoponopono ʻana i nā triglycerides:

Ma mua o ka kuhikuhi ʻana i nā lāʻau lapaʻau, e aʻo ʻia no ka mea maʻi e hoʻomaʻamaʻa i ka ʻike i nā maʻi concomitant e hiki ai i ka hypertriglyceridemia lua. Ma ke kānāwai, ke alualu nei i ka mālama ʻana i kēia mau maʻi i ka hōʻemi ʻana i nā lipid me ka lipid-hoʻēmi i nā lāʻau lapaʻau.

ʻO ka lāʻau lapaʻau

ʻO kahi hopena e kū pono ai i ka triglycerides kiʻekiʻe i manaʻo ʻia he mea ʻaila hinu o ke kāleka. No kona hoʻomākaukau, e kau ʻia nā kuʻi kālai ʻia nui i loko o kahi pahu aniani o ka palena o 0.7 l. Hoʻopiha ʻia nā ʻūpī i nā hinu aila wela. Pono e hoʻokaʻawale ʻia ka aila, 1 spin. ʻOi a maikaʻi ka Sesame a me ka palaoa; Hoʻopili ʻia ka ipu pahu a hoʻomaʻemaʻe ʻia i loko o kahi maloʻo no 1 pule. Lawe i nā punetēl 3-4 i kēlā me kēia lā.