Canje-canje a cikin ƙwayar lipid na jini yakan faru ne da rashin nasara. Gaskiyar cewa triglycerides an ɗaukaka shi, yawancin lokuta muna koya ne kwatsam, yayin binciken yau da kullun. Abubuwan rarrabuwa daga ƙa'idar suna nuna raunin yanayin rayuwa. Idan ba a gyara waɗannan cuta a cikin lokaci ba, canje-canje na atherosclerotic zai haɗu a cikin tasoshin, wanda a ƙarshe zai iya haifar da gazawar zuciya, bugun zuciya, ƙwayar jijiyoyi, da hargitsewar samarda jini zuwa gaɓar hancin, ƙodan, da hanji. Babban triglycerides yawanci yana amsa lafiya ga magani. An tsara wa marasa lafiya abinci na musamman da magunguna waɗanda ke rage ƙwayar jini.
Aiki na yau da kullun
Triglycerides sune ɗayan manyan lipids na jini. Suna shiga tasoshin ta hanyoyi biyu. Abubuwan da ke haifar da kiba sun fito ne daga yawan abinci da muke ci. Bayan cin abinci, triglycerides a cikin jini suna sama, a cikin awanni 10 matakinsu ya koma darajar da ya gabata. 70-150 grams na triglycerides daga abinci yana shiga cikin jininmu a kowace rana. Endogenous triglycerides ana samar da su ta hanta, adon mai, da hanji.
Jiki yana warware hadadden jini triglycerides zuwa mai mai, wanda ko dai ana ciyar dashi akan mahimman matakai ko kuma ya tara ƙwayoyin mai. Idan saboda wasu dalilai wannan yanayin yana da damuwa, matakin triglycerides yana ƙaruwa, kuma hypertriglyceridemia yana faruwa a cikin jini. Idan ba kawai triglycerides ba, har ma da sauran ƙwayoyin jini na jini sun wuce na yau da kullun, ana yin maganin cututtukan hyper- ko dyslipidemia.
Waɗannan halayen suna atherogenic. A cikin manya tare da hyperlipidemia, da alama cutar cuta da jijiyoyin jini na karuwa sosai (CVD ga ɗan gajeren lokaci). Banda shi ne kawai ƙarancin ƙwayoyin cuta waɗanda ke ba da gudummawa ga haɓakar triglycerides, ba sa ƙara haɗarin CVD, amma na iya haifar da matsanancin ƙwayar cuta.
An kafa ka'idodin dakin gwaje-gwaje na triglycerides a cikin jini plasma dangane da shekaru da jinsi. Ana iya tantance mai nuna alama a cikin raka'a biyu: ana amfani da mmol / l sau da yawa, ƙasa da yawa mg / 100 ml. Abubuwan da aka ambata na ƙididdigar gwaje-gwaje daban-daban na iya bambanta, amma waɗannan iyakoki na yau da kullun ana amfani da su:
Ciwon sukari da hauhawar jini zai zama abin da ya wuce
- Normalization na sukari -95%
- Cirewa kan jijiyoyin mara wuya - 70%
- Cire zuciyar mai karfin zuciya -90%
- Rabu da cutar hawan jini - 92%
- Increasearuwar kuzarin rana, inganta bacci da dare -97%
Shekaru tsufa | Matakan Triglyceride (TAFIYA), mmol / l | |
Ga maza | Ga mata | |
≤ 10 | 0.33≤TRIG≤1.12 | 0.39≤TRIG≤1.3 |
11-15 | 0.35≤TRIG≤1.40 | 0.41≤TRIG≤1.47 |
16-20 | 0.41≤TRIG≤1.66 | 0.43≤TRIG≤1.39 |
21-25 | 0.49≤TRIG≤2.26 | 0.4≤TRIG≤1.47 |
26-30 | 0.51≤TRIG≤2.8 | 0.41≤TRIG≤1.62 |
31-35 | 0.55≤TRIG≤3 | 0.43≤TRIG≤1.69 |
36-40 | 0.6≤TRIG≤3.61 | 0.44≤TRIG≤1.98 |
41-45 | 0.61≤TRIG≤ 3.60 | 0.50≤TRIG≤2.15 |
46-50 | 0.64≤TRIG≤3.6 | 0.51≤TRIG≤2.41 |
51-55 | 0.64≤TRIG≤3.6 | 0.58≤TRIG≤2.62 |
56-60 | 0.64≤TRIG≤3.22 | 0.61≤TRIG≤2.95 |
61-65 | 0.64≤TRIG≤3.28 | 0.62≤TRIG≤2.69 |
≥66 | 0.61≤TRIG≤2.93 | 0.67≤TRIG≤2.7 |
A cikin yara, triglycerides suna ƙaruwa sosai a farkon makonni 6 na haihuwar bayan haihuwa, bayan haka suna raguwa. Daga lokacin da suke zuwa makarantan nasare suna girma yadda ya kamata, suna fadowa ne kawai a cikin lokutan ci gaba mai sauri. Idan triglycerides an ɗaukaka, mafi sau da yawa wannan yana nufin cewa yaro yana da hereditary lipid metabolism cuta da cewa, ba tare da magani, na iya haifar da farkon farkon cutar zuciya. Commonlyarancin yau da kullun, babban triglycerides a cikin yara sune sakamakon abincin abinci mara kyau da salon rayuwa.
Wucewar al'ada a cikin maza
A cikin maza, duka lafiyar lipid na jini da haɗarin zuciya yana ƙaruwa. Mutuwa daga cututtukan zuciya ko jijiyoyin jini suna barazanar 5-10% na tsofaffi maza, koda kuwa sun lura da matakin cholesterol da triglycerides, ci da kyau da kuma wasa wasanni. Abubuwan da suka haifar kamar shan taba, shan barasa ko da a cikin matsakaici, hauhawar jini, rashin kiba, da hauhawar triglycerides a cikin maza na kara haɗarin mutuwa sau da yawa.
Likitocin sun bayar da shawarar daukar gwaje-gwaje don matakan lipid wanda yake farawa daga shekaru 40. Idan suna ɗaukaka, yakamata a fara magani nan da nan. A cikin maza, hanyoyin rashin magunguna suna ba da sakamako mai kyau: abincin da ke da ƙima na yawan kitse na dabbobi da wucewar zare, motsa jiki mai ƙarfi, hana shan sigari da barasa. Suna ba ku damar daidaita matakan lipid, kuma, daidai da haka, da rage haɗarin cututtukan zuciya a cikin rabin maza. Ragowar 50% sune kuma magungunan da aka tsara.
Rashin daidaito a cikin mata
Adadin triglycerides a cikin mace a hankali yana ƙaruwa daga ƙuruciya zuwa shekaru 60. Iyakar abin da ya banbanta shi ne daukar ciki da samari. Triglycerides an ɗaukaka shi yayin daukar ciki saboda dalilai na ilimin halayyar; wannan yanayin baya buƙatar magani. A cikin watanni uku, zasu iya wuce ka'idodin sau 2.
Sakamakon yanayin hormonal, matsakaici, mace mai lafiya cikin ƙoshin lafiya yana da ƙananan triglycerides, kuma yawan cututtukan jijiyoyin jiki ƙasa da na mutum. Tare da farawar menopause, hadarin CVD yana ƙaruwa, matakan lipid jini yana ƙaruwa, amma yanayin gaba ɗaya baya canzawa sosai. Hadarin cututtukan zuciya a cikin mata yana jinkiri da kimanin shekaru 10, wato, daidai yake ga saurayi mai shekaru 50 da mace mai shekaru 60.
Abubuwan cututtukan da ke gurbata metabolism (cutar koda, cututtukan haɓaka, cututtukan fata) a cikin mata suna da babban tasiri akan metabolism na lipid fiye da na maza. Misali, ciwon suga yana kara hadarin CVD a cikin mata ta hanyar sau 5, a cikin maza zuwa sau 3.
An ba da shawarar mata suyi gwajin kowace shekara, tun daga shekara 50, kuma a game da farawar haihuwar - nan da nan bayan farawa.
Bayyanar cututtuka na hypertriglyceridemia
Ana buƙatar gwajin jini na ƙwayar cuta, ciki har da ƙayyade matakin lipids, bayan shekaru 40 (shekaru 50 na mata) a gaban CVD, kuma idan akwai abubuwan haɗarin haɗarin CVD:
- Nau'in cuta guda 2;
- hauhawar jini
- shan taba
- kiba (BMI fiye da 30, kugu fiye da 94 cm a cikin maza, 80 a cikin mata);
- gado - cututtukan zuciya a wani ƙarami a tsakanin dangi na kusa;
- cututtukan koda na koda;
- cututtuka na autoimmune na kullum - arthritis, psoriasis.
Yayin nazarin, aƙalla matakan matakan triglycerides, cholesterol, HDL, LDL ya kamata a ƙaddara. A cikin dakunan gwaje-gwaje na kasuwanci, ana kiran hadadden wadannan karatun "'profile lipid profile' or" lipid profile '). Ana bayar da jini a cikin komai a ciki, bayan matsananciyar yunwa na tsawon awanni 12-14. Sakamakon da ba a iya dogara da shi ba na iya haifar da yanayi na damuwa, yawan wucewar jiki, yawan shan barasa a ranar da za a yi gwajin.
Sanadin Girma na Triglyceride
Tsarin triglycerides na iya zama saboda dalilai ɗaya ko ƙari:
- Primary hyperlipidemia - cuta ce ta haihuwa, sanadinsa shine ƙarancin halittar mahaifa wanda ke da alhakin riƙe matakin triglycerides da cholesterol. Idan aka gadar da ɗimbin ƙwaƙwalwar daga mahaifan biyu, hyperlipidemia yana da babban rauni kuma ba koyaushe za'a iya maganin shi ba.
- Secondary hyperlipidemia - Sakamakon kutse a cikin tafiyar matakai na rayuwa. Yawancin lokaci dalilin sa shine hypothyroidism, ciwon sukari, cutar gallstone, cutar hanta, kiba. Hakanan za'a iya ƙara Triglycerides saboda yawan amfani da kwayoyi: adrenergic tarewa jami'ai, diuretics, immunosuppressants, maganin hana haihuwa.
- Alimentary hyperlipidemia - sakamakon rayuwarmu. Idan abincin ya ƙunshi yawan kitse na dabba da ƙananan fiber na abin da ake ci, triglycerides basu da lokacin ragewa.
Abubuwan da ke ƙayyade babban triglycerides a cikin manya sun haɗa da salon rayuwa mara kyau: motsi mara ƙima, rage yawan kuzari mai yawa, shan sigari, shan giya, da kuma motsin rai mai cike da damuwa ga kowane motsa rai.
Idan wasu lipids na al'ada ne
Tunda rikice-rikice na rayuwa suna da rikitarwa, yana da ma'ana a ɗauka cewa babban triglycerides ya kamata ya kasance kusa da ƙayyadaddun cholesterol. A zahiri, wannan kusancin ba shi da kullun. Jimlar cholesterol da triglycerides ana ɗaukaka su a cikin marasa lafiya da dyslipidemia na nau'ikan IIb da III, jimlar adadin waɗannan nau'ikan kusan 40%. A cikin 10%, ana haɗuwa da babban cholesterol tare da al'ada triglycerides, ana gano su da nau'in IIa.
Tare da nau'in IV dyslipidemia, cholesterol ya fi dacewa da al'ada, kuma triglycerides da VLDL suna da girma. Wannan yanayin na iya zama na farko da na sakandare. Anyi la'akari da ƙarancin haɗari ga hanyoyin jini fiye da nau'ikan II da III. Lokacin da triglycerides ya fi yadda ake al'ada, amma ƙasa da 5 mmol / l, marasa lafiya suna da haɗarin cutar cututtukan zuciya. Idan triglycerides sun kasance sama da 5, matsanancin ciwon ƙwayar cuta yana yiwuwa. Mitar nau'in IV shine kusan 45%.
Hanyoyi don daidaita triglycerides
Idan triglycerides ya haɓaka, a cikin mata da maza yanayin tasoshin a hankali yana ƙaruwa: ganuwar su ta yi yawa, ta zama mara ƙarfi, kuma tabarma ta lumen. Gano lokaci da kuma maganin cutar sankara na iya dakatar da wannan aikin.
Yadda za a rage triglycerides:
- A matakin farko na jiyya, ana amfani da hanyoyin marasa magani. Waɗannan sun haɗa da abinci, ilimin jiki, cikakken ƙin sigari da barasa.
- Rage yawan ƙwayar mai shima yana da tasirin gaske akan cholesterol: tare da kowane kilogram da aka rasa, matakin triglycerides ya ragu da kimanin 0.015, cholesterol ta 0.05 mmol / l.
- Ana amfani da magunguna idan matakan marasa magunguna bai rage lipids zuwa al'ada a cikin watanni 3-6 ba. Wani banbanci shine marasa lafiya da ke da cutar hyperlipidemia sosai, galibi na farko. Anyi musu magani ne da zaran bincike ya nuna karkacewa da dabi'un.
Gyara abinci mai gina jiki
Nazarin da yawa sun tabbatar da rawar abinci a cikin rigakafin CVD. Hanya mai zurfi, ingantacciyar hanya don cin abincin marasa lafiya na manya yana shafar abubuwa da yawa na CVD lokaci ɗaya: yana ba ku damar rage triglycerides da cholesterol, daidaita al'ada hawan jini da sukari.
Wanne abincin ya fi dacewa yana rage triglycerides bisa ga magungunan tushen shaidu:
Inganci, mataki na shaida | Zaɓuɓɓukan abinci |
Babban aiki, wanda bincike ya tabbatar dashi | Rage Calorie don Rage nauyi |
Barin barasa | |
Carbohydrate ƙuntatawa | |
Ingantaccen ƙarfi yana ɗan rauni kaɗan, binciken ya tabbatar | Ci gaban aiki na jiki |
Ricuntatawa na kowane carbohydrates | |
Abincin Omega-3 | |
Ingantaccen ƙarfi ya tabbatar ta hanyar ɓangaren bincike kawai | Nisar da cikakken kitse |
Tare da babban ƙwayar cholesterol, canje-canje mafi inganci na abinci shine raguwa a cikin yawan abinci mai narkewa da karɓar mai, karuwa a cikin ƙwayar fiber, da ƙarin ƙari na phytosterols.
Babban shawarwari kan abin da za a yi tare da abincin don dyslipidemia:
- Tare da wuce haddi mai nauyi - raguwa a cikin adadin kuzari. An ƙididdige shi ta wannan hanyar don tabbatar da asarar nauyi kusan kilo 4 a kowane wata.
- Mafi kyawun adadin abubuwan gina jiki (BJU) shine furotin 15% / 30% mai / 55% carbohydrates mai tsawo, ana lissafta% daga adadin adadin kuzari.
- Iyakance abinci mai tasirin cholesterol: man shanu (100 g 215 mg cholesterol), offal, musamman kodan (600 mg) da kwakwalwa (1500 mg), crustaceans (150-200 mg), kitse na dabba (110 mg), nama mai ƙima ( 85-100 mg) da kaji (60-90 mg). Abincin cholesterol na yau da kullun bai kamata ya wuce 200 MG ba.
- Minimumarancin amfanin yau da kullun kayan lambu da ganye shine 400 g.
- Canza nama mai kitse tare da Legrip, tsuntsaye marasa fata, kifi.
- Samun abinci na yau da kullun na kayan kiwo tare da ƙarancin mai mai.
- Carbohydrates galibi suna da yawa - kayan lambu, 'ya'yan itatuwa, hatsi.
- Sweets (gami da shaye-shaye) yakamata ya zama bai wuce 10% na yawan adadin carbohydrates ba.
- Kifaye masu ƙoshin mai a cikin Omega-3 dole ne su kasance a kan tebur akalla sau biyu a mako.
- Mafi ƙarancin yawan abincin fiber na abin da ake ci shine 25 g kowace rana. Idan basu isa ba a abincin, ana iya ƙara bran zuwa abinci.
Aiki na Jiki
Likitocin sun ba da shawarar ƙara yawan matakan aiki a cikin duk marasa lafiya: a cikin yara da manya, ba tare da la’akari da shekaru da haɓaka na jiki ba. Kowane mai haƙuri ya zaɓi nauyin da zai iya yi. Ya kamata a ba da ilimin ilimin motsa jiki aƙalla awanni 30 a rana, ingantacciyar ƙarfin an saita ta bugun jini, wanda yakamata ya zama 60-75% na matsakaicin ƙarfin zuciya (wanda aka ƙididdige: 220 raguwar shekaru cikin shekaru). Abubuwan da suka fi dacewa - horo na zuciya: tarjama tafiya, gudu, iyo a saurin sauri, iska, rawar rawa, da sauransu.
Magungunan rage-rage
An wajabta magunguna masu rage ƙwayar cutar Lipid na dogon lokaci, wani lokacin har zuwa ƙarshen rayuwa. Kamar yadda yake tare da duk magunguna masu tasiri, rage ƙarfin lipid yana da sakamako masu illa, don haka ana sanya su ne kawai idan sauran hanyoyin daidaita triglycerides basu bada tasirin da ake so ba. A lokaci guda, yana da mahimmanci a lura cewa mummunan tasirin waɗannan kwayoyi ba shi da haɗari fiye da ƙin su kuma rayuwa tare da haɓakar triglycerides koyaushe.
Rajista a cikin Federationungiyar Tarayyar Rasha don gyaran gyaran triglycerides:
Kungiyar magunguna | Proven Triglyceride Ragewa | Informationarin Bayani | Rashin takaitaccen magani |
Fibrates | 30-50% | Bayar da ragi a cikin adadin CVD ta 24%. | Taimakawa wajen samar da duwatsu a cikin gallbladder. |
Statins | 10-30% | Inganta yanayin bangon jijiyoyin jini, ba da gudummawa ga halakar filayen atherosclerotic. | Effectivearin tasiri don rage ƙwayar cholesterol (har zuwa 60%). Contraindicated ba kawai a lokacin daukar ciki ba, har ma a lokacin shiryawa. |
Ezetimibe | 7,5% | Suna ƙananan LDL (har zuwa 22%) mafi kyau fiye da triglycerides. | Efficiencyarancin aiki, ana amfani dashi a cikin manya a hade tare da statins. |
Niacin (B3) | 20-40% | Ana amfani da kashi da ya wuce bukatun ilimin ilimin jiki daga 2 g kowace rana. | Ba a iya amfani da shi da yawa saboda yawan tasirin sakamako masu illa (har zuwa 20%). |
Omega 3 | 30% | Kashi 2-4 g / rana. Cholesterol yana ɗan shafa kaɗan. | Samfurin ƙasa, mai lafiya gaba ɗaya. |
Kafin rubuta magunguna, yana da kyau ga mara lafiyar ya yi gwaje-gwaje don gano cututtukan da ke tattare da cutar da ke iya haifar da hauhawar jini. A matsayinka na mai mulkin, nasarar cin nasara game da wadannan cututtukan yana haifar da raguwa a cikin lipids ba tare da rage ƙwayoyin lipid ba.
Magungunan mutane
Maganin ingantacciya game da ƙwayar triglycerides ana ɗauka shine cirewar tafarnuwa. Don shirye-shiryensa, ana sanya albasa da yankakken tafarnuwa a cikin gilashin gilashin ƙarfin 0.7 l - babban albasa 1 kawai. Ana zubar da cloves tare da man kayan lambu mai warmed. Dole ne a sanya ma'anar mai, 1 juya. Sesame da masara sun fi kyau; rapeseed da zaitun sun yi muni. An rufe kwandon kuma an tsaftace shi a cikin wuri mai sanyi na mako 1. Tablespoonsauki tablespoons 3-4 a rana.