Kodi Muyenera Kuda nkhawa Ngati Ma Triglycerides Anu Ndi Ochepa?

Zamkati

• Kodi triglycerides ndi chiyani?
• Kodi masanjidwe abwinobwino ndi ati?
• Nchiyani chingayambitse otsika triglycerides?
• Chakudya chopatsa thanzi
• Chakudya chochepa kwambiri chamafuta
• Kusala kudya kwakanthawi
• Kusowa zakudya m'thupi
• Kusokoneza malabsorption
• Hyperthyroidism
• Mankhwala ochepetsa mafuta m'thupi
• Kuopsa kwa triglycerides otsika
• Kuchiza otsika triglycerides
• Kupewa ndi kutenga

Kodi triglycerides ndi chiyani?

Lipids, yomwe imadziwikanso kuti mafuta, ndi imodzi mwazinthu zitatu zofunika kwambiri pakudya. Pali mitundu yambiri ya lipids, kuphatikizapo steroids, phospholipids, ndi triglycerides. Triglycerides ndi mtundu wa lipid womwe thupi limagwiritsa ntchito mphamvu zaposachedwa komanso zosungidwa.

Mukamadya, thupi lanu limagwiritsa ntchito zakudya zopangira chakudyacho ngati mphamvu kapena mafuta. Komabe, ngati mumadya chakudya ndi mphamvu yochulukirapo (ma calories ochulukirapo), mphamvu zowonjezerazi zimasandulika kukhala triglycerides. Izi triglycerides zimasungidwa m'maselo amafuta kuti zizigwiritsidwa ntchito mtsogolo.

Chomwe chimadetsa nkhawa kwambiri za triglycerides ndi kuchuluka kwa triglyceride. Kutalika kwa triglycerides m'magazi kumatha ku atherosclerosis, kutsekeka ndi kuuma kwa mitsempha. Chifukwa cha izi, milingo yayikulu ya triglyceride imatha kukulitsa chiopsezo cha matenda amtima, matenda amtima, kapena stroke.

Magulu otsika a triglyceride atha kukhala okhudzanso thanzi. Tiyeni tiwone momwe ma triglycerides otsika angakhudzire thanzi lanu komanso momwe mungapewere ndikuchiza zovuta zina.

Kodi masanjidwe abwinobwino ndi ati?

Mayeso ofala kwambiri amagazi omwe amagwiritsidwa ntchito poyang'ana magulu anu a triglyceride amatchedwa lipid panel. Mulingo woyenera wa lipid uyesa izi:

• cholesterol yonse
• LDL ("yoyipa") cholesterol
• HDL ("wabwino") cholesterol
• triglycerides
• cholesterol / HDL chiŵerengero
• cholesterol chopanda HDL

Dokotala wanu adzagwiritsa ntchito lipid kuti azindikire ngati milingo yanu ya triglyceride ndiyofanana.

Mulingo wabwinobwino wa triglyceride ndi <150 mg / dL. Magulu a Triglyceride pakati pa 150 ndi 199 mg / dL ndi okwera m'malire. Mulingo wapamwamba wa triglyceride umachitika pa 200-499 mg / dL. Chilichonse chopitilira 500 mg / dL chimawerengedwa kuti ndi chapamwamba kwambiri.

Palibe magulu apano azigawo zochepa za triglyceride. Komabe, ngati milingo yanu ya triglyceride ndi yotsika kwambiri, izi zitha kuwonetsa vuto kapena matenda.

Nchiyani chingayambitse otsika triglycerides?

Chakudya chopatsa thanzi

Tikudziwa kuti kudya mopanda thanzi kumatha kuyambitsa ma triglycerides, pomwe kudya koyenera kumabweretsa ma triglycerides ochepa.

Chosangalatsa ndichakuti nthawi zina milingo yotsika ya triglyceride imatha kuchitika ndi milingo yayikulu ya LDL (yomwe nthawi zambiri imawonetsa chiwopsezo chachikulu cha matenda amtima). Ngati magulu otsika a triglyceride amachepetsa matenda a mtima, koma milingo yayikulu ya LDL imawonjezera, nchiyani chingayambitse kusinthaku?

Pali mitundu iwiri ya tinthu tating'onoting'ono ta LDL tomwe timayenera kuwerengedwa pakuwerengera chiopsezo cha matenda amtima:

• LDL-A tinthu tating'onoting'ono ndi tating'ono, mochepa kwambiri, ndipo amachepetsa chiopsezo chanu.
• Tinthu ta LDL-B ndi tating'onoting'ono, tothinana, ndipo zimawonjezera chiopsezo chanu.

Mukakhala ndi milingo yotsika ya triglyceride koma kuchuluka kwa LDL, zitha kuwonetsa kuti muli ndi chakudya chodzaza ndi mafuta athanzi.

Mafuta athanzi sadzangowonjezera kuchuluka kwama cholesterol (HDL) okha komanso amatha kusintha mtundu wama tinthu a LDL m'magazi. Chifukwa chake, milingo yayikulu ya LDL mwina sangakhale yoyipa kwenikweni.

M'malo mwake, ndizotheka kuti ndi tinthu tating'onoting'ono ta LDL tomwe takula ndikucheperako chifukwa chodya mafuta athanzi. Ma triglycerides otsika komanso kuchuluka kwa HDL m'magazi nthawi zambiri kumathandizira lingaliro ili.

Chakudya chochepa kwambiri chamafuta

Zakudya zonenepa kwambiri sizikhala zopanda thanzi. Kafukufuku wasonyeza kuti zakudya zamafuta ochepa zimatha kukhala njira yothandiza yochepetsera thupi. Komabe, chilichonse chomwe chimachitika mopitilira muyeso chimatha kukhala chowopsa, ndipo zakudya zamafuta ochepa sizimasiyana ndi lamuloli.

Anthu omwe amadya mafuta ochepa omwe akudya mafuta ochepa kwambiri amatha kukhala ndi magawo ochepa a triglyceride. Ndi mafuta pokhala gawo lofunikira pama metabolism amunthu, ndikofunikira kudya mafuta ena - makamaka amtundu wathanzi.

Kusala kudya kwakanthawi

Kusala kudya ndikudziletsa kudya ndi kumwa, ndipo kwa anthu ena ndi njira imodzi yomwe amathandizira thanzi lawo. Kusala kudya kumatha kukhala ndi maubwino ambiri azaumoyo, kuyambira pakuchepetsa shuga wamagazi ndi milomo yamapilisi mpaka kuthandizira kuonda.

Mu 2010 yaying'ono, ofufuza adapeza kuti mwa anthu omwe amasala kudya kwamasiku ena (mtundu wina wa kusala pang'ono) milungu isanu ndi itatu, milingo ya triglyceride idatsitsidwa ndi 32%.

Kusala nthawi yayitali kumatha kubweretsa zotsatira zabwino kwambiri. Kwa iwo omwe ali ndi mulingo wabwinobwino, izi zitha kubweretsa milingo yotsika kwambiri ya triglyceride.

M'malo mosala kudya kwa nthawi yayitali, kapena kusala kudya tsiku lililonse, kusala kudya kwakanthawi kochepa kumathandizanso, osangotsitsa kwambiri. Izi zitha kutanthauza kusala kudya kwa maola 8 kapena 16 tsiku lililonse, m'malo mongolumpha chakudya kwathunthu kwa maola 24.

Kusowa zakudya m'thupi

Kuperewera kwa zakudya m'thupi kumachitika pamene thupi silikukwanira, kapenanso kuchuluka kwa michere yambiri. Malinga ndi a, akulu oposa 2.3 biliyoni ku United States ali ndi vuto la kuperewera kwa zakudya m'thupi mwanjira zina.

Kuperewera kwa zakudya m'thupi kumatha kubweretsa kusowa kwa michere yofunikira, kuphatikiza ma macronutrients monga lipids. Zizindikiro zina za kusowa kwa zakudya m'thupi ndizo:

• kuonda, kuchepa kwamafuta, komanso kuchepa kwa minofu
• masaya osowa ndi maso
• chotuluka m'mimba
• tsitsi louma ndi lophwanyika, khungu, kapena misomali
• zizindikiro zam'maganizo, monga kukhumudwa, kuda nkhawa, komanso kukwiya

Ngati wina ali ndi vuto la kuperewera kwa zakudya m'thupi, milingo yake ya triglyceride ikhoza kukhala yocheperako. Kuperewera kwa zakudya m'thupi kumathandizidwa bwino ndikuchuluka kwa chakudya ndipo, nthawi zina, kuwonjezera mavitamini ndi mchere.

Kusokoneza malabsorption

Malabsorption ndimkhalidwe womwe m'matumbo ang'onoang'ono samatha kuyamwa michere mu chakudya. Zomwe zimayambitsa malabsorption zitha kuphatikizira kuwonongeka kwa kagayidwe kazakudya, matenda okhudza kugaya kwam'mimba, kapena mankhwala ena. Kwa anthu omwe amadwala malabsorption, thupi silingathe kuyamwa bwino chakudya, mapuloteni, kapena mafuta.

Pali zizindikiro zambiri zakusokonekera kwa malabsorption.Komabe, mafuta malabsorption atha kubweretsa vuto lotchedwa steatorrhea. Steatorrhea ndichizindikiro chachikulu kuti thupi lanu silimalowetsa mafuta moyenera. Mutha kuzindikira:

• ndowe zotuwa ndi zonunkha
• chimbudzi chomwe chimakhala cholimba komanso choyandama
• mafuta kapena mafuta m'mipando yanu
• madontho a mafuta kapena mafuta m'madzi ozungulira malo anu

Anthu omwe ali ndi vuto lopeza mafuta atha kukhala ndi milingo yotsika ya triglyceride. Chithandizo cha steatorrhea chimaphatikizapo kuthana ndi zovuta zomwe zingayambitse kusowa kwa mankhwala ndi mankhwala komanso kusintha kwa moyo.

Hyperthyroidism

Chithokomiro chimagwira gawo lofunikira pakukhazikitsa kagayidwe kake. Kwa anthu omwe ali ndi chithokomiro chopitilira muyeso (hyperthyroidism), njira zamagetsi zomwe zimachitika pafupipafupi zimatha kukhudzidwa kwambiri. Zina mwazizindikiro za hyperthyroidism ndi monga:

• chithokomiro chokulitsa, chotchedwa goiter
• kutaya mwadzidzidzi komanso kusintha kwa njala
• kusintha kwa kugunda kwa mtima
• kupatulira khungu ndi tsitsi
• kusintha kwa kuzindikira, monga kuchuluka kwa nkhawa kapena mantha

Chimodzi mwazizindikiro zazikulu za hyperthyroidism ndikuchepa mwangozi. Nthawi zambiri, kuonda kumeneku kumachitika mosasamala kanthu za kudya. Izi zikutanthauza kuti thupi limagwiritsa ntchito mphamvu zambiri kuposa zomwe munthu akudya. Anthu omwe ali ndi hyperthyroidism amatha kukhala ndi ma triglycerides ochepa chifukwa chogwiritsa ntchito kwambiri ma triglycerides pamafuta.

Mayeso amwazi omwe amayeza milingo ya thyroxine ndi mahomoni otulutsa chithokomiro atha kugwiritsidwa ntchito pozindikira hyperthyroidism. Nthawi zambiri amathandizidwa ndi mankhwala komanso kusintha kwa moyo.

Mankhwala ochepetsa mafuta m'thupi

Malinga ndi a Centers for Disease Control and Prevention, pafupifupi "anthu 78.1 miliyoni aku America anali kumwa kale kapena ali ndi mwayi wopeza mankhwala ochepetsa mafuta m'thupi." Mankhwala a cholesterol, kapena mankhwala ochepetsa lipid, ndi njira imodzi yomwe anthu amatha kuyendetsa mafuta m'thupi mwawo.

Pali mitundu yambiri yamankhwala ochepetsa lipid, kuphatikiza ma statins, PCSK9 inhibitors, ndi zina zambiri. Ma Statins, fibrate, ndi omega-3 fatty acid ethyl esters ndi mitundu itatu ya mankhwala ochepetsa lipid omwe amadziwika kuti amachepetsa milingo ya triglyceride.

Ngati mukuda nkhawa kuti mankhwala anu ochepetsa mafuta m'thupi amachititsa kuti magulu anu a triglyceride atsike kwambiri, lingalirani zolankhula ndi dokotala kuti musinthe mankhwala.

Kuopsa kwa triglycerides otsika

Magawo otsika a triglyceride nthawi zambiri amakhala owopsa. M'malo mwake, kafukufuku amathandizira lingaliro loti milingo yotsika ya triglyceride imatha kupindulitsa.

Pakafukufuku wina wa 2014, ofufuza adapeza kuti magawo ochepera osala kudya a triglyceride adalumikizidwa ndi kuchepa kwa anthu omwe amafa pafupifupi pafupifupi 14,000 ophunzira.

2017 ina yaying'ono idapeza kuti magawo otsika a triglyceride amalumikizidwa ndi magwiridwe antchito aubongo mwa achikulire omwe alibe dementia.

Komabe, magulu otsika kwambiri a triglyceride atha kulumikizidwa ndi zina, monga tafotokozera pamwambapa. Zina mwazikhalidwezi mwa izo zokha zitha kukhala zowopsa, chifukwa chake kumakhala kofunikira kuthana ndi zomwe zimayambitsa triglycerides zochepa.

Kuchiza otsika triglycerides

Mankhwala abwino a triglycerides otsika ndi kupeza ndi kuthana ndi zomwe zimayambitsa. Pazinthu zina, monga kuperewera kwa zakudya m'thupi, zitha kukhala zosavuta monga kusintha zakudya. Pazinthu zina, monga malabsorption ndi hyperthyroidism, mankhwala ndi kusintha kwa moyo kungakhale kofunikira.

Ngati milingo yotsika ya triglyceride ndi chifukwa chosapeza mafuta okwanira pazakudya, nazi malingaliro pazakudya zabwino:

• Zakudya zonse zamafuta payenera kukhala paliponse kuchokera pa 20-35 peresenti ya zopatsa mphamvu zonse za anthu wamba osati pazakudya zochepa zamafuta.
• Mafuta a Monounsaturated ndi polyunsaturated amayenera kukhala mafuta ambiri omwe amadya, chifukwa awa ndiamtima wathanzi kwambiri.
• Mafuta okhuta ndi cholesterol ayenera kuchepetsedwa, ndipo mafuta opanga opangira sayenera kudyedwa.

Kupewa ndi kutenga

Kusunga ma triglycerides anu mwachizolowezi kumakhala kosavuta ndikudya koyenera. American Heart Association (AHA) ikulimbikitsa kusintha kwa zakudya ndi njira zotsatirazi kuti mtima wanu ukhale wathanzi komanso milingo yanu ya triglyceride:

• Sungani zopatsa mphamvu zanu moyenera msinkhu wanu, jenda, ndi magwiridwe antchito.
• Idyani zakudya zosiyanasiyana zomwe zimaphatikizapo magulu azakudya zazikulu, makamaka zipatso, ndiwo zamasamba, ndi mafuta athanzi lamtima.
• Pewani kudya chakudya chopatsa thanzi chomwe chili ndi zopatsa mphamvu, chifukwa zimatha kusungidwa ngati mafuta.

Ngati mukuda nkhawa kuti milingo yanu ya triglyceride ndiyotsika pazifukwa zina, monga vuto, pitani kwa dokotala wanu. Amatha kugwiritsa ntchito mayeso a lipid, pakati pa mayeso ena azachipatala, kuti apeze chomwe chimayambitsa kuchepa kwama triglyceride anu.