Mawallafi: Virginia Floyd
Ranar Halitta: 5 Agusta 2021
Sabuntawa: 14 Nuwamba 2024
Anonim
Your Doctor Is Wrong About Cholesterol
Video: Your Doctor Is Wrong About Cholesterol

Cholesterol abu ne mai laushi, mai kama da kakin zuma da ake samu a dukkan sassan jiki. Jikinku yana buƙatar ɗan ƙwayar cholesterol don aiki daidai. Amma yawan cholesterol na iya toshe jijiyoyin ku kuma ya haifar da cututtukan zuciya.

Ana yin gwajin jini na Cholesterol don taimaka muku da mai ba ku kiwon lafiya da kyau ku fahimci haɗarin ku na cututtukan zuciya, bugun jini, da sauran matsalolin da ke tattare da kunkuntar ko toshewar jijiyoyin jini.

Valuesa'idodin kyawawan dabi'u don duk sakamakon cholesterol ya dogara ne akan kuna da cututtukan zuciya, ciwon sukari, ko wasu abubuwan haɗarin. Mai ba ku sabis zai iya gaya muku abin da burinku ya kamata ya kasance.

Wasu cholesterol ana ɗaukarsu masu kyau wasu kuma ana ɗauka marasa kyau. Ana iya yin gwaje-gwajen jini daban don auna kowane irin cholesterol.

Mai ba da sabis naka na iya yin odar matakin ƙaran cholesterol kawai azaman gwaji na farko. Yana auna dukkan nau'ikan cholesterol a cikin jininka.


Hakanan zaka iya samun bayanin lipid (ko haɗarin jijiyoyin jini), wanda ya haɗa da:

  • Adadin cholesterol
  • Densityananan lipoprotein (LDL cholesterol)
  • Babban nauyin lipoprotein (HDL cholesterol)
  • Triglycerides (wani nau'in kitse a cikin jininka)
  • Mafi ƙarancin lipoprotein (VLDL cholesterol)

Lipoproteins an yi su ne da mai da furotin. Suna dauke da cholesterol, triglycerides, da sauran kitse, wadanda ake kira lipids, a cikin jini zuwa sassan jiki daban-daban.

Kowa yakamata ayi gwajin gwajin sa na farko zuwa shekaru 35 na maza, kuma shekaru 45 na mata. Wasu jagororin suna ba da shawarar farawa tun shekara 20.

Ya kamata ku yi gwajin ƙwayar cholesterol tun da tsufa idan kuna da:

  • Ciwon suga
  • Ciwon zuciya
  • Buguwa
  • Hawan jini
  • Tarihin dangi mai karfi na cututtukan zuciya

Ya kamata a yi gwaji mai zuwa:

  • Kowane shekaru 5 idan sakamakonku ya kasance na al'ada.
  • Mafi sau da yawa ga mutanen da ke da ciwon sukari, hawan jini, cututtukan zuciya, bugun jini, ko matsalolin kwararar jini zuwa ƙafafu ko ƙafafu.
  • Kowace shekara ko makamancin haka idan kuna shan magunguna don kula da babban ƙwayar cholesterol.

Adadin cholesterol na 180 zuwa 200 mg / dL (10 zuwa 11.1 mmol / l) ko ƙasa da haka ana ɗauka mafi kyau.


Kila bazai buƙatar ƙarin gwajin cholesterol idan cholesterol ɗinku yana cikin wannan yanayin na al'ada ba.

LDL cholesterol wani lokaci ana kiranta "mara kyau" cholesterol. LDL na iya toshe jijiyoyin ku.

Kuna son LDL ɗinku ya zama ƙasa. LDL da yawa tana da alaƙa da cututtukan zuciya da bugun jini.

LDL naka galibi ana ɗaukar shi mai girma idan ya kasance 190 mg / dL ko mafi girma.

Matakan tsakanin 70 da 189 mg / dL (3.9 da 10.5 mmol / l) galibi ana ɗaukar su da ƙarfi idan:

  • Kuna da ciwon sukari kuma kuna tsakanin shekaru 40 zuwa 75
  • Kuna da ciwon sukari da babban haɗarin cututtukan zuciya
  • Kuna da matsakaici ko babban haɗarin cututtukan zuciya
  • Kuna da cututtukan zuciya, tarihin bugun jini, ko gurɓataccen zagayawa zuwa ƙafafunku

A al'adance masu ba da kiwon lafiya sun tsara matakin da za a iya amfani da shi don LDL cholesterol idan ana kula da ku da magunguna don rage ƙwayar cholesterol ɗin ku.

  • Wasu sababbin jagororin yanzu suna ba da shawarar cewa masu samarwa ba sa buƙatar yin amfani da takamaiman lamba don LDL cholesterol ɗin ku. Ana amfani da magunguna masu ƙarfi don marasa lafiya masu haɗari.
  • Koyaya, wasu jagororin suna ba da shawarar yin amfani da takamaiman maƙasudin.

Kuna son cholesterol na HDL ya zama mai girma. Nazarin maza da mata ya nuna cewa mafi girman HDL ɗinka, ƙananan haɗarin kamuwa da cututtukan jijiyoyin jijiyoyin jiki ne. Wannan shine dalilin da yasa wasu lokuta ake kira HDL a matsayin "mai kyau" cholesterol.


HDL cholesterol matakan da suka fi 40 zuwa 60 mg / dL (2.2 zuwa 3.3 mmol / l) ana so.

VLDL ya ƙunshi mafi girman adadin triglycerides. Ana ɗaukar VLDL wani nau'in cholesterol mara kyau, saboda yana taimakawa haɓakar cholesterol akan bangon jijiyoyin jini.

Matakan VLDL na al'ada suna daga 2 zuwa 30 mg / dL (0.1 zuwa 1.7 mmol / l).

Wani lokaci, matakan cholesterol na iya zama ƙasa kaɗan wanda mai ba ku ba zai tambaye ku ku canza abincinku ba ko shan magunguna.

Sakamakon gwajin Cholesterol; Sakamakon gwajin LDL; Sakamakon gwajin VLDL; Sakamakon gwajin HDL; Sakamakon cututtukan cututtukan zuciya; Sakamakon Hyperlipidemia; Sakamakon gwajin rashin lafiyar lipid; Ciwon zuciya - sakamakon cholesterol

  • Cholesterol

Diungiyar Ciwon Suga ta Amurka. 10. Cututtukan zuciya da jijiya mai haɗari: mizanin kula da lafiya a cikin ciwon sukari-2020. Ciwon suga. 2020; 43 (Sanya 1): S111-S134. PMID: 31862753 www.ncbi.nlm.nih.gov/pubmed/31862753.

Fox CS, Golden SH, Anderson C, et al. Sabuntawa kan rigakafin cutar zuciya da jijiyoyin jini a cikin manya da ke dauke da cutar sikari ta 2 dangane da shaidar kwanan nan: Bayanin Kimiyya Daga Heartungiyar Zuciyar Amurka da Diungiyar Ciwon Suga ta Amurka. Kewaya. 2015; 132 (8): 691-718. PMID: 26246173 www.ncbi.nlm.nih.gov/pubmed/26246173.

Gennest J, Libby P. Rashin lafiyar Lipoprotein da cututtukan zuciya. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 48.

Grundy SM, Dutse NJ, Bailey AL, et al. 2018 AHA / ACC / AACVPR / AAPA / ABC / ACPM / ADA / AGS / APhA / ASPC / NLA / PCNA Shawarwarin kula da ƙwayar cholesterol na jini: rahoto na Kwalejin Kwalejin Zuciya ta Amurka / Heartungiyar Associationungiyar Heartungiyar Zuciya ta Amurka a kan Sharuɗɗan Ayyukan Clinical . J Am Coll Cardiol. 2019; 73 (24): e285-e350.2018. PMID: 30423393 www.ncbi.nlm.nih.gov/pubmed/30423393.

Rohatgi A. Lipid ji. A cikin: de Lemos JA, Omland T, eds. Cutar Ciwan Jiji na Chronicarshe: Aboki don Ciwon Zuciyar Braunwald. Philadelphia, PA: Elsevier; 2018: babi na 8.

  • Cholesterol
  • Matakan Cholesterol: Abin da kuke Bukatar Ku sani
  • HDL: "Kyakkyawan" Cholesterol
  • LDL: "Bad" Cholesterol

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