Kaloorida Dheecaanka ah iyo Iskeelinta Sonkorowga Waa cuntooyin xun xun
Cilmi-baadhayaashu waxay helayaan caddaymo muujinaya in sonkorowga lafdhabarku ku dhaco kolestaroolka , taasoo si weyn u kordheysa suurtagalnimada wadno-qabad ama faalig intaa ka sii badan. Xidhiidhada dhow ee u dhaxeeya labadan arrimood ee khatarta ah micnaheedu waa haddii aad tahay sonkorow, waa inaad si taxadar leh u ilaaliso xakameynta kolestaroolkaaga.
Isku-xir u dhexeeya Insulin iyo Cholesterol
Cilmi-baadhayaashu wali waxay ogaanayaan sida saxda ah ee cudurka macaanka uu u baddalayo heerarka kolesteroolka heerkulka maskaxda.
Waxay og yihiin in heerarka sare ee insulinta ee dhiigga ay u muuqdaan kuwo si xun u saameynaya tirada qaybaha kolestaroolka ee dhiigga.
Heerarka insulin-ta sareeya waxay u dhaqmaan inay kor u qaadaan qaddarka LDL-kolestarool ("kolestarool" xun) oo u muuqda inay sameeyaan dabarro halbowlayaasha ah waxayna hoos u dhigtaa tirada qaybaha "kolestarool" HDL ("kolestarool wanaagsan") kaas oo ka caawinaya in la daboolo lakabyo khatar ah ka hor inta aanay jebin si ay u keento wadno-xanuun ama istaroog. Diabetesku sidoo kale wuxuu u eg yahay inuu keeno heerar sare oo triglycerides , nooc kale oo baruur ku wareegaya dhiigga.
Sidoo kale, kolestaroolku wuxuu kaloo noqon karaa saadaal macaan ee sonkorowga; heerarka kolesteroolka ee la kordhiyey ayaa badanaa lagu arkaa dadka qaba insulin caabiga, xitaa ka hor intaanay bilaabin sonkor buuxa. Marka heerarka LDL ay bilaabaan inay koraan, khubarada waxay kugula talinayaan in ay si taxadar leh u ilaaliyaan sonkorta dhiiga oo ay bilaabaan cunto iyo jimicsi si ay uga caawiyaan inay ka soo baxaan sonkorowga iyo cudurada wadnaha.
Tani waxay si gaar ah muhiim u tahay haddii aad leedahay taariikh qoys oo cudurka wadnaha ah.
Dadka qaba sokorowga Nooca 1 , xakamaynta sonkorta dhiigga waxay sameyn kartaa farqi weyn. Kontoroolka sonkorta dhiiga oo wanaagsan ayaa la xiriirta heerarka kolesteroolka ee caadiga ah, oo la mid ah kuwa ku arkay dadka aan lahayn cudurka macaanka. Laakiin dadka qaba cudurka Sonkorowga Nooca 1 lihi waxay kordhiyeen heerarka triglyceride iyo heerarka HDL ee hooseeyo, kuwaas oo gacan ka geysta horumarinta halbowlayaasha jabsan.
Nooca 2aad ee Sokorowga: Khatarta Khatarta leh ee ka iman karta Xanuunka sare
Dadka qaba sonkorowga Nooca 2 , iyadoon loo eegin sonkorta dhiigga, waxay u muuqdaan inay yeeshaan triglycerides kordhay , hoos udhacay HDL, mararka qaarkoodna kor u qaadaan LDL. Faahfaahintan kolesteroolka ayaa laga yaabaa inay sii socoto xitaa haddii heerka sonkorta dhiigga lagu xakameynayo - oo tilmaamaya suurtogalnimada xitaa ka sarreeysa inuu yeesho jimicsi. Xaqiiqda, calool-gooyooyinka lagu sameeyay halbowleyaasha dadka qaba cudurka macaanka ee Nooca 2-aad ayaa badanaa ka daal badan oo aan dheellitiraneyn marka loo eego dadka qaba nooca 1aad ee sonkorowga, taas oo horseedi karta khatarta ka iman karta lakabaadda lakabka si ay u keento wadno-xanuun ama istaroog.
Ururka Sonkorowga Maraykanka wuxuu kugula talinayaa in la baaro heerarka kolestaroolka ugu yaraan hal mar sannadkii, ama marar badan haddii ay sarreeyaan oo aysan daaweynin daawo. Dadka qaba sonkorowga iyo cudurada wadnaha ee loo yaqaan 'coronary heart', waxaa lagu talinayaa in heerarka LDL ee dhiigga ka hooseeyo 100 milligrams per deciliter (mg / dL), heerka HDL uu ka sareeyo 50 mg / dL, iyo triglycerides ka hooseeya 150 mg / dL. Sonkorta dhiigga lagu taliyey, ama glucose, heerka uu ka yaryahay 7% (<7%) ee imtixaanka HA1C.
Dadka qaba cudurka macaanka iyo cudurada wadnaha ee loo yaqaan 'coronary heart', oo ay ku jiraan halbowlayaasha la xiray ama wadna xanuun hore, ADA waxay ku talineysaa LDL ka hooseeya 70 mg / dL.
Gaaritaanka himilada LDL ee aadka u hooseeya ayaa laga yaabaa in ay u baahato daawooyin daweyn ah oo sarreeya, laakiin waxaa lagu muujiyey inay si weyn u yareeyaan halista wadno-qabadka. Heerarka Triglyceride waa inay ka hooseeyaan 150 mg / dL iyo HDL ka sarreeya 40 mg / dL. Dumarka qaba cudurka macaanka iyo cudurada wadnaha ee wadnaha ayaa lagula talinayaa inay heystaan heerarka HDL ee ka sareeya 50 mg / dL.
Hal dawo, WelChol (colesevelam), ayaa la tusay inay hoos u dhigto heerka glucose iyo kolesteroolka dadka qaba cudurka macaanka ee Nooca 2 ah. Welchol waxay u dhaqmaysaa iyada oo looga hortago in mindhicirada ay ka soo baxaan maadooyinka dufanka ee cuntada. Inkastoo Welchol ay hoos u dhigto heerka LDL , waxay dhab ahaantii keeni kartaa heerarka triglyceride ee dhiiga, waana inaan loo isticmaalin dadka qaba triglycerides sare.
Metabolic Syndrome iyo Cholesterol
Dadka qaba cuduro ku dhaca sida insulin iska caabin, heerarka baruurta oo liita, cadaadiska dhiigga oo sareeya iyo cayilka ayaa lagu sharaxay inuu leeyahay cilladda dheef-shiid kiimikaad (oo loo yaqaan 'X'). Daraasaduhu waxay ogaadeen in bukaanada leh HDL hooseeya iyo triglycerides oo hooseeya - astaamaha dheef-shiid kiimikaadka - waxay leeyihiin khatarta ugu badan ee ku dhacda wadne-qabad ama istaroog. Dadka qaba bukaan-socodka "cholesterol" ayaa sidoo kale ka faa'iideysanaya daawooyinka statin.
Khataraha kala duwan ee cudurrada wadnaha iyo xididdada wadnaha ayaa dhacaya, waana in lagu wada daaweeyaa. Dadka qaba cudurka macaanka - oo leh khatarta ugu badan ee ay ku dhacdo hal maalin oo wadata wadno xanuun - waa inay si gaar ah uga taxaddaraan ilaalinta sonkorta dhiigga iyo kolestaroolka heerarka hoose. Waxa kale oo muhiim ah in la ilaaliyo miisaanka caafimaadka leh iyo cadaadiska dhiigga oo hoos u dhacaya iyo in laga fogaado sigaarka.
Ilaha:
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"Warbixinta Saddexaad ee Barnaamijka Waxbarashada Dumarka ee Qaranka (NCEP) Guddi Khabiir ah oo lagu ogaanayo Qiimeynta, Qiimeynta, iyo Daaweynta Dhiiga Dhiiga Dhiiciga ee Dadka Qaan-Gaarka ah (Gudbinta Daaweynta Dadka Waaweyn III) Warbixinta Ugu Dambeysa. Wareegga 106 (2002): 3143.
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