Munguva yapfuura yapfuura, chikonzero chikuru chiremba vanachiremba vakapa kurapwa kweku cholesterol yaiva "yakakwirira ye-cholesterol." Kana cholesterol yako kuongororwa ropa yakaonekwa se "yakakwirira kwazvo," chiremba wako angangodaro anorayira kurapwa-zvichida nemararamiro ehupenyu, zvakadai sekudya uye kurovedza muviri, kana zvichida neimwe yemhando dzakasiyana dzemishonga inowanikwa pakuderedza cholesterol mazinga .
Makore akawanda ekutsvakurudza kwechiremba, zvisinei, akatungamirira nyanzvi kusvika pakupedzisira kuti iyi ndiyo nzira isina kururama. Muna 2013, mazano matsva akabudiswa neboka reongororo kubva kuAmerican Heart Association uye American College of Cardiology. Aya mazano anopa nzira yakasiyana-siyana yekurapa cholesterol.
Nhasi, mazano ekurapa haasi anongotarirwa necholesterol chete, asi, pane huwandu hwehutano hwemwoyo. Cholesterol maitiro pachedu anotorwa, asi seimwe yezvinhu zvakawanda zvinogadzirisa dambudziko remwoyo.
Saka Ndivanaani Vanofanira Kutarisirwa?
Kuti udzokezve, maererano nemitemo ye2013, kana iwe uchida kurapwa kunobva pauwandu hwehutano hwako hwekuvandudza chirwere chemwoyo. Kunyange zvazvo yako LDL cholesterol yepamusoro inobatsira pakuisa njodzi iyi, njodzi yako ingangodaro yakakwirira kana chikwata cheLDL chakasimudzwa kana kwete.
Kufungidzira dambudziko rako rose rinoreva kuti chiremba wako achafanirwa kufunga nezvenhoroondo yako yezvechiremba, kuongorora muviri, uye hongu, mhinduro yebasa rako.
Kana izvi zvaitika, chiremba wako anofanira kukupa kune chimwe chezvikamu zvishanu zvinowanzoitika:
Chikamu 1: Iwe uri munharaunda iyi kana iwe uchitozivikanwa kuti une atherosclerosis iyo yakabudisa kliniki dambudziko. Chikamu 1 chinosanganisira vanhu vakambova nechimwe chezvinhu zvinotevera:
- chirwere chechirwere chirwere (CAD) chakakonzera angina , kana myocardial infarction (kurwisa kwemwoyo), kana kuti inoda kurapwa nekunyepedzera kana kupfurikidza chirwere
Chikamu chechipiri: Chikamu chechipiri chinosanganisira vanhu vane LDL cholesterol masheji makuru kupfuura 189 mg / dL. Vanhu vakawanda muChikamu 2 vachave nemimwe yemhando yemhuri ye hypercholesterolemia. Zvinonzwisisika, iyi ndiyo chete yega inotarisirwa kurapwa chete nokuti cholesterol mazinga "akakwirira zvikuru."
Chikamu chechitatu: Chikamu chechitatu chinosanganisira vanhu vari pakati pemakore makumi mana nemakumi mana vane vane chirwere cheshuga , uye avo vasiri muzvikamu 1 kana 2.
Chikamu chechina: Chikamu chechina chinosanganisira vanhu vasiri mune imwe yezvikamu zvitatu zvekutanga, asi avo vane mungozi yepfungwa dzinovaisa pangozi yehutano hwehutano. Kunyanya, ava vanhu vane ngozi inofungidzirwa yekuve nechiitiko chakakomba chepfungwa (sekurwadziwa kwepfungwa kana chirwere) kune 7.5% mumakore gumi anotevera. Kuti ubatsire kuenzanisa ngozi yako yemakore gumi, NHLBI yakapa nyore nyore pa-line risk calculator pano.
Chikamu chechipiri: Chikamu chechipiri chinosanganisira munhu wose asingakodzeri mumapoka mana ekutanga. Vanhu ava vari pasi pepfungwa dzenjodzi uye havadi kurapwa.
Ndivanaani Vanofanira Kutarisirwa? Munhu wese ari muzvikamu 1 - 4 ane njodzi yakakura yematambudziko emwoyo mukati memakore mashomanana, uye vanoda kubatwa nehasha kuti vaderedze ngozi yavo.
Ndeipi Mushonga Inokurudzirwa?
Nhungamiro ya2013 pamusoro pekushongedzwa kweklesterol yakaita kuti pave nechinangwa chekurapa kunorudzirwa kuvanhu vari mumatambudziko akawanda. Apo mitemo yakwegura yakasimbisa kuderedza cholesterol kunotarisa mazinga ekurapa, mitsva itsva haitauri. Pane kudaro, vanosimbisa kuderedza dambudziko rose remwoyo panzvimbo yekukurudzira chinangwa cholesterol. Uku kuderedza ngozi kunoenderana nekuchinja kwehupenyu hutsinye, uye pamashandisirwo emishonga yemagetsi.
Kurwisana Kwakapoteredza Chikamu 4
Vanhu vari muzvikamu 1 kusvika ku3 havana chokwadi kuti vane dambudziko rakakura kwazvo rekukurira matambudziko emwoyo, uye zviri pachena kuti vanoda chirwere chinotyisa kuti vaderedze ngozi iyo.
Chikamu chechina, kune rumwe rutivi, chakasimbiswa kuti chiwane avo avo vari pangozi yakakwirira, asi ingozi ine zvishoma, uye zvishoma nezvishoma, pane zvitsva zvitatu. Kufananidza kuti ndiani anofanira kuiswa muChikamu 4, naizvozvo, inherently inoratidzika kusarura uye ichave yakasununguka kutsoropodza.
Kune maviri mapoka evanhu vakuru okutsoropodza ari kuitwa pamusoro peChikamu 4. Kutanga kwekuti Chikamu chechina chinosanganisira vanhu vazhinji. Vaya vatsoropodzi vanotaura kuti kuverengera kungozi kunopiwa neNHLBI kunonyanya kusimbisa nezvezera. Nokuda kwechikonzero ichi, vanhu vazhinji vanopfuura makore makumi matanhatu vachawana pachavo kana kuti pedyo ne 7.5% cutoff. Uyezve, taurai vatsoropodzi, mungozi yemakore gumi ye7,5% pachayo inofadza zvikuru. Mishonga inorayirwa munguva yakapfuura yakanyanyisa kune cutoff ye 10%. Kutaura zvazviri, kuderedza chirwere cutoff kusvika pa7,5%, vanoti, inowedzera "vanhu vazhinji" kumakero ekurapa.
Rudzi rwechipiri rwokutsoropodza pamusoro peChikamu 4, hazvishamisi, rinotaura kuti vanhu vasina kukwana vanobatanidzwa mumatambudziko ekurapa. Vaya vanotsoropodza vanotaura kuti NHLBI inowanzoisa pangozi iyo inosanganisira chete izvo zvinowanzoisa mungozi izvo "zvakaratidzwa" mumakiriniki anochengetedzwa zvakanaka kuti zvive nehuwandu hwehutano hwemwoyo: makore, LDL, uye HDL cholesterol, kana iye zvino ari kusvuta, uye pasinei nokuti imwe yakasimudzika systolic yeropa. Inosiya zvimwe zviitiko zvinowanzovhiringidza izvo zvinowanikwa zvakakosha sezviri kukosha, asi izvo zvisingakodzeri zvinoenderana nemitemo yakasimba yeNHLBI yekuiswa. Izvozvo zvinokonzera njodzi dzinosanganisira nhoroondo yemhuri yekusangana kwepfungwa yepfungwa, yakaitika kare yekusvuta, yepamusoro yeRP levels , mararamiro ehupenyu hwekugara, uye hutano hwakanaka hutano calcium scan . Kana izvi zviitiko zvakakosha zvinowanzobatanidzwa, vazhinji vanhu vakawanda vaizogadzirisa zvirongwa zvekurapa.
Nharo yakadaro-ingava Chikamu chechina chinosanganisira vazhinji kana kuti vashomanana vanhu-chinokonzera chero kukurudziro iyo cutoff inogadziriswa nechepanhau reongorori.
Zvingave zviitiko zvomunhu pangozi zvakakosha kuti mushandiro wemishonga unofanira, zvishoma nezvishoma, kusara kune mumwe murwere uye chiremba wavo. Ndeipi ngozi yakawanda iyo munhu anoda kugamuchira kuva nekurwadziwa kwepfungwa kana kurohwa mukati memakore gumi anotevera? 7.5%? 10% Imwe imwe inokosha? Ko iyo NHLBI inokonzera ngozi ingagamuchirwa pamusana pemaonero anokosha, kana inofanirwa kuwedzera zvimwe zvinokonzera njodzi mukutora mishonga here?
Zvinonyatsokodzera boka reyanzvi kuti riite mazano panyaya iyi. Asi nokuda kwemibvunzo yakafanana neyiyi, iyo inherechedzo inofanira kuongororwa nevanhu, izvo zvinorayirwa hazvifaniri kusunga. Chisarudzo chekupedzisira chekuti kurapa kunofanira kusiiwa kune mumwe chiremba nevarwere.
> Sources:
Stone NJ, Robinson J, Lichtenstein AH, et al. 2013 ACC / AHA murayiridzo pamusoro pekurapa ropa rekutsvaga kwegazi kuti kuderedze hutachiona hwehutachiona hwehutano hwevanhu hune hutano hwevanhu vakuru: Mushumo weAmerican College of Cardiology / American Heart Association. J Am Coll Cardiol 2013.