Zvitatu Zvisingafaniri Kuzvidya Mwoyo Nezvenyaya Yenyu
Kunyange zvazvo zviratidzo zvakawanda zvehutano zvinowanzovandudza pane zvokudya zvakaderera-carb ( triglycerides , HDL cholesterol, ropa glucose, ropa, chiuno / hip ratio, nezvimwewo), zvinokonzerwa nekodhi-carb kudya munhu weLDL cholesterol zvinowanzosiyana, pamwe vanhu vanoona kuderera uye vamwe kuwedzera. Vamwe vanhu vanovhiringidzika kana vakaona nhamba iyoyo ichikwira, apo vanachiremba vavo vari kusvika kune chirevo chechimiro.
Asi pane zvikonzero zvitatu zvekutora kufema kwakadzika usati watora mamwe mabasa.
Cholesterol Chii?
Cholesterol inhengo yakasanganiswa yakabatana nemafuta. Kunyange zvazvo LDL cholesterol inowanzonzi "yakaipa", ndinofunga zvakakosha kunzwisisa kuti cholesterol, mukati uye pachayo, haisi iyo yakaipisisa-chaizvoizvo, zvinodiwa kuti miviri yedu ishande. Haisi kupfuurira nyaya yacho kuti tizofa pasina cholesterol. Cholesterol chikamu chema cell membrane uye myelin sheath ichidzivirira masangano edu emagetsi. Inoshandiswawo pakuita akawanda ehomoni dzedu (seyo estrogen uye testosterone), vitamini D, zvinhu zvakakosha pakudya, nezvimwe zvakawanda. Miti yedu inogadzira cholesterol - zvichienderana nemafambiro edu, kubva kupi kubva kune 80-100% yehushutori inemiviri yedu inoitwa "muimba".
Chii Chinonzi LDL Cholesterol uye Chii Chakaipa Kwazvo?
Zvakajairika kutaura pamusoro pe "marudzi echolesterol" zvakasiyana, asi izvi hazvirevi zvakarurama.
Zvose zvinokonzera cholesterol zvakafanana; zvinongova izvo zvakapetwa nenzira dzakasiyana-siyana kuti dzitakure kuburikidza neropa redu. I "shanduro yekutakura" inonzi lipoprotein. HDL inopfupika ne "high-density lipoprotein" uye dzimwe nguva inonzi "cholesterol yakanaka". LDL inopfupika ne "low-density lipoprotein" uye inowanzonzi "yakaipa cholesterol".
(Kune chechitatu, inonzi VLDL ye "low-density lipoprotein", iyo inogona kunzi "yakaipa cholesterol", asi pane zvishoma zvayo.) Ndiyo LDL inonyanya kuwirirana nechirwere chemwoyo chinokonzerwa nemakumbo mune mitsetse.
Asi tarisira, pane zvakawanda! HDL neLDL zvose zviri zviviri zvakaparadzana kuva mhando dzakasiyana, uye zvakawanda zviri kuwanika pamusoro pe "zvakasiyana mukati mezvikamu" zve lipoproteins. Mune mhaka yeLDL, musiyano mukuru mumarudzi acho ndehukuru uye huwandu hwezvikamu zveLDL. Vanhu vakawanda vakataura kuti nhamba yeLDL yakazara haisi iyo yose yakakura pakufanotaura kuti ndiani achaenda kune chirwere chemwoyo, asi kuwanikwa kwemaitiro ehukuru hwemajeni kwakapa vanachiremba zvakawanda ruzivo pamusoro pekuti ingozi sei LDL yemumwe munhu ari. Asi zvakawanda pamusoro peizvi mu # 2 pasi - kutanga ndinoda kutaura muchidimbu:
1. LDL Kureba kazhinji kazhinji
Pakave nekunyatsodzidza zvidzidzo zvino kutevera LDL pane zvokudya zvakaderera-carb. Mune dzimwe dzadzo, pane tsika yevamwe vanhu kuti vave vakakwidziridza LDL pamwedzi we 3-4, asi pamwedzi we 6 kana 8, inowanzodzoka zvakare. Ndanzwa zvakawanda zvezvinyorwa pamwe chete nemiganhu iyi kubva pasi-carbers pamwe chete. Saka zvinoratidzika kuchenjera kuti uchengete ruoko rwako kubva pane bhatani rinotyisa mumwedzi yekutanga yepasi-carb yako purogiramu yekudya.
(Chikonzero chechiitiko ichi, kusvika pandinenge ndichiziva, hachizivikanwi, asi zvakataurwa kuti kupera kwekutsvaira kwemafuta mumasero mashoma kunogona kusunungurwa mumurozi weropa panguva yekurasika, uye kunogona kunyanya kukosha mumwedzi mishoma yapfuura apo kurasikirwa nokurema kunonyanya kukurumidza.)
2. Particle Size Mafuro Kazhinji Kunatsiridza paKudya Kwakaderera-Carb
Saka nei tine hanya nehukuru hwezvikamu zveLDL? Icho chinotarisa kuti kana uine zvimwe zviduku, dense LDL particles (inonzi Muenzaniso B), inonyanya kufanirwa kwehutachiona hwehutano kupfuura apo kana zvikamu zvakakura uye zvisinganyanyi kudarika (Muenzaniso A).
Muzvinhu zvose zvandinodzidza ndinoziva izvo zvakatarisa ukuru hweLDL hukuru apo vanhu vachinjira kune zvokudya zvakaderera-carb, maitiro akachinjwa nenzira yakanaka.
Nei zviyero zvakakura zvakasimbiswa? Ndakanzwa mufananidzo unonakidza nemunyori Dr. Mark Houston (inzwa kubvunzurudzwa pano - inobva munaAugust 25, 2012, kuratidzwa kwe "Bvunza Dr. Dawn"). Akatsanangura kuti pane chinowanzozivikanwa che cholesterol kungovakira mukati meyeri, iyo inotanga muhutsetse hwetari pasi pe epithelium (iyo yakaita se "ganda" reyita) apo pane kuora nekuputika mu epithelium.
Cholesterol (kana, kunyanya, lipoprotein) zvinyorwa kubva muropa ndokugara mune iyi sub-epithelial layer uye kuvaka kubva ipapo kuti aumbe pepa. Apo inokura, danda rinotanga kudzivirira arteri. Mukutsanangura kuitika kwehukuru hwehukuru, Dr. Houston akapa mufananidzo uyu: Fungidzira mumbure mumatare etiyete. Bhati yemutambo haigoni kuburikidza nemumatare, asi kana iwe ukandira boka regorofu pane iyo mambure, vamwe vavo vachapfuura. Izvi zvinopa pfungwa yakaipa yekufunga nezvekuti sei maduku, madetei eDD particles ari akaipisisa kupfuura makuru, "fluffier" particles - maduku, akaremera akawanda anokwanisa kugara munzvimbo yakakanganiswa yerari. (Dr. Houston anotiwo nhamba yeLDL particles inogonawo kukosha.)
Iwe haugoni kuziva nezveLDL particles pane chestetermoline yakakwana test. Chiremba wako aizoda kuraira muedzo chaiwo. Idzi ndidzo mbiri dzakajairika:
- Vertical Auto-Profile (VAP)
- Gradient Gel Electrophoresis (GGE)
3. LDL Kazhinji Hazvienzaniswi Zvakananga, Zvingava Zvinetso
Izvo zvinoitika kuti zvakaoma kuenzanisa LDL zvakananga, saka mabhizha anowanzoshandisa fomu kuti ienzanise LDL kubva kune rimwe ropa remiranho matanho. Inonzi Fateewald equation uye ichi ndicho: LDL = Total Cholesterol - HDL - (Triglycerides / 5). Kune vanhu vazhinji, chirevo ichi chakarurama zvakakwana, kunyange zvazvo mathematically akadavira achaona kuti imwe nzira ye "yekuvandudza" yako LDL purogiramu ingangodaro kungosimudza triglycerides yako, somuenzaniso, kudya boka remashuga. (Haisi pfungwa yakanaka !!) Izvi zvinongoratidzira chinetso chinogona kuitika.) Zvino, zvinozivikanwa kuti kana triglycerides yakareba kwazvo (inopfuura 400 mg / dL) iyo equation haiti mhinduro yakarurama. Asi panewo kuwedzera kunetseka kuti kana triglycerides zvisiri zvisizvo (pasi pezana) LDL inogona kuve yakashandurwa kuburikidza nekushandisa iyi fomu. Panove pane zvidzidzo zviviri pamusoro peizvi, uye zvakare kunobva kunechiremba vanoshandisa chigadziro chemakrohydrate sechikamu chekurapa kwavo kwekuneta uye nechirwere cheshuga. Vanhu varikudya zvakaderera-carb avo vari kutevera kudya vanoramba vachinyatsoona kuti triglycerides yavo inodonha kusvika pasi pezana (zvinenge mumwe chiremba, Dr. Mary Vernon, anoshandisa triglycerides seimwe yezviratidzo kumuudza kana murwere ari kutevera kudya ). Saka kana triglycerides iri pasi uye LDL yakakwirira, inogona kuva pfungwa yakanaka yekukumbira muedzo unoyera LDL zvakananga pane kushandisa Friedewald fomu.
Imwe yemapoka akadzidza izvi (Ahmadi et al) yakagadzira imwe shanduro yekufananidza, inowanzonzi irati equation. Kunyangwe zvakakosha kuziva kuti iyi equation haigamuchirwi zvakanyanya munharaunda yehutano yeUnited States, inogona kufadza kuenzanisa yako LDL-yakagadzirwa nemari yakasiyana.
Zvinofadza kuti kuva ne-triglycerides pasi pe100 kunobatanidzwawo nePat A A LDL usayizi hutatu (hutano hwakanaka). Saka kana uri kutevera kudya kwakadzika-carb uye uine pasi shoglycerides, pane zvikonzero zviviri kuti usafunganya zvakanyanya pamusoro peLDL yako cholesterol, zvishoma kusvikira iwe uwedzerwa kuongororwa.
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