Cholesterol Cholesterol na Mmekọ Ọrịa Shuga bụ Ntụziaka maka Obi Ọjọọ
Ndị ọkà mmụta sayensị na - achọta ihe àmà na ọrịa shuga na - ebibi cholesterol , na - eme ka ọ bụrụ ọrịa nkụchi ma ọ bụ ọrịa strok ọbụna karị. Mkpakọrịta dị n'etiti ihe ize ndụ abụọ a pụtara na ọ bụrụ na ị na-arịa ọrịa shuga, ị ga-akpacha anya nke ukwuu maka ịchịkwa cholesterol gị.
Njikọ dị n'etiti Insulin na Cholesterol
Ndị nchọpụta ka na-achọpụta kpọmkwem otu esi agwọ ọrịa shuga na-agbanwe ọkwa cholesterol na ọkwa eletriki microscopic.
Ha maara na insulin dị elu n'ọbara na-eme ka ọnụ ọgụgụ cholesterol dị n'ọbara.
Ngwurugwu insulin dị elu na-eme ka ọnụọgụ LDL-cholesterol ("cholesterol ọjọọ") nke na-etolite na-emepụta plaques na akwara ma wedata ọnụ ọgụgụ nke HDL cholesterol ("ezigbo cholesterol") nke na-enyere aka wepụ ihe ndị dị ize ndụ tupu ha agbaji iji mee ka obi mgbawa ma ọ bụ ọrịa strok. Ndị na-arịa ọrịa shuga na-emekwa ka ọ dị elu nke triglycerides , ụdị abụba ọzọ na-ekesa n'ime ọbara.
N'otu aka ahụ, cholesterol dị elu nwekwara ike ịbụ onye na-ahụ maka ọrịa shuga; A na-ahụkarị cholesterol dị elu na ndị nwere insulin resistance, ọbụna tupu ha amalite ịrịa ọrịa shuga. Mgbe LDL ọkwa malitere ịrị, ndị ọkachamara na-atụ aro ịṅa ntị na ịchịkwa ọbara shuga ma malite nri na mmega ahụ iji nyere aka gbochie ọrịa shuga na ọrịa obi.
Nke a dị mkpa karịsịa ma ọ bụrụ na ị nwere akụkọ ihe mere eme nke ọrịa obi.
Maka ndị nwere ọrịa shuga Ụdị nke Mbụ , ịchịkwa ọbara shuga nwere ike ime nnukwu ọdịiche. Ezi shuga shuga na-ejikọta ọkwa cholesterol dị nso, nke yiri nke ndị a hụrụ na ndị na-enweghị ọrịa shuga. Mana ndị na-arịa ọrịa shuga Ụdị nke Mbụ ejirila na-arịwanye elu na triglyceride na ala elu HDL, bụ nke na-enye aka na mmepe nke akwara.
Ụdị Ọrịa nke Abụọ: Ọdịdị Kasị Elu Karịa Elu Cholesterol
Ndị nwere ọrịa shuga Ụdị nke Abụọ , n'agbanyeghị ọbara shuga, na-enwekarị ụba triglycerides , belata HDL, ma mgbe ụfọdụ, LDL abawanyela. Nkọwa cholesterol a nwere ike ịnọgide na-agbanyeghị ma ọ bụrụ na ejiri ọbara shuga na-achịkwa - na-ezo aka n'ọdịdị dị elu karị maka ịmepụta plaques. Nke bụ eziokwu bụ na ndị na-arịa ọrịa shuga Ụdị nke Abụọ na-ejikarị ụbụrụ karịa na ndị nwere ụdị ọrịa shuga nke Mbụ, nke na-eduga n'ọdịdị dị elu nke ihe nkedo na-eme ka ọ bụrụ nkụchi obi ma ọ bụ ọrịa strok.
Òtù Ndị Na-ahụ Maka Ọrịa Shuga nke America na-atụ aro ịlele ọkwa ọkwa cholesterol ọ dịkarịa ala otu ugboro n'afọ, ma ọ bụ karịa mgbe ọ bụrụ na ha dị elu ma ghara ịchịkwa ọgwụ. Maka ndị na-arịa ọrịa shuga na ọrịa ọrịa obi ọkpụkpụ ọ bụla, a na-atụ aro na LDL n'ọbara dị n'okpuru 100 milligrams kwa deciliter (mg / dL), na HDL ọkwa dị n'elu 50 mg / dL, na triglycerides n'okpuru 150 mg / dL. Ọbara shuga a na-atụ aro, ma ọ bụ glucose, ọkwa dị ala karịa 7% (<7%) na HA1C ule.
Maka ndị na-arịa ọrịa shuga na ọrịa obi na-arịa ọrịa obi na-arịa ọrịa, gụnyere ihe ndị a na-egbochi ma ọ bụ ihe mgbochi obi, ọrịa ADA na-atụ aro LDL n'okpuru 70 mg / dL.
Inweta ihe mgbaru ọsọ LDL a dị ala nwere ike ịchọ nnukwu ọgwụ nke ọgwụ statin, mana egosiri na ọ ga-ebelata ihe ize ndụ nke nkụchi obi. Mkpụrụ nke Triglyceride kwesịrị ịdị n'okpuru 150 mg / dL na HDL n'elu 40 mg / dL. A na - atụ aro ndị inyom nwere ọrịa shuga na ọrịa obi na - arịa ọrịa coronary dị ugbu a inwe HDL ọkwa n'elu 50 mg / dL.
Otu ọgwụ, WelChol (colesevelam), egosiputala ma glucose na ọkwa cholesterol na ndị nwere ọrịa shuga Ụdị nke Abụọ. Welchol na-eme site na igbochi eriri afọ site na ịmịkọrọ mkpụrụ ndụ abụba si nri. Ọ bụ ezie na Welchol na-ebelata LDL ọkwa, ọ nwere ike ibuli elu triglyceride n'ọbara ahụ, ndị mmadụ na-enwekwa triglycerides.
Ọrịa Metabolic na Cholesterol
A na - akọwa ndị nwere ụyọkọ ụbụrụ dịka nkwụsị insulin, ọkwa cholesterol dara ogbenye, ọbara mgbali elu na oke ibu dị ka ọrịa syndabolic (nke a makwaara dị ka ọrịa X). Nnyocha achọpụtala na ndị nwere ọrịa HDL na akwa triglycerides - ndị a na-ahụ maka ọrịa metabolic - nwere nnukwu ihe ize ndụ nke ịrịa ọrịa obi ma ọ bụ ọrịa strok. Ndị nwere profaịlụ pro cholesterol na-enwetakwa ọtụtụ uru site na ọgwụ ndị na-ahụ maka ụdị ahụ.
Ihe ize ndụ dịgasị iche iche nke ọrịa obi nwere ike ibute n'aka na a ga-emeso ya ọnụ. Ndị na - arịa ọrịa shuga - ndị nwere ihe ize ndụ kasịnụ nke otu ụbọchị na - arịa ọrịa obi - ga - akpacha anya nke ọma ka ha na - edebe ọbara shuga na cholesterol na ala dị ala. Ọ dịkwa oke mkpa iji nọgide na-enwe ahụ ike na ọbara mgbali elu na izere ịṅụ sịga.
Isi mmalite:
Òtù Ndị Ọrịa Shuga Ọrịa America. "Nkwupụta nke ADA: Ụkpụrụ nke Nlekọta Ahụike na Ọrịa Shuga." Diabetes Care 30 (2007): Suppl 1.
McCulloch, David K. "Nkọwa nke nlekọta ahụike na ndị okenye na Diabetes Mellitus." UpToDate.com. 2008. UpToDate. 6 Mgbe 2008. (ndebanye aha)
Meigs, James B. "Ọrịa Metabolic (Ọrịa Resulin Resistance or Syndrome X)." UpToDate.com. 2008. UpToDate. 7 Apr 2008. (ndenye aha)
Nesto, Richard W. "Ihe na-akpata ọrịa na ọrịa obi na-arịa ọrịa shuga na-arịa ọrịa shuga." UpToDate.com. 2008. UpToDate. 6 Mgbe 2008. (ndebanye aha)
Pyorala, K., et al. "Mbelata nke Ihe Omume Ihe Omume site na Simvastatin na Nondiabetic Coronary Heart Diseases Patients With and Without Metabolic Syndrome: Nchịkọta nke Ngalaba Nyocha nke Scandinavian Simvastatin Survival Study (4S)." Diabetes Care 27 (2004): 1735-40.
Rosenson, Robert S. "Ọhụụ nke Ọgwụgwọ nke Hypercholestemlemia." UpToDate.com. 2008. UpToDate. 30 Mar2008 (ndebanye aha)
Rosenson, Robert S. "Isi nke abụọ nke Dyslipidemia." UpToDate.com. 2008. UpToDate. 26 Apr 2008. (ndebanye aha)
"Akuko nke ato nke usoro ntụrụndụ National Cholesterol (NCEP) Panel nke ọkachamara na nchọpụta, Nyocha, na Ọgwụgwọ nke Cholesterol Ọbara Elu na Ndị Agadi (Kọlọtọ Ngwọta Ndị Agadi nke III) Akụkọ Ikpeazụ." Mpaghara 106 (2002): 3143.
Zieve, FJ, MF Kalin, SL Schewartz, MR Jones, na WL Bailey. "Nsonaazụ nke Mmetụta Glucose-Mmetụta nke Ọmụmụ WelChol (GLOWS): A na-amụba amụba, na-ekpuchi okpukpu abụọ, Ọmụmụ Pilot a na-achịkwa nke a na-achịkwa na-atụle Mmetụta nke Colesevelam Hydrochloride na Glycemic Control in Subjects with Type 2 Diabetes." Clinical Therapeutics 29 (2007): 74-83.