Mang kapa mang ea batlang litsela tsa ho eketsa likarolo tsa tsona tsa HDL tsa k'holeseterole (e leng, "k'holeseterole e ntle"), mohlomong o fumane khothatso ea ho ikoetlisa. Lebaka ke hore boikoetliso bo tloaelehileng , haholo-holo boikoetliso bo botle, bo 'nile ba amahanngoa le maemo a phahameng a li-cholesterol a HDL. Empa u lokela ho etsa boikoetliso bo bokae ho phahamisa maemo a hau a HDL?
Cholesterol ea HDL ke eng?
The high-density lipoproteins (HDL) e fetisa k'holeseterole e feteletseng ho tloha maboteng a methapo ea sebete ho ea sebeteng. Kaha li-depositor tsa k'holeseterole ke karolo e kholo ea atherosclerosis , ho tlosa k'holeseterole ho tswa ho methapo e nahanoa hore ke karolo ea bohlokoa ho thibela lefu la pelo.
Sebakeng sa sebete, k'holeseterole e feteletseng ho tloha ho HDL likarolo e na le metabolized; karolo e ngata ea eona e fetoloa ho bile, e ntan'o fetoloa ke 'mele kapa e sebelisetsoe ho cheka. Ts'ebetso ena ea ho tsosolosa k'holeseterole - "ts'ebetso ea ho tsamaisa k'holeseterole" -e leng ho thusa ho thibela kapa ho fokotsa lefu la pelo. Boemong bo phahameng ba cholesterol ea HDL, ka hona, hangata ho bolela hore cholesterol e ngata e ntse e sebelisoa hape, e leng ntho e ntle. Ka hona, ke ho lakatsehang ho ba le boemo bo phahameng ka ho fetisisa ba HDL cholesterol. Ka mohlala, litekanyetso tsa HDL tse fetang 60 mg / dl li amahanngoa le ho fokotsa kotsi ea lefu la pelo.
Lipatlisiso Bopaki ba ho ikoetlisa le HDL Cholesterol
Litsebi li tseba nako e telele hore boikoetliso bo thusa ho eketsa tlhahiso le bokhoni ba lik'hemik'hale tse ling tse ntlafatsang ts'ebetsong ena ea "tsamaiso ea phekolo ea cholesterol". Empa ho hlokahala boikoetliso bo bokae ho finyella phello ee?
Phuputso e entsoeng ke bafuputsi ba Majapane e hlalositse potso ea hore na mofuta oa boikoetliso, makhetlo a mangata le matla a tsona li ama cholesterol ea HDL joang.
Ka ho etsa lipatlisiso, bafuputsi ba Tokyo ba ile ba hlahloba phello ea boikoetliso boemong ba HDL. Li kenyelelitse lintlha tse tsoang litsing tse 35 tse ngata tse hlahlobang phello ea boikoetliso boemong ba HDL ho batho ba baholo.
Le hoja mekhoa ea ho ikoetlisa e ne e fapane le lipatlisiso tsena, ka karolelano lihlooho tsa lithuto tsena li sebelisitsoe metsotso e 40, ka makhetlo a mararo ho isa ho a mane ka beke, 'me phello ea HDL e ne e lekantsoe ka mor'a libeke tse robeli ho isa ho tse 27.
Nakong ea lithuto, barupeluoa ba bile le keketseho ea k'holeseterole ea HDL hoo e ka bang ka 2.5 mg / dL. Keketseho ena ea cholesterol ea HDL e ne e le boikokobetso empa e ne e le ea bohlokoa haholo.
Ka lipalo tse ling, ho theoha kotsing ea pelo ea karolo ea peli ho isa ho tse tharo ho amahanngoa le keketseho ea 1 mg / dL ho HDL. Le hoja lipalo tse joalo li thehiloe mokokotlong oa litlhahiso 'me e se liteko tsa sebele tsa kliniki, ka khakanyo ena ea phaello ea 2.5 mg / dl ka HDL e ka' na ea e-ba le ho fokotseha haholo ha kotsi ea pelo.
Mohlomong ntho e thahasellisang ka ho fetisisa ho tsoa phuputsong ena ke ho hlokomela hore e ne e le nako ea nako ea ho ikoetlisa - eseng lebelo kapa matla a boikoetliso-e leng se molemo ka ho fetisisa se tsamaisanang hantle ka ho eketseha ha maemo a HDL. Bafuputsi ba tlaleha hore lipatlisisong tsa ho etsa lipatlisiso tse sebetsang bonyane metsotso e 20, ho eketseha ha metsotso e 10 ea nako ea boikoetliso ho amana le 1.4 mg / dL ea HDL.
U Koetlisa Hangata Ha U Hloka?
Meta-analysis ena e emela tekanyo e ntle ka ho fetisisa eo re nang le eona le li-volume tsa k'holeseterole tsa HDL. Liphello tsa phuputso ena li bontša hore ho sebelisa bonyane ka makhetlo a mararo ho isa ho a mane ka beke bonyane metsotso e 20 (le hoja 40 e ka ba molemo) e lokela ho u thusa ho eketsa maemo a hau a HDL. Ha e le hantle, ho eketsa nako ea boithabiso ba hao ka ho itlhahisa ka mokhoa o bohlale (ke hore, ka ho tsamaea butle ha ho hlokahala), ho bonahala e le tsela e molemo ka ho fetisisa ea ho fetolela boikoetliso boemong bo phahameng ba HDL.
Liphetoho tse ling tsa bophelo
Ntle le ho ikoetlisa, liphetoho tse ling tsa bophelo bo ka u thusa ho eketsa boemo ba HDL.
Tsena li kenyelletsa:
- Ho khaotsa ho tsuba, e ka eketsang k'holeseterole ea HDL ka karolo ea 10 lekholong.
- Ho lahleheloa ke boima: Bakeng sa lik'hilograma tse ling tse hlano, HDL e ka eketseha ka 1 mg / dL.
- Ho khetha mafura a phetseng hantle a kang mafura a monounsaturated le polyunsaturated a fumanoang oli ea mohloaare, ea peanut le ea canola hammoho le linate, litlhapi le lijo tse ling tse nang le omega-3 fatty acids .
- Ho noa joala ka mokhoa o leka-lekaneng: Ho noa lino tse peli ka letsatsi bakeng sa basali le lino tse peli ka letsatsi bakeng sa banna ba lilemo li 65 le ba banyenyane.
Lentsoe le Tsoang ho
Mefuta e phahameng ea cholesterol ea HDL e amahanngoa le kotsi e tlaase ea pelo. Ho ikoetlisa kamehla ke tsela e le 'ngoe ea ho eketsa maemo a hau a HDL. Ho bonahala eka nako ea ho ikoetlisa kamehla ke ntho ea bohlokoa ka ho fetisisa ho phahamisa HDL ka katleho ka ho ikoetlisa.
> Mehloli:
> Kodama S, Tanaka S, Saito K, et al. Phello ea Koetliso ea ho ikoetlisa ea Aerobic ho Mefuta ea Serumine ea Boholo-holo Boima ba Lipoprotein Cholesterol. Arch Intern Med 2007; 167: 999-1008.
> Mackey RH, Greenland P, Goff, DC Jr, et al. Matšoao a phahameng Lipoprotein Cholesterol le Maikutlo a Lihlooho, Carotid Atherosclerosis, le Liketsahalo tsa Coronary: MESA (Multi-Ethnic Study of Atherosclerosis). J Am Coll Cardiol 2012; 60: 508.