Lintho tse kotsi bakeng sa mathata a pelo, mafu a pelo (angina le lefu la pelo)

Lintho tse kotsi bakeng sa mathata a pelo, mafu a pelo (angina le lefu la pelo)

The mekgwa ya bophelo li amana haufi-ufi le bophelo bo botle ba pelo le methapo ea mali. Ho latela Mokhatlo oa Lefatše oa Bophelo, ho phepo e mpe, ho hloka boikoetliso ba mmele 'me ho tsuba li ikarabella bakeng sa hoo e ka bang 80% ea mathata a pelo le stroke2.

Phapusi ea ho bala Interheart3, e entsoeng ka 2004, e ntse e le letšoao la bohlokoa bakeng sa litsebi tsa tlhokomelo ea bophelo. Lintlha li tsoa linaheng tse 52 lik'honthinenteng tse 5, bakeng sa barupeluoa ba ka bang 30. Liphetho tsa eona li bontša hore Lintlha tse 9 (Lintho tse 6 tsa kotsi le lintlha tse sireletsang tsa 3) bolela esale pele 90% ea li-infarction tsa myocardial ho banna le 94% ho basali. Phuputso ena ka ho khetheha e totobalitse tšusumetso e kholo ea ho imeloa kelellong ka bophelo bo botle ba pelo.

Thuto 6 lisosa tsa kotsi :

  • hypercholesterolemia: kotsi e fetang makhetlo a 4;
  • ho tsuba: kotsi ka makhetlo a 3 ho feta;
  • lefu la tsoekere: kotsi ka makhetlo a 3 ho feta;
  • khatello ea mali: makhetlo a 2,5 kotsi e phahameng;
  • le ho imeloa kelellong (ho tepella maikutlong, khatello ea kelello ea setsebi, mathata a kamano, mathata a lichelete, joalo-joalo): kotsi ea makhetlo a 2,5 holimo;
  • un letheka le phahameng (botenya ka mpeng): kotsi makhetlo a 2,2 holimo.

Lintlha tse 3 tse fanang ka matla a phello e sireletsang :

  • tshebediso ya letsatsi le letsatsi ya litholoana le meroho;
  • tshebediso e itekanetseng yajoala (e lekanang le seno se le seng ka letsatsi bakeng sa basali le 1 bakeng sa banna);
  • tloaelo e tloaelehileng eaho ikoetlisa 'meleng.

Hlokomela hore bohlokoa bo lekanyelitsoeng ba e 'ngoe le e 'ngoe ea mabaka ana a kotsi bo fapana ho ea ka motho ka mong, hape le ho ea ka linaha.

Mabaka a mang a kotsi

Lintho tse ka sehloohong tse bakang lefu la pelo ho motho ea kotsing54

Sephethephethe tseleng (khatello ea maikutlo le tšilafalo ea moea)

Boiteko ba ’mele

Ts'ebeliso ea joala

Tšebeliso ea kofi

Ho pepesehela tshilafalo ya moya

Maikutlo a fosahetseng (bohale, ho tsieleha, khatello ea maikutlo, joalo-joalo)

Lijo tse kholo

Maikutlo a matle (thabo, cheseho, thabo, joalo-joalo)

Tšebeliso ea cocaine *

Ketso ya thobalano

* Ena ke sesosa se matla ka ho fetisisa.

Tšilafalo ea sepakapaka. Le hoja bo-rasaense ba ntse ba e thahasella haholo ho tloha mathoasong a lilemo tsa bo-1990, ho ntse ho le thata ho lekanya phello.12, 27,41-43. Tšilafalo ea moea e bakile mafu a ka bang 21 pele ho nako Canada ka 000, ho latela Heart and Stroke Foundation.41. Hoo e ka bang halofo ea bona e ka be e etsahetse ka lefu la pelo, stroke kapa ho hloleha ha pelo. Hangata ke batho e se e le kotsing ea mathata a pelo le methapo ba nang le maikutlo a yona. Ho ea ka phuputso e kholo ea Brithani e hatisitsoeng ka 2008, batho ba lulang libakeng tse tala ka ho fetisisa (libaka tsa boikhathollo, lifate, joalo-joalo) ba na le palo e tlaase ea batho ba shoang (ka 6%) ho feta ba lulang libakeng tse nang le limela tse fokolang haholo.27.

Eona likaroloana tse ntle tse emisitsoeng moeeng (haholo-holo tse nang le bophara ba li-micrometer tse ka tlaase ho 2,5) li kena ka mokhoa oa ho hema 'me li baka karabelo ea ho ruruha mokhatlong oohle42. Likaroloana tsena tsa ultrafine li baka ho thatafala ha methapo eo, ha nako e ntse e feta, e potolohang mali ka mokhoa o fokolang.

Mosi oa letsoho la bobeli. Liphuputso tsa lefu la seoa li bontša hore ho pepesehela mosi oa koae kamehla ho eketsa kotsi ea ho tšoaroa ke lefu la methapo ea pelo, ho bapisa le ea motho ea tsubang “ea bobebe”.7,44.

Liteko tsa mali tse behang tsela? Ha ho joalo.

sa tšoaneng liteko tsa mali li ile tsa ntlafatsoa ka tšepo ea ho bolela esale pele hamolemo kotsi ea tlhaselo ea pelo. Tšebeliso ea bona e lula e le moeli; ha se karolo ea litlhahlobo tse tloaelehileng. Lingaka tse 3 tseo ho buisanoeng le tsona (ho kenyeletsoa le ngaka ea pelo)51 dumela hore tsena liteko ha li hlokahale, ho phaella ho theko e boima. Maikutlo a bona a bonahatsa liphello tsa lithuto tsa morao-rao. Litlhaloso ke tsena.

Tekanyo e phahameng ea protheine ea C-reactive. Protheine ea C-reactive ke e 'ngoe ea limolek'hule tse ngata tse hlahisoang nakong ea karabelo ea 'mele ea ho itšireletsa mafung. E patiloe ke sebete mme se potoloha mading. Le hoja e le 'nete hore mahloriso a eona a eketseha ho batho ba kotsing ea ho hlaseloa ke pelo' me a lula a le tlaase ho batho ba phetseng hantle9,10, phuputso e kholo e ile ea etsa qeto ea hore fokotsa boemo ba protheine ea C-reactive ha ea ka ea fokotsa lefu50. Hlokomela hore mathata a 'maloa a bophelo bo botle a etsa hore boemo ba protheine ea C-reactive maling bo fapane (botenya, ramatiki, tšoaetso, joalo-joalo). Ka hona, phello ea teko ena e thata ho e hlalosa.

Boemo bo phahameng ba fibrinogen. Protheine ena e 'ngoe e hlahisoang ke sebete e phetha karolo ea bohlokoa ts'ebetsong ea ho koala mali. Ho ne ho nahanoa hore boemo bo phahameng ba fibrinogen bo ka kenya letsoho ho thehoeng ha tšelo ea mali, seo qetellong se ka bakang lefu la pelo kapa stroke. Joalo ka protheine ea C-reactive, boemo ba eona bo eketseha nakong ea karabelo ea ho ruruha. Tekanyo ea boemo ba fibrinogen e sebelisoa haholo-holo Europe. Leha ho le joalo, teko ena ha e so pakoe.

Boemo bo phahameng ba homocysteine. Ho lumeloa hore haeba amino acid ena e fumanoa ka bongata bo bongata maling, menyetla ea ho tšoaroa ke lefu la atherosclerosis e eketseha. Lithane li sebelisa homocysteine ​​​​ho etsa liprotheine. U ka fokotsa boemo ba homocysteine ​​​​ka ho etsa bonnete ba hore u ja lijo tse nang le livithamini B6, B9 (folic acid) le B12 tse lekaneng.9. Tšebeliso ea litholoana le meroho e na le phello e ntle maemong a homocysteine ​​​​. Leha ho le joalo, ho theola boemo ba homocysteine ​​​​ha ho na phello ho lefu.

 

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