Li-triglycerides tse phahamisitsoeng maling - li bolelang (li baka) 'me ke eng e sokelang?

Triglyceride kapa trig ke mofuta oa mafura ao 'mele oa motho o a fumanang lijong, o fetola likhalori matla. Li-triglycerides tse phahameng ha se lipontšo tsa lefu la pelo, empa li ka fokotsa phallo ea mali ho ea mosifa o moholo, tsa baka mathata a tebileng a bophelo bo botle. Batho ba nang le cholesterol e feteletseng hangata ba na le maemo a phahameng a TG. Ho hlahloba li-triglycerides tlhahlobo ea mali a biochemical ho etsoa hammoho le lipid pontso. Tlhahlobo ena e khetha:

  • k'holeseterole e felletseng
  • TG
  • LDL (cholesterol e mpe)
  • HDL (cholesterol e ntle).

Li-triglycerides tse phahameng li bolela eng?

Ho latela boholo ba litsebi tsa malapeng le tsa kantle ho naha (haholoholo, ho tloha AHA - "The American Heart Association"), litekanyetso tse phahameng haholo tsa "triglyceride", ho isa tekanyo e kholo, li bonts'a mathata ho LIVER kapa Pancreas. Le likotsi tse ntseng li eketseha tsa ho ba le lefu la tsoekere pele le lefu la tsoekere la mofuta oa II (ka lebaka la insulin / ho hanyetsa, eo re tla bua ka eona hamorao sehloohong sena).

HO TLA BA HO BONOLO:

Mabapi le phello e tobileng - e leng TG e phahameng ho plasma ea basali le banna ba kotsing ea ho ba le mafu a pelo, liphetho tsa lithuto tsa sejoale li bonts'itse liphetho tse hanyetsanang. Ka hona, HONA (!) Litsebi tsohle lia lumela hore ka kotloloho - boemo bo phahameng ba triglycerides - ke e 'ngoe ea "lisosa" tsa pelo, bokong le mafu a methapo ea mali (atherosulinosis).

Ho na le mabaka a mabeli a bohlokoa a sena:

  • Pele, litekanyetso tse phahameng tsa TAG (triacylglycerides) maling hangata li hlaha hammoho le mathata a kang botenya, khatello e phahameng ea mali le lefu la tsoekere. Le litekanyetso tse tlase tsa "cholesterol" e ntle ea HDL mme, ka mokhoa o fapaneng, e ile ea eketseha - maemong a "mpe" LDL cholesterol. Mabapi le sena, ho thata haholo ho tseba hore na ke mathata afe a bakiloeng HAHOLO ke boemo ba li-triglycerides - TSOHLE THE NORM.
  • Bobeli, Liphetho tsa morao-rao tsa lipatlisiso, ka ho nka karolo ha bakuli ba nang le ts'oaetso ea liphatsa tsa lefutso ho li-triglycerides tse ngata (Familia / hereditary hypertriglyceridemia), li bonts'itse hore ha ba kotsing e kholo ea ho ba le mafu a pelo. Leha ho na le bopaki bo bong ba semmuso ba hore triglycerides e phahameng e ntse e ka bapala karolo e mpe, EMPA (!) Ha e na thuso.

MOLEMO OA HO BONT BEA:

Seo triglycerides e se bontšang tlhahlobong ea mali

Ho hlahloba boemo ba mafura kahare ho methapo le methapo ea methapo ke karolo ea boemo ba profil, e khethollang ho ba teng hoa lefu la pelo. Triglycerides tlhahlobong ea mali e bonts'a monyetla oa ho ba le khatello ea mali, lefu la pelo, coralary infarction, jj. Batho ba baholo ba khothaletsoa lilemo tse ling le tse ling tse 4-6. Bana ba hloka ho hlahlojoa hang pele ba fihla lilemong tsa 10 ho bona hore na ho na le phoso e itseng ea tlhaho.

Tekanyo ea li-triglycerides

Ho bokellana ha lipids maling ho itšetlehile ka lilemo, bong le kholo ea motho. Pele ho tlhatlhobo, ho khothalletsoa ho itima lijo ka lihora tse 9. Nakong ena, o ka noa metsi feela ka mocheso oa kamore. Ka linako tse ling u hloka ho khaotsa ho sebelisa lithethefatsi tse itseng, ho kenyelletsa ascorbic acid. Liphetho tsa liteko li thathamisitsoe tafoleng e latelang:

Bana le bacha, (mmol / l)

Malinyane a sefuba, (mmol / L)

Lisosa tsa triglycerides e eketsehileng maling

Li-triglycerides li phahamisitsoe - li bolelang? Taba ena e ka bakoa ke mafu a fapa-fapaneng. Tsena li kenyeletsa:

  • botenya
  • lefu la tsoekere
  • atherosulinosis
  • hypothyroidism
  • lefu la liphio
  • lefutso la lefutso la lefutso.

Ho na le mabaka a mang a ho phahamisa li-triglycerides tsa mali:

  • ho ja hofeta
  • khafetsa ho noa
  • bophelo bo fosahetseng
  • ho sebelisa litlhare tse joalo ka corticosteroids, li-beta blockers, lithibela-pelehi tsa molomo.

Seo triglycerides e phahameng e se bolelang?

Keketseho ea lipids e ka ba sesupo sa maloetse a kaholimo. Khafetsa, motho a ka 'na a se ke a belaella hore o kotsing ho fihlela a hlahlojoa. Triglycerides e phahamisitsoeng e bolela hore mokuli o tlameha ho latela lijo tse tla mo thusa ho ntlafatsa boemo ba hae ba mali le cholesterol e tlase. E boetse e bontša hore ho na le kotsi ea ho tšoaroa ke lefu la pelo, cirrhosis le hepatitis.

Triglycerides e phahamisitsoeng maling maling ho banna

Ho thobalano e matla, boemo ba TG bo lula bo le honyenyane ho feta ho ba fokolang. Li-triglycerides tse phahamisitsoeng maling maling ho banna li ka hlaha ka lebaka la ho tsuba, ho se noe kamehla, ho nona haholo le khatello ea maikutlo khafetsa. Kamora ho fumana sephetho sa liteko, u lokela ho ea ngakeng 'me u fumane kalafo.

Triglycerides e Phahameng ho Basali

Ha ho tluoa maemong a phahameng a lipid, basali ba kotsing e fetang ea banna. Li-triglycerides tse phahamisitsoeng li ka hlaha ho basali:

  • ha u ntse u sebelisa lipilisi tsa thibelo ea bokhachane tse kenyeletsang estrogen ea hormone,
  • nakong ea kemolo
  • ka ovary ea polycystic,
  • nakong ea ho khaotsa ho ilela khoeli
  • ka mathata a lihormone,
  • ho hloka thari.

Triglycerides e Eketseha Nakong ea Boimana

Keketseho ea palo ea lipids maling a 'm'a nakong ea bokhachane e ntse e tloaelehile. Ho basali ba bangata ba baimana, cholesterol e tsoha ka nako ena, mme hona ho tloaelehile, ho ke keng ha boleloa ka triglycerides. 'M'e ea lebelletseng o tla tlameha ho fokotsa ts'ebeliso ea lihlahisoa tse nang le TG e le hore lipontšo li be tloaelehileng. Haeba li-triglycerides li phahame nakong ea kemolo, sena ha se bolele hore lesea le hlaha le senyeha. Hangata lebaka la tlhahlobo ena ea tlhahlobo ke ho ja ho feta tekano, phetoho mokokotlong oa lihormone.

Triglycerides e phahame ho ngoana

Keketseho ea li-triglycerides ke eng? Lisosa tse tloaelehileng li hlahisoa ka tlase:

  • botenya le botenya haholo
  • khaello ea phepo e nepahetseng
  • tšebeliso ea lihlahisoa tse kotsi (li-chips, lijo tse potlakileng, liswiti),
  • tloaelo ea lefutso.

Ha li-triglycerides li phahamisoa ho ngoana, ho rarolla bothata ho ba thata le ho feta. Ho ka ba thata hore bana ba hlalose hore na ke hobane'ng ha batsoali ba hana lintho tsa bona tse tloaelehileng. U lokela ho qobella lesea kapa mocha ho ja lijo tse phetseng hantle, ho nka oli ea tlhapi. Batsoali ba tla tlameha ho beha leihlo lijo tsa ngoana ka hloko, ketso ea hae ea 'mele. Ntle le moo, ho molemo ho buisana le ngaka le ho etsa tlhahlobo e felletseng ea 'mele.

Phekolo bakeng sa Triglycerides e Phahameng

Mokhoa o motle oa ho felisa triglyceridemia ke ho lula u phetse hantle. Haeba li-triglycerides maling li phahamisitsoe, li ka fokotsoa ka ho latela mehato ena:

  1. U hloka ho ikoetlisa khafetsa, fana ka 'mele ho ikoetlisa.
  2. Ho bohlokoa ho latela mokhoa oa ho ja: fokotsa ho ja mafura a se nang phepo, ho ja lijo tse nang le fiber e ngata.
  3. Hoa hlokahala ho hana joala.
  4. Khaotsa ho tsuba.

Phekolo ea li-triglycerides tse phahameng ha e felle moo. Ka linako tse ling u hloka ho sebelisa meriana e latelang:

  • li-statins (li boetse li laetsoe litekanyetso tse phahameng tsa mali tsa ldl),
  • nicotinic acid
  • Metsoako (e ke ke ea nkuoa ka li-statins).

Lijo tsa "triglycerides" tse phahameng maling

Lijo tse nepahetseng ke ntlha ea bohlokoa e ka fokotsang cholesterol le TG kapele. Ho qala, ho bohlokoa ho fokotsa tšebeliso ea khalori ho ea ka mokhoa o amohelehang. Ho molemo ho sebelisa mekhoa eohle e hlalositsoeng ka mokhoa o kopaneng ho tlosa kotsi ea lefu la pelo. Lijo tsa li-triglycerides tse phahameng maling li kenyelletsa tšebeliso ea lihlahisoa tse latelang:

  • mabele a lijo-thollo
  • meroho, litholoana,
  • lema nama ka tekano
  • skim lihlahisoa tsa lebese,
  • Mafura a polyunsaturated (ana ke mafura a omega-6 le omega-3 acid tse fumanoeng tlhapi e khubelu, oli e linseed, linate),
  • mafura a monounsaturated (avocado, oli ea mohloaare).

Ha li khone ho latela:

  • lihlahisoa tsa nama e mafura,
  • tsoekere e hloekisitsoeng (ho molemo ho sebelisa litlatsetso tsa maiketsetso),
  • lihlahisoa tsa phofo
  • linaoa
  • joala
  • lijo tse ka makotikoting
  • liswiti le mahe a linotsi.

Kamora likhoeli tse 'maloa tsa kalafo e joalo, boemo ba TG le cholesterol bo lokela ho khutlela ho bo tloaelehileng. Bopaki bo ka sehloohong ba sena e tla ba ho fokotsa boima ba 'mele le bophelo bo botle bo ntlafalitsoeng. Leha ho le joalo, mokuli o tla tlameha ho etsa tlhahlobo e 'ngoe ebe o fana ka mali bakeng sa tlhahlobo. Mohlomong ngaka e tla mo eletsa hore a tsoele pele ho latela lijo tse hlalositsoeng ka holimo, a ikoetlise ka tsela e leka-lekaneng, a tlohele mekhoa e mebe.

Li-triglycerides li phahame. Ho bolelang

Triglycerides (Triglycerides, TG) - mafura ao motho a a amohelang ka lijo. Mmele o li fetolela mohloli oa matla le likhalori tse hlokahalang bakeng sa bophelo bo felletseng.

Tšoaetso Karolo ea mafura a mali e itšetlehile ka lintlha le lintlha tse fapaneng. Ha motho a se a le moholo, ho ba le lipid tse sa jeleng paate maling a hae. Matšoao a tloaelehileng a tjena:

  • 170-200 mg / dl - tekanyo e nepahetseng ea TG ho batho ba baholo.
  • 86-110 mg / dl. - bakeng sa ngoana ho fihlela lilemo tse 3.
  • 103-146 mg / dl - moeli o tloaelehileng ho bana ho tloha ho lilemo tse 3.

Mofetoleli oa unit: mg / 100 ml x 0.0113 ==> mmol / L.

Re boetse rea fana tafole e qaqileng Matšoao a tloaelo a TG ho latela bong le lilemo.

Hypertriglyceridemia - boemo bo khetholloang ka ho kheloha tloaelo ea pontšo ea triglycerides ho plasma ea mali. Batho ba bangata ba tšoenyehileng ka bophelo ba bona bo botle ba thahasella potso ea hore na ke eng le hore na lefu lena la kelello le tletse eng ho mokuli.

Haeba tlhahlobo e senola hore triglycerides e phahame, hona ho bontša ho se sebetse hantle ts'ebetsong ea sistimi kapa setho se itseng.

Serum TG e phahameng haholo e amanang le kotsi ya kholo ho latela mafu a pelo le methapo ea pelo:

  • khatello ea mali
  • lefu la pelo la ischemic,
  • lefu la pelo
  • mafu a mang a pelo le methapo ea mali.

Joaloka molao, tlhahlobisong e nang le TG e phahameng, likarolo tsohle tse mafura a mali, ho kenyelletsa le cholesterol, le tsona li lokela ho feta se tloaelehileng. Sena se bolela hore matšoao a lipids tse ling a hokahane. Tekanyo ea k'holeseterole e beha tekanyo ea kotsi ea hypertriglyceridemia bakeng sa bophelo bo tloaelehileng ba motho.

'Mele oa rona o na le "cholesterol e mpe" le e "ntle". Haeba motho ea nang le boemo bo phahameng ba triglyceride a e-na le tekanyo e nepahetseng, ke hore, ho na le k'holeseterole e "ntle" le cholesterol e "mpe" ka ho fetesisa, kotsi ea lefu la pelo le ea fokotsoa. Tekanyo e phahameng ea "cholesterol" e mpe maling e khahlano le semelo sa hypertriglyceridemia e ka baka nts'etsopele ea atherossteosis le mafu a mang a pelo.

Sena se hlahisa potso ea hore na karolo e felletseng ea karolo ena ea lero la mali e bontša eng ka bongata ba cholesterol.

Palo e eketsehileng ea TG ke sesupo sa ntshetsopele mafu a latelang:

  • systemic, mohlala, lefu la tsoekere,
  • endocrine, mohlala, hyperchilomicronemia,
  • tsamaiso ea tšilo ea lijo, ka mohlala, pancreatitis,
  • viral hepatitis le cirrhosis (lino tse tahang, biliary), ho thijoa ha mokhoa oa biliary.

Litšobotsi ho basali

Ha o kopana le ngaka, bakuli hang-hang ba thahasella potso ea hore na ho bolelang haeba li-triglycerides li phahame ho basali. Ha e le hantle, ho utloisisa sena ha ho thata. Lingaka li supa mabaka a 'maloa a sehlooho a kenyang keketseho ea li-triglycerides maling a basali. Tsena li kenyeletsa:

  1. Ts'ebeliso ea lithethefatsi. Haeba ho fumanoe hore mosali o na le mafura a sa jeleng paate maling a hae, ngaka e ka amahanya palo e ngata haholo ea li-triglycerides le tšebeliso ea lithethefatsi tsa lihormone. Boholo ba lipilisi tsa thibelo ea bokhachane le li-supplement li karolo ea sehlopha sa li-hormone. Tsena kaofela li senya semelo sa lihormone, li lebisa khatellong ea metabolic le ho eketsa sethaleng sa lipid karolong ea plasma ea mali.
  2. Nako ea kemaro. Triglycerides e ka phahamisoa nakong ea kemaro ntle le kotsi ea ho ba le mathata. Phetoho ea tekano ea lipid nakong ena e ka hlalosoa ka phetisetso ea litsamaiso tsohle le litho tsohle tsa 'm'a ea lebelletsoeng. Basali ba bang ba trimester ea pele ba tloaetse ho ja ho tlōla. Ka hona, 'mele o sebetsa ho bokella limatlafatsi le khalori bakeng sa lesea. Mali ka nako e ts'oanang a fetola bongata ba eona, mme palo ea lipids e eketseha haholo.

Litšobotsi ho banna

Tlhokahalo ea litaba tsa lipid ka har'a plasma ho banna e phahame haholo ho basali. Bophelong, lipontšo li fapana ka 30-50%.

Ha u botsoa hore na ke hobane'ng ha li-triglycerides li ka phahamisoa maling a banna, karabo e latelang e ka fanoa. Likahare tsa lipid ho banna li ka eketseha ka tšebeliso ea lithethefatsi tsa lihormone tse hlokahalang bakeng sa kaho ea mesifa e mafolofolo le e potlakileng. Boleng ba triglycerides ho banna bo fetoha khahlano le semelo sa bophelo bo sa lokang, bo kenyeletsang:

  • khatello ea maikutlo khafetsa
  • khaello ea phepo e nepahetseng
  • ho tsuba le tšebeliso e mpe ea joala.

Keketseho ea li-triglycerides tsa mali ho banna e hloka ho tsebahatsoa sesosa le kalafo e tlang ka nako. Bakeng sa ho theola boemo ba lipid tsa lipid, banna ba hlekefetsang lihormone ba tla hloka ho emisa ts'ebeliso ea bona.

Bakuli ba etellang pele mekhoa e fosahetseng ea bophelo ha ba hloke ho fetoha feela, empa le ho felisa sesosa sa eona. Banna ba bang ba tlameha ho sebelisa li-immunosuppressants, ba fuoa kalafo ea ho itšepa joala, jj.

Lisosa, matšoao le litlamorao tsa litheko tse phahameng

Triglycerides ho fihla ho 2.0 mmol / L ke ntho e tloaelehileng ho motho e moholo. Tekanyetso e lumelletsoeng e fetang tekano e fihla ho 2,26 mmol / l. Litsela tsohle tse ling li bontša nts'etsopele ea mafu a amanang le lits'ebetso le litho tsa 'mele oa motho.

Bakuli ba eang ho ngaka e nang le bothata bo joalo ba amehile haholo ka potso ea hore na hobaneng li-triglycerides li eketseha. Har'a mabaka a mantlha a etsang hore ho be le triglycerides e phahameng ke:

  • lebaka la lefutso
  • metabolism e liehang, ka lebaka leo, botenya.
  • Khaello ea LHAT
  • ho lula fatše, ho lula fatše,
  • anorexia
  • tlhekefetso ea lino tse tahang le lijo tse nang le likhalori tse ngata,
  • nako ea kemaro
  • tšebeliso ea lithethefatsi tsa lihormone
  • lefu la tsoekere
  • pathology sss
  • ho hloka teboho
  • mafu a a liphio le litsoelesa tsa adrenal.

Ka hona, metabolism e senyehileng ea triglyceride e na le lipontšo tse 'maloa feela tse sa ikhethang ikemetse ka boomo lapeng boemo bona bo thata haholo. Tsena ke likhakanyo tse sa tsitsang khatello le tsoekere ea mali, li theola cholesterol e “ntle”, mokhathala, ho otsela le ho sebetsa hanyane.

Ho tsebahatsoa ka nako ea lisosa tsa boemo bo tenang boo ho bona li-triglycerides li phahamisoang ho thusa ho thibela nts'etsopele ea litlamorao tse sa thabiseng. Ke 'nete, hangata bakuli ba ea ngakeng hangata ha ho na le mathata. Tsena li kenyeletsa:

  • atherosulinosis
  • tlolo ea metabolism ea mafura a lipid,
  • kotsi ea lefu la pelo
  • tlolo ea ho sebetsa ha sebete, mala,
  • Tšenyo ea manyeme.

Liteko tsa Triglyceride

Ho khetholla boemo ba sebopeho sa lipid le mali le boemo ba triglycerides, ho hlahlojoa ha litekanyetso tsa lipid ho etsoa. Liphetho li fanoa nakong ea matsatsi a 1-2. Mokhoa oa ho khetholla letšoao ke tlhahlobo ea homogenible enzymatic colorimetric.

Lipidogram - mokhoa oa ho etsa tlhahlobo ea cholesterol e felletseng, methapo ea methapo e fokolang haholo (LDL), density e phahameng (HDL) le triglycerides ka tlhahlobo ea mali ea laboratori. Boithuto ba palo ea litaba tsa lipid ke mokhoa o hlokahalang oa ho ithuta mafu a pelo le endocrine.

Ho itokisetsa tlhahlobo ea laboratori ho kenyelletsa ho se je lijo, ka mantsoe a mang, tlhahlobo ea mali e nkuoa feela ka mpeng e se nang letho. Matsatsi a 2-3 pele ho tlhahlobo, lingaka li boetse li khothaletsa ho tlosa joala.

Kamora ho fumana ts'oaetso, bakuli ba thahasella ho tseba ho fumana sephetho sa tlhahlobo. O ka lekola ho lumellana le litekanyetso tse ipapisitseng le tafoleng ea litekanyetso tse fanoeng kaholimo.

Haeba tlhahlobo ea mali ea biochemical e bontšitse hore li-triglycerides li phahame, mokuli o lokela ho botsa ngaka hang-hang. Ho itlhahisa kalafo ntlheng ena ha ho amohelehe!

Ke ngaka feela e tsebang ho phekola ka nepo kapa hore na ho hlokahala hore u fuoe lithethefatsi life ho mokuli ka mong. Haeba, ka lebaka la tlhahlobo ea biochemistry ea mali, ho bontšoa hore mokuli o phahamisitse li-triglycerides, ngaka e ka mo romella bakeng sa tlhahlobo ea bobeli.

Mokhoa oa ho fokotsa triglycerides

Bakuli ba senotseng tlhekefetso ho profil ea lipid, buisana le ngaka ka potso, ho bolelang hore na li-triglycerides li eketsehile maling mme li ka fokotsoa joang.

Phekolo ea lefu le kang hypertriglyceridemia e hloka mokhoa o kopaneng. Phekolo e kenyelletsa ho ithutela bongaka, ho ikoetlisa ka tsela e ikhethang le ho latela lijo.

Boemong ba pele, mokuli o abeloa mosebetsi ikoetlisa kamehla le phepo e nepahetseng. Ka kalafo e tlang ka nako, mekhoa eo ka bobeli e thusa ho fokotsa TG e maling.

Ho ikoetlisa khafetsa ho fana ka monyetla o moholo oa ho hlaphoheloa ho bakuli ba fumanoeng ba na le mafura a eketsehileng a sa jeleng paate - triglycerides. Lithuto tsa 'mele li ka kenyelletsa ho tsamaea hoseng le mantsiboea, ho tants'a le ho tsamaea ho ea mosebetsing.

Ho ikoetlisa hangata ha ho a lekana bakeng sa ho fola ka botlalo, kahoo bakuli ha ba khaotse ho tšoenyeha ka bothata ho feta ho theola triglycerides. Monyetla oa ho hlaphoheloa o eketseha haholo ha mokuli a latela lijo mme a phela bophelo bo botle.

Phepo e nepahetseng bakeng sa hypertriglyceridemia e bolela ho fokotseha hoa palo ea lipids tse jeoang lijong, hobane ho hana ka botlalo mafura ho ka lebisa liphellong tse ncha tse sa thabiseng. Har'a lijo tse o li hlokang moelikenyeletsa:

  • lihlahisoa tsa phofo le tsa bakery,
  • lino tse tahiloeng
  • tsoekere le lihlahisoa tsohle tse nang le litaba tsa eona tse patiloeng,
  • joala
  • lijo tse potlakileng tsa pizza pizza
  • nama e mafura.

Leha taba ea hore bakuli ba bangata ha ba khone ho nahana ka lijo tsa bona tsa letsatsi le leng le le leng ntle le lijo tsena, ba tla tlameha ho nkeloa sebaka ke tse ling tse phehelang letsatsi le leng le le leng. Litsebi tsa phepo e nepahetseng li fana ka likeletso mabapi le mokhoa oa ho ja bakuli ba fumanoeng ba na le hypertriglyceridemia.

Lijo li lokela ho kenyelletsa lijo-thollo, meroho le litholoana tse ncha, nama e mafura a tlase, lebese la tlhaho, polyunsaturated (Omega-3 le Omega-6 acid le mafura a monounsaturated.

Ke joang hape TG e ka theolelang maling haeba ho ja, ho boloka bophelo bo botle le ho ikoetlisa kamehla ho sa tlise litholoana tse lakatsehang? Tabeng ena, lingaka li nkeloa sebaka phekolo ea lithethefatsi. Ha ba botsoa hore na ba ka fokotsa li-triglycerides tsa mali joang, ba khothaletsa litlhare tse latelang tse sebetsang:

  1. Fibrate ke lithethefatsi tse thibelang mofuta oa mafura, mohlala, nicotinic acid.
  2. Statins ke e meng ea litlhare tse sebelisoang ho etsa hore LDL e be le "triglycerides" mohlala, matlapa a simvastatin.
  3. Li-acid tse sa koaeloang tse ntlafatsang boleng ba lipid, joalo ka Omega-3.

Phekolo litlhare tsa batho e lokela ho etsoa kamora tumellano le ngaka e eang. Phekolo ea setso ke karolo ea phekolo e rarahaneng. Lingaka li khothaletsa ho eketsa tšebetsong e kholo ea kalafo ts'ebeliso ea li-meroho tsa meroho kapa infusions tse tsoang mil milione le wort ea St. John, tšebeliso ea oli ea sea buckthorn le oats.

Ho tsitsa ha triglycerides ho ka etsahala feela tlasa maemo a tlhatlhobo e felletseng le kalafo e rarahaneng, e lumellaneng le setsebi.

Ho batla thuso ea bongaka ka nako e loketseng ho qoba mathata - lefu la tsoekere, pancreatitis, mafu a tsamaiso ea pelo le litlamorao tse ling tse sa thabiseng. Ho ke ke ha khonahala ho fokotsa sekhahla sa TG lapeng ka potlako - ho tla hlokahala mehato e mengata, nako le khalemelo ho nts'etsapele mekhoa e metle.

Karolo le tšebetso ea li-triglycerides

Motho e mong le e mong oa tseba hore tsoekere e sebetsa e le mohloli o ka sehloohong oa matla 'meleng oa motho. Hoa hlokahala bakeng sa ts'ebetso e tloaelehileng ea likarolo tsohle tsa cellular, litho le lisele. Ts'ebeliso ea eona e eketseha ka khatello ea maikutlo le kelello, e fokotseha nakong ea boroko.

Ho khahlisang, ho sa tsotelehe lijo, tsoekere e ea bokelloa mme butle-butle e jeoa ha ho hlokahala.

Boholo ba eona bo linthong tsa mesifa le tsa adipose, sebeteng. Ho feta moo, qetellong le ka har'a mesifa e bolokoa ka mokhoa oa glycogen, 'me liseleng tse mafura li fetoha acid e ngata ebe e fetoha glycerin, e etsang triglycerides.

Ts'ebetso ena e tsoela pele tlasa taolo ea insulin, ke hore, ka tloaelo boemo ba tsoekere maling bo lokela ho fokotseha, 'me phepelo e ea ho lisele tse mafura. Taba ea pele, 'mele o ja glycogen, ebe ho na le tlhokeho ea ho phatloha ha triglycerides.

Ha u etsa tlhahlobo ea mali ea biochemical bakeng sa boemo ba TG, ho hlokahala hore u nahane ka bong, lilemo tsa motho, hobane litloaelo li fapane mme li latela matšoao ana.

Tse tšehali

Ho basali, ho theosa le lilemo, tekanyo ea li-triglycerides e eketseha, kahoo ba lokela ho ba tlase hanyane ho feta ho banna:

  • Ho tloha ho lilemo tse 15 ho isa ho tse 20 - 0.41-11.54 mmol / L.
  • Ho tloha ho lilemo tse 21 ho isa ho 40 - 0,43-1.64.
  • Ho tloha ho 41 ho isa ho 50 - 0.45–2.15.
  • Ha a le lilemo li 50 - 60 - 0.52 - 2.64.
  • Kamora lilemo tse 60, ho fihla ho 2,7 mmol / L.

Nakong ea bokhachane ka mokokotlo oa lihormone, boemo ba triglyceride bo lula bo fetoha, 'me ka mor'a ho beleha, bo khutlisoa boinotšing.

Ho banna

Ho banna, tekanyo ea triglyceride e phahame ho feta ho basali, hape e fetoha le lilemo:

  • Ho tloha ho lilemo tse 15 ho isa ho 20 - 0,44-1.80 mmol / L.
  • Ho tloha ho lilemo tse 21 ho isa ho tse 55 - 0.53-3.6.
  • Ho tloha ho 56 le ho feta - 0.64-2.9.

Haeba litaba tsa TG li le makhetlo a 10 kapa ho feta ho tse tloaelehileng, joale ho tla nahanoa hore lefu le futsitsoeng - "triglyceridemia ea mantlha".

Bakeng sa bana, litloaelo ke tse latelang:

  • Ho tloha tsoalong ho fihlela selemo sa 1 sa bophelo - 0.2-0.94 mmol / L.
  • Ho feta moo, banana ba ka tlase ho lilemo tse 15 ho tloha ho 0,4 ho isa ho 1.48.
  • Ho bashanyana, 0.35-11.41.

Mabaka a litefiso tse phahameng

Haeba ho na le boemo bo eketsehileng ba triglycerides, joale lintlha tse latelang ke lisosa:

  • Boima bo boholo ba 'mele.
  • Lefu la tsoekere.
  • Pathology ea liphio.
  • Lipid ho leka-lekana ha tlhaho ea lefutso.
  • Ho tlola.
  • Tšebeliso e mpe ea tahi.
  • Atherosclerosis
  • Hypothyroidism

Ho ka ba le mabaka a mang:

  • Ho se shebelle tloaelo ea letsatsi le letsatsi, lijo tse se nang phepo.
  • Tšebeliso e sa laoloeng ea meriana e itseng, joalo ka corticosteroids, lithibela-pelehi tsa molomo, li-beta blocker.

Boemo bo eketsehileng ba lipids maling bo ka supa ho ba teng hoa li-pathologies tse ka holimo, mme mokuli o tla tseba ka sena ha feela kamora ho qeta tlhahlobo. Tabeng ena, o tlameha ho latela lijo tse khethehileng, tse thusang ho theola cholesterol. Hoa makatsa monyetla oa ho ba le mafu a pelo le vascular, hepatitis ea mefuta e fapaneng, cirrhosis.

Mabaka a keketseho ea basali

Ho basali ba baholo, ho kheloha tloaelo ho bonoa hangata ho feta ho banna, ha mabaka a ho eketseha ha triglycerides hangata e le a latelang:

  • Ho amoheloa ha lithibela-pelehi tsa molomo, tse kenyeletsang estrogen.
  • Nako ea kemaro.
  • Lefu la ovary ea polycystic.
  • Nako ea ho khaotsa ho ilela khoeli.
  • Ho se sebetse hantle maemong a lihormone.
  • Ho hloka thari

Nakong ea kemolo, boemo ba lipid hangata bo phahame ho feta bo tloaelehileng, hangata hona ho tsamaisana le keketseho ea palo ea cholesterol, mme hona ho tloaelehile. Keketseho ea letšoao e baka ho tšoenyeha ho hoholo, ka hona, basali ba baimana ba hloka ho fokotsa tšebeliso ea lihlahisoa tse nang le TG.

Khafetsa, ho kheloha tloaelo maemong ana ho hlaha ka lebaka la tlolo ea ka mokokotlong oa li-hormone, hangata hangata - ka lebaka la boimana bo sa atleheng kapa tlhekefetso ho holiseng lesea.

Ha tlolo ea bohlokoa e amanang le ho nona haholo nakong ea ngoana, mali a eba a maholohali, masea a nang le tlala ea oksijene le khaello ea phepelo ea limatlafatsi. Maemong a joalo, ngaka e khetha kalafo e lekaneng le e bonolo.

Lisosa tsa boleng bo phahameng ho banna

Ho monna e moholo, tloaelo e nyane hanyane ho feta thobalanong e ntle. Ho fetella hangata ho bakoa ke tlhekefetso ea joala, lihlahisoa tsa koae, hangata e iponahatsa ka ho fapana le maemo a sithabetsang, a ho ja ho feta tekano.

Ho ngoana, lintlha tse latelang li baka litekanyetso tse feteletseng:

  • Ho nona haholo.
  • Phepo e fosahetseng.
  • Down Syndrome.
  • Phello ea lefutso.

Maemong a joalo, ho hlokahala tlhokomelo le mamello ea batsoali, hobane ngoana o tlameha ho tloaela lijo tse phetseng hantle, ntle le lijo tsa mefuta e fapaneng ea lijo tse potlakileng, li-chip.

Ho boetse ho na le tlhoko ea ho fa bana oli ea litlhapi. Ntle le moo, taolo ea ngaka e ea hlokahala, hammoho le tlhahlobo e phethahetseng.

Matšoao a triglycerides e sa tloaelehang

Matšoao hangata a bonoa ka tsela e latelang:

  1. Keketseho e sa utloahaleng ea khatello.
  2. Tsoekere e sa tsitsang ea mali.
  3. Ho fokotsa "cholesterol" e ntle "(lipalo tse phahameng tsa methapo).
  4. Khanyetso ea 'mele ea insulin.

Li-triglycerides tse phahameng li lebisa ponahalong ea plasma, e nang le mathata a itseng: phallo ea mali e ea fokotseha, lisele, litho le lits'ebetso li bolaoa ke tlala ea oksijene.

Liphetoho li senya boiketlo ba mokuli ka kakaretso:

  • Ho hloka kutloelo-bohloko.
  • Ts'ebetso e fokotsehile.
  • Lethargy.
  • Ho fokotse takatso ea lijo.

Haeba ho na le phapang e kholo ho tsoa ho tloaelehileng, joale ho hlokahala kalafo e lekaneng, e boletsoeng ke ngaka e tšoanelehang.

Liphello e ka ba life

Bophahamo bo phahameng ba TG maling bo ka baka mathata:

  • Type 2 lefu la tsoekere.
  • Phaello ea mali
  • Ho hlaseloa ke pelo
  • Stroke
  • Hepatitis.
  • Cirrhosis ea sebete.
  • Ischemia
  • Atherosclerosis
  • Pancreatitis

Ha tlhahlobo ea mali e fuoa palo ea li-triglycerides

Tlhahlobo e bonts'itsoe maemong a latelang:

  • Kamora lilemo tse 20 (ho kenyelletsa nts'etsopele ea atherosclerosis).
  • K'holeseterole e phahameng.
  • Phello ea lefutso.
  • Phaello ea mali
  • Lefu la tsoekere.
  • Ho fumana boima.
  • Ho hloleha ha metabolism ea lipid.
  • Lefu la methapo ea mokokotlo.
  • Ka kalafo (ho laola liphetho).
  • Angina pectoris.

Kamora ho ba lilemo li 20, lilemo tse ling le tse ling tse hlano ho khothaletsoa ho hlahlojoa, sena se etsa hore ho qojoe mafu a mangata.

Bohlokoa ba ho hlophisa TG

Haeba ho na le ho kheloha tloaelo ea TG, ho latela tlhahlobo ea bobeli. Maemong moo setšoantšo se sa fetoheng, ho lokela ho nkuoa mehato ea ho fokotsa li-triglycerides, hobane ho na le kotsi ea ho hlaha ha mafu a tebileng a pelo, a joalo ka ischemia, atherosclerosis, infrction ea myocardial le li-pathologies tse ling.

Maemo a tloaelehileng

Haeba thuto ea biochemical e senola TG e kholo, haholo-holo ka ho ba le matšoao a sa thabiseng, ho potlakile ho nka mehato e itseng. Mokhoa oa ho theola TG maling, ngaka e tla tseba, ho latela boemo bo bong le bo bong. Morero oa phekolo o itšetlehile ka sesosa, boemo ba ho kheloha, le li-pathologies tsa concomitant.

Phekolo ea lithethefatsi

Maemong a tlolo ea boemo bo amohelehang ka lehlakoreng la kholo, ngaka e ka fana ka kalafo ea lithethefatsi. Phekolo ea lithethefatsi e kenyelletsa tšebeliso ea lithethefatsi tse kang:

  • Fibrate. E sebelisoa bakeng sa tokiso ea metabolism ea lipid, khatello ea motsoako oa mafura.
  • Nicotinic acid E khothalletsa tlhahiso ea "cholesterol" e ntle " E etsa joalo ka fiber.
  • Maemo Fokotsa tlhahiso ea "cholesterol" e ntle ", thibela mosebetsi oa" e mpe ".
  • Omega-3 Fatty Acid. Setlhare se na le oli e ngata ea tlhapi, se thusa ho fokolisa mali le ho ntlafatsa phallo ea mali, ho felisa tlala ea oksijene.

U ke ke ua sebelisa lithethefatsi tsa lihlopha tsa statin le fibrate ka nako e le 'ngoe, kaha sena se ka tsoa ho mesifa dystrophy.

Ka keketseho ea tekanyetso ea nicotinic acid, ho tsekela, ho hema haholo ho ka hlaha. Mofuta o mongata oa mafura a omega-3 acid o lebisa ho hlapollo e matla ea mali le ho theoha ha khatello ea mali.

Haeba lebaka la keketseho ea TG e ne e le ts'ebeliso ea lithibela-pelehi, ho hlokahala hore o emise ho li nka, sena se etsa hore letšoao le be le maemo. Ho tsoekere ea lefu la tsoekere, ho lekane ho fetola lithethefatsi hore li analogue.

Thusa meriana ea setso

Ntle le lithethefatsi bakeng sa ho fokotsa li-triglycerides, ho na le litlhare tse fanang ka maikutlo a ho tloaela lipalo tsa mali, empa pele u li sebelisa, ho hlokahala boeletsi bo ikhethang, haholo mabapi le kalafo ea bana.

  • Tšela khalase ea linaoa ka metsi a tloaelehileng 'me u tsamaee lihora tse 8. Ebe u e pheha ho fihlela e bonolo ebe u e ja ka khaba makhetlo a 'maloa ka letsatsi. Phekolo e lokela ho tsoelapele khoeli.
  • Kenya peo ea folaxe e khethiloeng lihlahisoa.
  • Grind lipalesa tsa linden hore e be phofo ebe u ja khabana makhetlo a mararo ka letsatsi.

Haeba litlolo tsena li sebelisoa ka mokhoa o sa nepahalang, ho ka ba le karohano ea ho kulisa, hobane lisebelisoa tsohle li na le lintho tse ngata tse sebetsang.

Phepo e nepahetseng le lijo

Ho phekola mokuli feela ka lithethefatsi ha ho na thuso haeba a sa latele lijo tse khethehileng. Tlhokahalo:

  • Fokotsa tšebeliso ea tsoekere le confectionery.
  • Khela lijo tse potlakileng, lijo tse bonolo.
  • Se ke oa ja mafura a nama ea kolobe, oli ea meroho, nama e mafura.
  • Se ke ua sebelisa mahe hampe (haholo-holo li-yolks) le lebese ka botlalo, hobane lihlahisoa tsena li na le cholesterol e ngata.

Lijong o tlameha ho ba teng:

  • Litholoana tse ncha, meroho.
  • Mefuta e fokolang ea tlhapi, nama.
  • Lijo tsa leoatleng.
  • Linaoa, lierekisi, linaoa, tse phehiloeng metsing.
  • Nuts.
  • Oli ea tlhapi.
  • Lijalo tsohle tsa mabele.

Khafetsa, ho etsa hore lipalo tsa mali e le tse tloaelehileng, ho lekane ho tlosa tšebeliso ea lino tse tahang le ho tsuba koae, ho ea lipapaling. Ho feta moo, mehato e joalo e loketse molemong oa kalafo le bakeng sa e meng ea prophylactic.

Triglycerides le tsoekere (lefu la tsoekere)

Li-triglycerides tse phahameng li ka bontša ho hanyetsa (ho tloha ho lat. Resistentia - "ho hanyetsa") ho insulin. Ka mantsoe a mang, hormone ea bohlokoa haholo, eo mosebetsi oa eona o ka sehloohong ke ho fokotsa "glucose" e ngata haholo maling a lero la mali. Kahoo, haeba 'mele oa motho o fetoha insulin / o loants'oa, joale maemo a tsoekere ea mali a eketseha haholo,' me ka potlako a lebisa nts'etsopele ea lefu le kang lefu la tsoekere mellitus (mofuta II).

Ho ea ka datha ea WHO: insulin / syndrome e hanyetsang, e le e 'ngoe ea "lintlha" tsa bohlano tsa "metabolic syndrome" (hangata e tsamaisana le "ntlha" e' ngoe ea tse hlano - hypertriglyceridemia / ke hore, litekanyetso tse phahameng tsa li-triacylglycerides), Europe li ka batla li. Batho ba limilione tse 60. Leha ho le joalo, ka holim'a tsohle, lingaka ha li tšoenyehe le ho feta ka lipalo tsena tse kholo, empa palo ea batho ba sa TSEBeleng ka seo ba seng ba ntse ba le sona ke mathata a tebileng a insulin!

Ka nako e ts'oanang, haufinyane tjena, menyetla ea ho ba le ts'oaetso ena (ho latela Mokhatlo oa Amerika oa Lefu la tsoekere) e eketsehile le har'a bacha le bacha. Ha e le hantle, "ke leboha" ho phela bophelo bo sa sebetseng le lijo tse se nang phepo (mohlala, lijo tse bobebe lisweteng tsa lebenkeleng, ho nooa ntho ena - "Coca-Cola"). Ke kahoo, le haeba o nahana hore bophelo ba hao bo botle feela, o ntse o hloka ho etsa tlhahlobo ea bongaka bonyane hang ka lilemo tse 4-5. Ho kenyelletsa profid ea lipid (tse linglebitso - lipid profil) - tlhahlobo ea mali e nang le biochemical ho fumana hore na mafura a mangata hakae (triglycerides), hammoho le lipids tsa likaroloana tsohle.

Triglycerides le Pancreas

Bo-rasaense ba fumane hore khatello e eketsehileng ea li-triglycerides maling (ho feta 5.2 mmol / l / kapa 500 mg / dl.) Haholoholo ho eketsa menyetla ea ho ba le (OP) acute pancreatitis (i., Pancreatic kuvimba). 'Me maemo a holimo haholo (a fetang 11,2 mmol / l / kapa 990 mg / dl.) E se e le pele mathata a tebileng a OP, a tletse lefu (ho tloha ho 7 ho isa ho 15% ea linyeoe). Kaha ho lumeloa hore litheko tse phahameng haholo tsa mafura acids (eseng "a tlameletsoe" serum ka albin) li na le phello ea TOXIC liseleng tsa pancreatic. Kahoo, boemo bona bo hloka mabapi le bona - ho fokotseha ho potlakileng ha li-triglycerides tse phahameng (ka meriana)!

Triglycerides le "botenya" ba sebete

Triglycerides e phahamisitsoeng ke e 'ngoe ea lisosa tse ka sehloohong tsa "botenya" ba sebete. Hangata ho etsahala: ho 70% ea linyeoe ka lebaka la "lerato" le feteletseng la lino tse tahang mme ho 30% - "ka lebaka la" litheolelo ho "lijo tse fosahetseng". Ka tlhaho, meroalo e mengata ka ho fetesisa ea "feteletseng" e "tla bokellana" - leha e le "mokhoeng" oa mpa, e leng, "ka har'a sebete" mofuta oa "feme ea lipid". Ha e le molao, "sebete se mafura" ha se na matšoao a boletsoeng (a faneng ka "botenya"), ka hona, a tletse likotsi tse kholo, e 'ngoe ea eona ke cirrhosis. Mohlabani ha a lebelloa ebile o bohloko haholo (leha a ne a bonahala a le hole)!

Ha a bona lipalo tse phahameng tsa TG tlhahlobong ea mali, ngaka e eang teng ka sebele e tla ameha ka mokuli - 'me o tla tiisa sebete (bakeng sa keketseho) mabapi le botebo ba tlasa hypochondrium e nepahetseng. Mme qetellong, o tla ngola (haeba ho hlokahala) - liteko tse sebetsang tsa sebete (FPP). I.e. motsoako o felletseng oa liteko tsa mali a biochemical tse senolang palo ea bilirubin (e felletseng hape e tlameletsoe), ALT (alanine / transaminase) le AST (aspartate / transaminase). Moo, mohlala, keketseho ea boleng ba ALT, kamanong le matšoao a AST, e bonts'a ka ho toba ho setsebi se eang - ts'abo ea sebete.

Lisosa tsa Keketseho ea Triglycerides

  • Lisosa tse atileng haholo tsa li-triglycerides tse phahameng tsa mali ho basali le banna ke: mathata a bophelo bo botle (a hlalositsoeng kaholimo) kapa feela lilemo (ho bolela hore ke oa khale). Tsebo e sa tloaelehang haholo ke lefutso la lefutso (leloko la malapa).
  • Lisosa tse ling tsa ho qhoma ke tsela e fosahetseng ea bophelo. Ho kenyelletsa: litloaelo tse mpe (ho tsuba, tšebeliso e mpe ea joala), ho se ikoetlise (ho ikoetlisa "mosebetsi le boikhathollo), hammoho le" lijo tse mpe ". Haholo-holo ke "lijo tse monate tsa lebenkeleng".
  • Liphethong tsa tlhahlobo ea mali e nang le biochemical ho basali baimana, joalo ka taelo, palo ea li-triglycerides e ka "tlola" holimo (in 2nd and 3rd trimester). Ka ho lekana - nakong ea ho khaotsa ho ilela khoeli, hape, ka lebaka la liphetoho tsa lihormone 'meleng.
  • Mme qetellong, boleng bo phahameng ba TG bo ka hlahisoa ke ho nka meriana e itseng. Haholo-holo ho tsoa ho lithethefatsi tse fokotsang khatello ea mali (beta-blockers, thiazide diuretics) kapa immunosuppressants (haholoholo, cyclosporine). Hangata ho WOMEN - kamora ho nka meriana ea lihormone (mohlala, lithibela-pelehi tsa molomo) kapa SMRE.

SEHLOOHO SA R ON ONA LITLHAKISO TSA "LESOTHO":

Ho hlile ho bohlokoa ho hlokomela hore kamora ho ja (kamora metsotso e 15-30) litaba tsa triglyceride li ka eketseha ka bongata (!) Makhetlo a 5-10, empa hape hape (butle-butle) li khutlele boemong ba pele (kamora lihora tse 8-12). Ke ka lebaka leo tlhahlobo ea mali a biochemical bakeng sa palo ea TG le lipids tse ling (tse tsoang mokokotlong oa ulnar) li fanoa ka thata ka mpeng e se nang letho!

Joang ho khutlisa triglycerides ho tloaelehileng?

Lenaneo la ho theola litekanyo tse phahameng / tse phahameng tsa triglycerides (ho boleng bo tloaelehileng) li kenyeletsa: liphetoho tsa k'hadinale mokhoeng oa bophelo le oa ho ja. Ho fokotsa ka potlako palo e sa tloaelehang / e eketsehang ea TG maling, lingaka tse eang lingakeng li fana ka meriana, i.e. ho sebelisa meriana e khethehileng.

LITLHAKISO TSE EKETSEHILENG KA TABA ENA (HO TSOA HO "A" HO "Z") E FIHLOANG KELETSO:

Phetoho ea bophelo

Ho fokotsa boemo bo phahameng ba "triglycerides ho tloaelehileng" (ka lilemo), o tla tlameha ho tlohela "menyetla" e mengata ea bophelo! Ho ba bang - ho tla hlokahala ho kheloha ka nakoana, ho ba bang - ka ho sa feleng. Khetho e ntle ka ho fetisisa: ho etsa tumellano le setsebi sa kelello, e le hore se se ke sa "senya" mmele oa hau - "kalafo ea moea", "kotsi joalo" e bolela "joalo ka ho tsuba, joala kapa ho tlatsa. Lefatšeng ho na le mefuta e mengata ea menyetla - ntle le ho senya bophelo ba hau!

Ho kenyelletsa moo, o tla hloka "ho kenya" bophelong ba hau - ho ikoetlisa ho ikoetlisa (ho tloha boikoetliso ba hoseng ho ea ho ikoetliso e felletseng: metsotso e 3040, bonyane makhetlo a 3-4 ka beke). Ehlile, ha ua lokela ho e nka hang-hang - bareng ea moatlelete ea nang le boiphihlelo! U hloka ho qala tse nyane, khotellong ea lingaka - ho latela lilemo tsa hau, bong le bophelo bo botle ka kakaretso. Lintho tsena kaofela li theola molumo oa "triglycerides" e eketsehileng maling. Ka linako tse ling - ka ho rekota / mantsoe a makhuts'oane.

Liphetoho tsa lijo

Ho ka etsahala, uena ka boeena o se u ntse u nahanne hore haeba ho na le tlolo ea molao oa lipid (i.e., FAT) maling, tlhokomelo e tebileng e lokela ho lefshoa ho mafura ka bobeli le palo ea lik'halori ka har'a lijo. Pele ho tsohle, o tla hloka ho hana "Boloka" trans mafura ("Lijo tse monate" le tse tsoekere), hammoho le lijo tse bobebe tse ngata tseleng (lijo tse potlakileng, li-hamburger, jj.). Ntle le moo, eketsa lijo tsa "k'habohaedreite" ka PROTEIN, 'me ha e le hantle letsatsi le letsatsi - itšetleha ka CELL. Sebakeng sa nama ea nama e "khubelu" - chencha e tšoeu / khoho (feela ntle le matlalo), mme ka ho fetisisa - bonyane makhetlo a 2 ka beke ho ja lijana tse tsoang litlhaping tse mafura. Ka tlhaho - HA E qhekelloa! Haeba u sa allergic ho eona, khetho e ntle / e 'ngoe e loketseng ke oli ea folaxe (e ekelitsoe salate ea meroho). Ntlafatsa talenta ea OWN ka mokhoa o hlakileng!

Melemo

Ha e le molao, lingaka tse nang le boiphihlelo le tse tšepahalang ha li potlakele ho "bokella" bakuli ba bona ka mofuta o itseng oa meriana - haholo ba matla ebile, ehlile ba theko e phahameng / ba bohlokoa. Leha ho le joalo, maemong a mang (maemong a bohlokoa / a phahameng a triglycerides) ts'ebeliso ea bona e tla ba BOPHELO / BOTSOANG! Hammoho le lithethefatsi tse ling tse hlokahalang bakeng sa kalafo ea lefu lena, tseo ho buuoang ka tieo, li bontšoa ke hypertriglyceridemia (i.e. Palo e sa tloaelehang ea TG maling). Lithethefatsi tse sebetsang hantle - ka ho khetheha bakeng sa li-triglycerides tse phahameng fibrate, niacin, OMEGA-3 le tlase hangata - li-statins. Feela u se ke ua leka ho inahanela! Leha ho na le ts'ebeliso e phahameng ea lithethefatsi tsena, haeba li sebelisoa hampe, li kotsi haholo ka litlamorao tse ngata.

Likarolo tsa hypertriglyceridemia ho banna

Tekanyo ea li-triglycerides ho banna e eketseha ka lilemo. Ka lebaka la litaba tse phahameng tsa k'holeseterole le TG, banna khafetsa ho feta basali ba na le lefu la pelo le bokhutšoaane ba kelello.

Li-triglycerides tse phahamisitsoeng ho banna ba lilemo tsohle hangata ke litlamorao tsa khaello ea phepo e nepahetseng, litloaelo tse mpe. Lisosa tse ling tse tloaelehileng ke lefu la tsoekere, myocardial infarction, le lefu la liphio. Banna ba baholo ba nang le gout ba na le boemo bo phahameng ba TG.

Litšobotsi tsa hypertriglyceridemia ho basali

Ho basali, boemo ba triglycerides bo fapana hanyane ka lilemo. Boemo boa fetoha kamora ho qalella ho ea khoeling. Mmele oa mosali o khaotsa ho hlahisa li-estrogen tse thibelang kholo ea mafura a sa jeleng paate. Ka lebaka lena, maemo a lipid a mali a fetoha kamehla mokhatlong o mong le o mong.

Li-triglycerides lia phahamisoa nakong ea kemaro - hona ho tloaelehile. Teko ea mali e senola qaleho ea keketseho ea khatello ea maikutlo ka har'a trimester ea bobeli, le litaba tse phahameng ka ho fetisisa tsa lipid ho karolo ea boraro. Ketsahalo ena e hlalosoa ke ho phatloha ho hoholo ha lisele tsa adipose, phetoho e ka hare ho lihormone tse amang metabolism ea lipid.

Basali ba nang le TG e phahameng hangata ba haelloa ke phepo e nepahetseng, ba phela bophelo bo seng kotsi. Lefu la tsoekere, pancreatitis ke lisosa tse ling tse tloaelehileng tsa hypertriglyceridemia ho batho ba bacha, ba lilemo tse mahareng. Basali ba baholo hangata ba tšoeroe ke hypothyroidism, ba na le mathata a meno. Maemo ana a tsamaisana le khatello e phahameng ea li-triglycerides.

Mokhoa oa ho laola mafura a sa jeleng paate

Ka nako e telele, ho eketseha ha khatello ea triglycerides ke asymptomatic. Empa ka nako e ts'oanang, phello e phahameng ea kalafo e ka fumaneha haeba kalafo e qalile nakong ena.

Boemo ba k'holeseterole le TG bo khothalletsoa hore bo hlahlojoe khafetsa le ha ho se na litletlebo ka boemo ba bophelo bo botle. Tlhahlobo e felletseng e bonts'ang litaba tsa likarolo tse fapaneng tsa mafura e bitsoa profid ea lipid. Teko ea pele ea mali e nkuoa a le lilemo li 9-11, ea bobeli e le 17 - 21. Netefatso e eketsehileng ea metabolism ea lipid e etsoa nako ea 1 / lilemo tse 4-6. Batho ba tloaetseng ho tšoaroa ke lefu la pelo la pelehi ba lokela ho etsa tlhahlobo ea mali khafetsa.

Ho ithuta boemo ba triglycerides, ho hlokahala ho kha mali ho tsoa mothapong. Pele ho tlhatlhobo, o tlameha ho:

  • hlokomela lijo tse lapileng ka lihora tse 12-14, u ke ke ua ja feela, empa hape u noe kofi, tee, lino-mapholi. Seno feela se lumelloang ke metsi.
  • E thibetsoe ho noa joala lihora tse 24 pele ho tlhahlobo ea mali
  • Hoseng pele ho sampole ea mali, ha ua lokela ho tsuba, ho bapala lipapali, ho tšoha,
  • Metsotso e 5 pele ho thuto, ho bohlokoa hore u lule hanyane.

Liphetho tsa bohlahlobo hangata li itokisetsa letsatsi le hlahlamang la khoebo.

Lisosa tsa maemo a triglyceride lia eketseha

Maemong a mangata, haeba triglycerides e phahame, sena se bolela hore motho ha a je hantle, ha a sisinyehe haholo, o na le boima ba 'mele. Khatello ea mafura a sa jeleng paate e eketseha le joala.

Lisosa tse ling li amahanngoa le mafu a fapaneng a systemic:

  • pancreatitis
  • li-pathologies tsa sebete
  • hypothyroidism
  • lefu la pelo
  • myocardial infarction
  • gout
  • Down Down
  • glycogenosis,
  • anorexia mothosa
  • lefu la liphio
  • lefutso la lefutso la metabolism ea mafura.

Triglycerides e ka phahamisoa ka ho nka e 'ngoe ea litlhare tse latelang:

  • retinol
  • estrogen
  • beta blockers
  • cyclosporin
  • interferon
  • diazepam
  • corticosteroids
  • Catecholamine.

Haeba cholesterol e le ntho e tloaelehileng le triglycerides e eketseha

Keketseho ea khatello ea cholesterol le TG hangata e bonoa ka bobeli. Empa bathong ba bang, li-triglycerides tse phahameng li kopantsoe le cholesterol e tloaelehileng. Sesosa se atileng haholo sa boemo bona ke likhalori tse feteletseng. Motho a ka latela melao eohle ea lijo tse thusang k'holeseterole e tlaase, empa haeba palo ea likhalori tse sebelisitsoeng e phahame ho feta palo e sebelisitsoeng, boemo ba triglycerides bo tla eketseha.

Lebaka le sa tloaelehang haholo ke hore re futsitse mafu a futsitsoeng kapa a fumanoeng a tsamaeang le ts'oaetso ea methapo ea mali e sa jeleng paate.

  • Hyperchilomicronemia ea lelapa,
  • systema lupus erythematosus,
  • Hyperlipidemia ea lelapa
  • hypertriglyceridemia ea lelapa.

Mokhoa oa ho fokotsa triglycerides

Haeba liphetho tsa liteko li bontša hore li-triglycerides li phahame, joale ke nako ea ho hlokomela bophelo bo botle ba hau. Haeba hypertriglyceridemia e le letšoao la bokuli, o hloka ho sebetsana le kalafo ea eona. Maemong a mang, o ka theola boemo ba TG ka lijo, litloaelo tse phetseng hantle, le ho sebelisa meriana e boletsoeng ke ngaka ea hau.

Ha liphetho tsa tlhahlobo li bonts'a cholesterol e phahameng kapa mafura a sa jeleng paate, lijo ke ntho ea pele eo ngaka e laelang hore e fanoe. Bakuli ba bangata ba khona ho tsitsisa li-triglycerides feela ka phepo e nepahetseng. Ka lehlohonolo, ha e bolele palo ea bohlokoa ea lithibelo.

Melao ea mantlha ea phepo e nepahetseng:

  • Tlohela joala. Ha batho ba bangata ba qeta ho sebelisa joala, ho na le lipilisi tsa triglycerides tse phahameng haholo. Litsebi tsa phepo e fumane hore li-ml tse ling le tse ling tsa 30 tsa joala tse sebelisoang khafetsa li eketsa khatello ea mafura a sa jeleng paate ka 5-10%. Ka lebaka lena, hangata lino tse tahang li na le litheko tse phahameng haholo tsa TG.
  • Fokotsa tekanyo ea tsoekere. Sucrose ke khalori e bonolo e batlang e ananeloa ka botlalo. Mmele o sebelisa matla a manyane haholo ho monngoeng oa ona, ho setse palo e lekaneng ea likhalori tse ka fetoloang hore e be mafura. Basali ba eletsoa hore ba se ke ba qeta ho feta 6 tsp ka letsatsi. tsoekere, banna ba seng ho feta 9 tsp. Chelete ena e lokela ho kenyelletsa tsoekere e felletseng: lino tse tsoekere, lino-mapholi / lero, confectionery. Mohlala, khalase ea lero la morara - seno se lekana le supi tse 8 tsa tsoekere.
  • Boloka tlaleho ea palo ea fructose. Litholoana tse ling, haholo-holo litholoana tse omisitsoeng, litholoana tse halikiloeng, sirapo e na le tsoekere e ngata ea fructose. Tse monate ka ho fetisisa ke morara o omisitsoeng, matsatsi. Ke tsoekere ea 60-67%. Litsebi tsa phepo e ntle li khothaletsa batho hore ba se ke ba qeta ho feta 50 g ea fructose ka letsatsi.
  • Lirosa, litapole, bijoux - ka teka-tekano. Lihlahisoa tsena li na le lik'habohaedreite tse bonolo tse jang habonolo, 'mele o fumana lik'hilojule tse feteletseng.
  • Meroho, litholoana, lijo-thollo kaofela, linaoa - lijo tse nang le fiber e ngata e lokela ho ba motheo oa phepo e nepahetseng. Haeba lifaele tsa fiber tse lijong li sa lekana, palo ea mafura a sa jeleng paate e qala ho eketseha.
  • Mafura a mangata haholo a sa koaheng. Phahameng e nang le mafura a mangata a na le nama e khubelu, mafura a liphoofolo, chisi e mafura, chisi, tranelate - sebelisa ka mokhoa o itekanetseng. Mafura a sa lomosoang a na le oli ea meroho, linate le lipeo.
  • Litlhapi tse mafura habeli / beke. Litlhapi, haholo-holo mefuta ea eona e nang le mafura (herring, mackerel, tuna, salmon), e na le mafura a mangata. OMEGA 3 e theola cholesterol ea LDL 'me e sebetsa kalafo le ho thibela lefu la pelo.

Lijo tsena li khothalletsoa ho lateloa bakeng sa bophelo bakeng sa thibelo ea lefu la pelo.

Bophelo bo botle

Ho tloaeleha ha boima ba 'mele ho na le phello e ntle ho cholesterol le triglycerides. Tahlehelo ea boima ba 5-10% feela e fokotsa bongata ba mafura a sa jeleng paate ke 20%, ho ea ka mehloli e meng, ts'oaetso ea kilo e ngoe le e ngoe e fokotsa boemo ba triglycerides ka 2%.

Ho bohlokoa ho nahanisisa boemo ba hau ka tšebetso ea 'mele. Batho ba tsamaeang bonyane metsotso e 30 ka letsatsi ba na le mafura a mangata a sa jeleng paate ho feta baahi ba bona ba seng mafolofolo. Nako e nepahetseng ea ho bapala lipapali nako e itseng ka mor'a lijo. Ho ikoetlisa ho thusa ho sebelisa "likhalori" tse ling "ho li thibela ho ba lipids".

Lingaka li lekantsoe hore motho o khona ho fokotsa li-triglycerides ka 50% ho feta selemo ho latela lijo, ho tloaela boima ba 'mele le ho ikoetlisa.

Litlhare tsa setso

Cholesterol le triglycerides li ka fokotsoa ka litlolo tsa setso. E sebetsa ka ho khetheha ho li kopanya le sejo. Lisebelisoa tse latelang li ipakile li le hantle:

  • Motsoako o tsoekere le mahe a linotsi. E fokotsa cholesterol e mpe ea LDL, triglycerides, e ntlafatsa metabolism, e fokotsa khatello ea mali. Ho lokisa motsoako, beha motso o bohareng ba ginger ka grater e ntle, eketsa 3-4 tbsp. l mahe a linotsi, kopanya. Ja 1 tbsp. l nakong ea lijo ka seng.
  • Cinnamon Melemo e molemo molemong oa lipids tsa mali, e ntlafatsa metabolism. Kenya lijana tse fapaneng, empa tse nkoang haholo ka mahe a linotsi. Kopanya 2 tbsp. l mahe a linotsi, 3 tsp sinamone phofo. Tšela likhalase tse tharo tsa metsi a batang. Noa khalase e le 3 makhetlo a / ka letsatsi.
  • Motso oa licorice. Tšela 2 tbsp. l licorice motso 500 ml ea metsi. Tlisa ho pheha, pholile ka metsotso e 15, e pholile. Moro o senyehileng o nkuoa ka senoelo sa kotara makhetlo a 4 / konokono - matsatsi a 15.
  • Linaoa Li-legumes li thusa ho utloisisa metabolism ea lipid. Soak bosiu ba 200 g linaoa, pheha le letsoai le lenyane. Arohane ka li-servings tse 'maloa, li je ka letsatsi.Tsela ea kalafo ke khoeli.

Maloetse a sa foleng, ho ja lipilisi khafetsa - ketsahalo ea ho bona ngaka pele u qala. Litlhare tsa batho ba na le li-contraindication tsa bona, litla-morao.

Li-triglycerides maling li eng?

Li-Triglycerides ke likarolo tsa lipid tse potileng maling e le karolo ea likarolo tsa lipoprotein.

Ka liforomo tsa mahala tse sa amaneng le li-protein (liporotein), metsoako ea triglyceride maling ha e fumanoe.

Karolo e ka sehloohong ea likarolo tsa triglyceride e kena ka har'a 'mele oa motho ka lijo. Triglycerides e ka boela ea kopanngoa ke lisele tsa hepatic le tse mafura, hammoho le lisele tsa epithelium ea intestinal.

Har'a likarolo tsohle tsa lipid, li-triglycerides ke mehloli ea bohlokoa ka ho fetisisa ea matla le li-substrates tse sebelisoang ho kopanya likarolo tsa lisele tse ngata 'meleng.

Ntlheng ena, boemo bo lekaneng ba "triglycerides" maling bo bohlokoa bakeng sa ts'ebetso e felletseng ea lisele tse ngata le likarolo tsa litho.

Ho bokelloa ha lintho tsena ho etsahala liseleng tsa mafura. Haeba ho hlokahala, li-triglycerides li robeha ka liseleng tsa mafura ka hydrolysis ho li-glycerin le li-FA (mafura acid) le ho kenella ha tsona maling ho kopantsoe le lipoprotein complexes.

Matšoao a bontšang litšupiso tsa "triglycerides" maling a khethoa ke lilemo le bong ba mokuli.

Tekanyo e phahameng ea "triglycerides" e tsamaisana le kotsi e kholo ea keketseho ea pono ea mali, nts'etsopele ea thrombosis le microthrombosis, ho hlaha ha methapo ea methapo ea methapo methapong ea methapo, ho fokotseha ha methapo ea methapo, nts'etsopele ea phallo ea phallo ea mali bokong, myocardial pathologies ea ischemic tšimoloho, li-pancreta tsa pancreas) .

Li-triglycerides tse tlase li tsamaisana le kotsi e kholo ea metabolism ea matla a senyehileng ka har'a lisele, motsoako oa lihormone le lintho tse sebetsang tse sebetsang, sebopeho sa li-membrane liseleng, joalo-joalo.

Hape ho lokela ho hopoloa hore likarolo tsa triglyceride li ka sebetsa hape e le mohloli oa polokeho ea tsoekere (ka ho theoha ha "glucose substrate" e ka sehloohong). Ka tekanyo e lekaneng ea tsoekere maling, karolo e 'ngoe ea eona e ka fetoloa triglycerides. Ka lebaka lena, ho na le phokotseho ea tekanyo ea glucose ea mali tlasa taolo ea insulin le ho thehoa ha mehloli ea eona ea lithane tsa adipose.

Ke mang ea hlokang tlhahlobo ea mali triglyceride?

Tlhahlobo ea triglycerides ea mali le profid ea lipid e rarahaneng e khothalletsoa ho etsoa ho bakuli bohle ba lilemo tse kaholimo ho lilemo tse 25 hang ka lilemo tse hlano (ho latela lipontšo, tlhahlobo e etsoa khafetsa).

Ho hlahlojoa khafetsa ha li-triglycerides ho bontšoa bakeng sa:

  • purine metabolism mathata a
  • ts'oaetso ea "manyeme"
  • myocardial infarction
  • likotsi tsa pelo
  • mafu a lefutso a tsamaeang le mafu a metabolic,
  • lefu la tsoekere
  • metabolic syndrome
  • atherosclerotic vasculion
  • khatello ea kelello ea methapo,
  • angina pectoris
  • ischemic pathologies ea pelo,
  • bokhoba ba joala.

Bonyane hanngoe ka selemo, tlhahlobo ena e lokela ho etsoa ke bakuli ba nang le likotsi tse kholo tsa ho etsoa ha methapo ea pelo. Sehlopha sena se kenyeletsa batho:

  • ho sebelisa koae le lihlahisoa tsa joala,
  • hlokomoloha ho ikoetlisa
  • ho sebelisa lijo tse se nang phepo e ntle (lijo tse potlakileng, lijo tse mafura le tse halikiloeng, sirapo, liswisi, jj)
  • ka nalane e boima ea lelapa (ho ba teng ha lefu la pelo ho ba lelapa),
  • khafetsa a sithabetsoa ke khatello ea maikutlo, ho hloka boroko, ho sebetsa haholo
  • ka lefu la tsoekere (haholo-holo maemong a boletsoeng a lefu lena),
  • ka methapo ea pelo le methapo ea mali.

Hape, lipilisi tsa lipid li hlahlojoa nakong ea ho fokotsa lipid tsa lipid ho laola boleng le katleho ea kalafo.

Teko ea mali ea triglyceride e etsoa joang?

Tlhahlobo e etsoa ka tieo ka mpeng e se nang letho. Pele u bokella lintho tse ling, ke metsi feela a se nang khabone a lumelloang ho nooa. Lino tse ling kapa lihlahisoa tse ling li ka ama sephetho sa lipatlisiso.

Hape ho lokela ho hopoloa hore lithethefatsi tse ngata li ka ama boemo ba triglyceride maling haholo.

Triglycerides e phahame maling maling ho bakuli ba nkang beta-blocking, catecholamine, corticosteroid, cyclosporin, diazepam, diuretic, estrogen, interferon, retinol kapa miconazole.

Ho fokotseha ha li-triglycerides tsa mali ho ka bonoa ho batho ba nkang ascorbic acid, aminosalicylic acid ®, asparaginase ®, clofibrate ®, heparin ®, oli ea litlhapi, litokisetso tsa prazosin.

Tekanyo ea keketseho ea li-triglycerides

Pontšo e tloaelehileng e tloaelehileng ea likarolo tsa triglyceride ho lihlahlobo ke boemo bo ka tlase ho 1,7. Melao e ka tlase ho boemo bona e tsamaisana le kotsi e fokolang ea pelo le methapo (SSR).

Ha ho toloka boleng bo ntseng bo eketseha, ho hlokahala ho ela hloko tekanyo ea ho kheloha ha matšoao ho tsoa ho tloaelo.

Sekala ho tloha 1.7 ho isa ho 2.2 se nkuoa e le sesupo sa moeli se lumellanang le SSR e tloaelehileng.

Mefuta e phahameng ea SSR e lumellana le maemo a triglycerides maling ho tloha ho 2.3 ho isa ho 5.6.

Keketseho ea tse kaholimo ho 5.6 e nkuoa e le sekhahla se phahameng haholo sa kotsi ea ho ba le mathata a matla a metabolic, tšenyo ea pelo, methapo ea mali le manyeme.

Li-triglycerides li phahame - see se bolelang ho basali?

Keketseho e leka-lekaneng ea sephetho sa liteko e ka hlaha nakong ea kemaro.

Ho kheloha joalo ka litekanyetso tsa boitšoaro ha se thuto ea lefutso ebile ha ho hloke phekolo. Mokhelo ke keketseho e kholo ea maemo a triglyceride, a tsamaeang le boemo bo phahameng ba ho ntša mpa, nts'etsopele ea placental vascular thrombosis, hypoxia ea fetal, jj.

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