Hypercholesterolemia - ia ... hoalaia naʻokoko. ʻohana hypercholesterolemia

200 miliona kanaka i loko o ke ao nei, e hoʻomaka ana me 'Eulopa, i ka US a pau me Asia a me Aferika, na kanaka - 65% wāhine - 35%. Pau kēia mau mea i ka hopena o ka mālamaʻana i ka noiʻi-oaio? A ma luna o ka helu ana o kanaka e loaa ana mai ka hypercholesterolemia nā hualoaʻa a.

He aha ka i kēia maʻi?

I mai la keia ninau, a pau kumu a me na kumu kūpaʻa: hypercholesterolemia - mea he koko ano me kiʻekiʻe loa naʻokoko pae, paha, i loko o nā hua'ōlelo - he momona-e like waiwai.

Naʻokoko - o kekahi o na eiiiiiaiou o ka halepaahao membranes. He mea e pono ai ka 'ole o ka bile nāʻakika, me ka a he mea hiki ole i ka maʻamau digestion, loaʻa iā mākou i loko o ke kino a me ka ai, a ua hua mai ma ko makou ake. Me ka mea i hana ke keka, a adrenal hormones. Ma kēia 'atikala, e nana aku kakou, i ka mea kiʻekiʻe naʻokoko a me ka mea mau i nā kumu o kēia maʻi.

Nā kumu o ka kiʻekiʻe naʻokoko

Where hana kiʻekiʻe naʻokoko? Ke kumu hiki e loaʻokoʻa. No ka laʻana, kekahi o na Kora naʻEsau e noho i ka waiwai i loko o ke kino a me ke kiʻekiʻe-calorie palaoa. Aie i ka maʻiʻo kiʻekiʻe o ka naʻokoko iʻai i ka momona, e waiho ana ma ka paia o ka moku i ke koko, kūpono ana ma ke kahua o ka plaques e alalai mai i ka holo ana o ke koko, i laila mahuahua i ka pilikia o ka naau hoouka a me ka hahau ana. Nei, no ka mea, o ka mea malnutrition hoopii o kaʻike, o ka hypercholesterolemia. Eia kekahi, i ka hua ana o ka waiwai e hoʻololi i ka hōmona pae a me ka nervousness.

Holo nōhie ia mea he hereditary maʻi. Ma keia hihia, naʻokoko holo 'awelika i loa kiʻekiʻe, a ua genetically paa. ʻohana Hypercholesterolemia - he maʻi i ua kauoha ma ka'ōewe kina kuleana no ka hoʻopā'ālua i ka mea loaʻa 'ole a me ka hana e apoproteidam B / E. People loaa mai heterozygousʻohana hypercholesterolemia palapala (1 hoomanawanui ma 350-500 kanaka) hana wale hapalua o ka B / E mea loaʻa, no laila, ua hoomahuahua ia ka 'ilikai kokoke mau manawa (i ka 12,9 mmol / H). kekahi kamepiula kumumea no ka hoouka kaua ana o hypothyroidism i manaoia, no ka hoʻohana a lōʻihi-makahiki ka lapaʻauʻia (steroid, diuretics, etc.), a me ka mimikō mellitus.

symptoms

He nui ka wahahee o ia i ka pōhaku puna olelo o na symptoms o ke kanaka, aole ia e haha aku. Me ka hoʻololi 'ana i ke ala o ke ola, i ke ahonui e wale ole e lohe i na symptoms. I kēia manawa i loko o ke koko maoli o ka pae o ka naʻokoko. Inā no ka lōʻihi manawa hoomauia ikaika hana, e hoʻomaka ana hypercholesterolemia symptoms e e like penei:

• Xanthoma - he lawa nuʻa o na nodules ma tendons.
• Xanthelasma -ʻikeʻia i loko o ka subcutaneous momona ma lalo o nā lihilihi. Kēia anuanu knots o melemele kala like 'ole, i mea hiki ole i kaʻike mai nā ili mau mea.
• Lipoic piʻo corneas - naʻokoko bezel (keʻokeʻo paha grayish-keʻokeʻo).

Ma atherosclerosis, a ua kauoha aku e kiʻekiʻe naʻokoko, hui, kēia pōʻino symptoms i mua'ōlelo ai, a me ka nui loa heightened.

'ano o nā ho'āʻo ma

Hypercholesterolemia - he anakahi, hōʻike wale nō i loko o ke keʻena hoʻokolohua ma kekahi kuikawa koko hōʻike. Aia he mau ke ano o ka ho'āʻo ma - manaʻoʻike mōʻaukala a me ka keʻena hoʻokolohua hoʻokolokolo 'ana. Lakou, ma ka huli, e kekahi mahele ia i loko o kekahi mau ano, a mākou kūkākūkā ma lalo nei.

manaʻoʻike moʻolelo

1. Ka Ikepili o ka 'ike e pili ana i ka maʻi a me ka hoopii. O e pili ana i ka wā xanthomas i loaʻa xanthelasma, lipoid piʻo o ka cornea.
2. Ka Ikepili o ka 'ike e ola ana. I ana no kekahi mau mea o ka hoʻomanawanui maʻi a me kona poe hoahanau, hui 'ana me nā konohiki o ka maʻi.
3. Helu ninaninau. He hiki ke kaʻina hana xanthoma xanthelasma. Ua hiki ke hoomahuahua ia arterial puʻe.

Keʻena hoʻokolohua Ka Ikepili ma naʻokoko

1. Mimi a me ke koko. Ia e halihaliia oia iwaho, e huai ae li nui.
2. Biochemical Ka Ikepili. Penei e hoʻoholo i ka pae ana o ke koko kō a me ka kumuʻiʻo, creatinine, uricʻakika. Mau hualoaʻa i 'ike e pili ana i ka hiki pio o ke kino.
3. Lipidogram - i ka papa kuhikuhiE iaoia o kaʻike,. Ua Ua hoao no ka naʻokoko-lipid, a me ka mea i kapa momona-e like waiwai. He aha ka mea? Elua ano o ka lipids - e hoʻonui ai i ke kūpono 'ana o ke atherosclerosis (proatherogenic) a me ka pale (lipoproteins). A pau kā lākou lākiō he pōpilikia atherogenic ololi. Inā ka mea, uaʻoi kona kiʻekiʻe ma mua o 3, ke kamepiula kiʻekiʻe o ka atherosclerosis.
4. Immunoassay. Kēia like hoʻoholo i ka nui o nā mea'aʻaʻa i loko o ke koko. Kēia ho'ākāka 'ia i nā polokina e i hua mai ma ke kino, a i ka hiki e luku i na oihana mua.
5. Aaiaoe. Ua me ka mākaʻi no ka ka loaʻaʻana o nā'ōewe i nā moku halihali mokulele o hereditary 'ike, a he kuleana no ka hooulu ana o ka EYI hypercholesterolemia.

Maʻi i i pili me ka hypercholesterolemia

Symptoms o keia maʻi hiki ole pili i ke kanaka ka ola, a no ka lōʻihi manawa koeʻike makaʻole. Eia naʻe, steadily ala naʻokoko ke kumu hopena nui. Ua maoli i ka pilikia o na maʻi kaumaha a me ka complications. Mau nā: atherosclerosis o ka laloʻaoʻao, gallstones, hahauʻana, aneurysm, iaiyoe kāna hana, ischemic naau maʻi, myocardial infarction, hahau ana. High naʻokoko me ka nui loa complicates ka lapaau ana o hypertension a me ka mimikō mellitus. A pau o kēia mau maʻi i ka papa kuhikuhiE kumu o ka kiʻekiʻe make ana i loko o ke ao nei. Ka 'inikuaʻoihana seriously no me ka loaa mau aoao a hiki i ka pono ma lalo i ka naʻokoko pae i loko o ke koko e like me kekahi o na wahi i hiki ke kōkua emi i ka make kōmi.

waiwai

Kekahi kauka, e hai aku oe ia ina he mea koko naʻokoko, a mahuahua nui, i ka hopena o ke kēpau wā e hiki mai ai i keʻano o nā complications. Ua noʻonoʻo i ka papa kuhikuhiE atherosclerosis (maʻi maʻi) - sila i ka artery paia a me ka hou ana o ka lumen, a hiki alakai i ka hoʻohuikau 'ana i ke koko lako. Ke kaumaha ma muli pehea ka hoonohonoho wahi i loaʻa ka atherosclerotic plaque, kaʻawale ano o ka maʻi.

1. Aortic atherosclerosis - hiki aku ai i ka loa-makahiki kiʻekiʻe ke koko, a me ka paipai 'ana i ke kahua o ka naau maʻi: hou a me ka insufficiency (hikiʻole, e pale aku i ka holo ana o ke koko) o ka aortic kiwikā.
2. Atherosclerotic naau maʻi (coronary artery maʻi) hiki aku ai i ke kūpono 'ana o ka maʻi e like me:

• myocardial infarction (make ana o ka naau Muscle aie i ka cessation o ke koko ia ia);
• ole Kal;
• naau mā (mall naʻau kāna hana);
• cardiac insufficiency (ilihune koko na lako i nā loko i loko o ka ilina kulana a me ka haawe ana, a ua pinepine pu ma ke koko stasis);
• atherosclerosis ma o ka lolo - impairsʻeleu maoli, a me ka wāʻokoʻa ma ka paleʻana i ka mokuʻo ia i ka hahauʻana (cerebral hapa make);
• Atherosclerosis o na arteries i loko o nā puʻupaʻa, he hopena o ka hypertension;
• Atherosclerosis o na arteries hiki i intestinal na naau oʻu infarction;
• atherosclerosis o ka laloʻaoʻao kūpono ma intermittent claudication.

complications

Atherosclerosis i mau ano o complications: maʻi a me ka huʻi. E like me ka hopena, ka mua atherosclerotic plaque hiki aku ai i ka hou ana o ka moku lumen. No ka mea i hanaʻia, e lohi plaques, ua lilo ka maʻi i loko o ischemia i ka mahuaola a me ka oxygen e hānai i ka lawa ole mea. Huʻi complications - o keʻano o ka thrombi (koko clots), embolism (koko clots mea i uhaʻi aku, mai ka wahi o ka molekumu o, ka hoolilo koko moku spasm). He loaʻoi panina o ka lumen o na moku koko, i ua pu ma vascular insufficiency (huʻi ischemia), e alakai ana i ka naau hoouka likeʻole nā loko.

lapaʻau

I ka diagnosed, "hypercholesterolemia" - i hoʻomaka lapaau i loko o ka mua wahi me ka ikaikaʻai. , Ae waiho nei i loko o ka piha rejection o ka pono o nā huahana me ka naʻe kiʻekiʻe o ke kaikea a me ka naʻokoko (ka waiūpaka, holika, hua manu yolks, ai jelly, ake) a me ka hoomahuahua i na dala o carbohydrates, o ka oi aku puluniu. Ke ai hiki keʻai wale hoolapalapaia, e ke komo pu ma kaʻai o nā hua a me ka lau, haahaa momona haleʻuwī waiū huahana, ka iʻa a me ka MeaʻAi O Ke Kai. Together me kaʻai i manao me ka hoʻokō ', a e ae e emi i ka hopena maikaʻi keiki o ka naʻokoko komo i ke kino. 'Oe ke hana aneane kekahi sport (jogging,' auʻau, Paikikala, eu?). Ia, aole ia e ālai ia 'aʻe i ka' iaE i ka hale haʻuki ma ka hola 'ole aerobics. Inā pono hui pu ihoʻai a me ka hoʻokō, he mea hiki, e emi i ka naʻokoko ana i 10%, a, ma ka huli, emi i ka pilikia o ka mea'ōnaehana mānowai koko maʻi e 2%.

Nō hoʻi, ke kauka i hoakaka ia ka lapaʻauʻia kūikawā hoomakaukau i ka poe i kaheaia statins. Ka mea, e hōʻike hewa ke hoʻololi i ka ho'ēmi i ke koko naʻokoko, no ka mea, i kiʻekiʻe ka hoʻokōʻana a me ka hiki ke hoʻohana 'ia no hooloihi ae i lapaʻau (kokoke oleʻaoʻao' ole). I hana, hoʻohana no ka kēia mau statins "Rosuvastatin", "Simvastin", "Lovastatin", paʻakai fluvastatin, "atorvastatin kalipuna". Inā he mau ano o statins oe e haawi mai, ua hiki ke olelo aku i ka mea, emi i ka pilikia o ka hahau, reinfarction. Ma ka hoʻohana ana i kēia mau ai 'biochemical koko e ho'āʻo ai e halihaliia oia iwaho. Keia ua hana e hōʻoia 'ia ma ka hihia o ka normalization o ka naʻokoko hooki lawe ia lakou. Oe e ike i ka kiʻekiʻe naʻokoko mea he maʻi - ka wā e pakiko-lapaʻau me statins ua pololei ole. E koho i ka papa o ka iapaau ana me kēia mau ai ', i ka manawa a me ka mahele lāʻau o wale kauka.

Kāohi

Kāohiʻana a hypercholesterolemia mea holo nōhie he lākou o ka hana me ka a oe ke hoʻololi kamepiula kumumea - ke kaupaona ana, o ka ikaika oʻai waiwai me ka puluniu a me nā wikamina, cessation o ka waiʻona hokii, uahi paka e uwahi ana, i hiki aku ai i loko o ka pilikia o ka coronary maʻi i loko o kekahi mau manawa i ka ka ho'ēmiʻana,ʻeleu hoʻokō ', e pono ai ke hana monakō koko, ke koko. No ka poʻe i mua i ke kiekie koko naʻokoko, prophylaxis ua lawe mai me ke kōkua o nā lāʻau. Ma kekahi Kāohi nae i kekahi hana ino lōpū hoounauna a me ka uhane a malie iho la.