Bangani, ngifuna ukwabelana nani ngendatshana kadokotela ohlinzayo onolwazi,UDkt Dwight Landell, obhala ngezimbangela zangempela zesifo senhliziyo. Ngeke ngisho ukuthi kule ndatshana “wathola iMelika”, izazi zokudla okunempilo kanye nodokotela abaningi babhala futhi bakhulume ngento efanayo noDkt Landell. Kepha kusukela emlonyeni we-cardiologist, konke lokhu kuzwakala ngandlela thile kunegunya, ngombono wami. Ikakhulukazi kubantu asebekhulile, njengobaba wami, isibonelo, obesenenkinga ye-cholesterol ephezulu iminyaka eminingi, wenze ukuhlinzwa okubili futhi uyaqhubeka nokuphila ngemithi.
I-athikili enesihloko esithi “Udokotela ohlinzayo wenhliziyo umemezela ukuthi yini ngempela ebangela ukugula kwenhliziyo” imane nje iyabathinta labo ababengenandaba kakhulu nezinkinga zokuqala kwezifo ezibulala abantu abangaphezu kwesigidi minyaka yonke. ERussia. Cabanga nje: Ukufa kwabantu abangama-62% ngonyaka ka-2010 kwabangelwa yizifo zenhliziyo nemithambo yegazi !!! (okuningi kulokhu ku-athikili yami ukuthi kungani sifa kusenesikhathi)
Ngizobuye ngibeke kafushane okuqukethwe kwendatshana. UDkt. Dwight Landell * uchaza ukuthi i-cholesterol nokudla okunamafutha akuyona imbangela yangempela yokugula, njengoba iningi lozakwabo kade bakholwa. Ucwaningo lukhombisile ukuthi isifo senhliziyo nemithambo yegazi senzeka ngenxa yokuvuvukala okungapheli kwezindonga zemithambo yegazi. Uma lokhu kuvuvukala kungekho, i-cholesterol ngeke iqoqane ezitsheni, kepha izokwazi ukujikeleza ngokukhululeka kuyo.
Sivusa ukuvuvukala okungapheli, okokuqala, ngokusetshenziswa okungenamkhawulo kokudla okusetshenzisiwe nokwenziwe, ikakhulukazi ushukela nama-carbohydrate; okwesibili, ukudla kakhulu imifino yemifino, okuholela ekungalinganisweni kwesilinganiso se-omega-6 ne-omega-3 fatty acids (kusuka ku-15: 1 kuye ku-30: 1 noma ngaphezulu - esikhundleni sesilinganiso esifanelekile sethu 3: 1). (Ngizothumela udaba ngobungozi nezinzuzo zamafutha ahlukene ngesonto elizayo.)
Ngakho-ke, ukuvuvukala okungapheli kwemithambo yegazi, okuholela ekuhlaselweni kwenhliziyo nokushaywa unhlangothi, akubangelwa ukudla okunamafutha amaningi, kodwa ngokudla okudumile futhi "okugunyaziwe" okunamafutha aphansi futhi aphezulu kumafutha e-polyunsaturated nama-carbohydrate. Sikhuluma ngamafutha emifino, acebile ku-omega-6 (ubhontshisi wesoya, ummbila, ubhekilanga) nokudla okune-carbohydrate elula egayiwe (ushukela, ufulawa nayo yonke imikhiqizo eyenziwe kuyo).
Nsuku zonke, izikhathi eziningana ngosuku, sidla ukudla okuqala okubangela ukulimala okuncane, bese kuba nokulimala okukhulu kakhulu komzimba, lapho umzimba uphendula khona ngokuvuvukala okungapheli, okuholela ekufakweni kwe-cholesterol, bese - isifo senhliziyo noma isifo sohlangothi.
Isiphetho sikadokotela: kunendlela eyodwa kuphela yokuqeda ukuvuvukala - ukudla ukudla "ngendlela yabo yemvelo". Nikeza okuncamelayo kuma-carbohydrate anzima (njengezithelo ezintsha nemifino). Nciphisa ukudla kwakho uwoyela ocebile we-omega-6 nokudla okugayiwe okulungiselelwe nabo.
Njengenjwayelo, ngiyihumushele leyo ndatshana labo abathanda ukufunda isiRashiya, futhi nginikela ngesixhumanisi esiya olimini lwangempela lwesiNgisi ekugcineni kombhalo.
Udokotela ohlinzayo wenhliziyo ukhuluma ngezimbangela zangempela zesifo senhliziyo
Thina, odokotela abanokuqeqeshwa okukhulu, ulwazi negunya, imvamisa sinokuzethemba okuphezulu kakhulu, okusivimbela ekuvumeni ukuthi asilungile. Leli iphuzu lonke. Ngiyavuma obala ukuthi nginephutha. Njengodokotela ohlinzayo wenhliziyo onesipiliyoni seminyaka engama-25, owenze ukuhlinza kwenhliziyo okuvulekile okungaphezu kwezinkulungwane ezinhlanu, namuhla ngizozama ukulungisa iphutha elihlobene neqiniso elilodwa lezokwelapha nelesayensi.
Eminyakeni edlule, ngiye ngaqeqeshwa kanye nabanye odokotela abaziwayo “abenza umuthi” namuhla. Ngokushicilela izindatshana emibhalweni yesayensi, sihambela njalo izingqungquthela zemfundo, siphikelele ngokungapheli ukuthi isifo senhliziyo simane nje singumphumela wamazinga aphezulu e-cholesterol egazini.
Ukuphela kokwelapha okwamukelekayo kwakuwukunikezwa kwemithi yokwehlisa i-cholesterol nokudla okuvimbela kakhulu ukudla kwamafutha. Lokhu sakuqinisekisa ukuthi ukwehlisa amazinga e-cholesterol nokuvikela isifo senhliziyo. Ukuphambuka kulezi zincomo kwakuthathwa njengokuhlubuka noma umphumela wobudedengu bezokwelapha.
Akukho kulokhu okusebenzayo!
Zonke lezi zincomo azisekho ngokwesayensi nangokokuziphatha. Eminyakeni eminingana edlule, kwatholakala: imbangela yangempela yesifo senhliziyo ukuvuvukala odongeni lomthambo. Kancane kancane, lokhu kutholakala kuholela ekuguqukeni komqondo wokulwa nesifo senhliziyo nezinye izifo ezingalapheki.
Imihlahlandlela yokudla elandelwe emakhulwini amaningi eminyaka ibhebhethekise ubhadane lokukhuluphala nesifo sikashukela, imiphumela yayo egubuzela noma isiphi isifo ngokufa, ukuhlupheka kwabantu kanye nemiphumela emibi yezomnotho.
Ngaphandle kokuthi i-25% yabantu (EU.SA - Liveup!) kuthatha izidakamizwa ezibizayo ze-statin, noma ngabe sisike amanoni ekudleni kwethu, iphesenti labantu baseMelika abazobulawa yisifo senhliziyo kulo nyaka liphakeme kunanini ngaphambili.
Izibalo ze-American Heart Association zibonisa ukuthi njengamanje abantu baseMelika abayizigidi ezingama-75 banesifo senhliziyo, abayizigidi ezingama-20 banesifo sikashukela, kanti abayizigidi ezingama-57 bane-prediabetes. Lezi zifo “ziba zincane” minyaka yonke.
Kalula nje, uma kungekho ukuvuvukala emzimbeni, i-cholesterol ayinandlela yokuhlangana odongeni lomthambo wegazi futhi ngaleyo ndlela iholele esifweni senhliziyo nokushaywa unhlangothi. Uma kungekho ukuvuvukala, i-cholesterol ihamba ngokukhululeka emzimbeni, njengoba ekuqaleni yayihloselwe ngokwemvelo. Ukuvuvukala okubangela ukufakwa kwe-cholesterol.
Ukuvuvukala akuyona into engavamile - kumane kuyindlela yokuzivikela engokwemvelo yomzimba ekulweni “nezitha” zangaphandle njengamagciwane, ubuthi noma amagciwane. Umjikelezo wokuvuvukala uvikela kahle umzimba wakho kulabahlaseli be-bacterial and virus. Kodwa-ke, uma sibeka njalo imizimba yethu kubuthi noma sidle ukudla abangakwazi ukukuphatha, kuvela isimo esibizwa ngokuvuvukala okungapheli. Ukuvuvukala okungapheli kuyingozi njengoba ukuvuvukala okunamandla kuyelapha.
Yimuphi umuntu ophilile engqondweni ohlale esebenzisa ukudla noma ezinye izinto ezilimaza umzimba? Mhlawumbe ababhemayo, kepha okungenani bakhethe ngokuzimisela.
Abanye bethu bamane balandela ukudla okunamafutha aphansi okunconyiwe futhi kukhuthazwe kabanzi, okunamafutha aphezulu ne-carbohydrate, singazi ukuthi silimaza imithambo yegazi yethu kaninginingi. Lokhu kulimala okuphindaphindwayo kubangela ukuvuvukala okungapheli, okuholela ekuguleni kwenhliziyo, isifo sohlangothi, isifo sikashukela nokukhuluphala.
Ake ngiphinde: ukuhlukumezeka nokuvuvukala kwemithambo yegazi yethu kubangelwa ukudla okunamafutha aphansi anconywe yimithi yendabuko iminyaka eminingi.
Yiziphi izimbangela ezinkulu zokuvuvukala okungapheli? Ngamagama alula, kungukudla okweqile kokudla okuphezulu kuma-carbohydrate alungisiwe (ushukela, ufulawa, nakho konke), kanye nokudla ngokweqile kwamafutha yemifino omega-6, njenge-soy, ummbila, ne-sunflower, ezitholakala ekudleni okuningi okusetshenzisiwe.
Thatha umzuzwana ubone ukuthi kwenzakalani uma uhlikihla isikhumba esithambile ngebhulashi eliqinile isikhashana size sishintshe sibe bomvu ngokuphelele, ngisho nokulimala. Cabanga ukukwenza lokhu izikhathi eziningana ngosuku, nsuku zonke iminyaka emihlanu. Uma ungabekezelela lobu buhlungu, bekungopha, kuvuvukale indawo ethintekile, futhi isikhathi ngasinye lapho ukulimala bekuzoba kubi khona. Le yindlela enhle yokubona ngeso lengqondo inqubo yokuvuvukala okungenzeka yenzeke emzimbeni wakho njengamanje.
Akunandaba ukuthi inqubo yokuvuvukala yenzeka kuphi, ngaphandle noma ngaphakathi, kuqhubeka ngendlela efanayo. Ngibone izinkulungwane eziyizinkulungwane zemithambo yegazi ngaphakathi. Umthambo onesifo kubukeka sengathi othile uthathe ibhulashi futhi uhlala ehlikihla ezindongeni zomthambo. Izikhathi eziningana ngosuku, nsuku zonke, sidla ukudla okubanga ukulimala okuncane, okugcina kuphenduke ukulimala okungathi sína ngokwengeziwe, ngenxa yalokho umzimba ophoqeleka ukuba uphendule njalo futhi ngokwemvelo ngokuvuvukala.
Lapho sisizwa ukunambitheka okumnandi kwebhani elimnandi, imizimba yethu isabela, njengokungathi umhlaseli wangaphandle ufikile futhi umemezele impi. Ukudla okuphezulu kushukela nama-carbohydrate alula, kanye nokudla okucutshungulwe ukuze kugcinwe isikhathi eside ngamafutha e-omega-6, kube yisisekelo sokudla kwaseMelika iminyaka engamashumi ayisithupha. Le mikhiqizo yayifaka ushevu kancane kancane kuwo wonke umuntu.
Ngakho-ke i-sweet bun ingadala kanjani ukuvuvukala okusigulisayo?
Cabanga ukuthi isiraphu ichithekele phezu kwekhibhodi, futhi uzobona ukuthi kwenzekani ngaphakathi kweseli. Lapho sisebenzisa ama-carbohydrate alula njengoshukela, ushukela wethu wegazi ukhuphuka ngokushesha. Ukuphendula, amanyikwe akhipha i-insulin, inhloso yayo enkulu ukufaka ushukela esitokisini ngasinye lapho igcinelwa khona amandla. Uma iseli ligcwele futhi lingadingi i-glucose, alibambiqhaza kunqubo yokugwema ukuqongelela ushukela okweqile.
Lapho amangqamuzana akho amafutha enqaba i-glucose eyeqile, ushukela wegazi lakho uyakhuphuka, kukhiqizwa i-insulin eningi, kuthi i-glucose iguqulwe ibe yizitolo ezinamafutha.
Ngabe konke lokhu kuhlangana ngani nokuvuvukala? Amazinga kashukela egazi anebanga elincane ngokwedlulele. Ama-molecule kashukela angeziwe anamathele kuma-protein ahlukahlukene, wona wona onakalise izindonga zomthambo wegazi. Lo monakalo ophindwayo uphenduka ukuvuvukala. Uma uphakamisa ushukela wegazi lakho izikhathi eziningana ngosuku, nsuku zonke, unomphumela ofanayo njengokugcoba i-sandpaper ezindongeni zemithambo yegazi entekenteke.
Yize ungeke ukubone, ngiyakuqinisekisa ukuthi kunjalo. Sekuyiminyaka engama-25 ngikubonile lokhu ezigulini ezingaphezu kwezinkulungwane ezinhlanu engizihlinzayo, futhi zonke zibonakala ngento efanayo - ukuvuvukala emithanjeni yegazi.
Masibuyele ebunzini elimnandi. Lokhu kuphathwa okubonakala kungenacala kuqukethe okungaphezulu nje koshukela: ibhan iyabhakwa kusetshenziswa omunye wamafutha amaningi we-omega-6, njenge-soy. Ama-chip namafriji aseFrance afakwa emafutheni wesoya; Ukudla okusetshenzisiwe kwenziwa nge-omega-6s ukukhulisa impilo yeshalofu. Ngenkathi i-omega-6s ibalulekile emzimbeni - iyingxenye yawo wonke ulwelwesi lweseli olulawula konke okungena nokuphuma esitokisini - kudingeka babe sebhalansi elifanele ne-omega-3s.
Uma ibhalansi ishintshela ku-omega-6s, ulwelwesi lweseli lukhiqiza amakhemikhali abizwa ngama-cytokines aqala ngqo ukuvuvukala.
Ukudla kwaseMelika namuhla kubonakala ngokungalingani okwedlulele kwala mafutha amabili. Ukungalingani kusuka ku-15: 1 kuye ku-30: 1 noma ngaphezulu kuvuna i-omega-6. Lokhu kudala izimo zokuvela kwenani elikhulu lama-cytokines adala ukuvuvukala. Isilinganiso esifanelekile nesinempilo endaweni yokudla yesimanje ngu-3: 1.
Ukwenza izinto zibe zimbi kakhulu, isisindo esithe xaxa osithola kulokhu kudla sidala amangqamuzana amafutha aminyene. Bakhipha inani elikhulu lamakhemikhali ahlasela ukuvuvukala abhebhethekisa umonakalo obangelwa ushukela ophakeme wegazi. Inqubo eqale nge-sweet bun iphenduka isiyingi esibi ngokuhamba kwesikhathi, okuvusa isifo senhliziyo, umfutho wegazi ophakeme, isifo sikashukela, ekugcineni isifo se-Alzheimer, ngenkathi inqubo yokuvuvukala iqhubeka…
Lapho sisebenzisa kakhulu ukudla okulungiselelwe nokwenziwe, kulapho sicindezela ukuvuvukala, kancane kancane, usuku nosuku. Umzimba womuntu awukwazi ukucubungula ukudla okunoshukela futhi okuphekwe ngamafutha acebile ku-omega-6 - bekungeklanyelwe lokhu.
Kunendlela eyodwa kuphela yokuqeda ukuvuvukala, lokho kungukushintshela ekudleni kwemvelo. Yidla amaprotheni amaningi ukwakha imisipha. Khetha ama-carbohydrate ayinkimbinkimbi njengezithelo ezinemibala egqamile nemifino. Nciphisa noma uqede amafutha omega-6 abangela ukuvuvukala njengamafutha wommbila nowoybean kanye nokudla okusetshenzisiwe okulungiselelwe nawo.
Isipuni esisodwa samafutha ommbila siqukethe ama-milligram angama-7280 e-omega-6; isoya iqukethe ama-milligram angama-6940 we-omega-6. Esikhundleni salokho, sebenzisa amafutha omnqumo noma ibhotela elenziwe ngobisi lwezinkomo ezondliwe yizitshalo.
Amafutha ezilwane aqukethe i-omega-20 engaphansi kwama-6% futhi mancane kakhulu amathuba okuthi abangele ukuvuvukala kunamafutha okuthiwa anempilo abhalwe ukuthi “polyunsaturated.” Khohlwa "isayensi" ebilokhu ikhonjwe ekhanda lakho amashumi eminyaka. Isayensi ethi amafutha agcwele uqobo ibangela isifo senhliziyo akuyona isayensi nhlobo. Isayensi egcwala emafutheni iphakamisa i-cholesterol egazini nayo ibuthakathaka kakhulu. Ngoba manje sesiyazi ngokuqinisekile ukuthi i-cholesterol akuyona imbangela yesifo senhliziyo. Ukukhathazeka ngamafutha agcwele kuyinto engenangqondo nakakhulu.
Umbono wecholesterol uholele ezincomweni zokudla okunamafutha amancane, okunamafutha aphansi, okwaholela ekudlaleni njengamanje okudala ubhadane lokuvuvukala. Imithi esezingeni eliphakeme yenza iphutha elibi lapho yeluleka abantu ukuthi badle amafutha anele ngokudla ukudla okunamafutha amaningi omega-6. Manje sibhekene nomqedazwe wokuvuvukala kwemithambo yegazi okuholela esifo senhliziyo nakwabanye ababulali abathule.
Ngakho-ke, kungcono ukukhetha ukudla okuphelele okusetshenziswe ogogo bethu, kunokukhetha lokho omama bethu abakuthenge ezitolo zokudla okugcwele ukudla kwasefektri. Ngokususa ukudla okuvuvukalayo futhi ungeze izakhamzimba ezibalulekile kusuka ekudleni okusha, okungalungisiwe ekudleni kwakho, uqala ukulwa nomonakalo ukudla kwaseMelika okwenziwe yimithambo yakho nakuwo wonke umzimba wakho eminyakeni edlule.
* UDkt Dwight Lundell wayeyiChief of Staff futhi eyiChief of Surgery eBanner Heart Hospital, eMesa, e-Arizona. Umtholampilo wakhe wangasese, iCardiac Care Centre, wawutholakala edolobheni elifanayo. UDkt Landell usanda kushiya ukuhlinza ukuze agxile ekwelapheni isifo senhliziyo ngemithi yokwelashwa. Ungumsunguli weHealthy Humans Foundation, ekhuthaza imiphakathi enempilo. Kugcizelelwa ukusiza izinkampani ezinkulu ukuthi zithuthukise impilo yabasebenzi. Ungumbhali we-The Heart Disease Cure kanye ne-The Great Cholesterol Deception.
I-athikili yangempela: LAPHA