Ukunqamuka kokuya esikhathini kungumcimbi wemvelo empilweni yabesifazane eyenzeka lapho amazinga e-estrogen yowesifazane ne-progesterone yowesifazane ehla. Ngalesi sikhathi, umzimba uvimba ukukhiqizwa kwamaqanda.
Kuyaziwa ukuthi i-cholesterol enesikhathi sokuya esikhathini idlala indima enkulu enqubekweni yokushintsha kwezimpawu ezibalulekile zomzimba.
Ukuphela kwendlela yokuthola ukungahambi kahle ukuthatha ukuhlolwa kwegazi ukuhlola amazinga e-hormone. Lokhu kudalwa kwenqubo kunqunywa udokotela oholayo.
Ukunciphisa imiphumela emibi ebangelwa izinguquko ezinjalo, kubalulekile ukwazi ukuthi kungani ukunqamuka kokuya esikhathini kuthinta i-cholesterol.
Ngesikhathi sokuya esikhathini, ama-ovari ayeka ukukhiqiza i-estrogen, futhi amazinga ayo aqala ukwehla kakhulu emzimbeni, abangele izinguquko eziningi ezibalulekile. Ngaphambi kokunqamuka kokuya esikhathini, lapho owesifazane ethola isisindo, cishe unesibalo lapho iphesenti elikhulu lamafutha ligxiliswa ethangeni. Lesi simo sibizwa ngokuthi "umumo weparele." Ngemuva kokunqamuka kokuya esikhathini, abesifazane bavame ukuthola isisindo esizungeze isisu sesisu (ukukhuluphala okuphakathi), imvamisa le ukwakheka kubizwa ngokuthi ukwakheka kwe "apple".
Kukholelwa ukuthi lolu shintsho ekusatshalalisweni kwamafutha omzimba lubangela ukukhuphuka kwe-cholesterol ephelele ne-LDL (i-low density lipoproteins) noma i- "embi" cholesterol, kanye nokwehla kwe-HDL (high density lipoproteins) noma "cholesterol" enhle, ngenxa yokuthi abesifazane basengozini enkulu yokuthola izinkinga zokukhula ngenhliziyo.
Amaphesenti angama-34 kuphela abesifazane abaneminyaka engu-16- 24 ubudala abanokuhlushwa i-cholesterol yegazi ephakeme kune-5 mmol / L, uma kuqhathaniswa namaphesenti angama-88 aqhamuka eminyakeni engama-55-64 ubudala.
Izindaba ezimnandi ukuthi akukazeephuze kakhulu ukuba unakekele inhliziyo yakho. Ukudla okunempilo nendlela yokuphila enempilo kusengathinta i-cholesterol kwabesifazane abaneminyaka engama-45 nangaphezulu. Futhi, ukuze unciphise ukwanda kwe-cholesterol ngokuhamba kokuya esikhathini, kufanele unamathele ekudleni okufanele.
Ungakulandela kanjani ukusebenza kwakho?
Ukulinganisa i-cholesterol yegazi kufaka isivivinyo esilula. Ikakhulu uma owesifazane eseneminyaka engaphezu kwengama-45 ubudala futhi edlula esikhathini.
Kufanele ukhulume nodokotela wakho kusenesikhathi ukuthi ngubani ongakucebisa ngohlobo olufanele lokuxilongwa.
Kwabesifazane abaningi, ukudla okunempilo okulinganiselayo nokuziphilisa okuyisisekelo esihle kakhulu sempilo yabo ende nokuhlala kahle.
Ukulawula i-cholesterol yokuya esikhathini, udinga ukulandela lezi zeluleko ezilula:
- Yidla amafutha afanele.
- Yehlisa ukuqothelwa kwamafutha agcwele, okungukuthi, ukunciphisa umkhawulo wokudla inyama enamafutha, imikhiqizo yobisi, amakhekhe amnandi nokuningi.
- Ngaphambi kokuthenga imikhiqizo, hlola imininingwane kwilebula, kungcono ukhethe imikhiqizo enamafutha amancane (3 g nge-100 g yomkhiqizo noma ngaphansi).
- Faka nokudla okucetshisiwe nge-stanols yezitshalo / i-sterols ekudleni kwakho.
Lokhu kokugcina, njengoba kufakazelwe ngokomtholampilo, kunciphisa izinga le-cholesterol "embi" ye-LDL.
Ngakho-ke, asetshenziswa njengengxenye yokudla okunempilo nendlela yokuphila.
Kubaluleke kakhulu ukuthi owesifazane obhekene nokunqamuka kokuya esikhathini athole okwakhe ukuzenzela umzimba. Kumele abe nokuzivocavoca okwanele, kufanele azame ukukhuthala okungenani imizuzu engama-30 ngosuku kulo lonke isonto.
Udinga ukugcina isisindo esinempilo, kepha gwema ukudla okuphahlazekayo okungasebenzi ekuhambeni kwesikhathi.
I-Osteoporosis iyinkinga enkulu yezempilo kubantu asebekhulile, ikakhulukazi abesifazane.
Kubalulekile ukufaka ukudla okugcwele i-calcium:
- ubisi
- ushizi
- iyogathi
- imifino eluhlaza.
Basiza ukugcina amathambo enempilo. IVithamini D ibalulekile empilweni enhle yamathambo, esiyithola ikakhulu ekuchayweni kwesikhumba sombala welanga. Lokhu kudinga okungenani ama-5 servings wezithelo nemifino ngosuku. Kubalulekile futhi ukudla okungenani izingxenye ezimbili zezinhlanzi ngesonto, enye yazo okufanele ibe namafutha (kungakuhle ukukhetha izinhlobo ezinhlanzi ezinamafutha ezihlala emanzini asenyakatho).
Ingozi yokuba nesifo senhliziyo kowesifazane yanda ngesikhathi sokuya esikhathini.
Kuliqiniso, akucaci ukuthi ubungozi obukhulayo bubangelwa yini ushintsho lwamahomoni ahambisana nokuya esikhathini, ukuguga uqobo, noma inhlanganisela yalezi zinto.
Yini odokotela abakhuluma ngayo?
Akungabazeki ukuthi lolu cwaningo olusha luphakamisa ukungabaza ukuthi ukuya esikhathini, hhayi inqubo yokuguga yemvelo, okuyikhona okubangela ukwanda okukhulu kwe-cholesterol.
Lolu lwazi lushicilelwe kwi-Journal of the American College of Cardiology, futhi lusebenza kubo bonke abantu besifazane, noma ngabe ngabaluphi ubuzwe.
"Njengoba abesifazane besondela esikhathini sokuya esikhathini, abesifazane abaningi benyuka kakhulu ku-cholesterol, okuthi kwandise nengozi yokuba nesifo senhliziyo," kusho umlobi oholayo uKaren A. Matthews, Ph.D., uprofesa wezifo zengqondo kanye nesifo esiwumshayabhuqe e-University of Pittsburgh.
Esikhathini esiyiminyaka eyishumi, uMatthews nozakwabo balandelwa abesifazane abayi-1,054 besifazane abalandela ngemuva. Unyaka nonyaka, abacwaningi bavivinya ababambe iqhaza ocwaningweni lwe-cholesterol, umfutho wegazi nezinye izici zobungozi zesifo senhliziyo, kufaka phakathi amapharamitha anjengeglucose yegazi kanye namazinga e-insulin.
Cishe wonke umuntu wesifazane, njengoba kwenzeka, amazinga e-cholesterol agxuma ngesikhathi sokuya esikhathini. Ukuya esikhathini ngokuvamile kwenzeka cishe iminyaka engama-50, kepha kungenzeka ngokwemvelo ngeminyaka engama-40 futhi kuthatha iminyaka engama-60.
Esikhathini seminyaka emibili ngemuva kokuya esikhathini nokuqedwa kokuya esikhathini, izinga eliphakathi le-LDL ne-cholesterol embi kukhuphuka ngamaphoyinti ayi-10,5, noma cishe ama-9%.
Isilinganiso se-cholesterol ephakathi nayo inyuka kakhulu cishe ngo-6.5%.
Kungaleso sizathu, abesifazane abaqala ukuba nokuya esikhathini bengasebenzi kahle kufanele bazi ukuthi banciphisa kanjani i-cholesterol embi.
Ezinye izinto ezibeka engcupheni, njengamazinga e-insulin nomfutho wegazi we-systolic, nawo anda ngesikhathi sokufunda.
Idatha ebalulekile yocwaningo
Ukwanda kwe-cholesterol okubikwa kulolu cwaningo kungayithinta nakanjani impilo yabesifazane, kusho uVera Bittner, MD, uprofesa wezokwelapha e-University of Alabama eBirmingham, obhale isihleli esihambisana nocwaningo lweMathematics.
"Ushintsho alubukeki lubalulekile, kepha uma nje ngowesifazane ojwayelekile ephila amashumi eminyaka ngemuva kokuyeka ukuya esikhathini, noma yiziphi izinguquko eziba zimbi ngokuqhubeka kwesikhathi," kusho uBittner. "Uma umuntu enamazinga e-cholesterol emazingeni aphansi ejwayelekile, izinguquko ezincane zingahle zingathinti. Kodwa uma umuntu enezici zobungozi ezazivele zinomngcele ezigabeni eziningana, lokhu kunyuka kuzifaka esigabeni sobungozi, lapho ukwelashwa kufanele kuqala ngokushesha."
Lolu cwaningo futhi alutholanga mehluko olinganiselayo emiphumeleni yokunqamuka kwe-cholesterol yiqembu lobuzwe.
Ochwepheshe abazi ukuthi ubuzwe bungabuthinta kanjani ubudlelwano phakathi kokuya esikhathini kanye nengozi yenhliziyo, ngoba izifundo eziningi kuze kube manje zenziwe kubantu besifazane baseCaucasian.
UMatthews nozakwabo bakwazile ukutadisha iqhaza lobuzwe ngoba izifundo zabo ziyingxenye yocwaningo olukhudlwana lwempilo yabesifazane, okubandakanya isibalo esikhulu sabesifazane base-Afrika-America, Hispanic kanye nabase-Asia-America.
Ngokusho kukaMathess, ucwaningo oluthe xaxa luyadingeka ukuthola ukuxhumana phakathi kokuya esikhathini kanye nengozi yesifo senhliziyo.
Ucwaningo lwamanje aluchazi ukuthi ukwanda kwe-cholesterol kuzolithinta kanjani izinga lokuhlaselwa yisifo senhliziyo nokufa kwabantu besifazane ngesikhathi sokunqamuka kokuya esikhathini.
Njengoba ucwaningo luqhubeka, uMathess uthi, yena nozakwabo banethemba lokukhomba izimpawu ezixwayisayo ezikhombisa ukuthi yibaphi abesifazane abasengozini enkulu yesifo senhliziyo.
Yini abesifazane okufanele bayikhumbule?
Abesifazane kufanele bazi ngoshintsho ezimweni zobungozi ngesikhathi sokuya esikhathini, kusho uDkt Bittner, futhi kufanele bakhulume nodokotela babo ukuthi ngabe kudingeka yini ukuthi bahlole i-cholesterol yabo kaningi noma kufanele baqale ukwelashwa okwehlisa i-cholesterol. Isimo nge-cholesterol singaba khona ukuthi umfazi, ngokwesibonelo, angadinga ukuthatha i-statin.
Ukugcina isisindo esinempilo, ukuyeka ukubhema nokunikeza umzimba imisebenzi eyanele yomzimba kubalulekile ukuze kulondolozwe izinga le-cholesterol esegazini ngaphakathi kwemikhawulo ejwayelekile.
Kumele kukhunjulwe ukuthi ukunqamuka kokuya esikhathini kungaba nzima kakhulu kwabesifazane uma ungatholi umsebenzi owanele womzimba.
Ukuzivocavoca ngalesi sikhathi sempilo kuzosiza ukunqoba ubunzima bezempilo obukhona. Eqinisweni, ukuya esikhathini kuyindlela enhle yokuthi abesifazane baqale ukuphila impilo enempilo.
Uma umjikelezo wanyanga zonke uqala ukungahambi kahle futhi kuboniswe noma yiluphi ushintsho enhlalakahleni efanele, kufanele uhlolwe udokotela ofanelekayo ngokushesha.
Kubalulekile ukuqonda ukuthi ukunqamuka kokuya esikhathini kuye kwaphakamisa i-cholesterol. Endabeni yempendulo evumayo, kufanele wazi ukuthi ungakwehlisa kanjani ukusebenza kahle.
Ukuze uqaphele ngokuzimele le datha, kufanele wazi ukuthi iyiphi evamile evunyelwe kakhulu kowesifazane ngalesi sikhathi, nokuthi i-cholesterol ephezulu ibonakaliswa kanjani.
Ungawusiza kanjani umzimba ngesikhathi sokuya esikhathini?
Wonke umuntu wesifazane obhekene nokunqamuka kokuya esikhathini kufanele aqonde ukuthi wehlise kanjani kahle inkomba ye-cholesterol embi, futhi, ngokufanele, ande kahle.
Ukuze wenze lokhu, kubalulekile ukulungisa indlela odla ngayo, futhi ukhethe umsebenzi ofanele womzimba.
Kunconywa ukugwema ukuboniswa ezimweni ezicindezelayo lapho kungenzeka.
Ngokuvamile, ukwehlisa inani futhi ususe ukugxuma ku-cholesterol, kufanele:
- Susa ukudla okungenampilo okugcwele amafutha ezilwane emenyu yakho.
- Yenqaba ukudla okusheshayo nokunye ukudla okungalungile
- Khetha umsebenzi womzimba.
- Vakashela umhlinzeki wakho wezokunakekelwa kwempilo njalo.
- Gcina umkhondo wesisindo sakho.
Uma ulandela zonke lezi zincomo njalo, unganciphisa izinguquko ezingezinhle.
Vele, udinga ukukhumbula ukuthi hhayi kuphela i-cholesterol enkulu kakhulu ebangela ukonakala enhlalakahleni, kodwa futhi nezinga eliphansi le-cholesterol enhle ingaba nomthelela ongemuhle empilweni. Kungakho kudingeka ukuqapha lezi zinkomba ezimbili ngasikhathi sinye.
Odokotela abaningi batusa ukuthi abesifazane phakathi nalesi sikhathi sempilo yabo baphuze umuthi okhethekile onciphisa ushintsho lwamahomoni. Kepha imali enjalo kufanele inqunywe udokotela oholayo futhi ukuziqalela yona akuvunyelwe nakancane.
Ungazinza kanjani amazinga e-cholesterol wegazi achazwe kule vidiyo kulesi sihloko.
