內容目錄
“Doctor, you must save him, our daughter is only 4 years old, she can’t live without her father!”The patient’s wife burst into tears , took the doctor’s hand and pleaded. And lying on the hospital bed is her husband, 49-year-old Mr. Li.
Mr. Li is a mahjong enthusiast. Before he got sick, he stayed up all night playing mahjong for 5 hours, when he got up and left suddenlydizziness, Limbs go numb and fall unconscious. On arrival at the hospital, he was diagnosed with acute cerebral infarction, and triglyceride was as high as 6.8 mmol/L, is the main culprit of this cerebral infarction.
Fortunately, due to timely delivery, Mr. Li was receiving intravenous thrombolysis< After span> 1 hour, the ability to speak was restored, and the limbs could be moved slightly.
In the past, Mr. Li needed to socialize at work, eat and drink, play cards and smoke. common thing. After this narrow escape, he made up his mind to change his lifestyle, not wanting to sacrifice his health to live.
Under the guidance of the doctor, Mr. Li took aspirin and atorvastatin calcium on timeon time every day , actively adjust the diet, increase the intake of dietary fiber, reduce high-fat foods, and insist on exercising. After half a year of hard work, during the re-examination, Mr. Li lost 8 pounds, and triglyceride dropped to 1.6mmol/L, and other indicators were also are normal.
The attending doctor said that the reason why Mr. Li has recovered so well is not only because of his personal awareness and persistence, but also because of his correct method. to be effective.
1. Hyperlipidemia hurts the whole body!
With the change of lifestyle, more and more people are being targeted by “three highs”, especially high blood lipids, which is a threat to middle-aged and elderly people. One of the “culprits” of health.
Hyperlipidemia refers to higher than normal levels of one or more lipids in plasma, including cholesterol, triglycerides, phospholipids and non-free fatty acids. Statistics show that the overall prevalence of dyslipidemia in adults in my country is as high as 40.40%.
Hyperlipidemia can cause unimaginable harm to the body and can lead to the following diseases:
① Fatty liver
The liver is the main source of triglyceride lipoprotein in the human body. When the liver cannot metabolize normally, it is easy to cause hyperlipidemia. At the same time, the increase of liver fat will also promote the formation of non-alcoholic fatty liver.
②diabetes
Hyperlipidemia can increase insulin resistance, and studies have confirmed that some markers of hypertriglyceridemia and metabolic syndromeearlier than the onset of type 2 diabetes span>. In other words, high blood lipids increase the risk of developing type 2 diabetes.
③Hypertension
Hyperlipidemia and hypertension are one family, and they affect each other , especially in obese people, and often both occur at the same time. In addition, pro-inflammatory factors in hyperlipidemia patientswill damage cardiovascular and cerebrovascular, resulting in abnormal blood pressure.
④Atherosclerosis
High blood lipids, on the one hand, will directly lead to arterial Atherosclerosis, on the other hand, can make other associated lipoproteins abnormal, further exacerbating atherosclerosis.
Second, what is the relationship between cholesterol, triglyceride and lipoprotein?
When middle-aged and elderly people go to the hospital for examination, blood tests are often requiredfour items of blood lipids, including glycerol Triesters (TG), total cholesterol (TC), low density lipoprotein cholesterol (LDL) and high density lipoprotein cholesterol (HDL).
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- Glycerol Triesters
participate in energy metabolism in the human body and generate heat, but when the level is too high, it will lead to blood viscosity and lipid deposition on the blood vessel wall , forming small plaques that lead to atherosclerosis.
- Total cholesterol
refers to the sum of cholesterol in all lipoproteins in the blood, about 50% is synthesized by the body, 50% is from diet.
- LDL
Yes Bad cholesterol, the elevation of which is associated with atherosclerosis, can enter the walls of blood vessels and form the lipid core of atherosclerotic plaques.
- HDL
Yes Good cholesterol, involved in the reverse transport of cholesterol, reduce the deposition of cholesterol in the blood vessel wall, prevent Atherosclerosis.
In clinical practice, doctors often use the following table to stratify blood lipids, but in a strict sense, the ideal blood lipid levels of different people vary Different, also consider whether there is coronary heart disease, cerebrovascular disease, family history of cardiovascular and cerebrovascular disease, etc.
Third, do these points well, blood lipids will decrease safely
Hyperlipidemia affects the whole body. In order to safely reduce blood lipids, it is necessary to improve the lifestyle, such as moderate exercise, quit smoking and limit alcohol; improve diet, diversify food, reduce oil and salt, etc.; control weight reasonably and avoid overweight and obesity.
In terms of improving the diet, in addition to the taboos, some foods can be eaten appropriately, for example:
1 , foods rich in dietary fiber
Focus on the intake of grains, potatoes and beans, 250~400 grams per day. Generally speaking, a bowl of ordinary-sized rice is about 250 grams, which is equivalent to 100 grams of raw rice, which can be used to compare cereals and potatoes.
In addition, eat more fresh vegetables and fruits. Vegetables and fruits are rich in vitamins and dietary fiber. It is recommended to consume 300-500 grams of vegetables and 200-350 grams of fruits every day.
2. Eat more high-quality protein
Intake more high-quality protein and reduce high fat proportion of food. Milk and dairy products, soybeans and soy products, chicken, fish, etc. are all good sources of protein. Nuts contain high-quality fatty acids and can also be eaten in moderation.
3. Drink more water< /p>
The blood of patients with hyperlipidemia is too thick. Drinking more water can “dilute” the blood, reduce the viscosity, promote circulation, and prevent the formation of thrombosis. If there is no heart failure, renal failure and other diseases, adult males are advised to drink 1700ml per day and adult women 1500ml per day.
Extended: Can the drug be stopped after blood lipids drop to normal?
Answer: No, you should continue taking the medicine to keep the blood lipid level long-term normal.
If the drug is stopped easily, blood lipids may rise again, causing greater harm to the cardiovascular system. Only adhere to the medication, in order to protect the cardiovascular and cerebrovascular. As for when you can stop taking the medicine, you should follow your doctor’s instructions, not make your own decisions.
Nowadays, hyperlipidemia is no longer a “senile disease”, so both middle-aged and elderly people and young people should develop a healthy lifestyle to avoid hyperlipidemia , don’t let yourself regret it too late.
# Yao Zero Zero Plan#
References:
[1]40% of Chinese people have dyslipidemia! If you want to adjust blood lipids, you must first learn to eat! .Health Times. 2021-07-20
[2]Understanding the test list series ①: Understanding the “high and low” blood lipid levels. Human Health. 2021-08-13
[3] Joint Committee on the Revision of Guidelines for the Prevention and Treatment of Dyslipidemia in Adults in China. Guidelines for the Prevention and Treatment of Dyslipidemia in Chinese Adults (Revised in 2016)[J].Chinese Journal of Circulation,2016,31(10):937-950.
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