Hyperlipidemia problem
Eat well, exercise less, and your blood lipid will be higher. At present, hyperlipidemia patients are very common, including hypercholesterolemia, hypertriglyceridemia and compound hyperlipidemia, which is one of the main factors leading to atherosclerosis and coronary heart disease. It also affects kidney, peripheral circulation, pancreas, itching, immune system and blood system diseases.
Hyperlipidemia can be divided into primary and secondary, the former is related to environment and family inheritance. The latter is caused by diabetes, hypothyroidism, obesity and pancreatic diseases. Reasonable diet and lifestyle are of great significance to prevent hyperlipidemia. For patients with hyperlipidemia with genetic tendency, there is no obvious improvement in drug treatment, mainly by adjusting the diet structure, trying not to eat or eat less foods with high cholesterol, such as animal viscera, brain, bone marrow, roe, shellfish, squid, eel and so on. Often eat vegetables and fruits rich in fiber, which contain a lot of phytosterols, which can inhibit the absorption of cholesterol and play an anti-arteriosclerosis role. Moderate or small drinking can also reduce cholesterol, 45 ml of white wine or 90 ml of dry red wine or 188 ml of beer every day. For patients with hyperlipidemia, on the one hand, they should control their diet, on the other hand, they should do moderate exercise, such as jogging. Through exercise, lipase activity in fat increases and blood lipid decreases accordingly. Some patients have normal blood lipids, but they have hypertension, diabetes and coronary heart disease. This also requires diet control, active exercise and medication under the guidance of a doctor.
Although cholesterol can usually be reduced by reasonable adjustment of diet, exercise and drugs, these methods sometimes fail to treat some patients with refractory and familial hyperlipidemia.
Recently, a system of whole blood directly absorbing blood lipids has appeared in medicine. Totally enclosed disposable blood loop tubes and autologous blood purification and transfusion are used to directly remove excessive harmful blood lipids from blood.
It can also be used to prevent various complications caused by hyperlipidemia and improve microcirculation of coronary heart disease and cerebral infarction. But this is not once and for all. If you don't pay attention to exercise, diet regulation and other auxiliary treatments, blood lipids will rise back to the original level.
Handbook of blood lipid health
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Three magic weapons for regulating blood lipid: regulating diet structure, improving lifestyle and drug treatment.
(1) The principle of regulating diet structure: limit the intake of foods rich in fat and cholesterol; Choose low-fat food (vegetable oil, yogurt); Increase vitamins and fiber (fruits, vegetables, bread and cereals)
(2) The diet structure of the normal elderly: an egg and a banana; A bowl of milk (not necessarily with sugar, but also with yogurt and milk powder); 500g of fruits and vegetables (multiple varieties can be selected); 100g clean meat, including fish, poultry, livestock and other meats (calculated by edible parts); 50g of bean products (including tofu, yuba, thousands of pieces, bean cakes and all kinds of bean processed products, such as bean paste, bean paste and boiled whole beans); About 500 grams of grain (including rice, flour, miscellaneous grains, roots and sugar); Drink soup every day, one bowl for each meal.
(3) Foods with hypolipidemic effect: garlic (65438+ 0~2 pieces of sweet and sour garlic on an empty stomach in the morning), ginger, eggplant, hawthorn, persimmon, auricularia auricula, milk, etc.
(4) Examples of diet therapy for hyperlipidemia patients: breakfast, 200ml soybean milk, 50g steamed cake, cooked soybean10g; Chinese food, standard flour and corn flour100g, rice porridge 50g, lean pork 20g, fried green pepper100g, fried beans100g; For dinner, rice150g, Chinese cabbage100g, boiled tofu 50g, vermicelli10g, carp 20g and shredded potatoes100g. All-day cooking oil 12g.
(5) improve lifestyle a. lose weight: obesity is excess fat and an external sign of atherosclerosis. B. Quitting smoking: Nicotine and carbon monoxide in tobacco cause and aggravate the occurrence and development of atherosclerosis. C. controlling alcohol: drinking less is good for the human body, and drinking more is harmful. Wine is high in calories, and drinking more will aggravate obesity. D. aerobic exercise.
8. Appropriate exercise for the elderly Whether it is appropriate to calculate the amount of exercise through the heart rate, and the heart rate should be kept at (220- age) ×(60%-85%). Sports suitable for the elderly include Tai Ji Chuan, Qigong, jogging, fast walking, slow cycling, swimming, mountain climbing, aerobics for the elderly, gateball, badminton and walking backwards. The best time to exercise in a day: 5 am, the amount of exercise should not be too large, and it should be kept light to medium intensity; 10 in the morning is the best exercise opportunity in a day, and 16~ 17 in the afternoon is the most suitable exercise time for losing weight. 0.5~ 1 hour before dinner, at this time, walking (or brisk walking) and doing health gymnastics are beneficial to the treatment of diabetes. At the same time, we should pay attention to mental health and maintain an optimistic and open-minded attitude towards life.
9. Drug therapy, protecting the heart and protecting the brain. In the early 1990s, the international medical community conducted a large-scale study on lipid-lowering therapy, and the results were encouraging: taking lipid-lowering drugs for a long time not only reduced blood lipids, but also significantly reduced the incidence, disability and mortality of coronary heart disease, myocardial infarction and stroke. In short, the most fundamental purpose of lipid-lowering therapy is to prevent and delay the occurrence of coronary heart disease, stroke and other diseases. At present, doctors and patients all over the world attach great importance to lipid-lowering treatment, and their concepts have undergone fundamental changes. So some people say that the era of lipid regulation has arrived!
10. How to choose an ideal lipid-lowering drug? When the blood lipid can not be reduced to the ideal level through reasonable adjustment of diet structure, change of bad living habits and strengthening physical exercise, drug treatment must be started. At present, there are many drugs for regulating blood lipid, which are mainly divided into the following three categories: (1) statins, which are mainly used to lower cholesterol, such as Shujiangzhi and Pragu; (2) Bates: mainly reduce triglycerides, such as Novotel and Lipitor; (3) Natural drugs, such as Xuezhikang, can effectively reduce cholesterol and triglycerides, and can increase high-density lipoprotein, which has the function of comprehensively regulating blood lipids with little side effects. Because the rise of blood lipids is a slow process, the regulation of blood lipids, especially the elimination of adverse effects of blood lipids, also needs a continuous process. Therefore, patients should choose lipid-lowering drugs with obvious lipid-lowering effect and little toxic and side effects according to their own different situations.
1 1. It is very important to check blood lipids: because many people don't know enough about the harm of hyperlipidemia, and hyperlipidemia itself has no symptoms, many people inadvertently find that blood lipids are high. In order to nip in the bud, when you have the following conditions, such as hyperlipidemia, obesity, hypertension, xanthoma of skin or family history of coronary heart disease, stroke, diabetes, kidney disease, middle-aged and elderly women, postmenopausal women, long-term high-sugar diet, please check your blood lipids as soon as possible. Ordinary people: check blood lipids every 2 years; People over 40 years old: check blood lipid 1 time a year; High-risk groups and patients with hyperlipidemia: check blood lipids regularly according to the doctor's advice.
12. Blood lipid and coronary heart disease: Despite statistics, the mortality rate of cardiovascular and cerebrovascular diseases has exceeded 1/2 of the total population mortality rate. Coronary heart disease is also called coronary atherosclerotic heart disease. The coronary artery is the artery that supplies blood to the heart. Because of excessive fat deposition, it causes arteriosclerosis, blocks blood flow, causes heart ischemia, and produces a series of symptoms, namely coronary heart disease. Risk factors of coronary heart disease: hyperlipidemia, smoking, diabetes, obesity, hypertension, lack of physical activity, excessive mental stress, family history of coronary heart disease, oral contraceptives, etc. Among them, hyperlipidemia is one of the important risk factors of coronary heart disease. Regulating blood lipid is the most basic therapy to prevent and treat coronary heart disease: when the serum total cholesterol level drops by 65438 0%, the incidence of coronary heart disease drops by 2%. As long as you have coronary heart disease, no matter whether your blood lipid is high or not, you should take lipid-regulating drugs for a long time. Because long-term lipid-lowering therapy can reduce the incidence and mortality of angina pectoris and myocardial infarction.
13. Relationship between blood lipids and cerebral infarction: When cholesterol in blood rises, atherosclerotic plaques are easily formed, which accumulate on the arterial wall, narrowing the arterial lumen, blocking blood from flowing into the corresponding parts, resulting in insufficient kinetic energy. Occurred in cerebral vessels, causing cerebral infarction. Medicine has proved that long-term lipid-lowering therapy can not only treat cerebral infarction, but also prevent it. Lipid-regulating therapy and stroke: There are many reasons for stroke, including hypertension, hyperlipidemia, smoking, drinking, obesity, old age, diabetes, blood diseases and so on. Among them, hyperlipidemia and cerebral atherosclerosis are one of the important risk factors of cerebral infarction. Many studies have proved that long-term lipid-lowering therapy can significantly reduce the incidence and disability rate of stroke, so clinicians pay more and more attention to the treatment of hyperlipidemia.
14. Blood lipids and diabetes: Hyperlipidemia, hypertension and hyperglycemia are called "three highs" and are the main risk factors that threaten the health and life of diabetic patients. These three are closely related. Hyperlipidemia will aggravate diabetes, so diabetic patients need to adjust their blood lipids in addition to treating hyperglycemia, which is the key to reduce the mortality and disability rate of diabetic patients. Diabetic patients should pay attention to regulating blood lipids: diabetes complicated with hyperlipidemia is more likely to lead to stroke, coronary heart disease, limb necrosis, fundus lesions, renal lesions, neuropathy and so on. These long-term complications of diabetes are the main causes of disability or premature death of diabetic patients. More than half of diabetic patients are complicated with hyperlipidemia, and active treatment of hyperlipidemia is of great benefit to controlling blood sugar and preventing complications. Regulating blood sugar can improve blood lipid to a certain extent, but to reach the ideal level, intervention of lipid-regulating drugs is needed. The treatment of diabetes and lipid metabolism has become the standard to control the condition of diabetic patients.
15. Xuezhikang can not only reduce blood lipid, but also help to lower blood sugar: According to the research of endocrinologists in Beijing Hospital, taking Xuezhikang can not only regulate dyslipidemia, but also help to lower blood sugar for diabetic patients with unsatisfactory hypoglycemic effect.
16. Lipids and fatty liver: Fatty liver is caused by a large accumulation of liver fat, often accompanied by elevated blood lipids. B-ultrasound examination is the main method to check fatty liver at present. The incidence of fatty liver is as high as 5~ 10%. About 35% of adults with elevated transaminase in physical examination are fatty liver, and some patients can develop cirrhosis. Therefore, the prevention and treatment of fatty liver is very important to prevent the progress of chronic liver disease and improve the prognosis. Who is prone to fatty liver: patients with hyperlipidemia, diabetes, abdominal fat accumulation, long-term heavy drinkers, obese people, patients with viral hepatitis. What are the symptoms of fatty liver? Mild fatty liver mostly has no conscious symptoms. Moderate and severe manifestations are hepatomegaly, loss of appetite, swelling and pain in liver area, and elevated transaminase. A few cases have mild jaundice and splenomegaly. What should patients with fatty liver do: Early treatment can prevent the development of fatty liver, and most fatty liver can be cured. Including eliminating the cause, improving the lifestyle and adjusting the diet structure; Use lipid-regulating drugs for treatment.