Wang Bo (pseudonym) is 35 years old and is a small supervisor of a private company. I think I am still young and rarely avoid eating foods in my daily life. I especially like to eat some foods with high cholesterol in , such as pork, animal offal, etc.
Due to work reasons, I often order takeout. I also think that takeout is better than at home, and almost every meal is full of big fish and meat.
Some time ago, the company's physical examination was conducted. The blood lipid index was higher than the normal value, but Wang Bo did not take it seriously and did not miss the diet.
However, at a party with friends last Saturday, Wang Bo was about to stand up and clink glasses with his friends, but suddenly his eyes turned dark and he fainted at the dining table. A friend hurriedly called 120, but before he arrived at the emergency room, Wang Bo passed away...
Later, after detailed examination by the hospital, Wang Bo's condition was caused by the high blood lipids, which caused the symptoms of sudden death . It turned out that Wang Bo had been diagnosed with hyperlipidemia last year, but he relied on his youth and did not take it seriously. He was relatively casual in terms of diet and medication, which eventually led to the tragedy.
1. How high is the high blood lipids, may sudden death occur?
According to the data of the "Guidelines for the Prevention and Treatment of Dyslipidemia in Adults (Revised Version in 2016)", 40.40% of adults in my country have dyslipidemia .
dyslipidemia usually refers to the serum level of cholesterol or triglyceride exceeding the normal value, that is, hyperlipidemia. Patients with hyperlipidemia generally do not feel obvious discomfort, but if is allowed to increase lipids in , it may cause a series of diseases.
Studies have found that has high blood lipids when young, and the risk of stroke is far greater than that of others .
published in JACC, a prospective study started 35 years ago. The study included 4,985 adults aged 25 years old during the year. Through decades of follow-up, it was found that elevated blood lipid levels at young age were closely related to the increased risk of long-term cardiovascular disease. In addition, even if blood lipids are controlled later, there is still a residual risk.
How far is it from hyperlipidemia to sudden death?
Once the three indexes of cholesterol, triglycerides and low-density lipoprotein in the serum increase, the fat in the blood vessel wall will accumulate rapidly. At this time, our "scavenger" leukocytes begins to save the situation and swallow fat. But as you eat, you will become a "fatty white person", and white blood cells will accumulate into plaques under the blood vessels.
① These plaques continue to grow, causing the coronary artery that supplies blood to the heart to become narrow, which may cause " coronary heart disease ";
② When the surface of the plaque ruptures and forms a thrombus, plugging the coronary artery will lead to acute myocardial infarction , and in severe cases, it can also induce sudden death ;
0 ③ If these occur in the brain, it will cause cerebral hemorrhage , cerebral infarction , etc.;
Therefore, during physical examination, you must pay attention to the two important indicators of low-density lipoprotein cholesterol level and triglycerides of blood lipids.
Generally speaking, low-density lipoprotein should be within 3.37 mmol/liter. Once is higher than 4.14 mmol/liter, drug control is required. The normal level of triglycerides is within 1.7 mmol/liter, and exceeds 2.26 mmol/liter, which is considered to be more serious.
2. Three abnormalities appear in the eyes. Beware of severe hyperlipidemia
In fact, in addition to blood tests, these changes in the eyes may also be hints of abnormal blood lipidemia:
xyloma 1. Eyelids, thighs, heels, and other parts, and may appear multiple xylomas the size of rice grains in the eyelids, thighs, and heels.
A circle of grayish-white rings appears on the edge of the black eyeball, about 1-2 mm wide.
In addition, if the calves are often cramped, there is a tingling feeling, and the brain is often dizzy and sleepy, it may be caused by high lipid blood to cause changes in the body.
3. Is the increase in blood lipids caused by eating?
Many people believe that high blood lipids are diseases caused by "eating". Especially eating fatty pork, animal sebum, animal offal and other foods regularly will cause increased blood lipids. Is this really the case?
Pork contains saturated fatty acids and monounsaturated fatty acids . Monounsaturated fatty acids can inhibit the absorption of low-density lipoprotein and are believed to be helpful in preventing cardiovascular diseases. Therefore, some people believe that eating fatty pork can prevent cardiovascular diseases.
But for every 50 grams of pork, based on 90% fat content, half of is monounsaturated fatty acids, and 40% of saturated fatty acids , while saturated fatty acids may cause increased blood lipids, which is not good for the body.
Therefore, if you want to prevent cardiovascular disease, you still need to appropriately control the proportion of dietary saturated fat.
In addition to pork, other foods that are prone to increase blood lipids should also be controlled, including: high cholesterol foods, such as crab roe, caviar, foie gras sauce , etc.; there are also beer, milk tea and other beverages, as well as salted duck eggs, desserts and other foods .
Some people may be confused. Why do they still suffer from high blood lipids even if they have a light diet?
In fact, the human body's blood lipid level is also affected by factors such as being too obese, aging fat metabolic ability declines, and changes in hormone levels of women after menopause . In other words, controlling blood lipids does not only require you to start with your diet.
4. Before the age of 45, you must take good care of your blood lipids. How to do it specifically?
A study on cardiovascular diseases published in The Lancet, involving nearly 400,000 people in 19 countries. The results show that if can control cholesterol levels in the early stage (before the age of 45), it can greatly reduce the risk of cardiovascular diseases in the future . If you want to manage your body's blood lipids, these plans must be carried out as soon as possible:
In the diet, animal fat intake should be reduced, including butter, lamb oil, cream, etc.; it is best to choose olive oil, rapeseed oil, etc. rich in unsaturated fatty acids, as well as soybean oil containing polyunsaturated fatty acids, sunflower oil, , etc.
There should be restrictions on the use of oil every day, and the cooking oil should be controlled at about 25g. Try to choose cooking methods that use less oil such as stewing, cooking, steaming, etc.
Enjoy more vitamin-rich foods, such as fresh fruits and vegetables, as well as foods high in dietary fiber, such as coarse grains and miscellaneous grains, which can help excrete feces and reduce cholesterol.
Generally remind obese people to be more likely to suffer from hyperlipidemia. Therefore, exercise can help maintain weight and reduce triglycerides and cholesterol levels in the blood.
Of course, for patients with hyperlipidemia, hyperlipidemia does not cause major diseases. You should learn to relax your mood in daily life, monitor your blood lipids regularly, take the medicine according to the dosage, and control the blood lipids to a stable level, which can also effectively control the development of the disease, no different from ordinary people.
Reference:
[1] "What will happen to the future when you are young? Authoritative journal publishes 35 years of research results. Life Times. 2020-10-30
[2] "How far is hyperlipidemia from sudden death? One article will help you understand. Health Shunde.2019-08-28
[3] "Don't worry about hyperlipidemia, experts will give you advice." Guangyi Fourth Hospital.2021-05-22
Reproduction of
without authorization from the author-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-