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Although nowadays the word “cholesterol” is full of negative connotations, associated to a bad feeding, to problems cardiovasulares and obesity, in fact is a necessary element for our organism. The important thing is to know what is, how it works and when it is detrimental for the health. The cholesterol is not another thing that a type of fat, a lipid, that participates in many important physiological processes like the cellular one, concretely digestive and in the sintetización of hormones, among others functions. Our liver is able to produce the necessary cholesterol for the organism. Nevertheless, through the feeding, we can receive an additional amount of this substance that, in many occasions, is detrimental for the health, mainly for the heart. The origin of its increase in blood comes derivative, mainly, of the increase of fats insaturadas in the diet, coming from foods with greasy matter. “Good” cholesterol and “bad” cholesterol With this simple dichotomy, many doctors of the First World, where the cardiovascular diseases are one of the causes main of mortality between the adult population, try to bring back to consciousness to their patients of the risks that stops the health little tolerates a balanced feeding and rich in fats. So that the cholesterol arrives until the cells, before it requires a transport through sanguineous irrigation. For it, two lipoproteins exist, the LDL, of low densidad, associated to the “bad cholesterol”, and the HDL, or of HD, that is identified with the “good cholesterol”. The problem of “bad” cholesterol or LDL is that, in excess, it is accumulated in the arteries and makes difficult the oxygen transit through the blood. And without oxygen, the heart and the brain cannot work correctly. For that reason the cerebral majority of attacks to the heart and infarcts are bound to this type of circumstances. The accumulation of these fats in the blood vessels denominates arteriosclerosis. Aside from the infarct risks, serious ligatures to the excess of “bad” cholesterol exist other cardiovascular pathologies as they are the thrombosis, the angina of chest or the peripheral arteriopatía. The thyroid disorders can also produce cholesterol problems that do not derive directly from a bad feeding. On the other hand, “the good” cholesterol, or HDL, not only is necessary for the organism, but he is recommendable to increase his amounts in blood when arteriosclerosis risk exists, because it helps to synthesize “the bad” cholesterol that is accumulated the walls of the arteries. The medical checkup It is very important to take a concientious pursuit of the cholesterol levels in blood, mainly in the case of the healthy adults, that they will have to review them like minimum every five years. One is moderate in milligrams by deciliter and one enters the total sum of the cholesterol that is transported in lipoproteins like LDL, HDL and others. A blood analysis is sufficient to evaluate the amount of this substance. Those people who already suffer a arteriosclerótico picture clearly, will have once or twice to carry out these controls to the year. One of the most habitual causes of hipercolesterolemia (excess of “bad” cholesterol) is in the deficiency of cholesterol “good” or HDL, essential to favor the sintetización of the LDL in our liver. The alcohol tobacco addiction, consumption, the obesity and the sedentarismo are frequent causes of the lack of HDL. The triglycerides One is a type of fats that, in the same way that the cholesterol, moves through sanguineous irrigation thanks to lipoproteins in the blood. The triglycerides nourish of energy to the cells of muscles. An excessive amount of triglycerides can also suppose a risk addition at the time of suffering cardiovascular diseases, although some experts do not see clear the relation between both phenomena. A high level of triglycerides is associated with little amount of “good” cholesterol in blood, arterial hypertension and obesity, agents who, as well, are causes of arteriosclerosis problems. What yes it is demonstrated is that to have stops the triglycerides are detrimental for the health since can derive in cases of pancreatitis. An excess of carbohydrates and fats saturated in the feeding explains the lifted rates of this fat. Stable cholesterol levels Although diverse criteria at the time of establishing the bracket exist in which an suitable fat level exists in the organism, normally is used the following scale to limit a lifted rate of cholesterol and triglycerides: - “Good” cholesterol - HDL: more than 35 mg/dl (milligrams by deciliter in blood).
- “Bad” cholesterol - LDL: less than 150 mg/dl.
- Total cholesterol (LDL, HDL and other lipoproteins): less than 200 mg/dl.
- Triglycerides: less than 200 mg/dl.
Cholesterol and arterial hypertension To have the high cholesterol usually brings about more serious problems of health if in addition arterial hypertension exists. Both pathologies constitute the main sources of the increase of arteriosclerosis in the organism. Normally, the cases of hipercolesterolemia usually go associate to the hypertension. A little suitable feeding, the deficiency of physical exercise and the bad habits usually end at both processes, since both very they are related to each other. If in addition we added the increase to him of the triglycerides, we obtain a dangerous cocktail that will be necessary to control of a strict way. What I must eat if I have the high cholesterol In these cases, once the doctor detects an excess of this substance in blood, normally it puts to the patient a restrictive diet with respect to the fat ingestion. The specialists recommend not only to make a life less sedentary, but to improve the diet with an increase of the consumption of fruits and vegetables, rich in nutrients, fiber and without fat. Also to ingest more foods with fats insaturadas like fish, chicken - without skin and the vegetal oils as the one of olive and those of seed (maize, sunflower). They do not have to lack rich integral fiber products, as well as cereals, rice, vegetables and grazes. All the foods with saturated fats are suppressed generally: red meats, pig, lamb, cold cuts, greasy cheese and butter. The products with excess of sugars and calories also are eliminated (chocolate, baker's shop, sauces, patés), as well as those that are direct cholesterol sources: the egg yolk, some products of casquería and the crustaceans. The excess of salt and spices also will have to be avoided. And with him, the conserves and preparations that abuse these condiments. Although they are not suppressed of the diet, is recommendable to moderate the consumption of coffee, refreshing and milky tea, drinks (he is better to resort to skimmed exclusively). Also, we must accustom to us to drink much water throughout the day and the necessary one in the meals, as well as chew slowly and salivar well. Independent of the diet, to smoke or to drink alcohol is other two detrimental habits that we must eradicate of our life if we do not want to have cardiorespiratory difficulties.
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