Middle-aged cerebral infarction patients, triglyceride 6.8 dropped to 1.6, reminder: stick to 3 kinds of food

"Doctor, you must save him. Our daughter is only 4 years old. She can't live without her father! " 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, he suddenly felt dizzy and numb in his limbs , and fell to the ground unconscious. After being sent to the hospital, he was diagnosed with acute cerebral infarction , and the triglyceride was as high as 6.8mmol/L , which was the culprit of this cerebral infarction.

Fortunately, due to the timely delivery to the doctor, Mr. Li recovered his ability to speak 1 hour after receiving intravenous thrombolysis , and his limbs can also move slightly.

In the past, Mr. Li needed to work and socialize. It was common to eat and drink, play cards and smoke. 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 time every day , actively adjusted his diet, increased the intake of dietary fiber, reduced high-fat foods, and insisted on exercising. After half a year of hard work, during the re-examination, Mr. Li lost 8 pounds, triglyceride decreased to 1.6mmol/L , and other indicators were 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 the correct method, so that the effect can be achieved .

1. Hyperlipidemia hurts the whole body!

With the change of lifestyle, more and more people are targeted by "three highs", especially high blood lipids, which is one of the "culprits" that threaten the health of middle-aged and elderly people .

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 Chinese adults 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 lipoproteins 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.

② diabetes

Hyperlipidemia increases insulin resistance, and studies have confirmed that certain markers of hypertriglyceridemia and metabolic syndrome predate the onset of type 2 diabetes . In other words, high blood lipids increase the risk of developing type 2 diabetes.

③ Hypertension

Hyperlipidemia and hypertension are one family, and they affect each other, especially in obese people, and they often appear at the same time. In addition, pro-inflammatory factors in patients with hyperlipidemia can damage the cardiovascular and cerebrovascular , resulting in abnormal blood pressure.

④ Atherosclerosis

Hyperlipidemia, on the one hand, will directly lead to atherosclerosis, on the other hand, it will make other related lipoproteins abnormal, further aggravating atherosclerosis.

What is the relationship between cholesterol, triglycerides, and lipoproteins?

When middle-aged and elderly people go to the hospital for examination, they often need to draw blood to test four blood lipids , including triglyceride ( TG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL) and high-density lipoprotein cholesterol (HDL).

·Triglycerides

It participates in energy metabolism in the human body and generates heat energy, but when the level is too high, it will lead to blood viscosity and lipid deposition on the blood vessel wall, forming small plaques, leading to atherosclerosis.

·Total cholesterol

Refers to the sum of cholesterol contained in all lipoproteins in the blood, about 50% is synthesized by the body, and 50% is derived from diet.

·Low-density lipoprotein

It is bad cholesterol, and its increase is related to atherosclerosis, which can enter the blood vessel wall and constitute the lipid core of atherosclerotic plaque.

· High-density lipoprotein

It is good cholesterol , participates in the reverse transport of cholesterol,reduces the deposition of cholesterol in the blood vessel wall, and prevents 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 groups of people are different , and whether there is coronary heart disease, cerebrovascular disease, family history of cardiovascular and cerebrovascular disease, etc. should also be considered.

3. 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 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 your diet, in addition to avoiding food, you can eat more of some foods, such as:

1. Foods rich in dietary fiber

Pay attention to the intake of grains, potatoes and beans, daily intake of 250 to 400 grams . 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

Eat more high-quality protein and reduce the proportion of high-fat foods. 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

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, it is recommended that adult men drink 1700 ml per day, and adult women drink 1500 ml per day.

Extension: Can the drug be discontinued after blood lipids drop to normal?

Answer: No, you should continue taking the medicine to keep the blood lipid level at the normal standard for a long time .

If the drug is stopped easily, blood lipids may increase again, which will cause greater harm to the cardiovascular system. Only adhere to the medication, in order to protect the cardiovascular and cerebrovascular. As for when to stop taking the medicine, you should follow the doctor's instructions and do not make your own decisions.

Today, hyperlipidemia is no longer a "senile disease", so both middle-aged and elderly people and young people should develop a healthy lifestyle, avoid hyperlipidemia, and don't let it be too late to regret.

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] Read the test list series ①: Understand the "level" of 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]. China Circulation Journal, 2016, 31(10): 937-950.

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