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मंगलवार, 10 मई 2011

How to deal with hypercholestremia

Hypercholestremia is the term used for increased level of triglycerides in blood .
The condition is mainly lifestyle related .Therauptic Lifestyle Changes  (TLC) play important role in dealing hypercholestremia.
TLC  contains
1.     Appropriate diet changes
2.     Excersice
3.     Medical intervention 
But the very first step is to determine the mind for adapting positive changes in lifestyle and to stick to them

1.Appropriate diet changes:
Diet do’s

  • Eat freshly cooked food.
  • Eat in small quantity 4-5 times in a day.
  • Make sure eat variety of food.
  • Enough but not excess water to maintain fluid level,
  • Drink unsweetened and freshly prepared juices
  • Make sure you eat lunch and dinner on time.
  • Breakfast should be between 8am -9am
  • Breakfast should be heavy to fulfill calorie need
  • Lunch should be between 12 to 1pm
  • Light lunch to avoid fullness of stomach at workplace
  • Evening snacks should  b rich in micronutrients like fruits, juice,etc .
  • Early  light dinner with variety of soups, soft rice ,dal,buttermilk etc
  • Lots of green, leafy vegetables properly cooked.
  • Use lots of curry leaves, garlic, fenugreek seeds, dried ginger. While cooking
  • Use green sprouted mung, carrots, cooked beet  root for salad.
  • Eat Amla in any form everyday.
  • Seasonal fresh fruits

Diet don’ts

  • Avoid eating at the fullest of stomach.
  • Avoid eating too fast or standing.
  • Don’t drink water just before your meal.    
  • Avoid hotel and street food.
       Keep away from leftover, fried, preserved, salted, and ready to eat food
  • Avoid plain flour food like pasta, pizza, white  bread.
  • Avoid Red beans, dry green beans, double bean, chole, rajma.
  • Avoid all type of sweet from shops. Homemade sweet  on few occasionas will do.
  • Avoid Thick gravies, curries like in Punjabi food.
  • Strictly avoid use of curd, milk while preparing curry or sabji
  • Avoid Fermented food like dhokla, Idali, Dosa etc.
  • Avoid heavy, greesy food at dinner
  • Avoid frequent cheese and paneer

Recommended Foods
Group Recommended Foods
·        Grains  :
 Whole grain breads and cereals, including oats and barley(javas), jawar , bajra, , nachani
Pasta, especially whole wheat or other whole grain types
                    Brown rice
  • Pulses: Masur dal, mung dal, green mung dal, whole green mung

  • Vegetables : pumpkin, bottle gourd ,bitter gourd , snake gourd ,cabbage, ladyfinger, spinach, lal math, brinjal are more beneficial

Fruits:  Fresh, fig , apple, banana, pomegranate , chikku, pear, jamuns, amla etc

Food Group
Foods Not Recommended
Grains : High-fat bakery products, such as doughnuts, biscuits, croissants,
danish pastries, pies, cookies
Snacks made with partially hydrogenated oils, including chips,
cheese puffs, snack mixes, regular crackers, butter-flavored
Vegetables : Fried vegetables
Vegetables prepared with butter, cheese, or cream sauce

Fruits : Fried fruits
Fruits served with butter or cream eg. Fruit salads, milk shakes

Whole milk yogurt or ice creams
Red meat, fried meat

2. Excersice :
·        Brisk walking in early morning at least for 45 mins
·        Suryanamskar is the ideal exercise for each and every oragan and body part.
·        Yogasanas  and  breathing exercise like kapalbhati, pranayam etc
·         Other exercises under guidance of expert and medical advise

3.Medical intervention:
In some cases apart from diet and exercises medicines and therapies are advised.
·        Panchkarma therapy like vaman , virecha and lekhan basti   
·        Shirodhara for stress related conditions
·        Ayurvedic medicine to enhance the digestion and absorption of nutrients to avoid the accumulation of lipids.
·        Ayurvedic medicine to combat or to prevent the ailments due to hypercholestremia  
·        A very important part is counseling the patient to prepare him for the lifestyle change which is really very difficult to adapt
·        Regular follow-ups to check on the progress

·        Avoid sleeping at daytime after lunch
Dr. Ruapali Panase

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