So wo ba ketewa no wɔ srade a ɛdɔɔso? (Pediatric High Cholesterol) Momma yɛnka eyi ho asɛm!

Yɛn nyinaa taa ka srade a ɛwɔ mpanyimfo mu ho asɛm, kyerɛ sɛ, srade dodow a ɛwɔ mogya mu. Nanso so wunim sɛ mmofra nkumaa mpo betumi anya srade ho haw yi? Nokwarem no, ɛtɔ mmere bi a ebetumi ayɛ aniberesɛm kakra. Enti, mma ɛnhaw wo. Ɛnnɛ, momma yɛnka nea srade a ɛkɔ soro wɔ mmofra nkumaa mu, anaa sɛnea nnuruyɛfo frɛ no, `(Pediatric High Cholesterol)`, yɛ, nea enti a ɛba, ne nea yebetumi ayɛ wɔ ho.

Dɛn na srade a ɛdɔɔso kyerɛ wɔ mmofra nkumaa mu?

Sɛ yɛbɛka no tiawa a, srade a ɛdɔɔso wɔ mmofra mu no kyerɛ sɛ srade dodow a ɛwɔ wo ba mogya mu no dɔɔso sen sɛnea ɛte daa. Saa cholesterol yi yɛ srade bi a ɛwɔ yɛn mogya mu a wɔfrɛ no `(Lipids)`. Srade foforo nso wɔ hɔ a wɔfrɛ no `(Triglycerides)`, a ebetumi nso ayɛ kɛse wɔ mmofra binom mu. Nokwarem no, yɛn nipadua hia srade yi bi, efisɛ ɛboa wɔ nipadua no dwumadi ahorow mu. Nanso, ɔhaw ahorow sɔre bere a eyinom dɔɔso dodo no.

Afei ebia woresusuw ho sɛ, "Mɛyɛ dɛn ahu no yiye sɛ me ba no wɔ srade pii anaasɛ triglycerides pii?" Nnuruyɛfo yɛ mogya mu nhwehwɛmu de hwehwɛ eyi. Wɔfrɛ no "Lipid Panel." Saa sɔhwɛ yi betumi akyerɛ wo nea srade dodow yi yɛ ankasa. Kae sɛ srade dodow a ɛfata wɔ mmofra nkumaa mu no yɛ soronko kakra wɔ nea ɛwɔ mpanyimfo mu no ho.

Hwɛ srade dodow a ɛfata, nea ɛkɔ fam, ne nea ɛnteɛ wɔ mmofra nkumaa mu ni.

(Ɛha yi, sɛ srade pa a wɔfrɛ no HDL srade no so tew nkutoo a, ɛnyɛ ne kwan so.)

| Lipid Type | Mg/dL a ɛyɛ daa | Ɔhye so mg/dL | mg/dL a ɛnyɛ ne kwan so |

| :--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | :--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- :--------------------------- | :------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |

| Cholesterol a Ɛyɛ Nyinaa | < 170 na ɛwɔ hɔ | 170 - 199 | ≥ 200 na ɛyɛ |

| LDL srade (srade "bɔne") | < 110 na ɛwɔ hɔ | 110 - 129 | ≥ 130 na ɛyɛ |

| HDL srade (srade "pa") | > 45 na ɛwɔ hɔ | 40 - 45 | < 40 na ɛwɔ hɔ |

| Triglycerides (mfe 0-9) | < 75 na ɛwɔ hɔ | 75 - 99 | ≥ 100 na ɛyɛ |

| Triglycerides (mfe 10-19) | < 90 na ɛwɔ hɔ | 90 - 129 | ≥ 130 na ɛyɛ |

Nea ɛho hia: Saa gyinapɛn ahorow yi betumi asesa kakra bere a obi nyin no, enti ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa na woahu no yiye.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ srade dɔɔso wɔ abofra mu?

Mpɛn pii no, srade a ɛwɔ abofra mu a ɛdɔɔso no nkyerɛ sɛnkyerɛnne biara a ɛda adi pefee . Eyi ne ade a asiane wom sen biara. Nanso, sɛ srade a ɛwɔ mogya mu no dɔɔso yiye, titiriw sɛ efi awosu mu nneɛma a, abofra no betumi anya nea edidi so yi:

• Nkuruwankuruwa a ɛyɛ waxy a srade wom wɔ honam ani (Xanthoma) .
• Ade a ɛyɛ kɔkɔɔ a ɛte sɛ akisikuru a ɛwɔ aniwa no anim anaa nea ɛbɛn (Xanthelasma) .
• Corneal Arcus: Nkawa fitaa anaa fitaa a ɛtwa aniwa no ho hyia.

Sɛ wuhu sɛnkyerɛnne ahorow te sɛ eyinom a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara.

Dɛn nti na abofra srade dodow kɔ soro?

Nneɛma pii nti na ebia abofra srade dodow bɛyɛ kɛse. Momma yɛnhwɛ nea wɔyɛ:

• Aduan ne anonne: Nnuan ahorow a abofra no di, titiriw nnuan a srade wom ne nea ɛyɛ dɛ.
• Apɔw-mu-teɛteɛ dodow: Sɛnea abofra no tu mmirika, ohuruw, odi agoru, na ɔteɛteɛ n’apɔw mu.
• Nyarewa afoforo: Tebea horow te sɛ kɛseyɛ mmoroso, asikreyare, ne asaabo mu yare (Nephrotic Syndrome).
• Nnuru: Nnuru bi nso tumi ma mogya mu srade kɔ soro.
• Awosu mu nkɛntɛnso: Awosu mu nkwaadɔm a wonya fi awofo hɔ nso betumi ayɛ ade titiriw a ɛde eyi ba.

Mpɛn pii no, mmofra a srade dɔɔso wɔ abakɔsɛm mu sɛ srade dɔɔso wɔ wɔn maame anaa wɔn papa mu, anaasɛ ebia wɔrenom nnuru de asiw wɔn srade so.

Cholesterol a ɛkɔ soro esiane awosu mu nneɛma nti

Awosu mu nkwaadɔm di dwuma kɛse wɔ ɔhaw yi mu. Ma yɛnhwɛ sɛnea ɛno yɛ adwuma.

Abusua mu mogya mu srade a ɛkɔ soro (FH) .

Eyi yɛ awosu mu tebea. Nea ɛba ne sɛ wɔwo abofra a srade "bɔne" (LDL Cholesterol) dɔɔso. Mpɛn pii no, sɛ awofo no mu biako pɛ na ɔwɔ awosu mu abɔde no a, wonya eyi fi awo mu.

Oduruyɛfo betumi asusuw sɛ abofra bi a LDL dodow a wontumi nkyerɛkyerɛ mu yɛ 160 mg/dL anaa nea ɛboro saa. LDL dodow a ɛyɛ 130 mg/dL anaa nea ɛboro saa wɔ abofra a n’awofo wɔ FH mu nso yɛ ade a ɛhaw adwene.

Nneɛma a ɛde awosu mu nneɛma pii ba

Awosu mu nneɛma afoforo wɔ hɔ a ɛde ba a ɛnyɛ `(FH)`. Abofra a ɔwɔ polygenic cause of high cholesterol kyerɛ sɛ abofra no nya genes pii fi awofo baanu no nyinaa hɔ a ɛma `LDL` dodow kɔ soro. Wɔ saa tebea yi mu no, ebia na `LDL` dodow no rekɔ soro nkakrankakra bere a bere kɔ so no, na ebia wɔrenhu kosi sɛ wɔbɛyɛ mmofra. Ɛwom sɛ saa awosu mu nneɛma yi ma asiane a ɛwɔ hɔ sɛ obi benya komayare no yɛ kɛse de, nanso ɛnyɛ nea emu yɛ den te sɛ `(FH)`. Mmofra a wɔwɔ `(FH)` taa hia sɛ wofi ase nom nnuru ntɛm sen mmofra a wɔwɔ polygenic causes.

Lipoprotein (a) .

`(Lipoprotein (a))` (wɔbɔ no "lipoprotein little A") yɛ srade soronko bi a wobetumi anya afi awofo hɔ akɔ mmofra hɔ. Nnipa a `(Lipoprotein (a))` dɔɔso no wɔ asiane kɛse mu sɛ wobenya ahrawa mu ntini mu yare. Ebetumi nso, wɔ nsɛm a ɛntaa nsi mu no, ama mmofra akisikuru.

Sɛ wo ba no wɔ asiane ahorow a edidi so yi mu biako anaa nea ɛboro saa a, oduruyɛfo betumi ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mfa nhwɛ sɛnea wɔn `(Lipoprotein (a))` te:

• Sɛ wɔahu sɛ ɔwɔ ``Familial Hypercholesterolemia``.
• Esiane sɛ na wadi kan anya ischemic stroke a wonnim nea ɛde ba nti.
• `(Lipoprotein (a))` dodow a ɛkɔ soro wɔ ɛna anaa agya no mu.
• Onua anaa ɔwofo a wanya komayare wɔ ne mmofraase.

Dɛn nti na abofra triglyceride dodow kɔ soro?

Nneɛma atitiriw a ɛma triglyceride dodow kɔ soro wɔ mmofra mu ne:

• Obolo
• Asikyireyareɛ
• Nnuru bi

Triglycerides a ɛdɔɔso nso betumi anya awosu mu nneɛma, nanso ɛnyɛ nea abu so te sɛ FH. Sɛ abofra bi mmuadadi (dɔnhwerew 12 mmuadadi) mogya mu nhwehwɛmu kyerɛ sɛ triglycerides yɛ 500 mg/dL anaa nea ɛboro saa a ntease foforo biara nni ho a, ebia nnuruyɛfo besusuw sɛ awosu mu na ɛde ba.

Nsɛnnennen bɛn na ebetumi aba esiane srade a ɛdɔɔso wɔ mmofra mu nti?

Mmofra a srade dɔɔso (`LDL` cholesterol) betumi anya akwahosan ho haw bere a wɔrenyin no. Nea ɛde eyinom ba titiriw ne srade a ɛwɔ mogya ntini no mu, a ebetumi asiw mogya no kwan. Eyi betumi atew mogya a ɛkɔ koma, amemene, anaa anan mu no so. Ebia woate tebea horow yi ho asɛm:

• Koma a Ɛyare
• Nnwodwoɔ
• Ntini a Ɛwɔ Akyirikyiri Yare

Susuw ho hwɛ, sɛ wodi ɔhaw ahorow yi so wɔ wo mmofraase a, hwɛ sɛnea ɛbɛboa wo ma woakwati nyarewa a emu yɛ den saa bere a woanyin no!

Dɛn ne nsɛnnennen a ebetumi aba esiane triglycerides a ɛkɔ soro wɔ mmofra mu nti?

Sɛ `(Triglycerides)` dodow kɔ soro dodo a, abofra no betumi anya `(Pancreatitis).` Sɛ `(Triglycerides)` dodow kɔ soro bere tenten a, ebetumi nso aboa ma srade a ɛwɔ ntini no mu no akɔ soro akodu baabi. Nanso, enni nkɛntɛnso kɛse te sɛ `(LDL)` srade.

Ɔkwan bɛn so na nnuruyɛfo hu sɛ srade dɔɔso wɔ mmofra mu?

Mmofra a wɔadu sukuu mfe mu betumi de mogya mu nhwehwɛmu a ɛnyɛ den ahwɛ wɔn srade dodow. Wɔ tebea horow bi mu no, ebia ebehia sɛ anyɛ yiye koraa no wudi mmuada nnɔnhwerew 12 ansa na wɔayɛ mogya mu nhwehwɛmu. Bisa wo duruyɛfo sɛ eyi ho hia anaa.

Ɛho hia titiriw sɛ wɔma wɔyɛ nhwehwɛmu yi sɛ obi a ɔwɔ abusua no mu wɔ komayare, anaasɛ awofo no srade dɔɔso a. Nea ebefi mogya mu nhwehwɛmu no mu aba no betumi akyerɛ sɛ abofra no srade anaa triglycerides dɔɔso anaa.

Ɔkwan bɛn so na wɔbɛsa srade a ɛdɔɔso wɔ mmofra mu?

Ade a edi kan a wobɛfa so adi srade a ɛdɔɔso so ne sɛ wobɛyɛ nsakrae wɔ wo ba no aduan mu na ama apɔw-mu-teɛteɛ dodow a ɔyɛ no akɔ soro.Wo duruyɛfo betu wo fo wɔ eyi ho. Sɛ nsakrae yi nkutoo mma wo ba no srade dodow nkɔ fam nkɔ baabi a ahobammɔ wɔ a, oduruyɛfo betumi akamfo nnuru akyerɛ (ma mmofra a wɔadi boro mfe 8).

So me ba hia nnuru?

Ebia ɛho behia. Nnuruyɛfo kamfo nnuru a egyina animdefo afotu a efi ahyehyɛde ahorow te sɛ Ɔman Koma, Ahurututu ne Mogya Asoɛe ne Amerika Koma Fekuw hɔ kyerɛ. Tebea horow bi a oduruyɛfo betumi ama wo ba no nnuru ni:

• Sɛ LDL dodow boro 190 mg/dL a:
• Sɛ abofra no nni nneɛma foforo biara a ɛbɛma wanya koma ne ntini mu yare a.
• Sɛ wo LDL dodow yɛ 160 mg/dL anaa nea ɛboro saa, na wowɔ nea edidi so yi mu biara a:
• Abofra no wɔ nneɛma a ɛde koma ne ntini mu yare ba.
• Awofo no mu biako nyaa komayare wɔ ne mmofraase, anaasɛ srade bi wɔ koma no ntini mu (coronary artery plaque).
• Sɛ wo srade a ɛwɔ wo srade mu no nnuu dodow a wopɛ sɛ woyɛ no ho bere a woayɛ nsakrae wɔ w’aduan ne w’apɔw-mu-teɛteɛ mu asram asia akyi a.
• Sɛ wo LDL dodow boro 130 mg/dL a, wowɔ nea edidi so yi mu biara:
• Wɔahu sɛ awofo no mu biako anya `(FH)`.
• Abofra no wɔ nneɛma a ɛde koma ne ntini mu yare ba te sɛ kɛseyɛ mmoroso, mogya mmoroso, sigaretnom (abofra anaa nnipa a wɔatwa ne ho ahyia), HDL dodow a ɛba fam, Kawasaki Yare ho abakɔsɛm, asaabo mu yare, akwaa a wɔde si ananmu, Mmofra Ntini mu Ntini, Lupus, anaa HIV.
• Sɛ wo LDL dodow boro 100 mg/dL a, wowɔ nea edidi so yi mu biara:
• Abofra no wɔ Asikreyare a Ɛyɛ Ɔkwan I anaa Ɔkwan II.
• Abofra no wɔ Kawasaki Yare a ɛma ntini mu ntini mu ntini mu ntini mu yare.

Nnuru bɛn na wɔde ma mmofra ma srade a ɛwɔ mogya mu?

Statin ne nea edi kan a mmofra a wɔwɔ LDL dodow a ɛkɔ soro no paw. Nhwɛsoɔ:

• Atorvastatin (Lipitor®) a wɔde yɛ aduru a wɔfrɛ no Atorvastatin (Lipitor®) .
• Rosuvastatin (Crestor®) a wɔde di dwuma wɔ ɔkwan a ɛyɛ nwonwa so.
• Simvastatin (Zocor®) a wɔde yɛ aduru a wɔfrɛ no Simvastatin .

Eyi ne ɔkwan a statin nnuru ma abofra LDL dodow so tew:

• Ɛma mmerɛbo no ntumi nyɛ srade.
• Eyi srade a ɛboro so fi mogya no mu na ɛboa nipadua no ma ɛde di dwuma yiye.

Ezetimibe yɛ aduru a ɛto so abien a ɛtew LDL dodow so. Ɛyɛ adwuma denam srade a efi dwensɔtwaa mu kɔ mogya no mu a esiw ano no so.

Lipoprotein a ɛdɔɔso a wɔde sa yare (a) .

Asetra mu nsakrae nni nkɛntɛnso kɛse wɔ `(Lipoprotein (a))` dodow so te sɛ `(LDL)` dodow. Mprempren, nnuru pɔtee biara nni hɔ a wɔde sa `(Lipoprotein (a))` dodow a ɛkɔ soro. Nanso, wɔreyɛ nnubɔne ho sɔhwɛ ahorow. Sɛ wo ba no `(Lipoprotein (a)` dodow kɔ soro a, oduruyɛfo betumi akamfo akyerɛ sɛ wɔmfa wɔn adwene nsi asiane afoforo a ɛbɛma wanya ahrawa mu yare no so.Eyinom bi ne:

• Nnuan a ɛma koma nya ahoɔden a wobedi.
• Apɔw-mu-teɛteɛ a ɛdɔɔso a wobenya.
• Nnuru a wɔde sa srade afoforo a ɛwɔ srade mu.
• Kwati sigaretnom.

Triglycerides a ɛdɔɔso a wɔsa

Ebia wo ba no duruyɛfo bɛkamfo nneɛma te sɛ:

• Nsakrae a wobɛyɛ wɔ wo ba no aduan ne n’apɔw-mu-teɛteɛ mu.
• Mpataa ngo a wɔde ka ho (ɛkɔ 4000 mg da biara).
• Nnuru afoforo (wɔ nsɛm titiriw a mmofra triglyceride dodow kɔ soro yiye mu).

So wobetumi asan srade a ɛdɔɔso wɔ mmofra mu no?

Yiw, ebetumi aba! Ayaresa betumi aboa ma wo ba no srade dodow so atew akodu baabi a ahobammɔ wom. Eyi nso betumi atew asiane a ɛwɔ hɔ sɛ nsɛnnennen a emu yɛ den bɛba daakye no so. Wo duruyɛfo betumi aboa wo ma woahu srade dodow a wo ba no de asi n’ani so ankasa ne ɔkwan a wobɛfa so adu hɔ.

Mɛyɛ dɛn aboa ma me ba no srade a ɛwɔ ne mu no so atew?

Wubetumi aboa ma wo ba no srade dodow so atew denam nkuranhyɛ a wobɛhyɛ no sɛ:

• Ma nnuan a srade nyinaa nni mu. Ɛsɛ sɛ srade yɛ wo ba no da biara da calories nyinaa mu 30% anaa nea ennu saa. Aduan ho ɔbenfo betumi aboa wo ma woabu dodow yi ho akontaa na woayɛ aduan ho nhyehyɛe.
• Kwati trans srade na to srade a ɛyɛ den ano hye. Srade a ɛyɛ den yɛ srade a mpɛn pii no ɛyɛ den wɔ dan mu hyew mu, te sɛ mmoa ngo, akutu ngo, ne mmɛw ngo. Ɛsɛ sɛ srade a ɛyɛ den no nnu wo da biara da calories nyinaa mu 10%. Mmom no, paw srade a enni ahoɔden te sɛ ngodua ngo, avocado ngo, ne flaxseed ngo.
• To srade a ɛwɔ aduan mu no ano hye. Ɛsɛ sɛ mmofra di srade a ennu 300 mg da biara.
• Kwati nufusu a srade wom. Fa nufusu a srade wom 2% ma mmofra a wɔadi asram 12-24. Ma mmofra a wɔadi boro mfe 2 nufusu a srade nnim.
• Ma nnuan a ahoɔdennuru a ɛdɔɔso wom. Hyɛ wo ba nkuran ma onni nnuan a ahoɔdennuru wom te sɛ nhabannuru, nnuaba, nnuaba, atoko, ne aburow a wɔayam.
• Hyɛ apɔw-mu-teɛteɛ ho nkuran daa. Aerobic dwumadi ahorow te sɛ sakre, mmirikatu, nantew, ne asuguare betumi aboa ma HDL ("papa") srade dodow akɔ soro na ɛtew asiane a ɛwɔ hɔ sɛ wobenya koma ne ntini mu yare no so.
• Boa wo ba no ma ne mu duru nkɔ so yiye.Wubetumi ahu nea saa mu duru dodow no yɛ afi wo duruyɛfo hɔ.

Nnuan bɛn na eye sen biara a mede bɛma me ba no aduan?

Paw nnuan ahorow na ama wo ba no anya aduannuru a ohia nyinaa . Nnuan a ahoɔden wom a ebetumi aboa ma wɔahyɛ srade dodow so ni:

Sɛ wopɛ anɔpaduan a:

• Aduaba
• Aburow a wɔayam no yiye
• Oatmeal a wɔde yɛ aduan
• Helafo yogurt a wɔde yɛ

Sɛ wopɛ awia ne anwummere aduan a:

Fa USDA MyPlate mfonini no hyɛ wo ba prɛte no ma:

• Protein a ɛnyɛ den te sɛ akokɔ, mpataa, bankye (prɛte no mu 1/4) .
• Nnuadewa a wɔayam (prɛte biako mu 1/4) .
• Nnuaba ne nhabannuru (prɛte no mu 1/2) .
• Nufusu mu nneɛma a srade nnim adidi

Akwan a wɔfa so noa aduan a ahoɔden wom no bi ne paanoo a wɔtow, wɔtow, ne mframa a wɔde hyew. Kwati sɛ wobɛhyehyɛ deep frying.

Nnuan a wɔde di agoru:

• Aduaba
• Atosodeɛ
• Nnuadewa ne aba ahorow
• Aburow a wɔde ayɛ krak
• Nufusu a srade nnim

Nsã a wɔnom:

Paw nsu ne nufusu a srade nnim. Kwati soda, nufusu a wɔahyɛ no dɛ, nnuaba anonne, ne agumadi anonne.

Bere bɛn na ɛsɛ sɛ mede me ba kɔ oduruyɛfo nkyɛn?

Wo duruyɛfo bɛkyerɛ wo mpɛn dodow a ɛsɛ sɛ wode wo ba no kɔ oduruyɛfo nkyɛn. Ɛho behia nso sɛ wɔhwɛ wo ba no srade dodow so daa. Ɛsɛ sɛ woma wɔhwɛ wo ba no srade dodow nso wɔ asram asia akyi bere a woayɛ nsakrae biara wɔ aduan mu anaa asram abien akyi bere a woafi aduru foforo biara ase no.

Awiei koraa no, biribi a ɛsɛ sɛ yesusuw ho.

Esiane sɛ yɛasua sɛ yɛbɛte srade ho asɛm wɔ mpanyimfo mu nti, ɛnyɛ den sɛ yɛn werɛ befi sɛ mmofra nkumaa mpo betumi anya saa ɔhaw yi – kosi sɛ ɛbɛto yɛn ankasa ba. Na afei ɛyɛ den sɛ wubegyae ho adwene. Mma ɛnhaw wo, wo ba no nnuruyɛfo te nea ɛhaw wo no ase, na wɔaba ha sɛ wɔrebɛboa w’abusua nyinaa. Bisa wo nsɛm, sua nea wubetumi biara. Mommɔ mu nyɛ adwuma mfa nnya asetra kwan a ɛma koma nya ahoɔden.

Sɛ wosa srade wɔ ne mmofraase a, ebetumi ama wo ba no anya hokwan a eye sen biara ama daakye a ahoɔden wom.

` Mmofra srade, srade a ɛkɔ soro, Mmofra srade a ɛkɔ soro, komayare, aduan pa, asetra kwan, Lipid panel