Momma yɛnka Apo B nhwehwɛmu (Apolipoprotein B) a wɔde hu asiane a ɛwɔ hɔ sɛ wubenya komayare no pɛpɛɛpɛ ho asɛm.

Yɛn nyinaa ate srade ho asɛm, ɛnte saa? Yenim sɛ "srade bɔne" (LDL) a ɛdɔɔso wɔ mogya mu no ma asiane a ɛwɔ hɔ sɛ obi benya komayare ne ɔyare a ɛma obi hwe ase no yɛ kɛse. Nanso so wunim sɛ mogya mu nhwehwɛmu titiriw foforo bi wɔ hɔ a ebetumi ama woahu asiane a ɛwɔ hɔ sɛ wubenya koma ne ntini mu yare no ho nsɛm pii sen sɛ wobɛsusuw wo srade bɔne no? Saa sɔhwɛ no ne Apo B sɔhwɛ no. Ɛnnɛ, yɛbɛka eyi ho asɛm wɔ ɔkwan tiawa bi so a wubetumi ate ase.

Dɛn ne Apo B? Dɛn nti na ɛho hia?

Sɛ yɛbɛka no tiawa a, Apo B (apolipoprotein B) yɛ protein bi. Fa no sɛ ɛte sɛ "taksi." Saa taksi yi de srade (srade bɔne te sɛ LDL ne VLDL) fi baabi kɔ baabi foforo wɔ mogya no mu. Ɛne sɛ, protein a wɔfrɛ no Apo B yi bata srade nketenkete a enye ho.

Ade a ɛho hia wɔ ha ne sɛ Apo B aduru biako pɛ na ɛwɔ LDL abɔde biako mu. Eyi kyerɛ sɛ biako ne biako na ɛwɔ abien no ntam.

Mpɛn pii no, srade ho nhwehwɛmu a yɛyɛ (lipid panel) no na ɛkyerɛ srade dodow a ɛwɔ mogya no mu. Nanso ɛtɔ mmere bi a, titiriw wɔ nnipa a wɔwɔ asikreyare anaa nipadua mu nneɛma a ɛsakra mu no, srade a enye no betumi ayɛ nketewa na ayɛ den. Afei, sɛ mfaso a wonya fi srade mu nhwehwɛmu a wɔyɛ no daa mu no yɛ nea ɛfata mpo a, ebia nneɛma nketenkete a epira pii wɔ mogya no mu ankasa.

Wɔ eyi mu no, Apo B sɔhwɛ no yɛ pɛpɛɛpɛ yiye. Ɛno nti na nnuruyɛfo binom gye Apo B nhwehwɛmu no di sen srade mu nhwehwɛmu a wɔyɛ no daa de susuw asiane a ɛwɔ hɔ sɛ komayare ho no.

Bere bɛn na ɛsɛ sɛ woyɛ Apo B sɔhwɛ?

Nneɛma pii nti na wo duruyɛfo betumi akamfo nhwehwɛmu yi akyerɛ:

• Sua pii fa asiane a ɛwɔ wo komayare mu ho: Wobetumi de nhwehwɛmu yi adi dwuma sɛ nsɛm foforo bere a ɛyɛ den sɛ wubenya asiane a ɛwɔ hɔ no ho mfonini a emu da hɔ afi nea efi srade mu nhwehwɛmu a ɛnyɛ den mu ba no mu.
• Sɛ wowɔ abusua abakɔsɛm a ɛkyerɛ sɛ wowɔ komayare a: Sɛ obi a ɔwɔ w’abusua mu anya komayare wɔ ne mmofraase a, eyi betumi ayɛ nea ɛho hia na ama woahu asiane a ɛwɔ hɔ no.
• Sɛ wowɔ ayaresa mu tebea afoforo te sɛ asikreyare a: Nnipa a wɔwɔ tebea horow te sɛ asikreyare, kɛseyɛ mmoroso, anaa nipadua mu nneɛma a ɛsakra no wɔ asiane kɛse mu sɛ wobenya komayare. Apo B sɔhwɛ no betumi aboa ma wɔasusuw asiane a ɛwɔ wɔn mu no ho pɛpɛɛpɛ.
• Hwɛ sɛnea nnuru a ɛma mogya mu srade so tew yɛ wɔn ade:Sɛ worenom nnuru te sɛ statin a ɛbɛma wo srade so atew a, wɔde nhwehwɛmu yi nso di dwuma de hwɛ sɛnea saa ayaresa ahorow no tu mpɔn.

Wobɛyɛ dɛn asiesie wo ho ama sɔhwɛ yi?

Eyi yɛ mmerɛw yiye. Sɛ woreyɛ Apo B sɔhwɛ no nkutoo a, enhia sɛ wudi mmuada ansa na sɔhwɛ no aba.

Nanso, nnuruyɛfo dodow no ara nso bɛyɛ srade ho nhwehwɛmu a wɔyɛ no nyinaa (lipid panel) aka nhwehwɛmu yi ho. Sɛ ɛba saa a, ɛsɛ sɛ wotwe wo ho fi adidi anaa anonne ho bɛyɛ nnɔnhwerew 12 . Nsu a wɔnom ye. Nokwarem no, sɛ wonom nsu pii ansa na woanom mogya a, ɛma ɛyɛ mmerɛw ma onipa a ɔrenom mogya no sɛ obehu ntini bi wɔ wo nipadua mu.

Ɛbɛyɛ mmerɛw ama wo sɛ wobɛhyɛ atade a nsa tiaa da a wɔbɛyɛ sɔhwɛ no. Saa kwan no so no, ɛbɛyɛ mmerɛw sɛ wɔbɛtwe mogya.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no ne bere a wɔawie no?

Eyi te sɛ nea wɔreyɛ mogya mu nhwehwɛmu ara pɛ. Biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho.

1. Wɔma wotena nkongua so na wɔka kyerɛ wo sɛ tene wo nsa.

2. Afei, wɔde rɔba (tourniquet) bi kyekyere wo nsa atifi denneennen, na ɛma ntini no da adi.

3. Fa nsa a wɔde hyɛ mu hohoro baabi a wɔde ade no bɛhyɛ mu no.

4. Afei, wɔde ade ketewaa bi hyɛ ntini no mu na wɔboaboa mogya dodow a ɛho hia ano wɔ afiri bi mu.

5. Sɛ wɔtwe mogya no wie a, woyi rɔba no, woyi ade no, na wɔde kotoku bi si beae no na mia so kakra. Afei wɔde plaster ketewaa bi gu beae no so.

Nnipa dodow no ara nte nka sɛ wɔn ho nyɛ wɔn dɛ bere a wɔatwe wɔn mogya awie no. Nanso, ebia nnipa binom bɛte nka sɛ wɔn adwene mu yɛ wɔn naa kakra anaasɛ wɔn ani nhu ade yiye. Sɛ eyi ba a, tena ase kakra. Sɛ wode wo ti si fam wɔ wo nkotodwe ntam anaasɛ wobɛnom nsu bi a, ebetumi aboa.

Ebia akuru kakra bɛba baabi a wɔtwe mogya no nnansa kosi nnansa. Eyi yɛ ade a ɛfata.

Mete nea afi amanneɛbɔ no mu aba no ase dɛn?

Wɔbɔ nea efii Apo B-100 sɔhwɛ no mu bae no ho amanneɛ wɔ miligram wɔ deciliter biara mu (mg/dL). Saa pon yi bɛboa wo ma woate nea afi mu aba no ase.

Nea ɛho hia: Koma ho animdefo binom akwankyerɛ kamfo kyerɛ sɛ nnipa a wɔadi fi mfe 40 kosi 75 a wɔrenom nnuru a ɛtew srade so (statins) dedaw no de si wɔn ani so sɛ wɔbɛma Apo B dodow akɔ so ayɛ nea ɛba fam sen 65 mg/dL anaa 80 mg/dL . Wo ne wo duruyɛfo nka eyi ho asɛm.

Nneɛma afoforo a ebetumi ama nsakrae aba Apo B dodow mu

Wɔ asiane a ɛwɔ hɔ sɛ obi benya komayare akyi no, tebea afoforo bi nso betumi ama Apo B dodow akɔ soro anaasɛ akɔ fam.

Sɛ Apo B dodow kɔ soro a, dɛn na ɛsɛ sɛ woyɛ akyi?

Sɛ wo Apo B level no kɔ soro a, mma wo ho nnyɛ wo hu. Ɛkyerɛ sɛ wowɔ asiane mu na ɛsɛ sɛ wɔhwɛ wo so. Afotu a wɔde ma wɔ ha no ne nea oduruyɛfo taa de ma bere a wo srade bɔne (LDL) dɔɔso no yɛ pɛ.

Wɔne:

• Apɔw-mu-teɛteɛ: Anyɛ yiye koraa no, teɛteɛ w’apɔw mu simma 30 da biara. Wubetumi ayɛ biribi te sɛ nantew a ɛyɛ ntɛmntɛm, mmirikatu, anaa sakre so a wobɛtra.
• Adidi pa: Di aduan a nnuaba ne nhabannuru pii wom. To nnuan a ngo pii wom, nnuan a wɔayam, nnuan a wɔayɛ, ne mmoa srade (srade a ɛyɛ den) ano hye.
• Wo mu duru a wobɛkɔ so akura mu: Bɔ mmɔden sɛ wobɛma wo mu duru a ɛfata ama wo tenten.
• Kwati sigaretnom: Sɛ wonom sigaret a, ɛho hia sɛ wugyae koraa.
• Nnuru: Ɛtɔ mmere bi a, asetra mu nsakrae nkutoo nnɔɔso. Wɔ tebea horow a ɛtete saa mu no, wo duruyɛfo betumi akyerɛw wo aduru bi a ɛtew srade so te sɛ statin .

Ansa na wubefi eyinom mu biara ase no, ɛho hia yiye sɛ wo ne wo duruyɛfo bɔ nea efi mu ba ne anammɔn a edi hɔ a ɛsɛ sɛ woyɛ ho nkɔmmɔ yiye.