So wo nso wowɔ srade a ɛdɔɔso? So ɛsɛ sɛ wonom nnuru? (High Cholesterol) Momma yɛnkasa!

So wo mogya mu nhwehwɛmu daa no adi sɛ srade a ɛwɔ wo mu no dɔɔso? Ɛbɛyɛ sɛ bere a wuhui no, ehu kaa wo kakra. Ebia wususuwii sɛ, ‘Oo, afei de ɛsɛ sɛ menom nnuru me nkwa nna nyinaa?’ Nanso mma ɛnhaw wo. Ɛnyɛ obiara a wohu sɛ ɔwɔ srade a ɛdɔɔso no na ɛsɛ sɛ ofi ase nom nnuru ntɛm ara. Ɛtɔ mmere bi a, wobetumi adi tebea no so denam aduan pa ne apɔw-mu-teɛteɛ kɛkɛ so. Sɛ́ wuhia nnuru anaasɛ wunhia no gyina w’akwahosan nyinaa ne asiane a ɛwɔ hɔ sɛ wubenya komayare so.

Dɛn ankasa ne srade a ɛwɔ mogya mu?

Sɛ yɛbɛka no tiawa a, srade yɛ ade a ɛyɛ waxy, srade a ɛwɔ yɛn mogya mu. Ɛho hia ma nneɛma pii a ɛwɔ yɛn nipadua mu, a nea ɛka ho ne nkwammoaa a wɔkyekye ne hormone ahorow a wɔyɛ. Nanso ɔhaw no fi ase bere a srade dodow yi kɔ soro dodo no.

Sɛ eyi ba a, srade a ɛboro so yi fi ase boaboa ano wɔ yɛn mogya ntini no afasu mu. Ɛte sɛ nkannare a ɛreyɛ ayɛ kɛse wɔ nsu paipu mu. Bere kɔ so no, saa nneɛma a ɛwɔ hɔ yi (yɛfrɛ no `plaque`) ma mogya ntini no mu yɛ teateaa na ɛyɛ den. Afei eyi ma mogya nkɔ koma ne amemene no mu. Ɛtɔ mmere bi a, mogya a ɛtɔ gu saa nneɛma yi so, na ebetumi abubu na ama obi anya komayare anaa akisikuru.

So srade ahorow bi wɔ hɔ?

Yiw, srade ahorow abien titiriw na yɛreka ho asɛm ne srade foforo a ɛho hia.

• LDL (Low-Density Lipoprotein): Eyi ne nea yɛfrɛ no “srade bɔne.” Sɛ saa dodow yi kɔ soro a, ebetumi ayɛ kɛse wɔ mogya ntini no mu na ɛde asiane ahorow a yɛadi kan aka ho asɛm no aba.
• HDL (High-Density Lipoprotein): Yɛfrɛ eyi sɛ “srade pa.” Eyi te saa efisɛ saa HDL nketenkete yi yi LDL srade bɔne fi ntini ahorow no mu na ɛsan de kɔ mmerɛbo no mu. Enti, dodow a HDL dodow kɔ soro no, dodow no ara na eye ma yɛn.
• Triglycerides: Eyi yɛ srade foforo a ɛwɔ mogya mu. Eyi ne ɔkwan a yɛfa so sie calories a ɛboro so a yedi no sɛ ahoɔden. Eyinom dodow a ɛkɔ soro nso nyɛ papa mma mogya ntini ahorow.

Dɛn ne srade dodow a ɛma apɔwmuden?

Fa eyinom toto gyinapɛn ahorow a ɛwɔ wo mogya amanneɛbɔ mu (`Lipid Profile` amanneɛbɔ) ho. Eyinom yɛ dodow a wɔtaa bu no sɛ ɛyɛ apɔwmuden.

Dɛn ne nneɛma atitiriw a ɛde srade a ɛdɔɔso ba?

Wobetumi akyekyɛ srade tebea horow a ɛdɔɔso mu ayɛ no ahorow atitiriw abien a egyina nea ɛde ba so.

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

Eyi yɛ awosu mu tebea. Ɛne sɛ, wonya fi awofo hɔ ma mmofra. Ebia saa nkurɔfo yi wɔ LDL srade a ɛkɔ soro yiye fi wɔn mmofraase . Eyi de wɔn to asiane mu sɛ wobenya komayare wɔ wɔn mmofraase.

Ayaresa: Ɛwom sɛ asetra mu nsakrae (aduan a srade nnim, apɔw-mu-teɛteɛ) ho hia ma nnipa a wɔwɔ saa tebea yi de, nanso mpɛn pii no ɛho hia sɛ wɔnom nnuru . Nnuru kuw a wɔtaa de di dwuma ne `Statins`.

2. Cholesterol a ɛdɔɔso a asetra kwan ne nyarewa afoforo de ba (Secondary High Cholesterol) .

Eyi ne ɔkwan a wɔtaa de di dwuma. Ɛde ba ne sɛ:

• Nnuan a wɔayɛ no foforo pii a srade a ɛyɛ dɛ ne trans srade pii wom a wobedi.
• Apɔw-mu-teɛteɛ a wɔnyɛ ne asetra kwan a wɔtra ase.
• Asikyireyareɛ.
• Nsã a wɔnom boro so.
• Asaabo mu Yare a Enni Sabea.
• Thyroid dwumadi a ɛso tew (Hypothyroidism).
• Nnuru bi (e.g. steroids).

Ayaresa: Nnuruyɛfo di kan tu nnipa a wɔte sɛɛ fo sɛ wɔmmɔ mmɔden sɛ wobedi wɔn srade a ɛwɔ wɔn mu no so a wɔmfa nnuru nni dwuma denam asetra mu nsakrae a wɔbɛyɛ so . Eyi kyerɛ sɛ wobɛdan akɔ aduan a ahoɔden wom so, wobɛteɛteɛ w’apɔw mu daa , sɛ wo mu duru boro so a wubegyae sigaretnom, na sɛ wo mu duru boro so a, wobɛtew wo mu duru so. Sɛ saa nneɛma yi amma wo srade a ɛwɔ wo mu no antumi anhyɛ wo so a, nnuru ne ade a edi hɔ a ɛsɛ sɛ woyɛ.

Ɔkwan bɛn so na oduruyɛfo no si gyinae sɛ ɔbɛkyerɛw nnuru ama obi anaasɛ ɔrenkyerɛw?

Ade a ɛho hia ni. Wo duruyɛfo no nhwɛ akontaabu a ɛwɔ wo srade ho amanneɛbɔ so kɛkɛ na osi gyinae. Ɔbɛyɛ wo koma mu asiane nyinaa ho nhwehwɛmu a edi mũ . Sɛnea ɛbɛyɛ na wɔabu asiane yi ho akontaa no, wobesusuw nneɛma pii ho, a nea ɛka ho ne:

• Wo srade, LDL, ne HDL dodow nyinaa
• Mogya Nhyɛso
• Mfeɛ
• Ɔbea/mmarimayɛ
• Sɛ́ ebia wonom sigaret anaasɛ wonnom no
• Sɛ́ ebia wowɔ asikreyare anaa
• Sɛ́ ebia obi a ɔwɔ w’abusua mu anya komayare wɔ ne mmofraase (Abusua Abakɔsɛm) .

Wɔde eyinom nyinaa bom de bu asiane a ɛwɔ hɔ sɛ wubenya biribi te sɛ komayare wɔ mfe 10 a edi hɔ no mu no ho akontaa. Gyinae a wosi sɛ wobefi ase anom nnuru anaasɛ wɔremfa nni dwuma no gyina asiane dodow yi so kɛse.

Sɛ nhwɛso no, sɛ wo LDL dodow kɔ soro kakra, nanso biribiara a aka no wɔ tebea pa mu (wonnom sigaret, wo mu duru yɛ papa, na wunni mogya mmoroso) a, ebia wobetu wo fo sɛ yɛ nsakrae wɔ w’asetra mu a wunhia nnuru.

Na sɛ wunnim asiane a ɛwɔ mu no nso ɛ?

Ɛtɔ mmere bi a asiane dodow a wowɔ no betumi ayɛ nea ɛda ntam. Ɛno kyerɛ sɛ asiane a wowɔ no sua dodo na ɛnyɛ kɛse dodo. Wɔ tebea horow a ɛtete saa mu no, sɔhwɛ afoforo pii wɔ hɔ a ebetumi aboa wo ma woasi gyinae sɛ ebia wubefi ase anom nnuru anaasɛ worenfi ase. Ebia wo duruyɛfo bɛkamfo eyinom akyerɛ sɛ ɛho hia a.

• Coronary Calcium Scan: Eyi yɛ CT scan titiriw bi. Ɛhwehwɛ calcium a ɛwɔ ahrawa mu ntini a ɛde mogya kɔ koma no mu no mu. Sɛ nneɛma bi wɔ hɔ a, ɛkyerɛ sɛ mogya ntini no mu atew kakra, na asiane a ɛwɔ hɔ sɛ obi benya komayare no dɔɔso sen sɛnea na wɔhwɛ kwan.
• CRP a ɛma obi te nka kɛse (hs-CRP): Eyi yɛ mogya mu nhwehwɛmu. Ɛsusuw ɔfe a ɛyɛ anifere koraa wɔ nipadua no mu. Sɛ saa bo yi dɔɔso a, ɛkyerɛ nso sɛ asiane a ɛwɔ hɔ sɛ obi benya komayare no akɔ soro.

Sɛ wunya nea efi sɔhwɛ ahorow yi mu ba no so a, wubetumi ahu no pɛpɛɛpɛ sɛ ebia wubenya mfaso kɛse sɛ wubefi ase anom nnuru, anaasɛ sɛ ebia asetra mu nsakrae dɔɔso anaa.