Sɛ wote asɛmfua "cholesterol" a, dɛn na ɛba w'adwenem? Mpɛn pii no, ɛyɛ yare a ɛka nnipa a wɔn mfe akɔ anim ne wɔn a wɔn mu duru boro so kakra, ɛnte saa? Nanso ebia ɛbɛyɛ wo nwonwa sɛ wubehu sɛ aberante a wadi mfe 20 mpo betumi anya komayare a emu yɛ den. Nokwarem no, srade a ɛkɔ soro wɔ ne mmofraase no yɛ aniberesɛm sen sɛnea yesusuw, na nnipa pii nnim ho hwee. Ɛnnɛ, yɛrebɛka saa asɛmti a yɛnhwɛ kwan yi ho asɛm, nanso ɛho hia paa.
Brandon Wilson nyaa ne komayare a edi kan bere a na wadi mfe 29 no. Da bi, ɔtee yaw kɛse wɔ ne koko mu. Ne maame ne n’adamfo paa de no kɔɔ ayaresabea hɔ ntɛmpɛ dan (ETU). Nanso mfiase no, na nnuruyɛfo ntumi nnye nni sɛ obi a ɔyɛ abofra saa betumi anya komayare. Akyiri yi, nhwehwɛmu daa no adi sɛ Brandon asiw mogya ntini atitiriw a ɛde mogya kɔ ne koma mu no biako mu 99%. Ná ɔwɔ awosu mu yare bi a wɔfrɛ no srade a ɛkɔ soro. Saa asɛm yi ma yehu sɛ srade a ɛwɔ nipadua mu no nyɛ mfe a obi adi kɛkɛ.
Dɛn ne srade a ɛwɔ mogya mu? Dɛn nti na ɛho hia mmabun?
Sɛ yɛbɛka no tiawa a, srade yɛ srade bi a ɛho hia na ama nkwammoaa a ɛwɔ yɛn nipadua mu anyin na ama yɛayɛ hormone ahorow bi. Nanso ɔhaw ahorow sɔre bere a ɛdɔɔso dodo no.
Sɛ yɛka srade ho asɛm a, na yɛreka ahorow atitiriw abien ho asɛm, ɛnte saa?
- LDL (Low-Density Lipoprotein) Cholesterol: Eyi ne nea yɛfrɛ no srade "bɔne". Sɛ ɛkɔ soro a, ebetumi ayɛ kɛse wɔ yɛn mogya ntini no afasu so, na ayɛ teateaa na asiw ano. Eyi ne ade titiriw a ɛde nyarewa te sɛ komayare ne akisikuru ba.
- HDL (High-Density Lipoprotein) Cholesterol: Eyi ne nea yɛfrɛ no srade "pa". Nea enti a ɛte saa ne sɛ ɛde srade bɔne a ɛboro so fi mogya ntini mu kɔ mmerɛbo no mu na eyi fi nipadua no mu. Enti, sɛ obi nya HDL dodow a ɛkɔ soro a, eye ma koma no.
Mmabun pii susuw sɛ bere a wɔanyin a, ɛsɛ sɛ wɔhaw wɔn ho wɔ srade a ɛwɔ mogya mu ho. Nanso ɛno yɛ mfomso kɛse. Ɔhaw titiriw ne sɛ sɛ wo srade dodow dɔɔso mpo a, ebia ɛrenna sɛnkyerɛnne biara adi bere a woyɛ abofra no. Ɛno kyerɛ sɛ wubetumi asɛe nneɛma pii afi mu a ɔhaw biara nni ho.
Asiane a ɛwɔ srade a wonya fi awo mu - Abusua mu srade a ɛkɔ soro (FH) .
Mpɛn pii no, srade a ɛwɔ mogya mu no kɔ soro esiane asetra mu mfomso te sɛ aduan a yedi ne apɔw-mu-teɛteɛ a yɛnyɛ nti. Nanso, Familial Hypercholesterolemia, anaa FH tiawa mu no yɛ tebea foforo.
FH yɛ tebea a awosu mu sintɔ bi na ɛde ba. Eyi kyerɛ sɛ wɔde fi awo ntoatoaso so kɔ awo ntoatoaso so, fi awofo so kɔ mmofra so. Nnipa a wɔwɔ saa tebea yi wɔ tebea bi a wɔn nipadua ntumi nyi LDL srade bɔne mfi wɔn mogya mu yiye. Ne saa nti, wɔn LDL dodow kɔ soro yiye fi awo mu.
Wobu akontaa sɛ nnipa 250 biara a wɔwɔ wiase no mu bɛyɛ biako na ɔwɔ FH. Nanso awerɛhosɛm ne sɛ, saa nnipa yi mu dodow no ara nnim sɛ wɔwɔ tebea no.
| Su | Cholesterol dodow a ɛkɔ soro a ɛfata | Abusua mu mogya mu srade a ɛkɔ soro (FH) . |
|---|---|---|
| Sɛnti | Titiriw asetra kwan (aduan a wodi, apɔw-mu-teɛteɛ a wɔnyɛ, sigaretnom, kɛseyɛ mmoroso) . | Awosu mu sintɔ a wɔde ma awo ntoatoaso ahorow. |
| LDL ("bɔne") dodow a ɛwɔ nipadua no mu | Ɔpanyin dodow nnu 190 mg/dL. | Ɛkɔ soro yiye fi awo mu (ɛtaa boro 190 mg/dL wɔ ɔpanyin mu). |
| Ayaresa | Mpɛn pii no, wobetumi de asetra mu nsakrae adi so. Sɛ ɛho hia a, wɔde nnuru ma. | Asetra mu nsakrae nkutoo nnɔɔso. Akyinnye biara nni ho sɛ nnuru a wɔnom (e.g. statins) ho hia. |
| Abusua nkɛntɛnso | Ebia abusua mufo nso betumi anya asiane no, nanso ɛnyɛ awosu mu nneɛma a wonya fi awo mu tẽẽ. | Abusua mufoɔ a wɔbɛn wɔn (awofoɔ, anuanom, mmofra) wɔ asiane 50%. |
Bere bɛn na ɛsɛ sɛ wohwɛ sɛnea srade a ɛwɔ wo mogya mu no te?
Eyi yɛ asɛmmisa a ɛho hia yiye, efisɛ sɛnkyerɛnne biara nni hɔ, na nhwehwɛmu nkutoo na wobetumi ahu eyi.
Nnuruyɛfo taa kamfo kyerɛ sɛ:
- Wɔ mmofra fam: Wɔkamfo kyerɛ sɛ wɔnyɛ nhwehwɛmu a edi kan bere a wɔadi mfe 9 kosi 11. Ɛno akyi no, wɔyɛ nhwehwɛmu bɛyɛ mfe 5 biara. Nanso sɛ obi a ɔwɔ abusua no mu anya komayare wɔ ne mmofraase anaasɛ ne srade dɔɔso a, oduruyɛfo no betumi akamfo akyerɛ sɛ ɔnhwɛ sɛnea wo ba no srade srade dɔɔso wɔ ne mfe 2 pɛ mu .
- Wɔ mmerante ne mmabaa a wɔadu mpanyin afe so fam no: Ɛyɛ adwene pa sɛ anyɛ yiye koraa no, wobɛhwɛ wo srade mu srade mfe 5 biara wɔ mfe 20 akyi. Bere a worenyin (wɔ mfe 55 akyi wɔ mmea fam, wɔ mfe 45 akyi wɔ mmarima fam) no, ɛsɛ sɛ wɔyɛ nhwehwɛmu ahorow yi mpɛn pii.
Nea ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho na woayɛ nhwehwɛmu sɛnea ɔkamfo kyerɛ no. Mfa no kɛkɛ sɛ, "Ebia minni srade a ɛdɔɔso."
Sɛ wowɔ FH a, so asetra mu nsakrae nkutoo nnɔɔso?
Eyi ne nsonsonoe kɛse a ɛda FH ne srade dodow a ɛfata ntam. Wokae Brandon asɛm a yɛadi kan aka ho asɛm kyerɛɛ wo no? Wohuu sɛ ɔwɔ FH bere a na wadi mfe 8 no. Efi saa bere no, ne maame maa no aduan a ahoɔden wom a srade nnim. Ná ɔbɔ agumadi, na ɔyɛ nnam. Ɔyɛɛ biribiara "teɛ." Wɔ ne mfe 20 mu no, oduruyɛfo bi de aduru bi a ɛma mogya mu srade so tew (statin) maa no.
Nanso ɛno mpo no, onyaa komayare bere a na wadi mfe 29 no.
Dɛn na eyi kyerɛ?
Aduan pa ne apɔw-mu-teɛteɛ ho hia kɛse ma obi a ɔwɔ FH. Nanso saa nneɛma no nkutoo ntumi nni srade dodow so da. Efisɛ ɔhaw no nni asetra kwan mu, na mmom awosu mu nkwaadɔm mu. Enti, akyinnye biara nni ho sɛ ɛsɛ sɛ obi a ɔwɔ FH nom nnuru biako anaa nea ɛboro saa a ɛtew srade so wɔ ne nkwa nna nyinaa mu .
"Yɛmpɛ sɛ yɛbɛhwere nnipa wɔ FH mu efisɛ yɛwɔ ayaresa a yehia nnɛ nyinaa. Nea ɛsɛ sɛ yɛyɛ ara ne sɛ yebehu no ntɛm, wɔ mmofraase."
So me nso metumi anya FH? Meyɛ dɛn hu?
Sɛ obi a ɔwɔ w’abusua mu (awofo, anuanom, nananom) anya komayare anaasɛ akisikuru wɔ ne mmofraase (mmarima a wonnii mfe 55, mmea a wonnii mfe 65) , ɛno yɛ asiane titiriw.
Afei nso, sɛ wo srade mu srade nhwehwɛmu amanneɛbɔ kyerɛ sɛ LDL dodow boro 190 mg/dL (anaasɛ ɛboro 160 mg/dL wɔ abofra mu) a, ebetumi ayɛ FH ho sɛnkyerɛnne a emu yɛ den.
Sɛ wususuw sɛ wowɔ asiane mu a, nneɛma kakraa bi wɔ hɔ a wubetumi ayɛ:
1. Kɔ oduruyɛfo nkyɛn ntɛm ara: Ma w’abusua akwahosan ho abakɔsɛm nkyerɛ wo duruyɛfo no pefee.
2. Bisa w’abusua: Bisa w’abusuafo srade ne komayare ho asɛm.
3. 3. .Kɔ oduruyɛfo titiriw nkyɛn: Sɛ ɛho hia a, wo duruyɛfo de wo bɛkɔ koma ho oduruyɛfo nkyɛn.
4. Ka w’abusua amanneɛ: Sɛ wohu sɛ wowɔ FH a, ɛyɛ 50% sɛ w’awofo, wo nuanom, ne wo mma nso benya bi. Enti, ɛho hia yiye sɛ wɔma wɔyɛ obiara sɔhwɛ .
Mprempren Brandon ne ne mma baanum no te anigye mu. Wɔahu sɛ ne babea nso anya FH. Nanso Brandon se, "Minim sɛ me babea rennya ɔhaw biara." Efisɛ seesei wonim nea yare no yɛ ne nea ɛsɛ sɛ wɔyɛ wɔ ho. Sɛ wohu no ntɛm na wɔsa no yare yiye a, ebetumi agye obi nkwa.
Nkrasɛm a Wɔde Kɔ Fie
- Ɛnyɛ wɔn a wɔn mfe akɔ anim nkutoo na srade a ɛwɔ mogya mu no yɛ ɔhaw. Mmabun ne mmofra nso wɔ asiane mu.
- Hwehwɛ sɛ ebia obi a ɔwɔ w’abusua mu anya komayare wɔ ne mmofraase anaa. Ɛno yɛ nsɛm a ɛho hia paa.
- Sɛ wunni yare no ho sɛnkyerɛnne biara mpo a, hwɛ wo ne wo mma srade dodow mu bere ne bere mu sɛnea wo duruyɛfo kyerɛ no.
- Sɛ wowɔ FH a wonya fi awo mu a, ɛnyɛ nea ɛdɔɔso sɛ wubedidi yiye na woateɛteɛ w’apɔw mu kɛkɛ. Ɛsɛ sɛ wonom nnuru nso wo nkwa nna nyinaa.
- Sɛ wohu yare no ntɛm na wɔsa no yiye a, wubetumi akwati nsɛnnennen a anibere wom a srade a ɛwɔ mogya mu de ba no na woabɔ bra pa. FH nyɛ owu tumi krataa.
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