So woasan ahwɛ nea efii wo mogya mu nhwehwɛmu mu bae na woahu sɛ wo srade a ɛwɔ wo mogya mu no dɔɔso dodo pɛn? Anaasɛ ebia wo duruyɛfo aka sɛ, “Wo srade ‘bɔne’ no akɔ soro kakra, na ɛsɛ sɛ wudi so”? Akyinnye biara nni ho sɛ ɛnyɛ wo nkutoo —eyi yɛ osuahu a nnipa pii abu so yiye. Ɛnnɛ, wɔ Nirogi Lanka , yɛrebɛka Hypercholesterolemia ho asɛm. Sɛ yɛbɛka no tiawa a, tebea yi kyerɛ sɛ srade “bɔne” a ɛwɔ wo nipadua mu—a wonim no sɛ Low-Density Lipoprotein (LDL)—no akɔ soro asen nea ɛfata.
Dɛn ankasa ne Hypercholesterolemia? Momma yɛnbubu mu!
Sɛ yɛbɛka no pɛpɛɛpɛ a, Hypercholesterolemia yɛ srade mu yare bi a LDL srade dodow a ɛwɔ wo mogya mu no kɔ soro wɔ ɔkwan a ɛyɛ hu so. Fa no sɛ LDL yɛ srade a ɛboro so a ɛde nkakrankakra boaboa ano wɔ wo ntini ahorow no mu afasu so. Ɛte sɛ sɛnea nkannare boaboa ano wɔ nsu afiri dedaw bi mu no ara pɛ. Wɔfrɛ saa adeyɛ yi wɔ aduruyɛ mu sɛ Atherosclerosis .
Fa no sɛ nsu ho nhama a ɛwɔ wo turo mu no: sɛ nsu a ɛyɛ fĩ boaboa ano wɔ nsu afiri no mu a, esiw nsu a ɛsen no ano. Sɛ srade a ɛwɔ mogya mu no siw mogya ntini mu a , wo mogya no siw kwan kɛse.
Saa Atherosclerosis yi ne nea enti a asiane a ɛwɔ hɔ ma tebea horow a ɛde wo nkwa to asiane mu te sɛ komayare ne akisikuru kɔ soro kɛse no pɛpɛɛpɛ. Nokwarem no, koma ne ntini mu yare ne ade titiriw a ɛde owu ba wɔ wiase nyinaa, na Atherosclerosis ne ade titiriw a ɛde eyi ba.
Dodow bɛn na wobu no sɛ Hypercholesterolemia?
Ebia woresusuw ho sɛ, “Bere bɛn na me srade dodow dan Hypercholesterolemia wɔ aban kwan so?” Ɛnyɛ wo LDL nɔma a wobɛhwɛ nkutoo so na wo duruyɛfo no hu eyi, na mmom denam kari a ɔde toto nneɛma afoforo a ɛde koma ne ntini mu yare ho ba no so.
Mpɛn pii no, eyinom ne ahwehwɛde ahorow a wobu LDL srade sɛ ɛdɔɔso:
- Sɛ wunni asiane foforo biara a , LDL dodow a ɛyɛ 190 mg/dL anaa nea ɛboro saa.
- Sɛ wowɔ asiane titiriw biako a, LDL dodow a ɛboro 160 mg/dL.
- Sɛ wowɔ asiane abien anaa nea ɛboro saa a, LDL dodow a ɛboro 130 mg/dL.
Ɛdenam asiane a ɛwɔ hɔ ma w’ankasa komayare so no, nnuruyɛfo betumi akamfo akyerɛ sɛ ma wo LDL srade dodow nkɔ fam te sɛ 116 mg/dL anaasɛ ɛnsɛ sɛ 70 mg/dL mpo.
Enti, dɛn ne asiane ahorow yi?
Sɛ wowɔ nea edidi so yi a, asiane a ɛwɔ hɔ sɛ wubenya komayare no yɛ kɛse:
- Mfe: Asiane no kɔ soro bere a worenyin no.
- Mogya mmoroso : Mogya mmoroso a obi wɔ .
- Abusua Abakɔsɛm : Sɛ abusua muni bi a ɔbɛn no nyaa komayare a Atherosclerosis de bae wɔ ne mmofraase a.
- Asikreyare : Asikreyare a Wɔde Tena Ase .
- HDL a ɛba fam: High-Density Lipoprotein, anaa srade “pa” a ɛba fam.
So Hypercholesterolemia ne Hyperlipidemia yɛ ade koro?
Dabi, ɛsono wɔn kakra. Hypercholesterolemia yɛ ɔkwan pɔtee biako pɛ wɔ Hyperlipidemia kuw a ɛtrɛw no ase . Wɔ Hypercholesterolemia mu no, yɛde yɛn adwene si LDL (srade bɔne) a ɛkɔ soro so titiriw. Nanso, Hyperlipidemia kata srade (srade) biara a ɛkɔ soro wɔ mogya no mu, na ɛnyɛ LDL nkutoo.
Hena na ɔwɔ asiane mu kɛse?
Ɛda adi sɛ wubenya LDL srade pii sɛ:
- Wɔadi boro mfe 40.
- Wɔyɛ Asia Kesee Famfo, Filipinofo, anaa Vietnamfo abusua mufo.
- So ɔyɛ ɔbea a wagyae brayɛ akyi.
- Wɔyɛ mmea (wɔ tebea horow bi mu).
Hypercholesterolemia abu so dɛn?
Ɛyɛ tebea a abu so yiye ankasa. Akontaabu mu no, ebia nnipa aduonu biara mu biako benya bi. Wɔ United States no, ɛkame ayɛ sɛ mpanyimfo nkyem abiɛsa mu biako bɔ amanneɛ sɛ LDL dɔɔso, na wɔtaa hu wɔ Sri Lanka nso.
Ɛka wo nipadua dɛn?
Sɛnea yɛaka no, Hypercholesterolemia betumi de koma ne ntini mu haw ahorow a emu yɛ den aba, a nea ɛka ho ne:
- Nnwodwoɔ
- Coronary artery disease (a ɛde komayare ba) .
- Peripheral artery disease (nsɛm a ɛfa mogya ntini a ɛma wo nsa ne wo nan ho) .
Dɛn ne sɛnkyerɛnne ahorow no?
Eyi ne ɔfã a asiane wom: Nnipa dodow no ara a wɔwɔ Hypercholesterolemia no nhu sɛnkyerɛnne biara koraa. Ebia wobɛte nka sɛ wo ho ye koraa, nanso wo srade dodow betumi ayɛ kɛse wɔ wo nipadua mu wɔ ɔkwan a asiane wom so.
Nanso, wɔ nsɛm a ɛntaa nsi na emu yɛ den mu no , nnipa binom betumi anya srade kɔkɔɔ a ɛwɔ wɔn honam ani a ɛbɛn aniwa no ase (Xanthelasma). Ebia nneɛma a ɛte saa ara a wɔde asie a wɔfrɛ no Xanthomas bɛpue wɔ ntini anaa nkwaa ho. Wɔ tebea horow a ɛntaa nsi mu no, ebia wubehu nkaa fitaa bi a atwa aniwa no ani (Corneal arcus) ho ahyia. Saa honam fam sɛnkyerɛnne ahorow yi ntaa mma koraa.
Dɛn na ɛde Hypercholesterolemia ba?
Nneɛma pii di dwuma:
- Awosu: Nnipa binom nya saa tebea yi a wɔfrɛ no Familial Hypercholesterolemia .
- Aduane: Srade a ɛyɛ den ne trans a ɛdɔɔso a wobɛdi (sɛ nhwɛso no, nnuan a wɔayam, nnuan a wɔayɛ no foforo, nam bi, ne nneɛma a wɔde yɛ paanoo).
- Apɔw-mu-teɛteɛ a wonnya: Abrabɔ a wobɛtra ase a wobɛtra ase.
- Tawa a wɔde di dwuma: Sigaretnom anaa nneɛma foforo a wɔde di dwuma.
- Ayaresa mu tebea afoforo:
- mmerɛbo mu yare a esiw kwan
- Asikreyare a Ɛyɛ Fɛ
- Hypothyroidism (thyroid a ɛnyɛ adwuma) .
- Anorexia nervosa a ɛma obi nya aduan
- Asaabo a entumi nyɛ adwuma yiye
- Nephrotic syndrome a ɛma obi ho kyere no
- Nnuru bi: Ɛtɔ mmere bi a nnuru te sɛ Amiodarone, Rosiglitazone, Cyclosporine, anaa Hydrochlorothiazide betumi ama wo srade dodow akɔ soro.
Ɔkwan bɛn so na wohu sɛ ɛwɔ hɔ?
Wɔ wo nipadua mu nhwehwɛmu afe biara mu no, wo duruyɛfo no bɛtaa:
- Hwɛ w’aduruyɛ ho abakɔsɛm ne w’abusua akwahosan ho nsɛm mu.
- Yɛ nipadua mu nhwehwɛmu.
- Kɔkra sɛ wɔnyɛ Lipid Panel mogya mu nhwehwɛmu, a mpɛn pii no ɛhwehwɛ sɛ wodi mmuada nnɔnhwerew pii.
Sɔhwɛ ahorow bɛn na wɔyɛ?
Sɛ wo duruyɛfo no si so dua sɛ ɛnyɛ tebea horow a ɛwɔ ase na ɛde wo srade a ɛboro so no ba a, ebia ɔbɛhyɛ nyansa sɛ wɔnyɛ awosu mu nhwehwɛmu. Sɛ wohu sɛ wowɔ Abusua mu Cholesterolemia pɔtee a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ w’abusua mufo nso awosu mu nhwehwɛmu.
Ɔkwan bɛn so na wɔsa?
Botae titiriw a ɛwɔ srade a ɛboro so a wɔsa mu ne sɛ ɛbɛtew wo LDL srade dodow so na ama woabɔ wo ho ban afi asiane a ɛwɔ hɔ sɛ wubenya komayare ho.
Wobetumi adi eyi ho dwuma wɔ akwan horow pii so:
- Apɔw-mu-teɛteɛ a ɛkɔ soro: Fa si w’ani so sɛ anyɛ yiye koraa no, wode simma 30 bɛyɛ adwuma da biara da, te sɛ nantew, mmirikatu, anaa asuguare.
- Wo mu duru a wobɛkɔ so akura mu: Mu duru a wubedu ho na woakura mu ma ɛne wo tenten hyia no ho hia.
- Srade a srade wom a wobɛtew so: Tew nnuan a srade pii wom ne srade wom wɔ w’aduan mu.
- Adwennwen a wobedi ho dwuma: Hwehwɛ akwan pa a wobɛfa so agyina da biara da adwennwen ano.
- Nnuru a ɛma mogya mu srade so tew: Nom nnuru a wo duruyɛfo akyerɛw ama wo no bere nyinaa.
- Kwati a wɔkwati tawa ho nneɛma:Sigaretnom a wubegyae no ho hia ma wo koma ne ntini akwahosan.
- Mogya mmoroso ne asikre dodow a ɛwɔ mogya mu a wɔbɛhwɛ so.
- Lipoprotein apheresis: Wɔde asie ma nnipa a emu yɛ den, na wɔde afiri titiriw bi di dwuma de yi lipoprotein a epira fi wo mogya mu ansa na wɔasan de akɔ wo nipadua mu.
Dɛn na ɛsɛ sɛ yedi ne nea ɛsɛ sɛ yɛkwati?
Sɛnea ɛbɛyɛ a wobɛtew wo LDL srade so yiye no, wubetumi de nsakrae a ɛba w’aduan mu yi aka ho:
- To nsa a wobɛnom ano hye: Ɛyɛ papa sɛ wobɛkwati nsa a wobɛnom sɛnea wubetumi biara.
- Fa w’adwene si nnɔbae a wɔayɛ no foforo so: Ma nhabannuru, nhaban momono, nnuaba, ne aburow a wodi no nkɔ soro.
- Kwati nnuan a srade pii wom: Tow nufusu te sɛ kyiisi ne bɔta, nam bi (titiriw nam kɔkɔɔ), ne nnɔkɔnnɔkɔwade a wɔayɛ ho adwuma te sɛ keeki ne bisket ano hye.
Bɔ mmɔden sɛ wode nhabannuru ne nnuaba a ɛyɛ kɔla bɛhyɛ wo prɛte ma. Paw nnuan a wɔanoa, a wɔayam, anaa nea wɔayam sen sɛ wobɛpaw nnuan a wɔayam. Sɛ wode akutu ngo redi dwuma mpo a, sɛnea wɔde nneɛma a ɛfata di dwuma no yɛ ade titiriw a ɛbɛma woadi aduan a ahoɔden wom wɔ Nirogi Lanka.
Nnuru bɛn na wɔde di dwuma?
Ebia wo duruyɛfo bɛkyerɛw nnuru ahorow pii a wode bɛsa hypercholesterolemia:
- Statins: Eyinom ne nnuru a wɔtaa kyerɛw ma.
- Nnuru a esiw PCSK9 ano.
- Ezetimibe na ɔkyerɛwee.
- Bile acid a wɔde hyɛ nneɛma mu.
- Niacin a wɔde yɛ nnuru.
- Bempedoic acid a wɔde yɛ aduru.
Wɔ wɔn a wɔwɔ Family Hypercholesterolemia fam no, nnuruyɛfo betumi akyerɛw ayaresa titiriw foforo nso ama wɔn.
So nsunsuanso bɔne bi wɔ ayaresa mu?
Te sɛ nnuru biara no, nnuru a ɛma mogya mu srade so tew betumi de ɔhaw ahorow aba. Nanso, mpɛn pii no, akwahosan mu mfaso horow no boro asiane ahorow yi so koraa, na mpɛn pii no, wotumi di nea efi mu ba no ho dwuma.
Ebia nneɛma bɔne a ɛtaa ba no bi ne:
- Akisikuru anaa akisikuru.
- Ntini anaa nkwaa mu yaw.
- Yafunu mu a ɛyɛ yaw.
- Ti a ɛyɛ yaw.
Nea ɛho hia sen biara no, sɛ wunya ɔhaw biara a, ka kyerɛ wo duruyɛfo ntɛm ara. Wobetumi ayɛ nsakrae wɔ wo dodow mu anaasɛ wɔbɛsakra wo akɔ aduru foforo a ɛfata wo so.
Ɛrenkyɛ dɛn na metumi ahwɛ nea ebefi mu aba kwan?
Sɛ wufi w’ayaresa ase wie a, ɛda adi sɛ wo duruyɛfo no bɛsan ayɛ lipid panel wɔ adapɛn 8 kosi 12 akyi de ahwɛ sɛnea wo srade dodow no ayɛ ho biribi. Ebia wobegyina nea afi mu aba yi so ayɛ nsakrae wɔ nnuru a wode di dwuma mu, asesa nnuru a wɔakyerɛw ama wo, anaasɛ wɔde aduru a wɔaka abom aka ho na aboa wo ma woadu wo botae ahorow ho.
Mɛyɛ dɛn atumi atew asiane a ɛwɔ hɔ no so?
Wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya nsɛnnennen a ɛne srade a ɛdɔɔso wɔ mogya mu no so denam asetra a ɛfata a wobɛfa so:
- Yɛ apɔw-mu-teɛteɛ daa.
- Kura mu duru a ɛfata mu.
- Paw aduan a ɛma koma nya ahoɔden.
- Kwati nneɛma a wɔde tawa yɛ.
Saa suban ahorow yi boa ma wobɔ wo ho ban ɛnyɛ srade a ɛdɔɔso nko ho, na mmom fi tebea afoforo pii a enni sabea nso ho.
Sɛ mewɔ hypercholesterolemia a, dɛn na ɛba?
Sɛ wohu sɛ wowɔ LDL srade pii a, ɛyɛ ɔkwan a wɔfa so di ho dwuma wɔ wo nkwa nna nyinaa mu. Nanso, mma w’abam mmu. Sɛ wode suban pa ka wo da biara da dwumadi ho wie a, ɛbɛyɛ w’asetra fã a ɛyɛ awosu mmom sen sɛ ɛbɛyɛ wo dadwen bere nyinaa.
Fi ase fa anammɔn nketenkete a ɛbɛkɔ so atra hɔ daa so. Sɛ nhwɛso no, nya aduan a nam nnim pɛnkoro dapɛn biara, anaa nantew bere tiaa bi bere a woadidi anwummere no. Sɛ woretotɔ nneɛma a, fa nneɛma a srade a ɛyɛ dɛ ne trans mu srade nnim di kan. Sɔ nhabannuru foforo anaa nhaban momono a wonsɔ nhwɛe da hwɛ na ama w’aduan ayɛ anigye na ahoɔden wom.
Dɛn ne bere tenten mu anidaso?
Sɛ wɔansa a, mogya mu srade a ɛboro so no betumi ama woanya ntini mu yare (ntini a ɛyɛ teateaa), na ɛma asiane a ɛwɔ hɔ sɛ wubenya komayare anaa akisikuru no yɛ kɛse.
Nanso, ɛdenam asetra kwan a ɛfata a wobɛfa so ne nnuru a ɛho hia a wobɛnom de asiw wo LDL srade so no so no, wubetumi atew asiane a ɛwɔ hɔ no so kɛse. Aduruyɛ mu nhwehwɛmu pii kyerɛ sɛ ankorankoro a wɔhwɛ wɔn srade dodow so yiye no kura akwahosan pa a ɛtra hɔ kyɛ.
Mɛyɛ dɛn ahwɛ me ho?
Esiane sɛ srade a wɔde di dwuma no yɛ wo nkwa nna nyinaa bɔhyɛ nti, ɛsɛ sɛ wokɔ so ne w’asetra mu nsakrae hyia na wudi nnuru a wɔakyerɛw ama wo no so pɛpɛɛpɛ.
Ma eyinom ntra w’adwenem:
- Fa apɔw-mu-teɛteɛ nna dodow no ara wɔ dapɛn no mu.
- Kwati tawa ho nneɛma nyinaa koraa.
- Twe wo ho fi nnuan a srade a ɛyɛ dɛ anaa trans srade pii wom ho.
Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?
Mma nnhuw wo bere a wode bedi akyi no so da. Ɛsɛ sɛ wo duruyɛfo hwɛ:
- Sɛ wo nnuru a ɛma mogya mu srade so tew no reyɛ adwuma yiye a.
- Sɛ worehyia nsunsuanso bɔne biara a.
- Ayaresa nhyehyɛe a wɔkamfo kyerɛ a wodi so.
Sɛ wunya ɔhaw ahorow a emu yɛ den a, wo duruyɛfo betumi ayɛ nsakrae wɔ w’ayaresa no mu dwoodwoo. Nhwehwɛmu a wobɛkɔ akɔhwɛ wo daa nso ho hia na ama woahwɛ ahu sɛ wo srade a ɛwɔ wo mu no bɛkɔ so ayɛ nea ahobammɔ wom na ɛyɛ papa.
Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?
Mma ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo nsɛm yi wɔ wo nsrahwɛ no mu:
- “Apɔw-mu-teɛteɛ ahorow bɛn na eye ma me na ama me mogya mu srade so atew?”
- “So wubetumi akamfo nhyehyɛe bi a ɛbɛboa me ma magyae sigaretnom?”
- “So wubetumi de me akɔma aduan ho ɔbenfo bi ma waboa me ma mayɛ m’aduan pa ho nhyehyɛe no yiye?”
Sɛ wowɔ LDL srade pii a, ɛnkyerɛ sɛ wo nkutoo na wowɔ hɔ; ɛyɛ tebea a abu so yiye. Wo duruyɛfo ne wo hokafo a oye sen biara wɔ sɛnea wubedu wo botae ahorow ho no mu. Sɛ asetra mu nsakrae nkutoo nnɔɔso a, kae sɛ worekɔka afoforo ɔpepem pii a wɔnam nnuru so di wɔn akwahosan ho dwuma yiye no ho. Wɔ Nirogi Lanka no, yɛwɔ ha sɛ yɛbɛboa w’akwantuo a ɛkɔ yiedie mu.
Nkrasɛm a wɔde kɔ baabiara
Sɛ yɛbɛbɔ no mua a, nsɛntitiriw a ɛho hia sen biara a ɛsɛ sɛ yɛma ɛtra yɛn adwenem ni:
- Hypercholesterolemia ba bere a wo mogya mu srade bɔne (LDL) dodow kɔ soro dodo no. Eyi ma asiane a ɛwɔ hɔ sɛ wubenya komayare ne akisikuru no yɛ kɛse.
- Mpɛn pii no, saa tebea yi nkyerɛ sɛnkyerɛnne biara koraa. Eyi nti nhyehyɛe a wobɛyɛ ama wo mogya mu nhwehwɛmu daa no ho hia ma w’akwahosan no.
- Wubetumi adi tebea yi ho dwuma yiye denam asetra mu nsakrae pa so —te sɛ aduan a ɛma koma nya ahoɔden a wubedi, nnam a wobɛkɔ so ayɛ, ne sigaretnom a wobɛkwati —ne nnuru a wɔakyerɛw ama wo sɛnea wo duruyɛfo tu fo no so.
- Yɛsrɛ sɛ mommma mo nnbɔ hu. Sɛ wo ne wo duruyɛfo bɛbom ahwɛ w’akwahosan so a, wubetumi atra ase a edi mũ, ɛyɛ hyew, na ahoɔden wom.
Fa wo koma akwahosan ho dwuma nnɛ. Tena ase yiye wɔ Nirogi Lanka ho!
hypercholesterolemia, srade, LDL, HDL, komayare, ɔyare a ɛma obi hwe ase, aduan a wodi, asetra kwan
