So triglycerides dɔɔso wɔ wo mogya mu? Momma yɛnka hypertriglyceridemia ho asɛm!

So woate mogya mu srade ho asɛm pɛn? Ebia oduruyɛfo bi aka akyerɛ wo sɛ "ɛte sɛ nea triglycerides dɔɔso kakra." Ɛnnɛ yɛrebɛka nea saa triglycerides yi yɛ ankasa, nea ɛba bere a ɛdɔɔso, ne nea ɛsɛ sɛ yɛyɛ wɔ ho ho asɛm. Mma ɛnhaw wo, mɛkyerɛkyerɛ eyi mu tiawa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne triglycerides? Dɛn nti na ɛho hia yɛn?

Sɛ yɛbɛka no tiawa a, triglycerides yɛ srade bi a ɛwɔ yɛn mogya mu. Wɔma yɛn nipadua nya ahoɔden. Yenya triglycerides fi nnuan a yedi mu, titiriw fi nneɛma te sɛ bɔta ne ngo mu. Ɛnyɛ ɛno nko, na mmom sɛ yedi calories pii sen sɛnea yɛn nipadua hia a, yɛn nipadua dan saa calories a ɛboro so no ma ɛbɛyɛ triglycerides na ɛkora so. Akyiri yi, sɛ yɛn ahoɔden sua a, yɛn nipadua de saa triglycerides a wɔakora so yi di dwuma.

Enti, triglycerides yɛ ade a ɛho hia a ɛma yɛn ahoɔden. Nanso, sɛ wɔdɔɔso dodo wɔ mogya no mu a, ɛma asiane a ɛwɔ hɔ sɛ obi benya koma ne ntini mu yare no yɛ kɛse. Ɛno nti na ɛho hia sɛ yɛhu saa tebea yi a wɔfrɛ no hypertriglyceridemia na yɛhwɛ yɛn triglyceride dodow so.

Enti, triglycerides dodow ahe na eye?

Sɛ wɔkyekyem pɛpɛɛpɛ a, ɛsɛ sɛ mpanyimfo mogya mu triglyceride dodow nnu miligram 150 wɔ deciliter biara mu (150 mg/dL). Nokwarem no, nea ennu 100 mg/dL na eye. Ade a ɛho hia sen biara ne sɛ wubesusuw wo triglyceride dodow bere a woredi mmuada no. Wei kyerε sε wobεyε wo mogya mu nhwehwɛmu bere a woandidi anaa woannom biribiara (gye nsuo) bɛyɛ nnɔnhwereɛ 10-12 akyi.

Hypertriglyceridemia yɛ bere a wo triglyceride dodow yɛ 150 mg/dL anaa nea ɛboro saa.

Triglyceride dodow a ɛwɔ mpanyimfo mu wɔ mmuadadi mu ho nsɛm tiawa ni:

• Akwahosan mu dodow: ennu 150 mg/dL
• Ɔhye so a ɛkorɔn: 150 – 199 mg/dL
• Nea ɛkorɔn: 200 – 499 mg/dL
• Ɛkɔ soro yiye: 500 mg/dL anaa nea ɛboro saa

Ɛsɛ sɛ triglyceride dodow a ɛyɛ papa ma mmofra ne mpanyimfo nkumaa (mfe 10-19) nnu 90 mg/dL. Sɛ wo ba no triglyceride dodow dɔɔso a, ɛbɛyɛ papa sɛ wo ne oduruyɛfo bɛkasa akyerɛ sɛnea wobɛtew so.

Dɛn ne Hypertriglyceridemia a Ɛyɛ Den? So ɛyɛ hu?

Hypertriglyceridemia a emu yɛ den ne bere a wo triglyceride dodow yɛ 500 mg/dL anaa nea ɛboro saa. Nnipa a wɔwɔ saa tebea yi wɔ asiane kɛse mu sɛ wobenya tebea bi a wɔfrɛ no acute pancreatitis . Eyi yɛ dwensɔtwaa mu ɔfe a ehia sɛ wɔsa no yare.

Hypertriglyceridemia yɛ tebea a ɛsɛ sɛ wɔde adwene si so na wɔsa no yare. Nanso, mpɛn pii no, ɛnyɛ aduruyɛ mu asɛm a egye ntɛmpɛ.Wo duruyɛfo betumi aboa wo ma woatew saa dodow yi so. Saa a wobɛyɛ no betumi aboa ma woasiw nsɛnnennen a ebetumi aka wo koma anaa wo dwensɔtwaa ano.

So hypertriglyceridemia ne srade a ɛwɔ mogya mu yɛ ade koro?

Yiw, saa abien yi nyɛ ade koro. Hypertriglyceridemia ne srade a ɛkɔ soro yɛ tebea horow abien a ɛsono emu biara. Nanso wɔn baanu nyinaa ne srade a wɔfrɛ no lipids a ɛwɔ wo mogya mu no wɔ abusuabɔ.

Lipids yɛ nneɛma a srade wom a ɛyɛ nnwuma a ɛho hia wɔ yɛn nipadua mu. Triglycerides ne cholesterol yɛ srade ahorow abien. Wɔn baanu nyinaa fa mogya no mu wɔ nneɛma nketenkete a wɔde fa mogya mu a wɔfrɛ no lipoproteins mu.

Hypertriglyceridemia yɛ triglycerides a ɛkɔ soro wɔ mogya mu. Hypercholesterolemia yɛ srade a ɛkɔ soro.

Mpɛn pii no, nnipa a wɔwɔ triglycerides pii nso wɔ srade a ɛdɔɔso. Triglycerides a ɛdɔɔso betumi ayɛ asiane, titiriw sɛ wo srade "pa", HDL (High-Density Lipoprotein), sua na wo srade "bɔne", LDL (Low-Density Lipoprotein), dɔɔso a.

Wo ne wo duruyɛfo nkasa mfa nea saa dodow a ɛwɔ wo mogya mu yi kyerɛ ne sɛnea wobɛsan de aba dodow a ɛfata mu ho asɛm.

Saa tebea yi abu so dɛn?

Sɛnea nhwehwɛmu ahorow a wɔyɛe wɔ United States kyerɛ no, bɛyɛ mpanyimfo baanum biara mu biako na triglyceride dodow akɔ soro (bɛboro 150 mg/dL). Nanso, asiane yi kɔ soro bere a obi nyin no. Nhwehwɛmu ada no adi sɛ nnipa a wɔadi boro mfe 60 no mu 42% na wɔwɔ saa tebea yi. Ebia saa tebea yi abu so wɔ Sri Lanka nso, esiane sɛnea yedi ne yɛn asetra kwan nti.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya hypertriglyceridemia?

Nnipa pii a wɔwɔ hypertriglyceridemia no nkyerɛ yare no ho sɛnkyerɛnne biara. Ɛno nti na ebetumi ayɛ te sɛ "ɔtamfo a ɔyɛ komm." Ɛtɔ mmere bi a nnipa a wɔwɔ hypertriglyceridemia a emu yɛ den no betumi anya tebea bi a wɔfrɛ no xanthomas. Eyinom yɛ srade nketenkete a ɛba honam ani. Wɔtaa hu wɔn wɔ aniwa no ho. Nanso ɛtɔ mmere bi nso a wotumi nyin wɔ mmeae te sɛ nkotodwe, nsateaa, ne nsateaa.

Dɛn nti na triglyceride dodow a ɛwɔ yɛn nipadua mu no kɔ soro? Dɛn ne nea enti a ɛte saa?

Nneɛma pii na ɛde hypertriglyceridemia ba. Wɔne:

• Asetra mu nneɛma
• Nyarewa afoforo a ɛhyɛ ase
• Nnuru bi
• Awosu mu srade mu nyarewa

Momma yɛnhwɛ eyinom mu biara mu nkɔ akyiri kakra.

Nkɛntɛnso a asetra kwan nya

Yɛn asetra kwan nya yɛn triglyceride dodow so nkɛntɛnso kɛse. Efisɛ, sɛnea madi kan aka no, dodow a yedi calories pii no, dodow no ara na yɛn nipadua dan triglycerides. Enti, sɛ wonom asikre, srade, anaa nsa pii sen sɛnea wo nipadua hia a, wo triglyceride dodow betumi akɔ soro.

Asetra mu nneɛma a ɛma triglycerides dɔɔso:

• Nsã a wɔnom boro so: Wunim, yɛn mu binom nom boro so kakra wɔ apontow ase. Ɛno nso ka yɛn.
• Carbohydrates ne asikre a wɔayɛ no yiye a wodi dodo: Nnuan a wɔde paanoo esiam ayɛ (e.g. paanoo tiawa, nnuan a wɔde yɛ paanoo), anonne a ɛyɛ dɛ, keeki, bisket, ne nea ɛkeka ho.
• Srade a ɛdɔɔso a wodi dodo: Eyinom wɔ nnuan a srade pii wom, nam kɔkɔɔ, ne nnuan a wɔde akutu ngo ayɛ mu.
• Apɔw-mu-teɛteɛ a wɔnyɛ (asetra a wɔtra ase): Ɔtra baabi biako da mũ nyinaa, yɛ adwuma, na ɔnyɛ apɔw-mu-teɛteɛ.

Susuw ho hwɛ, sɛ yedi apataa a wɔanoa wɔ ngo mu, broth a wɔde akutu nufusu ayɛ, ne anonne a ɛyɛ dɛ ka aburow a yedi da koro no ho a, wobetumi de calories a ɛboro so a efi saa nneɛma no nyinaa mu no asie nipadua no mu sɛ triglycerides.

Esiane nyarewa bi nti

Triglyceride dodow nso betumi akɔ soro esiane nyarewa ahorow nti. Nhwɛso ahorow bi ni:

• Asikyireyareɛ
• Hypothyroidism a ɛma mogya tu
• Insulin a ɛko tia
• Asaabo mu yare
• Mmɛn mu yare
• Lupus a ɛyɛ hu
• Nkwammoaa mu nkwaadɔm mu yare
• Nephrotic syndrome a ɛma obi ho kyere no
• Mu duru a ɛboro so anaa kɛseyɛ mmoroso
• Ntini mu yare a ɛma ntini mu yare

Mmea wɔ nneɛma pɔtee afoforo a ɛde asiane ba:

• Bere a obi gyae brayɛ
• Nyinsɛn - titiriw wɔ ɔsram abiɛsa a ɛto so abiɛsa mu.

Esiane nnuru a yɛnom no bi nti

Triglyceride dodow nso betumi akɔ soro bere a wɔde nnuru bi redi dwuma no. Nhwɛso ahorow:

• Nnuru a ekum adwene mu yare - s.e. Clozapine, Olanzapine a wɔde yɛ aduru
• Nnuru bi a wɔde sa HIV yare mmoawa (Antiretroviral (ART) protease inhibitors) .
• Mogya mmoroso nnuru bi (Beta-blockers - nonselective) .
• Nnuru a wɔfrɛ no corticosteroids
• Cyclophosphamide a wɔde yɛ aduru
• Estrogen a wɔde fa anom
• Tamoxifen a wɔde di dwuma
• Thiazides - nnuru a ɛma nsuo a ɛtɔ kɔ soro

Nea ɛho hia sen biara: Nnyae aduru bi a oduruyɛfo akyerɛw ama wo nom da a wo ne no nni kan nkasa. Sɛ aduru bi rema wo triglycerides akɔ soro a, wo duruyɛfo no betumi aboa wo. Ebia wɔbɛsesa nnuru dodow a wɔde ma no anaasɛ wɔbɛkyerɛw aduru foforo ama obi.

Awosu mu tebea horow kɔɔ so wɔ awo ntoatoaso ahorow mu

Ebia nnipa binom nso benya triglyceride ne cholesterol dodow a ɛnteɛ esiane awosu mu nneɛma nti. Nhwɛso ahorow:

• Abusua mu srade a ɛboro so a wɔaka abom: Triglycerides a ɛkɔ soro, LDL srade a ɛkɔ soro, ne HDL srade a ɛso tew.
• Abusua mu srade a ɛkɔ soro (abusua mu srade a ɛkɔ soro a ɛyɛ ɔkwan IV): Triglycerides a ɛkɔ soro nkutoo.
• Abusua mu dysbetalipoproteinemia (type III hyperlipoproteinemia): Triglyceride ne srade nyinaa dodow a ɛkɔ soro.
• Abusua mu chylomicronemia syndrome (FCS): Triglyceride dodow a ɛkɔ soro boro 1000 mg/dL.

Mpɛn pii no, nneɛma yi mu biako anaa nea ɛboro saa betumi de hypertriglyceridemia aba. Sɛ nhwɛso no, ebia obi wɔ awosu mu tebea bi ne asetra kwan a enye nso. Wo duruyɛfo no bɛkyerɛ nea saa nneɛma yi yɛ na wakyerɛw aduru a eye sen biara ama wo.

Wobɛyɛ dɛn ahu sɛ wowɔ hypertriglyceridemia?

Akwan titiriw abien na ɛwɔ hɔ a yebetumi afa so ahu eyi: nipadua mu nhwehwɛmu a oduruyɛfo bɛyɛ ne mogya mu nhwehwɛmu.

Nipadua mu Nhwehwɛmu a Oduruyɛfo Yɛ

Oduruyɛfo no bɛyɛ nipadua mu nhwehwɛmu de ahu w’akwahosan ho nsɛm. Ɔsan nso bebisa wo nea edidi so yi ho asɛm:

• So obi wɔ abusua no mu a ɔwɔ komayare, srade a ɛdɔɔso, anaa triglycerides a ɛdɔɔso?
• W’asetra kwan (e.g. nsa, tawanom).
• Nyarewa afoforo a wowɔ.
• Nnuru a wode di dwuma no.

Sɛ wode saa nsɛm yi di dwuma a, wo duruyɛfo betumi ate nea ɛde wo triglycerides a ɛdɔɔso ne asiane a ɛwɔ hɔ sɛ wubenya komayare no ase.

Mogya mu Nhwehwɛmu

Mogya mu nhwehwɛmu a ɛnyɛ den a wɔfrɛ no lipid panel nkutoo ne ɔkwan a wɔfa so hu hypertriglyceridemia pɛpɛɛpɛ. Saa sɔhwɛ yi susuw wo triglyceride dodow ne wo srade dodow nso.

Sɛnea madi kan aka no, oduruyɛfo no bɛka akyerɛ wo sɛ mmuadadi bɛyɛ nnɔnhwerew 10-12 ansa na wɔayɛ mogya mu nhwehwɛmu yi. Ɛno kyerɛ sɛ ɛnsɛ sɛ wudi anaa wonom biribiara gye nsu. Sɛ wubenya nea efi mu ba no pɛpɛɛpɛ a, ɛho hia yiye sɛ wubedi mmuada sɛnea oduruyɛfo no ka kyerɛ wo no pɛpɛɛpɛ.

Dɛn ne ayaresa a eye sen biara a wɔde sa eyi? Mɛyɛ dɛn atumi atew so?

Ayaresa atitiriw abiɛsa na ɛwɔ hɔ a wɔde sa hypertriglyceridemia:

• Asetra kwan mu nsakrae
• Nnuru (nnuru) .
• Nneɛma a ɛde triglycerides a ɛdɔɔso ba no a wɔbɛsa.

Ebia wubehia akwan yi mu biako anaa nea ɛboro saa. Wo duruyɛfo na ɔbɛkyerɛ ayaresa nhyehyɛe a eye sen biara ama wo.

Asetena mu nsakrae - weinom ne nneɛma a edi kan a ɛho hia!

Mpɛn pii no, wɔde asetra mu nsakrae na efi ase sa yare. Eyinom ne nneɛma atitiriw:

• Kwati nsa: tew so sɛnea wubetumi, anaa gyae koraa.
• Kwati carbohydrates ne asikre a wɔayɛ no yiye: Tew paanoo, nnɔkɔnnɔkɔwade, ne anonne a wudi so sɛnea wubetumi biara. Mmom no, di aburow a wɔayam, nhabannuru, ne nnuaba.
• Di ɛpo mu nnuan pii, titiriw mpataa a omega-3 srade pii wom: mpataa te sɛ salmon, mackerel, herring, ne tuna yɛ nea eye a wubetumi apaw.
• Apɔw-mu-teɛteɛ pii:Yɛ biribi te sɛ nantew, mmirikatu, asuguare anyɛ yiye koraa no simma 30 da biara. Yɛ nnam wɔ wo da biara da dwumadi ahorow nso mu.
• Di calorie a wudi so na ama wo mu duru so atew: Bɔ mmɔden sɛ wobɛma wo mu duru ayɛ nea ɛfata ma wo tenten.
• Paw srade a ahoɔden wom sen srade a ɛyɛ den ne trans: to nneɛma te sɛ akutu ngo, nnuadewa ngo, bɔta, ne margarine ano hye, na fa nneɛma te sɛ ngodua ngo, canola ngo, ne nnuaba bi di dwuma.

"Nsakrae nketenkete te sɛ ngo kakraa bi a yɛde bedi dwuma bere a yɛrenoa aduan wɔ fie, nnuan a srade wom dodow a yedi wɔ sotɔɔ mu a yɛbɛtew so, ne tii a wɔmfa nnuru nhyɛ mu a yɛbɛnom sen tii a asikre wom no betumi ama nsonsonoe kɛse aba."

Nnuru a wɔde di dwuma

Sɛ asetra mu nsakrae nkutoo ntumi nni wo triglyceride dodow so a, ebia wo duruyɛfo bɛkyerɛw wo nnuru. Nnuru ho hia titiriw ma nnipa a wɔwɔ hypertriglyceridemia a emu yɛ den. Nnuru ahorow pii wɔ hɔ a ebia wo duruyɛfo bɛkyerɛw ama wo:

• Fibrates - s.e. Fenofibrate a wɔde yɛ aduru
• Omega-3 srade a wɔkyerɛw ma obi - s.e. Icosapent ethyl (IPE) a wɔde yɛ aduru a wɔfrɛ no ethyl .
• Statins - Ɛwom sɛ wɔkyerɛw eyinom titiriw sɛ wɔde bɛtew srade so de, nanso ɛtɔ mmere bi a ɛka triglycerides nso.

Nyarewa afoforo a wobedi so

Sɛ wowɔ aduruyɛ mu tebea foforo (e.g. asikreyare) a ebia ɛreboa ma wo triglyceride dodow akɔ soro a, ɛho hia nso sɛ wudi saa tebea no so yiye. Wo duruyɛfo de afotu ne ayaresa a ɛho hia bɛma wo.

So wobetumi asiw hypertriglyceridemia ano?

Nneɛma bi a ɛde ba (onyin, nyarewa bi) yɛ nea yentumi nni so. Nanso, nneɛma pii wɔ hɔ a yebetumi ayɛ wɔ yɛn da biara da asetra mu de asiw tebea yi ano. Wɔn mu bi ni:

• Di aduan a ahoɔden wom: Di nhabannuru, nnuaba, aburow a wɔayam, ne protein a ɛnyɛ den pii. Tew ngo, asikre, ne nkyene so.
• Yɛ nnam: Wɔ apɔw-mu-teɛteɛ a woayɛ ho nhyehyɛe akyi no, kanyan wo nipadua sɛnea wubetumi biara wɔ wo da biara da dwumadi ahorow mu. Nneɛma te sɛ antweri a wobɛfa mmom sen sɛ wobɛfa elevator ne nantew a wobɛkɔ mmeae a ɛbɛn hɔ.
• Kura mu duru a ɛfata mu.
• To nsa ano hye: Nea ɛsen biara ne nsa biako a wɔahyɛ da ayɛ da biara ma mmea ne nsa abien a wɔahyɛ da ayɛ da biara ma mmarima.
• Tew asikre ne carbohydrates a wɔayɛ no yiye so.

Bisa wo duruyɛfo ma ɔmma no afotu foforo na aboa ma woadi wo triglyceride dodow so.

Dɛn na obi a ɔwɔ saa tebea yi betumi ahwɛ? (Nsusuwii) .

Eyi gyina nneɛma pii so. Nhwɛsoɔ:

• Dɛn na ɛde wo hypertriglyceridemia ba?
• Triglyceride dodow a ɛwɔ wo mu no te dɛn?
• Nyarewa afoforo bɛn na wowɔ?

Enti, wo ne wo duruyɛfo nkasa na woahu nea wo tebea no te ankasa.

Nanso kae sɛ hypertriglyceridemia yɛ tebea a ɛtaa ba, na ɛnyɛ wo nkutoo na wowɔ hɔ. Nnipa pii di tebea yi ho dwuma yiye denam wɔn duruyɛfo afotu a wodi akyi, asetra mu nsakrae a wɔyɛ, ne nnuru a sɛ ɛho hia a wɔnom so.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Hwɛ hu sɛ wobɛkɔ akɔhwɛ wo afe afe aduruyɛ mu nhwehwɛmu. Nea ɛka ho no, kɔ bere foforo biara a wobɛkɔ akɔhwɛ sɛnea wo duruyɛfo bɛkyerɛ wo no. Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo a, ntwentwɛn wo nan ase sɛ wobɛkɔ wo duruyɛfo nkyɛn bere biara.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Ɛho hia sɛ wusua wo tebea no, nea ɛde ba, ne n’ayaresa ho ade pii sɛnea wubetumi. Wubetumi abisa wo duruyɛfo nsɛm te sɛ:

• Dɛn na triglyceride dodow a ɛwɔ me mu no ka kyerɛ me?
• So me nso mewɔ srade a ɛdɔɔso?
• Dɛn na ɛrema me triglycerides no akɔ soro?
• Mɛyɛ dɛn atumi atew me triglyceride dodow so?
• Asiane bɛn na ɛwɔ me sɛ menya komayare?
• Apɔw-mu-teɛteɛ ahorow bɛn na ɛfata me?
• So ɛsɛ sɛ mekɔ oduruyɛfo a ɔyɛ aduan ho ɔbenfo nkyɛn?

Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Sɛ wowɔ saa sɛnkyerɛnne yi bi a , frɛ 911 (1990 wɔ Sri Lanka) ntɛm ara, anaa kɔ baabi a ɛbɛn wo a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ mu:

• Acute pancreatitis - (yafunu mu yaw a emu yɛ den, ɔfe, atiridiinini) .
• Koma mu yareɛ - (koko mu yaw, ahome a ɛyɛ tiaa, fifiri) .
• Stroke - (anim a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw, nsa anaa nan, ɛyɛ den sɛ wobɛkasa, ɛyɛ den sɛ wobɛnantew) .

Hypertriglyceridemia ma asiane a ɛwɔ hɔ sɛ obenya nsɛnnennen a emu yɛ den yi yɛ kɛse. Enti, ɛho hia paa sɛ wuhu saa sɛnkyerɛnne ahorow yi na sɛ ɛba a, wohwehwɛ ayaresa ntɛm ara.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Hypertriglyceridemia a wobedi so no gye mmɔdenbɔ bi. Nanso ɛfata sɛ wode wo bere yɛ adwuma. Ɛho behia sɛ woyɛ nsakrae bi wɔ wo da biara da dwumadi mu, na ɛtɔ mmere bi a saa nsakrae no betumi ayɛ te sɛ nea ɛyɛ den. Nanso fi ase ketewaa bi. Nsakrae nketenkete mpo betumi ama nsakrae kɛse aba wo koma akwahosan mu. Bisa wo duruyɛfo no nneɛma ne mmoa akuw a ɛbɛboa wo ma woadu wo botae ahorow ho. W’akwahosan wɔ wo nsam!

` hypertriglyceridemia, triglycerides, srade, komayare, aduan, apɔw-mu-teɛteɛ, asetra kwan