So wɔayɛ wo mogya mu nhwehwɛmu pɛn de ahwɛ sɛnea srade a ɛwɔ wo mogya mu no te? Sɛ woayɛ saa a, ɛbɛyɛ sɛ woahyɛ no nsow sɛ nsɛm te sɛ LDL, HDL, ne Triglycerides, ne nkyerɛwde VLDL ka amanneɛbɔ no ho. Yɛtaa te LDL ne HDL ho asɛm. Wɔsan frɛ wɔn "srade pa" ne "srade bɔne." Nanso dɛn ne VLDL? Eyi yɛ asɛmfua a nnipa pii nnim. Enti sɛ wo duruyɛfo ka sɛ wo VLDL dodow no dɔɔso wɔ w’amanneɛbɔ mu a, ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra. Nanso mma ɛnhaw wo. Ɛnnɛ, wɔ asɛm yi mu no, yɛbɛka nea VLDL yɛ pɛpɛɛpɛ, sɛnea ɛho hia ma nipadua no, ne sɛnea sɛ ɛkɔ soro a ebetumi aka yɛn akwahosan, ne sɛnea yebedi so ho asɛm.

Sɛ yɛbɛka no tiawa a, dɛn ne VLDL?

VLDL ntease nyinaa ne “Very-Low-Density Lipoprotein”. Okay, saa din yi a wotee no maa wo ti yɛɛ basaa kɛse mpo, ɛnte saa? Momma yɛnkyekyɛ mu tiawa koraa na yɛnte ase.

Fa yɛn mogya ntini no sɛ akwan. Saa akwan yi soa nneɛma pii a yɛn nipadua hia te sɛ aduannuru ne mframa pa. Saa bere yi nyinaa, ɛsɛ sɛ srade a ɛwɔ yɛn nipadua mu te sɛ srade ne triglycerides nso fa nipadua no mu nyinaa. Nanso ɔhaw bi wɔ hɔ. Saa srade yi ntumi nsensɛn mogya no mu n’ankasa, te sɛ nea sɛ wode ngo gu nsu mu a, ɛtetew mu mmom sen sɛ ɛbɛfrafra no.

Enti, yɛn nipadua no wɔ "kar" nhyehyɛe titiriw bi a ɛde saa srade yi bɛkɔ nipadua no nyinaa mu dwoodwoo. Yɛfrɛ saa kar ahorow yi `(Lipoprotein)`. `Lipo` kyerɛ srade, `protein` kyerɛ protein. Ɛno kyerɛ sɛ srade ne protein na ɛyɛ saa kar ahorow yi.

So wote ase mprempren? VLDL yɛ kar titiriw a ɛte saa. Yɛn mmerɛbo na ɛyɛ saa kar yi na ɛma ɛkɔ mogya no mu. VLDL adwuma titiriw ne sɛ ɛde triglycerides ne srade fi mmerɛbo no mu kɔ nipadua no afã horow, kyerɛ sɛ, ɛkɔ mmeae a ahoɔden ho hia ne mmeae a wɔkora ahoɔden so.

Enti VLDL ho hia na ama yɛn nipadua no atumi ayɛ adwuma. Nanso te sɛ biribiara no, ɛdɔɔso dodo no nyɛ papa mma nipadua no.

Dɛn na wɔde yɛ VLDL abɔde mu nneɛma nketenkete?

Sɛ yɛhwɛ nea ɛwɔ VLDL a yɛadi kan aka ho asɛm no mu a, ne fã kɛse no ara yɛ srade bi a wɔfrɛ no triglycerides. Sɛnea bɔs wɔ akwantufo pii no. Ɛno nti na nnuruyɛfo nso frɛ VLDL sɛ "lipoprotein a triglyceride pii wom."

Bio nso, nneɛma afoforo kakraa bi wɔ VLDL abɔde mu nneɛma mu:

• Cholesterol a ɛwɔ mogya mu
• Srade a ɛwɔ nipadua mu
• Protein soronko bi a wɔfrɛ no apolipoprotein B (Apolipoprotein B anaa apoB).

Nhwehwɛmu ada no adi sɛ saa `(apoB)` yi dodow a ɛkɔ soro wɔ mogya mu nso yɛ ade a ɛma asiane a ɛwɔ hɔ sɛ obi benya komayare no kɔ soro.

So VLDL ne VLDL srade yɛ ade koro?

Ɛwom sɛ yɛtaa de nsɛmfua abien yi di dwuma de sesa de, nanso nsonsonoe ketewaa bi nanso ɛho hia wɔ abien no ntam.

Susuw ho wɔ saa kwan yi so kɛkɛ.

• VLDL ne bɔs no. Ɛyɛ kar no nyinaa a mmerɛbo no na ɛyɛ na ɛde srade kɔ.
• VLDL srade yɛ akwantufo a wɔwɔ saa bɔs no mu no mu biako. Ɛne sɛ, srade dodow a ɛkɔ kar a wɔfrɛ no VLDL no mu.

Saa ara nso na LDL ne HDL yɛ bɔs ahorow abien. Yɛfrɛ srade a ɛkɔ LDL bɔs no so no LDL srade. Yɛfrɛ srade a ɛkɔ HDL bɔs no so no HDL srade. Afei deɛ ɛda adi pefee, ɛnte saa?

Enti so VLDL nso yɛ srade "bɔne" bi?

Yiw, sɛ VLDL dodow a ɛwɔ mogya no mu no kɔ soro dodo a, ɛhwe ase wɔ "bɔne" kuw no mu. Ɛwom sɛ yɛn nipadua hia VLDL dodow bi na ama ayɛ adwuma de, nanso sɛ ne dodow kɔ soro a, ebue kwan ma komayare ne akwahosan ho haw afoforo pii.

Ɔhaw titiriw no ne tebea bi a wɔfrɛ no `(Atherosclerosis).` Sɛ yɛbɛka no tiawa a, eyi ne bere a srade, srade, ne nneɛma afoforo boaboa ano wɔ yɛn mogya ntini (ntini) no afasu mu na ɛyɛ biribi a wɔfrɛ no ``plaque.`` Saa nsensanee yi de nkakrankakra brɛ mogya ntini no mu teateaa, te sɛ nea efĩ boaboa ano wɔ nsu paipu mu no. Eyi siw mogya a ɛsen no kwan.

Ɔkwan bɛn so na VLDL ne eyi wɔ abusuabɔ?

Fa no sɛ yɛn mmerɛbo no fi ase yɛ VLDL pii sen sɛnea ehia. Seesei VLDL soafo dɔɔso dodo wɔ mogya no mu. Yɛn nipadua no bubu VLDL a ɛboro so yi mu na ɛde yɛ ade foforo a wɔde fa nneɛma a wɔfrɛ no LDL (Low-Density Lipoprotein). LDL ne ɔyare mmoawa titiriw a yɛfrɛ no "srade bɔne."

Seesei LDL nneɛma nketenkete ahyɛ mogya no mu ma. Saa LDL a ɛboro so yi kɔhyɛ mogya ntini no afasu mu, baabi a efi ase yɛ nsensanee a yɛadi kan aka ho asɛm no.

Ɛnyɛ ɛno nko, sɛ VLDL sɛe wɔ nipadua no mu na LDL ba a, "asinasin" bi nso ka fi saa adeyɛ no mu. Wɔfrɛ eyinom ``remnant particles''. Eyinom yɛ nneɛma nketenkete a ɛtaa de srade ahyɛ mu ma. Esiane sɛ wɔn kɛse sua nti, ɛnyɛ den sɛ wɔbɛkyere mogya ntini no afasu mu, na ama akisikuru no ayɛ ntɛmntɛm.

So LDL yɛ nea asiane wom kɛse? VLDL?

Eyi yɛ asɛm a nnipa pii bisa. Nokwarem no, wontumi nka sɛ biako "bɔne" nsen ɔfoforo no. N’abien nyinaa boa ma nkwammoaa a ɛwɔ mogya ntini no mu no yɛ pɛ. Enti, abien no nyinaa yɛ nea asiane wom pɛpɛɛpɛ. Ade a ɛho hia ne sɛ wubedi abien no nyinaa dodow so na woakɔ so ayɛ nea ɛfata.

Ɔkwan bɛn so na wɔsusuw VLDL dodow? Dɛn ne gyinapɛn ahorow a ɛfata?

Wɔde mogya mu nhwehwɛmu a wɔfrɛ no lipid panel na ɛkyerɛ wo VLDL srade dodow . Wɔtaa yɛ sɔhwɛ yi bere a woadi mmuada nnɔnhwerew 10-12 akyi. Saa sɔhwɛ yi kyerɛ wo srade dodow nyinaa, HDL (pa) srade, LDL (bɔne) srade, ne triglyceride dodow.

Nanso biribi titiriw bi ni. Mpɛn pii no, labs nsusuw VLDL dodow tẽẽ. Mmom no, wɔde wo triglycerides dodow di dwuma de akontaabu nhyehyɛe bu wo VLDL dodow.

Nanso, sɛ obi triglyceride dodow kɔ soro yiye (sɛ nhwɛso no, ɛboro 400 mg/dL) a, ebia saa akontaabu kwan yi rennyɛ pɛpɛɛpɛ koraa. Wɔ tebea horow a ɛtete saa mu no, wo duruyɛfo betumi afa akwan foforo so asusuw VLDL.

Mpɛn pii no, gyinapɛn ahorow a wɔkamfo kyerɛ sɛ wɔmfa nkyerɛ VLDL srade dodow ne nea edidi so yi:

• Akwahosan mu dodow: Ennu 30 mg/dL (milligram wɔ deciliter biara mu).
• Asiane/ɛkɔ soro: ɛne 30 mg/dL yɛ pɛ anaasɛ ɛboro so .

Sɛ VLDL dodow kɔ soro a, dɛn na ɛsɛ sɛ yɛyɛ?

Sɛ wo VLDL dodow dɔɔso a, ɛkyerɛ sɛ asiane a ɛwɔ hɔ sɛ wubenya komayare no akɔ soro. Nanso mma ɛnhaw wo, eyi yɛ tebea a wotumi di ho dwuma.

Sɛ oduruyɛfo bi sa wo yare a, wɔde wɔn adwene besi wo LDL srade ne triglyceride dodow a wɔbɛtew so kɛse sen sɛ wɔde wɔn ani besi VLDL dodow so tẽẽ. Efisɛ sɛ wɔhwɛ saa levels no so a, VLDL levels no bɛhwɛ so ara kwa.

Ebia nnipa pii a VLDL dodow kɔ soro no benya tebea horow yi mu biako anaa nea ɛboro saa:

• Triglyceride dodow a ɛkɔ soro (Hypertriglyceridemia) .
• LDL srade a ɛkɔ soro
• Srade a ɛwɔ mogya mu nyinaa a ɛkɔ soro (Hyperlipidemia) .

Nneɛma bi a wubetumi ayɛ de ahyɛ srade ahorow yi nyinaa so ni. Ɛho hia sɛ wo ne wo duruyɛfo kasa ansa na woafi eyinom mu biara ase.

1. Aduan a ɛma koma nya ahoɔden a wubedi akyi:

• Tew ngo, nnuan a wɔayam, ne nnuan a wɔayam no mu dɔ so sɛnea wubetumi.
• To nnuan ne anonne a asikre pii wom (keki, anonne a ɛyɛ dɛ, toffee) ano hye.
• Fa nhabannuru, nnuaba, nhabannuru, ne aburow a wɔayam (buckwheat, barley, oats) a wɔayɛ no foforo pii ka w’aduan ho.
• Paw mpataa ne akokɔ mmom sen nam a wɔayɛ no foforo.

2. Apɔw-mu-teɛteɛ a wobɛyɛ daa:

• Fa wo ho hyɛ apɔw-mu-teɛteɛ te sɛ nantew a ɛyɛ ntɛmntɛm, sakre so a wobɛtra, anaa asuguare mu anyɛ yiye koraa no simma 30 da biara, anyɛ yiye koraa no nnafua 5 dapɛn biara.
• Nea ɛho hia: Sɛ woyɛ foforo wɔ apɔw-mu-teɛteɛ mu a, bisa wo duruyɛfo ma ɔmma no afotu wɔ apɔw-mu-teɛteɛ a ɛfata wo ho.

3. Mu duru a ɛfata a wobɛkɔ so akura mu:

• Ɛho hia yiye sɛ wobɛkɔ so ayɛ wo mu duru a ɛfata ma wo tenten. Sɛ wo mu duru boro so a, wo mu duru a wobɛtew so no betumi ama wo srade ne triglyceride dodow so atew kɛse.

4. Nnuru a wɔnom wɔ aduruyɛ mu afotu so:

• Wɔ tebea horow bi mu no, ebia asetra mu nsakrae nkutoo rentumi nni wo srade a ɛwɔ wo mu no so. Wɔ tebea a ɛte saa mu no, wo duruyɛfo betumi akyerɛw nnuru te sɛ ``statins.`` Ɛho hia yiye sɛ wobɛnom nnuru a wo duruyɛfo akyerɛw ama wo no wɔ dodow a ɛfata mu na bere tenten a ɛfata.

Ɛtɔ da bi a, triglyceride ne VLDL dodow betumi akɔ soro esiane aduruyɛ mu tebea afoforo te sɛ asikreyare, thyroid haw, anaa nnuru afoforo a worenom nti. Enti, sɛ wowɔ nsɛmmisa bi fa gyinapɛn ahorow a ɛwɔ w’amanneɛbɔ no mu ho a, wo ne wo duruyɛfo nkasa. Mma ɛnhaw wo, sɛ wonya akwankyerɛ ne ayaresa a ɛfata a, wobetumi adi tebea yi so yiye.