Ànya se ʋumemi ŋu nya, alo? Ðewohĩ ènya be ʋumemi ƒe agbɔsɔsɔ si le wò ʋumemi sɔ gbɔ. Gake nukae nènya tso ‘Triglycerides’ ŋu? Le nyateƒe me la, esia nye ami (lipid) ƒomevi vevi aɖe ŋutɔ le míaƒe ʋu me. Togbɔ be míeƒoa nu tso ʋumemi ŋu zi geɖe hã la, míeƒoa nu tso triglyceride siawo ŋu boo o. Gake agbɔsɔsɔ sia ƒe dzidziɖedzi menyo na míaƒe lãmesẽ o.
Nuka tututue nye triglycerides?
Kpuie ko la, triglycerides ye nye ami ƒomevi vevitɔ si le míaƒe ŋutilã me. Ŋutilãa dzraa nuɖuɖumeŋusẽ bubu ɖesiaɖe si míeɖuna ɖo, eɖanye tso nuɖuɖuwo abe bɔta kple ami ene me o, alo tso nuɖuɖumeŋusẽ agbɔsɔsɔme si míefiãna me o. Wodzraa esia ɖo abe triglycerides ene. Eyata ne ŋutilãa hiã ŋusẽ la, ezãa triglyceride siawo siwo wodzra ɖo.
Ema fia be míehiã triglycerides agbɔsɔsɔme aɖe be míanɔ lãmesẽ me. Gake kuxia doa mo ɖa ne amesiawo kɔ akpa.
Numekukuwo ɖee fia ɣesiaɣi be triglyceride ƒe agbɔsɔsɔ si sɔ gbɔ do ƒome tẽ kple lãmesẽkuxi sesẽwo abe dzidɔ, dzidɔ, kple ʋusɔgbɔdɔ . Afɔku sia lolo ŋutɔ le amesiwo ƒe HDL, si nye "ʋumemi nyui" mesɔ gbɔ o, kple amesiwo ŋu suklidɔ ƒomevi evelia le gome. Ne dɔléle bubu siwo nana dzidɔ ƒe afɔkua dzina ɖe edzi, abe suklidɔ alo ʋusɔgbɔdɔ ene, le ŋuwò la, anɔ eme be wò ɖɔkta alé ŋku ɖe wò triglyceride ƒe agbɔsɔsɔ ŋu.
Nya nyuiae nye be nu geɖe li nàte ŋu awɔ atsɔ aɖe wò triglyceride ƒe agbɔsɔsɔ dzi akpɔtɔ eye nànɔ agbe le lãmesẽ me.
Ƒomedodo si le triglycerides kple ‘ʋumemi nyui’ (HDL) dome .
HDL (High-Density Lipoprotein) ye nye esi míeyɔna be "ʋumemi nyui." Eƒe dɔ vevitɔe nye be wòakɔ ʋua ŋu to "ʋumemi gbegblẽ," LDL (Low-Density Lipoprotein), si ate ŋu aƒo ƒu ɖe ʋukawo me la ɖeɖeɖa me.
Zi geɖe la, ƒomedodo si to vovo na ema nɔa triglycerides kple HDL dome. Eyae nye be ne wò triglyceride ƒe agbɔsɔsɔ le dzidzim ɖe edzi la, wò HDL ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna. Eye ne wò HDL ƒe agbɔsɔsɔ sɔ gbɔ la, ke wò triglyceride ƒe agbɔsɔsɔ ate ŋu anɔ ʋɛ. Gake nu vevi aɖe si wòle be míade dzesii enye si. Ɣeaɖewoɣi la, ne wò HDL ƒe agbɔsɔsɔ sɔ gɔ̃ hã la, wò triglyceride ƒe agbɔsɔsɔ ate ŋu adzi ɖe edzi. Numekukuwo ɖee fia be, eɖanye HDL ƒe agbɔsɔsɔ ka kee ɖale asiwò o, triglyceride ƒe agbɔsɔsɔ si dzi ɖe edzi nye afɔku si le eɖokui si na dzidɔ.
Nukawoe hea triglycerides ƒe agbɔsɔsɔ si sɔ gbɔ vɛ?
Susu vevi siwo tae triglyceride ƒe agbɔsɔsɔ ate ŋu adzi ɖe edzi dometɔ aɖewoe nye esi:
- Lolo akpa: Ŋutilã ƒe kpekpeme kpɔa ŋusẽ ɖe esia dzi.
- Kamedede ƒe anyimanɔmanɔ: Kamedede ƒe anyimanɔmanɔ.
- Nuɖuɖu siwo me sukli kple ami sɔ gbɔ ɖo: Vevietɔ aha viviwo, abolomenuwo, kple nuɖuɖu siwo me ami le nono enuenu.
- Ahanono fũu akpa: Ahanono nana triglyceride ƒe agbɔsɔsɔ dzina ɖe edzi tẽ.
- Atike aɖewo: Atike aɖewo siwo wozãna na HIV, no me dɔdzẽ, eye ƒã hafi, atike aɖewo siwo wozãna na ʋusɔgbɔdɔ.
- Atikewɔwɔ ƒe nɔnɔme bubuwo: Suklidɔ si dzi womate ŋu aɖu o, ayikudɔ, lãkusidɔ, kple aklãdɔ.
- Domenyiŋusẽfianu: Domenyiŋusẽfianu ƒe nɔnɔme siwo xea mɔ na ŋutilã be wòate ŋu agbã ami nyuie o.
- Anyiehe Asia dzɔtsoƒe: Ame siwo tso míaƒe dukɔa me, si fia be ame siwo tso dukɔwo abe Sri Lanka, India, kple Pakistan ene me, ƒe domenyiŋusẽfianu le afɔku me vie be woaxɔ dɔléle sia.
Aleke wodzidzea triglyceride ƒe agbɔsɔsɔ?
Woyɔa ʋudodokpɔ hena esia be ‘Lipid Profile’. Dodokpɔ sia dzidzea wò ʋumemi kple triglyceride ƒe agbɔsɔsɔ katã. Zi geɖe la, wò ɖɔkta aɖo aɖaŋu na wò be nàtsi nu dɔ (mègaɖu nu alo ano nu bubu aɖeke tsɔ wu tsi o) abe gaƒoƒo 9-12 ene hafi awɔ dodokpɔ sia.
Woda agbɔsɔsɔmeawo ɖe hatsotsowo me le nutsitsidɔ dodokpɔ me tsonu nu ale:
| Gbadzaa | Asixɔxɔ (le mg/dL me) . |
|---|---|
| Lãmesẽ ƒe agbɔsɔsɔ (Normal) . | Esi mede 150 mg/dL o |
| Borderline Kɔkɔe | 150 – 199 mg/dL ƒe agbɔsɔsɔme |
| Kɔkɔe (Kɔkɔe) . | 200 – 499 mg/dL ƒe agbɔsɔsɔme |
| Kɔkɔ ŋutɔ/Afɔku ƒe Dzeside | 500 mg/dL alo esi wu nenema |
Ele vevie ŋutɔ be ame tsitsi ɖesiaɖe le ƒe 20 xɔxɔ megbe be woawɔ dodokpɔ sia edziedzi.
Afisi triglycerides va zua afɔku le?
Wobua nusianu si wu 500 mg/dL be esɔ gbɔ ŋutɔ. Agbɔsɔsɔ sia do ƒome tẽ kple aklã kple dɔgbo ƒe kuxiwo. Vevietɔ ate ŋu ahe nɔnɔme aɖe si me afɔku le si woyɔna be dɔgbo ƒe dɔléle vɛ.
Ne triglyceride ƒe agbɔsɔsɔ wu 1,500 mg/dL , la, afɔku le eme ŋutɔ. Le nɔnɔme mawo me la, dzesiwo abe ŋkuɖoɖonudzi ƒe dɔmawɔmawɔ nyuie, aklã kple dɔgbo ƒe vuvu, kple ƒodo ƒe vevesese sesẽ ate ŋu ado mo ɖa.
Nukae wòle be míawɔ be míaɖe triglycerides dzi akpɔtɔ?
Esɔ be nàtsi dzimaɖi vie ne èva nya be triglyceride ƒe agbɔsɔsɔ si le ye me sɔ gbɔ. Ke hã, nu geɖe li nàte ŋu awɔ atsɔ aɖu esia dzi. Tɔtrɔ suesuesue siwo nàwɔ le wò agbenɔnɔ me ate ŋu ana tɔtrɔ gã aɖe nava.
1. Kamedede.
Kamedede nye mɔ nyuitɔ siwo dzi woato aɖe triglycerides dzi akpɔtɔ la dometɔ ɖeka. Dze agbagba nàde kame aɖabaƒoƒo 30 ya teti gbesiagbe, ŋkeke 5 le kwasiɖa me. Nusianu abe azɔlizɔzɔ sesĩe, duƒuƒu, gasɔdodo, alo tsiƒuƒu ene nyo. Ne mède kame kpɔ o la, ke dze egɔme blewu.
2. Kpɔ wò kpekpeme dzi.
Ne èlolo akpa la, ke ele be nàɖe wò lolo dzi akpɔtɔ. Kamedede kple nuɖuɖu siaa le vevie. Ðe nuɖuɖumeŋusẽ si nèɖuna gbesiagbe dzi kpɔtɔ. Tsɔ atikutsetsewo, amagbewo, lã siwo me ami mele o, kple nyinotsinuɖuɖu siwo me ami mesɔ gbɔ ɖo o ɖo nɔƒe gbãtɔ . Nunono siwo me sukli le kple nuɖuɖu siwo me sukli sɔ gbɔ ɖo ɖeɖeɖa akpe ɖe ŋuwò ŋutɔ.
3. Tia ami siwo naa lãmesẽ
Kpɔ nyuie le ami ƒomevi siwo nèɖuna ŋu. Ðe lãwo ƒe ami (lã, bɔta, cheese) kple trans ami (margarine, nuɖuɖu siwo wowɔ kple asi) dzi kpɔtɔ. Ke boŋ ɖu ami siwo naa lãmesẽ geɖe wu (ami siwo me ami ʋeʋĩ le kple esiwo me ami geɖe mele o) siwo le amititsetse ƒe ami, nukuwo, kple tɔmelã ƒomevi aɖewo me. Tɔmelã siwo me ami le, vevietɔ esiwo me Omega-3 sɔ gbɔ ɖo (abe salmon, mackerel, herring, kple sardines ene) ɖuɖu zi eve ya teti le kwasiɖa me ate ŋu akpe ɖe ŋuwò nàɖe triglycerides dzi akpɔtɔ.
4. Ðe ahanono dzi kpɔtɔ
Aha sue aɖe gɔ̃ hã ate ŋu ana triglyceride ƒe agbɔsɔsɔ nadzi ɖe edzi zi ɖeka, eyata ele vevie be nàdzudzɔ ahanono keŋkeŋ alo nàɖo seɖoƒe nɛ alesi nàte ŋui.
Atike siwo woatsɔ aɖu triglycerides dzi
Le amesiwo mate ŋu aɖu woƒe agbɔsɔsɔ dzi to agbenɔnɔ ƒe tɔtrɔ ɖeɖeko dzi o, vevietɔ amesiwo dzidɔ ƒe afɔku le ŋutɔ gome la, wò ɖɔkta ate ŋu aŋlɔ atike na wò. Ele be wò ɖɔkta nawɔ nyametsotso sia bliboe.
- Fibrates: Esiawo nye atike siwo wɔa dɔ ŋutɔ le triglycerides dzi ɖeɖe kpɔtɔ me.
- Tɔmelãmi si me omega-3 le: Tɔmelãmi ƒe atikekui siwo me omega-3 acid le (le atikewɔlawo ƒe atikewɔmɔnu nu) kpena ɖe ame ŋu be woaɖu triglycerides dzi.
- Niacin (Niacin / Nicotinic acid): Esia hã nye atike si ɖea triglyceride ƒe agbɔsɔsɔ dzi kpɔtɔna.
- Statins: Togbɔ be atike ƒomevi aɖe si woŋlɔ na ame be woatsɔ aɖe ʋumemi dzi akpɔtɔ koŋue nye esiawo hã la, woate ŋu aɖe triglyceride ƒe agbɔsɔsɔ dzi akpɔtɔ abe 20%-40% ene hã.
Nusi le vevie wue nye be ne èno atike gɔ̃ hã la, ele vevie be nàlé agbe nyui nɔnɔ me ɖe asi. Azɔ hã, gblɔ atike, vitamin, alo kpeɖeŋutɔ bubu ɖesiaɖe si nèzãna na wò ɖɔkta. Atike aɖewo (e.g., beta-blockers, vidzidzinutsitikewo) ate ŋu ana triglyceride ƒe agbɔsɔsɔ nadzi ɖe edzi.
Nuɖuɖu siwo sɔ eye womesɔ na amesiwo me triglycerides sɔ gbɔ ɖo o
Àte ŋu akpɔ wò triglyceride ƒe agbɔsɔsɔ dzi vevie ne ètrɔ asi le wò nuɖuɖu ŋu.
| ✅ Nu siwo sɔ na nuɖuɖu | ❌ Nusiwo wòle be woaƒo asa na nuɖuɖu |
|---|---|
| Nuku blibowo (bli dzẽ, oats, millet) . | Sukli kple nuɖuɖu viviwo (abolo, bisiklet, toffee, ice cream) . |
| Akɔɖu siwo le ƒuƒlu (chickpeas, peas, green beans) . | Nunono viviwo (soda, cordial, atikutsetse me nunono siwo wobla ɖe agba me) . |
| Tɔmelã siwo me ami le (salmon, mackerel, herring, salmon) . | Lã si ŋu wotrɔ asi le kple lã dzĩ (nyilã, haƒoƒo) . |
| Amagbe kple atikutsetse yeyewo (vevietɔ esiwo ƒe amadede nye viviti) . | Nuɖuɖu siwo wofli (bli si wofli, chips, cutlets) . |
| Akɔɖu kple atikutsetse me bɔta (cashews, peanuts, almonds) . | Bɔta, margarine, kple notsi blibo |
Gbedasi si Wotsɔ Yi Aƒeme
- Menye nusi dzi woaŋe aɖaba aƒu triglycerides nye o. Wonye nu vevi siwo ate ŋu ana dzidɔ kple ʋusɔgbɔdɔ nadze ame dzi.
- Nu vevitɔe nye be nàlé ŋku ɖe wò ʋumemi ƒe agbɔsɔsɔ ŋu edziedzi (Lipid Profile).
- Ne wò triglyceride ƒe agbɔsɔsɔ dzi ɖe edzi la, dzro atikewɔwɔ ƒe ɖoɖo aɖe me kple wò ɖɔkta.
- Woate ŋu akpɔ nɔnɔme sia gbɔ dzidzedzetɔe ŋutɔ to nuɖuɖu, kamedede, kple ne ehiã la, atikewo zazã me.
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