Ðewohĩ èse nya ‘ʋumemi’ zi geɖe, alo? Gake ne wò ɖɔkta gblɔ be ‘hyperlipidemia’ la, àte ŋu atɔtɔ vie. Mègatsi dzi o, nya eve siawo gɔmeɖeɖe sɔ pɛpɛpɛ. Kpuie ko la, efia be ami, alo ‘ami’ abe alesi míeyɔnae ene, dzi ɖe edzi le wò ʋu me. Esia nye nɔnɔme si bɔ ŋutɔ si wokpɔna fifia le ame geɖe dome le míaƒe dukɔa me.
Ami ƒomevi kawoe le ʋua me?
Ami, alo ami ƒomevi vovovowo le míaƒe ʋu me. Tsɔe be míaƒe ʋu le abe mɔ ene. Ʋu nyuiwo kple ʋu gbegblẽwo le mɔ sia dzi.
- HDL ʋumemi: Esiae nye "ʋumemi nyui." Ele abe gbeɖuɖɔtsɔʋu ene. Efɔa ʋumemi si mèdi o si ƒo ƒu ɖe wò ʋukawo me eye wòtsɔnɛ yia aklãa me. Aklãa ɖea ʋumemi ma si mèdi o ɖa le wò ŋutilã me. Eyata HDL ƒe agbɔsɔsɔ nyui ƒe amesinɔnɔ nyo na wò ŋutilã ŋutɔ.
- LDL ʋumemi: Esiae nye nusi míeyɔna be "ʋumemi gbegblẽ." Ðeko wòle abe ʋu aɖe si gblẽa gbeɖuɖɔ ɖe afisiafi le mɔa dzi ene. LDL ʋumemi sia léna ɖe míaƒe ʋukawo ƒe gliwo ŋu. Le ɣeyiɣi aɖe megbe la, nusiawo va ƒoa ƒu eye wodzea ʋuka siwo le eme la xexe gɔme. Esia ʋua mɔ na dɔléle gãwo abe dzidɔ kple ʋusɔgbɔdɔ ene.
- Triglycerides: Esia nye ami ƒomevi bubu si le míaƒe ʋu me. Nuɖuɖu siwo me ami kple sukli le siwo míeɖuna koŋue wɔa wo. Esiawo ƒe agbɔsɔsɔ fũ menyo na ŋutilãa o.
- VLDL ʋumemi: Abe LDL ene la, wobua esia be enye ʋumemi "vɔ̃ɖi" ƒomevi aɖe. Ne esia dzi ɖe edzi la, dzidɔ ƒe afɔkua dzina ɖe edzi.
Nukatae míexɔa Hyperlipidemia? Nukawoe gbɔ wòtsona?
Susu geɖewo tae wòle alea ɖo. Wo dometɔ aɖewo nye nusiwo dzi míate ŋu aɖu, gake ɖewo ya nye nusiwo dzi míate ŋu aɖu o.
| Susu ƒe ƒomevi | Kpɔɖeŋuwo |
|---|---|
| Nuɖuɖu ɖoɖo | Nuɖuɖu siwo me ami ʋeʋĩ kple ami si woyɔna be trans fat sɔ gbɔ ɖo. Kpɔɖeŋuwo: cheese, azi tutu, nuɖuɖu siwo wofli, nuɖuɖu siwo ŋu wotrɔ asi le, ice cream, abolomenuwo, lã dzĩ (nyilã, haƒoƒo). |
| Agbenɔnɔ ƒe nɔnɔme | Sigaretnono, ahanono fũu akpa, lolo akpa, kamemademade, kple nuteɖeamedzi si gbɔ eme. |
| Atikewɔwɔ ƒe nɔnɔme bubuwo | Dɔlélewo abe suklidɔ, ayikudɔ, aklãdɔ, ʋumenugbagbeviɣidɔ, polycystic ovary syndrome (PCOS), kple lupus ene. |
| Atike aɖewo | Steroid aɖewo, ʋusɔgbɔdɔ ƒe atike aɖewo (Beta-blockers, Diuretics), vidzidzinutsitikewo, HIV dɔlékuiwutike aɖewo. |
| Domenyiŋusẽfianu siwo gbɔ wòtsona tso dzidzimewo me | Ame aɖewo nyia nɔnɔme sia ƒe dome tso wo dzilawo gbɔ. Woyɔa esia be ‘Ƒome ƒe ʋumemi ƒe agbɔsɔsɔ fũ’. Ame siawo ƒe ʋumemi sɔ gbɔ ŋutɔ le woƒe ɖevime ŋutɔ eye dzidɔ ate ŋu adze wo dzi wu. |
Nukawoe nye ʋumemi ƒe agbɔsɔsɔ fũ ƒe dzesiwo?
Nusi le vevie wu eye wòdoa vɔvɔ̃ na ame vie le afisiae nye esi: Ame geɖe siwo ŋu dɔléle sia le la meɖea dzesi aɖeke fiana le gɔmedzedzea me o.
Zi geɖe la, nɔnɔme sia mehea dzesi aɖeke fiana le gɔmedzedzea me o. Esia tae ate ŋu anɔ abe "amewula si meɖoa to o" ene. Ʋudodokpɔ koe ate ŋu anyae kple kakaɖedzi.
Gake kuxiwo dzea dodo gɔme ne ami ƒo ƒu ɖe ʋukawo me eye wòxea wo, si wɔnɛ be womewɔa atike na wo o ɣeyiɣi didi aɖe. Esia ate ŋu ahe nɔnɔme sesẽwo abe:
- Coronary Artery Disease (CAD): Ʋuka siwo naa ʋu yia dzia me la xana le ami siwo le eme ta. Esia wɔnɛ be dzia mete ŋu xɔa ɔksidzin kple nunyiame siwo wòhiã o. Esia ate ŋu ana akɔta nase veve (angina) alo dzidɔ.
- Dzidɔ: Ami siwo le ʋukawo me (plaques) siwo ƒo ƒu ɖe ʋukawo me ate ŋu agbã zi ɖeka eye woazu ʋuka. Ne ʋu ƒe sisi sia xe mɔ na ʋu ƒe sisi yi dzia ƒe akpa aɖe keŋkeŋ la, ke dzidɔe wònye. Dzesiawo ate ŋu anye akɔtave sesẽ, vevesese si klẽna ɖe aɖu, abɔta, alo alɔnu, fifia, kple gbɔgbɔ sesẽ. Ne èkpɔ dzesi siawo la, ele be nàyi kɔdzi ƒe xɔ si me wowɔa dɔ kpata le (ETU) me enumake.
- Ʋusɔgbɔdɔ: Abe dzidɔ ene la, ʋusɔgbɔdɔ dzɔna ne ʋu si le ƒoƒom la gbã eye wòxe ʋuka aɖe si naa ʋu yia ahɔhɔ̃a me. Dzesiawo ate ŋu anye taɖuame kpata, sesẽ, nuƒoƒo sesẽ, gbɔdzɔgbɔdzɔ le ŋutilã ƒe akpa ɖeka, kple ŋku ƒe nukpɔkpɔ. Esia hã nye atikewɔwɔ kpata.
- Ami siwo le ŋutigbalẽa dzi: Zi geɖe la, wokpɔa esiawo le ƒomea me ʋumemi sɔ gbɔ ɖe lãme na ame me. Woate ŋu adze abe ƒu ɣi siwo te ɖe ŋkume (xanthelasmas) alo abɔta, klo, kple asiwo (xanthomas) ene.
Aleke nèwɔna dea dzesi esia?
Mɔ ɖeka kolia si dzi nàto anya ne ʋumemi sɔ gbɔ ɖe lãme na wòe nye be woado ʋu kpɔ . Woyɔa esia be ‘Lipid Profile’ alo ‘Lipid Panel’. Zi geɖe la, wowɔa dodokpɔ sia ne ètsi nu dɔ gaƒoƒo 9-12 vɔ.
Wò ɖɔkta abu nusiwo le abe ƒe si nèxɔ, atikewɔwɔ ƒe nɔnɔme bubuwo, kple ƒomea ƒe atikewɔwɔ ŋutinya ene ŋu akpɔe ɖa be wò ʋumemi ƒe agbɔsɔsɔ le afɔku me hã.
| Dodokpɔ | Lãmesẽ ƒe agbɔsɔsɔ (mg/dL) . | Afɔku ƒe agbɔsɔsɔme (mg/dL) . |
|---|---|---|
| Lãmetsiŋusẽ Katã | Womede 200 o | 240 alo esi wu nenema |
| LDL ("vɔ̃ɖi") Lãmetsiŋusẽ | Ame siwo mede 100 o (wode 70 le amesiwo dzidɔ ate ŋu adze afɔku me) . | 160 alo esi wu nenema |
| HDL ("nyui") Lãmetsiŋusẽ | Ŋutsu: Ƒe 40 kple edzivɔ Nyɔnu: Ƒe 50 kple edzivɔ (ƒe 60 kple edzivɔ sɔ nyuie) | Ŋutsu: Mexɔ ƒe 40 haɖe o Nyɔnu: Mexɔ ƒe 50 haɖe o |
| Triglycerides ƒe atikewo | Ame siwo mexɔ ƒe 150 haɖe o | 200 alo esi wu nenema |
Aleke míawɔ aɖu nɔnɔme sia dzi?
Akpa vevi eve le esia dzi ɖuɖu me. Ðekae nye be míatrɔ míaƒe agbenɔnɔ. Bubue nye be nàno atike abe alesi ɖɔkta gblɔe ene, ne ehiã.
1. Agbenɔnɔ ƒe Tɔtrɔwo
Nu siawoe wò ŋutɔ àte ŋu awɔ. Esiawoe nye atikewɔwɔ ƒe akpa vevitɔ kekeake.
- Nuɖuɖu nyui: Ðe nuɖuɖu siwo me ami ʋeʋĩ kple ami siwo woyɔna be trans fats sɔ gbɔ ɖo dzi kpɔtɔ. Seɖoƒe li na akɔɖumi kple detsiƒonu zazã. Ðe nuɖuɖu siwo wofli, lã dzĩ, cheese, bɔta, abolo, kple bisiklet dzi kpɔtɔ. Ke boŋ ɖu nuɖuɖu siwo me fibre sɔ gbɔ ɖo wu . Oats, brown rice, nuku blibowo, amagbewo, atikutsetsewo, mɔli, chickpeas, kple lentils katã nyo.
- Ðu tɔmelã: Tɔmelã siwo me ami le abe salmon, tuna, mackerel, kple sardines ene ɖuɖu ŋkeke eve ya teti le kwasiɖa me ate ŋu akpe ɖe ŋuwò nàɖe triglycerides dzi akpɔtɔ.
- Kamedede: De kame aɖabaƒoƒo 30 ya teti gbesiagbe, abe azɔlizɔzɔ sesĩe, gasɔdodo, alo tsiƒuƒu ene. Ne esesẽ na wò be nàwɔ wo katã zi ɖeka la, mãe ɖe akpa siwo axɔ miniti 10-15 me eye nàwɔe zi geɖe gbesiagbe.
- Dzudzɔ atamanono kple ahanono: Ne èdzudzɔ atamanono ana wò ʋumemi nyui (HDL) nadzi ɖe edzi. Ele vevie hã be woadzudzɔ ahanono keŋkeŋ alo aɖo seɖoƒe nɛ vevie.
- Dzra wò lolo dzi: Ne èlolo akpa la, lolo dzi ɖeɖe kpɔtɔ kpena ɖe ŋuwò ŋutɔ le ʋumemi dzi ɖuɖu me.
- Dzra nuteɖeamedzi dzi: Lé susu ƒe nyonyo me ɖe asi to nuwo abe ŋugbledede kple yoga ene me.
2. Atike siwo ɖɔkta nana
Ɣeaɖewoɣi la, agbenɔnɔ ƒe tɔtrɔ gɔ̃ hã mate ŋu ana nàɖu wò ʋumemi ƒe agbɔsɔsɔ dzi o. Le nɔnɔme mawo me la, wò ɖɔkta aŋlɔ atike na wò.
- Statins: Esiae nye atike siwo wozãna wu tsɔ ɖea ʋumemi dzi kpɔtɔna. Wowɔa dɔ to ʋumemi ƒe wɔwɔme dzi ɖeɖe kpɔtɔ le aklã me.
- Atike bubuwo: Tsɔ kpe ɖe statin ŋu la, atike bubuwo hã li abe Ezetimibe, Fibrates, kple PCSK9 inhibitors ene. Wò ɖɔkta atso nya me le atike si anyo na wò ŋu.
Vevietɔ ŋutɔ: No atike la abe alesi wò ɖɔkta gblɔe ene pɛpɛpɛ, hena ɣeyiɣi si nèŋlɔ nɛ. Mègadzudzɔ wò atike nono alo atrɔ eƒe agbɔsɔsɔme gbeɖe ne mèbia wò ɖɔkta o.
Gbedasi si Wotsɔ Yi Aƒeme
- Lãmetsiŋusẽ si sɔ gbɔ ɖe lãme na ame nye ami ƒe agbɔsɔsɔ si dzi ɖe edzi le wò ʋu me, vevietɔ ʋumemi "vɔ̃ɖi" (LDL) kple triglycerides.
- Zi geɖe la, dzesi aɖeke medzena le eƒe gɔmedzedze o, eyata ele vevie be woado wo kpɔ le atikewɔƒe edziedzi.
- Woate ŋu akpɔ nɔnɔme sia bɔbɔe to ʋudodokpɔ bɔbɔe (Lipid Profile) zazã me.
- Agbenɔnɔ ƒe tɔtrɔ, abe nuɖuɖu nyui, kamedede, kple atamanono dzudzɔ ene, nye afɔɖeɖe gbãtɔ kple vevitɔ kekeake le atikewɔwɔ me.
- Ɣeaɖewoɣi la, tsɔ kpe ɖe agbenɔnɔ ƒe tɔtrɔ ŋu la, ahiã be nàno atike siwo ɖɔkta ŋlɔ na wò.
- Wò ʋumemi ƒe agbɔsɔsɔ dzi ɖuɖu ate ŋu akpe ɖe ŋuwò nàkpɔ ta tso dɔléle sesẽwo abe dzidɔ kple ʋusɔgbɔdɔ ene me. Ƒo nu tso esia ŋu kple wò ɖɔkta ɣesiaɣi.
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