Cia peb kawm ntxiv txog kev kuaj ntshav seb puas muaj feem yuav muaj kab mob plawv.

Koj puas tau xav tias koj lub plawv noj qab nyob zoo npaum li cas? Qee zaum peb tuaj yeem muaj cov kab mob ntsig txog lub plawv yam tsis paub txog. Tab sis hmoov zoo, muaj cov kev kuaj ntshav uas tuaj yeem pab txheeb xyuas cov yam txaus ntshai no thaum ntxov. Yog li hnub no, cia peb tham txog cov kev kuaj ntshav no yog dab tsi thiab lawv tuaj yeem pab koj txiav txim siab koj qhov kev pheej hmoo ntawm kab mob plawv, tshwj xeeb tshaj yog kab mob plawv (CAD). Cia peb sim nkag siab qhov no yooj yim, zoo li koj tab tom tham nrog ib tug phooj ywg.

Vim li cas koj thiaj xav tau cov kev kuaj ntshav no?

Tam sim no tej zaum koj yuav xav paub tias, "Vim li cas kuv thiaj xav tau cov kev kuaj ntshav no?" Tsis yog txhua tus neeg xav tau lawv tam sim ntawd. Tab sis muaj qee qhov xwm txheej uas tus kws kho mob yuav pom zoo kom koj ua cov kev kuaj no. Saib seb cov laj thawj no puas siv tau rau koj:

• Kev Noj Haus: Koj feem ntau noj cov khoom noj tsis zoo uas muaj roj, qab zib, thiab hmoov nplej ntau.
• Keeb Kwm Tsev Neeg: Yog tias leej twg hauv koj tsev neeg, tshwj xeeb tshaj yog koj niam, txiv, lossis cov kwv tij neej tsa, tau muaj tus kab mob plawv (CAD) ua ntej hnub nyoog 50 xyoo .
• Kev rog dhau los yog qhov hnyav nce: Yog tias koj lub cev hnyav dua li qub.
• Tsis Muaj Kev Tawm Dag Zog: Yog tias lub cev tsis tau txais kev tawm dag zog txaus thaum nruab hnub.
• Haus Luam Yeeb: Yog tias koj haus luam yeeb lossis siv lwm hom luam yeeb (piv txwv li, txiv laum huam lossis nplooj laum huam).
• Lwm yam mob: Yog tias koj twb muaj cov kab mob xws li ntshav qab zib, ntshav siab, lossis yog tias koj tau muaj mob plawv lossis mob hlwb yav dhau los.

Yog tias koj muaj ib lossis ntau yam ntawm cov teeb meem no, nws yuav yog ib qho zoo rau koj nrog kws kho mob tham thiab mus kuaj ntshav zoo li no.

Leej twg ua cov kev kuaj ntshav no?

Feem ntau, ib tug neeg uas tau kawm txog qhov no yuav muab cov ntshav ntawm koj coj mus kuaj. Peb hu lawv ua "Phlebotomist" lossis "Phlebotomy technician". Tom qab ntawd cov ntshav no raug xa mus rau chav kuaj mob. Muaj ib tug "kws kho mob chav kuaj mob" nyob ntawd. Nws siv cov tshuab tshwj xeeb los ntsuas cov khoom sib txawv hauv koj cov ntshav thiab npaj ib daim ntawv qhia.

Cov kev kuaj ntshav no ntsuas dab tsi los nrhiav kev pheej hmoo ntawm kab mob plawv?

Zoo, tam sim no cia peb saib seb cov kev kuaj ntshav no nrhiav dab tsi. Cov no yog yam uas cov kws kho mob siv los kom tau txais lub tswv yim ntawm koj qhov kev pheej hmoo ntawm kab mob plawv.

Cholesterol thiab Cov Yam Ntxim Saib

• Tag Nrho Cov Roj Cholesterol (TC): Qhov no yog tag nrho cov roj cholesterol hauv koj cov ntshav. Nws muaj feem cuam tshuam ncaj qha rau koj qhov kev pheej hmoo ntawm kab mob plawv.
• Triglycerides (TG): Qhov no kuj yog ib hom rog. Cov no kuj muaj feem cuam tshuam nrog kab mob plawv. Cov suab thaj yooj yim, cov carbohydrates yooj yim (xws li mov ci, mov), cov khoom noj uas muaj roj, thiab cawv uas peb noj tuaj yeem ua rau cov '(TG)' no nce ntxiv. Qhov no tuaj yeem txo qis los ntawm kev tawm dag zog zoo.
• Cov roj cholesterol ntau (HDL): Qhov no yog qhov peb hu ua "cov roj cholesterol zoo." Yog tias muaj ntau hauv cov ntshav, qhov kev pheej hmoo ntawm kev mob plawv yuav tsawg dua.
• Cov roj cholesterol qis (LDL): Qhov no yog qhov peb hu ua "cov roj cholesterol phem." Yog tias muaj ntau ntxiv hauv cov ntshav, qhov ntawd yuav ua rau muaj kab mob plawv ntau dua.
• Lipoprotein (a) (Lp(a)): Qhov no yog tsim los thaum ib qho protein hu ua apo(a) txuas nrog LDL cholesterol. Yog tias nws cov qib siab hauv cov ntshav, muaj kev pheej hmoo ntawm kev mob plawv, mob hlwb, ntshav txhaws, cov rog hauv cov hlab ntsha tom qab phais plawv, thiab cov hlab ntsha plawv nqaim dua tom qab angioplasty. Qhov no kuj tuaj yeem tshwm sim hauv tsev neeg. Yog li ntawd, yog tias ib tug neeg hauv tsev neeg tau muaj kab mob plawv thaum tseem hluas, tus kws kho mob yuav pom zoo kom kuaj qhov no.
• Apolipoprotein B (ApoB): Qhov no yog ib qho protein tseem ceeb hauv cov roj cholesterol. Qee qhov kev tshawb fawb qhia tias cov theem ApoB yog qhov qhia tau zoo dua ntawm kev pheej hmoo dua li cov theem LDL ib leeg xwb. Cov theem ApoB siab dua qhia tau tias muaj cov khoom me me, ntom ntom LDL ntau ntxiv.

Lwm cov khoom tseem ceeb ntawm cov ntshav thiab cov cim qhia

• Kev suav cov ntshav tag nrho nrog rau kev ntsuas qhov sib txawv (CBC): Qhov kev kuaj no ntsuas tus naj npawb ntawm cov qe ntshav liab, cov qe ntshav dawb, thiab cov platelets hauv koj cov ntshav. Nws tuaj yeem kuaj pom cov mob xws li ntshav tsis txaus, uas yog qhov tsis muaj cov qe ntshav liab.
• Homocysteine ​​(Hcy): Qhov no yog ib qho amino acid. Cov qib siab ntawm qhov no hauv cov ntshav ua rau muaj kev pheej hmoo ntawm kab mob plawv.
• Hemoglobin A1c (HbA1c): Qhov kev kuaj ntshav no pab kuaj mob ntshav qab zib. Ntshav qab zib yog ib yam mob uas ua rau muaj feem mob plawv (CAD). Qhov kev kuaj no qhia txog qib ntshav qab zib nruab nrab ntawm ob mus rau peb lub hlis dhau los.
• Ntshav Qab Zib Thaum Noj Mov / Ntshav Qab Zib Thaum Noj Mov: Qhov no ntsuas koj cov ntshav qab zib thaum sawv ntxov tom qab koj tau noj mov tas hmo. Nws tuaj yeem kuaj pom prediabetes thiab ntshav qab zib, ob qho tib si ua rau koj muaj feem yuav mob plawv.
• Creatine Kinase (CK): Qhov no yog ib qho enzyme uas pom muaj nyob rau hauv cov leeg nqaij. Nws cov theem yuav nce ntxiv yog tias koj noj cov tshuaj txo cov roj cholesterol (piv txwv li, statins).
• Alanine Aminotransferase (ALT) lossis SGPT: Qhov no yog ib qho enzyme pom muaj nyob rau hauv lub siab. Nws cov theem yuav nce ntxiv thaum koj noj cov tshuaj txo cov roj cholesterol.
• Aspartate Transaminase (AST) lossis SGOT: Qhov no yog lwm yam enzyme hauv lub siab. Nws kuj tseem tuaj yeem nce siab thaum noj cov tshuaj txo cov roj cholesterol.
• Fibrinogen:Qhov no yog ib qho protein nyob hauv koj cov ntshav. Nws pab koj cov ntshav txhaws. Tab sis yog tias nws siab dhau, nws ua rau koj muaj feem mob plawv.
• Cov Tshuaj Hormone Uas Pab Txhawb Cov Thyroid (TSH): Qhov no ntsuas seb koj cov qog thyroid ua haujlwm zoo npaum li cas. Kev ua haujlwm tsis zoo ntawm cov thyroid tau txuas nrog rau kab mob plawv thiab lub plawv dhia tsis zoo.
• Cov Protein C-reactive Protein uas rhiab heev (us-CRP) lossis CRP uas rhiab heev: Qhov no qhia tau tias muaj kev o ntawm cov hlab ntsha. Qhov siab dua nws qib, qhov ntau dua qhov muaj feem yuav muaj kab mob plawv thiab cov hlab ntsha.
• Qhov Ntsuas Albumin-Creatinine Ratio (uACR): Qhov no ntsuas qhov ntau ntawm cov protein hauv cov zis. Txawm tias me me ntawm cov protein hauv cov zis kuj yog ib qho ua rau muaj kab mob plawv. Qhov kev kuaj no tseem ceeb heev rau cov neeg uas muaj ntshav qab zib.
• MPO (Myeloperoxidase): Qhov no kuj yog ib qho cim qhia txog kev o. Cov qib siab ntawm qhov no cuam tshuam nrog kev pheej hmoo ntawm kev mob plawv, mob hlwb, thiab qhov xav tau kev phais plawv. Cov qib siab ntawm qhov no kuj tuaj yeem qhia txog kab mob plawv zuj zus tuaj.
• Vitamin D: Qhov no yog ib qho vitamin uas yaj hauv roj. Nws tswj cov calcium thiab phosphate hauv lub cev. Cov no pab kom cov pob txha noj qab nyob zoo. Kev tsis txaus Vitamin D muaj feem cuam tshuam nrog ntau yam kev pheej hmoo rau kev noj qab haus huv. Tsis tas li ntawd, yog tias koj muaj teeb meem zam cov tshuaj statins (cov tshuaj cholesterol), qhov kev tsis txaus vitamin D no yuav yog ib qho laj thawj.
• Trimethylamine N-oxide (TMAO): Qhov no yog tsim los ntawm cov kab mob hauv koj lub plab. Nws pom muaj ntau hauv nqaij, qe, thiab cov khoom noj mis nyuj. Cov tshuaj ntxiv xws li choline, lecithin, thiab L-carnitine kuj tseem tuaj yeem ua rau TMAO ntau ntxiv. Cov TMAO ntau hauv cov ntshav tuaj yeem ua rau muaj kev pheej hmoo ntawm kab mob plawv, mob hlwb, thiab atherosclerosis.
• Amino-terminal, pro-Brain Natriuretic Peptide (NT-proBNP): Cov protein no yog tsim nyob rau hauv koj lub plawv. Nws yog tso tawm rau hauv cov ntshav thaum koj lub plawv nyob rau hauv lub zog ntxiv. Cov theem siab ntawm cov protein no qhia txog kev pheej hmoo siab dua ntawm kab mob plawv thiab kuj tuaj yeem qhia txog kev poob qis hauv kev ua haujlwm ntawm lub plawv. Lwm yam kev kuaj mob yuav ua tau kom paub ntau ntxiv.
• Serum Creatinine (CR): Qhov no muaj feem cuam tshuam rau kev ua haujlwm ntawm lub raum. Yog tias lub raum tsis ua haujlwm zoo, nws tuaj yeem ua rau lub plawv ntxhov siab. Kev mob raum tsis ua haujlwm ntev yog ib qho mob uas tuaj yeem ua rau muaj kev pheej hmoo ntawm kab mob plawv. Thiab lub plawv kuj tuaj yeem cuam tshuam rau lub raum.
• Cov Qhab Nia Txog Kev Pheej Hmoo ntawm Kab Mob Atherosclerotic Cardiovascular Disease (ASCVD): Cov qhab nia no kwv yees koj qhov kev pheej hmoo ntawm kev muaj "atherosclerotic" (xws li mob plawv lossis mob stroke) hauv 10 xyoo tom ntej.

Xav txog nws li no, txhua qhov kev kuaj no zoo li tus kws tshawb nrhiav. Nws siv txhua qhov kev qhia kom muab tag nrho daim duab ua ke. Ib yam li ntawd, cov kws kho mob saib cov ntawv xeem no thiab xaus lus txog koj lub plawv txoj kev noj qab haus huv.

Koj npaj li cas ua ntej kuaj ntshav?

Ua ntej koj yuav tsum tau kuaj ntshav, nws yog ib qho tseem ceeb uas yuav tsum nug koj tus kws kho mob yog tias koj xav tau tsum tsis txhob noj tshuaj, cov vitamins, lossis cov tshuaj ntxiv uas koj tab tom noj. Qee cov tshuaj tuaj yeem cuam tshuam rau cov txiaj ntsig ntawm kev kuaj ntshav. Tab sis tsis txhob tsum tsis txhob noj tshuaj yam tsis tau koj tus kws kho mob qhia.

Qee qhov kev kuaj ntshav yuav tsum tau kom koj yoo mov ob peb teev (feem ntau yog 8-12 teev) ua ntej kev kuaj. Yog li ntawd, nug koj tus kws kho mob txog qhov no ua ntej kev kuaj.

Muaj dab tsi tshwm sim thaum lub sijhawm xeem?

Feem ntau tus kws kho mob ntshav yuav muab ib rab koob ntxig rau hauv cov leeg ntshav hauv koj txhais caj npab lossis sab hauv ntawm koj lub luj tshib. Tej zaum koj yuav hnov ​​​​​​mob khaus thaum muab rab koob ntxig rau hauv cov leeg ntshav. Kev nqus ntshav yuav siv sijhawm li ib feeb.

Tom qab rho ntshav tas lawm, muaj dab tsi tshwm sim?

Tom qab muab cov ntshav coj mus kuaj lawm, tus kws kho mob phlebotom yuav tshem cov koob tawm, tuav qhov chaw uas muab cov ntshav coj mus kuaj rau hauv qhov chaw, muab ib daim plaster lossis ib daim paj rwb lo rau, thiab muab ib daim ntawv nplaum rau.

Cov txiaj ntsig uas kuv tau txais yog dab tsi? Lawv qhia kuv li cas?

Cov txiaj ntsig yuav txawv nyob ntawm seb muaj dab tsi sib txawv hauv koj cov ntshav. Koj tus kws kho mob yuav nrog koj tham txog koj cov txiaj ntsig thiab qhia koj tias yuav ua li cas tom ntej.

Nov yog qee qhov txiaj ntsig xav tau rau ntau qhov kev ntsuam xyuas tseem ceeb ntsig txog kev pheej hmoo ntawm kab mob plawv:

• Tag Nrho Cov Roj Cholesterol (TC):
• Muaj hnub nyoog 20 xyoo lossis hluas dua: Nruab nrab ntawm 75 - 169 mg/dL.
• Muaj hnub nyoog 21 xyoo lossis laus dua: Nruab nrab ntawm 100 - 199 mg/dL.
• Triglycerides (TG): Tsawg dua 150 mg/dL yog qhov zoo. Yog tias nws ntau dua 500 - 1000 mg/dL, muaj kev pheej hmoo ntawm kev mob pancreatitis. Qib no feem ntau siab dua rau cov neeg rog dhau thiab cov neeg uas muaj ntshav qab zib.
• Cov lipoprotein ntau ntom (HDL - "cov roj cholesterol zoo"): Qhov siab dua qhov no, qhov zoo dua.
• Txiv neej: ntau dua 45 mg/dL.
• Poj niam: ntau dua 55 mg/dL.
• Cov roj cholesterol tsis zoo (LDL - "cov roj cholesterol phem"): Qhov qis dua qhov zoo dua. Qib xav tau yuav txawv nyob ntawm koj tus mob:
• Yog tias koj muaj kab mob plawv, kab mob hlab ntsha, ntshav qab zib, lossis muaj feem yuav mob plawv heev: Tsawg dua 70 mg/dL.
• Yog tias koj muaj '(Metabolic Syndrome)' lossis ntau tshaj ib qho uas ua rau muaj kab mob plawv: Tsawg dua 100 mg/dL.
• Yog tias koj muaj kev pheej hmoo tsawg ntawm kab mob plawv: Tsawg dua 130 mg / dL.
• Kev suav cov ntshav tag nrho (CBC):
• Cov qe ntshav dawb suav tau: 5,000 - 10,000 (ib microliter).
• Hematocrit (tus nqi ntawm cov ntshav ua los ntawm cov qe ntshav liab): Txiv neej 40% - 55%; Poj niam 36% - 48%.
• Hemoglobin (ib feem ntawm cov qe ntshav liab uas nqa oxygen): Txiv neej 14 - 18 gm/dL; Poj niam 12 - 16 gm/dL.
• Lipoprotein (A) (Lp(a)): Tsawg dua 30 mg/dL yog qhov zoo.
• Apolipoprotein B (ApoB): Tsawg dua 100 mg/dL yog qhov zoo.
• Homocysteine ​​(Hcy): Tsawg dua 15 mcmol/L yog qhov zoo.
• Hemoglobin A1c (HbA1c):
• Qib noj qab haus huv: 6% lossis tsawg dua.
• Prediabetes: 5.7% - 6.4%.
• Ntshav Qab Zib: 6.5% lossis siab dua.
• Lub hom phiaj rau ib tus neeg uas muaj ntshav qab zib: 6.5% - tsawg dua 7%.
• Ntshav Qab Zib Thaum Noj Mov: Tsawg dua 100 mg / dL yog qhov zoo.
• Ua ntej mob ntshav qab zib: 100 - 125 mg/dL.
• Ntshav Qab Zib: 126 mg/dL lossis siab dua rau ob zaug sib cais.
• Creatine Kinase (CK): Qib ib txwm yog 30 - 220 U/L.
• Alanine aminotransferase (ALT/SGPT): Qib ib txwm muaj 5 - 45 U/L.
• Aspartate transaminase (AST/SGOT): Qib ib txwm muaj 7 - 40 U/L.
• Fibrinogen: Qib ib txwm muaj 200 - 400 mg/dL.
• Cov Tshuaj Hormone Txhawb Kev Ua Haujlwm ntawm Thyroid (TSH): Qhov zoo tshaj plaws yog 0.4 - 5.5 mIU/mL. (Qhov no yuav txawv yog tias koj tau kho cov mob thyroid yav dhau los.)
• Cov protein C-reactive uas rhiab heev heev (us-CRP):
• Kev pheej hmoo tsawg: tsawg dua 2.0 mg/L.
• Kev pheej hmoo nruab nrab: 2.0 - 3.0 mg/L.
• Muaj kev pheej hmoo siab: ntau dua 3.0 mg/L.
• Qhov piv ntawm albumin-creatinine hauv zis (uACR): Tsawg dua 30 mg/g yog qhov zoo.
• MPO: Tsawg dua 420 pmol/L yog qhov zoo.
• Vitamin D: Qhov zoo tshaj plaws yog 31 - 80 ng / ml.
• Trimethylamine N-oxide (TMAO):
• Kev pheej hmoo tsawg: tsawg dua 6.2 uM.
• Kev pheej hmoo nruab nrab: 6.2 - 9.9 uM.
• Kev pheej hmoo siab: 10 uM lossis ntau dua.

(Yog tias TMAO theem siab, koj tus kws kho mob yuav pom zoo kom txo qis LDL thiab tswj lwm yam kev pheej hmoo. Lawv kuj tseem yuav pom zoo kom noj tshuaj aspirin tsawg ob zaug hauv ib hnub thiab ua raws li kev noj zaub mov Mediterranean.)

• NT-proBNP: Tsawg dua 125 pg/mL yog qhov zoo.
• Cov Creatinine hauv cov ntshav (CR):
• Poj niam: 0.58 - 0.96 mg/dL.
• Txiv neej: 0.73 - 1.22 mg/dL.
• Qhov ntsuas kev pheej hmoo ASCVD:
• Kev pheej hmoo tsawg: <5%
• Kev pheej hmoo ntawm ciam teb: 5-7.4%
• Kev pheej hmoo nruab nrab: 7.5-<20%
• Kev pheej hmoo siab: >20%

Tseem Ceeb: Cov no tsuas yog cov nqi nruab nrab xwb. Koj cov txiaj ntsig yuav tsum tau muab piv rau ntau lwm yam, xws li koj lub hnub nyoog, poj niam txiv neej, thiab lwm yam mob. Yog li ntawd , nws yog ib qho tseem ceeb uas yuav tsum tham txog cov txiaj ntsig no nrog koj tus kws kho mob.

Yuav siv sijhawm ntev npaum li cas thiaj paub cov txiaj ntsig?

Feem ntau cov txiaj ntsig ntawm kev kuaj ntshav yuav siv sijhawm ob peb hnub lossis ntev dua thiaj li yuav rov qab los. Nug koj tus kws kho mob seb yuav siv sijhawm ntev npaum li cas thiaj li tau txais koj cov txiaj ntsig.

Kuv puas yuav tsum mus ntsib kws kho mob dua?

Yog tias koj tseem tsis tau txais koj cov txiaj ntsig kuaj tom qab li ob lub lis piam, hu rau koj tus kws kho mob. Thaum koj tau txais cov txiaj ntsig, koj tus kws kho mob yuav tham nrog koj thiab qhia koj tias yuav ua li cas tom ntej.

Nco ntsoov tias, thaum cov kev kuaj ntshav tuaj yeem muab lub tswv yim zoo rau koj txog koj qhov kev pheej hmoo rau kab mob plawv, lawv ib leeg tsis tuaj yeem qhia koj paub tseeb tias koj muaj tus kab mob. Yog tias koj cov kev kuaj ntshav qhia tias koj qhov kev pheej hmoo siab, koj tus kws kho mob yuav pom zoo kom kuaj ntxiv. Tsis txhob ntshai tham nrog koj tus kws kho mob txog cov lus nug lossis kev txhawj xeeb uas koj muaj thoob plaws hauv cov txheej txheem no.

Cov Lus Qhia Txog Kev Coj Mus Tsev

Hais yooj yim xwb, cov kev kuaj ntshav no yog ib qho cuab yeej muaj txiaj ntsig zoo rau kev kuaj pom kab mob plawv thaum ntxov. Raws li cov ntaub ntawv uas lawv muab, koj tuaj yeem hloov pauv koj txoj kev ua neej thiab, yog tias tsim nyog, pib kho. Tom qab ntawd, koj muaj feem ntau dua los tiv thaiv koj tus kheej ntawm kab mob plawv loj.

Nco ntsoov:

• Yog tias koj muaj tej yam uas ua rau koj muaj kab mob plawv (cov uas peb tau tham ua ntej), mus kuaj cov no raws li kws kho mob qhia.
• Tham nrog koj tus kws kho mob txog cov txiaj ntsig.
• Tsis txhob txhawj yog tias cov txiaj ntsig qhia tau tias muaj kev pheej hmoo siab. Nws tsuas yog txhais tau tias koj yuav tsum tau saib xyuas koj txoj kev noj qab haus huv ntxiv me ntsis.
• Koj tuaj yeem ua kom koj lub plawv noj qab haus huv los ntawm kev ua raws li kev noj zaub mov zoo, tawm dag zog tsis tu ncua , thiab tsis txhob haus luam yeeb .

Ib yam li koj lub siab muaj nqis rau koj, nws kuj muaj nqis heev uas yuav tsum paub txog koj txoj kev noj qab haus huv ntawm lub plawv!

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