Kab mob plawv yog ib qho teeb meem loj rau peb coob leej ntau tus. Tej zaum, txawm tias tsis muaj cov tsos mob loj los xij, tej zaum yuav muaj mob hnyav tshwm sim hauv lub cev. Yog li, koj puas yuav xav tsis thoob yog tias peb qhia koj tias muaj ib txoj hauv kev los paub ua ntej txog kev noj qab haus huv ntawm koj lub plawv, uas yog, koj muaj kev pheej hmoo ntau npaum li cas rau kev mob plawv, tshwj xeeb tshaj yog kab mob plawv (CAD)? Yog lawm, qhov ntawd yog qhov kev kuaj ntshav tuaj yeem pab tau. Raws li cov txiaj ntsig ntawm cov kev kuaj no thiab koj keeb kwm kev noj qab haus huv, koj tus kws kho mob yuav tsim cov phiaj xwm kho mob zoo tshaj plaws rau koj.
Leej twg yuav tsum tau ua cov kev kuaj ntshav no?
Tam sim no tej zaum koj yuav xav tias, "Kuv puas xav tau qhov kev kuaj no?" Muaj ntau yam ua rau koj tus kws kho mob yuav xaj hom kev kuaj ntshav no. Yog tias koj muaj ib lossis ntau yam ntawm cov yam txaus ntshai no, nws yog ib qho tseem ceeb uas yuav tsum xav txog cov kev kuaj no.
- Kev noj zaub mov tsis zoo: Yog tias koj noj ntau yam khoom noj uas muaj roj ntau, qab zib, thiab hmoov nplej.
- Keeb kwm tsev neeg: Yog tias koj niam, txiv, lossis cov kwv tij neej tsa tau muaj kab mob plawv ua ntej hnub nyoog 50 xyoo.
- Kev rog dhau los yog rog dhau: Yog tias koj rog dhau rau koj qhov siab.
- Tsis Muaj Kev Tawm Dag Zog: Yog tias koj yog ib tus neeg uas zaum hauv ib qho chaw thoob plaws hnub thiab tsis tawm dag zog.
- Haus luam yeeb los yog siv luam yeeb: Yog tias koj haus luam yeeb los yog siv lwm hom luam yeeb.
- Lwm yam mob: Yog tias koj twb muaj mob xws li ntshav qab zib, ntshav siab, lossis tau muaj mob plawv nres lossis mob hlwb yav dhau los.
Yog koj muaj cov kev pheej hmoo no, tsis txhob ntshai. Nws tsis tau txhais hais tias koj yuav muaj kab mob plawv. Txawm li cas los xij, nws yog ib qho kev txawj ntse los txheeb xyuas qhov kev pheej hmoo thaum ntxov thiab ua cov kauj ruam tsim nyog.
Cov kev kuaj ntshav nrhiav dab tsi?
Thaum saib koj qhov kev pheej hmoo ntawm kab mob plawv, cov kws kho mob yuav tsum tau ua tib zoo saib xyuas ob peb yam hauv koj cov ntshav. Hais yooj yim xwb, cov no yog cov yam tseem ceeb uas qhia peb txog kev noj qab haus huv ntawm peb lub plawv. Cia peb saib txhua yam no ua ke.
| Kev Ntsuas | Piav qhia yooj yim |
|---|---|
| Tag Nrho Cov Cholesterol (TC) | Tus nqi ntawm tag nrho cov roj cholesterol hauv cov ntshav. Qhov siab dua qhov no, qhov muaj feem yuav muaj kab mob plawv ntau dua. |
| Triglycerides (TG) | Qhov no kuj yog ib hom rog hauv cov ntshav. Nws tuaj yeem nce ntxiv los ntawm cov khoom noj uas muaj suab thaj ntau, hmoov nplej, rog, thiab cawv. Nws tuaj yeem txo qis los ntawm kev tawm dag zog. |
| Cov Lipoprotein Ceev (HDL) | Qhov no hu ua "cov roj cholesterol zoo." Nws tshem tawm cov roj cholesterol phem ntawm cov hlab ntsha. Qhov ntau nws cov nqi, qhov zoo dua. |
| Cov Lipoprotein Qis-Density (LDL) | Qhov no yog "cov roj cholesterol phem." Thaum nws nce ntxiv, nws tuaj yeem sib sau ua ke hauv cov hlab ntsha thiab ua rau lawv txhaws. Nws yog ib qho ua rau mob plawv. |
| Kev suav ntshav tag nrho (CBC) | Nws piav qhia txog cov qe ntshav liab, cov qe ntshav dawb, thiab cov platelets hauv cov ntshav. Nws tuaj yeem txheeb xyuas cov mob xws li ntshav tsis txaus. |
| Hemoglobin A1c (HbA1c) | Nws qhia koj cov ntshav qab zib nruab nrab li ntawm 2-3 lub hlis dhau los. Qhov no tseem ceeb heev rau kev kuaj mob ntshav qab zib. |
| Kev Ntsuas Qab Zib Thaum Noj Mov (Fasting Glucose) | Cov ntshav qab zib raug ntsuas tom qab yoo mov li 8-10 teev. Nws tuaj yeem kuaj pom tus kab mob ntshav qab zib thiab nws cov yam ua rau muaj tus kab mob ua ntej tus kab mob ntshav qab zib. |
| Cov protein C-reactive uas rhiab heev (us-CRP) | Nws qhia txog qib kev o ntawm cov hlab ntsha me me. Tus nqi no siab dua, qhov muaj feem yuav muaj kab mob plawv ntau dua. |
| Cov ntshav Creatinine (CR) | Ib qho kev kuaj uas ntsuas kev ua haujlwm ntawm lub raum. Yog tias lub raum tsis ua haujlwm zoo, nws kuj tseem tuaj yeem cuam tshuam rau lub plawv. |
Ntxiv rau cov no, koj tus kws kho mob yuav xaj lwm yam kev kuaj mob tshwj xeeb nyob ntawm koj qhov kev pheej hmoo. Piv txwv li, kev kuaj mob xws li `Lipoprotein (a)`, `Apolipoprotein B (ApoB)`, `Homocysteine (Hcy)`. Txhua qhov kev kuaj mob no pab kom pom tseeb dua txog koj qhov kev pheej hmoo ntawm kab mob plawv.
Koj npaj li cas ua ntej qhov kev xeem?
Zoo, tam sim no cia peb saib seb peb yuav tsum ua dab tsi ua ntej mus rau qhov kev xeem.
1. Kev yoo mov: Qee qhov kev kuaj, tshwj xeeb tshaj yog cov uas ntsuas cov roj cholesterol (Lipid Profile) thiab cov piam thaj hauv cov ntshav (Fasting Blood Sugar), yuav tsum kom koj tsis txhob noj thiab haus dej li 8-12 teev ua ntej kev kuaj. Haus dej feem ntau tsis ua li cas. Tab sis nco ntsoov nug koj tus kws kho mob txog qhov no.
2. Cov Lus Qhia Txog Tshuaj: Qhia rau koj tus kws kho mob txog cov tshuaj, cov vitamins, lossis lwm yam tshuaj ntxiv uas koj noj tas li. Qee cov tshuaj tuaj yeem cuam tshuam rau cov txiaj ntsig ntawm kev kuaj.
Qhov tseem ceeb tshaj plaws: Tsis txhob tsum noj koj cov tshuaj yam tsis tau sab laj nrog koj tus kws kho mob ua ntej. Nws yuav qhia koj txog yam yuav tsum ua yog tias tsim nyog.
Yuav nkag siab cov txiaj ntsig ntawm kev xeem li cas?
Thaum koj tau txais koj daim ntawv qhia txog kev kuaj ntshav, tej zaum koj yuav ntshai me ntsis txog cov lej thiab cov lus uas nyob rau ntawd. Tab sis tsis txhob txhawj. Cia peb saib seb cov khoom tseem ceeb uas muaj nyob hauv nws muaj pes tsawg feem pua uas zoo rau kev noj qab haus huv.
Ceeb Toom: Cov no tsuas yog cov nqi nruab nrab xwb. Cov nqi no yuav txawv nyob ntawm koj lub hnub nyoog, poj niam txiv neej, thiab lwm yam mob. Yog li ntawd, ib txwm tham nrog koj tus kws kho mob kom tau txais kev txhais lus tseeb tshaj plaws ntawm koj daim ntawv qhia.
| Kev Ntsuas | Qib Zoo Tshaj Plaws |
|---|---|
| Tag Nrho Cov Cholesterol (TC) | Tsawg dua 200 mg/dL |
| Triglycerides (TG) | Tsawg dua 150 mg/dL |
| HDL (cov roj cholesterol zoo) | Txiv neej: ntau dua 45 mg/dL Cov Poj Niam: ntau dua 55 mg/dL |
| LDL (cov roj cholesterol phem) | - Rau cov neeg uas muaj feem yuav mob hnyav: tsawg dua 130 mg/dL - Rau cov neeg uas muaj mob ntshav qab zib/mob plawv: 100 mg/dL lossis tsawg dua 70 mg/dL (raws li koj tus kws kho mob qhia) |
| Hemoglobin A1c (HbA1c) | Tsawg dua 5.7% (noj qab nyob zoo) 5.7% - 6.4% (kev pheej hmoo ua ntej muaj ntshav qab zib) Siab tshaj 6.5% (mob ntshav qab zib) |
| Kev yoo mov ntshav qab zib | Tsawg dua 100 mg/dL (zoo) 100 - 125 mg/dL (kev pheej hmoo ntawm kev mob ua ntej ntshav qab zib) Siab tshaj 126 mg/dL (ntshav qab zib) |
Koj ua dab tsi tom qab tau txais cov txiaj ntsig?
Yog tias koj cov txiaj ntsig ntawm kev kuaj ntshav muaj kev pheej hmoo, tsis txhob ntshai. Nws tsis tau txhais hais tias koj muaj kab mob tam sim ntawd. Nws yog ib qho lus ceeb toom txog kev pheej hmoo .
Tus kws kho mob yuav tham txog cov txiaj ntsig no nrog koj thiab piav qhia seb yuav ua li cas tom ntej. Koj tuaj yeem:
- Kev hloov pauv hauv lub neej: Muab cov lus qhia txog kev tswj koj cov zaub mov noj thiab kev tawm dag zog.
- Kev Sau Tshuaj: Thov kom pib noj tshuaj kom txo cov roj cholesterol, tswj cov ntshav siab, lossis tswj cov qib qab zib.
- Kev kuaj ntxiv: Koj yuav raug xa mus rau lwm yam kev kuaj xws li ECG, Echo, thiab Exercise ECG kom paub meej ntxiv txog kev ua haujlwm ntawm lub plawv.
Nco ntsoov tias, cov kev kuaj ntshav no yog ib lub sijhawm zoo rau koj los lav ris lub luag haujlwm rau koj tus kheej txoj kev noj qab haus huv. Qhov tseem ceeb yog siv cov txiaj ntsig no los ua qhov kev hloov pauv tsim nyog rau lub neej noj qab haus huv.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev kuaj ntshav yog ib qho cuab yeej tseem ceeb heev rau kev kuaj pom thaum ntxov ntawm kev pheej hmoo ntawm kab mob plawv.
- Cov roj cholesterol phem (LDL) nce ntxiv thiab cov roj cholesterol zoo (HDL) txo qis yog cov cim ceeb toom tseem ceeb.
- Kev kuaj ntshav qab zib HbA1c thiab kev kuaj ntshav qabzib yog qhov tseem ceeb heev rau kev txheeb xyuas tus kab mob ntshav qab zib thiab nws cov yam ntxwv ua ntej tus kab mob ntshav qab zib.
- Txawm koj cov ntshav yuav tawm li cas los xij, tsis txhob txiav txim siab ntawm koj tus kheej. Ib txwm sab laj nrog koj tus kws kho mob kom tau lus qhia.
- Txawm tias cov txiaj ntsig ntawm kev kuaj mob muaj kev pheej hmoo los xij, qhov kev pheej hmoo feem ntau tuaj yeem tswj tau nrog kev ua neej kom raug thiab, yog tias tsim nyog, noj tshuaj.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus