Yu smɔl pikin gɛt bɔku kɔlɔstrel? (Pediatric High Cholesterol) Lɛ wi tɔk bɔt dis!

Bɔku tɛm wi ɔl kin tɔk bɔt kɔlɔstrel pan big pipul dɛn, dat na di lɛvɛl we fat de na di blɔd. Bɔt yu no se ivin smɔl pikin dɛn kin gɛt dis kɔlɔstrel prɔblɛm? Infakt, sɔntɛnde, i kin rili siriɔs smɔl. So, nɔ wɔri. Tide, lɛ wi tɔk bɔt wetin na di ay kɔlɔstrel na smɔl pikin dɛn, ɔ as dɔktɔ dɛn kin kɔl am, `(Pediatric High Cholesterol)`, wetin mek i kin apin, ɛn wetin wi kin du bɔt am.

Wetin di ay kɔlɔstrel min pan yɔŋ pikin dɛn?

Fɔ tɔk am simpul wan, di bɔku kɔlɔstrel we pikin dɛn gɛt min se di kɔlɔstrel we de na yu pikin in blɔd pas aw i fɔ bi. dis kכlestכl na wan kayn fεt we de insay wi bכdi we dεn kכl `(Lipids)`. כda kayn fεt de bak we dεn kכl `(Triglycerides)`, we kin bכku bak pan sכm pikin dεm. Fɔ tru, wi bɔdi nid sɔm pan dɛn fat ya, bikɔs dɛn kin ɛp fɔ du difrɛn wok dɛn na di bɔdi. Bɔt prɔblɛm kin apin we dɛn tin ya bɔku pasmak.

Naw yu kin de wɔnda, "Aw a go no fɔ tru if mi pikin gɛt ay kɔlɔstrel ɔ ay triglisɛrɛyd?" Dɔktɔ dɛn kin du blɔd tɛst fɔ dis. Dɛn kɔl am "Lipid Panel." Dis tɛst kin tɛl yu di rayt tin bɔt dɛn fat lɛvɛl ya. Mɛmba se di nɔmal kɔlɔstrel lɛvɛl na yɔŋ pikin dɛn difrɛn smɔl frɔm di wan dɛn we big pipul dɛn gɛt.

Na dis wi go luk pan di nכmal, mכdarεt, εn abnכmal fεt lεvεl dεm na yכŋ pikin dεm.

(Na ya, i nɔmal if na di gud kayn kɔlɔstrel nɔmɔ we dɛn kɔl HDL kɔlɔstrel de dɔŋ.)

| Lipid Tayp | Nɔmal mg/dL | Bɔdalayn mg/dL | Abnɔmal mg/dL |

| :------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ :--------------------------- | :--------------------------- | ...

| Tɔtɔl Kɔlestɔl | < 170 pipul dɛn | 170 - 199 | ≥ 200 pipul dɛn |

| LDL kכlestכl ("bad" kכlestכl) | < 110 we de na di | 110 - 129 Di wan dɛn we de wok | ≥ 130 na di wan dɛn we de |

| HDL kכlestכl ("gud" kכlestכl) | > 45 | 40 - 45 Di wan dɛn we de wok | < 40 |

| Triglisɛrɛyd (0-9 ia) | < 75 | 75 - 99 Di wan dɛn we de wok | ≥ 100 na di wan dɛn we de |

| Triglisɛrɛyd (10-19 ia) | < 90 | 90 - 129 Di wan dɛn we de wok | ≥ 130 na di wan dɛn we de |

Impɔtant: Dɛn valyu ya kin chenj smɔl wit di ej, so i bɛtɛ fɔ tɔk to yu dɔktɔ fɔ no fɔ tru.

Wetin na di sayn dɛm we pikin kin gɛt we i gɛt bɔku kɔlɔstrel?

Bɔku tɛm, we pikin gɛt bɔku kɔlɔstrel nɔ kin sho ɛni klia sayn . Dis na di tin we denja pas ɔl. Bɔt if di kɔlɔstrel lɛvɛl rili ay, mɔ if na bikɔs ɔf di jɛnɛtik rizin, di pikin kin gɛt dɛn tin ya:

• Waxy, ɔyl lumps na di skin (Xanthoma) .
• Wan yɔlɔ, we tan lɛk blista na di aylid ɔ nia di aylid (Xanthelasma) .
• Kכnia Akכs: Na wayt כ grey ring we de rawnd di kכnia na di yay.

If yu si sayn dɛn lɛk dis, yu fɔ rili go to dɔktɔ wantɛm wantɛm.

Wetin mek di pikin in kɔlɔstrel lɛvɛl kin go ɔp?

Bɔku rizin dɛn de we mek di pikin in kɔlɔstrel kin bɔku. Lɛ wi tek wan luk pan wetin dɛn bi:

• Fɔ it ɛn drink: Na di kayn it dɛn we di pikin de it, mɔ di it dɛn we gɛt fat ɛn swit.
• Amount of physical activity: Aw di pikin de rɔn, jomp, ple, ɛn ɛksesaiz.
• Ɔda sik dɛn: Kɔndishɔn lɛk fɔ fat, dayabitis, ɛn kidni sik (Nephrotic Syndrome).
• Di mɛrɛsin dɛn: Sɔm mɛrɛsin dɛn kin mek bak di kɔlɔstrel bɔku.
• Jɛnɛtik inflɔwɛns: Di jin dɛn we dɛn mama ɛn papa gɛt kin bi wan men rizin bak fɔ dis.

Bɔku tɛm, pikin dɛn we gɛt ay kɔlɔstrel kin gɛt histri bɔt ay kɔlɔstrel na dɛn mama ɔ papa, ɔ dɛn kin de tek mɛrɛsin fɔ kɔntrol dɛn kɔlɔstrel.

Ay kɔlɔstrel bikɔs ɔf di jɛnɛtik kɔz dɛm

Di jin dɛn kin rili ɛp fɔ mek dis prɔblɛm apin. Lɛ wi si aw dat kin wok.

Famili Hapa Kɔlestɛrolemia (FH) .

Dis na wan sik we pɔsin kin gɛt we i kam pan jɛnɛtiks. wetin kin apin na we dεn bכn pikin wit hכy lεvεl "bad" kכlestכl (LDL Kכlestכl). Bɔku tɛm, dis kin kɔmɔt frɔm am if na wan pan di mama ɛn papa nɔmɔ gɛt di jin.

Dɔktɔ kin sɔprayz pikin we gɛt LDL lɛvɛl we dɛn nɔ ɛksplen we na 160 mg/dL ɔ pas dat. LDL lɛvɛl we na 130 mg/dL ɔ pas dat pan pikin we gɛt mama ɛn papa we gɛt FH na tin bak we kin mek pɔsin wɔri.

Di tin dɛn we kin mek pɔsin gɛt bɔku bɔku tin dɛn

כda jεnεtik kכz dεm de apat frכm `(FH)`. pikin we gεt polygenic kכz fכ hכy kכlestכl min se di pikin de inhεrit mכltipכl jin dεm frכm in tu mama εn papa we de rεs di `LDL` lεvεl. insay dis kes, di `LDL` lεvεl dεm kin dכn de go כp sכmtεm as tεm, εn i nכ kin notis te dεn yכng. pan ɔl we dɛn jɛnɛtik tin ya de mek di risk fɔ gɛt at sik, dɛn nɔ kin bi siriɔs lɛk `(FH)`. Pikin dεm we gεt `(FH)` kin nid fכ stat mεdikeshכn kwik pas pikin dεm we gεt polygenic kכz.

Lipoprotɛin (a) .

`(Lipoprotein (a))` (dεn kin kכl am "lipoprotein little A") na spεshal kayn kכlestכl we dεn kin gεt frכm mama εn papa to pikin dεm. Pipul dεm we gεt hכy lεvεl fכ `(Lipoprotein (a))` de pan hכy risk fכ gεt korona atεri sik. I kin ɛp bak fɔ mek pikin dɛn gɛt strok we nɔ kin apin so ɔltɛm.

If yu pikin gɛt wan ɔ mɔ pan dɛn tin ya we kin mek i gɛt prɔblɛm, dɔktɔ kin ɔda fɔ mek dɛn du blɔd tɛst fɔ chɛk dɛn `(Lipoprotein (a))` lɛvɛl:

• We dɛn no se yu gɛt ``Familial Hypercholesterolemia``.
• Bikɔs i bin dɔn gɛt ischemic strok bifo tɛm we dɛn nɔ no wetin mek i gɛt.
• fכ gεt hכy lεvεl dεm fכ `(Lipoprotein (a))` insay di mama כ di papa.
• Fɔ gɛt brɔda ɔ sista ɔ mama ɔ papa we dɔn gɛt at atak we i yɔŋ.

Wetin mek di pikin in triglisɛrɛyd lɛvɛl kin go ɔp?

di men rizin dεm fכ di ay triglisεrayd lεvεl na pikin dεm na:

• Fat
• Shuga
• Sɔm mɛrɛsin dɛn

di ay triglisεrayd kin gεt jεnεtik kכz dεm bak, bכt dεn nכ kכmכn lεk FH. If pikin in blɔd tɛst we i fast (12 awa fast) sho se triglisɛrɛyd na 500 mg/dL ɔ pas dat fɔ no ɔda rizin, dɔktɔ dɛn kin sɔprayz se na jenɛtik kɔz.

Us kɔmplikɛshɔn kin apin bikɔs ɔf di ay kɔlɔstrel na pikin dɛn?

Pikin dεm we gεt hכy kכlestכl (`LDL` kכlestכl) kin gεt hεlth prכblεm as dεn de ol. dis kin kכz fכ fεt dεm (atheroma) insay di bכdi vεsul dεm, we kin blכk di bכdi fכ fכlכ. Dis kin mek di blɔd nɔ go na di at, di bren, ɔ di leg dɛn. Sɔntɛm yu dɔn yɛri bɔt dɛn tin ya:

• At Atak we pɔsin kin gɛt
• Strok
• Pɛriferal Atɛri Disizin

Jɔs tink bɔt dis, if dɛn kɔntrol dɛn prɔblɛm ya we yu yɔŋ, i go rili ɛp yu fɔ avɔyd dɛn kayn siriɔs sik dɛn de we yu dɔn big!

Wetin na di kɔmplikɛshɔn dɛm we kin apin bikɔs ɔf di triglisɛrɛyd we de bɔku pan pikin dɛm?

if di lεvεl fכ `(Triglycerides)` tu hכy, di pikin kin gεt `(Pancreatitis).` if di lεvεl fכ `(Triglycerides)` hכy fכ lכng tεm, i kin kכntribyut bak fכ dipכzishכn fεt na di at dεm to sכm tεm. כltu, i nכ gεt big ifekt lεk `(LDL)` kכlestכl.

Aw dɔktɔ dɛn kin no se pikin dɛn gɛt bɔku kɔlɔstrel?

Pikin dɛn we de go skul kin mek dɛn chɛk dɛn kɔlɔstrel lɛvɛl wit simpul blɔd tɛst. Sɔntɛnde, yu kin nid fɔ fast fɔ at le 12 awa bifo dɛn du di blɔd tɛst. Aks yu dɔktɔ if dis nid fɔ bi.

I impɔtant mɔ fɔ mek dɛn du dis tɛst if pɔsin na di famili gɛt at sik, ɔ if di mama ɛn papa gɛt bɔku kɔlɔstrel. Di rizɔlt fɔ di blɔd tɛst kin no if di pikin in kɔlɔstrel ɔ triglisɛrɛyd bɔku.

Aw fɔ trit ay kɔlɔstrel pan pikin dɛn?

Di fɔs tin we yu fɔ du fɔ kɔntrol di ay kɔlɔstrel na fɔ chenj di tin dɛn we yu pikin de it ɛn mek i ebul fɔ du bɔku tin dɛn we i de du.Yu dɔktɔ go advays yu bɔt dis. If dɛn chenj ya nɔmɔ nɔ mek yu pikin in kɔlɔstrel go dɔŋ to say we sef, dɔktɔ kin tɛl yu fɔ tek mɛrɛsin (fɔ pikin dɛn we dɔn pas 8 ia).

Mi pikin nid mɛrɛsin?

I kin bi se i nid fɔ bi. Dɔktɔ dɛn kin se dɛn fɔ tek mɛrɛsin bay we dɛn gɛt advays frɔm ɔganayzeshɔn dɛn lɛk di Nashɔnal At, Lɔng ɛn Blɔd Instityut ɛn di Amɛrikan At Asɛmbli. Na sɔm tin dɛn we dɔktɔ kin gi yu pikin mɛrɛsin:

• If di LDL lɛvɛl pas 190 mg/dL:
• If di pikin nɔ gɛt ɔda tin dɛn we kin mek i gɛt di sik we de mek i gɛt di sik we de mek i gɛt at ɛn blɔd.
• If yu LDL lɛvɛl na 160 mg/dL ɔ pas dat, ɛn yu gɛt ɛni wan pan dɛn tin ya:
• Di pikin gɛt tin dɛn we kin mek i gɛt sik dɛn we de ambɔg di at ɛn di blɔd.
• Wan pan di mama ɛn papa bin gɛt at atak we i bin yɔŋ, ɔ fat de na di at at (koronary artery plaque).
• If yu kɔlɔstrel lɛvɛl nɔ rich di lɛvɛl we yu want afta siks mɔnt we yu dɔn mek chenj na yu it ɛn ɛksesaiz.
• If yu LDL lɛvɛl pas 130 mg/dL, yu gɛt ɛni wan pan dɛn tin ya:
• Wan pan di mama ɛn papa dɛn dɔn gɛt `(FH)`.
• Di pikin gɛt tin dɛn we kin mek i gɛt di sik we de mek i fat lɛk fɔ fat, fɔ gɛt ay blɔd prɛshɔn, fɔ smok (pikin ɔ pipul dɛn we de nia dɛn), fɔ gɛt smɔl HDL lɛvɛl, fɔ gɛt Kawasaki Sik, in kidni sik, fɔ gɛt ɔgan transplant, Juvenile Rheumatoid Arthritis, Lupus, ɔ HIV.
• If yu LDL lɛvɛl pas 100 mg/dL, yu gɛt ɛni wan pan dɛn tin ya:
• Di pikin gɛt Tayp I ɔ Tayp II Dayabitis.
• Di pikin gɛt Kawasaki Disease, we kin mek di korona at anɛrizm.

Us mɛrɛsin dɛn kin gi pikin dɛn fɔ gɛt kɔlɔstrel?

Statin na di fɔs tin we pikin dɛn we gɛt ay LDL lɛvɛl kin pik. Fɔ ɛgzampul:

• Atorvastatin (Lipitor®) we dɛn kɔl di .
• Rosuvastatin (Krεstɔr®) .
• Simvastatin (Zokɔr®) we dɛn kɔl .

Dis na aw statin drɔgs kin mek pikin in LDL lɛvɛl dɔŋ:

• I de stɔp di liva fɔ mek di kɔlɔstrel.
• I de pul di bɔku bɔku kɔlɔstrel we de na di blɔd ɛn ɛp di bɔdi fɔ yuz am fayn fayn wan.

Ezetimibe na sɛkɔn layn drɔg we de mek di LDL lɛvɛl go dɔŋ. I de wok bay we i de blok di absכpshכn fכ di kכlestכl we de kכmכt na di intestines insay di bכdi.

Tritmɛnt fɔ di ay Lipoprotein (a) .

di chenj dεm na layf stayl nכ de gεt bכku impak pan di `(Lipoprotein (a))` lεvεl dεm lεk di `(LDL)` lεvεl dεm. naw, nכ spεsifi k mεdikeshכn de fכ trit hכy `(Lipoprotein (a))` lεvεl. Bɔt dɛn de tray fɔ yuz drɔgs. If yu pikin in `(Lipoprotein (a)` lεvεl dεm hכy, dכkta kin se dεn fכ fכs fכ rεdכks כda tin dεm we de mek i gεt korona at sik.Dεn tin ya na:

• Fɔ it tin dɛn we go ɛp yu at.
• Fɔ gɛt inof ɛksɛsayz.
• Fɔ trit ɔda kɔlɔstrel lɛvɛl wit mɛrɛsin.
• Nɔ smok.

Fɔ trit ay triglisɛrɛyd

Yu pikin in dɔktɔ kin tɛl yu fɔ du tin dɛn lɛk:

• Fɔ mek chenj dɛn to yu pikin in it ɛn ɛksesaiz.
• Fish ɔyl sɔpɔtmɛnt (we kin rich 4000 mg fɔ wan de).
• Ɔda mɛrɛsin dɛn (insay spɛshal kes dɛm we di pikin dɛn triglisɛrɛyd lɛvɛl rili ay).

Yu tink se dɛn kin chenj di ay kɔlɔstrel we pikin dɛn gɛt?

Yɛs, i kin ebul! Tritmɛnt kin ɛp fɔ mek yu pikin in kɔlɔstrel lɛvɛl go dɔŋ to wan say we sef. Dis kin ridyus bak di risk fɔ gɛt siriɔs prɔblɛm dɛn tumara bambay. Yu dɔktɔ kin ɛp yu fɔ no ustɛm di kɔlɔstrel lɛvɛl we yu pikin want fɔ gɛt ɛn aw fɔ rich de.

Aw a go ɛp fɔ mek mi pikin in kɔlɔstrel nɔ bɔku?

Yu kin ɛp fɔ mek yu pikin in kɔlɔstrel nɔ bɔku bay we yu ɛnkɔrej am fɔ:

• Fid it dɛn we nɔ gɛt bɔku fat. Fεt fכ mek 30% כ less pan di tכtal kalori dεm we yu pikin de it ɛvride. Wan dɔktɔ we sabi bɔt it kin ɛp yu fɔ kɔl dis mɔnt ɛn mek plan fɔ it.
• Nɔ yuz trans fat ɛn stɔp sɛtyuret fat. Satyuret fat na fat we kin sɔlid we i de na rum tɛmpracha, lɛk animal ɔyl, kokonat ɔyl, ɛn pam ɔyl. di satεrayt fεt dεm fכ akכnt fכ less dan 10% pan yu tכtal kalori dεm we yu de it ɛvride. Bifo dat, pik fat dɛn we nɔ gɛt sɛtyuret, lɛk ɔliv ɔyl, avokado ɔyl, ɛn flaks sid ɔyl.
• Limit di kolesterol we yu de it na yu it. Pikin dɛn fɔ it lɛs dan 300 mg kɔlɔstrel fɔ wan de.
• Nɔ it tin dɛn we dɛn mek wit milk we gɛt ful fat. Gi 2% fat milk to pikin dεm bitwin 12-24 mכnt. Gi milk we nɔ gɛt fat to pikin dɛn we dɔn pas 2 ia.
• Gi it dɛn we gɛt inof fayv. Ɛnkɔrej yu pikin fɔ it tin dɛn we gɛt bɔku fayv, lɛk vɛjitebul, frut, nɛt, ligɛm, ɛn ɔl gren.
• Ɛnkɔrej yu fɔ du yu bɔdi ɔltɛm. aerobic aktiviti lεk saykl, rכn, waka, εn swim kin εp fכ inkrεs di HDL ("gud") kכlestכl lεvεl εn rεdכks di risk fכ kכdivaskyul sik.
• Ɛp yu pikin fɔ gɛt wɛlbɔdi wet.Yu kin aks yu dɔktɔ wetin na da wet rɛnj de.

Wetin na di bɛst it dɛn fɔ fid mi pikin?

Pik difrɛn it dɛn fɔ mek shɔ se yu pikin gɛt ɔl di tin dɛn we i nid. Na sɔm it dɛn we gɛt fayn fayn tin dɛn we kin ɛp fɔ kɔntrol di kɔlɔstrel lɛvɛl:

Fɔ brɛf:

• Frut
• Wul gren siriɔs
• Oatmil we dɛn kin mek
• Grik yogɔt we dɛn kin yuz

Fɔ it lɛnch ɛn dina:

Fil yu pikin in plet wit di USDA MyPlate mɔdel:

• slim protin lεk kכkכ, fish, bins (1/4 pan di plet) .
• Wul grens (1/4 pan wan plet) .
• Frut ɛn vɛjitebul dɛn (1/2 pan di plet) .
• Dayri prodakt we nɔ gɛt bɔku fat

Di we dɛn fɔ kuk we gɛt wɛlbɔdi na fɔ bek, gril, ɛn fɔ frɛy wit ɛya. Nɔ frɛy dip dip wan.

Snek dɛn:

• Frut
• Plant dɛn
• Di kayn nɛt ɛn sid dɛn
• Krak krak we dɛn mek wit ful gren
• Dairy prodakt dɛn we nɔ gɛt bɔku fat

Drink dɛn:

Pik wata ɛn milk we nɔ gɛt bɔku fat. Nɔ it soda, milk we gɛt swit, frut drink, ɛn spɔt drink.

Ustɛm a fɔ kɛr mi pikin go to dɔktɔ?

Yu dɔktɔ go tɛl yu aw ɔltɛm yu fɔ briŋ yu pikin to dɔktɔ. Yu pikin in kɔlɔstrel lɛvɛl bak go nid fɔ de wach ɔltɛm. Yu fɔ mek dɛn chɛk yu pikin in kɔlɔstrel lɛvɛl bak siks mɔnt afta yu dɔn chenj ɛnitin we i de it ɔ tu mɔnt afta yu dɔn bigin fɔ tek ɛni nyu mɛrɛsin.

Fɔ dɔn, sɔntin we wi fɔ tink bɔt.

Bikɔs wi dɔn yus fɔ yɛri bɔt kɔlɔstrel pan big pipul, i izi fɔ fɔgɛt se ivin yɔŋ pikin dɛn kin gɛt dis prɔblɛm – te i apin to wi yon pikin. Ɛn afta dat, i nɔ kin izi fɔ lɛf fɔ tink bɔt am. Nɔ wɔri, yu pikin in dɔktɔ dɛn ɔndastand wetin de mɔna yu, ɛn dɛn de ya fɔ ɛp yu wan ol famili. Aks yu kwɛstyɔn dɛn, lan as yu ebul. Una wok togɛda fɔ mek yu gɛt layf we go mek yu at pwɛl.

If yu trit di kɔlɔstrel we i smɔl, dat kin gi yu pikin di bɛst chans fɔ gɛt wɛlbɔdi tumara bambay.

` Pikin dɛn kɔlɔstrel, ay kɔlɔstrel, Pikin dɛn Ay Kɔlestɔl, at sik, wɛlbɔdi it, layf stayl, Lipid panɛl