Yu go dɔn yɛri se yu nid fɔ tek kia ɔf yu kɔlɔstrel fɔ protɛkt yusɛf frɔm at sik. Bɔt sɔntɛnde, ilɛksɛf yu kɔntrol yu it ɛn ɛksesaiz, yu kɔlɔstrel lɛvɛl jɔs nɔ kin go dɔŋ. Sɔntɛm sɔmbɔdi na yu famili dɔn gɛt at atak we i yɔŋ. Dis kin bi bikɔs ɔf wan jenɛtik kɔndishɔn we de rɔn na famili. Na di kɔndishɔn we wi de tɔk bɔt tide, Heterozygous Familial Hypercholesterolemia, ɔ HeFH fɔ shɔt tɛm. If dɔktɔ tɛl yu se yu gɛt dis, i impɔtant fɔ gɛt tritmɛnt kwik kwik wan.
Wetin na HeFH rili?
HeFH nɔto sik we wi kin kech frɔm ɔdasay , lɛk kol. Na wan sik wae de kam bikɔs ɔf wan jenɛtik mutation wae wi kin gɛt frɔm wi mama ɔr papa. Fɔ tɔk am simpul wan, dis we aw pɔsin kin chenj in jɛnɛtiks kin mek di bɔdi nɔ ebul fɔ pul di bad bad kɔlɔstrel we de na di blɔd.
Tink bɔt am, kɔlɔstrel de travul tru di blɔd vesel dɛn na wi bɔdi. Tu men kayn dɛn de.
| Di kayn kɔlɔstrel we dɛn kin yuz | Fɔ tɔk am simpul wan... |
|---|---|
| Gud kɔlɔstrel (HDL) . | Dɛn tin ya kin ɛp fɔ kɛr di kɔlɔstrel we pasmak go na di liva ɛn pul am na di bɔdi, lɛk pɔsin we de gɛda dɔti. |
| Bad kɔlɔstrel (LDL) . | Dɛn kayn tin ya na di kayn we we de mek pɔsin denja pas ɔl. Dɛn kin gɛda na di wɔl dɛn na di blɔd vesel, ɛn mek dɛn smɔl ɛn mek dɛn gɛt at sik. |
If na HeFH, yu kin gɛt wan jin frɔm wan pan yu mama ɛn papa we kin mek yu nɔ ebul fɔ pul bad kɔlɔstrel (LDL) . If yu gɛt dis jin, yu pikin gɛt 50% chans fɔ gɛt am.
Yu go dɔn yɛri bɔt ɔda sik we gɛt di sem nem, Homozygous Familial Hypercholesterolemia (HoFH). Dis kin bi bikɔs ɔf di jin we dɛn kin gɛt we nɔ fayn frɔm di mama ɛn papa dɛn ɔl tu. HoFH na wan sik we rili bad pas HeFH, bɔt i nɔ kin apin so ɔltɛm.
Wetin na di sayn dɛm fɔ dis?
If yu nɔ trit am, HeFH kin mek yu LDL kɔlɔstrel ɛn di tɔtal kɔlɔstrel lɛvɛl go rili ay. Dis ekstra LDL kɔlɔstrel kin gɛda na di wɔl dɛn na wi blɔd vesel dɛn, lɛk dɔti we de klɔg paip, we de mek di rod smɔl fɔ mek blɔd flɔ. wi kכl dis "atherosclerosis" כ "hardening of the arteries."
We dis kin apin, di at kin gɛt fɔ wok tranga wan pas aw i kin wok fɔ pɔmp blɔd rawnd di bɔdi. As tɛm de go, di at kin pwɛl ɛn gɛt at sik. Wan pan di men sayn dɛm fɔ dis sik na pen na in chɛst, we dɛn kɔl angina. If dɛn nɔ trit dis, i kin mek i gɛt at atak ɔ strok.
Di tin we impɔtant pas ɔl na dat if man we gɛt HeFH nɔ gɛt tritmɛnt, di risk fɔ gɛt at atak kin rili bɔku we i ol 40 ɛn 50 ia, ɛn pan uman dɛn we ol 60 ia.
Simptom dɛm wae nid fɔ pe atɛnshɔn kwik kwik wan
If yu gɛt dɛn sik ya, go to ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Di sayn dɛm we de sho se pɔsin gɛt at atak:
- Chɛst tayt, tayt, ɔ pen
- Ɔpa bak ɔ nɛk de pen
- Pen we de spre dɔŋ di an
- Nɔs ɔ vɔmit
- I nɔ kin izi fɔ yu fɔ blo
- Di sayn dɛn we pɔsin kin si we i gɛt strok:
- I nɔ izi fɔ tɔk
- Yu an ɔ yu leg nɔ de swɛla
- Sagging of wan say na di fes
- We yu nɔ gɛt bɛtɛ balans na yu bɔdi
Di tin dɛn we de ɔp di bɔdi
Sɔntɛnde, if yu gɛt bɔku kɔlɔstrel, dat kin mek yu gɛt sɔm sayn dɛn na di bɔdi.
| Di kwaliti we pɔsin gɛt | Tɔk bɔt |
|---|---|
| Xanthomas we dɛn kɔl Xanthomas | Dis na yכlכ כ כrεnj bכmp dεm we de fכm כnda di skin. Dɛn kin kam bikɔs ɔf di kɔlɔstrel we pasmak. Dɛn kin si dɛn mɔ na di jɔyn dɛn na di an, di bak pat na di il (Akilis tɛndon), ɛn sɔm tɛm dɛn kin si dɛn na say dɛn lɛk di ɛlb ɛn ni. |
| Xanthelasma we de na di wɔl | Dis na yכlכ, patchכ bכmp dεm we de fכm pan di aylid dεm. Dɛn kin si dɛn mɔ na di insay pat na di yay. |
| Kɔnia Aks we dɛn kɔl | Wan wayt ɔ grey ring we de rawnd di blak yay. Dis kin apin bikɔs ɔf di kɔlɔstrel we de na di bɔdi. I nɔ de ambɔg di we aw pɔsin de si tin. |
Aw yu go no if yu gɛt dis sik?
Sɔm simpul tɛst dɛn de we kin ɛp yu ɔ yu pikin fɔ no if dɛn gɛt HeFH. Di tin we impɔtant pas ɔl na fɔ mek dɛn no am ɛn trit am kwik kwik wan. Pan ɔl we yɔŋ pikin dɛn nɔ kin gɛt at sik, dɛn bɔku bɔku kɔlɔstrel ya kin mek dɛn gɛt at sik tumara bambay.
If yu ɔ sɔmbɔdi na yu famili gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu go to dɔktɔ ɛn tɔk bɔt am.
- wan ay LDL kכlestכl lεvεl we nכ de dכn pan כl we dεn de kכntrכl di it (כva 190 mg/dL pan big man, pas 160 mg/dL pan pikin we nכ rich 16 ia).
- Fɔ gɛt ay kɔlɔstrel na di famili.
- Fɔ gɛt at atak ɔ at sik bifo yu ol 60 ia pan man fambul ɔ bifo yu ol 70 ia pan uman fambul.
- di prεsεns fכ di skin lumps lεk di xanthomas we wi bin dכn tכk bכt.
- Chɛst de pen.
Yu dɔktɔ go du yu bɔdi ɛgzam fɔ chɛk fɔ si if yu gɛt dɛn sik ya. Apat frɔm dat, if yu du blɔd tɛst, i go no di kɔlɔstrel we yu gɛt. insay HeFH, di LDL kכlestכl lεvεl kin hכy pas 200 mg/dL εn di tכtal kכlestכl lεvεl kin hכy pas 300 mg/dL.
Sɔntɛnde, dɛn kin se bak fɔ du strɛs tɛst fɔ chɛk aw di at de wok ɔ fɔ du spɛshal tɛst fɔ no if di jɛnɛtiks chenj.
Aw dɛn kin trit am?
di men gol fכ trit HeFH na fכ lכs yu LDL "bad" kכlestכl lεvεl εn protεkt yu frכm hat sik. Dis nid fɔ mek yu chenj di we aw yu de liv yu layf ɛn tek mɛrɛsin.
Di we aw pipul dɛn de liv dɛn layf kin chenj
- It fayn fayn it: Nɔ it it dɛn we gɛt bɔku sɛtyuret ɛn trans fat (bif, bɔd, kokonat ɔyl, eg yolk, skim milk). Bifo dat, put vɛjitebul, frut, ligɛm, nɛt, fish, ɛn bɔd we nɔ gɛt bɔdi na yu it.
- Ɛksesaiz: Du sɔntin we go mek yu at pɔmp, lɛk fɔ waka, swim, ɔ bayk, fɔ at le 4 dez insay di wik fɔ at le 30 minit.
- We yu de kɔntrol yu wet: If yu fat pasmak, lɛf fɔ it bɔku bɔku it ɛn ɛksesaiz.
- Nɔ smok: Smok kin mek pɔsin gɛt at sik, so if yu gɛt dis abit, stɔp am wantɛm wantɛm.
Bɔt mɛmba se, insay HeFH, fɔ chenj di we aw pɔsin de liv in layf nɔmɔ nɔ go du fɔ kɔntrol di kɔlɔstrel. I impɔtant fɔ trit pipul dɛn wit drɔgs.
Tritmɛnt wit drɔgs
Bɔku tɛm, yu dɔktɔ go fɔs gi yu wan klas mɛrɛsin we dɛn kɔl statin . Dɛn tin ya kin wok bay we dɛn kin stɔp di bɔdi fɔ mek di kɔlɔstrel. Bikɔs di kɔlɔstrel lɛvɛl rili ay pan HeFH, yu kin nid fɔ tek dɛn mɛrɛsin ya insay ay dos.
If statin nɔmɔ nɔ go du fɔ kɔntrol di lɛvɛl, yu dɔktɔ go gi yu ɔda mɛrɛsin.
- PCSK9 inhibito dεm: Dis na dεn dεm we dεn gi as injεkshכn. Dɛn kin ɛp di liva fɔ pul di LDL kɔlɔstrel.
- Ezetimibe: Dis mεdikeshכn de wok bay we i de ridyus di bכdi in kכlestכl we de kכmכt frכm di it dεm we wi de it.
Sɔntɛnde, i kin nid fɔ yuz tu ɔ tri pan dɛn mɛrɛsin ya togɛda.
Ɔda tritmɛnt dɛn
We di kɔlɔstrel lɛvɛl tumɔs fɔ kɔntrol wit mɛrɛsin ɛn chenj yu layf, dɛn kin gi yu wan tritmɛnt we dɛn kɔl LDL apheresis . Dis tan lɛk dayalaysis, usay dɛn kin pas yu blɔd tru wan mashin we de filta di bad LDL kɔlɔstrel ɛn afta dat dɛn kin put am bak insay yu bɔdi.
Mɛsej we dɛn kin kɛr go na os
- HeFH nɔto sik we pɔsin kin gɛt, bɔt na jɛnɛtik kɔndishɔn we kin pas frɔm jɛnɛreshɔn to jɛnɛreshɔn.
- Bikɔs ɔf dis, di risk fɔ gɛt at sik we i yɔŋ kin rili bɔku.
- If yu kɔlɔstrel nɔ de go dɔŋ pan ɔl we yu de kɔntrol di it we yu de it, ɔ if yu famili gɛt at sik, go to dɔktɔ wantɛm wantɛm.
- Pan ɔl we i impɔtant fɔ chenj di we aw pɔsin de liv in layf, i impɔtant fɔ tek mɛrɛsin. Yuz di mɛrɛsin we yu dɔktɔ gi yu lɛk aw dɛn tɛl yu.
- If yu gɛt HeFH, i rili impɔtant fɔ mek dɛn tɛst yu klos famili mɛmba dɛn (brɔda ɛn sista dɛn, pikin dɛn) fɔ am bak.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt