Yu pikin gɛt bɔku kɔlɔstrel? (High Cholesterol in Children) - Lɛ wi tɔk bɔt dis!

Bɔku tɛm wi kin tink se kɔlɔstrel na sik we na big pipul dɛn nɔmɔ kin gɛt, mɔ di wan dɛn we dɔn ol, nɔto so? Bɔt fɔ tru, ivin wi smɔl pikin dɛn, dat na pikin dɛn we de go skul, kin gɛt dis sik we dɛn kɔl ay kɔlɔstrel. Sɔntɛm yu kin rili fred ɛn wɔri we yu si se yu pikin in blɔd ripɔt sho se yu gɛt bɔku kɔlɔstrel. Yu kin de tink se, "O, aw dis apin to mi smɔl pikin?" Nɔ wɔri. Dis na wan sik we bɔku pikin dɛn kin si naw. Di tin we impɔtant pas ɔl na fɔ mek dɛn no gud gud wan bɔt dis ɛn tek di step dɛn we nid fɔ du. Lɛ wi tɔk bɔt ɔltin simpul we we yu go ɔndastand.

Fɔ tɔk am simpul wan, wetin de mek dɛn pikin ya in kɔlɔstrel de go ɔp?

Okay, fɔs lɛ wi ɔndastand wetin na kɔlɔstrel. Kɔlɔstrel ɛn triglisɛrɛyd na tu kayn fat dɛn we de na wi blɔd. Wi kin kɔl dɛn lipid ya. Wi bɔdi nid sɔm pan dɛn lipid ya fɔ bɔku impɔtant wok dɛn lɛk fɔ bil sɛl dɛn ɛn fɔ mek ɔmon dɛn. Dat min se dɛn nɔto ɔl bad tin.

Bɔt di prɔblɛm kin bigin we dɛn lipid lɛvɛl ya kin go ɔp pas di mɔnt we dɛn nid. Jɔs lɛk aw dish nid smɔl sɔl, if sɔl bɔku, yu nɔ go ebul fɔ it am. We dɛn kɔlɔstrel ya go ɔp, smɔl smɔl dɛn kin bigin fɔ de na di wɔl dɛn na wi blɔd vesel dɛn. As tɛm de go, dɛn tin ya kin blok di blɔd vesel dɛm ɛn mek rod fɔ siriɔs sik dɛm lɛk at sik ɛn strok.

So aw wi go no if di pikin in kɔlɔstrel lɛvɛl gud ɔ bad? Dɛn kɔl di blɔd tɛst fɔ dis lipid prɔfayl . Dis men wan de luk pan dɛn tin ya:

• LDL kכlestכl: Dis na wetin wi kin kכl "bad kכlestכl." Dis na wetin de put insay di blɔd vesel dɛn ɛn blok dɛn.
• HDL kכlestכl: Wi kכl dis "gud kכlestכl." I de ɛp fɔ kɛr bad kɔlɔstrel go na di liva ɛn pul am na di bɔdi. So di mɔ di HDL lɛvɛl ay, na di mɔ i go bɛtɛ.
• Triglycerides: Dis na ɔda kayn fat. I nɔ fayn fɔ gɛt tumɔs pan dis sɛf.
• Tɔtɔl Kɔlestɔl: Dis na ɔl di tin dɛn we wi dɔn tɔk bɔt.

Di pikin dɛn lɛvɛl difrɛn smɔl frɔm di avɛrej lɛvɛl fɔ big pipul dɛn. Yu kin gɛt wan aidia bɔt dis frɔm di tebul we de dɔŋ ya.

Us sayn dɛn pikin kin sho we in kɔlɔstrel bɔku?

Dis na wan pan di big big prɔblɛm dɛn we de ya. Bɔku tɛm, di pikin in kɔlɔstrel kin bɔku, bɔt i nɔ kin gɛt ɛni sayn we de na do. I kin tan lɛk se di pikin de ple ɛn jomp rawnd ɛn luk lɛk se i rili wɛl. Na dat mek i impɔtant fɔ chɛk di kɔlɔstrel lɛvɛl na pikin dɛn if ɛnibɔdi na di famili gɛt kɔlɔstrel ɔ at sik.

Bɔt nɔto ɔltɛm, if di kɔlɔstrel lɛvɛl go tu ay, mɔ bikɔs ɔf di jɛnɛtik kɔz, simptom dɛm lɛk:

• Fat we de na di skin (Xanthoma):Sɔntɛnde, yɔlɔsh, waksi lumps kin fɔm ɔnda di skin na say dɛn lɛk di ɛlb, ni, ɛn bɔt.
• Yɔlɔ lumps nia di aylid (Xanthelasma): Yɔlɔ lumps kin apin insay di yay, ɔp ɔ dɔŋ di aylid.
• di Kכnia Akכs: Wan wayt כ grey ring kin apia rawnd di kכnia.

Dɛn sayn ya nɔ kin bɔku. So, i go fayn fɔ mek yu tɔk to yu dɔktɔ ɛn du blɔd tɛst if yu de pan denja, pas fɔ wet fɔ mek yu si di sik.

Wetin mek di pikin in kɔlɔstrel kin go ɔp?

Bɔku rizin dɛn kin de fɔ dis. I nɔ kin jɔs bi wan rizin, bɔt i kin bi bɔku rizin dɛn we dɛn jɔyn.

1. Di it: Dis na di men rizin ɛn wan we wi kin chenj izi wan. If yu de gi yu pikin it ɔltɛm we gɛt bɔku ɔyl ɛn fat, mɔ fast fud, bekeri it, it we dɛn pak, ɛn drink we gɛt shuga we gɛt bɔku sɛtyuret fat ɛn trans fat, chans de fɔ mek yu pikin gɛt bɔku kɔlɔstrel.

2. Nɔ de du bɔku tin dɛn: Naw, bɔku pikin dɛn kin spɛn mɔ tɛm na dɛn fon, tablɛt, ɛn bifo TV pas fɔ go na do ɛn ple. We dɛn nɔ de du ɛksasaiz, di bɔdi nɔ de bɔn fat. Dis kin mek bad kɔlɔstrel (LDL) bɔku ɛn i kin mek gud kɔlɔstrel (HDL) go dɔŋ.

3. Ɔda mɛrɛsin: Sɔm mɛrɛsin lɛk fɔ fat , dayabitis , ɛn nɛfrɔtik sindrom kin mek pikin gɛt bɔku kɔlɔstrel bak.

4. Jɛnɛtiks: Dis na tin bak we rili impɔtant. If di mama ɔ papa, ɔ pɔsin we de nia am na in famili gɛt ay kɔlɔstrel, ɔ i dɔn gɛt at sik we i yɔŋ, dat min se di pikin de pan denja bak fɔ gɛt ay kɔlɔstrel pan in jɛnɛtiks.

Lɛ wi tek wan luk pan dɛn jenɛtik kɔz ya.

Sɔntɛnde, ilɛk aw pikin tan ɔ aw i de it fayn, dɛn kɔlɔstrel kin stil bɔku. Di rizin fɔ dis na di jenɛtiks.

• Familial Hypercholesterolemia (FH): Dis na wan sik we de mek pɔsin gɛt jɛnɛtiks. dis na di kכndyushכn we dεn bכn pikin wit vεri hכy lεvεl dεm fכ LDL ("bad") kכlestכl. Dis kin apin to pikin if dɛn gɛt di jin frɔm dɛn mama ɔ papa. כltu, dכkta dεn kin sכspεkt FH if pikin in LDL lεvεl hכy pas 160 mg/dL fכ nכ כda rizin.
• Pכlijεnik Kכz: Dis na we pikin gεt bכku jin dεm we de inkrεs kכlestכl frכm di mama εn papa. If na so i bi, di kɔlɔstrel lɛvɛl kin go ɔp smɔl smɔl ɛn i kin jɔs bi mɔ bad bad wan we i yɔŋ.

Wan ɔda kayn kɔlɔstrel de we dɛn kɔl Lipoprotein (a) . Dis na tin bak we pɔsin kin gɛt frɔm in jɛnɛtiks. We dis lɛvɛl go ɔp, di risk fɔ gɛt at sik kin go ɔp.

Us prɔblɛm dɛn kin kam tumara bambay we yu gɛt bɔku bɔku kɔlɔstrel?

Wetin mek wi kin wɔri so bɔt ay kɔlɔstrel na pikin? Bikɔs if dɛn nɔ chɛk am we i yɔŋ, i kin mek pɔsin gɛt siriɔs wɛlbɔdi prɔblɛm we i big.

As wi bin dɔn tɔk, di LDL kɔlɔstrel we pasmak kin bɔku na di blɔd vesel dɛn. Dɛn kɔl dis atheroma . Dis kin mek di blɔd vesel dɛn smɔl smɔl ɛn at. Dis na di rizin we mek:

• If di at we de gi blɔd to di at blɔk , at atak kin apin.
• If di blɔd vesel dɛn we de gi blɔd to di bren blok , strok kin apin.
• Pεrifεral Atεri Disiz kin apin if di vein dεm we de gi bכdi to di lεg dεm blכk.

Dɛn tin ya nɔ kin apin wan nɛt, bɔt dɛn kin apin fɔ lɔng lɔng tɛm. Na dat mek fɔ no ɛn manej dis we i smɔl na big invɛstismɛnt fɔ pikin in ɔl fiuja.

Wetin wi fɔ du fɔ kɔntrol di kɔlɔstrel we wi pikin gɛt?

Di gud nyus na dat dis kɔndishɔn kin rili ebul fɔ kɔntrol am. Di fɔs tritmɛnt we di dɔktɔ kin gi na fɔ chenj di we aw i de liv in layf.

Step Wan: Fɔ It ɛn Ɛksesaiz

Bifo ɔlman tek mɛrɛsin, ɔl dɔktɔ kin tray fɔ kɔntrol di kɔlɔstrel we i gɛt tru dɛn tu we ya. Yu kɔntribyushɔn impɔtant fɔ dis.

• Fɔ it dɛn we nɔ gɛt bɔku fat: Ridyus di ɔl fat we de na di it dɛn we yu de gi yu pikin. Ɛspɛshali, yu fɔ ridyus di yus pasmak fɔ prosɛs mit , sosish , ful-fat milk ɛn chiz , bɔta , pam ɔyl , ɛn kokonat ɔyl .
• Pik gud fat: Bifo yu yuz bad fat, ad gud fat lɛk ɔliv ɔyl , avokado , ɛn fish ɔyl to yu it.
• It dɛn we gɛt fayv: It mɔ it dɛn we gɛt fayv lɛk vɛjitebul, frut, ligɛm, ɔts, rɛd rays, chikip, lentil, ɛn chikip. Dɛn tin ya de mek di kɔlɔstrel we de na di bɔdi nɔ de tek bɔku tɛm.
• Kɔt di drink dɛn we gɛt shuga ɛn shuga: Ridyus di it dɛn we yu de it we gɛt shuga lɛk frut drink dɛn we dɛn pak, drink dɛn we gɛt kabɔn (soda), kek, biskit, ɛn chɔklɛt as yu ebul. Dɛn tin ya de mek di triglisɛrɛyd lɛvɛl go ɔp.
• Ɛksesaiz: Ɛnkɔrej yu pikin fɔ ple fɔ at le wan awa insay di de. I kin bi ɛnitin frɔm we yu de rayd baysikul, rɔn, jomp, ɔ swim. We yu de du ɛksɛsayz as famili, dat kin bi fayn we fɔ mek yu pikin kɔntinyu fɔ ɛnjɔy dɛnsɛf.

Step Tu: Mɛrɛsin (prɛskrishɔn) nɔmɔ if nid de

If yu pikin in kɔlɔstrel nɔ go dɔŋ afta lɛk 6 mɔnt we i dɔn mek di chenj dɛn we wi dɔn tɔk bɔt na in layf, ɔ if di lɛvɛl dɛn rili bɔku, di dɔktɔ kin disayd fɔ gi am mɛrɛsin. Dɛn kin bigin fɔ tek mɛrɛsin fɔ pikin dɛn we dɔn pas 8 ia.

Di mɛrɛsin we dɛn kin gi mɔ na wan klas ɔf drɔgs we dɛn kɔl statin (e.g., Atorvastatin, Rosuvastatin). Dɛn tin ya de wok bay we dɛn de ridyus di kɔlɔstrel we de na di liva ɛn pul di kɔlɔstrel we pasmak na di blɔd.

Aw mi, as mama ɔ papa, go ɛp mi pikin?

Yu gɛt big wok fɔ du na dis waka. Yu nɔ go ebul fɔ du dis bay we yu de kɔl yu pikin ɔ stɔp yu. Yu nid fɔ ɔndastand am ɛn mek i yus to dis wit lɔv.

1. Mek di wan ol famili togeda: No mek dis bi panisment fo jos di pikin. Bifo yu se, "Na yu nɔmɔ nɔ ebul fɔ it ɔyl," na big ɛnkɔrejmɛnt fɔ di pikin fɔ mek di wan ol famili yus to di sem it bay we i se, "Lɛ wi ɔl it wɛlbɔdi naw."

2. Chenj di we aw yu de pripia it: Bifo yu frɛy am dip dip wan, tray fɔ yuz am lɛk fɔ bɔyl, gril am, fɔ bek am, ɛn fɔ frɛy am wit ɛya . We yu de kuk kari, i bɛtɛ fɔ mek am insay brot we gɛt milk pas fɔ frɛy am wit ɔyl.

3. Rid di lɛbl dɛn: We yu de bay it na di stoa, luk di bɔku "Saturated Fat" ɛn "Trans Fat" we de na di lɛbl. Pik di wan dɛn we gɛt smɔl smɔl pan dɛn tin ya.

4. Snek we gɛt wɛlbɔdi: Yu kin gi yu pikin tin fɔ it we dɛn pak na aftanun? Bifo dat, tray fɔ gi dɛn wan frut, yogɔt, vɛjitebul pat (karɔt, kɔkumba), bɔyl chikip, ɛn grɛn bins.

5. Go to dɔktɔ ɔltɛm: Tek yu pikin fɔ chɛk-ap ɛn klinik lɛk aw di dɔktɔ tɛl yu. I rili impɔtant fɔ wach aw pipul dɛn de go bifo.

Tink bɔt am, dis na invɛstismɛnt we yu de mek fɔ yu pikin in fiuja. If i put dɛn abit dɛn ya we i yɔŋ, i go lan fɔ liv fayn layf ivin we i dɔn big.