We yu yɛri di wɔd "cholesterol," wetin kin kam na yu maynd? Bɔrku tɛm, na sik wae kin ambɔg pipul dɛm wae dɔn ol ɛn di wan dɛm wae gɛt bɔrku bɔrku bɔdi, nɔto so? Bɔt yu go sɔprayz fɔ no se ivin yɔŋ pɔsin, we dɔn pas 20 ia, kin gɛt siriɔs at atak. Infakt, we pɔsin gɛt bɔku kɔlɔstrel we i yɔŋ, i kin rili siriɔs pas aw wi kin tink, ɛn bɔku pipul dɛn nɔ kin no bɔt am. Tide, wi go tɔk bɔt dis tɔpik we wi nɔ bin de ɛkspɛkt, bɔt we rili impɔtant.
Brandɔn Wilsin bin gɛt in fɔs at atak we i bin ol 29 ia. Wan de, i bin fil bad bad wan na in chɛst. In mama ɛn in bɛst padi bin rɔsh am go na di ɔspitul in imejensi rum (ETU). Bɔt fɔs, dɔktɔ dɛn nɔ bin biliv se pɔsin we yɔŋ so go gɛt at atak. Leta, tɛst dɛn sho se Brandɔn bin gɛt 99% blok na wan pan di men blɔd vesel dɛn we de gi blɔd to in at. I bin gɛt wan sik we dɛn kin gɛt frɔm in mama ɛn papa we dɛn kɔl ay kɔlɔstrel. Dis stori de sho wi se kɔlɔstrel nɔto jɔs fɔ di ej.
Wetin na kɔlɔstrel? Wetin mek i impɔtant fɔ yɔŋ pipul dɛn?
Fɔ tɔk am simpul wan, kɔlɔstrel na wan kayn fat we impɔtant fɔ mek di sɛl dɛn na wi bɔdi gro ɛn fɔ mek sɔm ɔmon dɛn. Bɔt prɔblɛm kin apin we i bɔku.
We wi de tɔk bɔt kɔlɔstrel, wi de tɔk bɔt tu men kayn dɛn, nɔto so?
- LDL (Low-Density Lipoprotein) Kכlestכl: Dis na wetin wi kכl "bad" kכlestכl. We i de bɔku, i kin gɛda na di wɔl dɛn na wi blɔd vesel dɛn, ɛn i kin mek dɛn smɔl ɛn blok dɛn. Dis na de men tin wae kin mek pɔrsin gɛt sik lɛk at atak ɛn strok.
- HDL (High-Density Lipoprotein) Kכlestכl: Dis na wetin wi kכl "gud" kכlestכl. Dis na bikɔs i kin kɛr di bad bad kɔlɔstrel we pasmak frɔm di blɔd vesel dɛn go na di liva ɛn pul am na di bɔdi. So, fɔ gɛt ay HDL lɛvɛl na gud tin fɔ di at.
Bɔku yɔŋ pipul dɛn kin tink se dɛn fɔ wɔri bɔt kɔlɔstrel we dɛn dɔn ol. Bɔt dat na big mistek. Di men prɔblɛm na dat ivin if yu kɔlɔstrel lɛvɛl bɔku, dɛn nɔ kin sho ɛni sayn we yu yɔŋ. Dat min se yu kin de du bɔku damej frɔm insay we yu nɔ gɛt ɛni prɔblɛm.
Di risk fɔ gɛt kɔlɔstrel we pɔsin kin gɛt frɔm in mama ɛn papa - Familial Hypercholesterolemia (FH) .
Bɔku tɛm, kɔlɔstrel kin bɔku bikɔs ɔf di mistek dɛn we wi kin mek na layf lɛk di it we wi de it ɛn we wi nɔ de du ɛksɛsayz. Bɔt, Familial Hypercholesterolemia, ɔ FH fɔ shɔt, na difrɛn sik.
FH na wan kכndyushכn we de kכz fכ wan jεnεtik dεfεkt. Dis min se i de pas frɔm jɛnɛreshɔn to jɛnɛreshɔn, frɔm mama ɛn papa to pikin dɛn. Pipul wae gɛt dis sik kin gɛt wan sik wae dɛn bɔdi nɔr kin ebul fɔ pul bad LDL kɔlɔstrel fayn fayn wan na dɛn blɔd. Dis kin mek dɛn LDL lɛvɛl rili ay frɔm we dɛn bɔn dɛn.
Dɛn se na lɛk wan pan ɛvri 250 pipul dɛn na di wɔl gɛt FH. Bɔt di sɔri tin na dat, bɔku pan dɛn pipul ya nɔ no se dɛn gɛt dis sik.
| Tin | Nɔmal ay kɔlɔstrel lɛvɛl | Famili Hapa Kɔlestɛrolemia (FH) . |
|---|---|---|
| Rizin | Mainly lifestyle (di it, nɔr de du ɛksɛsayz, smok, fat pasmak) . | Wan prɔblɛm we de na di jɛnɛtiks we dɛn kin pas frɔm bɔku bɔku jɛnɛreshɔn dɛn. |
| LDL ("bad") lɛvɛl dɛn | di lεvεl we big pɔsin in lεvεl de dכn 190 mg/dL. | i rili ay frכm we dεn bכn am (bכku tεm i hכy pas 190 mg/dL pan big pɔsin). |
| Tritmɛnt | Bɔku tɛm, dɛn kin kɔntrol am wit di chenj dɛn we pɔsin de chenj in layf. Dɛn kin gi dɛn mɛrɛsin if nid de. | Di chenj we yu de chenj di we aw yu de liv yu layf nɔmɔ nɔ go du fɔ yu. Fɔ tek mɛrɛsin (e.g. statin) rili nid fɔ de. |
| Famili inflɔwɛns | Di famili mɛmba dɛnsɛf kin gɛt di prɔblɛm, bɔt nɔto frɔm dɛn jɛnɛtiks kin gɛt am dairekt wan. | Klose famili mɛmba dɛm (mama ɛn papa, brɔda ɛn sista, pikin dɛm) gɛt 50% risk. |
Ustɛm yu fɔ chɛk yu kɔlɔstrel lɛvɛl?
Dis na rili impɔtant kwɛstyɔn, bikɔs nɔr simptom nɔr de, ɛn yu kin no dis bay wae dɛn du tɛst.
Bɔku tɛm, dɔktɔ dɛn kin se:
- Fɔ pikin dɛn: Dɛn kin se dɛn fɔ du di fɔs tɛst bitwin di ej we dɛn ol 9 ɛn 11. Afta dat, dɛn kin du chɛk-ap lɛk ɛvri 5 ia. Bɔt if pɔsin na di famili dɔn gɛt at atak we i yɔŋ ɔ i gɛt bɔku kɔlɔstrel, di dɔktɔ kin tɛl yu fɔ chɛk yu pikin in kɔlɔstrel lɛvɛl as i ol 2 ia .
- Fɔ yɔŋ pipul dɛm: I fayn fɔ mek dɛn chɛk yu kɔlɔstrel at le ɛvri 5 ia afta yu dɔn ol 20. As yu de ol (afta yu ol 55 ia fɔ uman, afta yu ol 45 ia fɔ man dɛm), dɛn fɔ du dɛn tɛst ya mɔ ɛn mɔ.
Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt dis ɛn du tɛst lɛk aw i tɛl yu. Nɔ jɔs tink se, "I go mɔs bi se a nɔ gɛt ay kɔlɔstrel."
If yu gɛt FH, yu tink se fɔ chenj yu layf nɔmɔ nɔ go du?
dis na di big difrεns bitwin FH εn nכmal kכlestכl lεvεl. Yu mɛmba Brandɔn in stori we wi bin dɔn tɛl yu bɔt trade? Dɛn bin no se i gɛt FH we i bin ol 8 ia. Frɔm da tɛm de, in mama bin de gi am tin fɔ it we gɛt wɛlbɔdi ɛn we nɔ gɛt bɔku kɔlɔstrel. I bin de ple spɔt, i bin de aktif. I bin du ɔltin "rayt." We i bin ol pas 20 ia, wan dɔktɔ bin put am pan wan mɛrɛsin we de mek i nɔ gɛt bɔku kɔlɔstrel (we na wan statin).
Bɔt pan ɔl dat, i bin gɛt at atak we i ol 29 ia.
Wetin dis min?
Gud it ɛn ɛksesaiz rili impɔtant fɔ pɔsin we gɛt FH. Bɔt dɛn tin dɛn de nɔmɔ nɔ go ɛva ebul fɔ kɔntrol di kɔlɔstrel lɛvɛl. Bikɔs di prɔblɛm nɔ de na di we aw pipul dɛn de liv dɛn layf, bɔt na di jin dɛn. So, pɔsin we gɛt FH go mɔs gɛt fɔ tek wan ɔ mɔ mɛrɛsin fɔ mek i nɔ gɛt bɔku kɔlɔstrel fɔ di res ɔf in layf .
"Wi nɔ want fɔ lɔs pipul dɛn to FH bikɔs wi gɛt ɔl di tritmɛnt dɛn we wi nid tide. Ɔl wetin wi nid fɔ du na fɔ no am ali, we wi smɔl."
A kin gɛt FH bak? Aw a go no?
If pɔsin na yu famili (mama ɛn papa, brɔda ɛn sista, grani ɛn granpa) dɔn gɛt at atak ɔ strok we i yɔŋ (man dɛn we nɔ rich 55 ia yet, uman dɛn we nɔ rich 65 ia yet) , dat na big tin we kin mek i gɛt dis sik.
Dɔn bak, if yu kɔlɔstrel tɛst ripɔt sho se di LDL lɛvɛl pas 190 mg/dL (ɔ pas 160 mg/dL pan pikin), i kin bi strɔng sayn fɔ FH.
If yu tink se yu de pan denja, sɔm tin dɛn de we yu kin du:
1. Si dɔktɔ wantɛm wantɛm: Tɔk klia wan bɔt yu famili in wɛlbɔdi istri wit yu dɔktɔ.
2. Aks yu famili: Aks yu fambul dɛm bɔt kɔlɔstrel ɛn at sik.
3. 3. .Rif to spɛshal dɔktɔ: If nid de, yu dɔktɔ go rifer yu to dɔktɔ we de mɛn yu at.
4. Tɛl yu famili: If dɛn no se yu gɛt FH, 50% chans de fɔ mek yu mama ɛn papa, brɔda ɛn sista, ɛn pikin dɛnsɛf gɛt am. So, i rili impɔtant fɔ mek dɛn tɛst ɔlman .
Naw, Brandɔn de liv gladi gladi wit in fayv pikin dɛn. Dɛn dɔn no se in gyal pikin bak gɛt FH. Bɔt Brandɔn se, "A no se mi gyal pikin nɔ go gɛt ɛni prɔblɛm." Bikɔs naw dɛn dɔn no wetin na di sik ɛn wetin fɔ du bɔt am. If dɛn no am kwik ɛn trit am fayn, dat kin sev pɔsin in layf.
Mɛsej we dɛn kin kɛr go na os
- Kɔlestɔl nɔto jɔs prɔblɛm fɔ ol pipul dɛn. Yɔŋ pipul ɛn pikin dɛnsɛf de pan denja.
- Fɔ no if ɛnibɔdi na yu famili dɔn gɛt at sik we i yɔŋ. Dat na rili impɔtant infɔmeshɔn.
- Ivin if yu nɔ gɛt ɛni sayn, chɛk yu ɛn yu pikin dɛn kɔlɔstrel lɛvɛl ɔltɛm lɛk aw yu dɔktɔ tɛl yu.
- If yu gɛt hereditary FH, i nɔ go du fɔ jɔs it fayn ɛn ɛksesaiz. Yu nid fɔ tek mɛrɛsin bak fɔ di res ɔf yu layf.
- If dɛn no di sik kwik kwik wan ɛn trit am fayn, yu kin avɔyd siriɔs prɔblɛm dɛn we kɔlɔstrel kin kam wit ɛn liv fayn layf. FH nɔto day warrant.
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