Yu go mɔs dɔn yɛri di wɔd ‘kɔlestɔl’ bɔku, nɔto so? Bɔt we yu dɔktɔ se ‘hyperlipidemia’, yu kin kɔnfyus smɔl. Nɔ wɔri, dɛn tu wɔd ya min lɛk di sem tin. Fɔ tɔk am simpul wan, i min se yu blɔd gɛt bɔku fat, ɔ ‘lipids’ lɛk aw wi kin kɔl dɛn. Dis na wan bad bad tin we pipul dɛn kin si naw pan bɔku pipul dɛn na wi kɔntri.
Wetin na di kayn lipid dɛn we de na di blɔd?
Bɔku kayn fat ɔ lipid dɛn de na wi blɔd. Imajin se wi blɔd tan lɛk rod. Gud motoka ɛn bad motoka de na dis rod.
- HDL kכlestכl: Dis na di "gud kכlestכl." I tan lɛk trak we de trowe dɔti. I de pik di kɔlɔstrel we yu nɔ want we dɔn gɛda na yu blɔd vesel ɛn kɛr am go na di liva. Di liva de pul da kɔlɔstrel de we yu nɔ want na yu bɔdi. So fɔ gɛt gud HDL lɛvɛl rili fayn fɔ yu bɔdi.
- LDL kכlestכl: Dis na wetin wi kin kכl "bad kכlestכl." I tan lɛk se motoka de lɛf dɔti ɔlsay na di rod. Dis LDL kɔlɔstrel de stik na di wɔl dɛn na wi blɔd vesel dɛn. As tɛm de go, dɛn tin ya kin bɔku ɛn bigin fɔ blok di insay pat pan di blɔd vesel dɛn. Dis kin mek di rod fɔ big big sik dɛn lɛk at sik ɛn strok.
- Triglycerides: Dis na ɔda kayn fat we de na wi blɔd. Na di it dɛn we gɛt fat ɛn shuga we wi de it kin mek dɛn mɔ. Tumɔs pan dɛn tin ya nɔ kin fayn fɔ di bɔdi.
- VLDL kכlestכl: Lεk LDL, dεn kin kכnsidr dis as wan kayn "bad" kכlestכl. We dis go ɔp, di risk fɔ gɛt at sik kin bɔku.
Wetin mek wi kin gɛt Hyperlipidemia? Wetin na di tin dɛn we kin mek i apin?
Bɔku rizin dɛn de fɔ dis. Sɔm na tin dɛn we wi kin kɔntrol, bɔt sɔm na tin dɛn we wi nɔ ebul fɔ kɔntrol.
| Rizin tayp | Ɛgzampul dɛn |
|---|---|
| Lɛ yu bɔdi kam dɔŋ | Fɔd dɛn we gɛt bɔku sɛtyuret fat ɛn trans fat. Ɛgzampul dɛn: chiz, eg yolk, it dɛn we dɛn dɔn frɛsh, it dɛn we dɛn dɔn prosɛs, ayskrim, tin dɛn we dɛn mek wit bekɛri, rɛd mit (bif, bɔd). |
| Di we aw pɔsin de liv in layf | Fɔ smok, fɔ drink rɔm pasmak, fɔ gɛt bɔku bɔku bɔdi, fɔ nɔ de du ɛksasaiz, ɛn fɔ strɛs pasmak. |
| Ɔda tin dɛn we kin apin to pɔsin we sik | Sik dɛm lɛk dayabitis, kidni sik, liva sik, haypotayroydism, polycystic ovary syndrome (PCOS), ɛn lupus. |
| Sɔm mɛrɛsin dɛn | Sɔm stɛroyd, sɔm mɛrɛsin dɛn we gɛt ay blɔd prɛshɔn (Beta-blockers, Diuretics), bɔn kɔntrol pils, sɔm HIV mɛrɛsin. |
| Jɛnɛtik kɔz dɛm we kɔmɔt frɔm jɛnɛreshɔn dɛm | Sɔm pipul dɛn kin gɛt dis sik frɔm dɛn mama ɛn papa. Dɛn kɔl dis ‘Familial Hyperlipidemia’. Dɛn pipul ya kin gɛt bɔku bɔku kɔlɔstrel lɛvɛl we dɛn rili yɔŋ ɛn dɛn kin gɛt ay risk fɔ gɛt at sik. |
Wetin na di sayn dɛm wae de sho se pɔrsin gɛt aypa lipidemia?
De tin wae impɔtant pas ɔl ɛn wae de mek pɔrsin frayd na dis: Bɔrku pipul wae gɛt dis sik nɔr kin sho ɛni sayn fɔs.
Bɔrku tɛm, dis sik nɔr kin kɔz ɛni sayn fɔs. Na dat mek i kin tan lɛk "saylent killer." Na blɔd tɛst nɔmɔ go ebul fɔ no fɔ tru.
Bɔt prɔblɛm kin bigin fɔ kam we di fat kin gɛda insay di blɔd vesel dɛn ɛn blok dɛn, ɛn dis kin mek dɛn nɔ trit dɛn fɔ lɔng tɛm. Dis kin mek yu gɛt siriɔs sik lɛk:
- Coronary Artery Disease (CAD): Di blɔd vesel dɛm we de gi blɔd to di at kin smɔl bikɔs ɔf di fat we de na di at. Dis kin mek di at nɔ gɛt di ɔksijɛn ɛn di tin dɛn we i nid. Dis kin mek yu chɛst pen (angina) ɔr at atak.
- At Atak: Fat plek (plek) we dɔn gɛda na di blɔd vesel kin brok wantɛm wantɛm ɛn mek blɔd klɔt. If dis blɔd klɔt blok di blɔd fɔ go na wan pat na di at kpatakpata, dat na at atak. Di sayn dɛm kin bi se yu de fil pen bad bad wan na yu chɛst, yu de fil pen na yu jaw, yu sholda, ɔ yu an, yu de swet, ɛn yu nɔ go ebul fɔ blo. If yu gɛt dɛn sik ya, yu fɔ go na ɔspitul in imejensi rum (ETU) wantɛm wantɛm.
- Strɔk: Jɔs lɛk at atak, strok kin apin we di blɔd we de klɔt brok ɛn blok wan at we de gi blɔd to di bren. Di sayn dɛm kin bi se yu ed kin at wantɛm wantɛm, i kin at fɔ tɔk, yu kin wik na wan say na yu bɔdi, ɛn yu nɔ kin si fayn igen. Dis na mɛdikal imejensi bak.
- Fat we de na di skin: Dɛn kin si dɛn tin ya bɔku tɛm we dɛn famili gɛt bɔku kɔlɔstrel. Dɛn kin apia lɛk yɔlɔ lumps nia di aylid (xanthelasmas) ɔ lumps na di ɛlb, ni, ɛn an (xanthomas).
Aw yu kin no bɔt dis?
Di wangren we fɔ no if yu gɛt aypa lipidemia na fɔ du blɔd tɛst . Dɛn kɔl dis ‘Lipid Profayl’ ɔ ‘Lipid Panel’. Dɛn kin du dis tɛst afta yu dɔn fast fɔ 9-12 awa.
Yu dɔktɔ go tink bɔt tin dɛn lɛk yu ej, ɔda mɛrɛsin dɛn, ɛn yu famili mɛdikal istri fɔ no if yu kɔlɔstrel lɛvɛl de pan denja.
| Tɛst | Lεvεl fכ hεlth (mg/dL) . | Risk lεvεl (mg/dL) . |
|---|---|---|
| Tɔtɔl Kɔlestɔl | I nɔ rich 200 | 240 ɔ mɔ |
| LDL ("bad") Kɔlɔstrel | Nɔr 100 (dɔwn 70 fɔ di wan dɛm wae gɛt hat sik) . | 160 ɔ mɔ |
| HDL ("gud") Kɔlɔstrel | Man: I pas 40 ia Fem: I pas 50 ia (we pas 60 ia na fayn tin) | Man: Nɔ rich 40 ia yet Fem: Nɔ rich 50 ia yet |
| Triglisɛrɛyd dɛn | Ɔnda 150 ia | 200 ɔ mɔ |
Aw wi go kɔntrol dis tin we de apin?
Tu men pat dɛn de fɔ kɔntrol dis. Wan pan dɛn na fɔ chenj di we aw wi de liv wi layf. Di ɔda wan na fɔ tek mɛrɛsin lɛk aw dɔktɔ tɛl yu fɔ tek am, if nid de.
1. Di Chenj dɛn we Yu De Layf
Na dɛn tin ya yu go ebul fɔ du yusɛf. Dɛn tin ya na di impɔtant pat pan tritmɛnt.
- Gud it: Ridyus it dɛn we gɛt bɔku sɛtyuret fat ɛn trans fat. Nɔ yuz kokonat ɔyl ɛn pam ɔyl. Ridyus di it dɛn we dɛn dɔn frɛsh, rɛd mit, chiz, bɔta, kek, ɛn biskit. Bifo dat, it mɔ it dɛn we gɛt fayv . Ɔts, brawn rays, ɔl grens, vɛjitebul, frut, ligɛm, chikip, ɛn lentil ɔl fayn.
- It fish: If yu it fish we gɛt ɔyl lɛk salmɔn, tuna, makrɛl, ɛn sadin fɔ tu dez insay di wik, dat kin ɛp fɔ mek di triglisayz nɔ bɔku.
- Ɛksesaiz: Gɛt ɛksesaiz fɔ at le 30 minit ɛvride, lɛk fɔ waka kwik kwik wan, fɔ rayd baysikul, ɔ fɔ swim. If yu si am se i nɔ izi fɔ du am wan tɛm, brok am to 10-15 minit ɛn du am bɔku tɛm insay di de.
- Stɔp fɔ smok ɛn drink rɔm: If yu lɛf fɔ smok, i go mek yu gɛt bɔku kɔlɔstrel (HDL). I impɔtant bak fɔ stɔp fɔ drink rɔm ɔltogɛda ɔ fɔ stɔp am bad bad wan.
- Kɔntrol yu wet: If yu fat pasmak, fɔ lɛf fɔ it bɔku bɔku it kin ɛp yu fɔ kɔntrol di kɔlɔstrel.
- Manej strɛs: Mek yu maynd gɛt wɛl bɔdi tru tin dɛm lɛk fɔ tink gud wan ɛn yoga.
2. Di mɛrɛsin dɛn we di dɔktɔ gi
Sɔntɛnde, ivin we yu chenj yu layf nɔ go du fɔ kɔntrol yu kɔlɔstrel. If na so i bi, yu dɔktɔ go gi yu mɛrɛsin.
- Statin: Dis na di klas we dɛn kin yuz mɔ fɔ mek di kɔlɔstrel nɔ bɔku. Dɛn kin wok bay we dɛn de ridyus di kɔlɔstrel we de na di liva.
- Ɔda mɛrɛsin dɛn: Apat frɔm statin, ɔda mɛrɛsin dɛn de lɛk Ezetimibe, Fibrates, ɛn PCSK9 inhibitors. Yu dɔktɔ go disayd us mɛrɛsin go fayn fɔ yu.
I rili impɔtant: Tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek, fɔ di tɛm we dɛn tɛl yu fɔ tek. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz we yu nɔ go to yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- haypa lipidemia na di εlevεt lεvεl fכ fεt na yu bכdi, spεshal "bad" kכlestכl (LDL) εn triglisεrayd.
- Bɔrku tɛm, no sayn nɔr kin de na di fɔs stej, so i impɔtant fɔ mek yu de chɛk yu dɔktɔ ɔltɛm.
- Dis sik kin izi fɔ no if yu du simpul blɔd tɛst (Lipid Profile).
- Fɔ chenj yu layf, lɛk fɔ it gud it, fɔ du ɛksɛsayz, ɛn fɔ lɛf fɔ smok, na di fɔs ɛn impɔtant tin fɔ du fɔ trit yu.
- Sɔntɛnde, apat frɔm we yu de chenj yu layf, yu kin nid fɔ tek mɛrɛsin dɛn we dɔktɔ tɛl yu fɔ tek.
- If yu kɔntrol yu kɔlɔstrel, dat kin ɛp fɔ protɛkt yu frɔm siriɔs sik dɛn lɛk at sik ɛn strok. Ɔltɛm tɔk to yu dɔktɔ bɔt dis.
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