We yu tek yu blɔd tɛst fɔ si if i gɛt kɔlɔstrel, yu go mɔs dɔn si nem dɛn lɛk LDL, HDL, ɛn triglisɛrɛyd na di ripɔt we yu gɛt, nɔto so? Bɔku tɛm wi kin tɔk bɔt "gud kɔlɔstrel" (HDL) ɛn "bad kɔlɔstrel" (LDL). Bɔt wan de we nɔ de na di list we ɔlman de tɔk bɔt, we ayd smɔl, bɔt i kin gɛt big impak pan at wɛlbɔdi. Dat na Lipoprotein (a) , ɔ Lp(a) fɔ shɔt. I tan lɛk famili sikrit, ɛn sɔntɛnde wi kin mek big prɔblɛm dɛn insay wi bɔdi we wi nɔ no.
Fɔ tɔk am simpul wan, wetin na Lipoprotein (a)?
Okay, mek wi put am dis we. Lipoprotein (a) na wan kayn LDL (Low-Density Lipoprotein), we dεn kכl bak "bad kכlestכl." Wetin kin apin we di LDL kɔlɔstrel de bɔku na di bɔdi? I kin gɛda na di wɔl dɛn na wi blɔd vesel dɛn, ɛn mek plek dɛn we tan lɛk spid bɔmp na rod. Insay mɛrɛsin, wi kin kɔl dis plek . As dɛn spid bɔmp ya de bɔku, di blɔd nɔ kin ebul fɔ flɔ fayn fayn wan. Dɔn, dɛn tin ya kin lɔk di blɔd vesel dɛn kpatakpata ɛn stɔp di blɔd fɔ flɔ. Dis na big tin wae kin mek pɔrsin gɛt at atak ɛn strok.
Naw, di spɛshal tin bɔt Lp(a) na dat i siriɔs smɔl pas LDL. Tu rizin dɛn de fɔ dat:
1. Blɔd kin klɔt fast fast: Lp(a) patikyula dɛn kin ɛp wi blɔd fɔ klɔt fast pas aw i kin bi.
2. I de stɔp di blɔd klɔt fɔ sɔlv: I de mek bak di blɔd we dɔn fɔm nɔ sɔlv.
Imajin, wan layt we gɛt kɔlɔstrel (plek) dɔn fɔm insay wan blɔd vesel. if da layεr de bכs bikoz fכ Lp(a), chans de fכ mek bכdi kכlכt fכ fכm kwik kwik wan εn blכk di bכdi vεsεl kכmplit wan. Na dat mek wi nid fɔ tek tɛm mɔ bɔt Lp(a).
Lp(a) lεvεl na sכmtin we kכmכt frכm jin dεm?
Yɛs. Na so i bi. Dis na di tin we impɔtant pas ɔl ɛn sɔntɛm i kin mek i sɔri smɔl bɔt dis. yu Lp(a) lεvεl de ditarmin bay di jin dεm we yu gεt frכm yu mama εn papa. Dis min se ilɛk aw yu de du ɛksɛsayz ɔ aw yu de kɔntrol yu it, yu nɔ go ebul fɔ ridyus yu Lp(a) lɛvɛl bad bad wan. Di Lp(a) lɛvɛl we yu gɛt we yu yɔŋ go mɔs bi yu yon fɔ di res ɔf yu layf.
Dat min se, dis nɔto sɔntin we wi de liv wi layf. Na sɔntin we wi gɛt frɔm wisɛf. Dis na di rizin we mek if pɔsin na di famili dɔn gɛt at sik we i yɔŋ, wi fɔ sɔprayz bak se Lp(a).
Aw a go no mi Lp(a) lɛvɛl?
Yu kin no dis wit simpul blɔd tɛst. Bɔt na smɔl tin de ya. Yu kin gɛt kɔlestɔl tɛst, we dɛn kɔl Lipid Profayl.infakt, dεn nכ de mכsu dis Lp(a) lεvεl. I nid fɔ du am wan bay wan, mɔ bay we dɛn aks fɔ am. Yu dɔktɔ kin disayd if yu nid am ɛn rifer yu fɔ am.
Wetin mek dɔktɔ go tɛl yu fɔ du dis tɛst?
Nɔto ɔlman nid dis tɛst, bɔt if yu gɛt ɔda tin dɛn we de mek yu gɛt at sik mɔ ɛn mɔ, yu dɔktɔ kin disayd fɔ luk insay dis bak.
| Risk factor | Tɔk bɔt |
|---|---|
| Famili istri | If wan pan yu fambul dɛn we de nia yu (mama, papa, brɔda ɛn sista) dɔn gɛt at atak ɔ strok we i yɔŋ (nɔ rich 55 ia fɔ man, ɔnda 65 ia fɔ uman). |
| Jɛnɛtik ay-kɔlɔstrel kɔndishɔn | If yu gɛt Familial Hypercholesterolemia , we na wan sik we de mek yu gɛt bɔku kɔlɔstrel. Na lɛk 30% pan di pipul dɛm wae gɛt dis sik kin gɛt ay Lp(a) lɛvɛl bak. |
| LDL lɛvɛl dɛn we rili ay | If yu LDL lɛvɛl rili ay we yu de du rutin kɔlestɔl tɛst. |
| At sik we kin kam bak | If yu gɛt at atak ɔ strok we de kam bak pan ɔl we yu nid fɔ gɛt di tritmɛnt ɛn chenj yu layf, Lp(a) kin bi di kɔz. |
| If pɔsin na di famili gɛt ay Lp(a) . | If sɔmbɔdi na yu famili dɔn gɛt dis tɛst ɛn dɛn dɔn kɔnfyus se dɛn Lp(a) lɛvɛl ay. |
Lp(a) lɛvɛl dɛn ɛn dɛn minin
tu we de fכ mכsu di Lp(a) lεvεl dεm. wan na fכ mכsu di mas fכ Lp(a) na di bכdi. di valyu dεm dεn gi insay miligram pan wan dεsilita (mg/dL). di כda wan na fכ mכsu di nכmba fכ di Lp(a) patikyula dεm na di bכdi. di valyu dεm dεn gi insay nanomol pan wan lita (nmol/L). I impɔtant fɔ aks yu dɔktɔ us yunit dɛn yu ripɔt de insay.
Wi jεnarali klas mg/dL valyu dεm lεk dis:
- Nɔmal lɛvɛl: I nɔ rich 30 mg/dL.
- Bɔdalayn risk: Bitwin 30 mg/dL ɛn 50 mg/dL.
- Ha risk: Mɔ pas 50 mg/dL.
insay nmol/L, wan valyu we pas 100 nmol/L dεn kin kכnsidr am as hεy risk.
Yu ay Lp(a) lɛvɛl min se yu gɛt ay risk fɔ gɛt at sik ɛn blɔd vesel sik, ivin if yu ɔda kɔlɔstrel lɛvɛl dɛn fayn.
Risach dɔn sho se di ɛlevɛt Lp(a) lɛvɛl gɛt dairekt link to dɛn sik ya:
- At sik
- At atak
- Strok
- di aorta valv stεnosis
- Di sik we de mek pɔsin gɛt di at (PAD) .
Simptom dεm de fכ hכy Lp(a) lεvεl?
Nɔ, na dat na di pat we de mek pɔsin fred. Bɔrku pipul dɛm wae gɛt ay Lp(a) lɛvɛl nɔr kin sho ɛni simptom. Dɛn nɔr kin no se dɛn de pan denja te sɔmtin wae siriɔs lɛk hat atak apin. Na dat mek, if yu gɛt famili histri bɔt at sik, i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt am kwik ɛn du tɛst if nid de.
Okay, naw aw wi go ridyus dis Lp(a)?
Dis na kwɛstyɔn we ɔlman gɛt. Fכ bi כnεst, naw nכ spεshal drog de we dεn apruv fכ tכk εn lכw Lp(a) lεvεl. Risach pipul dɛn de mek ɛn tɛst bɔku nyu mɛrɛsin dɛn fɔ dis. So wi op se i nɔ go te igen, dɛn go fɛn gud sɔlvishɔn.
Yu kin de tink se, "So, a nɔ gɛt natin fɔ du naw?" Nɔ tink so. Bɔku tin dɛn de fɔ du!
Pan ɔl we wi nɔ kin ebul fɔ stɔp di Lp(a) lɛvɛl dairekt wan, di bɛst tin we wi kin du na fɔ kɔntrol ɔl di ɔda tin dɛn we de mek di risk fɔ gɛt at sik bɔku. In ɔda wɔd, if Lp(a) na di wan gɔn we wi gɛt, i tan lɛk se wi de disable ɔl di ɔda wan dɛn.
Tin dɛn we yu kin du:
- Stɔp fɔ yuz tin dɛn we dɛn kin mek wit tabak ɔltogɛda. Smok na di big tin we kin mek di blɔd vesel dɛn pwɛl.
- Ɛksesaiz ɔltɛm. Du sɔntin lɛk fɔ waka ɔ rɔn fɔ at le 30 minit 5 dez insay di wik.
- Mek yu gɛt wɛlbɔdi wet.
- Yu fɔ it tin dɛn we go ɛp yu at. Nɔ it bɔku ɔyl, sɔl, ɛn shuga, ɛn it mɔ vɛjitebul, frut, ɔyl, ɛn it dɛn we gɛt fayv.
- Kip yu blɔd prɛshɔn ɛn dayabitis ɔnda kɔntrol. Yuz di mɛrɛsin dɛn we yu dɔktɔ gi yu fɔ dɛn wan ya jɔs.
- Kɔntrol di LDL kɔlɔstrel lɛvɛl. Pan ɔl we i nɔ pɔsibul fɔ ridyus Lp(a), mɛrɛsin dɛn we de stɔp LDL kɔlɔstrel, lɛk statin ɔ PCSK9 inhibitor , kin ridyus di ɔl risk bad bad wan.
- Kɔntrol strɛs.
Dipen pan di risk we yu gɛt, yu dɔktɔ kin gi yu mɛrɛsin lɛk aspirin fɔ mek yu blɔd nɔ klɔt.
Fɔ di wan dɛn we gɛt rili ay Lp(a) lɛvɛl, mɔ di wan dɛn we gɛt Familial Hypercholesterolemia, wan tritmɛnt de we dɛn kɔl Apheresis . Dis tan lɛk dayalaysis we di kidni dɛn nɔ de wok fayn. yu kכnekt to mashin εn di Lp(a) patikyula dεm de filta kכmכt na di bכdi. Bɔt dis na tritmɛnt we kin tek sɔm awa, dɛn nid fɔ du am wan ɔ tu tɛm insay di wik, ɛn na fɔ pipul dɛn nɔmɔ we rili spɛshal.
Mɛsej we dɛn kin kɛr go na os
- Lipoprotein (a) ɔ Lp(a) na spɛshal kayn kɔlɔstrel we wi kin gɛt frɔm wi jin ɛn we kin mek wi gɛt at sik mɔ ɛn mɔ.
- Dɛn nɔ kin mɛzhɔ dis wit kɔlestɔl tɛst we dɛn kin du ɔltɛm (Lipid Profile). I nid fɔ gɛt spɛshal blɔd tɛst .
- di Lp(a) lεvεl dεm nכ kin rεdכks bכku bכku wan bay it כ εksεsayz.
- If ɛnibɔdi na yu famili dɔn gɛt at sik we i yɔŋ , tɔk to yu dɔktɔ bɔt fɔ mek dɛn chɛk yu Lp(a) lɛvɛl.
- Ivin if yu Lp(a) lɛvɛl ay, nɔ panik. If yu kɔntrol ɔl di ɔda tin dɛn we kin mek yu gɛt prɔblɛm , lɛk blɔd prɛshɔn, dayabitis, ɛn LDL kɔlɔstrel, yu kin ridyus di risk fɔ gɛt at atak ɛn strok bad bad wan.
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