Imajin, yu rili tan, yu de du ɛksɛsayz fayn, ɛn yu rili tek tɛm wit wetin yu de it ɛn drink. Yu ol lɛk 40 ia so. Udat go tink se pɔsin lɛk dat go gɛt at atak? I nɔ pɔsibul fɔ biliv, nɔto so? Bɔt dis na rial tin. Tide wi de tɔk bɔt dis kayn wɛlbɔdi prɔblɛm we wi nɔ de si, bɔt we rili denja. Dis na sɔntin we bɔku pipul dɛn nɔ no, bɔt wi ɔl nid fɔ no.
Wetin na dis sik we pɔsin kin gɛt we i gɛt kɔlɔstrel? (Familial Hypercholesterolemia) .
Fɔ tɔk am simpul wan, dis na sik we pɔsin kin gɛt frɔm in jɛnɛtiks. Dat min se na sɔntin we wi gɛt frɔm wi mama ɛn papa. Pɔsin we gɛt dis sik kin gɛt bɔku bɔku LDL (Low-Density Lipoprotein) kɔlɔstrel, we wi kin kɔl "bad kɔlɔstrel", na in bɔdi frɔm we dɛn bɔn am.
Bɔku tɛm, we wi de tɔk bɔt kɔlɔstrel, wi kin tink se dɛn tin ya kin bɔku nɔmɔ pan pipul dɛn we de it tin dɛn we gɛt ɔyl ɛn fat, we nɔ de du ɛksɛsayz, ɛn we fat. Dat na tru te to sɔm mak. Bɔt pan dis sik we dɛn kɔl Familial Hypercholesterolemia (FH) , ilɛksɛf yu tan ɔ yu layf gɛt wɛlbɔdi, di bad bad kɔlɔstrel we de na yu bɔdi kin go ɔp ɔtomɛtik wan. Bikɔs, di rizin fɔ dis nɔto yu layf, bɔt na wan prɔblɛm we de na yu jin.
Bikɔs ɔf dis, ivin yɔŋ pɔsin we tink se dɛn rili wɛl kin gɛt at atak ɔ strok wantɛm wantɛm we dɛn nɔ wɔn am .
Sɔm ia bifo dis tɛm, wan uman we ol 40 ia bin tɔk bɔt wetin bin apin to am. I bin rili tan ɛn i bin gɛt wɛlbɔdi. Wan de, we i bin de na wan rɛstɔrant, i bin fil wan ebi ebi ebi na in chɛst ɛn i bin de swet bɔku bɔku wan. We i go si dɔktɔ wantɛm wantɛm, afta dɛn dɔn du ECG, di dɔktɔ se, "Yu jɔs gɛt at atak." I nɔ bin ebul fɔ biliv am.
Leta, wan spɛshal tɛst we dɛn kɔl ``Heart Catheterization`` sho se 4 pan di men blɔd vesel dɛm we de gi blɔd to in at bin 90% blok. Insay tu wik, dɛn bin gɛt fɔ put fayv smɔl smɔl tiub dɛn, we dɛn kɔl ``Stents``, fɔ mek dɛn vessel dɛn de opin. Dɛn bin dɔn kam fɔ no se i gɛt wan sik we dɛn kɔl Familial Hypercholesterolemia (FH).
Wi pikin dɛnsɛf de pan denja?
Dis na di impɔtant tin we wi nid fɔ pe atɛnshɔn pan. Bikɔs FH na sik we pɔsin kin gɛt frɔm in mama ɛn papa, if wan pan di mama ɛn papa gɛt di sik, 50% chans de fɔ mek di pikin dɛn gɛt am . Dis min se if tu pikin dɛn de, chans de fɔ mek at le wan pan dɛn gɛt di sik.
Di denja fɔ dis na dat, bikɔs dɛn nɔ de si di sayn dɛm, wi nɔ kin no se pikin gɛt dis sik. Bɔt insay da pikin de in bɔdi, bad bad kɔlɔstrel kin bigin fɔ gɛda smɔl smɔl na di blɔd vesel dɛn. Bikɔs ɔf dis, da pikin deIvin we yu yɔŋ, dat na, we yu ol 20 ɛn 30 ia, i kin rili bɔku fɔ mek yu gɛt at atak ɔ strok.
So, if pɔsin na yu famili dɔn gɛt at atak we i yɔŋ, ɔ if na famili histri gɛt ay kɔlɔstrel, i rili impɔtant fɔ mek dɛn tɛst yu pikin dɛn fɔ no if dɛn gɛt kɔlɔstrel. Di American Academy of Pediatrics ivin se ɔl pikin dɛn we ol bitwin 9 ɛn 11 ia fɔ du tɛst fɔ dɛn kɔlɔstrel.
We fɔ sɔspɛkt FH stetɔs
Nɔto ɔl di ay kɔlɔstrel na FH. Bɔt sɔm sayn dɛn de we wi fɔ tek as sɔntin we pɔsin kin tink bɔt mɔ. A go ɛksplen dɛn tin ya na wan tebul.
| Matter we pɔsin kin sɔprayz pan | Tɔk bɔt |
|---|---|
| Di LDL kɔlɔstrel lɛvɛl we rili ay | If big pɔsin in LDL pas 190 mg/dL ɔ pikin in LDL pas 160 mg/dL (dɛn valyu ya kin difrɛn smɔl frɔm wan kɔntri to ɔda kɔntri). |
| Famili istri | If pɔsin na di famili (man we nɔ rich 55 ia yet, uman we nɔ rich 65 ia yet) dɔn gɛt at atak ɔ at sik. |
| Di kayn we aw pɔsin de biev (nɔto ɔlman gɛt dɛn) . | yכlכsh fεt dεposit dεm na di skin we de rawnd di yay (Xanthelasmas), fεt lumps dεm na di flesh fold dεm na di an, εlbo, כ kכn (Tendon Xanthomas). |
Yu nɔ tink se i go du fɔ jɔs chenj di we aw yu de liv yu layf?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. "A nɔ go ebul fɔ put mi kɔlɔstrel dɔŋ if a it fayn ɛn du ɛksɛsayz?" If yu gɛt nɔmal kɔlɔstrel lɛvɛl, we yu chenj yu layf kin mek big difrɛns.
Bɔt fɔ FH, fɔ chenj di we aw pɔsin de liv in layf nɔmɔ nɔ go du fɔ am . Bikɔs di prɔblɛm na wan jenɛtik dɛfɛkt na di sistɛm we de mek ɛn pul kɔlɔstrel na yu bɔdi. So, pan ɔl we i rili impɔtant fɔ it fayn ɛn ɛksesaiz, i rili nid fɔ gɛt mɛrɛsin fɔ kɔntrol di LDL kɔlɔstrel we pasmak na di blɔd.
Bɔku tɛm, dɔktɔ dɛn kin gi dɛn mɛrɛsin dɛn we de mek pɔsin nɔ gɛt bɔku kɔlɔstrel, lɛk statin. Dɛn mɛrɛsin ya, we dɛn kin gi ivin pikin dɛn we dɛn nɔ tek bɔku, kin rili ridyus di risk fɔ gɛt at sik tumara bambay.
Tin dɛn fɔ aks yu dɔktɔ
If yu ɔ sɔmbɔdi na yu famili gɛt bɔku bɔku kɔlɔstrel, i rili impɔtant fɔ go to yu dɔktɔ ɛn aks dɛn kwɛstyɔn ya.
- Us kɔlɔstrel tɛst dɛn a fɔ du? (e.g. Lipid Profayl)
- Aw ɔltɛm a fɔ du dɛn tɛst ya?
- Aw it ɛn ɛksesaiz go ɛp fɔ kɔntrol mi kɔlɔstrel lɛvɛl?
- Wetin na di risk we a gɛt fɔ gɛt at sik?
- Us sayn dɛn we a fɔ wɔri bɔt mɔ? (e.g. chɛst pen, i nɔ izi fɔ blo)
We yu no dis infɔmeshɔn, dat go ɛp yu fɔ protɛkt yusɛf ɛn di wan dɛn we yu lɛk frɔm siriɔs sik. Mɛmba se fɔ no na di bɛst tin fɔ protɛkt yusɛf.
Mɛsej we dɛn kin kɛr go na os
- Familial Hypercholesterolemia (FH) na wan sik wae de kam wit jεnεtiks wae de pas tru jεnereshכn. Dis kin mek yu gɛt bɔku bɔku kɔlɔstrel ivin pan pipul dɛn we tan ɛn we gɛt wɛlbɔdi.
- If ɛnibɔdi na yu famili dɔn gɛt at sik we i yɔŋ (man < 55, uman < 65), i rili impɔtant fɔ mek yu ɛn yu pikin dɛn chɛk dɛn kɔlɔstrel.
- Insay di kes fɔ FH, pan ɔl we i impɔtant fɔ liv wɛlbɔdi layf, bɔku tɛm i nid fɔ tek mɛrɛsin dɛn we dɔktɔ gi fɔ kɔntrol di kɔlɔstrel lɛvɛl.
- If yu no am kwik ɛn trit yu fayn, dat kin rili ridyus di risk fɔ gɛt siriɔs prɔblɛm lɛk at atak ɛn strok.
- If yu gɛt ɛnitin we de mɔna yu bɔt yu kɔlɔstrel ɔ yu famili istri, mek shɔ se yu tɔk to yu dɔktɔ .
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