Omwana wo omuto alina kolesterol mungi? (Pediatric High Cholesterol) Ka twogere ku nsonga eno!

Ffenna tutera okwogera ku kolesterol mu bantu abakulu, kwe kugamba, omuwendo gw’amasavu mu musaayi. Naye okimanyi nti n’abaana abato basobola okufuna ekizibu kino ekya kolesterol? Mu butuufu, oluusi kiyinza okuba eky’amaanyi katono. Kale, teweeraliikiriranga. Leero, ka twogere ku kolesterol omungi mu baana abato, oba ng’abasawo bwe bakiyita, `(Pediatric High Cholesterol)`, kye ki, lwaki kibaawo, ne kye tuyinza okukikola.

Kolesterol omungi kitegeeza ki mu baana abato?

Mu ngeri ennyangu, kolesterol omungi mu baana kitegeeza nti omuwendo gwa kolesterol mu musaayi gw’omwana wo gusinga ku gwa bulijjo. Cholesterol ono kika kya masavu mu musaayi gwaffe agayitibwa `(Lipids)`. Waliwo n’ekika ky’amasavu ekirala ekiyitibwa `(Triglycerides)`, era nga gayinza okuba amangi mu baana abamu. Mu butuufu omubiri gwaffe gwetaaga agamu ku masavu gano, kubanga gayamba mu mirimu egy’enjawulo egy’omubiri. Kyokka ebizibu bibaawo nga bino byeyongedde nnyo.

Kati oyinza okuba nga weebuuza nti, "Ntegeera ntya mu bukakafu oba omwana wange alina kolesterol omungi oba triglycerides omungi?" Kino abasawo bakikola okukebera omusaayi. Kiyitibwa "Lipid Panel." Okukebera kuno kusobola okukubuulira ddala amasavu gano kye gali. Jjukira nti ekirungo kya kolesterol ekya bulijjo mu baana abato kyawukana katono ku ky’abantu abakulu.

Laba wano amasavu aga bulijjo, ag’ekigero n’agatali ga bulijjo mu baana abato.

(Wano, si kya bulijjo singa ekika kya kolesterol ekirungi kyokka ekiyitibwa HDL cholesterol kye kikendeera.)

| Ekika ky'amasavu | Mg/dL eya bulijjo | Ensalo mg/dL | mg/dL ezitali za bulijjo |

| :------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ :------------------------ | :--------------------------- | :----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| Omugatte gwa Kolesterol | < 170 | 170 - 199 | ≥ 200 |

| LDL cholesterol (kolesterol "omubi") | < 110 | 110 - 129 | ≥ 130 |

| HDL kolesterol (kolesterol "omulungi") | > 45 Ebiwandiiko | 40 - 45 | < 40 |

| Triglycerides (emyaka 0-9) | < 75 | 75 - 99 | ≥ 100 |

| Triglycerides (emyaka 10-19) | < 90 | 90 - 129 | ≥ 130 |

Ekikulu: Empisa zino ziyinza okukyuka katono n’emyaka, n’olwekyo kirungi okwogera n’omusawo wo okumanya ekituufu.

Bubonero ki obulaga nti omwana alina kolesterol omungi?

Ebiseera ebisinga, omwana alina kolesterol omungi tekiraga bubonero bwonna obweyoleka . Kino kye kintu ekisinga okuba eky’obulabe. Wabula singa kolesterol abeera mungi nnyo naddala nga kiva ku nsonga z’obuzaale, omwana ayinza okufuna bino wammanga:

• Ebizimba ebirimu wax, ebizigo ku lususu (Xanthoma) .
• Ekitonde ekya kyenvu ekiringa ekizimba ku kibikka oba okumpi n’ekibikka ky’eriiso (Xanthelasma) .
• Empeta enjeru oba enzirugavu okwetoloola ekitundu ky’amaaso (Corneal Arcus) .

Bw’olaba obubonero nga buno, mazima ddala wandibadde olaba omusawo mu bwangu.

Lwaki kolesterol mu mwana yeeyongera?

Waliwo ensonga eziwerako lwaki kolesterol omwana ayinza okuba omungi. Ka tulabe kiki kye bali:

• Emmere n’ebyokunywa: Ebika by’emmere omwana by’alya naddala ebirimu amasavu n’ebiwoomerera.
• Omuwendo gw’okukola emirimu gy’omubiri: Omwana bw’adduka, bw’abuuka, bw’azannya, n’akola dduyiro.
• Endwadde endala: Embeera ng’omugejjo, sukaali, n’endwadde z’ekibumba (Nephrotic Syndrome).
• Eddagala: Eddagala erimu liyinza n’okuleetera kolesterol okweyongera.
• Enkola y’obuzaale: Obuzaale obusikira okuva mu bazadde nabwo buyinza okuba ensonga enkulu evuddeko kino.

Ebiseera ebisinga, abaana abalina kolesterol omungi baba n’ebyafaayo bya kolesterol omungi mu maama oba kitaabwe, oba bayinza okuba nga bamira eddagala okufuga kolesterol waabwe.

Cholesterol omungi olw’obuzaale

Obuzaale bukola kinene mu kizibu kino. Ka tulabe engeri ekyo gye kikola.

Obulwadde bwa kolesterol mu maka (FH) .

Eno mbeera ya buzaale. Ekibaawo kwe kuba nti omwana azaalibwa ng'alina kolesterol "omubi" (LDL Cholesterol) mungi. Emirundi egisinga kino kisikira singa omu ku bazadde yekka y’aba n’obuzaale.

Omusawo ayinza okuteebereza omwana alina LDL etategeerekeka nga 160 mg/dL oba okusingawo. LDL level ya 130 mg/dL oba okusingawo mu mwana alina abazadde abalina FH nakyo kyeraliikiriza.

Ebivaako obuzaale obw’enjawulo

Waliwo ebivaako obuzaale obulala ng’oggyeeko `(FH)`. Omwana alina ekivaako ekirungo kya ‘polygenic’ ekivaako kolesterol omungi kitegeeza nti omwana asikira obuzaale obuwera okuva mu bazadde bombi obusitula emiwendo gya `LDL`. Mu mbeera eno, emiwendo gya `LDL` giyinza okuba nga gyali girinnya mpolampola okumala ekiseera, era giyinza obutafuuka gya kweyoleka okutuusa nga gikyali bato. Wadde nga ensonga zino ez’obuzaale zongera ku bulabe bw’okulwala omutima, tezifuuka za maanyi nga `(FH)`. Abaana abalina `(FH)` batera okwetaaga okutandika eddagala nga bukyali okusinga abaana abalina ensonga z'obuzaale obw'enjawulo.

Ebirungo ebizimba omubiri (a) .

`(Lipoprotein (a))` (eyatulwa "lipoprotein little A") kika kya kolesterol eky'enjawulo ekiyinza okusikira abazadde okutuuka ku baana. Abantu abalina ekirungo kya `(Lipoprotein (a))` ekinene bali mu bulabe bwa maanyi okukwatibwa obulwadde bw’emisuwa gy’omutima. Era kiyinza okuvaako abaana obutatera kukwatibwa stroke.

Singa omwana wo aba n’ekimu oba ebisingawo ku bintu bino wammanga, omusawo ayinza okulagira okukeberebwa omusaayi okukebera emiwendo gyabwe egya `(Lipoprotein (a))`:

• Okuzuulibwa nti alina obulwadde bwa ``Familial Hypercholesterolemia``.
• Olw'okuba emabegako yafuna ``Ischemic Stroke'' etamanyiddwa.
• Okubeera n’emiwendo gya `(Lipoprotein (a))` egya waggulu oba mu maama oba mu taata.
• Okubeera ne muganda wo oba omuzadde afunye obulwadde bw’omutima ku myaka emito.

Lwaki omwana alina ekirungo kya triglyceride kyeyongera?

Ensonga enkulu eziviirako abaana omuwendo gwa triglyceride okubeera omungi ze zino:

• Obunene
• Ekirwadde ekya sukaali
• Eddagala erimu

Triglycerides omungi nazo zisobola okuba n’obuzaale, naye si za bulijjo nga FH. Singa okukebera omusaayi gw’omwana ng’asiiba (okusiiba okumala essaawa 12) kulaga nti triglycerides ziri 500 mg/dL oba okusingawo awatali nsonga ndala, abasawo bayinza okuteebereza nti kiva ku buzaale.

Bizibu ki ebiyinza okuva ku kolesterol omungi mu baana?

Abaana abalina kolesterol omungi (`LDL` cholesterol) basobola okufuna obuzibu mu bulamu nga bwe bakaddiwa. Bino bisinga kuva ku masavu (atheroma) agali munda mu misuwa, agayinza okuziyiza omusaayi okutambula. Kino kiyinza okukendeeza ku kutambula kw’omusaayi mu mutima, ku bwongo oba amagulu. Oyinza okuba nga wali owulidde ku bukwakkulizo buno:

• Obulwadde bw'omutima
• Storoko
• Obulwadde bw’emisuwa egy’okumpi

Lowooza, singa ebizibu bino bifugibwa ku myaka emito, nga kijja kukuyamba nnyo okwewala endwadde ez’amaanyi ng’ezo ng’okuze!

Bizibu ki ebiyinza okuva ku triglycerides okweyongera mu baana?

Singa omuwendo gwa `(Triglycerides)` guba mungi nnyo, omwana ayinza okulwala `(Pancreatitis).` Singa omuwendo gwa `(Triglycerides)` guba waggulu okumala ebbanga eddene, era guyinza okuyamba mu kuteeka amasavu mu misuwa okutuuka ku ddaala eritali limu. Wabula tekirina kinene kye kikola nga `(LDL)` cholesterol.

Abasawo bazuula batya obulwadde bwa kolesterol omungi mu baana?

Abaana abali mu myaka egy’okusoma basobola okukeberebwa kolesterol waabwe nga bakozesa omusaayi ogwangu. Mu mbeera ezimu, oyinza okwetaaga okusiiba okumala essaawa ezitakka wansi wa 12 nga tonnakeberebwa musaayi. Buuza omusawo wo oba kino kyetaagisa.

Kikulu nnyo naddala okukeberebwa kuno singa omuntu mu maka alina obulwadde bw’omutima, oba ng’abazadde balina kolesterol omungi. Ebyava mu kukebera omusaayi bisobola okumanya oba kolesterol oba triglycerides z’omwana ziri nnyingi.

Ojjanjaba otya kolesterol omungi mu baana?

Ekisooka okufuga kolesterol omungi kwe kukola enkyukakyuka mu mmere y’omwana wo n’okwongera ku bungi bw’okukola emirimu gy’omubiri gy’akola.Omusawo wo ajja kukubuulirira ku nsonga eno. Singa enkyukakyuka zino zokka tezikendeeza ku kolesterol w’omwana wo okutuuka ku ddaala eritali lya bulabe, omusawo ayinza okukuwa amagezi ku ddagala (eri abaana abasukka mu myaka 8).

Omwana wange yeetaaga eddagala?

Kiyinza okwetaagisa. Abasawo bawa amagezi okukozesa eddagala nga basinziira ku magezi g’abakugu okuva mu bibiina nga National Heart, Lung and Blood Institute ne American Heart Association. Wano waliwo embeera omusawo gy’ayinza okuwa omwana wo eddagala:

• Singa omuwendo gwa LDL gusukka 190 mg/dL:
• Singa omwana aba talina bintu birala biyinza kulwala bulwadde bwa misuwa.
• Singa LDL yo eri 160 mg/dL oba okusingawo, era ng’olina ekimu ku bino wammanga:
• Omwana alina ebintu ebiyinza okulwala endwadde z’emisuwa.
• Omu ku bazadde yafuna obulwadde bw’omutima ku myaka emito, oba waliwo amasavu agali mu misuwa gy’omutima (coronary artery plaque).
• Singa kolesterol wo tatuuse ku ddaala lye yali osuubira oluvannyuma lw’emyezi mukaaga ng’okola enkyukakyuka mu mmere yo ne dduyiro.
• Singa LDL yo esukka 130 mg/dL, olina ekimu ku bino wammanga:
• Omu ku bazadde bano azuuliddwamu ekirwadde kya `(FH)`.
• Omwana alina obulwadde bw’emisuwa ng’omugejjo, puleesa, okunywa sigala (omwana oba abantu ababeetoolodde), emiwendo gya HDL emitono, ebyafaayo by’Obulwadde bwa Kawasaki, obulwadde bw’ekibumba, okusimbuliza ebitundu by’omubiri, Juvenile Rheumatoid Arthritis, Lupus, oba siriimu.
• Singa LDL yo esukka 100 mg/dL, olina ekimu ku bino wammanga:
• Omwana alina obulwadde bwa sukaali obwa Type I oba Type II.
• Omwana alina obulwadde bwa Kawasaki Disease, obuvaako emisuwa gy’emisuwa.

Eddagala ki eriweebwa abaana ku kolesterol?

Statins ze zisooka okulondebwa abaana abalina LDL omungi. Okugeza nga:

• Eddagala lya Atorvastatin (Lipitor®) .
• Ekirungo kya Rosuvastatin (Crestor®) .
• Ekirungo kya Simvastatin (Zocor®) .

Eno y’engeri eddagala lya statin gye likendeeza ku muwendo gwa LDL gw’omwana:

• Akomya ekibumba okukola kolesterol.
• Aggyamu kolesterol asusse mu musaayi n’ayamba omubiri okumukozesa obulungi.

Ezetimibe ddagala lya layini ya kubiri erikendeeza ku muwendo gwa LDL. Kikola nga kiziyiza okuyingiza kolesterol okuva mu byenda okuyingira mu musaayi.

Obujjanjabi bw’ekirungo kya Lipoprotein ekingi (a) .

Enkyukakyuka mu bulamu tezirina kinene kye zikola ku miwendo gya `(Lipoprotein (a))` nga emiwendo gya `(LDL)`. Mu kiseera kino, tewali ddagala lya njawulo erijjanjaba emiwendo gya `(Lipoprotein (a))` egya waggulu. Wabula okugezesa eddagala kugenda mu maaso. Singa omwana wo `(Lipoprotein (a)` ali waggulu, omusawo ayinza okukuwa amagezi nti essira balitadde ku kukendeeza ku bintu ebirala ebiyinza okuvaako obulwadde bw'emisuwa gy'omutima.Mu bino mulimu:

• Okulya emmere eyamba omutima.
• Okufuna dduyiro amala.
• Okujjanjaba emiwendo gya kolesterol emirala n’eddagala.
• Weewale okunywa sigala.

Okujjanjaba ebirungo ebiyitibwa triglycerides ebingi

Omusawo w’omwana wo ayinza okukuwa amagezi ku bintu nga:

• Okukola enkyukakyuka mu mmere y’omwana wo n’okukola dduyiro.
• Ebirungo ebiyamba amafuta g’ebyennyanja (okutuuka ku 4000 mg buli lunaku).
• Eddagala eddala (mu mbeera ez’enjawulo ng’abaana ba triglyceride bali waggulu nnyo).

Kolesterol omungi mu baana asobola okukyusibwa?

Yee, kisobola! Obujjanjabi busobola okuyamba okukendeeza ku kolesterol w’omwana wo okutuuka ku ddaala eritali lya bulabe. Kino era kiyinza okukendeeza ku bulabe bw’ebizibu eby’amaanyi mu biseera eby’omu maaso. Omusawo asobola okukuyamba okumanya ddala emiwendo gya kolesterol omwana wo gy’agenderera n’engeri gy’oyinza okutuukayo.

Nnyinza ntya okuyamba okukendeeza ku kolesterol w’omwana wange?

Osobola okuyamba okukendeeza ku kolesterol w’omwana wo ng’omukubiriza okukola:

• Liisa emmere erimu amasavu amatono. Amasavu galina okukola ebitundu 30% oba wansi ku kalori zonna omwana wo z’afuna buli lunaku. Omukugu mu by’emmere asobola okukuyamba okubala omuwendo guno n’okukola enteekateeka z’emmere.
• Weewale amasavu aga ‘trans fats’ n’okussa ekkomo ku masavu agayitibwa saturated fats. Amasavu amangi ge masavu agatera okuba amagumu ku bbugumu erya bulijjo, gamba ng’amafuta g’ebisolo, amafuta ga muwogo n’amafuta g’enkindu. Amasavu amangi galina okukola ebitundu ebitakka wansi wa 10% ku kalori zo zonna eza buli lunaku. Mu kifo ky’ekyo, londa amasavu agatali manywevu, gamba ng’amafuta g’ezzeyituuni, amafuta ga ovakedo n’amafuta ga flaxseed.
• Kkomya ku kolesterol mu mmere. Abaana balina okulya ekirungo kya kolesterol ekitakka wansi wa 300 mg buli lunaku.
• Weewale ebiva mu mata ebijjudde amasavu. Abaana abali wakati w’emyezi 12-24 bawe amata ag’amasavu ebitundu 2%. Abaana abasukka emyaka 2 bawe amata agataliimu masavu.
• Okuwa emmere erimu ebiwuziwuzi ebimala. Kubiriza omwana wo okulya emmere erimu ebiwuziwuzi ebingi, gamba ng’enva endiirwa, ebibala, entangawuuzi, ebinyeebwa n’empeke.
• Kubiriza okukola emirimu gy’omubiri buli kiseera. Ebikolwa eby'omukka nga okuvuga obugaali, okudduka, okutambula, n'okuwuga bisobola okuyamba okwongera ku muwendo gwa kolesterol ogwa HDL ("omulungi") n'okukendeeza ku bulabe bw'endwadde z'emisuwa.
• Yamba omwana wo okukuuma omugejjo omulungi.Osobola okumanya obuzito obwo bwe buli okuva eri omusawo wo.

Mmere ki esinga okuliisa omwana wange?

Londa emmere ey’enjawulo okulaba ng’omwana wo afuna ebiriisa byonna bye yeetaaga. Wano waliwo emmere erimu ebiriisa eyinza okuyamba okufuga omuwendo gwa kolesterol:

Ku ky’enkya:

• Ekibala
• Emmere ey’empeke enzijuvu
• Omubisi gw’enjuki
• Yogati w’Abayonaani

Ku kyamisana n’ekyeggulo:

Jjuza essowaani y’omwana wo n’omusono gwa USDA MyPlate:

• Ebirungo ebizimba omubiri nga enkoko, ebyennyanja, ebinyeebwa (1/4 y’essowaani) .
• Empeke enzijuvu (1/4 y’essowaani) .
• Ebibala n’enva endiirwa (1/2 y’essowaani) .
• Endya y’amata erimu amasavu amatono

Enkola z’okufumba ennungi mulimu okufumba, okusiika n’okusiika mu mpewo. Weewale okusiika mu buziba.

Emmere ey’akawoowo:

• Ekibala
• Eva endirwa
• Ebika by’entangawuuzi n’ensigo
• Ebikuta by’empeke enzijuvu
• Ebintu ebikolebwa mu mata ebitaliimu masavu mangi

Ebyokunywa:

Londa amazzi n’amata agataliimu masavu mangi. Weewale sooda, amata agawoomerera, ebyokunywa ebibala n’ebyokunywa eby’emizannyo.

Omwana wange mmutwale ddi okulaba omusawo?

Omusawo ajja kukubuulira emirundi gy’osaanidde okuleeta omwana wo ew’omusawo. Omuwendo gwa kolesterol omwana wo nagwo gujja kwetaaga okulondoolebwa buli kiseera. Era olina okukeberebwa kolesterol omwana wo nga wayise emyezi mukaaga ng’amaze okukola enkyukakyuka yonna mu mmere oba emyezi ebiri ng’atandise eddagala lyonna eppya.

N’ekisembayo, ekintu eky’okulowoozaako.

Olw’okuba tumanyidde nnyo okuwulira ku kolesterol mu bantu abakulu, kyangu okwerabira nti n’abaana abato basobola okufuna ekizibu kino – okutuusa lwe kituuka ku mwana waffe yennyini. Era awo kiba kizibu okulekera awo okukirowoozaako. Tofaayo, abasawo b’omwana wo bategeera ebikweraliikiriza, era bali wano okuyamba amaka go gonna. Buuza ebibuuzo byo, yiga nga bw’osobola. Mukolere wamu okutondawo obulamu obulungi eri omutima.

Okujjanjaba kolesterol ng’akyali muto kiyinza okuwa omwana wo omukisa ogusinga obulungi ogw’ebiseera eby’omu maaso ebirungi.

` Cholesterol w'abaana, kolesterol omungi, Pediatric High Cholesterol, obulwadde bw'omutima, emmere ennungi, obulamu, Lipid panel