Thisen report i lak hian, a bik takin cholesterol report i lak hian LDL, VLDL, leh Triglycerides tih ang chi thumal tam tak a awm tih i hmu tawh mai thei a, chubakah HDL tih value pakhat pawh a awm bawk. Hengte hi hmuh hian a chang chuan tlem a ti buai thei che a ni lawm ni? "Heng zingah hian eng nge tha? Eng nge tha lo?" Lungngai suh. Vawiin hian heng zinga pakhat, HDL, mi tam takin ‘good cholesterol’ an tih, i hriatthiam theih tur kawng awlsam takin kan sawi dawn a ni.
A awlsam zawngin sawi ila, he HDL cholesterol hi eng nge ni?
HDL cholesterol hi i thisenah a awm a. A dik tak chuan, i doctor-in rilru leh thisen zam natna i vei theihna tûr ngaihtuahna a neih theih nâna ṭanpuitu thil a ni . I cholesterol enfiahna atana thisen test i neih chu ``Lipid Panel'' an ti a. Chutah chuan chu report-ah chuan he HDL value (a chang chuan HDL-C an tih) hi i hmu ang.
Kan sawi fo thin LDL cholesterol (bad cholesterol) ang lo takin, HDL cholesterol level pangngai aia sang tlem chuan thinlung natna i vei theihna a hniam zawk tih a tilang a ni. Chuvangin "cholesterol tha" kan ti a ni.
Amaherawhchu, neih tam lutuk hi a tha lo. I HDL level a sang lo hle a nih chuan i cholesterol level inthlauhna (dyslipidemia) i nei tih a tilang thei. Chuvangin, i doctor chuan i HDL level chu a range dik takah dah turin a puih che reng ang.
HDL tih thumal hi eng nge a awmzia?
HDL hi High-Density Lipoprotein tihna a ni. Lipoprotein chu lipids (thau ang chi) leh protein atanga siam particle te tak te a ni.
Kan taksaa cholesterol awm hi passenger angin han ngaihtuah teh. Heng passenger te hi thisen kal tlang chauhvin an kal thei lo. An kal kual theih nan lirthei an mamawh a ni. Chu lirthei, a nih loh leh ‘bus’ te chu lipoprotein kan tih chu an ni.
He HDL hi i thisen chhunga kal ‘bus’ chi khat chauh a ni. Bus chi dang LDL leh VLDL tih te pawh a awm bawk. I ``Lipid Panel'' report hian thisen lak lai khan i thisenah cholesterol chi hrang hrang engzat nge a kal tih a tarlang a.
Chumi awmzia chu, HDL leh HDL cholesterol hi thil inang tak tak a ni lo tihna a ni. HDL hi ‘bus’ tan a ni a, HDL cholesterol chu chu bus-a chuang (cholesterol) te tan a ni. Mahse common parlance-ah chuan an pahnih hian thil inang kan sawi dun a ni.
HDL hi ‘cholesterol tha’ a nih chhan bik eng nge ni?
HDL particle "tha" chhan ber chu damdawi lam zirchiannaah chuan a tam chuan thinlung natna a tihziaawm tih hmuhchhuah a ni.
HDL hna ber chu taksaa cholesterol duh loh, tam lutuk khawlkhawm a, liver-a phurh chhuah hi a ni. Kawngpui atanga bawlhhlawh a lakkhawm ang maiin. Chumi hnuah chuan liver chuan he cholesterol hi a tichhia a, ek chhunga taksa atangin a paih chhuak ta a ni.
Hei hi thil tha tak a ni. A chhan chu, thisena cholesterol a san chuan thisen kalna kawng bang ah a awm thei a, ``plaque'' kan tih chu a siam thei a ni. Hei hian thisen kalna kawng a tikhawlo thei a, heart attack leh stroke ang chi natna khirh tak tak a thlen thei bawk.
Chuvangin, kan taksaa cholesterol tam zawk lakkhawm turin kan thisenah HDL ‘bus’ tling tawk kan neih a ngai a ni. Chu mai pawh ni lovin HDL hian taksaa inflammation a do a, thisen zam a veng bawk . Chuvang chuan HDL hi kan hmangaih em em a, kan thinlung thian tha ber ang mai a ni.
HDL cholesterol hi eng value nge ni?
He table hian puitlingah HDL cholesterol level normal leh abnormal value a tarlang a ni. Heng hlutna te hi mipa leh hmeichhia a zirin a inang lo deuh hlek a ni.
| HDL level a ni | A hlutna (mg/dL-a chhut) . |
|---|---|
| HDL level hniam (a tha lo) . | Mipa: 40 mg/dL aia tlem Hmeichhia: 50 mg/dL aia tlem |
| HDL Level hrisel/Normal tak a ni | Mipa: 40 leh 80 mg/dL inkar Hmeichhia: 50 leh 80 mg/dL inkar |
| HDL level sang tak a ni | Mi zawng zawng tan: 80 mg/dL aia tam |
Naupang leh puitling naupang tan chuan HDL level pangngai chu 45 leh 80 mg/dL inkarah ngaih a ni.
HDL level tlahniam chhante chu engte nge ni?
I HDL cholesterol level a hniam chhan hi chhan hrang hrang a awm thei. Chung zinga ṭhenkhat chu:
- Metabolic syndrome: Hei hi lung natna vei theihna tipungtu thil hrang hrang inzawmkhawm a ni. HDL hniam hi a zia pakhat a ni.
- Taksa rih lutuk (BMI 25 aia tam): Taksa thau tam lutuk neih hian HDL level a tihniam thei.
- Meizial leh zuk leh hmuam hman: Cigarette leh bidis chauh ni lo, e-cigarette-a nicotine awm hian HDL a tihniam bawk.
- Insulin resistance: Taksa thau a pun chuan insulin tan thisen thlum control a harsa thin. Hei hi HDL hniam chhan pawh a ni.
- Genetic conditions: Hriselna atanga lo piang thenkhat `Familial combined hyperlipidemia`, `ApoA1 tlakchhamna`, `Tangier disease` te hian HDL level a ti hniam thei a.
- Damdawi i ei thenkhat: Entirnan, beta-blocker thenkhat, hormone emaw, diuretics (tui pill) emaw hian hun engemaw chen atan HDL a tihhniam thei. Mahse hei vang hian i doctor-in a pek damdawi ei kha bansan suh. Chutianga tih chuan thinlung natna vei theihna a tipung thei a ni.
Engvangin nge HDL level hi a tul lovah a san?
A chang chuan HDL level hi 80 mg/dL aia sang pawh a ni thei. Hei hi a chhan chu:
- Zu in tam lutuk
- Hyperthyroidism (Thyroid gland chak lutuk) 1.1.
- ``Primary biliary cholangitis`` tih ang chi natna te
- Genes inthlak danglamna thenkhat
- Damdawi thenkhat side effects te
Ka HDL level hi ka control thei ang em?
Ni e, i ti thei ngei ang! I HDL level a hniam chuan i doctor chuan a tihpun dan tur a hrilh ang che. Chung zingah chuan:
- Lung hrisel ei tur (e.g. thlai, thei, sangha omega-3 awmna, nut) ei.
- Nitin exercise-a inhmang.
- I taksa rihna hrisel tak, i duh ang taka vawn reng.
I HDL level a sang lutuk a nih chuan i doctor chuan a chhan a chhui ang a, a tul chuan enkawlna a pe ang.
I cholesterol report i en hian HDL-a ‘H’ hi ‘Helpful’ tihna a ni tih hre reng ang che. HDL hi taksa tanpuitu cholesterol chi khat a ni.
I cholesterol report-a value awmte hriatthiam a harsa deuh thei. Mahse, rilru buai suh. I HDL level chu normal range pawnah a awm chuan i doctor chu a chhan zawng chhuakin a enkawl turin a awm a ni. I hriselna chungchanga thutlukna i siam dawnin i doctor chu i kawppui tha ber a ni tih hre reng ang che. Zawhna i neih apiang zawt rawh.
Take-Home Thuchah a ni
- HDL hi ‘good cholesterol’ a ni a, kan taksa atanga cholesterol tha lo tam lutuk, tha lo tak tak te chu paih chhuah nan kan thin (liver) ah a phur lut thin.
- HDL level sang neih hian a tlangpuiin thinlung natna a ti tlem a ni. Mahse, an neih sang lutuk hi thil tha a ni ngai lo.
- I HDL level a hniam chuan ei leh in hrisel ei te, exercise lak te, leh taksa rihna hrisel tak neih te hmangin i tipung thei a ni.
- I cholesterol report-a value chungchangah zawhna i neih chuan buai suh la , i doctor nen inbia ang che. Engkim a hrilhfiah ang che.
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