Cholesterol sang tak i nei ve em? Damdawi ei a ngai em? (High Cholesterol) Kan sawi dawn nia!

I thisen test khan cholesterol sang i nei tih a lang em? I hmuh khan i hlauthawng deuh a ni ngei ang. ‘Aw, tunah chuan ka dam chhung zawng damdawi ka ei a ngai tawh ang?’ tiin i ngaihtuah mai thei. Mahse, lungngai suh. Cholesterol sang nei nia hriat zawng zawng hian damdawi ei tan nghal a ngai lo. A châng chuan, ei leh in hrisel leh exercise chauh hmang hian a natna hi a thunun theih a ni. Damdawi i mamawh leh mamawh loh chu i hriselna zawng zawng leh thinlung natna i vei theihnaah a innghat a ni.

Cholesterol chu eng nge ni tak tak?

A awlsam zawngin sawi ila, cholesterol hi kan thisena awm, waxy, oily substance a ni. Kan taksaa thil tam tak, cell siamna leh hormone siam chhuahna atan a pawimawh hle. Mahse buaina hi he cholesterol level a san lutuk atang hian a intan thin.

Chutiang a nih chuan he extra cholesterol hi kan thisen kalna kawng bang chhungah a lo awm tan ta a ni. Tui pipe chhunga rust lo awm ang mai a ni. Hun a kal zel a, heng deposit (`plaque` kan ti) te hian thisen kalna kawng chhung lam chu a ti tawi a, a tikhauh ta a ni. Chu chuan thinlung leh thluaka thisen kal chu a tikhawtlai ta a ni. A châng chuan heng deposit-te chungah hian thisen zam a lo awm a, chu chu a chhe thei a, heart attack emaw stroke emaw a thlen thei bawk.

Cholesterol chi hrang hrang a awm em?

Ni e, kan sawi tur cholesterol chi hnih a awm ber a, thau chi pawimawh dang a awm bawk.

• LDL (Low-Density Lipoprotein): Hei hi "cholesterol tha lo" kan tih chu a ni. Heng level te hi a san chuan thisen kalna kawngah a lo pungkhawm thei a, a chunga kan sawi tawh ang khan hlauhawmna a thlen thei a ni.
• HDL (High-Density Lipoprotein): Hei hi "cholesterol tha" kan ti a. Hei hi a chhan chu heng HDL particle te hian thisen kalna kawng atanga LDL cholesterol tha lo te chu an paih chhuak a, liver ah an hruai kir leh thin a ni. Chuvangin HDL level a san poh leh kan tan a tha zawk.
• Triglycerides: Hei hi thisena awm thau chi dang a ni. Hei hi kan ei calorie extra te hi energy atan kan dahkhawm dan a ni. Hengte level sang hi thisen kalna kawng tan pawh a tha lo.

Cholesterol hrisel level chu engte nge ni?

Hengte hi i thisen report (`Lipid Profile` report)-a value awmte nen khaikhin rawh. Hengte hi a tlangpuiin hrisel anga ngaih level te an ni.

Cholesterol sang chhan berte chu engte nge ni?

Cholesterol sang dinhmun hi a chhan a zirin chi hnih ah then theih a ni.

1. Chhungkaw Hypercholesterolemia (FH) .

Hei hi genetic condition a ni. Chu chu nu leh pa atanga fate rochun a ni tihna a ni. Heng mite hian an naupan lai atang tawhin LDL cholesterol level sang tak tak an nei thei a ni . Hei hian an naupan lai atanga lung natna vei theihna hlauhawmah a siam a ni.

Enkawlna: Hetiang natna vei tan chuan nunphung tihdanglam (thau tlem ei leh in, exercise) hi a pawimawh hle nachungin, damdawi ei a ngai fo thin . Damdawi chi hrang hrang hman tlanglawn ber chu `Statins` a ni.

2. Nunphung leh natna dang avanga cholesterol sang (Secondary High Cholesterol) .

Hei hi a tam ber chi a ni. A chhan chu:

• Saturated fats leh trans fats tamna processed food tam zawk ei.
• Exercise neih loh leh thut rengna.
• Zunthlum.
• Zu in tam lutuk.
• Kidney natna rei tak a awm.
• Thyroid hnathawh a tlahniam (Hypothyroidism).
• Damdawi thenkhat (e.g. steroids).

Enkawlna: Doctor-te chuan hetiang mite hi nunphung thlak danglamin damdawi hmang lovin an cholesterol control tum turin an fuih hmasa ber a ni . Hei hian thinlung hrisel ei leh in lama inthlak te, exercise neih fo te , i thau lutuk chuan meizuk bânsan te, i thau lutuk chuan i taksa rihna tihtlem te a kawk a ni. Heng thilte hian i cholesterol level a thunun loh chuan damdawi ei hi a dawt leh tur a ni.

Engtin nge doctor hian damdawi a pek leh pek loh tur a rel?

Hetah hian a pawimawh ber. I doctor chuan i cholesterol report-a number awmte chu enin thutlukna a siam mai mai lo. I cardiac risk zawng zawng assessment kimchang a ti ang . He risk chhut tur hian thil tam tak an ngaihtuah ang a, chung zingah chuan:

• I cholesterol zawng zawng, LDL, leh HDL level te
• Thisen sang a ni
• Kum
• Hmeichhia/mipa nihna
• I zuk leh zuk loh pawhin
• Diabetes i nei em tih pawh
• I chhungkuaa mi tu emaw pawhin an naupan lai atanga thinlung natna an nei tawh em tih (Family History) .

Heng zawng zawng hi a inzawm khawm a, kum 10 chhunga heart attack ang chi thil i neih theihna tur chu chhut chhuah a ni. Damdawi ei tan leh ei tan loh chungchanga thutlukna siam hi he risk level-ah hian a innghat nasa hle.

Entirnan, i LDL level a sang deuh a, mahse thil dang zawng zawng a tha a nih chuan (meizial i zu lo, i taksa rihna hrisel takah i awm a, thisen sang i nei lo) chuan damdawi tel lova nunphung thlak danglam turin an fuih mai thei.

Risk i hriat chian loh chuan engtin nge ni ang?

A châng chuan i risk level hi khawi emaw laiah a awm thei bawk. Chu chu i risk a hniam lutuk lo va, a sang lutuk lo tihna a ni. Chutiang hunah chuan damdawi ei tan leh tan loh tur chungchanga thutlukna siam thei tur test dang engemaw zat a awm bawk. I doctor chuan a tul chuan hengte hi a rawn rawt thei ang.

• Coronary Calcium Scan: Hei hi CT scan bik a ni. Thinlung hnena thisen pe chhuaktu coronary arteries-a calcium awm zat a zawng thin. Chutiang deposit chuan thisen kalna kawngte chu a zim deuh tihna a ni a, thinlung natna vei theihna chu beisei aia nasain a sang zawk tihna a ni.
• High-sensitivity CRP (hs-CRP): Hei hi thisen test a ni. Taksa chhunga inflammation level fiah lo tak tak a teh thin. He value hi a sang a nih chuan thinlung natna vei theihna a sang tih tilangtu a ni bawk.

Heng test result hmang hian damdawi ei tan hian hlawkna i hmu tam zawk dawn em tih te, nunphung thlak danglam hi a tawk em tih te chu dik zawkin i hre thei ang.