Cholesterol level sang tak i nei em? Hypercholesterolemia chungchang hi han sawi ila!

Thisen test-naah cholesterol level sang tak i hmu ngai em? A nih loh leh, doctor chuan i "cholesterol tha lo hi a sang deuh a, control a ngai" tih a hrilh che em? Hei hi mi tam tak tan chuan thil tawn tlanglawn tak a ni thei. Chuvangin, vawiin hian he natna hypercholesterolemia an tih hi kan sawi dawn a ni. A awlsam zawngin, hei hian i taksaa cholesterol "tha lo", chu chu low-density lipoprotein (LDL - Low-Density Lipoprotein) level chu a tul aia sang a ni tihna a ni.

Hypercholesterolemia tih hi eng nge ni? I hrethiam ang u!

Awle, tlem han sawifiah leh ila. Hypercholesterolemia chu i thisena cholesterol tha lo, a nih loh leh ``LDL`` cholesterol a tam lutuk chuan a ni. Hei hi lipid disorder a ni. Hetianga ``LDL`` a pun chuan chu thau tam zawk chu zawi zawiin i thisen kalna kawngah, a bik takin i thisen kalna kawng (arteries) bang-ah a lo awm tan ta a ni. Tui pipe hlui chhunga rust lo awm ang mai a ni. Hei hi atherosclerosis kan ti a.

Ngaihtuah teh, hei hi i huana tui pipe chu bawlhhlawh leh tuiin a khuh ang mai a ni. Thisen kalna kawng chhunga thau a punkhawm chuan thisen kal dan a tikhawlo thin.

He natna hi ``Atherosclerosis'' tia koh hian natna khirh tak tak, heart attack leh stroke te vei theihna a tipung a ni. Dik tak chuan khawvela thihna thlentu ber chu rilru lam natna a ni a, a chhan ber chu he natna, ``Atherosclerosis'' an tih hi a ni.

Eng level nge hypercholesterolemia anga ngaih?

Tunah chuan, "Hetiang hypercholesterolemia dinhmun ka thlen hma hian ka cholesterol level hi engtiang chiahin nge a san a ngai?" I doctor chuan i `(LDL)` level a en mai bakah, rilru lam natna vei theihna tur risk factor dang i neihte nen a khaikhin pawhin a hre thei ang. A tlangpuiin hengte hi `(LDL)` cholesterol sang anga ngaihte chu a ni:

• Risk factor dang a awm loh chuan LDL level chu 190 mg/dL aia sang a ni.
• Risk factor lian dang chu LDL level sang 160 mg/dL aia tam a ni.
• Risk factor pahnih a awm chuan LDL level chu 130 mg/dL aia tam a ni.

I thinlung natna hlauhawmna a zirin doctor-te chuan i ``bad'' (LDL) cholesterol level chu 116 mg/dL leh 70 mg/dL aia tlem lovah dah turin an rawt mai thei.

Chuti a nih chuan, heng risk factors te hi engte nge ni?

Heng thilte hi i neih chuan thinlung natna vei theihna a sang zawk a ni:

• Kum: Kum upat rualin a hlauhawmna a sang chho zel.
• Thisen sang sang : 1.1.Thisen sang a awm chuan .
• Chhungkaw chanchin : Chhungkaw zinga mi tu emaw chuan atherosclerosis vangin a naupan laiin lung natna a nei a nih chuan.
• Diabetes : Diabetes Mellitus i neih chuan.
• Cholesterol tha hniam: ``HDL - High-Density Lipoprotein`` emaw "cholesterol tha" emaw level a hniam chuan.

Hypercholesterolemia leh hyperlipidemia hi thil inang an ni em?

Ni lo, heng pahnih hi a inang lo deuh. Hypercholesterolemia hi group lian zawk, hyperlipidemia an tih chi khat chauh a ni. Hypercholesterolemia-ah hian ``(LDL)`` cholesterol tihpunna lam hi kan ngaihtuah ber a, chu chu cholesterol tha lo tihna a ni. Mahse, ``(Hyperlipidemia)`` kan tih hian ``(LDL)`` chauh ni lovin, thisena thau (lipid) chi hrang hrang tihpunna a huam thei a ni.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

``(LDL)`` cholesterol level sang tak i neih theihna a sang zawk a, chu chu:

• Kum 40 aia upa i nih chuan.
• Asian, Indian, Filipino, Vietnamese hnam i nih chuan.
• Post-menopausal hmeichhia i nih chuan.
• Hmeichhia a nih chuan (a then phei chuan).

Hypercholesterolemia hi engtiang chiahin nge a awm?

Hei hi a takah chuan thil awm dan tlangpui tak a ni. A vaiin mi sawmhnih zinga pakhat velin hypercholesterolemia an nei thei. United States-a puitling hmun thuma ṭhena hmun khat vel chuan ``bad'' (LDL) cholesterol level sang tak an nei tih an sawi. Hetiang dinhmun hi Sri Lanka-ah pawh a awm fo.

Hei hian engtin nge i taksa a nghawng?

Kan sawi tawh ang khan hypercholesterolemia hian cardiovascular system-ah harsatna a thlen thei a ni. A bulpui berte chu:

• Thai
• Coronary artery disease (hei hi heart attack thlentu a ni) .
• Peripheral artery disease (kut leh kea thisen petu vein-a harsatna awm) .

Eng nge a lan chhuah dan?

Hetah hian a hlauhawm ber chu a awm. Hypercholesterolemia vei tam tak chuan symptom an nei lo. Chu chu i dam thei tihna a ni a, engmah hrehawmna awm lovin, mahse i cholesterol level chu hlauhawm takin a sang thei a ni. Mahse, mi thenkhat chu hypercholesterolemia na tak tak nei an niIf, mitmeng chunglam vunah hian cholesterol deposit chu yellow lumps (Xanthelasma) angin a lang thei a ni. A nih loh leh, connective tissue thenkhatah, entirnan, ke ruh inzawmna vel ah chuan cholesterol deposit te chu Xanthoma angin a lang thei bawk. A tlem berah chuan mit var vel a cholesterol awm chu ring dum (Corneal arcus) angin a lang thei. Mahse hengte hi a tlem hle.

Hypercholesterolemia hi engte nge ni?

Hei hi chhan hrang hrang a awm thei.

• I genes: Mi thenkhat chuan an chhungkuaa kal zel he natna hi an nei thei. Hei hi chhungkaw hypercholesterolemia an ti a.
• Diet: Saturated fat leh trans fat tamna ei tam lutuk (e.g., fatty foods, fast food, sa thenkhat, bakery products) ei tam lutuk.
• Exercise neih loh: Taksa tihchak loh nunphung.
• Zuk leh hmuam: Meizial zuk leh zuk leh hmuam thil dang hman dan.
• Damdawi lam harsatna dangte:
• Obstructive liver natna a ni
• Zunthlum natna `(Diabetes Mellitus)`
• Hypothyroidism (Thyroid chak lo) .
• Anorexia nervosa hi ei leh in lama harsatna a ni.
• Chronic kidney failure a awm thin
• Nephrotic syndrome tih hi a ni
• Damdawi thenkhat: Entirnan, damdawi thenkhat `(Amiodarone)`, `(Rosiglitazone)`, `(Cyclosporine)`, leh `(Hydrochlorothiazide)` te hian cholesterol level a tisang thei bawk.

Engtin nge hei hi kan hriat theih ang?

A tlangpuiin kum tin taksa enfiah tura i kal hian i doctor chuan a hnuaia mi ang hian a ti ang:

• I damdawi lam chanchin leh chhungkaw hriselna dinhmun zawt rawh.
• Taksa enfiahna a ti thin.
• Thisen test lipid panel an tih chu tih a ni. Hei hi darkar engemaw zat chaw nghei hnua tih a ni tlangpui.

Eng ang test nge tih thin?

I doctor chuan i hypercholesterolemia thlentu dang a sawi loh hnuah chuan genetic test neih a rawt mai thei. I doctor chuan chhungkaw member dangte pawhin he test hi tihsak turin a rawt thei bawk a, a bik takin chhungkaw hypercholesterolemia i neih chuan.

Engtin nge enkawl a nih?

Hypercholesterolemia enkawlna tum ber chu i ``bad'' (LDL) cholesterol level tihhniam leh thinlung natna hlauhawmna ven hi a ni. Hei hi kawng hrang hrangin tih theih a ni:

• Exercise tam zawk neih: Ni khatah minute 30 tal kea kal, tlan, tui chawi ang chi thil.
• I taksa rihna hrisel vawn reng: I san zawng nena inmil tur rihna vawn reng a pawimawh hle.
• Saturated fat tlem diet ei: Oil leh thau tamna ei tur tihtlem.
• Stress tihziaawmna: Stress tihziaawmna tur kawng zawn.
• Cholesterol tihhniamna damdawi ei: Doctor-in a tih ang chiah chiah damdawi ei tur a ni.
• Zuk leh hmuam ei loh: Meizial zuk bânsan vek.
• Thisen sang leh thisen sugar level control.
• Lipoprotein apheresis: Hei hi hypercholesterolemia na tak nei tan chauh a ni. Hei hian machine hmanga i thisen atanga lipoprotein (thau chi hrang hrang) te chu paih chhuakin, chu chu i taksaah inject leh leh a ngai a ni.

Eng nge ei theih leh ei theih loh?

I thisena ``bad'' (LDL) cholesterol awm zat tihtlem nan hengte hi i ti thei ang:

• Zu in tlem: A theih ang anga inthiarfihlim hi a tha ber.
• Thei, thlai, legumes leh whole grains te ei tam rawh.
• Saturated fat tamna ei tur tihtlem: Bawnghnute atanga siam (cheese, butter ang chi), sa thenkhat (a bik takin sa sen), leh ei tur thlum (cake, biscuit ang chi) tihtlem.

I plate-ah thlai leh thei chi hrang hrang rawng hrang hranga khat turin ngaihtuah rawh. Oil, fried foods ai chuan boiled, steamed leh grilled foods te thlang zawk ang che. Coconut oil i hman pawhin a tlem berah hmang thin ang che.

Eng damdawi nge hman thin?

Hypercholesterolemia enkawlna atana hman tur damdawi chi hrang hrang a awm a:

• Statins: Hengte hi hman tlanglawn ber a ni.
• PCSK9 inhibitors `(PCSK9 inhibitor)` tih te hi a ni
• Ezetimibe a ni
• Bile acid hmanga thil siam chhuah
• Niacin a ni
• Bempedoic acid `(Bempedoic acid)` tih a ni

Doctor-te chuan chhungkaw hypercholesterolemia vei tan damdawi bik dang an pe bawk.

Enkawlna hian side effect a nei em?

Damdawi dang ang bawkin cholesterol tihhniamna damdawi hian side effect engemaw zat a nei thei a ni. Mahse, heng damdawi te hlawkna nen khaikhin chuan heng side effects te hi tuar theih a ni tlangpui. Side effects langsar zual thenkhat chu:

• Constipation emaw riltam emaw.
• Muscle emaw joint emaw a na.
• Pum natna.
• Lu na .

A pawimawh ber chu side effect i neih chuan doctor hnenah hrilh tur a ni. A dose chu a siamrem thei a, i duh angin damdawi dang a pe thei bawk.

Engtiang chiahin nge enkawlna atanga result beisei theih ang?

I damdawi i ei tan atanga kar 8 atanga kar 12 vel hnuah i doctor chuan lipid panel test dang a nei leh ang a, i cholesterol level a tlahniam em tih a enfiah ang. Results a zirin i doctor chuan i damdawi dose tihpun a ngai em tih te, damdawi dang hman a ngai em tih te, damdawi dang dah belh a ngai em tih emaw a rel ang.

Engtin nge a risk tihziaawm theih ang?

Nunphung hrisel tak i hman hian hypercholesterolemia vei theihna i tihtlem thei ang:

• Exercise neih fo thin.
• Rihna hrisel tak vawn reng.
• Thau tlem ei leh in.
• Zuk leh hmuam hman loh.

Heng thilte i tih hian cholesterol chauh ni lo, natna dang tam tak lakah i inveng thei a ni.

Hypercholesterolemia i neih chuan eng nge thleng?

LDL cholesterol sang i nei tih hmuhchhuah a nih chuan i dam chhung zawng i enkawl a ngai dawn a ni. Mahse, lungngai suh. Vawikhat chu nunphung hrisel hi i nitin nunah i siam tawh chuan i ngaihtuah lutuk a ngai tawh lovang. Thil tenawm tak tak atang pawhin i tan thei ang. Entirnan, kar khata ni khat sa tel lo chaw ei te, nitin zanriah ei khama rei vak lo kal te. Store i kal dawnin saturated fat leh trans fat tlemna ei tur thlang rawh. Chutiang chuan in lamah chaw hrisel i nei reng ang. Tin, i ei leh inah thlai leh thlai thar i ei ngai loh te dah tel tum bawk ang che.

Engtin nge a hmalam hun chu?

I hypercholesterolemia i enkawl loh chuan `(Atherosclerosis)` (arteries hardening) tih natna i nei thei a ni. Hei hian heart attack emaw stroke emaw i neih theihna a tipung a ni. Mahse, nunphung hrisel i hman a, a tul chuan damdawi i ei a, i `(LDL)` cholesterol level i control chuan heart attack leh stroke i vei theihna chu nasa takin i tihtlem thei a ni. Damdawi lama zirchianna tam takah chuan an hypercholesterolemia enkawl tha tak takte chuan hriselna an nei tha zawk hle tih hmuhchhuah a ni.

Engtin nge i in enkawl ang?

Because cholesterol management is a lifelong process , nunphung tihdanglam chhunzawm zel tur a ni a, i damdawi ei tur chu i doctor-in a tih ang chiah khan i ei tur a ni. Hengte hi hre reng ang che:

• Kar khatah ni tam zawk exercise la.
• Zuk leh hmuam thil siam hi pumpelh vek rawh.
• Saturated fat tamna emaw trans fat tamna ei tur ei loh tur.

Engtikah nge Doctor i hmuh a ngaih?

Doctor hnena check-up neih fo thin kha lo thlir ve suh. A hriat duh ang:

• I cholesterol tihhniamna damdawi hian hna a thawk tha em?
• I damdawi ei avang hian side effect i nei em?
• A rawtnate hi i zawm chiang em?

Side effect na tak i neih chuan i doctor chuan damdawi dang hmangin a thlak thei che a ni. I cholesterol level chu a normal limit chhunga a awm leh awm loh enfiah fo a duh mai thei bawk.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal dawnin hetiang zawhna hi zawt hreh suh:

• "Ka cholesterol level tihhniam nan eng exercise nge ka tih ang?"
• "Meizial zuk bansan theihna tura min pui thei tur program i recommend thei ang em?"
• "Ka ei leh in chungchanga tanpuina dietitian hmu turin referral min pe thei ang em?"

I LDL cholesterol level a san chuan nangmah chauh i ni lo. Hei hi mi tam takin harsatna an neih tlangpui a ni. I doctor hi i LDL cholesterol level a normal leh theihna tura puitu i thian tha ber a ni. Chutianga ti tûra ṭanpui theih dân kawng a rawn rawt thei che a ni. Nunphung tihdanglam ringawt pawh a tawk lo a nih chuan cholesterol tihhniamna damdawi ei thin mi maktaduai tam takte nen hian i tel ve thei ang.

Hemi atanga kan hriat reng tur pawimawh ber (Take-Home Message) .

Okay, chuti a nih chuan, kan sawi tawh atang chuan hengte hi kan ngaihtuah tur pawimawh ber berte chu an ni:

• Hypercholesterolemia hi thisen a cholesterol tha lo (LDL) tihpunna a ni. Hei hian heart attack leh stroke vei theihna a tipung a ni.
• A tam zawkah chuan symptom a awm lo va, chuvangin thisen test neih fo a pawimawh.
• He dinhmun hi nunphung inthlâk danglamna (ei leh in ṭha, exercise, leh meizuk bânsan) leh a ṭûl chuan doctor-in a tih angin damdawi ei hmangin a thunun ṭha thei a ni
• Lungngai suh. Doctor i biak a, uluk taka i enkawl chuan nun hrisel tak i hmang thei ang.

Chuvangin, i cholesterol level hi uluk takin enkawl rawh. Hrisel takin awm rawh! hypercholesterolemia, cholesterol, LDL, HDL, thinlung natna, stroke, ei leh in, nunphung