‘Cholesterol’ tih thumal hi i hre tam tawh ngei ang, a dik em? Mahse i doctor-in ‘hyperlipidemia’ a tih chuan i buai deuh mai thei. Ngaihtuah buai suh, heng term pahnih hian awmzia a inang tlang hle. A awlsam zawngin i thisenah thau, a nih loh leh kan tih angin ‘lipids’ a pung tihna a ni. Hetiang dinhmun hi tuna kan rama mi tam tak zingah hmuh tur awm tak a ni.
Thisenah hian eng chi lipids nge awm?
Kan thisenah hian thau, a nih loh leh lipid chi hrang hrang a awm a. Kan thisen hi kawngpui ang maiin han ngaihtuah teh. He kawngpuiah hian motor tha leh tha lo a awm a.
- HDL cholesterol: Hei hi "cholesterol tha" a ni. Bawlhhlawh phur truck ang mai a ni. I thisen kalna kawnga cholesterol duh loh lo awm chu a la khawm a, liver-ah a thlen thin. Liver hian chu cholesterol duh loh chu i taksa atangin a paih chhuak thin. Chuvangin HDL level tha neih hi i taksa tan a tha hle.
- LDL cholesterol: Hei hi "cholesterol tha lo" kan tih chu a ni. Kawngpuiah hmun tinah motorin bawlhhlawh a hnutchhiah ang mai a ni. He LDL cholesterol hi kan thisen kalna kawng bang ah a innghat tlat a ni. Hun a kal zel a, hengte hi an pungkhawm a, thisen kalna kawng chhung lam chu an tikhawlo tan thin. Hei hian natna lian tak tak, thinlung natna leh stroke te tan kawng a hawnsak a ni.
- Triglycerides: Hei hi kan thisena thau chi dang a ni. Kan ei tur thau leh thlum tak tak atanga siam chhuah an ni ber. Hengte hi a tam lutuk hi taksa tan a tha lo.
- VLDL cholesterol: LDL ang bawkin hei hi cholesterol "tha lo" chi khat anga ngaih a ni. Hei hi a san chuan thinlung natna vei theihna a sang hle.
Engvangin nge Hyperlipidemia kan neih? A chhante chu engte nge ni?
Hei hi chhan hrang hrang a awm a. Thenkhat chu kan thunun theih thil a ni a, a then chu kan thunun theih loh thil a ni.
| Chhan chi hrang hrang | Entirnan |
|---|---|
| Ei leh in | Saturated fat leh trans fat tamna ei tur. Entirnan: cheese, egg yolks, fried foods, processed foods, ice cream, bakery products, sa sen (bawnghnute, vawk sa). |
| Nunphung | Meizial zu in, zu in tam lutuk, thau lutuk, exercise lak loh leh stress lutuk. |
| Damdawi lam thil dang | Natna hrang hrang, zunthlum, kal natna, thin natna, hypothyroidism, polycystic ovary syndrome (PCOS), leh lupus te. |
| Damdawi thenkhat | Steroid thenkhat, thisen sang damdawi (Beta-blockers, Diuretics) thenkhat, nau pai venna damdawi, HIV damdawi thenkhat. |
| Genetic causes, thlah kal zel atanga lo chhuak | Mi thenkhat chuan he dinhmun hi an nu leh pate hnen atangin an rochun thin. Hei hi ‘Familial Hyperlipidemia’ an ti a. Heng mite hian kum naupang takah cholesterol level sang tak an nei a, thinlung natna vei an hlauhawm hle. |
Hyperlipidemia natna lan chhuahna chu engte nge ni?
Heta thil pawimawh ber leh hlauhawm deuh chu hei hi a ni: Hetiang natna vei tam tak hian a tir lamah chuan engmah an lantir lo.
Vawi tam tak chu he natna hian a tir lamah chuan engmah a lantir lo. Chuvangin "silent killer" ang mai a ni thei. Thisen test chauh hian a chiang thei.
Mahse harsatna a lo chhuak tan a, thisen kalna kawng chhungah thau a lo awm khawm a, a tikhawlo a, rei tak enkawl lohvin a awm ta a ni. Hei hian dinhmun khirh tak tak a thlen thei a, chungte chu:
- Coronary Artery Disease (CAD): Thinlung a thisen petu thisen kalna kawngte chu thau awm vangin a zim a. Hei hian thinlungin a mamawh oxygen leh nutrients a hmuh loh nan a veng a ni. Hei hian rilru na (angina) emaw, heart attack emaw a thlen thei a ni.
- Heart Attack: Thisen kalna kawnga thau (plaques) lo awm tawh chu rang takin a puak darh thei a, thisen zam a siam thei a ni. He thisen zam hian thinlung hmun khata thisen kal chu a tikhawlo vek a nih chuan heart attack a ni. A lan chhuah dan chu rilru natna nasa tak, natna chu hmui, kekawrte emaw, kutphah emaw thlenga radiate, thawk hah, leh thawk harsa te a ni thei. Heng symptoms te hi i neih chuan damdawi in emergency room (ETU) ah i kal nghal tur a ni.
- Stroke: Heart attack ang bawkin thisen zam a lo chhuak a, thluaka thisen pe chhuaktu thisen kalna kawng (artery) a block hian stroke a awm thin. A lan chhuah dan chu rang taka lu na, na tak, tawng harsa, taksa sir khata chak lohna, leh mit hmuh lohna te a ni thei. Hei pawh hi medical emergency a ni.
- Fatty deposits on the skin: Hengte hi chhungkaw cholesterol tamna hmunah hmuh tur a awm fo. Mitmeng bulah yellow lumps (xanthelasmas) emaw, elbows, khup leh kut ah lumps (xanthomas) angin an lang thei bawk.
Engtin nge hei hi i diagnose?
Hyperlipidemia i neih leh neih loh hriat theihna awmchhun chu thisen test neih hi a ni . Hei hi ‘Lipid Profile’ emaw ‘Lipid Panel’ emaw an ti a. He test hi darkar 9-12 chhung chaw nghei hnua tih thin a ni tlangpui.
I doctor chuan i kum, damdawi lam dinhmun dang, leh chhungkaw damdawi lam chanchin te chu a ngaihtuah ang a, i cholesterol level chu a hlauhawm em tih a hriat theih nan.
| Fiahna | Hriselna level (mg/dL) 1.1. | Risk level (mg/dL) a ni. |
|---|---|---|
| Cholesterol zawng zawng (Total Cholesterol) a ni | 200 aia tlem lo | 240 aia tam a ni |
| LDL ("tha lo") Cholesterol | 100 hnuai lam (lut natna vei hlauhawm tan 70 hnuai lam) . | 160 aia tam a ni |
| HDL ("tha") Cholesterol | Mipa: Kum 40 chunglam Hmeichhia: Kum 50 chunglam (kum 60 aia tam hi a tha ber) | Mipa: Kum 40 hnuai lam Hmeichhia: Kum 50 hnuai lam |
| Triglycerides a awm bawk | Kum 150 hnuai lam | 200 aia tam a ni |
Engtin nge he dinhmun hi kan thunun theih ang?
Hei hi thununnaah hian thil pawimawh pahnih a awm a. Pakhat chu kan nunphung thlak danglam hi a ni. A dang chu doctor-in a tih angin damdawi ei tur a ni a, a tul chuan ei tur a ni.
1. Nunphung inthlak danglamna
Hengte hi nangmah ngeiin i tih theih a ni. Hengte hi enkawlna atana pawimawh ber a ni.
- Ei leh in tha: Saturated fats leh trans fats tamna ei tur tihtlem. Coconut oil leh palm oil hman tlem. Chaw hmin, sa sen, cheese, butter, cake, leh biscuit te tihtlem. Chu ai chuan fiber tamna ei tur tam zawk ei rawh . Oats, brown rice, whole grains, thlai, thei, legumes, chickpeas, leh lentils te hi a tha vek.
- Nga ei: Kar khatah ni hnih tal sangha hriak, salmon, tuna, mackerel, leh sardines te ei hian triglycerides a tihhniam thei a ni.
- Exercise: Ni khatah minute 30 tal exercise la la, chu chu chak taka kal, cycle khalh, emaw tui chawi te hi a ni. Vawi khata tih vek i harsat chuan minute 10-15 chhunga then la, ni khatah vawi tam tak ti rawh.
- Meizial zu leh zu in bansan rawh: Meizial zuk bansan chuan i cholesterol tha (HDL) a tipung ang. Zu in hi tihtawp vek emaw, nasa taka tihtlem emaw a pawimawh bawk.
- I taksa rihna control: I thau lutuk a nih chuan i taksa rihna tihtlem hi cholesterol control-na kawngah a pui hle.
- Stress enkawl: Meditation leh yoga ang chi thil hmangin rilru hriselna vawng reng rawh.
2. Damdawi doctor-in a pek
A châng chuan, nunphung tihdanglam pawh hi i cholesterol level control nân a tawk lo mai thei. Chutiang hunah chuan i doctor chuan damdawi a pe ang che.
- Statins: Hei hi cholesterol tihhniamna atana hmanraw hman tlanglawn ber a ni. Liver-a cholesterol siam chhuah tihtlem hmangin hna an thawk a ni.
- Damdawi dang: Statin bakah hian damdawi dang Ezetimibe, Fibrates, leh PCSK9 inhibitors te a awm bawk. I doctor chuan eng damdawi nge i tan a tha ber tih a rel ang.
Pawimawh tak: I damdawi ei tur chu i doctor-in a tih ang chiah chiah, hun bituk chhung atan ei thin ang che. I damdawi ei kha titawp ngai suh la, doctor rawn hmasa lovin a dose pawh thlak ngai suh.
Take-Home Thuchah a ni
- Hyperlipidemia hi i thisena thau tamna a ni a, a bik takin cholesterol "bad" (LDL) leh triglycerides te a sang a ni.
- Vawi tam tak chu a tir lamah chuan symptom a awm lo va, chuvangin medical checkup neih fo a pawimawh.
- Hetiang dinhmun hi thisen test awlsam tak (Lipid Profile) hmangin awlsam takin hriat theih a ni.
- Nunphung tihdanglam, ei leh in tha, exercise, leh meizuk bânsan te hi enkawlna hmasa ber leh pawimawh ber a ni.
- A châng chuan, nunphung inthlâk danglamna bâkah, doctor-in a pêk damdawi i ei a ngai mai thei.
- I cholesterol level control hian natna khirh tak tak, heart disease leh stroke lakah a veng thei che a ni. Hemi chungchang hi i doctor nen inbia fo ang che.











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