I thisenah triglycerides a tam em? Hypertriglyceridemia chungchang hi han sawi ila!

Thisen thau tih hi i hre ngai em? Doctor pakhatin "triglycerides a sang deuh niin a lang" tiin a hrilh che pawh a ni mai thei. Vawiin hian heng triglycerides te hi eng nge an nih tak tak te, an sang lai hian eng nge thleng thin tih te, chu chu eng nge kan tih tur tih te kan sawi dawn a ni. Lungngai suh, hei hi awlsam takin ka sawifiah ang, i hriatthiam theih dan tur angin.

Triglycerides tih hi eng nge ni? Engvangin nge kan tan an pawimawh?

A awlsam zawngin sawi ila, triglycerides hi kan thisena thau chi khat a ni. Kan taksa tan chakna an pe a ni. Kan ei leh in atang hian triglycerides kan hmu a, a bik takin butter leh oil ang chi thil atang hian kan hmu thin. Chu mai pawh ni lovin, kan taksa mamawh aia tam calorie kan ei hian kan taksa chuan chu calorie tam zawk chu triglycerides-ah a chantir a, a dahkhawm thin. Nakinah chuan chakna kan tlakchham chuan kan taksa hian heng triglycerides dahkhawm te hi a hmang thin.

Chuvangin, triglycerides hi thil pawimawh tak a ni a, chakna min pe a ni. Amaherawhchu thisenah an pung tam lutuk chuan rilru lam natna vei theihna a tipung a ni. Chuvangin kan tan chuan he hypertriglyceridemia an tih hi kan hriat chian a pawimawh a, kan triglyceride level hi kan control a pawimawh hle.

Chuti a nih chuan, triglycerides engzat nge tha?

Puitling thisena triglyceride level chu deciliter khatah milligram 150 (150 mg/dL) aia tlem a ni tur a ni. Dik tak chuan 100 mg/dL aia tlem hi a tha ber. A pawimawh ber chu chaw nghei lai hian i triglyceride level teh hi a ni. Chumi awmzia chu darkar 10-12 vel chhung ei leh in loh (tui tih loh) hnuah i thisen test i nei tihna a ni.

Hypertriglyceridemia chu i triglyceride level 150 mg/dL aia sang a nih chuan a ni.

Puitlingte chaw nghei triglyceride level chungchang tawi te te chu hetiang hi a ni:

• Hriselna atana tha level: 150 mg/dL aia tlem
• Ramri-a sang ber: 150 – 199 mg/dL
• A sang ber: 200 – 499 mg/dL
• A sang hle: 500 mg/dL aia sang

Naupang leh puitling tleirawl (kum 10-19) tan triglyceride level hrisel chu 90 mg/dL aia tlem a ni tur a ni. I fate triglyceride level a san chuan a tihhniam dan tur doctor nen inbiakna neih a tha ber.

Severe Hypertriglyceridemia tih hi eng nge ni? A hlauhawm em?

Hypertriglyceridemia na tak chu i triglyceride level 500 mg/dL aia sang a nih chuan a ni. Hetiang natna vei te hian acute pancreatitis tih natna an vei theihna a sang hle . Hei hi pancreas inflammation a nih avangin damdawi lam enkawl ngai a ni.

Hypertriglyceridemia hi enkawl ngai leh enkawl ngai a ni. Mahse, a tam zawkah chuan medical emergency a ni lo.I doctor hian he level hi a tihhniam theih nan a pui thei che a ni. Chutianga tih chuan i thinlung emaw, i pancreas emaw tichhe thei harsatnate chu a veng thei a ni.

Hypertriglyceridemia leh cholesterol hi thil inang an ni em?

Ni e, heng pahnih hi a inang lo. Hypertriglyceridemia leh cholesterol sang hi natna hrang hrang pahnih a ni. Mahse an pahnih hian i thisena lipids an tih thil thau tak takte nen an inzawm tlat a ni.

Lipids hi kan taksaah hna pawimawh tak thawktu thau tak tak a ni. Triglycerides leh cholesterol hi lipid chi hnih a ni. An pahnih hian thisen kal tlangin carrier particle lipoprotein an tih angin an kal a.

Hypertriglyceridemia hi thisen a triglycerides a punna a ni. Hypercholesterolemia hi cholesterol tihpunna a ni.

Vawi tam tak chu triglycerides sang tak nei te pawhin cholesterol level an nei sang hle. Triglycerides sang hi a hlauhawm thei a, a bik takin i cholesterol "tha", HDL (High-Density Lipoprotein) a hniam a, i cholesterol "tha lo", LDL (Low-Density Lipoprotein) a sang a nih chuan.

I thisena heng level te hian eng nge a awmzia tih leh hrisel level-a hruai kir leh dan tur chu i doctor nen sawiho rawh.

Hetiang dinhmun hi engtiang chiahin nge a awm?

United States-a survey an neihah chuan puitling panga zinga pakhat vel chuan triglyceride level (150 mg/dL aia tam) a sang a ni. Mahse, kum upat deuh deuh hian he hlauhawmna hi a pung zel a ni. Research atanga a lan dan chuan kum 60 chunglam zinga 42% chuan he natna hi an nei a ni. Hetiang dinhmun hi Sri Lanka-ah pawh a awm fo thei a, kan ei leh in leh nunphung avang hian.

Hypertriglyceridemia natna lan chhuah dan chu engte nge ni?

Hypertriglyceridemia vei tam tak chuan symptom an nei lo. Chuvangin "hmêlma ngawi reng" ang mai a ni thei. Hypertriglyceridemia na tak nei te hian a chang chuan xanthomas an tih natna an nei thei bawk. Hengte hi vun hnuaia thau chi hrang hrang lo awm thin an ni. Mitmeng velah hmuh tur an awm tam ber. Mahse a chang chuan khup, kutphah leh kutphah ang hmunah te pawh an lo thang lian thei bawk.

Engvangin nge kan taksaah triglyceride level a san? A chhan engte nge ni?

Hypertriglyceridemia hi chhan hrang hrang a awm a. Anni chu:

• Nunphung lam thilte
• Natna hnuaia awm dangte
• Damdawi thenkhat
• Genetic lipid lama harsatna awm thei

Heng zawng zawng hi chipchiar deuhin han thlir ila.

Nunphung in nghawng a neih dan

Kan nunphung hian kan triglyceride level-ah nghawng lian tak a nei a. A chhan chu, ka sawi tawh ang khan calorie kan ei tam poh leh kan taksa hi triglycerides-ah a inthlak nasa zawk a ni. Chuvangin, i taksa mamawh aia tam sugar, fat, zu i in chuan i triglyceride level a sang thei a ni.

Triglycerides tamna thlentu nunphung hrang hrangte:

• Zu in tam lutuk: I hria em, thenkhat chuan party neih laiin tlem kan in tam lutuk. Chu chuan min nghawng bawk.
• Refined carbohydrates leh sugar ei tam lutuk: Chhangphut chi (e.g. shortbread, bakery products), in tur thlum, cake, biscuit, etc. atanga siam chaw.
• Saturated fat ei tam lutuk: Hengte hi thau tamna ei tur, sa sen, leh coconut oil hmanga siam chawah te a awm a.
• Taksa tihchak loh (sedentary lifestyle): Nilengin hmun khata thut, hnathawh, leh exercise lak loh.

Ngaihtuah teh, ni khata kan ei tur buhfai bakah hian sangha chi khat, oil-a chhum, coconut milk hmanga siam broth, leh in tur thlum tak kan ei chuan, chu zawng zawng atanga calorie tam zawk chu taksaah triglycerides angin a awm thei a ni.

Natna thenkhat vangin

Natna chi hrang hrang avangin Triglyceride level a sang thei bawk. Entirna thenkhat chu hetiang hi a ni:

• Zunthlum
• Hypothyroidism a awm lo
• Insulin laka invenna a ni
• Kal natna
• Liver natna
• Lupus a ni
• Metabolic natna (Metabolic syndrome) a ni
• Nephrotic syndrome tih hi a ni
• Thau lutuk emaw thau lutuk emaw
• Rheumatoid arthritis natna a ni

Hmeichhia hian risk factor bik dang an nei a:

• Menopause a awm
• Naupai - a bik takin third trimester-ah.

Damdawi kan ei \henkhat vang a ni

Damdawi thenkhat hman hian triglyceride level a sang thei bawk. Entirnan:

• Antipsychotic damdawi - e.g. Clozapine, Olanzapine tih a ni
• HIV hrik kai enkawlna atana hman damdawi thenkhat (Antiretroviral (ART) protease inhibitors) .
• Thisen sang damdawi thenkhat (Beta-blockers - nonselective) .
• Corticosteroid hmanga tihdam theih a ni
• Cyclophosphamide hmanga siam a ni
• Estrogen ei tur a awm
• Tamoxifen a ni
• Thiazides - zun tamna damdawi

A pawimawh ber: Doctor-in damdawi a pek chu biak hmasa lovin ei khap ngai suh. Damdawi pakhatin i triglycerides a tisang a nih chuan i doctor chuan a pui thei ang che. Dose an thlak danglam thei a, damdawi dang pawh an pe thei bawk.

Genetic conditions chu thlah kal zelah a lo kal zel a

Mi thenkhat chuan genetic factors vangin triglyceride leh cholesterol level pangngai lo an nei thei bawk. Entirnan:

• Chhungkaw inzawmkhawm hyperlipidemia: Triglycerides a pung a, LDL cholesterol a sang a, HDL cholesterol a tlahniam bawk.
• Chhungkaw hypertriglyceridemia (type IV chhungkaw dyslipidemia): Triglyceride tihpun chauh.
• Chhungkaw dysbetalipoproteinemia (type III hyperlipoproteinemia): Triglyceride leh cholesterol zawng zawng level a sang.
• Family chylomicronemia syndrome (FCS): Triglyceride level 1000 mg/dL aia sang a sang.

Vawi tam tak chu hypertriglyceridemia hi heng zinga pakhat emaw a aia tam emaw vang a ni thei. Entîr nân, mi pakhatin thlahtute dinhmun a neih bâkah nunphung ṭha lo tak a nei thei a ni. I doctor chuan heng thilte hi eng nge a nih tih a rel ang a, enkawlna tha ber a pe ang.

Engtin nge hypertriglyceridemia i vei tih i hriat theih ang?

Hei hi hriat theih dan tlangpui pahnih a awm a, chungte chu doctor-in taksa enfiahna leh thisen test a ni.

Doctor-in Physical Exam a neih theih nan

Doctor chuan i hriselna a hriat theih nan physical exam a ti ang. A hnuaia mite hi a zawt bawk ang che:

• Chhungkaw zingah hian thinlung natna, cholesterol sang, triglycerides sang nei tu emaw an awm em?
• I nunphung (e.g. zu, zuk leh hmuam hman).
• Natna dang i neih te.
• Damdawi i hman thin te.

Heng information hmang hian i doctor chuan i triglycerides sang chhan leh thinlung natna i vei theihna tur chu eng nge ni tih a hrethiam thei ang.

Thisen Test a ni

Thisen test awlsam tak lipid panel an tih hi hypertriglyceridemia dik taka hriat theihna awmchhun a ni. He test hian i triglyceride level bakah i cholesterol level a teh bawk.

Ka sawi tawh ang khan he thisen test hma hian darkar 10-12 vel chaw nghei turin doctor chuan a hrilh ang che. Chumi awmzia chu tui bak ei leh in tur a ni lo tihna a ni. Results dik tak hmuh tur chuan doctor-in a sawi ang chiah chiah chaw nghei a pawimawh hle.

Hemi atana enkawlna tha ber berte chu engte nge ni? Engtin nge ka tihtlem theih ang?

Hypertriglyceridemia hi enkawlna chi thum a awm a, chungte chu:

• Nunphung a inthlak danglam thin
• Damdawi (damdawi) .
• Triglycerides tamna chhan bulpui (underlying causes) enkawl.

Heng hmanrua pakhat emaw, a aia tam emaw i mamawh mai thei. I doctor chuan i tan enkawlna tur tha ber a ruat ang.

Nunphung inthlak danglamna - hengte hi thil pawimawh hmasa ber a ni!

Enkawlna hi nunphung inthlak danglamna atanga tan a ni fo thin. Hengte hi a bulpui berte chu an ni:

• Zu hi pumpelh rawh: a theih ang anga tihtlem la, a nih loh leh titawp vek rawh.
• Refined carbohydrates leh sugar ei loh tur: Chhang, thlum leh in tur i ei tam thei ang ber tihtlem rawh. Chu ai chuan buh chi, thlai leh thei chi hrang hrang ei zawk rawh.
• Seafood ei tam la, a bik takin omega-3 fatty acids tamna sangha ei rawh: sangha salmon, mackerel, herring, leh tuna te hi duhthlan tur tha tak a ni.
• Exercise tam zawk nei rawh:Ni khatah minute 30 tal kea kal, tlan, tui chawi ang chi thil ti rawh. Nitin hnathawhnaah pawh active takin awm rawh.
• I taksa rihna tam lutuk tihtlem nan i calorie ei zat kha control rawh: I san zawng atan i taksa rihna hrisel tak neih tum ang che.
• Saturated leh trans fats ai chuan thau hrisel thlang rawh: coconut oil, palm oil, butter, leh margarine ang chi thil te khap la, olive oil, canola oil, leh nut thenkhat te hmang bawk ang che.

"In lama chaw kan siam hunah oil tlem zawk hman te, dawr-a chaw thau kan ei zat tihtlem te, leh sugary tea aiah tea thlum loh in te ang chi inthlak danglamna te hian danglamna nasa tak a thlen thei a ni.

Damdawi chi hrang hrang

Nunphung thlak danglam ringawt hian i triglyceride level a control loh chuan i doctor chuan damdawi a pe thei ang. Damdawi hi hypertriglyceridemia na tak nei tan chuan a pawimawh hle. I doctor-in damdawi chi hrang hrang a pek theih a awm a:

• Fibrates - e.g. Fenofibrate a ni
• Damdawi pek chhuah omega-3 fatty acids - e.g. Icosapent ethyl (IPE) hmanga siam a ni.
• Statins - Hengte hi cholesterol tihhniamna atana pek ber ni mah se, a chang chuan triglycerides pawh a nghawng tel bawk.

Natna dang thunun

I triglyceride level sang tirtu tur damdawi dang (e.g. diabetes) i neih chuan chu natna chu uluk taka control a pawimawh bawk. I doctor chuan a tul angin thurawn leh enkawlna a pe ang che.

Hypertriglyceridemia hi ven theih a ni em?

A chhan thenkhat (tar chakna, natna thenkhat) chu kan thunun theih loh a ni. Amaherawhchu, kan nitin nunah hetiang dinhmun laka inven nan hian kan tih theih tam tak a awm a. Chung zinga ṭhenkhat chu hetiang hi a ni:

• Thinlung hrisel ei tur: Thlai, thei, whole grains leh lean protein ei tam rawh. Oil, sugar leh chi te chu tihtlem la.
• Active takin awm rawh: Exercise ruahman sa bakah hian nitin i tih chhungin i taksa chu a theih ang anga chet tir thin ang che. Elevator ai chuan stairs-a kal leh hmun hnai lama kea kal ang chi thil.
• I taksa rihna hrisel tak vawng reng rawh.
• Zu khap: A tam ber chu hmeichhia tan ni khatah standard drink pakhat leh mipa tan ni khatah standard drink pahnih a ni.
• Sugar leh refined carbohydrates te tihtlem.

I triglyceride level control-na tura pui turin doctor hnenah thurawn dang zawt rawh.

Hetiang natna vei tan hian eng nge a hmalam hun? (Hmuh dan tur) .

Hei hi thil tam takah a innghat a ni. Entir nan:

• I hypertriglyceridemia hi engte nge ni?
• I triglyceride level chu engzat nge ni?
• Eng natna dang nge i neih?

Chuvangin, i dinhmun dik tak hriat tumin i doctor nen inbia ang che.

Mahse, hypertriglyceridemia hi natna tlanglawn tak a ni tih hre reng ang che, nangmah chauh i ni lo. Mi tam tak chuan he natna hi an doctor thurawn zawm a, nunphung tihdanglamna leh a tul chuan damdawi ei te hmangin an enkawl tha hle.

Engtikah nge Doctor ka hmuh ang?

Kum tin i medical check-up neihnaah kal ngei ngei tur a ni. Chu bakah, i doctor-in a tih angin appointment dang eng pawhah tel ve bawk ang che. Zawhna leh ngaihtuahna i neih chuan engtik lai pawhin i doctor hnenah zawhfiah theih reng a ni.

Doctor hnenah eng zawhna nge i zawh tur?

I dinhmun, a chhan leh a enkawl dan te a tam thei ang ber hriat a pawimawh. I doctor hnenah zawhna i zawt thei ang:

• Ka triglyceride level hian eng nge min hrilh?
• Cholesterol pawh ka nei sang em?
• Eng thilin nge ka triglycerides a tihsan chhan?
• Engtin nge ka triglyceride level hi ka tihhniam theih ang?
• Lung natna ka vei theihna chance chu eng nge ni?
• Eng exercise chi nge ka tan a tha?
• Dietitian ka hmuh tur em ni?

Engtikah nge Emergency Treatment Unit (ETU) ah i kal a ngaih ?

If you have any of these symptoms , 911 (Sri Lanka-ah 1990) call nghal la, a nih loh leh emergency room hnai ber pan rawh:

• Acute pancreatitis - ( pum na na tak, luak chhuak, khawsik) .
• Heart attack - (rilru na, thawk hah, thawk hah) .
• Stroke - (hmai, kut emaw ke emaw a bengchheng emaw chak lo emaw, tawng harsa, kal harsa) .

Hypertriglyceridemia hian heng harsatna lian tak takte hi a thlen theihna a tipung a ni. Chuvangin heng symptoms te hi fimkhur a, a lo awm a nih chuan damdawi lam pan vat a pawimawh hle.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Hypertriglyceridemia control nan hian theihtawp chhuah a ngai a ni. Mahse, i hun hman tlak a ni. I nitin nunphungah inthlâk danglamna engemaw tal i siam a ngai ang a, chu inthlâk danglamna chu a châng chuan harsa tak angin a lang thei bawk. Mahse, a tlem berah bul tan rawh. Hrilhfiahna tenau te pawh hian i thinlung hriselnaah danglamna nasa tak a thlen thei a ni. I thil tumte thlen theihna tura puitu tur resources leh support group te chu i doctor hnenah zawt rawh. I hriselna chu i kutah a awm!

` hypertriglyceridemia, triglycerides, cholesterol, thinlung natna, ei leh in, exercise, nunphung