I thisen cholesterol test i neih hian report i dawnah LDL, HDL, leh triglycerides tih ang chi hming i hmu tawh ngei ang, a dik em? "Cholesterol tha" (HDL) leh "Cholesterol tha lo" (LDL) kan sawi fo thin. Mahse, mi zawng zawngin an sawi chhuah list-a tel lo, thup deuh, mahse thinlung hriselnaah nghawng lian tak nei thei pakhat a awm. Chu chu Lipoprotein (a) , a tawi zawngin Lp(a) a ni. Chhungkaw thuruk ang mai a ni a, a chang chuan kan taksa chhungah hian hriat lohvin harsatna lian tak tak kan thlen thei a ni.
A awlsam zawngin, Lipoprotein (a) chu eng nge ni?
Awle, hetiang hian han sawi ila. Lipoprotein (a) hi LDL (Low-Density Lipoprotein) chi khat a ni a, "bad cholesterol" tia hriat bawk a ni. Taksaah LDL cholesterol a san chuan eng nge thleng thin? Kan thisen kalna kawng bangah a lo awm khawm a, kawngpuiah speed bump ang maia plaque a siam a ni. Damdawi lamah chuan he plaque hi kan ti a ni. Heng speed bumps te hi a lo pung zel a, thisen chu a kal tluang thei lo. A tawpah chuan hengte hian thisen kalna kawngte chu a tikhawlo vek thei a, thisen kal chu a titawp thei bawk. Hei hi heart attack leh stroke thlentu lian tak a ni.
Tunah chuan Lp(a) chungchanga thil danglam tak chu LDL aiin a pawi zawk deuh a ni. Chutiang a nih chhan pahnih a awm a:
1. Thisen zam rang zawk: Lp(a) particle te hian kan thisen chu a pangngai aia rang zawkin a pui thin.
2. Thisen zam a hmin loh nan a titawp: Thisen zam lo awm tawh chu a hmin loh nan a veng bawk.
Ngaihtuah teh, thisen kalna kawng chhungah cholesterol (plaque) layer a lo awm tawh a. Chu layer chu Lp(a) avanga a puak chuan thisen zam (blood clot) a lo awm thuai a, thisen kalna kawng chu a block vek theihna chance a sang hle. Chuvang chuan Lp(a) chungchangah hian a bik takin kan fimkhur a ngai a ni.
Lp(a) level hi gene atanga lo chhuak thil a ni em?
Awle. Chu chu a dik a ni. Hei hi he thila pawimawh ber leh lungchhiatthlak deuh pawh a ni mai thei. I Lp(a) level hi i nu leh pa hnen atanga i genes i hmuh atanga teh a ni. Chumi awmzia chu eng ang pawhin exercise i la emaw, i ei leh in i control tha emaw pawh nise, i Lp(a) level chu nasa takin i tihhniam thei lo tihna a ni. I naupan laia Lp(a) level i neih kha i dam chhung zawng i ta a nih a rinawm.
Chumi awmzia chu, hei hi kan nunphung avanga lo awm a ni lo tihna a ni. Kan rochun thil a ni. Hei vang hian chhungkuaa mi tu emaw hian a naupan lai atang tawhin lung natna a nei tawh a nih chuan Lp(a) pawh kan ringhlel tur a ni.
Engtin nge ka Lp(a) level ka hriat theih ang?
Hei hi thisen test awlsam tak hmanga hriat theih a ni. Mahse hetah hian thil tlemte a awm. Cholesterol test i nei tlangpui a, chu chu Lipid Profile an ti a ni.Dik tak chuan he Lp(a) level hi teh a ni lo. A hranpaa tih a ngai a, a bik takin dilna hmanga tih a ngai a ni. I doctor chuan i mamawh leh mamawh loh a rel thei a, chu chu a refer thei che a ni.
Engvangin nge doctor chuan he test hi a rawt ang?
Mi zawng zawng hian he test hi an mamawh vek lo a, mahse thinlung natna vei theihna tipungtu thil dang i neih chuan i doctor chuan hei pawh hi enfiah a tum mai thei.
| Risk factor a ni | Hrilhfiahna |
|---|---|
| Chhungkaw chanchin | I chhungte hnai tak (nu, pa, unau) zinga pakhatin a naupan laiin heart attack emaw stroke emaw a neih chuan (mipa tan kum 55 hnuai lam, hmeichhia tan kum 65 hnuai lam). |
| Genetic cholesterol sang tak nei a ni | Familial Hypercholesterolemia , cholesterol level sang tak thlentu genetic condition i neih chuan. Hetiang natna vei zinga 30% vel pawhin Lp(a) level sang tak an nei bawk. |
| LDL level a sang hle | Routine cholesterol test neih laiin i LDL level a sang hle a nih chuan. |
| Lung natna lo lang leh thin | Enkawlna tul leh nunphung thlak danglam chung pawha heart attack emaw stroke emaw i neih leh chuan Lp(a) hi a chhan a ni thei. |
| Chhungkaw zinga mi pakhatin Lp(a) sang a neih chuan . | I chhungkuaa mi pakhatin he test hi a nei tawh a, an Lp(a) level a sang tih finfiah a nih chuan. |
Lp(a) level leh a awmzia
Lp(a) level tehna kawng hnih a awm. Pakhat chu thisena Lp(a) awm zat tehna a ni. Value te hi deciliter khatah milligram (mg/dL)-in pek a ni. A dang chu thisena Lp(a) particle awm zat tehna a ni. Value te hi liter khatah nanomoles (nmol/L) a pek a ni. I report hi eng unit-ah nge a awm tih i doctor zawh a pawimawh.
mg/dL value hi a tlangpuiin hetiang hian kan thliar hrang thin:
- Level pangngai: 30 mg/dL aia tlem.
- Borderline risk: 30 mg/dL leh 50 mg/dL inkar a ni.
- Risk sang tak: 50 mg/dL aia tam.
nmol/L ah chuan 100 nmol/L aia tam a nih chuan high risk anga ngaih a ni.
I Lp(a) level sang chuan i cholesterol level dangte chu a tha a nih pawhin thinlung natna leh thisen kalna kawng natna i vei theihna a sang zawk tihna a ni.
Research atanga a lan dan chuan Lp(a) level sang hi heng natna te nen hian direct-in a inzawm tlat a ni:
- Lung natna
- Lung natna
- Thai
- Aortic valve a stenosis a awm thin
- Peripheral artery natna (PAD) 10. A rilru a hah lutuk chuan a rilru a buai em em a.
Lp(a) level sang lutuk symptoms a awm em?
No. Chu chu a hlauhawm ber chu a ni. Lp(a) level sang tak nei tam tak chuan symptom an nei lo. Heart attack ang chi thil pawi tak a thlen hma chuan hlauhawmah an awm tih an hre lo. Chuvangin, chhungkaw history-a thinlung natna i neih chuan i doctor nen inbiakna neih hmasak a pawimawh em em a, a tul chuan test neih a pawimawh em em bawk.
Okay, tunah chuan engtin nge he Lp(a) hi kan tihtlem ang?
Hei hi mi zawng zawngin zawhna kan neih a ni. Dik tak chuan tun dinhmunah hian Lp(a) level target leh tihhniamna tur damdawi bik pawm a la awm lo. Hemi atan hian zirchiangtute chuan damdawi thar eng emaw zat an siam chhuak a, an test mek bawk. Chuvangin nakin lawkah a chinfelna tha tak hmuh kan beisei.
I ngaihtuah mai thei, "Chuti a nih chuan, tunah hian engmah tih tur ka nei lo?" Chutiang chuan ngai suh. Thil tih tur tam tak a awm!
Lp(a) level hi direct-in kan tihhniam thei lo nain, kan tih theih ṭha ber chu thinlung natna tipungtu thil dang zawng zawng control hi a ni. Phên dangin sawi ila, Lp(a) chauh silai kan neih chuan a dang zawng zawng disable ang mai a ni.
I tih theih thilte chu:
- Zuk leh hmuam thil hman kha bansan vek rawh. Meizial zuk hi thisen kalna kawng tichhetu lian ber a ni.
- Exercise neih fo thin ang che. Kea kal emaw tlan emaw ang chi thil engemaw chu minute 30 tal, kar khatah ni 5 chhung ti rawh.
- I taksa rihna hrisel tak vawng reng rawh.
- Thinlung hrisel ei tur ei rawh. Oil, chi leh sugar ei tlem la, thlai, thei, thlai leh fiber tamna ei tur ei tam rawh.
- I thisen sang leh zunthlum hi control la. Hengte tan hian i doctor-in damdawi a pek ang chiah kha hmang rawh.
- LDL cholesterol level control tur a ni. Lp(a) tihhniam theih ni lo mah se, LDL cholesterol tihhniam thei damdawi, statins emaw PCSK9 inhibitors , te hian risk pum pui nasa takin a tihziaawm thei a ni.
- Stress control rawh.
I risk a zirin i doctor chuan thisen zam tihtlem nan aspirin ang chi damdawi a pe thei ang.
Lp(a) level sang tak nei tan, a bik takin Familial Hypercholesterolemia nei tan chuan Apheresis tih damdawi a awm a. Hei hi kal (kidney) a chhiat chuan dialysis ang mai a ni. Machine nen i inzawm a, Lp(a) particle te chu thisen atang hian an filter chhuak ta a ni. Mahse, hei hi darkar engemaw zat a daih, kar khatah vawi khat emaw vawi hnih emaw tih ngai a ni a, damlo bik tak tak tan chauh tih a ni.
Take-Home Thuchah a ni
- Lipoprotein (a) emaw Lp(a) hi kan gene atanga kan rochun cholesterol chi khat bik a ni a, chu chuan thinlung natna a tipung a ni.
- Hei hi cholesterol test pangngai (Lipid Profile) hmanga teh a ni lo. Thisen test bik a ngai a ni .
- Lp(a) level hi ei leh in emaw exercise emaw hmangin nasa takin a tlahniam thei lo.
- I chhungkuaa mi tu emaw chuan kum naupang takah thinlung natna an nei tawh a nih chuan , i Lp(a) level check tir turin i doctor nen sawiho rawh.
- I Lp(a) level sang mahse, hlauthawng suh. Risk factor dang zawng zawng , thisen sang, zunthlum, leh LDL cholesterol te control-na hmang hian heart attack leh stroke vei theihna chu nasa takin i tihtlem thei a ni.
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