Lipoproteins chungchang hi i zir belh ang u, chu chu thau leh protein atanga siam a ni.

Kan taksaa thau (kan thusawi hian thau an ti bawk) hi hmun khat atanga hmun dangah engtin nge a kal tih i ngaihtuah ngai em? Lipoproteins hi chutiang atana puitu special particle an ni. A awlsam zawngin, kan taksaa thau leh cholesterol ang chi thilte thisen kaltlangin an awmna tur hmun thlenga phur thei lirthei te tak te ang an ni. Kan thisen kaltlangin an fang kual a. Lipoprotein thenkhat hi kan thinlung tan a tha hle a, mahse thenkhat chuan harsatna tlem a siam thei. Chuvangin, heng lipoprotein te hi thil dang zawng zawng ang bawkin awlsam leh dik takin i sawi dawn nia.

Cholesterol leh triglycerides te hi eng nge ni tak tak?

Lipoprotein chungchang kan sawi hmain heng thumal pahnih cholesterol leh triglycerides te hi tlem han hrethiam ila. An pahnih hian kan thisena awm, waxy fats an ni. Mahse kan taksain a siam dan leh a hman dan erawh a danglam deuh.

• Cholesterol: A tam zawkah chuan kan thin (liver) ah cholesterol siam a ni. Kan eitur thenkhat, a bik takin ran thau, sa, sangha leh bawnghnute atanga siam atanga cholesterol kan hmu bawk. He cholesterol hi kan taksa tan chauh a tha lo. He cholesterol hian vitamin D siamnaah a pui a, hormone pawimawh tak tak estrogen, testosterone, leh cortisol te pawh a siam thei bawk . Chu mai ni lovin, kan nervous system-a cell siamna atan pawh a pawimawh hle.

• Triglycerides: Hengte hi kan thin (liver) leh kan intestines-in kan digestive system-a siam a ni. Chaw thau, calorie tamna kan ei tam hian kan taksa hian triglycerides a siam tam zawk thin. Triglycerides kan siam belh te hi kan thau cell ah a awm khawm thin. A hnuah taksain chakna a mamawh hunah heng triglycerides dahkhawmte hi thisenah a chhuak leh thin.

Tunah chuan cholesterol leh triglycerides te hi eng nge an nih tih leh kan taksa tana an pawimawh zia chu i hrethiam tawh mai thei. Mahse, buaina chu an sang lutuk hian a ni.

Eng chi lipoprotein nge awm?

Kan taksaah hian lipoprotein chi panga a awm a. Eng nge an nih i han thlir teh ang.

• High-density lipoprotein (HDL): Hei hi "cholesterol tha" kan tih chu a ni. HDL hian taksa atanga cholesterol tam lutuk chu liver-ah a phur kir leh a, chuta tang chuan a chhuak thin. HDL level sang hian rilru lam natna kan vei theihna a ti tlem a ni. Kan tan chuan thian ang mai a ni.

• Low-density lipoprotein (LDL): Hei hi "bad cholesterol" kan tih chu a ni.tih a ni. LDL level sang hian natna chi hrang hrang, coronary artery disease, heart attack, leh stroke te a vei theihna a tipung a ni. LDL hian cholesterol a phur a, kan thisen kalna kawngah a dah lut thin. Hetianga a deposit chuan pipe chhunga bawlhhlawh ang mai a lo ni a, thisen kalna kawng chhunga hmun awm chu a ti tlem a, thisen kal dan a tikhawlo bawk. Hetiang dinhmun hi atherosclerosis kan ti a .

• Very low-density lipoproteins (VLDL): Hei hi "cholesterol tha lo" chi dang a ni. VLDL hian kan tissue-ah triglycerides a phur ber a ni. Cholesterol phurh chhuahna kawngah pawh eng emaw chen chu a pui bawk.

• Intermediate-density lipoproteins (IDL): Hengte hi VLDL-in a fatty acid thenkhat a tihbo hnuah a lo awm thin. Chumi hnuah chuan heng IDL te hi liver hian a paih chhuak emaw, LDL ah a chantir emaw a ni.

• Chylomicrons: Hengte hi lipoprotein particle lian ber berte an ni. Triglycerides an phur bawk.

I hmu em, lipoprotein chi hrang hrang a awm a, thil hrang hrang an ti bawk.

Lipoprotein (a) emaw LP(a) emaw chu eng nge ni?

Hemi hi chu a danglam deuh deuh. Lipoprotein (a) emaw LP(a) emaw pawh hi LDL chi khat, "bad cholesterol" kan sawi tawh kha a ni. Mahse heihi chu a danglam bik. He LDL particle hi protein dang apolipoprotein (a) emaw apo(a) emaw an tih chu a inzawm khawm a. He apo(a) hian LDL particle chu a "stickier" deuh a ni. Chuvangin, he LP(a) hi awlsam takin thisen kalnaah a awm thei a, chu chuan rilru lam harsatna a thlen theihna a tipung a ni. LP(a) level sang tak neih hi atherosclerosis vei theihna tur risk factor lian tak a ni.

Kan ei leh in leh nunphung hian HDL leh LDL level dangte a nghawng thei a, mahse kan LP(a) level hi a tam zawk chu kan genes-in a hril a ni. Mi thenkhat chuan genetic mutations vangin LP(a) level sang tak an nei thin. Chutiang mite chu kum naupang zawkah lung natna vei theihna chance a sang zawk a ni.

Lipid Panel thisen test hi eng nge ni?

I doctor chuan "lipid profile" nei turin a ti che a ni mai thei. Chu chu he lipid panel thisen test hi a ni. I thisena cholesterol awm zawng zawng a teh thin. Tin, HDL, LDL, leh triglycerides level te a teh bawk a, chubakah i cholesterol zawng zawng a teh bawk.

Hei hi thisen test awlsam tak a ni. Minute nga aia rei lo a ni. I doctor office-ah emaw, lab-ah emaw, damdawi inah emaw i ti thei bawk. Results tha ber tur chuan he thisen test hi i neih hmain darkar 8 atanga darkar 12 chhung chaw nghei tur a ni.Chumi awmzia chu engmah i ei lo ang a, i in lovang tihna a ni. Damdawi i ei lai reng reng chu rei lo te chhung chawlhsan turin an ti thei bawk. Chuvangin, doctor thupek dik takin i zawm tur a ni.

Engtin nge leh engtikah nge lipoprotein (a) [LP(a)] hi test a nih?

A tlangpuiin mi zawng zawng hian an LP(a) level an check vek lo. I doctor-in a bik taka a dil chauhvin lipid panel nen LP(a) level an enfiah ang.

He test hi thinlung natna vei theihna tur risk factor thenkhat nei tan chauh tih a ni fo thin. Chung zingah chuan:

• Lung lam harsatna i lo nei tawh a nih chuan.
• I chhungkuaa tu emaw, a bik takin first-degree chhungte (nu leh pa, unau) te pawhin an naupan lai atanga thinlung natna an neih chuan.
• I LDL level a sang lutuk a nih chuan.
• Familial hypercholesterolemia , LDL level sang tak thlentu genetic condition i neih chuan.

He lipid blood test hi eng nge a pawimawh?

Cholesterol sang hian symptom a nei lo fo thin a, chuvangin he thisen test hi neih hi i thinlung leh thisen kalna kawng tichhe thei cholesterol harsatna hriat theihna kawng tha ber a ni.

Doctor-te chuan he lipid blood test hi thil chi hrang hrang atan an hmang thin:

• Screenings: Hei hi kum tin i medical checkup-naah tih theih a ni. Hei hian rilru lam natna vei theihna a sang zawk em tih hriat theih nan a pui thei che a ni. Risk sang zawka i awm tih i hriat hnuah chuan heart attack leh stroke ang chi natna khirh tak tak laka invenna atan hma i la thei ang.
• Diagnosis: He cholesterol thisen test hian atherosclerosis ang chi natna te pawh a hriat theih nan a pui bawk.
• Monitoring: Heng test result te hian i cholesterol level a chhe zel em tih te, enkawl a ngai em tih te, enkawlna a dawng tha em tih te a hriat theih nan a pui thei che a ni.

Heng lipoprotein test te hi engzat nge tih tur?

Kum upat deuh deuh hian lipoprotein leh total cholesterol level a sang chho zel hi thil pangngai a ni. I risk a san chuan i doctor chuan test tam zawk neih a rawt mai thei.

Lipid blood test atan hian a hnuaia mi hi a tha tlangpui:

• Mipa kum 35 chunglam leh hmeichhia kum 45 chunglam tan.
• Atherosclerosis hi mipa kum 20 leh 35 inkar leh hmeichhia kum 20 leh 45 inkar ah a tam ber.
• Naupang tan chuan he test hi kum 9 leh 11 inkarah vawi khat tih a tha ber a, chutah chuan kum 17 leh 21 inkar ah tih leh a tha ber.

Lipoprotein hrisel level chu engte nge ni?

Lab-ah chuan cholesterol leh lipoprotein te chu deciliter khatah milligram (mg/dL)-in an teh thin. Lab tinte hman dan pawh a inang lo thei. Hei hian thisen sample inang atanga result hi lab hrang hrangah a inang lo deuh thei tihna a ni. A theih phawt chuan i doctor chuan i level enfiah nan lab ang chiah hi hman a duh ang.

HDL, LDL, triglycerides, leh total cholesterol level hrisel hi kum leh mipa leh hmeichhiaah a inang lo. I tan healthy levels chu eng nge ni tih i doctor nen sawiho rawh. A tlangpuiin, risk factor dang i neih loh chuan heng value te hi hrisel anga ngaih a ni:

• Cholesterol zawng zawng: Kum 21 chunglam tan 100-199 mg/dL; Kum 20 hnuai lam tan 75-169 mg/dL a ni.
• HDL (cholesterol tha): 45 mg/dL aia sang. (Hmeichhia tan 55 mg/dL aia tam a tha zawk, mipa tan 45 mg/dL aia tam)
• LDL (bad cholesterol): 100 mg/dL aia tlem lo.
• Triglycerides: 150 mg/dL aia tlem a ni.

Lipid panel hian VLDL level hi direct-in a teh thei lo va, test bik pawh a awm lo. Chu ai chuan labs te chuan i VLDL level chu i triglycerides chu panga a then in an estimate thin. VLDL level hrisel chu 30 mg/dL aia tlem a ni tur a ni. Mahse, i triglycerides a tam lutuk chuan he method hi a dik lo fo.

Lipoprotein (a) [LP(a)] hlutna pangngai chu engzat nge ni?

LP(a) level hi liter khatah mg/dL emaw nanomoles (nmol/L) emaw a ni tih report a ni. 50 mg/dL emaw 75 nmol/L aia tam value chu sang takah ngaih a ni a, atherosclerosis, heart attack, leh stroke ang chi natna hlauhawmna a tipung a ni.

Bad cholesterol (LDL) tihpunna tur risk factors te chu engte nge ni?

Postmenopausal hmeichhia leh puitling kum 40 chunglam te chu LDL level sang ber an ni. Mahse, naupang tê tête pawhin cholesterol lama harsatna an nei thei a ni. I upat deuh deuh chuan i metabolism a tlahniam a, i liver hian i taksa atanga cholesterol tha lo a paih chhuak thei lo.

Hnam leh hnam pawhin hmun a chang a. Asian American-te hian LDL level an sang zawk a, mipa hringte erawh chuan total cholesterol level an sang zawk thung.

LDL level tisang thei risk factor dangte chu:

• Calorie tamna, saturated fats, leh cholesterol tamna ei tur. (Kan eitur thau, hmin (fried foods) te pawh tlem kan ngaihtuah a ngai bawk.)
• Zunthlum leh kal natna ang chi dinhmun.
• Chhungkaw history-a cholesterol sang tak nei.
• Zu in leh zu in tam lutuk.
• Damdawi corticosteroid ang chi leh thisen sang leh HIV/AIDS damdawi thenkhat.
• Thau lutuk (Obesity) a ni.

LDL level sang hi engtin nge kan enkawl ang?

LDL level sang tak nei, chu chuan thinlung natna leh stroke vei theihna a ti sang zawk a, chu chuan cholesterol tihhniamna damdawi, statin, ezetimibe, leh PCSK9 inhibitor te an mamawh fo thin. I ei leh in leh nunphung tihdanglamna hmangin heng level te hi i ti sang thei bawk.

Lipoprotein level tihsan nan eng nge i tih theih ang?

I ei leh in leh nunphung tihdanglamna engemaw zat siam hian i cholesterol tha lo (LDL) a tihhniam bakah i cholesterol tha (HDL) a tisang thei bawk. Heng step te hian a pui thei a ni:

• Kar khatah minute 150 tal taksa tihchak (chu chu ni khatah minute 30 vel a ni). Kea kal rei vak lo emaw, exercise emaw pawh a tha.
• Thinlung hrisel ei tur ei rawh. Chu chu ei tur thau hrisel lo tlem, simple sugar (carbohydrates), leh fiber tamna ei tihna a ni.
• Thisen sang leh zunthlum control.
• Mut tha rawh.
• I taksa rihna hrisel tak vawng reng rawh. I thau lutuk a nih chuan i taksa rih zawng 5% atanga 10% i tihtlem chuan i cholesterol level a tisang thei a ni.
• Stress control dan hrisel zawng rawh.
• Zu in tlem.
• Meizial zuk bansan turin tanpuina dil rawh (nicotine hian LDL level a tisang a, HDL level a tihhniam bawk).

Take-Home Thuchah: 1.1.

Okay, chuti a nih chuan vawiin hian lipoprotein chungchang hi kan sawi nasa hle a ni lawm ni? A awlsam zawngin sawi ila, hriat reng tur pawimawh tak takte chu hetiang hi a ni:

• Lipoproteins hi kan taksaa thau leh cholesterol phurtu lirthei ang a ni.
• HDL hi "cholesterol tha" a ni a, hei hian taksa atanga cholesterol tam lutuk paih chhuahna a pui a ni.
• LDL hi "cholesterol tha lo" a ni. A pun chuan thisen kalna kawngah a pungkhawm thei a, thinlung natna a thlen thei bawk.
• LP(a) hi cholesterol tha lo "sticky" chi dang a ni a, hei hian thinlung natna vei theihna a tipung bawk.
• I nunphung, ei leh in leh exercise ang chi thilte hian i lipoprotein level-ah nghawng lian tak a nei thei a ni.
• A châng chuan LDL leh LP(a) level tihhniam nan leh HDL level tihsan nan damdawi (``Statins'' ang chi) a ngai thei bawk.
• A pawimawh ber chu i level hriat reng nan leh doctor thupek zawm turin thisen test neih fo hi a ni.

He information hian i thinlung a hrisel theih nan a puih che ka beisei!

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