Mwina mwamvapo za "cholesterol"? Ambiri aife timalankhula za iyo, ndipo nthawi zina timaiopa. Kodi cholesterol ndi chiyani kwenikweni, kodi ndi yabwino kapena yoipa kwa matupi athu, ndipo timadziwa bwanji za iyo? Ndicho chifukwa chake madokotala amalimbikitsa kuyezetsa magazi kotchedwa "Lipid Panel." Lero, tikambirana za iyo mwatsatanetsatane komanso mosavuta.
Kodi gulu la lipid ili ndi chiyani?
Mwachidule, lipid panel ndi mayeso a magazi omwe amayesa kuchuluka kwa tinthu ta mafuta, kapena "lipids," m'magazi mwanu. Mayesowa nthawi zambiri amafufuza mitundu inayi ya cholesterol ndi mtundu wina wa mafuta wotchedwa triglycerides.
Taganizirani mitsempha yathu yamagazi ngati mapaipi omwe amanyamula madzi. Ngati kuchuluka kwa mafuta m'magazi mwathu kukukwera, monga momwe dothi limaunjikira mkati mwa mapaipi, mafuta amayamba kuunjikana mkati mwa mitsempha yathu. Ndiye chimachitika ndi chiyani? Mitsempha yamagazi imatsekeka ndikuchepa. Izi zimawonjezera kwambiri chiopsezo chotenga matenda akulu monga matenda amtima, matenda amtima, ndi sitiroko .
Ichi ndichifukwa chake madokotala amagwiritsa ntchito mayeso a lipid panel awa kwa ana ndi akuluakulu kuti awone chiopsezo chanu chotenga matenda a mtima. Amatchedwanso lipid profile, lipid test, ndi cholesterol panel.
Kodi ndi zinthu ziti zazikulu 5 zomwe gulu la lipid limayang'ana?
Mayesowa makamaka amayang'ana mitundu isanu ya mafuta m'magazi anu:
1. Cholesterol ya lipoprotein yotsika kwambiri (LDL):
- Ichi ndi chomwe chimatchedwa "cholesterol yoyipa." Chifukwa ngati cholesterol iyi ya LDL iwonjezeka, imayikidwa m'mitsempha yamagazi ndikuwonjezera chiopsezo cha matenda amtima. Zili ngati zinyalala zomwe zimasonkhana m'nyumba mwathu.
2. Cholesterol yotsika kwambiri ya lipoprotein (VLDL):
- Uwu ndi mtundu wina wa cholesterol. VLDL iyi imapangidwa kuchokera ku chakudya chomwe timadya. Ngati mupereka magazi mutasala kudya, kuchuluka kwake kumakhala kochepa. Ngati kuli kochuluka ngakhale mutasala kudya, zingatanthauze kuti thupi lanu silikulamulira cholesterol moyenera.
3. Cholesterol ya lipoprotein yapamwamba kwambiri (HDL):
- Ichi ndi chomwe chimatchedwa "cholesterol yabwino." Kodi mukudziwa chifukwa chake? Cholesterol ya HDL imeneyi imachepetsa kuchuluka kwa cholesterol yoyipa ya LDL m'mitsempha yamagazi. Zili ngati munthu akutulutsa zinyalala.
4. Cholesterol yonse:
- Izi zikutanthauza kuchuluka kwa mitundu yonse itatu ya cholesterol m'thupi lanu: LDL, VLDL, ndi HDL.
5. Ma triglyceride:
- Uwu ndi mtundu wina wa mafuta womwe umachokera ku zakudya zomwe timadya. Kuchuluka kwa triglycerides m'magazi kumalumikizidwa ndi matenda a mtima komanso matenda otchedwa pancreatic inflammation.
Izi ndi zomwe zimawonedwa mu gulu la lipid wamba, koma nthawi zina mutha kuwona zinthu zina kuwonjezera pa izi.
Chifukwa chiyani mayeso a lipid panel awa amachitika?
Madokotala amagwiritsa ntchito mayesowa kuti aone kuchuluka kwa cholesterol m'magazi mwanu, kuwunika thanzi la mtima wanu ndi mitsempha yamagazi, komanso kuthandizira kuzindikira matenda okhudzana ndi mtima.
Pali zifukwa zingapo zomwe dokotala angakupempheni kuti muyeze mafuta m'thupi:
- Monga mayeso wamba: Dziwani ngati kuchuluka kwa cholesterol yanu kuli pamlingo wabwinobwino kapena pamlingo woopsa.
- Yang'anirani kuchuluka kwa cholesterol yanu: Ngati mwakhala ndi zotsatira zosazolowereka kuchokera ku mayeso am'mbuyomu, kapena ngati muli ndi zinthu zina zomwe zingayambitse matenda a mtima.
- Onani momwe mumachitira ndi mankhwala: Ngati mukumwa mankhwala ochepetsa cholesterol yanu, onani ngati mankhwalawo akugwira ntchito.
- Kuzindikira matenda ena: Izi zimathandizanso kuzindikira matenda ena, monga matenda a chiwindi.
Chifukwa chiyani ndikufunika kuyezetsa magazi a Lipid Panel?
Pakhoza kukhala zifukwa zingapo zomwe muyenera kuyeserera izi.
Ngati muli ndi chinthu chimodzi kapena zingapo zomwe zimayambitsa matenda a mtima , dokotala wanu angakulangizeni kuti nthawi zonse muziyang'anira kuchuluka kwa mafuta m'thupi lanu. Zinthuzi zikuphatikizapo:
- Ngati ndinu mwamuna, muyenera kukhala ndi zaka zoposa 45, ndipo ngati ndinu mkazi, muyenera kukhala ndi zaka zoposa 50.
- Ngati mayeso am'mbuyomu awonetsa kuti cholesterol yakwera.
- Ngati mumasuta ndudu.
- Ngati ndinu wonenepa kwambiri.
- Ngati simukuchita masewera olimbitsa thupi mokwanira.
- Ngati muli ndi kuthamanga kwa magazi.
- Ngati muli ndi matenda a shuga kapena matenda a shuga asanakwane.
- Ngati wina m'banja mwanu, monga amayi anu, abambo anu, kapena abale anu, wakhala ndi matenda a mtima ali wamng'ono.
Tangoganizirani, mnansi wathu, Amalume Nimal, ali ndi zaka za m'ma 50, wonenepa pang'ono, ndipo ali ndi matenda a shuga. Dokotala wake amamuuza kuti ayesedwe magazi kamodzi pachaka. Izi zili choncho chifukwa ali pachiwopsezo chachikulu chotenga matenda a mtima.
Ana angafunikenso kuyezetsa magazi a lipid panel. Kuchuluka kwa cholesterol m'magazi mwa ana kumagwirizana ndi zinthu zitatu zazikulu: chibadwa, kunenepa kwambiri, ndi zakudya. Nthawi zambiri, ana omwe ali ndi cholesterol yambiri amakhala ndi kholo limodzi lomwe lilinso ndi cholesterol yambiri.
Komanso, nthawi zina madokotala amagwiritsa ntchito gulu la lipid kuti adziwe matenda ena omwe angakhudze kuchuluka kwa lipid m'thupi lanu. Mwachitsanzo:
- Pancreatitis
- Matenda a impso osatha
- Hypothyroidism
Kodi chimachitika n’chiyani mukapereka magazi kuti akayesedwe?
Izi n'zosavuta kwambiri. Palibe choopa.
1. Mudzakhala pampando. Kenako dokotala wa matenda a phlebotomist adzayang'ana manja anu ndikupeza mtsempha wosavuta kutulutsa magazi. Nthawi zambiri, magaziwo amatengedwa kuchokera mkati mwa mkono wanu, pansi pa chigongono.
2. Mukapeza mtsempha, yeretsani malowo bwino ndikupha tizilombo toyambitsa matenda.
3. Kenako singano yaying'ono imalowetsedwa mumtsempha ndipo magazi amatengedwa. Pa nthawiyi, mungamve ngati mukulumidwa ndi nyerere yaying'ono.
4. Mukayika singano, magazi ochepa amasonkhana mu chubu choyesera.
5. Pambuyo poti magazi atengedwa, singano imachotsedwa ndipo chidutswa cha thonje kapena gauze chimayikidwa ndikukanikiza kuti magazi asiye kutuluka.
6. Zili ngati kuika pulasitala ndipo ntchitoyo yatha.
Zonsezi zimatenga mphindi zosakwana zisanu.
Kodi ndiyenera kusala kudya ndisanayese mayeso?
Nthawi zambiri, inde, muyenera kusala kudya kwa maola pafupifupi 10 mpaka 12 musanayesedwe magazi a lipid panel. Kusala kudya kumatanthauza kusadya kapena kumwa chilichonse kupatula madzi. Komabe, nthawi zina zapadera, mayesowa amatha kuchitika popanda kusala kudya.
Choncho, chofunika kwambiri ndikufunsa dokotala wanu musanayesedwe ngati muyenera kusala kudya kapena ayi. Tsatirani malangizo a dokotala molondola. Ngati dokotala akukuuzani kuti musala kudya, muuzeni dokotalayo ngati mwadya chilichonse mwangozi. Chifukwa kusasala kudya kungachepetse kulondola kwa zotsatira za mayeso.
Kodi mu lipoti la mayeso muli chiyani? Kodi miyezo yachibadwa ndi iti?
Pambuyo poti magazi atumizidwa ku labu ndikuyesedwa, dokotala wanu adzakuuzani zotsatira zake. Lipoti la lipid panel nthawi zambiri limaphatikizapo chidziwitso chonga ichi:
- Dzina la mayeso a magazi, kapena zomwe zinayesedwa m'magazi anu.
- Chiwerengero kapena muyeso wa zotsatira za mayeso anu a magazi.
- Umenewo ndiye muyeso wabwinobwino wa mayeso.
- Kodi zotsatira zanu ndi zabwinobwino, zachilendo, kapena zapamwamba kapena zochepa?
Nazi milingo yathanzi (yomwe imayesedwa mu ma milligram pa decilita imodzi ya magazi - mg/dL) ya zinthu zinayi zazikulu zomwe nthawi zambiri zimawonedwa mu lipid panel:
- Cholesterol yonse: Yochepera 200 mg/dL.
- Cholesterol yabwino (HDL): yoposa 60 mg/dL.
- Cholesterol yoipa (LDL): yosakwana 100 mg/dL (yochepera 70 mg/dL kwa anthu odwala matenda ashuga).
- Triglycerides: Zosakwana 150 mg/dL.
Ngati zotsatira zanu zili pamwamba kapena pansi pa mlingo womwe mukufuna, zitha kugawidwa m'magulu a "malire," "apakati," kapena "chiopsezo chachikulu" cha matenda a mtima.Kawirikawiri, kuchuluka kwa cholesterol yonse, LDL, ndi triglycerides kuposa kwachibadwa, komanso kuchepa kwa HDL kuposa kwachibadwa, kumawonjezera chiopsezo cha matenda a mtima.
Ndikosowa kwambiri kuti kuchuluka kwa cholesterol kukhale kochepa kwambiri. Ngati zitachitika, chifukwa chake nthawi zambiri chimakhala matenda omwe amayambitsa kusowa zakudya m'thupi.
Kodi ndiyenera kuda nkhawa ngati zotsatira zake sizili bwino?
Ayi. Sizikutanthauza kuti muli ndi matenda kapena mukufuna chithandizo.
Kuchuluka kwa cholesterol yabwino kwa inu kumadalira zinthu zambiri. Dokotala wanu adzaganizira izi akamafufuza zotsatira za lipid panel yanu:
- zaka zanu.
- Mkhalidwe wonse wa thanzi.
- Mbiri ya zamankhwala.
- Mankhwala omwe alipo panopa.
- Zinthu zina zomwe zimayambitsa matenda a mtima.
Madokotala ambiri amagwiritsa ntchito zinthuzi komanso chida chapadera chowerengera zoopsa kuti adziwe ngati mukufuna kuyezetsa kwina kapena chithandizo. Ngati muli ndi mafunso okhudza zotsatira zake, musaope kulankhula ndi dokotala wanu.
Chochita kenako ngati zotsatira zachilendo zachitika?
Popeza pali zinthu zambiri zomwe zimayambitsa matenda a mtima ndipo aliyense ndi wosiyana, palibe njira imodzi yokha yochiritsira kuchuluka kwa cholesterol ndi/kapena triglycerides kosazolowereka.
Ngati zotsatira za lipid panel yanu sizili bwino, dokotala wanu angakulangizeni chimodzi kapena zingapo mwa izi:
- Pitirizani kuyang'anira kuchuluka kwa lipids m'magazi.
- Kusintha moyo wanu wa tsiku ndi tsiku. Mwachitsanzo, kusintha zakudya zomwe mumadya, kuchita masewera olimbitsa thupi kwambiri.
- Kuyamba mankhwala ochepetsa mafuta m'thupi.
Kodi mayesowa ayenera kuchitidwa kangati?
Dokotala wanu adzakuuzani nthawi yomwe mukufuna kuyezetsa magazi. Izi zimadalira makamaka ngati muli ndi zinthu zomwe zingakupangitseni kudwala matenda a mtima. Zimatengeranso zaka zanu komanso mbiri yanu yachipatala. Ngakhale ana aang'ono angafunike kuyezetsa magazi ngati ali ndi zinthu zomwe zingawapangitse kudwala.
Chinthu chabwino kwambiri choti muchite ndikulankhula ndi dokotala wanu, kumuuza zonse zokhudza thanzi lanu, ndikuona zomwe angakulangizeni.
Pomaliza, zinthu zoti muzikumbukira
Ndizachilendo kuchita mantha mukaona zotsatira zosazolowereka. Koma kumbukirani, zotsatira zosazolowereka za lipid panel sizitanthauza kuti mukufunika chithandizo. Kuchuluka kwa cholesterol ndi triglyceride kumakhudza kwambiri thanzi lanu lonse, koma zinthu zina zambiri zimakhudza chiopsezo chanu cha matenda a mtima.
Dokotala wanu adzaganizira zinthu zambiri, kuphatikizapo thanzi lanu ndi mbiri yanu yakale ya zamankhwala, kuti asankhe choti achite kenako. Pamodzi, nonse awiri mupanga dongosolo lomwe lingakuthandizeni kwambiri. Choncho musaope kulankhula ndi dokotala wanu za chilichonse.
Kotero, ndikukhulupirira kuti tsopano mwamvetsa bwino tanthauzo la lipid panel. Ndikofunikira kwambiri kudziwa za mayesowa kuti mukhale ndi thanzi labwino!
Cholesterol , mafuta m'thupi, matenda a mtima, LDL, HDL, triglycerides, mayeso a magazi











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