Cholesterol Yambiri Ali Wachinyamata - Ngozi Yomwe Simungaganizire!

Mukamva mawu oti "cholesterol," kodi n’chiyani chimabwera m’maganizo mwanu? Nthawi zambiri, ndi matenda omwe amakhudza anthu okalamba komanso omwe ali ndi kunenepa pang’ono, sichoncho? Koma mungadabwe kudziwa kuti ngakhale wachinyamata, wazaka za m’ma 20, akhoza kukhala ndi vuto lalikulu la mtima. Ndipotu, kuchuluka kwa cholesterol m’magazi ali wamng’ono kumakhala koopsa kwambiri kuposa momwe timaganizira, ndipo anthu ambiri sakudziwa za vutoli. Lero, tikambirana za nkhani yosayembekezereka, koma yofunika kwambiri.

Brandon Wilson anadwala matenda a mtima koyamba ali ndi zaka 29. Tsiku lina, anamva kupweteka kwambiri pachifuwa. Amayi ake ndi bwenzi lake lapamtima anamuthamangira naye ku chipinda chadzidzidzi cha chipatala (ETU). Koma poyamba, madokotala sanakhulupirire kuti munthu wachinyamata chonchi akhoza kukhala ndi matenda a mtima. Pambuyo pake, mayeso anavumbula kuti Brandon anali ndi vuto la 99% m'mitsempha yayikulu yamagazi yomwe imapereka magazi kumtima kwake. Anali ndi vuto lobadwa nalo lotchedwa high cholesterol. Nkhaniyi ikutisonyeza kuti cholesterol si nkhani ya ukalamba wokha.

Kodi cholesterol ndi chiyani? Nchifukwa chiyani ndi yofunika kwa achinyamata?

Mwachidule, cholesterol ndi mtundu wa mafuta omwe ndi ofunikira pakukula kwa maselo m'thupi lathu komanso kupanga mahomoni ena. Koma mavuto amayamba ngati ali ochuluka kwambiri.

Tikamalankhula za cholesterol, tikulankhula za mitundu iwiri ikuluikulu, sichoncho?

• Cholesterol ya LDL (Low-Density Lipoprotein): Ichi ndi chomwe timachitcha kuti "choyipa". Chikawonjezeka, chimatha kusonkhana pamakoma a mitsempha yathu yamagazi, ndikuchepetsa ndikutseka. Ichi ndiye chifukwa chachikulu cha matenda monga matenda a mtima ndi sitiroko.
• Cholesterol ya HDL (High-Density Lipoprotein): Ichi ndi chomwe timachitcha kuti "chabwino". Izi zili choncho chifukwa chimanyamula cholesterol yoyipa yochulukirapo kuchokera m'mitsempha yamagazi kupita ku chiwindi ndikuyichotsa m'thupi. Chifukwa chake, kukhala ndi HDL yochuluka ndikwabwino pamtima.

Achinyamata ambiri amaganiza kuti ayenera kuda nkhawa ndi cholesterol akamakula. Koma chimenecho ndi cholakwika chachikulu. Vuto lalikulu ndilakuti ngakhale cholesterol yanu itakhala yokwera, sangasonyeze zizindikiro zilizonse mukadali achichepere. Izi zikutanthauza kuti mutha kuwononga kwambiri mkati popanda vuto lililonse.

Kuopsa kwa cholesterol yobadwa nayo - Familyal Hypercholesterolemia (FH)

Kawirikawiri, cholesterol imawonjezeka chifukwa cha zolakwika pa moyo monga chakudya chomwe timadya komanso kusachita masewera olimbitsa thupi. Komabe, Familyal Hypercholesterolemia, kapena FH mwachidule, ndi vuto losiyana.

Akuti pafupifupi munthu m'modzi pa anthu 250 aliwonse padziko lapansi ali ndi FH. Koma chomvetsa chisoni n'chakuti, ambiri mwa anthuwa sadziwa kuti ali ndi vutoli.

Kodi ndi liti pamene muyenera kuyesa kuchuluka kwa cholesterol yanu?

Funso ili ndi lofunika kwambiri, chifukwa palibe zizindikiro, ndipo izi zitha kuzindikirika pongoyesa.

Madokotala nthawi zambiri amalimbikitsa:

• Kwa ana: Kuyezetsa koyamba kumalimbikitsidwa pakati pa zaka 9 ndi 11. Pambuyo pake, kuyezetsa kumachitika pafupifupi zaka 5 zilizonse. Komabe, ngati wina m'banjamo wakhala ndi matenda a mtima ali wamng'ono kapena ali ndi cholesterol yambiri, dokotala angakulangizeni kuti muwone kuchuluka kwa cholesterol m'thupi la mwana wanu ali ndi zaka ziwiri .
• Kwa achinyamata: Ndibwino kuti muyezedwe cholesterol yanu osachepera zaka 5 zilizonse mutakwanitsa zaka 20. Mukakula (mutatha zaka 55 kwa akazi, mutatha zaka 45 kwa amuna), mayesowa ayenera kuchitika pafupipafupi.

Ngati muli ndi FH, kodi kusintha moyo wanu kokha sikokwanira?

Uku ndiye kusiyana kwakukulu pakati pa kuchuluka kwa mafuta m'thupi (FH) ndi mafuta m'thupi (cholesterol) abwinobwino. Mukukumbukira nkhani ya Brandon yomwe tidakambirana kale? Anapezeka ndi FH ali ndi zaka 8. Kuyambira nthawi imeneyo, amayi ake adamupatsa zakudya zabwino komanso zopanda mafuta m'thupi. Ankasewera masewera olimbitsa thupi, anali wochita masewera olimbitsa thupi. Ankachita chilichonse "moyenera." Ali ndi zaka 20, dokotala adamupatsa mankhwala ochepetsa mafuta m'thupi (statin).

Koma ngakhale zinali choncho, adadwala matenda a mtima ali ndi zaka 29.

Kodi izi zikutanthauza chiyani?

Zakudya zabwino ndi masewera olimbitsa thupi ndizofunikira kwambiri kwa munthu amene ali ndi FH. Koma zinthu zimenezo zokha sizingalamulire kuchuluka kwa cholesterol m'thupi. Chifukwa vuto silili m'moyo, koma m'majini. Chifukwa chake, munthu amene ali ndi FH ayenera kumwa mankhwala amodzi kapena angapo ochepetsa cholesterol m'thupi kwa moyo wake wonse .

Kodi inenso ndingakhale ndi FH? Ndingadziwe bwanji?

Ngati wina m'banja mwanu (makolo, abale, agogo) wakhala ndi matenda a mtima kapena sitiroko ali wamng'ono (amuna osakwana zaka 55, akazi osakwana zaka 65) , chimenecho ndi chifukwa chachikulu choopsa.

Komanso, ngati lipoti lanu la mayeso a cholesterol likuwonetsa kuchuluka kwa LDL kupitirira 190 mg/dL (kapena kupitirira 160 mg/dL mwa mwana), kungakhale chizindikiro champhamvu cha FH.

Ngati mukuganiza kuti muli pachiwopsezo, pali zinthu zingapo zomwe mungachite:

1. Pitani kwa dokotala nthawi yomweyo: Uzani dokotala wanu mbiri ya thanzi la banja lanu momveka bwino.

2. Funsani banja lanu: Funsani abale anu za cholesterol ndi matenda a mtima.

3.Pitani kwa katswiri: Ngati pakufunika, dokotala wanu adzakutumizani kwa katswiri wa matenda a mtima.

4. Dziwitsani banja lanu: Ngati mwapezeka ndi matenda a FH, pali mwayi wa 50% kuti makolo anu, abale anu, ndi ana anu nawonso akhale nawo. Chifukwa chake, ndikofunikira kwambiri kuti aliyense ayezedwe .

Tsopano Brandon akukhala mosangalala ndi ana ake asanu. Mwana wake wamkazi nayenso wapezeka ndi matenda a FH. Koma Brandon akuti, "Ndikudziwa kuti mwana wanga wamkazi sadzakhala ndi vuto lililonse." Chifukwa tsopano akudziwa kuti matendawa ndi chiyani komanso choti achite. Kuzindikira msanga ndi chithandizo choyenera kungapulumutse moyo.