Tangoganizirani, ndinu woonda kwambiri, mumachita masewera olimbitsa thupi bwino, ndipo mumasamala kwambiri zomwe mumadya ndi kumwa. Muli ndi zaka pafupifupi 40. Ndani angaganize kuti munthu wotereyu angakhale ndi vuto la mtima? N'zosadabwitsa, sichoncho? Koma izi ndi zenizeni. Lero tikulankhula za matenda osawoneka bwino, koma oopsa kwambiri. Ichi ndi chinthu chomwe anthu ambiri sadziwa, koma tonsefe tiyenera kudziwa.
Kodi matenda obadwa nawo a cholesterol ndi chiyani? (Familial Hypercholesterolemia)
Mwachidule, uwu ndi matenda obadwa nawo. Ndiko kuti, ndi chinthu chomwe timalandira kuchokera kwa makolo athu. Munthu amene ali ndi matendawa amakhala ndi cholesterol yambiri ya LDL (Low-Density Lipoprotein), yomwe timaitcha "cholesterol yoyipa", m'thupi lake kuyambira kubadwa.
Kawirikawiri, tikamalankhula za cholesterol, timaganiza kuti izi zimawonjezeka mwa anthu omwe amadya zakudya zamafuta ndi mafuta, osachita masewera olimbitsa thupi, komanso onenepa kwambiri. Izi ndi zoona pamlingo wina. Koma mu mkhalidwe uwu wotchedwa Familyal Hypercholesterolemia (FH) , ngakhale mutachepa thupi kapena moyo wanu uli wathanzi bwanji, kuchuluka kwa cholesterol yoyipa m'thupi lanu kumawonjezeka kokha. Chifukwa, chifukwa cha izi si moyo wanu, koma vuto m'majini anu.
Pachifukwa ichi, ngakhale wachinyamata amene akuganiza kuti ali ndi thanzi labwino akhoza kudwala matenda a mtima kapena sitiroko mwadzidzidzi popanda chenjezo lililonse.
Zaka zingapo zapitazo, mayi wina wazaka 40 anafotokoza zomwe zinamuchitikira. Anali woonda kwambiri komanso wathanzi. Tsiku lina, ali ku lesitilanti, anamva kulemera kwambiri pachifuwa pake ndipo ankatuluka thukuta kwambiri. Atapita nthawi yomweyo kukaonana ndi dokotala, atangochitidwa ECG, dokotalayo anati, "Mwangodwala matenda a mtima." Sanakhulupirire.
Pambuyo pake, mayeso apadera otchedwa ``Heart Catheterization`` adapeza kuti mitsempha inayi yayikulu yamagazi yomwe imapereka magazi kumtima mwake inali itatsekedwa ndi 90%. Mkati mwa milungu iwiri, machubu asanu ang'onoang'ono, otchedwa ``Stents``, adayenera kuyikidwa kuti mitsemphayo isatseguke. Pomaliza pake zidapezeka kuti anali ndi matenda otchedwa Familyal Hypercholesterolemia (FH).
Kodi ana athu nawonso ali pachiwopsezo?
Ichi ndi chinthu chofunikira kwambiri chomwe tiyenera kuyang'ana kwambiri. Popeza FH ndi matenda obadwa nawo, ngati kholo limodzi lili ndi matendawa, pali mwayi wa 50% kuti anawo adzalandira matendawa . Izi zikutanthauza kuti ngati pali ana awiri, pali mwayi waukulu kuti mmodzi mwa iwo adzakhala ndi matendawa.
Kuopsa kwa izi ndikuti, chifukwa zizindikiro sizikuwoneka, sitingadziwe kuti mwana ali ndi matendawa. Koma mkati mwa thupi la mwanayo, cholesterol yoipa imayamba kusonkhana m'mitsempha yamagazi pang'onopang'ono. Chifukwa cha izi, mwanayoNgakhale ali wamng'ono, ndiko kuti, ali ndi zaka za m'ma 20 ndi 30, pali chiopsezo chachikulu cha matenda a mtima kapena sitiroko.
Chifukwa chake, ngati wina m'banja mwanu wakhala ndi matenda a mtima ali wamng'ono, kapena ngati pali mbiri ya banja lomwe lili ndi cholesterol yambiri, ndikofunikira kwambiri kuti ana anu ayesedwe ngati ali ndi cholesterol. Bungwe la American Academy of Pediatrics limalimbikitsanso kuti ana onse azaka zapakati pa 9 ndi 11 ayezedwe cholesterol yawo.
Nthawi yoti muganize kuti muli ndi FH
Si mafuta onse okwera m'thupi omwe ali ndi FH. Koma pali zizindikiro zina zomwe ziyenera kuganiziridwa kuti n'zokayikitsa kwambiri. Ndifotokoza izi patebulo.
| Nkhani yokayikitsa | Kufotokozera |
|---|---|
| Mafuta ambiri a LDL cholesterol | Ngati LDL ya munthu wamkulu ndi yoposa 190 mg/dL kapena LDL ya mwana ndi yoposa 160 mg/dL (mitengo iyi ingasiyane pang'ono malinga ndi dziko). |
| Mbiri ya banja | Ngati wachibale (mwamuna wosakwana zaka 55, mkazi wosakwana zaka 65) wakhala ndi vuto la mtima kapena matenda a mtima. |
| Makhalidwe a thupi (si aliyense amene ali nawo) | Mafuta achikasu amatuluka pakhungu lozungulira maso (Xanthelasmas), ziphuphu zamafuta m'mapini a minofu m'manja, m'zigongono, kapena m'mawondo (Tendon Xanthomas). |
Kodi kungosintha moyo wanu sikokwanira?
Funso limene anthu ambiri amafunsa ndi ili, "Kodi sindingathe kuchepetsa cholesterol yanga ngati ndidya bwino komanso kuchita masewera olimbitsa thupi?" Pankhani ya cholesterol yochuluka bwino, kusintha kwa moyo kungapangitse kusiyana kwakukulu.
Koma pankhani ya FH, kusintha kwa moyo kokha sikukwanira . Chifukwa vuto ndi vuto la majini lomwe limapanga ndikuchotsa cholesterol m'thupi lanu. Chifukwa chake, ngakhale kudya zakudya zabwino komanso kuchita masewera olimbitsa thupi ndikofunikira kwambiri, chithandizo chamankhwala ndichofunikira kwambiri kuti muchepetse kuchuluka kwa cholesterol ya LDL m'magazi.
Madokotala nthawi zambiri amalemba mankhwala ochepetsa cholesterol, monga ma statins. Mankhwalawa, omwe amaperekedwa ngakhale kwa ana pa mlingo wochepa, amatha kuchepetsa kwambiri chiopsezo cha matenda a mtima mtsogolo.
Zinthu zoti mufunse dokotala wanu
Ngati inu kapena wina m'banja mwanu ali ndi cholesterol yambiri, ndikofunikira kwambiri kukaonana ndi dokotala wanu ndikufunsa mafunso awa.
- Ndi mayeso ati a cholesterol omwe ndiyenera kuchita? (monga Lipid Profile)
- Kodi ndiyenera kuchita mayeso amenewa kangati?
- Kodi zakudya ndi masewera olimbitsa thupi zingathandize bwanji kuchepetsa kuchuluka kwa cholesterol m'magazi anga?
- Kodi chiopsezo changa cha matenda a mtima ndi chotani?
- Ndi zizindikiro ziti zomwe ndiyenera kuziganizira kwambiri? (monga kupweteka pachifuwa, kuvutika kupuma)
Kudziwa izi kudzakuthandizani kwambiri kuti mudziteteze nokha ndi okondedwa anu ku matenda aakulu. Kumbukirani kuti, kudziwa bwino nkhaniyi ndiko chitetezo chabwino kwambiri.
Uthenga Wopita Nawo Kunyumba
- Matenda a Familyal Hypercholesterolemia (FH) ndi matenda a majini omwe amafalikira m'mibadwo yambiri. Izi zingayambitse kuchuluka kwa cholesterol ngakhale kwa anthu ochepa thupi komanso athanzi.
- Ngati wina m'banja mwanu wakhala ndi matenda a mtima ali wamng'ono (amuna < 55, akazi < 65), ndikofunikira kwambiri kuti inu ndi ana anu mufufuze cholesterol yawo.
- Pankhani ya FH, ngakhale kuti ndikofunikira kukhala ndi moyo wathanzi, nthawi zambiri ndikofunikira kumwa mankhwala olembedwa ndi dokotala kuti muchepetse kuchuluka kwa cholesterol m'magazi.
- Kuzindikira msanga ndi kulandira chithandizo choyenera kungachepetse kwambiri chiopsezo cha mavuto aakulu monga matenda a mtima ndi sitiroko.
- Ngati muli ndi nkhawa iliyonse yokhudza kuchuluka kwa cholesterol m'magazi anu kapena mbiri ya banja lanu, onetsetsani kuti mwalankhula ndi dokotala wanu.











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