Akenshi dufata cholesterol nk'indwara abantu bakuru gusa, cyane cyane abakuze, si byo se? Ariko mu by'ukuri, n'abana bacu bato, ni ukuvuga abana bari mu kigero cy'amashuri, bashobora kugira iyi ndwara ya cholesterol nyinshi. Wenda wumva ufite ubwoba bwinshi kandi uhangayitse iyo ubonye ko raporo y'amaraso y'umwana wawe igaragaza cholesterol nyinshi. Ushobora kuba urimo kwibaza uti "Ese, ibi byagendekeye bite umwana wanjye?" Ntugahangayike. Iyi ni indwara igaragara mu bana benshi ubu. Ikintu cy'ingenzi ni ukumenya neza ibi no gufata ingamba zikenewe. Reka tuganire kuri byose mu buryo bworoshye ushobora gusobanukirwa.
Mu magambo make, ni iki gituma cholesterol y'aba bana yiyongera?
Reka tubanze dusobanukirwe icyo cholesterol ari cyo. Kolesteroli na triglycerides ni ubwoko bubiri bw'ibinure mu maraso yacu. Ibi tubyita ibi lipide. Imibiri yacu ikenera bimwe muri ibi lipide mu mirimo myinshi y'ingenzi, nko kubaka uturemangingo no gukora imisemburo. Ibyo bivuze ko atari ibintu bibi byose.
Ariko ikibazo gitangira iyo ibi binini bya lipide byiyongereye birenze urugero rukenewe. Nk'uko ifunguro rikenera umunyu muto, iyo hari umunyu mwinshi, ntushobora kurya. Iyo ibi binini bya cholesterol byiyongera, bitangira kwinjirira ku nkuta z'imitsi yacu y'amaraso. Uko igihe kigenda gihita, ibi bishobora kuziba imitsi y'amaraso no gutanga inzira y'indwara zikomeye nk'indwara z'umutima na stroke.
None se twamenya dute niba urugero rwa cholesterol mu mwana ari rwiza cyangwa rubi? Igipimo cy'amaraso cy'ibi cyitwa lipid profile . Ibi ahanini bireba ibi bikurikira:
- Cholesterol ya LDL: Iyi ni yo twita "cholesterol mbi." Iyi ni yo yinjiza mu mitsi y'amaraso ikayibuza.
- Cholesterol ya HDL: Ibi tubyita "cholesterol nziza." Bifasha gutwara cholesterol mbi mu mwijima no kuyikura mu mubiri. Bityo, uko urugero rwa HDL rurushaho kuba rwinshi, niko birushaho kuba byiza.
- Triglycerides: Ubu ni ubundi bwoko bw'ibinure. Si byiza kugira ibi byinshi muri byo.
- Cholesterol yose: Iyi ni uruvange rw'ibi byose byavuzwe haruguru.
Ibipimo by'abana bitandukanye gato n'ibipimo mpuzandengo by'abantu bakuru. Ushobora kubisobanukirwa uhereye ku mbonerahamwe iri hepfo.
| Ubwoko bw'ibinure | Urwego rwiza (Rwemewe) | Ingaruka zo kwiyongera kw'ibiciro (Umupaka) | Urwego rwo hejuru (Rwo hejuru) |
|---|---|---|---|
| Kolesteroli yose | Munsi ya 170 mg/dL | 170 - 199 mg/dL | Hejuru ya 200 mg/dL |
| Kolesteroli mbi (LDL) | Munsi ya 110 mg/dL | 110 - 129 mg/dL | Hejuru ya 130 mg/dL |
| Cholesterol ya HDL ("nziza") | Hejuru ya 45 mg/dL | 40 - 45 mg/dL | Munsi ya 40 mg/dL (hasi ni mbi) |
| Triglycerides | Bihinduka bitewe n'imyaka (ubusanzwe biri munsi ya 90-130 mg/dL) | - | Bihinduka bitewe n'imyaka |
Wibuke ko izi ngero zigomba kugenwa na muganga wawe. Ntugatinye iyo ubonye raporo y'amaraso, uyifate hanyuma uganire na muganga wawe.
Ni ibihe bimenyetso umwana agaragaza iyo cholesterol ye iri hejuru?
Iki ni kimwe mu bibazo bikomeye hano. Ubusanzwe, cholesterol mu mwana iba iri hejuru, ariko nta bimenyetso bigaragara inyuma. Umwana ashobora kugaragara nk'uri gukina no gusimbuka kandi asa n'ufite ubuzima bwiza. Niyo mpamvu ari ngombwa kugenzura urugero rwa cholesterol mu bana niba hari umuntu mu muryango ufite cholesterol cyangwa indwara y'umutima.
Ariko, ni gake cyane, iyo urugero rwa cholesterol rubaye rwinshi cyane, cyane cyane bitewe n’impamvu za genetiki, ibimenyetso nka:
- Ibinure byinshi ku ruhu (Xanthoma):Hari igihe uduce duto tw’umuhondo, dusa n’ibinure dushobora kwirema munsi y’uruhu ahantu nko mu nkokora, mu mavi no mu matako.
- Utubyimba tw'umuhondo hafi y'ijisho (Xanthelasma): Utubyimba tw'umuhondo dushobora kugaragara imbere mu jisho, hejuru cyangwa munsi y'ijisho.
- Korneal Arcus: Impeta y'umweru cyangwa imvi ishobora kugaragara hafi y'inyuma y'inyuma.
Ibi bimenyetso ni gake cyane. Kubwibyo, ni byiza kuvugana na muganga wawe no gupimwa amaraso niba uri mu kaga, aho gutegereza ko ibimenyetso bigaragara.
Kuki cholesterol mu mwana yiyongera?
Hari impamvu nyinshi zishobora kubitera. Ntabwo ari impamvu imwe gusa, ahubwo ni uruvange rw'impamvu nyinshi.
1. Indyo: Iyi ni yo mpamvu nyamukuru kandi imwe dushobora guhindura byoroshye. Niba ugaburira umwana wawe ibiryo birimo amavuta n'ibinure byinshi, cyane cyane ibiryo byihuse, ibiryo byo guteka, ibiryo bipfunyitse mu mapaki, n'ibinyobwa birimo isukari byinshi birimo ibinure byuzuye n'ibinure bya trans, hari amahirwe menshi ko umwana wawe azagira cholesterol nyinshi.
2. Kutagira imyitozo ngororamubiri: Muri iki gihe, abana benshi bamara igihe kinini kuri telefoni zabo, tableti, no imbere ya televiziyo kuruta kujya hanze gukina. Iyo imyitozo ngororamubiri igabanutse, umubiri ntutwika ibinure. Ibi bishobora kongera cholesterol mbi (LDL) no kugabanya cholesterol nziza (HDL).
3. Izindi ndwara: Zimwe mu ndwara nk'umubyibuho ukabije , diyabete , na nephrotic syndrome nabyo bishobora gutera urugero rwa cholesterol nyinshi ku mwana.
4. Inkomoko y'uturemangingo: Iki nacyo ni ikintu cy'ingenzi cyane. Niba umubyeyi cyangwa se, cyangwa umuntu wo mu muryango wa hafi, afite cholesterol nyinshi, cyangwa yararwaye indwara y'umutima akiri muto, umwana na we aba afite ibyago byo kugira cholesterol nyinshi mu mubiri.
Reka turebere hamwe izi mpamvu ziterwa n'uturemangingo.
Hari igihe, uko umwana yananutse kose cyangwa uko yarya neza kose, cholesterol ye ishobora kuba iri hejuru. Impamvu yabyo ni imiterere y'uturemangingo.
- Indwara ya hypercholesterolemia yo mu muryango (FH): Iyi ni indwara iterwa n'uturemangingo. Iyi ni indwara umwana avuka afite cholesterol nyinshi cyane ya LDL ("mbi"). Ibi bishobora kubaho ku mwana iyo azunguye iyi gene kuri nyina cyangwa se. Ubusanzwe, abaganga bakeka ko FH ari yo iyo LDL y'umwana iri hejuru ya 160 mg/dL nta yindi mpamvu.
- Impamvu za Polygenetic: Iki ni igihe umwana akuramo utunyangingo twinshi twongera cholesterol iva kuri nyina na se. Muri iki gihe, urugero rwa cholesterol ruriyongera buhoro buhoro kandi rukarushaho gukomera mu gihe cy'ubwangavu.
Hariho ubundi bwoko bwa cholesterol bwitwa Lipoprotein (a) . Ubu nabwo ni ubwoko bw'uturemangingo. Iyo ibi byiyongera, ibyago byo kurwara indwara z'umutima biriyongera.
Ni ibihe bibazo bishobora kuvuka mu gihe kizaza bitewe n'ubwiyongere bwa cholesterol?
Kuki duhangayikishwa cyane n'umubare munini wa cholesterol mu mwana? Kuko iyo idasuzumwe akiri muto, ishobora guteza ibibazo bikomeye by'ubuzima mu gihe cy'ubukure.
Nkuko byavuzwe mbere, cholesterol nyinshi ya LDL irakomeza kwiyongera mu miyoboro y'amaraso. Ibi byitwa atheroma . Ibi bituma imiyoboro y'amaraso igenda ifungana buhoro buhoro ikakomera. Iyi niyo mpamvu:
- Iyo imitsi ijyana amaraso ku mutima izibye , umutima ushobora gutera.
- Iyo imiyoboro y'amaraso ijyana amaraso mu bwonko izibye , indwara yo gucika kw'imitsi ishobora kubaho.
- Indwara y'imitsi yo mu mpande ishobora kubaho iyo imitsi ijyana amaraso ku maguru izibye.
Ibi bintu ntibibaho mu ijoro rimwe, ahubwo bibaho mu myaka myinshi ishize. Niyo mpamvu kubimenya no kubicunga akiri muto ari ishoramari rikomeye mu hazaza h'umwana hose.
Ni iki twakora kugira ngo tugenzure urugero rwa cholesterol mu mwana wacu?
Inkuru nziza ni uko iyi ndwara irakira neza. Uburyo bwa mbere muganga avura ni uguhindura imibereho.
Intambwe ya mbere: Indyo n'imyitozo ngororamubiri
Mbere yo gukoresha imiti, buri muganga agerageza kugenzura urugero rwa cholesterol binyuze muri ubu buryo bubiri. Uruhare rwawe ni ingenzi kuri ibi.
- Ibiribwa bifite ibinure bike: Gabanya ibinure byose mu biribwa ugaburira umwana wawe. Cyane cyane, ugomba kugabanya ikoreshwa rikabije ry'inyama zatunganyijwe , sosiso , amata yuzuye ibinure na foromaje , amavuta , amavuta ya palme , n'amavuta ya kokonati .
- Hitamo ibinure byiza: Aho gukoresha ibinure bibi, ongeramo ibinure byiza nk'amavuta ya elayo , avoka n'amavuta y'amafi mu ndyo yawe.
- Ibiribwa bikungahaye kuri fibre: Kurya ibiryo byinshi bikungahaye kuri fibre nk'imboga, imbuto, ibinyamisogwe, amashu, umuceri utukura, ibinyamisogwe, lentile, n'ibinyamisogwe. Ibi bigabanya kwinjiza cholesterol mu mubiri.
- Gabanya ibinyobwa birimo isukari n'isukari: Gabanya kurya ibiryo birimo isukari nk'ibinyobwa by'imbuto bipfunyitse, ibinyobwa birimo karubone (soda), keke, ibisuguti, na shokora uko bishoboka kose. Ibi byongera urugero rwa triglyceride.
- Imyitozo ngororamubiri: Shishikariza umwana wawe gukina nibura isaha imwe ku munsi. Bishobora kuba ikintu icyo ari cyo cyose kuva ku igare, kwiruka, gusimbuka, cyangwa koga. Gukora imyitozo ngororamubiri nk'umuryango bishobora kuba uburyo bwiza bwo gukomeza umwana wawe.
Intambwe ya Kabiri: Imiti (cyangwa na muganga) gusa iyo bibaye ngombwa
Niba urugero rwa cholesterol mu mwana wawe rutagabanutse nyuma y'amezi agera kuri 6 amaze guhindura imibereho yavuzwe haruguru, cyangwa niba urugero ruri hejuru cyane, muganga ashobora gufata icyemezo cyo kumuha imiti. Imiti ikunze gutangizwa ku bana barengeje imyaka 8.
Icy'ingenzi kurushaho: Ntukigere uha umwana wawe imiti igabanya cholesterol wenyine. Iyi miti igomba gutangwa gusa ubanje kugirwa inama na muganga w'abana cyangwa umuganga w'inzobere.
Imiti ikunze kwandikirwa ni ubwoko bw'imiti yitwa statins (urugero: Atorvastatin, Rosuvastatin). Iyi miti ikora mu kugabanya umusaruro wa cholesterol mu mwijima no gukura cholesterol nyinshi mu maraso.
Nk'umubyeyi, nafasha nte umwana wanjye?
Ufite uruhare runini muri uru rugendo. Ntabwo wabikora utuka cyangwa ubuza umwana wawe. Ugomba kumusobanukirwa no kumenyera ibi mu rukundo.
1. Huza umuryango wose: Ntukagire iki gihano ku mwana gusa. Aho kuvuga ngo "Ni wowe wenyine udashobora kurya amavuta," ni inkunga ikomeye ku mwana kugira ngo umuryango wose umenyere uburyo bumwe bwo kurya avuga ati "Twese turye neza ubu."
2. Hindura uburyo utegura ibiryo: Aho gukaranga cyane, gerageza uburyo nko guteka, gukaranga, guteka no gukaranga mu kirere . Mu gihe uteka curry, ni byiza kuyiteka mu musururu w'amata kuruta kuyiteka mu mavuta.
3. Soma ibyapa: Mu gihe uguze ibiryo mu iduka, reba icyapa cy'ingano y' "ibinure byuzuye" na "ibinure bya trans." Hitamo ibintu bifite ingano ntoya yabyo.
4. Udukoryo twiza: Ese ugaburira umwana wawe ibiryo bipfunyitse nyuma ya saa sita? Ahubwo, gerageza kumuha imbuto, yawurute, ibice by'imboga (karoti, concombre), ibishyimbo bitetse, n'ibishyimbo bibisi.
5. Jyana umwana wawe mu isuzuma n'ivuriro nk'uko muganga yabigutegetse. Ni ingenzi cyane gukurikirana iterambere ry'umwana.
Tekereza nawe, iki ni ishoramari uri gushyira mu bikorwa ahazaza h'umwana wawe. Mu kwitoza izi ngeso akiri muto, aziga kubaho ubuzima bwiza nubwo azaba akuze.
Ubutumwa bwo kujyana mu rugo
- Kolesteroli nyinshi ni indwara ishobora kwibasira abantu bakuru ndetse n'abana. Ntukayitinye, irinde.
- Akenshi, cholesterol nyinshi mu bana ntabwo igaragaza ibimenyetso by'inyuma. Niba hari umuntu mu muryango ufite amateka y'indwara z'umutima cyangwa cholesterol nyinshi, ni ngombwa ko umwana wawe apimwa.
- Intambwe ya mbere kandi y'ingenzi mu kuvura ni ugutanga indyo yuzuye no gukora imyitozo ngororamubiri ihagije.
- Ni imbaraga zikomeye ku mwana kugira umuryango wose uhurire hamwe kandi ukamenyera izi mpinduka mu mibereho ye.
- Ntuzigere uha umwana wawe imiti igabanya cholesterol nta nama ya muganga. Buri gihe ganira na muganga wawe kuri ibi.











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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.