Ese ufite triglycerides nyinshi mu maraso yawe? Reka tuvuge kuri hypertriglyceridemia!

Ese wigeze wumva ibinure mu maraso? Ahari umuganga yakubwiye ko "triglycerides zisa nkaho ziri hejuru gato." Uyu munsi tugiye kuvuga ku byo izi triglycerides ari byo mu by'ukuri, uko bigenda iyo ziri hejuru, n'icyo twagombye gukora kuri byo. Ntugahangayike, ndabisobanura mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Triglycerides ni iki? Kuki ari ingenzi kuri twe?

Muri make, triglycerides ni ubwoko bw'ibinure biri mu maraso yacu. Biha imibiri yacu imbaraga. Tubona triglycerides mu byo turya, cyane cyane mu bintu nk'amavuta n'amavuta. Si ibyo gusa, ahubwo iyo turya karori nyinshi kurusha izo umubiri wacu ukeneye, imibiri yacu ihindura izo karori zirenzeho muri triglycerides ikazigira. Nyuma, iyo dufite ingufu nke, imibiri yacu ikoresha izi triglycerides zabitswe.

Rero, triglycerides ni ikintu cy'ingenzi kiduha imbaraga. Ariko, iyo ziyongera cyane mu maraso, byongera ibyago byo kurwara indwara z'umutima n'imitsi. Niyo mpamvu ari ngombwa ko tumenya iyi ndwara yitwa hypertriglyceridemia no kugenzura urugero rwa triglycerides zacu.

None se, triglycerides zingana iki nziza?

Igipimo rusange cya triglyceride mu maraso y'umuntu mukuru kigomba kuba kiri munsi ya miligarama 150 kuri desilita imwe (150 mg/dL). Mu by'ukuri, munsi ya 100 mg/dL ni cyo cyiza. Ikintu cy'ingenzi ni ugupima igipimo cya triglyceride yawe mu gihe wiyirije ubusa. Ibi bivuze ko upimwa amaraso yawe nyuma y'amasaha 10-12 utariye cyangwa ngo unywe ikintu icyo ari cyo cyose (usibye amazi).

Hypertriglyceridemia ni igihe urugero rwa triglyceride yawe ruri kuri 150 mg/dL cyangwa hejuru yayo.

Dore incamake y'urugero rwa triglyceride mu gihe umuntu mukuru yiyiriza ubusa:

• Urwego rwiza: munsi ya 150 mg/dL
• Uburemere bw'umupaka: 150 - 199 mg/dL
• Urwego rwo hejuru: 200 – 499 mg/dL
• Hejuru cyane: 500 mg/dL cyangwa hejuru yayo

Igipimo cyiza cya triglyceride ku bana n'urubyiruko (bari hagati y'imyaka 10 na 19) kigomba kuba kiri munsi ya 90 mg/dL. Niba igipimo cya triglyceride ku mwana wawe kiri hejuru, ni byiza kuvugana na muganga ku buryo bwo kugigabanya.

Hypertriglyceridemia ikomeye ni iki? Ese ni akaga?

Kurwara cyane kw'ibinure bikabije (hypertriglyceridemia) ni igihe urugero rwa triglyceride yawe ruri kuri 500 mg/dL cyangwa irenga. Abantu bafite iyi ndwara baba bafite ibyago byinshi byo kurwara indwara yitwa pancreatitis ikabije . Iyi ni indwara yo kubyimba pancreas isaba ubuvuzi.

Hypertriglyceridemia ni indwara isaba kwitabwaho no kuvurwa. Ariko, akenshi, ntabwo ari ikibazo cyihutirwa cy’ubuvuzi.Muganga wawe ashobora kugufasha kugabanya iki kigero. Kubikora bishobora gufasha kwirinda ingorane zishobora kugira ingaruka ku mutima wawe cyangwa ku ndurwe.

Ese hypertriglyceridemia na cholesterol ni kimwe?

Yego, ibi byombi ntabwo ari bimwe. Hypertriglyceridemia na cholesterol nyinshi ni indwara ebyiri zitandukanye. Ariko byombi bifitanye isano n'ibinure byitwa lipide mu maraso yawe.

Lipide ni ibinure bikora imirimo y'ingenzi mu mibiri yacu. Triglycerides na cholesterol ni ubwoko bubiri bwa lipide. Byombi binyura mu maraso mu duce tw’umubiri twitwa lipoproteine.

Hypertriglyceridemia ni ukwiyongera kwa triglycerides mu maraso. Hypercholesterolemia ni ukwiyongera kwa cholesterol.

Akenshi, abantu bafite triglycerides nyinshi nabo baba bafite urugero rwa cholesterol ruri hejuru. Triglycerides nyinshi zishobora kuba mbi, cyane cyane niba cholesterol yawe "nziza", HDL (High-Density Lipoprotein), iri hasi naho cholesterol yawe "mbi", LDL (Low-Density Lipoprotein), iri hejuru.

Vugana na muganga wawe icyo izi ntera mu maraso yawe bivuze n'uburyo bwo kuzigarura ku rugero rwiza.

Iyi ndwara ikunze kugaragara gute?

Dukurikije ubushakashatsi bwakorewe muri Leta Zunze Ubumwe za Amerika, hafi umuntu umwe kuri batanu mu bantu bakuru aba afite urugero rwa triglyceride rwiyongera (rurenze 150 mg/dL). Ariko, ibi byago biriyongera uko imyaka igenda ishira. Ubushakashatsi bwagaragaje ko 42% by'abantu barengeje imyaka 60 bafite iyi ndwara. Iyi ndwara ishobora kuba isanzwe no muri Sri Lanka, bitewe n'imirire n'imibereho yacu.

Ni ibihe bimenyetso bya hypertriglyceridemia?

Abantu benshi barwaye hypertriglyceridemia ntibagaragaza ibimenyetso. Niyo mpamvu ishobora kumera nk' "umwanzi utagira icyo avuga." Abantu barwaye hypertriglyceridemia ikomeye rimwe na rimwe bashobora kurwara indwara yitwa xanthomas. Utu ni utubyimba duto tw'ibinure tuba munsi y'uruhu. Akenshi tugaragara hafi y'amaso. Ariko rimwe na rimwe dushobora no kumera ahantu nko mu mavi, mu nkokora no mu biganza.

Kuki urugero rwa triglyceride mu mubiri wacu rwiyongera? Impamvu ni izihe?

Hari impamvu nyinshi zitera hypertriglyceridemia. Izo ni izi:

• Ibintu bitera imibereho
• Izindi ndwara zishingiye ku
• Imiti imwe n'imwe
• Indwara z'ibinure mu maraso

Reka turebe buri kimwe muri ibi mu buryo burambuye.

Ingaruka z'imibereho

Imibereho yacu igira ingaruka zikomeye ku rugero rwa triglyceride yacu. Kuko, nkuko nabivuze mbere, uko turya karori nyinshi, niko imibiri yacu ihinduka triglyceride nyinshi. Rero, niba unywa isukari nyinshi, ibinure, cyangwa inzoga kurusha ibyo umubiri wawe ukeneye, urugero rwa triglyceride yawe rushobora kwiyongera.

Ibintu bigize imibereho bigira uruhare mu gutera triglycerides nyinshi:

• Kunywa inzoga nyinshi: Urabizi, bamwe muri twe tunywa inzoga nyinshi cyane mu birori. Ibyo nabyo bigira ingaruka kuri twe.
• Kurya cyane karubohidrati n'isukari byatunganyijwe: Ibiribwa bikozwe mu ifu y'umugati (urugero: imitsima migufi, ibiryo byo guteka), ibinyobwa biryoshye, keke, ibisuguti, nibindi.
• Kurya ibinure byinshi byuzuye: Ibi biboneka mu biribwa birimo ibinure byinshi, inyama zitukura, n'ibiribwa bikozwe mu mavuta ya kokonati.
• Kutagira imyitozo ngororamubiri (imibereho yo kwicara): Kwicara ahantu hamwe umunsi wose, gukora, no kudakora siporo.

Tekereza gato, niba turya agace k'ifi itetse mu mavuta, umufa ukozwe mu mata y'inkoko, n'ikinyobwa cyiza usibye umuceri turya ku munsi, karori z'inyongera muri ibyo byose zishobora kubikwa mu mubiri nka triglycerides.

Bitewe n'indwara zimwe na zimwe

Urugero rwa triglyceride rushobora no kwiyongera bitewe n'indwara zitandukanye. Dore ingero zimwe na zimwe:

• Diyabete
• Hypothyroidism
• Ubudahangarwa bwa insuline
• Indwara y'impyiko
• Indwara y'umwijima
• Lupus
• Indwara ya metabolike
• Indwara ya Nephrotic
• Ubwinshi burenze urugero cyangwa umubyibuho ukabije
• Indwara ya rubagimpande

Abagore bafite izindi mpamvu zihariye zishobora gutera ibyago:

• Gucura
• Gutwita - cyane cyane mu gihembwe cya gatatu cy'umubyibuho.

Kubera imwe mu miti dufata

Urugero rwa triglyceride rushobora kwiyongera iyo ukoresheje imiti imwe n'imwe. Ingero:

• Imiti igabanya ubukana bw'indwara zo mu mutwe - urugero nka Clozapine, Olanzapine
• Imiti imwe ikoreshwa mu kuvura ubwandu bwa virusi itera SIDA (imiti igabanya ubukana bwa virusi itera SIDA (ART))
• Imiti imwe n'imwe igabanya umuvuduko w'amaraso (Beta-blockers - idatoranyije)
• Corticosteroids
• Cyclofosfamide
• Estrogen yo mu kanwa
• Tamoxifen
• Thiazides - imiti itera kwiyongera k'inkari

Icy'ingenzi kurushaho: Ntugahagarike gufata umuti wanditswe na muganga utabanje kuvugana na we. Niba hari umuti utera triglycerides yawe kwiyongera, muganga wawe azagufasha. Ashobora guhindura ingano cyangwa kuguha undi muti.

Indwara z'uturemangingo zagiye zihererekanywa mu bisekuruza

Hari abantu bashobora kandi kugira urugero rudasanzwe rwa triglyceride na cholesterol bitewe n'impamvu za genetiki. Ingero:

• Hyperlipidemia ihuriweho n'umuryango: Kwiyongera kwa triglycerides, kwiyongera kwa cholesterol ya LDL, no kugabanuka kwa cholesterol ya HDL.
• Hypertriglyceridemia yo mu muryango (ubwoko bwa IV dyslipidemia yo mu muryango): Iyongera rya triglycerides gusa.
• Dysbetalipoproteinemia yo mu muryango (ubwoko bwa III hyperlipoproteinemia): Inyongera ya triglyceride n'urugero rw'amavuta yose ya cholesterol.
• Indwara ya chylomicronemia yo mu muryango (FCS): Urugero rwa triglyceride ruri hejuru ya 1000 mg/dL.

Akenshi, hypertriglyceridemia ishobora guterwa n'imwe muri izi mpamvu. Urugero, umuntu ashobora kuba afite indwara ya genetiki ndetse n'imibereho mibi. Muganga wawe azagena izo mpamvu kandi aguhe uburyo bwiza bwo kuvura.

Wamenya ute ko ufite hypertriglyceridemia?

Hari uburyo bubiri bw'ingenzi bwo kubimenya: gusuzumwa umubiri na muganga no gupimwa amaraso.

Isuzuma ry'umubiri rikorwa na muganga

Muganga azakora isuzuma ry’umubiri kugira ngo amenye ubuzima bwawe. Azabaza kandi ibi bikurikira:

• Hari umuntu mu muryango ufite indwara y'umutima, cholesterol nyinshi, cyangwa triglycerides nyinshi?
• Ubuzima bwawe (urugero: inzoga, kunywa itabi).
• Izindi ndwara ufite.
• Imiti ukoresha.

Ukoresheje aya makuru, muganga wawe ashobora gusobanukirwa icyaba gitera triglycerides nyinshi mu mubiri wawe ndetse n'ibyago byawe byo kurwara indwara z'umutima.

Isuzuma ry'amaraso

Ikizamini cyoroshye cy'amaraso cyitwa lipid panel ni bwo buryo bwonyine bwo gusuzuma neza hypertriglyceridemia. Iki kizamini gipima urugero rwa triglyceride yawe ndetse n'urugero rwa cholesterol yawe.

Nkuko nabivuze mbere, muganga azakubwira kwiyiriza ubusa amasaha agera kuri 10-12 mbere y'iki gipimo cy'amaraso. Ibyo bivuze ko utagomba kurya cyangwa kunywa ikindi kintu uretse amazi. Kugira ngo ubone ibisubizo nyabyo, ni ngombwa cyane kwiyiriza ubusa nk'uko muganga abikubwira.

Ni ubuhe buryo bwiza bwo kuvura ibi? Nabugabanya nte?

Hari uburyo butatu bw'ingenzi bwo kuvura hypertriglyceridemia:

• Impinduka mu mibereho
• Imiti (imiti)
• Kuvura impamvu zitera triglycerides nyinshi.

Ushobora gukenera bumwe cyangwa bwinshi muri ubu buryo. Muganga wawe ni we uzaguhitiramo gahunda nziza yo kuvura.

Guhindura imibereho - ibi ni byo bintu by'ingenzi mbere na mbere!

Ubuvuzi bukunze gutangirira ku guhindura imibereho. Ibi ni byo bintu by'ingenzi:

• Irinde inzoga: gabanya uko bishoboka kose, cyangwa uzireke burundu.
• Irinde karubohidrati n'isukari byatunganyijwe: Gabanya kurya umugati, ibintu biryoshye n'ibinyobwa uko bishoboka kose. Ahubwo, jya urya ibinyampeke byuzuye, imboga n'imbuto.
• Kurya amafi menshi yo mu nyanja, cyane cyane amafi akungahaye kuri aside irike ya omega-3: amafi nka salmon, mackerel, herring, na tuna ni amahitamo meza.
• Imyitozo ngororamubiri myinshi:Kora ikintu nko kugenda n'amaguru, kwiruka, koga byibuze iminota 30 ku munsi. Gerageza no gukora ibikorwa byawe bya buri munsi.
• Genzura ifunguro ryawe rya kalori kugira ngo ugabanye ibiro bikabije: Gerageza gukomeza kugira ibiro bikwiranye n'uburebure bwawe.
• Hitamo ibinure byiza aho gukoresha ibinure byuzuye kandi bya trans: gabanya ibintu nk'amavuta ya kokonati, amavuta ya palme, amavuta y'amavuta, na margarine, kandi ukoreshe ibintu nk'amavuta ya elayo, amavuta ya canola, n'imbuto zimwe na zimwe.

"Impinduka nto nko gukoresha amavuta make iyo uteka mu rugo, kugabanya ingano y'ibiryo birimo amavuta menshi turya mu iduka, no kunywa icyayi kidasembuye aho kunywa icyayi kirimo isukari bishobora kugira ingaruka zikomeye."

Imiti

Niba guhindura imibereho yawe byonyine bitagenzura urugero rwa triglyceride mu maraso yawe, muganga wawe ashobora kukwandikira imiti. Imiti ni ingenzi cyane cyane ku bantu bafite hypertriglyceridemia ikomeye. Hari ubwoko butandukanye bw'imiti muganga ashobora kukwandikira:

• Fibrate - urugero: Fenofibrate
• Aside omega-3 fatty acids zanditswe na muganga - urugero nka Icosapent ethyl (IPE)
• Statines - Nubwo izi zitangwa cyane cyane kugira ngo zigabanye cholesterol, rimwe na rimwe zigira ingaruka ku ntungamubiri za triglycerides.

Kugenzura izindi ndwara

Niba ufite indi ndwara (urugero: diyabete) ishobora kuba itera triglyceride nyinshi mu mubiri wawe, ni ngombwa kandi kuyigenzura neza. Muganga wawe azaguha inama n'ubuvuzi bikenewe.

Ese hypertriglyceridemia ishobora kwirindwa?

Zimwe mu mpamvu (gusaza, indwara zimwe na zimwe) zirenze ubushobozi bwacu. Ariko, hari byinshi dushobora gukora mu buzima bwacu bwa buri munsi kugira ngo twirinde iki kibazo. Dore zimwe muri zo:

• Kurya indyo yuzuye umutima: Kurya imboga nyinshi, imbuto, ibinyampeke byuzuye, na poroteyine yoroheje. Gabanya amavuta, isukari n'umunyu.
• Gira imyitozo ngororamubiri: Uretse gukora imyitozo ngororamubiri yateguwe, kora imyitozo ngororamubiri yawe uko bishoboka kose mu gihe ukora buri munsi. Ibintu nko kuzamuka ingazi aho gukoresha ascenseur no kugenda n'amaguru ujya ahantu hafi.
• Komeza kugira ibiro bizima.
• Gabanya inzoga: Igipimo ntarengwa ni ikinyobwa kimwe gisanzwe ku munsi ku bagore n'ibinyobwa bibiri bisanzwe ku munsi ku bagabo.
• Gabanya isukari n'ibinyasukari byatunganyijwe.

Saba muganga wawe inama zirambuye kugira ngo agufashe kugenzura urugero rwa triglyceride mu maraso yawe.

Ni iki kizere cy'umuntu ufite iyi ndwara? (Outlook)

Ibi biterwa n'ibintu byinshi. Urugero:

• Ni izihe mpamvu zitera hypertriglyceridemia yawe?
• Igipimo cya triglyceride yawe ni ikihe?
• Ni izihe ndwara zindi ufite?

Kubwibyo rero, vugana na muganga wawe kugira ngo umenye neza uko indwara yawe imeze.

Ariko ibuka ko hypertriglyceridemia ari indwara ikunze kugaragara, kandi ntabwo uri wenyine. Abantu benshi bitwara neza iyo bakurikije inama za muganga, bagahindura imibereho yabo, kandi bagafata imiti iyo bibaye ngombwa.

Ni ryari ngomba kubonana na muganga?

Menya neza ko ujya kwisuzumisha kwa muganga buri mwaka. Byongeye kandi, ujye witabira izindi gahunda zose nk'uko muganga wawe yabigutegetse. Niba ufite ikibazo cyangwa impungenge, hamagara muganga wawe igihe icyo ari cyo cyose.

Ni ibihe bibazo ugomba kubaza muganga?

Ni ngombwa kumenya byinshi bishoboka ku ndwara yawe, impamvu zayo, n'uburyo ivurwa. Ushobora kubaza muganga wawe ibibazo nk'ibi:

• Igipimo cyanjye cya triglyceride kimbwira iki?
• Ese mfite cholesterol nyinshi?
• Ni iki gituma triglycerides zanjye ziyongera?
• Nigute nagabanya urugero rwa triglyceride mu maraso yanjye?
• Ni izihe ngorane mfite zo kurwara indwara z'umutima?
• Ni ubuhe bwoko bw'imyitozo ngororamubiri bunkwiriye?
• Ese nkwiye kujya kwa muganga w’imirire?

Ni ryari ugomba kujya mu Kigo cyita ku Buvuzi bw’Ingoboka (ETU) ?

Niba ufite kimwe muri ibi bimenyetso , hamagara 911 (1990 muri Sri Lanka) ako kanya, cyangwa ujye mu cyumba cy’ubutabazi bw’ibanze kiri hafi yawe:

• Pancreatitis ikabije - (kubabara mu nda cyane, kuruka, umuriro)
• Indwara y'umutima - (kubabara mu gituza, guhumeka nabi, kubira ibyuya)
• Gucika intege mu maso (stroke) - (gucika intege cyangwa intege nke mu maso, mu kuboko cyangwa mu kuguru, kugorwa no kuvuga, kugenda bigorana)

Hypertriglyceridemia yongera ibyago byo kugira izi ngorane zikomeye. Kubwibyo, ni ngombwa cyane kumenya izi bimenyetso no gushaka ubuvuzi bwihuse mu gihe bibaye.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Kurwanya hypertriglyceridemia bisaba imbaraga. Ariko birakwiye ko ufata umwanya wawe. Uzakenera guhindura ibintu bimwe na bimwe mu buzima bwawe bwa buri munsi, kandi izo mpinduka zishobora kugorana rimwe na rimwe. Ariko tangira gato. Ndetse n'impinduka nto zishobora kugira ingaruka zikomeye ku buzima bw'umutima wawe. Baza muganga wawe ibyerekeye ibikoresho n'amatsinda y'ubufasha kugira ngo agufashe kugera ku ntego zawe. Ubuzima bwawe buri mu maboko yawe!

` hypertriglyceridemia, triglycerides, cholesterol, indwara z'umutima, indyo, imyitozo ngororamubiri, imibereho