Iyo tugenzuye cholesterol yacu, akenshi tureba gusa "cholesterol nziza" (HDL) na "cholesterol mbi" (LDL), sibyo? Ariko se wari uzi ko hari ubwoko bw'ingenzi cyane bwa cholesterol abantu benshi batavugaho, ariko ikaba yihishe hagati? Iyi ni Lipoprotein (a), cyangwa Lp (a) mu magambo ahinnye. Ikintu cyihariye kuri ibi ni uko igenwa na za gene zacu, bivuze ko ihererekanywa kuva ku gisekuru kijya ku kindi, aho guhererekanywa n'ibyo turya, tunywa cyangwa dukora siporo. Ushobora kuba uri umuntu ufite ubuzima bwiza cyane, ariko urugero rwawe rwa Lp (a) rushobora kuba ruri hejuru cyane.
Lipoprotein (a) ni iki mu by'ukuri?
Mu magambo make, iki nacyo ni agace ka cholesterol kaba mu maraso yacu. Ariko ikibazo kiri muri iki kibazo ni uko urwego rwacyo ruterwa ahanini n'uturemangingo twacu. Ibi bivuze ko niba nyoko, so, cyangwa umuntu wo mu muryango wawe afite iki kibazo, nawe ushobora kukirwara. Bivugwa ko umuntu umwe kuri batanu ku isi afite urugero rwa Lp(a) ruri hejuru.
Akaga k'ibi ni uko kugira urugero rwa Lp(a) ruri hejuru byongera cyane ibyago byo kurwara indwara z'umutima no gucika intege mu gihe bakiri bato. Akenshi, abantu babimenya gusa nyuma yo kugira indwara z'umutima cyangwa gucika intege mu gihe cy'imitsi. Ibi biterwa n'uko agakoresho gasanzwe k'amavuta katagaragaza agaciro ka Lp(a). Bisaba ikizamini cyihariye.
Urugero, fata inkuru ya Bernadette, umugore w'imyaka 66 ugenda ibirometero bigera kuri 16 ku munsi kandi akarya indyo ikomoka ku bimera, harimo imboga na tofu. Igipimo cya cholesterol ye muri rusange cyari cyiza, ariko igipimo cya Lp(a) cye cyari hejuru inshuro eshanu ugereranyije n'igipimo cy'ibyago. Ibi byatewe n'imiterere ye. Nyina na nyirakuru bombi bari bapfuye bazize indwara y'umutima.
Bernadette agira ati: "Ikibazo gikomeye kuri njye ni stress yo kubaho muri ibi. Nubwo numva ndwaye gato, ndibaza nti 'Ese iyi ni yo ndwara y'umutima ngiye kugira?'".
Ikibazo n'ibyiringiro bishya
Kugeza ubu, nta muti wihariye wemejwe kugira ngo ugabanye urugero rwa Lp(a). Ibi bivuze ko nubwo bazi ko uhari, abantu benshi bagiye bahorana ubwoba, nta cyo bashobora gukora kuri ibyo. Ni nk'aho bafite igisasu mu mubiri wabo gishobora guturika igihe icyo ari cyo cyose.
Ariko, ubu iyo mimerere igiye guhinduka!
Abashakashatsi mu by'ubuvuzi ubu barimo gukora iperereza ku miti itanu mishya yagaragaye mu bushakashatsi bwa mbere ko igabanya cyane urugero rwa Lp (a). Iki ni icyizere gikomeye ku bantu babarirwa muri za miriyoni bafite urugero rwa Lp (a) ruri hejuru. Nk'uko umushakashatsi mukuru Dr. Steven Nissen abivuga, " Witinya, ibisubizo biri kuza. "
Imiti iheruka iri mu cyiciro cy'ubushakashatsi
Iyi miti mishya iracyari mu cyiciro cya nyuma cy'ubushakashatsi (igeragezwa ry'ubuvuzi). Iyo itsinze, ishobora kuboneka ku isoko mu gihe cya vuba. Reka turebe iyo miti n'uburyo ikora neza.
| Izina ry'ikiyobyabwenge | Ikiranga / Uburyo bwo gutanga | Ibisubizo byitezwe |
|---|---|---|
| Pelacarsen | Urushinge rutangwa rimwe mu kwezi | Urugero rwa Lp(a) rushobora kugabanukaho hafi 80%. |
| Olpasiran | Urukingo rutangwa buri mezi 3 | Urugero rwa Lp(a) rushobora kugabanukaho ibirenze 95%. |
| Lepodisirani | Urukingo rumwe rumara hafi umwaka wose rukora | Igipimo cya Lp(a) gishobora kugabanukaho hafi 94% kandi kikagumaho igihe kirekire. |
| Zerlasiran | Urukingo rutangwa gake cyane | Urugero rwa Lp(a) rushobora kugabanukaho hafi 86%. |
| Muvalaplin | Ikinini cya buri munsi | Urugero rwa Lp(a) rushobora kugabanukaho hafi 86%. |
Ni iki kidasanzwe kuri ikinini cya Muvalaplin?
Muri ibi, abashakashatsi bafite icyizere kinini cy’umuti witwa ``(Muvalaplin)`` kuko nubwo indi miti ine igomba gutangwa nk’inshinge, uyu ushobora gufatwa nk’ikinini cya buri munsi . Kubwibyo, ushobora korohereza abarwayi, kandi ushobora no kuba uhendutse.
Indi miti ikora mu gucecekesha gene ikora Lp(a). Ariko iyi pill ikora mu buryo butandukanye. Ihagarika ikorwa ry'uduce twa Lp(a) hagati. Ibi bituma ikora idakoze ku mwijima kandi igakurwa mu mubiri vuba mu gihe habayeho ingaruka mbi.
Kuki tugomba gupima Lp(a)?
Mu gihe usoma iyi nkuru, ushobora kwibaza uti 'Ese nanjye nagombye kwisuzumisha?' Igisubizo ni yego! Ugomba kubitekerezaho cyane cyane niba hari umuntu wo mu muryango wawe warwaye indwara y'umutima cyangwa indwara yo gucika imitsi akiri muto .
Ishyirahamwe ry’Igihugu ry’Imirire y’Ibinure (Lipid Association) ubu risaba buri wese gusuzumwa igipimo cya Lp(a) nibura rimwe mu buzima bwe . Kubera ko ari ikibazo cy’uturemangingo, igipimo ntigihinduka cyane mu buzima bwe bwose. Kugisuzumisha rimwe gusa birahagije.
Iki ni ikizamini cyoroheje cyane cy'amaraso. Ariko, kubera ko kitari muri raporo isanzwe ya cholesterol, ugomba kubaza muganga wawe ibi by'umwihariko mbere yo gukora iki kizamini.
Kumenya urugero rwa Lp(a) rwawe ni intambwe ya mbere. Niba ruri hejuru, ntugatinye. Iyi miti mishya iri hafi kuza, uzabasha kugenzura ibyago byo kurwara indwara z'umutima n'imitsi yo mu bwonko. Kugeza icyo gihe, ni ngombwa kugenzura ibindi bintu bishobora gutera indwara, nk'umuvuduko ukabije w'amaraso, diyabete, kunywa itabi, n'urugero rwa cholesterol ya LDL.
Ubutumwa bwo kujyana mu rugo
- Lipoporoteyine (a), cyangwa Lp (a), ni ubwoko bwa cholesterol igenzurwa na genetiki kandi yongera ibyago byo kurwara indwara z'umutima.
- Ibi ntibishyirwa mu isuzuma rya cholesterol risanzwe (lipid profil), bityo ugomba kubaza muganga wawe ibi kandi akabisuzuma by'umwihariko.
- Niba hari umuntu wo mu muryango wawe warwaye indwara y'umutima akiri muto, ni ngombwa cyane gukora iki kizamini.
- Nubwo nta muti wihariye wa Lp(a) uhari ubu, imiti myinshi igaragaza ibisubizo byiza cyane iri mu cyiciro cya nyuma cy'ubushakashatsi. Ibi ni byiza cyane.
- Niba usanze urugero rwawe rwa Lp(a) ruri hejuru, ntugatinye, ubiganireho na muganga wawe, kandi ugenzure ibindi bintu bishobora gutera indwara z'umutima.
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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.