Mwana wako mudiki ane cholesterol yakakwira here? (Cholesterol Yakakwira Yevana Vechidiki) Ngatikurukurei nezveizvi!

Tose tinowanzo taura nezve cholesterol muvanhu vakuru, kureva kuti, huwandu hwemafuta muropa. Asi waizviziva here kuti kunyange vana vadiki vanogona kuva nedambudziko iri re cholesterol? Kutaura zvazviri, dzimwe nguva rinogona kunge rakakomba zvishoma. Saka, musazvidya mwoyo. Nhasi, ngatitaurei nezve kuti cholesterol yakakwira muvana vadiki chii, kana sekudanwa kwazvinoitwa navanachiremba, `(Pediatric High Cholesterol)`, chii, nei ichiitika, uye zvatinogona kuita nezvazvo.

Ko cholesterol yakakwira inorevei kuvana vadiki?

Zvichitaurwa zviri nyore, cholesterol yakakwira muvana zvinoreva kuti huwandu hwecholesterol muropa remwana wako hwakakwira kupfuura zvakajairwa. Iyi cholesterol rudzi rwemafuta muropa redu anonzi `(Lipids)`. Kune rumwe rudzi rwemafuta anonzi `(Triglycerides)`, anogonawo kuva akawandisa mune vamwe vana. Kutaura zvazviri, muviri wedu unoda mamwe emafuta aya, nekuti anobatsira mumabasa akasiyana-siyana emuviri. Zvisinei, matambudziko anomuka kana aya akawedzera zvakanyanya.

Zvino ungave uchishamisika kuti, "Ndingaziva sei kuti mwana wangu ane cholesterol yakakwira kana triglycerides yakakwira?" Vanachiremba vanoita bvunzo yeropa yeizvi. Inonzi "Lipid Panel." Ongororo iyi inogona kukuudza chaizvo kuti mafuta aya ndeapi. Yeuka, cholesterol yakajairika muvana vadiki yakasiyana zvishoma neyevanhu vakuru.

Heino tarisiro yehuwandu hwemafuta hwakajairika, huri pakati nepakati, uye husina kujairika muvana vadiki.

(Pano, hazviwanzoitiki kana mhando yakanaka yecholesterol inonzi HDL cholesterol ikangoderera.)

| Rudzi rwemafuta | Normal mg/dL | Borderline mg/dL | Zvisina kujairika mg/dL |

| :----------------------------------------------- | : ... | :----------------------------------- |

| Cholesterol Yese | < 170 | 170 - 199 | ≥ 200 |

| Cholesterol yeLDL ("yakaipa") | < 110 | 110 - 129 | ≥ 130 |

| Cholesterol yeHDL ("yakanaka") | > 45 | 40 - 45 | < 40 |

| Triglycerides (makore 0-9) | < 75 | 75 - 99 | ≥ 100 |

| MaTriglycerides (makore 10-19) | < 90 | 90 - 129 | ≥ 130 |

Zvakakosha: Maitiro aya anogona kuchinja zvishoma nekukura, saka zvakanaka kutaura nachiremba wako kuti uwane chokwadi.

Ndezvipi zviratidzo zve cholesterol yakakwira mumwana?

Kazhinji, huwandu hwecholesterol mumwana hahuratidzi zviratidzo zviri pachena . Ichi ndicho chinhu chine njodzi zvikuru. Zvisinei, kana huwandu hwecholesterol hwakakwira zvakanyanya, kunyanya kana zvichikonzerwa nezvikonzero zvemajini, mwana anogona kusangana nezvinotevera:

• Mapundu ane wakisi, ane mafuta paganda (Xanthoma)
• Kuumbwa kweyero, kwakaita semabhurugwa paziso remaziso kana pedyo naro (Xanthelasma)
• Mhete chena kana grey yakakomberedza cornea (Corneal Arcus)

Kana ukaona zviratidzo zvakadai, unofanira kuona chiremba nekukasika.

Sei huwandu hwecholesterol mumwana huchikwira?

Pane zvikonzero zvakawanda zvinoita kuti huwandu hwecholesterol mumwana huve hwakakwira. Ngatitarisei kuti ndezvipi:

• Chikafu Nezvinwiwa: Mhando dzechikafu chinodyiwa nemwana, kunyanya chikafu chine mafuta nechitapira.
• Huwandu hwemabasa emuviri: Kumhanya, kusvetuka, kutamba, uye kurovedza muviri kwemwana kwakawanda sei.
• Zvimwe zvirwere: Zvirwere zvakaita sekufuta, chirwere cheshuga, uye chirwere cheitsvo (Nephrotic Syndrome).
• Mishonga: Mimwe mishonga inogonawo kukonzera kuti cholesterol iwedzere.
• Kukanganiswa kwemajini: Majini anogarwa nhaka kubva kuvabereki anogonawo kuva chikonzero chikuru cheizvi.

Kazhinji, vana vane cholesterol yakakwira vane nhoroondo ye cholesterol yakakwira muna amai kana baba vavo, kana kuti vanogona kunge vari kutora mishonga yekudzora cholesterol yavo.

Cholesterol yakakwira inokonzerwa nezvikonzero zvemajini

Majini ane basa guru mudambudziko iri. Ngationei kuti izvozvo zvinoshanda sei.

Kuwanda kweCholesterol muFamily (FH)

Ichi chirwere chemajini. Chinoitika ndechekuti mwana anozvarwa aine huwandu hwakawanda hwe "cholesterol" yakaipa (LDL Cholesterol). Kazhinji, izvi zvinogarwa nhaka kana mumwe chete wevabereki vake ane jini racho.

Chiremba anogona kufungira mwana kuti ane huwandu hweLDL husingatsanangurike hwe160 mg/dL kana kupfuura. LDL huwandu hwe130 mg/dL kana kupfuura mumwana ane vabereki vane FH inyaya yekunetsekawo.

Zvikonzero zvePolygenetic

Kune zvimwe zvikonzero zvemajini kunze kwe `(FH)`. Mwana ane chikonzero che polygenic chinokonzera cholesterol yakakwira zvinoreva kuti mwana anogara nhaka majini akawanda kubva kuvabereki vese anokwidza mazinga e `LDL`. Muchiitiko ichi, mazinga e `LDL` angave aikwira zvishoma nezvishoma nekufamba kwenguva, uye anogona kusaonekwa kusvika ava mudiki. Kunyangwe zvinhu izvi zvemajini zvichiwedzera njodzi yechirwere chemwoyo, hazviwedzere kuipa se `(FH)`. Vana vane `(FH)` vanowanzo fanirwa kutanga mishonga vasati vasvika vana vane zvikonzero zve polygenic.

Mapuroteni eLipo (a)

`(Lipoprotein (a))` (inonzi "lipoprotein A diki") imhando yakakosha yecholesterol inogona kugarwa nhaka kubva kuvabereki kuenda kuvana. Vanhu vane huwandu hwakanyanya hwe`(Lipoprotein (a))` vari panjodzi huru yekubatwa nechirwere chemwoyo. Izvi zvinogonawo kukonzera stroke muvana.

Kana mwana wako aine chimwe kana zvimwe zvezvinhu zvinotevera zvinokonzera njodzi, chiremba anogona kuraira kuti aongororwe ropa kuti aone mazinga ake e `(Lipoprotein (a))`:

• Kuongororwa ne "Familial Hypercholesterolemia".
• Ndakambova nechirwere chemwoyo chisina kuzivikanwa chikonzero chacho.
• Kuva nehuwandu hwakawanda hwe `(Lipoprotein (a))` muna amai kana baba.
• Kuva nemunin'ina kana mubereki akamborwara nemoyo achiri mudiki.

Sei huwandu hwe triglyceride mumwana huchikwira?

Zvikonzero zvikuru zvekukwira kwe triglycerides muvana ndeizvi:

• Kufuta
• Chirwere cheshuga
• Mimwe mishonga

Ma triglycerides akawandisa anogonawo kunge aine zvikonzero zvemajini, asi hazvina kuwanda seFH. Kana kuongororwa kweropa kwemwana (kutsanya kwemaawa gumi nemaviri) kukaona triglycerides ye500 mg/dL kana kupfuura pasina chimwe chikonzero, vanachiremba vanogona kufungidzira kuti pane chikonzero chemajini.

Ndezvipi zvinetso zvinogona kuitika nekuda kwe cholesterol yakakwira muvana?

Vana vane cholesterol yakakwira (`LDL` cholesterol) vanogona kuva nematambudziko ehutano pavanenge vachikura. Izvi zvinonyanya kukonzerwa nemafuta akaunganidzwa (atheroma) mukati metsinga dzeropa, izvo zvinogona kuvharira kufamba kweropa. Izvi zvinogona kuderedza kufamba kweropa kuenda kumwoyo, kuuropi, kana kumakumbo. Ungave wakambonzwa nezvezvirwere izvi:

• Kumira kurova kwemoyo
• Kurohwa
• Chirwere cheTsandara yePeripheral

Chimbofunga, kana matambudziko aya akagadziriswa muchiri vadiki, zvichakubatsira sei kudzivirira zvirwere zvakakomba zvakadaro paunokura!

Ndezvipi zvinetso zvinogona kuitika nekuda kwekuwedzera kwe triglycerides muvana?

Kana huwandu hwe`(Triglycerides)` hwakanyanya kukwira, mwana anogona kurwara ne`(Pancreatitis).` Kana huwandu hwe`(Triglycerides)` hwakakwira kwenguva yakareba, zvinogonawo kukonzera kuti mafuta arambe ari mutsinga dzeropa. Zvisinei, hazvina simba guru se`(LDL)` cholesterol.

Vanachiremba vanoongorora sei cholesterol yakakwira muvana?

Vana vechikoro vanogona kuongororwa huwandu hwecholesterol yavo nekuongororwa ropa zviri nyore. Mune zvimwe zviitiko, ungangoda kutsanya kwemaawa gumi nemaviri usati waongororwa ropa. Bvunza chiremba wako kana izvi zvichidikanwa.

Zvakakosha zvikuru kuti bvunzo iyi iongororwe kana mumwe munhu mumhuri ane chirwere chemwoyo, kana kuti vabereki vane cholesterol yakakwira. Mhedzisiro yekuongororwa kweropa inogona kuona kana cholesterol yemwana kana triglycerides yakakwira.

Nzira yekurapa cholesterol yakakwira muvana?

Danho rekutanga rekudzora cholesterol yakakwira nderekuchinja kudya kwemwana wako uye kuwedzera huwandu hwemaekisesaizi aanoita.Chiremba wako achakupa mazano panyaya iyi. Kana shanduko idzi dzoga dzisaderedza huwandu hwecholesterol mumwana wako kusvika padanho rakachengeteka, chiremba anogona kukurudzira mushonga (kuvana vane makore anopfuura masere).

Mwana wangu anoda mushonga here?

Zvingave zvichidikanwa. Vanachiremba vanokurudzira mishonga zvichibva pazano renyanzvi kubva kumasangano akaita seNational Heart, Lung and Blood Institute neAmerican Heart Association. Heano mamwe mamiriro ezvinhu apo chiremba angapa mwana wako mishonga:

• Kana huwandu hweLDL huri pamusoro pe190 mg/dL:
• Kana mwana asina zvimwe zvinhu zvinokonzera chirwere chemwoyo.
• Kana huwandu hweLDL yako huri 160 mg/dL kana kupfuura, uye uine chimwe chezvinotevera:
• Mwana ane zvinhu zvinokonzera chirwere chemwoyo.
• Mumwe wevabereki vake akarwara nemoyo achiri mudiki, kana kuti mafuta ari mutsinga dzemwoyo (coronary artery plaque).
• Kana huwandu hwecholesterol yako husati hwasvika padanho rakatarwa mushure memwedzi mitanhatu yekuchinja kudya kwako nekurovedza muviri.
• Kana huwandu hweLDL yako huri pamusoro pe130 mg/dL, une chimwe chezvinotevera:
• Mumwe wevabereki akaonekwa aine chirwere che `(FH)`.
• Mwana ane zvinhu zvinogona kukonzera chirwere chemwoyo zvakaita sekufutisa, BP, kusvuta (mwana kana vanhu vakamupoteredza), mazinga eHDL akaderera, nhoroondo yeKawasaki Disease, chirwere cheitsvo, kuisirwa nhengo, Juvenile Rheumatoid Arthritis, Lupus, kana HIV.
• Kana huwandu hweLDL yako huri pamusoro pe100 mg/dL, une chimwe chezvinotevera:
• Mwana wacho ane chirwere cheshuga cherudzi rwekutanga kana rwechipiri.
• Mwana ane chirwere cheKawasaki, chinokonzera aneurysms yetsinga dzemwoyo.

Mishonga ipi inopiwa vana ye cholesterol?

Mastatins ndiwo mushonga wekutanga kutorwa nevana vane LDL yakakwira. Semuenzaniso:

• Atorvastatin (Lipitor®)
• Rosuvastatin (Crestor®)
• Simvastatin (Zocor®)

Aya ndiwo maitiro ekuderedza mazinga eLDL emwana:

• Inomisa chiropa kugadzira cholesterol.
• Inobvisa cholesterol yakawandisa muropa uye inobatsira muviri kuishandisa nemazvo.

Ezetimibe mushonga wechipiri unoderedza huwandu hweLDL. Unoshanda nekudzivirira kupinza kwecholesterol muropa kubva muura.

Kurapa kweLipoprotein yakawanda (a)

Kuchinja mararamiro hakuna kukanganisa zvakanyanya mazinga e `(Lipoprotein (a))` semazinga e `(LDL)`. Parizvino, hapana mishonga chaiyo yekurapa mazinga akakwira e `(Lipoprotein (a))`. Zvisinei, kuyedzwa kwemishonga kuri kuenderera mberi. Kana mazinga e `(Lipoprotein (a)` emwana wako akakwira, chiremba anogona kukurudzira kuti vatarise pakuderedza zvimwe zvinhu zvinokonzera chirwere chemwoyo. Izvi zvinosanganisira:

• Kudya chikafu chine hutano mumoyo.
• Kurovedza muviri zvakakwana.
• Kurapa mamwe mazinga echolesterol nemishonga.
• Dzivisa kusvuta.

Kurapa triglycerides yakakwira

Chiremba wemwana wako anogona kukurudzira zvinhu zvakaita seizvi:

• Kuchinja kudya kwemwana wako uye kurovedza muviri.
• Mafuta ehove (anosvika 4000 mg pazuva).
• Mimwe mishonga (muzviitiko zvakakosha apo huwandu hwe triglyceride muvana hwakakwira zvakanyanya).

Ko cholesterol yakakwira muvana inogona kugadziriswa here?

Ehe, zvinogona! Kurapwa kunogona kubatsira kuderedza huwandu hwecholesterol mumwana wako kusvika padanho rakachengeteka. Izvi zvinogonawo kuderedza njodzi yezvinetso zvakakomba mune ramangwana. Chiremba wako anogona kukubatsira kuti uzive chaizvo huwandu hwecholesterol hwaanoda mwana wako uye kuti ungasvika sei ikoko.

Ndingabatsira sei kuderedza cholesterol yemwana wangu?

Unogona kubatsira kuderedza huwandu hwecholesterol mumwana wako nekumukurudzira kuti:

• Ipai chikafu chine mafuta mashoma. Mafuta anofanira kuumba 30% kana pasi pemacalorie ese emwana wenyu pazuva. Nyanzvi yezvekudya inogona kukubatsirai kuverenga huwandu uhu uye kugadzira hurongwa hwezvekudya.
• Dzivisa mafuta e trans uye deredza mafuta akazara. Mafuta akazara mafuta anowanzova akasimba patembiricha yemumba, akadai semafuta emhuka, mafuta ekokonati, uye mafuta emuchindwe. Mafuta akazara anofanira kunge ari pasi pe10% yemacalorie ako ese ezuva nezuva. Pane kudaro, sarudza mafuta asina mafuta, akadai semafuta emuorivhi, mafuta eavocado, uye mafuta eflaxseed.
• Deredza kudya cholesterol. Vana vanofanira kudya cholesterol isingasviki 300 mg pazuva.
• Dzivisai zvigadzirwa zvemukaka zvine mafuta akazara. Ipai mukaka une mafuta anosvika 2% kuvana vane mwedzi iri pakati pe12-24. Ipai mukaka usina mafuta kuvana vane makore anopfuura maviri.
• Ipai zvekudya zvine fiber yakakwana. Kurudzirai mwana wenyu kuti adye zvekudya zvine fiber yakawanda, zvakaita semuriwo, michero, nzungu, nyemba, uye zviyo zvakakwana.
• Kurudzirai kuita maekisesaizi nguva dzose. Mabasa ekurovedza muviri akadai sekuchovha bhasikoro, kumhanya, kufamba, uye kushambira anogona kubatsira kuwedzera huwandu hweHDL ("yakanaka") hwecholesterol uye kuderedza njodzi yezvirwere zvemwoyo.
• Batsirai mwana wenyu kuti arambe aine huremu hwakanaka.Unogona kuziva huremu hwacho kubva kuna chiremba wako.

Ndezvipi zvekudya zvakanakisisa zvekudyisa mwana wangu?

Sarudza chikafu chakasiyana-siyana kuti uve nechokwadi chekuti mwana wako anowana zvese zvinovaka muviri zvaanoda. Heano mamwe ezvekudya zvinovaka muviri zvinogona kubatsira kudzora huwandu hwecholesterol mumuviri:

Kwekudya kwemangwanani:

• Muchero
• Zviyo zvegorosi rose
• Oatmeal
• Yogati yechiGiriki

Kwemasikati nemanheru:

Zadza ndiro yemwana wako nemuenzaniso weUSDA MyPlate:

• Mapuroteni asina mafuta akadai sehuku, hove, bhinzi (chikamu chimwe muzvina chendiro)
• Tsanga dzose (hafu yechina yendiro)
• Michero nemiriwo (hafu yendiro)
• Kudya kwechikafu chine mafuta mashoma

Nzira dzekubika dzine hutano dzinosanganisira kubika, kugocha, uye kugocha nemhepo. Dzivisa kugocha zvakanyanya.

Zvekudya zvemasikati:

• Muchero
• Muriwo
• Mhando dzenzungu nembeu
• Zvingwa zvegorosi rose
• Zvigadzirwa zvemukaka zvisina mafuta akawanda

Zvinwiwa:

Sarudza mvura nemukaka usina mafuta akawanda. Dzivisa soda, mukaka une shuga, zvinwiwa zvemichero, uye zvinwiwa zvemitambo.

Ndinofanira kuenda nemwana wangu kuna chiremba riini?

Chiremba wako achakuudza kuti unofanira kuuya nemwana wako kangani kuna chiremba. Mazinga echolesterol yemwana wako anofanirawo kutariswa nguva nenguva. Unofanirawo kuongororwa huwandu hwecholesterol yemwana wako mwedzi mitanhatu mushure mekuchinja chero kudya kana mwedzi miviri mushure mekutanga chero mushonga mutsva.

Pakupedzisira, chimwe chinhu chekufunga nezvacho.

Nekuti tajaira kunzwa nezve cholesterol muvanhu vakuru, zviri nyore kukanganwa kuti kunyange vana vadiki vanogona kuva nedambudziko iri - kusvika raitika kumwana wedu. Uye zvinozooma kurega kufunga nezvazvo. Usazvidya moyo, vanachiremba vemwana wako vanonzwisisa zvinokunetsa, uye varipo kuti vabatsire mhuri yako yese. Bvunza mibvunzo yako, dzidza zvakawanda sezvaunokwanisa. Shanda pamwe chete kuti ugadzire mararamiro ane hutano hwemwoyo.

Nekurapa cholesterol achiri mudiki, unogona kupa mwana wako mukana wakanakisisa weramangwana rine hutano.

Cholesterol yevana , cholesterol yakakwira, Cholesterol yakakwira yevana, chirwere chemwoyo, kudya kwakanaka, mararamiro, Lipid panel