Fungidzira, wakatetepa zvikuru, unoita maekisesaizi zvakanaka, uye unongwarira zvikuru zvaunodya nezvaunonwa. Une makore angangoita makumi mana ekuberekwa. Ndiani angafunga kuti munhu akadaro angarwara nemoyo? Hazvitendeseki, handiti? Asi ichi chinhu chaicho. Nhasi tiri kutaura nezvechirwere chehutano chisingaoneki, asi chine njodzi. Ichi chinhu chisingazivikanwe nevanhu vazhinji, asi tese tinofanira kuziva.
Chii chinonzi chirwere ichi checholesterol chinogarwa nhaka? (Familial Hypercholesterolemia)
Zvichitaurwa zviri nyore, ichi chirwere chinokonzerwa nemajini. Kureva kuti, chinhu chatinogara nhaka kubva kuvabereki vedu. Munhu ane chirwere ichi ane huwandu hwakawanda hweLDL (Low-Density Lipoprotein) cholesterol, yatinodaidza kuti "cholesterol yakaipa", mumuviri wake kubva pakuzvarwa.
Kazhinji, patinotaura nezve cholesterol, tinofunga kuti izvi zvinowedzera chete muvanhu vanodya chikafu chine mafuta nemafuta, vasingaite maekisesaizi, uye vakafuta. Izvi ndezvechokwadi kusvika pamwero wakati. Asi muchirwere ichi chinonzi Familyal Hypercholesterolemia (FH) , zvisinei nekuti wakaonda sei kana kuti mararamiro ako ane hutano hwakadii, huwandu hwe cholesterol yakaipa mumuviri wako hunongoerekana hwawedzera. Nekuti, chikonzero cheizvi hachisi mararamiro ako, asi kukanganisa mumajini ako.
Nekuda kweizvi, kunyange munhu wechidiki anofunga kuti ane hutano hwakanaka anogona kungoerekana abatwa nechirwere chemwoyo kana sitiroko pasina yambiro .
Makore mashoma apfuura, mumwe mukadzi ane makore makumi mana ekuberekwa akataura zvakaitika kwaari. Aive mutete uye ane hutano hwakanaka. Rimwe zuva, ari kuresitorendi, akanzwa kurema kusingatsungiririki muchipfuva chake uye aidikitira zvakanyanya. Paakaenda kunoona chiremba pakarepo, mushure mekuongororwa kweECG, chiremba akati, "Wangobatwa nechirwere chemwoyo." Haana kutenda.
Gare gare, bvunzo yakakosha inonzi ``Heart Catheterization`` yakawana kuti tsinga huru ina dzeropa dzaiendesa ropa kumoyo wake dzakanga dzavharika ne90%. Mukati memavhiki maviri, machubhu madiki mashanu, anonzi ``Stents``, aifanira kuiswa kuti tsinga idzodzo dzirambe dzakavhurika. Zvakazoonekwa kuti aive nechirwere chinonzi Familyal Hypercholesterolemia (FH).
Vana vedu vari panjodziwo here?
Ichi ndicho chinhu chakakosha chatinofanira kutarisa pachiri. Sezvo FH iri chirwere chinogara nhaka, kana mumwe wevabereki aine chirwere ichi, pane mukana we50% wekuti vana vagochigara nhaka . Izvi zvinoreva kuti kana paine vana vaviri, pane mukana mukuru wekuti mumwe wavo achava nechirwere ichi.
Njodzi yeizvi ndeyekuti, nekuti zviratidzo hazvionekwe, tingasaziva kuti mwana ane chirwere ichi. Asi mukati memuviri wemwana iyeye, cholesterol yakaipa inotanga kuungana mutsinga dzeropa zvishoma nezvishoma. Nekuda kweizvi, mwana iyeyeKunyangwe uri mudiki, kureva kuti, mumakore ako ekuma20 ne30, pane mukana mukuru wekuva nechirwere chemwoyo kana sitiroko.
Saka, kana mumwe munhu mumhuri yako akamborwara nemoyo achiri mudiki, kana kuti kana paine nhoroondo yemhuri ine cholesterol yakakwira, zvakakosha kuti vana vako vaongororwe cholesterol. American Academy of Pediatrics inotokurudzira kuti vana vese vari pakati pemakore mapfumbamwe negumi nerimwe vaongororwe cholesterol yavo.
Nguva yekufungidzira mamiriro eFH
Haasi ese mafuta emuviri ane huwandu hweFH. Asi pane zvimwe zviratidzo zvinofanirwa kufungidzirwa kuti zvinofungidzirwa. Ndichatsanangura izvi mutafura.
| Nyaya inofungirwa | Tsananguro |
|---|---|
| Mazinga eLDL akakwira zvikuru | Kana LDL yemunhu mukuru ichipfuura 190 mg/dL kana LDL yemwana ichipfuura 160 mg/dL (izvi zvinogona kusiyana zvishoma kubva kunyika kuenda kunyika). |
| Nhoroondo yemhuri | Kana nhengo yemhuri (murume ari pasi pemakore 55, mukadzi ari pasi pemakore 65) akamborwara nemoyo kana chirwere chemwoyo. |
| Hunhu hwemuviri (havasi vese vanahwo) | Mafuta eyero anodonhera paganda rakatenderedza maziso (Xanthelasmas), mapundu ane mafuta ari mumapepa enyama emaoko, magokora, kana mabvi (Tendon Xanthomas). |
Hazvina kukwana here kungochinja mararamiro ako?
Uyu mubvunzo unobvunzwa nevanhu vazhinji. "Handigone kuderedza cholesterol yangu here kana ndikadya zvakanaka uye ndichirovedza muviri?" Kana cholesterol yakawanda, kuchinja mararamiro kunogona kuita mutsauko mukuru.
Asi panyaya yeFH, kuchinja mararamiro chete hakuna kukwana . Nekuti dambudziko nderekuti pane kusakwana kwemajini mumuviri wako kunogadzira uye kubvisa cholesterol mumuviri wako. Saka, kunyangwe kudya zvine hutano uye kurovedza muviri zvakakosha, kurapwa kunodiwa kuti udzore huwandu hweLDL cholesterol muropa.
Vanachiremba vanowanzo nyora mishonga inoderedza cholesterol, yakaita se statins. Mishonga iyi, inopiwa kunyange kuvana muzvipimo zvishoma, inogona kuderedza zvikuru njodzi yavo yezvirwere zvemwoyo mune ramangwana.
Zvinhu zvekubvunza chiremba wako
Kana iwe kana mumwe munhu mumhuri yako aine cholesterol yakakwira, zvakakosha kuona chiremba wako wobvunza mibvunzo iyi.
- Ndedzipi bvunzo dzecholesterol dzandinofanira kuita? (semuenzaniso Lipid Profile)
- Ndinofanira kuita bvunzo idzi kangani?
- Kudya uye kurovedza muviri zvingabatsira sei kudzora huwandu hwecholesterol mumuviri wangu?
- Ndeipi njodzi yangu yekubatwa nechirwere chemwoyo?
- Ndezvipi zviratidzo zvandinofanira kunyanya kunetseka nazvo? (semuenzaniso kurwadziwa pachipfuva, kunetseka kufema)
Kuziva ruzivo urwu kuchakubatsira zvikuru mukudzivirira iwe nevadikanwi vako kubva kuzvirwere zvakakomba. Yeuka, kuziva ndiyo nzira yakanakisisa yekudzivirira.
Mharidzo Yekuenda Nayo Kumba
- Familyal Hypercholesterolemia (FH) chirwere chinopfuudzwa kubva kumarudzi kusvika kuzvizvarwa. Izvi zvinogona kukonzera huwandu hwakawanda hwecholesterol kunyangwe muvanhu vatete uye vane hutano hwakanaka.
- Kana paine munhu mumhuri yako akamborwara nechirwere chemwoyo achiri mudiki (varume < 55, vakadzi < 65), zvakakosha kuti iwe nevana vako muongororwe cholesterol yavo.
- Kana uri munhu ane FH, kunyange zvazvo zvichikosha kurarama hupenyu hune hutano, kazhinji zvinodikanwa kutora mishonga yakanyorerwa nachiremba kudzora huwandu hwecholesterol mumuviri.
- Kuonekwa nekukurumidza uye kurapwa kwakakodzera kunogona kuderedza zvikuru njodzi yematambudziko akakomba akadai sekurwadziwa kwemoyo uye sitiroko.
- Kana uine chero dambudziko nezvehuwandu hwecholesterol yako kana nhoroondo yemhuri yako, iva nechokwadi chekutaura nachiremba wako.
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