Khawucinge nje, ubhityile kakhulu, uzilolonga kakuhle, kwaye ulumke kakhulu ngento oyityayo neyiselayo. Uneminyaka emalunga nama-40 ubudala. Ngubani onokucinga ukuba umntu onjalo angahlaselwa yintliziyo? Akukholeleki, akunjalo? Kodwa le yinto yokwenyani. Namhlanje sithetha ngemeko yempilo engabonakaliyo, kodwa eyingozi kakhulu. Le yinto abantu abaninzi abangayaziyo, kodwa sonke kufuneka siyazi.
Yintoni esi sifo se-cholesterol esizuzwe njengelifa? (Familial Hypercholesterolemia)
Ngamafutshane, esi sisifo esibangelwa lufuzo. Oko kukuthi, yinto esiyizuza njengelifa kubazali bethu. Umntu onesi sifo unezinga eliphezulu kakhulu le -LDL (Low-Density Lipoprotein) cholesterol, esiyibiza ngokuba yi-"cholesterol embi", emzimbeni wakhe kwasekuzalweni.
Ngokwesiqhelo, xa sithetha nge-cholesterol, sicinga ukuba ezi zinto ziyanda kuphela kubantu abatya ukutya okunamafutha nokunamafutha, abangazilolongiyo, nabatyebe kakhulu. Oko kuyinyani ngandlela ithile. Kodwa kule meko ibizwa ngokuba yiFamilial Hypercholesterolemia (FH) , nokuba ubhityile kangakanani okanye indlela ophila ngayo isempilweni kangakanani na, inqanaba le-cholesterol embi emzimbeni wakho liyakhula ngokuzenzekelayo. Kuba, isizathu soku asikokuphila kwakho, kodwa sisiphene kwiijini zakho.
Ngenxa yesi sizathu, nomntu oselula ocinga ukuba usempilweni kakhulu unokufumana isifo sentliziyo okanye isifo sohlangothi ngequbuliso ngaphandle kwesilumkiso .
Kwiminyaka embalwa eyadlulayo, ibhinqa elineminyaka engama-40 ubudala labelana ngamava alo. Lalibhityile kakhulu kwaye lisempilweni. Ngenye imini, likwindawo yokutyela, laziva lisindwa kakhulu esifubeni salo kwaye lalibila kakhulu. Xa laya kugqirha ngoko nangoko, emva kokuhlolwa kwe-ECG, ugqirha wathi, "Usandul' ukuhlaselwa yintliziyo." Lalingenakukholelwa.
Kamva, uvavanyo olukhethekileyo olubizwa ngokuba yi-"Heart Catheterization" lufumanise ukuba imithambo yegazi emine ephambili ehambisa igazi entliziyweni yakhe yayivalekile ngama-90%. Kwiiveki ezimbini, kwafuneka kufakwe iityhubhu ezincinci ezintlanu, ezibizwa ngokuba yi-"Stents", ukuze kugcinwe loo mithambo ivulekile. Ekugqibeleni kwafunyaniswa ukuba unesifo esibizwa ngokuba yiFamilial Hypercholesterolemia (FH).
Ngaba nabantwana bethu nabo basengozini?
Le yeyona nto ibalulekileyo ekufuneka sigxile kuyo. Ekubeni i-FH sisifo esidluliselwa kwilifa, ukuba omnye wabazali unesi sifo, kukho amathuba angama-50% okuba abantwana basifumane . Oku kuthetha ukuba ukuba kukho abantwana ababini, kukho amathuba aphezulu okuba ubuncinane omnye wabo abe nesi sifo.
Ingozi yoku kukuba, ngenxa yokuba iimpawu zingabonakali, sisenokungazi ukuba umntwana unale sifo. Kodwa ngaphakathi emzimbeni waloo mntwana, i-cholesterol embi iqala ukuqokelelana kancinci kancinci kwimithambo yegazi. Ngenxa yesi sizathu, loo mntwanaNokuba usemncinci, oko kukuthi, xa uneminyaka engama-20 nengama-30, kukho umngcipheko omkhulu wokuba nesifo sentliziyo okanye isifo sohlangothi.
Ngoko ke, ukuba kukho umntu kusapho lwakho oye waba nokuhlaselwa yintliziyo esemncinci, okanye ukuba kukho imbali yosapho ene-cholesterol ephezulu, kubaluleke kakhulu ukuba abantwana bakho bavavanyelwe i-cholesterol. I-American Academy of Pediatrics ikwacebisa ukuba bonke abantwana abaphakathi kweminyaka eli-9 neli-11 ubudala bavavanyelwe i-cholesterol yabo.
Nini apho umele ucinge ukuba imeko ye-FH ikwimeko enjani
Ayizizo zonke ii-cholesterol eziphezulu ezine-FH. Kodwa kukho ezinye iimpawu ekufuneka ziqwalaselwe njengezikrokrisayo. Ndiza kuzichaza kwitheyibhile.
| Into erhanelekayo | Inkcazo |
|---|---|
| Amanqanaba aphezulu kakhulu e-cholesterol ye-LDL | Ukuba i-LDL yomntu omdala ingaphezulu kwe-190 mg/dL okanye i-LDL yomntwana ingaphezulu kwe-160 mg/dL (la maxabiso anokwahluka kancinci ngokwamazwe ngamazwe). |
| Imbali yosapho | Ukuba ilungu losapho (indoda engaphantsi kweminyaka engama-55 ubudala, ibhinqa elingaphantsi kweminyaka engama-65 ubudala) liye lahlaselwa yintliziyo okanye lanesifo sentliziyo. |
| Iimpawu zomzimba (ayingomntu wonke onazo) | Amanqatha atyheli kulusu olujikeleze amehlo (iiXanthelasmas), amaqhuma anamafutha kwiindawo ezinenyama ezigobileyo zezandla, iingqiniba, okanye amadolo (iiTendon Xanthomas). |
Akwanelanga na ukutshintsha indlela ophila ngayo?
Lo ngumbuzo abantu abaninzi abawubuzayo, "Andinakuyinciphisa na i-cholesterol yam ukuba nditya kakuhle kwaye ndizilolonga?" Kwimeko yamanqanaba e-cholesterol aqhelekileyo, utshintsho kwindlela yokuphila lunokwenza umahluko omkhulu.
Kodwa kwimeko ye-FH, utshintsho lwendlela yokuphila lodwa alwanelanga . Kuba ingxaki sisiphene semfuza kwinkqubo eyenza kwaye isuse i-cholesterol emzimbeni wakho. Ke ngoko, nangona ukutya okunempilo kunye nokuzilolonga kubaluleke kakhulu, unyango ngokuqinisekileyo luyimfuneko ukulawula amanqanaba e-LDL cholesterol egazini.
Oogqirha badla ngokunika amayeza okunciphisa i-cholesterol, njenge-statins. La mayeza, anikwa nabantwana ngeedosi eziphantsi, anokunciphisa kakhulu umngcipheko wokuba nesifo sentliziyo kwixesha elizayo.
Izinto onokuzibuza ugqirha wakho
Ukuba wena okanye umntu kusapho lwakho unezinga eliphezulu le-cholesterol, kubaluleke kakhulu ukubona ugqirha wakho uze ubuze le mibuzo.
- Zeziphi iimvavanyo ze-cholesterol ekufuneka ndizenze? (umz. iLipid Profile)
- Ndifanele ndizivavanye kangaphi ezi zilingo?
- Ukutya kunye nokuzilolonga kunokunceda njani ukulawula amanqanaba e-cholesterol yam?
- Ingakanani ingozi yam yokuba nesifo sentliziyo?
- Zeziphi iimpawu ekufuneka ndizixhalabele ngakumbi? (umz. iintlungu zesifuba, ubunzima bokuphefumla)
Ukwazi olu lwazi kuya kukunceda kakhulu ekukhuseleni wena kunye nabantu obathandayo kwizifo ezinzulu. Khumbula, ukuqonda yeyona ndlela ilungileyo yokuzikhusela.
Umyalezo Wokuya Ekhaya
- I-Familial Hypercholesterolemia (FH) sisifo semfuza esidluliselwa kwizizukulwana ngezizukulwana. Oku kunokubangela amanqanaba aphezulu e-cholesterol nakubantu abancinci nabasempilweni.
- Ukuba kukho umntu kusapho lwakho oye waba nesifo sentliziyo emncinci (amadoda < 55, abafazi < 65), kubaluleke kakhulu ukuba wena nabantwana bakho nihlolwe i-cholesterol yabo.
- Kwimeko ye-FH, nangona kubalulekile ukuphila ubomi obusempilweni, kudla ngokuba yimfuneko ukuthatha amayeza anikwe ngugqirha ukulawula amanqanaba e-cholesterol.
- Ukufunyanwa kwangoko kunye nonyango olufanelekileyo kunokunciphisa kakhulu umngcipheko weengxaki ezinzima ezifana nokuhlaselwa yintliziyo kunye nestroke.
- Ukuba unenkxalabo malunga namanqanaba akho e-cholesterol okanye imbali yosapho, qiniseka ukuba uthetha nogqirha wakho.
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