Ufuna ukwazi izinga lakho le-cholesterol? Konke mayelana nokuhlolwa kwe-Lipid Panel!

Cishe uke wezwa "nge-cholesterol"? Iningi lethu likhuluma ngayo, futhi ngezinye izikhathi siyayesaba. Iyini ngempela i-cholesterol, ingabe ilungile noma ayilungile emizimbeni yethu, futhi sazi kanjani ngayo ngqo? Yingakho odokotela bencoma ukuhlolwa kwegazi okubizwa ngokuthi "i-Lipid Panel." Namuhla, sizokhuluma ngayo ngokuningiliziwe nangokulula kakhulu.

Iyini le phaneli ye-lipid?

Kalula nje, iphaneli yamafutha ukuhlolwa kwegazi okulinganisa inani lezinhlayiya zamafutha, noma "ama-lipid," egazini lakho. Lokhu kuhlolwa kuvame ukubheka ikakhulukazi izinhlobo ezine ze-cholesterol kanye nolunye uhlobo lwamafutha olubizwa ngokuthi ama-triglycerides.

Cabanga ngemithambo yegazi yethu njengamapayipi athwala amanzi. Uma amazinga amafutha egazini lethu enyuka, njengoba nje ukungcola kwakheka ngaphakathi kwamapayipi, amafutha aqala ukwakheka ngaphakathi kwemithambo yegazi yethu. Kwenzekani-ke? Imithambo yegazi iyavaleka futhi inciphe. Lokhu kwandisa kakhulu ingozi yokuthola izifo ezinkulu njengesifo senhliziyo, ukuhlaselwa yinhliziyo, kanye nesifo sohlangothi .

Yingakho odokotela besebenzisa lolu vivinyo lwe-lipid panel ezinganeni nakubantu abadala ukuhlola ingozi yakho yokuthola isifo senhliziyo. Lubizwa nangokuthi i-lipid profile, i-lipid test, kanye ne-cholesterol panel.

Yiziphi izinto ezi-5 eziyinhloko ezibhekwa yiphaneli ye-lipid?

Lokhu kuhlolwa kubheka kakhulu izinhlobo ezinhlanu zamafutha egazini lakho:

1. I-cholesterol ye-lipoprotein ephansi (i-LDL):

• Lokhu yilokho okubizwa ngokuthi "i-cholesterol embi." Ngoba uma le cholesterol ye-LDL ikhuphuka, ifakwa emithanjeni yegazi futhi yandisa ingozi yesifo senhliziyo. Kufana nodoti oqongeleleka endlini yethu.

2. I-cholesterol ye-lipoprotein ephansi kakhulu (i-VLDL):

• Lolu olunye uhlobo lwe-cholesterol. Le VLDL ikhiqizwa ngokudla esikudlayo. Uma unikela ngegazi ngemva kokuzila ukudla, inani liphansi. Uma liphezulu ngisho nangemva kokuzila ukudla, kungase kusho ukuthi umzimba wakho awulawuli kahle i-cholesterol.

3. I-cholesterol ye-high-density lipoprotein (HDL):

• Yilokhu okubizwa ngokuthi "i-cholesterol enhle." Uyazi ukuthi kungani? Lokho okwenziwa yile cholesterol ye-HDL ukunciphisa ukunqwabelana kwe-cholesterol embi ye-LDL emithanjeni yegazi. Kufana nomuntu okhipha udoti.

4. I-cholesterol ephelele:

• Lokhu kubhekisela enanini eliphelele lazo zonke izinhlobo ezintathu ze-cholesterol emzimbeni wakho: i-LDL, i-VLDL, ne-HDL.

5. Ama -triglycerides:

• Lolu olunye uhlobo lwamafutha oluvela ekudleni esikudlayo. Amazinga aphezulu e-triglycerides egazini ahlotshaniswa nesifo senhliziyo kanye nesimo esibizwa ngokuthi ukuvuvukala kwe-pancreatic.

Yilokhu okubhekwa kuphaneli ejwayelekile ye-lipid, kodwa ngezinye izikhathi ungabheka izinto ngaphezu kwalokhu.

Kungani kwenziwa lokhu kuhlolwa kwephaneli ye-lipid?

Odokotela basebenzisa lolu vivinyo ukuhlaziya amazinga akho e-cholesterol egazini, ukuhlola impilo yenhliziyo yakho kanye nemithambo yegazi, nokusiza ekuxilongeni izifo ezihlobene nenhliziyo.

Kunezizathu eziningana zokuthi kungani udokotela angakucela ukuthi wenze iphaneli ye-lipid:

• Njengokuhlolwa okuvamile: Thola ukuthi amazinga akho e-cholesterol asezingeni elifanele noma ayingozi.
• Qaphela amazinga akho e-cholesterol: Uma uke waba nemiphumela engavamile ekuhlolweni kwangaphambilini, noma uma unezinye izici eziyingozi zesifo senhliziyo.
• Bona ukuthi usabela kanjani emithini: Uma uthatha imithi yokwehlisa i-cholesterol yakho, bheka ukuthi imithi iyasebenza yini.
• Ukuhlonza ezinye izifo: Lokhu kusiza nasekuhloleni ezinye izimo zezokwelapha, njengesifo sesibindi.

Kungani ngidinga ukuhlolwa kwegazi le-Lipid Panel?

Kungase kube nezizathu eziningana zokuthi kungani udinga lolu vivinyo.

Uma unesifo senhliziyo noma senhliziyo, udokotela wakho angase akuncome ukuthi uhlale une-lipid panel ukuze uqaphe amazinga e-cholesterol yakho. Lezi zinto zifaka:

• Uma uyindoda, kumele ube neminyaka engaphezu kwengu-45 ubudala, kanti uma ungowesifazane, kumele ube neminyaka engaphezu kwengu-50 ubudala.
• Uma ukuhlolwa kwangaphambilini kubonise ukuthi i-cholesterol ephezulu.
• Uma ubhema ugwayi.
• Uma ukhuluphele kakhulu.
• Uma ungazivivinyi ngokwanele.
• Uma une-high blood pressure.
• Uma unesifo sikashukela noma isifo sikashukela esingakafiki.
• Uma othile emndenini wakho oseduze, njengomama wakho, ubaba, noma izingane zakini, enesifo senhliziyo esemncane.

Cabanga nje, umakhelwane wethu, uMalume Nimal, useneminyaka engama-50, ukhuluphele kancane, futhi unesifo sikashukela. Udokotela wakhe umtshela ukuthi ahlole i-lipid panel okungenani kanye ngonyaka. Lokho kungenxa yokuthi usengozini enkulu yokuthola isifo senhliziyo.

Izingane zingadinga nokuhlolwa kwegazi kwe-lipid panel. Amazinga e-cholesterol yezingane ahlobene nezici ezintathu eziyinhloko: ufuzo, ukukhuluphala, kanye nokudla. Ngokuvamile, izingane ezine-cholesterol ephezulu zinomzali okungenani oyedwa one-cholesterol ephezulu.

Futhi, odokotela ngezinye izikhathi basebenzisa iphaneli yamafutha ukuxilonga ezinye izimo zezokwelapha ezingathinta amazinga akho amafutha. Isibonelo:

• I-Pancreatitis
• Isifo sezinso esingamahlalakhona
• I-Hypothyroidism

Kwenzekani uma unikeza igazi ukuze lihlolwe?

Lokhu kulula kakhulu. Akukho okufanele ukwesabe.

1. Uzohlala esihlalweni. Udokotela we-phlebotomist uzobheka izingalo zakho bese ethola umthambo olula wokukhipha igazi kuwo. Ngokuvamile, igazi likhishwa ngaphakathi kwengalo yakho, ngaphansi kwendololwane.

2. Ngemva kokuthola umthambo, hlanza indawo kahle bese ubulala amagciwane.

3. Bese kufakwa inaliti encane emthanjeni bese kuthathwa isampula yegazi. Kuleli qophelo, ungase uzizwe sengathi ulunywa yintuthwane encane.

4. Ngemva kokufaka inaliti, inani elincane legazi lizoqongelela epayipini lokuhlola.

5. Ngemva kokuba isampula yegazi isiqoqiwe, inaliti iyasuswa bese kufakwa ucezu lwekotini noma i-gauze bese lucindezelwa ukuze kumiswe ukuphuma kwegazi.

6. Kufana nokufaka iplasta bese umsebenzi usuphelile.

Konke lokhu kuthatha imizuzu engaphansi kwemihlanu.

Ingabe ngidinga ukuzila ukudla ngaphambi kokuhlolwa?

Ezimweni eziningi, yebo, kuzodingeka uzile ukudla cishe amahora ayi-10 kuya kwangu-12 ngaphambi kokuhlolwa kwegazi le-lipid panel. Ukuzila ukudla kusho ukungadli noma ukuphuza lutho ngaphandle kwamanzi. Kodwa-ke, kwezinye izimo ezikhethekile, lokhu kuhlolwa kungenziwa ngaphandle kokuzila ukudla.

Ngakho-ke, into ebaluleke kakhulu ukubuza udokotela wakho ngaphambi kokuhlolwa ukuthi udinga ukuzila ukudla noma cha. Landela imiyalelo kadokotela ngqo. Uma udokotela ekutshela ukuthi uzile ukudla, tshela udokotela uma udla noma yini ngengozi. Ngoba ukungazili ukudla kunganciphisa ukunemba kwemiphumela yokuhlolwa.

Yini esembikweni wokuhlolwa? Yiziphi izindinganiso ezijwayelekile?

Ngemva kokuba isampula yegazi ithunyelwe elabhorethri futhi ihlolwe, udokotela wakho uzokutshela imiphumela. Umbiko wephaneli ye-lipid uvame ukufaka ulwazi olufana nalolu:

• Igama lokuhlolwa kwegazi, noma lokho okulinganiswe egazini lakho.
• Inombolo noma isilinganiso somphumela wokuhlolwa kwegazi lakho.
• Lelo ibanga lokulinganisa elijwayelekile lokuhlolwa.
• Ingabe umphumela wakho ujwayelekile, awujwayelekile, noma uphezulu noma uphansi?

Nazi amazinga anempilo (alinganiswa ngama-milligram nge-deciliter yegazi - mg/dL) wezinto ezine eziyinhloko ezivame ukubhekwa kuphaneli yamafutha:

• I-cholesterol ephelele: Ngaphansi kuka-200 mg/dL.
• I-cholesterol enhle (i-HDL cholesterol): ngaphezu kuka-60 mg/dL.
• I-cholesterol embi (i-LDL cholesterol): ngaphansi kuka-100 mg/dL (ngaphansi kuka-70 mg/dL kubantu abanesifo sikashukela).
• Ama-Triglycerides: Ngaphansi kuka-150 mg/dL.

Uma imiphumela yakho ingaphezulu noma ingaphansi kwalolu hlu oluqondiwe, ingase ihlukaniswe ngokuthi "i-borderline," "intermediate," noma "ingozi ephezulu" yesifo senhliziyo.Ngokuvamile, amazinga aphezulu kunejwayelekile e-cholesterol iyonke, i-LDL, kanye ne-triglycerides, kanye namazinga aphansi kunejwayelekile e-HDL, andisa ingozi yesifo senhliziyo.

Akuvamile kakhulu ukuthi amazinga e-cholesterol abe phansi ngendlela engavamile. Uma evele, imbangela ivame ukuba yisimo sezokwelapha esiholela ekungondleki kahle.

Ingabe kufanele ngikhathazeke uma imiphumela ingavamile?

Cha. Akusho ukuthi unesifo noma udinga ukwelashwa.

Uhlu lwe-cholesterol olunempilo kuwe luncike ezintweni eziningi. Udokotela wakho uzocabangela lezi zinto lapho ehlaziya imiphumela yephaneli yakho yamafutha:

• iminyaka yakho.
• Isimo sempilo iyonke.
• Umlando wezokwelapha.
• Imithi yamanje.
• Ezinye izinto ezibangela isifo senhliziyo.

Odokotela abaningi basebenzisa lezi zici kanye ne-calculator ekhethekile yobungozi ukuze banqume ukuthi udinga ukuhlolwa okwengeziwe noma ukwelashwa. Uma unemibuzo mayelana nemiphumela, ungesabi ukukhuluma nodokotela wakho.

Yini okufanele uyenze ngokulandelayo uma kuvela imiphumela engavamile?

Ngenxa yokuthi kunezici eziningi ezibangela isifo senhliziyo futhi wonke umuntu uhlukile, ayikho indlela eyodwa yokwelapha amazinga angavamile e-cholesterol kanye/noma ama-triglyceride.

Uma imiphumela yephaneli yakho ye-lipid ingavamile, udokotela wakho angase ancome okukodwa noma ngaphezulu kwalokhu okulandelayo:

• Qhubeka nokuqapha amazinga e-lipid.
• Ukwenza izinguquko endleleni yakho yokuphila yansuku zonke. Isibonelo, ukushintsha ukudla okudlayo, ukuzivocavoca umzimba kakhudlwana.
• Ukuqala imithi yokwehlisa i-cholesterol.

Kufanele kwenziwe kangaki lokhu kuhlolwa?

Udokotela wakho uzokutshela uma udinga i-lipid panel. Lokhu kuncike kakhulu ekutheni unazo yini izici eziyingozi zesifo senhliziyo. Kuncike futhi eminyakeni yakho kanye nomlando wezokwelapha. Ngisho nezingane ezincane zingadinga lokhu kuhlolwa uma zinezici eziyingozi.

Into engcono kakhulu ongayenza ukukhuluma nodokotela wakho, umnike ulwazi lwakho oluphelele lwezempilo, bese ubona ukuthi yini ayincomayo.

Okokugcina, izinto okufanele uzikhumbule

Kuvamile ukuzizwa wesaba uma ubona umphumela wokuhlolwa ongajwayelekile. Kodwa khumbula, umphumela wephaneli yamafutha ongajwayelekile akusho ukuthi udinga ukwelashwa. Amazinga e-cholesterol kanye ne-triglyceride anomthelela omkhulu empilweni yakho iyonke, kodwa ezinye izinto eziningi zithinta ingozi yakho yesifo senhliziyo.

Udokotela wakho uzocabangela izinto eziningi, okuhlanganisa impilo yakho kanye nomlando wezokwelapha wangaphambilini, ukuze anqume ukuthi yini okufanele uyenze ngokulandelayo. Nobabili nizokwakha uhlelo olusebenza kahle kakhulu kini. Ngakho-ke ungesabi ukukhuluma nodokotela wakho nganoma yini.

Ngakho-ke, ngithemba ukuthi manje usunokuqonda okungcono ngokuthi iyini i-lipid panel. Kubaluleke kakhulu ukuqaphela lezi zivivinyo ukuze uhlale uphilile!

I- Cholesterol, iphaneli yamafutha, isifo senhliziyo, i-LDL, i-HDL, ama-triglycerides, ukuhlolwa kwegazi