Amazinga wegazi we-cholesterol ne-triglyceride aye ahlobene kakhulu nomngcipheko womuntu wokuthuthukisa isifo somzimba we-coronary (CAD) nezinye izinhlobo zesifo senhliziyo. Ochwepheshe manje batusa ukuthi ukuhlolwa kwegazi kwamazinga we-lipid kufanele kwenziwe kuwo wonke umuntu.
Kwezinye izimo, ukwelashwa kwamazinga ajwayelekile angama-lipid (ngokuvamile anezibalo ) kuye kwaboniswa ukunciphisa ingozi ye-cardiovascular.
Kodwa mhlawumbe okubaluleke nakakhulu, ukwazi amazinga akho e-lipid kuyisici esiyinhloko sokulinganisa ingozi yakho yenhliziyo yonke - futhi ngaleyo ndlela, ukuqonda ukuthi kufanele ube nobudlova ekunciphiseni ingozi enkulu ngezinguquko zokuphila.
Ngubani okufanele athole i-Triglyceride ne-Cholesterol Test, futhi nini?
Iziqondiso zamanje zincoma ukuthi wonke umuntu kufanele ahlolwe i-cholesterol namazinga e-triglyceride aqala eminyakeni engama-20, njalo njalo eminyakeni emihlanu emva kwalokho.
Uma utholakala ukuthi ukhulise amazinga we-cholesterol noma ama-triglyceride, kufanele uhlolwe ngonyaka. Kwezinye izimo, abantu abasha - ngisho nezingane - kufanele bahlolwe.
Ukuhlolwa kwe-Triglyceride ne-Cholesterol Kwenziwe kanjani?
Ukuhlolwa kwe-cholesterol kanye ne-triglycerides kuqukethe ukuhlolwa kwegazi okulula, okwenziwe namuhla ngisho nangomthamo omncane wegazi otholwa yinhloko yezinaliti.
Ukuphela kokulungiswa okudingekile kuyingxenye yakho ukugwema ukudla noma yini, nokuphuza noma yikuphi uketshezi ngaphandle kwamanzi, amahora ayisishiyagalolunye kuya kwangu-12 ngaphambi kokuhlolwa.
Uma unemithi kadokotela, khuluma nodokotela wakho ukuthi kufanele uthathe amaphilisi akho ngaphambi kokuhlolwa.
Yini Ukuhlolwa Kwegazi?
Ngokujwayelekile, iphaneli ye lipid inikeza amanani amane:
- Ingqikithi yenani le-cholesterol
- Izinga le-cholestolol LDL
- I-HDL ye-cholesterol level
- Izinga le- Triglyceride
Ukuhlola kwangempela kwegazi ngqo ngokulinganisa isilinganiso se-cholesterol esiphelele ne-HDL, kanye ne-triglycerides.
Kusukela kulezi zimiso, ukulinganisa kwe-LDL cholesterol kubalwa.
Yini "Yifiseleka" I-Cholesterol Nezinga Le-Triglyceride?
Ingqikithi ye-cholesterol: Amazinga egazi efiselekayo we-cholesterol ephelele angaphansi kuka 200 mg / dL. Amazinga phakathi kuka-200 no-239 abizwa ngokuthi "umngcele." Izinga ezingaphezulu kwezingu-240 zibhekwa ngokuthi "ziphakeme."
I-cholesterol ye-LDL: Amazinga aphezulu we-LDL angaphansi kuka-100 mg / dL. Amazinga aseduze-aphakathi kuka-100 no-129. Izinga phakathi kuka-130 no-159 zibhekwa ngokuthi "umngcele;" amazinga phakathi kuka-160 no-189 abizwa ngokuthi "phezulu;" futhi amazinga ka-190 nangaphezulu abhekwa "njengophakeme kakhulu."
I-cholesterol ye-HDL: Ngokuvamile, izinga eliphezulu le-cholesterol ye-HDL lingcono. Amazinga we-HDL ngezansi kwe-41 mg / dL abhekwa njengephansi kakhulu.
I-Triglycerides: Amazinga egazi afanelekayo we-triglycerides angaphansi kuka-150 mg / Dl. Izinga eliphakathi kuka-150 no-199 libhekwa njenge "phezulu komngcele." Izinga eliphakathi kuka-200 no-499 libhekwa "liphakeme." Amazinga e-Triglyceride at 500 mg / Dl noma ngaphezulu kubhekwa "aphezulu kakhulu."
Ezinye izivivinyo zegazi ezihlobene ne-lipid
Ukuhlolwa kwe-Apo-B: Ukuhlolwa kwe-Apo-B kuyisilinganiso sobukhulu bezinhlayiya ze-LDL cholesterol. I-LDL encane, enesisindo ihlotshaniswa nengozi ephezulu yezifo ze-vascular, kuyilapho izinhlayiya ezinkulu ze-LDL kucatshangwa ukuthi zingengozi kakhulu.
Kodwa-ke, ezimweni eziningi, ukuhlolwa okunengqondo komngcipheko womuntu kungenziwa ngokuhlolwa kwesipilisi kuphela.
I-lipoprotein (a) yokuhlolwa: i- Lipoprotein (a), noma i-LP (a), ifomu eliguquguqukayo le-lipoprotein ye-LDL ehlobene nengozi ephezulu yesifo senhliziyo kuneLDL "evamile". Amazinga e-Lp (a) acatshangwa ukuthi ahlolwe ngokwezakhi zofuzo, futhi angeke anciphise nganoma yiluphi ukwelashwa okuwaziwayo. Ngakho ukulinganisa uLp (a) akusizi usizo emtholampilo, futhi akukwenziwa njalo.
Kufanele Uhanjiswe Nini I-Cholesterol Noma I-Triglycerides?
Ukunquma ukuthi ngabe kufanele uphathwe nge-cholesterol ephakeme noma amazinga aphezulu e-triglyceride, ngabe ngabe ukwelashwa kufanele kufake ukwelashwa kwezidakamizwa, nokuthi yiziphi izidakamizwa okufanele zisetshenziswe, akuzona njalo ngokuqondile ngqo.
Noma kunjalo, uma ingozi yakho yengqondo iphakeme, ukwelashwa okunonya okuhloswe ngamazinga akho e-lipid kunganciphisa amathuba akho okuba nesifo senhliziyo, noma ngisho nokufa ngaphambi kwesikhathi. Nansi ulwazi oluningi mayelana nokwelapha ama-cholesterol namazinga we-triglyceride:
- Funda ngokunquma ukuthi ukwelashwa kwe-cholesterol kuyadingeka yini.
- Funda ngokuphatha amazinga aphezulu e-triglyceride.
- Funda mayelana nokwandisa amazinga wakho we-HDL ye-cholesterol.
Imithombo:
Umbiko wesithathu we-National Cholesterol Education Program (NCEP) Panel Expert ekutholeni, ukuhlolwa, kanye nokwelashwa kwegazi eliphezulu le-cholesterol kubantu abadala (i-Adult Treatment Panel III). Ukujikeleza kuka-2002; 106: 3143.
I-Greenland P, i-Alpert JS, i-Beller GA, ne-al. 2010 I-ACCF / I-AHA isiqondiso sokuhlola ingozi yemvelo kubantu abadala abangaboni kahle: umbiko we-American College of Cardiology Foundation / i-American Heart Association Task Force on Guidelines Practice. J Am Coll Cardiol 2010; 56: e50.