I-Lipoprotein (a), eyaziwa nangokuthi i-Lp (a), i-lipoprotein ephansi (i-LDL, noma "i-cholesterol" embi) enesinye isimo seprotheyini, esibizwa nge-glycoprotein, esiboshwe kuso. (Igama le glycoprotein i- apolipoprotein (a). )
Abacwaningi basasebenza ukuqonda i-lipoprotein (a) nezindlela ezingathinta impilo yakho. Kodwa-ke, ezinye izifundo zibonisa ukuthi ukuba namazinga aphezulu we-lipoprotein (a) azungeze egazini lakho angakubeka engozini enkulu yokuthuthukisa isifo senhliziyo .
Yiziphi i-Lipoprotein (a) Ingabe
Ukwenziwe esibindi sakho bese ungena egazini lakho legazi, i-lipoprotein (a) iboniswe ukwakha ngaphansi kwe-lining yangaphakathi ye-arteries. Lezi zakhi zingasiza ekwakhiweni kwe-atherosclerosis-ulwazi lwe-fatty plaques emithanjeni yakho engabangela izifo zenhliziyo, ukuhlaselwa yinhliziyo, nokushaya isisu-ngokukhuthaza ukuvuvukala kwesifo (ukubomvu nokuvuvukala) nokubunjwa kwama cell foam, amangqamuzana anamafutha afaka ama-atherosclerotic plaques. Ngaphezu kwalokho:
- Amazinga aphezulu we-lipoprotein (a) akholelwa ukuthi awonakele kakhulu ezindongeni zokugcoba lapho izinga lomuntu LDL ("okubi") le-cholesterol liphezulu.
- Amazinga aphezulu e-lipoprotein (a) aboniswe ukunciphisa amathuba okuphila kumuntu oye wahlaselwa yinhliziyo.
Amazinga avamile
Ukutholakala kokuhlolwa kwegazi kumazinga we-lipoprotein (a) kuboniswa nge-milligrams per deciliter (mg / dL). Izinga lika-30 mg / dL kuthathwa njengokujwayelekile. Ukuthola okuphakeme kunama-30 mg / dL kungabonisa ukuthi ingozi yesifo senhliziyo ikhuphuke engozini emibili kuya kwezintathu.
Kodwa-ke, amazinga we-lipoprotein (a) awayona ingxenye ye-lipid panel test panel yegazi, okulinganisa amazinga we- cholesterol yonke , i-LDL, ne-HDL cholesterol, kanye ne-triglycerides (uhlobo lwamafutha olutholakala kuwo wonke umzimba). Lokhu kungenxa yokuthi 1) okwanele kwaziwa ngomphumela we-lipoprotein (a) enhliziyweni yezempilo futhi 2) itholakale kuphela ku-15% wabantu abaningi, nabantu abangebona iSpanishi isiCaucasian, isiShayina, nesiJapane abanomqondo ophansi kakhulu amazinga.
Lokho kusho ukuthi kunezimo ezimbalwa lapho kungaba ngcono ukuhlola njalo ama-lipoprotein (a) amazinga. Ngokuyinhloko, yilapho umuntu enakho:
- Isifo senhliziyo esaziwayo namazinga avamile we-HDL, i-LDL, ne-triglycerides
- Umlando oqinile womndeni wesifo senhliziyo kodwa futhi, ama-HDL, i-LDL, namazinga we-triglyceride evamile
- Ukuqhubeka namazinga aphezulu e-LDL naphezu kokwamukela ukwelashwa okunonya
Ingabe Kufanele Uzame Ukunciphisa Izinga Lakho?
Ngeshwa, ngoba amazinga e-lipoprotein (a) ashukunyiswa kakhulu yizakhi zakho zofuzo, izincomo ezivamile-ukudla okunempilo, ukuzivocavoca njalo, futhi (okuningi) imithi yokunciphisa i-cholesterol- ayiba nomthelela omkhulu ekunciphiseni. I-Niacin ibonise isithembiso esithile kwizifundo zokwelashwa zokunciphisa amazinga we-lipoprotein (a). Noma kunjalo, akusetshenziswanga njalo ngaleyo njongo.
Uma uzama ukunciphisa ingozi yokuthola isifo senhliziyo, kungcono ukubeka i-lipoprotein (a) ekwelapheni "emuva kokushisa" okwamanje futhi ugxilise ezindleleni zokunciphisa izinkinga ezisekelwe kahle ezifweni zenhliziyo. Njengoba cishe uyazi, lokhu kuhlanganisa ukwehlisa ukucindezelwa kwegazi uma kuphakeme kakhulu, kwehlisa i-cholestolol ephezulu ye-LDL, nokuphakamisa i-cholesterol ye-HDL encane. Ucwaningo oluningi lubonise ukuthi ukubhekisisa lezi zinto eziyingozi kungasiza ukunciphisa ingozi yokuba nesifo senhliziyo noma isifo sohlangothi.
Imithombo:
U-Erquo S, uKaptoge S, uPerry PL et al. Lipoprotein (a) ukuhlushwa kanye nengozi ye-coronary isifo senhliziyo, isifo sohlangothi, nokufa okungenasisindo. I-JAMA 2009; 302: 412-423.
I-Boffa MB, i-Koschinsky ML, i-Berglund L. Lipoprotein (a): isici esiyingqayizivele esibangela isifo senhliziyo. I-Lab Lab Med 2006; 26: 751-772.
"I-ID yokuhlolwa: i-LIPA-lipoprotein (a) i-serum." I-Mayo Clinic-Mayo Medical Laboratories (2016).
Kang S. "Kuyini i-lipoprotein (a) futhi kusho ukuthini kuwe?" I-HealthCentral (2008).