Haɗin gwiwar haɗin dangi

Haɗarin hyperlipidemia na iyali wata cuta ce da ke yaduwa ta cikin iyalai. Yana haifarda yawan cholesterol da hawan jini triglycerides.

Hadin jini da ake dangantawa da dangi shine mafi yawan rikicewar kwayar halitta wacce ke kara kitsen jini. Zai iya haifar da bugun zuciya da wuri.

Ciwon sukari, shaye-shaye, da hypothyroidism suna sa yanayin ya zama mafi muni. Abubuwan haɗarin sun haɗa da tarihin iyali na babban cholesterol da cututtukan jijiyoyin jini na farko.

A farkon shekarun, ƙila babu alamun bayyanar.

Lokacin da bayyanar cututtuka ta bayyana, za su iya haɗawa da:

• Ciwon kirji (angina) ko wasu alamun cututtukan jijiyoyin jini na iya kasancewa a lokacin ƙuruciya.
• Cushe ɗan mara ɗaya ko duka biyun yayin tafiya.
• Ciwo a yatsun kafa wanda baya warkewa.
• Kwatsam kamar alamun bugun jini, kamar magana mai wahala, zubewa a gefe ɗaya na fuska, rauni na hannu ko ƙafa, da rashin daidaitawa.

Mutanen da ke cikin wannan yanayin na iya haɓaka haɓakar mai ƙwanƙwasa ko matakan triglyceride a matsayin samari. Hakanan za'a iya bincikar yanayin lokacin da mutane suka kasance daga 20s zuwa 30s. Matakan sun kasance masu girma duk yayin rayuwa. Waɗanda ke tare da haɗuwa da hyperlipidemia suna da haɗarin kamuwa da cututtukan jijiyoyin jini na farko da kuma bugun zuciya. Hakanan suna da yawan kiba kuma suna iya samun rashin haƙuri na glucose.

Za ayi gwajin jini don bincika matakan cholesterol da triglycerides. Gwaji zai nuna:

• Ara yawan LDL cholesterol
• Rage HDL cholesterol
• Trigara yawan triglycerides
• Apara apolipoprotein B100

Akwai gwajin kwayar halitta don nau'in iyali guda ɗaya wanda ya haɗu da hyperlipidemia.

Manufar magani ita ce rage barazanar cututtukan zuciya na atherosclerotic.

SAUYIN YANAYI

Mataki na farko shine canza abin da kuke ci. Yawancin lokaci, zaku gwada canjin abinci har tsawon watanni kafin likitanku ya ba da shawarar magunguna. Canje-canjen abincin sun haɗa da rage adadin kitsen mai da kuma ingantaccen sukari.

Ga wasu canje-canje da zaku iya yi:

• Ka rage cin naman sa, kaza, naman alade, da rago
• Sauya kayayyakin kiwo mai mai mai mai mai mai mai mai mai mai mai yawa
• Guji kunshin cookies da kayan da aka toya wanda ya ƙunshi ƙwayoyin mai
• Rage yawan cholesterol din da kuke ci ta hanyar takaita yolk din kwai da naman gabobi

Ana ba da shawara sau da yawa don taimaka wa mutane yin canje-canje ga halayen cin abincin su. Rage nauyi da motsa jiki na yau da kullun na iya taimaka wajan rage matakan cholesterol.

MAGUNGUNA

Idan sauye-sauye na rayuwa bai canza matakan cholesterol yadda ya kamata ba, ko kuma kuna cikin haɗarin gaske don cututtukan zuciya na atherosclerotic, mai ba ku kiwon lafiya na iya ba da shawarar ku sha magunguna. Akwai nau'ikan magunguna da yawa don taimakawa rage matakan cholesterol na jini.

Magungunan suna aiki ta hanyoyi daban-daban don taimaka maka cimma matakan lafiya na lipid. Wasu sun fi iya rage kwayar LDL, wasu suna da kyau wajen rage triglycerides, yayin da wasu ke taimakawa wajen daukaka HDL cholesterol.

Ana amfani da mafi yawan amfani, kuma mafi inganci kwayoyi don magance babban LDL cholesterol ana kiransu statins. Sun hada da lovastatin (Mevacor), pravastatin (Pravachol), simvastatin (Zocor), fluvastatin (Lescol), atorvastatin (Lipitor), rosuvastatin (Crestor), da pitivastatin (Livalo).

Sauran magungunan rage cholesterol sun hada da:

• Bile acid-sequestering resins.
• Ezetimibe.
• Fibrates (kamar gemfibrozil da fenofibrate).
• Nicotinic acid.
• PCSK9 masu hanawa, kamar alirocumab (Praluent) da evolocumab (Repatha) Waɗannan suna wakiltar sababbin rukunin magunguna don magance babban ƙwayar cholesterol.

Yadda za ku yi ya dogara da:

• Yaya wuri aka gano yanayin
• Lokacin da ka fara magani
• Ta yaya zaka bi tsarin maganin ka

Ba tare da magani ba, bugun zuciya ko bugun jini na iya haifar da saurin mutuwa.

Ko da tare da magani, wasu mutane na iya ci gaba da samun matakan lipid mai girma wanda ke ƙara haɗarin kamuwa da ciwon zuciya.

Matsaloli na iya haɗawa da:

• Ciwon cututtukan zuciya na atherosclerotic na farko
• Ciwon zuciya
• Buguwa

Nemi kulawa kai tsaye idan kuna jin ciwon kirji ko wasu alamun gargaɗi na bugun zuciya.

Kira mai ba ku sabis idan kuna da tarihin kanku ko tarihin ku na yawan matakan cholesterol.

Abincin da ke ƙarancin cholesterol da mai mai zai iya taimakawa wajen sarrafa matakan LDL a cikin mutanen da ke cikin haɗari.

Idan wani a cikin danginku yana da wannan yanayin, kuna so kuyi la'akari da binciken kwayar halitta don kanku ko yaranku. Wani lokaci, yara ƙanana na iya samun ƙaramin hyperlipidemia.

Yana da mahimmanci don sarrafa wasu abubuwan haɗari don saurin zuciya, kamar shan taba.

Mahara-nau'in hyperlipidemia mai nau'in lipoprotein

• Maganin jijiyoyin zuciya
• Lafiyayyen abinci

Genest J, Libby P. Rashin lafiyar Lipoprotein da cututtukan zuciya. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 48.

Robinson JG. Rashin lafiya na maganin ƙwayar cuta. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 195.