Lipoprotein (a), oo sidoo kale loo yaqaan Lp (a), waa lipoprotein hooseeya (LDL, ama "xun" kolesterool) oo leh nooc ka mid ah borotiinka, oo lagu magacaabo glycoprotein, oo ku xiran. (Magaca glycoprotein waa apolipoprotein (a). )
Cilmi-baadhayaashu wali waxay ka shaqeynayaan inay fahmaan lipoprotein (a) iyo siyaabaha ay saameyn karto caafimaadkaaga. Hase yeeshee, daraasadihii qaarkood waxay soo jeedinayaan in heerarka sare ee lipoprotein (a) ku wareegitaanka dhiiggaaga ay kuu keeni karto halis dheeraad ah oo lagu sameeyo cudurka wadnaha .
Waa maxay Lipoprotein (a)
Qaadashada beerkaaga kadibna galeysa dhiigaaga, lipoprotein (a) ayaa lagu muujiyey in la dhiso kaararka gudaha hoose ee halbowlayaasha. Kor u qaadiddani waxay gacan ka geysan kartaa hormarinta atherosclerosis -shabaab daboollada dufanka ku jira ee halbowlayaasha wadnaha kugu keeni kara wadnaha wadnaha, wadnaha wadnaha iyo istaroogga-adoo dhiirigeliya bararka dabaysha (casaan iyo barar) iyo sameyska unugyada xumbada, unugyada dufanka jimicsiga atherosclerotic Intaa waxaa dheer:
- Heerarka sare ee lipoprotein (a) ayaa la rumeeysan yahay inay ugu dhib badan yihiin derbiyada galmada marka heerka qofka LDL ("xun") uu ka sarreeyo.
- Heerarka lipoprotein (a) ee heerarka sare ayaa loo muujiyay in ay yareeyaan fursadaha badbaadada qof uu ku dhacay weerarka wadnaha.
Heerarka caadiga ah
Natiijooyinka baaritaanka dhiigga ee heerarka lipoprotein (a) waxaa lagu muujiyey milligaraamkiiba hal deciliter (mg / dL). Heerka 30 mg / dL ayaa loo arkaa mid caadi ah. Raadinta ka sarreysa 30 mg / dL waxay muujin kartaa halis ah 2 ilaa 3-laab halista cudurka wadnaha.
Hase yeeshee, heerarka lipoprotein (a) maaha qayb ka mid ah baaritaanka dhiigga ee caadiga ah ee dhiigga, kaas oo cabbiraya heerarka wadarta guud ee kolestaroolka , LDL, iyo kolestaroolka HDL, iyo triglycerides (nooc ka mid ah dufanka laga helo jirka oo dhan). Taasi waa sababtoo ah 1) aan ku filnayn wax ku saabsan lipoprotein (a) saameyn ku yeelashada caafimaadka wadnaha iyo 2) waxaa laga helaa qiyaastii 15% dadka guud, dadka asal ahaan ka soo jeeda qowmiyadaha aan ahayn Isbaanishka, Shiinaha, iyo asalka jinsiyadeed ee ugu hooseeya heerarka.
Taasi waxay tidhi, waxaa jira xaalado dhowr ah oo laga yaabo inay ugu wacan tahay si joogto ah u eegto lipoprotein (a) heerarka. Inta badan, kuwani waa marka qofku leeyahay:
- Cudurka wadnaha oo la ogaado iyo heerarka caadiga ah ee HDL, LDL, iyo triglycerides
- Taariikh qoys oo xoog leh oo cudur wadne ah, laakiin, mar labaad, heerarka HDL, LDL, iyo heerarka triglyceride
- Inay sii wadaan heerarka sare ee LDL inkasta oo ay helaan daaweyn gardaro ah
Haddii aad isku daydid inaad hoos u dhigto heerarkaaga?
Nasiib daro, sababta oo ah heerarka lipoprotein (a) ayaa inta badan saameeya hidahaaga, talooyinka caadiga ah-cunto caafimaad leh, jimicsi joogta ah, iyo (badi) daawooyinka hoos u dhiga kolesteroolka - oo aan saameyn badan ku yeelanaynin hoos u dhigista. Niacin ayaa muujisay ballanqaadyo ballanqaadyo ah oo ku saabsan daraasaadka kiliiniga ah ee lagu yareynayo lipoprotein (a) heerarka. Si kastaba ha noqotee, looma isticmaalo ujeedadaas.
Haddii aad isku deyeyso inaad hoos u dhigto khatarta ah inaad qaaddo cudurka wadnaha, waxaa ugu fiican in lipoprotein (a) lagu daaweeyo "gadaal gubaha" hadda oo diiradda la saaro hababka loo yareeyo arrimo halis u ah cudurada wadnaha. Sida laga yaabo inaad ogaato, kuwan waxaa ka mid ah hoos u dhigista cadaadiska dhiiggaaga haddii uu aad u sarreeyo, hoos u dhigidda heerka sare ee LDL, iyo kor u kaca kolesteroolka HDL. Daraasado badan ayaa muujiyey in loola jeedo waxyaabahan khatarta ah ay kaa caawin karaan yareynta khatarta ah inaad yeelato wadno-xanuun ama istaroog.
Ilaha:
Erquo S, Kaptoge S, Perry PL et al. Lipoprotein (a) feejignaanta iyo khatarta cudurka wadnaha wadnaha, istaroogga, iyo dhimashada aan caadiga ahayn. JAMA 2009; 302: 412-423.
Boffa MB, Koschinsky ML, Berglund L. Lipoprotein (a): waa arrin halis u ah cudurada wadnaha. Clin Lab Med 2006; 26: 751-772.
"Aqoonsiga Imtixaanka: LIPA-lipoprotein (a) serum." Mayo Clinic-Mayo Medical Laboratories (2016).
Kang S. "Waa maxay lipoprotein (a) maxayna macnaheedu tahay adiga?" HealthCentral (2008).