Sidee Muhiim u Leeyahay Heerarka Triglyceride?
Triglycerides waa qaabka ugu badan ee dufanka ku jira jirka. Xaqiiqdii, ku dhawaad dhammaan qiyaasta kuleylka ee aad isticmaashid, haddii aad ka heshid cunto dufan ama cunto karbohidraate ah, waxaa loo beddelaa triglycerides oo lagu kaydiyaa unugyada dufankaaga.
Xidhiidhka u dhexeeya heerka dhiigga ee dhiigga iyo khatarta wadnaha wadnaha ayaa ah mid aan ka muuqan marka loo eego heerarka dhiigga ee kolestaroolka .
Hase yeeshee, daraasaduhu waxay hadda sameeyeen in runtii xiriir toos ah u dhexeeya heerarka triglyceride ee sareeya iyo khatarta wadnaha oo kordhaya .
Sababtoo ah Heerarka Tigreega Heerka Sare waxay kordhinayaan Khatarta Wadnaha
Heerka sare ee triglycerides ee dhiigga (xaalad loo yaqaan hypertriglyceridemia) waxay la xiriirtaa khatarta sii kordheysa ee cudurrada wadnaha iyo xididada - gaar ahaan, wadno xanuun iyo stroke - labadaba rag iyo dumarba. Waxaa intaa dheer, dadka qaba cudurka halbowlaha wadnaha (CAD) iyo triglycerides sare waxay leeyihiin khatar sare oo ah dhimasho hore oo ka badan dadka qaba CAD iyo heerarka triglyceride caadiga ah.
Heerarka triglyceride heerarka sare, intaa waxaa dheer, waxay si aad ah ula xiriiraan waxyaabo kale oo muhiim ah oo lipid ah, oo ay ku jiraan heerarka hooseeya ee HDL kolesteroolka , qaybo yar oo cufan LDL , iyo insulin iska caabbinta . Caabuqnimada insulin, lafteeda, waxay la xiriirtaa hypertension iyo cayilka. Marka, heerarka triglyceride ee sare waxaa inta badan lagu arkaa dadka leh hanti aad u sareeya ee metabolis.
Dadkan dhexdiisa, dhacdooyinka sare ee cudurrada wadnaha ayaa ah kuwo aan la yaab lahayn.
Qeybinta Heerarka Dhiiga ee Triglyceride
Heerarka dhiigga ee triglyceride waxaa lagu kala saaraa sida soo socota:
- Sii macquul ah: Heerarka triglyceride oo ka yar 150 mg / dL
- Xuduudaha Xadka: Heerarka Triglyceride Heerka u dhaxeeya 150 iyo 199 mg / dL
- Heerka sare: Heerarka Triglyceride inta u dhaxaysa 200 iyo 499 mg / dL
- Aad u sarreeya: Heerarka Triglyceride ee 500 mg / dL ama ka weyn
Guud ahaan, heerka sarreeya ee triglyceride, aad ayay u sareeyaan khatarta wadnaha. Intaa waxaa dheer, heerarka triglyceride ee "aad u sarreeya" waxay keeni kartaa xanuunka 'pancreatitis' , oo ah infekshan halis ah oo aad halis u ah beeryarada.
Sababaha
Heerarka triglyceride ee heerarka sare ayaa inta badan lagu arkaa dadka miisaankoodu sarreeyo iyo kuwa liidata, iyo kuwa u nugul cadaadiska insulin ama nooca 2aad ee sonkorowga .
Xaalado kale oo la xiriira heerarka triglyceride ee sare waxaa ka mid ah:
- Hypothyroidism
- Xaaladaha kelyaha, gaar ahaan cudurrada nephrotic
- Uurka
- Daawooyinka, oo ay ku jiraan bedelaadda estrogen, tamoxifen, iyo qaar ka mid ah xannibayaasha beta
Waxaa intaa dheer, xaalado badan oo hidde ah ayaa lagu aqoonsaday in lagu garto heerarka dhiigga ee triglyceride. Kuwaas waxaa ka mid ah chylomicronemia, familial hypertriglyceridemia, familial dysbetalipoproteinemia, iyo familial combined hyperlipidemia.
Mid kasta oo ka mid ah cuduradaan hidde-qabadka ah waxaa lagu gartaa astaamo aan caadi ahayn oo ku jira lipoproteinska oo qaada triglycerides ee dhiigga. Dadka qaba heerarka hiddo-wadaha dhexdhexaad ah ee heerarka triglyceride waxaa laga yaabaa inay ku dhacdo cawaaqib xumada hypertriglyceridemia (pankreatitis ama cudurka wadnaha iyo xididdada) xitaa haddii aysan culeysin ama aan cayilin.
Daaweynta
Talooyinka loogu talagalay daaweynta hypertriglyceridemia maaha mid dhammaystiran sida talooyinka lagu daaweynayo kolestaroolka . Sidaa darteed haddii aad leedahay heerar sare ee triglyceride, waxaad u baahan doontaa inaad kala hadasho fursadaha daaweynta dhakhtarkaaga.
Dhibaatooyinka talabixinta daaweyn dhab ah ayaa ka imanaysa xaqiiqda ah, iyadoo heerarka sare ee triglycerides ay la xiriiraan khatarta sii kordheysa ee cudurrada wadnaha, caddayn in aad yareyn karto halista, gaar ahaan hoos u dhigista heerarka triglyceride la'aanta. Tani, iyaduna, waxay la xiriirtaa xaqiiqda ah in dadka qaba hypertriglyceridemia badankood ay leeyihiin waxyaabo kale oo halis ah - oo dhammaan qodobada halista ah ee isla markaaba la daaweeyo.
Waxay ku xigtaa in aan macquul aheyn in la sheego inta ay ka soo kabashada natiijooyinku waxay ku xiran yihiin gaar ahaan heerarka triglyceride.
In kasta oo aanay jirin dardaaran daweyn oo adag, waxaa jira tilmaamo guud oo lagu daaweyn karo hypertriglyceridemia:
- Qiyaasta triglyceride ee xadka xad-dhaafka ah , isbeddelka hab-nololeedka ayaa lagula taliyaa, oo ay ku jiraan cuntada (ka ilaalinta dufanka buuxa dufanka iyo dufanka transit , cunida khudaar badan iyo khudaar, iyo ka fogaanshaha aalkolada), miisaan lumis, jimicsi, joojinta sigaarka , xakameynta sonkorta dhiigga, iyo xakamaynta cadaadiska dhiigga .
- Heerarka triglyceride ee heerarka sare , isbedelka hab nololeedka ayaa lagula talinayaa, oo ay weheliyaan hoos u dhac ku yimaada heerarka LDL ee kolesteroolka, sida ku cad talooyinka ugu dambeeyay ee lagu daaweynayo kolestaroolka LDL.
- Heerka triglyceride ee aad u sarreeya , yoolka koowaad waa inuu ka hortago xanuunka 'pancreatitis' iyadoo la yareeyo heerarka triglyceride ee ka hooseeya 500 mg / dL (sida caadiga ah leh daawada fibrate ama niacin ), kadibna marka labaad ujeedkeedu yahay dhimista kolesteroolka LDL sida ku qoran talooyinka ugu dambeeyay ee loogu talagalay daaweynaya kolestaroolka LDL.
Ereyga
Heerarka triglyceride heerarka sarreeya waxay la xiriiraan khatarta wadnaha oo sarreeya, heerarka triglyceride aad u sarreeya waxay keeni karaan faajuska.
Dadka badankood, triglycerides sare ayaa ku dhacaya goobo badan oo khatarta cudur wadne. Sidaa darteed, haddii aad leedahay heerarka triglyceride ee sarreeya, qiimaha ayaa ku fiican in waxyeellada wadnahaaga ay soo bandhigaan "bartilmaameed tayo leh oo hodon ah", iyo in aad leedahay shaqo badan oo la sameeyo si loo yareeyo khatartaada . Adiga iyo dhakhtarkaagu waa in ay wada shaqeeyaan si ay u sameeyaan istiraatiijiyad dhimis khaas ah oo khaas ah oo adiga kugu haboon.
> Ilo:
> Ford, ES, Li, C, Zhao, G, et al. Hypertriglyceridemia iyo Daweyntiisa Faragoga ah ee Aaladaha Qaangaarka ah. Arch Intern Intern 2009; 169: 572.
> Rosenson RS, Davidson MH, Hirsh BJ, et al. Genetics iyo Cudurka Triglyceride-Lipoproteins ee Cudurka Wadnaha Atherosclerotic. J Am Coll Cardiol 2014; 64: 2525.
> Warbixinta sadexaad ee Barnaamijka Waxbarashada Dumarka ee Qaranka (NCEP) Guddi Khabiir ah oo lagu ogaanayo Qiimeynta, Qiimeynta, iyo Daaweynta Dhiiga Dhiigga Dhiig badan ee Dadka Da'doodu tahay (Gudbinta Daaweynta Qaan-Gaarka ee III): Warbixinta ugu dambeysa. Wasaaradda Caafimaadka ee Mareykanka iyo Adeegyada Aadanaha; Adeega Caafimaadka Dadweynaha; Machadyada Qaranka ee Caafimaadka; Wadnaha Qaranka, Sambabka, iyo Machadka Dhiiga. Wareegga 2002; 106: 3143.