Lipidogram (kuaj lipid profile): nws yog dab tsi thiab nws qhia dab tsi

Zoo Siab

• 1. Cov roj (cholesterol) LDL
• 2. roj HDL
• 3. VLDL roj (cholesterol)
• 4. Cov roj (non-HDL) cov roj (cholesterol)
• 5. Cov roj (cholesterol tag nrho)
• 6. Ua Rau Kauj Riglycerides
• Thaum lipid profile tshuaj ntsuam qhia
• Yuav ua li cas thaum nws pauv

Daim lipidogram yog qhov chaw kuaj ntshav tau thov los ntawm tus kws kho mob txhawm rau txheeb xyuas tus tib neeg cov lipid profile, uas yog, qhov ntau ntawm LDL, HDL, VLDL, triglycerides thiab tag nrho cov roj (cholesterol), uas thaum lawv nyob hauv qhov tsis zoo, sawv cev rau kev pheej hmoo loj ntawm kev tsim kho Piv txwv li cov kab mob plawv, xws li mob angina, mob plawv nres, mob hlab ntsha hlwb lossis hlab ntsha txhaws, piv txwv.

Kev tshuaj xyuas cov lipid profile yog thov los ntawm tus kws kho mob txhawm rau txhawm rau txheeb xyuas qhov kev pheej hmoo ntawm cov kab mob no thiab pab qhia txoj kev kho mob zoo rau txhua tus neeg, raws li txoj hauv kev los tiv thaiv kev noj qab haus huv. Txhawm rau txiav txim siab lipid profile, nws yog ib qho tsim nyog yuav tsum khaws cov ntshav hauv qhov ntsuas, uas tuaj yeem ua nrog lossis tsis yoo mov. Qhov xav tau ntawm 12-teev nrawm yuav tsum tau qhia los ntawm kws kho mob raws li tus neeg keeb kwm kev kho mob.

Hauv kev tshuaj xyuas ntawm cov lipid tiav profile, nws muaj peev xwm soj ntsuam qhov muaj nuj nqis ntawm:

1. Cov roj (cholesterol) LDL

LDL, lossis cov roj (cholesterol) tsawg tsawg, yog nrov npe hu ua cov roj (cholesterol) tsis zoo vim tias thaum nws tseem nyob siab nws yog qhov txuam nrog kev pheej hmoo ntawm cov kab mob plawv. Txawm li cas los xij, LDL yog lub hauv paus rau kev ua haujlwm ntawm lub cev, vim nws koom nrog kev tsim ntau cov tshuaj hormones.

Qhov zoo tshaj plaws, LDL cov qib roj cholesterol yuav tsum qis dua 130 mg / dl, txawm li cas los xij, rau qee cov neeg, kev tswj hwm nruj xws li qis dua 100, 70 lossis 50 mg / dl yog tsim nyog, nyob ntawm cov mob xws li kev ua neej, keeb kwm ntawm kab mob lossis muaj lwm yam yam mob plawv. Saib ntxiv txog LDL thiab dab tsi los tswj hwm nws.

2. roj HDL

HDL, lossis cov siab cov roj (cholesterol), yog nrov los ntawm cov roj (cholesterol) zoo thiab nws yog qhov tseem ceeb uas nws tau nce ntxiv hauv cov ncig ncig, vim nws sawv cev rau kev tiv thaiv plawv ntau dua. Nws raug nquahu tias nws tus nqi yog siab dua 40 mg rau cov txiv neej thiab poj niam, raws li txoj hauv kev tiv thaiv kev pheej hmoo ntawm cov kab mob plawv thiab, rau qhov ntawd, nws tau qhia ua kev ua haujlwm hauv lub cev thiab muaj zaub mov noj zoo nyob hauv cov rog thiab cov nqaij mos, tam sim no hauv ntses, txiv roj roj, zaub thiab noob, piv txwv.

3. VLDL roj (cholesterol)

VLDL yog cov roj (cholesterol) uas ua haujlwm los thauj cov triglycerides thiab cov roj (cholesterol) rau cov nqaij hauv lub cev, thiab nws yog ib feem ntawm pawg pawg roj (cholesterol) uas tsis yog HDL, yog li, nws yuav tsum khaws cia ntawm tus nqi qis, thiab nws tsis pom zoo tias lawv qhov tseem ceeb saum 30 mg / dL. Kawm paub ntau ntxiv txog kev puas tsuaj ntawm kev sib deev hauv VLDL.

4. Cov roj (non-HDL) cov roj (cholesterol)

Nws yog qhov tawm ntawm txhua hom roj (cholesterol), tsuas yog HDL thiab, zoo li LDL roj cholesterol ib leeg xwb, nws kuj suav tias cov kws kho mob yog qhov tseem ceeb txaus ntshai rau cov kab mob plawv, thiab tuaj yeem siv rau kev soj ntsuam thiab kev qhia kho.

Cov roj (cholesterol) tsis-HDL yuav tsum nyob ntawm 30 mg / dl saud tshaj qhov tau pom zoo rau LDL, yog li qhov siab tshaj plaws xav tau LDL tus nqi rau tus neeg yog 130 mg / dl, cov roj cholesterol tsis yog HDL raug suav tias yog ib qho yog nce txog 160 mg / dl.

5. Cov roj (cholesterol tag nrho)

Nws yog tag nrho ntawm HDL, LDL thiab VLDL, thiab nws yog qhov tsim nyog kom muaj tus nqi qis dua 190 mg / dL, vim tias thaum nws siab nws tseem ua rau muaj kev pheej hmoo ntawm cov kab mob xws li mob plawv, mob hlab ntsha tawg, mob hlwb lossis mob hlwb, piv txwv li Cov. Txawm li cas los xij, nws yuav tsum tau yug hauv lub siab tias yog tias cov roj (HDL) cov roj (cholesterol) zoo yog qhov siab dhau, nws tuaj yeem nce tag nrho cov roj (cholesterol) tag nrho cov nqi, yog li nws ib txwm tseem ceeb los piv cov txiaj ntsig ntawm cov lipid profile tiav.

6. Ua Rau Kauj Riglycerides

Kuj tseem hu ua triglycerides, cov roj molecules rog yog qhov tseem ceeb ntawm lub zog rau lub cev thiab cov leeg, txawm li cas los xij, thaum nce siab hauv cov hlab ntshav, lawv tuaj yeem pab txhawb kev tsub zuj zuj ntawm cov rog hauv cov hlab ntsha thiab kev loj hlob ntawm cov kab mob plawv.

Qhov tsim nyog triglyceride tus nqi hauv lipid profile kuaj yog tsawg dua 150 mg / dl, thiab nws cov nqi ntau dua, ntau dua qhov muaj feem ntau ntawm cov teeb meem. Ntxiv nrog rau kab mob plawv, ua rau cov roj triglycerides ntau dua tuaj yeem ua rau mob pancreatitis.

Ntawm no yog dab tsi los ua kom qis qis triglycerides.

Thaum lipid profile tshuaj ntsuam qhia

Feem ntau, kev siv tshuaj lipidogram yog ua rau cov neeg laus txhua 5 xyoo, txawm li cas los xij, yog tias muaj kev pheej hmoo loj dua rau kev mob plawv lossis yog tias cov roj cholesterol hloov mus rau lwm yam kev ntsuas, lub sijhawm no yuav tsum luv dua.

Txawm hais tias qhov kev ntsuas no tsis nquag thov rau cov menyuam yaus thiab cov tub ntxhais hluas, nws tuaj yeem ua rau cov neeg muaj feem ntau yuav muaj kab mob plawv, xws li cov neeg muaj caj ces roj ntshav, ntshav qab zib, ntshav siab lossis rog rog, piv txwv.

Yuav ua li cas thaum nws pauv

Thaum cov lipid profile hloov kho, nws yog ib qho tseem ceeb kom ua tiav cov kev kho mob, uas tau coj los ntawm tus kws kho mob thiab, zoo dua, nrog kev taug qab los ntawm tus kws qhia noj zaub mov noj haus. Cov hauv kev tseem ceeb los daws cov kev hloov pauv no suav nrog:

• Kev noj haus hloov: cov zaub mov muaj roj ntau, xws li cov zaub mov kib lossis cov nqaij rog, thiab cov carbohydrates ntau yuav tsum tau zam. Txawm li cas los xij, ib qho yuav tsum tsis txhob hnov ​​qab tias kev noj zaub mov yuav tsum muaj qhov sib npaug, thiab nrog cov khoom noj zoo rau lub cev rau txhua tus neeg, yog li nws raug nquahu kom ua raws li kev noj zaub mov zoo, kom koj paub xaiv cov zaub mov zoo tshaj plaws thiab nrog rau qhov zoo tshaj plaws ;
• Kev noj qab haus huv lub neej zoo: kom txo cov roj (cholesterol) phem thiab ua kom muaj cov roj (cholesterol) zoo, nws raug nquahu los ua cov haujlwm qoj ib ce, yam tsawg kawg 3 mus rau 6 zaug hauv ib lub lis piam, nrog li 150 feeb ntawm qoj ib ce. Nws tseem yog ib qho tseem ceeb kom txiav kev haus luam yeeb, vim tias qhov kev coj ua no cuam tshuam rau qhov txo hauv cov roj (cholesterol) zoo;
• Kev siv tshuaj: feem ntau tus kws kho mob yuav pom zoo kom siv cov tshuaj los tswj cov roj cholesterol thiab qib triglyceride, thiab qee qhov tseem ceeb suav nrog statins kom txo cov roj (cholesterol), xws li simvastatin, atorvastatin lossis rosuvastatin, piv txwv, lossis fibrates kom txo qis triglycerides, xws li Piv txwv li Ciprofibrato lossis Bezafibrato. Paub xaiv cov kev xaiv rau cov tshuaj txo cov roj cholesterol.

Ntxiv rau, kom txo qis txoj hauv kev tsim kab mob plawv, nws kuj tseem ceeb kom tswj hwm lwm yam kev pheej hmoo, xws li tswj cov ntshav qabzib, ntshav siab thiab poob phaus, vim tias txhua yam ntawm no ua rau kev tsim cov atherosclerosis hauv cov hlab ntshav thiab tus kab mob kev loj hlob.

Txheeb xyuas cov yeeb yaj kiab hauv qab no hais txog kev nkag siab qhov kev kuaj thiab yuav ua li cas txhawm rau tswj cov qib roj cholesterol: