Panel Lipid (Cholesterol & Triglycerides)
Itumọ
Panel ọra kan ṣe iwọn awọn ọra ẹjẹ ti o ni ipa lori eewu inu ọkan ati ẹjẹ: -Apapọ Cholesterol- Apapọ gbogbo awọn iru idaabobo awọ -LDL-C (Lipoprotein Ìwúwo Kekere)- idaabobo awọ "buburu"; mu atherosclerosis ṣiṣẹ -HDL-C (Lipoprotein iwuwo giga)- idaabobo awọ "dara"; aabo -Awọn triglycerides- Awọn ọra ẹjẹ ti o ni ipa nipasẹ ounjẹ ati iṣelọpọ agbara -ti kii-HDL-C- Lapapọ iyokuro HDL; okeerẹ atherogenic odiwon
Idi Ti O Ṣe Pataki
Lipids jẹ aringbungbun si arun inu ọkan ati ẹjẹ: -Atherosclerosis- LDL idaabobo awọ wakọ okuta iranti Ibiyi -Ikọlu ọkan ati eewu ọpọlọ- LDL ti o ga julọ ni asopọ si awọn iṣẹlẹ -Ti o le ṣe itọju- Igbesi aye ati awọn oogun ni imunadoko dinku LDL -Idinku iku- Lilọ silẹ LDL dinku iku iku inu ọkan ati ẹjẹ
Ilana bọtini:Lilọ silẹ LDL dinku eewu atherosclerotic arun inu ọkan ati ẹjẹ ni ibamu si idinku pipe ni LDL.
Awọn iye itọkasi
Cholesterol LDL
| Ipele | Itumọ |
|---|---|
| <70 mg/dL | Ti o dara julọ fun awọn alaisan ti o ni eewu pupọ |
| <100 mg/dL | Ti o dara julọ fun awọn alaisan ti o ni eewu giga |
| 100-129 mg/dL | Nitosi aipe |
| 130-159 mg/dL | Aala ga |
| 160-189 mg/dL | Ga |
| ≥190 mg/dL | O ga pupọ |
HDL Cholesterol
| Ipele | Itumọ |
|---|---|
| <40 mg/dL (awọn ọkunrin) | Kekere (ifokansi eewu) |
| <50 miligiramu/dL (awọn obinrin) | Kekere (ifokansi eewu) |
| ≥60 mg/dL | Aabo |
Awọn triglycerides
| Ipele | Itumọ |
|---|---|
| <150 mg/dL | Deede |
| 150-199 mg/dL | Aala ga |
| 200-499 mg/dL | Ga |
| ≥500 mg/dL | O ga pupọ (ewu pancreatitis) |
Apapọ Cholesterol
| Ipele | Itumọ |
|---|---|
| <200 mg/dL | Ifẹ |
| 200-239 mg/dL | Aala ga |
| ≥240 mg/dL | Ga |
Bawo ni O Ṣe Diwọn
- Awẹ ọra nronu- Ibile (yara wakati 8-12)
- Ti kii gba awẹ- Bayi itewogba fun julọ waworan
- Iyaworan ẹjẹ lab- Standard ọna
HealthKit:Le tọju awọn iye ọra lati awọn igbasilẹ ile-iwosan.
Ọrọ Igbelewọn Ewu
Awọn ibi-afẹde ọra da lori: -Arun okan to wa tẹlẹ- Awọn ibi-afẹde isalẹ fun idena keji -Àtọgbẹ- Nigbagbogbo mu bi eewu giga -10-odun ASCVD ewu- Iṣiro nipa lilo awọn ifosiwewe pupọ -Miiran ewu okunfa- Siga mimu, haipatensonu, itan idile
Confounders & Awọn idiwọn
- Ipo ãwẹNi akọkọ yoo ni ipa lori awọn triglycerides
- Àìsàn ńláO le dinku LDL fun igba diẹ
- Recent àdánù làìpẹ- Iyipada awọn lipids fun igba diẹ
- Awọn oogun- Statins, awọn oogun tairodu, ati bẹbẹ lọ.
- Geneticshypercholesterolemia idile fa LDL ga pupọ
Lo Awọn ọran
- Ayẹwo ewu inu ọkan ati ẹjẹ- Ayẹwo ilera deede
- Abojuto itọju- Ṣe ayẹwo ipa ti statin
- Titele igbesi aye- Ipa ti ounjẹ ati idaraya
- Awọn ifiyesi itan idile- Tete waworan ti o ba ti ebi itan
Awọn Ifojusi Itọju
Olukuluku da lori ewu: -Ewu ti o ga pupọ (CVD tẹlẹ):LDL <70 mg/dL -Ewu to gaju (àtọgbẹ, eewu ọdun 10 giga):LDL <100 mg/dL -Ewu dede:LDL <130 mg/dL
Ti kii-Pharmacologic Interventions
- Onjẹ- Din po lopolopo sanra, mu okun
- Idaraya- Dide HDL, dinku triglycerides
- Pipadanu iwuwo- Ṣe ilọsiwaju gbogbo awọn paramita ọra
- Idaduro siga mimu- Mu HDL ga