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Aiga hyperlipidemia tuʻufaʻatasia o se faʻaletonu ua pasia i lalo e aiga. E mafua ai le maualuga o le kolesterol ma le maualuga toto triglycerides.

Aiga faʻateleina hyperlipidemia o le sili ona masani tupuʻaga faʻamaʻi e faʻateleina gaʻo toto. E mafai ona mafua ai vave fatu fatu.

Maʻi suka, ava malosi, ma le hypothyroidism e atili ai ona leaga le tulaga. O mea mataʻutia e aofia ai le talaʻaga o le aiga o le maualuga o le kolesterol ma le maʻi o le coronary artery.

I le amataga o tausaga, atonu e leai ni faʻailoga.

A aliaʻi faʻailoga, e ono aofia ai:

  • Paʻu o le fatafata (angina) poʻo isi faʻailoga o le gasegase o le alatoto e maua i taimi o loʻo talavou.
  • Faʻapipiʻi se tasi poʻo tamaʻi povi peʻa savali.
  • E tiga o tamatamaivae e le malolo.
  • Faʻafuaseʻi pei o faʻamaʻi pei o faʻailoga, pei o le faigata ona tautala, paʻu i le tasi itu o ou foliga, vaivaiga o le lima poʻo le vae, ma le leiloa paleni.

Tagata e iai le faʻamaʻi lenei e ono tupu maualuga le suka poʻo le maualuga o le triglyceride tulaga o talavou. E mafai foi ona iloa le tulaga pe a iai tagata i le 20 ma le 30 o o latou tausaga. O tulaga tumau maualuga i taimi uma o le olaga. O i latou e maua i aiga faʻapitoa hyperlipidemia o loʻo i ai le faʻateleina o le ono aʻafia i gasegase o le coronary arteria muamua ma faʻafitauli o le fatu. E maualuga foi a latou fua o le lapoʻa ma e ono faapalepale i le suka.


Toto suʻega o le a faia e siaki ai lau maualuga o kolesterol ma triglycerides. O le a faʻaalia suʻega:

  • Faʻateleina le LDL cholesterol
  • Faʻaitiitia le HDL cholesterol
  • Faateleina triglycerides
  • Faʻateleina apolipoprotein B100

E maua le suʻesuʻega faʻafuaseʻi mo le tasi ituaiga o aiga faʻapitoa hyperlipidemia.

O le faʻamoemoe o togafitiga o le faʻaititia lea o le aʻafiaga o le fatu o le atherosclerotic.

SUIGA FAIGOFIE

O le laasaga muamua o le suia o mea e te 'ai. Tele o taimi, oe o le a taumafai taumafaina suiga mo le tele o masina ae leʻi fautuaina e lau fomaʻi vailaʻau. Suiga o meaʻai e aofia ai le tuʻuina i lalo o le aofaʻi o gaʻo faʻatupuina ma le suka faʻalelei.

Nei o ni suiga e mafai ona e faia:

  • Faʻaititia le paʻu o povi, moa, puaa, ma tamaʻi mamoe
  • Suia mea maualalo gaʻo i susu mo mea lololo
  • Aloese mai kuki afifi ma tao taoina o loʻo iai gaʻo trans
  • Faʻaitiitia le suka e te 'ai i le faʻatapulaʻaina o fuamoa ma fualaʻau

O fautuaga e masani ona fautuaina e fesoasoani i tagata e fai suiga i latou 'ai masani. Ole paʻu ole pauna ma faʻamalositino masani e ono fesoasoani foʻi e tuʻu ifo i lalo le maualuga o lou suka.


O VAILAʻAU

Afai o suiga o le olaga e le suia ai lou tulaga maualuga o le kolesterol, pe o oe o i se maualuga tele lamatiaga mo atherosclerotic fatu faʻamaʻi, lau fomaʻi soifua maloloina ono fautuaina oe e inu vailaʻau. E tele ituaiga o vailaʻau e fesoasoani e tuʻu ai i lalo le toto toto maualuga.

O fualaʻau e galue i auala eseese e fesoasoani ai ia te oe ia ausia maloloina lipid maualuga. O nisi e sili atu i le tuʻuina i lalo o le LDL cholesterol, o nisi e lelei i le tuʻuina i lalo o triglycerides, ae o isi e fesoasoani e faʻateleina le HDL cholesterol.

O vailaʻau e masani ona faʻaaogaina, ma sili ona aoga mo le togafitia ole maualuga ole LDL cholesterol e taʻua o statins. Latou aofia ai lovastatin (Mevacor), pravastatin (Pravachol), simvastatin (Zocor), fluvastatin (Lescol), atorvastatin (Lipitor), rosuvastatin (Crestor), ma pitivastatin (Livalo).

O isi vailaʻau e tuʻu ifo i lalo ole kolisi e aofia ai:

  • Bile acid-faʻasologa resins.
  • Ezetimibe.
  • Fibrates (pei o gemfibrozil ma fenofibrate).
  • Oona suavaia
  • O vailaʻau e taofi ai le PCSK9, e pei ole alirocumab (Praluent) ma evolocumab (Repatha) O loʻo fai ma sui o se vasega fou o vailaʻau e togafitia ai le maualuga ole kolesterol.

O le lelei o lau faʻamoemoe e faʻalagolago i:


  • Faʻafefea vave ona maua le maʻi
  • A e amata togafitiga
  • O le a le lelei o lou mulimuli i lau togafitiga togafitiga

A aunoa ma togafitiga, fatu fatu po o le stroke mafai mafua vave oti.

E oʻo lava i vailaʻau, o nisi tagata e ono faʻaauau pea le maualuga o le lipid maualuga e faʻateleina ai le ono afaina o latou fatu.

Faʻafitauli e ono aofia ai:

  • Maʻi muamua fatu atherosclerotic
  • Maʻi fatu
  • Pa

Saili vave togafitiga faʻafomaʻi pe a fai e tiga lou fatafata poʻo isi faʻailoga lapatai o se fatu fatu.

Valaʻau lau tautua pe a fai o iai sau oe igoa poʻo se aiga talaʻaga e maualuga le maualuga o le tulaga o le kolesterol.

Ole taumafataga e laʻititi ile kolesterol ma gaʻo gaʻo e ono fesoasoani e faʻatonutonu ai le maualuga ole LDL i tagata e tele le aʻafiaga.

Afai o se tasi o lou aiga o loʻo maua i lenei maʻi, atonu e te manaʻo e mafaufau i siaki faʻafanua mo oe poʻo lau fanau. O isi taimi, tamaiti laʻititi ono maua i le agamalu hyperlipidemia.

E taua tele le faʻatonutonuina o isi mea e ono lamatia ai le vave oso o le fatu, pei o le ulaula.

Tele lipoprotein-ituaiga hyperlipidemia

  • O le poloka o alatoto toto
  • Meaʻai maloloina

Genest J, Libby P. Lipoprotein faʻafitauli ma faʻamaʻi fatu. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: O Se Tusitusiga o Faʻafomaʻi Cardiovascular. 11th lomiga. Filatelefia, PA: Elsevier; 2019: chap 48.

Robinson JG. Faʻaletonu o le lipid metabolism. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: chap 195.

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