Cholesterol e phahameng - bana

Cholesterol ke mafura (ao hape a bitsoang lipid) ao 'mele o hlokang ho sebetsa hantle. Ho na le mefuta e mengata ea k'holeseterole. Tse buuoang haholo ke:

• Kakaretso ea k'holeseterole - li-cholesterols tsohle li kopantsoe
• Cholesterol e phahameng ea lipoprotein (HDL) - e bitsoang cholesterol e ntle
• Cholesterol ea low density lipoprotein (LDL) - e bitsoang cholesterol e mpe

K'holeseterole e mpe haholo e ka eketsa menyetla ea ho tšoaroa ke lefu la pelo, stroke le mathata a mang.

Sengoliloeng sena se bua ka cholesterol e phahameng ho bana.

Boholo ba bana ba nang le k'holeseterole e phahameng ba na le motsoali a le mong kapa ba fetang ba nang le k'holeseterole e phahameng. Lisosa tsa mantlha tsa cholesterol e phahameng ho bana ke:

• Nalane ea lelapa ea cholesterol e phahameng
• Ho ba motenya haholo kapa ho ba motenya
• Lijo tse se nang phepo

Maemo a mang a bophelo bo botle a ka lebisa ho cholesterol e sa tloaelehang, ho kenyelletsa:

• Lefu la tsoekere
• Lefu la liphio
• Lefu la sebete
• Tšoelesa ea qoqotho e sa sebetseng

Mathata a mangata a fetisoang ke malapa a lebisa ho cholesterol e sa tloaelehang le maemong a triglyceride. Li kenyeletsa:

• Tloaelo ea hypercholesterolemia
• Tloaelo e kopaneng ea hyperlipidemia
• Dysbetalipoproteinemia e tloaelehileng
• Tloaelo ea hypertriglyceridemia

Teko ea k'holeseterole e etsoa ho fumana cholesterol e phahameng ea mali.

Litaelo tse tsoang ho National Heart, Lung, le Blood Institute li khothaletsa ho lekola bana bohle bakeng sa k'holeseterole e phahameng:

• Pakeng tsa lilemo tse 9 ho isa ho tse 11
• Hape pakeng tsa lilemo tse 17 le 21

Leha ho le joalo, ha se lihlopha tsohle tsa litsebi tse khothalletsang ho hlahlobisisa bana bohle mme ho fapana le moo li shebile ho hlahloba bana ba kotsing e kholo. Lintho tse eketsang kotsi ea ngoana li kenyelletsa:

• Batsoali ba ngoana ba na le k’holeseterole e felletseng ea mali ea 240 mg / dL kapa ho feta
• Ngoana o na le setho sa lelapa se nang le nalane ea lefu la pelo pele a le lilemo li 55 ho banna le lilemo tse 65 ho basali
• Ngoana o na le mabaka a kotsi, joalo ka lefu la tsoekere kapa khatello e phahameng ea mali
• Ngoana o na le maemo a itseng a bophelo bo botle, joalo ka lefu la liphio kapa lefu la Kawasaki
• Ngoana o motenya (BMI ka 95th percentile)
• Ngoana o tsuba lisakerete

Lipheo tse akaretsang tsa bana ke:

• LDL - Ka tlase ho 110 mg / dL (linomoro tse tlase li betere).
• HDL - Ho feta 45 mg / dL (lipalo tse phahameng li betere).
• Kakaretso ea k'holeseterole - e ka tlase ho 170 mg / dL (lipalo tse tlase li betere).
• Triglycerides - Ka tlase ho 75 bakeng sa ngoana ho fihlela lilemo tse 9 le ka tlase ho 90 bakeng sa bana ba lilemo tse 10 ho isa ho 19 (lipalo tse tlase li betere).

Haeba liphetho tsa k'holeseterole li sa tloaelehang, bana ba ka ba le liteko tse ling tse kang:

• Teko ea tsoekere ea mali (glucose) ho sheba lefu la tsoekere
• Liteko tsa ts'ebetso ea liphio
• Ts'ebetso ea qoqotho e leka liteko tsa qoqotho e sa sebetseng
• Liteko tsa ts'ebetso ea sebete

Mofani oa tlhokomelo ea bophelo ba ngoana oa hau le eena a ka botsa ka nalane ea bongaka kapa ea lelapa ea:

• Lefu la tsoekere
• Hypertension
• Botenya
• Mekhoa e fosahetseng ea lijo
• Ho hloka boikoetliso
• Ho tsuba koae

Tsela e molemohali ea ho phekola k'holeseterole e phahameng ho bana ke ka ho ja le ho ikoetlisa. Haeba ngoana oa hau a le motenya haholo, ho theola boima ba 'mele ho tla thusa ho phekola k'holeseterole e phahameng. Empa ha ua lokela ho thibela lijo tsa ngoana oa hau ntle leha mofani oa ngoana oa hao a ho buella. Sebakeng seo, fana ka lijo tse phetseng hantle 'me u khothaletse boikoetliso ba' mele.

LIJO LE TLHAKISO

Thusa ngoana oa hau ho khetha lijo tse nepahetseng ka ho latela tataiso ena:

• Ja lijo tse nang le fiber e ngata ka tlhaho le mafura a fokolang joalo ka lithollo, litholoana le meroho
• Sebelisa litlolo tse mafura a tlase, lisoso le liaparo
• Qoba lijo tse nang le mafura a mangata le tsoekere e ekelitsoeng
• Sebelisa lebese le tlotsitsoeng kapa lebese le mafura a tlase le lihlahisoa tsa lebese
• Qoba lino tse tsoekere, tse kang soda le lino tse monate tsa litholoana
• Ja nama e se nang mafura 'me u qobe nama e khubelu
• Ja litlhapi tse ngata

Khothaletsa ngoana oa hau ho ikoetlisa. Bana ba lilemo li 5 ho ea holimo ba lokela ho ba mafolofolo bonyane hora e le 'ngoe ka letsatsi. Lintho tse ling tseo u ka li etsang li kenyelletsa:

• Etsang lintho ka mafolofolo le le lelapa. Rera ho tsamaea le ho palama baesekele hammoho ho fapana le ho bapala lipapali tsa video.
• Khothaletsa ngoana oa hau ho kenela sekolo kapa lihlopha tsa lipapali tsa lehae.
• Fokotsa nako ea skrine ho feta lihora tse 2 ka letsatsi.

Mehato e meng e kenyelletsa ho ruta bana ka likotsi tsa ts'ebeliso ea koae.

• Etsa hore lehae la hau e be sebaka se se nang mosi.
• Haeba uena kapa molekane oa hau le tsuba, leka ho tlohela. Le ka mohla u se ke ua tsuba haufi le ngoana oa hau.

Phekolo ea lithethefatsi

Mofani oa ngoana oa hau a kanna a batla hore ngoana oa hau a noe moriana oa k'holeseterole haeba liphetoho tsa bophelo li sa sebetse. Bakeng sa sena ngoana o tlameha ho:

• Eba bonyane lilemo tse 10.
• Ho ba le LDL cholesterol level 190 mg / dL kapa ho feta kamora likhoeli tse 6 tsa ho ja lijo tse nepahetseng.
• Ho ba le LDL cholesterol level 160 mg / dL kapa ho feta ka mabaka a mang a kotsi.
• Eba le nalane ea lelapa ea lefu la pelo.
• Ho ba le kotsi e le 'ngoe kapa ho feta bakeng sa lefu la pelo.

Bana ba nang le k'holeseterole e phahameng haholo ba ka hloka ho qala meriana ena pele ho lilemo tse 10. Ngaka ea ngoana oa hau e tla u joetsa haeba sena se ka hlokahala.

Ho na le mefuta e mengata ea lithethefatsi ho thusa ho theola maemo a mali a k'holeseterole. Lithethefatsi li sebetsa ka litsela tse fapaneng. Lipolelo ke mofuta o mong oa sethethefatsi se theolelang k'holeseterole mme ho netefalitsoe hore se fokotsa menyetla ea lefu la pelo.

Likarolo tse phahameng tsa k'holeseterole li ka lebisa ho thatafala ha methapo ea mali, eo hape e bitsoang atherosclerosis. Sena se etsahala ha mafura, k’holeseterole le lintho tse ling li bokella maboteng a methapo ’me li theha mehaho e thata e bitsoang mabokose.

Ha nako e ntse e ea, lipoleiti tsena li ka thibela methapo ea mali 'me tsa baka lefu la pelo, stroke, le matšoao a mang kapa mathata ho pholletsa le' mele.

Mathata a fetisoang ke malapa hangata a lebisa ho maemo a phahameng a k'holeseterole ao ho leng thata ho a laola.

Lipid mafu a - bana; Hyperlipoproteinemia - bana; Hyperlipidemia - bana; Dyslipidemia - bana; Hypercholesterolemia - bana

Barab'abo rōna JA, Daniels SR. Batho ba khethehileng ba bakuli: bana le bacha. Ka: Ballantyne CM, e hlophisitsoeng. Clinical Lipidology: Motsoalle ho Mafu a Pelo a Braunwald. Lekhetlo la bobeli. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 37.

Chen X, Zhou L, Hussain M. Lipids le dyslipoproteinemia. Ka: McPherson RA, Pincus MR, bahlophisi. Henry's Clinical Diagnosis le Tsamaiso ka Mekhoa ea Laboraro. La bo23 la ed. St Louis, MO: Elsevier; 2017: khaolo ea 17.

Daniels SR, Couch SC. Mathata a lipid ho bana le lilemong tsa bocha. Ka: Sperling MA, e hlophisitsoeng. Sperling Pediatric Endocrinology. La 5th. Philadelphia, PA: Elsevier; 2021: khaolo ea 25.

Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Liphoso tsa metabolism ea lipids. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 104.

Park MK, Salamat M.Dyslipidemia le lisosa tse ling tsa kotsi ea pelo. Ho: Park MK, Salamat M, eds. Park's Pediatric Cardiology bakeng sa Basebetsi. La 7th. Philadelphia, PA: Elsevier; 2021: khaolo ea 33.

Remaley AT, Mantsiboea TD, Warnick GR. Lipids, lipoprotein, apolipoprotein, le lisosa tse ling tsa kotsi ea pelo. Ka: Rifai N, ed. Tietz ea Buka ea Khemistri ea Kliniki le Diagnostics ea Limolek'hule. La 6th. St Louis, MO: Elsevier; 2018: khaolo ea 34.

Sesole sa Ts'ireletso sa US, Bibbins-Domingo K, Grossman DC, Curry SJ, et al. Ho lekola mathata a lipid ho bana le bacha: Setatemente sa Khothaletso ea Ts'ebeletso ea Thibelo ea US. JAMA. 2016; 316 (6): 625-633. PMID: 27532917 www.pubmed.ncbi.nlm.nih.gov/27532917/.