Kodi VAP Cholesterol Imayesa Kupeza Vuto Lanu la Matenda a Mtima?
Mayeso a cholesterol a VAP, kapena kuyesedwa kwa maonekedwe owonetsa, akudziwika bwino kuti mayeso a cholesterol kapena mapiritsi a lipid. Zimaphatikizapo miyezo yomwe ikugwirizana ndi zolinga zamatenda atsopano wa kolesterolini ndipo ikhoza kukondedwa ndi opereka omwe akuyang'anira mankhwala a cholesterol. Ikhoza kudziwa anthu ambiri omwe ali pachiopsezo cha matenda a mtima m'tsogolo.
Kuyesedwa kwapadera kwapadera (VAP) kunapangidwa ndi ochita kafukufuku ku Birmington, Alabama ndipo anayambitsa malonda ndi Atherotech, Inc. Kugulitsidwa kunayesedwa ndi FDA mu 2007.
Kuyezetsa VAP Kuyerekeza ndi Zopweteka Zokhudza Cholesterol
Mayeso a cholesterol amatha kugwira ntchito mwa kuyendetsa mwazi pafupipafupi kuti apatule lipids (mafuta). Kuyeza kwayeso, komwe kumatchedwa mbiri ya lipid, kumasiyanitsa mitundu itatu yamagulu : lipoproteins, kapena HDL; zochepa zamapoproteins, kapena LDL; ndi triglycerides, mtundu waukulu wa mafuta m'thupi.
Koma pafupifupi theka la anthu onse amene avutika ndi matenda a mtima, mafilimu amodzimodzi amasonyeza kuti palibe vuto lililonse. Malingana ndi Atherotech, mayeso a VAP adzatha kuzindikira anthu awiri omwe ali pachiopsezo cha matenda a mtima, poyerekeza ndi njira zachikhalidwe.
Mchitidwe wamayeso wa cholesterol:
- Mipingo ya LDL
- Miyeso yonse ya HDL
- Miyeso ya Triglyceride
Muyeso wamatsenga wa kolesterolini, maguluwa amawerengedwa pogwiritsa ntchito njira yeniyeni. Mosiyana ndi zimenezi, mayeso atsopano a VAP akhoza kuyeza mwapadera.
Momwe Vuto la VAP limagwirira ntchito
Mofanana ndi mbiri ya lipidyi, kuyesa kwa VAP kumagwira ntchito poyendetsa sampha ya magazi kuti apatule lipids polemera. Koma kuyesa kwa VAP kumapereka tsatanetsatane woposa chiyeso cha chikhalidwe.
Mwachitsanzo, mayeso a VAP amapanga cholesterol cha LDL ndi kukula kwake komanso amathyola mafuta a HDL m'thupi. Kafukufuku wamakono akuwonetsa kuti mapangidwe ena a makulidwe a LDL angasonyeze chiopsezo chachikulu cha kukula kwa matenda a mtima. Kuonjezerapo, kachigawo kamodzi ka HDL, HDL2, kakuwoneka kuti ndi kotetezeka kwambiri.
Kuyeza kwa VAP kumaphatikizapo kuchuluka kwa magazi m'magazi omwe mafilimu omwe ali nawo panopa amanyalanyaza, monga kulemera kwapopoprotein (VLDL); pakati-density lipoprotein (IDL); ndi lipoprotein (a) [Lp (a)]. Atherotech ochita kafukufuku amati kuyeza makalasi owonjezerawa ndi magulu ang'onoang'ono akhoza kuwulula zambiri zokhudza chiopsezo cha matenda a mtima, omwe mayesero a chikhalidwe angaphonye.
Cholinga cha kuyesa kwa VAP
- Chiwerengero cha VLDL: Mipando ya VLDL yowonjezereka ikugwirizana ndi kuopsa kwa matenda a mtima ndi shuga.
- Chiwerengero cha Cholesterol Chokha: Chiwerengero cha HDL, LDL ndi VLDL.
- Chiwerengero cha HDL: Chiwerengero cha ma LDL ndi VLDL okha; Mtengo wapamwamba umasonyeza chiopsezo chachikulu cha matenda a mtima.
- Zonse apoB100: Apolipoprotein B100 imathandiza kulenga, kunyamula ndi kupereka "cholesterol choipa" ku maselo; Mankhwala othandizira pa B100 apo ndikudziwa mtundu ndi / kapena chifukwa cha mkulu wa cholesterol.
- Lp (a) cholesterol: Kafukufuku amasonyeza kuti Lp (a), omwe ali ofanana ndi LDL, ndi chowopsezo chochokera ku matenda a atherosclerosis.
- IDL: Lipoprotein ya osakanikirana; Malingana ndi Atherotech, nambala iyi imakwezeka pakati pa anthu omwe ali ndi mbiri ya banja la shuga.
- LDL-RC: LDL yomwe imadalira puloteni yogwira ntchito; mtundu uwu wa LDL umapezeka pa malo a miyala ya atherosclerotic mu thupi, yomwe ndi imodzi mwa zinthu zazikulu za matenda a mitsempha ndipo_pamene zimatuluka - woyambitsa matenda a mtima.
- Chiwerengero cha LDL-C: Chiwerengero cha Lp (a), IDL ndi LDL.
- Chitsanzo cha LDL: Imati ndi imodzi mwa magulu atatu - A, A / B kapena B. Mu chitsanzo A, mamolekita a LDL ndi aakulu komanso ochepa kwambiri, zomwe zimawathandiza kuti thupi lichotse. Pogwiritsa ntchito A / B, pali kuphatikiza kwa mamolekyumu ndi ofiira. Pulogalamu B, yaying'ono, yochuluka kwambiri. Malingana ndi Atherotech, odwala okhala ndi tizilombo tating'onoting'ono ta LDL (chithunzi B) ali ndi chiopsezo chachikulu chokhala ndi matenda a mtima kuposa ana odwala LDL.
- HDL-2: Chitsimikizo cha "cholesterol" chabwino chomwe chimateteza matenda a mtima. Nambala yochepa pano ingatanthauze chiopsezo chowonjezereka cha matenda a mitsempha yamakono, ngakhale mwa iwo omwe ali ndi ma cholesterol osiyana.
- HDL-3: Chigawo china cha HDL, chomwe sichiteteza ku matenda a mitsempha ya HDR-2.
- VLDL-3: triglyceride wolemera kwambiri otsika kwambiri-lipoprotein; Kafukufuku wina akusonyeza kuti pali kusiyana pakati pa chiwerengero cha VLDL ndi 3 komanso chitukuko cha shuga.
Komanso, kuyesa kwa VAP kumapatsa anthu chidziwitso chabwino cha chiopsezo chawo ku matenda opatsirana , kuphatikizapo zinthu zomwe zimakweza kwambiri munthu amene ali ndi matenda a shuga kapena matenda a mtima.
Zotsatira za cholinga cha mankhwala a Cholesterol kuchokera ku ADA / ACC 2008 Consensus Statement zikuphatikizapo zolinga za LDL-C, osati HDL-C ndi APOB, zomwe zimaphatikizidwa mu VAP koma si mbali ya mayesero oyambirira a cholesterol.
Zotsatira:
Bioletto, Silvana, Alain Golay, Robert Munger, Barbara Kalix ndi Richard W. James. "Hyperinsulinemia yapamwamba kwambiri ndi Kuchepa Kwambiri Kwambiri Kwambiri ndi Kuchepa Kwambiri Kwambiri M'maphunziro Omwe Amakhala Ofunika Kwambiri." American Journal of Clinical Nutrition 71 (2000): 443-449.
Kapepala, Kristin. "Lipoprotein Phenotype ndi Genotype." CDC.gov. 2 Nov. 2007. Zomwe Zimayambitsa Matenda a Matenda.
"Zolemba Zenizeni: Mayeso a VAP Cholesterol." Mayeso Ovuta Kwambiri Okhudzana ndi Cholesterol - VAP . 2008. Atherotech, Inc.
Kulkarni, KR, DW Garber, SM Marcovina ndi JP Segrest. "Quantification ya Cholesterol mu Mapoprotein Classes ndi VAP-II Method." Journal of Lipid Research. 35 (1994) 159-168.
> Chipatala cha Mayo Clinic. "Mayeso a Cholesterol: Kutulutsa Lipids." MayoClinic.com . 1 Feb. 2007. Chipatala cha Mayo.
"Metabolic Syndrome." Matenda a Zamadzimadzi . 2014. American Heart Association.
Singh, SK, MV Chikulire, B Cholinga ndi A Agrawal. "Kugwirizana Pakati pa C-Puloteni yogwira ntchito ndi Atherosclerosis." Annals of Medicine. 40.2. 16 NOV 2007 110-120.
Ziajka, Paul. "Pogwiritsa ntchito VAP Yowonjezereka Mayeso a Lipid kuchokera ku Atherotech kuti Ikhale ndi Maganizo Opambana Ochizira Odwala." 2008. Atherotech.