Lipidogram yog ib qho kev kuaj ntshav uas tso cai rau koj kom paub txog lub xeev ntawm lipid (rog) metabolism hauv lub cev. Lub npe no yog hais txog ntau yam kev kuaj ntshav rau lipid metabolism. Cov ntshav lipid profile suav nrog ntau qhov ntsuas. Lawv yog ib qho tseem ceeb rau kev ntsuas qhov kev pheej hmoo ntawm qhov tshwm sim ntawm atherosclerosis, ischemia thiab lub xeev ntawm cov hlab plawv tag nrho.
Cov ntsuas dab tsi suav nrog hauv lipid profile?
Txoj kev tshawb no suav nrog cov hauv qab no:
- tag nrho cov cholesterol;
- high-density lipoproteins (HDL);
- qis lipoproteins tsawg (LDL);
- triglycerides;
- atherogenic coefficient.
Vim li cas thiaj noj lipid profile?
Yog li, lipidogram - nws yog dab tsi thiab vim li cas thiaj xav tau kev tshawb fawb?
- Tso cai rau koj los ntsuas qhov kev pheej hmoo ntawm kab mob plawv.
- Txhawm rau saib xyuas cov kev kho mob hauv cov kab mob hauv cov hlab ntsha, atherosclerosis, kub siab, ntshav qab zib mellitus thiab kab mob raum.
- Yog tias muaj teeb meem nrog hypercholesterolemia, mob plawv lossis mob stroke hauv tsev neeg, nyiam dua ib ntuskuaj lipid profile los tiv thaiv kev txhim kho ntawm cov teeb meem kev noj qab haus huv.
- Txoj kev tshawb no tso cai saib xyuas kev noj zaub mov lipid thiab kev kho mob.
Cov cholesterol yog dab tsi?
Cov roj (cholesterol) yog ib yam khoom tseem ceeb. Nws koom nrog hauv kev tsim ntawm tag nrho cov cell membranes, synthesis ntawm cov tshuaj hormones thiab tsim cov kua tsib. Cov roj (cholesterol) siab yog tsawg thiab tsawg. Hauv cov tib neeg, cov seem no yog hu ua cov roj (cholesterol) zoo thiab phem. Yog li nws yog qhov tseeb tshaj ntawm cov roj cholesterol tsawg uas tuaj yeem ua rau kev loj hlob ntawm atherosclerosis. Nws yog nws leej twg hu ua phem, los yog nplaum, vim nws muaj peev xwm nyob rau hauv cov phab ntsa ntawm cov hlab ntsha thiab tsim atherosclerotic plaques. Lipidogram - yog dab tsi? Txoj kev tshawb no yog ib qho cim qhia txog kev txhim kho ntawm atherosclerosis.
Triglycerides
Triglycerides (TG) yog cov organic sib txuas ntawm fatty acids thiab esters ntawm glycerol, uas yog nyob rau hauv chav kawm ntawm lipids. Lawv yog cov tseem ceeb ntawm cov khoom noj khoom haus thiab lub zog rau lub cev. Tab sis qhov ntau dhau ntawm qhov ntsuas no hais txog qhov muaj feem cuam tshuam rau kev txhim kho cov kab mob plawv thiab atherosclerosis.
Atherogenic coefficient (CA)
Qhov coefficient no tso cai rau koj los txiav txim siab qib ntawm kev pheej hmoo ntawm kev txhim kho atherosclerosis thiab kab mob plawv. Nws qhia qhov piv ntawm atherogenic thiab anti-atherogenic cov ntshav feem. Txhawm rau xam CA, nws txaus los faib qhov sib txawv ntawm tag nrho cov roj cholesterol thiab HDL cholesterol los ntawm HDL.
Yuav txhais li cas rau qhov ntsuasKA?
- Yog tias tus nqi CA tsawg dua 3, ces qhov kev pheej hmoo ntawm atherosclerosis tsawg heev.
- Nrog CA los ntawm 3 txog 4 - qib ntawm kev txhim kho cov kab mob plawv lossis atherosclerosis siab.
- Yog tias KA yog 5 lossis siab dua, qhov tseeb no qhia tau tias kab mob plawv lossis atherosclerosis twb muaj lawm, thiab qhov no, dhau los, ua rau muaj kev pheej hmoo ntawm kev mob plawv thiab hlwb (lub plawv nres, mob stroke), thiab. kab mob raum thiab limb thrombosis.
YHypercholesterolemia yog dab tsi?
Hypercholesterolemia, lossis cov roj cholesterol siab, tshwm sim nws tus kheej nrog hyperlipidemia - nce cov ntsiab lus ntawm lipids (rog) hauv cov ntshav. Nws tsis tshwm sim outwardly. Txhawm rau txhawm rau txheeb xyuas cov qib roj cholesterol thiab nws cov feem (LDL, HDL, triglycerides, atherogenic coefficient), nws yog ib qho tsim nyog yuav tau ua qhov kev tshuaj ntsuam lipidogram. Nws yog dab tsi thiab yuav ua li cas yog tias cov txiaj ntsig tau dhau los, peb yuav nkag siab hauv kab lus no.
Hauv cov tib neeg noj qab haus huv, feem ntau, cov ntsuas lipidogram nce vim kev noj zaub mov tsis raug lossis nrog nce kev sib txuas ntawm cov roj (cholesterol) hauv endogenous.
Cov zaub mov twg tuaj yeem nce cov roj cholesterol?
Ntau ntawm cov khoom no yog cov khoom ntawm tsiaj keeb kwm. Cov no suav nrog:
- Txhua tus sausages.
- -rog noj (Goose, os, nqaij npuas, thiab lwm yam..
- qe qaib, qe qaib, thiab lwm yam. (cov yolk tshwj xeeb tshaj yog nplua nuj nyob rau hauv cov roj cholesterol).
- YTxhua hom mayonnaise (txawm tias hu ua lean mayonnaise).
- Fattycov khoom noj siv mis (cream, butter, qaub cream, mis nyuj).
- Dub thiab liab caviar ntawm noble ntau yam ntses.
- Txhua ncuav qab zib (khoom qab zib, pastries, ncuav qab zib, thiab lwm yam).
Txoj kev noj zaub mov kuj tseem cuam tshuam txog qib roj cholesterol hauv cov zaub mov. Yog li, steamed los yog cub-ci lauj kaub tais diav muaj cov roj cholesterol tsawg dua li cov roj los yog roj ntau ntau.
Yog vim li cas thiaj nce synthesis ntawm endogenous cholesterol
- Thaum muaj hnub nyoog 50-55 xyoos, kev sib txuas ntawm endogenous low-density cholesterol feem ntau nce.
- Kev txo qis ntawm cov tshuaj hormones kev sib deev hauv cov poj niam (menopause).
- Ntau yam txheej txheem inflammatory tshwm sim nyob rau hauv cov hlwb ntawm lub siab lossis hauv cov kua tsib ducts ua rau kom cov roj cholesterol.
Lipidogram: txiav txim siab hauv cov neeg laus. Norma
Tus nqi ib txwm rau txoj kev kawm no muaj nyob hauv cov lus hauv qab no.
| Indicators | Norma | ntsuas ntsuas |
| 3, 0-5, 2 | Ymmol/L | |
| YHDL (poj niam) | >1, 4 | mmol/l |
| HDL (txiv neej) | >1, 69 | Ymmol/L |
| LDL | <3, 9 | Ymmol/L |
| Triglycerides | 0, 14-0.83 | Ymmol/L |
| Atherogenic coefficient | <3 | --------- |
Los ntawmCov lus no qhia tau hais tias nyob rau hauv ib qho kev tshawb fawb xws li lipidogram, cov qauv ntawm cov poj niam sib txawv tsuas yog cov lipoproteins ntom ntom, thiab tag nrho lwm cov ntaub ntawv tsis muaj qhov sib txawv ntawm poj niam txiv neej.
Vim li cas cov roj (cholesterol) siab txaus ntshai?
nce qib ntawm cov roj cholesterol hauv cov ntshav inevitably ua rau tsim cov atherosclerotic plaques nyob rau hauv lumen ntawm cov hlab ntsha, thiab qhov no, nyob rau hauv lem, yuav ua rau txoj kev loj hlob ntawm cov hlab plawv thiab cerebrovascular kab mob, xws li:
- Hypertension, uas yog tus cwj pwm los ntawm qhov ntev ntawm cov ntshav siab > 140/90 mm Hg. Art., qhov no yog qhov tshwm sim ntawm qhov txo qis hauv txoj kab uas hla ntawm lub lumen ntawm lub raum cov hlab ntsha vim yog cov plaques tsim hauv lawv. Tsis tas li ntawd, cov plaques lawv tus kheej muaj peev xwm tsim cov tshuaj uas ua rau kom ntshav siab.
- IHD (kab mob plawv), uas tshwm sim los ntawm kev tsim cov atherosclerotic plaques hauv lumen ntawm cov hlab ntsha coronary. Cov hlab ntsha no muab lub plawv cov leeg. Vim qhov nqaim ntawm lumen ntawm cov hlab ntsha no, lub plawv raug kev txom nyem los ntawm qhov tsis muaj oxygen, uas tshwm sim los ntawm qhov mob ntawm qhov xwm txheej.
- Cerebral atherosclerosis tshwm sim los ntawm qhov txhab ntawm atherosclerotic plaques hauv cov hlab ntsha ntawm lub hlwb. Qhov no tuaj yeem tshwm sim los ntawm kiv taub hau, tsis nco qab, tinnitus, lossis pw tsaug zog tsis zoo.
Yuav ua li cas thiaj ua tau cov ntshav lipid profile?
Qhov kev tshuaj ntsuam no yog ua tiav hauv chav kuaj biochemical. Ntshav rau nws qhov kev siv yog muab los ntawm cov hlab ntsha hauv chav kho mob. Ntshav tau noj thaum sawv ntxov ntawm lub plab khoob. hnub ua ntejNws raug nquahu kom tsis txhob noj cov zaub mov muaj roj, zaub xam lav nrog mayonnaise, noj hmo yuav tsum tsis txhob lig.
Kev txiav txim siab ntawm lipids hauv quav
Kev tshuaj xyuas kom pom cov rog (lipids) hauv cov quav yog hu ua fecal lipid profile. Txoj kev tshawb no tso cai rau koj los txiav txim siab qhov ua tau zoo ntawm cov txiav txiav thiab txheeb xyuas cov kab mob uas nws lub luag haujlwm tsis zoo.
Txoj kev tshawb no suav nrog:
- tag nrho cov ntsiab lus lipid.
- Non-esterified (dawb) fatty acids.
- Monoglycerides, uas yog tsim los ntawm kev tawg ntawm phospholipids thiab triglycerides.
- Diglycerides kuj tau tso tawm los ntawm kev tawg ntawm phospholipids thiab triglycerides los ntawm lipase.
- Cholestenon - tsim los ntawm cov roj (cholesterol) hauv cov hnyuv loj nrog kev koom tes ntawm cov enzymes secreted los ntawm microbial flora.
- Coprosterol - kuj tsim los ntawm cov roj cholesterol hauv cov hnyuv loj.
- Coprastanone - cov tshuaj no yog tsim nrog kev koom tes ntawm microbial flora.
Yuav luag tag nrho cov ntsuas no tau qhia ua feem pua. Cov nqi muaj nyob rau hauv cov lus hauv qab no:
| Test name | Norma | ntsuas ntsuas |
| Cov lipids feem ntau | 605-673 | mg/dl |
| Non-esterified (dawb) fatty acids | 17, 0-20, 5 | % |
| Triglycerides | 10, 2-13, 4 | % |
| Monoglycerides | 0, 0-0, 0 | % |
| YDiglycerides | 3, 6-4, 6 | % |
| 13, 6-!5, 5 | % | |
| YCholestenon | 33, 3-35 | % |
| YCoprosterol | 0, 0-0, 0 | % |
| YCoprostanone | 18, 0-21, 0 | % |
Ua rau nce qib lipid hauv cov quav
Tsuas muaj peb lub laj thawj tseem ceeb rau kev nce feem pua ntawm lipids hauv quav:
- Kev tsim tawm tsis txaus ntawm lipase los ntawm txiav txiav. Lipase rhuav tshem cov rog (lipids) hauv cov hnyuv loj.
- Tsis txaus cov kua tsib rau txoj hnyuv loj. Cov kua tsib ua kom cov enzyme lipase thiab yog li koom nrog hauv kev rhuav tshem cov lipids hauv cov hnyuv loj.
- Kev tsis txaus siab ntawm cov kab mob lymphatic los ntawm cov rog tau nqus tuaj yeem ua rau pom cov lipids siab hauv cov hnyuv loj.
Ua kom plab hnyuv peristalsis tuaj yeem ua rau muaj roj ntau hauv cov quav. Nyob rau hauv cov ntaub ntawv no, cov zaub mov uas tsis tau digested dhau los ntawm txoj hnyuv me sai heev, thiab lipids, zoo li lwm yam khoom noj khoom haus, tsuas yog tsis muaj sij hawm los nqus rau hauv nws.
Cov quav rau txoj kev tshawb no raug xa mus rau chav kuaj, thiab cov tshuaj coj los ntawm tus neeg mob tau qhia, uas tuaj yeem cuam tshuam rau qhov kev tshawb fawb. Kev noj cov tshuaj no tau pom zoo nrog tus kws kho mob.
Lipidogram - yog dab tsi? Peb pom. Tam sim no peb paub tias lipidogram tuaj yeem ua tsis tau tsuas yog ntshav, tab sis kuj quav. Cia peb nyob ntawm tus nqi ntawm cov noresearch.
Lipidogram ("BLUE"). Nqe
Synevo yog European network ntawm cov chaw kuaj mob nyob hauv Central thiab Eastern Europe. Muaj cov chaw kuaj mob zoo li no hauv Russia. Kev tsom xam xws li lipid profile ntawm cov roj cholesterol yuav raug nqi ib ncig ntawm 1,300 rubles.
