The ama-triglycerides kukhona amafutha (ama-lipids) asebenza njengendawo yokugcina amandla. Avela ekudleni futhi abuye ahlanganiswe yisibindi. Uma ziziningi kakhulu egazini, zenza ingozi yenhliziyo nemithambo yegazi ngoba zinomthelela “ekuvaleni” kwemithambo.

Ukunqunywa kwengqikithi ye-triglycerides kwenziwa njengengxenye ye-a Iphrofayili ye-lipid, ngesikhathi esifanayo nokuhlolwa kwe-cholesterol (inani, i-HDL ne-LDL), ukuthola a dyslipidemia, okusho ukungavamile kwezinga lamafutha ajikeleza egazini.

Ukuhlolwa kungenziwa futhi ngokujwayelekile noma ukuhlola ingozi yenhliziyo kumuntu onezimpawu zesifo senhliziyo (i-acute coronary syndrome), isibonelo. Ukuhlola kungenziwa futhi uma kunezinye izici eziyingozi zenhliziyo: ukuxilongwa kwesifo sikashukela sohlobo 2, umfutho wegazi ophakeme, njll.

Uma kwenzeka amanani angavamile, ukuhlolwa kufanele kwenziwe okwesibili ukuze kuqinisekiswe. Kuyadingeka futhi ukwenza kabusha ukuhlolwa kwe-lipidic (njalo ezinyangeni ezi-3 kuye kweziyi-6) ngemuva kokusungulwa kokwelashwa kwe-dyslipidemia.

Umthamo wenziwa ngesampula yegazi elilula. Kumelwe ukuba ube udle isisu esingenalutho amahora angu-12 futhi ulandele ukudla okuvamile emasontweni adlule (udokotela noma ilabhorethri ingakunikeza izinkomba ezithile).

Ukuchazwa kwezinga le-triglyceride kuncike enanini lilonke lebhalansi ye-lipid, futhi ikakhulukazi ezingeni le-cholesterol ye-HDL, kodwa nasezicini eziyingozi ezihambisanayo, njengesifo sikashukela noma umfutho wegazi ophakeme.

Njengomhlahlandlela, izinga le-triglycerides egazini kufanele libe:

• emadodeni: ngaphansi kuka-1,30 g/L (1,6 mml/L)
• kwabesifazane: ngaphansi kuka-1,20 g/L (1,3 mml/L)

Iphrofayili ye-lipid ibhekwa njengejwayelekile kumuntu ngaphandle kwesici sobungozi uma:

• I-LDL-cholesterol engaphansi kwe-1,60 g / l (4,1 mmol / l),
• I-HDL-cholesterol> 0,40 g/l (1 mmol/l)
• i-triglycerides ngaphansi kwe-1,50 g / l (1,7 mmol / l) kanye nebhalansi ye-lipid kuthathwa njengokujwayelekile. Akudingekile-ke ukuphinda lokhu kuhlola.

Ngokuphambene nalokho, uma i-triglycerides ingaphezu kwe-4 g / L (4,6 mmol / L), kungakhathaliseki ukuthi izinga le-cholesterol ephelele, umbuzo we-hypertriglyceridemia.

I-Hypertriglyceridemia ingaba yincane (<4g/L), ilinganisele (<10g/L), noma enkulu. Uma kwenzeka i-hypertriglyceridemia enkulu, kunengozi ye-pancreatitis.

Kunezimbangela eziningi ze-hypertriglyceridemia:

• I-metabolic syndrome (ukukhuluphala kwesisu, umfutho wegazi ophakeme, ushukela wegazi ozila ukudla, i-HDL-cholesterol ephansi)
• ukudla okungenamsoco (ikhalori ephezulu, ecebile ngoshukela olula, amafutha notshwala).
• Ukuthatha imithi ethile (i-corticosteroids, i-interferon, i-tamoxifen, i-thiazide diuretics, i-beta-blockers, i-antipsychotics ethile, njll.)
• Izimbangela zofuzo (i-hypertriglyceridemia yomndeni)

Izindlela zokwelapha ezibizwa ngokuthi “zokwehlisa i-lipid”, njengama-statins noma ama-fibrate, zisiza ukulawula i-lipidemia nokwehlisa i-cholesterol namazinga e-triglyceride egazini. Udokotela kuphela ozokwazi ukunquma ukuthi ukwelashwa okunjalo kuyadingeka.