{"id":4481,"date":"2025-09-25T07:49:18","date_gmt":"2025-09-25T07:49:18","guid":{"rendered":"https:\/\/www.europesays.com\/lv\/4481\/"},"modified":"2025-09-25T07:49:18","modified_gmt":"2025-09-25T07:49:18","slug":"aicinajums-apzinaties-slimibas-riskus-un-iespejas-savlaicigai-diagnostikai-lente-lv","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/lv\/4481\/","title":{"rendered":"Aicin\u0101jums apzin\u0101ties slim\u012bbas riskus un iesp\u0113jas savlaic\u012bgai diagnostikai\u00a0\u2014\u00a0Lente.lv"},"content":{"rendered":"<p>24. septembr\u012b vis\u0101 pasaul\u0113 tiek atz\u012bm\u0113ta Starptautisk\u0101 \u0122imenes Hiperholesterin\u0113mijas diena. \u0160\u012b z\u012bm\u012bg\u0101 diena ir aicin\u0101jums gan sabiedr\u012bbai, gan vesel\u012bbas apr\u016bpes speci\u0101listiem piev\u0113rst pastiprin\u0101tu uzman\u012bbu \u0161ai retajai, bet \u013coti nopietnajai iedzimtajai slim\u012bbai, kas var rad\u012bt katastrof\u0101las sekas cilv\u0113ka vesel\u012bbai, ja netiek laic\u012bgi diagnostic\u0113ta un \u0101rst\u0113ta. Pacientu biedr\u012bba \u201cParSirdi.lv\u201d kop\u0101 ar kardiologiem un citu nozaru speci\u0101listiem aicina ikvienu apzin\u0101ties \u0123imenes hiperholesterin\u0113mijas (\u0122H) riskus un iesp\u0113jas savlaic\u012bgai diagnostikai.<\/p>\n<p>\u0122imenes Hiperholesterin\u0113mija \u2013 kas tas ir?<\/p>\n<p>\u0122imenes hiperholesterin\u0113mija (\u0122H) ir \u0123en\u0113tiska slim\u012bba, kas raksturojas ar b\u016btiski paaugstin\u0101tu zema bl\u012bvuma lipoprote\u012bnu jeb t\u0101 d\u0113v\u0113to \u201cslikto\u201d holester\u012bna l\u012bmeni asin\u012bs jau kop\u0161 dzim\u0161anas. \u0160\u012b slim\u012bba tiek p\u0101rmantota no vec\u0101kiem, un t\u0101s pamat\u0101 ir g\u0113nu defekti, kas trauc\u0113 organismam efekt\u012bvi p\u0101rstr\u0101d\u0101t un izvad\u012bt holester\u012bnu. K\u0101 rezult\u0101t\u0101 holester\u012bns uzkr\u0101jas asin\u012bs un s\u0101k nogulsn\u0113ties asinsvadu sieni\u0146\u0101s, veicinot priek\u0161laic\u012bgu aterosklerozes att\u012bst\u012bbu. Tas iev\u0113rojami palielina risku saslimt ar smag\u0101m sirds un asinsvadu slim\u012bb\u0101m, piem\u0113ram, miokarda infarktu, stenokardiju vai pat insultu, bie\u017ei vien jau agr\u012bn\u0101 vecum\u0101 \u2013 30-40 gados. Ne\u0101rst\u0113ta \u0122H var rad\u012bt pat n\u0101vi. T\u0101 ir viena no bie\u017e\u0101kaj\u0101m autosom\u0101li dominantaj\u0101m \u0123en\u0113tiskaj\u0101m slim\u012bb\u0101m, kas var novest pie let\u0101la izn\u0101kuma pieaugu\u0161\u0101 vecum\u0101, ja tiek ignor\u0113ta. <\/p>\n<p>Izplat\u012bba un bied\u0113jo\u0161\u0101 statistika<\/p>\n<p>Lai gan \u0123imenes hiperholesterin\u0113mija bie\u017ei tiek uzskat\u012bta par retu slim\u012bbu, paties\u012bb\u0101 t\u0101 skar aptuveni 1 no 250 l\u012bdz 300 cilv\u0113kiem Eirop\u0101.  Tas noz\u012bm\u0113, ka Latvij\u0101 var\u0113tu b\u016bt pat 7000 l\u012bdz 10 000 cilv\u0113ku ar \u0161o diagnozi, ta\u010du diem\u017e\u0113l liel\u0101k\u0101 da\u013ca no vi\u0146iem par savu st\u0101vokli nenojau\u0161.  \u0160\u012b statistika ir \u012bpa\u0161i satrauco\u0161a, jo liecina par b\u016btisku nepietiekamu diagnostiku un sabiedr\u012bbas inform\u0113t\u012bbas l\u012bmeni par \u0161o slim\u012bbu. Kam\u0113r Latvijas \u0122imenes Hiperholesterin\u0113mijas re\u0123istr\u0101 ir identific\u0113ti aptuveni 700 cilv\u0113ki ar apstiprin\u0101tu diagnozi, kas sa\u0146em nepiecie\u0161amo apr\u016bpi, joproj\u0101m paliek liels skaits nediagnostic\u0113tu pacientu, kuri ir pak\u013cauti nopietnam riskam. <\/p>\n<p>\u0122imenes hiperholesterin\u0113mijas formas: heterozigot\u0101 un homozigot\u0101<\/p>\n<p>\u0122imenes hiperholesterin\u0113mija izpau\u017eas div\u0101s galvenaj\u0101s form\u0101s, atkar\u012bb\u0101 no p\u0101rmantotaj\u0101m g\u0113nu mut\u0101cij\u0101m: <\/p>\n<ul>\n<li>Heterozigot\u0101 \u0123imenes hiperholesterin\u0113mija (He\u0122H): \u0160\u012b ir izplat\u012bt\u0101k\u0101 forma, kas rodas, ja cilv\u0113ks iedzimst vienu g\u0113na mut\u0101ciju no viena vec\u0101ka. He\u0122H sastopama aptuveni 1 no 250 cilv\u0113kiem. \u0160iem pacientiem zema bl\u012bvuma lipoprote\u012bnu (ZBL) holester\u012bna l\u012bmenis ir past\u0101v\u012bgi paaugstin\u0101ts, un sirds slim\u012bbas var s\u0101kties jau ap 40 gadu vecumu, ja slim\u012bba netiek \u0101rst\u0113ta. <\/li>\n<li>Homozigot\u0101 \u0123imenes hiperholesterin\u0113mija (Ho\u0122H): \u0160\u012b ir reta un \u013coti smaga forma, kas rodas, ja b\u0113rns manto pa vienai defekt\u012bvai g\u0113na kopijai no abiem vec\u0101kiem. \u0160aj\u0101 gad\u012bjum\u0101 ZBL holester\u012bna l\u012bmenis ir \u0101rk\u0101rt\u012bgi augsts, bie\u017ei p\u0101rsniedzot 13 mmol\/l, un nopietnas komplik\u0101cijas, tai skait\u0101 infarkts vai p\u0113k\u0161\u0146a n\u0101ve, var att\u012bst\u012bties jau b\u0113rn\u012bb\u0101 vai agr\u0101 jaun\u012bb\u0101. Ho\u0122H sastopama aptuveni 1 no 200 000 l\u012bdz 300 000 cilv\u0113kiem. <\/li>\n<\/ul>\n<p>Atpaz\u012b\u0161anas paz\u012bmes un riska faktori<\/p>\n<p>At\u0161\u0137ir\u012bb\u0101 no holester\u012bna l\u012bme\u0146a paaugstin\u0101\u0161an\u0101s, ko izraisa nevesel\u012bgs dz\u012bvesveids, \u0122H ir iedzimta slim\u012bba. Tom\u0113r ir vair\u0101kas paz\u012bmes, kas var rad\u012bt aizdomas par \u0161o st\u0101vokli:<\/p>\n<ul>\n<li>Augsts kop\u0113j\u0101 holester\u012bna l\u012bmenis asin\u012bs (parasti virs 7\u20138 mmol\/l).<\/li>\n<li>Sirds un asinsvadu slim\u012bbas agr\u012bn\u0101 vecum\u0101 pa\u0161am vai pirm\u0101s pak\u0101pes radiniekiem (v\u012brie\u0161iem l\u012bdz 55 gadiem, sieviet\u0113m l\u012bdz 60 gadiem). <\/li>\n<li>C\u012bpslu ksantomas \u2013 dzelten\u012bgi, cieti veidojumi uz c\u012bpsl\u0101m, \u012bpa\u0161i plaukst\u0101s, elko\u0146os vai Ahileja c\u012bpsl\u0101s.<\/li>\n<li>Radzenes aplis (arcus cornealis) \u2013 bl\u0101vs gredzens ap radzeni, kas var par\u0101d\u012bties l\u012bdz 45 gadu vecumam.<\/li>\n<li>\u0122imenes anamn\u0113z\u0113 augsts holester\u012bna l\u012bmenis un\/vai sirds un asinsvadu slim\u012bbas agr\u012bn\u0101 vecum\u0101. <\/li>\n<\/ul>\n<p>B\u016btiski ir saprast, ka \u0122H risks v\u0113l vair\u0101k pieaug, ja tam pievienojas t\u0101di tradicion\u0101lie kardiovaskul\u0101rie riska faktori k\u0101 sm\u0113\u0137\u0113\u0161ana, liekais svars, paaugstin\u0101ts asinsspiediens vai cukura diab\u0113ts. <\/p>\n<p>Agr\u012bna diagnostika \u2013 ce\u013c\u0161 uz vesel\u012bg\u0101ku dz\u012bvi<\/p>\n<p>Savlaic\u012bga \u0123imenes hiperholesterin\u0113mijas diagnostika ir vit\u0101li svar\u012bga, lai nov\u0113rstu nopietnas vesel\u012bbas probl\u0113mas un pagarin\u0101tu dz\u012bves kvalit\u0101ti. Jo agr\u0101k slim\u012bba tiek atkl\u0101ta, jo efekt\u012bv\u0101ka var b\u016bt \u0101rst\u0113\u0161ana un profilakse. \u0122imenes \u0101rstiem un kardiologiem ir svar\u012bgi b\u016bt inform\u0113tiem par \u0122H paz\u012bm\u0113m un nos\u016bt\u012bt pacientus uz padzi\u013cin\u0101tu izmekl\u0113\u0161anu, ja rodas aizdomas. <\/p>\n<p>Latvij\u0101 kop\u0161 2015. gada darbojas Latvijas \u0122imenes Hiperholesterin\u0113mijas re\u0123istrs (L\u0122HR), kas nodro\u0161ina speci\u0101listu konsult\u0101cijas un pal\u012bdz identific\u0113t pacientus un vi\u0146u \u0123imenes locek\u013cus.  \u0160is re\u0123istrs ir noz\u012bm\u012bgs solis uzlabojot \u0122H pacientu apr\u016bpi valst\u012b. Speci\u0101listu konsultat\u012bvais t\u0101lrunis (25449674) ir pieejams pacientiem un \u0101rstiem, lai pieteiktos konsult\u0101cij\u0101m un sa\u0146emtu inform\u0101ciju. <\/p>\n<p>Lai savlaic\u012bgi atkl\u0101tu \u0122H, ieteicams veikt holester\u012bna l\u012bme\u0146a p\u0101rbaudes vismaz reizi gad\u0101, \u012bpa\u0161i, ja \u0123imen\u0113 ir biju\u0161i gad\u012bjumi ar paaugstin\u0101tu holester\u012bnu vai agr\u012bn\u0101m sirds slim\u012bb\u0101m.  B\u0113rniem ieteicams noteikt holester\u012bna l\u012bmeni jau no 9-11 gadu vecuma, bet, ja k\u0101dam no vec\u0101kiem ir diagnostic\u0113ta \u0122H, tad v\u0113l agr\u0101k. <\/p>\n<p>\u0100rst\u0113\u0161ana un dz\u012bvesveida noz\u012bme<\/p>\n<p>\u0122imenes hiperholesterin\u0113mijas \u0101rst\u0113\u0161ana parasti ietver medikamentozu terapiju, kas v\u0113rsta uz zema bl\u012bvuma holester\u012bna l\u012bme\u0146a pazemin\u0101\u0161anu asin\u012bs. Galvenie medikamenti, ko lieto \u0161im nol\u016bkam, ir stat\u012bni, ta\u010du pieejami ar\u012b citi inovat\u012bvi risin\u0101jumi.  Pacientiem ar \u0122H medikamenti bie\u017ei vien j\u0101lieto visu m\u016b\u017eu. <\/p>\n<p>Papildus medikamentiem, \u013coti svar\u012bga ir ar\u012b dz\u012bvesveida mai\u0146a. Vesel\u012bgs uzturs, regul\u0101ras fizisk\u0101s aktivit\u0101tes, sm\u0113\u0137\u0113\u0161anas atme\u0161ana un liek\u0101 svara kontrole var b\u016btiski pal\u012bdz\u0113t mazin\u0101t kop\u0113jo kardiovaskul\u0101ro risku.  Tom\u0113r j\u0101atz\u012bm\u0113, ka pat ar vesel\u012bgu dz\u012bvesveidu, bez medikamentozas terapijas \u0122H pacientiem ir gr\u016bti sasniegt dro\u0161u holester\u012bna l\u012bmeni.<\/p>\n<p>Aicin\u0101jums r\u012bkoties<\/p>\n<p>\u0160ogad, atz\u012bm\u0113jot Starptautisko \u0122imenes Hiperholesterin\u0113mijas dienu, m\u0113s visi kop\u0101 varam veicin\u0101t sabiedr\u012bbas izpratni par \u0161o noz\u012bm\u012bgo vesel\u012bbas probl\u0113mu. Aicin\u0101m ikvienu: <\/p>\n<ul>\n<li>P\u0101rbaud\u012bt savu holester\u012bna l\u012bmeni un konsult\u0113ties ar \u0123imenes \u0101rstu.<\/li>\n<li>Run\u0101t par \u0122H ar saviem tuviniekiem, \u012bpa\u0161i, ja \u0123imen\u0113 ir zin\u0101mi riska faktori.<\/li>\n<li>Atbalst\u012bt pacientu organiz\u0101cijas un iniciat\u012bvas, kas v\u0113rstas uz \u0122H diagnostikas un \u0101rst\u0113\u0161anas uzlabo\u0161anu.<\/li>\n<\/ul>\n<p>Atcerieties, ka savlaic\u012bga r\u012bc\u012bba un inform\u0113t\u012bba ir m\u016bsu sp\u0113c\u012bg\u0101kie sabiedrotie c\u012b\u0146\u0101 par sirds un asinsvadu vesel\u012bbu!<\/p>\n","protected":false},"excerpt":{"rendered":"24. septembr\u012b vis\u0101 pasaul\u0113 tiek atz\u012bm\u0113ta Starptautisk\u0101 \u0122imenes Hiperholesterin\u0113mijas diena. \u0160\u012b z\u012bm\u012bg\u0101 diena ir aicin\u0101jums gan sabiedr\u012bbai, gan&hellip;\n","protected":false},"author":2,"featured_media":4482,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[23,2115,28,29,32,33,2117,2114,22,30,31,35,39,38,36,37,34,40,20,26,27,2116,2118,24,25,21],"class_list":{"0":"post-4481","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-aktualitates","8":"tag-aktualitates","9":"tag-augsts-holesterins","10":"tag-breaking-news","11":"tag-breakingnews","12":"tag-featured-news","13":"tag-featurednews","14":"tag-genetiskas-slimibas","15":"tag-gimenes-hiperholesterinemija","16":"tag-headlines","17":"tag-latest-news","18":"tag-latestnews","19":"tag-latvia","20":"tag-latvian","21":"tag-latviesu","22":"tag-latviesu-valoda","23":"tag-latviesuvaloda","24":"tag-latvija","25":"tag-lv","26":"tag-news","27":"tag-popularakas-zinas","28":"tag-popularakaszinas","29":"tag-sirds-un-asinsvadu-slimibas","30":"tag-starptautiska-gimenes-hiperholesterinemijas-diena","31":"tag-top-stories","32":"tag-topstories","33":"tag-zinas"},"share_on_mastodon":{"url":"","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/posts\/4481","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/comments?post=4481"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/posts\/4481\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/media\/4482"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/media?parent=4481"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/categories?post=4481"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/tags?post=4481"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}