dislipidemia
TRANSCRIPT
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DISLIPIDEMIA
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• Definisi :kelainan metabolisme lipid yang ditandai dengan peningkatan/penurunan fraksi lipid dalam plasma.
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• Berbagai macam klasifikasi
• 1.Klasifikasi fenotipik.
• a.EAS(European Atherosclerosis Society
• b.WHO
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• 2.Klasifikasi genotipik(etiologi)
• a.dislipidemia primer
• b.dislipidemia sekunder
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• PEMERIKSAAN LABORATORIUM• A.PERSIAPAN• + sebaiknya subyek dalam keadaan
metabolik stabil,tak ada perubahan berat badan,pola makan, kebiasaan merokok,olahraga,minum kopi/alkohol dalam 2 minggu terakhir sebelum diperiksa.tak sakit berat/operasi 2bulan terakhir
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• + tak mendapat obat yang mempengaruhi kadar lipid dalam 2 minggu terakhir.
• +.bila hal tsb ada ------dicatat.
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• B.Pengambilan bahan pemeriksaan.
• +.puasa 12 -16 jam
• +.sebelum sampel diambil, subyek duduk/istirahat selama 5 menit.
• +.pengambilan sampel dilakukan dengan pembendungan vena seminimal mungkin.
• +.bahan yang diambil adalah serum.
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• Yang diperiksa:
• Kolesterol total
• Kolesterol LDL
• Kolesterol HDL
• Trigliserida
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• Kolesterol LDL sebaiknya diukur secara langsung.
• Rumus Friedewald:• Kol.LDL=Kol.tot-Kol.HDL-1/5 Trigliserida.• syarat:• - kadar trigliserida < 400 mg/dl• -bukan dislipidemia tipe I atau III• (Fredrickson)
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• Analisa risiko yang lain:
• -ratio KT/K-HDL >5-------risiko PJK
• -apo A I. normal 1-1,2 g/L.
• kadar tinggi -----protektif
• -apo B-100. normal 0,7-1.0 g/L
• kadar tinggi -----atherogenik
• -ratio apo A I/apo B
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• - sd LDL (small dense LDL )---- sangat aterogenik,mahal,tak praktis.
• Dapat diperkirakan dari ratio K-LDL/apo B
• < 1,2
• -lipoprotein (a)-----faktor risiko protrombotik dan aterosklerosis.
• kadar optimal (Lp(a)): < 20 mg/dl.
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