Actually, this is a very simple truth. With the development of medicine, blood test becomes very convenient and simple. We can not only see whether the blood lipid is high or not, but also see how high the blood lipid is and which blood lipid is high. So as to provide the basis for the next treatment.
If we only look at the face, even if we can preliminarily judge whether the blood lipid is high, we can't be 100% sure, what's more, we don't know how high it is and which is higher. What do you think is the significance of judging blood lipids according to their faces?
Just like we have a ruler and a scale, we still judge our height and weight according to our eyes and hands.
Of course, judging whether the blood lipid is high by looking at the face has a little significance:
First, the significance of judging the blood lipid level by looking at the face
There is a kind of hyperlipidemia called familial hypercholesterolemia, which is a family hereditary disease with an incidence rate of about 0.3%. For this kind of familial hyperlipidemia, it is really necessary to observe the face in order to identify whether the blood lipid is elevated as soon as possible.
1, old ring
Age spots are generally more common in the elderly, but if they are found in people under 40 years old, they are often accompanied by hyperlipidemia, especially familial hypercholesterolemia. These people need to find out their blood lipids as soon as possible.
2, xanthoma
Familial hypercholesterolemia is also easy to form nodular xanthoma in elbow and knee; The eyelid can form a flat xanthoma. With the increase of age, xanthoma of tendon is more common. If xanthoma is found, we should also find out the blood lipid as soon as possible to see if there is hyperlipidemia.
There are two kinds of familial hypercholesterolemia: homozygote and heterozygote.
Male heterozygotes can suffer from coronary heart disease at the age of 30 ~ 40, and the onset age of female heterozygotes is about 10 years later than that of men.
Homozygous familial hypercholesterolemia usually presents symptoms and signs of coronary heart disease around 10 years old. The descending aorta, abdominal aorta, thoracic aorta and pulmonary trunk are prone to severe atherosclerosis, and yellow tumor plaques can also be formed on the surface of heart valves and endocardium, and most of them die of cardiovascular diseases before the age of 30.
This is the way to judge whether there is hyperlipidemia by looking at the face. For young people, or people with a family history of hypercholesterolemia, if they have senile plaques or xanthoma, it is probably hyperlipidemia. But it can't be 100%, and further blood tests are needed.
Of course, the incidence of this familial hypercholesterolemia itself is very low, and there are many people with hyperlipidemia now. For most people with non-familial hypercholesterolemia, it is almost impossible to judge whether blood lipids are elevated by looking at their faces.
Second, how to identify most hyperlipidemia?
In the hospital, we often meet many patients with myocardial infarction and cerebral infarction. Sometimes the stent is put, and the patient simply doesn't know that he has high blood lipid. The reason is very simple, there is nothing uncomfortable in the early stage of hyperlipidemia, and there is not much performance on the face. If these people have any symptoms or physical discomfort on their faces, they will go to the hospital for examination. It is precisely because most hyperlipidemia does not have any discomfort or performance at the initial stage, so there is no way to judge whether there is hyperlipidemia from the appearance and symptoms, but to take the initiative to take blood tests to see if the blood lipids are elevated and which one is high.
Third, blood lipids are divided into four items.
There is more than one blood lipid. Conventional blood lipids include total cholesterol, low density lipoprotein, triglyceride and high density lipoprotein. If someone says that you can judge the level of blood lipids by looking at your face, then ask, if you look at your face, can you tell us which of these four blood lipids is higher?
Total cholesterol, low-density lipoprotein and triglyceride are bad blood lipids, which will lead to an increase in cardiovascular waste and aggravate atherosclerosis and cardiovascular and cerebrovascular diseases. High density lipoprotein is a good blood lipid, slightly higher, which can reduce the waste of blood vessels and prevent cardiovascular and cerebrovascular diseases.
Fourth, different levels of blood lipids have different treatment methods.
First of all, it is difficult for us to identify hyperlipidemia. Secondly, even if we recognize it, we don't know how high it is. Even if we have hyperlipidemia, the treatment is different.
For example, for the increase of triglycerides, we should first eat a low-oil and low-fat diet, reduce flour and rice, increase coarse grains, and increase fruits and vegetables. At the same time, we should persist in exercise, control our weight and not drink alcohol. Then triglycerides can be reduced; If the triglyceride is higher than 5.6, you need to add some bette lipid-lowering drugs, because it is easy to induce acute pancreatitis when it is higher than 5.6, so you need to reduce the triglyceride as soon as possible.
For example, if the low-density lipoprotein is high, you must live a healthy life, but if the low-density lipoprotein is higher than 4.9, you need statins to reduce blood fat. If the standard of low-density lipoprotein with diabetes, atherosclerosis, etc. is lower than 2.6 instead of 3.4, then medicine is also needed; If you have cardiovascular and cerebrovascular diseases, the goal of low density lipoprotein is lower than 1.8. Statins should be taken for a long time regardless of whether low density lipoprotein is normal or not.
Therefore, if there are age spots or xanthoma on the face, we can only preliminarily judge familial hypercholesterolemia, but we can't accurately judge most hyperlipidemia. I can only go to the hospital for a blood test and check four blood lipids to see if they are high, which one is high and how high, so that I can know what to do next and how to treat them!