E ʻike kākou e pili ana i kou pae cholesterol (Kolesterol Kiʻekiʻe) Pono ʻoe e ʻike i kēia mau mea!

I kēia lā, e kamaʻilio ana mākou e pili ana i kahi pilikia i loaʻa i nā poʻe he nui, akā i kekahi manawa ʻaʻole lākou i ʻike piha. ʻO ia ke kino ʻO ke kolesterol kiʻekiʻe, a i ʻole e like me kā mākou e kapa nei ma ke ʻano lapaʻau, ʻo ke kolesterol kiʻekiʻe. He maʻi malū kēia, no ka mea hiki iā ia ke hoʻopilikia malū i ke kino me ka ʻole o ka hōʻike ʻana i nā hōʻailona nui. No laila, e nānā kākou i ke ʻano maoli, no ke aha he mea weliweli, a pehea e pale ai iā ʻoe iho mai kēia maʻi.

He aha ka Cholesterol Kiʻekiʻe?

I ka ʻōlelo maʻalahi, ʻo ke cholesterol kiʻekiʻe kahi e piʻi nui ai ka nui o nā momona, a i ʻole lipids, i loko o kou koko. Ua kapa ʻia kēia ʻo "Hyperlipidemia" a i ʻole "Hypercholesterolemia".

Pono ko kākou kino i kahi nui o kēia mau lipid e hana pono ai. Akā i ka wā e kiʻekiʻe loa ai lākou, ʻaʻole hiki i ke kino ke hoʻohana iā lākou āpau. A laila hoʻomaka kēia mau lipid keu e hōʻiliʻili i loko o kou mau kīʻaha koko, a i ʻole nā ​​​​​​aʻa. Hoʻohui lākou me nā mea ʻē aʻe i loko o ke koko a hana i nā waihona momona i kapa ʻia he plaques .

ʻAʻole paha e hoʻopilikia kēia mau waihona momona (nā plaques) no nā makahiki. Akā i ka hala ʻana o ka manawa, hiki iā lākou ke hōʻiliʻili i loko o nā kīʻaha koko. ʻO ia ke kumu e hiki ai i ka cholesterol kiʻekiʻe ke hoʻoweliweli inā waiho ʻole ʻia . Me kou ʻike ʻole, ke kumu nei kēia mau lipids keu i ka ulu ʻana o nā plaques. ʻO ke ala wale nō e ʻike ai inā he cholesterol kiʻekiʻe kou, ʻo ia ka loaʻa ʻana o kahi hoʻāʻo koko.

Ua kapa ʻia kēia hoʻāʻo koko he panela lipid . Hōʻike ia i ka nui o nā lipid i loko o kou koko. ʻO ka mea i manaʻo ʻia he cholesterol "kiʻekiʻe" e pili ana i kou makahiki, ke kāne, a inā he mōʻaukala maʻi puʻuwai kou.

Kolesterol maikaʻi vs. kolesterol maikaʻi ʻole

Aia kekahi mau ʻano lipid. No kēia mau mea, ua lohe paha ʻoe i ka "cholesterol maikaʻi" a me ka "cholesterol maikaʻi ʻole."

ʻO ka cholesterol maikaʻi ua kapa ʻia ʻo High-Density Lipoprotein (HDL).E noʻonoʻo e pili ana i ia mea, hiki i ka leka "H" ma kēia ke hoʻomanaʻo iā ʻoe i ka "Kōkua". Lawe ʻia kāu cholesterol `(HDL)` i ka `(Ake). ʻO ke ake ka mea e mālama i nā pae cholesterol i ke kaulike. Hana ia i ka nui o ka cholesterol e pono ai ke kino a hoʻopau i ke koena. No laila, no ka lawe ʻana i ka cholesterol i ke ake, pono e lawa ka `(HDL)`. Inā emi ka pae `(HDL)`, hōʻiliʻili ka cholesterol hou aʻe i loko o ke koko.

ʻO ka cholesterol maikaʻi ʻole ua kapa ʻia ʻo Low-Density Lipoprotein (LDL) . ʻO kēia ka mea e hoʻoulu ai i nā waihona momona (plaque) i loko o nā kīʻaha koko. Inā kiʻekiʻe ka pae o ka LDL, hiki iā ia ke alakaʻi i ka maʻi puʻuwai i ka hala ʻana o ka manawa.

I ka manawa hea e pono ai ʻoe e nānā i kāu cholesterol?

Hiki ke hoʻomaka ka cholesterol kiʻekiʻe i ka wā ʻōpiopio, i ka wā kamaliʻi a i ʻole ka wā ʻōpio. ʻO ia ke kumu e ʻōlelo ai nā kulekele o kēia manawa e hoʻomaka i ka nānā ʻana i ka wā ʻōpiopio.

• Nā keiki a me nā ʻōpio (9 makahiki a ʻoi): Pono ʻoe e nānā i kāu cholesterol ma ka liʻiliʻi i kēlā me kēia ʻelima mau makahiki. Makemake paha ʻoe e hoʻomaka e hoʻāʻo mua ʻia inā he cholesterol kiʻekiʻe ko kou mau mākua a i ʻole he mōʻaukala o ka maʻi puʻuwai.
• Nā Kāne: I kēlā me kēia ʻelima makahiki a hiki i ka 45 makahiki. I kēlā me kēia hoʻokahi a ʻelua paha makahiki mai ka 45 a i ka 65 makahiki. I kēlā me kēia makahiki ma hope o 65 makahiki.
• Nā Wahine: I kēlā me kēia ʻelima makahiki a hiki i ka 55 makahiki. I kēlā me kēia hoʻokahi a ʻelua paha makahiki mai 55 a 65 makahiki. I kēlā me kēia makahiki ma hope o 65 makahiki.

He mau alakaʻi laulā wale nō kēia. Pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka mea maikaʻi loa iā ʻoe. No ka laʻana, inā ʻoe i kou mau makahiki he 20 a he kiʻekiʻe kou cholesterol, pono paha ʻoe e hoʻāʻo ʻia i kēlā me kēia makahiki no kekahi manawa. Pono paha ka poʻe me nā kumu pilikia ʻē aʻe no ka maʻi puʻuwai e hoʻāʻo pinepine ʻia.

He aha nā kumu o ke cholesterol kiʻekiʻe?

ʻO nā mea pili i ke ʻano o ka nohona a me nā mana hoʻoilina e kōkua i ka cholesterol kiʻekiʻe. ʻO nā mea pili i ke ʻano o ka nohona:

• ʻO ka puhipaka a me ka hoʻohana ʻana i ka paka: Hoʻohaʻahaʻa ka puhipaka i kāu "cholesterol maikaʻi" (HDL) a hoʻonui i kāu "cholesterol maikaʻi ʻole" (LDL).
• Ke kaumaha nui: Ke kaumaha , kū mai nā loli hormonal a hoʻonui ke kino i ka hana ʻana o ka cholesterol.
• Ka inu ʻona: Hiki i ka inu ʻona nui ke hoʻonui i ka nui o ka cholesterol.
• Ke noho kino ikaika: Hiki i ka hoʻoikaika kino, ʻoiai ka hoʻoikaika kino aerobic, ke hoʻomaikaʻi i nā pae cholesterol. Inā ʻoe e hana ma kahi noho keʻena i ka lā a pau, a inā ʻoe e noho ana i ka hapa nui o kou manawa, ʻaʻole paha e hana kou kino i ka "cholesterol maikaʻi" lawa.
• ʻAi: Hiki i kekahi mau meaʻai ke hoʻonui i ka cholesterol, aʻo kekahi e hiki ke hoʻemi iā ia. I kekahi manawa, paipai nā kauka i nā hoʻololi ʻana i ka ʻai a kuhikuhi paha iā ʻoe i kahi meaʻai meaʻai.

Aia kekahi mau hōʻailona o ka cholesterol kiʻekiʻe?

ʻAʻole hōʻike ka nui o ka poʻe i kekahi mau hōʻailona ke loaʻa iā lākou ke kolesterol kiʻekiʻe. ʻOiai inā he mea holo marathon ʻoe, hiki nō iā ʻoe ke loaʻa ke kolesterol kiʻekiʻe. Hoʻomaka wale ʻoe e ʻike i nā hōʻailona ke hoʻoulu kāu kolesterol kiʻekiʻe i nā pilikia ʻē aʻe i kou kino.

Hoʻonui ka cholesterol kiʻekiʻe i ka pilikia o nā maʻi e like me ka maʻi ʻaʻai peripheral, ke koko kiʻekiʻe, a me ka hahau. He mea maʻamau nō hoʻi ka cholesterol kiʻekiʻe i waena o ka poʻe me ka maʻi diabetes.

Pehea ka hopena o ka cholesterol kiʻekiʻe i kou kino?

Inā kiʻekiʻe kou pae cholesterol no ka manawa lōʻihi, e hōʻiliʻili nā waihona momona i kapa ʻia ʻo "plaque" i loko o kou mau kīʻaha koko. Ua kapa ʻia kēia hōʻiliʻili ʻana o ka momona he atherosclerosis . ʻOi aku ka nui o ka pilikia o ka poʻe me kēia maʻi i ka loaʻa ʻana o nā maʻi like ʻole. ʻO ke kumu o kēia, ʻo ia ka hana ʻana o ko mākou mau kīʻaha koko i nā hana koʻikoʻi loa ma ke kino holoʻokoʻa. No laila, inā he pilikia ma kekahi kīʻaha koko, e hoʻopilikia ia i nā ʻāpana ʻē aʻe e like me ka nalu.

E noʻonoʻo i kēia ʻano: ua like kou mau kīʻaha koko me kahi ʻōnaehana o nā paipu wai e lawe ana i ke koko ma kou kino. ʻO kēlā mau waihona momona, i kapa ʻia ʻo "Plaque," ua like ia me ka lepo e hōʻiliʻili ana i loko o kāu mau paipu a ālai i ke kahe ʻana o ka wai. Hōʻiliʻili kēia "Plaque" ma loko o kou mau kīʻaha koko, e ālai ana a e kaupalena ana i ke kahe ʻana o ke koko.

Inā he kiʻekiʻe kou cholesterol, ʻo ia hoʻi ke kūkulu nei kēia `(Plaque)` i loko o kou mau kīʻaha koko. ʻO ka lōʻihi o kona mālama ʻole ʻia ʻana, ʻo ka nui aʻe kēia `(Plaque)`. I kona nui ʻana, hiki i nā kīʻaha koko ke lilo i mea haiki, a i ʻole e ālai loa ʻia. E like me ka paipu wai i ālai hapa ʻia, e hana nā kīʻaha koko no kekahi manawa. Akā, ʻaʻole lākou e hana pono, me ka maikaʻi.

Hoʻonui ʻia ka pilikia o ka hoʻomohala ʻana i nā maʻi ʻē aʻe ma muli o ke kiʻekiʻe o ka cholesterol ma muli o nā kīʻaha koko i ālai ʻia.

Ka Maʻi ʻAʻa Coronary (CAD)

ʻO ka maʻi Coronary Artery (CAD) ua kapa ʻia hoʻi ʻo Coronary Heart Disease (CHD) a me Ischemic Heart Disease. ʻO kēia ka manaʻo o ka hapa nui o ka poʻe ke ʻōlelo lākou "maʻi puʻuwai." ʻO ia ke ʻano maʻamau o ka maʻi puʻuwai a me ke kumu nui o ka make ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa.

Hiki mai ka CAD ke hoʻopilikia ka maʻi Atherosclerosis i kou mau aʻa coronary. ʻO kēia nā kīʻaha koko e hoʻolako i ke koko i kou puʻuwai. Inā ʻaʻole lawa ke koko i kou puʻuwai, hiki iā ia ke nāwaliwali a oki i ka hana pono. Hiki i ka CAD ke hoʻoulu i ka hōʻeha puʻuwai a i ʻole ka hāʻule ʻana o ka puʻuwai.

ʻO ka mea i ʻike ʻole ʻia e ka poʻe he nui , hiki i nā ʻōpio ke hoʻomohala i ka CAD.ʻO kaʻoiaʻiʻo, ma kahi o 1 i loko o 5 mau kānaka e make ana mai ka CAD ma lalo o 65 mau makahiki. ʻO ia ke kumu he mea nui e nānā i kāu cholesterol i ka wā ʻōpiopio. I ka hala ʻana o ka manawa, hiki i kēia mau waihona momona (plaque) ke hōʻiliʻili i loko o nā aʻa coronary. ʻAʻole ʻike ka nui o ka poʻe i kēia a hiki i ka loaʻa ʻana o ka angina a i ʻole nā ​​​​hōʻailona ʻē aʻe o ka hōʻeha puʻuwai.

Maʻi ʻAʻa Carotid

Ke hoʻopilikia ka atherosclerosis i kou mau aʻa carotid, ua kapa ʻia ʻo ia he maʻi aʻa carotid. ʻO kou mau aʻa carotid nā aʻa nui, frontal e lawe ana i ke koko i ka lolo. Ke hōʻiliʻili ka plaque i loko o kēia mau aʻa a haiki, ʻaʻole loaʻa i ka lolo ke koko waiwai oxygen e pono ai.

Hiki i ka maʻi ʻaʻa Carotid ke hana i kahi transient ischemic attack (TIA), a i ʻole ka mea a mākou e kapa nei he "mini-stroke," a i ʻole kahi hahau nui.

ʻO ka maʻi ʻaʻai peripheral (PAD)

Ke hoʻopilikia ka atherosclerosis i nā aʻa i kou mau wāwae a i ʻole nā ​​​​lima, ua kapa ʻia ʻo ia he maʻi aʻa peripheral (PAD). Ua kapa ʻia nā aʻa i kou mau wāwae a me nā lima he "peripheral" no ka mea ua mamao loa lākou mai ka puʻuwai a me ke kikowaena o kou kino. ʻO ka PAD ka mea maʻamau i nā wāwae, akā hiki nō hoʻi ke loaʻa i nā lima.

He mea weliweli ka PAD no ka mea ʻaʻohe ona hōʻailona pinepine . Hiki paha iā ʻoe ke hoʻomaka e ʻike i nā hōʻailona ke ālai ʻia kahi aʻa peripheral e like me 60%. ʻO kekahi o nā hōʻailona nui ka claudication intermittent . He ʻeha ʻeha kēia ma kou wāwae e kū mai ana i kou hele ʻana a neʻe paha, akā nalo ke hoʻomaha ʻoe. He hōʻailona kēia o ka emi ʻana o ke kahe koko, ʻo ia hoʻi ke ulu nei ka plaque i loko o ke aʻa.

Hiki i ka PAD ke hana i nā pilikia koʻikoʻi ma nā wāwae a me nā wāwae, a hiki ke hoʻopilikia i nā ʻāpana ʻē aʻe o ke kino. ʻO kēia no ka mea ua pili nā kīʻaha koko āpau kekahi i kekahi ma o ka ʻōnaehana cardiovascular. No laila, inā hōʻiliʻili ka plaque ma kahi hoʻokahi, hoʻolohi ia i ka ʻōnaehana vascular holoʻokoʻa.

ʻAʻole like ka PAD me ka CAD, akā pili nā kūlana ʻelua. ʻOi aku ka nui o ka loaʻa ʻana o kekahi i ke kanaka me kekahi. Ua like pinepine nā kumu pilikia no ka PAD a me ka CAD.

Ke koko kiʻekiʻe

Aia kahi pilina ma waena o ke koko kiʻekiʻe (Hypertension) a me ke kolamu kiʻekiʻe. Hiki i nā waihona kolesterol (Plaque) a me ka calcium ke hoʻopaʻa a hoʻonāwaliwali i kou mau aʻa. A laila, pono kou puʻuwai e hana ikaika e pamu i ke koko ma o lākou. ʻO ka hopena, lilo kou koko i kiʻekiʻe loa.

ʻO ke koko kiʻekiʻe a me ka cholesterol kiʻekiʻe ʻelua o nā kumu nui o ka maʻi puʻuwai. Ma kahi ʻāina e like me ʻAmelika Hui Pū ʻIa, hoʻokahi i loko o ʻekolu mau pākeke he koko kiʻekiʻe, a hoʻokahi i loko o ʻekolu he cholesterol kiʻekiʻe. ʻOi aku ma mua o ka hapalua o nā pākeke ma nā hui ʻelua ʻaʻole i loaʻa ke kōkua lawa mai ka lāʻau lapaʻau, a ʻaʻole lākou e loaʻa i kekahi lāʻau lapaʻau.

Hiki i nā lāʻau lapaʻau a kāu kauka e kuhikuhi ai ke kōkua nui, akā hiki i nā hoʻololi ʻana i ke ʻano o ka nohona ke kōkua i kēlā mau lāʻau lapaʻau e hana maikaʻi loa. He mea nui loa nā hoʻololi ʻana i ke ʻano o ka nohona no ka kaohi ʻana i ka cholesterol kiʻekiʻe a me ke koko kiʻekiʻe. ʻO kekahi o kēlā mau hoʻololi:

• E hōʻemi i ka momona momona a me ka momona trans: Hiki i ka meaʻai wikiwiki ke kiʻekiʻe i nā mea ʻelua. Akā, hiki i nā meaʻai ma nā hale ʻaina nui ke kiʻekiʻe i ka momona momona, ma muli o ke ʻano o ka hoʻomākaukau ʻana.
• E hōʻemi i nā meaʻai i palai ʻia a me nā meaʻai i hana ʻia: Hoʻokomo pū kēia me nā mea ʻono a me nā meaʻai māmā i hoʻopili mua ʻia.
• E hōʻemi i ka Sodium: Loaʻa i kekahi mau meaʻai ka paʻakai huna. He mea nui e heluhelu i nā lepili i ke kūʻai ʻana i ka meaʻai ma ka hale kūʻai. E papa inoa kekahi mau hale ʻaina i ka ʻike meaʻai no nā meaʻai ma kā lākou papa kuhikuhi.
• Hoʻōki i ka puhipaka a me ka hoʻohana ʻana i nā huahana paka: ʻO ka puhipaka kahi kumu nui o ka maʻi puʻuwai a me nā pilikia o ke kīʻaha koko.

Ke hoʻopilikia nei nā maʻi ʻē aʻe i nā pae cholesterol?

Aia kahi pilina ʻelua ala ma waena o ka maʻi a me ka cholesterol. Hiki i ka cholesterol kiʻekiʻe ke alakaʻi i nā maʻi e like me ka atherosclerosis. Eia kekahi, hiki i kekahi mau kūlana olakino ke hoʻonui i kou pilikia o ka cholesterol kiʻekiʻe. Eia kekahi mau kūlana olakino e hiki ke hoʻopilikia i kāu mau pae cholesterol:

Maʻi Puʻupaʻa Mau Loa (CKD)

ʻOi aku ka nui o ka pilikia o ka poʻe me ka maʻi puʻupaʻa mau loa (CKD) i ka loaʻa ʻana o ka maʻi ʻaʻa coronary. ʻO kēia no ka mea ʻoi aku ka wikiwiki o ka hōʻiliʻili ʻana o ka plaque i loko o ko lākou mau aʻa. ʻOi aku ka nui o ka make ʻana o ka poʻe me ka CKD mua i ka maʻi puʻuwai ma mua o ka maʻi puʻupaʻa.

Hoʻonui pū ʻo CKD i kou koko i ka nui o nā triglycerides ( kahi ʻano momona). Hoʻonui pū ia i kāu cholesterol Very Low-Density Lipoprotein (VLDL) . ʻO VLDL ke ʻano cholesterol e lawe ana i nā triglycerides. I ka manawa like, hoʻohaʻahaʻa ʻo CKD i kāu cholesterol "maikaʻi" (HDL) a pale iā ia mai ka hana pono ʻana. Hoʻololi pū ʻo CKD i ke ʻano o kāu mau ʻāpana cholesterol "maikaʻi ʻole" (LDL), e hoʻolilo ana iā lākou i mea ʻino.

ka maʻi HIV

ʻO ka poʻe me ka maʻi HIV he ʻelua ka nui o ka loaʻa ʻana o ka hōʻeha puʻuwai a i ʻole ka hahau ʻana ma mua o ka poʻe me ka ʻole o ka maʻi HIV. Ua manaʻo mua nā kānaka noiʻi ua hoʻonui ʻia kēia pilikia ma muli o nā lāʻau lapaʻau HIV (Antiretroviral Therapy). Ua manaʻoʻiʻo lākou ua hoʻokiʻekiʻe nā lāʻau i nā pae cholesterol o ke kanaka. Akā ua hōʻike ʻia e nā noiʻi hou ʻo ka ʻōnaehana pale o ke kanaka ke kuleana maoli.

ʻOiai inā ua kaohi ʻia kou kūlana HIV, hiki nō i kāu ʻōnaehana pale ke hana nui. Hiki i kēia ke hoʻoulu i kou kino e ulu i kahi kūlana o ka mumū mau loa . Hiki i kēia mumū ke alakaʻi i ka hōʻiliʻili ʻana o ka plaque a me ka atherosclerosis.

ʻO ka nūhou maikaʻi, ʻoi aku ka lōʻihi o ke ola o ka poʻe me ka maʻi HIV, akā ʻo ia hoʻi, pono ka noiʻi hou aku e hoʻomaopopo i ke ʻano o ka hopena o nā maʻi mau e like me ka maʻi puʻuwai iā lākou.

Maʻi Thyroid

Hiki i ka loaʻa ʻana o ka maʻi thyroid ke hoʻopilikia i kāu mau pae cholesterol. ʻO kēia no ka mea e hoʻopilikia nā hormones thyroid i ke ʻano o ka hoʻohana ʻana o kou kino i nā lipids. Aia kēia hopena i ke ʻano o ka maʻi thyroid āu e loaʻa ai.

• Hyperthyroidism: ʻO kēia kūlana ke kumu o kou kino e hana nui ai i ka hormone thyroid. Hiki i nā lāʻau lapaʻau i hoʻohana ʻia e mālama ai i kēia kūlana ke hoʻonui i kāu mau pae cholesterol (cholesterol holoʻokoʻa, LDL, a me HDL). Inā ʻoe e mālama ʻia no ka hyperthyroidism, e kamaʻilio me kāu kauka e pili ana i ke ʻano o ka hoʻokele ʻana i kāu cholesterol.
• Hypothyroidism: ʻO kēia kūlana ke kumu o kou kino e hana ai i ka hormone thyroid liʻiliʻi. Hoʻonui pū ia i kou pae cholesterol. I kēia hihia, ʻo ka mālama ʻana i kou maʻi thyroid e hoʻohaʻahaʻa i kou pae cholesterol. Eia nō naʻe, pono paha ʻoe e lawe i nā lāʻau lapaʻau, e like me nā statins, e hoʻihoʻi i kou pae cholesterol i ka pae maʻamau. E kamaʻilio kāu kauka me ʻoe e pili ana i ka mea maikaʻi loa no kou kūlana.

Ke hoʻomau nei nā kānaka noiʻi i ka noiʻi ʻana i ka pilina ma waena o ka maʻi thyroid a me ka maʻi puʻuwai. Ua hōʻike kekahi mau noiʻi e hiki i ka maʻi thyroid ke hoʻoulu i nā pilikia puʻuwai ma nā ʻano ʻē aʻe ma mua o ka cholesterol a i ʻole ka hōʻiliʻili ʻana o ka plaque. No ka laʻana, hiki i ka hyperthyroidism a me ka hypothyroidism ke hoʻonui i ka pilikia o ke kanaka i ka loaʻa ʻana o ka hāʻule ʻana o ka puʻuwai.

Lupus

ʻO ka poʻe me ka lupus he kiʻekiʻe ko lākou mau pae o ka "cholesterol maikaʻi ʻole" (LDL, VLDL) a me nā triglycerides. He haʻahaʻa nō hoʻi ko lākou mau pae o ka "cholesterol maikaʻi" (HDL). ʻOi aku ka nui o ka pilikia o ka poʻe me ka lupus hana i ka loaʻa ʻana o ka cholesterol kiʻekiʻe ma mua o ka poʻe me ka lupus i kāohi maikaʻi ʻia (leo ʻole).

Hoʻonui ʻo Lupus i kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻa coronary. ʻO kēia no ka mea ʻo lupus ke kumu o kou kino e mumū mau ai. ʻO kēia mumū ke kumu o ka hōʻiliʻili wikiwiki ʻana o ka plaque i loko o kou mau aʻa.

ʻO ka maʻi ʻōpū Polycystic (PCOS)

ʻOi aku ka nui o ka pilikia o ka poʻe me ka polycystic ovary syndrome (PCOS) i ka loaʻa ʻana o ka maʻi puʻuwai. Piʻi kēia pilikia i ko lākou ʻelemakule ʻana. Hoʻonui ka PCOS i ka pilikia o nā kumu pilikia o ka maʻi puʻuwai he nui, me ka maʻi diabetes a me ke koko kiʻekiʻe. ʻOi aku ka nui o ka poʻe me ka PCOS i loaʻa i nā pae kiʻekiʻe o ka cholesterol "maikaʻi ʻole" (LDL) a me nā pae haʻahaʻa o ka cholesterol "maikaʻi" (HDL).

Maʻi diabetes (Diabetes Mellitus)

Hoʻonui pālua ka maʻi diabetes Mellitus (ʻAno Maʻi Diabetes Type 1 a me ka ʻAno Maʻi Diabetes Type 2) i kou pilikia o ka loaʻa ʻana o nā maʻi artery coronary a me nā maʻi artery peripheral. Pili ka maʻi diabetes me ka emi ʻana o nā pae o ka cholesterol maikaʻi (HDL) a me ka piʻi ʻana o nā pae o nā triglycerides a me ka cholesterol maikaʻi ʻole (LDL).

Ma kahi o 7 i loko o 10 mau kānaka me ka Type 2 Diabetes i ʻike ʻia me ka Diabetes-Related Dyslipidemia. ʻO ke ʻano kēia he kiʻekiʻe ko lākou mau pae triglyceride, ka cholesterol LDL "small dense" kiʻekiʻe, a me ka cholesterol "high density lipoprotein" (HDL) haʻahaʻa. ʻO ka cholesterol LDL "small dense" kahi ʻano cholesterol hiki ke maʻalahi ke pipili i nā paia o kou mau aʻa a hōʻino iā lākou. ʻO ka nui o ka cholesterol LDL i loko o kou koko hiki ke hoʻonui i ka pilikia o ka hōʻiliʻili ʻana o ka plaque.

Ke hoʻomau nei nā mea noiʻi e noiʻi i ke ʻano o ka pilina ma waena o ka maʻi diabetes a me ka maʻi puʻuwai.

Pehea e hoʻemi ai i ka cholesterol?

E kamaʻilio me kāu kauka e pili ana i ke ala maikaʻi loa e hoʻohaʻahaʻa ai i kāu cholesterol. Pono paha kekahi poʻe i nā hoʻololi maʻalahi o ke ʻano o ka nohona, e like me ka hoʻemi ʻana i ka momona saturated. Pono paha kekahi i ka lāʻau lapaʻau me nā hoʻololi o ke ʻano o ka nohona. Pono paha ka poʻe me nā maʻi ʻē aʻe e hoʻopilikia ai i ka cholesterol i kahi ala paʻakikī. E kamaʻilio me kāu kauka e pili ana i kou mōʻaukala olakino, ka mōʻaukala ʻohana, a me nā kumu o ke ʻano o ka nohona. I ka hui pū ʻana, hiki iā ʻoe ke hoʻomohala i kahi hoʻolālā e hoʻohaʻahaʻa i kāu mau pae cholesterol.

E hoʻomanaʻo, ʻoiai nā hoʻolālā maikaʻi loa e lōʻihi ka manawa e hana ai. Loaʻa iā kākou āpau nā pilikia. He mea maʻamau ka manaʻo ua kaumaha ʻia, a he mea nui e haʻi i kāu kauka inā ʻaʻole holo pono kahi hoʻolālā. I kekahi manawa, ʻaʻohe mea pehea ka loli nui o kou nohona, ʻaʻole e emi pono kāu mau pae cholesterol. ʻO ia no ka mea ʻo kou akepaʻa ka mea e hana ai i ka hapa nui o ka cholesterol i loko o kou kino. No laila, he nui nā kumu ʻē aʻe i waho o kou mana a ʻaʻohe mea e pili ana i kāu mea e ʻai ai.

E hana i hoʻokahi ʻanuʻu i ka manawa, a e hoʻomanaʻo ʻaʻole he hemahema pilikino kou loaʻa ʻana o ka cholesterol kiʻekiʻe. ʻO ia ka hopena o kahi moʻo o nā loli liʻiliʻi a mālie e hana nei i loko o kou kino. E kāohi i nā mea hiki iā ʻoe ke kāohi, akā e ʻike he mau lāʻau lapaʻau a me nā hana lapaʻau ʻē aʻe e hoʻopiha i nā hakahaka.

He mea malū a leo ʻole ka cholesterol kiʻekiʻe. Loaʻa paha iā ʻoe nā pae kiʻekiʻe o nā lipids i loko o kou koko no nā makahiki me ka ʻike ʻole. Hiki ke ʻike ʻia me kahi hoʻāʻo koko maʻalahi. Hoʻopilikia ka cholesterol kiʻekiʻe i nā kānaka o nā makahiki āpau, ʻoiai ka poʻe e manaʻo nei he hana ikaika a olakino lākou. Hoʻonui kekahi mau kūlana olakino i ka pilikia o ke kanaka i ka cholesterol kiʻekiʻe a me nā maʻi puʻuwai. E kamaʻilio me kāu kauka e pili ana i kāu mau pae cholesterol a me ko lākou manaʻo no ʻoe.

ʻO ka mea hope loa, nā mea nui e hoʻomanaʻo

ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai, aia kekahi mau mea e pono ai ʻoe e hoʻomanaʻo:

• He maʻi malū ka cholesterol: hiki iā ia ke hana i nā pilikia i loko o ke kino me ka ʻole o ka hōʻike ʻana i nā hōʻailona nui.
• He mea nui nā hoʻāʻo koko: ʻO ke ala wale nō e ʻike ai i kāu pae cholesterol, ʻo ia ka loaʻa ʻana o kahi "Lipid Panel".
• ʻAʻole koʻikoʻi ka makahiki:Hiki ke piʻi aʻe ka cholesterol i kekahi o nā makahiki āpau, ʻoiai kekahi e hoʻomaʻamaʻa mau ana a manaʻo he olakino ia.
• Hoʻopilikia nā kūlana olakino ʻē aʻe: ʻO ka poʻe me kekahi mau maʻi mau loa e ʻoi aku ka nui o ka cholesterol kiʻekiʻe a me nā maʻi puʻuwai.
• E ʻike i kāu mau helu: E kamaʻilio me kāu kauka e hoʻomaopopo i ke ʻano o kou pae cholesterol a pehea e pili ai i kou olakino.
• ʻO ke ʻano o ka nohona a me ka lāʻau lapaʻau inā pono: ​​Hiki ke hoʻomalu maikaʻi ʻia kēia ʻano me kahi nohona olakino a me nā lāʻau lapaʻau i lawe ʻia e like me ke kauoha a ke kauka.

He mea nui loa ka mālama ʻana i kēia mau mea no ke olakino o kou puʻuwai a me kou olakino holoʻokoʻa!

ʻO ke kolamu, ke kolamu kiʻekiʻe, ka maʻi puʻuwai, ke kolamu LDL, ke kolamu HDL, nā aʻa paʻa, ka hoʻāʻo kolesterol