Makemake ʻoe e ʻike pono i kou pae cholesterol? No ke aha he mea nui kēia iā mākou?

Lohe pinepine mākou a pau i ka huaʻōlelo cholesterol. I kekahi manawa, ʻōlelo mai kekahi hoaaloha a hoahānau paha o mākou, "Auē, ua kiʻekiʻe iki koʻu cholesterol." Ua lohe paha ʻoe i ke kauka e ʻōlelo ana, "Ua ʻōlelo ke kauka pēlā." No laila, he aha maoli ka cholesterol? No ke aha he mea nui ia no ko kākou kino, a pehea lā e hiki ai ke lilo i mea weliweli? E kamaʻilio kākou e pili ana i kēia i kēia lā ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.

No ke aha he mea nui kēia mea i kapa ʻia ʻo cholesterol?

I ka ʻōlelo maʻalahi, he ʻano momona ka cholesterol i loko o ko kākou kino, a ʻoi aku ka pololei, he ʻano lipid. Kōkua kēia cholesterol i nā hana koʻikoʻi he nui i loko o ko kākou kino, e like me ke kūkulu ʻana i nā cell a me ka hana ʻana i kekahi mau hormones. Eia naʻe, e like me nā mea āpau, kū mai nā pilikia ke nui loa ia i loko o ke kino.

E noʻonoʻo i ko kākou mau kīʻaha koko e like me nā paipu e lawe ana i ka wai. Ke piʻi aʻe ka nui o ka cholesterol, e hōʻiliʻili mālie kēia cholesterol keu i loko o nā paia o ko kākou mau kīʻaha koko. Ma laila, e hōʻiliʻili ana ia a, i ka hala ʻana o ka manawa, e mānoanoa ana, e hana ana i kahi papa mānoanoa i kapa ʻia ʻo "atherosclerotic plaque." ʻO kēia ka mea a nā kauka e kapa nei he "atherosclerosis."

Ke hoʻokumu ʻia kēia mau waihona i loko o nā kīʻaha koko, e ālai ʻia ke kahe ʻana o ke koko. Ua like ia me ka lepo e paʻa ana i loko o ka paipu wai. Hiki i kēia ke lilo i mea koʻikoʻi loa. Hiki ke loaʻa nā maʻi . Eia kekahi mau laʻana:

• Maʻi ʻaʻa coronary: Hana ʻia kēia i ka wā e ālai ʻia ai nā aʻa e hoʻolako ana i ke koko i ka puʻuwai. Pale kēia i ka puʻuwai mai ka loaʻa ʻana o ka oxygen a me nā meaʻai e pono ai.
• ʻO ka maʻi aʻa peripheral: ʻO kēia ka wā e ālai ʻia ai nā aʻa e lawe ana i ke koko i nā wāwae a me nā lima.
• ʻO ka maʻi ʻaʻa Carotid (` ʻO ka maʻi ʻaʻa Carotid `): Hiki i kēia ke hana i ka pale ʻana o ke aʻa nui e lawe ana i ke koko i ka lolo.

He mea lapuwale ka Cholesterol!

ʻO kēia ka mea weliweli loa e pili ana i ka cholesterol. ʻOiai inā kiʻekiʻe loa kou pae cholesterol a ua hoʻomaka ʻoe e hōʻiliʻili i nā waihona i loko o kou mau kīʻaha koko, ʻo ka hapa nui o ka manawa ʻaʻole ʻoe e ʻike i kekahi mau hōʻailona . Ua like ia me kekahi e kau malū ana i ko lākou mau manamana lima ma luna o kahi kāpeti, a i ka wā mua ʻaʻohe leo a kaomi paha.

Akā, i ka hala ʻana o ka manawa, i ka wā e nui ai kēia mau waihona a paʻa nā kīʻaha koko, e like me ke kani ʻana o nā kāmaʻa kuʻekuʻe wāwae kiʻekiʻe ma ka papahele lāʻau, hiki koke mai nā pilikia. ʻO ke ʻano kēia, ʻaʻole paha ʻoe e ʻike ua kiʻekiʻe kāu cholesterol a hiki i kou loaʻa ʻana i kahi maʻi koʻikoʻi, e like me ka hōʻeha puʻuwai a i ʻole ka hahau ʻana.

E noʻonoʻo, no nā makahiki, ua ʻOiai inā kiʻekiʻe kou pae cholesterol , ʻaʻole paha ʻoe e ʻike. ʻO ia ke kumu he mea nui loa ka nānā pinepine ʻana i kou pae cholesterol . Inā ʻike ʻoe he kiʻekiʻe kou cholesterol ('Hyperlipidemia'), hiki iā ia ke lilo i hōʻailona nui nou a me kāu kauka.

He nui ka poʻe i loaʻa ka cholesterol kiʻekiʻe, a he kumu nui ia no ka maʻi puʻuwai. Akā ʻo ka nūhou maikaʻi, ʻaʻole pono ʻoe e noho me kou mau pae cholesterol no ka wā pau ʻole. Hiki iā ʻoe ke hoʻololi iā lākou . Inā ʻike mua ʻoe i ka cholesterol kiʻekiʻe, loaʻa iā ʻoe kahi manawa kūpono e hoʻokō ai i nā pae cholesterol maikaʻi ma ka hana ʻana i nā hoʻololi i ke ʻano o ka nohona a me ka ʻai.

E nānā kākou i ke ʻano o kēia mau ʻano nānā kolesterol.

Ke hele ʻoe e ʻike i ke kauka, inā noi lākou iā ʻoe e nānā i kou pae cholesterol, e hana lākou i kahi hoʻāʻo koko i kapa ʻia ʻo 'Lipid panel' a i ʻole 'Lipid profile'. Pili kēia i ka lawe ʻana i kahi koko liʻiliʻi mai kahi aa koko ma kou lima a hoʻouna iā ia i kahi lab. Ma mua o ka hana ʻana i kēia hoʻāʻo, e haʻi aku ke kauka iā ʻoe e hoʻokē ʻai no kahi o 12 mau hola (koe wale nō ka wai). Pono ʻoe e hahai pololei i kēia mau kuhikuhi.

Aia kekahi mau ʻano nui o ka cholesterol i hoʻāʻo ʻia ma kēia hoʻāʻo:

• Ka nui o ka cholesterol: ʻO kēia ka nui o ka cholesterol i loko o kou koko.
• LDL (Low-Density Lipoprotein): Ua kapa ʻia kēia he cholesterol "maikaʻi ʻole" . No ka mea, ʻo ia ka mea i waiho ʻia i loko o nā kīʻaha koko a hāʻawi i nā mea e like me nā hōʻeha puʻuwai a me nā hahau.
• HDL (High-Density Lipoprotein): Ua kapa ʻia kēia he cholesterol "maikaʻi" no ka mea kōkua ia i ka wehe ʻana i ka cholesterol i makemake ʻole ʻia mai ke kino.
• Triglycerides: ʻO kēia kekahi ʻano momona i loaʻa i loko o ke koko. Inā piʻi kēia pae, hoʻonui ia i ka pilikia o ka hōʻeha puʻuwai a me ka hahau.

Ke hiki mai kāu hōʻike, e wehewehe kāu kauka iā ʻoe. Hiki paha iā ʻoe ke nānā iā ia ma ka pūnaewele. Ana ʻia ka cholesterol ma nā ʻāpana i kapa ʻia ʻo `mg/dL` (milligrams no ka deciliter). Ana ʻia nā Triglycerides ma ke ʻano like.

No laila, he aha nā pae cholesterol olakino?

Hiki ke ʻokoʻa iki nā pae kolesterol olakino mai kēlā kanaka a kēia kanaka. ʻO ke ʻano kēia hiki ke ʻokoʻa iki ma muli o nā mea e like me kou makahiki, lāhui, a me ke kāne.

Ma keʻano laulā, he mea maikaʻi no ke kanaka makua olakino ke loaʻa nā pae cholesterol i loko o kēia mau pae:

• Ka nui o ka Cholesterol: ʻOi aku ka maikaʻi ma mua o 200 mg/dL.
• LDL (kolesterol maikaʻi ʻole): ʻOi aku ka maikaʻi o ka mālama ʻana iā ia ma lalo o 100 mg/dL. Eia nō naʻe, inā he maʻi puʻuwai kou a i ʻole nā ​​​​kumu pilikia he nui no ka maʻi puʻuwai (e.g., ka maʻi diabetes, ke koko kiʻekiʻe, ka puhipaka), hiki i kāu kauka ke ʻōlelo aku e hoʻohaʻahaʻa ʻoe i kou pae LDL i lalo o 70 mg/dL.
• HDL (kolesterol maikaʻi): ʻO ke kiʻekiʻe o kēia, ʻoi aku ka maikaʻi . Inā ʻoi aku ma mua o 60 `mg/dL`, kōkua ia i ka pale ʻana i nā maʻi puʻuwai.
• Triglycerides: ʻO ka pahuhopu ka mālama ʻana iā lākou ma lalo o 150 mg/dL.

ʻO ka mea nui loa, ʻo ia ka emi ʻana o kou pae LDL a me ka piʻi ʻana o kou pae HDL .

Aia kahi ʻokoʻa iki ma waena o nā kāne a me nā wahine ma nā pae HDL. Pono nā wāhine makua e loaʻa i kahi pae HDL ma ka liʻiliʻi he 50 mg/dL. Pono nā kāne e loaʻa i kahi pae HDL ma ka liʻiliʻi he 40 mg/dL.

No laila, e hoʻohālikelike i nā waiwai i loko o kāu hōʻike me kēia mau pae maʻamau. Akā, mai hoʻoholo i kāu iho . E kamaʻilio me kāu kauka a e hoʻomaopopo pono pehea e pili ai kēia mau waiwai i kou kūlana.

I ka pae hea e "kiʻekiʻe" ai ka cholesterol?

ʻO ka maʻamau, ʻo ka pae kolesterol holoʻokoʻa o 200 mg/dL a ʻoi aku paha ua manaʻo ʻia he "kiʻekiʻe." Eia nō naʻe, ua hoʻokaʻawale nā ​​​​kauka i kēia i nā ʻano ʻē aʻe, e like me "borderline high" (ma waena o 200 a me 239 mg/dL). Hana ʻia kēia e ʻike inā hiki i nā loli o ke ʻano o ka nohona ke kōkua i ka kaohi ʻana ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau.

Eia kekahi laʻana, kou pae LDL (cholesterol maikaʻi ʻole):

• Inā ma waena o 130-159 mg/dL, hiki ke hāʻule i loko o ka pae "kiʻekiʻe wale nō".
• ʻO ke "Kiʻekiʻe" ma waena o 160-189 mg/dL.
• ʻO kēlā me kēia mea ma luna o 190 mg/dL he "kiʻekiʻe loa".

Inā aia ma kēia mau pae, pono ʻoe e kamaʻilio me ke kauka a loaʻa i ka lāʻau lapaʻau a me ka ʻōlelo aʻoaʻo e pono ai.

Hiki i nā pae cholesterol ke lilo i haʻahaʻa loa a kiʻekiʻe loa paha?

He nīnau kēia a nā poʻe he nui e nīnau ai.

• I ka wā e pili ana i kāu cholesterol holoʻokoʻa a me nā pae LDL (cholesterol maikaʻi ʻole) , ʻo ka haʻahaʻa o lākou, ʻoi aku ka maikaʻi . ʻAʻole i loaʻa i nā kānaka noiʻi kahi paepae no ka cholesterol LDL e ʻōlelo ana "ʻaʻole hiki iā ʻoe ke iho i lalo ma mua o kēia." ʻO ia hoʻi, ʻaʻohe mea pehea ka haʻahaʻa o kou LDL, maikaʻi ia no kou olakino.
• Akā, ʻo ke kiʻekiʻe o ka pae HDL (kolesterol maikaʻi) , ʻoi aku ka maikaʻi. ʻAʻohe palena kiʻekiʻe e ʻōlelo ana "ʻaʻole hiki ke piʻi aʻe ma mua o kēia nui".

I ka ʻōlelo maʻalahi,ʻAʻohe mea e hopohopo ai inā haʻahaʻa loa ka LDL, a ʻaʻohe mea e hopohopo ai inā kiʻekiʻe loa ka HDL - he mau hōʻailona maikaʻi nā mea ʻelua!

ʻEhia pinepine e pono ai ʻoe e nānā i kāu cholesterol?

He mea ʻokoʻa kēia mai kēlā kanaka a kēia kanaka. ʻO kāu kauka ka mea nāna e haʻi pololei iā ʻoe i ka pinepine o kou nānā ʻia ʻana. Aia kekahi mau kumu e hoʻopilikia ai i kēia:

• Makahiki: I kou wā ʻelemakule, pono ʻoe e nānā pinepine ʻia.
• Moʻolelo ʻohana: Inā loaʻa i kekahi o kou ʻohana pili (makuahine, makuakāne, kaikaina) ka maʻi puʻuwai, ke kolamu kiʻekiʻe, ka hōʻeha puʻuwai, a i ʻole ka hahau ʻana, aia nō hoʻi ʻoe i ka pilikia kiʻekiʻe. A laila pono ʻoe e nānā pinepine ʻia.
• Nā kumu pilikia o ka maʻi puʻuwai: Inā loaʻa iā ʻoe ka maʻi puʻuwai, a inā he mau kumu pilikia kou e like me ka maʻi diabetes, ke koko kiʻekiʻe, ka puhipaka, a i ʻole ka momona, pono ʻoe e nānā pinepine ʻia.
• Kāne: ʻŌlelo ʻia nā kāne e hana i nā hoʻokolohua maʻamau mai ka wā ʻōpiopio.

ʻO ka maʻamau, e nānā ʻia ka cholesterol o nā keiki no ka manawa mua ma waena o 9 a me 11 mau makahiki. A laila, ma kahi o kēlā me kēia 5 mau makahiki. Eia nō naʻe, inā loaʻa i kekahi o ka ʻohana nā pilikia cholesterol a i ʻole nā ​​maʻi puʻuwai i ka wā ʻōpiopio, hiki i ke kauka ke ʻōlelo aku e nānā ʻia ka cholesterol o ke keiki i ka wā ʻōpiopio.

Eia ka ʻōlelo aʻoaʻo maʻamau i hāʻawi ʻia i nā mākua:

• Inā he kanaka olakino ʻoe ma waena o 20-39 mau makahiki , pono ʻoe e nānā ʻia i kēlā me kēia 4-6 mau makahiki.
• Ma hope o ka piha ʻana o nā makahiki 40-45 , he mea maikaʻi ke nānā pinepine ʻia ʻana (hiki paha i hoʻokahi a ʻelua paha i ka makahiki), ʻoiai inā he mau kumu pilikia kāu i ʻōlelo ʻia ma luna nei.
• ʻO nā wahine , ʻoiai ma hope o ka menopause, pono lākou e makaʻala nui i kā lākou pae cholesterol.

Eia nō naʻe, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me kāu kauka a nīnau i ka pinepine o kou pono e nānā ʻia ʻana, ʻo ia ka mea kūpono iā ʻoe.

ʻO ka mea hope loa, nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻO ka ʻike ʻana i kou pae cholesterol hiki ke kōkua iā ʻoe e hoʻomaopopo i kou pilikia no ka maʻi puʻuwai. Akā e hoʻomanaʻo, ʻo kēia mau waiwai cholesterol e haʻi wale i hoʻokahi ʻāpana o ka moʻolelo . E nānā pū kāu kauka i nā ʻano ʻē aʻe o kou olakino (e like me ke koko, nā pae kō, ke kaumaha, a me ke ʻano o ka nohona) e hoʻoholo ai i kou pilikia holoʻokoʻa.

No laila, inā ʻoi aku ka nui o kāu mau waiwai cholesterol ma mua o ka pae maʻamau, mai hopohopo koke .

E kamaʻilio me kāu kauka e hoʻomaopopo pono i ke ʻano o kēlā mau waiwai i kou olakino holoʻokoʻa a me nā mea āu e pono ai e hana. Inā pono, hiki i nā hoʻololi ʻana i ke ʻano o ka nohona (ka ʻai olakino, ka hoʻoikaika kino) a me ka lāʻau lapaʻau paha ke kōkua i ka hoʻihoʻi ʻana i kāu mau pae cholesterol i kahi pae olakino. ʻO ka mea nui loa, ʻo ia ke kau pono ʻana i ka manaʻo ma kēia a hahai i nā ʻōlelo aʻoaʻo a kāu kauka.

`Kolesterol, maʻi puʻuwai, kolesterol LDL, kolesterol HDL, triglycerides, hoʻāʻo koko, ola olakino