Ua lohe paha ʻoe i ka "cholesterol"? He nui ka poʻe o mākou e kamaʻilio e pili ana i ia mea, a i kekahi manawa makaʻu mākou iā ia. He aha maoli ka cholesterol, he maikaʻi a he maikaʻi ʻole paha no ko mākou kino, a pehea mākou e ʻike pono ai e pili ana i ia mea? ʻO ia ke kumu e ʻōlelo ai nā kauka i kahi hoʻāʻo koko i kapa ʻia ʻo "Lipid Panel." I kēia lā, e kamaʻilio mākou e pili ana i ia mea me nā kikoʻī a me ka maʻalahi loa.
He aha kēia panela lipid?
I ka ʻōlelo maʻalahi, he hoʻāʻo koko kahi panel lipid e ana i ka nui o nā ʻāpana momona, a i ʻole "lipids," i loko o kou koko. ʻO ka maʻamau, nānā kēia hoʻāʻo i ʻehā mau ʻano cholesterol a me kekahi ʻano momona i kapa ʻia ʻo triglycerides.
E noʻonoʻo i ko kākou mau kīʻaha koko e like me nā paipu e lawe ana i ka wai. Inā piʻi aʻe nā pae o nā lipids i loko o ko kākou koko, e like me ka hōʻiliʻili ʻana o ka lepo i loko o nā paipu, hoʻomaka nā momona e hōʻiliʻili i loko o ko kākou mau aʻa. He aha ka mea e hana ʻia a laila? Lilo nā kīʻaha koko i paʻa a ololi. Hoʻonui nui kēia i ka pilikia o ka loaʻa ʻana o nā maʻi koʻikoʻi e like me ka maʻi puʻuwai, ka hōʻeha puʻuwai, a me ka hahau .
ʻO ia ke kumu e hoʻohana ai nā kauka i kēia hoʻāʻo panel lipid no nā keiki a me nā pākeke e loiloi i kou pilikia o ka loaʻa ʻana o ka maʻi puʻuwai. Ua kapa ʻia hoʻi ia he lipid profile, lipid test, a me ka cholesterol panel.
He aha nā mea nui 5 e nānā ʻia e kahi panel lipid?
Nānā nui kēia hoʻāʻo i ʻelima mau ʻano lipid i loko o kāu hāpana koko:
1. ʻO ka cholesterol lipoprotein haʻahaʻa (LDL):
- ʻO kēia ka mea i kapa ʻia ʻo "cholesterol maikaʻi ʻole." No ka mea, inā piʻi kēia cholesterol LDL, e waiho ʻia ia i loko o nā kīʻaha koko a hoʻonui i ka pilikia o ka maʻi puʻuwai. Ua like ia me ka ʻōpala e hōʻiliʻili ana i loko o ko mākou hale.
2. ʻO ka cholesterol lipoprotein haʻahaʻa loa (VLDL):
- ʻO kēia kekahi ʻano cholesterol ʻē aʻe. Hana ʻia kēia VLDL mai ka meaʻai a mākou e ʻai ai. Inā hāʻawi ʻoe i ke koko ma hope o ka hoʻokē ʻai ʻana, haʻahaʻa ka nui. Inā kiʻekiʻe ia ma hope o ka hoʻokē ʻai ʻana, ʻo ia hoʻi ke ʻano ʻaʻole ke kaohi pono nei kou kino i ka cholesterol.
3. ʻO ka cholesterol lipoprotein kiʻekiʻe (HDL):
- ʻO kēia ka mea i kapa ʻia ʻo "cholesterol maikaʻi." Maopopo iā ʻoe ke kumu? ʻO ka hana a kēia cholesterol HDL, ʻo ia ka hōʻemi ʻana i ka hōʻiliʻili ʻana o ka cholesterol LDL maikaʻi ʻole i loko o nā kīʻaha koko. Ua like ia me kekahi e lawe ana i ka ʻōpala.
4. Ka nui o ka cholesterol:
- ʻO kēia ka nui o nā ʻano cholesterol ʻekolu i loko o kou kino: LDL, VLDL, a me HDL.
5. Nā Triglycerides:
- ʻO kēia kekahi ʻano momona e loaʻa mai ana mai nā meaʻai a mākou e ʻai ai. ʻO ke kiʻekiʻe o nā triglycerides i loko o ke koko e pili ana i ka maʻi puʻuwai a me kahi maʻi i kapa ʻia ʻo ka mumū pancreatic.
ʻO kēia ka mea i nānā ʻia ma kahi panel lipid maʻamau, akā i kekahi manawa hiki iā ʻoe ke nānā i nā mea ma waho aʻe o kēia.
No ke aha i hana ʻia ai kēia hoʻāʻo panel lipid?
Hoʻohana nā kauka i kēia hoʻāʻo e kālailai i kāu pae cholesterol koko, loiloi i ke olakino o kou puʻuwai a me nā kīʻaha koko, a kōkua i ka ʻike ʻana i nā maʻi pili i ka puʻuwai.
Aia kekahi mau kumu e noi ai ke kauka iā ʻoe e loaʻa kahi panela lipid:
- Ma ke ʻano he hoʻāʻo maʻamau: E ʻike inā aia kou pae cholesterol ma kahi pae olakino a i ʻole ma kahi pae weliweli.
- E nānā i kāu mau pae cholesterol: Inā loaʻa iā ʻoe nā hopena maʻamau mai kahi hoʻokolohua ma mua, a inā he mau kumu pilikia ʻē aʻe kāu no ka maʻi puʻuwai.
- E nānā pehea ʻoe e pane ai i nā lāʻau lapaʻau: Inā ʻoe e lawe ana i ka lāʻau lapaʻau e hoʻohaʻahaʻa i kāu cholesterol, e ʻike inā e hana ana ka lāʻau.
- E ʻike i nā maʻi ʻē aʻe: Kōkua pū kēia i ka ʻike ʻana i kekahi mau kūlana olakino ʻē aʻe, e like me ka maʻi ake.
No ke aha e pono ai iaʻu kahi hoʻāʻo koko Lipid Panel?
Aia paha kekahi mau kumu e pono ai ʻoe i kēia hoʻokolohua.
Inā he hoʻokahi a ʻoi aku paha mau kumu pilikia no ka maʻi cardiovascular , hiki i kāu kauka ke ʻōlelo aku iā ʻoe e loaʻa mau iā ʻoe kahi panel lipid e nānā i kāu mau pae cholesterol. ʻO kēia mau kumu pilikia:
- Inā he kāne ʻoe, pono ʻoe ma luna o 45 mau makahiki, a inā he wahine ʻoe, pono ʻoe ma luna o 50 mau makahiki.
- Inā ua hōʻike ʻia kahi hoʻokolohua ma mua i ka cholesterol kiʻekiʻe.
- Inā ʻoe e puhi paka.
- Inā he momona ʻoe.
- Inā ʻaʻole ʻoe e hoʻoikaika kino i ka lawa ʻana.
- Inā he koko kiʻekiʻe kou.
- Inā loaʻa iā ʻoe ka maʻi diabetes a i ʻole prediabetes.
- Inā ua loaʻa i kekahi o kou ʻohana pili, e like me kou makuahine, makuakāne, a i ʻole nā kaikaina, ka maʻi puʻuwai i kona wā ʻōpiopio.
E noʻonoʻo, ʻo ko mākou hoalauna, ʻo ʻAnakala Nimal, aia ma kona mau makahiki he 50, he momona iki, a he maʻi diabetes. Ua ʻōlelo kāna kauka iā ia e hana i kahi panel lipid ma ka liʻiliʻi hoʻokahi manawa i ka makahiki. ʻO ia no ka mea he kiʻekiʻe kona pilikia o ka loaʻa ʻana o ka maʻi puʻuwai.
Pono paha nā keiki i kahi hoʻāʻo koko lipid panel. Pili nā pae cholesterol o nā keiki i ʻekolu mau kumu nui: ka hoʻoilina, ka momona, a me ka ʻai. ʻO ka pinepine, ʻo nā keiki me ka cholesterol kiʻekiʻe he makua hoʻokahi ko lākou nona ka cholesterol kiʻekiʻe.
Eia kekahi, hoʻohana nā kauka i kekahi manawa i kahi panela lipid e ʻike i nā kūlana olakino ʻē aʻe e hiki ke hoʻopilikia i kāu mau pae lipid. Eia kekahi laʻana:
- ʻO ka maʻi pancreatitis
- Maʻi puʻupaʻa mau loa
- ʻO ka hypothyroidism
He aha ka mea e hana ai ke hāʻawi ʻoe i ke koko no kahi hoʻokolohua?
He mea maʻalahi loa kēia. ʻAʻohe mea e makaʻu ai.
1. E noho ʻoe ma luna o kahi noho. A laila e nānā ke kauka phlebotomist i kou mau lima a loaʻa kahi aa koko maʻalahi e huki ai i ke koko. ʻO ka hapa pinepine, huki ʻia ke koko mai loko mai o kou lima, ma lalo o ke kuʻekuʻe lima.
2. Ma hope o ka loaʻa ʻana o ke aʻa koko, e hoʻomaʻemaʻe pono i ka wahi a pepehi i nā germs.
3. A laila, hoʻokomo ʻia kahi nila liʻiliʻi i loko o ke aʻa a lawe ʻia kahi hāpana koko. I kēia manawa, manaʻo paha ʻoe e like me ke nahu ʻia nei ʻoe e kahi ʻanuʻu liʻiliʻi.
4. Ma hope o ke komo ʻana i ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi ʻōmole hoʻāʻo.
5. Ma hope o ka hōʻiliʻili ʻia ʻana o ke koko, wehe ʻia ke kui a kau ʻia kahi ʻāpana pulupulu a gauze paha a kaomi ʻia e hoʻōki i ke kahe ʻana o ke koko.
6. Ua like ia me ke kau ʻana i kahi palaki a ua pau ka hana.
ʻAʻole i ʻoi aku ma mua o ʻelima mau minuke ka hana ʻana o kēia mau mea a pau.
Pono anei au e hoʻokē ʻai ma mua o ka hoʻokolohua?
I ka hapanui o nā hihia, ʻae, pono ʻoe e hoʻokē ʻai no kahi o 10 a 12 mau hola ma mua o ka loaʻa ʻana o kēia hoʻāʻo koko lipid panel. ʻO ka hoʻokē ʻai ʻana ʻo ia hoʻi ka ʻai ʻole ʻana a inu ʻole paha i kekahi mea koe wale nō ka wai. Eia nō naʻe, i kekahi mau hihia kūikawā, hiki ke hana ʻia kēia hoʻāʻo me ka ʻole o ka hoʻokē ʻai ʻana.
No laila, ʻo ka mea nui loa, ʻo ia ke nīnau i kāu kauka ma mua o ka hoʻāʻo ʻana inā pono ʻoe e hoʻokē ʻai a ʻaʻole paha. E hahai pono i nā ʻōlelo a ke kauka. Inā ʻōlelo ke kauka iā ʻoe e hoʻokē ʻai, e haʻi i ke kauka inā ʻai ʻoe i kekahi mea me ka ʻole o ka hoʻokē ʻai ʻana. No ka mea, ʻo ka hoʻokē ʻai ʻole ʻana hiki ke hōʻemi i ka pololei o nā hopena hoʻāʻo.
He aha ka mea i loko o ka hōʻike hoʻāʻo? He aha nā waiwai maʻamau?
Ma hope o ka hoʻouna ʻia ʻana o ke koko i ka lab a hoʻāʻo ʻia, e haʻi aku kāu kauka iā ʻoe i nā hopena. ʻO ka hōʻike lipid panel maʻamau e komo pū me ka ʻike e like me kēia:
- ʻO ka inoa o ka hoʻāʻo koko, a i ʻole ka mea i ana ʻia i loko o kou koko.
- ʻO ka helu a i ʻole ke ana o kāu hopena hoʻāʻo koko.
- ʻO ia ka pae ana maʻamau no ka hoʻāʻo.
- He maʻamau, ʻano ʻē, a kiʻekiʻe a haʻahaʻa paha kāu hopena?
Eia nā pae olakino (i ana ʻia ma nā milligrams no ka deciliter o ke koko - mg / dL) o nā mea nui ʻehā i nānā pinepine ʻia i loko o kahi panel lipid:
- Ka nui o ka cholesterol: Ma lalo o 200 mg/dL.
- ʻO ka cholesterol maikaʻi (HDL cholesterol): ʻoi aku ma mua o 60 mg/dL.
- ʻO ka cholesterol maikaʻi ʻole (LDL cholesterol): emi ma lalo o 100 mg/dL (emi ma lalo o 70 mg/dL no ka poʻe me ka maʻi diabetes).
- Nā Triglycerides: Ma lalo o 150 mg/dL.
Inā ʻoi aku kāu mau hopena ma luna a ma lalo paha o kēia pae i manaʻo ʻia, hiki ke hoʻokaʻawale ʻia lākou ma ke ʻano he "borderline," "intermediate," a i ʻole "high risk" no ka maʻi puʻuwai.Ma keʻano laulā, ʻo ke kiʻekiʻe o ka cholesterol holoʻokoʻa, LDL, a me nā triglycerides ma mua o ka maʻamau, a ʻoi aku ka haʻahaʻa o ka HDL ma mua o ka maʻamau, e hoʻonui i ka pilikia o ka maʻi puʻuwai.
He mea kākaʻikahi loa ka haʻahaʻa o nā pae cholesterol. Inā loaʻa lākou, ʻo ke kumu maʻamau he maʻi lapaʻau e alakaʻi ai i ka ʻai ʻole.
Pono anei au e hopohopo inā he ʻano ʻē nā hopena?
ʻAʻole. ʻAʻole ia he manaʻo he maʻi kou a pono paha e mālama ʻia.
ʻO ka pae cholesterol olakino nou e pili ana i nā kumu he nui. E noʻonoʻo kāu kauka i kēia mau mea i ka wā e nānā ai i kāu mau hopena panel lipid:
- kou mau makahiki.
- Ke kūlana olakino holoʻokoʻa.
- Moʻolelo lapaʻau.
- Lāʻau lapaʻau o kēia manawa.
- Nā kumu pilikia ʻē aʻe no ka maʻi puʻuwai.
Hoʻohana ka nui o nā kauka i kēia mau mea a me kahi helu helu pilikia kūikawā e hoʻoholo ai inā pono ʻoe i ka hoʻāʻo hou a i ʻole ka lāʻau lapaʻau. Inā he mau nīnau kāu e pili ana i nā hopena, mai makaʻu e kamaʻilio me kāu kauka.
He aha ka mea e hana ai inā loaʻa nā hopena kūpono ʻole?
Ma muli o ka nui o nā kumu e kōkua ai i ka maʻi puʻuwai a he ʻokoʻa nā kānaka a pau, ʻaʻohe ala hoʻokahi e mālama ai i nā pae maʻamau ʻole o ka cholesterol a me/a i ʻole nā triglycerides.
Inā ʻaʻole kūpono nā hopena o kāu panela lipid, hiki i kāu kauka ke ʻōlelo i hoʻokahi a ʻoi aku paha o kēia mau mea:
- E hoʻomau i ka nānā ʻana i nā pae lipid.
- Ke hoʻololi nei i kou nohona o kēlā me kēia lā. Eia kekahi laʻana, ke hoʻololi nei i nā meaʻai āu e ʻai ai, a me ka hoʻoikaika kino hou aku.
- Ke hoʻomaka nei i ka lāʻau hoʻohaʻahaʻa cholesterol.
ʻEhia pinepine e hana ʻia ai kēia hoʻāʻo?
E haʻi aku kāu kauka iā ʻoe i ka wā e pono ai ʻoe i kahi panela lipid. Aia nui ia i ka loaʻa ʻana o kekahi mau kumu pilikia no ka maʻi puʻuwai. Aia nō hoʻi i kou makahiki a me kou mōʻaukala olakino. Pono paha nā keiki ʻōpio i kēia hoʻāʻo inā loaʻa iā lākou kekahi mau kumu pilikia.
ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me kāu kauka, hāʻawi iā ia i kāu ʻike olakino piha, a ʻike i kāna mea e ʻōlelo mai ai.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
He mea maʻamau ke makaʻu i ka wā e ʻike ai ʻoe i kahi hopena hoʻāʻo kūpono ʻole. Akā e hoʻomanaʻo, ʻaʻole pono ka hopena lipid panel kūpono ʻole e manaʻo ʻoe e pono ʻoe i ka lāʻau lapaʻau. He hopena nui ko ka cholesterol a me ka triglyceride i kou olakino holoʻokoʻa, akā he nui nā kumu ʻē aʻe e hoʻopilikia i kou pilikia o ka maʻi puʻuwai.
E noʻonoʻo kāu kauka i nā kumu he nui, me kou olakino a me kou mōʻaukala lapaʻau i hala, e hoʻoholo ai i ka mea e hana ai ma hope. E hui pū ʻolua e hoʻomohala i kahi hoʻolālā e kūpono loa iā ʻoe. No laila, mai makaʻu e kamaʻilio me kāu kauka e pili ana i kekahi mea.
No laila, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ke ʻano o ka lipid panel. He mea nui loa ka ʻike ʻana i kēia mau hoʻokolohua e noho olakino ai!
ʻO ka cholesterol, ka papa lipid, ka maʻi puʻuwai, LDL, HDL, triglycerides, nā hoʻāʻo koko











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