Pehea kou "cholesterol maikaʻi"? E pili ana i ka cholesterol HDL!

Ke nānā ʻoe i kāu cholesterol, ua lohe paha ʻoe i ka ' cholesterol maikaʻi ' a me ka 'cholesterol maikaʻi ʻole'. ʻO ia ka 'cholesterol maikaʻi' ʻo ia ka HDL. No laila, no ka mea he nui ka poʻe e ʻike nei he huikau iki kēia, e kamaʻilio wale kākou e pili ana i ka cholesterol HDL, ma kā kākou ʻōlelo ponoʻī?

He aha ka HDL?

I ka ʻōlelo maʻalahi, ʻo HDL ke kū nei no 'High-Density Lipoprotein' . He mau ʻāpana liʻiliʻi kēia e holoholo ana i loko o ko kākou koko. E noʻonoʻo iā lākou he 'lawelawe courier' i loko o ko kākou kino.

Hana ʻia kēia mau lipoproteins me nā lipids - nā momona - a me nā protein. ʻO kā lākou hana nui ka lawe ʻana i nā momona i loko o ko kākou kino, ʻoiai ka cholesterol, i kahi e pono ai lākou, i nā cell. ʻAʻole hiki i kēia mau momona ke hele ma ke koko ma o lākou iho, no ka mea, ʻaʻole ʻae ko lākou ʻano kemika iā lākou. ʻO ia ke kumu e pono ai lākou i ke kōkua o kēia mau "kaʻa" i kapa ʻia ʻo lipoproteins.

He like anei ka cholesterol HDL?

ʻAe, ʻo ka HDL a me ka HDL cholesterol ke ʻano like. Hoʻohana pinepine ka poʻe i nā huaʻōlelo ʻelua e kamaʻilio e pili ana i kēia mau ʻāpana a pehea lākou e pili ai i ke olakino o ko mākou puʻuwai.

ʻOiai aia nā momona a me nā protein i loko o kēia mau ʻāpana HDL, ʻike ka poʻe iā lākou ma ke ʻano o ka momona a lākou e lawe ai, ʻo ia hoʻi ka cholesterol. ʻO ia ke kumu i kapa ʻia ai lākou he HDL cholesterol.

No ke aha i kapa ʻia ai ʻo HDL ʻo "cholesterol maikaʻi"?

Aia kekahi kumu i kapa ʻia ai ʻo HDL ʻo 'cholesterol maikaʻi'. ʻO ia hoʻi, kōkua ʻo HDL i ka wehe ʻana i ka cholesterol keu mai ko mākou kino . Hiki i kēia kaʻina hana ke hōʻemi i ko mākou pilikia o ka loaʻa ʻana o nā maʻi cardiovascular, e like me ka maʻi puʻuwai a me ka hahau ʻana.

ʻO ka maʻamau, komo ka cholesterol i loko o ke koko mai ko kākou akepaʻa. Mai laila mai, lawe nā lipoproteins i ʻōlelo ʻia ma luna i ka cholesterol i nā ʻano hunaola like ʻole o ke kino. No ka mea, pono ka cholesterol no nā hana koʻikoʻi he nui, e like me ke kūkulu ʻana i nā membrane cell a me ka hana ʻana i nā hormones.

Eia nō naʻe, i kekahi manawa, hōʻiliʻili nui ko kākou koko i ka cholesterol. ʻO ia hoʻi, ʻoi aku ma mua o ka mea e pono ai ke kino. ʻO ia ka manawa e kōkua mai ai kahi kaʻina hana i kapa ʻia ʻo 'reverse cholesterol transport' .

He hana paʻakikī iki kēia 'ka lawe ʻana i ka cholesterol hoʻohuli'. Ke noʻonoʻo nei nā kānaka ʻepekema i ka wā a pehea e kōkua ai ʻo HDL i kēia. I ko mākou ʻike, hiki i nā ʻāpana HDL ke lawe i ka cholesterol keu i loko o ke koko i ke akepaʻa. A laila wāwahi ke akepaʻa i kēia cholesterol a lawe aku mai ke kino ma o kā mākou ʻōpala.

He mea maikaʻi loa kēia, no ka mea, i ka wā e piʻi ai ka nui o ka cholesterol i loko o ke koko, e hana ʻia nā waihona momona ma nā paia o ko kākou mau kīʻaha koko, hiki ke pani iā ​​lākou. ʻO ia ke kumu e hiki ai iā kākouʻO Atherosclerosis ka mea ia.

No laila, ua kapa ʻia ʻo HDL he cholesterol 'maikaʻi' a 'kōkua' paha no ka mea hoʻopau ia i ka cholesterol keu. ʻAʻole wale ia, hana pū ka cholesterol HDL e kūʻē i ka mumū a me nā oxidants i loko o ko mākou kino, e kōkua ana i ka mālama ʻana i ko mākou mau cell i ikaika. He kuleana ko HDL i ka pale ʻana i nā ʻōpū koko.

Pehea e ʻike ai i koʻu pae HDL?

He mea maʻalahi kēia ke ʻike. Hiki i kāu kauka ke kauoha i kahi hoʻāʻo koko i kapa ʻia he 'lipid panel' . E hāʻawi ka hōʻike iā ʻoe i kekahi ʻike e pili ana i kāu mau ʻano cholesterol like ʻole, me kou pae HDL.

ʻEhia ka nui o ka HDL maikaʻi?

ʻO ke kūlana kūpono loa no kou pae HDL he 60 milligrams no ka deciliter (mg/dL) a ʻoi aku paha . Ua hōʻike ʻia e ka noiʻi ʻana hiki i ka loaʻa ʻana o nā pae HDL kiʻekiʻe e like me kēia ke hōʻemi i kou pilikia o ka loaʻa ʻana o nā maʻi cardiovascular , ʻo ia hoʻi ka maʻi puʻuwai a me ka hahau ʻana.

ʻOkoʻa iki ka pae maʻamau no nā pae cholesterol HDL i nā pākeke ma muli o ke kāne:

• No nā kāne: 40 mg/dL a ʻoi aku paha.
• No nā wāhine: 50 mg/dL a ʻoi aku paha.

Eia naʻe, ʻo ka mea nui loa, ʻo ke kamaʻilio ʻana me kāu kauka e pili ana i nā hopena o kāu hōʻike panel lipid a hoʻomaopopo pono i ke ʻano o ko lākou hopena iā ʻoe.

ʻAʻole anei he mea maikaʻi ke loaʻa ka HDL haʻahaʻa?

ʻAe, ʻaʻole maikaʻi maoli ka loaʻa ʻana o nā pae HDL i ʻole ma ka pae maʻamau, ʻo ia hoʻi, haʻahaʻa. Ke ʻōlelo nei mākou he 'HDL haʻahaʻa' ko ka poʻe me nā pae HDL haʻahaʻa. He mea maikaʻi ʻole kēlā no ke olakino.

He pilikia nō hoʻi ka hoʻonui ʻana i ka HDL?

Eia kekahi mea nui. ʻAʻole maikaʻi ke kiʻekiʻe loa o nā pae HDL. ʻO ia hoʻi, inā piʻi lākou ma mua o 80 mg/dL, hiki iā ia ke hoʻolalelale i ka paʻakikī o nā aʻa i kapa ʻia ʻo atherosclerosis a mākou i ʻōlelo ai ma mua. Hiki i nā kūlana olakino ʻē aʻe ke kumu i ka haʻahaʻa a kiʻekiʻe paha o nā pae HDL.

He aha nā kumu o ka HDL haʻahaʻa?

Aia kekahi mau kumu e haʻahaʻa ai kou pae cholesterol HDL. E nānā kākou i ko lākou mau kumu:

• Maʻi Tangier: He ʻano genetic kēia e hoʻohaʻahaʻa nui ai i kāu mau pae cholesterol HDL.
• ʻO ka hyperlipidemia i hui pū ʻia me ka ʻohana: He kūlana hoʻoilina nō hoʻi kēia. Ma kēia, ua hoʻemi ʻia nā pae HDL a ua hoʻonui ʻia nā pae LDL, i ʻike ʻia hoʻi he cholesterol maikaʻi ʻole.
• Ka hemahema o ApoA1: ʻO ka poʻe me kēia kūlana genetic ʻaʻole lākou e hana i ka nui o ka protein i kapa ʻia ʻo apolipoprotein A1, ʻo ia kahi ʻāpana nui o HDL.
• ʻO ka maʻi metabolic:He hui pū ʻana kēia o kekahi mau kumu pilikia no ka maʻi cardiovascular, me ka haʻahaʻa o nā pae HDL ma mua o ka maʻamau.
• ʻOi aku ka nui o ke kino (BMI) ma mua o 25 (ke kaumaha nui/momona): Ke piʻi aʻe ke kaumaha o ke kino, hiki iā ia ke alakaʻi i nā pae HDL haʻahaʻa.
• Ka puhipaka a i ʻole ka hoʻohana ʻana i ka paka: ʻO ka nikotine, kahi kemika i loaʻa i ka paka, hoʻohaʻahaʻa i nā pae HDL. ʻIke ʻia kēia hopena maikaʻi ʻole ʻaʻole wale i nā cigarettes a me nā bidis, akā i nā huahana paka āpau, me nā e-cigarettes.
• Ke kū'ē ʻana o ka insulin: Ke piʻi aʻe ka momona o ke kino, e paʻakikī ana i ka insulin o ko mākou kino ke kaohi pono i nā pae kō koko. Hiki i kēia ke hoʻohaʻahaʻa i nā pae HDL.
• ʻO kekahi mau lāʻau lapaʻau āu e lawe ai: ʻO kekahi mau lāʻau lapaʻau, no ka laʻana, nā beta-blockers, kekahi mau hormones, a i ʻole kekahi mau diuretics (nā lāʻau lapaʻau e hoʻonui ai i ka mimi) hiki ke hoʻohaʻahaʻa i nā pae cholesterol HDL.

He aha nā kumu o ka hoʻonui ʻia ʻana o ka HDL?

Ua wehewehe ʻia kahi pae HDL kiʻekiʻe loa he pae ma luna o 80 mg/dL. Ua kapa ʻia kēia ʻo 'elevated HDL'.

ʻO kekahi kumu e kiʻekiʻe ai kou pae cholesterol HDL he mutation genetic . Hiki i nā loli i kekahi mau genes ke hana i kou kino e hana i ka nui o ka cholesterol HDL a i ʻole he pilikia e wehe iā ia mai kou kino. No ka laʻana, ʻo ka loli i ka gene CETP hiki ke hoʻonui i nā pae HDL ma mua o 150 mg/dL.

Aia kekahi mau kumu ʻē aʻe e hiki ai ke kiʻekiʻe loa ka HDL:

• Hyperthyroidism: ʻO ke ʻano kēia o ka hoʻonui ʻia ʻana o ka hana o ka thyroid gland.
• ʻO ka cholangitis biliary mua: He maʻi kēia e hoʻopilikia ai i nā ʻauwai bile o ke ake.
• Ka pilikia o ka hoʻohana ʻana i ka waiʻona: inu nui ʻana.
• Kekahi mau lāʻau lapaʻau.

Inā kiʻekiʻe loa kou pae HDL, e noiʻi kāu kauka i ke kumu a hoʻoholo inā pono ʻoe i ka lāʻau.

Pehea e hoʻonui ai i nā pae HDL?

He nīnau kēia a ka poʻe he nui. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me kāu kauka a loaʻa nā ʻōlelo aʻoaʻo i kūpono i kou olakino a me nā kūlana olakino ʻē aʻe āu e loaʻa ai. Akā ma ke ʻano laulā, aia kekahi mau hoʻololi nohona e hiki ke kōkua i ka hoʻonui ʻana i kāu mau pae HDL. E nānā kākou i ke ʻano o lākou:

• E ʻai i ka meaʻai olakino no ka puʻuwai: Ua hōʻike ʻia e ka noiʻi he maikaʻi ka ʻai Mediterranean no ke olakino puʻuwai holoʻokoʻa a kōkua i ka kaohi ʻana i nā pae cholesterol. Loaʻa iā ia ka nui o nā huaʻai, nā mea kanu, nā legumes (e like me nā pī a me nā lentil), a me nā palaoa holoʻokoʻa. Loaʻa pū kekahi i nā waikawa momona omega-3.ʻO nā meaʻai e kōkua i ka hoʻonui ʻana i ka cholesterol HDL e komo pū me nā iʻa momona e like me ka salmon a me ka mackerel, nā flaxseeds, a me nā walnuts.
• E hōʻalo a kaupalena paha i nā meaʻai maikaʻi ʻole: E hōʻalo i nā donuts palai a i ʻole nā ​​​​mea i hoʻomoʻa ʻia me nā momona trans (i kapa ʻia hoʻi he mau ʻaila hydrogenated hapa). Eia kekahi, e kaupalena i nā meaʻai me nā momona saturated . No ka laʻana, sausage, cheese, bacon, a me ka pata.
• Hoʻoikaika Kino: Hiki i ka hoʻoikaika kino aerobic ke kōkua i ka hoʻokiʻekiʻe ʻana i ka cholesterol HDL. E hoʻāʻo e hoʻoikaika kino no ka liʻiliʻi he 30 mau minuke i ka lā, ʻelima a ʻoi aku paha mau lā i ka pule. Inā ʻaʻole ʻoe i hoʻoikaika kino nui ma mua, ua maikaʻi kēlā. E hoʻomaka me ʻelima a ʻumi mau minuke i ka lā a hoʻonui mālie. Akā e kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kahi hoʻolālā hoʻoikaika kino hou.
• E mālama i ke kaumaha olakino e kūpono iā ʻoe: ʻO ka hōʻemi ʻana i ke kaumaha, ʻoiai ka momona o ka ʻōpū, kōkua i ka hoʻomaikaʻi ʻana i nā pae HDL.
• E pale i ka hoʻohana ʻana i ka paka: ʻO ka puhipaka, ka vaping, a me ka hoʻohana ʻana i nā huahana paka ʻē aʻe e hoʻohaʻahaʻa i ka HDL. No laila, inā ʻaʻole ʻoe e hoʻohana i ka paka i kēia manawa, mai hoʻomaka. Inā hana ʻoe, he mea nui e hoʻāʻo e haʻalele. E kamaʻilio me kāu kauka e pili ana i nā ala e kōkua ai iā ʻoe e haʻalele. He mea ʻino nō hoʻi ka uahi lua. Inā noho ʻoe me kahi mea puhipaka, e kākoʻo iā lākou i ka haʻalele ʻana - he mea maikaʻi ia no lākou a maikaʻi hoʻi nou.
• Ke lawe nei i nā lāʻau lapaʻau: I kekahi manawa e kuhikuhi paha kāu kauka i nā lāʻau lapaʻau e like me 'PCSK9 inhibitors' a i ʻole 'ezetimibe' e kōkua i ka hoʻonui ʻana i nā pae HDL.

ʻO ka mea a mākou e makemake ai e lawe i ka home mai kēia moʻolelo

Hiki i ka hoʻomaopopo ʻana i kāu hōʻike hoʻāʻo cholesterol ke manaʻo iki he huikau, ʻeā? Nui nā huaʻōlelo e aʻo ai, a he mea paʻakikī paha ke hoʻomanaʻo i ka cholesterol 'maikaʻi' a me ka cholesterol 'maikaʻi ʻole'.

I ke kamaʻilio ʻana e pili ana i ka HDL, e hoʻomanaʻo he kū ka 'H' no 'Helpful'. Maikaʻi ka cholesterol HDL no ka mea kōkua ia i ka wehe ʻana i ka cholesterol keu mai kou koko.

ʻO ia ke kumu e hiki ai i ka mālama ʻana i nā pae HDL olakino ke kōkua i ka hōʻemi ʻana i kou pilikia o ka maʻi puʻuwai. Inā ʻaʻole kūpono kāu mau pae HDL, e kamaʻilio me kāu kauka e pili ana i nā ala e hoʻomaikaʻi ai iā lākou. Mai hopohopo, i ka hapa nui o ka manawa, hiki iā ʻoe ke kāohi i kēia kūlana ma ka hana ʻana i nā hoʻololi liʻiliʻi o ke ʻano o ka nohona a, inā pono, e lawe i kekahi lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka. Aloha nui!

`Kolesterol, HDL, kolesterol maikaʻi, maʻi puʻuwai, nā hoʻāʻo koko, nohona olakino, ʻai