Aloha! Pehea ʻoe? I kēia lā, e kamaʻilio ana mākou e pili ana i kahi mea i loko o ko mākou kino, akā ʻaʻole mākou i ʻike nui e pili ana i ia mea. ʻO ia ka mea i kapa ʻia ʻo lipids . Ua lohe paha ʻoe i ka 'cholesterol'. ʻO ia ke ʻano o kēia mau lipids. Mai hopohopo, e wehewehe wau i kēia iā ʻoe ma ke ʻano maʻalahi.
He aha nā lipids? E hoʻomaopopo maʻalahi kākou.
E noʻonoʻo e pili ana i ia mea, he hui nā lipids o nā kemika i loko o ko kākou kino, e like me nā momona a me nā waxes . Hana lākou i nā hana koʻikoʻi loa i loko o ko kākou kino. ʻO ka mea kūikawā, ʻaʻole e hoʻoheheʻe ʻia kēia mau lipids i ka wai. Ua like ia me ka ʻaila e lana ana ma luna o ka wai. Hana ʻia kēia mau lipids e ko kākou kino.
He aha nā ʻano lipid nui i loko o ko mākou kino?
I ka wā e pili ana i nā lipids, aia nā ʻano like ʻole. E nānā kākou i nā mea nui.
1. Kolesterol
Ua lohe pinepine paha ʻoe i ka huaʻōlelo 'cholesterol', ʻeā? He ʻano lipid nō hoʻi kēia. Pono pū ko kākou kino iā ia. ʻIke anei ʻoe i ke kumu? Kōkua ka Cholesterol i ke kino e omo i nā momona a me nā huaora i loko o nā meaʻai a kākou e ʻai ai a hana i nā hormones.
Akā eia ka mea. ʻAʻole makemake ka Cholesterol a me kekahi ʻano lipid i kapa ʻia ʻo triglycerides i ka wai, no laila ʻaʻole hiki iā lākou ke hele i loko o ke koko ma o lākou iho. Me he mea lā e makaʻu ana kekahi i ka wai. No laila, hui pū lākou me nā protein e hana i nā kaʻa i kapa ʻia ʻo lipoproteins . ʻO ia nā kaʻa e lawe iā lākou ma ke kino holoʻokoʻa.
I kēia manawa ua lohe paha ʻoe e pili ana i nā ʻano nui ʻelua o nā lipoproteins:
- HDL (Nā Lipoproteins Density Kiʻekiʻe) - "kolesterol maikaʻi"
Hana ʻia kēia mau mea e ko kākou akepaʻa a me ka ʻōpū liʻiliʻi. Lawe ʻo HDL i ka cholesterol makemake ʻole ʻia i ke akepaʻa. Hoʻololi ke akepaʻa iā ia i loko o ka waikawa bile a lawe aku mai ke kino. ʻAʻole wale ia, hakakā pū ʻo HDL i ka mumū, ke kāpili ʻana o ke koko, a me ka oxidation . ʻO ia ke kumu i kapa ʻia ai he "maikaʻi."
- LDL (Nā Lipoproteins Haʻahaʻa-Density) - "kolesterol maikaʻi ʻole"
Hana pū ko kākou akepaʻa i kahi ʻano i kapa ʻia ʻo VLDL (Very Low-Density Lipoproteins) . Lawe kēia mau VLDL i nā triglycerides mai ke akepaʻa i nā ʻāpana ʻē aʻe. I kēia manawa, ke pau kēia mau VLDL i ka lawe ʻana i nā triglycerides a me ka cholesterol i nā wahi ʻē aʻe, lilo lākou i mea kaumaha iki a lilo i LDL. ʻO kēlā LDL ka cholesterol "maikaʻi ʻole". No ka mea, hiki i kēia LDL ke hoʻopili i nā paia o ko kākou mau kīʻaha koko . A laila hiki ke ālai ʻia ke kahe koko, a hiki ke pale ʻia ke kahe koko.
2. Nā Triglycerides
ʻO kēia kekahi ʻano nui o ka lipid i loko o ko kākou kino. ʻO kā lākou hana nui ka mālama ʻana i ka ikehu a hāʻawi iā ia i ka wā e pono ai . ʻO nā calorie keu a kākou e loaʻa ai mai ka meaʻai a kākou e ʻai ai e mālama ʻia i loko o ke kino ma ke ʻano he triglycerides.
He aha ka lawelawe a nā lipids e hāʻawi ai i ko mākou kino?
Nui nā ʻano lipid, a he ʻokoʻa ka hana a kēlā me kēia ʻano i loko o ko kākou kino. E nānā kākou i ke ʻano o lākou.
- Nā Triglycerides:Hoʻopaʻa kēia i ka ikehu a hoʻokuʻu iā ia i ka wā e pono ai.
- Nā hormones steroid: Kōkua kēia i kā mākou mau cell e hoʻokaʻaʻike i nā leka. E noʻonoʻo iā lākou he mau mea lawe leka liʻiliʻi i loko o ko mākou kino.
- ʻO nā paʻakai bile, i hana ʻia mai ka cholesterol: Kōkua kēia i ka hoʻoheheʻe ʻana i ka momona i loko o ka meaʻai a mākou e ʻai ai, ʻo ia hoʻi, kōkua i ka hoʻoheheʻe ʻana.
- Nā waikawa momona: Hoʻopili ʻia kēia mau mea a hoʻopuka i ka ikehu.
- ʻO nā phospholipids a me ka cholesterol: Hoʻokumu kēia mau mea ʻelua i ka uhi waho o kā mākou mau cell, a i ʻole nā membranes biological . Ua like kēia mau phospholipids me nā kiaʻi puka. ʻAe lākou i kekahi mau mea e komo i loko o ke kelepona, akā ʻae ʻia nā mea ʻē aʻe me ke kōkua o nā protein.
I ka ʻōlelo maʻalahi, he mea nui nā lipids no kēlā me kēia cell i loko o ko mākou kino, e kōkua ana i ka aneane o kēlā me kēia kaʻina hana.
Aia i hea nā lipid i loko o ko mākou kino?
Loaʻa nā lipid i loko o ko kākou koko, a ma nā wahi a pau o ko kākou kino. Loaʻa nā lipid i kēlā me kēia cell i loko o kou kino.
He aha nā mea i hana ʻia ai nā lipid?
Hana ʻia nā lipids me nā mea oxygen, carbon, a me hydrogen . ʻO nā lipids, e like me ka cholesterol, he ʻāpana ia o ko kākou mau membrane cell. Hāʻawi lākou i nā cell i ko lākou ʻano a kāohi i ka neʻe ʻana o nā mea i loko a i waho o nā cell.
He aha nā maʻi maʻamau e pili ana i nā lipids?
ʻO ka maʻamau, hiki i ko mākou kino ke hana i ka nui o nā lipids e pono ai. Eia nō naʻe, i kekahi manawa, hiki i ka nui o kēia mau lipids ke haʻahaʻa loa a kiʻekiʻe loa paha. Inā hana ʻia kēlā, hiki ke kū mai nā pilikia olakino like ʻole .
- Hyperlipidemia: ʻO ke ʻano kēia o ka piʻi ʻana o nā pae lipid i loko o ke koko.
- Hypolipidemia: ʻO ke ʻano kēia o ka emi ʻana o ka nui o nā lipids i loko o ke koko.
- Hypercholesterolemia: I kēia, piʻi wale nā pae cholesterol.
- Atherosclerosis: E like me ka mea i ʻōlelo ʻia ma mua, ʻo ka mea e hana ʻia ma kēia, ʻo ia ka waiho ʻana o nā mea e like me ka cholesterol maikaʻi ʻole i loko o nā aʻa, e hoʻomānoanoa a hoʻohāiki ai nā paia o kēlā mau aʻa.
- ʻO ka maʻi ʻaʻa coronary: ʻO kēia ka mea e hana ʻia ke kū mai nā waihona e like me kēia i loko o nā aʻa e hoʻolako ana i ke koko i ka puʻuwai.
- Hypertriglyceridemia: ʻO kēia ka manawa e piʻi ai nā pae triglyceride.
He aha nā hōʻailona o nā pilikia lipid?
ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike ka poʻe me nā pae lipid koko kiʻekiʻe i kekahi mau hōʻailona . ʻO ia ka mea weliweli loa. Eia nō naʻe, inā kiʻekiʻe loa nā pae cholesterol, hiki ke ʻike ʻia kekahi mau hōʻailona:
- Xanthelasma: ʻIke ʻia nā ʻōpū melemele ma ka ʻili a puni nā maka.
- Xanthoma: Nā waihona cholesterol ma lalo o ka ʻili, e hana ana i nā puʻupuʻu.
- ʻO ke kūlou o ka cornea:Me he apo keʻokeʻo lā a puni ka maka.
ʻO ia ke kumu he mea nui e nānā i nā pae lipid i nā manawa maʻamau e like me ke kuhikuhi a kāu kauka, ʻoiai inā ʻaʻohe ou hōʻailona.
He aha nā hoʻokolohua e hana ʻia e nānā i kāu pae lipid?
Hiki i kāu kauka ke noi iā ʻoe e loaʻa i kahi lipid panel , a i ʻole lipid profile , kahi e ana ai i ka nui o ka cholesterol a me nā triglycerides i loko o kou koko.
Pono ʻoe e hoʻokē ʻai no kahi o 12 mau hola ma mua o ka lawe ʻana i kēia hoʻokolohua. A laila hiki iā ʻoe ke loaʻa nā hopena pololei. He mea maʻalahi ke hana i kēia mea mua i ke kakahiaka, no ka mea, ʻaʻole mākou e ʻai i ka pō i ko mākou hiamoe ʻana.
Eia kekahi, ʻo ka lawe ʻana i kēia hoʻāʻo i ka wā e maʻi ana ʻoe a i ʻole ke kaumaha ʻaʻole ia e hāʻawi i nā hopena pololei. Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau e hoʻopilikia ai i nā pae lipid, pono ʻoe e haʻi i kāu kauka e pili ana i ia mea.
Hiki i kahi panel lipid ke hāʻawi i kāu kauka i kahi manaʻo no kou pilikia o ka hoʻomohala ʻana i nā maʻi cardiovascular .
- Inā ʻoi aku ka nui o ka cholesterol ma mua o 200 mg/dL (milligrams no ka deciliter) , a ʻoi aku ka nui o ka LDL (cholesterol maikaʻi ʻole) ma mua o 130 mg/dL , ua piʻi aʻe ka pilikia o ka maʻi puʻuwai.
- Ke aʻo aku nei nā kauka i nā poʻe i loaʻa mua i ka maʻi ʻaʻa coronary a i ʻole ka poʻe i loaʻa i ka stroke e mālama i nā pahuhopu LDL i haʻahaʻa loa.
- He mea maikaʻi loa ka loaʻa ʻana o ka pae HDL (cholesterol maikaʻi) he 60 mg/dL a ʻoi aku paha, no ka mea, kōkua ʻo HDL i ka wehe ʻana i ka LDL.
He aha nā lāʻau lapaʻau no nā lipids?
Inā kiʻekiʻe kou pae lipid a ua pilikia ʻoe i ka maʻi puʻuwai, hiki i kāu kauka ke kuhikuhi i ka lāʻau hoʻohaʻahaʻa cholesterol. ʻO kekahi mau laʻana:
- Nā Statins
- Nā mea hoʻopaʻa waikawa bile
- Nā Fibrates
- Nā mea pale PCSK9
Pono e hoʻohana ʻia kēia mau lāʻau lapaʻau e like me ke kuhikuhi a ke kauka.
Nā mea maʻalahi hiki iā mākou ke hana e mālama i nā pae lipid olakino
ʻO ka mea pōmaikaʻi, ma ka hana ʻana i kekahi mau hoʻololi maʻalahi i ko mākou nohona, hiki iā mākou ke hoʻemi i nā pae lipid maikaʻi ʻole a mālama iā lākou ma kahi pae maikaʻi.
- E hōʻemi i ka nui o nā calorie āu e ʻai ai: Ke ʻai ʻoe i nā calorie ma mua o kou pono, mālama ʻia kēlā mau calorie keu i loko o ke kino e like me nā triglycerides.
- E hōʻemi i ka momona momona: Loaʻa kēia mau mea i nā nui he nui i nā meaʻai e like me nā meaʻai waiū momona piha.
- E koho i nā palaoa piha, nā huaʻai, nā mea kanu, a me nā huahana waiū momona haʻahaʻa.
- E hoʻoikaika kino mau: He mea maikaʻi loa ka hoʻoikaika kino ma ka liʻiliʻi he 5 mau lā o ka pule, no 30 mau minuke i ka lā.
- Hiamoe maikaʻi: E hiamoe ma ka liʻiliʻi he 7-9 mau hola i kēlā me kēia pō.
- E mālama i kahi kaumaha olakino e kūpono iā ʻoe.
- Hoʻōki i ka hoʻohana ʻana i nā huahana paka: Hiki i ka puhipaka ke hoʻohaʻahaʻa i kāu pae HDL (cholesterol maikaʻi) a hoʻonui i kāu pae LDL (cholesterol maikaʻi ʻole).
E hoʻomanaʻo, ʻaʻole hiki iā ʻoe ke hana i kēia mau mea a pau i ka pō hoʻokahi. E ho'āʻo e hoʻomohala mālie i kēia mau maʻamau.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
He mea nui nā lipids no nā ʻāpana o ko kākou kino a me nā kaʻina hana like ʻole. Eia nō naʻe, inā piʻi nui kekahi mau ʻano lipids, ʻoiai ka LDL cholesterol a me nā triglycerides, hiki iā ia ke alakaʻi i nā maʻi koʻikoʻi e like me ka maʻi puʻuwai.
No laila, e kamaʻilio me kāu kauka a aʻo e pili ana i kou pilikia no ka maʻi puʻuwai a me nā maʻi kīʻaha koko. Eia kekahi, e nīnau i ka pinepine o kou loaʻa ʻana o kahi panela lipid. Hiki i kāu kauka ke kōkua iā ʻoe e mālama i kāu mau pae lipid i loko o nā palena maʻamau. Aia kou olakino ma kou mau lima!
ʻO nā lipids, cholesterol, triglycerides, HDL, LDL, maʻi puʻuwai, nohona olakino











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo