He aha ka VLDL (Very-Low-Density Lipoprotein) i loko o kāu cholesterol? E ʻike kākou i ke ʻano maoli!

Ua lohe paha ʻoe i ka cholesterol , ʻeā? Ua ʻike paha ʻoe i kēia huaʻōlelo ma kāu hōʻike koko. ʻAʻohe mea e makaʻu ai ke lohe ʻoe i ka huaʻōlelo cholesterol. Eia nō naʻe, aia nā ʻano like ʻole o ia mea, a he mea nui e ʻike e pili ana iā lākou. I kēia lā e kamaʻilio mākou e pili ana i kahi lālā o ka ʻohana cholesterol, a ʻo ia hoʻi ʻo VLDL (Very-Low-Density Lipoprotein) . He mea hou paha kēia inoa iā ʻoe, akā mai hopohopo, e wehewehe maʻalahi kākou.

He aha ka VLDL (Very-Low-Density Lipoprotein), e ke hoa?

I ka ʻōlelo maʻalahi, ʻo VLDL kahi ʻano kūikawā o ka ʻāpana i hana ʻia e ko kākou akepaʻa a laila hoʻokuʻu ʻia i loko o ko kākou koko. No kēia mau mea kahi hui o nā protein i kapa ʻia ʻo lipoproteins .

E noʻonoʻo e pili ana i ia mea, ʻo nā momona i loko o ko kākou koko, e like me ka cholesterol a me nā triglycerides , ʻaʻole lākou e neʻe a puni i loko o ke koko ma o lākou iho. ʻAʻole lākou e hoʻoheheʻe ʻia i ka wai. No laila, pono kēia mau momona i kahi kaʻa e lawe iā lākou i nā ʻāpana like ʻole o ke kino. Ua kapa ʻia kēlā kaʻa he lipoproteins. Ua like ia me kahi kaʻa!

ʻO ka hana nui o VLDL ka lawe ʻana i nā triglycerides a me kekahi cholesterol a lawe iā lākou i nā wahi e pono ai lākou i loko o ke kino. Ma kēia ʻano, kōkua ʻo VLDL i ko mākou kino e loaʻa ka ikehu, mālama i ka ikehu, a me ke kāohi ʻana i ke koko. No laila, he mea nui loa lākou no ka hana maʻamau o ko mākou kino.

Eia nō naʻe, eia kekahi mea e hoʻomanaʻo ai: Inā piʻi nui ka nui o VLDL i loko o ke koko, hiki ke lilo i mea weliweli. Inā hana ʻia kēlā, piʻi ka pilikia o ka loaʻa ʻana o nā maʻi cardiovascular .

He aha ka mea i loko o kēia mau ʻāpana VLDL?

ʻO ka hapa nui o kahi ʻāpana VLDL he ʻano momona i kapa ʻia ʻo triglycerides . Loaʻa pū kekahi iā ia ka cholesterol , nā waikawa momona, a me kahi ʻano protein kūikawā i kapa ʻia ʻo apolipoprotein B (apoB) . Ua ʻike ʻia e ka noiʻi ʻana ua pili nā pae kiʻekiʻe o kēia apoB i loko o ke koko me ka piʻi ʻana o ka maʻi cardiovascular.

ʻO kaʻoiaʻiʻo, ua hana ʻia nā lipoproteins āpau i nā momona a me nā protein. Eia nō naʻe, ʻokoʻa ka nui a me nā ʻano o kēia mau momona a me nā protein mai kekahi lipoprotein a i kekahi. Ma muli o ke kiʻekiʻe o nā VLDL i nā triglycerides , kapa pinepine nā kauka iā lākou he "triglyceride-rich lipoproteins."

He ʻelua mau mea like ʻole ka VLDL a me ka VLDL cholesterol?

Me he mea lā he mea huikau iki kēia, akā maʻalahi ke hoʻomaopopo. I ka manawa pinepine, hoʻohana like ʻia nā huaʻōlelo "VLDL" a me "VLDL cholesterol". Eia nō naʻe, aia kahi ʻokoʻa iki ma waena o nā mea ʻelua he mea nui e ʻike.

• ʻO VLDL ke ʻano o ka ʻāpana lipoprotein i ʻōlelo ʻia ma mua. ʻO ia hoʻi, ʻo ke "kaʻa" a i ʻole "kaʻa" i hana ʻia e ke akepaʻa a lawe i nā momona a me nā protein i loko o ke koko.
• ʻO ka cholesterol VLDL e pili ana i nā mea holo cholesterol ma ke kaʻa VLDL. ʻO ia hoʻi, ka nui o ka cholesterol i lawe ʻia ma ke koko e ka ʻāpana VLDL.

ʻO nā ʻano lipoprotein ʻē aʻe, e like me ka LDL (Low-Density Lipoproteins) a me ka HDL (High-Density Lipoproteins) , ua like ia me kēia mau ʻano cholesterol ʻē aʻe. Loaʻa i kēlā me kēia nā nui like ʻole a me nā ʻano momona a me nā protein. ʻO ia ke kumu e kamaʻilio pū ai mākou e pili ana i ka LDL cholesterol a me ka HDL cholesterol.

No laila, he ʻano cholesterol "maikaʻi ʻole" anei ʻo VLDL?

ʻAe, i ka pōkole, inā ʻoi aku ka nui o ka cholesterol VLDL i loko o ke koko ma mua o ka mea e pono ai, hiki ke ʻōlelo ʻia he "maikaʻi ʻole". Pono ko mākou kino i kahi nui o VLDL no kona mau pono. Eia nō naʻe, inā piʻi ka pae o VLDL, hoʻonui ia i ka pilikia o ka atherosclerosis , ʻo ia hoʻi, ka hoʻokumu ʻia ʻana o nā waihona momona (plaque) i loko o nā kīʻaha koko (arteries). ʻO kēia ke kumu o nā maʻi puʻuwai he nui.

Pehea ka kōkua ʻana o VLDL i ka hoʻomohala ʻana i ka atherosclerosis?

Ke hana ko kākou akepaʻa i ka VLDL ma mua o ka mea e pono ai ko kākou kino, hoʻopau ke kino i ka VLDL keu. Ma kēia ʻano, hoʻololi mua ʻia ka VLDL i IDL (Intermediate-Density Lipoproteins) a laila LDL (Low-Density Lipoproteins) . ʻO kēia mau IDL a me LDL nā ʻano lipoproteins e pono ai ke kino.

Akā, ʻo ka pilikia, inā lilo kēia LDL i ʻoi aku ma mua o ka mea e pono ai ke kino, hiki iā ia ke hōʻiliʻili. Ke nui ka LDL i loko o ke koko, hiki iā ia ke paʻa i loko o nā paia o nā aʻa, kahi e hoʻomaka ai nā waihona momona (plaque) e hana. I ka ulu mālie ʻana o kēia mau waihona momona, hoʻohaiki lākou i nā aʻa a keakea nei i ke kahe ʻana o ke koko.

Ua ʻike ʻia e ka noiʻi ʻana he ʻoi aku ka weliweli o ka piʻi ʻana o nā pae VLDL me ka piʻi ʻana o nā pae LDL ma mua o ka piʻi ʻana o kekahi o ia mau mea wale nō.

ʻAʻole wale ia, ke wāwahi ʻia ka VLDL a hoʻokumu ʻia ka LDL, waiho ʻia kekahi mau " ʻāpana koena" i loko o ke koko. Loaʻa i kēia mau ʻāpana koena ka nui o ka cholesterol. No ka mea he liʻiliʻi ko lākou nui, hiki iā lākou ke paʻa maʻalahi i loko o nā paia o ke aʻa a hoʻoulu i ka atherosclerosis (Hoʻonui ia i ke kaʻina hana o ka atherosclerosis.

He kūlana weliweli ʻo Atherosclerosis no ka mea e hoʻohaiki ana i kou mau aʻa, e hoʻonui ana i kou pilikia o ka loaʻa ʻana o nā maʻi cardiovascular like ʻole. Eia kekahi mau laʻana:

• ʻO ka maʻi ʻaʻa coronary ( nā maʻi o nā aʻa e hoʻolako koko i ka puʻuwai)
• ʻO ka maʻi Cerebrovascular ( nā maʻi i loko o nā kīʻaha koko e hoʻolako i ke koko i ka lolo, hiki ke alakaʻi i nā kūlana e like me ka hahau ʻana)
• ʻO ka maʻi ʻaʻai peripheral ( nā maʻi o nā veins e hoʻolako koko i nā lima a me nā wāwae)
• ʻO ka aneurysm aortic (ka nāwaliwali a me ka pehu ʻana o ka aorta, ke kīʻaha koko nui o ke kino)

ʻO wai ka mea ʻino, LDL a i ʻole VLDL?

ʻO kaʻoiaʻiʻo, ʻo ka cholesterol LDL a me ka cholesterol VLDL e kōkua i ka hōʻiliʻili ʻana o nā waihona momona (plaque) i loko o ko kākou mau aʻa. No laila, he paʻakikī ke ʻōlelo aku he "ʻoi aku ka ʻino" o kekahi ma mua o kekahi. Ua like nā mea ʻelua me ka atherogenic, ʻo ia hoʻi ke kōkua nei lākou i ke kaʻina hana o nā waihona momona i loko o nā aʻa. No laila he mea nui e makaʻala i nā mea ʻelua.

Pehea e ana ʻia ai ka kolesterol VLDL?

Ana nā kauka i kāu mau pae kolesterol VLDL ma o kahi hoʻāʻo koko i kapa ʻia he lipid panel . He hoʻāʻo koko maʻamau loa kēia.

Hōʻike kēia panela lipid i ka pae cholesterol holoʻokoʻa i loko o kou koko. ʻAʻole wale ia, akā hōʻike pū ia i nā pae o nā ʻano cholesterol like ʻole i kapa ʻia ʻo HDL (cholesterol maikaʻi), LDL (cholesterol maikaʻi ʻole), a me VLDL ma ke kaʻawale. Eia kekahi, hiki i kēia hoʻāʻo ke haʻi iā ʻoe i ka pae o nā triglycerides i loko o kou koko. E hoʻomanaʻo, ua ʻōlelo mākou aia ka VLDL i ka nui o nā triglycerides.

ʻO ka maʻamau, ʻaʻole ana pololei nā labs i kāu mau pae VLDL. Akā, hoʻohana lākou i kāu mau pae triglycerides e helu i kāu mau pae VLDL me kahi haʻilula makemakika. Ma keʻano laulā, ʻelima manawa o kāu mau triglycerides i kou mau pae VLDL.

Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi koʻikoʻi i kapa ʻia ʻo hypertriglyceridemia , ʻo ia hoʻi ka wā e kiʻekiʻe loa ai kou mau pae triglyceride, ʻaʻole paha e pololei kēlā makemakika. I kēlā hihia, hiki i kāu kauka ke hoʻohana i kahi ʻano hana ʻokoʻa e kuhi ai i kāu mau pae VLDL.

He aha ka pae maʻamau no ka kolesterol VLDL?

ʻO ka pae maʻamau, a olakino paha, no VLDL ma lalo o 30 milligrams no ka deciliter o ke koko ( < 30 mg/dL ). Inā ʻo kou pae kolesterol VLDL he 30 mg/dL a ʻoi aku paha , ua manaʻo ʻia he kiʻekiʻe.

He aha ka mea e hana inā hoʻokiʻekiʻe ʻia ka VLDL cholesterol?

ʻO ke kumu nui, ʻo ka hoʻonui ʻia ʻana o ka nui o ka cholesterol VLDL e hoʻonui i ka pilikia o ka maʻi cardiovascular .

Eia nō naʻe, no ka mea, ua helu ʻia nā pae VLDL me ka hoʻohana ʻana i kahi ʻano makemakika ma mua o ke ana pololei ʻia ʻana, a no ka mea, ʻaʻole ʻo VLDL ke kumu nui no nā kauka i ka wā e mālama ai iā ʻoe, ʻaʻole paha e kamaʻilio pololei kāu kauka iā ʻoe e pili ana i kou pae VLDL. Akā, e kālele nui ʻo ia i nā waiwai ʻē aʻe, e like me kou pae LDL a me nā triglycerides , no ka mea, ʻo ia nā waiwai i kuhikuhi nui ʻia no ka mālama ʻana.

Hiki i nā poʻe he nui me nā pae cholesterol VLDL kiʻekiʻe ke loaʻa i hoʻokahi a ʻoi aku paha o nā kūlana ma lalo nei i ka manawa like:

• Hoʻonui ʻia nā pae triglyceride (Hypertriglyceridemia)
• Hoʻonui ʻia nā pae cholesterol LDL
• Hoʻonui ʻia ka pae cholesterol holoʻokoʻa (Hyperlipidemia)

ʻO ka nūhou maikaʻi, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kēia mau ʻano momona (lipids) i loko o kou koko:

• Ma hope o kahi papaʻai olakino no ka puʻuwai , e like me ka papaʻai Mediterranean , kahi e hoʻoikaika ai i nā mea kanu, nā huaʻai, nā legumes, nā palaoa piha, nā iʻa, a me nā momona olakino e like me ka ʻaila ʻoliva.
• E hoʻoikaika kino mau . Eia nō naʻe, he mea nui loa e kamaʻilio me kāu kauka a loaʻa ka ʻōlelo aʻoaʻo ma mua o kou hoʻomaka ʻana i kahi papahana hoʻoikaika kino hou.
• E mālama i kahi kaumaha olakino e kūpono i kou kiʻekiʻe a me ke ʻano o ke kino.
• Inā ʻōlelo ʻia e kāu kauka, e lawe i nā lāʻau hoʻohaʻahaʻa cholesterol e like me nā statins .

I kekahi mau hihia, loaʻa paha iā ʻoe kahi maʻi olakino e hiki ai ke hoʻonui i kāu mau triglycerides, hiki ke hoʻonui i kāu mau pae kolesterol VLDL. Eia kekahi, hiki i kekahi mau lāʻau lapaʻau āu e lawe ai ke hoʻonui i kēia mau mea ʻelua. No laila, he mea nui e kamaʻilio ākea me kāu kauka e pili ana i ke kumu o ka piʻi ʻana o kāu mau pae kolesterol VLDL a me nā mea hiki iā ʻoe ke hana e hoʻoponopono iā lākou.

I kou ola o kēlā me kēia lā, ʻaʻole paha ʻoe e noʻonoʻo nui e pili ana i kēia mau lipoproteins e holoholo ana i loko o kou koko. Akā inā haʻi aku ke kauka iā ʻoe ua kiʻekiʻe kou pae cholesterol, e hoʻomaka paha ʻoe e noʻonoʻo e pili ana i kēia mau ʻāpana a pehea lākou e pili ai i kou olakino.

ʻO ka mea hope loa, kahi mea e hoʻomanaʻo ai ...

ʻO ka mea nui loa , ʻaʻole e hopohopo inā ʻike ʻoe ua kiʻekiʻe kou pae cholesterol. He kūlana kēia e hiki ke hoʻomalu pinepine ʻia me nā hoʻololi ʻana i ke ʻano o ka nohona a, inā pono, nā lāʻau lapaʻau.

E kamaʻilio me kāu kauka e pili ana i ke ʻano o kou pae VLDL iā ʻoe a me nā mea hiki iā ʻoe ke hana e hoʻomaikaʻi ai. E hāʻawi ʻo ia iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa. I mea e noho olakino ai, ʻoi aku ka maikaʻi o ka makaʻala i kēia mau mea a hahai i ka ʻōlelo aʻoaʻo a kāu kauka!

ʻO Cholesterol, VLDL, Triglycerides, Maʻi Puʻuwai, Lipid Panel, Atherosclerosis, Ola Kino