Ua lohe anei ʻoe i ka hoʻāʻo Apo B no ka ʻike pono ʻana i kāu cholesterol?

Ua lohe paha ʻoe i kēia hoʻāʻo Apo B (apolipoprotein B). A i ʻole he mea hou paha ia. Eia naʻe, he hoʻāʻo koko kēia e haʻi iā ʻoe i ka nui o ka ʻike koʻikoʻi e pili ana i ke olakino o ko kākou puʻuwai. No laila, e kamaʻilio kākou e pili ana i kēia lā ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo? E like me ke kamaʻilio ʻana me kahi hoaaloha.

He aha maoli ʻo Apo B? He aha kāna ana?

I ka ʻōlelo maʻalahi, he protein ʻo Apo B i loko o ko kākou koko. ʻO Apolipoprotein B-100 kona inoa. Lawe ia i kekahi mau mea a puni i loko o ko kākou koko. Akā lawe pū ia i kekahi cholesterol "maikaʻi ʻole". Ua lohe anei ʻoe i ka LDL (Low-Density Lipoprotein) cholesterol? ʻO ia ka mea a mākou e kapa nei he "cholesterol maikaʻi ʻole." A hele pū kekahi ʻano i kapa ʻia ʻo VLDL (Very Low-Density Lipoprotein) me kēia Apo B.

E noʻonoʻo e like me ke kaʻa ʻōhua. ʻO ka cholesterol maikaʻi ʻole (LDL, VLDL) wale nō e hele ana ma kēia kaʻa ʻōhua. ʻO ka cholesterol maikaʻi, ʻo ia hoʻi, HDL (High-Density Lipoproteins) , ʻaʻole e hele ma kēia kaʻa ʻōhua. No laila, ʻo ka hoʻonui ʻia ʻana o ka nui o Apo B i loko o ke koko, ʻo ia hoʻi, he nui aku nā ʻāpana cholesterol maikaʻi ʻole. ʻO kēia cholesterol maikaʻi ʻole ka mea i waiho ʻia ma nā paia o ko kākou mau kīʻaha koko, e hana ana i kahi papa momona paʻakikī a mākou e kapa nei he "plaque" . I ka hala ʻana o ka manawa, hiki i kēia mau waihona ke pani i nā kīʻaha koko a ālai i ke kahe koko. ʻO ia ka manawa e piʻi ai ka pilikia o ka maʻi puʻuwai a me nā maʻi kīʻaha koko (kapa mākou he pilikia maʻi cardiovascular ).

Wahi a kekahi mau kauka hiki i ka hoʻāʻo Apo B ke hāʻawi i kahi kiʻi pololei o ka pilikia o ka maʻi puʻuwai ma mua o ka hoʻāʻo cholesterol maʻamau (kapa mākou ia he Lipid Panel ). No ka mea, hoʻokahi molekole Apo B ko kēlā me kēia ʻāpana cholesterol maikaʻi ʻole. No laila, ma ka nānā ʻana i ka helu Apo B, hiki iā ʻoe ke hoʻoholo pololei i ka helu o nā ʻāpana cholesterol maikaʻi ʻole.

I ka manawa hea e hana ʻia ai kahi hoʻāʻo Apo B?

Aia kekahi mau kūlana e noi aku ai ke kauka iā ʻoe e hana i kahi hoʻāʻo Apo B:

• Inā makemake ʻoe e ʻike maopopo e pili ana i kou pilikia maʻi puʻuwai, i kekahi manawa ʻaʻole hāʻawi nā hopena o kahi hoʻāʻo cholesterol maʻalahi i kahi kiʻi piha. A laila he mea pono kēia ma ke ʻano he ʻike hou aku.
• Hiki ke hoʻohana ʻia kēia hoʻāʻo e ʻike i ka hopena o ka lāʻau lapaʻau ma hope o kou hoʻomaka ʻana e lawe i nā lāʻau lapaʻau e like me statins e hoʻohaʻahaʻa i kāu cholesterol.
• Ua ʻike ʻia e ka noiʻi no kekahi poʻe, ʻoiai ka poʻe me ka metabolic syndrome a i ʻole ka maʻi diabetes , hiki i ka hoʻāʻo Apo B ke lilo i mea wānana maikaʻi aʻe i ka pilikia o ka maʻi puʻuwai ma mua o kahi panel lipid. ʻO kēia no ka mea he liʻiliʻi a mānoanoa paha nā ʻāpana cholesterol LDL i loko o kēia poʻe, e paʻakikī ai ke wānana pololei i ka pilikia ma muli o nā pae LDL awelika wale nō.

E noʻonoʻo, pehea ka waiwai inā hiki iā mākou ke ʻike i kekahi manawa i ka hiki ke loaʻa i kahi maʻi ma mua o ko mākou hōʻike ʻana i kekahi mau hōʻailona? ʻO ia ka hana a kēia hoʻāʻo Apo B.

Pehea ʻoe e hoʻomākaukau ai no kēia hoʻāʻo Apo B? Makemake ʻoe e hana i kahi mea nui?

E hoʻomanaʻo i kēia:

• Inā ʻoe e hana wale ana i ka hoʻāʻo Apo B, ʻaʻole pono ʻoe e hoʻokē ʻai no nā hola.
• Eia nō naʻe, i ka hapa nui o ka manawa, hana pū ʻia kahi Lipid Panel me kēia hoʻāʻo Apo B. Inā ʻoe e hana ana i kahi Lipid Panel, ʻaʻole ʻoe e ʻai a inu paha i kekahi mea no kahi o 12 mau hola. He mea maikaʻi ke inu wai. ʻO ka ʻoiaʻiʻo, ʻo ka inu ʻana i ka wai he nui ma mua o ka lawe ʻana i ke koko e maʻalahi ai i ka mea e lawe ana i ke koko ke loaʻa i ke aʻa.
• I ka lā o ka hoʻokolohua, he manaʻo maikaʻi ke komo ʻana i kahi pālule lima pōkole. Ma kēlā ala, ʻaʻole ʻoe e hopohopo e pili ana i ka ʻōwili ʻana i kou mau lima lōʻihi.

He aha ka mea e hana ʻia ke lawe ʻoe i ka hoʻokolohua? Aia kekahi mea e makaʻu ai?

He mea maʻalahi loa kēia. ʻO ia ka mea like āu e hana ai ke hāʻawi ʻoe i ke koko.

1. ʻO ka mea mua, e hoʻonoho ʻia ʻoe ma luna o kahi noho a e noi ʻia e hoʻolōʻihi i kou lima. Hiki iā ʻoe ke kau i kou lima ma ke kua o ka noho.

2. A laila, ua nakinaki pono ʻia kahi kaula laholio (tourniquet) ma luna o ka ʻili o kou lima luna. Hoʻolohi kēia i ke kahe ʻana o ke koko a ʻike nui ʻia ke aʻa koko.

3. A laila, hoʻomaʻemaʻe ʻia ka wahi e hoʻokomo ʻia ai ke kui ma ka holoi ʻana me kahi mea e like me ka waiʻona.

4. I kēia manawa, ua hoʻokomo ʻia kahi nila liʻiliʻi i loko o ke aʻa.

5. Hoʻiliʻili ʻia kahi koko liʻiliʻi ma o kēlā nila i loko o kahi ʻōmole liʻiliʻi (ʻōmole).

ʻO ia wale nō! ʻAʻohe mea e makaʻu ai. Me he mea lā e nahu ana kahi ʻanuʻu liʻiliʻi iā ʻoe.

He aha kāu e manaʻo ai ma hope o ka hoʻāʻo?

Ma hope o ka lawe ʻana i ke koko, e hana ke kahu maʻi a kauka paha i kēia mau mea:

• Wehe ʻo ia i ke kaula laholio i nakinaki ʻia a puni kona pulima.
• Huki ʻia ka nila i waho ma ka lima.
• Ua kaomi ʻia kahi i hoʻokomo ʻia ai ke kui me kahi ʻāpana pulupulu a gauze paha no kekahi manawa.
• A laila ua kau ʻia kahi kāʻei liʻiliʻi (hiki ke wehe ʻia kēia ma hope o ka lā).

ʻAʻole ʻike ka hapa nui o ka poʻe i kekahi ʻeha ma hope o ka hāʻawi ʻana i ke koko a hiki ke hoʻomau i ka hana e like me ka maʻamau. Eia nō naʻe, hiki i kekahi poʻe ke manaʻo iki i ka puni a i ʻole ka nāwaliwali. Inā hana kēlā iā ʻoe, e noho i lalo no kekahi manawa a hiki i kou ʻoluʻolu. Hiki iā ʻoe ke loaʻa ka hōʻoluʻolu ma ke hoʻohaʻahaʻa ʻana i kou poʻo ma waena o kou mau kuli i ka wā e noho ana, a i ʻole ma ka inu ʻana i kahi wai a i ʻole kahi mea inu hua.

Inā manaʻo mau ʻoe i ka poniuniu i ka wā e hāʻawi koko ana, ʻoi aku ka maikaʻi o ke loaʻa ʻana o kekahi e hoʻokele iā ʻoe.

Hiki i kahi i huki ʻia ai ke koko ke lilo i polū a e like me kahi palapū no ʻelua a ʻekolu mau lā. E makaʻala ʻaʻole e hoʻopā i kou lima a hiki i ka wā e ho'ōla ai ka palapū.

He aha nā hopena a mākou e loaʻa ai? He aha kā lākou e haʻi mai ai iā mākou?

ʻO ka maʻamau, hāʻawi ʻia kāu mau hopena hoʻāʻo Apolipoprotein B-100 ma nā milligrams no ka deciliter (mg/dL). Hiki i kēia waiwai ke piʻi mai 20 a 400 mg/dL.

• Inā ʻoi aku ke kiʻekiʻe o kāu pae Apo B ma mua o 130 mg/dL, ua ʻoi aku kou pilikia o ka loaʻa ʻana o nā maʻi puʻuwai a me nā maʻi kīʻaha koko.

Wahi a kekahi mau alakaʻi a ke kauka puʻuwai, ʻoi aku ka maikaʻi o ka mālama ʻana i nā pae Apo B ma lalo o 65 mg/dL a i ʻole 80 mg/dL no ka poʻe ma waena o 40 a me 75 mau makahiki e lawe ana i nā lāʻau statin e hoʻohaʻahaʻa i ka cholesterol.

He aha ka pae Apo B maʻamau?

ʻO ka awelika o ka pae Apo B i loko o ke kanaka olakino penei:

• Nā kāne: ma waena o 66 a me 133 mg/dL
• Wahine: ma waena o 60 a me 117 mg/dL

He aha nā kumu o ka hoʻonui ʻia ʻana o ka Apo B?

Hiki ke kiʻekiʻe ka hopena o kāu hoʻāʻo Apo B no nā kumu aʻe:

• I ka wā hāpai.
• Kolesterol kiʻekiʻe.
• Nā maʻi e pili ana i ka puʻupaʻa e like me ka nephrotic syndrome .

He aha nā kumu o ka haʻahaʻa o ka Apo B?

Hiki ke haʻahaʻa kāu hopena hoʻāʻo Apo B no nā kumu aʻe:

• He maʻi koʻikoʻi e like me ka sepsis .
• Maʻi akepaʻa.
• ʻO ka lawe ʻana i ka hormone estrogen .

Pehea ka lōʻihi e ʻike ai i nā hopena o ka hoʻāʻo?

Hiki ke hala kekahi mau lā ma mua o ka hoʻi ʻana mai o nā hopena o ka hoʻāʻo Apo B. ʻAʻole like nā labs āpau. No laila, e nīnau i kāu kauka i ka wā e hiki ai iā ʻoe ke manaʻo i nā hopena.

He aha ka mea e hana ai ma hope inā he mau hewa i nā hopena?

Inā kiʻekiʻe kou pae Apo B, e hāʻawi paha kāu kauka iā ʻoe i ka ʻōlelo aʻo like me he mea lā kiʻekiʻe kou LDL cholesterol (cholesterol maikaʻi ʻole).

Hiki i kēia mau mea ke komo pū me:

• E hoʻoikaika kino no 30 mau minuke ma ka liʻiliʻi i ka lā.
• He mea maikaʻi ke hoʻokomo i nā huaʻai a me nā mea kanu i kāu papaʻai.
• Ka palena ʻana i nā momona momona i ka meaʻai.
• Ka mālama ʻana i ke kaumaha olakino no kou kiʻekiʻe.
• Ka hōʻole loa ʻana i ka hoʻohana ʻana i nā huahana paka (e like me nā cigarettes).
• ʻO ka lawe ʻana i nā lāʻau hoʻohaʻahaʻa cholesterol.

Hana ʻia kēia mau mea a pau e mālama i ke olakino o kou puʻuwai.

He like anei ʻo Apo B a me LDL?

ʻAʻole, ʻaʻole like ʻo Apo B a me LDL. Eia nō naʻe, ʻo ka ʻike ʻana i ka nui o ka Apo B i loko o kou koko hiki ke hāʻawi iā ʻoe i kahi manaʻo maikaʻi o ka nui o ka cholesterol maikaʻi ʻole (LDL) i loko o kou koko. No ka mea, e like me kā mākou i ʻōlelo ai ma mua, ʻo Apo B ka mea e lawe ana i kēia mau ʻāpana LDL.

ʻEhia ke kumukūʻai maʻamau o kēia hoʻāʻo Apo B?

Hiki ke ʻokoʻa ke kumukūʻai o kēia hoʻāʻo mai kēlā me kēia keʻena hoʻokolohua. Aia nō hoʻi ia i ka loaʻa ʻana o ka ʻinikua. No laila, ʻoi aku ka maikaʻi o ke nīnau ʻana i kāu kauka a i ʻole ka keʻena hoʻokolohua no ka ʻike hou aku.

Nā mea nui a mākou e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO ka ʻike ʻana i kou pilikia o ka loaʻa ʻana o ka hōʻeha puʻuwai a i ʻole ka hahau ʻana hiki ke kōkua iā ʻoe e hoʻoholo i nā hoʻoholo naʻauao e pili ana i kou olakino. Inā makemake kāu kauka e ʻike hou aʻe e pili ana i kou pilikia ma mua o ka hiki i kahi hoʻāʻo cholesterol maʻalahi (Lipid Panel) ke hāʻawi, hiki iā ia ke kauoha i kahi hoʻāʻo Apo B.

He hoʻāʻo koko maʻalahi loa kēia, akā hiki iā ia ke hāʻawi iā ʻoe i ka ʻike nui e pono ai ʻoe e ola i kahi ola olakino, a i ʻole e hana i nā hoʻololi liʻiliʻi i kou nohona.

Inā he mau nīnau kāu e pili ana i kāu mau hopena a i ʻole ka lāʻau lapaʻau, e kamaʻilio me kāu kauka. Mai makaʻu e nīnau. No ka mea, ʻo kēia mau mea a pau e mālama iā ʻoe i ke olakino.

ʻApo B, apolipoprotein B, cholesterol, maʻi puʻuwai, LDL, VLDL, hoʻāʻo koko, maʻi cardiovascular