Ua haʻi aku kāu kauka iā ʻoe ua kiʻekiʻe iki kāu cholesterol? A i ʻole hopohopo iki ʻoe no ka mea he kiʻekiʻe ka cholesterol o kekahi o kou ʻohana? A laila e lilo kēia ʻatikala i mea nui loa iā ʻoe. I kēia lā e kamaʻilio mākou e pili ana i kahi 'Lipidologist', he kauka loea i nā momona e like me ka cholesterol.
ʻO wai ka Lipidologist maoli?
I ka ʻōlelo maʻalahi, he kauka Lipidologist kahi loea i nā ʻano momona i loko o ko mākou kino, ʻoiai ka cholesterol . Hiki i kēia mau momona, i kapa ʻia he lipids, ke hōʻiliʻili i loko o ko mākou mau kīʻaha koko a paʻa iā lākou. Ua lohe paha ʻoe i ka 'cholesterol maikaʻi ʻole'. ʻO ke kuleana nui o kēia mau kauka ke kōkua i ka poʻe me nā maʻi lipid.
E noʻonoʻo, kōkua kēia mau kauka iā mākou ma o ka hele ʻana ma mua o kahi hoʻāʻo koko maʻalahi a me ka hoʻohana ʻana i ko lākou ʻike. Loaʻa iā lākou kahi ʻike nui o kēia mau ʻano lipid, a me nā mea pilikia no ka maʻi puʻuwai a me nā maʻi cardiovascular . Ua ʻike ʻia ka noiʻi ʻana i ka wā e piʻi ai nā pae o ka 'cholesterol maikaʻi ʻole' (LDL - Low-Density Lipoprotein) o ko mākou kino, hiki i nā waihona momona (atheroma) ke kūkulu i loko o nā kīʻaha koko. ʻO kēia hōʻiliʻili ʻana o nā waihona momona ka mea a mākou e kapa nei he 'atherosclerosis'.
I kēia manawa, e nānā, i ka wā e hōʻiliʻili ai kēia kolesterol `(LDL)`, kēlā kolesterol maikaʻi ʻole, i loko o ko kākou mau kīʻaha koko, hoʻomaka lākou e pani iā lākou. ʻO ia ke kumu e hopohopo nui ai nā lipidologists e pili ana i ka nui o `(LDL)` i loko o kou koko. Inā kiʻekiʻe kou pae `(LDL)`, ʻoi aku kou pilikia o ka loaʻa ʻana o ka hōʻeha puʻuwai a i ʻole ka hahau ʻana . No laila, hoʻāʻo kēia mau kauka e kōkua iā ʻoe e kāohi i kou mau pae kolesterol kiʻekiʻe a hoʻemi i kou pilikia o ka loaʻa ʻana o nā maʻi puʻuwai a me nā maʻi kīʻaha koko.
ʻO nā maʻi puʻuwai a me nā maʻi vascular nā kumu nui o ka make a me ke kīnā ma ka honua holoʻokoʻa. Hoʻohana nā lipidologists i ko lākou ʻike loea e kōkua i ka poʻe i pilikia i ka hoʻomohala ʻana i kēia mau kūlana ma muli o ke kolesterol kiʻekiʻe.
Aia kekahi palapala hōʻoia kūikawā e lilo i lipodologist?
ʻAe, aia maoli nō. Aia kekahi hui ma ʻAmelika i kapa ʻia ʻo "American Board of Clinical Lipidology", a loaʻa kēia palapala hōʻoia loea ma hope o ka hala ʻana i kahi hoʻokolohua a lākou e hana ai. I mea e hele ai no kēia hoʻokolohua, pono i ke kauka ke loaʻa kahi laikini lapaʻau kūpono. Eia kekahi, pono lākou e hoʻopau i ʻelua mau makahiki o ka ʻike lapaʻau, a i ʻole pono lākou e loaʻa kahi palapala hōʻoia loea mai kahi papa lapaʻau ʻē aʻe. Ma hope o ka loaʻa ʻana o kēia palapala hōʻoia, pono kēia mau kauka e hoʻohou iā ia i kēlā me kēia 10 mau makahiki. ʻO ke ʻano kēia e aʻo mau nei lākou i nā mea hou.
He aha ka hana a ka lipodologist?
Hoʻomaʻamaʻa mua kahi lipidologist i nā poʻe me nā maʻi lipid. Eia kekahi mau laʻana:
- Hyperlipidemia: ʻO kēia ka wā e piʻi ai ka nui o ka momona (ʻoi aku ka cholesterol) i loko o ke koko ma luna o ka pae maʻamau.
- Hypercholesterolemia: ʻO kēia ka manawa e piʻi nui ai ka pae o ka cholesterol maikaʻi ʻole a mākou i kamaʻilio ai, ʻo ia hoʻi, LDL.
- Hypolipidemia: ʻO kēia kekahi ʻaoʻao. ʻO ia hoʻi, ua haʻahaʻa ka pae cholesterol i loko o ke koko ma mua o ka maʻamau. Hiki i kēia ke lilo i pilikia i kekahi manawa.
- ʻO ka hypercholesterolemia ʻohana: He mea kūikawā iki kēia. Hoʻokumu ʻia e nā genes, ʻo ia hoʻi, kiʻekiʻe loa ke kiʻekiʻe o ka cholesterol LDL, kahi i hoʻoili ʻia ma o nā hanauna.
- Hypertriglyceridemia: ʻO kēia ka wā he nui loa kekahi ʻano momona i kapa ʻia ʻo triglycerides i loko o ke koko. ʻAʻole maikaʻi kēia no ka puʻuwai.
No laila, i ka wā e mālama ai i kēia mau kūlana, hiki i kahi lipidologist ke kuhikuhi i hoʻokahi a ʻoi aku paha mau lāʻau lapaʻau . Hiki iā lākou ke aʻo aku iā ʻoe e hana i nā hoʻololi i kou nohona . No ka laʻana, pehea e kāohi ai i kāu ʻai a me ka hoʻoikaika kino. I kekahi mau hihia kūikawā, hiki iā lākou ke hoʻohana i kahi lāʻau i kapa ʻia ʻo `(Lipoprotein apheresis)`. Pili kēia i ka lawe ʻana i kekahi o kou koko ma o kahi mīkini kūikawā, e wehe ana i ka cholesterol maikaʻi ʻole `(LDL)` mai ia mea, a laila e hoʻihoʻi i ke koko i hoʻomaʻemaʻe ʻia i kou kino. ʻAʻole kēia he mea i hana ʻia no nā mea āpau, akā hiki ke lilo i mea pono loa no ka poʻe e pono ai.
ʻO wai ke kauka mua e pono ai mākou e ʻike inā he kiʻekiʻe ko mākou cholesterol?
Ke ʻike koke ʻoe ua kiʻekiʻe iki kou pae cholesterol, hiki iā ʻoe ke ʻike i kāu mea lawelawe mālama mua (PCP) . I kekahi manawa kapa mākou iā ia ʻo kāu kauka ʻohana. Hiki iā ia ke kōkua iā ʻoe e hoʻokele i kāu cholesterol ma kahi pae maʻamau.
Eia nō naʻe, inā ʻaʻole holo pono kēia mau lāʻau lapaʻau iā ʻoe, a inā paha ʻoe e pilikia nei i ka kaohi ʻana i kou pae cholesterol, makemake paha ʻoe e noʻonoʻo e ʻike i kahi lipidologist. Loaʻa iā lākou ka ʻike hohonu o ka cholesterol a me nā ʻano lāʻau lapaʻau like ʻole i loaʻa. ʻO kā lākou pahuhopu nui ke kōkua iā ʻoe e hōʻemi i kou pilikia o ka loaʻa ʻana o ka maʻi puʻuwai a i ʻole ka maʻi koko.
Manaʻo paha kekahi poʻe he mau kauka puʻuwai nā lipidologists āpau. Akā, ʻaʻole pēlā. Loaʻa i ka hapa nui o nā lipidologists ka ʻike kūikawā i ka lāʻau lapaʻau kūloko a i ʻole ka lāʻau lapaʻau ʻohana. ʻOiaʻiʻo, ua ʻike ʻia kahi noiʻi 2010 he 50% o nā lālā o ka National Lipid Association i loaʻa ia ʻano kūikawā. No laila, hiki iā ʻoe ke nīnau i kāu kauka maʻamau inā he ʻike kūikawā kāna i ka lipidology.
E aʻo iki kākou e pili ana i ke kahua o lipidology.
ʻO Lipidology kahi lālā lāʻau lapaʻau wale nō e noiʻi ana, nānā, a mālama i nā maʻi lipid.
Ua ʻike maikaʻi kekahi lipologist i kēia mau mea:
- Pehea e Hana ai nā Lipoproteins: Ua like kēia me nā kaʻa e halihali ana i nā momona (e like me ka cholesterol a me nā triglycerides) a puni ko mākou kino.
- Pehea e ulu ai ʻo Atherosclerosis: ʻO kēlā hōʻiliʻili ʻana o ka momona i loko o nā kīʻaha koko a mākou i kamaʻilio ai ma mua.
- Pehea ka hopena o ka ʻai a me ka hoʻoikaika kino i nā pae cholesterol: Pehea ka hopena o ka meaʻai a mākou e ʻai ai a me ka hoʻoikaika kino a mākou e hana ai i kā mākou cholesterol.
- Aia nā ʻano lapaʻau like ʻole no ka cholesterol kiʻekiʻe: nā lāʻau lapaʻau, nā loli o ke ʻano o ka nohona, a me nā mea ʻē aʻe.
- Pehea e mālama ai i nā poʻe me nā maʻi lipid hoʻoilina: No ka laʻana, nā kūlana e like me ka "Familial hypercholesterolemia".
- Pehea e loiloi ai i kou pilikia o ka hoʻomohala ʻana i nā maʻi puʻuwai a me nā maʻi kīʻaha koko me ka hoʻohana ʻana i nā kumu pilikia: Ke hoʻoholo nei i kou pilikia ma muli o nā mea e like me kou makahiki, ka mōʻaukala ʻohana, a inā ʻoe e puhipaka a ʻaʻole paha.
ʻOiaʻiʻo, he ʻoihana loea hou ka lipidology i ka lāʻau lapaʻau. Ua hoʻomaka wale ia e ulu i ka hoʻomaka ʻana o nā makahiki 2000. Eia naʻe, ua lilo ia i ʻoihana loea koʻikoʻi loa no ka mea ʻo ka pilikia o ka cholesterol kiʻekiʻe he pilikia ia no nā kānaka he nui i kēia lā . E noʻonoʻo wale, ma ʻAmelika wale nō, ua ʻōlelo ʻia he ʻoi aku ma mua o 80 miliona mau kānaka ma luna o 20 mau makahiki he cholesterol kiʻekiʻe. Me he mea lā e piʻi nei kēia kūlana ma Sri Lanka pū kekahi.
He aha ka mea e hana ai ke hele ʻoe e ʻike i kahi lipologist?
Ke hele ʻoe e ʻike i kahi lipidologist, e lawe mua ke kauka i kahi hāpana koko mai ou aku. ʻO ia wale nō.Hana ʻia kahi hoʻāʻo panel lipid . Hiki i kēia ke ana pololei i nā pae o nā ʻano cholesterol like ʻole (e like me LDL a me HDL) a me nā triglycerides i loko o kou koko.
A laila, e hana ke kauka i kahi hoʻokolokolo kino . E kamaʻilio pū ʻo ia me ʻoe e pili ana i kou mōʻaukala olakino . He mea nui e haʻi i kou mōʻaukala ʻohana, no ka mea, hiki i kēia mau maʻi ke holo i loko o nā ʻohana i kekahi manawa. E nīnau pū ke kauka e pili ana i kāu mau hana maʻamau i kēlā me kēia lā . No ka laʻana, hoʻohana anei ʻoe i nā huahana paka a hoʻoikaika kino paha? E kōkua kēia mau mea a pau iā ʻoe e hoʻomohala i kahi hoʻolālā lapaʻau kūpono iā ʻoe.
Ke hoʻomaka ʻoe e lawe i nā lāʻau hoʻohaʻahaʻa cholesterol a hana i nā hoʻololi nohona, pono paha kāu lipidologist e ʻike hou iā ʻoe. ʻO kēia no ka mea pono e nānā mau ʻia kou mau pae cholesterol koko e hōʻoia i ka hana ʻana o kāu lāʻau. Pono paha kāu kauka e hoʻāʻo i kahi lāʻau ʻē aʻe inā ʻaʻole holo pono kekahi lāʻau.
Inā ʻoe e pilikia mau nei i ka kaohi ʻana i kāu cholesterol, mai makaʻu e noi i kāu kauka no kahi kuhikuhi i kahi lipidologist . Hiki iā lākou ke hoʻohana i ko lākou ʻike loea e hana i kahi hoʻolālā lapaʻau kūpono iā ʻoe. Pono paha kekahi poʻe, ʻoiai ka poʻe me ka mōʻaukala ʻohana o ka cholesterol kiʻekiʻe, i nā lāʻau lapaʻau holomua a i ʻole ka hui pū ʻana o nā lāʻau lapaʻau. No laila, mai kānalua e noi i ke kōkua.
No laila, he aha nā mea nui loa e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo? (Leka Lawe-Home)
ʻAe, ua kamaʻilio nui mākou e pili ana i kahi lipodologist i kēia lā. I ka pōkole, eia kekahi mau mea e hoʻomanaʻo ai:
- He kauka loea ka lipidologist i loea i nā lipids, e like me ka cholesterol. Hiki iā lākou ke kōkua iā ʻoe e hōʻemi i kou pilikia o ka maʻi puʻuwai.
- Inā pilikia ʻoe i ka kaohi ʻana i kāu cholesterol me ka lāʻau lapaʻau maʻamau a kāu kauka , ʻoi aku ka maikaʻi o ka ʻike ʻana i kahi lipidologist.
- E nānā nā lipidologists i nā mea āpau mai kou mōʻaukala olakino ʻohana a i kou nohona a hana i kahi hoʻolālā lapaʻau kūpono iā ʻoe .
- Hiki i ke kolesterol kiʻekiʻe ke lilo i ʻenemi malū. No laila, he mea nui loa e hoʻāʻo ʻia kou koko a hahai i nā ʻōlelo a kāu kauka.
- Inā he mau nīnau kāu, mai makaʻu e nīnau i ke kauka. ʻO ʻoe ka mea e pono e hopohopo nui e pili ana i kou olakino.
No laila, mai makaʻu i ka cholesterol, e hoʻāʻo e hoʻokele pono iā ia. Hiki i kahi lipidologist ke lilo i kanaka maikaʻi loa e kōkua iā ʻoe ma kēlā huakaʻi.
ʻO Cholesterol, Lipidologist, Momona, Maʻi Puʻuwai, LDL Cholesterol, Lipidologist, Cholesterol, Nā maʻi lipid











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