He mau nīnau kāu e pili ana i ka cholesterol? E kamaʻilio maʻalahi kākou e pili ana i nā mea āpau!

Ua lohe pinepine paha ʻoe i ka huaʻōlelo 'cholesterol' ke hele ʻoe i kahi keʻena lapaʻau a i ʻole ke kamaʻilio ʻana o kahi pākeke ma ka home, ʻeā? Makaʻu loa kekahi poʻe iā ia, a ʻo kekahi poʻe ʻaʻole maopopo maoli iā ia. He aha maoli ka cholesterol? No ke aha mākou e hopohopo nui ai no ia mea? I kēia lā, e hoʻomaopopo maʻalahi kākou i kēia mau mea a pau, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha.

He aha maoli ka cholesterol?

I ka ʻōlelo maʻalahi, he mea momona ka cholesterol i hana maoli ʻia i loko o ko kākou kino. Hana nui ʻia ia e ko kākou akepaʻa. Loaʻa iā kākou ka cholesterol mai kekahi o nā meaʻai a kākou e ʻai ai. ʻO ka ʻoiaʻiʻo, he mea nui ka cholesterol no ka hana maʻamau o ke kino.

E noʻonoʻo i ko kākou kino me he hale lā. Ua like ka cholesterol me kahi mortar kūikawā i hoʻohana ʻia e kūkulu i nā paia o kēia hale. Aia i loko o kēlā me kēia cell i loko o ko kākou kino ka cholesterol i loko o kona mau membrane, me nā cell i loko o ko kākou lolo, nā aʻalolo, nā ʻiʻo, ka ʻili, ke akepaʻa, nā ʻōpū, a me ka puʻuwai. No laila, he mea nui ka cholesterol no ke kino.

No ke aha lā mākou e makaʻu nui ai i ka cholesterol?

Hoʻomaka ka pilikia, e like me nā mea ʻē aʻe, ke kiʻekiʻe loa ka cholesterol i loko o ke kino. Inā hana ʻia kēlā, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o nā maʻi e like me nā maʻi cardiovascular.

E like me ka paipu wai e paʻa ana i ka lepo a me ka popo i ka hala ʻana o ka manawa, ke piʻi ka cholesterol, hoʻomaka ia e kūkulu i loko o nā paia o nā aʻa e lawe ana i ke koko i ko mākou puʻuwai. I ka lāʻau lapaʻau, kūkulu ka cholesterol i loko o nā aʻa ma kēia ʻano, ʻo ia ka mea a mākou e kapa nei he atherosclerosis . Ke paʻa nā aʻa ma kēia ʻano, emi ka nui o ke koko a me ka oxygen e hiki ana i ka puʻuwai. Hoʻonui kēia i ka pilikia o nā kūlana weliweli e like me ka ʻeha o ka umauma, nā hōʻeha puʻuwai, a me nā hahau .

He aha ka ʻokoʻa ma waena o ka cholesterol "maikaʻi" a me ka "maikaʻi ʻole"?

Inā ʻoe e nānā i kahi hōʻike cholesterol, e ʻike ʻoe he ʻelua ʻano: LDL a me HDL. He mea nui loa ia e hoʻomaopopo i ka ʻokoʻa ma waena o nā mea ʻelua.

• ʻO ka LDL (Low-Density Lipoprotein) Cholesterol: ʻO kēia ka mea a mākou e kapa nei he cholesterol "maikaʻi ʻole". E like me ka mea e hoʻolei ʻōpala ana ma ke alanui, ʻo kēia cholesterol LDL ka mea e waiho ana ma nā paia o nā kīʻaha koko a pani iā ​​lākou. ʻO ke kiʻekiʻe o ka pae LDL, ʻo ke kiʻekiʻe o ka pilikia o ka maʻi puʻuwai.

• ʻO ka HDL (High-Density Lipoprotein) Cholesterol: ʻO kēia ka mea a mākou e kapa nei he cholesterol "maikaʻi". E like me ke kaʻa ʻōpala, hoʻopau ka cholesterol HDL i ka cholesterol LDL "maikaʻi ʻole" i hōʻiliʻili ʻia i loko o nā kīʻaha koko a lawe hou iā ia i ke akepaʻa. No laila, ʻo ke kiʻekiʻe o ka pae HDL, ʻoi aku ka maikaʻi no mākou.

He aha ke ʻano o nā pae cholesterol?

Paipai nā kauka e mālama i kou pae cholesterol holoʻokoʻa ma lalo o 200 mg/dL. Akā, ʻaʻole hiki iā ʻoe ke hoʻoholo ma muli o hoʻokahi helu wale nō. Pono ʻoe e nānā i ke kiʻi holoʻokoʻa.

• ʻO ka cholesterol LDL ("maikaʻi ʻole"): ʻOi aku ka maikaʻi ma lalo o 100 mg/dL. Ma waena o 130-159 he palena kiʻekiʻe loa ia. ʻOi aku ma mua o 190 he pilikia nui loa ia no ka maʻi puʻuwai, ka hahau ʻana, a me nā maʻi ʻē aʻe.
• ʻO ka cholesterol HDL ("maikaʻi"): ʻO ke kiʻekiʻe o kēia, ʻoi aku ka maikaʻi. He maikaʻi loa ka 60 mg/dL a ʻoi aku paha. ʻO kēlā me kēia mea ma lalo o 40 he kumu pilikia ia no ka maʻi puʻuwai.
• Triglycerides: He ʻano momona ʻē aʻe kēia i loko o ke koko. ʻOi aku ka maikaʻi o ka mālama ʻana i kēia mau mea ma lalo o 150 mg/dL. Inā ʻoi aku lākou ma mua o 200, pono paha ka lāʻau lapaʻau.

He aha kāu e hiki ai ke hana e hoʻohaʻahaʻa i ka cholesterol?

ʻO ka nūhou maikaʻi, hiki iā kākou ke hoʻokele i ko kākou pae cholesterol ma o ka hoʻololi ʻana i ke ʻano o ka nohona. Eia kekahi mau mea hiki iā kākou ke hana:

• ʻO ka papaʻai maikaʻi:
• E hōʻemi i nā meaʻai kiʻekiʻe i ka ʻaila, ka momona, a me ka cholesterol (e like me ka ʻiʻo ʻulaʻula, nā sausage, ka pizza, ka pata, nā meaʻai waiū momona nui) i ka hiki.
• E wehe i ka ʻili mai nā mea e like me ka moa a ʻai.
• E kuke i ka meaʻai ma ka hoʻolapalapa ʻana, ka pūlehu ʻana, ke kālua ʻana, a i ʻole ka mahu ʻana ma mua o ka palai ʻana.
• E hoʻohui i ka nui o nā huaʻai, nā mea kanu, a me nā mea kanu i kāu meaʻai.
• I ka ʻai ʻana i ka berena a me ka laiki, e koho i nā mea i hana ʻia me nā palaoa piha (e.g., laiki palaoa piha, urad dal, palaoa atta).

• Hoʻomaʻamaʻa kino:
• E hana ma ka liʻiliʻi he 30 mau minuke o ka hoʻoikaika kino i ka lā e hoʻoulu ai iā ʻoe i ka hou a hoʻonui i kou hanu ʻana. He mea maikaʻi nā mea e like me ka hele wikiwiki, ka holo ʻana, ke kaʻa paikikala, a me ka ʻauʻau ʻana.
• Mea nui: E kamaʻilio me kāu kauka no ka ʻōlelo aʻo e pili ana i nā hoʻoikaika kino kūpono a palekana hoʻi nāu.

• Nā mea ʻē aʻe:
• Inā ʻoe he momona loa, e hoʻāʻo e hoʻemi i ke kaumaha .
• Inā ʻoe e puhipaka, e hoʻōki koke. Hoʻohaʻahaʻa ka puhipaka i ka cholesterol HDL "maikaʻi" a hōʻino i nā kīʻaha koko.
• Inā loaʻa iā ʻoe kekahi mau lāʻau lapaʻau i kauoha ʻia e kāu kauka, e lawe iā lākou e like me ke kauoha, i ka manawa kūpono, a ma ke ana kūpono.

He aha nā lāʻau lapaʻau i hoʻohana ʻia e hoʻohaʻahaʻa i ka cholesterol?

Inā ʻaʻole hiki i nā loli o ke ʻano noho wale nō ke kāohi i kou pae cholesterol, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau. ʻO kekahi o nā lāʻau lapaʻau i hoʻohana pinepine ʻia:

• Nā ʻano statins
• ʻEzetimibe
• Nā mea pale PCSK9
• Nā resins waikawa bile
• Niacin
• Nā Fibrates

I ka makahiki hea e hoʻomaka ai ʻoe e nānā i kāu cholesterol?

ʻO ka hōʻiliʻili ʻana o ka cholesterol i loko o nā aʻa (atherosclerosis) kahi mea e hana mālie ʻia i nā makahiki he nui, no laila he mea nui e hoʻolohe i kāu mau pae cholesterol i ka wā ʻōpiopio .

Ma ke ʻano laulā, ua ʻōlelo ʻia e nānā ʻia kāu cholesterol i hoʻokahi manawa ma waena o 9 a me 11 mau makahiki, a ma waena o 17 a me 21 mau makahiki. He mea naʻauao ke nānā ʻia kāu cholesterol ma mua, ʻoiai inā ua loaʻa i kekahi o kou ʻohana ka maʻi puʻuwai i ka wā ʻōpiopio, a inā he mōʻaukala ʻohana kou o ka cholesterol kiʻekiʻe .