He mea maʻamau ke manaʻo iki i ka makaʻu ke haʻi aku kāu kauka iā ʻoe ua kiʻekiʻe iki kāu cholesterol i loko o kou koko. ʻO ka hapa nui o ka manawa, ʻo ka mea mua a lākou e haʻi aku ai iā ʻoe e hana, ʻo ia ke kāohi i kāu ʻai a me ka hoʻoikaika kino, ʻeā? ʻO ia hoʻi ka hoʻēmi ʻana i ka momona momona, ka hoʻopau loa ʻana i ka momona trans, ka hoʻēmi ʻana i ke kō, a me ka hoʻoikaika kino i kēlā me kēia lā.
Eia nō naʻe, i kekahi manawa, ʻaʻole hiki i nā loli o ke ʻano o ka nohona wale nō ke kāohi i ka cholesterol 'maikaʻi ʻole' o kou kino, ʻo ia hoʻi, nā pae cholesterol LDL (Low-Density Lipoprotein). ʻO ia ka manawa e ʻōlelo ai kāu kauka e hoʻomaka ʻoe e lawe i ka lāʻau lapaʻau e kōkua iā ʻoe. Akā e hoʻomanaʻo, ʻaʻole hiki iā ʻoe ke haʻalele i kēlā mau ʻano maikaʻi no ka mea ua hoʻomaka ʻoe e lawe i ka lāʻau lapaʻau, ʻeā? Pono ʻoe e hana i nā mea ʻelua. E nānā kākou i ke ʻano o kēia mau lāʻau hoʻohaʻahaʻa cholesterol.
Koho mua: Statins
I ka ʻōlelo maʻalahi, ʻo ia nā lāʻau lapaʻau kaulana loa a hoʻohana pinepine ʻia e nā kauka no ka cholesterol. Kōkua lākou i ka hoʻohaʻahaʻa ʻana i kāu cholesterol LDL 'maikaʻi ʻole', hoʻohaʻahaʻa i kekahi ʻano momona i kapa ʻia ʻo triglycerides, a hoʻonui iki i kāu mau pae cholesterol HDL 'maikaʻi'.
Ua ʻike ʻia nā noiʻi e hōʻemi nui ana ka hoʻohana ʻana i nā statins i ka pilikia o nā hanana cardiovascular e like me ka hōʻeha puʻuwai.
Eia kekahi mau statins i kuhikuhi pinepine ʻia:
- ʻAtorvastatin (Lipitor)
- ʻO Rosuvastatin (Crestor)
- Simvastatin (Zocor)
- ʻO Fluvastatin (Lescol)
- ʻO Lovastatin
- ʻO Pravastatin (Pravachol)
Loaʻa iā ʻoe nā hopena ʻaoʻao o nā statins?
E like me nā lāʻau lapaʻau a pau, hiki i kēia ke hana i nā hopena ʻaoʻao liʻiliʻi. Akā, ʻaʻole i loaʻa i nā kānaka a pau. ʻO ka mea maʻamau ka ʻeha o ka ʻōpū, ka ʻeha o nā ʻiʻo, a i ʻole ka mumū. He mea kākaʻikahi loa, hiki ke hōʻino ʻia ke akepaʻa. Aia kekahi wahi liʻiliʻi o ka hoʻonui ʻia ʻana o ke kō koko kiʻekiʻe a me ka maʻi diabetes type 2. Akā, he liʻiliʻi loa ka pilikia, a ua ʻōlelo ʻia he mea liʻiliʻi ka pilikia ke hoʻohālikelike ʻia me nā pono o nā statins.
ʻO ka mea nui loa: Inā ʻoe e lawe ana i ka lāʻau statin, e pale i ka wai huaʻai a me ka wai huaʻai, no ka mea hiki ke hoʻopilikia i ka omo ʻana o ka lāʻau a me kona pono.
Nā ʻano lāʻau lapaʻau ʻē aʻe a pehea lākou e hana ai
Aia kekahi mau lāʻau lapaʻau ʻē aʻe ma waho aʻe o nā statins. I kekahi manawa, hiki i kāu kauka ke hoʻoholo e hāʻawi i kekahi o kēia me kahi statin, a i ʻole ma ke ʻano he koho ʻē aʻe no kekahi mea maʻi āpau i nā statins.
| ʻAno lāʻau lapaʻau | Ka hana a me nā mea e pono ai ke ʻike |
|---|---|
| Nā lāʻau lapaʻau e hana ana ma nā ʻōpū (Nā mea hoʻopaʻa waikawa Bile) | Hoʻopaʻa kēia i ka bile i loko o nā ʻōpū, e pale ana iā ia mai ke komo hou ʻana i loko o ke kino. ʻOiai ua hana ʻia ka bile mai ka cholesterol, hoʻemi ia i ka nui o ka cholesterol i loko o ke kino. Nā laʻana: Cholestyramine, Colesevelam. Nā hopena ʻaoʻao: constipation, flatulence, ʻeha ʻōpū. |
| ʻEzetimibe (Zetia) | Hoʻopau kēia i ke kino mai ka omo ʻana i ka cholesterol mai ka meaʻai ma ka ʻōpū liʻiliʻi a hāʻawi pinepine ʻia me nā statins. Nā hopena ʻaoʻao: ʻeha ʻiʻo a i ʻole ke kua, ka maʻi pākīkī, ʻeha ʻōpū. |
| Nā mea pale PCSK9 | He mau lāʻau lapaʻau hou a ikaika kēia. Hāʻawi ʻia lākou i nā poʻe i hiki ʻole ke kāohi ʻia ko lākou cholesterol me nā lāʻau lapaʻau maʻamau a i ʻole ka poʻe i loaʻa ka cholesterol kiʻekiʻe ma ke ʻano genetic (familial hypercholesterolemia). Hāʻawi ʻia lākou ma ke ʻano he injection. Nā laʻana: Alirocumab (Praluent), Evolocumab (Repatha). Nā hopena ʻaoʻao: Nā hōʻailona e like me ka maneʻo, ka pehu ʻana, ka ʻeha, a me ke anu ma kahi i inikini ʻia. |
| Niacin (wikamina B3) | He wikamina e hoʻohaʻahaʻa i ka LDL a hoʻokiʻekiʻe i ka HDL. Eia nō naʻe, ʻaʻohe hōʻike maopopo e hōʻemi hou ana ka hāʻawi ʻana i kēia mea hoʻohui i kekahi e lawe ana i nā statins i ka pilikia o ka maʻi puʻuwai. Nā hopena ʻaoʻao: flushing, maneʻo, ʻeha poʻo. |
| Nā Fibrates | Kōkua nui kēia i ka hoʻemi ʻana i nā pae triglyceride a hoʻonui i ka cholesterol HDL 'maikaʻi'. Nā laʻana: Fenofibrate, Gemfibrozil. |
| ʻO Omega-3 | Hiki i nā lāʻau omega-3 ikaika i kauoha ʻia ke kōkua i ka hoʻohaʻahaʻa ʻana i nā triglycerides. Eia nō naʻe, ʻaʻole i hōʻoia ʻia nā mea hoʻohui ʻaila iʻa ma luna o ke kauka he hopena like. No laila, mai hoʻohana iā lākou me ka ʻole o ke aʻo ʻana a ke kauka . |
E hahai i kēia mau kuhikuhi no ka hoʻohana pono ʻana i ka lāʻau.
Ke kuhikuhi ʻia kahi lāʻau lapaʻau, no ka loaʻa ʻana o ka pono nui loa, pono ʻoe e hoʻohana pono e like me ka ʻōlelo a ke kauka. A i ʻole, ʻaʻole ia e hāʻawi i nā hopena i makemake ʻia.
E hoʻolilo iā ia i mea maʻamau nou i kēlā me kēia lā.
- E ʻike pono i ke kumu e lawe nei ʻoe i kēia lāʻau lapaʻau. He mea nui e hoʻomaopopo i kou kūlana ponoʻī.
- E lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. E hoʻolilo i kēia i mea maʻamau. He manaʻo maikaʻi ke kau i kahi mea hoʻomanaʻo ma kāu kelepona.
- Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke kamaʻilio ʻana me kāu kauka. ʻOiai inā maikaʻi kou manaʻo i kēia manawa, he ʻenemi malū ka cholesterol e hōʻike ʻole ana i nā hōʻailona. No laila, he mea nui e lawe i kāu lāʻau lapaʻau e like me ke kauoha.
- E hoʻohana i kahi pahu pila no kēlā me kēia pule. I ka hoʻomaka ʻana o ka pule, e hoʻokomo i nā lāʻau lapaʻau a pau no kēlā pule i loko. Ma kēlā ʻano, ʻaʻole ʻoe e poina i hoʻokahi lā.
E kamaʻilio ākea me ke kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā lāʻau lapaʻau Ayurvedic/kuʻuna āu e lawe nei, no ka mea, hiki i kekahi mau mea ke launa pū me nā lāʻau cholesterol.
- Inā he pilikia ke kumukūʻai o ka lāʻau lapaʻau, mai hilahila e kamaʻilio me kāu kauka. Aia paha he mau koho ʻē aʻe ʻoi aku ka makepono a i ʻole nā hoʻonā ʻē aʻe.
- E nīnau mua i kāu kauka i ka mea e hana ai inā e poina iā ʻoe kahi mahele lāʻau. E makaʻala i nā mea e like me ka lawe ʻana iā ia i ka wā e hoʻomanaʻo ai ʻoe a i ʻole e kali a hiki i ka mahele lāʻau aʻe i hoʻonohonoho ʻia.
- Ma mua o ke ʻoki ʻana a i ʻole ka anesthesia, e like me ka unuhi ʻana i ka niho, e haʻi pono i ke kauka a i ʻole ke kauka niho e pili ana i nā lāʻau lapaʻau āu e lawe nei.
- E nīnau i kāu kauka e pili ana i ka inu ʻana i ka waiʻona. ʻO ka inu ʻana i ka waiʻona me kekahi mau lāʻau lapaʻau hiki ke hoʻonui i nā hopena ʻaoʻao a i ʻole e hōʻemi i ka pono o ka lāʻau lapaʻau.
Inā pilikia ʻoe i ka hoʻomaopopo ʻana i ka mea a kāu kauka e ʻōlelo nei, e lawe mai i kahi hoaaloha hilinaʻi a ʻohana paha me ʻoe. Hoʻomanaʻo maikaʻi ʻia nā mea ke hoʻolohe nā kānaka ʻelua.
Leka Lawe-Home
- ʻO ka hana mua a koʻikoʻi loa i ka kaohi ʻana i ka cholesterol, ʻo ia ka mālama mau ʻana i kahi papaʻai olakino a me kahi nohona hana . He kōkua hou wale nō ka lāʻau lapaʻau.
- ʻOiai ʻo nā statins ke ʻano lāʻau lapaʻau i hoʻohana pinepine ʻia, hiki i kāu kauka ke hoʻoholo i ka lāʻau lapaʻau kūpono loa a me ka dosage nāu ma hope o ka nānā ʻana i kāu mau hoʻāʻo koko a me ke kūlana olakino.
- Hiki i nā lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao. Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, e like me ka ʻeha o nā ʻiʻo, mai hopohopo a e hoʻomaopopo i kāu kauka.
- He mea nui loa ka lawe ʻana i kāu lāʻau lapaʻau e like me ke kauoha, i ka manawa kūpono, a ma ke ana kūpono. Mai hoʻōki i kāu lāʻau lapaʻau a hoʻololi paha i ke ana me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- No kou palekana ponoʻī ia e hāʻawi i kāu kauka i ka wehewehe piha ʻana i nā lāʻau lapaʻau, nā wikamina, a me nā mea hoʻohui āu e lawe nei.
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