Ke haʻi aku kāu kauka iā ʻoe ua kiʻekiʻe kou pae cholesterol koko, ʻo ka mea mua āu e hana ai, ʻo ia ke hoʻololi i kāu ʻai a me kou nohona. ʻO ia hoʻi ka hōʻemi ʻana i ka momona saturated, ka hoʻopau loa ʻana i ka momona trans, ka hōʻemi ʻana i ke kō, a me ka hoʻoikaika kino mau. Inā ʻoe e hana i kēia mau mea, akā ʻaʻole i hāʻule kāu cholesterol "maikaʻi ʻole", a i ʻole LDL cholesterol , e haʻi aku paha kāu kauka iā ʻoe e hoʻomaka e lawe i ka lāʻau lapaʻau. Akā e hoʻomanaʻo, ʻoiai inā ʻoe e lawe i ka lāʻau lapaʻau, pono ʻoe e hoʻomau i nā ʻano maikaʻi āu i ʻōlelo ai ma mua.
I kēia manawa, e nānā kākou i nā lāʻau lapaʻau a nā kauka e kuhikuhi ai e hoʻohaʻahaʻa i ka cholesterol LDL a pehea lākou e hana ai.
ʻO nā ʻano nui o nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol
Aia kekahi mau ʻano lāʻau lapaʻau i kuhikuhi ʻia e hoʻohaʻahaʻa i ka cholesterol. E kamaʻilio kākou e pili ana i kēlā me kēia.
Nā Statins
ʻO kēia nā lāʻau lapaʻau mua a nā kauka e kuhikuhi pinepine ai i nā poʻe me ke kolesterol kiʻekiʻe. Hoʻohaʻahaʻa nui kēia mau lāʻau i kāu kolesterol maikaʻi ʻole (LDL). Kōkua pū lākou i ka hoʻohaʻahaʻa ʻana i nā triglycerides, kekahi ʻano momona i loko o ke koko, a hoʻonui iki i kāu pae kolesterol "maikaʻi" (HDL).
Ua ʻike ʻia ka noiʻi ʻana ua emi nui ka pilikia o ka hoʻomohala ʻana i nā maʻi pili i ka puʻuwai e like me ka hōʻeha ʻana o ka puʻuwai i ka wā e hoʻohana ai i nā statins.
Nā hiʻohiʻona o nā lāʻau statin:
- ʻO Atorvastatin (Atorvaliq, Lipitor)
- ʻO Fluvastatin (Lescol)
- ʻO Lovastatin
- ʻO Pitavastatin (Livalo)
- ʻO Pravastatin (Pravachol)
- ʻO ka Rosuvastatin calcium (Crestor)
- Simvastatin (Zocor)
Nā Hopena ʻAoʻao: Hiki i kekahi poʻe ke loaʻa i nā pilikia gastrointestinal (e like me ka ʻōpū ʻeha a me ka pehu ʻana), ka hōʻino ʻana o ke akepaʻa (kākaʻikahi loa), a me ka mumū ʻana o nā ʻiʻo. Aia paha he piʻi iki o ka pilikia o ke kō koko kiʻekiʻe a me ka maʻi diabetes type 2. Eia nō naʻe, ʻōlelo ka FDA ʻoi aku ka nui o nā pono o kēia lāʻau lapaʻau ma mua o nā pilikia.
ʻO ka mea nui loa: Inā ʻoe e lawe nei i nā lāʻau statin, e pale i ka ʻai ʻana i ka pomelo a me ka inu ʻana i ka wai pomelo āpau, no ka mea, hiki i ka pomelo ke hoʻoikaika i kou kino e omo i kēia mau lāʻau.
Nā lāʻau lapaʻau e hana ana i loko o nā ʻōpū
Hiki ke puʻunaue ʻia kēia mau lāʻau lapaʻau i ʻelua mau ʻāpana nui.
1. Nā Resina ʻakika Bile
Hana kēia mau lāʻau lapaʻau i loko o kou ʻōpū. I ka ʻōlelo maʻalahi, hoʻopaʻa lākou i ka bile, kahi i hoʻokuʻu ʻia e ke akepaʻa, a pale iā ia mai ka hoʻopili hou ʻia ʻana i loko o ke koko. ʻO ka nui o ka bile he cholesterol. No laila, hōʻemi kēia kaʻina hana i ka nui o ka cholesterol i loko o ke kino.
- Nā Laʻana: Cholestyramine (Prevalite), Colesevelam (WelChol), Colestipol (Colestid)
- Nā hopena ʻaoʻao: ʻO ka paʻa ʻana o ka ʻōpū, ka pehu ʻana, a me ka ʻeha o ka ʻōpū ka mea maʻamau.
2. ʻEzetimibe (Zetia)
He ʻano lāʻau lapaʻau ʻokoʻa kēia. Hana ʻo Ezetimibe ma ke ālai ʻana i ka omo ʻana o ka cholesterol i loko o kou ʻōpū liʻiliʻi. Hāʻawi pinepine ʻia ia me ka statin. Ua ʻike ʻia i loko o ka poʻe i loaʻa i ka hōʻeha puʻuwai, ʻo ka lawe ʻana i kēia lāʻau lapaʻau me ka statin hiki ke hōʻemi iki i ka pilikia o kahi hōʻeha puʻuwai ʻē aʻe.
- Nā hopena ʻaoʻao: Hiki ke loaʻa ka ʻeha ʻiʻo, ka ʻeha kua, ka maʻi pākī, a me ka ʻeha ʻōpū.
Nā lāʻau lapaʻau ʻē aʻe e hoʻohaʻahaʻa i ka cholesterol
Ma waho aʻe o nā lāʻau lapaʻau i ʻōlelo ʻia ma luna, e ʻike pū mākou i kekahi mau lāʻau lapaʻau ʻē aʻe i hoʻohana ʻia i nā kūlana kūikawā.
| ʻAno lāʻau lapaʻau | Ka wehewehe a me ka hoʻohana ʻana |
|---|---|
| Nā mea pale PCSK9 Ex: Alirocumab (Praluent), Evolocumab (Repatha) | He ʻano lāʻau lapaʻau hou kēia. Hāʻawi ʻia lākou i nā poʻe i hiki ʻole ke kāohi ʻia ko lākou pae cholesterol me nā loli o ke ʻano o ka nohona a me nā statins. Hoʻohana ʻia lākou me nā statins, ʻoi aku hoʻi i nā poʻe me kahi maʻi genetic e hoʻoulu ai i ke cholesterol kiʻekiʻe (Heterozygous Familial Hypercholesterolemia - HeFH) a me nā poʻe me ka maʻi puʻuwai. He inikini lākou i hāʻawi ʻia i kēlā me kēia 2 pule. |
| Niacin (wikamina B3) Laʻana: Niaspan, Niacor | He wikamina B kēia. Ke hāʻawi ʻia ma ke ʻano he lāʻau lapaʻau i nā nui kiʻekiʻe, hoʻemi ia i ka LDL a hoʻonui i ka HDL. Eia nō naʻe, ʻaʻohe hōʻike e hōʻemi hou aku ana ka lawe ʻana i ka niacin me ka statin i ka pilikia o ka maʻi puʻuwai. |
| Nā Fibrates Laʻana: Fenofibrate, Gemfibrozil (Lopid) | Kōkua nui kēia i ka hoʻemi ʻana i kahi ʻano momona i kapa ʻia ʻo triglycerides. Hiki iā lākou ke hoʻonui i nā pae kolesterol maikaʻi (HDL). |
| Nā mea pale ACL Laʻana: Bempedoic (Nexletol) | Hana kēia mau lāʻau lapaʻau ma ke kāohi ʻana i ka hana ʻana o ka cholesterol i loko o ke ake. Hāʻawi kūikawā ʻia lākou i nā poʻe me HeFH a me ka maʻi cardiovascular atherosclerotic (ASCVD). |
He ʻōlelo aʻoaʻo e pili ana i nā Omega-3s
Manaʻo kekahi poʻe hiki i nā mea hoʻohui ʻaila iʻa ke hōʻemi i ka pilikia o ka maʻi puʻuwai. Akā, ʻaʻohe hōʻike maopopo no kēia. Eia nō naʻe, hiki i nā mea hoʻohui omega-3 ikaika i kauoha ʻia ke hoʻohaʻahaʻa i nā pae triglyceride. No laila, mai kūʻai wale i nā capsules ʻaila iʻa mai ka hale kūʻai lāʻau lapaʻau a lawe iā lākou iho. E kamaʻilio me kāu kauka e pili ana i ia mea.
E makaʻala i kēia mau mea i ka wā e hoʻohana ai i ka lāʻau lapaʻau
I ka wā e lawe ana i ka lāʻau cholesterol, he mea nui loa ia e hahai pololei i nā ʻōlelo a kāu kauka. Inā ʻaʻole ʻoe e lawe pono, ʻaʻole ʻoe e loaʻa ka pono piha o ka lāʻau.
- E ʻike pono i ke kumu o kāu lawe ʻana i ka lāʻau lapaʻau. E hoʻomaopopo pono i kou kūlana a pehea e hana ai ka lāʻau lapaʻau.
- E lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā. E hoʻolilo i kēia i mea maʻamau.
- 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 ʻoe e ʻoi aku ka maikaʻi i kēia manawa, e lawe i kāu lāʻau lapaʻau e like me ke kuhikuhi ʻana a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe.
- E hana i kahi papa hana no ka lawe ʻana i kāu lāʻau lapaʻau. He mea maʻalahi ka hoʻohana ʻana i kahi pahu pila i hōʻailona ʻia me nā lā o ka pule. E hoʻopiha iā ia i ka hoʻomaka ʻana o ka pule.
- Inā he pilikia ke kumukūʻai, e kamaʻilio me kāu kauka. Mai hoʻēmi i kāu lāʻau lapaʻau e mālama i ke kālā. ʻAʻole e loaʻa nā hopena ma ka hana ʻana pēlā.
- Mai hoʻohana i nā lāʻau lapaʻau ʻē aʻe a i ʻole nā lāʻau lapaʻau lāʻau me ka ʻole o ka nānā mua ʻana me kāu kauka. Hiki i kekahi mau mea ke launa pū me kāu lāʻau cholesterol.
- Inā ʻoe e poina i kahi lāʻau lapaʻau, e lawe koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau lapaʻau aʻe, e kāpae i ka lāʻau lapaʻau i poina a lawe iā ia i ka manawa i hoʻonohonoho ʻia aʻe. E nīnau i kāu kauka e pili ana i kēia ma mua.
- I ka wā e hele ana, e mālama i kāu mau lāʻau lapaʻau ma ka lima. Inā ʻoe e hele ana no kekahi mau lā, e lawe i nā lāʻau lapaʻau no hoʻokahi pule a me kahi kope o ke kauoha.
- Ma mua o ke ʻoki ʻana ma lalo o ka anesthesia, e like me ka unuhi ʻana i ka niho, e haʻi i ke kauka 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. Hiki i ka waiʻona ke hoʻonui i nā hopena ʻaoʻao o kekahi mau lāʻau lapaʻau a hōʻemi i ko lākou pono.
- Inā pilikia ʻoe i ka hoʻomaopopo ʻana i ka mea a ke kauka e ʻōlelo nei, e lawe pū me ʻoe i kahi hoaaloha hilinaʻi a i ʻole kekahi lālā o ka ʻohana.
Leka Lawe-Home
- ʻO ka mea mua a me ka mea nui loa e kaohi ai i ka cholesterol, ʻo ia ka mālama ʻana i kahi papaʻai olakino a me kahi nohona hana .
- He kōkua wale nō ka lāʻau lapaʻau i kēlā ʻano nohona. Mai haʻalele i nā ʻano maikaʻi no ka mea wale nō ke lawe nei ʻoe i ka lāʻau lapaʻau.
- E lawe i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai, ma ke ana kūpono, i ka manawa kūpono, no ka lōʻihi o ka manawa. Mai ho'ōki i ka lawe ʻana iā ʻoe iho.
- Inā loaʻa iā ʻoe kekahi ʻeha ʻē a i ʻole nā hopena ʻaoʻao mai ka lāʻau lapaʻau, e hoʻomaopopo koke i kāu kauka .
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a i ʻole nā mea hoʻopihapiha āu e lawe nei.











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