I kou hele ʻana i ke keʻena lapaʻau, ua haʻi aku anei ke kauka iā ʻoe ua kiʻekiʻe iki kou pae cholesterol a pono ʻoe e hoʻomaka e lawe i ka lāʻau lapaʻau no ia mea? A i ʻole ua ʻike anei ʻoe i kou makuahine, makuakāne, a hoaaloha paha e lawe ana i ka lāʻau lapaʻau no ka cholesterol? Ke lohe ʻoe i ka huaʻōlelo "lāʻau lapaʻau cholesterol," hopohopo iki kekahi poʻe a hopohopo. "Pono anei au e lawe i kēia mau mea no ke koena o koʻu ola?", "E hōʻino anei kēia i koʻu kino?", "He aha ka mea e hana ʻia inā e hoʻōki au i ka lawe ʻana i kēia lāʻau lapaʻau?", a pēlā aku. No laila i kēia lā, e wehewehe kākou i kēia mau mea a pau.
He aha maoli ka cholesterol?
I ka ʻōlelo maʻalahi, he ʻano momona ka cholesterol e pono ai ko kākou kino. He mea nui ia no nā mea he nui i loko o ko kākou kino, mai ke kūkulu ʻana i nā cell a hiki i ka hana ʻana i nā hormones. Akā e like me nā mea āpau, hoʻomaka nā pilikia ke nui loa.
Ke kamaʻilio mākou e pili ana i ka cholesterol, lohe pinepine mākou e pili ana i ʻelua mau ʻano nui:
- ʻO ka cholesterol maikaʻi ʻole (LDL - Low-Density Lipoprotein): ʻO kēia ka pilikia. Ke piʻi aʻe, waiho ʻia ma nā paia o ko kākou mau kīʻaha koko, e hoʻohaiki mālie ana iā lākou. Ua like ia me ka ʻōpala e kūkulu ana i loko o kahi paipu wai kahiko. Kāhea mākou i kēia maʻi ʻo `(Atherosclerosis)`.
- ʻO ka cholesterol maikaʻi (HDL - High-Density Lipoprotein): ʻO kēia ko kākou hoaaloha. Hoʻopau ia i ka cholesterol maikaʻi ʻole i hōʻiliʻili ʻia i loko o nā kīʻaha koko a lawe iā ia i ke akepaʻa e luku ʻia. Ua like ia me ka mea hōʻiliʻili ʻōpala.
Ke piʻi ka cholesterol maikaʻi ʻole (LDL) a emi nā kīʻaha koko, ke ālai nei ia i ke kahe o ke koko i ka puʻuwai a me ka lolo. Hoʻonui nui kēia i ka pilikia o ka loaʻa ʻana o nā maʻi koʻikoʻi e like me ka hōʻeha puʻuwai a me ka hahau . Hāʻawi ʻia nā lāʻau cholesterol e hōʻemi i kēlā pilikia.
Pono anei au e hoʻomaka e lawe i ka lāʻau lapaʻau? A i ʻole hiki iaʻu ke kāohi wale i kaʻu ʻai?
He nīnau kēia a ka poʻe he nui e nīnau ai. Inā kiʻekiʻe iki kāu cholesterol, a ʻaʻohe ou kumu pilikia ʻē aʻe (e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe), e ʻōlelo mua kāu kauka i nā hoʻololi o ke ʻano o ka nohona . ʻO ia hoʻi:
- Ka hōʻemi ʻana i nā meaʻai kiʻekiʻe i ka ʻaila, ke kō, a me ka palaoa.
- ʻAi nui i nā huaʻai, nā mea kanu, a me nā meaʻai fibrous.
- Hoʻoikaika kino mau .
- Inā ʻoe e puhipaka, e hoʻōki loa.
Eia nō naʻe, aia kekahi mau hihia kahi ʻaʻole lawa nā hoʻololi wale ʻana i ke ʻano o ka nohona.
- Inā kiʻekiʻe loa kou pae cholesterol.
- Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe.
- Inā ua loaʻa iā ʻoe kahi hōʻeha puʻuwai a i ʻole ka hahau ma mua.
- Inā ua loaʻa i kekahi o kou ʻohana ka maʻi puʻuwai i kona wā ʻōpiopio.
I nā hihia e like me kēia, hoʻoholo ke kauka e hoʻomaka iā ʻoe i ka lāʻau lapaʻau e pale aku iā ʻoe mai kēlā mau maʻi weliweli.
He aha nā lāʻau lapaʻau nui no ka cholesterol?
Aia kekahi mau ʻano lāʻau lapaʻau i hoʻohana ʻia e hoʻohaʻahaʻa i ka cholesterol. E koho kāu kauka i ka lāʻau lapaʻau kūpono loa nāu ma muli o kou kūlana, ka pae cholesterol, a me nā kūlana olakino ʻē aʻe. E nānā kākou i nā ʻano nui.
| ʻAno lāʻau lapaʻau | Pehea e hana ai | Nā Laʻana (mea maʻamau ma Sri Lanka) |
|---|---|---|
| Nā Statins | ʻO kēia nā ʻano lāʻau lapaʻau i hoʻohana pinepine ʻia a ʻoi aku ka maikaʻi. Hoʻemi lākou i ka hana ʻana o ka cholesterol e ke akepaʻa. | ʻO Atorvastatin (Lipitor), Rosuvastatin (Crestor), Simvastatin (Zocor) |
| ʻEzetimibe | Hoʻemi lākou i ka omo ʻana o ka cholesterol mai nā meaʻai a mākou e ʻai ai. Hāʻawi pinepine ʻia lākou me ka hui pū ʻana me nā statins. | ʻEzetimibe (Zetia) |
| Nā Fibrates | Kōkua nui kēia i ka hoʻemi ʻana i kekahi ʻano momona i kapa ʻia ʻo triglycerides. | Fenofibrate, Gemfibrozil (Lopid) |
| Nā mea pale PCSK9 | He mau lāʻau lapaʻau hou kēia, ikaika loa, a hiki ke hoʻokomo ʻia i loko o ka ʻōpū. Hāʻawi ʻia lākou i ka poʻe i pilikia nui a ʻaʻole hiki ke kāohi ʻia me nā statins. | ʻO Alirocumab (Praluent), ʻEvolocumab (Repatha) |
Aia kekahi mau hopena ʻaoʻao i kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao liʻiliʻi. Akā, mai hopohopo, ʻaʻole ʻike ka hapa nui o ka poʻe i kekahi. ʻO nā mea maʻamau:
- ʻEha i nā ʻiʻo a me nā hono.
- ʻEha poʻo.
- ʻO ka ʻeha o ka ʻōpū (e like me ka pehu ʻana, ka flatulence).
Nalo pinepine kēia i loko o kekahi mau lā.
He mea nui loa: Hiki i kekahi poʻe, he mea kākaʻikahi loa, ke loaʻa i kahi ʻeha koʻikoʻi o nā ʻiʻo i kapa ʻia ʻo "Rhabdomyolysis". Inā hoʻomaka ʻoe e lawe i kēia lāʻau lapaʻau a ʻike i ka ʻeha nui o nā ʻiʻo, nāwaliwali, a me ka mimi ʻeleʻele (e like me ka cola) ma hope o ka hoʻomaka ʻana, e hoʻōki koke i ka lawe ʻana a ʻike i kāu kauka. A i ʻole e hele i ka ʻoihana pilikia (ETU) o ka haukapila kokoke loa iā ʻoe. ʻOiai he mea kākaʻikahi kēia, he mea nui e makaʻala i ia mea.
E nānā ana kāu kauka i kāu mau enzymes akepaʻa a me nā hoʻāʻo koko ma mua a ma hope o kou hoʻomaka ʻana e lawe i kēia lāʻau lapaʻau. No laila, inā ʻoe e hahai i nā ʻōlelo a kāu kauka, ʻaʻohe mea e hopohopo ai.
He mea nui anei ke ʻano o ka nohona i ka wā e lawe ana i ka lāʻau lapaʻau?
ʻAe loa! Manaʻo ka poʻe he nui ke lawe lākou i kahi pila, ua hoʻoponopono ʻia ka pilikia a hiki iā lākou ke ʻai a inu i nā mea a lākou e makemake ai. He kuhihewa nui kēlā. ʻO ka lāʻau lapaʻau cholesterol he kākoʻo hou wale nō ia no kou nohona olakino.
E hoʻomanaʻo, ua like ka lāʻau lapaʻau cholesterol me ka pale e pale ana i kou puʻuwai a me kou lolo. E ʻoi aku ka ikaika o kēlā pale inā ʻoe e ola i kahi nohona olakino.
ʻOiai e lawe ana i ka lāʻau lapaʻau, pono ʻoe e hoʻomau i ka ʻai maikaʻi a me ka hoʻoikaika kino a mākou i kūkākūkā ai ma mua. E kōkua kēia i ka hana maikaʻi ʻana o ka lāʻau lapaʻau. I ka hala ʻana o ka manawa, inā e kāohi maikaʻi ʻia kou pae cholesterol, hiki paha i kāu kauka ke hōʻemi i ka nui.
Leka Lawe-Home
- Ua kuhikuhi ʻia nā lāʻau lapaʻau cholesterol e pale aku iā ʻoe mai nā maʻi koʻikoʻi e like me ka hōʻeha puʻuwai a me ka hahau ʻana, no laila mai manaʻo he mea kaumaha ia.
- E lawe mau i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka, ma ke ana kūpono, i ka manawa kūpono. Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau i kēlā me kēia manawa.
- Inā loaʻa iā ʻoe kekahi ʻano ʻoluʻolu ʻole mai ka lāʻau lapaʻau, ʻoiai ka ʻeha nui o nā ʻiʻo, e haʻi koke i kāu kauka.
- ʻAʻole lawa ka lawe wale ʻana i ka lāʻau lapaʻau. ʻO ka ʻai olakino a me ka hoʻoikaika kino he ʻelua mau mea āu e pono ai e hoʻokomo i loko o kou ola.
- E like me ka ʻōlelo a ke kauka, he mea nui loa e hele i nā keʻena lapaʻau i ka manawa kūpono a loaʻa nā hoʻokolohua koko e pono ai.
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