Ua haʻi aku paha kāu kauka iā ʻoe ua kiʻekiʻe kou pae cholesterol koko. Hoʻonui kēia i kou pilikia o nā maʻi koʻikoʻi e like me ka hōʻeha puʻuwai a me ka hahau. ʻO kekahi o nā ala maikaʻi loa e hōʻemi ai i kēia pilikia, ʻo ia ke kāohi i kou pae cholesterol. ʻO ke ʻano lāʻau lapaʻau maʻamau i kuhikuhi ʻia e nā kauka no kēia ua kapa ʻia ʻo statin. Akā i kekahi manawa, ʻoiai ka lawe ʻana i kēia mau lāʻau lapaʻau, ʻaʻole ia e hāʻawi iā ʻoe i nā hopena āu e makemake ai. Ua ʻike ʻia kahi noiʻi ʻaʻole hiki i ka hapalua o ka poʻe e lawe ana i nā statins ke hoʻohaʻahaʻa i kā lākou cholesterol i kahi pae olakino ma hope o ʻelua mau makahiki. No laila, inā ʻo ʻoe kēlā, he aha kāu e hana ai?
No ke aha i hana pono ʻole ai nā statins i kekahi manawa?
Ke ʻole e iho kou cholesterol ʻoiai ke lawe nei ʻoe i kahi statin, kapa kekahi mau kauka i kēia he 'statin resistance.' Akā, he mea kakaikahi loa kēia ʻano. Inā ʻoe e lawe pololei ana i kāu lāʻau lapaʻau, he mea paʻakikī ke manaʻoʻiʻo ʻaʻole ia e hana iki. Akā, hiki paha ke hana pono ʻole. Eia kekahi mau kumu e loaʻa ʻole ai iā ʻoe nā hopena āu e manaʻolana nei.
| Kumu kūpono | He wehewehe maʻalahi |
|---|---|
| ʻAʻole lawe pono i ka lāʻau lapaʻau | ʻO ka mea mua, e nīnau iā ʻoe iho, "Ke lawe nei au i kaʻu lāʻau lapaʻau e like me ka ʻōlelo a ke kauka iaʻu, i ka manawa kūpono?" Inā ʻoe e poina ana i kahi lā a i ʻole e haʻalele ana i kahi lā, ʻo ia paha ke kumu nui e emi ʻole ai kāu cholesterol. |
| Nā hopena ʻaoʻao | Loaʻa i kekahi poʻe nā hopena ʻaoʻao (e laʻa me ka ʻeha ʻiʻo) i paʻakikī ke hoʻomanawanui mai nā statins. Inā ʻo kēia ke kumu e pale aku nei ʻoe i ka lawe ʻana i kāu lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i ia mea. |
| ʻAʻole lawa ka lāʻau lapaʻau wale nō | Inā kiʻekiʻe loa kou pae cholesterol i ka hoʻomaka ʻana, ʻaʻole lawa paha nā lāʻau statin wale nō e hoʻohaʻahaʻa iā lākou. Pono paha ʻoe e noʻonoʻo i nā koho ʻē aʻe. |
| ʻAi maikaʻi ʻole | Inā ʻoe e ʻai nui i nā meaʻai kiʻekiʻe i nā momona saturated (nā meaʻai ʻaila, ka ʻiʻo ʻulaʻula, nā huahana waiū momona nui), he paʻakikī no nā statins wale nō ke hoʻohaʻahaʻa i ka cholesterol. He mea nui ka ʻai olakino no ka puʻuwai. |
| E lōʻihi iki ana. | ʻAʻole lāʻau lapaʻau koke nā Statins. Inā ua hoʻomaka wale ʻoe e lawe iā lākou, e nānā pinepine kāu kauka e ʻike inā ua emi kāu cholesterol ma hope o 2 mau mahina. E hoʻomanawanui. |
| ʻAʻole lawa ka lāʻau | ʻAʻole paha i lawa ka nui i kuhikuhi ʻia iā ʻoe. Manaʻo paha kāu kauka e hoʻonui iki i ka nui. |
| Nā pilikia olakino ʻē aʻe | Inā loaʻa iā ʻoe nā pilikia me kou thyroid, akepaʻa, a i ʻole nā puʻupaʻa, hiki ke kiʻekiʻe kāu cholesterol. E hana kāu kauka i nā hoʻāʻo koko a me ka mimi e nānā i kēia mau mea. |
| Nā lāʻau lapaʻau ʻē aʻe | Hiki i kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe ai ke hoʻopilikia i ka hana o nā statins. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (ʻoiai nā huaora a me nā mea hoʻohui) . |
| Nā kumu hoʻoilina (Genes) | ʻOiai he mea kākaʻikahi loa, aia kekahi mau hihia kahi i pane ʻole ai ka poʻe i nā statins ma muli o kekahi mau loli genetic. Eia nō naʻe, ʻo ka mea nui loa, ʻo ia ka loaʻa ʻana o kahi ala e hoʻohaʻahaʻa ai i ka cholesterol. |
Inā ʻaʻole e holo pono nā statins, he aha nā koho ʻē aʻe?
Inā ʻaʻole hiki i kāu kauka ke loaʻa i kahi ala e kāohi ai i kāu cholesterol me nā statins, aia kekahi mau lāʻau lapaʻau ʻē aʻe hiki iā ʻoe ke hoʻāʻo. ʻO ka mea mua, hiki iā ʻoe ke hoʻāʻo i kahi ʻano statin ʻē aʻe. Akā e hoʻomanaʻo e hana like lākou a pau.
Inā ʻaʻole hiki iā ʻoe ke lawe i nā statins, a inā ʻaʻole lākou e hana, hiki i kāu kauka ke kuhikuhi i kahi papa ʻokoʻa o nā lāʻau hoʻohaʻahaʻa cholesterol. He mau lāʻau lapaʻau kēia e hana ʻokoʻa.
Mea nui: Mai hoʻohana i kekahi o kēia mau lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka. No kou ʻike wale nō kēia ʻike.
| Māhele lāʻau lapaʻau | Pehea e hana ai |
|---|---|
| Nā mea hoʻopaʻa waikawa bile | Pale ia i ke kino mai ke omo ʻana i ka momona i loko o ka meaʻai a kākou e ʻai ai. |
| Nā mea pale i ka hoʻopili ʻana o ka cholesterol | Hoʻopau ia i ke kino mai ka omo ʻana i ka cholesterol mai ka meaʻai. |
| Niacin (waikawa nicotinic) | Kōkua i ka hoʻemi ʻana i ka cholesterol maikaʻi ʻole (LDL). |
| Nā mea pale PCSK9 | Hoʻopili ia i kahi protein kūikawā a kōkua i ke akepaʻa e wehe i ka cholesterol maikaʻi ʻole (LDL). |
| Nā Fibrates | Hiki iā ia ke hoʻonui i ka pae o ka cholesterol maikaʻi (HDL). |
| Nā mea pale ACL | ʻOkoʻa kā lākou hana ma mua o nā statins ma ke kāohi ʻana i ke akepaʻa mai ka hana ʻana i ka cholesterol. Eia kekahi laʻana, ʻo ka waikawa Bempedoic (Nexletol). |
Lapaʻau no nā kūlana genetic kakaikahi
Inā loaʻa kāu cholesterol kiʻekiʻe i kahi maʻi genetic kakaʻikahi e like me ka familial hypercholesterolemia, aia kekahi mau lāʻau lapaʻau kūikawā ʻē aʻe i loaʻa. No ka laʻana, ʻo Lipoprotein apheresis (kahi hana e wehe ai i ka cholesterol maikaʻi ʻole mai ke koko), nā lāʻau lapaʻau kikoʻī e like me Lomitapide lāua ʻo Mipomersen (Kynamro), a i kekahi mau hihia, pono paha kahi hoʻoili ate. Hoʻoholo ʻia kēia e kāu loea.
E hoʻololi kākou ʻaʻole wale i ka lāʻau lapaʻau, akā, i ke ʻano o ka nohona!
Inā ʻoe e lawe ana i nā statins a i ʻole, mai poina he mea nui ka ʻai maikaʻi a me ka hoʻoikaika kino no ka mālama ʻana i nā pae cholesterol olakino. Inā ʻaʻole i loaʻa nā hopena i makemake ʻia e nā statins, makemake paha ʻoe e noʻonoʻo hou i kāu mea e ʻai nei a inu nei.
Nā mea e pale aku ai:
- Momona paʻa: ʻIʻo ʻulaʻula, nā huahana waiū momona piha, a me nā meaʻai i palai hohonu ʻia i ka ʻaila.
- Nā momona Trans: Hiki ke loaʻa kēia mau mea i loko o ka margarine, kekahi mau meaʻai i hoʻopaʻa ʻia, a me nā huahana bakery.
Nā mea e ʻai hou aku ai:
- ʻO nā waikawa momona Omega-3: ʻO ka iʻa ʻaila e like me ka salmon, mackerel, a me ka herring, nā hua flax, a me nā nati e like me ka walnuts.
- ʻO ka fiber: ʻOats, bale, pī, lentils, nā huaʻai hou a me nā mea kanu.
- ʻO ka protein Whey: He protein olakino i loaʻa i nā huahana waiū.
Ma waho aʻe o kēia kaohi ʻana i ka ʻai, hiki i ka noho ʻana i kahi nohona hana ke hoʻonui i kāu mau pae cholesterol maikaʻi (HDL) . Eia kekahi,
- Ke hoʻōki nei i ka puhipaka
- Ka emi ʻana o ke kaumaha
- Ka palena ʻana i ka inu ʻona
He kōkua nui nō hoʻi kēlā mau mea i ka kaohi ʻana i kāu pae cholesterol.
E noʻonoʻo hoʻi i kāu pilikia.
Ua hāʻawi paha kāu kauka iā ʻoe i kahi pahuhopu cholesterol kikoʻī. Inā ʻaʻole ʻoe e hoʻokō i kēlā pahuhopu me ka statin, pono ʻoe e noʻonoʻo i kāu mau kumu pilikia ʻē aʻe no ka maʻi puʻuwai. Ke piʻi nei kou pilikia, hiki i kāu kauka ke ʻōlelo aku i nā hana ikaika e hoʻohaʻahaʻa i kāu cholesterol.
Eia kekahi laʻana, inā ua loaʻa iā ʻoe kahi hōʻeha puʻuwai a i ʻole ka hahau ʻana , he mea nui loa ia e hoʻohaʻahaʻa i kāu cholesterol. He mea nui loa nō hoʻi inā he mau kumu pilikia ʻē aʻe kāu (e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe) ma waho aʻe o ka cholesterol. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻomaopopo i kāu mau pilikia a me nā mea e pono ai ʻoe e hana e pale i kou olakino.
Leka Lawe-Home
- E lawe i kāu lāʻau statin e like me ke kauoha a kāu kauka, ma ke ʻano kūpono, a i ka manawa kūpono. Mai ho'ōki i ka lawe ʻana me ka manaʻo ʻole.
- Inā loaʻa iā ʻoe kekahi hopena ʻaoʻao mai kāu lāʻau lapaʻau, ma kahi o ka hoʻōki ʻana, e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki paha iā ʻoe ke hoʻololi i kahi lāʻau lapaʻau ʻē aʻe.
- ʻAʻole lawa ka lāʻau lapaʻau wale nō. He mea nui ka ʻai olakino no ka puʻuwai a me ka hoʻoikaika kino i kēlā me kēia lā no ka kaohi ʻana i ka cholesterol.
- Inā ʻaʻole lawa nā statins wale nō e kāohi i kāu cholesterol, mai hopohopo. Aia kekahi mau lāʻau lapaʻau ʻē aʻe e hiki ke kōkua.
- E kūkākūkā mau i kāu hoʻolālā lapaʻau a me nā kumu pilikia me kāu kauka, a hiki iā ʻolua ke hana i nā hoʻoholo maikaʻi loa.
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