Ua hōʻike anei kāu hoʻāʻo koko ua kiʻekiʻe iki kāu cholesterol? A i ʻole hopohopo iki ʻoe no ka mea he cholesterol kekahi o kou ʻohana? Nui ka poʻe o mākou e makaʻu maoli nei i ka lohe ʻana i ka huaʻōlelo 'cholesterol'. Akā inā maopopo pono iā mākou a hoʻokele pono iā ia, he mea ia e hiki ke kāohi ʻia. He mea nui loa ka makaʻala i kēia no ka mea e hoʻonui ai i ka pilikia o nā maʻi koʻikoʻi e like me nā hōʻeha puʻuwai a me nā hahau. I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka kāohi ʻana i kēia cholesterol.
Pehea ʻoe e koho ai i ke ʻano lapaʻau e kūpono iā ʻoe?
ʻAʻole like ka cholesterol no kēlā me kēia kanaka, no laila ʻaʻole like ka lāʻau no kēlā me kēia kanaka. E hana kāu kauka i kahi hoʻolālā lapaʻau e pili pono ana iā ʻoe ma muli o nā kumu he nui, e like me:
- Hōʻike ka pae kolesterol i loko o kou koko: Pehea ke kiʻekiʻe o kāu kolesterol.
- Makahiki a me ka mōʻaukala ʻohana: Kou makahiki, inā paha he cholesterol kiʻekiʻe a maʻi puʻuwai paha kekahi o kou ʻohana.
- Nā kūlana olakino ʻē aʻe o kēia manawa: Loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ua kaumaha paha ʻoe?
- Kou makemake: Makemake kekahi poʻe e kāohi i kā lākou ʻai, aʻo kekahi poʻe makemake e lawe i kahi pila i kēlā me kēia lā. He mea nui nō hoʻi kāu makemake pilikino ma aneʻi.
- Ka pilikia o ka maʻi puʻuwai: Pehea ka nui o ka loaʻa ʻana o ka maʻi puʻuwai, ka hōʻeha puʻuwai, a i ʻole ka hahau ʻana i loko o nā makahiki he 10 e hiki mai ana.
- Maʻi puʻuwai mua: Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole ua loaʻa mua iā ʻoe kahi hōʻeha puʻuwai a i ʻole ka hahau.
I ka ʻōlelo maʻalahi, ʻo ka mālama ʻana i ka cholesterol ua like ia me ke kāhiko ʻana i kahi lole. Pono e hana ʻia e kūpono i nā ana o kēlā me kēia kanaka.
E aʻo anei kākou e pili ana i kēia mau ʻano cholesterol a me nā pae olakino?
E noi aku kāu kauka iā ʻoe e lawe i kahi hoʻāʻo koko i kapa ʻia ʻo "lipid profile." He hoʻāʻo kēia e hiki ke ana pololei i nā ʻano cholesterol i loko o kou koko a me ko lākou mau pae. Hoʻohana ʻia kēia hoʻāʻo e ʻike i ka maikaʻi o kāu lāʻau lapaʻau.
Eia ke ʻano o nā pae cholesterol o ke kanaka olakino:
| ʻAno kolesterol | Pae olakino (ma mg/dL) |
|---|---|
| Kolesterol holoʻokoʻa | Inā ʻoe ma lalo o 19 makahiki, pono ʻoe e emi ma lalo o 170. No ke kanaka makua, pono ia ma waena o 125-200. |
| Kolesterol LDL (kolesterol maikaʻi ʻole) | Inā ʻoe ma lalo o 19, pono e emi ma lalo o 110. No ke kanaka makua, pono e emi ma lalo o 100. |
| Kolesterol HDL (kolesterol maikaʻi) | Pono nā kāne ma luna o 40. Pono nā wāhine ma luna o 50. |
| Nā Triglycerides | Pono nā mākua a pau ma lalo o 150. |
Akā e hoʻomanaʻo, inā loaʻa iā ʻoe nā maʻi ʻē aʻe, hiki i kāu kauka ke hāʻawi iā ʻoe i kahi pahuhopu haʻahaʻa. Eia kekahi laʻana:
- Inā ʻaʻohe ou maʻi puʻuwai a he haʻahaʻa kou pilikia, ʻoi aku ka liʻiliʻi o kāu pahuhopu LDL ma mua o 100 mg/dL .
- Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole ka maʻi diabetes, e haʻi ʻia paha iā ʻoe ʻaʻole pono kāu pahuhopu LDL ma mua o 70 mg/dL .
Ka Papa Hana ʻEkahi: E hoʻololi i kou nohona
ʻO ka hapa nui o ka manawa, ʻaʻole e hāʻawi wale kāu kauka iā ʻoe i ka lāʻau lapaʻau. ʻO ka mea mua a lākou e haʻi aku ai iā ʻoe, ʻo ia ka hana ʻana i nā hoʻololi nohona olakino no ka puʻuwai. Inā palena wale kou pae cholesterol, pono ʻoe e hana i kēia mau hoʻololi. Inā kōkua kēia mau mea i ka kaohi ʻana i kāu cholesterol, ʻaʻole pono paha ʻoe e lawe i ka lāʻau lapaʻau.
ʻOiai inā ʻoe e lawe i ka lāʻau lapaʻau, he mea nui loa ia e hoʻomau i kēia mau maʻamau. A laila hiki iā ʻoe ke hōʻemi i ka nui o ka lāʻau lapaʻau.
He aha kēia mau hoʻololi o ke ʻano o ka nohona?
- ʻAi olakino no ka puʻuwai: E hōʻemi i nā meaʻai kiʻekiʻe i nā momona saturated . ʻO ia hoʻi ka hōʻemi ʻana i ka ʻiʻo ʻulaʻula (pipi, puaʻa), nā huahana waiū momona piha, a me nā meaʻai momona. Akā, e ʻai i nā meaʻai kiʻekiʻe i nā waikawa momona omega-3 a me ka fiber hiki ke hoʻoheheʻe ʻia. E hoʻokomo i ka iʻa, ka ʻoka, nā huaʻai, nā mea kanu, a me nā nati i kāu papaʻai. E noho mamao mai nā meaʻai i hoʻopaʻa ʻia a me nā mea i hoʻomoʻa ʻia i kiʻekiʻe i ke kō a me nā momona trans .
- Hoʻomaʻamaʻa: Ma ka liʻiliʻi he 5 mau lā o ka pule, hoʻokahi manawa i ka lāE hoʻoikaika kino e like me ka hele wikiwiki, ka holo ʻana, a i ʻole ka ʻauʻau ʻana no 30 mau minuke ma ka liʻiliʻi.
- E hōʻalo i ka puhipaka: E hoʻōki loa i ka puhipaka a me ka vaping. ʻAʻole maikaʻi hoʻi ke noho kokoke i kahi mea ʻē aʻe e puhipaka ana (uahi lua).
- Palena i ka waiʻona: E kaupalena i hoʻokahi mea inu i ka lā no nā wahine a ʻelua mau mea inu i ka lā no nā kāne.
- E hoʻemi i ke kaumaha: Inā momona ʻoe, e hoʻāʻo e hoʻemi. ʻOiai ʻo ka lilo ʻana o 10% wale nō o kou kaumaha holoʻokoʻa hiki ke loaʻa ka hopena nui i kāu pae cholesterol.
I nā kūlana hea e pono ai ka lāʻau lapaʻau?
Inā ua hoʻololi ʻoe i kou nohona akā ʻaʻole i kaohi ʻia kou pae cholesterol, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau. ʻOi aku ka maʻalahi o ka hoʻomaka ʻana i ka lāʻau lapaʻau i nā hihia e like me kēia:
- Inā he 190 mg/dL a ʻoi aku paha kou pae cholesterol LDL.
- Inā ʻoe ma waena o 45-70 mau makahiki, he maʻi diabetes kou, a he 70 mg/dL a ʻoi aku paha kou pae LDL.
- Inā he kiʻekiʻe kou pilikia o ka maʻi puʻuwai a he 70 mg/dL a ʻoi aku paha kou pae LDL.
- Inā ua loaʻa mua iā ʻoe kahi hōʻeha puʻuwai, ka hahau ʻana, a i ʻole ka maʻi peripheral arterial.
Aia kekahi mau ʻano lāʻau lapaʻau e hiki ke hoʻohana ʻia e hoʻohaʻahaʻa i ka cholesterol.
| ʻAno lāʻau lapaʻau | Pehea e hana ai a me nā hiʻohiʻona |
|---|---|
| Nā Statins | ʻO kēia nā ʻano lāʻau lapaʻau i hoʻohana pinepine ʻia. Hoʻemi lākou i ka hana ʻana o ka cholesterol e ke akepaʻa. Eia kekahi laʻana: Atorvastatin, Rosuvastatin, Simvastatin. |
| ʻEzetimibe | Hoʻemi lākou i ka omo ʻana o ka cholesterol mai nā meaʻai a mākou e ʻai ai. Hāʻawi pinepine ʻia lākou me nā statins. |
| Nā lāʻau lapaʻau e hoʻopaʻa ana i ka waikawa Bile | Hoʻopaʻa ia i nā waikawa bile i loko o ka ʻōnaehana hoʻoheheʻe a hiki i ke akepaʻa ke hoʻohana i ka cholesterol keu. |
| Nā Fibrates | Kōkua nui ia i ka hoʻemi ʻana i nā triglycerides a hoʻonui i ka cholesterol maikaʻi (HDL). |
| Niacin | He wikamina kēia. Akā , mai lawe me ka ʻole o ke aʻo a kāu kauka. |
| Lāʻau lapaʻau hou | Aia kekahi mau lāʻau lapaʻau hou e like me nā mea hoʻopaʻa PSCK9, nā mea hoʻopaʻa ACL, a me ka siRNA therapy (e.g. Inclisiran). Hāʻawi pinepine ʻia kēia mau mea i ka poʻe me nā maʻi cholesterol hoʻoilina (e.g. HeFH) a i ʻole ka poʻe paʻakikī ke kaohi me nā lāʻau lapaʻau ʻē aʻe. |
ʻEhia ka lōʻihi e ʻike ai i nā hopena?
Ke hoʻomaka ʻoe e hoʻololi i kou nohona, e nānā mau kāu kauka iā ʻoe. Ma hope o 12 mau pule , e nānā hou lākou i kāu cholesterol a hoʻoholo inā pono ʻoe e hana i nā hoʻololi hou aʻe i kāu papaʻai a i ʻole ka hoʻolālā hoʻoikaika kino.
Inā ʻaʻole e iho kou pae cholesterol ma hope o kēlā, e aʻo ʻia paha ʻoe e hoʻomaka i ka lāʻau lapaʻau. Ma hope o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e hoʻāʻo hou ʻia kou koko i loko o 4-8 mau pule e ʻike ai inā e hana ana ka lāʻau lapaʻau. Ma hope o kēlā, he manaʻo maikaʻi ka nānā ʻana i kou pae cholesterol ma kahi o hoʻokahi manawa i ka makahiki.
ʻO ka mea nui loa, ʻo ia ka hoʻomau ʻana i ka launa pū me kāu kauka. E nīnau i nā nīnau inā he mau nīnau kāu, a e kamaʻilio e pili ana i nā hopohopo āu e pili ana i kāu lāʻau lapaʻau.
Leka Lawe-Home
- ʻAʻohe mea e makaʻu ai ka cholesterol kiʻekiʻe, he mea ia e hiki ke mālama pono ʻia.
- ʻO ka hana mua a koʻikoʻi loa, ʻo ia ke hoʻohana ʻana i kahi nohona olakino no ka puʻuwai. ʻO ia hoʻi ka ʻai pono ʻana, ka hoʻoikaika kino ʻana, a me ka pale ʻana i nā ʻano maikaʻi ʻole.
- ʻAʻole wale ke kuhikuhi ʻia ʻana o ka lāʻau lapaʻau ma muli o kou pae cholesterol, akā, ʻo kou olakino holoʻokoʻa a me ka pilikia o ka maʻi puʻuwai.
- Mai hoʻomaka a hoʻōki paha i ka lawe ʻana i nā lāʻau cholesterol me ka ʻole o ka nīnau ʻana i ke kauka a i ʻole no ka mea wale nō e haʻi aku kekahi iā ʻoe.
- Hiki iā ʻoe ke noho olakino ma ka launa mau ʻana me kāu kauka a me ka loaʻa ʻana o nā hoʻokolohua maʻamau.











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