Hoʻoikaika kino mau ʻoe. Akahele loa ʻoe i kāu mea e ʻai ai a inu ai. Lawe ʻoe i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka i ka manawa kūpono. Akā... ke loaʻa iā ʻoe ka hōʻike, kiʻekiʻe mau ana kāu cholesterol. "No ke aha lā e hana nei kēia?" Ke noʻonoʻo nei paha ʻoe. I kekahi manawa, aia nā kumu huna a mākou i noʻonoʻo ʻole ai a ʻaʻole hiki iā mākou ke ʻike. Mai hopohopo, he pilikia kēia i loaʻa i nā poʻe he nui. I kēia lā, e kamaʻilio kākou e pili ana i kēlā mau kumu huna ʻaʻole e emi ana kāu pae cholesterol e like me ka mea i manaʻo ʻia.
He mea paha kēia i hoʻoilina ʻia e ʻoe mai kou mau kūpuna mai.
ʻO ka hoʻoilina ke kumu nui e loaʻa ai i kekahi poʻe ka cholesterol kiʻekiʻe. Kāhea mākou i kēia Familial Hypercholesterolemia (FH) . I ka ʻōlelo maʻalahi, he maʻi genetic ia. Hiki iā ʻoe ke hoʻoilina i kēia maʻi mai kou makuahine a i ʻole kou makuakāne, a i ʻole nā mea ʻelua.
Inā loaʻa iā ʻoe ka FH, ʻaʻole hiki i kou kino ke hoʻokele pono i ka cholesterol, ʻo ia hoʻi, ʻaʻole hiki iā ia ke hana a hoʻopau iā ia. ʻO ke ʻano kēia, he kiʻekiʻe paha kou mau pae o ka LDL (Low-Density Lipoprotein), ke ʻano "maikaʻi ʻole" o ka cholesterol, mai ka wā hānau. Akā i ka hapa nui o ka manawa, ʻaʻole ʻike ʻia nā hōʻailona a hiki i kou wā ʻelemakule.
No ka mea, ʻaʻole hiki i ke kino ke hoʻopau i ka cholesterol, e hōʻiliʻili mālie ia i loko o kou mau kīʻaha koko, kahi e kahe ai ke koko. Ua like ia me ka lepo e hōʻiliʻili ana i loko o kahi paipu wai. Kāhea mākou i kēia he atherosclerosis . Ke hana ʻia kēia, ua ālai ʻia ke kahe ʻana o ke koko, a lilo nā kīʻaha koko i mea paʻakikī iki. I ka hala ʻana o ka manawa, hoʻokomo kēia iā ʻoe i kahi pilikia kiʻekiʻe o ka loaʻa ʻana o ka maʻi puʻuwai. ʻO ka ʻoiaʻiʻo, ʻo ka mea me FH he 20 mau manawa ka nui o ka loaʻa ʻana o ka maʻi puʻuwai ma mua o ka mea me ka ʻole o ia mea.
Hiki i ka FH ke hoʻoulu i ka cholesterol e hōʻiliʻili ma nā wahi ʻē aʻe o ke kino. Hiki i nā hōʻailona ke komo pū me:
| ʻĀpana kino | ʻO ka hiʻohiʻona i ʻike ʻia |
|---|---|
| ʻIli | Nā waihona momona melemele (e like me nā puʻu) ma ka ʻili o nā lima, nā kuʻekuʻe lima, nā kuli, a i ʻole a puni nā maka. |
| Nā ʻūmiʻi | Ka mānoanoa o ke aʻalolo Achilles ma ke kuʻekuʻe wāwae a i ʻole kekahi mau aʻalolo ma ka lima. |
| Nā maka | He apo keʻokeʻo a hina paha a puni ka maka ʻeleʻele. |
ʻOiai he paʻakikī ke kāohi i nā pae cholesterol ma muli o FH, hiki ke mālama ʻia. Pono paha ʻoe e lawe i nā ʻano lāʻau hoʻohaʻahaʻa cholesterol he nui. Eia kekahi laʻana:
- Statins: Hana kēia ma ka hoʻemi ʻana i ka hana ʻana o ka cholesterol e ke akepaʻa.
- ʻEzetimibe: Hoʻemi i ka nui o ka cholesterol i omo ʻia e ke kino mai nā meaʻai a mākou e ʻai ai.
- Nā mea hoʻopaʻa PCSK9: Hana kēia ma ke kōkua ʻana i ke akepaʻa e omo i ka LDL ("cholesterol" maikaʻi ʻole) mai ke koko.
Pono paha kekahi poʻe me nā hihia koʻikoʻi o FH i nā lāʻau lapaʻau kūikawā e kānana i ka cholesterol keu mai ko lākou koko. I nā hihia kakaikahi loa, hiki i kēia ke alakaʻi i kahi hoʻoili ate.
Ke ʻai nei paha ʻoe i nā "momona huna" me ka ʻike ʻole.
Manaʻo paha ʻoe he mea maikaʻi ka ʻai ʻana i nā meaʻai i kapa ʻia ʻo "cholesterol-free" no kou puʻuwai. Akā, ʻoi aku ka nui o ka makaʻala i ka momona saturated a me ka momona trans . Ke kūʻai ʻoe i kahi mea ma ka hale kūʻai, e nānā i ka lepili e ʻike i ka nui o ka momona saturated, ka momona trans, a me nā calorie i loko.
I ka ʻōlelo maʻalahi, ʻaneʻane loaʻa kēia mau ʻaila huna i nā meaʻai i hoʻopaʻa ʻia a me nā meaʻai i hana ʻia. He mea maʻamau lākou i nā mea e like me nā biscuits, nā keke, kekahi ʻano noodles koke, a me nā sausage.
ʻO ka mea maikaʻi loa, ʻo ia ke kaupalena ʻana i nā mea e like me kēia i ka hiki.
| 👍 E ʻai hou aku i kēia mau mea | 👎 E kaupalena i kēia mau mea |
|---|---|
| Nā huaʻai a me nā mea kanu hou | ʻO nā ʻiʻo ʻulaʻula e like me ka pipi, ka puaʻa, a me nā ʻiʻo i hana ʻia e like me nā sausage |
| ʻO nā palaoa holoʻokoʻa e like me ka buckwheat, oats, a me ka laiki ʻeleʻele | Waiū kirīmi, tīhi, pata, yogurt |
| Moa ʻili ʻole, iʻa | Meaʻai palai hohonu |
| Nā nati e like me nā cashews, nā pīnati, nā ʻalemona | Nā huahana berena i hana ʻia mai ka palaoa berena, nā mea inu ʻono |
| Nā aila mea kanu e like me ka ʻaila ʻoliva, ka ʻaila canola | Ke kaupalena nei i ka hoʻohana ʻana i ka ʻaila niu a me ka ʻaila pama |
Makemake ʻoe e hoʻololi i kāu hana hoʻoikaika kino?
E noʻonoʻo e pili ana i kāu hana hoʻoikaika kino. Ke loaʻa nei iā ʻoe ka lawa, ke ʻano kūpono o ka hoʻoikaika kino? No ka hoʻohaʻahaʻa ʻana i kāu cholesterol, pono ʻoe e hana i nā hoʻoikaika kino e hoʻonui ai i kou puʻuwai a hana i nā hui ʻiʻo he nui i ka manawa hoʻokahi . He manaʻo maikaʻi ka hana ʻana i kēia ʻano hoʻoikaika kino ma ka liʻiliʻi he 5 mau lā o ka pule, no ka liʻiliʻi he 30 mau minuke i ka lā.
Akā, mai hele koke i luna. ʻO ka hana ʻana pēlā e alakaʻi ai i nā ulia a hōʻino i kou olakino lōʻihi.
Eia kekahi mau hoʻomaʻamaʻa kino kūpono loa:
- Hele wikiwiki
- Kaʻa paikikala
- ʻAuʻau ʻana
- Yoga
Ke hoʻopilikia nei nā lāʻau lapaʻau ʻē aʻe āu e lawe nei iā ia?
He mea kēia a ka poʻe he nui i noʻonoʻo ʻole ai. Hiki i kekahi mau lāʻau lapaʻau āu e lawe ai no nā kūlana ʻē aʻe ke hoʻonui i kāu pae cholesterol.
- ʻO kekahi mau lāʻau lapaʻau i lawe ʻia no nā maʻi e like me ka hānō a me ka rheumatoid arthritis.
- Hāʻawi ʻia kekahi mau lāʻau lapaʻau e loaʻa ana ka huaora A (retinoids) no ka ʻākena.
- Hiki i kekahi mau lāʻau hoʻomalu hānau ke hoʻohaʻahaʻa i ka cholesterol "maikaʻi" (HDL) a hoʻonui i ka cholesterol "maikaʻi ʻole" (LDL).
No laila, inā ʻaʻole e emi ana kou pae cholesterol, e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. Hiki iā ia ke hoʻoholo inā ʻo ia lāʻau lapaʻau ke kumu o ka pilikia a hoʻololi iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe inā pono.
Hoʻokahi mea nui aʻe!Inā ʻoe e lawe ana i nā statins e hoʻohaʻahaʻa i kāu cholesterol, e pale i ka inu ʻana i ka wai pomelo i ke kakahiaka. Hiki i kahi kemika i loko o ka pomelo ke hoʻopilikia i nā enzymes e wāwahi i nā statins i loko o ke kino. No laila e nīnau i kāu kauka e pili ana i kēlā.
Ke puhipaka nei ʻoe?
ʻAʻole wale ka puhipaka he mea ʻino no kou cholesterol, akā he mea ʻino nō hoʻi ia no kou kino holoʻokoʻa. ʻO nā tausani o nā kemika i loko o ka uahi o ka cigarette e hōʻino ana i kou mau kīʻaha koko a hoʻokiʻekiʻe i kou mau pae cholesterol.
I ka ʻōlelo maʻalahi, ʻo kahi kemika i kapa ʻia ʻo acrolein i loko o ka uahi cigarette e pale aku i kā mākou cholesterol "maikaʻi" (HDL) mai ka hana ʻana i kāna hana. ʻO ka hana a HDL ka hōʻiliʻili ʻana i ka cholesterol maikaʻi ʻole i hōʻiliʻili ʻia i loko o ko mākou mau kīʻaha koko a lawe iā ia i ke akepaʻa. Aia i loko o ke akepaʻa e hana ʻia ai kēia cholesterol i mau huahana ʻōpala a hoʻokuʻu ʻia mai ke kino. Ke hoʻōki ʻia kēia kaʻina hana ma muli o ka puhipaka, ʻoi aku ka nui o ka cholesterol e hōʻiliʻili ʻia i loko o ko mākou mau kīʻaha koko a hoʻomaka lākou e haiki (atherosclerosis).
No laila, inā ʻoe e hoʻāʻo nei e kaohi i kāu cholesterol, he mea nui e hoʻōki loa i ka puhipaka.
Leka Lawe-Home
- Inā ʻaʻole e emi ana kou pae cholesterol me ka nānā ʻole i kou hoʻāʻo ʻana, aia paha kekahi mau kumu āu i ʻike ʻole ai. Mai hopohopo.
- Loaʻa paha iā ʻoe kahi maʻi genetic (FH) i hoʻoili ʻia mai kēlā hanauna a i kēia hanauna. E kamaʻilio me kāu kauka e pili ana i ia mea.
- Mai hoʻopunipuni ʻia e ka lepili "cholesterol-free". E makaʻala i nā momona saturated a me nā trans i hūnā ʻia i loko o nā meaʻai i hoʻopaʻa ʻia.
- Hiki i nā lāʻau lapaʻau āu e lawe ai no nā kūlana ʻē aʻe ke hoʻopilikia i nā pae cholesterol. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai.
- Hoʻopilikia nui ka puhipaka i ka mālama ʻana i ka cholesterol. ʻO ka haʻalele ʻana kekahi o nā hoʻopukapuka kālā nui loa hiki iā ʻoe ke hana i kou olakino.
- Inā kānalua i kekahi mea, e ʻimi mau i ka ʻōlelo aʻo a kāu kauka, ma mua o ka hilinaʻi wale ʻana i ka ʻike i loaʻa ma ka pūnaewele.
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