Ke haʻi ʻia aku iā ʻoe he kiʻekiʻe kou cholesterol, e hoʻomaka paha kāu kauka iā ʻoe i kahi lāʻau statin. ʻO ia ka lāʻau lapaʻau maʻamau a mākou i ʻike ai. Akā ke holomua nei ka ʻepekema lapaʻau i kēlā me kēia lā. I kēia lā e haʻi aku wau iā ʻoe e pili ana i kekahi o nā lāʻau lapaʻau hou loa a holomua loa i hele mai a ke hele mai nei e kāohi i ka cholesterol. Ua like kēia me ka wā e hiki mai ana o ka lāʻau lapaʻau.
ʻEkolu mau mea e pono ai mākou e ʻike mua e pili ana i ka cholesterol
Ma mua o ko mākou kamaʻilio ʻana e pili ana i nā lāʻau lapaʻau hou, he mea nui loa ia e hoʻomanaʻo i kēia mau mea ʻekolu e pili ana i ka cholesterol.
1. ʻO ka cholesterol kekahi kumu nui o ka maʻi puʻuwai: Pono ko mākou mau hunaola kino i kekahi cholesterol. Akā inā nui loa, hiki ke lilo i mea weliweli loa. Hiki i kēia cholesterol keu ke hōʻiliʻili i loko o ko mākou mau kīʻaha koko (plaque), hiki ke pani iā lākou. ʻO kēia ke kumu nui o nā hōʻeha puʻuwai.
2. Aia kekahi lāʻau lapaʻau no kēia: ʻOiai inā ua waiho ʻia ka cholesterol i loko o kou mau kīʻaha koko, aia nā lāʻau lapaʻau kūpono i kēia lā e hiki ke hōʻemi a kāohi iā ia.
3. Palekana kēia mau lāʻau lapaʻau: Palekana kēia mau lāʻau lapaʻau a maikaʻi loa. I kekahi manawa aia paha nā hopena ʻaoʻao liʻiliʻi, akā hiki ke mālama ʻia ma ke kamaʻilio ʻana me kāu kauka. No laila, mai hopohopo.
Nā lāʻau lapaʻau hou e hele ana ma mua o nā statins
ʻO nā statins ke kumu nui o ka mālama ʻana i ka cholesterol, akā aia nā lāʻau lapaʻau holomua i loaʻa i kēia manawa. E nānā kākou i kekahi o lākou.
| ʻAno lāʻau lapaʻau | Ka hana maʻalahi a me nā mea nui |
|---|---|
| ʻEzetimibe (Zetia) | He lāʻau lapaʻau kēia i hāʻawi ʻia me ka hui pū ʻana me nā statins. I kēia manawa, ʻoi aku ka liʻiliʻi o ke kumukūʻai. He mea pono loa ia no ka poʻe ma luna o 75 mau makahiki. He hopena maikaʻi kēia no ka poʻe i pilikia i ka kaohi ʻana i ko lākou pae cholesterol me nā statins wale nō. |
| Nā mea pale PCSK9 | He mea hoʻololi maoli kēia. He ʻano antibodies monoclonal kēia i hāʻawi ʻia ma ke ʻano he lāʻau pale. I ka ʻōlelo maʻalahi, ʻo ka cholesterol 'maikaʻi ʻole' i loko o ko kākou kino, ʻo ia hoʻiPono ka lipoprotein haʻahaʻa (LDL) e hele i ke akepaʻa e hoʻomaʻemaʻe ʻia. Akā, ke hoʻopilikia nei kahi protein i kapa ʻia ʻo PCSK9 i ka hoʻomaʻemaʻe ʻana o kēia LDL. Ke ālai nei kēia lāʻau i kēlā protein PCSK9. A laila hiki i ke akepaʻa ke hoʻomaʻemaʻe a wehe i ka cholesterol LDL me ka wikiwiki. |
| ʻO Inclisiran (Leqvio) | Ua like kēia me kahi 'lāʻau pale' no ka cholesterol. He pana ia e hāʻawi ʻia i kēlā me kēia 6 mahina. Hoʻopilikia ia i kahi molekole i kapa ʻia ʻo RNA , kahi e lawe ana i ka ʻike i loko o kā mākou mau genes, a hōʻemi i ka hana ʻana o ka protein PCSK9 i ʻōlelo ʻia ma mua. ʻO ia hoʻi, he lāʻau lapaʻau i kuhikuhi pono ʻia. |
| ʻAkika Bempedoic | Ua like kēia me nā statins, akā hoʻopilikia ia i kahi ʻāpana ʻokoʻa o ke kaʻina hana cholesterol. ʻAʻole ia e hoʻoulu i ka ʻeha ʻiʻo (myalgia) e kū mai ana me nā statins. Eia nō naʻe, hiki iā ia ke hoʻonui i nā pae uric acid a hoʻonui iā ia i ka poʻe me ka gout. Aia kekahi kamaʻilio e pili ana i ka pilikia o ka haki ʻana o ke tendon. No laila, he mea nui e kamaʻilio mau me kāu kauka i ka wā e hoʻohana ai i kēia lāʻau lapaʻau. |
| Vascepa (ʻAila Iʻa i Hoʻomaʻemaʻe ʻia) | ʻAʻole kēia he pila ʻaila iʻa maʻamau mai ka hale kūʻai lāʻau lapaʻau. He ʻaila iʻa kūikawā kēia a ke kauka e kuhikuhi ai. Loaʻa iā ia ka EPA i hoʻomaʻemaʻe ʻia wale nō. Inā ʻoe e lawe ana i nā statins akā kiʻekiʻe mau ana kou mau pae triglyceride, hiki i kēia ke kōkua i ka hōʻemi ʻana i kou pilikia o ka hōʻeha puʻuwai a me ka hahau. |
ʻO ka cholesterol mai nā genes (Familial Hypercholesterolemia)
Aia kekahi poʻe, ʻoiai ke olakino o kā lākou ʻai ʻana a me ka hoʻoikaika kino ʻana, he kiʻekiʻe loa ko lākou mau pae cholesterol. ʻO ke kumu o kēia, he kūlana ia e loaʻa mai ana mai ko lākou mau genes, i kapa ʻia ʻo familial hypercholesterolemia (FH) . No kēia poʻe, he paʻakikī ke kāohi i kā lākou cholesterol me nā lāʻau lapaʻau maʻamau.
"No ke aha e pono mau ai iaʻu ke hoʻopiʻi i koʻu cholesterol?" ʻO ia ka mea a kaʻu mau maʻi me FH e nīnau mau nei. Pono mākou e hoʻomaopopo ʻaʻole na lākou kēia hewa, he maʻi hoʻoilina ia.
E noʻonoʻo i ka waiwai nui o nā lāʻau lapaʻau hou e like me 'PCSK9 Inhibitors' i nā poʻe e like me kēia. Ma muli o kēlā mau lāʻau lapaʻau, no ka manawa mua ma ka mōʻaukala, loaʻa i ka poʻe me FH kahi koho lapaʻau holomua.
He mea hou aʻe e pili ana i ka 'lāʻau pale cholesterol'
ʻOiai makemake paha kekahi poʻe i ka manaʻo o ka lawe ʻana iā Inclisiran i kēlā me kēia 6 mahina, makaʻu paha kekahi. "E lawe anei au i kēia lāʻau lapaʻau no 6 mahina? A inā loaʻa iaʻu nā hopena ʻaoʻao, e mau anei lākou no 6 mahina?" He manaʻo maikaʻi ke nīnau i nā nīnau e like me kēia. E kūkākūkā i nā hopohopo a makaʻu paha āu e loaʻa nei me kāu kauka e pili ana i kekahi lāʻau lapaʻau āu e lawe ai. ʻO kou kuleana ia.
ʻAʻole lawa ka lāʻau lapaʻau wale nō! ʻO ke ʻano o ka nohona ke kī
, . .
- : (, , , , ) , (processed foods), , (processed meats) . 58% (ultra-processed) .
- : , .
- Puhi paka a me ka waiʻona: He mea nui loa ka pale ʻana i kēia mau mea no ke olakino o ka puʻuwai.
E noʻonoʻo wale, ʻoiai inā ʻoe e lawe i ka lāʻau lapaʻau a hoʻohaʻahaʻa i kāu mau helu cholesterol, inā ʻoe e hoʻomau i ka ʻai ʻana i nā meaʻai maikaʻi ʻole a ʻaʻole hoʻi e hoʻoikaika kino, ʻaʻole e emi nui kou pilikia o ka loaʻa ʻana o ka hāʻule puʻuwai.
ʻAʻole hiki i kahi pila ke pani i kahi nohona olakino. Pono nā mea ʻelua e hele pū.
Inā loaʻa iā ʻoe ka maʻi puʻuwai, ua loaʻa iā ʻoe ka hōʻeha puʻuwai, a i ʻole ua hoʻokomo ʻia kahi stent, ʻaʻohe ou manawa e kali ai. Pono ʻoe e hoʻomaka koke e lawe i kāu lāʻau lapaʻau, e like me ke kuhikuhi a kāu kauka. Pono nō hoʻi ʻoe e hoʻololi i ke ʻano o kou nohona.
Leka Lawe-Home
- ʻO ka cholesterol kekahi kumu nui o ka maʻi puʻuwai. Akā, mai hopohopo, aia nā lāʻau lapaʻau kūpono a palekana hoʻi no ia.
- Ma waho aʻe o nā statins, aia i kēia manawa nā ʻano lapaʻau holomua hou aʻe e like me nā mea hoʻopaʻa PCSK9 a me Inclisiran.
- Inā loaʻa iā ʻoe kahi maʻi cholesterol genetic (FH), hiki i kēia lāʻau lapaʻau hou ke lilo i mea hōʻoluʻolu nui iā ʻoe.
- Inā he mau nīnau kāu e pili ana i ka lāʻau lapaʻau āu e lawe nei, e kamaʻilio pono me kāu kauka.
- ʻO ka mea nui loa: ʻOiai ke ʻano maikaʻi o ka lāʻau lapaʻau, ʻaʻole hiki iā ʻoe ke kaohi i kāu cholesterol me ka ʻole o kahi nohona olakino (ʻai maikaʻi, hoʻoikaika kino). He kākoʻo wale nō ka lāʻau lapaʻau, ʻo ke kumu pono kou nohona.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo