Ua ʻōlelo anei kāu kauka ua kiʻekiʻe kāu cholesterol, ʻoiai nā triglycerides, i kāu hoʻāʻo koko hou? A i ʻole ua ʻōlelo anei ʻo ia ua haʻahaʻa kou pae HDL (cholesterol maikaʻi)? I ka manawa e like me kēia, aia kahi manawa kūpono e haʻi aku ai kāu kauka iā ʻoe e hoʻomaka i kahi lāʻau i kapa ʻia ʻo Fibrates. No laila, mai makaʻu i kou lohe ʻana i kēia inoa. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o kēia mau Fibrates, pehea lākou e maikaʻi ai no ke kino, a me nā mea āu e pono ai e makaʻala.
He aha nā fibrates? Pehea lākou e hana ai i loko o ke kino?
I ka ʻōlelo maʻalahi, he papa lāʻau lapaʻau nā Fibrates e kōkua i ka hoʻomalu ʻana i nā ʻano momona i loko o ko kākou koko. ʻElua mau mea nui e hana ai kēia mau lāʻau lapaʻau:
1. Ka Hoʻēmi ʻana i nā Triglycerides: ʻO nā Triglycerides kahi ʻano momona e hōʻiliʻili i loko o ke koko ma hope o kā mākou ʻai ʻana. Ke kiʻekiʻe loa lākou, mālama ʻia lākou i loko o kā mākou mau hunaola momona. Hiki i nā pae kiʻekiʻe o kēia mau momona ke alakaʻi i ka maʻi puʻuwai a me kahi maʻi weliweli i kapa ʻia ʻo pancreatitis , ʻo ia ka mumū o ka pancreas. Hana nā Fibrates ma ka hoʻēmi ʻana i ka nui o nā triglycerides i hana ʻia e ke akepaʻa.
2. Hoʻonui i ka cholesterol maikaʻi (HDL): Ua lohe paha ʻoe he ʻelua ʻano cholesterol, 'maikaʻi' a me 'maikaʻi ʻole'. ʻO HDL (High-Density Lipoprotein) ka mea i kapa ʻia he 'maikaʻi' cholesterol . Hiki i nā Fibrates ke kōkua i ka hoʻonui ʻana i kēia pae cholesterol maikaʻi.
Akā hoʻokahi mea e hoʻomanaʻo ai: ʻAʻole hōʻemi nui nā Fibrates i nā pae LDL (Low-Density Lipoprotein), i kapa ʻia ʻo 'bad cholesterol' . Aia kekahi mau lāʻau lapaʻau ʻē aʻe no kēlā.
ʻO wai ka mea e pono ai kēia ʻano lāʻau lapaʻau?
ʻO ke kumu nui e kuhikuhi ai kāu kauka i kēia lāʻau lapaʻau no ka mea he kiʻekiʻe loa kou mau pae triglyceride koko. He lāʻau lapaʻau koʻikoʻi loa nā Fibrates e hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka pancreatitis, kahi mumū o ka pancreas, ma muli o kēia mau pae triglyceride kiʻekiʻe.
ʻOiai ua pili nā triglycerides kiʻekiʻe me ka piʻi ʻana o ka pilikia o ka maʻi puʻuwai, ʻaʻole i hōʻoia ʻia nā fibrates e hōʻemi i ka pilikia o ka hōʻeha puʻuwai a i ʻole ka hahau. ʻOi aku ka hoʻohana ʻia ʻana o nā lāʻau ʻē aʻe, e like me nā statins, no kēia kumu. No laila, ʻo ka pahuhopu nui o kēia lāʻau lapaʻau ka hōʻemi ʻana i ka pilikia o ka pancreatitis.
He aha nā ʻano fibrates a pehea ka holomua o lākou?
Aia kekahi mau ʻano lāʻau lapaʻau e pili ana i ka hui fibrates. Hiki i kāu kauka ke kuhikuhi i kekahi o kēia mau mea nāu.
| Ka inoa laulā o ka lāʻau lapaʻau | Kekahi mau inoa lama ma ka mākeke |
|---|---|
| Fenofibrate | ʻO TriCor®, Fibricor®, Lofibra® |
| ʻO Gemfibrozil | Lopid® |
| ʻO Clofibrate | ʻAtromid-S® |
Pehea ka maikaʻi o kēia lāʻau lapaʻau?
He lāʻau lapaʻau nā Fibrates i kūpono loa no kekahi poʻe. Ua hōʻike ʻia e ka noiʻi hiki iā lākou ke:
- E hōʻemi i nā pae triglyceride ma kahi o 50% .
- Hoʻonui i ka pae o ka cholesterol maikaʻi (HDL) ma kahi o 20% .
- E hōʻemi i ka nui o ka cholesterol holoʻokoʻa ma kahi o 10% .
ʻAʻole anei lawa ka hoʻohana ʻana i nā fibrates wale nō? He aha hou aʻe kaʻu e hana ai?
I kekahi manawa, ua lawa paha nā fibrates wale nō e hoʻohaʻahaʻa i nā triglycerides. Eia nō naʻe, inā pilikia ʻoe i ka maʻi puʻuwai, hiki i kāu kauka ke kuhikuhi i kahi ʻano lāʻau hoʻohaʻahaʻa cholesterol ʻē aʻe i kapa ʻia ʻo statins me kēia lāʻau.
Ke lawe pū ʻia kēia mau lāʻau ʻelua, hiki i kekahi poʻe ke loaʻa kahi pilikia iki o nā pilikia ʻiʻo . No laila e nānā pono kāu kauka iā ʻoe. Akā, mai hopohopo, nui ka poʻe e hoʻohana pū i kēia mau lāʻau ʻelua me ka ʻole o nā pilikia.
ʻO ka mea nui loa, ʻaʻole lawa ka lāʻau lapaʻau wale nō. Me ka lāʻau lapaʻau, pono ʻoe e hana i kēia mau hoʻololi i ke ʻano o ka nohona:
- He ʻai olakino no ka puʻuwai: E hōʻemi i nā meaʻai kiʻekiʻe i ka ʻaila, ke kō, a me ka palaoa, a e ʻai hou aku i nā mea kanu, nā huaʻai, nā greens, a me nā meaʻai waiwai i ka fiber.
- Hoʻoikaika Kino: E hoʻoikaika kino no ka liʻiliʻi he 150 mau minuke i ka pule. ʻOiai ka hele wikiwiki ʻana ua lawa ia.
- Hoʻokele koʻikoʻi: E kālele i nā mea e lawe mai iā ʻoe i ka maluhia o ka noʻonoʻo. Hiki i nā mea e like me ka noʻonoʻo ʻana a me ka hoʻolohe ʻana i ke mele ke kōkua.
- E hiamoe maikaʻi: E hōʻoia e loaʻa iā ʻoe ma ka liʻiliʻi he 7-8 mau hola o ka hiamoe i ka pō.
- Ka hoʻōki ʻana i ka puhipaka: E hoʻōki loa i ka puhipaka a me nā huahana paka.
Nā hopena ʻaoʻao a me nā pilina me nā lāʻau lapaʻau ʻē aʻe
E like me nā lāʻau lapaʻau āpau, hiki i nā fibrates ke hana i nā hopena ʻaoʻao liʻiliʻi i kekahi poʻe, akā ʻaʻole nā mea āpau e loaʻa iā lākou.
| Nā hopena ʻaoʻao maʻamau | Nā pilina me nā lāʻau lapaʻau ʻē aʻe |
|---|---|
|
Pehea ka lōʻihi e pono ai iaʻu ke lawe i kēia lāʻau lapaʻau? ʻO wai ka mea pono ʻole e lawe?
ʻO ka maʻamau , he lāʻau lapaʻau lōʻihi nā Fibrates. Mai ho'ōki i ka lawe ʻana iā lākou ke ʻole ke kuhikuhi ʻia e kāu kauka. E nānā mau ʻo ia i kou koko e hōʻoia i ka hana ʻana o ka lāʻau lapaʻau a ua kaohi ʻia kou mau pae.
Nā kūlana kūpono ʻole e lawe i kēia lāʻau lapaʻau:
ʻAʻole paha kūpono kēia lāʻau lapaʻau no kekahi poʻe. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, pono ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.
- Inā hāpai ʻoe a he makuahine hānai paha
- Inā he mau maʻi allergies kou i kēia mau lāʻau lapaʻau
- Inā loaʻa iā ʻoe ka maʻi diabetes
- Inā loaʻa iā ʻoe nā maʻi puʻupaʻa, akepaʻa, a i ʻole gallbladder
- Inā ʻoe e kū nei i kahi mea i ka wā e hiki mai ana, e like me ke ʻoki ʻana a i ʻole ka unuhi ʻana i ka niho
Inā ʻike ʻoe i kēia mau hōʻailona, e ʻike koke i ke kauka!
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona i ka wā e lawe ana i kēia lāʻau lapaʻau, e haʻi koke aku i kāu kauka. I kekahi manawa he mau hōʻailona kēia o kahi maʻi koʻikoʻi.
- ʻEha nui o nā ʻiʻo a i ʻole ka nāwaliwali e kū mai ana me ke kumu ʻole
- ʻEha nui mau o ka ʻōpū
- ʻŌhū ʻili
- Melemele o ka ʻili a i ʻole nā maka (Jaundice)
Inā manaʻo ʻoe i kekahi mea e like me kēia, mai hoʻoholo wale, e ʻike koke i ke kauka. Inā pono, mai kānalua e hele i ka Emergency Treatment Unit (ETU) o ka haukapila.
Leka Lawe-Home
- ʻO nā Fibrates kahi ʻano lāʻau lapaʻau e hoʻohaʻahaʻa i nā triglycerides i ke koko a hoʻonui i ka cholesterol maikaʻi (HDL).
- ʻO ke kumu nui o kēia ka pale ʻana i ka pancreatitis, hiki ke hana ʻia e nā triglycerides kiʻekiʻe.
- Pono e hoʻohana ʻia kēia lāʻau lapaʻau ma lalo o ke aʻo a ke kauka. E lawe i ka lāʻau lapaʻau e like me ke kuhikuhi ʻana, ma ka nui i kuhikuhi ʻia, a ma ka manawa i kuhikuhi ʻia.
- ʻAʻole lawa ka lāʻau lapaʻau wale nō. He mea nui e hahai i kahi papaʻai olakino no ka puʻuwai, hoʻoikaika kino, a me kahi nohona olakino.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe e like me ka ʻeha o ke kino, ka ʻōpū nui, a i ʻole ka melemele o ka ʻili, e hoʻomaopopo koke i kāu kauka.
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