Makaʻu iki ka hapa nui o kākou ke lohe kākou i ka huaʻōlelo cholesterol, ʻeā? Akā, ua ʻike paha ʻoe he ʻelua ʻano cholesterol: 'maikaʻi' a me 'maikaʻi ʻole'. Manaʻo mākou a pau he maikaʻi kēia 'cholesterol maikaʻi', ʻo ia hoʻi ke ʻano i kapa ʻia ʻo HDL, no ko kākou kino me ka nānā ʻole i ke kiʻekiʻe. Akā, ʻoiaʻiʻo anei kēlā? I kēia lā, ke kamaʻilio nei mākou e pili ana i ka ʻoiaʻiʻo he pilikia ka nui o kēia cholesterol maikaʻi i kekahi manawa.
No ke aha mākou e kapa ai iā HDL 'cholesterol maikaʻi'?
I ka ʻōlelo maʻalahi, he mea momona ka cholesterol i loaʻa i loko o ko kākou koko. ʻElua ʻano nui o ia mea.
1. LDL (Low-Density Lipoprotein): ʻO kēia ka cholesterol 'maikaʻi ʻole' . Ke hōʻiliʻili ʻia, hiki iā ia ke hōʻiliʻili i loko o ko kākou mau kīʻaha koko, e pani ana iā lākou, a i ka hala ʻana o ka manawa, hiki ke hoʻoulu i nā maʻi koʻikoʻi e like me nā hōʻeha puʻuwai a me nā hahau.
2. HDL (High-Density Lipoprotein): ʻO kēia kā mākou mea ʻōlelo, ʻo ia ka cholesterol 'maikaʻi' . ʻO ka hana nui a HDL, ʻo ia ke kiʻi ʻana i ka cholesterol maikaʻi ʻole (LDL) mai ke kino holoʻokoʻa a lawe iā ia i ke akepaʻa. Hoʻopau ke akepaʻa iā ia a hoʻohemo iā ia mai ke kino aku ma ke ʻano he ʻōpala.
E noʻonoʻo i ko kākou mau kīʻaha koko e like me kahi ʻōnaehana o nā paipu e lawe ana i ka wai. Ua like ka LDL me ka lepo e paʻa ana i loko o kēlā mau paipu. A laila ua like ka HDL me ke kanaka nāna e wehe i kēlā lepo a hoʻomaʻemaʻe i nā paipu. ʻO ia ke kumu a mākou e kapa ai iā HDL he cholesterol 'maikaʻi'. Ke hele ʻoe i ke kauka a nānā ʻia kāu cholesterol a hana ʻia kahi hōʻike 'Lipid Panel' (ua kapa kekahi poʻe iā ia he 'Lipid Profile'), hōʻike ʻia nā pae LDL a me HDL i loko.
ʻO nā pae olakino i manaʻo ʻia ma ke ʻano laulā:
- No nā kāne: ʻOi aku ka nui o ka HDL ma mua o 40 mg/dL.
- No nā wāhine: ʻOi aku ka nui o ka HDL ma mua o 50 mg/dL.
Ua ʻōlelo ʻia ʻo ka mālama ʻana i kēia mau pae hiki ke hōʻemi i ka pilikia o ka maʻi puʻuwai a me ka hahau.
He mea weliweli maoli anei ke kiʻekiʻe o ka cholesterol maikaʻi?
Manaʻo paha ʻoe, "ʻO ka nui o ka mea maikaʻi he mea maikaʻi ia." Akā i ka wā e pili ana i ka cholesterol HDL, ʻoi aku ka paʻakikī o ka moʻolelo. Ua ʻike ʻia kahi noiʻi hou ʻaʻole hiki i ka loaʻa ʻana o nā pae HDL kiʻekiʻe ke hāʻawi i ka pale i manaʻo ʻia. I kekahi mau hihia, hiki i kēia cholesterol maikaʻi ke hoʻomaka e hana e like me ka cholesterol maikaʻi ʻole, e hoʻonui ana i ka pilikia o ka maʻi puʻuwai.
ʻO ka mea kupanaha, ua hōʻike kekahi mau noiʻi he 50% kiʻekiʻe aʻe ka pilikia o ka hōʻeha puʻuwai a i ʻole ka make mai ka maʻi puʻuwai i ka poʻe me nā pae HDL ma waena o 41-60 mg/dL.
Ua ʻike ʻia ma kekahi noiʻi ʻē aʻe he kiʻekiʻe aʻe ka pilikia o ka make ma ka poʻe me nā pae HDL kiʻekiʻe loa (ma luna o 80 mg/dL i nā kāne a ma luna o 100 mg/dL i nā wahine). Ua ʻike pū ʻia hoʻi i ka poʻe ʻelemakule, ua hoʻonui nā pae HDL ma luna o 80 mg/dL i ka pilikia o ka dementia ma 27%.
No ke aha lā kēia e hana nei?
ʻOiai ʻaʻole maopopo loa ke kumu o kēia, aia kekahi mau manaʻo o ka poʻe noiʻi. Ke noho nei ko kākou kino i kahi ʻano mumū, hiki i kēia mau ʻāpana HDL ke hoʻololi i kā lākou hana. Ma kahi o ka wehe ʻana i ka cholesterol maikaʻi ʻole (LDL), kōkua lākou i ka hoʻolohi ʻana i ke kaʻina hana. Hiki i kēia ke alakaʻi i ka hoʻonui ʻia ʻana o nā waihona LDL (plaques) i loko o nā kīʻaha koko, kahi e hiki ai ke hoʻonui i ka pilikia o ka hōʻeha puʻuwai a me ka hahau.
He aha nā kumu o ke kiʻekiʻe o ka HDL?
Aia kekahi mau kumu e hiki ai i nā pae HDL ke kiʻekiʻe aʻe ma mua o 60 mg/dL. Aia kekahi o kēia mau mea i loko o kā mākou mana, aʻo kekahi ma waho o kā mākou mana.
1. Ka mana hoʻoilina (Kou mau Genes)
Ua hānau ʻia kekahi poʻe me kahi predisposition genetic e loaʻa nā pae HDL kiʻekiʻe. ʻOiai hiki i kēia ke hāʻawi i ka pale ʻana i nā maʻi puʻuwai, hiki i kekahi mau hoʻololi genetic (e like me ka gene `SCARB1`) ke hoʻonui i ka pilikia o ka maʻi puʻuwai ma o ka hoʻoulu ʻana i kēia mau pae HDL kiʻekiʻe. Inā loaʻa i kekahi o kou ʻohana, e like me kou makuahine, makuakāne, a i ʻole nā kaikaina, ka maʻi puʻuwai a kiʻekiʻe hoʻi kāu mau pae HDL, he mea nui e haʻi i kāu kauka.
2. Kāu ʻAi
Hiki i nā meaʻai i kiʻekiʻe i nā momona unsaturated, e like me ka iʻa, nā nati e like me ka cashews, a me nā mea kanu ʻōmaʻomaʻo, ke kōkua i ka hoʻokiʻekiʻe ʻana i nā pae HDL. Eia nō naʻe, hiki i nā meaʻai i kiʻekiʻe i nā momona saturated ke hoʻokiʻekiʻe i nā pae cholesterol maikaʻi ʻole (LDL) a me ka cholesterol maikaʻi (HDL) me ke kumu ʻole .
ʻO kekahi mau meaʻai i kiʻekiʻe i ka momona saturated:
- ʻIʻo ʻulaʻula
- Kirīmi a me nā huahana waiū momona piha
- Bata, Kīhi
- Nā huahana berena e like me nā keke a me nā biscuits
- Nā meaʻai palai
3. Ka inu nui ʻana i ka waiʻona
Hiki i ka inu ʻana i ka waiʻona ke hoʻokiʻekiʻe i nā pae HDL. I ka palena iki , hiki ke lilo i mea maikaʻi i kekahi manawa. Eia nō naʻe, ʻo ka inu ʻana ma mua o ʻelua mau mea inu i ka lā hiki ke hoʻokiʻekiʻe i nā pae HDL i nā pae maikaʻi ʻole a hoʻonui i nā pae LDL. Hiki i kēia ke hoʻonui i ka pilikia o ke koko kiʻekiʻe, ka hahau ʻana, a me nā maʻi puʻuwai.
4. Kekahi mau lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau āu e lawe ai ke hoʻonui i kāu mau pae HDL.
- Nā lāʻau hoʻohaʻahaʻa cholesterol (nā lāʻau statin)
- Nā lāʻau hoʻomalu hānau
- ʻO ka lāʻau hoʻololi hormone no ka menopause
- Nā lāʻau lapaʻau no nā maʻi e like me ke kuʻi ʻana
- Nā ʻano steroid (Corticosteroids)
- ʻInisulina
5. Ka wā hoʻopau
Ma hope o ka menopause, emi iho nā pae estrogen o nā wahine. Kōkua kēia hormone i ka hoʻokiʻekiʻe ʻana i nā pae HDL a pale i ka puʻuwai. Ke emi iho nā pae estrogen, e mau ana paha nā pae HDL, akā e emi iho paha kona mau waiwai pale.
6. Nā pilikia thyroid
Hiki i ka Hypothyroidism ke hoʻonui i ka pae cholesterol LDL a me HDL.
Pehea e mālama ai i nā pae HDL kiʻekiʻe?
ʻAe, i kēia manawa ke noʻonoʻo nei paha ʻoe, "ʻAuē, pehea inā kiʻekiʻe koʻu pae HDL?" Mai hopohopo. Inā ʻaʻohe ou hōʻailona ʻē aʻe a i ʻole nā kumu pilikia no ka maʻi puʻuwai, ʻaʻole paha ʻoe e pono i kekahi lāʻau kūikawā no nā pae HDL kiʻekiʻe.
E hoʻoholo mua kāu kauka i ke kumu o kou cholesterol kiʻekiʻe. A laila wale nō lākou e hoʻoholo ai inā pono ka lāʻau lapaʻau. ʻO ka maʻamau, i ka wā e mālama ai i ka cholesterol, ʻo ka pahuhopu nui ka hoʻohaʻahaʻa i kāu mau pae cholesterol maikaʻi ʻole (LDL).
ʻAʻohe lāʻau lapaʻau kikoʻī i ʻae ʻia e hoʻohaʻahaʻa i nā pae HDL. Eia nō naʻe, hiki iā ʻoe ke kōkua i ka kaohi ʻana i kāu mau pae HDL ma ka hōʻemi ʻana i ka inu ʻona a me ka lawe ʻana i kahi ʻai haʻahaʻa momona .
ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu kauka e pili ana i kou pae cholesterol. E aʻo aku ʻo ia iā ʻoe i ka pinepine o kou nānā ʻana i kāu cholesterol, ma muli o kāu mau kumu pilikia.
ʻEhia pinepine e pono ai ʻoe e nānā i kāu cholesterol?
Aia kēia i kou makahiki, ke kūlana olakino, a me ka mōʻaukala olakino ʻohana. Aia nā ʻōlelo paipai laulā ma ka papa ma lalo nei.
| Pūʻulu makahiki a me ka mahele | I ka manawa hea e nānā ai i ka cholesterol |
|---|---|
| ʻO nā kānaka a pau ma luna o 65 mau makahiki | Hoʻokahi manawa i ka makahiki |
| Nā kāne ma waena o 45-65 mau makahiki | I kēlā me kēia 1-2 mau makahiki |
| Nā wahine i piha i ka makahiki 55-65 | I kēlā me kēia 1-2 mau makahiki |
| Nā mākua ʻōpio | I kēlā me kēia 5 makahiki |
| Nā keiki me ka mōʻaukala ʻohana o ka maʻi puʻuwai | Hiki ke hoʻomaka ka nānā ʻana i ka makahiki 2. Hana pinepine ʻia ka nānā ʻana ma waena o nā makahiki 9-11. |
Leka Lawe-Home
- Ma keʻano laulā, maikaʻi ka 'cholesterol maikaʻi' (HDL) no ka puʻuwai no ka mea kōkua ia i ka wehe ʻana i ka 'cholesterol maikaʻi ʻole' (LDL) i makemake ʻole ʻia mai ke kino.
- Eia nō naʻe, ʻaʻole maikaʻi nā pae HDL kiʻekiʻe (e.g., ma luna o 80 mg/dL). I kekahi mau hihia, hiki iā ia ke hoʻonui i ka pilikia o ka maʻi puʻuwai.
- ʻO ka genetics, ka meaʻai, ka waiʻona, kekahi mau lāʻau lapaʻau, a me nā kūlana olakino ʻē aʻe hiki ke hoʻonui i kāu mau pae HDL.
- Mai hopohopo e pili ana i kou pae cholesterol, e kamaʻilio mau me kāu kauka no ka ʻōlelo aʻo kūpono. E hāʻawi ʻo ia i ka hopena maikaʻi loa no kou kūlana olakino.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo