Ua loaʻa anei iā ʻoe kahi hoʻāʻo koko i hala koke aku nei, ʻo ia hoʻi he Lipid Profile? Nui nā huaʻōlelo e like me LDL, HDL, a me Triglycerides i loko o kēlā hōʻike, ʻeā? I kekahi manawa ʻōlelo ke kauka, "Ua haʻahaʻa iki kāu cholesterol maikaʻi, pono ʻoe e hoʻonui." He aha kēia 'cholesterol maikaʻi'? No ke aha he mea nui ia iā mākou? E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka maopopo.
Heart disease risk
Check the risk of developing a heart disease within the next 10 years with the Framingham Score
No ke aha mākou e kapa ai iā HDL 'cholesterol maikaʻi'?
I ka ʻōlelo maʻalahi, ʻo HDL ke kū nei no High-Density Lipoprotein. E noʻonoʻo iā ia e like me kahi 'lawelawe hoʻomaʻemaʻe' liʻiliʻi e holo ana ma o ko kākou mau kīʻaha koko. ʻO ka hana nui o kēia mau HDL, ʻo ia ke kiʻi i ka cholesterol 'maikaʻi ʻole', LDL (Low-Density Lipoprotein), hiki ke hōʻiliʻili i loko o ko kākou mau kīʻaha koko a hoʻoulu i nā mea e like me ka maʻi puʻuwai a me ka hahau ʻana, a lawe iā ia i ke akepaʻa. A laila hoʻopau ke akepaʻa i kēia cholesterol maikaʻi ʻole mai ke kino.
ʻO ke ʻano kēia, ʻo ke kiʻekiʻe o kou mau pae HDL, ʻoi aku ka maʻemaʻe o kou mau kīʻaha koko. Hoʻemi kēia i ka pilikia o ka loaʻa ʻana o nā maʻi koʻikoʻi e like me ka maʻi puʻuwai a me ka hahau.
He hana koʻikoʻi ko HDL. Ua like ia me kahi hui mālama, e pale ana i nā paia o loko o ko mākou mau kīʻaha koko mai nā ʻōpala a me nā hōʻino. ʻO ka hōʻino ʻana i kēia mau paia ka hana mua i ka atherosclerosis. No laila kōkua ʻo HDL i ka mālama ʻana i kēia mau paia i ka maʻemaʻe a me ke olakino.
He aha ka ʻokoʻa maoli ma waena o HDL a me LDL?
No ka hoʻomaopopo ʻana i ka ʻokoʻa ma waena o nā mea ʻelua, e nānā i kēia papa maʻalahi.
| ʻAno kolesterol | Ka hopena ma ke kino |
|---|---|
| HDL (kolesterol maikaʻi) | Kōkua ia i ka wehe ʻana i ka cholesterol maikaʻi ʻole (LDL) mai nā kīʻaha koko a lawe iā ia i ke akepaʻa e wehe ʻia mai ke kino. Hana ia e like me ka mea hoʻomaʻemaʻe. |
| LDL (kolesterol maikaʻi ʻole) | Hōʻiliʻili ia i loko o nā paia o nā kīʻaha koko, e hoʻohaiki ana a ālai ana iā lākou. ʻO kēia ka mea a mākou e kapa nei he atherosclerosis. Hoʻonui kēia i ka pilikia o ka maʻi puʻuwai a me ka hahau ʻana. |
E hoʻomaopopo kākou i kāu hōʻike cholesterol.
Ana ʻia kou pae cholesterol e kahi hoʻāʻo koko i kapa ʻia ʻo 'Lipid Profile'. Ana kēia hoʻāʻo i kou pae cholesterol ma mg/dL (milligrams no ka deciliter). Loaʻa i kēia hōʻike ka ʻike e pili ana i:
- Holoʻokoʻa Kolesterol: ʻO ka nui o ka kolesterol i loko o kou kino (HDL + LDL + VLDL).
- LDL (Low-Density Lipoprotein): ʻO ka cholesterol 'maikaʻi ʻole'. ʻAʻole maikaʻi ka loaʻa ʻana o kēia nui loa.
- HDL (High-Density Lipoprotein): kolesterol 'maikaʻi'. ʻO ke kiʻekiʻe o kēia, ʻoi aku ka maikaʻi.
- VLDL (Very Low-Density Lipoprotein): He ʻano cholesterol 'maikaʻi ʻole' kēia, e like me LDL.
- ʻO Triglycerides: He ʻano momona kēia e loaʻa mai ana mai ka meaʻai a mākou e ʻai ai. ʻO ka hoʻonui ʻia o kēia mau mea e hoʻonui ai i ka pilikia o ka maʻi puʻuwai a me ka mumū o ka pancreas.
No laila, he aha ka pae HDL kūpono?
ʻO ke kiʻekiʻe o kou pae HDL, ʻo ka palekana o kou puʻuwai.
| Pae HDL | Ka waiwai (mg/dL) | Manaʻo |
|---|---|---|
| Pae kūpono loa | 60 mg/dL a ʻoi aku paha | He palekana maikaʻi loa kēia no nā maʻi puʻuwai. |
| Pae maikaʻi no nā kāne | 40 mg/dL a ʻoi aku paha | ʻO ka pae haʻahaʻa loa e pono ai e hōʻemi i ka pilikia o ka maʻi puʻuwai. |
| Pae maikaʻi no nā wahine | 50 mg/dL a ʻoi aku paha | ʻO ka pae haʻahaʻa loa e pono ai e hōʻemi i ka pilikia o ka maʻi puʻuwai. |
| No nā keiki (makahiki 2-19) | 45 mg/dL a ʻoi aku paha | Manaʻo ʻia he pae olakino. |
| Pae haʻahaʻa (pilikia) | Kāne: Ma lalo o 40 Nā Wahine: Ma lalo o 50 | Piʻi nui ka pilikia o ka maʻi puʻuwai. He mea nui e ʻimi i ke aʻo lapaʻau. |
He aha nā kumu e emi ai koʻu HDL?
Aia kekahi mau kumu e haʻahaʻa ai kou pae HDL.
- Ka Nohona: ʻO kēia ke kumu nui a maʻamau.
- Momona: ʻO ka hōʻiliʻili ʻana o ka momona, ʻoi aku hoʻi ma ka ʻōpū, e hōʻemi ana i nā pae HDL.
- Ka nele i ka hoʻoikaika kino: Ke hana ʻole ke kino, hiki ke emi nā pae HDL.
- Puhipaka: ʻO ka nikotine i loko o nā cigarette, bidis, a i ʻole nā huahana paka ʻē aʻe e hoʻohaʻahaʻa pololei i ka HDL.
- Nā kumu hoʻoilina: I kekahi manawa he hoʻoilina kēia. ʻO nā maʻi hoʻoilina kakaikahi loa e like me ka maʻi Tangier hiki ke hana i nā pae HDL haʻahaʻa loa.
- Nā kūlana olakino ʻē aʻe: Inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo metabolic syndrome, haʻahaʻa paha kāu mau pae HDL. Hiki i kēia ke komo pū me kekahi mau kūlana, e like me ka maʻi diabetes a me ke koko kiʻekiʻe.
- Kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau (e laʻa, kekahi mau lāʻau koko kiʻekiʻe) hiki ke hoʻemi i nā pae HDL ma ke ʻano he hopena ʻaoʻao.
He pilikia paha inā kiʻekiʻe loa ka HDL?
Ma keʻano laulā, he mea maikaʻi ke loaʻa ʻana o ka HDL kiʻekiʻe. Eia nō naʻe, i kekahi mau hihia kakaikahi, hiki i nā pae HDL i ʻoi aku ka kiʻekiʻe ma mua o 80 mg/dL ke hana i kekahi mau pilikia. Hiki ke hana ʻia kēia mau kūlana e nā loli genetic, kekahi mau maʻi ate (Primary Biliary Cholangitis), a pēlā aku. No laila, e like me nā mea āpau, he mea nui e mālama i kēia i ke kaulike.
ʻAe, pehea mākou e hoʻonui ai i kēia pae HDL?
ʻO ka nūhou maikaʻi, hiki iā mākou ke hoʻonui nui i ko mākou pae HDL ma ka hoʻololi ʻana i ke ʻano o ka nohona. ʻOi aku ka maikaʻi o kēia mau mea ma mua o nā lāʻau lapaʻau.
1. E hoʻoikaika kino mau : ʻO ka hana ʻana i nā hoʻoikaika kino aerobic, e like me ka hele wāwae, ka holo wikiwiki, ke kaʻa paikikala, a i ʻole ka ʻauʻau ʻana, no 30-60 mau minuke i ka lā, ma ka liʻiliʻi he 5 mau lā o ka pule, hiki ke hoʻonui nui i nā pae HDL.
2. E pale loa i ka puhipaka: Inā he mea puhipaka ʻoe, ʻo ka haʻalele ʻana ka mea maikaʻi loa hiki iā ʻoe ke hana e hoʻonui i kou mau pae HDL. Hoʻomaka ka piʻi ʻana o nā pae HDL ma hope koke iho o kou haʻalele ʻana i ka puhipaka.
3. E mālama i ke kaumaha olakino:Inā ʻoe he momona loa, ʻaʻole wale ka lilo ʻana o ke kaumaha e hoʻonui i ka HDL, akā e hōʻemi pū ia i ka pilikia o nā maʻi ʻē aʻe he nui, e like me ka maʻi puʻuwai a me ka maʻi diabetes.
4. E hoʻomaʻamaʻa i ka ʻai maikaʻi:
- Nā ʻaila maikaʻi: ʻO nā momona unsaturated i loaʻa i nā nati e like me ka ʻaila ʻoliva, ka ʻaila canola, nā avocados, nā pīnati, a me nā ʻalemona e kōkua i ka hoʻonui ʻana i ka HDL.
- Nā meaʻai waiwai i ka fiber: E ʻai hou aku i nā mea kanu, nā huaʻai, nā legumes, ka oats, ka bale, a me nā palaoa holoʻokoʻa.
- E hōʻemi i ke kō a me ka palaoa: ʻO ka hōʻemi ʻana i kāu ʻai ʻana i nā mea inu kō, nā keke, nā biscuits, a me ka berena e hiki ke kōkua i ka hoʻohaʻahaʻa ʻana i nā pae HDL a me nā pae triglyceride.
5. E kaupalena i ka inu ʻana i ka waiʻona: ʻOiai ua hōʻike kekahi mau noiʻi e hiki i ka inu ʻana i ka waiʻona kūpono ke hoʻonui i ka HDL, ʻaʻole ia he ala olakino e hana ai pēlā. ʻOi aku ka nui o nā hopena maikaʻi ʻole o ka waiʻona. No laila, he mea nui e pale i ka waiʻona a hoʻohana paha iā ia i nā nui i kaupalena ʻia.
E hoʻomanaʻo, ʻo ka cholesterol kekahi kumu e hoʻopilikia ai i ka maʻi puʻuwai. He mea nui nō hoʻi ka maʻi diabetes, ke koko kiʻekiʻe, ka puhi paka, ka momona, a me ka mōʻaukala ʻohana. No laila, he mea nui e makaʻala i ke olakino holoʻokoʻa.
Inā he mau nīnau kāu e pili ana i kāu hōʻike, a inā ʻaʻole ʻoe maopopo pehea e hoʻomaka ai e hana i kēia mau hoʻololi i ke ʻano o ka nohona, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka. E hiki iā ia ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo kūpono iā ʻoe.
Leka Lawe-Home
- ʻO HDL ka cholesterol 'maikaʻi' i loko o ko kākou kino. Hoʻopau ia i ka cholesterol LDL maikaʻi ʻole a hōʻemi i ka pilikia o ka maʻi puʻuwai.
- Inā haʻahaʻa kou pae HDL, hiki iā ʻoe ke hoʻonui. ʻO ka hoʻoikaika kino, ka haʻalele ʻana i ka puhipaka, ka mālama ʻana i ke kaumaha olakino, a me ka ʻai ʻana i ka meaʻai maikaʻi nā mea nui.
- ʻAʻole lawa ka noʻonoʻo wale ʻana i nā pae cholesterol. He mea nui nō hoʻi e kāohi i nā kumu pilikia ʻē aʻe e like me ka maʻi diabetes a me ke koko kiʻekiʻe.
- Inā he mau hopohopo kāu e pili ana i kāu hōʻike cholesterol, mai makaʻu e kamaʻilio me kāu kauka.
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