Ke kiʻi ʻoe i kahi hōʻike koko, ʻoiai hoʻi kahi hōʻike cholesterol, ua ʻike paha ʻoe he nui nā huaʻōlelo e like me LDL, VLDL, a me Triglycerides, a me kahi waiwai i kapa ʻia ʻo HDL. ʻO ka ʻike ʻana i kēia mau mea hiki ke hoʻohoka iki iā ʻoe, ʻeā? Ke noʻonoʻo nei paha ʻoe, "ʻO wai o kēia mau mea maikaʻi? ʻO wai ka mea maikaʻi ʻole?" Mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kekahi o kēia, ʻo HDL, ka mea a ka poʻe he nui i kapa ai he 'cholesterol maikaʻi', ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha kēia cholesterol HDL?
ʻO ka cholesterol HDL kahi mea i loaʻa i loko o kou koko. I ka pololei, he mea ia e kōkua ai i kāu kauka e loaʻa kahi manaʻo o kou pilikia o ka maʻi cardiovascular . ʻO ka hoʻāʻo koko āu e nānā ai i kāu cholesterol ua kapa ʻia ʻo "Lipid Panel". ʻO ia kahi e ʻike ai ʻoe i kēia waiwai HDL (i kekahi manawa i kapa ʻia ʻo HDL-C) ma kēlā hōʻike.
ʻAʻole e like me ka cholesterol LDL (kolesterol maikaʻi ʻole) a mākou e kamaʻilio pinepine ai, ʻo ka pae kiʻekiʻe iki aʻe o ka cholesterol HDL ma mua o ka maʻamau e hōʻike ana ua haʻahaʻa kou pilikia o ka maʻi puʻuwai. ʻO ia ke kumu a mākou e kapa ai he "kolesterol maikaʻi."
Eia nō naʻe, ʻaʻole maikaʻi ka loaʻa ʻana o ka nui loa. Inā kiʻekiʻe loa kou pae HDL, hiki ke hōʻike he kaulike ʻole kou i kou mau pae cholesterol (dyslipidemia). No laila, e hoʻāʻo mau kāu kauka e kōkua iā ʻoe e mālama i kou pae HDL i loko o ka pae kūpono.
He aha ka manaʻo o ka huaʻōlelo HDL?
ʻO HDL ke kū nei no High-Density Lipoprotein . He ʻāpana liʻiliʻi ka lipoprotein i hana ʻia me nā lipids (e like me ka momona) a me nā protein.
E noʻonoʻo i ka cholesterol i loko o ko kākou kino e like me nā mea holo. ʻAʻole hiki i kēia mau mea holo ke hele wale ma ke koko. Pono lākou i nā kaʻa e hele ai. ʻO kēlā mau kaʻa, a i ʻole 'nā kaʻa', ʻo ia ka mea a mākou e kapa nei he lipoproteins.
ʻO kēia HDL hoʻokahi wale nō ʻano o ka 'bus' e holo ana i loko o kou koko. Aia kekahi mau ʻano bus ʻē aʻe i kapa ʻia ʻo LDL a me VLDL. Hōʻike kāu hōʻike "Lipid Panel" i ka nui o ka cholesterol o kēlā me kēia ʻano e holo ana i loko o kou koko i ka manawa o ke kaha koko.
ʻO ia hoʻi, ʻaʻole like ka HDL a me ka cholesterol HDL. ʻO HDL no ke 'kaʻa', a ʻo ka cholesterol HDL no nā mea holo (cholesterol) ma luna o kēlā kaʻa. Akā ma ka ʻōlelo maʻamau, kamaʻilio mākou e pili ana i nā mea ʻelua i ka mea like.
He aha ke kumu kūikawā i kapa ʻia ai ʻo HDL he 'cholesterol maikaʻi'?
ʻO ke kumu nui he "maikaʻi" nā ʻāpana HDL, ʻo ia ka mea ua ʻike ʻia e ka noiʻi lapaʻau e hōʻemi ana nā pae kiʻekiʻe o lākou i ka pilikia o ka maʻi puʻuwai.
ʻO ka hana nui o HDL, ʻo ia ka hōʻiliʻili ʻana i ka cholesterol keu i makemake ʻole ʻia i loko o ke kino a lawe iā ia i ke akepaʻa. E like me ke kanaka e ʻohi ana i ka ʻōpala mai ke alanui mai. A laila, wāwahi ke akepaʻa i kēia cholesterol a lawe aku mai ke kino me ka feces.
He mea maikaʻi loa kēia. No ka mea, inā piʻi ka cholesterol i loko o ke koko, hiki ke waiho ʻia ma nā paia o nā kīʻaha koko, e hana ana i ka mea a mākou e kapa nei he "plaque". Hiki i kēia ke hana i ka paʻa ʻana o nā kīʻaha koko a alakaʻi i nā maʻi koʻikoʻi e like me nā hōʻeha puʻuwai a me nā hahau.
No laila, pono mākou i nā 'buses' HDL lawa i loko o ko mākou koko e kiʻi i ka cholesterol keu i loko o ko mākou kino. ʻAʻole wale ia, kōkua ka HDL i ka hakakā ʻana i ka mumū i loko o ke kino a pale i nā ʻūpā koko . ʻO ia ke kumu a mākou e aloha nui ai i ka HDL, ua like ia me ka hoaaloha maikaʻi loa o ko mākou puʻuwai.
He aha nā waiwai i ʻōlelo ʻia no ka cholesterol HDL?
Hōʻike kēia papa i nā waiwai maʻamau a me nā waiwai ʻē aʻe no nā pae cholesterol HDL i nā pākeke. ʻOkoʻa iki kēia mau waiwai ma muli o ke kāne.
| Pae HDL | Ka waiwai (ma mg/dL) |
|---|---|
| Nā pae HDL haʻahaʻa (maikaʻi ʻole) | Nā kāne: emi ma lalo o 40 mg/dL Wahine: emi ma lalo o 50 mg/dL |
| Pae HDL olakino/maʻamau | Nā kāne: ma waena o 40 a me 80 mg/dL Wahine: ma waena o 50 a me 80 mg/dL |
| Kiʻekiʻe loa ka pae HDL | No nā mea a pau: ʻoi aku ma mua o 80 mg/dL |
No nā keiki a me nā ʻōpio, ua manaʻo ʻia kahi pae HDL maʻamau ma waena o 45 a me 80 mg/dL.
He aha nā kumu o ka haʻahaʻa o nā pae HDL?
Aia kekahi mau kumu e haʻahaʻa ai kou pae cholesterol HDL. ʻO kekahi o lākou:
- ʻO ka maʻi metabolic: He hui pū ʻana kēia o nā mea e hoʻonui ai i ka pilikia o ka maʻi puʻuwai. ʻO ka HDL haʻahaʻa kekahi o kona mau ʻano.
- Ke kaumaha o ke kino (BMI ʻoi aku ma mua o 25): Hiki i ka momona o ke kino ke hoʻohaʻahaʻa i nā pae HDL.
- Ka puhipaka a me ka hoʻohana ʻana i ka paka: ʻAʻole wale nā cigarettes a me nā bidis, akā ʻo ka nikotine i loko o nā e-cigarettes e hoʻohaʻahaʻa i ka HDL.
- Ke kū'ē ʻana o ka insulin: Ke piʻi ka momona o ke kino, e paʻakikī ana i ka insulin ke kāohi i ke kō koko. ʻO kēia kekahi kumu o ka HDL haʻahaʻa.
- Nā kūlana hoʻoilina: ʻO kekahi mau kūlana hoʻoilina e like me ka 'Familial combined hyperlipidemia', 'ApoA1 deficiency', 'Tangier disease' hiki ke hana i nā pae HDL haʻahaʻa.
- ʻO kekahi mau lāʻau lapaʻau āu e lawe ai: No ka laʻana, hiki i kekahi mau beta-blockers, hormones, a i ʻole diuretics (nā pila wai) ke hoʻohaʻahaʻa i ka HDL no kekahi manawa. Akā, mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka ma muli o kēia. ʻO ka hana ʻana pēlā e hoʻonui ai i kou pilikia o ka maʻi puʻuwai.
No ke aha e piʻi ai nā pae HDL me ke kumu ʻole?
I kekahi manawa hiki ke kiʻekiʻe aʻe nā pae HDL ma mua o 80 mg/dL. Hiki ke hana ʻia kēia e:
- Ka hoʻohana nui ʻana i ka waiʻona
- Hyperthyroidism (ka hana nui o ka thyroid gland)
- Nā kūlana e like me ka "cholangitis biliary mua"
- Kekahi mau loli i nā genes
- Nā hopena ʻaoʻao o kekahi mau lāʻau lapaʻau
Hiki iaʻu ke hoʻomalu i koʻu pae HDL?
ʻAe, hiki nō iā ʻoe! Inā haʻahaʻa kou pae HDL, e aʻo aku kāu kauka iā ʻoe i nā ala e hoʻonui ai. ʻO kēia mau mea:
- Ka ʻai ʻana i nā meaʻai olakino no ka puʻuwai (e.g. nā mea kanu, nā huaʻai, nā iʻa i loaʻa ka omega-3, nā nati).
- Ke komo ʻana i ka hoʻoikaika kino i kēlā me kēia lā.
- Ka mālama ʻana i kahi kaumaha olakino e kūpono iā ʻoe.
Inā kiʻekiʻe loa kou pae HDL, e noiʻi kāu kauka i ke kumu a kuhikuhi i ka lāʻau inā pono.
I ka nānā ʻana i kāu hōʻike cholesterol, e hoʻomanaʻo i ka 'H' ma HDL e kū nei no 'Helpful.' ʻO HDL ke ʻano cholesterol e kōkua ai i ke kino.
Hiki ke paʻakikī iki ke hoʻomaopopo i nā waiwai ma kāu hōʻike cholesterol. Akā, mai huikau. Inā ʻaʻole i kūpono kou pae HDL i ka pae maʻamau, aia kāu kauka ma laila e ʻimi i ke kumu a mālama iā ia. E hoʻomanaʻo, i ka wā e hoʻoholo ai e pili ana i kou olakino, ʻo kāu kauka kou hoa maikaʻi loa. E nīnau iā ia i nā nīnau āu e loaʻa ai.
Leka Lawe-Home
- ʻO HDL ka 'cholesterol maikaʻi' e lawe i ka cholesterol keu a maikaʻi ʻole mai ko mākou kino i ke akepaʻa no ka lawe ʻana.
- ʻO ka loaʻa ʻana o nā pae HDL kiʻekiʻe e hōʻemi ana i ka pilikia o ka maʻi puʻuwai. Eia naʻe, ʻaʻole maikaʻi mau ka loaʻa ʻana o lākou kiʻekiʻe loa.
- Inā haʻahaʻa kou pae HDL, hiki iā ʻoe ke hoʻonui iā ia ma ka ʻai ʻana i kahi meaʻai olakino, hoʻoikaika kino, a me ka mālama ʻana i ke kaumaha olakino.
- Inā he mau nīnau kāu e pili ana i nā waiwai i loko o kāu hōʻike cholesterol, mai huikau a kamaʻilio me kāu kauka. E wehewehe ʻo ia i nā mea āpau iā ʻoe.
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