ʻO ʻelua o nā pilikia olakino maʻamau i ko kākou kaiāulu i kēia lā, ʻo ia ke kolamu kiʻekiʻe a me ke koko kiʻekiʻe, a i ʻole ke " kaomi " e like me kā kākou e ʻike nei. Loaʻa paha iā ʻoe kekahi a i ʻole nā mea ʻelua. Ua like kēia mau mea ʻelua me nā ʻaoʻao ʻelua o ka ʻāpana kālā hoʻokahi, a pinepine kekahi e hele pū me kekahi. ʻO ka ʻoiaʻiʻo, ʻoi aku ma mua o 60% o ka poʻe me ke koko kiʻekiʻe he kiʻekiʻe ko lākou mau pae kolesterol . He mau mea hoʻoweliweli kēia mau mea ʻelua i ke olakino o ko kākou puʻuwai. Akā ʻo ka nūhou maikaʻi, hiki iā kākou ke hoʻomalu i kēia mau waiwai ʻelua ma ke ʻano like me kekahi mau ʻanuʻu maʻalahi. E kamaʻilio kākou e pili ana i kēia i kēia lā.
He aha ka pilina ma waena o kēia mau mea ʻelua?
Ua like ka pilina ma waena o ke koko kiʻekiʻe a me ka cholesterol me ka pahi kaua ʻoi pālua.
E noʻonoʻo wale i kou mau kīʻaha koko ( nā aʻa ) e like me kahi ʻōnaehana o nā paipu e lawe ana i ka wai i kou home. ʻO ka cholesterol kahi ʻano ʻōpala a me ka lepo e hōʻiliʻili ana i loko o kēia mau paipu i ka hala ʻana o ka manawa. Ke hiki ʻole i ke kino ke wehe i ka cholesterol pono ʻole mai ke koko, hoʻomaka kēia cholesterol keu e hōʻiliʻili ma nā paia o nā kīʻaha koko. E like me ka hōʻiliʻili ʻana o ka lepo i loko o kahi paipu wai a pani i nā paipu, e lilo mālie nā kīʻaha koko i mea haiki a paʻakikī i ka wā e hōʻiliʻili ai kēia cholesterol.
E noʻonoʻo, no ka hoʻouna ʻana i ka nui like o ka wai ma o kahi ʻōmole i haiki ʻia, pono ka mīkini e hoʻokomo i ka mana hou aku, ʻeā? Pēlā nō, pono ko kākou puʻuwai e hana ikaika ma mua o ka maʻamau e pamu i ke koko ma o nā kīʻaha koko i haiki a paʻakikī. ʻO ke kaomi i hana ʻia i ka wā e pamu ai ka puʻuwai i ke koko me ka mana hou aku ʻo ia ka mea a mākou e kapa nei he koko kiʻekiʻe, a i ʻole " ke koko kiʻekiʻe."
I kēia manawa, e nānā kākou i kekahi ʻaoʻao o ka moʻolelo. ʻAʻole hiki wale mai ke koko kiʻekiʻe. Hoʻopōʻino ke koko kiʻekiʻe i nā paia o nā kīʻaha koko i ka hala ʻana o ka manawa, e hana ana i nā ʻōpala liʻiliʻi a me nā māwae . Ua like kēia mau wahi i hōʻino ʻia me nā lua i ke alanui. He mea maʻalahi loa ka hōʻiliʻili ʻana o ka cholesterol keu i loko o ke koko a waiho ʻia i loko o kēia mau lua.No laila, hōʻino ke kaomi i nā kīʻaha koko, a piʻi aʻe nā waihona kolesterol ma kēlā mau wahi i hōʻino ʻia. Maopopo iā ʻoe kēia pōʻaiapuni?
Ke noiʻi nei nā kānaka noiʻi lapaʻau i ka pilina hohonu ma waena o nā mea ʻelua. He hiki nō paha ke hoʻopili ʻia kēia e ka hana o ka ʻōnaehana Renin-Angiotensin (RAS), kahi ʻōnaehana o nā hormones a me nā protein i loko o ko kākou kino e kaohi ana i ke koko .
ʻO ka mea nui, ʻo ke kolamu kiʻekiʻe a me ke koko kiʻekiʻe ʻelua o nā kumu nui o ka pilikia no nā maʻi koʻikoʻi e like me ka hōʻeha puʻuwai a me ka hahau. Inā loaʻa iā ʻoe nā mea ʻelua, ʻoi aku ka kiʻekiʻe o kou pilikia.
Eia kekahi, ʻo kēia mau kūlana ʻelua he ʻāpana o kahi hui o nā maʻi i kapa ʻia ʻo "Metabolic Syndrome", kahi e hoʻonui ai i ka pilikia o ka maʻi diabetes.
Pehea e kaohi ai i kēia mau kūlana ʻelua?
ʻO ka hana mua a koʻikoʻi loa i ka mālama ʻana i kēia mau kūlana ʻelua, ʻo ia ka hana ʻana i kekahi mau hoʻololi maikaʻi i ko kākou nohona. Inā hahai pono ʻia kēia mau mea, hiki ke mālama pinepine ʻia me ka ʻole o ka lāʻau lapaʻau.
| Hoʻololi i ke ʻano o ka nohona | He aha e hana ai a me kona mea nui |
|---|---|
| ʻAi olakino | E hoʻokomo i nā huaʻai, nā mea kanu, nā legumes, nā palaoa piha, ka moa (me ka ʻili ʻole), iʻa, nā nati, a me nā ʻaila mea kanu i kāu papaʻai. E hōʻemi i ka ʻiʻo ʻulaʻula (pipi, puaʻa), nā ʻiʻo i hana ʻia e like me nā sausage, nā meaʻai paʻakai kiʻekiʻe, a me nā mea inu a me nā meaʻai momona . ʻO (DASH diet) a me (Mediterranean diet) ʻelua mau papaʻai maikaʻi i ʻōlelo ʻia no kēia. |
| Ke noho hana mau nei (hoʻoikaika kino) | E hoʻomaʻamaʻa kino ma ka liʻiliʻi he 150 mau minuke i kēlā me kēia pule. ʻAʻole pono kēia e pili i ka hele ʻana i ka hale hoʻoikaika kino. ʻOiai kekahi mea maʻalahi e like me ka hele wāwae wikiwiki, ka pulumi ʻana i ka pā hale, a i ʻole ka pāʻani ʻana me nā keiki e lawa. Hiki i kēia ke kōkua i ka hoʻohaʻahaʻa ʻana i ka cholesterol a me ke koko. |
| Ka emi ʻana o ke kaumaha keu | Hoʻopilikia pololei ka piʻi ʻana o ke kaumaha i ka cholesterol a me ke koko. Ke piʻi aʻe kou kaumaha, piʻi aʻe kou pae cholesterol "maikaʻi ʻole" (LDL) a emi iho kou pae cholesterol "maikaʻi" (HDL) . ʻO ka emi ʻana o 5% a 10% paha o kou kaumaha keu hiki ke loaʻa ka hopena koʻikoʻi i kou pae cholesterol a me ke koko. |
| Puhi paka a me ka waiʻona | Hoʻohaʻahaʻa ka puhipaka i kāu cholesterol "maikaʻi" (HDL) . Hiki i ka inu nui ʻana i ka waiʻona ke hoʻokiʻekiʻe i kou koko a me (Triglycerides) , ʻo ia kekahi ʻano momona i loko o ke koko. Hoʻonui kēia mau mea ʻelua i kou pilikia o ka maʻi puʻuwai. No laila, e noho mamao loa mai kēia mau ʻano maʻamau. |
| Ke lawe nei i ka lāʻau lapaʻau inā pono | Inā ʻaʻole hiki i nā loli o ke ʻano o ka nohona ke kāohi i kou mau pae, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau. Hiki iā lākou ke kuhikuhi i nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol (Statins) a i ʻole nā lāʻau lapaʻau ʻē aʻe e kāohi i ke koko. He mea nui e lawe i kēia mau lāʻau lapaʻau e like me ka mea a kāu kauka e ʻōlelo ai iā ʻoe, ma nā dosis kūpono, a no ka manawa kūpono. |
No ke aha mākou e pono ai e nānā i kēia?
ʻO ka mea weliweli loa e pili ana i kēia mau kūlana ʻelua, ʻaʻole lākou e hōʻike i nā hōʻailona i nā pae mua. Ua like lākou me nā "pepehi kanaka leo ʻole" e hōʻeha malū iā mākou i loko. ʻO ke ala wale nō e ʻike pono ai i kou pae cholesterol a me kou koko, ʻo ia ke hoʻāʻo ʻia. ʻO ia hoʻi ke ana ʻana i kou koko a me ka hana ʻana i kahi hoʻāʻo koko maʻalahi (he `Lipid Profile`).
Ma muli o ka hana ʻia ʻana o kēia mau kūlana i nā makahiki ʻōpio ma mua o ka wā ma mua, ua ʻōlelo ka American Heart Association i nā mea a pau ma hope o 20 mau makahiki e hana i nā hoʻokolohua maʻamau , e kūkākūkā i ko lākou mau waiwai me ke kauka, a e nānā ʻia inā pono.
Pono kekahi kumu ʻē aʻe? Ua hōʻike ʻia e ka noiʻi ʻana ʻo ka loaʻa ʻana o ka cholesterol kiʻekiʻe a i ʻole ke koko kiʻekiʻe i ka wā ʻōpio, ʻoiai inā e kāohi ʻia kēlā mau pae ma hope o ke ola, e hoʻonui nui i ka pilikia o ka maʻi puʻuwai i ka wā e hiki mai ana.
Eia kekahi laʻana, ua ʻike ʻia nā pae kiʻekiʻe o ka cholesterol maikaʻi ʻole (LDL) i ka wā ʻōpio e hoʻonui i ka pilikia o ka maʻi puʻuwai ma 64% ma hope o ke ola. Pēlā nō, ʻo ke koko kiʻekiʻe, ka helu kiʻekiʻe (`systolic`) a me ka helu lalo (`diastolic`), ua ʻike ʻia e hoʻonui i ka pilikia o ka hōʻeha puʻuwai ma 37% a me 21%, kēlā me kēia.
No laila, ʻaʻole wale nā nīnau kino maʻamau e hoʻōla i nā ola, akā pale aku hoʻi i ke kumukūʻai kiʻekiʻe a me ke kaumaha o ka noʻonoʻo o ka mālama ʻana ke ʻoi aku ka maʻi.
Leka Lawe-Home
- ʻO ke koko kiʻekiʻe a me ke kolesterol kiʻekiʻe ʻelua mau kūlana pili loa e hoʻonui ai i ka pilikia o nā maʻi koʻikoʻi e like me ka maʻi puʻuwai a me ka hahau.
- ʻAʻohe hōʻailona maopopo o kēia mau maʻi ʻelua i nā pae mua. No laila, he mea nui loa ka nānā mau ʻana ma hope o 20 mau makahiki.
- Hiki ke mālama pono ʻia kēia mau kūlana ʻelua ma o nā ʻano nohona maikaʻi e like me ka ʻai olakino, ka hoʻoikaika kino mau, ka kaohi ʻana i ke kaumaha, a me ka pale ʻana i ka puhipaka/waiʻona.
- I nā hihia kahi i lawa ʻole ai nā loli o ke ʻano o ka nohona, hiki i ka lawe ʻana i nā lāʻau lapaʻau i kuhikuhi ʻia e like me ke kuhikuhi a kāu kauka ke hōʻemi nui i kou pilikia.
- Inā he mau hopohopo kāu e pili ana i kou cholesterol a i ʻole ke koko kiʻekiʻe, mai hoʻowahāwahā iā lākou. E ʻike pono i kāu kauka a kūkākūkā iā lākou.
Kolesterol, koko kiʻekiʻe, kaomi, maʻi puʻuwai, kaohi kolesterol, kaohi kaomi, ola olakino
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