He hoʻoilina anei kou pae cholesterol? (Kolesterol Kiʻekiʻe i hoʻoilina ʻia) E kamaʻilio kākou e pili ana i kēia.

Malia paha ʻoe kekahi e kāohi ana i kāu ʻai a me nā hoʻoikaika kino i kēlā me kēia lā. Akā ke loaʻa iā ʻoe kāu hoʻāʻo koko, ʻaʻole e iho ana kou pae cholesterol, ʻeā? I kekahi manawa e noʻonoʻo paha ʻoe, "No ke aha e hana nei kēia iaʻu wale nō? Hana pololei wau i nā mea āpau." ʻOiaʻiʻo, ʻaʻole kou ʻano nohona ke kumu o kēia, akā, he mea ia mai kou ʻohana mai, ʻo ia hoʻi, mai nā hanauna mai. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku .

E hoʻolohe i ka moʻolelo o kahi wahine ʻōpio i kapa ʻia ʻo Susan Addis. I kona wā ma ke kulanui, ua hoʻouna aku kona makuahine iā ia i kahi pūʻolo liʻiliʻi me kahi leka. ʻŌlelo ka leka, "E ʻai koke i nā meaʻai a pau aʻu i hoʻouna aku ai iā ʻoe, no ka mea, ma hope o kou hoʻāʻo ʻia ʻana o kou koko, ʻaʻole hiki iā ʻoe ke ʻai hou." I kēlā manawa, ua piʻi ka pae cholesterol o ka makuahine o Susan i 500 mg/dL. (ʻO nā mea a pau ma luna o 200 ua manaʻo ʻia he kiʻekiʻe.) Ua kauoha ke kauka e hoʻāʻo ʻia nā keiki ʻekolu ʻē aʻe o ka ʻohana.

ʻO Susan, he 24 ona makahiki i ia manawa, ua wīwī loa a olakino hoʻi ʻo ia e noi i ke kauka no kahi hoʻāʻo cholesterol. Ua loaʻa iā ia ka hoʻāʻo. ʻO ka hopena? Cholesterol 350 mg/dL! Akā ua hōʻole ke kauka he "kiʻekiʻe iki." Akā i ka wā i nānā ai ʻo Susan iā ia i loko o kahi puke i ʻike ai ʻo ia ua kiʻekiʻe loa kāna mau heluhelu.

ʻO kēia no ka mea he maʻi genetic kakaikahi ko Susan i kapa ʻia ʻo Familial Hypercholesterolemia . I ka ʻōlelo maʻalahi, hoʻoulu kēia ʻano i ka hōʻiliʻili ʻana o ka cholesterol i loko o kou kino, me ka nānā ʻole i kou kaumaha, ka ʻai, a i ʻole ka hoʻoikaika kino.

I ka wā hea i loko o kāu mau Genes?

Hoʻokahi i loko o ʻekolu mau mākua ma ka honua he cholesterol kiʻekiʻe. Akā, ʻo ke ʻano genetic a mākou i kamaʻilio ai ma mua i kapa ʻia ʻo familial hypercholesterolemia e hoʻopilikia i kahi hui liʻiliʻi loa, ma kahi o hoʻokahi i loko o 300 mau kānaka. Aia ma kahi o 1,500 mau ʻano gene e hoʻokumu ai. ʻO ka makua nona kēia gene he 50% ka manawa e hoʻoili ai i kā lākou keiki. Ua hoʻoilina ʻo Susan i kēia gene mai kona makuahine mai. Ua hoʻoilina pū ke kaikamahine a Susan, akā ʻaʻole kāna keiki kāne.

Hoʻopilikia ka hapa nui o kēia mau ʻano gene i kahi protein i kapa ʻia ʻo ka mea loaʻa LDL . ʻO ka hana a kēia protein ka wehe ʻana i ka cholesterol LDL , a i ʻole ka mea a mākou e kapa nei he "cholesterol maikaʻi ʻole," mai ke koko. Akā i nā poʻe me kēia maʻi genetic, ʻaʻole hana pono kēlā protein.

He kiʻekiʻe ko ka cholesterol o ka poʻe me kēia maʻi mai ka wā hānau. Inā ʻaʻole mālama ʻia, hiki iā lākou ke loaʻa i ka maʻi puʻuwai i ka wā ʻōpiopio.

ʻO ka mea maikaʻi loa, ʻo ia ka lāʻau lapaʻau no kēia mea like me ka mea no kekahi me ke kolesterol kiʻekiʻe. ʻO ia hoʻi, kahi ʻai haʻahaʻa momona, hoʻoikaika kino, a me nā lāʻau hoʻohaʻahaʻa kolesterol . Akā ʻo ka pilikia, ʻoiai me kēia mau mea a pau, inā aia ka mana ma nā lima o nā genes, hiki nō ke kiʻekiʻe nā pae cholesterol.

ʻOiai ʻo Susan ma ke kulanui, ua hahai ʻo ia i kahi papaʻai paʻa loa a hoʻoikaika kino i kēlā me kēia lā, a ua mālama ʻo ia i kona pae cholesterol ma 240 mg/dL wale nō. Akā, ua kiʻekiʻe nō ia. Ma hope o ka hoʻomaka ʻana i kahi ʻoihana, ʻaʻole hiki iā ia ke mālama i kēlā ʻano nohona. I kēia manawa, i kona mau makahiki 54, ua mālama ʻo ia i kāna cholesterol me ka lāʻau lapaʻau a me ka papaʻai kaulike.

ʻAʻole wale nā ​​​​genes, akā ʻo kou nohona "hoʻoilina"

ʻAʻole wale nā ​​​​genes i hoʻoilina ʻia mai ko mākou mau mākua mai, akā mai ko lākou mau ʻano maʻamau. ʻO kēia mau mea e komo pū ana me nā ʻano maikaʻi a me nā ʻano maikaʻi ʻole.

Nā ʻano maʻamau e hoʻomaka ma mua o ka hānau ʻana

E noʻonoʻo e pili ana i ia mea, hoʻomaka ka ulu ʻana o kou mau ʻono ma mua o kou hānau ʻia ʻana. Ua hōʻike ʻia nā noiʻi inā ʻai ka makuahine i nā ʻano meaʻai like ʻole i ka wā hāpai, ʻoi aku ka makemake o kāna pēpē i kēlā mau ʻono ma hope o ka hānau ʻana.Hoʻohui ʻia ke ʻala o nā mea ʻala e like me ke kālika, ka curry, a me ke kinika i ka wai amniotic a ke pēpē e moni ai i loko o ka ʻōpū.

Ma kekahi noiʻi, ua hāʻawi ʻia nā makuahine hāpai i ka wai kāloti a me ka wai e inu. Ma hope o ka hānau ʻana o kā lākou mau pēpē, ua emi iho nā helehelena o nā makuahine i inu i ka wai kāloti i ka wā i ʻai mua ai lākou i nā kāloti. Ua loaʻa nā hopena like i kahi noiʻi o nā makuahine i inu i ka wai kāloti i ka wā e hānai waiū ana.

Nā ʻano kamaliʻi

I kou wā ʻōpiopio, ua hoʻohālikelike ʻia kāu mau ʻano ʻai e ka mea a kou mau mākua e ʻai ai a inu ai i mua ou. "Ma ke ʻano he ʻohana, ʻai mākou i nā meaʻai like. Ua pili ka hapa nui o nā kānaka i nā mea a lākou i ʻai ai a ua maʻa lākou i ka ʻai ʻana mai ka wā ʻōpiopio," wahi a Kauka Spatz.

Pēlā nō, ʻo nā meaʻai i hāʻawi ʻia iā ʻoe ma ke ʻano he makana i kou wā kamaliʻi, a me nā meaʻai i pāpā ʻia iā ʻoe e ʻai, e hoʻopilikia pū i kēia. ʻO ka mea kupanaha, inā ʻaʻole ʻoe i ʻae ʻia e ʻai i nā meaʻai ʻono a me ka ʻaila i kou wā kamaliʻi, ʻoi aku ka nui o kou makeʻe ʻana iā lākou i kou wā makua.

Pēlā nō, inā he ʻeleu nā mākua, ʻoi aku ka nui o ka hana a nā keiki. Ma ka ʻaoʻao ʻē aʻe, ʻoi aku ka nui o ka puhipaka o nā keiki a nā mākua e puhipaka ana , ʻo ia kekahi kumu nui o ka cholesterol kiʻekiʻe.

Pehea lā kākou e kū ai i kēia pilikia hanauna?

ʻO ka nūhou maikaʻi, hiki ke kāohi ʻia ka pōʻino i hoʻokumu ʻia e nā genes hewa a me nā ʻano maikaʻi ʻole i hoʻoilina ʻia me ke ʻano o ke ola kūpono a me nā lāʻau lapaʻau .

ʻŌlelo ʻo Susan, "Ua ʻai nui au i ka tīhi i koʻu wā kamaliʻi, a makemake nui au i ka tīhi. Akā i kēia manawa ke pale aku nei au i nā huahana waiū momona kiʻekiʻe. ʻAʻole au e ʻai i ka ʻiʻo ʻulaʻula a i ʻole nā ​​hua manu holoʻokoʻa." Hoʻohana ʻo ia i kahi mea hahai hana e hoʻoikaika iā ia iho e noho hana. ʻO nā mea hiki ʻole iā ia ke kāohi me ka ʻai a me ka hoʻoikaika kino, hiki iā ia ke kāohi me kāna lāʻau lapaʻau.

I kēia manawa ua paʻa kona pae cholesterol ma waena o 220-240 mg/dL.

Ua ʻōlelo ʻo Susan ua loaʻa iā ia ka ikaika e hele ai ma kēia huakaʻi ma ka nānā ʻana i nā mea āpau me ka maikaʻi. "Ke ʻōlelo mai kāu kauka ua kiʻekiʻe kāu cholesterol a pono ʻoe e hana i kekahi mea e pili ana i ia mea, manaʻo mākou, 'ʻAʻole hiki iaʻu ke ʻai i kēia i kēia manawa, ʻaʻole hiki iaʻu ke ʻai i kēlā i kēia manawa.' Akā ua manaʻo wau, 'He aha nā mea hou e hiki iaʻu ke hoʻāʻo?'"

"ʻO ka noʻonoʻo ʻana pēlā ua kōkua nui iaʻu e kuke ma nā ʻano hou, e hoʻohana i nā mea ʻala like ʻole, a e hoʻāʻo i nā mea ʻono hou. Nui nā kīʻaha hiki ke hana ʻia me ka momona haʻahaʻa, akā ʻono nō naʻe . Hiki iā ʻoe ke ʻai olakino a ʻono hoʻi."

ʻOiaʻiʻo, ʻo ia ka mea a kekahi e makemake ai e hāʻawi aku i kā lākou mau keiki, ʻeā?