He kiʻekiʻe anei ka cholesterol o kāu keiki? (High Cholesterol in Children) - E kamaʻilio kākou e pili ana i kēia!

Manaʻo pinepine mākou i ka cholesterol he maʻi ia e hiki i nā pākeke wale nō, ʻoiai ka poʻe e ʻelemakule ana, ʻeā? Akā ʻo ka ʻoiaʻiʻo, hiki i kā mākou mau keiki liʻiliʻi, ʻo ia hoʻi, nā keiki kula, ke loaʻa i kēia ʻano cholesterol kiʻekiʻe. Malia paha ua makaʻu nui ʻoe a hopohopo hoʻi ke ʻike ʻoe ua hōʻike ka hōʻike koko o kāu keiki i ka cholesterol kiʻekiʻe. Ke noʻonoʻo nei paha ʻoe, "Auē, pehea i hiki ai kēia i kaʻu mea liʻiliʻi?" Mai hopohopo. He ʻano kēia i ʻike ʻia i kēia manawa i waena o nā keiki he nui. ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo pono ʻia e pili ana i kēia a lawe i nā hana e pono ai. E kamaʻilio kākou e pili ana i nā mea āpau ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha ke kumu e piʻi ai ka cholesterol o kēia mau keiki?

ʻAe, e hoʻomaopopo mua kākou i ke ʻano o ka cholesterol. ʻO ka cholesterol a me nā triglycerides ʻelua ʻano momona i loko o ko kākou koko. Kāhea mākou i kēia mau lipids. Pono ko kākou kino i kekahi o kēia mau lipids no nā hana koʻikoʻi he nui, e like me ke kūkulu ʻana i nā cell a me ka hana ʻana i nā hormones. ʻO ia hoʻi, ʻaʻole lākou a pau he mau mea maikaʻi ʻole.

Akā hoʻomaka ka pilikia ke piʻi aʻe kēia mau pae lipid ma mua o ka nui i koi ʻia. E like me ka meaʻai e pono ai ka paʻakai liʻiliʻi, inā nui ka paʻakai, ʻaʻole hiki iā ʻoe ke ʻai. Ke piʻi aʻe kēia mau pae cholesterol, hoʻomaka mālie lākou e waiho ma nā paia o ko mākou mau kīʻaha koko. I ka hala ʻana o ka manawa, hiki i kēia mau mea ke ālai i nā kīʻaha koko a hoʻomākaukau i ke ala no nā maʻi koʻikoʻi e like me ka maʻi puʻuwai a me ka hahau.

No laila pehea mākou e ʻike ai inā maikaʻi a maikaʻi ʻole paha ka pae cholesterol o ke keiki? ʻO ka hoʻāʻo koko no kēia ua kapa ʻia ʻo ia he lipid profile . Nānā nui kēia i kēia mau mea:

• Kolesterol LDL: ʻO kēia ka mea a mākou e kapa nei he "kolesterol maikaʻi ʻole." ʻO kēia ka mea e waiho ana i loko o nā kīʻaha koko a ālai iā lākou.
• ʻO ka cholesterol HDL: Kāhea mākou i kēia he "kolesterol maikaʻi." Kōkua ia i ka lawe ʻana i ka cholesterol maikaʻi ʻole i ke akepaʻa a wehe iā ia mai ke kino. No laila, ʻo ke kiʻekiʻe o ka pae HDL, ʻoi aku ka maikaʻi.
• Triglycerides: He ʻano momona ʻē aʻe kēia. ʻAʻole maikaʻi ka loaʻa ʻana o kēia nui loa.
• Ka nui o ka cholesterol: He hui pū ʻana kēia o nā mea i luna aʻe nei.

He ʻokoʻa iki nā pae o nā keiki mai nā pae awelika no nā pākeke. Hiki iā ʻoe ke loaʻa kahi manaʻo o kēia mai ka papa ma lalo nei.

He aha nā hōʻailona ke kiʻekiʻe ka cholesterol i loko o ke koko o kahi keiki?

ʻO kēia kekahi o nā pilikia nui loa ma ʻaneʻi. ʻO ka maʻamau, kiʻekiʻe ka cholesterol o ke keiki, akā ʻaʻohe hōʻailona o waho. Hiki i ke keiki ke ʻike ʻia e pāʻani ana a lele a puni a ke nānā aku nei he olakino maikaʻi loa. No laila he mea nui e nānā i nā pae cholesterol o nā keiki inā loaʻa i kekahi o ka ʻohana ka cholesterol a i ʻole ka maʻi puʻuwai.

Eia nō naʻe, he mea kakaikahi loa, inā piʻi nui ka pae cholesterol, ʻoiai ma muli o nā kumu genetic, nā hōʻailona e like me:

• Nā waihona momona ma ka ʻili (Xanthoma):I kekahi manawa, hiki ke hana ʻia nā puʻu melemele a waxy ma lalo o ka ʻili ma nā wahi e like me nā kuʻekuʻe lima, nā kuli, a me nā puʻupuʻu.
• Nā puʻupuʻu melemele kokoke i ka lihilihi (Xanthelasma): Hiki ke ʻike ʻia nā puʻupuʻu melemele ma loko o ka maka, ma luna a ma lalo paha o ka lihilihi.
• Corneal Arcus: Hiki ke ʻike ʻia ke apo keʻokeʻo a hina paha a puni ka cornea.

He mea kākaʻikahi loa kēia mau hōʻailona. No laila, he mea naʻauao ke kamaʻilio me kāu kauka a loaʻa kahi hoʻāʻo koko inā ʻoe i ka pilikia, ma mua o ke kali ʻana i nā hōʻailona e ʻike ʻia.

No ke aha e piʻi ai ka cholesterol i loko o ke keiki?

Hiki ke nui nā kumu no kēia. ʻAʻole paha hoʻokahi wale nō kumu, akā, he hui pū ʻana o kekahi mau kumu.

1. ʻAi: ʻO kēia ke kumu nui a hoʻokahi hiki iā mākou ke hoʻololi maʻalahi. Inā ʻoe e hānai mau i kāu keiki i nā meaʻai kiʻekiʻe i ka ʻaila a me ka momona, ʻoiai ka meaʻai wikiwiki, nā meaʻai bakena, nā meaʻai i hoʻopaʻa ʻia, a me nā mea inu kō i kiʻekiʻe i ka momona saturated a me ka momona trans, aia kahi manawa kūpono e loaʻa i kāu keiki ka cholesterol kiʻekiʻe.

2. Ka nele o ka hana kino: I kēia mau lā, nui nā keiki e hoʻolilo i ka manawa ma kā lākou kelepona, nā papa, a ma ke alo o ke TV ma mua o ka hele ʻana i waho a me ka pāʻani. Ke hoʻemi ʻia ka hoʻoikaika kino, ʻaʻole puhi ke kino i ka momona. Hiki i kēia ke hoʻonui i ka cholesterol maikaʻi ʻole (LDL) a hoʻemi i ka cholesterol maikaʻi (HDL).

3. Nā kūlana olakino ʻē aʻe: ʻO kekahi mau kūlana olakino e like me ka momona , ka maʻi diabetes , a me ka nephrotic syndrome hiki ke hoʻoulu i nā pae cholesterol kiʻekiʻe i loko o kahi keiki.

4. Hoʻoilina: He mea nui loa kēia. Inā he kiʻekiʻe ka cholesterol o ka makuahine a makua paha, a i ʻole kekahi lālā o ka ʻohana pili, a i ʻole ua loaʻa iā ia ka maʻi puʻuwai i kona wā ʻōpiopio, a laila ua pilikia pū ke keiki i ka loaʻa ʻana o ka cholesterol kiʻekiʻe ma muli o kona ʻano hoʻoilina.

E nānā kākou i kēia mau kumu hoʻoilina.

I kekahi manawa, ʻaʻohe mea pehea ka wīwī o ke keiki a i ʻole pehea ka maikaʻi o kā lākou ʻai ʻana, hiki nō ke kiʻekiʻe kā lākou cholesterol. ʻO ke kumu o kēia, ʻo ia ka genetics.

• ʻO ka Hypercholesterolemia Familial (FH): He kūlana hoʻoilina kēia. He kūlana kēia i hānau ʻia ai ke keiki me nā pae kiʻekiʻe loa o ka cholesterol LDL ("maikaʻi ʻole"). Hiki i kēia ke hana i kahi keiki inā hoʻoilina lākou i ka gene mai ko lākou makuahine a makuakāne paha. ʻO ka maʻamau, kānalua nā kauka i ka FH inā ʻoi aku ka kiʻekiʻe o ka pae LDL o ke keiki ma mua o 160 mg/dL no ke kumu ʻē aʻe.
• Nā Kumu Polygenetic: ʻO kēia ka wā e hoʻoilina ai ke keiki i nā ʻano genes he nui e hoʻonui ai i ka cholesterol mai ka makuahine a me ka makuakāne. I kēia hihia, piʻi mālie nā pae cholesterol a lilo i mea koʻikoʻi i ka wā ʻōpio.

Aia kekahi ʻano cholesterol ʻē aʻe i kapa ʻia ʻo Lipoprotein (a) . He mea hoʻoilina nō hoʻi kēia. Ke piʻi aʻe kēia pae, piʻi aʻe ka pilikia o ka maʻi puʻuwai.

He aha nā pilikia e kū mai ana i ka wā e hiki mai ana mai ka hoʻonui ʻia o ka cholesterol?

No ke aha mākou e hopohopo nei e pili ana i ke kolamu kiʻekiʻe i loko o kahi keiki? No ka mea, inā waiho ʻole ʻia i ka wā ʻōpiopio, hiki iā ia ke hoʻoulu i nā pilikia olakino koʻikoʻi i ka wā makua.

E like me ka mea i ʻōlelo ʻia ma mua, hōʻiliʻili ka cholesterol LDL keu i loko o nā kīʻaha koko. Ua kapa ʻia kēia he atheroma . ʻO kēia ke kumu e wili mālie ai a paʻakikī ai nā kīʻaha koko. ʻO ia ke kumu:

• Inā paʻa nā aʻa e hoʻolako ana i ke koko i ka puʻuwai , hiki ke loaʻa ka hōʻeha puʻuwai .
• Inā paʻa nā kīʻaha koko e hoʻolako ana i ke koko i ka lolo , hiki ke loaʻa kahi hahau .
• Hiki ke loaʻa ka maʻi ʻaʻa Peripheral inā paʻa nā aʻa koko e hoʻolako koko ai i nā wāwae.

ʻAʻole hiki ke hana ʻia kēia mau mea i loko o ka pō hoʻokahi, akā i loko o nā makahiki. ʻO ia ke kumu he hoʻopukapuka kālā nui ka ʻike ʻana a me ka mālama ʻana i kēia i ka wā ʻōpiopio i ka wā e hiki mai ana o ke keiki.

He aha kā mākou e hana ai e kāohi i nā pae cholesterol o kā mākou keiki?

ʻO ka nūhou maikaʻi, hiki ke hoʻokele pono ʻia kēia maʻi. ʻO ka laina mua o ka lāʻau lapaʻau a ke kauka, ʻo ia nā hoʻololi ʻana i ke ʻano o ka nohona.

Ka Papa Hana ʻEkahi: ʻAi a me ka Hoʻoikaika Kino

Ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau, hoʻāʻo nā kauka āpau e kāohi i nā pae cholesterol ma o kēia mau ʻano ʻelua. He mea nui kāu hāʻawi no kēia.

• Nā meaʻai haʻahaʻa momona: E hōʻemi i ka nui o ka momona i nā meaʻai āu e hānai ai i kāu keiki. ʻOi loa aku, pono ʻoe e hōʻemi i ka hoʻohana nui ʻana i nā ʻiʻo i hana ʻia , nā sausage , ka waiū momona piha a me ka tīhi , ka pata , ka ʻaila pama , a me ka ʻaila niu .
• E koho i nā momona maikaʻi: Ma kahi o nā momona maikaʻi ʻole, e hoʻohui i nā momona maikaʻi e like me ka ʻaila ʻoliva , ka avocado , a me ka ʻaila iʻa i kāu papaʻai.
• Nā meaʻai waiwai i ka fiber: E ʻai i nā meaʻai waiwai i ka fiber e like me nā mea kanu, nā huaʻai, nā legumes, ka oats, ka laiki ʻulaʻula, nā chickpeas, nā lentils, a me nā chickpeas. Hoʻemi kēia i ka omo ʻana o ka cholesterol i loko o ke kino.
• E hōʻemi i nā mea inu kō a me ke kō: E hōʻemi i kāu ʻai ʻana i nā meaʻai kō e like me nā mea inu hua i hoʻopaʻa ʻia, nā mea inu kalapona (soda), nā keke, nā biscuits, a me nā kokoleka i ka hiki. Hoʻonui kēia i nā pae triglyceride.
• Hoʻoikaika Kino: E paipai i kāu keiki e pāʻani no hoʻokahi hola i ka lā. Hiki ke lilo i mea like ʻole mai ka holo paikikala, ka holo ʻana, ka lele ʻana, a i ʻole ka ʻauʻau ʻana. Hiki i ka hoʻoikaika kino ma ke ʻano he ʻohana ke lilo i ala maikaʻi loa e hoʻomau ai i ka hoihoi o kāu keiki.

KaʻAnuʻu Hana ʻElua: Lāʻau lapaʻau (kauoha) inā pono wale nō

Inā ʻaʻole e emi nā pae cholesterol o kāu keiki ma hope o 6 mau mahina o ka hana ʻana i nā hoʻololi ʻana i ke ʻano o ka nohona i ʻōlelo ʻia ma luna, a inā kiʻekiʻe loa nā pae, hiki i ke kauka ke hoʻoholo e kuhikuhi i ka lāʻau lapaʻau. Hoʻomaka pinepine ʻia ka lāʻau lapaʻau no nā keiki ma luna o 8 mau makahiki.

ʻO ka lāʻau lapaʻau i kuhikuhi pinepine ʻia he papa o nā lāʻau i kapa ʻia ʻo statins (e.g., Atorvastatin, Rosuvastatin). Hana kēia mau mea ma ka hōʻemi ʻana i ka hana cholesterol i loko o ke akepaʻa a me ka wehe ʻana i ka cholesterol keu mai ke koko.

Pehea e hiki ai iaʻu, ma ke ʻano he makua, ke kōkua i kaʻu keiki?

He kuleana nui kāu e pāʻani ai ma kēia huakaʻi. ʻAʻole hiki iā ʻoe ke hana i kēia ma ke aʻo ʻana a i ʻole ke kāohi ʻana i kāu keiki. Pono ʻoe e hoʻomaopopo iā ia a hoʻomaʻamaʻa iā ia i kēia me ke aloha.

1. E hōʻuluʻulu i ka ʻohana holoʻokoʻa: Mai hoʻolilo i kēia i hoʻopaʻi no ke keiki wale nō. Ma kahi o ka ʻōlelo ʻana, "ʻO ʻoe wale nō ka mea hiki ʻole ke ʻai i ka ʻaila," he mea hoʻoikaika nui ia no ke keiki e hoʻomaʻamaʻa i ka ʻohana holoʻokoʻa i ke ʻano ʻai like ma ka ʻōlelo ʻana, "E ʻai kākou a pau i ke olakino i kēia manawa."

2. E hoʻololi i ke ʻano o kāu hoʻomākaukau ʻana i ka meaʻai: Ma kahi o ka palai hohonu, e hoʻāʻo i nā ʻano hana e like me ka hoʻolapalapa ʻana, ka puhi ʻana, ka hoʻomoʻa ʻana, a me ka palai ʻana i ka ea . I ka wā e kuke ai i ka curry, ʻoi aku ka maikaʻi o ka hana ʻana i loko o ka wai waiū ma mua o ka palai ʻana i ka ʻaila.

3. E heluhelu i nā lepili: Ke kūʻai ʻana i ka meaʻai mai ka hale kūʻai, e nānā i ka nui o ka "Saturated Fat" a me ka "Trans Fat" ma ka lepili. E koho i nā mea me ka nui haʻahaʻa loa o kēia mau mea.

4. Nā Meaʻai Māmā Olakino: Ke hānai nei ʻoe i kāu keiki i ka meaʻai i hoʻopaʻa ʻia i ke awakea? Akā, e hoʻāʻo e hāʻawi iā lākou i kahi ʻāpana huaʻai, yogurt, nā ʻāpana mea kanu (kāloti, kukama), nā pīni moa i hoʻolapalapa ʻia, a me nā pīni ʻōmaʻomaʻo.

5. E kipa pinepine i ke kauka: E lawe i kāu keiki no nā nānā kino a me nā keʻena lapaʻau e like me ke kauoha a ke kauka. He mea nui loa ka nānā ʻana i ka holomua.

E noʻonoʻo, he hoʻopukapuka kālā kēia āu e hana nei no ka wā e hiki mai ana o kāu keiki. Ma ke kau ʻana i kēia mau maʻamau i ka wā ʻōpiopio, e aʻo ʻo ia e ola i kahi ola olakino a hiki i kona wā e ulu ana.