Ke lohe ʻoe i ka huaʻōlelo "cholesterol," he aha ka mea e hiki mai ana i ka noʻonoʻo? ʻO ka hapa nui o ka manawa, he maʻi ia e hoʻopilikia ana i ka poʻe ʻelemakule a me ka poʻe momona iki, ʻeā? Akā e kahaha paha ʻoe i ka ʻike ʻana he hiki i kahi ʻōpio, i ko lākou mau makahiki 20, ke loaʻa i ka hōʻeha puʻuwai koʻikoʻi. ʻO ka ʻoiaʻiʻo, ʻoi aku ka koʻikoʻi o nā pae cholesterol kiʻekiʻe i ka wā ʻōpiopio ma mua o ko mākou manaʻo, a ʻaʻole ʻike ka poʻe he nui e pili ana i ia mea. I kēia lā, e kamaʻilio mākou e pili ana i kēia kumuhana i manaʻo ʻole ʻia, akā he mea nui loa.
Ua loaʻa iā Brandon Wilson kāna hōʻeha puʻuwai mua i kona wā he 29 ona makahiki. I kekahi lā, ua ʻeha nui kona umauma. Ua lawe koke aku kona makuahine a me kona hoaaloha maikaʻi loa iā ia i ka lumi pilikia o ka haukapila (ETU). Akā i ka wā mua, ʻaʻole hiki i nā kauka ke manaʻoʻiʻo he hiki i kahi kanaka ʻōpiopio ke loaʻa i ka hōʻeha puʻuwai. Ma hope mai, ua hōʻike nā hoʻokolohua he 99% ka paʻa ʻana o Brandon i kekahi o nā kīʻaha koko nui e hoʻolako ana i ke koko i kona puʻuwai. He maʻi hoʻoilina kona i kapa ʻia he cholesterol kiʻekiʻe. Hōʻike kēia moʻolelo iā mākou ʻaʻole wale ka cholesterol he mea o ka makahiki.
He aha ka cholesterol? No ke aha he mea nui ia no ka poʻe ʻōpio?
I ka ʻōlelo maʻalahi, he ʻano momona ka cholesterol e pono ai no ka ulu ʻana o nā cell i loko o ko kākou kino a me ka hana ʻana o kekahi mau hormones. Akā, kū mai nā pilikia ke nui loa ia.
Ke kamaʻilio mākou e pili ana i ka cholesterol, ke kamaʻilio nei mākou e pili ana i ʻelua ʻano nui, ʻeā?
- ʻO ka LDL (Low-Density Lipoprotein) Cholesterol: ʻO kēia ka mea a mākou e kapa nei he cholesterol "maikaʻi ʻole". Ke piʻi aʻe, hiki iā ia ke kūkulu ma nā paia o ko mākou mau kīʻaha koko, e hoʻohaiki ana a ālai iā lākou. ʻO kēia ke kumu nui o nā maʻi e like me ka hōʻeha puʻuwai a me ka hahau.
- ʻO ka HDL (High-Density Lipoprotein) Cholesterol: ʻO kēia ka mea a mākou e kapa nei he cholesterol "maikaʻi". ʻO kēia no ka mea lawe ia i ka cholesterol maikaʻi ʻole mai nā kīʻaha koko i ke akepaʻa a lawe aku iā ia mai ke kino. No laila, ʻo ka loaʻa ʻana o nā pae HDL kiʻekiʻe he mea maikaʻi ia no ka puʻuwai.
Manaʻo ka poʻe ʻōpio he nui lākou e hopohopo e pili ana i ka cholesterol ke ʻelemakule lākou. Akā he kuhihewa nui kēlā. ʻO ka pilikia nui, ʻoiai inā kiʻekiʻe kou pae cholesterol, ʻaʻole paha lākou e hōʻike i kekahi mau hōʻailona i kou wā ʻōpiopio. ʻO ia hoʻi, hiki iā ʻoe ke hana i ka nui o ka pōʻino mai loko mai me ka ʻole o nā pilikia.
ʻO ka pilikia o ka cholesterol hoʻoilina - Familial Hypercholesterolemia (FH)
ʻO ka maʻamau, piʻi ka cholesterol ma muli o nā hewa o ke ʻano o ka nohona e like me ka meaʻai a mākou e ʻai ai a me ka nele o ka hoʻoikaika kino. Eia nō naʻe, ʻo ka Familial Hypercholesterolemia, a i ʻole FH no ka pōkole, he ʻano ʻokoʻa ia.
He maʻi ka FH i hoʻokumu ʻia e kahi kīnā hoʻoilina. ʻO ia hoʻi, ua hoʻoili ʻia mai kēlā hanauna a kēia hanauna, mai nā mākua a i nā keiki. Loaʻa i ka poʻe me kēia maʻi kahi maʻi kahi i hiki ʻole ai i ko lākou kino ke wehe pono i ka cholesterol LDL maikaʻi ʻole mai ko lākou koko. ʻO ka hopena, ua kiʻekiʻe loa ko lākou mau pae LDL mai ka hānau ʻana.
Ua manaʻo ʻia aia ma kahi o hoʻokahi i loko o 250 mau kānaka o ka honua i loaʻa iā FH. Akā, ʻo ka mea kaumaha, ʻaʻole ʻike ka hapa nui o kēia poʻe ua loaʻa iā lākou ke ʻano.
| Hiʻona | Ka pae cholesterol kiʻekiʻe maʻamau | ʻO ka Hypercholesterolemia ʻohana (FH) |
|---|---|---|
| Kumu | ʻO ke ʻano nui o ke ola (ʻai, nele i ka hoʻoikaika kino, puhipaka, momona) | He kīnā hoʻoilina i hoʻoili ʻia mai i nā hanauna. |
| Nā pae LDL ("maikaʻi ʻole") | ʻOi aku ka nui o ke koko o kahi pākeke ma mua o 190 mg/dL. | Kiʻekiʻe loa mai ka hānau ʻana (ʻoi aku ka kiʻekiʻe ma mua o 190 mg/dL i kahi pākeke). |
| Lapaʻau | Hiki ke hoʻomalu pinepine ʻia me nā hoʻololi ʻana i ke ʻano o ka nohona. Hāʻawi ʻia ka lāʻau lapaʻau inā pono. | ʻAʻole lawa ka hoʻololi ʻana i ke ʻano o ka nohona wale nō. He mea pono maoli ka lawe ʻana i nā lāʻau lapaʻau (e like me nā statins). |
| Ka mana o ka ʻohana | Hiki i nā ʻohana ke loaʻa ka pilikia, akā, ʻaʻole ia i hoʻoilina pololei ʻia ma ke ʻano genetic. | He 50% ka pilikia o nā ʻohana pili (nā mākua, nā kaikaina, nā keiki). |
I ka manawa hea e pono ai ʻoe e nānā i kou pae cholesterol?
He nīnau koʻikoʻi loa kēia, no ka mea, ʻaʻohe hōʻailona, a hiki ke ʻike ʻia kēia ma o ka hoʻāʻo wale ʻana.
ʻŌlelo pinepine nā kauka:
- No nā keiki: Paipai ʻia ka hoʻāʻo mua ma waena o nā makahiki 9 a me 11. Ma hope o kēlā, hana ʻia nā nānā ʻana ma kahi o kēlā me kēia 5 mau makahiki. Eia nō naʻe, inā ua loaʻa i kekahi o ka ʻohana nā hōʻeha puʻuwai i ka wā ʻōpiopio a i ʻole he cholesterol kiʻekiʻe, hiki i ke kauka ke paipai i ka nānā ʻana i nā pae cholesterol o kāu keiki i ka wā ʻelua .
- No nā mākua ʻōpio: He manaʻo maikaʻi e nānā ʻia kāu cholesterol ma ka liʻiliʻi i kēlā me kēia 5 mau makahiki ma hope o 20 mau makahiki. I kou wā e ʻelemakule ai (ma hope o 55 mau makahiki no nā wahine, ma hope o 45 mau makahiki no nā kāne), pono e hana pinepine ʻia kēia mau hoʻokolohua.
ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu kauka e pili ana i kēia a e hoʻāʻo ʻia e like me kāna ʻōlelo. Mai kuhi wale, "ʻAʻole paha he kiʻekiʻe koʻu cholesterol."
Inā loaʻa iā ʻoe ʻo FH, ʻaʻole lawa anei nā hoʻololi ʻana i ke ʻano o ka nohona wale nō?
ʻO kēia ka ʻokoʻa nui ma waena o ka FH a me nā pae cholesterol maʻamau. E hoʻomanaʻo i ka moʻolelo a Brandon a mākou i haʻi aku ai iā ʻoe ma mua? Ua ʻike ʻia ʻo ia me FH i kona wā he 8 makahiki. Mai ia manawa mai, ua hānai kona makuahine iā ia i kahi meaʻai olakino a haʻahaʻa i ka cholesterol. Ua pāʻani ʻo ia i nā haʻuki, ua hana ikaika. Ua hana ʻo ia i nā mea āpau "pololei." I kona mau makahiki he 20, ua kau ke kauka iā ia i kahi lāʻau hoʻohaʻahaʻa cholesterol (he statin).
Akā naʻe, ua loaʻa iā ia ka hāʻule puʻuwai i ka piha ʻana o kona mau makahiki he 29.
He aha ke ʻano o kēia?
He mea nui loa ka ʻai maikaʻi a me ka hoʻoikaika kino no kekahi me FH. Akā, ʻaʻole hiki i kēlā mau mea wale nō ke hoʻomalu i nā pae cholesterol. No ka mea, ʻaʻole ka pilikia ma ke ʻano o ka nohona, akā, ma nā genes. No laila, pono ke kanaka me FH e lawe i hoʻokahi a ʻoi aku paha nā lāʻau hoʻohaʻahaʻa cholesterol no ke koena o ko lākou ola .
"ʻAʻole mākou makemake e nalowale nā kānaka iā FH no ka mea, loaʻa iā mākou nā lāʻau lapaʻau a pau a mākou e pono ai i kēia lā. ʻO ka mea wale nō e pono ai mākou e hana, ʻo ia ke ʻike mua iā ia, i ka wā ʻōpiopio."
Hiki iaʻu ke loaʻa iā FH pū kekahi? Pehea wau e ʻike ai?
Inā ua loaʻa i kekahi o kou ʻohana (nā mākua, nā kaikaina, nā kūpuna) ka hōʻeha puʻuwai a i ʻole ka hahau ʻana i ka wā ʻōpiopio (nā kāne ma lalo o 55, nā wahine ma lalo o 65) , he kumu nui kēlā no ka pilikia.
Eia kekahi, inā hōʻike kāu hōʻike hoʻāʻo cholesterol i nā pae LDL ma luna o 190 mg/dL (a i ʻole ma luna o 160 mg/dL i ke keiki), hiki ke lilo i hōʻailona ikaika o FH.
Inā manaʻo ʻoe ua pilikia ʻoe, aia kekahi mau mea hiki iā ʻoe ke hana:
1. E ʻike koke i ke kauka: E akaka e pili ana i ka mōʻaukala olakino o kou ʻohana me kāu kauka.
2. E nīnau i kou ʻohana: E nīnau i kou ʻohana e pili ana i ka cholesterol a me nā maʻi puʻuwai.
3.E kuhikuhi i kahi loea: Inā pono, e kuhikuhi kāu kauka iā ʻoe i kahi cardiologist.
4. E hoʻomaopopo i kou ʻohana: Inā ua ʻike ʻia ʻoe me FH, aia he 50% ka manawa e loaʻa pū ai i kou mau mākua, nā kaikaina, a me nā keiki. No laila, he mea nui loa e hoʻāʻo ʻia nā mea a pau .
Ke noho hauʻoli nei ʻo Brandon me kāna mau keiki ʻelima. Ua ʻike ʻia hoʻi kāna kaikamahine me FH. Akā, wahi a Brandon, "Ua ʻike wau ʻaʻole e loaʻa i kaʻu kaikamahine kekahi pilikia." No ka mea, i kēia manawa ua ʻike lākou i ke ʻano o ka maʻi a me ka mea e hana ai e pili ana i ia mea. Hiki i ka ʻike mua ʻana a me ka mālama kūpono ke hoʻopakele i ke ola.
Leka Lawe-Home
- ʻAʻole wale ka cholesterol he pilikia no ka poʻe ʻelemakule. Aia pū kekahi poʻe ʻōpio a me nā keiki i ka pilikia.
- E ʻike inā ua loaʻa i kekahi o kou ʻohana ka maʻi puʻuwai i ka wā ʻōpiopio. He ʻike koʻikoʻi loa kēlā.
- ʻOiai inā ʻaʻohe ou hōʻailona, e nānā i kāu pae cholesterol a me kāu mau keiki i nā manawa maʻamau e like me ke kuhikuhi a kāu kauka.
- Inā loaʻa iā ʻoe ka FH hoʻoilina, ʻaʻole lawa ka ʻai pono ʻana a me ka hoʻoikaika kino. Pono nō hoʻi ʻoe e lawe i ka lāʻau lapaʻau no ke koena o kou ola.
- Inā ʻike mua ʻia ka maʻi a mālama pono ʻia, hiki iā ʻoe ke pale aku i nā pilikia koʻikoʻi i hoʻokumu ʻia e ka cholesterol a ola i kahi ola olakino. ʻAʻole ʻo FH he palapala make.
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