He kiʻekiʻe anei kou cholesterol? E kamaʻilio kākou e pili ana i kēia lāʻau statin?

E noʻonoʻo ʻoe e hele ana ʻoe e ʻike i kāu kauka no kahi hoʻāʻo koko. Ma hope o ka heluhelu ʻana i ka hōʻike, ʻōlelo ke kauka, "Ua kiʻekiʻe iki kou pae kolesterol LDL (maikaʻi ʻole)." ʻO ka nīnau mua e hiki mai ana i kou manaʻo, "Auē, pono anei iaʻu e lawe i kēia lāʻau hoʻohaʻahaʻa kolesterol i kēia manawa?" ʻAʻole maʻalahi ka pane i kēia e like me ka wā ma mua. Ua ʻoi aku ka paʻakikī i kēia manawa. E ʻike kākou i ke kumu.

Pehea ʻoe e hoʻoholo ai e hāʻawi i kahi statin?

I ka wā ma mua, he mau lula maopopo no kēia. Inā ʻoi aku ka nui o ka cholesterol koko ma mua o kekahi pae, e aʻo aku kāu kauka iā ʻoe e hana i nā hoʻololi i ke ʻano o ka nohona a hoʻomaka iā ʻoe e lawe i ka lāʻau statin.

He mea nui nō ke ʻano o ke ola kino olakino. ʻO ia hoʻi ka ʻai ʻana i kahi meaʻai olakino, ka hōʻemi ʻana i ka momona momona, a me ka hoʻoikaika kino mau . Akā, ua ʻokoʻa iki ka pane i ka nīnau inā e lawe i nā statins i kēia manawa. Ua loli kēia ma hope o ka hoʻopou hou ʻana o ka American Heart Association (AHA) a me ka American College of Cardiology (ACC) i kā lākou mau alakaʻi.

I kēia manawa, inā kiʻekiʻe loa kou pae cholesterol maikaʻi ʻole (LDL) (190 mg/dL a ʻoi aku paha) e hoʻomaka ai ʻoe i kahi lāʻau lapaʻau e pili ana i kēlā pae. A i ʻole, e noʻonoʻo kāu kauka i kekahi mau kumu ʻē aʻe. Eia kekahi laʻana:

• He maʻi diabetes kou?
• Wahi a kahi mīkini helu pilikia kikoʻī, ʻo 7.5% a ʻoi aku paha kou pilikia o ka loaʻa ʻana i ka hōʻeha puʻuwai a i ʻole ka hahau ʻana i loko o nā makahiki he 10 e hiki mai ana?

Ua noʻonoʻo ʻia nā kumu he nui e like me kēia i ka wā e hoʻoholo ai. Akā hoʻokahi mea e hoʻomanaʻo ai, ʻaʻole hahai pololei kekahi mau kauka i kēia mau alakaʻi hou. No laila, ma mua o ka hāʻawi ʻana iā ʻoe i kahi lāʻau lapaʻau, e kamaʻilio kāu kauka me ʻoe e pili ana i nā kumu pilikia ʻē aʻe e hoʻopilikia ai i ka maʻi puʻuwai.

He aha ka mea e hana maoli me kēia mau statins?

I ka ʻōlelo maʻalahi, he ʻano lāʻau hoʻohaʻahaʻa cholesterol ka statin. Inā ʻoe e lawe i hoʻokahi, hiki ke hoʻemi ʻia kāu mau pae cholesterol maikaʻi ʻole (LDL) ma 35% a 50% a ʻoi aku paha, ma muli o ke ʻano a me ka nui āu e lawe ai. Hiki i kēia ke hōʻemi nui i kou pilikia o ka loaʻa ʻana o ka hōʻeha puʻuwai a i ʻole ka hahau.

Hana nā Statins i loko o ko kākou ake. Ke ālai nei lākou i kahi enzyme i loko o ko kākou kino e hana ana i ka cholesterol. Eia kekahi, hana lākou i kahi mea nui ʻē aʻe. ʻO ia hoʻi, hoʻopaʻa lākou i nā waihona cholesterol (plaque) i hoʻopili ʻia i nā paia o ko kākou mau kīʻaha koko a hoʻēmi i ka mumū e hana pū me lākou. He mea nui loa kēia, no ka mea, inā pohā koke kēia mau waihona cholesterol (plaque), hiki iā ia ke hana i kahi ʻūpā koko a hoʻoulu i ka hōʻeha puʻuwai a i ʻole ka hahau.

ʻAʻohe pilikia i ka hāʻawi ʻana i nā statins i kekahi i loaʻa mua i ka hōʻeha puʻuwai a i ʻole ka hahau ʻana, no ka mea, ua hōʻoia ikaika ʻia kēia mau lāʻau lapaʻau e kōkua i ka pale ʻana i ka lua o ka hōʻeha puʻuwai a i ʻole ka hahau ʻana.

Loaʻa iā ʻoe nā hopena ʻaoʻao o nā statins?

E like me nā lāʻau lapaʻau āpau, hiki i nā statins ke loaʻa nā hopena ʻaoʻao. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau. E nānā kākou i nā hopena ʻaoʻao maʻamau a kakaʻikahi.

He aha hou aʻe kāu e noʻonoʻo ai i ka wā e lawe ai i ka lāʻau lapaʻau?

Inā paha ʻoe e hoʻoholo e lawe i kahi statin a i ʻole, he mea pono nā hoʻololi ʻana i ke ʻano o ka nohona. ʻAʻohe mea e pakele ai mai kēlā.

Hoʻokumu ʻia kēia ma luna o kahi ʻai momona maikaʻi (hoʻemi ʻia ke kō), kahi nohona hana, ka pale ʻana i ka puhipaka, a me ka kaohi ʻana i kou kaumaha kino. I kekahi manawa, inā ʻoe e hana i nā hoʻololi koʻikoʻi i kou nohona, hiki iā ʻoe ke hōʻemi i ka nui o ka lāʻau lapaʻau āu e pono ai e lawe. Hoʻemi pū kēia i ka pilikia o nā hopena ʻaoʻao.

Eia nō naʻe, aia kekahi mau mea hiki ʻole iā mākou ke hoʻololi, e like me kou mau makahiki a me nā genes. No laila, pono paha kekahi poʻe i ka lāʻau lapaʻau ʻoiai inā he nohona maikaʻi ko lākou.

E kamaʻilio me kāu kauka.

Inā kānalua mau ʻoe no kēia, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio ākea me kāu kauka e pili ana i ia mea. E noi iā ia no ka ʻike hou aku e pili ana i kēia. E kūkākūkā i nā kumu hou aʻe e like me ka loaʻa ʻana o ka maʻi puʻuwai (mōʻaukala ʻohana) i kekahi o kou ʻohana, he aha kou pae C-reactive protein (CRP), a inā ua loaʻa iā ʻoe ka maʻi diabetes gestational.

I kekahi manawa, ma mua o ke kau ʻana i kahi lāʻau lapaʻau, hiki i ke kauka ke hana i kahi scan kūikawā e nānā i nā waihona calcium i loko o nā kīʻaha koko.

ʻOiai he mau lāʻau lapaʻau pono loa nā statins, ʻaʻole kūpono lākou no nā mea āpau. Inā ʻaʻole ʻoe e loaʻa i nā hopena lawa mai nā statins, a inā ʻaʻole hiki iā ʻoe ke lawe iā lākou ma muli o nā hopena ʻaoʻao, aia kekahi mau ʻano lāʻau hoʻohaʻahaʻa cholesterol ʻē aʻe.

ʻO ka mea nui loa, ʻo ia ke kamaʻilio pinepine me kāu kauka e pili ana i kēia. E haʻi iā ia i nā mea a pau āu e manaʻo nei, kāu mau nīnau, kou mau makaʻu. E hoʻolohe ʻo ia iā ʻoe a kōkua iā ʻoe e hoʻoholo i ka mea maikaʻi loa iā ʻoe.