Ua ʻike anei ʻoe i kahi pae kolesterol kiʻekiʻe i loko o kahi hoʻāʻo koko? A i ʻole, ua haʻi aku kekahi kauka iā ʻoe ua "kiʻekiʻe iki kāu cholesterol maikaʻi ʻole a pono e kāohi ʻia"? He mea maʻamau paha kēia no nā poʻe he nui. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia kūlana i kapa ʻia ʻo hypercholesterolemia. I ka ʻōlelo maʻalahi, ʻo ia hoʻi ke kiʻekiʻe o ka cholesterol "maikaʻi ʻole" i loko o kou kino, ʻo ia hoʻi ka lipoprotein haʻahaʻa (LDL - Low-Density Lipoprotein), ʻoi aku ka kiʻekiʻe ma mua o ka mea e pono ai.
He aha ka hypercholesterolemia? E hoʻomaopopo pono kākou!
ʻAe, e wehewehe iki kākou. ʻO ka Hypercholesterolemia
ka wā e kiʻekiʻe loa ai ka cholesterol maikaʻi ʻole, a i ʻole ka cholesterol "LDL", i loko o kou koko. He maʻi lipid kēia. Ke piʻi aʻe ka "LDL" e like me kēia, hoʻomaka mālie kēlā momona keu e hōʻiliʻili i loko o kou mau kīʻaha koko, ʻoiai nā paia o kou mau aʻa. Ua like ia me ka ʻōpala e hōʻiliʻili ana i loko o kahi paipu wai kahiko. Kāhea mākou i kēia atherosclerosis.
E noʻonoʻo, ua like kēia me ka paipu wai i loko o kāu māla e pani ʻia ana e ka lepo a me ka wai. Ke hōʻiliʻili ka momona i loko o nā kīʻaha koko , ke ālai nei ia i ke kahe ʻana o ke koko.
ʻO kēia kūlana, i kapa ʻia ʻo "Atherosclerosis,"
hoʻonui i ka pilikia o nā maʻi koʻikoʻi e like me ka hōʻeha puʻuwai a me ka hahau. ʻO ka ʻoiaʻiʻo, ʻo ka maʻi cardiovascular ke kumu nui o ka make ma ka honua, a ʻo ke kumu nui ʻo ia kēia kūlana, i kapa ʻia ʻo "Atherosclerosis."
ʻO ka pae hea i manaʻo ʻia he hypercholesterolemia?
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Pehea ke kiʻekiʻe o koʻu pae cholesterol ma mua o koʻu hiki ʻana i kēia kūlana o ka hypercholesterolemia?" E hoʻoholo kāu kauka i kēia ʻaʻole wale ma ka nānā ʻana i kou pae `(LDL)`, akā ma ka hoʻohālikelike ʻana iā ia me nā mea pilikia ʻē aʻe i loaʻa iā ʻoe no ka hoʻomohala ʻana i nā maʻi cardiovascular. Ma ke ʻano laulā, ʻo ia nā pae i manaʻo ʻia he kiʻekiʻe ka cholesterol `(LDL)`:
- I ka loaʻa ʻole o nā kumu pilikia ʻē aʻe, ʻo ka pae LDL he 190 mg/dL a ʻoi aku paha.
- ʻO kekahi kumu pilikia nui ka pae LDL kiʻekiʻe ma mua o 160 mg/dL.
- Me ʻelua mau kumu pilikia, ʻoi aku ka nui o ka pae LDL ma mua o 130 mg/dL.
Ma muli o kou pilikia no ka maʻi puʻuwai, ʻōlelo paha nā kauka e mālama i kāu pae cholesterol "maikaʻi ʻole" (LDL) ma waena o 116 mg/dL a emi mai ka 70 mg/dL.
No laila, he aha kēia mau mea pilikia?
Inā loaʻa iā ʻoe kēia mau mea, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o nā maʻi puʻuwai:
He like nā mea like o ka hypercholesterolemia a me ka hyperlipidemia?
ʻAʻole. He ʻokoʻa iki kēia mau mea ʻelua. ʻO ka Hypercholesterolemia kekahi ʻano o kahi hui nui i kapa ʻia ʻo hyperlipidemia. I ka hypercholesterolemia,
ke nānā pono nei mākou i ka piʻi ʻana o ka cholesterol ``(LDL)``, ʻo ia hoʻi, ka cholesterol maikaʻi ʻole. Eia naʻe, ke ʻōlelo mākou ``(Hyperlipidemia)``, hiki ke hoʻokomo pū ʻia me ka piʻi ʻana o kekahi ʻano momona (lipid) i loko o ke koko, ʻaʻole wale ``(LDL)``.
ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?
ʻOi aku ka nui o kou loaʻa ʻana i nā pae cholesterol "(LDL)" kiʻekiʻe inā ʻoe:
- Inā ʻoe ma luna o 40 mau makahiki.
- Inā he lāhui ʻĀkia, India, Pilipino, a Vietnamese paha ʻoe.
- Inā he wahine postmenopausal ʻoe.
- Inā he wahine (i kekahi mau hihia).
Pehea ka maʻamau o ka hypercholesterolemia?
He kūlana maʻamau loa kēia. Ma ka awelika, ma kahi o hoʻokahi i loko o kēlā me kēia iwakālua kānaka e loaʻa paha ka hypercholesterolemia. Ua hōʻike ʻia he kokoke i hoʻokahi hapakolu o nā pākeke ma ʻAmelika Hui Pū ʻIa he kiʻekiʻe ko lākou pae kolesterol "maikaʻi ʻole" (LDL). He mea maʻamau nō hoʻi kēia kūlana ma Sri Lanka.
Pehea kēia e pili ai i kou kino?
E like me kā mākou i ʻōlelo ai ma mua, hiki i ka hypercholesterolemia ke hoʻopilikia i ka ʻōnaehana cardiovascular. ʻO nā mea nui:
- Hahau
- ʻO ka maʻi ʻaʻa coronary (ʻo ia ka mea e alakaʻi ai i nā hōʻeha puʻuwai)
- ʻO ka maʻi o ke aʻa peripheral (nā pilikia me nā veins e hoʻolako i ke koko i nā lima a me nā wāwae)
He aha nā hōʻailona?
Eia ka ʻāpana weliweli.
ʻAʻohe hōʻailona o ka nui o ka poʻe me ka hypercholesterolemia. ʻO ia hoʻi, hiki iā ʻoe ke ola maikaʻi, me ka ʻole o ka ʻoluʻolu ʻole, akā hiki i kou pae cholesterol ke kiʻekiʻe loa. Eia nō naʻe,
ʻo kekahi poʻe me ka hypercholesterolemia koʻikoʻi loaInā, hiki ke ʻike ʻia nā waihona kolesterol ma ka ʻili ma luna o nā lihilihi maka e like me nā puʻupuʻu melemele (Xanthelasma). A i ʻole, ma kekahi mau ʻiʻo pili, no ka laʻana, a puni nā hono o nā lālā, hiki ke ʻike ʻia nā waihona kolesterol ma ke ʻano he Xanthoma. I ka manawa kākaʻikahi, hiki ke ʻike ʻia nā waihona kolesterol a puni ke keʻokeʻo o ka maka ma ke ʻano he apo keʻokeʻo (Corneal arcus). Akā, he mea kākaʻikahi loa kēia.
He aha nā kumu o ka hypercholesterolemia?
Aia paha kekahi mau kumu no kēia.
- Kou mau genes: Loaʻa paha i kekahi poʻe kēia maʻi e holo nei i loko o ko lākou ʻohana. Ua kapa ʻia kēia he familial hypercholesterolemia.
- ʻAi: ʻAi nui ʻana i nā meaʻai he nui i ka momona saturated a me ka momona trans (e.g., nā meaʻai momona, ka meaʻai wikiwiki, kekahi mau ʻiʻo, nā huahana bakena).
- Ka nele i ka hoʻoikaika kino: Ke ola nei i kahi nohona me ka liʻiliʻi o ka hana kino.
- Nā huahana paka: Ka puhi paka a me ka hoʻohana ʻana i nā huahana paka ʻē aʻe.
- Nā kūlana olakino ʻē aʻe:
- Maʻi akepaʻa
- ʻO ka maʻi diabetes (Diabetes Mellitus)
- Hypothyroidism (thyroid hana ʻole)
- He maʻi ʻai ka Anorexia nervosa.
- Ka hāʻule ʻana o ka puʻupaʻa mau loa
- ʻO ka maʻi Nephrotic
- Kekahi mau lāʻau lapaʻau: No ka laʻana, hiki i kekahi mau lāʻau lapaʻau e like me `(Amiodarone)`, `(Rosiglitazone)`, `(Cyclosporine)`, a me `(Hydrochlorothiazide)` ke hoʻonui i nā pae cholesterol.
Pehea e ʻike ai i kēia?
ʻO ka mea maʻamau, ke hele ʻoe no kahi hoʻokolohua kino makahiki, e hana kāu kauka i kēia mau mea:
- E nīnau e pili ana i kou mōʻaukala olakino a me nā kūlana olakino ʻohana.
- Ke hana nei i kahi hoʻokolokolo kino.
- Ua kauoha ʻia kahi hoʻāʻo koko i kapa ʻia he lipid panel. Hana pinepine ʻia kēia ma hope o ka hoʻokē ʻai ʻana no kekahi mau hola.
He aha ke ʻano o nā hoʻokolohua e hana ʻia?
Ke kāpae kāu kauka i nā kumu ʻē aʻe o kou hypercholesterolemia, hiki iā ia ke ʻōlelo aku i ka hoʻāʻo genetic. Hiki i kāu kauka ke ʻōlelo aku i nā lālā ʻē aʻe o ka ʻohana e hana i kēia hoʻāʻo, ʻoiai inā he hypercholesterolemia familial kou.
Pehea e mālama ʻia ai?
ʻO ka pahuhopu nui o ka mālama ʻana i ka hypercholesterolemia, ʻo ia ka hoʻohaʻahaʻa ʻana i kāu mau pae cholesterol "maikaʻi ʻole" (LDL) a pale i ka pilikia o ka maʻi puʻuwai. Hiki ke hana ʻia kēia ma kekahi mau ʻano:
- Ke hoʻoikaika kino hou aku: E like me ka hele wāwae, ka holo ʻana, a i ʻole ka ʻauʻau ʻana no 30 mau minuke i ka lā.
- Ka mālama ʻana i ke kaumaha olakino: He mea nui loa ia e mālama i kahi kaumaha kūpono no kou kiʻekiʻe.
- ʻAi ʻana i ka meaʻai haʻahaʻa i ka momona saturated: Hoʻemi i nā meaʻai kiʻekiʻe i ka ʻaila a me ka momona.
- Hoʻēmi i ke kaumaha: Ke ʻimi nei i nā ala e hōʻemi ai i ke kaumaha.
- Ke lawe nei i nā lāʻau hoʻohaʻahaʻa cholesterol: E lawe i ka lāʻau e like me ke kauoha a kāu kauka.
- Ka hōʻalo ʻana i nā huahana paka: Hoʻōki loa i ka puhipaka.
- Ke kaohi ʻana i ke koko kiʻekiʻe a me nā pae kō koko.
- Lipoprotein apheresis: No ka poʻe me ka hypercholesterolemia koʻikoʻi wale nō kēia. Pili kēia i ka hoʻohana ʻana i kahi mīkini e wehe i nā lipoproteins (nā ʻāpana momona) mai kou koko a laila e hoʻokomo hou iā lākou i loko o kou kino.
He aha nā mea hiki ke ʻai ʻia a me nā mea hiki ʻole ke ʻai ʻia?
No ka hoʻemi ʻana i ka nui o ka cholesterol "maikaʻi ʻole" (LDL) i loko o kou koko, hiki iā ʻoe ke hana i kēia mau mea:
- E hōʻemi i ka inu ʻona: ʻOi aku ka maikaʻi o ka noho mamao aku mai ka waiʻona i ka hiki.
- E ʻai hou aku i nā huaʻai, nā mea kanu, nā legumes, a me nā palaoa holoʻokoʻa.
- Ka hōʻemi ʻana i nā meaʻai kiʻekiʻe i ka momona momona: Ka hōʻemi ʻana i nā meaʻai waiū (e like me ka tīhi, ka pata), kekahi mau ʻiʻo (ʻoi aku ka ʻiʻo ʻulaʻula), a me nā meaʻai ʻono (e like me nā keke, nā biscuits).
E noʻonoʻo e hoʻopiha i kāu pā me nā mea kanu a me nā huaʻai kala. Ma kahi o nā mea ʻaila a palai ʻia, e koho i nā meaʻai i hoʻolapalapa ʻia, mahu ʻia, a me nā meaʻai i kālua ʻia. ʻOiai ke hoʻohana nei i ka ʻaila niu, e hoʻohana pono ia.
He aha nā lāʻau lapaʻau i hoʻohana ʻia?
Aia kekahi mau ʻano lāʻau lapaʻau nui i hoʻohana ʻia e mālama ai i ka hypercholesterolemia:
- ʻO nā Statins: ʻO kēia nā mea i hoʻohana pinepine ʻia.
- Nā mea pale PCSK9 `(nā mea pale PCSK9)`
- ʻEzetimibe
- Nā mea hoʻopaʻa waikawa bile
- Niacin
- ʻAkika Bempedoic `(ʻAkika Bempedoic)`
Ua kuhikuhi pū nā kauka i nā lāʻau lapaʻau kūikawā ʻē aʻe no ka poʻe me ka hypercholesterolemia familial.
Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i nā lāʻau hoʻohaʻahaʻa cholesterol ke hana i kekahi mau hopena ʻaoʻao. Eia nō naʻe, i ka hoʻohālikelike ʻia me nā pono o kēia mau lāʻau lapaʻau, hiki ke ʻae ʻia kēia mau hopena ʻaoʻao. ʻO kekahi o nā hopena ʻaoʻao maʻamau:
- Ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi kahe.
- ʻEha i nā ʻiʻo a i ʻole nā hono.
- ʻO ka ʻeha o ka ʻōpū.
- ʻEha poʻo .
ʻO ka mea nui loa, ʻo ia ke haʻi aku i kāu kauka inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao. Hiki iā ia ke hoʻololi i ka nui o ka lāʻau a kuhikuhi paha i kahi lāʻau lapaʻau ʻokoʻa e kūpono iā ʻoe.
Pehea ka wikiwiki e hiki ai ke manaʻo ʻia nā hopena mai ka lāʻau lapaʻau?
Ma kahi o 8 a 12 mau pule ma hope o kou hoʻomaka ʻana e lawe i kāu lāʻau lapaʻau, e hana hou kāu kauka i kahi hoʻāʻo lipid panel e ʻike ai inā ua emi kāu mau pae cholesterol. Ma muli o nā hopena, e hoʻoholo kāu kauka inā pono e hoʻonui i ka nui o kāu lāʻau lapaʻau, hoʻololi i kahi lāʻau lapaʻau ʻē aʻe, a hoʻohui paha i kahi lāʻau lapaʻau ʻē aʻe.
Pehea e hōʻemi ai i ka pilikia?
Hiki iā ʻoe ke hōʻemi i kou pilikia o ka hoʻomohala ʻana i ka hypercholesterolemia ma o ka lawe ʻana i kahi nohona olakino:
- Hoʻoikaika kino mau.
- Ka mālama ʻana i ke kaumaha olakino.
- Ka ʻai ʻana i ka meaʻai haʻahaʻa momona.
- Ke pale nei i ka hoʻohana ʻana i nā huahana paka.
Ma ka hana ʻana i kēia mau mea, hiki iā ʻoe ke pale iā ʻoe iho mai ka cholesterol wale nō, akā, mai nā maʻi ʻē aʻe he nui.
He aha ka mea e hana inā loaʻa iā ʻoe ka hypercholesterolemia?
Inā ua ʻike ʻia ʻoe me ka cholesterol LDL kiʻekiʻe, he
mea ia e pono ai ʻoe e hoʻokele no ke koena o kou ola. Akā, mai hopohopo. Ke hoʻolilo ʻoe i nā hana olakino i ʻāpana o kou ola o kēlā me kēia lā, ʻaʻole pono ʻoe e noʻonoʻo nui e pili ana i ia mea. Hiki iā ʻoe ke hoʻomaka me nā mea liʻiliʻi. No ka laʻana, ka ʻai ʻana i kahi pāʻina ʻiʻo ʻole i hoʻokahi lā o ka pule, a i ʻole ka hele wāwae pōkole ma hope o ka ʻaina ahiahi i kēlā me kēia lā. Ke hele ʻoe i ka hale kūʻai, e koho i nā meaʻai haʻahaʻa i ka momona saturated a me ka momona trans. Ma kēlā ʻano, e loaʻa mau iā ʻoe nā meaʻai olakino ma ka home. Eia kekahi, e hoʻāʻo e hoʻohui i nā mea kanu a me nā mea kanu hou i kāu papaʻai āu i ʻai ʻole ai ma mua.
Pehea ke ʻano o ka nānā ʻana?
Inā ʻaʻole ʻoe e mālama i kou hypercholesterolemia, hiki iā ʻoe ke loaʻa i kahi maʻi i kapa ʻia ʻo `(Atherosclerosis)` (ka paʻakikī ʻana o nā aʻa). Hoʻonui kēia i kou pilikia o ka loaʻa ʻana o ka hōʻeha puʻuwai a i ʻole ka hahau.
Eia nō naʻe, inā ʻoe e lawe i kahi nohona olakino, lawe i ka lāʻau lapaʻau inā pono, a kaohi i kāu mau pae cholesterol `(LDL)`, hiki iā ʻoe ke hōʻemi nui i kou pilikia o ka hōʻeha puʻuwai a me ka hahau. Ua ʻike ʻia nā haʻawina lapaʻau he nui he ʻoi aku ka maikaʻi o ke olakino o ka poʻe e mālama pono ana i kā lākou hypercholesterolemia.
Pehea ʻoe e mālama ai iā ʻoe iho?
No ka mea, he
hana ola ka mālama ʻana i ka cholesterol, pono ʻoe e hoʻomau i ka hoʻololi ʻana i ke ʻano o ka nohona a lawe i kāu mau lāʻau lapaʻau e like me ke kauoha a kāu kauka. E hoʻomanaʻo i kēia mau mea:
- E hoʻoikaika kino i nā lā he nui i ka pule.
- E hōʻalo loa i nā huahana paka.
- E hōʻalo i nā meaʻai kiʻekiʻe i ka momona saturated a i ʻole ka momona trans.
Āhea ʻoe e pono ai e ʻike i ke kauka?
Mai poina i nā nānā maʻamau me kāu kauka. Makemake ʻo ia e ʻike:
- Ke hana pono nei kāu lāʻau hoʻohaʻahaʻa cholesterol?
- Ke loaʻa nei iā ʻoe kekahi mau hopena ʻaoʻao mai kāu lāʻau lapaʻau?
- Ke hahai pono nei ʻoe i kāna mau ʻōlelo aʻoaʻo?
Inā loaʻa iā ʻoe nā hopena ʻaoʻao koʻikoʻi, hiki i kāu kauka ke hoʻololi iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe. Makemake paha ʻo ia e nānā mau i kāu mau pae cholesterol e hōʻoia i loko o nā palena maʻamau.
He aha nā nīnau āu e nīnau ai i ke kauka?
Ke hele ʻoe e ʻike i ke kauka, mai kānalua e nīnau i nā nīnau e like me kēia:
- "He aha ke ʻano o ka hoʻoikaika kino e pono ai iaʻu e hana e hoʻohaʻahaʻa i koʻu pae cholesterol?"
- "Hiki iā ʻoe ke kuhikuhi mai i kahi papahana e hiki ke kōkua iaʻu e hoʻōki i ka puhipaka?"
- "Hiki iā ʻoe ke hāʻawi mai iaʻu i kahi kuhikuhi e ʻike ai i kahi meaʻai no ke kōkua me kaʻu papaʻai?"
Inā kiʻekiʻe kou pae kolesterol LDL, ʻaʻole ʻoe hoʻokahi. He pilikia maʻamau kēia i loaʻa i nā poʻe he nui. ʻO kāu kauka kou hoaaloha maikaʻi loa i ke kōkua ʻana iā ʻoe e hoʻihoʻi i kou pae kolesterol LDL i ka maʻamau. Hiki iā ia ke kuhikuhi i nā ala e kōkua ai iā ʻoe e hana i kēia. Inā ʻaʻole lawa nā hoʻololi ʻana i ke ʻano o ka nohona wale nō, hiki iā ʻoe ke hui pū me nā miliona o ka poʻe e lawe ana i nā lāʻau hoʻohaʻahaʻa kolesterol.
ʻO ka mea nui loa e pono ai kākou e hoʻomanaʻo mai kēia (Leka Lawe-Home)
ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai, eia nā mea nui e hoʻomanaʻo:
- ʻO ka Hypercholesterolemia ka piʻi ʻana o ka cholesterol maikaʻi ʻole (LDL) i loko o ke koko. Hoʻonui kēia i ka pilikia o ka hōʻeha puʻuwai a me ka hahau.
- ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona, no laila he mea nui e loaʻa i nā hoʻokolohua koko maʻamau.
- Hiki ke hoʻomalu maikaʻi ʻia kēia kūlana me nā loli o ke ʻano o ka nohona (ʻai maikaʻi, hoʻoikaika kino, a me ka hoʻōki ʻana i ka puhipaka) a, inā pono, nā lāʻau lapaʻau e like me ke kuhikuhi a ke kauka .
- Mai hopohopo. Inā ʻoe e kamaʻilio me kāu kauka a mālama pono iā ia, hiki iā ʻoe ke ola i kahi ola olakino.
No laila, e mālama pono i kou pae cholesterol. E noho olakino!
hypercholesterolemia, cholesterol, LDL, HDL, maʻi puʻuwai, hahau ʻana, ʻai, nohona
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