Ua nānā hou anei ʻoe i nā hopena o kāu hoʻāʻo koko a ʻike ʻoe ua kiʻekiʻe loa kāu cholesterol? A i ʻole ua ʻōlelo paha kāu kauka, "Ua kiʻekiʻe iki kāu cholesterol 'maikaʻi ʻole', a pono ʻoe e kaohi iā ia"? ʻAʻole ʻoe hoʻokahi - he ʻike maʻamau kēia no nā mea he nui. I kēia lā, ma Nirogi Lanka , e kūkākūkā mākou i ka Hypercholesterolemia . I ka ʻōlelo maʻalahi, ʻo ke ʻano o kēia kūlana ua piʻi aʻe ka pae o ka cholesterol "maikaʻi ʻole" i loko o kou kino - i ʻike ʻia ʻo Low-Density Lipoprotein (LDL) - ma luna o ka pae olakino.
He aha maoli ka Hypercholesterolemia? E wehewehe kākou!
I mea e ʻoi aku ka pololei, ʻo Hypercholesterolemia kahi ʻano maʻi lipid kahi e lilo ai ka nui o ka cholesterol LDL i loko o kou koko i mea kiʻekiʻe loa. E noʻonoʻo i ka LDL ma ke ʻano he momona keu e kūkulu mālie ana ma nā paia o loko o kou mau aʻa. Ua like loa ia me ke ʻano o ka hōʻiliʻili ʻana o ka popo i loko o kahi paipu wai kahiko. Ua ʻike ʻia kēia kaʻina hana ma ke ʻano lapaʻau ʻo Atherosclerosis .
E noʻonoʻo i ka paipu wai i loko o kāu māla: inā hōʻiliʻili ka lepo i loko o nā paipu, e kaupalena ia i ke kahe ʻana o ka wai. Ke paʻa nā kīʻaha koko i nā waihona momona , e pilikia loa ke kahe ʻana o kou koko.
ʻO kēia Atherosclerosis ke kumu e piʻi nui ai kou pilikia no nā maʻi e hoʻoweliweli i ke ola e like me nā hōʻeha puʻuwai a me nā hahau. ʻO ka ʻoiaʻiʻo, ʻo ka maʻi cardiovascular ke kumu nui o ka make ma ka honua holoʻokoʻa, a ʻo Atherosclerosis kekahi mea nui i kēia.
He aha nā pae i manaʻo ʻia he Hypercholesterolemia?
Ke noʻonoʻo nei paha ʻoe, "I ka manawa hea e lilo ai koʻu pae cholesterol i Hypercholesterolemia?" ʻAʻole wale e hoʻoholo kāu kauka i kēia ma ka nānā ʻana i kāu helu LDL, akā ma ke kaupaona ʻana iā ia me kāu mau kumu pilikia ʻē aʻe no ka maʻi cardiovascular.
Ma keʻano laulā, eia nā paepae kahi i manaʻo ʻia ai he kiʻekiʻe ka cholesterol LDL:
- Inā ʻaʻohe ou kumu pilikia ʻē aʻe, e piʻi aʻe ka pae LDL ma mua o 190 mg/dL.
- Inā hoʻokahi kumu pilikia nui kāu, ʻo ia ka pae LDL ma luna o 160 mg/dL.
- Inā he ʻelua a ʻoi aku paha mau kumu pilikia āu, ʻoi aku ka pae LDL ma luna o 130 mg/dL.
Ma muli o kou pilikia pilikino no ka maʻi puʻuwai, hiki i nā kauka ke ʻōlelo aku e mālama i kāu mau pae cholesterol LDL ma lalo o 116 mg/dL a i ʻole ma lalo o 70 mg/dL.
No laila, he aha kēia mau mea pilikia?
ʻOi aku ka nui o kou pilikia o ka maʻi puʻuwai inā loaʻa iā ʻoe kēia mau mea:
- Makahiki: Piʻi ka pilikia i kou wā ʻelemakule.
- Ke koko kiʻekiʻe : Loaʻa i ka hypertension .
- Moʻolelo ʻOhana : Inā he maʻi puʻuwai ko kekahi lālā pili o ka ʻohana i hoʻokumu ʻia e Atherosclerosis i kona wā ʻōpiopio.
- Ka maʻi diabetes : Ke noho nei me ka maʻi diabetes mellitus .
- HDL Haʻahaʻa: Loaʻa nā pae haʻahaʻa o ka High-Density Lipoprotein, a i ʻole ka cholesterol "maikaʻi".
He like anei ka Hypercholesterolemia a me ka Hyperlipidemia?
ʻAʻole, he ʻokoʻa iki lākou. ʻO ka Hypercholesterolemia kekahi ʻano kikoʻī ma lalo o ka māhele ākea o Hyperlipidemia . Me ka Hypercholesterolemia, ke kālele nui nei mākou i nā pae kiʻekiʻe o ka cholesterol LDL (maikaʻi ʻole). Eia nō naʻe, uhi ka Hyperlipidemia i nā pae kiʻekiʻe o kekahi ʻano momona (lipids) i loko o ke koko, ʻaʻole wale ʻo LDL.
ʻO wai ka mea i pilikia nui?
ʻOi aku ka nui o kou loaʻa ʻana i ka cholesterol LDL kiʻekiʻe inā ʻoe:
- Aia ma luna o 40 mau makahiki.
- No ʻAsia Hema, Pilipino, a i ʻole Vietnamese paha lākou.
- He wahine ma hope o ka menopause.
- He wahine (ma kekahi mau kūlana).
Pehea ka maʻamau o ka Hypercholesterolemia?
He maʻi maʻamau loa ia. Ma ka helu helu, hoʻokahi i loko o kēlā me kēia iwakālua kānaka e loaʻa paha ia. Ma ʻAmelika Hui Pū ʻIa, kokoke i hoʻokahi hapakolu o nā pākeke e hōʻike ana i nā pae LDL kiʻekiʻe, a ʻike pinepine ʻia hoʻi ma Sri Lanka.
Pehea kona hopena i kou kino?
E like me ka mea i ʻōlelo ʻia ma luna nei, hiki i ka hypercholesterolemia ke alakaʻi i nā pilikia koʻikoʻi o ka cardiovascular, me:
- Hahau
- ʻO ka maʻi ʻaʻa coronary (kahi e alakaʻi ai i nā hōʻeha puʻuwai)
- ʻO ka maʻi o ke aʻa peripheral (nā pilikia me nā kīʻaha koko e hoʻolako ana i kou mau lima a me kou mau wāwae)
He aha nā hōʻailona?
ʻO kēia ka ʻāpana weliweli: ʻO ka hapa nui o ka poʻe me Hypercholesterolemia ʻaʻole ʻike i nā hōʻailona iki. Manaʻo paha ʻoe ua maikaʻi loa, akā hiki i kou pae cholesterol ke kiʻekiʻe loa i loko o kou kino.
Eia nō naʻe, i nā hihia kakaikahi a koʻikoʻi , hiki i kekahi poʻe ke hoʻomohala i nā waihona momona melemele ma lalo o ka ʻili kokoke i nā lihilihi maka (Xanthelasma). Hiki ke ʻike ʻia nā waihona like, i kapa ʻia ʻo Xanthomas, a puni nā tendon a i ʻole nā hono. I nā hihia kakaikahi, ʻike paha ʻoe i kahi apo keʻokeʻo a puni ka cornea o ka maka (Corneal arcus). He mea maʻamau ʻole kēia mau hōʻailona kino.
He aha ke kumu o ka Hypercholesterolemia?
He nui nā kumu e pāʻani i kahi kuleana:
- ʻIke Hoʻoilina: Loaʻa i kekahi poʻe kēia kūlana, i ʻike ʻia ʻo Familial Hypercholesterolemia .
- ʻAi: Ka ʻai ʻana i nā nui o ka momona saturated a me ka trans (e like me nā meaʻai palai, nā meaʻai māmā i hana ʻia, kekahi mau ʻiʻo, a me nā huahana bakena).
- Ka nele i ka hoʻoikaika kino: Ke alakaʻi nei i kahi nohona noho maʻamau.
- Ka hoʻohana ʻana i ka paka: Puhi paka a hoʻohana paha i nā huahana paka ʻē aʻe.
- Nā kūlana olakino ʻē aʻe:
- Maʻi akepaʻa
- ʻO ka maʻi diabetes mellitus
- Hypothyroidism (thyroid hana ʻole)
- ʻAnorexia nervosa
- Ka hāʻule ʻana o ka puʻupaʻa mau loa
- ʻO ka maʻi Nephrotic
- ʻO kekahi mau lāʻau lapaʻau: ʻO nā lāʻau lapaʻau e like me Amiodarone, Rosiglitazone, Cyclosporine, a i ʻole Hydrochlorothiazide hiki ke hoʻonui i kāu mau pae cholesterol i kekahi manawa.
Pehea e ʻike ʻia ai?
I kāu hoʻokolohua kino makahiki, ʻo kāu kauka ke ʻano maʻamau:
- E nānā i kāu mōʻaukala olakino a me ka ʻike olakino ʻohana.
- E hana i kahi hoʻokolokolo kino.
- E kauoha i kahi hoʻāʻo koko Lipid Panel , kahi e pono ai ka hoʻokē ʻai no kekahi mau hola.
He aha ke ʻano o nā hoʻokolohua e hana ʻia?
Ke hōʻoia kāu kauka ʻaʻole i hoʻokumu ʻia kāu hypercholesterolemia e nā kūlana kumu, hiki iā lākou ke kuhikuhi i ka hoʻāʻo genetic. Inā ua ʻike kūikawā ʻia ʻoe me ka Familial Hypercholesterolemia, hiki i kāu kauka ke ʻōlelo aku i kou ʻohana e hana pū i ka nānā ʻana i ka genetic.
Pehea e mālama ʻia ai?
ʻO ka pahuhopu nui o ka mālama ʻana i ka hypercholesterolemia ka hoʻohaʻahaʻa ʻana i kāu mau pae cholesterol LDL e pale aku iā ʻoe mai ka pilikia o ka maʻi puʻuwai.
Hiki ke mālama ʻia kēia ma nā ʻano he nui:
- Hoʻonui i ka hana kino: E hoʻāʻo no ka liʻiliʻi he 30 mau minuke o ka hana i kēlā me kēia lā, e like me ka hele wāwae, ka holo ʻana, a i ʻole ka ʻauʻau ʻana.
- Ka mālama ʻana i ke kaumaha olakino: He mea nui ka hiki ʻana a me ka mālama ʻana i ke kaumaha kūpono i kou kiʻekiʻe.
- Hoʻēmi i nā momona momona: E hōʻemi i nā meaʻai momona a me nā ʻaila i kāu papaʻai.
- Ka Hoʻokele ʻana i ke Koʻikoʻi: E ʻimi i nā ala olakino e hoʻoponopono ai i ke Koʻikoʻi o kēlā me kēia lā.
- Lāʻau hoʻohaʻahaʻa kolesterol: E lawe mau i ka lāʻau i kauoha ʻia e kāu kauka.
- Ke pale ʻana i nā huahana paka:He mea nui ka haʻalele ʻana i ka puhipaka no kou olakino cardiovascular.
- Ke kaohi ʻana i ke koko a me nā pae kō koko.
- Lipoprotein apheresis: Mālama ʻia no nā hihia koʻikoʻi, hoʻohana kēia kaʻina hana i kahi mīkini kūikawā e kānana i nā lipoproteins ʻino mai kou koko ma mua o ka hoʻihoʻi ʻana i kou kino.
He aha kāu e ʻai ai a he aha kāu e pale aku ai?
No ka hoʻohaʻahaʻa pono ʻana i kāu LDL cholesterol, hiki iā ʻoe ke hoʻohui i kēia mau hoʻololi ʻai:
- E hōʻemi i ka inu ʻana i ka waiʻona: ʻOi aku ka maikaʻi o ka hōʻole ʻana i ka waiʻona i ka hiki.
- E kālele i nā huahana hou: E hoʻonui i kāu ʻai ʻana i nā mea kanu, nā lau lau, nā huaʻai, a me nā palaoa holoʻokoʻa.
- E hōʻalo i nā meaʻai momona kiʻekiʻe: E hōʻemi i nā huahana waiū e like me ka tīhi a me ka pata, kekahi mau ʻiʻo (ʻoi aku ka ʻiʻo ʻulaʻula), a me nā mea ʻono i hana ʻia e like me nā keke a me nā biscuits.
E hoʻāʻo e hoʻopiha i kāu pā me nā mea kanu a me nā huaʻai ʻōniʻoniʻo. E koho i nā mea i hoʻolapalapa ʻia, mahu ʻia, a i ʻole i kālua ʻia ma kahi o nā meaʻai palai. ʻOiai ke hoʻohana nei i ka ʻaila niu, he mea nui ka hoʻohaʻahaʻa no ka ʻai olakino puʻuwai ma Nirogi Lanka.
He aha nā lāʻau lapaʻau i hoʻohana ʻia?
Hiki i kāu kauka ke kuhikuhi i kekahi mau ʻano lāʻau lapaʻau e mālama ai i ka hypercholesterolemia:
- ʻO Statins: ʻO kēia nā lāʻau lapaʻau i kuhikuhi pinepine ʻia.
- Nā mea kāohi PCSK9.
- ʻEzetimibe.
- Nā mea hoʻopaʻa waikawa bile.
- Niacin.
- ʻAkika Bempedoic.
No ka poʻe me Familial Hypercholesterolemia, hiki i nā kauka ke kuhikuhi i nā lāʻau lapaʻau kūikawā hou aʻe.
Aia kekahi mau hopena ʻaoʻao i ka lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i nā lāʻau hoʻohaʻahaʻa cholesterol ke hana i nā hopena ʻaoʻao. Eia nō naʻe, ʻoi aku ka nui o nā pono olakino ma mua o kēia mau pilikia, a hiki ke hoʻokele pinepine ʻia nā hopena ʻaoʻao.
ʻO nā hopena ʻaoʻao maʻamau e komo pū paha:
- Ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi kahe.
- ʻEha ʻiʻo a hui paha.
- ʻO ka ʻeha o ka ʻōpū.
- ʻEha poʻo.
ʻO ka mea nui loa, inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao, e hoʻomaopopo koke i kāu kauka. Hiki iā lākou ke hoʻololi i kāu dosage a hoʻololi paha iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe e kūpono iā ʻoe.
Pehea ka wikiwiki e hiki ai iaʻu ke manaʻo i nā hopena?
Ma hope o kou hoʻomaka ʻana i kāu lāʻau lapaʻau, e hana hou paha kāu kauka i kahi panela lipid ma hope o 8 a 12 mau pule e ʻike ai pehea i pane ai kāu mau pae cholesterol. Ma muli o kēia mau hopena, hiki iā lākou ke hoʻoponopono i kāu lāʻau lapaʻau, hoʻololi i kāu lāʻau lapaʻau, a hoʻohui paha i kahi hui lāʻau lapaʻau e kōkua iā ʻoe e hoʻokō i kāu mau pahuhopu.
Pehea e hiki ai iaʻu ke hōʻemi i koʻu pilikia?
Hiki iā ʻoe ke hoʻohaʻahaʻa i kou pilikia o nā pilikia e pili ana i ka hypercholesterolemia ma o ka lawe ʻana i kahi nohona olakino:
- E hoʻoikaika kino i nā manawa a pau.
- E mālama i ke kaumaha olakino.
- E koho i kahi meaʻai olakino no ka puʻuwai.
- E pale i nā huahana paka.
Kōkua kēia mau ʻano hana i ka pale ʻana iā ʻoe ʻaʻole wale mai ka cholesterol kiʻekiʻe, akā, mai nā maʻi maʻi ʻē aʻe he nui pū kekahi.
He aha ka mea e hana inā loaʻa iaʻu ka hypercholesterolemia?
Inā ua ʻike ʻia ʻoe me ka cholesterol LDL kiʻekiʻe, he hana ia e mālama ai i ke ola holoʻokoʻa. Eia naʻe, mai hoʻonāwaliwali. Ke hoʻohui ʻoe i nā hana olakino i kāu hana maʻamau i kēlā me kēia lā, lilo ia i ʻāpana maoli o kou ola ma mua o ke kumu o ka hopohopo mau.
E hoʻomaka me nā ʻanuʻu liʻiliʻi a hoʻomau. No ka laʻana, e ʻai i ka ʻai ʻiʻo ʻole i hoʻokahi manawa i ka pule, a i ʻole e hele wāwae pōkole ma hope o ka ʻaina ahiahi. I ke kūʻai ʻana i nā meaʻai, e hoʻoikaika i nā mea haʻahaʻa i ka momona saturated a me ka trans. E hoʻāʻo me nā mea kanu hou a i ʻole nā lau lau ʻole āu i hoʻāʻo ʻole ai ma mua e mālama i kāu ʻai i mea hoihoi a momona.
He aha ka hiʻohiʻona lōʻihi?
Inā ʻaʻole mālama ʻia, hiki i ka hypercholesterolemia ke alakaʻi i ka atherosclerosis (ka hoʻohaiki ʻia ʻana o nā aʻa), kahi e hoʻonui nui ai i kou pilikia o ka hōʻeha puʻuwai a i ʻole ka hahau.
Eia nō naʻe, ma ka lawe ʻana i kahi nohona olakino a me ka lawe ʻana i nā lāʻau lapaʻau e pono ai e kāohi i kāu cholesterol LDL, hiki iā ʻoe ke hōʻemi nui i kou pilikia. Hōʻike nā haʻawina lapaʻau he nui e mālama ana ka poʻe e hoʻokele pono ana i ko lākou mau pae cholesterol i ke olakino maikaʻi loa no ka wā lōʻihi.
Pehea wau e mālama ai iaʻu iho?
Ma muli o ke kūpaʻa ʻana o ka hoʻokele cholesterol i ke ola holoʻokoʻa, pono ʻoe e noho kūlike me kou mau loli nohona a pili pono i kāu lāʻau lapaʻau i kuhikuhi ʻia.
E hoʻomanaʻo i kēia mau mea:
- E hoʻoikaika kino i ka hapa nui o nā lā o ka pule.
- E hōʻole loa i nā huahana paka a pau.
- E pale i nā meaʻai me ka momona saturated a i ʻole trans.
Āhea wau e ʻike ai i kaʻu kauka?
Mai hoʻokuʻu i kāu mau manawa hoʻopaʻa. Pono kāu kauka e nānā:
- Inā ke hana pono nei kāu lāʻau hoʻohaʻahaʻa cholesterol.
- Inā ʻoe e loaʻa ana i kekahi hopena ʻaoʻao.
- ʻO kou pili ʻana i ka hoʻolālā lapaʻau i ʻōlelo ʻia.
Inā loaʻa iā ʻoe nā hopena ʻaoʻao koʻikoʻi, hiki i kāu kauka ke hoʻololi palekana i kāu lāʻau lapaʻau. He mea nui nō hoʻi nā nānā mau ʻana e hōʻoia i ka noho ʻana o kāu mau pae cholesterol i loko o kahi pae palekana a olakino.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
Mai kānalua e nīnau i kāu kauka i kēia mau nīnau i kou wā e kipa aku ai:
- "He aha nā ʻano hoʻoikaika kino maikaʻi loa iaʻu e hoʻohaʻahaʻa i kaʻu cholesterol?"
- "Hiki iā ʻoe ke kuhikuhi mai i kahi papahana e kōkua iaʻu e haʻalele i ka puhipaka?"
- "Hiki iā ʻoe ke kuhikuhi mai iaʻu i kahi meaʻai meaʻai e kōkua iaʻu e hoʻomaʻamaʻa i kaʻu papahana meaʻai?"
ʻAʻole manaʻo ka loaʻa ʻana o ka cholesterol LDL kiʻekiʻe ua hoʻokahi ʻoe; he kūlana maʻamau loa ia. ʻO kāu kauka kāu hoa maikaʻi loa i ka hiki ʻana i kāu mau pae pahuhopu. Inā ʻaʻole lawa nā loli o ke ʻano o ka nohona wale nō, e hoʻomanaʻo e hui pū ana ʻoe me nā miliona o nā poʻe ʻē aʻe e hoʻokele pono ana i ko lākou olakino ma o ka lāʻau lapaʻau. Ma Nirogi Lanka, eia mākou e kākoʻo i kāu huakaʻi i ke olakino maikaʻi.
ʻO ka leka lawe
I ka hōʻuluʻulu ʻana, eia nā mea nui e hoʻomanaʻo ai:
- Hiki mai ka Hypercholesterolemia ke kiʻekiʻe loa kou pae cholesterol maikaʻi ʻole (LDL) i loko o ke koko. Hoʻonui nui kēia i kou pilikia o ka hōʻeha puʻuwai a me ka hahau ʻana.
- I nā hihia he nui, ʻaʻole hōʻike iki kēia ʻano i nā hōʻailona. ʻO ia ke kumu he mea nui ka hoʻonohonoho ʻana i nā hoʻokolohua koko maʻamau no kou olakino.
- Hiki iā ʻoe ke hoʻokele pono i kēia kūlana ma o nā loli maikaʻi o ke ʻano o ka nohona - e like me ka ʻai ʻana i ka meaʻai olakino no ka puʻuwai, ka noho ʻana i ka hana, a me ka pale ʻana i ka puhipaka - me nā lāʻau lapaʻau i kuhikuhi ʻia e like me ka ʻōlelo a kāu kauka.
- Mai hopohopo. Ma ka hana pū ʻana me kāu kauka e mālama i kou olakino, hiki iā ʻoe ke ola i kahi ola piha, olaola, a olakino hoʻi.
E mālama i ke olakino o kou puʻuwai i kēia lā. E noho maikaʻi me Nirogi Lanka!
hypercholesterolemia, cholesterol, LDL, HDL, maʻi puʻuwai, hahau ʻana, ʻai, nohona
