Ua lohe pinepine paha ʻoe i ka huaʻōlelo 'cholesterol', ʻeā? Akā ke ʻōlelo kāu kauka 'hyperlipidemia', e huikau iki paha ʻoe. Mai hopohopo, ua like ke ʻano o kēia mau huaʻōlelo ʻelua. I ka ʻōlelo maʻalahi, ʻo ia hoʻi, ua nui ka momona o kou koko, a i ʻole 'lipids' e like me kā mākou e kapa nei. He ʻano maʻamau kēia i ʻike ʻia i kēia manawa i waena o nā poʻe he nui ma ko mākou ʻāina.
He aha nā ʻano lipid i loko o ke koko?
Aia kekahi mau ʻano momona, a i ʻole lipids, i loko o ko kākou koko. E noʻonoʻo ʻoe ua like ko kākou koko me ke alanui. Aia nā kaʻa maikaʻi a me nā kaʻa maikaʻi ʻole ma kēia alanui.
- ʻO ka cholesterol HDL: ʻO kēia ka "kolesterol maikaʻi." Ua like ia me kahi kaʻa ʻōpala. Hōʻiliʻili ia i ka cholesterol makemake ʻole ʻia i kūkulu ʻia i loko o kou mau kīʻaha koko a lawe iā ia i ke akepaʻa. Hoʻopau ke akepaʻa i kēlā cholesterol makemake ʻole ʻia mai kou kino. No laila, he mea maikaʻi loa ka loaʻa ʻana o kahi pae HDL maikaʻi no kou kino.
- Kolesterol LDL: ʻO kēia ka mea a mākou e kapa nei he "kolesterol maikaʻi ʻole." Ua like ia me ke kaʻa e waiho ana i nā ʻōpala ma nā wahi āpau ma ke alanui. Hoʻopili kēia kolesterol LDL i nā paia o ko mākou mau kīʻaha koko. I ka hala ʻana o ka manawa, hōʻiliʻili kēia mau mea a hoʻomaka e ālai i loko o nā kīʻaha koko. Hoʻomākaukau kēia i ke ala no nā maʻi nui e like me ka maʻi puʻuwai a me ka hahau.
- Triglycerides: ʻO kēia kekahi ʻano momona i loko o ko kākou koko. Hoʻopuka nui ʻia lākou e nā meaʻai momona a me ke kō a kākou e ʻai ai. ʻAʻole maikaʻi ke kino no ka nui o kēia mau mea.
- Kolesterol VLDL: E like me LDL, ua manaʻo ʻia kēia he ʻano kolesterol "maikaʻi ʻole". Ke kiʻekiʻe kēia, piʻi ka pilikia o ka maʻi puʻuwai.
No ke aha mākou e ulu ai i ka Hyperlipidemia? He aha nā kumu?
Aia kekahi mau kumu no kēia. ʻO kekahi mau mea hiki iā mākou ke kaohi, akā ʻo kekahi mau mea hiki ʻole iā mākou ke kaohi.
| ʻAno kumu | Nā Laʻana |
|---|---|
| ʻAi | Nā meaʻai i kiʻekiʻe i ka momona saturated a me ka momona trans. Nā laʻana: tīhi, nā yolks hua manu, nā meaʻai palai, nā meaʻai i hana ʻia, ka ice cream, nā huahana bakena, ka ʻiʻo ʻulaʻula (pipi, puaʻa). |
| ʻAno nohona | ʻO ka puhi paka, ka inu nui ʻana i ka waiʻona, ke kaumaha nui, ka hoʻoikaika kino ʻole, a me ke kaumaha nui. |
| Nā kūlana olakino ʻē aʻe | Nā maʻi e like me ka maʻi diabetes, ka maʻi puʻupaʻa, ka maʻi ate, ka hypothyroidism, ka polycystic ovary syndrome (PCOS), a me ka lupus. |
| Kekahi mau lāʻau lapaʻau | ʻO kekahi mau steroids, kekahi mau lāʻau koko kiʻekiʻe (Beta-blockers, Diuretics), nā pila hoʻomalu hānau, kekahi mau lāʻau HIV. |
| Nā kumu genetic e hele mai ana mai nā hanauna | Ua hoʻoilina kekahi poʻe i kēia maʻi mai ko lākou mau mākua mai. Ua kapa ʻia kēia ʻo 'Familial Hyperlipidemia'. He kiʻekiʻe loa ka pae cholesterol o kēia poʻe i ka wā ʻōpiopio loa a ʻoi aku ka nui o ka pilikia o ka maʻi puʻuwai. |
He aha nā hōʻailona o ka hyperlipidemia?
ʻO ka mea nui a weliweli iki hoʻi ma ʻaneʻi: ʻAʻole hōʻike ka nui o ka poʻe me kēia maʻi i kekahi mau hōʻailona i ka wā mua.
I ka manawa pinepine, ʻaʻole hōʻike kēia ʻano i kekahi mau hōʻailona i ka wā mua. ʻO ia ke kumu e like ai me ka "pepehi kanaka leo ʻole." ʻO kahi hoʻāʻo koko wale nō ke ʻike maopopo.
Akā hoʻomaka nā pilikia e kū mai i ka wā e hōʻiliʻili ai ka momona i loko o nā kīʻaha koko a ālai iā lākou, e waiho ana iā lākou me ka mālama ʻole ʻia no ka manawa lōʻihi. Hiki i kēia ke alakaʻi i nā kūlana koʻikoʻi e like me:
- ʻO ka maʻi ʻaʻa coronary (CAD): Hoʻopili ʻia nā kīʻaha koko e hoʻolako ana i ke koko i ka puʻuwai ma muli o nā waihona momona. Pale kēia i ka puʻuwai mai ka loaʻa ʻana o ka oxygen a me nā meaʻai e pono ai. Hiki i kēia ke hōʻeha i ka umauma (angina) a i ʻole ka hōʻeha puʻuwai.
- Hoʻouka Puʻuwai: Hiki i nā palaki momona (plaques) i hōʻiliʻili ʻia i loko o nā kīʻaha koko ke haki koke a hana i kahi ʻūpā koko. Inā ālai loa kēia ʻūpā koko i ke kahe ʻana o ke koko i kahi ʻāpana o ka puʻuwai, he hoʻouka puʻuwai ia. Hiki i nā hōʻailona ke komo pū me ka ʻeha nui o ka umauma, ka ʻeha e pālahalaha ana i ka ʻauwae, poʻohiwi, a i ʻole ka lima, ka hou ʻana, a me ka paʻakikī o ka hanu ʻana. Inā ʻike ʻoe i kēia mau hōʻailona, pono ʻoe e hele koke i ka lumi pilikia o ka haukapila (ETU).
- Hahau: E like me ka hōʻeha puʻuwai, loaʻa ka hahau i ka wā e haki ai kahi ʻūpā koko a ālai i kahi aʻa e hoʻolako ana i ke koko i ka lolo. Hiki i nā hōʻailona ke komo pū me ka ʻeha poʻo koke a koʻikoʻi, ka paʻakikī i ka ʻōlelo ʻana, ka nāwaliwali ma kekahi ʻaoʻao o ke kino, a me ka nalowale o ka ʻike. He pilikia olakino nō hoʻi kēia.
- Nā waihona momona ma ka ʻili: ʻIke pinepine ʻia kēia mau mea i nā hihia o ka cholesterol kiʻekiʻe ʻohana. Hiki iā lākou ke ʻike ʻia he mau puʻupuʻu melemele kokoke i nā lihilihi maka (xanthelasmas) a i ʻole nā puʻupuʻu ma nā kuʻekuʻe lima, nā kuli, a me nā lima (xanthomas).
Pehea ʻoe e ʻike ai i kēia?
ʻO ke ala wale nō e ʻike ai inā he hyperlipidemia kou, ʻo ia ka loaʻa ʻana o kahi hoʻāʻo koko . Ua kapa ʻia kēia he 'Lipid Profile' a i ʻole 'Lipid Panel'. Hana pinepine ʻia kēia hoʻāʻo ma hope o kou hoʻokē ʻai ʻana no 9-12 mau hola.
E noʻonoʻo kāu kauka i nā mea e like me kou makahiki, nā kūlana olakino ʻē aʻe, a me ka mōʻaukala olakino ʻohana e hoʻoholo ai inā paha he pilikia kāu pae cholesterol.
| Hoʻāʻo | Pae olakino (mg/dL) | Pae pilikia (mg/dL) |
|---|---|---|
| Kolesterol holoʻokoʻa | Ma lalo o 200 | 240 a ʻoi aku paha |
| Kolesterol LDL ("maikaʻi ʻole") | Ma lalo o 100 (ma lalo o 70 no ka poʻe i pilikia i ka maʻi puʻuwai) | 160 a ʻoi aku paha |
| Kolesterol HDL ("maikaʻi") | Kāne: Ma luna o 40 Wahine: Ma luna o 50 (ʻoi aku ma mua o 60 ka mea kūpono) | Kāne: Ma lalo o 40 Wahine: Ma lalo o 50 |
| Nā Triglycerides | Ma lalo o 150 | 200 a ʻoi aku paha |
Pehea mākou e kāohi ai i kēia kūlana?
ʻElua mau ʻāpana nui no ke kāohi ʻana i kēia. ʻO kekahi, ʻo ia ke hoʻololi i ko kākou nohona. ʻO kekahi, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau e like me ke kauoha a ke kauka, inā pono.
1. Nā Hoʻololi o ke ʻAno Nohona
ʻO kēia nā mea hiki iā ʻoe ke hana iā ʻoe iho. ʻO kēia ka ʻāpana koʻikoʻi o ka lāʻau lapaʻau.
- ʻAi maikaʻi: E hōʻemi i nā meaʻai kiʻekiʻe i nā momona saturated a me nā momona trans. E kaupalena i ka hoʻohana ʻana i ka ʻaila niu a me ka ʻaila pama. E hōʻemi i nā meaʻai palai, ka ʻiʻo ʻulaʻula, ka tīhi, ka pata, nā keke, a me nā biscuits. Akā, e ʻai i nā meaʻai waiwai i ka fiber . He maikaʻi nā ʻoka, ka laiki ʻeleʻele, nā palaoa piha, nā mea kanu, nā huaʻai, nā legumes, nā chickpeas, a me nā lentil.
- ʻAi iʻa: ʻO ka ʻai ʻana i nā iʻa ʻaila e like me ka salmon, tuna, mackerel, a me nā sardines ma ka liʻiliʻi he ʻelua mau lā o ka pule e hiki ke kōkua i ka hoʻohaʻahaʻa ʻana i nā triglycerides.
- Hoʻoikaika Kino: E hoʻoikaika kino ma ka liʻiliʻi he 30 mau minuke i ka lā, e like me ka hele wikiwiki, ke kaʻa paikikala, a i ʻole ka ʻauʻau ʻana. Inā paʻakikī iā ʻoe ke hana i nā mea a pau i ka manawa hoʻokahi, e hoʻokaʻawale iā ia i mau ʻāpana he 10-15 mau minuke a hana i kekahi mau manawa i ka lā.
- E hoʻōki i ka puhipaka a me ka inu ʻona: ʻO ka hoʻōki ʻana i ka puhipaka e hoʻonui i kāu cholesterol maikaʻi (HDL). He mea nui nō hoʻi e hoʻōki loa a i ʻole e kaupalena nui i ka inu ʻona.
- E kāohi i kou kaumaha: Inā ʻoe he momona loa, ʻo ka lilo ʻana o ke kaumaha he kōkua nui ia i ka kaohi ʻana i ka cholesterol.
- E hoʻokele i ke kaumaha: E mālama i ka maikaʻi o ka noʻonoʻo ma o nā hana e like me ka noʻonoʻo ʻana a me ka yoga.
2. Nā lāʻau lapaʻau i hāʻawi ʻia e ke kauka
I kekahi manawa, ʻoiai nā hoʻololi ʻana i ke ʻano o ka nohona, ʻaʻole lawa paha ia e kāohi i kou pae cholesterol. I ia mau hihia, e kuhikuhi kāu kauka i ka lāʻau lapaʻau.
- ʻO Statins: ʻO kēia ka papa lāʻau i hoʻohana nui ʻia e hoʻohaʻahaʻa i ka cholesterol. Hana lākou ma ka hoʻemi ʻana i ka hana ʻana o ka cholesterol i loko o ke ake.
- Nā lāʻau lapaʻau ʻē aʻe: Ma waho aʻe o nā statins, aia kekahi mau lāʻau lapaʻau ʻē aʻe e like me Ezetimibe, Fibrates, a me nā mea hoʻopaʻa PCSK9. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.
He mea nui loa: E lawe i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka, no ka manawa i kuhikuhi ʻia. Mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
Leka Lawe-Home
- ʻO ka Hyperlipidemia kahi pae kiʻekiʻe o nā momona i loko o kou koko, ʻoiai ka "cholesterol" maikaʻi ʻole (LDL) a me nā triglycerides.
- I ka manawa pinepine, ʻaʻohe hōʻailona i nā pae mua o ka maʻi, no laila he mea nui e hana i nā hoʻokolohua lapaʻau maʻamau.
- Hiki ke ʻike maʻalahi ʻia kēia kūlana me kahi hoʻāʻo koko maʻalahi (Lipid Profile).
- ʻO nā hoʻololi ʻana i ke ʻano o ka nohona, e like me ka ʻai maikaʻi, ka hoʻoikaika kino, a me ka haʻalele ʻana i ka puhipaka, ʻo ia nā hana mua a koʻikoʻi loa i ka mālama ʻana.
- I kekahi manawa, me nā loli o ke ʻano o ka nohona, pono paha ʻoe e lawe i nā lāʻau lapaʻau i kauoha ʻia e ke kauka.
- ʻO ke kāohi ʻana i kou pae cholesterol e hiki ke kōkua i ka pale ʻana iā ʻoe mai nā maʻi koʻikoʻi e like me ka maʻi puʻuwai a me ka hahau ʻana. E kamaʻilio mau me kāu kauka e pili ana i kēia.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo