Ua ʻike anei ʻoe i kahi hōʻike hoʻāʻo koko e hōʻike ana i kahi pae kolesterol kiʻekiʻe iki? A i ʻole ua lohe paha ʻoe i kahi lālā o ka ʻohana a i ʻole hoaaloha e kamaʻilio ana e pili ana i kēia? ʻOiaʻiʻo, he ʻike maʻamau kēia no nā poʻe he nui ma ko mākou ʻāina. Manaʻo kekahi poʻe he mea koʻikoʻi loa kēia a makaʻu, aʻo kekahi poʻe e lawe māmā iā ia, me ka manaʻo, "He mea ia e hana ʻia i nā mea āpau." He aha kēia cholesterol kiʻekiʻe, a i ʻole ka mea a nā kauka e kapa nei he hyperlipidemia? E kamaʻilio kākou e pili ana i kēia me ka maʻalahi, me ka makaʻu ʻole a kānalua ʻole.
I ka ʻōlelo maʻalahi, he aha ka hyperlipidemia?
Maʻalahi loa. ʻO ka Hyperlipidemia ka wā e loaʻa ai iā ʻoe nā momona, a i ʻole lipids, i loko o kou koko ma mua o ka maʻamau. Kāhea pū kekahi poʻe i kēia dyslipidemia. I kēia manawa ke noʻonoʻo nei paha ʻoe, "Auē, ke loaʻa nei iaʻu ka momona nui loa." Mai hopohopo, e wehewehe iki kākou i kēia.
He ʻano momona ko ka cholesterol e pono ai no ko kākou kino. Hoʻopuka maoli ko kākou akepaʻa i kēia cholesterol. ʻIke anei ʻoe i ke kumu? Pono kākou i kēia cholesterol e kōkua iā kākou e hoʻoheheʻe i ka meaʻai a kākou e ʻai ai a e hana i nā mea nui he nui, e like me nā hormones.
Akā hoʻomaka ka pilikia ma ʻaneʻi. Ma waho aʻe o ka nui o ka cholesterol e pono ai mākou e hana ʻia e ke akepaʻa, loaʻa pū iā mākou ka cholesterol keu mai nā meaʻai a mākou e ʻai ai, ʻoiai nā meaʻai holoholona e like me ka ʻiʻo, ka waiū, ka pata, a me ka tīhi. Hoʻomaka ka pilikia ke hōʻiliʻili ke kino i ka cholesterol ma mua o ka mea e pono ai.
E noʻonoʻo ʻoe ua like ko kākou mau kīʻaha koko me nā alanui o ko kākou ʻāina. ʻO ke koko nā kaʻa e holo ana ma kēia mau alanui. Ke piʻi aʻe ka cholesterol, e like me ka hōʻiliʻili ʻana o ka lepo, nā ʻōpala, a me nā pōhaku ma nā alanui a pani iā lākou, e waiho ʻia kēia momona i loko o nā kīʻaha koko a hoʻomaka e ālai i ke kahe ʻana o ke koko. I ka lāʻau lapaʻau, kapa mākou i kēia ʻo `(Atherosclerosis)`.
Ke hoʻopilikia ʻia ke kahe koko e like me kēia, ua nele nā mea koʻikoʻi e like me ko kākou puʻuwai a me ka lolo i ka oxygen a me nā meaʻai e pono ai lākou. ʻO ia kahi e waiho ai ka pōʻino maoli.
He aha ka moʻolelo e pili ana i ka cholesterol "maikaʻi" a me ka cholesterol "maikaʻi ʻole"?
Ua lohe paha ʻoe i ka "cholesterol maikaʻi" a me ka " cholesterol maikaʻi ʻole ." Ua ʻike paha ʻoe i ʻekolu a ʻehā mau waiwai i kāu hoʻāʻo koko: ʻo 'LDL,' HDL, a me 'Triglycerides.' E hoʻomaopopo kākou i kēia me kahi laʻana maʻalahi loa.
E noʻonoʻo i ka cholesterol e like me nā mea holo e holo ana ma ke alanui o ke koko. ʻAʻole hiki i kēia mau mea holo ke hele hoʻokahi, hele lākou ma nā ʻano kaʻa kūikawā. Kāhea mākou i kēia mau kaʻa he lipoproteins.
| ʻAno kolesterol | I ka ʻōlelo maʻalahi... | Nā mea e hoʻomanaʻo ai |
|---|---|---|
| LDL (Lipoprotein Haʻahaʻa-Paʻa) | ʻO kēia ka cholesterol "maikaʻi ʻole". E noʻonoʻo e like me kahi kalaka nui e haki ana i waenakonu o ke alanui. Lawe ia i ka cholesterol mai ke akepaʻa a waiho iā ia ma nā paia o kou mau kīʻaha koko. ʻO ke kiʻekiʻe o kēia, ʻo ka nui o ka hiki ke ālai ʻia kou mau kīʻaha koko. | ʻOi aku ka maikaʻi o ka mālama ʻana i kēia waiwai haʻahaʻa . Ma keʻano laulā, ʻoi aku ka maikaʻi o ka mālama ʻana ma lalo o 130 mg/dL. |
| HDL (Lipoprotein Paʻa Kiʻekiʻe) | ʻO kēia ke koa o kā mākou moʻolelo, ʻo ka cholesterol "maikaʻi". Ua like ia me kahi kaʻa huki e hoʻomaʻemaʻe i nā kaʻa i paʻa mai ke alanui. ʻO ka hana a HDL, ʻo ia ke hōʻiliʻili i ka cholesterol makemake ʻole ʻia i hōʻiliʻili ʻia i loko o kou mau aʻa a lawe aku i ke akepaʻa e wāwahi ʻia. | ʻOi aku ka maikaʻi o ka mālama ʻana i kēia waiwai i kiʻekiʻe . ʻO ka maʻamau, pono ia ma luna o 40 mg/dL. ʻO nā mea ma luna o 60 he mea maikaʻi loa. |
| Nā Triglycerides | ʻO kēia kekahi ʻano momona i loaʻa i loko o ke koko. Penei ke ʻano o ke kino e mālama ai i nā calorie keu mai ka meaʻai a mākou e ʻai ai. ʻO ka hoʻonui ʻia ʻana o kēia kekahi kumu no ka paʻa ʻana o nā kīʻaha koko. He ʻoiaʻiʻo loa kēia ke ʻai nui ʻoe i ke kō, ka palaoa, a me nā meaʻai momona. | Pono hoʻi e mālama ʻia kēia waiwai i haʻahaʻa . Ma keʻano laulā, ʻoi aku ka maikaʻi inā emi ia ma mua o 150 mg/dL. |
I kēia manawa ua maopopo iā ʻoe ʻaʻole wale ka "cholesterol" ka pilikia, akā, ʻo ke kaulike ʻole ma waena o nā ʻano "maikaʻi" a me "maikaʻi ʻole".
He aha ka mea e hana ʻia i ke kino ke piʻi ka cholesterol? Aia kekahi mau hōʻailona?
ʻO kēia ka mea weliweli loa e pili ana i kēia kūlana a me ka mea e pono ai mākou e makaʻala. Ke kiʻekiʻe ka cholesterol, ʻaʻohe hōʻailona i nā pae mua. ʻAʻole ʻoe e ʻike i kekahi ʻeha a ʻoluʻolu ʻole paha. ʻO ia ke kumu i ʻike ʻole ai ka poʻe he nui e pili ana i ko lākou pae cholesterol.
Akā, piʻi mālie ka pōʻino mai loko mai. Hōʻiliʻili ka momona i loko o nā kīʻaha koko, e hoʻohaiki ana i ke ala no ke koko. Inā hoʻomau kēia no nā makahiki, i kekahi lā, hiki i kahi palaki ke haki koke, e hana ana i kahi ʻūpā koko e hiki ke ālai loa i ke kīʻaha koko.
- Inā kū ka paʻa ʻana i loko o kahi aʻa e hoʻolako ana i ke koko i ka puʻuwai, hiki ke hana i ka hōʻeha puʻuwai .
- Inā kū ia i loko o kahi kīʻaha koko e hoʻolako ana i ke koko i ka lolo, hiki ke kumu i ka hahau ʻana .
ʻO ia ke kumu i kapa ʻia ai ka cholesterol ʻo ka "ʻenemi leo ʻole." I ka manawa e ʻike ʻia ai nā hōʻailona, ua hana mua ʻia ka pōʻino. ʻO ia ke kumu he mea nui e hoʻāʻo ʻia kou koko i nā manawa maʻamau, ma mua o ke kali ʻana i ka ʻike ʻia ʻana o nā hōʻailona.
I kekahi manawa, ʻaʻole pinepine ka poʻe me ka familial hypercholesterolemia e loaʻa nā puʻupuʻu momona melemele ma ka ʻili (xanthomas) a i ʻole ke apo keʻokeʻo a puni ka cornea (corneal arcus), akā he mea kakaikahi loa kēia.
No ke aha e piʻi ai kēia cholesterol? He aha nā mea pilikia?
ʻAʻohe kumu hoʻokahi o ke kolesterol kiʻekiʻe, akā he nui nā kumu e hiki ke kōkua i ia. Hiki iā mākou ke kaohi i kekahi mau mea, a hiki ʻole i kekahi mau mea.
Nā mea pili i ke ʻano o ka nohona e hiki ai iā mākou ke hoʻololi:
- ʻAi olakino ʻole: Ka ʻai nui ʻana i ka ʻaila, ke kō, ka paʻakai, a me nā meaʻai i hana ʻia. ʻOi aku hoʻi nā meaʻai i loaʻa nā momona saturated a me nā momona trans (nā huahana bakena, nā meaʻai wikiwiki).
- ʻAʻole hoʻoikaika kino: Noho ma kahi hoʻokahi i ka hapa nui o ka lā, ʻaʻole hoʻi e hoʻoikaika kino.
- Puhipaka : Hoʻohaʻahaʻa ka puhipaka i nā pae kolesterol "maikaʻi" (HDL) a hōʻino i nā kīʻaha koko.
- Ka inu ʻona nui: Hiki i kēia ke hoʻonui i ka cholesterol a me nā pae triglyceride.
- Momona: ʻO ke kaumaha o ke kino ke kumu nui o ka pilikia.
- Kaumaha: Hiki i ke kaumaha lōʻihi ke hoʻopilikia pololei ʻole i nā pae cholesterol.
Nā kumu lapaʻau ʻē aʻe ma waho o kā mākou mana:
- ʻO ka Genetics: Inā loaʻa i kekahi o kou ʻohana ka cholesterol kiʻekiʻe a i ʻole ka maʻi puʻuwai, ʻoi aku kou pilikia.
- Makahiki:Aia kahi ʻano kūlohelohe no ka piʻi ʻana o ka pae cholesterol i ko kākou wā ʻelemakule.
- Nā maʻi ʻē aʻe: ʻO nā kūlana e like me ka maʻi diabetes, hypothyroidism, maʻi puʻupaʻa, a me nā maʻi ate hiki ke hana i ka cholesterol kiʻekiʻe.
- Kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe (Beta-blockers, Diuretics), a me nā lāʻau hormonal hiki ke hoʻololi i nā pae cholesterol.
Pehea e ʻike ai i ke kiʻekiʻe o ka cholesterol?
He mea maʻalahi loa kēia. E noi aku kāu kauka iā ʻoe e hana i kahi hoʻāʻo koko i kapa ʻia ʻo 'Lipid Profile' (i kekahi manawa i kapa ʻia ʻo 'Fasting Lipid Profile'). Pili kēia i ka hoʻokē ʻai ʻana no kahi o 8-12 mau hola (inu wai wale nō) a laila hāʻawi i kahi hāpana koko.
Mai kēlā hōʻike mai, nāu,
- Kolesterol holoʻokoʻa
- LDL (kolesterol maikaʻi ʻole)
- HDL (kolesterol maikaʻi)
- Nā Triglycerides
E loaʻa i ke kauka kahi kiʻi maopopo o kēlā me kēia waiwai. A laila, e noʻonoʻo ana i nā mea āpau e like me kou mau makahiki, nā kūlana olakino ʻē aʻe, a me ka mōʻaukala ʻohana, e loiloi ʻo ia i kāu helu pilikia maʻi cardiovascular a hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo e pono ai.
He aha kā mākou e hana ai e kāohi i ka cholesterol?
ʻO ka nūhou maikaʻi, ʻo ka cholesterol kahi mea hiki iā mākou ke kaohi maikaʻi loa. ʻElua ala nui e hana ai i kēia.
1. Nā Hoʻololi o ke ʻAno Nohona
ʻO kēia ka hana mua a koʻikoʻi loa i ka mālama ʻana. I kekahi manawa, inā ʻaʻole kiʻekiʻe loa kou pae cholesterol, hiki iā ʻoe ke kaohi iā lākou ma ka hana ʻana i kēia mau hoʻololi wale nō.
- ʻAi olakino no ka puʻuwai:
- E ʻai hou aku i nā mea kanu, nā huaʻai, nā legumes, a me nā palaoa holoʻokoʻa (laiki ʻeleʻele, oats).
- E hōʻemi i kāu ʻai ʻana i nā mea ʻaila, nā meaʻai palai, nā meaʻai wikiwiki, nā keke, a me nā biscuits i ka hiki.
- Ma kahi o nā momona holoholona (ʻiʻo ʻulaʻula, pata, tīhi), e hoʻohui i nā meaʻai i loaʻa nā momona maikaʻi e like me ka iʻa (e like me ka sālemona, mackerel, sardines), nā nati (cashews, peanuts), a me nā avocados i kāu papaʻai.
- E hōʻemi i ka hoʻohana ʻana i ka paʻakai a me ke kō.
- Hoʻomaʻamaʻa mau:
- E hoʻoikaika kino e like me ka hele wikiwiki, ka holo ʻana, ke kaʻa paikikala, a i ʻole ka ʻauʻau ʻana no 30 mau minuke i ka lā, ma ka liʻiliʻi he 5 mau lā o ka pule.
- Ka mālama ʻana i ke kaumaha olakino:
- E nīnau i kāu kauka e pili ana i ke kaumaha kūpono no kou kiʻekiʻe. Inā ʻoe he momona loa, e hoʻāʻo e hoʻemi mālie i ke kaumaha.
- Ke kāpae loa ʻana i ka puhipaka:
- Inā he mea puhi paka ʻoe, ʻo ka haʻalele ʻana i ka puhipaka ka hoʻoholo maikaʻi loa hiki iā ʻoe ke hana no kou olakino.
- Ke kaupalena nei i ka waiʻona.
2. Lāʻau lapaʻau
Inā ʻaʻole hiki i nā loli o ke ʻano o ka nohona ke kaohi i kāu mau pae cholesterol, a inā paha he kiʻekiʻe kou pilikia no ka maʻi puʻuwai, e kuhikuhi kāu kauka i ka lāʻau lapaʻau.
ʻO nā statins ka papa nui a hoʻohana pinepine ʻia o nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol. Hana kēia mau lāʻau lapaʻau ma ka hōʻemi ʻana i ka hana ʻana o ka cholesterol e ke akepaʻa a ma ka wikiwiki ʻana i ka wehe ʻana o ka cholesterol maikaʻi ʻole (LDL) mai ke koko.
I ka hoʻomaka ʻana i kēia lāʻau lapaʻau, hiki i kekahi poʻe ke loaʻa nā hopena ʻaoʻao liʻiliʻi e like me ka ʻeha o nā ʻiʻo. Inā hana ʻia kēia, mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau a e hoʻomaopopo koke i kāu kauka. E hoʻoponopono ʻo ia i ka lāʻau lapaʻau a hoʻololi paha i ka nui e kūpono iā ʻoe. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau iā ʻoe iho.
Leka Lawe-Home
- He ʻano "mālie" ka Hyperlipidemia ʻaʻole ia e hōʻike i kekahi mau hōʻailona i nā pae mua. No laila, he mea nui e hoʻāʻo ʻia kou koko i kēlā me kēia manawa ma hope o 30-40 mau makahiki, me ke kali ʻole ʻana i nā hōʻailona e ʻike ʻia.
- ʻAʻole kēia he mea e makaʻu ai, he mea ia e hiki ke hoʻomalu maikaʻi ʻia. ʻO ka mea nui, ʻo ia ke kūpaʻa i ia mea.
- ʻO ka ʻai olakino a me ka hoʻoikaika kino mau nā hana nui loa i ka kaohi ʻana i ka cholesterol.
- Inā kuhikuhi kāu kauka i ka lāʻau lapaʻau, e lawe pololei e like me ke kauoha, no ka manawa i kuhikuhi ʻia. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau no ka makaʻu i nā hopena ʻaoʻao, e kamaʻilio me kāu kauka e pili ana i ia mea.
- ʻAʻole he mea pōkole ka kaohi ʻana i ka cholesterol. He ʻano olakino ia e pono ai ʻoe e mālama i kou ola a pau.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 🩺 He aha kēia hoʻāʻo Lipid Profile?
Hana ʻia kēia e ana i nā pae cholesterol i loko o ko kākou koko. ʻEhā mau ʻāpana nui: LDL (kolesterol maikaʻi ʻole), HDL (kolesterol maikaʻi), triglycerides, a me ka cholesterol holoʻokoʻa. ʻO kēia hoʻāʻo ke ala maikaʻi loa e ʻike pono ai inā he cholesterol kiʻekiʻe kou (Hyperlipidemia).
💬 🥣 Pono anei au e hoʻokē ʻai ma mua o ka lawe ʻana i kahi hoʻāʻo lipid profile?
ʻAe, pono ʻoe e hoʻokē ʻai no kahi o 10-12 mau hola. Akā hiki iā ʻoe ke inu i ka wai. ʻO ke ala maʻalahi loa, ʻo ia ka ʻai ʻana i ka ʻaina ahiahi a lawe i ka hoʻāʻo i ke kakahiaka aʻe. Ma kēlā ala hiki iā ʻoe ke nānā pono i ka pae o ka momona i loko o kou koko. Aia nā kikoʻī hou aku e pili ana i kēia ma kā mākou ʻatikala.
💬 📉 He aha ka mea e hana ai inā piʻi aʻe nā waiwai i loko o kaʻu hōʻike ʻikepili lipid?
Inā kiʻekiʻe nā waiwai i loko o ka hōʻike, ʻo ia hoʻi he hyperlipidemia paha kou. ʻO ia hoʻi, he nui loa ka momona i loko o ke koko. Inā hoʻomau kēia, hiki i ka momona ke hōʻiliʻili i loko o nā aa koko a alakaʻi i nā maʻi e like me nā hōʻeha puʻuwai. No laila, e hoʻomau i ka heluhelu ʻana i kā mākou ʻatikala e aʻo e pili ana i kēia ma ke ʻano maʻalahi!
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