He kiʻekiʻe anei kou mau triglycerides i loko o kou koko? E kamaʻilio kākou e pili ana i ka hypertriglyceridemia!

Ua lohe paha ʻoe i nā momona koko? Malia paha ua haʻi aku kekahi kauka iā ʻoe "me he mea lā ua kiʻekiʻe iki nā triglycerides." I kēia lā e kamaʻilio mākou e pili ana i ke ʻano maoli o kēia mau triglycerides, he aha ka mea e hana ai ke kiʻekiʻe lākou, a me nā mea e pono ai mākou e hana e pili ana i ia mea. Mai hopohopo, e wehewehe maʻalahi wau i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha nā triglycerides? No ke aha lākou he mea nui iā mākou?

I ka ʻōlelo maʻalahi, he ʻano momona nā triglycerides i loko o ko kākou koko. Hāʻawi lākou i ko kākou kino i ka ikehu. Loaʻa iā kākou nā triglycerides mai nā meaʻai a kākou e ʻai ai, ʻoiai mai nā mea e like me ka pata a me ka ʻaila. ʻAʻole wale ia, akā i ka wā e ʻai ai kākou i nā calorie ma mua o ka mea e pono ai ko kākou kino, hoʻololi ko kākou kino i kēlā mau calorie keu i nā triglycerides a mālama iā lākou. Ma hope mai, i ka wā e emi ai ko kākou ikehu, hoʻohana ko kākou kino i kēia mau triglycerides i mālama ʻia.

No laila, he mea nui nā triglycerides e hāʻawi iā mākou i ka ikehu. Eia nō naʻe, inā piʻi nui lākou i loko o ke koko, hoʻonui ia i ka pilikia o ka loaʻa ʻana o nā maʻi cardiovascular. ʻO ia ke kumu he mea nui iā mākou e makaʻala i kēia kūlana i kapa ʻia ʻo hypertriglyceridemia a kaohi i ko mākou mau pae triglyceride.

No laila, pehea ka nui o nā triglycerides i maikaʻi?

Pono ka awelika o ka pae triglyceride koko pākeke ma lalo o 150 milligrams no ka deciliter (150 mg/dL). ʻO ka ʻoiaʻiʻo, ʻoi aku ka maikaʻi ma lalo o 100 mg/dL. ʻO ka mea nui loa, ʻo ia ke ana i kou pae triglyceride i kou wā e hoʻokē ʻai ana. ʻO ke ʻano kēia, ua hoʻāʻo ʻia kou koko ma hope o kou ʻai ʻole ʻana a inu ʻole ʻana paha i kekahi mea (koe wale nō ka wai) no kahi o 10-12 mau hola.

ʻO ka Hypertriglyceridemia ka wā e piʻi ai kou pae triglyceride i 150 mg/dL a ʻoi aku paha.

Eia kahi ʻike pōkole o nā pae triglyceride hoʻokē ʻai i nā pākeke:

• Pae olakino: emi ma lalo o 150 mg/dL
• Kiʻekiʻe palena: 150 - 199 mg/dL
• Pae kiʻekiʻe: 200 - 499 mg/dL
• Kiʻekiʻe loa: 500 mg/dL a ʻoi aku paha

Pono nā pae triglyceride olakino no nā keiki a me nā mākua ʻōpio (10-19 makahiki) ma lalo o 90 mg/dL. Inā kiʻekiʻe nā pae triglyceride o kāu keiki, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka e pili ana i ka hoʻohaʻahaʻa ʻana iā lākou.

He aha ka Hypertriglyceridemia Koʻikoʻi? He mea weliweli anei ia?

ʻO ka hypertriglyceridemia koʻikoʻi ka wā e 500 mg/dL a ʻoi aku paha kou pae triglyceride. ʻO ka poʻe me kēia maʻi e piʻi aʻe ka pilikia o ka loaʻa ʻana o kahi maʻi i kapa ʻia ʻo ka pancreatitis acute . He mumū kēia o ka pancreas e pono ai ka mālama ʻia.

He kūlana ka Hypertriglyceridemia e pono ai ka nānā ʻana a me ka mālama ʻana. Eia nō naʻe, i ka hapanui o nā hihia, ʻaʻole ia he pilikia olakino.Hiki i kāu kauka ke kōkua iā ʻoe e hoʻohaʻahaʻa i kēia pae. ʻO ka hana ʻana pēlā e hiki ke kōkua i ka pale ʻana i nā pilikia e hiki ke hoʻopilikia i kou puʻuwai a i ʻole ka pancreas.

He like nā mea a pau o ka cholesterol a me ka hypertriglyceridemia?

ʻAe, ʻaʻole like kēia mau mea ʻelua. ʻElua mau kūlana like ʻole ka Hypertriglyceridemia a me ke cholesterol kiʻekiʻe. Akā pili lāua ʻelua i nā mea momona i kapa ʻia ʻo lipids i loko o kou koko.

He mau mea momona nā lipid e hana ana i nā hana koʻikoʻi i loko o ko kākou kino. ʻO Triglycerides a me cholesterol ʻelua ʻano lipids. Hele nā ​​​​mea ʻelua ma ke koko ma nā ʻāpana lawe i kapa ʻia ʻo lipoproteins.

ʻO ka Hypertriglyceridemia ka piʻi ʻana o nā triglycerides i loko o ke koko. ʻO ka Hypercholesterolemia ka piʻi ʻana o ka cholesterol.

I ka manawa pinepine, ʻo ka poʻe me nā triglycerides kiʻekiʻe he kiʻekiʻe ko lākou mau pae cholesterol. Hiki i nā triglycerides kiʻekiʻe ke lilo i mea weliweli, ʻoiai inā haʻahaʻa kāu cholesterol "maikaʻi", HDL (High-Density Lipoprotein), a kiʻekiʻe kāu cholesterol "maikaʻi ʻole", LDL (Low-Density Lipoprotein).

E kamaʻilio me kāu kauka e pili ana i ke ʻano o kēia mau pae i loko o kou koko a pehea e hoʻihoʻi ai iā lākou i nā pae olakino.

Pehea ka maʻamau o kēia ʻano?

Wahi a nā noiʻi i mālama ʻia ma ʻAmelika Hui Pū ʻIa, ma kahi o hoʻokahi o ʻelima mau mākua i loaʻa nā pae triglyceride kiʻekiʻe (ʻoi aku ma mua o 150 mg/dL). Eia nō naʻe, piʻi kēia pilikia me ka makahiki. Ua ʻike ʻia e ka noiʻi he 42% o ka poʻe ma luna o 60 mau makahiki i loaʻa i kēia maʻi. He mea maʻamau paha kēia maʻi ma Sri Lanka, ma muli o kā mākou ʻano ʻai a me ke ʻano o ka nohona.

He aha nā hōʻailona o ka hypertriglyceridemia?

ʻAʻole hōʻike ka nui o ka poʻe me ka hypertriglyceridemia i kekahi mau hōʻailona. ʻO ia ke kumu e like ai me ka "ʻenemi leo ʻole." Hiki i ka poʻe me ka hypertriglyceridemia koʻikoʻi ke loaʻa i kahi maʻi i kapa ʻia ʻo xanthomas. He mau puʻupuʻu momona liʻiliʻi kēia e hana ʻia ma lalo o ka ʻili. ʻIke pinepine ʻia lākou a puni nā lihilihi maka. Akā hiki nō hoʻi iā lākou ke ulu i kekahi manawa ma nā wahi e like me nā kuli, nā kuʻekuʻe lima, a me nā poho lima.

No ke aha e piʻi ai nā pae triglyceride i loko o ko kākou kino? He aha nā kumu?

Aia kekahi mau kumu o ka hypertriglyceridemia. ʻO lākou kēia:

• Nā kumu o ke ola
• Nā maʻi ʻē aʻe
• Kekahi mau lāʻau lapaʻau
• Nā maʻi lipid genetic

E nānā kākou i kēlā me kēia me nā kikoʻī hou aku.

Ka hopena o ke ʻano o ka nohona

He hopena nui ko kākou nohona i ko kākou mau pae triglyceride. No ka mea, e like me kaʻu i ʻōlelo ai ma mua, ʻo ka nui o nā calorie a kākou e ʻai ai, ʻo ka nui o ka hoʻololi ʻana o ko kākou kino i triglycerides. No laila, inā ʻoe e ʻai i ke kō, ka momona, a i ʻole ka waiʻona ma mua o ka mea e pono ai kou kino, hiki ke piʻi aʻe kou mau pae triglyceride.

Nā kumu nohona e kōkua ai i nā triglycerides kiʻekiʻe:

• Inu nui i ka waiʻona: ʻIke ʻoe, inu nui kekahi o mākou i ka wā o nā pāʻina. Hoʻopilikia pū kēlā iā mākou.
• Ka ʻai nui ʻana i nā kalapona i hoʻomaʻemaʻe ʻia a me ke kō: Nā meaʻai i hana ʻia mai ka palaoa berena (e like me nā berena pōkole, nā meaʻai bakena), nā mea inu ʻono, nā keke, nā biscuits, a pēlā aku.
• Ka ʻai nui ʻana i ka momona saturated: Loaʻa kēia mau mea i nā meaʻai momona kiʻekiʻe, ka ʻiʻo ʻulaʻula, a me nā meaʻai i hana ʻia me ka ʻaila niu.
• Ka nele i ka hana kino (noho mālie): Noho ma kahi hoʻokahi i ka lā a pau, hana, a ʻaʻole hoʻoikaika kino.

E noʻonoʻo wale, inā kākou e ʻai i kahi ʻāpana iʻa i moʻa ʻia i ka ʻaila, kahi wai i hana ʻia me ka waiū niu, a me kahi mea inu ʻono ma waho aʻe o ka laiki a kākou e ʻai ai i ka lā, hiki ke mālama ʻia nā calorie keu mai kēlā mau mea a pau i loko o ke kino ma ke ʻano he triglycerides.

Ma muli o kekahi mau maʻi

Hiki ke piʻi aʻe nā pae Triglyceride ma muli o nā maʻi like ʻole. Eia kekahi mau laʻana:

• Maʻi diabetes
• ʻO ka hypothyroidism
• Ke kū'ē ʻana o ka insulin
• Maʻi puʻupaʻa
• Maʻi akepaʻa
• Lupus
• ʻO ka maʻi metabolic
• ʻO ka maʻi Nephrotic
• Kaumaha loa a momona paha
• ʻO ka ʻāʻī rheumatoid

He mau kumu pilikia kūikawā ko nā wāhine:

• Ka hoʻopau ʻana o ka wahine
• Hāpai - ʻoi aku hoʻi i ke kolu o ka trimester.

Ma muli o kekahi o nā lāʻau lapaʻau a mākou e lawe ai

Hiki ke piʻi aʻe nā pae Triglyceride i ka wā e hoʻohana ai i kekahi mau lāʻau lapaʻau.

• Nā lāʻau antipsychotic - e.g. Clozapine, Olanzapine
• ʻO kekahi mau lāʻau i hoʻohana ʻia e mālama i ka maʻi HIV (Antiretroviral (ART) protease inhibitors)
• Kekahi mau lāʻau koko kiʻekiʻe (Beta-blockers - nonselective)
• Nā Corticosteroids
• ʻO Cyclophosphamide
• ʻEstrogen waha
• ʻO Tamoxifen
• ʻO Thiazides - nā lāʻau lapaʻau e hoʻoulu ai i ka hoʻonui ʻana i ka mimi

ʻO ka mea nui loa: Mai ho'ōki i ka lawe ʻana i kahi lāʻau lapaʻau i kuhikuhi ʻia e ke kauka me ka ʻole o ke kamaʻilio mua ʻana me ia. Inā he lāʻau lapaʻau ke kumu o ka piʻi ʻana o kāu triglycerides, hiki i kāu kauka ke kōkua iā ʻoe. Hiki iā lākou ke hoʻololi i ka nui o ka lāʻau a kuhikuhi paha i kahi lāʻau lapaʻau ʻē aʻe.

Nā kūlana genetic i hoʻoili ʻia ma o nā hanauna

Loaʻa paha i kekahi poʻe nā pae triglyceride a me ka cholesterol ma muli o nā kumu hoʻoilina. Nā laʻana:

• ʻO ka hyperlipidemia i hui pū ʻia me ka ʻohana: Hoʻonui ʻia nā triglycerides, hoʻonui ʻia ka cholesterol LDL, a me ka hoʻemi ʻana o ka cholesterol HDL.
• ʻO ka hypertriglyceridemia familial (ʻano IV familial dyslipidemia): Hoʻonui wale ʻia nā triglycerides.
• ʻO ka dysbetalipoproteinemia ʻano III: Hoʻonui ʻia ka triglyceride a me ka nui o ka cholesterol.
• ʻO ka maʻi chylomicronemia Familial (FCS): Nā pae triglyceride kiʻekiʻe ma luna o 1000 mg/dL.

I ka manawa pinepine, hiki ke hana ʻia ka hypertriglyceridemia e kekahi a ʻoi aku paha o kēia mau kumu. No ka laʻana, hiki i ke kanaka ke loaʻa kahi maʻi genetic a me kahi nohona maikaʻi ʻole. Na kāu kauka e hoʻoholo i kēia mau mea a kuhikuhi i ka lāʻau lapaʻau maikaʻi loa.

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka hypertriglyceridemia?

ʻElua ala nui e ʻike ai i kēia: kahi hoʻokolokolo kino e ke kauka a me kahi hoʻāʻo koko.

Hoʻokolohua kino e ke kauka

E hana ke kauka i kahi hoʻokolokolo kino e ʻike ai i kou olakino. E nīnau pū ʻo ia iā ʻoe e pili ana i kēia mau mea:

• Aia kekahi o ka ʻohana i loaʻa i ka maʻi puʻuwai, cholesterol kiʻekiʻe, a i ʻole triglycerides kiʻekiʻe?
• Kou nohona (e.g. ka waiʻona, ka hoʻohana ʻana i ka paka).
• Nā maʻi ʻē aʻe i loaʻa iā ʻoe.
• Nā lāʻau lapaʻau āu e hoʻohana ai.

Me kēia ʻike, hiki i kāu kauka ke hoʻomaopopo i ke kumu o kāu mau triglycerides kiʻekiʻe a me kou pilikia o ka hoʻomohala ʻana i nā maʻi puʻuwai.

Hoʻāʻo koko

ʻO kahi hoʻāʻo koko maʻalahi i kapa ʻia he lipid panel ke ala wale nō e ʻike pololei ai i ka hypertriglyceridemia. Ana kēia hoʻāʻo i kāu mau pae triglyceride a me kāu mau pae cholesterol.

E like me kaʻu i ʻōlelo ai ma mua, e haʻi aku ke kauka iā ʻoe e hoʻokē ʻai no kahi o 10-12 mau hola ma mua o kēia hoʻāʻo koko. ʻO ia hoʻi, ʻaʻole ʻoe e ʻai a inu paha i kekahi mea koe wale nō ka wai. No ka loaʻa ʻana o nā hopena pololei, he mea nui loa ka hoʻokē ʻai ʻana e like me ka ʻōlelo a ke kauka iā ʻoe.

He aha nā lāʻau lapaʻau maikaʻi loa no kēia? Pehea e hiki ai iaʻu ke hōʻemi iā ia?

ʻEkolu mau ʻano lapaʻau nui no ka hypertriglyceridemia:

• Nā loli o ke ʻano o ka nohona
• Nā lāʻau lapaʻau (nā lāʻau lapaʻau)
• Ke mālama nei i nā kumu kumu o nā triglycerides kiʻekiʻe.

Pono paha ʻoe i hoʻokahi a ʻoi aku paha o kēia mau ʻano hana. Na kāu kauka e hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa nāu.

Nā loli o ke ʻano o ka nohona - ʻo ia nā mea mua e pono ai!

Hoʻomaka pinepine ka lāʻau lapaʻau me nā hoʻololi ʻana i ke ʻano o ka nohona. Eia nā mea nui:

• E hōʻalo i ka waiʻona: e hōʻemi i ka hiki, a i ʻole e hoʻōki loa.
• E hōʻalo i nā kalapona i hoʻomaʻemaʻe ʻia a me ke kō: E hōʻemi i kāu ʻai ʻana i ka berena, nā mea ʻono, a me nā mea inu i ka hiki. Akā, e ʻai i nā palaoa piha, nā mea kanu, a me nā huaʻai.
• E ʻai i nā meaʻai kai, ʻoi aku hoʻi nā iʻa waiwai i nā waikawa momona omega-3: he mau koho maikaʻi nā iʻa e like me ka salmon, mackerel, herring, a me ka tuna.
• E hoʻoikaika kino hou aku:E hana i kekahi mea e like me ka hele wāwae, ka holo ʻana, ka ʻauʻau ʻana no 30 mau minuke ma ka liʻiliʻi i ka lā. E hana ikaika hoʻi i kāu mau hana o kēlā me kēia lā.
• E kāohi i kāu lawe ʻana i ka calorie e lilo ai ke kaumaha keu: E ho'āʻo e mālama i kahi kaumaha olakino no kou kiʻekiʻe.
• E koho i nā momona olakino ma kahi o nā momona saturated a me nā trans: e kaupalena i nā mea e like me ka ʻaila niu, ka ʻaila pama, ka pata, a me ka margarine, a e hoʻohana i nā mea e like me ka ʻaila ʻoliva, ka ʻaila canola, a me kekahi mau nati.

"ʻO nā hoʻololi liʻiliʻi e like me ka hoʻohana ʻana i ka ʻaila liʻiliʻi i ka wā e kuke ai ma ka home, ka hōʻemi ʻana i ka nui o nā meaʻai momona a mākou e ʻai ai ma ka hale kūʻai, a me ka inu ʻana i ke kī ʻono ʻole ma kahi o ke kī kō hiki ke hana i kahi ʻokoʻa nui."

Nā lāʻau lapaʻau

Inā ʻaʻole hiki i nā loli o ke ʻano noho wale nō ke kāohi i kou pae triglyceride, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau. He mea nui loa ka lāʻau lapaʻau no ka poʻe me ka hypertriglyceridemia koʻikoʻi. Aia kekahi mau ʻano lāʻau lapaʻau a kāu kauka e kuhikuhi ai:

• Nā Fibrates - e.g. Fenofibrate
• Nā waikawa momona omega-3 i kauoha ʻia - e.g. Icosapent ethyl (IPE)
• ʻO Statins - ʻOiai ua kuhikuhi nui ʻia kēia mau mea e hoʻohaʻahaʻa i ka cholesterol, i kekahi manawa hoʻopilikia lākou i nā triglycerides.

Ke kāohi ʻana i nā maʻi ʻē aʻe

Inā loaʻa iā ʻoe kekahi maʻi ʻē aʻe (e like me ka maʻi diabetes) e hiki ke kōkua i kou mau pae triglyceride kiʻekiʻe, he mea nui hoʻi e kaohi pono i kēlā ʻano. E hāʻawi kāu kauka iā ʻoe i ka ʻōlelo aʻoaʻo a me ka lāʻau lapaʻau e pono ai.

Hiki ke pale ʻia ka hypertriglyceridemia?

ʻO kekahi mau kumu (ʻelemakule, kekahi mau maʻi) ʻaʻole ia e hiki iā mākou ke kaohi. Eia nō naʻe, he nui nā mea hiki iā mākou ke hana i ko mākou ola o kēlā me kēia lā e pale aku ai i kēia maʻi. Eia kekahi o lākou:

• E ʻai i ka meaʻai olakino no ka puʻuwai: E ʻai i nā mea kanu, nā huaʻai, nā palaoa piha, a me ka protein lean. E hōʻemi i ka ʻaila, ke kō, a me ka paʻakai.
• E hana ikaika: Ma waho aʻe o ka hoʻoikaika kino i hoʻolālā ʻia, e hoʻoneʻe i kou kino i ka hiki ke hiki i kāu hana maʻamau i kēlā me kēia lā. Nā mea e like me ke piʻi ʻana i ke alapiʻi ma kahi o ka elevator a me ka hele wāwae ʻana i nā wahi kokoke.
• E mālama i ke kaumaha olakino.
• E kaupalena i ka waiʻona: ʻO ka palena kiʻekiʻe he hoʻokahi mea inu maʻamau i ka lā no nā wahine a ʻelua mau mea inu maʻamau i ka lā no nā kāne.
• E hōʻemi i ke kō a me nā kalapona i hoʻomaʻemaʻe ʻia.

E noi i kāu kauka no nā ʻōlelo aʻoaʻo hou aku e kōkua i ka kaohi ʻana i kāu mau pae triglyceride.

He aha ka manaʻo no kekahi me kēia maʻi? (Manaʻo)

Pili kēia i nā mea he nui. Eia kekahi laʻana:

• He aha nā kumu o kou hypertriglyceridemia?
• He aha kou pae triglyceride?
• He aha nā maʻi ʻē aʻe āu e loaʻa nei?

No laila, e kamaʻilio me kāu kauka e ʻike pono ai i kou kūlana.

Akā e hoʻomanaʻo, he maʻi maʻamau ka hypertriglyceridemia, a ʻaʻole ʻoe hoʻokahi. Hoʻokele maikaʻi ka poʻe he nui i kēia maʻi ma ka hahai ʻana i nā ʻōlelo aʻoaʻo a kā lākou kauka, e hoʻololi i ke ʻano o ka nohona, a me ka lawe ʻana i ka lāʻau lapaʻau inā pono.

Āhea wau e ʻike ai i ke kauka?

E hōʻoia e hele i kāu mau hoʻokolohua lapaʻau makahiki. Eia kekahi, e hele i nā manawa ʻē aʻe e like me ke kuhikuhi a kāu kauka. Inā he mau nīnau a hopohopo paha kāu, e ʻoluʻolu e hoʻokaʻaʻike aku i kāu kauka i kēlā me kēia manawa.

He aha nā nīnau āu e nīnau ai i ke kauka?

He mea nui e aʻo i ka nui e like me ka hiki e pili ana i kou kūlana, kona mau kumu, a me kāna mau lāʻau lapaʻau. Hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau e like me:

• He aha ka mea a koʻu mau pae triglyceride e haʻi mai ai iaʻu?
• He kiʻekiʻe koʻu cholesterol?
• He aha ke kumu o ka piʻi ʻana o koʻu mau triglycerides?
• Pehea e hiki ai iaʻu ke hoʻohaʻahaʻa i koʻu mau pae triglyceride?
• He aha koʻu pilikia o ka loaʻa ʻana o ka maʻi puʻuwai?
• He aha nā ʻano hoʻoikaika kino e kūpono iaʻu?
• Pono anei au e ʻike i kahi mea lapaʻau meaʻai?

I ka manawa hea ʻoe e pono ai e hele i ka Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona , ​​e kelepona koke i ka 911 (1990 ma Sri Lanka), a i ʻole e hele i ka lumi pilikia kokoke loa:

• ʻO ka pancreatitis koʻikoʻi (ʻeha nui o ka ʻōpū, luaʻi, kuni)
• Hoʻouka puʻuwai - (ʻeha umauma, pōkole o ka hanu, hou ʻana)
• Hahau - (ka mae a nāwaliwali paha ma ka maka, ka lima a i ʻole ka wāwae, ka paʻakikī o ka ʻōlelo ʻana, ka paʻakikī o ka hele ʻana)

Hoʻonui ka Hypertriglyceridemia i ka pilikia o ka loaʻa ʻana o kēia mau pilikia koʻikoʻi. No laila, he mea nui loa ia e makaʻala i kēia mau hōʻailona a e ʻimi koke i ke kōkua lapaʻau inā loaʻa.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

Pono ka hoʻoikaika ʻana i ka kaohi ʻana i ka hypertriglyceridemia. Akā, kūpono ia i kou manawa. Pono ʻoe e hana i kekahi mau hoʻololi i kāu hana maʻamau i kēlā me kēia lā, a he mea paʻakikī paha kēlā mau hoʻololi i kekahi manawa. Akā e hoʻomaka me ka liʻiliʻi. ʻOiai nā hoʻololi liʻiliʻi, hiki ke hoʻololi nui i ke olakino o kou puʻuwai. E nīnau i kāu kauka e pili ana i nā kumuwaiwai a me nā hui kākoʻo e kōkua iā ʻoe e hoʻokō i kāu mau pahuhopu. Aia kou olakino ma kou mau lima!

` hypertriglyceridemia, triglycerides, cholesterol, maʻi puʻuwai, ʻai, hoʻoikaika kino, nohona