ʻOiai inā he anu ko mākou a luhi iki paha, ua maʻa mākou i ka hele ʻana e ʻike i ke kauka. Ke hana mākou, ʻo ka hapa nui o ka manawa, hoʻolohe ke kauka i kā mākou mau hōʻailona, nānā iā mākou, a kuhikuhi iā mākou i kahi lab no ka ʻike hou aku. No laila, ʻo ka hoʻāʻo ʻana i nā mea e like me ke koko a me ka mimi ma kēia ʻano ua lilo ia i ʻāpana maʻamau o ko mākou ola olakino. Akā ua ʻike anei ʻoe me ka holomua o ka ʻepekema, ke loli mālie nei ke ʻano o ka hana ʻana o kēia mau hoʻokolohua lab a me ke ʻano o kā mākou wehewehe ʻana i kā lākou mau hopena? I kēia lā e kamaʻilio mākou e pili ana i kekahi o nā loli koʻikoʻi i hana ʻia i kekahi o nā hoʻokolohua lab a mākou e hana mau ai.
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Hoʻāʻo Kolesterol (Lipid Profile) - Pono anei au e pōloli i kēia manawa?
E noʻonoʻo ʻoe ua ʻoi aku ʻoe ma mua o 40 mau makahiki. A i ʻole ua kaumaha iki ʻoe. A laila he mea maʻamau no ke kauka ke kuhikuhi i kahi hoʻāʻo e nānā i kāu cholesterol . Kāhea mākou i kēia he 'lipid profile '. I ka ʻōlelo maʻalahi, nānā kēia i nā ʻano momona i loko o kou koko.
Ke nānā nei kēia hoʻāʻo i ʻehā mau mea nui:
- Huina Kolesterol: ʻO ka nui o ka cholesterol i loko o ke koko.
- HDL (High-Density Lipoprotein): Ua ʻike mākou a pau i kēia ʻo ia ka " cholesterol maikaʻi ". ʻO ke kiʻekiʻe o kēia, ʻoi aku ka maikaʻi no ka puʻuwai.
- LDL (Low-Density Lipoprotein): ʻO kēia ka "cholesterol maikaʻi ʻole." ʻO nā pae kiʻekiʻe o kēia e hoʻonui i ka pilikia o nā maʻi e like me ka maʻi puʻuwai a me ka hahau .
- Triglycerides : He ʻano momona kēia i loaʻa i loko o ke koko.
Ua ʻike mau mākou ʻaʻole pono ʻoe e ʻai a inu paha i kekahi mea no 8-12 mau hola ma mua o ka lawe ʻana i kēia hoʻokolohua. Ua aʻo aku ka nui o nā kauka i kēia no ka mea ua manaʻoʻiʻo lākou e hiki i nā meaʻai a mākou e ʻai ai ke hoʻopilikia i kēia mau waiwai, ʻoiai hoʻi nā triglycerides.
Akā he aha ka hoʻololi hou i kēia manawa?
Ua ʻike ʻia e nā noiʻi hou nei no nā kānaka he nui ,ʻAʻole pono e hoʻokē ʻai ma mua o ka lawe ʻana i kēia hoʻokolohua. No ka mea, ʻaʻohe hopena koʻikoʻi o nā meaʻai a mākou e ʻai ai i nā pae cholesterol (HDL a me LDL). Eia nō naʻe, hiki i kekahi mau meaʻai momona a me ke kō ke hoʻonui i nā pae triglyceride no kekahi manawa.
ʻO ke ʻano kēia inā ʻoe e lawe i ka hoʻāʻo me ka ʻole o ka hoʻokē ʻai ʻana, a he maʻamau kāu mau waiwai ʻē aʻe akā kiʻekiʻe loa kāu mau triglycerides, e haʻi aku kāu kauka iā ʻoe e lawe hou i ka hoʻāʻo i ka lā hoʻokē ʻai. E kōkua kēia iā ʻoe e hoʻoholo inā kiʻekiʻe maoli ka heluhelu ʻana a inā he piʻi wale nō ia no ka manawa pōkole i hoʻokumu ʻia e ka ʻai ʻana.
No laila, i ka manawa aʻe e noi aku ai kāu kauka iā ʻoe e hana i kahi ʻikepili lipid, e nīnau pololei iā ia inā pono ʻoe e hoʻokē ʻai a ʻaʻole paha. ʻO ka hapa nui o ka manawa, hiki iā ʻoe ke pale aku i kēlā pōloli hoʻonāukiuki.
Nā hoʻāʻo e ʻike ai i ka maʻi diabetes
He maʻi maʻamau loa ka maʻi diabetes i ko kākou ʻāina. Nui ka poʻe i loko o ke kūlana prediabetic, ʻo ia hoʻi, me ka pilikia nui o ka loaʻa ʻana o ka maʻi diabetes. No laila, he mea nui loa ka loaʻa ʻana o kahi hoʻokolohua pololei e ʻike mua ai i kēia maʻi.
I ka wā ma mua, ʻo ke ala nui e hoʻāʻo ai no ka maʻi diabetes me ka hoʻāʻo kō koko hoʻokē ʻai (Fasting Blood Sugar) a me ka Oral Glucose Tolerance Test (OGTT) i hana ʻia i ʻelua hola ma hope o ka inu ʻana i kahi wai glucose. He mea hoʻoluhi iki kēia hoʻāʻo OGTT. Pono ʻoe e hoʻokē ʻai i ka pō, e hele i ka lab i ke kakahiaka, inu i kahi mea inu kō, a kali no ʻelua hola.
He aha ke ala maʻalahi loa i kēia manawa? ʻO ka hoʻāʻo HbA1c!
I nā manawa i hala iho nei, ʻo kekahi o nā hoʻokolohua maʻamau a nā kauka e hoʻohana ai no ka ʻike a me ka mālama ʻana i ka maʻi diabetes ʻo ia ka Hemoglobin A1c , a i ʻole HbA1c no ka pōkole.
I ka ʻōlelo maʻalahi, ana kēia i ka nui o ke kō (glucose) i hoʻopili ʻia i kahi protein i kapa ʻia ʻo hemoglobin i loko o kou mau ʻulaʻula koko. ʻOiai he 90-120 mau lā ke ola o kahi ʻulaʻula koko, hiki i kēia hoʻāʻo ke hāʻawi iā ʻoe i kahi manaʻo maikaʻi o kou awelika o ke kō koko i nā mahina 2-3 i hala . ʻAʻole pono ʻoe e pōloli no kēia, a hiki ke hana ʻia i kēlā me kēia manawa o ka lā.
Akā aia kahi "akā" liʻiliʻi i kēia ...
ʻOiai he maʻalahi loa a hilinaʻi hoʻi ka hoʻāʻo ʻana o ka HbA1c, ua ʻike ʻia i kēia manawa ʻaʻole paha e pololei 100% nā hopena no ka poʻe me kekahi mau maʻi olakino. Hiki ke ʻoiaʻiʻo kēia no ka poʻe me nā maʻi e hoʻopilikia ana i nā hunaola koko ʻulaʻula .
ʻo kahi laʻana:
- Anemia: He maʻi maʻamau loa i waena o nā wāhine ma ko kākou ʻāina. I kekahi mau ʻano anemia, ʻike ʻia paha ka waiwai HbA1c kiʻekiʻe a haʻahaʻa paha ma mua o ka mea maoli.
- Maʻi ʻeha o ke kelepona ʻokiʻoki:I nā kūlana genetic e like me kēia, hiki ke loli nā waiwai HbA1c ma muli o nā loli i loko o nā hunaola koko ʻulaʻula.
ʻAʻole kēia e ʻōlelo ʻaʻole maikaʻi ka hoʻāʻo HbA1c. Eia nō naʻe, ʻaʻole ia he manaʻo maikaʻi e hoʻokumu i kāu mau hoʻoholo ma kahi helu hoʻokahi wale nō ma kāu hōʻike lab. ʻOiai inā ʻo kou waiwai HbA1c ma waena o nā pae maʻamau a me nā pae maʻi diabetes, e noʻonoʻo kāu kauka i nā kūlana ʻē aʻe, e like me ka anemia, a e paipai paha i nā hoʻokolohua ʻē aʻe, e like me ka pae kō koko hoʻokē ʻai, inā pono.
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Check Availability →Ka nānā ʻana i ka mimi - pono anei e hana i kēlā me kēia kanaka i kēlā me kēia makahiki?
Ua maʻa ka nui o ka poʻe i ka loaʻa ʻana o kahi hoʻāʻo mimi piha (urinalysis) ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki. Ua manaʻo mākou he nānā maʻamau ia no nā maʻi ʻaʻai mimi a me ka hana maikaʻi o nā puʻupaʻa.
Akā, ua ʻokoʻa ke kūlana i kēia manawa!
Ke ʻōlelo nei nā alakaʻi olakino i ʻike ʻia ma ka honua holoʻokoʻa he liʻiliʻi ka waiwai o ka hana ʻana i kahi hoʻāʻo mimi ma ke ʻano he nānā maʻalahi me ka ʻole o kekahi mau hōʻailona . Akā, ua lawa ka hana ʻana i kēia hoʻāʻo inā wale nō he mau hōʻailona.
| Manawa kūpono | He aha ka mea i ʻōlelo ʻia i kēia manawa |
|---|---|
| Inā loaʻa iā ʻoe nā hōʻailona mimi: (e.g., ka maʻi ʻaʻai mimi, ʻeha, mimi pinepine, pilau ʻino) | He mea nui loa ka hana ʻana i kahi urinalysis. |
| Ma ke ʻano he nānā olakino maʻamau , me ka ʻole o nā hōʻailona | ʻAʻole koi ʻia kahi hoʻāʻo mimi. |
| Inā he makuahine hāpai ʻoe | He mea koi ʻia nā hoʻāʻo mimi pinepine ma ke ʻano he ʻāpana o nā hoʻokolohua maʻamau i ka wā hāpai. |
No laila pehea ʻoe e nānā ai i ka hana o ka puʻupaʻa?
I kēia manawa, hilinaʻi nui nā kauka i kahi hoʻāʻo koko e ʻike ai i ka maikaʻi o ka hana ʻana o nā puʻupaʻa. Ua kapa ʻia ʻo ia ʻo eGFR (estimated Glomerular Filtration Rate). ʻO kēia kekahi hapa o ka pūʻolo hoʻāʻo koko Basic Metabolic Panel a mākou e hana ai. Hāʻawi kēia i kahi manaʻo pololei o ka hana o nā puʻupaʻa ma mua o ka hoʻāʻo mimi.
Leka Lawe-Home
- Kolesterol (Lipid Profile): I ka hapanui o nā hihia, ʻaʻole pono ʻoe e hoʻokē ʻai no kēia hoʻāʻo. Eia nō naʻe, e noi i kāu kauka no ka ʻōlelo aʻo.
- ʻO ka maʻi diabetes (HbA1c): He hoʻāʻo maikaʻi kēia e haʻi iā ʻoe e pili ana i kou pae kō koko i nā mahina 2-3 i hala. Eia nō naʻe, hiki ke ʻokoʻa iki nā hopena me nā maʻi e like me ka anemia.
- Mimi: Inā ʻaʻole ʻoe i ʻike i nā hōʻailona (ke ʻole ʻoe e hāpai), ʻaʻohe kumu e hana ai i kēia hoʻāʻo. ʻOi aku ka pololei o ka hoʻāʻo koko eGFR no ka loiloi ʻana i ka hana o nā puʻupaʻa.
- ʻO ka mea nui loa: Mai hopohopo a hoʻoholo paha ma muli o nā helu ma kāu hōʻike lab. ʻO kāu kauka wale nō, ka mea i ʻike i kou mōʻaukala olakino piha, hiki ke hoʻomaopopo maoli i ko lākou manaʻo. E kūkākūkā mau i kāu mau hopena hoʻāʻo me kāu kauka.
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