He pilikia ka cholesterol i loaʻa i nā kānaka he nui ma ko kākou ʻāina. Malia paha ʻo ʻoe, kou makuahine, kou makuakāne, a i ʻole kekahi āu i ʻike ai i loaʻa i kēia pilikia. Hiki i kekahi poʻe ke kāohi iā ia ma ka lawe ʻana i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka a me ka kāohi ʻana i kā lākou ʻai. Akā no kekahi poʻe, ʻoiai ke ʻano o kā lākou hoʻāʻo ʻana, he paʻakikī ke hoʻemi i ka pae cholesterol i loko o ko lākou koko. ʻO ia ka manawa e pono ai ke kōkua o kekahi me ka ʻike kūikawā. I kēia lā ke kamaʻilio nei mākou e pili ana i ia ʻano loea, ʻo ia hoʻi, he Lipidologist.
I ka ʻōlelo maʻalahi, ʻo wai kēia Lipidologist?
E noʻonoʻo, ke loaʻa iā mākou kahi pilikia ʻili, hele mākou e ʻike i kahi kauka ʻili. No kahi maʻi puʻuwai , hele mākou e ʻike i kahi kauka cardiologist. Pēlā nō, ʻo ke kauka loea i nā lipids, a i ʻole nā momona i loko o ke koko, ua kapa ʻia ʻo Lipidologist.
ʻO kēia mau lipids e komo pū ana me nā mea e like me ka cholesterol a me nā triglycerides a kākou a pau i ʻike ai. ʻOiai he mea pono kēia no ke kino, ke kiʻekiʻe loa lākou, hiki iā lākou ke hana i nā pilikia koʻikoʻi. ʻOi aku ka hana a ka lipidologist ma mua o kahi hoʻāʻo koko maʻamau a hoʻohana i ko lākou ʻike loea e kōkua i ka poʻe me kēia mau maʻi lipid.
No ke aha he mea nui ka ʻike o kahi lipidologist iā mākou?
ʻO ke kumu nui o kēia, ʻo ia ka maʻi puʻuwai a me nā maʻi cardiovascular. Ua lohe mākou a pau i ka "cholesterol maikaʻi ʻole". Ma nā ʻōlelo lapaʻau, kapa mākou i kēia he Low-Density Lipoprotein (LDL) .
E noʻonoʻo wale i ko kākou mau kīʻaha koko e like me nā paipu e lawe ana i ka wai. Ke piʻi nui ka LDL, a i ʻole ka cholesterol maikaʻi ʻole, i loko o ke koko, e kūkulu mālie ia ma luna o nā paia o kēlā mau kīʻaha koko. Ua like ia me kahi paipu wai kahiko i paʻa i ka ʻōpala a me ka lepo. ʻO kēia hōʻiliʻili ʻana o ka momona i loko o nā kīʻaha koko, e mānoanoa ana, a e pani ana iā lākou, ʻo ia ka mea a mākou e kapa nei he atherosclerosis .
Ke paʻa nā kīʻaha koko e like me kēia, piʻi ka pilikia o nā maʻi koʻikoʻi e like me ka hōʻeha puʻuwai a me ka hahau . Loaʻa i kahi lipidologist kahi ʻike hohonu o ka cholesterol LDL a me nā lipids ʻē aʻe. No laila, hiki iā ia ke loiloi pololei i kou pilikia a hāʻawi iā ʻoe i ka hoʻolālā lapaʻau maikaʻi loa e hōʻemi iā ia.
He aha nā maʻi lapaʻau nui a ka lipidologist e mālama ai?
Hoʻomaʻamaʻa mua kahi lipidologist i nā maʻi e pili ana i ka lipid. Aia ma lalo kekahi o lākou. He paʻakikī iki paha kēia mau inoa, akā e nānā kākou i ko lākou manaʻo ma nā huaʻōlelo maʻalahi.
| Inoa Kūlana (Huaʻōlelo Lapaʻau) | I ka ʻōlelo maʻalahi... |
|---|---|
| Hyperlipidemia | ʻO ka hoʻonui ʻia ʻana o ka nui o nā momona (e like me ka cholesterol) i loko o ke koko (kapa pinepine mākou i kēia "cholesterol kiʻekiʻe"). |
| Hypercholesterolemia | ʻOi aku ka nui o ka LDL, ʻo ia hoʻi ka "cholesterol maikaʻi ʻole". |
| ʻO ka Hypolipidemia | ʻOi aku ka haʻahaʻa o ka cholesterol i loko o ke koko ma mua o ka maʻamau (hiki i kēia ke lilo i pilikia i kekahi manawa). |
| ʻO ka Hypercholesterolemia ʻohana | He maʻi hoʻoilina ka cholesterol kiʻekiʻe, ʻo ia hoʻi, ua loaʻa ia mai nā genes. Hiki i kēia ke lilo i mea weliweli loa. |
| Hypertriglyceridemia | ʻO ka hoʻonui ʻia ʻana o kekahi ʻano momona ʻē aʻe i kapa ʻia ʻo triglycerides i loko o ke koko. |
ʻO wai ka mea makemake e lilo i ka mea mua e loaʻa i ka cholesterol?
ʻAʻole pono ʻoe e ʻike koke i kahi Lipidologist inā ʻike ʻoe he kiʻekiʻe kou cholesterol. Pono ʻoe e kamaʻilio mua me kāu kauka ʻohana (Primary Care Provider - PCP) . E aʻo aku ʻo ia iā ʻoe i nā lāʻau lapaʻau maʻamau a me nā hoʻololi ʻana i ke ʻano o ka nohona (ʻai, hoʻoikaika kino) āu e pono ai.
Eia nō naʻe, inā ʻaʻole kēlā mau lāʻau lapaʻau e kaohi i kāu mau pae cholesterol e like me ka mea i manaʻo ʻia, a inā manaʻo ʻoe he maʻi cholesterol hoʻoilina kou, a laila pono ʻoe e noi i kahi kuhikuhi e ʻike i kahi Lipidologist.
Manaʻo ka poʻe he nui he kauka lapaʻau no ka puʻuwai kahi Lipidologist. Akā, ʻaʻole pono ia. Loaʻa paha i nā kauka ma nā kahua e like me ka Family Medicine a i ʻole ka Internal Medicine ke aʻo kūikawā ma kēia wahi o ka lipidology. No laila hiki iā ʻoe ke nīnau i kāu kauka e pili ana i ia mea.
He aha ka mea e hana ai ke hele ʻoe e ʻike i kahi lipidologist?
Ke hele ʻoe e ʻike i kahi Lipidologist, e nānā pono ʻo ia iā ʻoe.
1. Nā hoʻāʻo koko: ʻO ka mea mua, lawe ʻia kahi hāpana koko mai ou aku a hana ʻia kahi panel lipid kūikawā. Hiki i kēia ke nānā pono i kāu LDL, HDL (cholesterol maikaʻi), a me nā pae triglyceride.
2. Moʻolelo ʻohana: He mea nui loa kēia. E nīnau maoli nō ʻo ia inā ua loaʻa i kou makuahine, kou makuakāne, kou mau kaikaina, a i ʻole kou mau hoahānau pili nā pilikia cholesterol, nā hōʻeha puʻuwai, a i ʻole nā hahau i ka wā ʻōpiopio. No ka mea, hiki ke pili kēia i nā ʻano hoʻoilina.
3. Hoʻokolokolo kino: E hoʻokolokolo ʻia kou kino.
4. Ke nīnau ʻana e pili ana i ke ʻano o ka nohona: E nīnau pū ʻo ia e pili ana i nā mea e like me ka puhipaka ʻana, ka hoʻoikaika kino ʻana, a me ke ʻano o kāu mau ʻano ʻai.
Ma ka hoʻohana ʻana i kēia ʻike āpau, e hana kahi Lipidologist i kahi hoʻolālā lapaʻau i hana kūikawā ʻia no ʻoe. Hiki i kēia ke komo pū me nā lāʻau lapaʻau a me nā hoʻololi ʻana i ke ʻano o ka nohona. I kekahi mau hihia koʻikoʻi loa, hiki iā lākou ke ʻōlelo aku i nā lāʻau lapaʻau kūikawā e like me ka lipoprotein apheresis . Pili kēia i ka hoʻouna ʻana i kou koko ma o kahi mīkini, ka wehe ʻana i ka cholesterol maikaʻi ʻole (LDL) mai ia mea, a me ka hoʻihoʻi ʻana i ke koko i hoʻomaʻemaʻe ʻia i kou kino.
Ke hoʻomaka ʻoe i ka lāʻau lapaʻau, e nānā mau ʻia ʻoe. E hana ʻia nā hoʻāʻo koko i nā manawa maʻamau e hoʻoholo ai inā e holo pono ana ka lāʻau lapaʻau a inā paha e pono e hana i nā hoʻololi.
Inā pilikia ʻoe i ka kaohi ʻana i kāu cholesterol, mai hilahila a makaʻu paha. Pono kekahi poʻe i kahi mea ʻoi aku ma mua o ka lāʻau lapaʻau maʻamau. He mea naʻauao ke ʻimi i ke kōkua mai kahi loea.
Leka Lawe-Home
- He kauka lapaʻau ka lipidologist i loea i nā maʻi e pili ana i nā momona i loko o ke koko, ʻoiai ka cholesterol.
- Inā paʻakikī ke kaohi i kou pae cholesterol me nā lāʻau lapaʻau maʻamau, a inā kānalua ʻoe he maʻi cholesterol hoʻoilina kou, he mea nui e ʻimi i ka ʻōlelo aʻo a kahi Lipidologist.
- E noʻonoʻo ʻo ia i nā mea āpau mai kāu mau hoʻāʻo koko, ka mōʻaukala olakino ʻohana, a me ke ʻano o ka nohona e hana i kahi hoʻolālā lapaʻau e kūpono iā ʻoe.
- ʻO ka mea mua, e kamaʻilio me kāu kauka ʻohana (PCP). Inā pono, e kuhikuhi ʻo ia iā ʻoe i kahi Lipidologist.
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