Ke hoʻāʻo ʻia kou koko no ka cholesterol, ua ʻike paha ʻoe i nā inoa e like me LDL, HDL, a me nā triglycerides i ka hōʻike āu e loaʻa ai, ʻeā? Kamaʻilio pinepine mākou e pili ana i ka "cholesterol maikaʻi" (HDL) a me ka "cholesterol maikaʻi ʻole" (LDL). Akā aia kekahi mea ʻaʻole ma ka papa inoa a nā mea a pau e kamaʻilio nei, he mea hūnā iki, akā hiki ke loaʻa ka hopena nui i ke olakino o ka puʻuwai. ʻO ia ʻo Lipoprotein (a) , a i ʻole Lp(a) no ka pōkole. Ua like ia me kahi mea huna ʻohana, a i kekahi manawa hiki iā mākou ke hana i nā pilikia nui i loko o ko mākou kino me ka ʻike ʻole.
I ka ʻōlelo maʻalahi, he aha ka Lipoprotein (a)?
ʻAe, e ʻōlelo kākou penei. ʻO Lipoprotein (a) kahi ʻano o LDL (Low-Density Lipoprotein), i ʻike ʻia hoʻi ʻo "cholesterol maikaʻi ʻole." He aha ka mea e hana ai ke piʻi ka cholesterol LDL i loko o ke kino? Hōʻiliʻili ia ma nā paia o ko kākou mau kīʻaha koko, e hana ana i nā palaki e like me nā puʻupuʻu wikiwiki ma ke alanui. I ka lāʻau lapaʻau, kapa mākou i kēia palaki . I ka hōʻiliʻili ʻana o kēia mau puʻupuʻu wikiwiki, lilo ke koko i mea emi ke kahe mālie. I ka hopena, hiki i kēia mau mea ke pani loa i nā kīʻaha koko a hoʻōki i ke kahe ʻana o ke koko. He kumu nui kēia o nā hōʻeha puʻuwai a me nā hahau.
ʻĀnō, ʻo ka mea kūikawā e pili ana iā Lp(a) ʻo ia ka mea ʻoi aku ka koʻikoʻi ma mua o LDL. ʻElua kumu no kēlā:
1. ʻOi aku ka wikiwiki o ke kāpili ʻana o ke koko: Kōkua nā ʻāpana Lp(a) i ko mākou kāpili ʻana o ke koko me ka wikiwiki ma mua o ka maʻamau.
2. Hoʻōki i ka hoʻoheheʻe ʻana o nā ʻūpā koko: Pale pū ia i ka hoʻoheheʻe ʻana o kahi ʻūpā koko i hana ʻia.
E noʻonoʻo, ua hana ʻia kahi papa o ka cholesterol (plaque) i loko o ke kīʻaha koko. Inā pohā kēlā papa ma muli o Lp(a), nui ka manawa e hana koke ʻia ai kahi ʻūpā koko a ālai loa i ke kīʻaha koko. ʻO ia ke kumu e pono ai mākou e makaʻala loa e pili ana iā Lp(a).
He mea anei ka pae Lp(a) i loaʻa mai i nā genes?
ʻAe. Pololei kēlā. ʻO kēia ka mea nui loa a he mea kaumaha iki paha e pili ana i kēia. Hoʻoholo ʻia kou pae Lp(a) e nā genes āu e loaʻa ai mai kou makuahine a me kou makuakāne. ʻO ke ʻano kēia, ʻaʻohe mea nui ka nui o kāu hoʻoikaika kino a i ʻole ke ʻano o kou kāohi ʻana i kāu ʻai, ʻaʻole hiki iā ʻoe ke hōʻemi nui i kou pae Lp(a). ʻO ka pae Lp(a) āu i loaʻa ai i kou wā ʻōpiopio, ʻo ia paha kāu no ke koena o kou ola.
ʻO ia hoʻi, ʻaʻole kēia he mea i hoʻokumu ʻia e ko kākou nohona. He mea ia a kākou e hoʻoilina ai. ʻO ia ke kumu inā loaʻa i kekahi o ka ʻohana ka maʻi puʻuwai i ka wā ʻōpiopio, pono mākou e kānalua iā Lp(a).
Pehea e ʻike ai i koʻu pae Lp(a)?
Hiki ke hoʻoholo ʻia kēia me kahi hoʻāʻo koko maʻalahi. Akā aia kekahi mea liʻiliʻi ma aneʻi. Loaʻa iā ʻoe kahi hoʻāʻo cholesterol, i kapa ʻia ʻo Lipid Profile.ʻO kaʻoiaʻiʻo, ʻaʻole i ana ʻia kēia pae Lp(a). Pono e hana ʻia ma ke kaʻawale, ma ke noi ʻana aku. Hiki i kāu kauka ke hoʻoholo inā pono ʻoe a kuhikuhi iā ʻoe no ia mea.
No ke aha e ʻōlelo ai ke kauka i kēia hoʻokolohua?
ʻAʻole pono nā kānaka a pau i kēia hoʻokolohua, akā inā he mau kumu ʻē aʻe kāu e hoʻonui ai i kou pilikia o ka maʻi puʻuwai, hiki i kāu kauka ke hoʻoholo e nānā i kēia pū kekahi.
| Kumu pilikia | Wehewehena |
|---|---|
| Moʻolelo ʻohana | Inā ua loaʻa i kekahi o kou ʻohana pili (makuahine, makuakāne, kaikaina) ka hōʻeha puʻuwai a i ʻole ka hahau ʻana i ka wā ʻōpiopio (ma lalo o 55 mau makahiki no nā kāne, ma lalo o 65 mau makahiki no nā wahine). |
| Ke kūlana cholesterol kiʻekiʻe genetic | Inā loaʻa iā ʻoe ka Familial Hypercholesterolemia , kahi maʻi genetic e hoʻoulu ai i nā pae cholesterol kiʻekiʻe. Ma kahi o 30% o ka poʻe me kēia maʻi he kiʻekiʻe ko lākou mau pae Lp(a). |
| Nā pae LDL kiʻekiʻe loa | Inā kiʻekiʻe loa kou pae LDL i ka wā o kahi hoʻāʻo cholesterol maʻamau. |
| Maʻi puʻuwai hou | Inā loaʻa iā ʻoe nā hōʻeha puʻuwai a i ʻole nā hahau e hoʻi hou ana me ka nānā ʻole i ka mālama pono ʻana a me nā loli o ke ʻano o ka nohona, ʻo Lp (a) paha ke kumu. |
| Inā he kiʻekiʻe ka Lp(a) o kekahi o ka ʻohana | Inā ua loaʻa i kekahi o kou ʻohana kēia hoʻokolohua a ua hōʻoia ʻia ko lākou pae Lp(a) he kiʻekiʻe. |
Nā pae Lp(a) a me ko lākou manaʻo
ʻElua ala e ana ai i nā pae Lp(a). ʻO kekahi, ʻo ke ana ʻana i ka nui o Lp(a) i loko o ke koko. Hāʻawi ʻia nā waiwai ma nā milligrams no ka deciliter (mg/dL). ʻO kekahi, ʻo ke ana ʻana i ka helu o nā ʻāpana Lp(a) i loko o ke koko. Hāʻawi ʻia nā waiwai ma nā nanomoles no ka lita (nmol/L). He mea nui e nīnau i kāu kauka i nā anakahi o kāu hōʻike.
Ma keʻano laulā, hoʻokaʻawale mākou i nā waiwai mg/dL penei:
- Pae maʻamau: Ma lalo o 30 mg/dL.
- Ka pilikia palena: Ma waena o 30 mg/dL a me 50 mg/dL.
- Ka pilikia kiʻekiʻe: ʻOi aku ma mua o 50 mg/dL.
Ma nmol/L, ʻo kahi waiwai ma luna o 100 nmol/L ua manaʻo ʻia he pilikia kiʻekiʻe.
ʻO kou pae Lp(a) kiʻekiʻe ke ʻano he kiʻekiʻe kou pilikia o ka hoʻomohala ʻana i nā maʻi puʻuwai a me nā maʻi kīʻaha koko, ʻoiai inā maikaʻi kāu mau pae cholesterol ʻē aʻe.
Ua ʻike ʻia e ka noiʻi ua pili pono nā pae Lp(a) kiʻekiʻe i kēia mau maʻi:
- Maʻi puʻuwai
- Maʻi hohola
- Hahau
- ʻO ka stenosis valve aortic
- ʻO ka maʻi ʻaʻai peripheral (PAD)
Aia kekahi mau hōʻailona o ke kiʻekiʻe o ka Lp(a)?
ʻAʻole. ʻO ia ka mea weliweli. Nui ka poʻe me nā pae Lp(a) kiʻekiʻe ʻaʻole hōʻike i kekahi mau hōʻailona. ʻAʻole lākou i ʻike ua pilikia lākou a hiki i ka wā e loaʻa ai kahi mea koʻikoʻi e like me ka hāʻule puʻuwai. ʻO ia ke kumu, inā he moʻolelo ʻohana kou no ka maʻi puʻuwai, he mea nui loa ia e kamaʻilio me kāu kauka e pili ana i ia mea i ka wā mua a e hoʻāʻo ʻia inā pono.
ʻAe, pehea lā e hōʻemi ai i kēia Lp(a)?
He nīnau kēia a nā kānaka a pau. ʻO kaʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau kikoʻī i ʻae ʻia e kuhikuhi a hoʻohaʻahaʻa i nā pae Lp(a). Ke hoʻomohala nei nā kānaka noiʻi a ke hoʻāʻo nei i kekahi mau lāʻau lapaʻau hou no kēia kumu. No laila ke manaʻolana nei mākou e loaʻa kahi hopena maikaʻi i ka wā e hiki mai ana.
Ke noʻonoʻo nei paha ʻoe, "No laila, ʻaʻohe aʻu mea e hana ai i kēia manawa?" Mai manaʻo pēlā. Nui nā mea e hana ai!
ʻOiai ʻaʻole hiki iā mākou ke hoʻohaʻahaʻa pololei i nā pae Lp(a), ʻo ka mea maikaʻi loa hiki iā mākou ke hana, ʻo ia ke kāohi i nā mea ʻē aʻe a pau e hoʻonui ai i ka pilikia o ka maʻi puʻuwai. I nā huaʻōlelo ʻē aʻe, inā ʻo Lp(a) wale nō ka pū a mākou, ua like ia me ka hoʻopau ʻana i nā mea ʻē aʻe a pau.
Nā mea hiki iā ʻoe ke hana:
- E hoʻōki loa i ka hoʻohana ʻana i nā huahana paka. ʻO ka puhipaka ke kumu nui o ka hōʻino ʻana i nā kīʻaha koko.
- E hoʻoikaika kino mau. E hana i kekahi mea e like me ka hele wāwae a i ʻole ka holo ʻana no 30 mau minuke ma ka liʻiliʻi he 5 mau lā o ka pule.
- E mālama i ke kaumaha olakino.
- E ʻai i ka ʻai olakino no ka puʻuwai. E ʻai iki i ka ʻaila, ka paʻakai, a me ke kō, a e ʻai hou aku i nā mea kanu, nā huaʻai, nā mea kanu lāʻau, a me nā meaʻai waiwai i ka fiber.
- E mālama i kou koko a me ka maʻi diabetes ma lalo o ke kaohi. E hoʻohana pono i nā lāʻau lapaʻau a kāu kauka i kuhikuhi ai no kēia mau mea.
- E kāohi i nā pae kolesterol LDL. ʻOiai ʻaʻole hiki ke hoʻohaʻahaʻa i ka Lp(a), hiki i nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol LDL, e like me nā statins a i ʻole nā mea hoʻopaʻa PCSK9 , ke hōʻemi nui i ka pilikia holoʻokoʻa.
- E kāohi i ke kaumaha.
Ma muli o kou pilikia, hiki i kāu kauka ke kuhikuhi i kahi lāʻau lapaʻau e like me ka aspirin e hōʻemi i ke kāpili ʻana o ke koko.
No ka poʻe me nā pae Lp(a) kiʻekiʻe loa, ʻoiai ka poʻe me Familial Hypercholesterolemia, aia kahi lāʻau i kapa ʻia ʻo Apheresis . Ua like kēia me ka dialysis ke hāʻule nā pūnaʻau. Hoʻopili ʻia ʻoe i kahi mīkini a ua kānana ʻia nā ʻāpana Lp(a) mai ke koko. Eia nō naʻe, he lāʻau kēia e lawe ana i kekahi mau hola, pono e hana ʻia i hoʻokahi a ʻelua paha i ka pule, a hana wale ʻia no nā maʻi kūikawā loa.
Leka Lawe-Home
- ʻO ka Lipoprotein (a) a i ʻole Lp(a) kahi ʻano cholesterol kūikawā a mākou e hoʻoilina ai mai kā mākou mau genes a hoʻonui ia i ka pilikia o ka maʻi puʻuwai.
- ʻAʻole i ana ʻia kēia me kahi hoʻāʻo cholesterol maʻamau (Lipid Profile). Pono ia i kahi hoʻāʻo koko kūikawā .
- ʻAʻole hiki ke hoʻemi nui ʻia nā pae Lp(a) e ka ʻai a i ʻole ka hoʻoikaika kino.
- Inā ua loaʻa i kekahi o kou ʻohana ka maʻi puʻuwai i kona wā ʻōpiopio , e kamaʻilio me kāu kauka e pili ana i ka nānā ʻana i kou pae Lp(a).
- ʻOiai inā kiʻekiʻe kou pae Lp(a), mai hopohopo. Ma ka kaohi ʻana i nā kumu pilikia ʻē aʻe a pau , e like me ke koko, ka maʻi diabetes, a me ka LDL cholesterol, hiki iā ʻoe ke hōʻemi nui i kou pilikia o ka hōʻeha puʻuwai a me ka hahau.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo