Manaʻo paha ʻoe, "ʻAʻohe oʻu pilikia, ua olakino maikaʻi wau." He mea maikaʻi maoli ke manaʻo pēlā. Akā, ua ʻike anei ʻoe aia kekahi mau kūlana e hiki ke hōʻeha malū iā mākou i loko o ko mākou kino me ka ʻole o ka hōʻike ʻana i nā hōʻailona? ʻO kekahi ʻenemi malū ʻo ia ka "cholesterol kiʻekiʻe." ʻIke ka poʻe he nui he kiʻekiʻe loa ko lākou pae cholesterol ma hope o ka loaʻa koke ʻana o kahi pilikia nui e like me ka hōʻeha puʻuwai. No laila, pehea ka waiwai o ka ʻike mua ʻana i kēia a lawe i nā hana e pono ai ma mua o ka hiki ʻana mai? I kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia cholesterol a pehea e ʻike ai inā kiʻekiʻe.
No ke aha he mea nui e nānā pono i ka cholesterol?
I ka ʻōlelo maʻalahi, he ʻano momona ka cholesterol i loaʻa i loko o ko kākou koko. Pono maoli ko kākou kino i kekahi cholesterol e kūkulu i nā ʻāpana olakino. Akā hoʻomaka ka pilikia ke piʻi aʻe kēia pae cholesterol i ke kiʻekiʻe loa.
E noʻonoʻo e pili ana i nā paipu wai i loko o kou home. He aha ka mea e hana ai inā lepo a ʻōpala ka loko o kēlā mau paipu? Ua ālai ʻia ke kahe ʻana o ka wai, piʻi ke kaomi, a i ka hopena hiki i nā paipu ke pohā. Ma ke ʻano like, i ka wā e piʻi ai ka cholesterol, hoʻomaka ka momona e waiho i loko o ko mākou mau kīʻaha koko (nā aʻa). I ka lāʻau lapaʻau, kapa mākou i kēia (atherosclerosis) . Ke ālai ʻia nā kīʻaha koko ma kēia ʻano, ʻaʻole loaʻa i ka puʻuwai ka nui o ke koko e pono ai. ʻO kēia ka hoʻomaka ʻana o nā maʻi koʻikoʻi e like me ka maʻi puʻuwai a me ka hōʻeha puʻuwai.
ʻO ka mea nui, ʻaʻole ʻoe e ʻike i kekahi ʻeha, ʻoluʻolu ʻole, a i ʻole nā hōʻailona mai ka cholesterol kiʻekiʻe. ʻO ia ka pōʻino nui loa o kēia. ʻO ke ala wale nō e hiki ai iā ʻoe ke ʻike pono, ʻo ia ke loaʻa ʻana o kahi hoʻāʻo koko.
Ma keʻano laulā, he mea nui i nā kānaka a pau ke nānā ʻia ko lākou pae cholesterol ma ka liʻiliʻi hoʻokahi manawa i kēlā me kēia ʻelima mau makahiki ma hope o ka piha ʻana o 20 mau makahiki. ʻO ka hana ʻana pēlā e hiki ke kōkua i ka hōʻemi ʻana i kou pilikia o ka maʻi puʻuwai inā kiʻekiʻe kou mau pae. ʻOiai inā loaʻa iā ʻoe ka maʻi puʻuwai, hiki i ka kaohi ʻana i kāu cholesterol ke kōkua i ka pale ʻana i ka hōʻino hou aʻe.
He aha ka hoʻāʻo koko e nānā ai i nā pae cholesterol?
Ke hele ʻoe e ʻike i ke kauka, e kauoha ʻo ia i kahi hoʻāʻo koko maʻalahi i kapa ʻia ʻo ka lipid profile e nānā i kāu mau pae cholesterol. ʻO kēia ke kaʻina hana maʻamau. Hāʻawi kēia hoʻāʻo i ka ʻike e pili ana i ʻehā mau mea nui. E nānā kākou i ke ʻano o lākou.
| He aha ka mea e hoʻāʻo ʻia nei? | ʻO ke ʻano maʻalahi |
|---|---|
| LDL (Lipoprotein Haʻahaʻa-Paʻa) | ʻO kēia ka mea a mākou e kapa nei he "cholesterol maikaʻi ʻole." ʻO kēia nā mea e kūkulu ʻia ma nā paia o nā kīʻaha koko a pani iā lākou. ʻO ka haʻahaʻa o kēia waiwai, ʻoi aku ka maikaʻi. |
| HDL (Lipoprotein Paʻa Kiʻekiʻe) | Kāhea mākou i kēia he "kolesterol maikaʻi." E like me ka mea hōʻiliʻili ʻōpala, lawe kēia kolesterol HDL i ka kolesterol LDL keu mai nā kīʻaha koko i ke akepaʻa no ka hoʻolei ʻana. No laila, ʻo ke kiʻekiʻe o kēia waiwai, ʻoi aku ka palekana o mākou. |
| Nā Triglycerides | ʻO kēia kekahi ʻano momona i loaʻa i loko o ke koko. Mālama ke kino i nā calorie keu a mākou e ʻai ai ma kēia ʻano. ʻO ka piʻi ʻana o kēia pae e hoʻonui pū i ka pilikia o ka maʻi puʻuwai. Pono hoʻi e mālama haʻahaʻa ʻia kēia waiwai. |
| Kolesterol holoʻokoʻa | ʻO kēia ka nui o ka LDL, HDL, a me nā ʻano cholesterol ʻē aʻe i loko o kou koko. ʻAʻole kēia wale nō e hāʻawi i kahi kiʻi piha, a hoʻoholo ke kauka ma ka hoʻohālikelike ʻana me nā waiwai ʻē aʻe. |
He aha kāu e hana ai ma mua o ka hoʻāʻo ʻana i ke koko?
ʻO ka maʻamau, ua noi ʻia ʻoe e hoʻokē ʻai no kahi o 9-12 mau hola ma mua o ka hana ʻana i kēia hoʻāʻo koko. ʻO ke ʻano kēia, ʻaʻole pono ʻoe e ʻai a inu paha i kekahi mea ʻē aʻe ma mua o ka wai. ʻO kēia ke pale aku i nā heluhelu wahaheʻe ma nā triglycerides ma muli o kāu ʻai hope loa. Eia nō naʻe, e hāʻawi kāu kauka a i ʻole ka lab iā ʻoe i nā kuhikuhi kikoʻī no ka mea e hana ai ma mua o ka hāʻawi ʻana i ke koko.
He aha hou aʻe ka mea e hana ʻia ke hālāwai ʻoe me ke kauka?
ʻAʻole e hoʻoholo kāu kauka ma muli o kahi hōʻike hoʻāʻo koko wale nō. E ho'āʻo ʻo ia e hoʻomaopopo i kou olakino holoʻokoʻa. Hiki i kēia ke komo pū me:
- He hoʻokolokolo kino piha: E hoʻokolokolo ʻia kou kino holoʻokoʻa.
- Ke kamaʻilio ʻana e pili ana i kou mōʻaukala olakino: E nīnau ʻia ʻoe i nā nīnau he nui, e like me nā kūlana olakino ʻē aʻe āu e loaʻa ai (e like me ka maʻi diabetes, ke koko kiʻekiʻe), nā lāʻau lapaʻau āu e lawe ai, a inā he maʻi puʻuwai ko kekahi o kou ʻohana.
- Nīnau e pili ana i ke ʻano o ka nohona:E nīnau lākou iā ʻoe e pili ana i nā mea e like me kāu meaʻai, inā ʻoe e hoʻoikaika kino, inā ʻoe e puhipaka, a inā ʻoe e inu waiʻona.
- Ke hoʻolohe nei i kou puʻuwai: Hoʻolohe ka stethoscope i ke kani o kou puʻuwai e kuʻi ana.
- Ana o ke koko: ʻO ka nānā ʻana i kou koko kekahi mea āu e hana ai.
Ma ka hoʻohui ʻana i kēia mau ʻike a pau, hoʻoholo ke kauka i kou pilikia o ka maʻi puʻuwai a me ka nui o ka hopena o kou pae cholesterol iā ʻoe.
Pono ʻoe e hopohopo inā ʻike ʻoe ua kiʻekiʻe kou pae cholesterol?
ʻAʻole pono. ʻO ka ʻike ʻana he kiʻekiʻe kou pae cholesterol ʻaʻole ia he manaʻo he pilikia kou, ʻo ia ka hana mua i ka loaʻa ʻana o kahi hopena. Inā hōʻike kāu hōʻike ua kiʻekiʻe iki kou mau pae, e kamaʻilio kāu kauka me ʻoe a hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa nāu.
Hiki i kēia ke hoʻokomo i nā mea e like me:
1. Nā hoʻololi ʻana i ke ʻano o ka nohona a me ka ʻai: ʻO kēia ka mea mua a koʻikoʻi loa. ʻO nā mea e like me ka hōʻemi ʻana i nā meaʻai kiʻekiʻe i ka ʻaila, ke kō, a me ka paʻakai, ka ʻai ʻana i nā huaʻai a me nā mea kanu, ka hoʻoikaika kino i kēlā me kēia lā, a me ka haʻalele ʻana i ka puhipaka hiki ke hana i kahi ʻokoʻa nui.
2. Ke kuhikuhi ʻana i nā lāʻau lapaʻau: I kekahi manawa, ʻoiai inā he mau kumu pilikia ʻē aʻe kāu (e laʻa me ka maʻi diabetes, ke koko kiʻekiʻe, ka mōʻaukala ʻohana o ka maʻi puʻuwai), ʻaʻole lawa ka ʻai a me ka hoʻoikaika kino wale nō e kāohi i kou pae cholesterol. I ia mau hihia, hiki i kāu kauka ke kuhikuhi i nā lāʻau hoʻohaʻahaʻa cholesterol (e laʻa me nā statins).
Inā manaʻo kāu kauka ua kiʻekiʻe loa kou pilikia, hiki iā ia ke kuhikuhi iā ʻoe i kahi kauka puʻuwai. No laila, he mea nui e hahai pono i nā ʻōlelo a kāu kauka a mai makaʻu i kekahi mea.
Leka Lawe-Home
- He "ʻenemi leo ʻole" ka cholesterol kiʻekiʻe ʻaʻohe ona hōʻailona. ʻO ke ala wale nō e ʻike pono ai, ʻo ia ke hana i kahi hoʻāʻo koko.
- He mea nui loa ia no nā kānaka a pau ma luna o 20 mau makahiki e nānā ʻia ko lākou pae cholesterol ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia 5 mau makahiki.
- Hiki i kahi hoʻāʻo koko maʻalahi i kapa ʻia ʻo ka lipid profile ke hāʻawi iā ʻoe i kahi kiʻi maopopo o kāu mau pae cholesterol maikaʻi (HDL) a me ka cholesterol maikaʻi ʻole (LDL).
- Mai hopohopo inā kiʻekiʻe kou pae cholesterol. He kūlana ia e hiki ke mālama ʻia. E kamaʻilio me kāu kauka a e hahai i kāna ʻōlelo aʻo.
- ʻO ka ʻai olakino a me ke ʻano ola kino ka lāʻau lapaʻau maikaʻi loa no ka kaohi ʻana i ka cholesterol.
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