Ke ʻike mākou ua kiʻekiʻe ke kiʻekiʻe o kou pae cholesterol koko ma ka hōʻike, ʻo ka mea mua a mākou e noʻonoʻo ai, ʻo ia ke kāohi ʻana i kā mākou ʻai a me ka hoʻoikaika kino, ʻeā? ʻO ia ka mea mua e hana ai. He mea nui loa ka hōʻemi ʻana i ka momona momona, ka hoʻopau loa ʻana i ka momona trans, ka hōʻemi ʻana i ke kō, a me ka hoʻoikaika kino mau.
Eia nō naʻe, i kekahi manawa ʻaʻole lawa kēia mau hoʻololi ʻana i ke ʻano o ka nohona e hoʻohaʻahaʻa i kāu mau pae kolesterol LDL, he mea hōʻino ia i kou kino. ʻO ia ka manawa e hoʻomaka ai kāu kauka iā ʻoe i ka lāʻau lapaʻau e kōkua.
Akā e hoʻomanaʻo pono i kēia, ʻaʻole loa ʻoe e haʻalele i nā hana maikaʻi āu i hoʻomaka ai (ka kaohi ʻana i ka ʻai a me ka hoʻoikaika kino) no ka mea ua hoʻomaka ʻoe e lawe i ka lāʻau lapaʻau. Pono ʻoe e hoʻomau iā lāua ʻelua.
I kēia manawa, e nānā kākou i nā ʻano lāʻau lapaʻau a nā kauka e kuhikuhi ai e hoʻohaʻahaʻa i ka cholesterol maikaʻi ʻole (LDL), pehea lākou e hana ai, a me nā mea e pono ai mākou e makaʻala i ka wā e hoʻohana ai i kēia mau lāʻau lapaʻau.
He aha nā statins i ʻike nui ʻia e ka poʻe āpau?
I ka ʻōlelo maʻalahi, ʻo nā statins ke ʻano lāʻau lapaʻau mua a ke kauka e kuhikuhi ai e hoʻohaʻahaʻa i ka cholesterol. Hana lākou ma ke kāohi ʻana i ka hana ʻana o ka cholesterol e kou ake. Hoʻemi kēia i ka pae o ka cholesterol maikaʻi ʻole (LDL) i loko o kou koko. Kōkua pū lākou i ka hoʻemi ʻana i kekahi ʻano momona i kapa ʻia ʻo triglycerides a hoʻonui iki i ka pae o ka cholesterol "maikaʻi" (HDL).
Ua hōʻike ʻia nā noiʻi e hōʻemi nui ana ka hoʻohana ʻana i nā lāʻau statin i ka pilikia o ka maʻi puʻuwai a me ka hahau.
| Nā statins i hoʻohana pinepine ʻia | Nā hopena ʻaoʻao e makaʻala ai |
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| Hoʻomaopopo kūikawā: Inā ʻoe e lawe nei i nā lāʻau statin, e pale i ka ʻaila poni a me ka wai ʻaila poni, no ka mea hiki iā lākou ke hoʻololi i ke ʻano o ka komo ʻana o ka lāʻau a me kāna hana i loko o ke kino. | |
Nā lāʻau lapaʻau e hana ana i loko o nā ʻōpū
Hana nui kēia mau mea i loko o kāu ʻōnaehana ʻōpū.
Nā Resina ʻakika Bile
Hana kēia mau lāʻau lapaʻau ma ka hoʻopaʻa ʻana i kahi mea i kapa ʻia ʻo "bile" i hoʻokuʻu ʻia e ke akepaʻa (i hana ʻia hoʻi me ka cholesterol) a pale iā ia mai ka hoʻopili hou ʻia ʻana i loko o ke koko. ʻO ia hoʻi, kōkua pololei lākou i ka hoʻemi ʻana i ka nui o ka cholesterol i loko o ke kino.
- Nā Laʻana: Cholestyramine (Prevalite), Colesevelam (WelChol), Colestipol (Colestid)
- Nā hopena ʻaoʻao: ʻO ka mea maʻamau ka paʻa ʻana o ka ʻōpū, ka pehu ʻana, a me ka ʻeha ʻōpū.
ʻEzetimibe
He ʻano lāʻau lapaʻau ʻokoʻa kēia. Hana ʻo Ezetimibe (Zetia) ma ke kāohi pololei ʻana i ka omo ʻana o ka cholesterol mai kou ʻōpū liʻiliʻi i loko o kou koko. Hāʻawi pinepine ʻia ia me ka lāʻau statin. E ʻoi aku ka maikaʻi o ka hopena hoʻohaʻahaʻa cholesterol.
- Nā hopena ʻaoʻao: Hiki ke loaʻa ka ʻeha ʻiʻo, ka ʻeha kua, ka ʻeha ʻōpū, a me ka maʻi pākī.
He papa lāʻau lapaʻau hou i kapa ʻia ʻo PCSK9 Inhibitors
He mau lāʻau lapaʻau hou kēia a pipiʻi hoʻi. Hoʻohana pinepine ʻia lākou no ka poʻe i kāohi ʻole ʻia ko lākou pae cholesterol e nā loli o ke ʻano o ka nohona a me ka lāʻau statin. Ua kuhikuhi kūikawā ʻia lākou no ka poʻe i loaʻa kahi maʻi genetic e hoʻoulu ai i ke cholesterol kiʻekiʻe (e like me Heterozygous Familial Hypercholesterolemia - HeFH) a i ʻole ka poʻe i loaʻa mua i ka maʻi puʻuwai a ʻaʻole lawa nā statins wale nō.
ʻAʻole kēia he mau pila, akā hele mai ma ke ʻano he inikini ma lalo o ka ʻili i kēlā me kēia ʻelua pule. Hana lākou ma ke ālai ʻana i kahi protein i kapa ʻia ʻo PCSK9, e hoʻonui ana i ka hiki o ke kino ke wehe i ka cholesterol LDL mai ke koko.
- Nā Laʻana: Alirocumab (Praluent), Evolocumab (Repatha)
- Nā hopena ʻaoʻao:No ka mea he mea hou kēia, ʻaʻole nui ka ʻike e pili ana i nā hopena ʻaoʻao lōʻihi. ʻO nā mea wale nō i hōʻike ʻia a hiki i kēia manawa, ʻo ia ka maneʻo, ka pehu ʻana, ka ʻeha, a me ka palapū ma kahi i hoʻokomo ʻia ai, a me nā hōʻailona e like me ka ihu wai a me ke kuni.
E aʻo iki kākou e pili ana i nā ʻano lāʻau lapaʻau ʻē aʻe.
Ma waho aʻe o nā ʻano lāʻau lapaʻau nui i ʻōlelo ʻia ma luna, aia kekahi mau ʻano lāʻau lapaʻau ʻē aʻe.
Niacin
He ʻano huaora B kēia. Ke hāʻawi ʻia ma ke ʻano he lāʻau lapaʻau i nā nui kiʻekiʻe, hiki iā ia ke hoʻohaʻahaʻa i ka cholesterol LDL a hoʻokiʻekiʻe i ka cholesterol HDL. Eia nō naʻe, ʻaʻole i hōʻike ʻia nā haʻawina e hōʻemi hou aku ka hoʻohui ʻana i ka niacin i nā statins i ka pilikia o ka maʻi puʻuwai. ʻO nā hopena ʻaoʻao nui ka ʻulaʻula, ka maneʻo, ka mae ʻana, a me ke poʻo.
Nā Fibrates
Hana nui kēia mau lāʻau lapaʻau ma ka hōʻemi ʻana i ka hana ʻana o kahi ʻano momona i kapa ʻia ʻo triglycerides a me ka hoʻonui ʻana i nā pae cholesterol maikaʻi (HDL).
- Nā Laʻana: Fenofibrate, Gemfibrozil (Lopid)
Nā mea pale ATP Citrate Lyase (ACL)
ʻO ka waikawa Bempedoic (Nexletol) kahi ʻano lāʻau lapaʻau e hana pū ana ma ke ālai ʻana i ka hana ʻana o ka cholesterol e ke akepaʻa.
Nā Omega-3
Manaʻo ka poʻe he nui e hiki i ka lawe ʻana i nā mea hoʻohui ʻaila iʻa mai nā hale kūʻai lāʻau lapaʻau ke hōʻemi i ka pilikia o ka maʻi puʻuwai. Akā , ʻaʻohe hōʻike e hōʻike ana ka lawe ʻana i nā mea hoʻohui ʻaila iʻa, e like me ka huaora maʻamau, e hana like. Eia nō naʻe, hiki i nā omega-3 kiʻekiʻe i kauoha ʻia e ke kauka ke hoʻohaʻahaʻa i nā pae triglyceride a hōʻemi i ka pilikia o ka maʻi puʻuwai i ka poʻe i pilikia.
No laila, e pale i ka lawe ʻana i ka ʻaila iʻa mai ka hale kūʻai lāʻau lapaʻau ma kāu iho me ka ʻole o ke kūkākūkā ʻana me ke kauka.
E hoʻomanaʻo pono i kēia mau mea i ka wā e hoʻohana ai i ka lāʻau lapaʻau cholesterol!
Ke kuhikuhi ʻia kahi lāʻau lapaʻau, he mea nui e hoʻohana pono ia e like me ke kauoha, inā ʻaʻole ʻoe e loaʻa ka pōmaikaʻi piha mai ia mea.
- E ʻike i ke kumu e lawe nei ʻoe i kēia lāʻau lapaʻau: E noi i kāu kauka e hoʻomaopopo pono i ke kumu i kuhikuhi ʻia ai kēia lāʻau lapaʻau iā ʻoe a me kāna hana.
- E lawe i kāu lāʻau lapaʻau i ka manawa like i kēlā me kēia lā: E hoʻomaʻamaʻa i ka lawe ʻana i kāu lāʻau lapaʻau i kēlā me kēia lā. E koho i ka manawa like o ka lā no ia.
- Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau ʻoiai inā ʻoi aku kou maikaʻi: Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke noi ʻana i kāu kauka. ʻOiai inā ʻoi aku kou maikaʻi a ʻaʻohe hewa iā ʻoe, e hoʻomau i ka lawe ʻana i kāu lāʻau lapaʻau.
- E hoʻonohonoho: E hoʻohana i kahi pahu pila me nā lā o ka pule i hōʻailona ʻia ma luna. E hoʻopiha iā ia i ka hoʻomaka ʻana o ka pule a ʻaʻole ʻoe e poina e lawe i kāu lāʻau lapaʻau.
- E mālama i kahi kalena lāʻau lapaʻau:E kau i kahi māka ma kāu kalena i kēlā me kēia manawa āu e lawe ai i kāu lāʻau lapaʻau. Inā hoʻololi kāu kauka i kāu lāʻau lapaʻau, e kākau pū i lalo ma laila.
- Mai hoʻēmi i ka nui e mālama i ke kālā: No ka loaʻa ʻana o ka pono piha o ka lāʻau lapaʻau, pono ʻoe e lawe i ka nui pololei. Inā he pilikia ke kumukūʻai, mai hilahila e kamaʻilio me kāu kauka. Hiki paha iā ia ke hāʻawi iā ʻoe i kahi hopena ʻokoʻa.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe: E haʻi i kāu kauka e pili ana i nā huaora, nā lāʻau lapaʻau lāʻau, a i ʻole nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, no ka mea hiki i kekahi ke launa pū me nā lāʻau cholesterol.
- Inā poina iā ʻoe ke lawe i kahi lāʻau: E lawe i ka lāʻau i ka wā e hoʻomanaʻo ai ʻoe. Eia nō naʻe, inā kokoke ka manawa no kāu lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a lawe i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. E noi i kāu kauka no ka wehewehe ʻana i kēia.
- I ka wā e huakaʻi ana: E mālama i kāu mau lāʻau lapaʻau me ʻoe. Inā ʻoe e hele ana i kahi huakaʻi lōʻihi, e lawe i ka liʻiliʻi o hoʻokahi pule o nā lāʻau lapaʻau a me kahi kope o kāu palapala kuhikuhi.
- Ma mua o ke ʻoki ʻana: E haʻi i kāu kauka a kauka niho paha e pili ana i nā lāʻau lapaʻau āu e lawe nei ma mua o ka hana ʻana i ka anesthesia a i ʻole ka unuhi ʻana i ka niho.
- E makaʻala i ka waiʻona: Hiki i ka waiʻona ke hoʻonui i nā hopena ʻaoʻao o kekahi mau lāʻau lapaʻau a hōʻemi i ko lākou pono. No laila e nīnau i kāu kauka e pili ana i ka waiʻona a e ʻimi i ka ʻōlelo aʻo.
Leka Lawe-Home
- ʻOiai inā hoʻomaka ʻoe e lawe i ka lāʻau lapaʻau, mai haʻalele i ka ʻai olakino a me ka hoʻoikaika kino. Pono kēia mau mea ʻelua e hele pū.
- E lawe i ka lāʻau lapaʻau e like me ke kauoha a ke kauka, i ka manawa kūpono, a ma ke ana kūpono.
- Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i ka dosage me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
- Inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao hou (e like me ke ʻeha o ke kino, nā loli o ka ʻili), e hoʻomaopopo koke i kāu kauka.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā lāʻau Ayurvedic āu e lawe nei, no ka mea hiki iā lākou ke launa pū me nā lāʻau cholesterol.
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