Kiʻekiʻe anei kou mau triglycerides? Penei ke koho ʻana o kāu kauka i ka lāʻau kūpono nāu.

He mea maʻamau ke manaʻo iki i ka makaʻu ke haʻi aku kāu kauka iā ʻoe ua kiʻekiʻe kāu mau triglycerides i loko o kou koko. Ke hiki ʻole iā ʻoe ke hoʻohaʻahaʻa iā lākou ma hope o ka kaohi ʻana i kāu ʻai a me ka hoʻoikaika kino ʻana, e noʻonoʻo paha ʻoe i ka mea e hana ai. I kekahi manawa pono ko mākou kino i kahi kōkua iki e kaohi iā lākou, ʻo ia hoʻi ka lāʻau lapaʻau. No laila pehea e koho ai kāu kauka i ka lāʻau lapaʻau kūpono nāu? E kamaʻilio maʻalahi kākou e pili ana i ia mea.

Pono anei au e hoʻomaka e lawe i ka lāʻau lapaʻau?

ʻAʻole hāʻawi ʻia nā lāʻau lapaʻau i nā kānaka a pau ke piʻi iki aʻe ko lākou triglycerides. ʻO ka hana mua, ʻo ia ke hoʻāʻo e kāohi i kēia mau pae ma o ka hoʻololi ʻana i ke ʻano o ka nohona, e like me ka ʻai ʻana i ka meaʻai olakino a me ka hoʻoikaika kino. Eia nō naʻe, ʻoi aku ka nui o ka manawa e kuhikuhi ai kāu kauka i nā lāʻau lapaʻau i nā hihia aʻe:

• Inā kiʻekiʻe loa kou pae triglyceride: ʻo ia hoʻi, ʻoi aku ka kiʻekiʻe ma mua o 500 mg/dL. Hiki i kēia ke hōʻino i ka pancreas, no laila he mea nui e kaohi koke iā ia.
• Inā he kiʻekiʻe kou mau pae o ka cholesterol "maikaʻi ʻole" (LDL) me nā triglycerides: ʻO ka hui pū ʻana o kēia mau kūlana ʻelua e hoʻonui ai i kou pilikia o ka maʻi puʻuwai a me ka hahau.

Ma mua o ke koho ʻana i kahi lāʻau lapaʻau nāu, e noʻonoʻo kāu kauka i kekahi mau mea. Eia kekahi laʻana, ke lawe nei ʻoe i kekahi mau lāʻau lapaʻau ʻē aʻe? He aha kou kūlana olakino holoʻokoʻa? E kōkua kēia mau mea a pau i ka hoʻoholo ʻana i ka lāʻau lapaʻau kūpono a palekana loa nāu.

ʻO nā ʻano lāʻau lapaʻau nui i hoʻohana ʻia e hoʻohaʻahaʻa i nā triglycerides

Aia kekahi mau papa nui o nā lāʻau lapaʻau i hoʻohana ʻia e hoʻohaʻahaʻa i nā triglycerides. E nānā kākou i kēlā me kēia o lākou ma ke kaʻawale.

1. Nā Fibrates

Hoʻohaʻahaʻa nui kēia mau lāʻau lapaʻau i nā pae triglyceride. Eia kekahi, kōkua lākou i ka hoʻemi ʻana i nā pae cholesterol a me kahi protein i kapa ʻia ʻo ApoB, i loaʻa i ka cholesterol maikaʻi ʻole (LDL).

ʻO ka poʻe pono ʻole e lawe i kēia lāʻau lapaʻau:

ʻAʻole ʻōlelo ʻia nā Fibrates inā loaʻa iā ʻoe nā maʻi o ke akepaʻa , nā puʻupaʻa , a i ʻole ka gallbladder .

Nā pilina kūpono me nā lāʻau lapaʻau ʻē aʻe:

Ma mua o ka hoʻomaka ʻana i nā fibrates, e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā huaora āu e lawe nei, ʻoiai:

• Nā lāʻau hoʻokahe koko (Anticoagulants) - e.g. Warfarin
• Lāʻau lapaʻau no ka maʻi diabetes
• Nā lāʻau lapaʻau ʻē aʻe e hoʻohaʻahaʻa i ka cholesterol - e.g. Atorvastatin (Lipitor), Simvastatin (Zocor)
• ʻInisulina

2. Niacin

He lāʻau lapaʻau kēia e hoʻomaikaʻi ai i nā pae cholesterol me ka hoʻohaʻahaʻa ʻana i nā triglycerides. Hoʻemi ʻo Niacin i ka cholesterol maikaʻi ʻole (LDL) a me nā pae ApoB, a hoʻonui i nā pae cholesterol "maikaʻi" (HDL) .

• Inoa lāʻau lapaʻau: Niaspan (niacin)

ʻO ka poʻe pono ʻole e lawe i kēia lāʻau lapaʻau:

• Inā loaʻa iā ʻoe kahi maʻi allergy i ka aspirin, niacin, a i ʻole tartrazine (kahi kala melemele i hoʻohana ʻia i kekahi mau lāʻau lapaʻau a me nā meaʻai)
• Inā he mau pilikia koko kou
• Inā loaʻa iā ʻoe ka maʻi diabetes
• Maʻi ʻōpū
• Maʻi puʻuwai
• Maʻi akepaʻa a i ʻole jaundice
• ʻŌpū ʻōpū
• Inā ʻoe e hoʻomākaukau ana no kekahi ʻoki kino, me ka unuhi ʻana i ka niho

Nā pilina kūpono me nā mea ʻē aʻe:

Ma mua o ka lawe ʻana i ka niacin, e haʻi i kāu kauka inā ʻoe e lawe ana/hana ana i kekahi o kēia mau mea:

• Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko (e.g. Warfarin).
• Inā ʻoe e lawe i ka insulin a i ʻole ka lāʻau lapaʻau maʻi diabetes waha (hiki i ka niacin ke hoʻonui i ke kiʻekiʻe o ke kō koko, no laila pono paha kāu kauka e hoʻoponopono i ka nui o kāu lāʻau lapaʻau maʻi diabetes).
• Inā ʻoe e inu nui i ka waiʻona.

3. Nā Waikawa Momona Omega-3 Ikaika i ke Kauka Lapaʻau

Hoʻohaʻahaʻa kēia mau lāʻau lapaʻau i nā pae triglyceride a hiki i kekahi manawa ke hoʻonui i nā pae cholesterol maikaʻi (HDL).

• Nā inoa o nā lāʻau lapaʻau: Epanova, Lovaza, Vascepa

ʻO ka poʻe pono ʻole e lawe i kēia lāʻau lapaʻau:

• Inā he maʻi ʻoe i ka iʻa a i ʻole ka pūpū
• Inā inu ʻoe ma mua o ʻelua kīʻaha waiʻona i ka lā
• Inā loaʻa iā ʻoe ka maʻi diabetes, ka ate, ka pancreas, a i ʻole ka maʻi thyroid

Nā pilina kūpono me nā lāʻau lapaʻau ʻē aʻe:

E haʻi i kāu kauka inā ʻoe e lawe ana i kēia mau lāʻau lapaʻau:

• Nā lāʻau lapaʻau i loaʻa ka aspirin
• Nā lāʻau hoʻokahe koko (e.g. Warfarin, Clopidogrel)
• Nā lāʻau hoʻomalu hānau me ka estrogen
• Lapaʻau hormone Estrogen (lapaʻau hoʻololi Estrogen)
• ʻO kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe a i ʻole ka maʻi puʻuwai (e like me Beta-blockers, Diuretics)

He aha inā kiʻekiʻe ka cholesterol?

I ka manawa pinepine, ke kiʻekiʻe nā triglycerides, piʻi pū nā pae cholesterol. Inā loaʻa iā ʻoe kēia mau maʻi ʻelua, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e hoʻomaka e lawe i nā lāʻau hoʻohaʻahaʻa cholesterol. Hiki i kēia mau lāʻau ke kōkua i ka hoʻohaʻahaʻa ʻana i nā pae triglyceride i kekahi ʻano.

He aha ka mea e hana ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau?

Ma hope o ke kuhikuhi ʻia ʻana o ka lāʻau lapaʻau, pono paha ʻoe e ʻike i kāu kauka i kēlā me kēia ʻeono pule a hiki i ka emi ʻana o kāu mau pae triglyceride. I loko o kēia mau hālāwai, e hōʻoia e kūkākūkā i kekahi ʻeha a i ʻole nā ​​​​hopena ʻaoʻao āu e loaʻa nei mai ka lāʻau lapaʻau.

E hōʻoia e haʻi i kāu kauka inā ʻoe e hāpai ana, e hoʻolālā ana e hāpai, a e hānai waiū ana paha. Pono paha ʻoe e hoʻololi i kāu lāʻau lapaʻau a hoʻōki paha i ka lawe ʻana i kekahi mau lāʻau lapaʻau.

Hiki i kāu kauka ke hoʻololi i ka nui o kāu lāʻau lapaʻau ma muli o ka maikaʻi o ka hoʻomaikaʻi ʻana o kou pae koko. Inā ʻoe e lawe ana i nā fibrates a i ʻole niacin, hiki iā ʻoe ke loaʻa nā hoʻāʻo koko e nānā i kou akepaʻa a me ka hana o kou puʻupaʻa i kēia mau manawa.

Ke hiki kāu mau pae triglyceride i loko o nā pae i makemake ʻia, pono ʻoe e ʻike i kāu kauka i kēlā me kēia 6 a 12 mau mahina . E hana pū lākou i nā hoʻokolohua koko i kēlā manawa e hōʻoia i ka kaohi ʻia o kāu mau pae.