I kēia lā, nui ka poʻe ma ko kākou ʻāina e hoʻohana ana i kekahi ʻano lāʻau lapaʻau e kāohi i ka cholesterol. Malia paha ʻo ʻoe kekahi o lākou. Nui ka poʻe i hoʻomaka e lawe i ka lāʻau lapaʻau ke hele lākou e ʻike i ke kauka no ka mea ua kiʻekiʻe iki ko lākou cholesterol. ʻO ka maʻamau, ua maʻa mākou i nā lāʻau lapaʻau ʻano 'statin'. Akā loaʻa i kekahi poʻe ka ʻeha ʻiʻo a me nā ʻeha ʻē aʻe ma muli o kēia mau lāʻau lapaʻau. No laila ke noʻonoʻo nei paha ʻoe, "ʻAʻohe anei he mau koho ʻē aʻe i kēia? ʻAʻole anei i puka mai nā lāʻau lapaʻau hou a ʻoi aku ka maikaʻi?" ʻOiaʻiʻo, me ka holomua o ka ʻepekema lapaʻau, ua puka mai nā ʻano hana hou a me nā lāʻau lapaʻau e kāohi i ka cholesterol. I kēia lā, e kamaʻilio kākou e pili ana i kēlā mau mea hou.
Ua pau anei ka manawa e hāʻawi ai i nā kānaka a pau i ka lāʻau lapaʻau like?
ʻAʻole e like me ka wā ma mua, ua neʻe ka mālama ʻana i ka cholesterol ma mua o kahi ʻano "hoʻokahi-nui-kūpono-āpau", kahi i kuhikuhi ʻia ai nā kānaka a pau i hoʻokahi statin. Ke hoʻāʻo nei nā kauka e hoʻopilikino i ka lāʻau lapaʻau i kēlā me kēia kanaka. I ka ʻōlelo maʻalahi, ua koho ʻia ka lāʻau lapaʻau maikaʻi loa ma muli o nā kumu he nui, me kou makahiki, nā kūlana olakino ʻē aʻe āu i loaʻa ai (e like me ke kanesa), a me kou mōʻaukala ʻohana.
Ke nānā nei nā noiʻi o kēia manawa i nā lāʻau lapaʻau maikaʻi loa no ka poʻe ʻelemakule a me nā mea e hana maikaʻi loa no ka poʻe me nā maʻi ʻē aʻe. No laila, ʻoi aku ka nui o kahi e kamaʻilio ai ʻoe me kāu kauka a hana i ka hoʻolālā lapaʻau maikaʻi loa nāu.
He aha nā ala hou loa no ka kaohi ʻana i ka cholesterol?
Ma waho aʻe o nā lāʻau statin, aia kekahi mau koho ʻē aʻe i kēia manawa. Hiki i kēia mau mea ke lilo i mea pono loa, ʻoiai no ka poʻe i pilikia i ka kaohi ʻana i kā lākou cholesterol me nā statins wale nō, a i ʻole no ka poʻe i ʻike i nā hopena ʻaoʻao mai nā statins. E nānā kākou i ke ʻano o lākou.
| Lāʻau lapaʻau / Lapaʻau | I ka ʻōlelo maʻalahi, ka hana | ʻO wai ka mea kūpono loa? |
|---|---|---|
| ʻO Nexletol (ʻAkika Bempedoic) | Hoʻemi ia i ka hana ʻana o ka cholesterol i loko o ke ake. Eia nō naʻe, hoʻopilikia ia i kahi ala enzyme ʻokoʻa (ala ACL) ma mua o nā statins. | - No ka poʻe me nā maʻi cholesterol kiʻekiʻe hoʻoilina (Familial Hypercholesterolemia). - No ka poʻe i loaʻa mua i ka maʻi puʻuwai a makemake e hoʻemi hou aku i kā lākou cholesterol. |
| Nā mea pale PCSK9 (e.g. Repatha, Praluent) | He lāʻau pale kēia. Hana ia ma ke ʻano ʻokoʻa loa mai nā statins. Kōkua ia i ke akepaʻa e wehe i ka cholesterol maikaʻi ʻole (LDL) mai ke koko. | - No ka poʻe hiki ʻole ke ʻae i ka ʻehaʻeha o nā ʻiʻo i hoʻokumu ʻia e nā statins. - No ka poʻe i pilikia i ka kaohi ʻana i ka cholesterol me nā statins. - No ka poʻe me nā maʻi cholesterol kiʻekiʻe hoʻoilina. |
| ʻO Pitavastatin (Livalo) | He ʻano statin nō hoʻi kēia, akā ʻoi aku ka haʻahaʻa o ka ʻeha ʻiʻo i hoʻohālikelike ʻia me nā statins ʻē aʻe. | - He koho maikaʻi no ka poʻe i ʻike i ka ʻeha ʻiʻo i ka wā e hoʻohana ana i nā statins ʻē aʻe. |
Ka ʻike hou aku e pili ana i kēia lāʻau lapaʻau
- Nā Mea Hoʻopale PCSK9: Makaʻu paha kekahi poʻe ke lohe lākou i ka inoa "PCSK9 Inhibitors" a noʻonoʻo, "Pono anei au e hoʻopili ʻia i kēlā me kēia lā?" ʻAʻole, ʻaʻole. Pono ʻoe e hoʻopili ʻia i kēlā me kēia ʻelua pule . No laila, ʻaʻole ia he mea nui. ʻO nā hopena ʻelua nui o nā statins, ʻo ka ʻeha o nā ʻiʻo a me ka hōʻino ʻana o ke akepaʻa, ʻaneʻane ʻaʻohe me kēia lāʻau.
- ʻO ka Hypercholesterolemia Familial: He kūlana hoʻoilina kēia. I ka ʻōlelo maʻalahi, ʻaʻole hiki i ke kino o kēia poʻe ke hana hou a wehe i ka cholesterol maikaʻi ʻole (LDL). ʻO ka hopena, kiʻekiʻe mau ko lākou pae cholesterol koko. He lāʻau lapaʻau maikaʻi loa nā PCSK9 Inhibitors no kēia poʻe.
ʻO kekahi mea ʻē aʻe, he kiʻekiʻe loa ka pae kolesterol o kekahi poʻe a pono lākou e hana i kahi lāʻau i kapa ʻia ʻo 'LDL apheresis', kahi e wehe ai i ka cholesterol maikaʻi ʻole mai ke koko. He manaʻo maikaʻi paha e hoʻomaka e lawe i nā lāʻau lapaʻau e like me Nexletol ma mua o kou hiki ʻana i kēlā pae.
ʻAʻole lawa ka lāʻau lapaʻau wale nō! He mea nui ka hoʻololi ʻana i ke ʻano o ka nohona
ʻAʻohe mea nui ka nui o nā lāʻau lapaʻau hou e puka mai ana, hoʻokahi mea pono ʻole iā kākou e poina: ke kumukūʻai o kahi nohona olakino.
E noʻonoʻo, ke hele ʻoe i ke kauka, ʻōlelo ʻo ia, "Ua kiʻekiʻe iki kou cholesterol, e hoʻomaka kākou i ka lāʻau lapaʻau. I ka manawa like, e kāohi i kāu ʻai a hoʻoikaika kino no ka liʻiliʻi he hapalua hola i ka lā."
I kēia manawa, aia kekahi poʻe e ʻōlelo ana, "Auē, e ke kauka, e kāohi iki wau i kaʻu ʻai, akā, ʻaʻohe oʻu manawa e hoʻoikaika kino ai." Lawe kekahi i ka pila a manaʻo, "I kēia manawa, hiki iaʻu ke ʻai a inu i nā mea a pau aʻu e makemake ai." Ua hewa kēia mau ʻano ʻelua.
E hoʻomanaʻo, me ka ʻai maikaʻi a me ka hoʻoikaika kino mau, hiki iā ʻoe ke hoʻohaʻahaʻa i kāu mau pae cholesterol maikaʻi ʻole (LDL) ma kahi o 20-30 mau helu. Inā hana ʻoe, hiki paha iā ʻoe ke hōʻemi i ka nui o ka lāʻau lapaʻau i kuhikuhi ʻia iā ʻoe, a i nā hihia kakaikahi, e hoʻōki loa i ka lawe ʻana i ka lāʻau lapaʻau.
No laila e wehe me kāu kauka. E ʻoiaʻiʻo e pili ana i ka hiki iā ʻoe ke hoʻololi maoli i ke ʻano o kou nohona. A laila hiki iā ia ke loiloi i kāu mau mea pilikia (e like me ka maʻi puʻuwai, ka hahau ʻana) a hoʻoholo inā pono ʻoe i ka lāʻau lapaʻau a i ʻole inā hiki i nā hoʻololi ʻana i ke ʻano o kou nohona ke kōkua. He hoʻoholo kēia e pono e kūkākūkā ʻia ma waena o ʻolua.
Leka Lawe-Home
- Ma waho aʻe o nā lāʻau statin kuʻuna, aia kekahi mau lāʻau lapaʻau hou a maikaʻi hoʻi no ka kaohi ʻana i ka cholesterol.
- Inā ʻike ʻoe i nā hopena ʻaoʻao e like me ka ʻeha ʻiʻo mai nā statins, e kamaʻilio me kāu kauka e pili ana i nā koho ʻē aʻe e like me PCSK9 Inhibitors a i ʻole Pitavastatin.
- Loaʻa nā lāʻau lapaʻau kūpono loa i kēia manawa no nā kūlana cholesterol kiʻekiʻe hoʻoilina.
- ʻOiai he aha ka lāʻau lapaʻau āu e lawe ai, he mea nui e mālama i kahi papaʻai olakino a hoʻoikaika kino mau. Hiki paha i kēia ke hōʻemi i ka nui o kāu lāʻau lapaʻau.
- E kūkākūkā mau me ke akeakamai a me ka ʻoiaʻiʻo me kāu kauka e hoʻoholo ai i ke koho lapaʻau kūpono loa iā ʻoe.











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