Ke nānā mākou i kā mākou cholesterol, nānā wale mākou i ka "cholesterol maikaʻi" (HDL) a me ka "cholesterol maikaʻi ʻole" (LDL), ʻeā? Akā ua ʻike anei ʻoe aia kekahi ʻano cholesterol koʻikoʻi loa a ka poʻe he nui i kamaʻilio ʻole ai, akā ua hūnā ʻia ma waena? ʻO Lipoprotein(a) kēia, a i ʻole Lp(a) no ka pōkole. ʻO ka mea kūikawā e pili ana i kēia, ua hoʻoholo ʻia e ko mākou mau genes, ʻo ia hoʻi, ua hoʻoili ʻia mai kēlā hanauna a i kēia hanauna, ma mua o ka mea a mākou e ʻai ai a inu ai a hoʻoikaika kino paha. He kanaka olakino maikaʻi paha ʻoe, akā kiʻekiʻe loa paha kou pae Lp(a).
He aha maoli ka Lipoprotein(a)?
I ka ʻōlelo maʻalahi, he ʻāpana cholesterol kēia i loko o ko kākou koko. Akā ʻo ka pilikia me kēia, ʻo kona pae e hoʻoholo nui ʻia e ko kākou mau genes. ʻO ia hoʻi, inā loaʻa i kou makuahine, kou makuakāne, a i ʻole kekahi o kou ʻohana kēia maʻi, ʻoi aku ka nui o kou loaʻa ʻana iā ia. Ua ʻōlelo ʻia he hoʻokahi o kēlā me kēia ʻelima mau kānaka o ka honua he kiʻekiʻe ko lākou pae Lp(a).
ʻO ka pōʻino o kēia, ʻo ka loaʻa ʻana o nā pae Lp(a) kiʻekiʻe e hoʻonui nui i ka pilikia o ka hōʻeha puʻuwai a me ka hahau ʻana i ka wā ʻōpiopio. ʻO ka hapa nui o ka manawa, ʻike wale ka poʻe e pili ana i kēia ma hope o ko lākou loaʻa ʻana i ka hōʻeha puʻuwai a i ʻole ka hahau ʻana. ʻO kēia no ka mea ʻaʻole hōʻike kahi panela lipid maʻamau i kēia waiwai Lp(a). Pono ia i kahi hoʻāʻo kaʻawale.
Eia kekahi laʻana, e lawe i ka moʻolelo o Bernadette, he wahine 66 makahiki e hele wāwae ana ma kahi o 10 mile i ka lā a ʻai i ka meaʻai mea kanu, me nā mea kanu a me ka tofu. ʻO kona pae cholesterol ma ke ʻano laulā ma ka pae maikaʻi, akā ʻo kona pae Lp(a) he ʻelima manawa kiʻekiʻe ma mua o ka pae pilikia. ʻO kēia ma muli o kona genetics. Ua make kona makuahine a me kona kupuna wahine i ka maʻi puʻuwai.
"ʻO ka pilikia nui loa iaʻu, ʻo ia ke kaumaha o ka noho ʻana me kēia. ʻOiai ke manaʻo nei au he maʻi iki, ke manaʻo nei au, 'ʻO kēia anei ka hōʻeha puʻuwai e loaʻa iaʻu?'" wahi a Bernadette.
Ka pilikia a me ka manaʻolana hou
A hiki i kēia manawa, ʻaʻohe lāʻau lapaʻau kikoʻī i ʻae ʻia e hoʻohaʻahaʻa i nā pae Lp(a). ʻO ke ʻano kēia, ʻoiai ua ʻike lākou aia ia, ua pono ka poʻe he nui e noho i ka makaʻu, me ka ʻole o ka mea hiki iā lākou ke hana e pili ana i ia mea. Ua like ia me ka loaʻa ʻana o kahi pōkā manawa i loko o ko lākou kino e hiki ke pahū i kēlā me kēia manawa.
Akā, i kēia manawa e loli ana kēlā kūlana!
Ke noiʻi nei nā kānaka noiʻi lapaʻau i ʻelima mau lāʻau lapaʻau hou i hōʻike ʻia ma nā haʻawina mua e hoʻohaʻahaʻa nui i nā pae Lp(a). He manaʻolana nui kēia no nā miliona o ka poʻe me nā pae Lp(a) kiʻekiʻe. E like me ka ʻōlelo a ke alakaʻi noiʻi ʻo Kauka Steven Nissen, " Mai hopohopo, e hiki mai ana nā hoʻonā. "
ʻO nā lāʻau lapaʻau hou loa i ke kahua noiʻi
Aia nō kēia mau lāʻau lapaʻau hou i nā pae hope loa o ka noiʻi (nā hoʻokolohua lapaʻau). Inā holomua lākou, hiki iā lākou ke kūʻai ʻia aku i ka wā e hiki mai ana. E nānā kākou i kēlā mau lāʻau lapaʻau a pehea ko lākou holomua.
| Inoa Lāʻau Lapaʻau | Hiʻohiʻona / Pehea e hāʻawi ai | Ka hopena i manaʻo ʻia |
|---|---|---|
| Pelacarsen | ʻO kahi inikini i hāʻawi ʻia i hoʻokahi manawa i ka mahina | Hiki ke hoʻemi ʻia nā pae Lp(a) ma kahi o 80%. |
| ʻOlpasiran | Hāʻawi ʻia kahi lāʻau pale i kēlā me kēia 3 mahina | Hiki ke hoʻemi ʻia nā pae Lp(a) ma mua o 95%. |
| Lepodisirana | Hoʻokahi lāʻau pale e mau ana ka hana no kahi o hoʻokahi makahiki | Hiki ke hoʻemi ʻia nā pae Lp(a) ma kahi o 94% a mālama ʻia no ka manawa lōʻihi. |
| ʻO Zerlasiran | He lāʻau pale i hāʻawi pinepine ʻole ʻia | Hiki ke hoʻemi ʻia nā pae Lp(a) ma kahi o 86%. |
| ʻO Muvalaplin | He pila i kēlā me kēia lā | Hiki ke hoʻemi ʻia nā pae Lp(a) ma kahi o 86%. |
He aha ka mea kūikawā e pili ana i ka papa Muvalaplin?
Ma waena o kēia mau mea, ua manaʻolana nui nā kānaka noiʻi no kahi lāʻau i kapa ʻia ʻo "(Muvalaplin)" no ka mea, ʻoiai ʻo nā lāʻau ʻē aʻe ʻehā e pono e hāʻawi ʻia ma ke ʻano he inikini, hiki ke lawe ʻia kēia ma ke ʻano he pila i kēlā me kēia lā . No laila, hiki ke maʻalahi no nā maʻi, a hiki ke emi ke kumukūʻai.
Hana nā lāʻau ʻē aʻe ma ka hoʻopau ʻana i ka gene kuleana no ka hana ʻana o Lp(a). Akā hana kēia pila ma ke ʻano ʻokoʻa. Hoʻōki ia i ka hana ʻana o nā ʻāpana Lp(a) ma waena. ʻAe kēia iā ia e hana me ka ʻole o ka hoʻopilikia ʻana i ke akepaʻa a e hoʻopau koke ʻia mai ke kino inā loaʻa kekahi mau hopena ʻaoʻao.
No ke aha mākou e pono ai e hoʻāʻo iā Lp(a)?
I kou heluhelu ʻana i kēia ʻatikala, e noʻonoʻo paha ʻoe, 'Pono anei au e nānā i kēia?' ʻO ka pane, ʻae! Pono ʻoe e noʻonoʻo pono i kēia, ʻoiai inā ua loaʻa i kekahi o kou ʻohana ka maʻi puʻuwai a i ʻole ka hahau ʻana i ka wā ʻōpiopio .
Ke paipai nei ka National Lipid Association i nā kānaka a pau e nānā i ko lākou pae Lp(a) ma ka liʻiliʻi hoʻokahi manawa i ko lākou ola . No ka mea he mea hoʻoilina ia, ʻaʻole loli nui ka pae i ke ola holoʻokoʻa. ʻO ka nānā wale ʻana i hoʻokahi manawa ua lawa ia.
He hoʻāʻo koko maʻalahi loa kēia. Eia nō naʻe, ʻoiai ʻaʻole ia i hoʻokomo ʻia i loko o kahi hōʻike cholesterol maʻamau, pono ʻoe e nīnau pololei i kāu kauka e pili ana i kēia ma mua o ka hana ʻana i kēia hoʻāʻo.
ʻO ka ʻike ʻana i kou pae Lp(a) ka hana mua. Inā kiʻekiʻe ia, mai hopohopo. Me kēia mau lāʻau lapaʻau hou e hiki koke mai ana, hiki iā ʻoe ke kāohi i kou pilikia o ka hōʻeha puʻuwai a me ka hahau. A hiki i kēlā manawa, he mea nui e mālama pono i nā mea pilikia ʻē aʻe, e like me ke koko kiʻekiʻe, ka maʻi diabetes, ka puhipaka, a me nā pae cholesterol LDL.
Leka Lawe-Home
- ʻO Lipoprotein(a), a i ʻole Lp(a), he ʻano cholesterol i kāohi ʻia e ka genetics a hoʻonui i ka pilikia o ka maʻi puʻuwai.
- ʻAʻole kēia i hoʻokomo ʻia i loko o kahi hoʻāʻo cholesterol maʻamau (lipid profile), no laila pono ʻoe e nīnau i kāu kauka e pili ana i kēia a e nānā pono ʻia.
- Inā ua loaʻa i kekahi o kou ʻohana ka maʻi puʻuwai i kona wā ʻōpiopio, he mea nui loa ia e hana i kēia hoʻokolohua.
- ʻOiai ʻaʻohe lāʻau lapaʻau kūikawā no Lp(a) i kēia manawa, aia kekahi mau lāʻau lapaʻau e hōʻike ana i nā hopena hoʻohiki maikaʻi loa i nā pae hope loa o ka noiʻi. He mea hoʻohiki maikaʻi loa kēia.
- Inā ʻike ʻoe ua kiʻekiʻe kou pae Lp(a), mai hopohopo, e kūkākūkā me kāu kauka, a e kāohi i nā mea pilikia ʻē aʻe o ka maʻi puʻuwai.
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