Pehea kou pae cholesterol? E aʻo kākou e pili ana i ka hoʻāʻo Lipid Profile

Ua lohe mākou a pau i ka huaʻōlelo 'cholesterol', ʻeā? Makaʻu iki kekahi poʻe i kēia huaʻōlelo. Lohe pinepine mākou i ka poʻe e ʻōlelo ana, "Auē, ua kiʻekiʻe iki koʻu cholesterol," a nīnau mākou iā lākou me ka hopohopo. He aha maoli ka cholesterol? He maikaʻi a he maikaʻi ʻole paha no ko mākou kino? I kēia lā, e kamaʻilio maʻalahi mākou, me he mea lā e kamaʻilio ana mākou me kahi hoaaloha, e pili ana i ka hoʻāʻo koko i kapa ʻia ʻo 'Lipid Profile', kahi i hana ʻia e nānā pono i kēia mau pae.

Maikaʻi, maikaʻi ʻole a me nā ʻano momona ʻē aʻe i loko o ka cholesterol

I ka ʻōlelo maʻalahi, he ʻano momona ka cholesterol e pono ai no ko kākou kino. Kōkua ia i ka hana ʻana i ka uhi waho o kēlā me kēia cell i loko o ko kākou kino. Eia nō naʻe, ua ʻike lōʻihi nā kauka he nui ka pilikia o ka poʻe me nā pae kiʻekiʻe o ka cholesterol holoʻokoʻa i ka loaʻa ʻana o ka maʻi puʻuwai.

Ua kamaʻilio kūikawā kēia ʻatikala e pili ana i ʻelua ʻano cholesterol: "maikaʻi" a me "maikaʻi ʻole".

1. Kolesterol "ʻino" - LDL (Low-Density Lipoprotein): ʻO kēia ka pilikia. E like me ka ʻōpala e hana ana i loko o kahi paipu wai kahiko, pili kēia kolesterol LDL i nā paia o ko mākou mau kīʻaha koko. I ka hala ʻana o ka manawa, kūkulu kēia mau mea a hoʻohaiki i nā kīʻaha koko. Kapa mākou i kēia ʻano he atherosclerosis . Ke hoʻohaiki ʻia nā kīʻaha koko e hoʻolako ana i ke koko i ka puʻuwai ma kēia ʻano, hiki i kahi ʻūpā koko ke hana koke a hoʻoulu i ka hōʻeha puʻuwai .

2. Kolesterol "maikaʻi" - HDL (High-Density Lipoprotein): ʻO kēia kā mākou meʻe. ʻO ka hana a HDL, ʻo ia ke kiʻi i ka cholesterol maikaʻi ʻole (LDL) i hōʻiliʻili ʻia i loko o nā kīʻaha koko a lawe iā ia i ke akepaʻa e luku ʻia. No laila, ʻo ke kiʻekiʻe o ka pae HDL i ke kino, ʻoi aku ka maikaʻi no mākou.

3. Triglycerides: ʻO kēia kekahi ʻano momona i ana ʻia me ka cholesterol. Hoʻonui pū nā pae triglyceride kiʻekiʻe i ka pilikia o ka hōʻeha puʻuwai a me ka hahau . He kiʻekiʻe loa kēia pilikia inā he haʻahaʻa kou pae o ka cholesterol maikaʻi (HDL). Eia kekahi, hiki i nā triglycerides kiʻekiʻe ke kōkua i ka ulu ʻana o ka maʻi diabetes.

Pehea e hana ʻia ai ka hoʻāʻo ʻana o ka Lipid Profile?

ʻO ka hoʻāʻo koko maʻalahi e ana i nā ʻano momona like ʻole i loko o kou koko ua kapa ʻia ʻo ia he lipid profile a i ʻole lipid panel.

E noi pinepine kāu kauka iā ʻoe e hoʻokē ʻai no 9 a 12 mau hola ma mua o kēia hoʻokolohua.ʻO ke kumu o kēia, ʻo ka momona mai ka meaʻai a mākou i ʻai ai i kēia manawa hiki ke hoʻopilikia i nā waiwai i loko o ka hōʻike. Akā, ʻaʻole pono mau ka hoʻokē ʻai. I kekahi manawa, inā he ʻōpiopio ʻoe, a inā ʻaʻole makemake ke kauka e ʻike i kahi ʻikepili lipid piha, ʻaʻole pono ka hoʻokē ʻai.

No laila, ʻo ka ʻōlelo aʻoaʻo maikaʻi loa no kēia, ʻo ia ke nīnau aku i kāu kauka. E hōʻoia e nīnau iā ia inā pono ʻoe e hoʻokē ʻai ma mua o ka hoʻāʻo ʻana.

He aha ke ʻano o nā helu ma kāu hōʻike?

E nānā kākou i nā helu ma ka hōʻike āu e loaʻa ai ma hope o ka hoʻāʻo. Ua ana ʻia kēia mau waiwai ma nā milligrams no ka deciliter (mg/dL).

Akā, ʻaʻole like kēia mau helu no nā kānaka a pau. Na kāu kauka e hoʻoholo i nā pahuhopu kūpono iā ʻoe ma muli o nā mea e like me ka loaʻa ʻana o nā maʻi ʻē aʻe iā ʻoe, e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, a inā he maʻi puʻuwai kekahi o kou ʻohana. No ka laʻana, hiki ke aʻo ʻia kekahi mea i loaʻa i ka pilikia nui no ka maʻi puʻuwai e mālama i ko lākou pae LDL ma lalo o 100, malia paha ma lalo o 70.

Inā piʻi aʻe ka nui o ka cholesterol i ke koko, he aha kā mākou e hana ai?

E ʻōlelo kākou ua hewa iki nā waiwai i loko o kāu hōʻike. Mai hopohopo. Nui nā mea hiki iā mākou ke hana.

ʻO ka mea mua, pono ʻoe e hoʻomaka me nā hoʻololi ola.

ʻO ka papaʻai e hoʻohaʻahaʻa i ka cholesterol maikaʻi hiki ke hoʻemi i ka cholesterol "maikaʻi ʻole" (LDL) ma kahi o 30%.

• E hōʻemi i ka momona paʻa: E kāohi i nā meaʻai momona e like me ka ʻiʻo, ka pata, ka tīhi, a me ka ʻaila niu.
• E hōʻoki loa i nā momona trans: E nānā i nā "ʻaila hydrogenated hapa" ma ka lepili o nā meaʻai i hoʻopaʻa ʻia. He mau momona trans kēia. He mea maikaʻi ʻole lākou no ke olakino.
• E ʻai i nā fiber a me nā sterols mea kanu: E hoʻokomo i nā mea e like me nā huaʻai, nā mea kanu, ka oats, a me nā palaoa holoʻokoʻa i kāu meaʻai.
• Hoʻoikaika Kino: ʻO ka hoʻoikaika kino o kēlā me kēia lā e like me ka hele wāwae, ka holo ʻana, a me ke kaʻa paikikala e hōʻemi ana i ka cholesterol maikaʻi ʻole a hoʻonui i ka cholesterol maikaʻi.
• Inā ʻoe e puhipaka, e haʻalele i kēia lā: Hoʻohaʻahaʻa ka puhipaka i nā pae HDL a hōʻino i nā kīʻaha koko.

Kōkua pū nā lāʻau lapaʻau.

I kekahi manawa hiki ke paʻakikī ke kāohi i kāu pae cholesterol me nā hoʻololi ʻana i ke ʻano o ka nohona wale nō. I ia mau hihia, e kuhikuhi kāu kauka i nā lāʻau lapaʻau kūpono.

• ʻO Statins: ʻO kēia ke ʻano lāʻau lapaʻau i hoʻohana nui ʻia a ʻoi aku ka maikaʻi. Hana lākou ma ke kāohi ʻana i ke akepaʻa mai ka hana ʻana i ka cholesterol.
• Nā Fibrates: Kōkua kēia i ka hoʻohaʻahaʻa ʻana i nā pae triglyceride a hoʻonui i nā pae HDL.
• Nā lāʻau lapaʻau ʻē aʻe: Ma waho aʻe o kēia, aia nā lāʻau lapaʻau ʻē aʻe e like me Ezetimibe, Niacin, a me nā mea hoʻopaʻa PCSK9. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa iā ʻoe ma muli o kou kūlana.

ʻO ka cholesterol wale nō ke kumu o ka pilikia?

ʻAʻole. ʻAʻole kāu hōʻike cholesterol he palapala e hoʻoholo ai i kou wā e hiki mai ana. E hoʻomanaʻo, ʻo nā mea ʻē aʻe ma waho aʻe o ka cholesterol e hoʻopilikia i kou pilikia o ka maʻi puʻuwai. ʻO ka maʻi diabetes, ke koko kiʻekiʻe, ka momona, ka nele i ka hoʻoikaika kino, ka puhipaka, a me nā mana genetic kekahi o nā mea nui.

No laila, e noʻonoʻo kāu kauka i kēia mau mea a pau a loiloi i kāu pilikia holoʻokoʻa.

ʻO ka mea maʻamau, ua ʻōlelo ʻia e hana i kēia hoʻāʻo ma ka liʻiliʻi hoʻokahi manawa i kēlā me kēia 5 mau makahiki. Eia nō naʻe, inā ʻaʻole maikaʻi ka pae o kāu hōʻike, a inā he mau kumu pilikia ʻē aʻe kāu, he mea nui loa ia e hoʻāʻo pinepine ʻia, e like me ka ʻōlelo a kāu kauka.