Manaʻo pū ʻoe i ka wā e piʻi ai ka cholesterol, ʻike nui ko kākou kino iā ia? Manaʻo ka poʻe he nui pēlā. Akā ʻo ka ʻoiaʻiʻo, ʻo ka piʻi ʻana o nā pae cholesterol koko ʻaʻole ia e hōʻike i nā hōʻailona maopopo e hiki iā kākou ke ʻike pololei. Ua like ia me kahi ʻenemi e hana mālie ana. Eia naʻe, ma muli o kēia piʻi ʻana o ka cholesterol, piʻi nui ka pilikia o ka loaʻa ʻana o nā maʻi koʻikoʻi ʻē aʻe e hōʻike ana i nā hōʻailona. E kamaʻilio kākou e pili ana i kēia i kēia lā.
Nā hōʻailona pololei ʻole i hiki ke hoʻokumu ʻia e ka cholesterol
ʻOiai ʻaʻohe hōʻailona pololei, ma muli o ka hoʻonui ʻia o ka cholesterol, hoʻomaka ka momona e waiho i loko o nā kīʻaha koko o ko mākou kino. Kāhea pū mākou i kēia ʻo '(Atherosclerosis).' Loaʻa iā mākou nā hōʻailona e pili ana i ka cholesterol ma o nā maʻi ʻē aʻe i hoʻokumu ʻia e kēia ʻano.
- ʻEha umauma i hoʻokumu ʻia e ka maʻi puʻuwai (Angina): Ke haiki nā kīʻaha koko, ʻaʻole loaʻa i ka puʻuwai ka nui o ke koko e pono ai. Hiki i kēia ke hana i kahi ʻeha e like me ka ʻūmiʻi a i ʻole ka ʻūmiʻi ʻana i loko o ka umauma.
- Ke koko kiʻekiʻe: Ke hōʻiliʻili nā waihona momona i loko o nā kīʻaha koko a emi iho ko lākou hakahaka, ʻoi aku ka nui o ke kaomi ma luna o nā kīʻaha koko e kaapuni.
- Hahau: Inā e ālai ʻia kahi kahawai e hoʻolako ana i ke koko i ka lolo ma kēia ʻano, hiki ke loaʻa kahi hahau.
- Nā pilikia kahe koko ʻē aʻe: ʻO ke ālai ʻana o nā kīʻaha koko i nā lālā hiki ke hana i nā mea e like me ka ʻeha ma nā wāwae i ka wā e hele ai.
Eia kekahi, i kekahi manawa hāʻawi mai ko mākou kino iā mākou i kekahi mau hōʻailona, ʻoiai inā ʻaʻole pololei.
Xanthomas: Hiki i kekahi poʻe ke loaʻa nā puʻupuʻu melemele, palupalu a i ʻole nā kiko ma ka ʻili o ko lākou ʻili, ʻoi aku hoʻi a puni nā maka, nā kuʻekuʻe lima, nā kuli, a i ʻole nā puʻupuʻu. Ua kapa ʻia kēia mau xanthomas. ʻO kēia nā waihona cholesterol ma lalo o ka ʻili. Inā ʻike ʻoe i kahi mea e like me kēia, he hōʻailona maikaʻi ia ua kiʻekiʻe loa kou mau pae cholesterol koko.
Nā kūlana ʻē aʻe: ʻO ka poʻe momona a me ka poʻe me ka maʻi diabetes he nui ka pilikia o ka pae cholesterol kiʻekiʻe . Eia kekahi, ʻo ka hana moekolohe o kekahi mau kāne ma muli paha o ka hōʻino ʻia ʻana o nā kīʻaha koko i hoʻokumu ʻia e ka cholesterol kiʻekiʻe.
No laila pehea mākou e hana ai me kēia?
ʻAʻole maikaʻi ke kali a ʻike ʻia nā hōʻailona. Pono kākou e hana i nā hana i ka wā mua e kāohi ai i ka ʻenemi leo ʻole i kapa ʻia ʻo ka cholesterol.
E aʻo kākou i nā mea kumu.
ʻAʻole hoʻokahi wale nō helu o kou pae cholesterol. Ke loaʻa iā ʻoe kahi hoʻāʻo koko, aia i loko o ka hōʻike āu e loaʻa ai kahi ʻāpana i kapa ʻia ʻo "Lipid Profile." Kōkua kēia i kāu kauka e ʻike i ke kiʻi piha.
- LDL (Low-Density Lipoprotein): ʻO kēia ka "cholesterol maikaʻi ʻole"ʻO kēia nā mea e waiho ana ma nā paia o nā kīʻaha koko a pani iā lākou. Pono e mālama haʻahaʻa ʻia kēia waiwai.
- HDL (High-Density Lipoprotein): Ua kapa ʻia kēia ʻo "cholesterol maikaʻi." ʻO kāna hana, ʻo ia ke wehe i ka cholesterol maikaʻi ʻole mai nā kīʻaha koko a lawe iā ia i ke akepaʻa. Ua like ia me kahi kaʻa ʻōpala. ʻO ke kiʻekiʻe o ke kumukūʻai o kēia, ʻoi aku ka maikaʻi.
- Triglycerides: ʻO kēia kekahi ʻano momona i loaʻa i loko o ke koko. ʻO ke kiʻekiʻe o kēia e hoʻonui pū i ka pilikia o ka maʻi puʻuwai.
He mea pono e hana i kahi hoʻāʻo koko.
ʻOiai ʻaʻohe hōʻailona maopopo o ka cholesterol, ʻo ke ala wale nō e ʻike ai i kou pae, ʻo ia ke kiʻi ʻana i kahi hoʻāʻo koko. ʻOiai inā wīwī ʻoe a manaʻo ʻoe he olakino ʻoe, loaʻa paha iā ʻoe kahi pilikia cholesterol. No laila, ua ʻōlelo ʻia e hana i kēia hoʻāʻo ma ka liʻiliʻi hoʻokahi i kēlā me kēia 4-6 mau makahiki ma hope o ka piha ʻana o 20 mau makahiki. Inā loaʻa iā ʻoe ka maʻi diabetes, kaumaha nui, a i ʻole he pilikia no ka maʻi puʻuwai, hiki i kāu kauka ke ʻōlelo aku e hoʻāʻo pinepine ʻia ʻoe.
He mea nui loa nā hoʻololi ʻana i ke ʻano o ka nohona
Nui nā mea hiki iā ʻoe ke hana e kāohi i kāu pae cholesterol.
- Hoʻoikaika Kino: ʻO ka hoʻoikaika kino i kēlā me kēia lā ka hopena maikaʻi loa. ʻAʻole pono ʻoe e holo i ka marathon. He 30 mau minuke wale nō o ka hele wāwae wikiwiki, ʻauʻau, a hula paha i 4-5 mau lā o ka pule ua lawa ia. Inā ʻaʻohe ou manawa, hiki iā ʻoe ke hoʻokaʻawale iā ia i 10 mau minuke i ka lā.
- E hoʻōki i ka puhipaka: Hoʻemi ka puhipaka i ka cholesterol maikaʻi (HDL) i loko o ko kākou kino. ʻO ke ʻano kēia, ʻoi aku ka nui o ka cholesterol maikaʻi ʻole (LDL) i koe. Inā ʻoe e hoʻōki i ka puhipaka, hiki iā ʻoe ke hoʻomaikaʻi i kāu mau pae cholesterol. Eia kekahi, e pale i ka hanu ʻana i ka uahi lua.
- E mālama i ke kaumaha olakino: Ke piʻi kou kaumaha, ʻoiai ka momona visceral, piʻi aʻe kou pae LDL a emi iho kou pae HDL. ʻO ka lilo ʻana o 10% o kou kaumaha o kēia manawa hiki ke loaʻa ka hopena nui a maikaʻi i kou pae cholesterol. E kamaʻilio me kāu kauka e pili ana i ka papaʻai a me ka hoʻolālā hoʻoikaika kino maikaʻi loa nāu.
- E makaʻala i kāu ʻai: E hōʻemi i ka momona momona i nā ʻiʻo ʻulaʻula e like me ka pipi, ka puaʻa, a me ke kao, a me nā meaʻai waiū momona kiʻekiʻe e like me ka pata, ka kirīmi, a me ka tīhi. Eia kekahi, ʻoi aku ka maikaʻi o ka pale ʻana i nā huahana berena a me ka margarine i loaʻa nā "trans fats" ma ka mākeke.
- E kiʻi i ka lāʻau kūpono no nā maʻi ʻē aʻe: Inā loaʻa iā ʻoe nā maʻi ʻē aʻe e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, he mea nui loa ia e mālama pono ʻia. Ke kāohi ʻoe i kēlā mau maʻi, hiki ke kāohi ʻia kāu mau pae cholesterol. Mai hoʻololi i ka nui o kāu lāʻau lapaʻau a hoʻōki paha i ka lāʻau me ka ʻole o ke kamaʻilio ʻana me kāu kauka.
I ka manawa e ʻimi koke ai i ke aʻo lapaʻau
Aia kekahi mau hōʻailona, a inā ʻike ʻoe iā lākou, ʻoi aku ka maikaʻi o ke kali ʻole. I kēlā mau manawa, pono ʻoe e ʻike koke i ke kauka.
| Hiʻohiʻona e hoʻolohe ai | He aha ka mea e hana ai? |
|---|---|
| Nā puʻupuʻu melemele a palupalu (xanthomas) ma kou ʻili a i ʻole ka ʻili o kāu mau keiki. | E ʻike koke i ke kauka a nīnau e pili ana i kahi hoʻāʻo cholesterol. |
| ʻEha ma ka umauma ma ka ʻaoʻao hema, paʻa a kaomi paha o ka umauma, poniuniu, hele wāwae paʻa ʻole, ʻōlelo palū, a ʻeha paha ma nā wāwae (ʻoi aku hoʻi ma ka ʻāpana groin). | He mau hōʻailona paha kēia o ka hōʻeha puʻuwai, ka hahau ʻana, a i ʻole nā kīʻaha koko i ālai ʻia. He mau kūlana kēia e pono ai ka mālama olakino ulia pōpilikia. E hele koke i ka ʻOihana ulia pōpilikia (ETU) o ka haukapila. |
ʻAʻole he mea e makaʻu ai ka cholesterol, akā he mea ia e hopohopo ai. Me ka ʻike kūpono a me ke ʻano o ka nohona, hiki iā kākou ke kāohi pono i kēia maʻi.
Leka Lawe-Home
- ʻAʻole ʻike koke ʻia nā hōʻailona o ka cholesterol kiʻekiʻe, no laila ʻoi aku ka maikaʻi o ka loaʻa ʻana o nā hoʻāʻo koko maʻamau.
- E hoʻolohe i nā waiwai LDL ("maikaʻi ʻole"), HDL ("maikaʻi"), a me ka triglyceride i kāu hōʻike cholesterol (Lipid Profile).
- ʻO ka ʻai olakino, ka hoʻoikaika kino mau , a me ka pale ʻana i ka puhipaka hiki ke kōkua nui i ka kaohi ʻana i nā pae cholesterol.
- Inā loaʻa iā ʻoe nā maʻi ʻē aʻe, e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, ʻo ka mālama pono ʻana iā lākou e kōkua nō hoʻi i ka kaohi ʻana i ka cholesterol.
- Inā loaʻa iā ʻoe nā hōʻailona koke e like me ka ʻeha o ka umauma a i ʻole ka ʻōlelo ʻole, e ʻimi koke i ke kōkua lapaʻau me ka hoʻokaʻulua ʻole.
- Inā he mau nīnau kāu e pili ana i kāu pae cholesterol a i ʻole ka mālama ʻana, e kamaʻilio mau me kāu kauka.
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