Pehea e hoʻomaopopo ai i nā helu ma kāu hōʻike cholesterol? (Cholesterol/Lipid Profile)

Ua ʻōlelo pū anei kāu kauka iā ʻoe e lawe i kahi hoʻāʻo koko a nānā i kāu cholesterol? I kou loaʻa ʻana o kēlā hōʻike, ua huikau anei ʻoe i nā helu ma mua o kēlā me kēia? LDL, HDL, triglycerides... Ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia mau mea, he aha ke ʻano maoli o kēia mau helu. Mai makaʻu, i kēia lā e kamaʻilio maʻalahi mākou e pili ana i kēia, me he mea lā e haʻi aku ana mākou i kahi hoaaloha. ʻO ka hoʻomaopopo ʻana i kēia he mea kōkua nui ia iā ʻoe i ka hoʻoholo ʻana e pili ana i kou olakino.

ʻO ka mea mua, e nānā kākou, he aha kēia ʻano lipid?

ʻO ka hoʻāʻo koko āu e hana ai e nānā i kāu cholesterol ka mea a mākou e kapa nei ma ke ʻano lapaʻau he 'Lipid Profile'. ʻO ka lipid wale nō ke ʻano o ka momona. Hāʻawi kēia hoʻāʻo iā mākou i ka ʻike e pili ana i kekahi mau ʻano momona i loko o kou koko. He mea nui loa ka ʻike ʻana i kēia mau waiwai, no ka mea hiki iā ia ke hāʻawi iā ʻoe i kahi manaʻo o kou pilikia o nā maʻi e like me ka maʻi puʻuwai a me ka hahau ʻana i ka wā e hiki mai ana.

E aʻo kākou e pili ana i ka LDL, ka cholesterol "maikaʻi ʻole".

Lohe pinepine mākou e pili ana i kēia kolesterol 'LDL'. ʻOiaʻiʻo, pono i ko mākou kino kahi nui o 'LDL' e kūkulu i nā ʻāpana, hana i nā hormones a me nā huaora. Hana ʻia ia e ko mākou akepaʻa.

Hoʻomaka ka pilikia ke nui loa ka LDL. A laila hoʻomaka kēia LDL keu e kūkulu ma nā paia o kou mau kīʻaha koko. E like me ka lepo e kūkulu ana i loko o kahi paipu wai. I ka hala ʻana o ka manawa, hiki i kēia kūkulu ʻana (plaque) ke hana i kou mau kīʻaha koko e lilo i mea haiki a paʻa, e alakaʻi ana i nā kūlana koʻikoʻi e like me nā hōʻeha puʻuwai a me nā hahau. ʻO ia ke kumu i kapa ʻia ai ʻo LDL he cholesterol "maikaʻi ʻole". No laila, ʻo ka haʻahaʻa o kou pae LDL, ʻo ka haʻahaʻa o kou pilikia.

• Inā kiʻekiʻe loa kou pae LDL (ma luna o 190 mg/dL): He pae kiʻekiʻe loa kēia. I kēia hihia, e paipai pinepine kāu kauka e hoʻomaka ʻoe i kahi lāʻau statin me nā hoʻololi ʻana i ke ʻano o ka nohona (ʻai, hoʻoikaika kino).
• ʻOiai inā ʻoi aku kou pae LDL ma mua o 190 mg/dL: Hiki i kāu kauka ke hoʻoholo e hoʻohaʻahaʻa hou i kou pae LDL, me ka noʻonoʻo ʻana i kāu mau kumu pilikia ʻē aʻe (e like me ka maʻi diabetes a me ke koko kiʻekiʻe).
• Nā pae LDL haʻahaʻa loa (ʻoi aku ma mua o 40 mg/dL): He mea kākaʻikahi loa kēia. Akā, ʻaʻole maikaʻi nā pae LDL haʻahaʻa loa. Hiki iā ia ke alakaʻi i ke kaumaha, ka hopohopo, a i kekahi manawa he pilikia o ka hahau hemorrhagic.

ʻO ke koʻikoʻi o HDL, ka cholesterol "maikaʻi"

Ua like ka `HDL` (High-Density Lipoprotein) me ko kākou hoaaloha. ʻO ke kiʻekiʻe o ka waiwai `HDL`, ʻo ka haʻahaʻa o ka pilikia o ka maʻi puʻuwai. ʻO ke kumu, hopu ka `HDL` i ka cholesterol `LDL` maikaʻi ʻole e kokoke ana e waiho ʻia i loko o nā kīʻaha koko a lawe hou iā ia i ke akepaʻa. Ua like ia me ka pulumi ʻana i ke alanui a me ka hoʻomaʻemaʻe ʻana iā ia.

Hiki i ka hoʻoikaika kino a me kekahi mau ʻano statins ke hoʻonui iki i nā pae HDL.

• He aha ka pae HDL maikaʻi?: ʻO ka pae ma luna o 40 mg/dL no nā kāne a ma luna o 50 mg/dL no nā wahine ua manaʻo ʻia he pae olakino.
• Nā pae HDL kiʻekiʻe loa (ʻoi aku ma mua o 100 mg/dL): ʻOiai he mea maikaʻi ka loaʻa ʻana o nā pae HDL kiʻekiʻe, ua ʻike ʻia e nā noiʻi hou i nā hihia kakaikahi, hiki ke pili nā pae HDL kiʻekiʻe loa me ka hoʻonui ʻia o ka maʻi puʻuwai. No laila he mea nui e mālama i nā mea āpau i ke kaulike.

He aha nā triglycerides?

ʻAʻole ʻo Triglycerides kahi ʻano cholesterol, akā he ʻano momona ʻē aʻe lākou i loko o ko kākou koko. ʻO nā calorie keu i loko o ka meaʻai a kākou e ʻai ai, ʻoiai nā mea mai ke kō, ka palaoa, a me ka waiʻona, ua hoʻololi ʻia i triglycerides e ke kino a mālama ʻia i loko o nā hunaola momona.

Ua pili pono nā pae triglyceride kiʻekiʻe i ka piʻi ʻana o ka maʻi puʻuwai. ʻO ka pinepine, ʻo ka poʻe me nā triglycerides kiʻekiʻe he haʻahaʻa ka HDL "maikaʻi" a me ke kiʻekiʻe ka LDL "maikaʻi ʻole". He mea weliweli loa kēia hui pū ʻana.

ʻO nā kumu o ke kiʻekiʻe o ka triglyceride:

• He nohona palaualelo me ka hoʻoikaika kino ʻole.
• ʻAi ʻana i kahi meaʻai kiʻekiʻe i ke kō, nā kalapona i hoʻomaʻemaʻe ʻia (e like me ka berena, ka laiki, nā noodles), a me nā momona momona.
• Ka inu nui ʻana i ka waiʻona.
• ʻO ka maʻi diabetes i kāohi ʻole ʻia, nā maʻi puʻupaʻa, nā pilikia thyroid.
• Ka momona.
• Kekahi mau lāʻau lapaʻau (e laʻa, nā lāʻau lapaʻau no ka maʻi ʻaʻai umauma, HIV).
• Hiki ke hoʻopilikia ʻia kekahi poʻe e nā kumu hoʻoilina mai ko lākou mau ʻohana mai.

Inā ʻoi aku ke kiʻekiʻe o kou pae triglyceride ma mua o 150 mg/dL, e ʻōlelo paha kāu kauka i nā hoʻololi o ke ʻano o ka nohona, e like me ka hoʻoikaika kino mau, ka ʻai olakino, ka hōʻemi kaumaha, a me ka hoʻemi ʻana i ka inu ʻana i ka waiʻona. Hiki iā lākou ke kuhikuhi i ka lāʻau lapaʻau.

He aha nā pae kolesterol olakino?

E kōkua kēia papa iā ʻoe e hoʻohālikelike i nā helu ma kāu hōʻike me nā pae olakino maʻamau. Ma nā hōʻike Sri Lanka, ua ana ʻia kēia mau waiwai ma mg/dL (milligrams no ka deciliter), e like me ʻAmelika Hui Pū ʻIa.

Nā nīnau koʻikoʻi e nīnau aku i kāu kauka

Ke ʻike ʻoe ua kiʻekiʻe kou pae cholesterol, mai poina e nīnau i kāu kauka i kēia mau nīnau.

1. He aha nā pōʻino o ka cholesterol kiʻekiʻe? Hiki iā ia ke hoʻoulu i nā maʻi ʻē aʻe?

2. He aha ke kumu o koʻu cholesterol kiʻekiʻe? He hoʻoilina anei kēia?

3. He aha kaʻu e hana ai i koʻu nohona a ma ka home hoʻi e hoʻohaʻahaʻa i ka cholesterol?

4. Pono maoli anei au e lawe i ka lāʻau lapaʻau? ʻAʻohe anei he mau lāʻau lapaʻau ʻē aʻe?

5. Inā pono ʻoe e lawe i ka lāʻau lapaʻau, pehea lā e hana ai?

6. Pehea ka lōʻihi o koʻu lawe ʻana i kēia lāʻau lapaʻau? He aha nā hopena ʻaoʻao?

7. Pehea e hiki ai iaʻu ke hoʻohaʻahaʻa i kaʻu cholesterol ma o ka hoʻoikaika kino?

8. Pehea e hoʻololi ai i kaʻu papaʻai? He aha ka mea maikaʻi e ʻai ai a he aha ka mea ʻino e ʻai ai?

9. Āhea wau e nānā hou ai i kaʻu cholesterol?