I tēnei rā ka kōrero tātou mō tētahi raruraru e pā ana ki te tini o te tangata, engari i ētahi wā kāore e tino mōhiotia ana. Ko te tinana tēnā. Ko te cholesterol teitei, e kiia nei e tātou i roto i te rongoā, ko te cholesterol teitei. He mate huna tēnei, nā te mea ka taea e ia te pā puku ki te tinana me te kore e whakaatu i ngā tohu nui. Nō reira, me titiro tātou he aha tonu tēnei, he aha i morearea ai, me pēhea hoki te tiaki i a koe mai i tēnei mate.
He aha te Cholesterol Teitei?
I te whakarapopototanga, ko te cholesterol teitei he āhuatanga e nui rawa ai te nui o ngā ngako, ngā lipid rānei, i roto i tō toto. Ka kiia hoki tēnei ko te "Hyperlipidemia" ko te "Hypercholesterolemia" rānei.
E hiahiatia ana e ō tātou tinana tētahi nui o ēnei ngako kia pai ai te mahi. Engari ina tino teitei rawa, kāore e taea e te tinana te whakamahi i aua mea katoa. Kātahi ka tīmata te hanga i ēnei ngako tāpiri ki roto i ō uaua toto, i ō uaua toto rānei. Ka honoa ki ētahi atu matū i roto i te toto, ka hanga he putunga ngako e kiia nei ko ngā papa .
Kāore pea ēnei putunga ngako (ngā papa) e raru mō ngā tau. Engari i roto i te wā, ka taea e rātou te hanga i roto i ngā oko toto. Koia te take he morearea te cholesterol teitei mēnā kāore e rongoatia . Me te kore koe e mōhio, ko ēnei ngako tāpiri kei te whakatupu i ngā papa. Ko te huarahi anake ki te mōhio mēnā he cholesterol teitei tōu ko te whai i tētahi whakamātautau toto.
Ko te ingoa o tēnei whakamātautau toto he paewhiri lipid . E whakaatu ana i te maha o ngā lipid kei roto i ō toto. Ko te mea e kiia ana he cholesterol "teitei" e whakawhirinaki ana ki tō tau, tō ira tangata, me te mea he hītori mate manawa tōu.
Kolesterol Pai me te Kolesterol Kino
He maha ngā momo ngako. Nō ēnei, kua rongo pea koe i te "cholesterol pai" me te "cholesterol kino".
Ko te cholesterol pai e kiia ana ko te Lipoprotein Matotoru-Teitei (HDL).Whakaarohia, ko te reta "H" i roto i tēnei ka whakamahara i a koe ki te kupu "Āwhina". Ka haria tō cholesterol `(HDL)` ki te `(Ate). Ko te ate te mea e pupuri ana i te taurite o ngā taumata cholesterol. Ka hangaia e ia te nui o te cholesterol e hiahiatia ana e te tinana, ā, ka tangohia atu te toenga. Nō reira, hei kawe i te cholesterol ki te ate, me nui te `(HDL)`. Ki te heke te taumata `(HDL)`, ka nui ake te cholesterol ka kohia ki roto i te toto.
Ko te cholesterol kino e kiia ana ko te Lipoprotein iti-kiato (LDL) . Koinei te mea e puta ai ngā putunga ngako (pēka) i roto i ngā oko toto. Mēnā he teitei te taumata o te LDL, ka arahi pea ki te mate ngakau i roto i te wā.
Āhea koe me tirotiro i tō cholesterol?
Ka tīmata pea te cholesterol tiketike i te wā taitamariki, i te tamarikitanga, i te taiohitanga rānei. Koia te take e tūtohu ana ngā aratohu o nāianei kia tīmata te tirotiro i te wā taitamariki.
- Tamariki me ngā taiohi (9 tau te pakeke me te pakeke ake): Me tirotiro tō cholesterol i te iti rawa i ia rima tau. Akene me tīmata wawe koe ki te whakamātautau mēnā he nui te cholesterol o ō mātua, he hītori mate manawa rānei tō rātou .
- Ngā Tāne: Ia rima tau tae noa ki te 45 tau. Ia kotahi ki te rua tau mai i te 45 ki te 65 tau. Ia tau i muri i te 65 tau.
- Ngā Wahine: Ia rima tau tae noa ki te 55 tau. Ia kotahi ki te rua tau mai i te 55 ki te 65 tau. Ia tau i muri i te 65 tau.
He aratohu whānui noa iho ēnei. Me kōrero koe ki tō tākuta mō te mea pai mōu. Hei tauira, mēnā kei roto koe i ō tau 20, ā, he nui tō cholesterol, me whakamātauria pea koe i ia tau mō tētahi wā. Ko te hunga he take mōrearea kē atu mō te mate ngakau, me whakamātauria pea i ngā wā katoa.
He aha ngā take o te cholesterol teitei?
Ko ngā āhuatanga o te noho me ngā awe ira e whai wāhi ana ki te nui o te cholesterol. Ko ngā āhuatanga o te noho:
- Te momi hikareti me te whakamahi tupeka: Ka whakaitihia e te momi hikareti tō "cholesterol pai" (HDL) me te whakanui ake i tō "cholesterol kino" (LDL).
- Te ahotea nui: Ina puta te ahotea , ka puta ngā huringa homoni , ā, ka whakanuia e te tinana te hanga cholesterol.
- Te inu waipiro: Ka taea e te inu nui o te waipiro te whakanui ake i te taumata cholesterol katoa.
- Kia kaha tonu te korikori tinana: Mā te whakakori tinana, inā koa te whakakori tinana ā-hauora, ka taea te whakapai ake i ngā taumata cholesterol. Mena kei te mahi koe i runga i te tūru tari i te rā katoa, ki te noho rānei koe i te nuinga o te wā, tera pea kāore e nui te "cholesterol pai" e whakaputaina e tō tinana.
- Kai: Ka taea e ētahi kai te whakanui ake i te cholesterol, ko ētahi ia ka taea te whakaiti. I ētahi wā ka tohutohu ngā tākuta i ngā huringa kai, ka tukuna rānei koe ki tētahi tohunga kai.
He tohu kei te nui o te cholesterol?
He tokomaha te hunga kāore e whakaatu i ngā tohu ina he nui te cholesterol i roto i a rātou. Ahakoa he kai-oma marathon koe, ka nui tonu te cholesterol i roto i a koe. Ka tīmata noa koe ki te rongo i ngā tohu ina puta mai ētahi atu raruraru i roto i tō tinana nā te nui o te cholesterol.
Ka whakanui ake te nui o te cholesterol i te mōrearea o ngā mate pēnei i te mate uaua o te taha, te toto toto tiketike, me te whiu. He mea noa anō hoki te nui o te cholesterol i waenga i te hunga mate huka.
He aha te pānga o te cholesterol teitei ki tō tinana?
Ki te roa te wā e teitei ana ō taumata cholesterol, ka kohia ngā putunga ngako e kiia nei ko te "plaque" ki roto i ō uaua toto. Ko te atherosclerosis te ingoa o tēnei kohi ngako. He nui ake te tūponotanga o te hunga whai mate pēnei ki te pāngia e ngā momo mate. Ko te take o tēnei, he mahi nui ngā uaua toto puta noa i te tinana. Nō reira, ki te mea he raruraru kei roto i tētahi uaua toto, ka pā ki ētahi atu wāhanga pērā i te ngaru.
Whakaarohia pēnei: he rite ō uaua toto ki tētahi pūnaha paipa wai e kawe ana i te toto puta noa i tō tinana. Ko aua putunga ngako, e kiia nei ko te "Palaki", he rite ki te paru e kohikohi ana i roto i ō paipa, e aukati ana i te rere o te wai. Ka kohikohi tēnei "Palaki" ki roto i ō uaua toto, e aukati ana, e whakawhāiti ana hoki i te rere o te toto.
Ki te nui tō cholesterol, ko te tikanga kei te hanga tēnei `(Plaque)` i roto i ō uaua toto. Ka roa te wā e kore ai e rongoatia, ka nui haere tēnei `(Plaque)`. Ka nui haere, ka whaiti haere ngā uaua toto, ka ārai katoa rānei. Pērā i te paipa wai kua āraia, ka mahi ngā uaua toto mō tētahi wā. Engari kāore e mahi tika, e mahi whai hua.
Ka piki ake te mōrearea o te whakawhanake i ētahi atu mate nā te nui o te cholesterol i runga i te āhua o ngā oko toto kua āraia.
Te Mate Puku o te Arota o te Koronari (CAD)
Ko te Mate Puku o te Arorangi (CAD) e mōhiotia ana ko te Mate Ngākau o te Arorangi (CHD) me te Mate Ngākau Ischemic. Koinei te tikanga o te nuinga o te tangata ina kīia "mate ngākau". Koinei te momo mate ngākau tino noa, ā, ko te tino take o te mate i ngā whenua pēnei i te Hononga o Amerika.
Ka puta te CAD ina pāngia ō uaua ngakau e te mate Atherosclerosis. Koinei ngā uaua toto e tuku toto ana ki tō ngākau. Ki te kore e nui te toto e whiwhihia ana e tō ngākau, ka ngoikore pea, ka mutu te mahi tika. Ka taea e te CAD te whakararu i te mate ngākau, te ngoikore rānei o te ngākau.
Ko te mea kāore i te mōhiotia e te tini o te tangata , ka taea hoki e te hunga rangatahi te pāngia e te CAD.Ina hoki, tata ki te 1 i roto i te 5 o ngā tāngata e mate ana i te CAD kei raro iho i te 65 tau te pakeke. Koia te mea nui kia tirohia tō cholesterol i te wā taitamariki. I roto i te wā, ka taea e ēnei putunga ngako (pēka) te hanga i roto i ngā uaua o te ngakau. He tokomaha te hunga kāore e mōhio ki tēnei tae noa ki te pāngia e te angina, e ētahi atu tohu rānei o te mate ngakau.
Te mate o te uaua carotid
Ina pāngia ō uaua carotid e te atherosclerosis, ka kiia ko te mate carotid artery. Ko ō uaua carotid ngā uaua nui, o mua e kawe ana i te toto ki te roro. Ina hanga te paraka i roto i ēnei uaua, ā, ina whaiti, kāore te roro e whiwhi i te toto whai rawa i te hāora e hiahiatia ana e ia.
Ka taea e te mate uaua carotid te whakaputa i te whakaekenga ischemic poto (TIA), i te mea rānei e kiia nei e tātou he "whiu iti", he whiu nui rānei.
Te Mate o te Uaua o te Takiwā (PAD)
Ina pāngia ngā uaua o ō waewae, o ō ringaringa rānei e te atherosclerosis, ka kiia ko te mate uaua o te taha (PAD). Ka kiia ngā uaua o ō waewae me ō ringaringa ko te "peripheral" nā te mea kei tawhiti atu rātou i te ngākau me te pokapū o tō tinana. Ko te PAD te mea tino kitea i ngā waewae, engari ka taea hoki te puta i ngā ringaringa.
He morearea te PAD nā te mea he maha ngā wā kāore he tohu . Tērā pea ka tīmata koe ki te rongo i ngā tohu ina āraia te uaua taha e te 60%. Ko tētahi o ngā tohu matua ko te claudication intermittent . He mamae mamae tēnei i roto i tō waewae ka puta ina hikoi koe, ina neke rānei, engari ka memeha ina okioki koe. He tohu tēnei o te hekenga o te rere o te toto, ko te tikanga kei te tipu te paraka i roto i te uaua.
Ka pāngia pea ngā waewae me ngā waewae e te PAD, ā, ka pāngia hoki ētahi atu wāhanga o te tinana. Nā te mea e hono ana ō uaua toto katoa tetahi ki tetahi mā te pūnaha manawa. Nō reira, ki te hanga te paraka i te wāhi kotahi, ka whakaroa i te pūnaha manawa toto katoa.
Kāore te PAD i te rite ki te CAD, engari he hononga kei waenganui i ēnei mate e rua. Mēnā he mate pēnei i tētahi, ka nui ake te tūponotanga ka pāngia tētahi atu e te mate. He rite tonu ngā āhuatanga mōrearea mō te PAD me te CAD.
Te toto toto tiketike
He hononga kei waenganui i te toto toto tiketike (hypertension) me te cholesterol tiketike. Ka taea e ngā putunga cholesterol (plaque) me te konupūmā te whakakeke me te ngoikore o ō uaua toto. Kātahi ka kaha ake te mahi a tō ngākau ki te pupuhi toto mā roto i aua uaua. Nō reira, ka tino teitei rawa tō toto toto.
Ko te toto toto tiketike me te cholesterol tiketike e rua o ngā tino take o te mate ngakau. I roto i tētahi whenua pērā i te Hononga o Amerika, kotahi i roto i te toru o ngā pakeke he toto toto tiketike, ā, kotahi i roto i te toru he cholesterol teitei. Neke atu i te haurua o ngā pakeke i roto i ngā rōpū e rua kāore e whiwhi āwhina nui mai i te maimoatanga, kāore rānei rātou e whiwhi maimoatanga.
He nui te āwhina a ngā rongoā e tohua ana e tō tākuta, engari mā ngā huringa āhua noho ka pai ake te mahi a aua rongoā. He mea nui rawa ngā huringa āhua noho hei whakahaere i te cholesterol tiketike me te toto toto tiketike. Ko ētahi o aua huringa ko:
- Whakaitihia te Ngako Kūpapa me te Ngako Whakawhiti: Ka nui pea te ngako o ngā kai tere i roto i ngā mea e rua. Engari ahakoa ngā kai i ngā wharekai nui, ka nui pea te ngako kūpapa, i runga i te āhua o te whakarite.
- Whakaitihia ngā kai parai me ngā kai tukatuka: Kei roto i tēnei ko ngā kai reka me ngā kai mātao kua oti kē te takai.
- Whakaitihia te Konutai: Kei roto i ētahi kai he tote huna. He mea nui kia pānuihia ngā tapanga ina hoko kai ana i te toa. Ka whakarārangihia e ētahi wharekai ngā mōhiohio kai mō ngā kai i roto i ā rātou tahua.
- Kati te momi hikareti me te whakamahi i ngā hua tupeka: Ko te momi hikareti tetahi o ngā tino take mōrearea o te mate ngakau me ngā raruraru o ngā oko toto.
He pānga anō ō ētahi atu mate ki ngā taumata cholesterol?
E rua ngā hononga i waenganui i te mate me te cholesterol. Ka taea e te cholesterol teitei te arahi ki ngā mate pēnei i te atherosclerosis. Waihoki, ka taea e ētahi āhuatanga hauora te whakanui ake i tō tupono ki te cholesterol teitei. Anei ētahi āhuatanga hauora ka pā ki ō taumata cholesterol:
Te Mate Tākihi Mau tonu (CKD)
He nui ake te tūponotanga o te hunga e pāngia ana e te mate tākihi mau tonu (CKD) ki te pāngia e te mate uaua o te ngākau. Nā te mea ka tere ake te hanga o te paraka i roto i ō rātou uaua e te CKD. He nui ake te tūponotanga o te hunga e pāngia ana e te CKD i te wā tōmua ki te mate manawa i te mate tākihi.
Ka taea e te CKD te whakararu i te nui rawa o ngā triglycerides ( he momo ngako) i roto i tō toto. Ka taea hoki e ia te whakanui ake i tō cholesterol Very Low-Sity Lipoprotein (VLDL) . Ko te VLDL te momo cholesterol e mau ana i ngā triglycerides. I taua wā anō, ka taea e te CKD te whakaheke i tō cholesterol "pai" (HDL) me te aukati i tana mahi tika. Ka taea hoki e te CKD te whakarerekē i te hanganga o ō matūriki cholesterol "kino" (LDL), ka nui ake te kino.
Mate HIV
E rua pea te nui ake o te tūponotanga o te hunga whai HIV ki te pāngia e te mate manawa, te whiu rānei, i te hunga kāore he HIV. I mua, i whakaaro ngā kairangahau nā ngā rongoā HIV (Antiretroviral Therapy) tēnei mōrearea i piki ake ai. I whakapono rātou nā ngā rongoā i whakapiki ake ngā taumata cholesterol o te tangata. Engari kua whakaatuhia e ngā rangahau hou ko te pūnaha ārai mate o te tangata te take.
Ahakoa kei raro i te mana whakahaere tō tūnga HIV, tera pea ka kaha rawa te mahi a tō pūnaha ārai mate. Ka taea e tēnei te whakawhanake i te mumura mau tonu i tō tinana. Ka taea e tēnei mumura te arahi ki te hanga paraka me te atherosclerosis.
Ko te rongo pai ko te roa ake o te oranga o te hunga whai HIV, engari ko te tikanga me nui ake ngā rangahau kia mārama ai ki te pānga o ngā mate mau tonu pēnei i te mate ngakau ki a rātou.
Mate tairoi
Ka pā pea te mate tairoi ki ō taumata cholesterol. Nā te mea ka pāngia te whakamahinga o ngā lipid e ngā homoni tairoi e tō tinana. Ka whakawhirinaki tēnei pānga ki te momo mate tairoi kei a koe.
- Hyperthyroidism: Ka nui rawa te homoni tairoi e whakaputaina ana e tō tinana i tēnei āhuatanga. Ka taea e ngā rongoā e whakamahia ana hei rongoā i tēnei āhuatanga te whakanui ake i ō taumata cholesterol (te cholesterol katoa, te LDL, me te HDL). Mena kei te rongoatia koe mō te hyperthyroidism, kōrero ki tō tākuta mō te whakahaere i tō cholesterol.
- Hypothyroidism: Mā tēnei āhuatanga ka iti ake te homoni tairoi e whakaputa ana i tō tinana. Ka piki ake hoki ō taumata cholesterol. I tēnei āhuatanga, mā te rongoā i tō mate tairoi ka heke iho ō taumata cholesterol. Heoi anō, me tango pea koe i ngā rongoā, pērā i ngā statin, hei whakahoki i ō taumata cholesterol ki te awhe noa. Ka kōrero tō tākuta ki a koe mō te mea pai mō tō mate.
Kei te rangahau tonu ngā kairangahau i te hononga i waenga i te mate tairoi me te mate ngākau. Kua whakaatuhia e ētahi rangahau ka taea e te mate tairoi te whakararu i te ngākau i roto i ngā huarahi ehara i te cholesterol, i te hanga papa rānei. Hei tauira, ka taea e te hyperthyroidism me te hypothyroidism te whakanui ake i te tūponotanga o te tangata ki te pāngia e te ngoikore o te ngākau.
Lupus
Ko te hunga whai lupus he nui te taumata o te "cholesterol kino" (LDL, VLDL) me ngā triglycerides. He iti hoki te taumata o te "cholesterol pai" (HDL). He nui ake te mōrearea o te hunga whai lupus hohe ki te whakawhanake i te cholesterol teitei i te hunga whai lupus kua whakahaeretia pai (he puku).
Ka whakanui ake te mate o te uaua ngākau i te mate lupus. Nā te mea ka mumura tonu tō tinana i te lupus. Ka tere te hanga o te paraka i roto i ō uaua ngākau nā tēnei mumura.
Te Mate Pūkahukahu Polycystic (PCOS)
He nui ake te tūponotanga o te hunga whai mate pukupuku ovarian polycystic (PCOS) ki te pāngia e te mate manawa. Ka piki ake tēnei tūponotanga i a rātou e pakeke haere ana. Ka nui ake te tūponotanga o te maha o ngā āhuatanga mōrearea o te mate manawa i te PCOS, tae atu ki te mate huka me te toto toto tiketike. He nui ake te tūponotanga o te hunga whai PCOS ki te whai taumata teitei ake o te cholesterol "kino" (LDL) me te iti iho o te cholesterol "pai" (HDL).
Mate Huka (Diabetes Mellitus)
Ka piki rua te tūponotanga o te mate huka (Mā te mate huka momo 1 me te mate huka momo 2) ki te pāngia e te mate uaua o te ngākau me te mate uaua o te ngākau. E pā ana te mate huka ki te hekenga o te taumata o te cholesterol pai (HDL) me te pikinga o ngā taumata o te triglycerides me te cholesterol kino (LDL).
Tata ki te 7 i roto i te 10 tāngata e pāngia ana e te Mate Huka Momo 2 kua tātaritatia he Dyslipidemia e pā ana ki te Mate Huka. Ko te tikanga he nui ō rātou taumata triglyceride, he nui ngā taumata o te LDL "iti te matotoru", ā, he iti ngā taumata o te "lipoprotein kiato teitei". Ko te LDL "iti te matotoru" he momo pūmua cholesterol ka piri ngāwari ki ngā pakitara o ō uaua ka pakaru. Mēnā he nui rawa te LDL i roto i ō toto ka nui ake te tūponotanga o te hanga paraka.
Kei te tūhura tonu ngā kairangahau i te hononga i waenganui i te mate huka me te mate ngakau.
Me pēhea te whakaiti i te cholesterol?
Kōrero ki tō tākuta mō te huarahi pai ki te whakaheke i tō cholesterol. Tērā pea ka hiahia ētahi ki ngā huringa āhua noho māmā noa iho, pērā i te whakaiti i te ngako kukū. Tērā pea ka hiahia ētahi ki te rongoā me ngā huringa āhua noho. Tērā pea ka hiahia te hunga whai mate hauora kē atu e pā ana ki te cholesterol ki tētahi huarahi uaua ake. Kōrero ki tō tākuta mō tō hītori hauora, tō hītori whānau, me ngā āhuatanga āhua noho. Ka taea e kōrua te whakawhanake i tētahi mahere hei whakaheke i ō taumata cholesterol.
Kia maumahara, ahakoa ngā mahere pai rawa atu, ka roa te wā e tutuki ai. Ka pāngia tātou katoa e ngā hapa. He mea noa te noho taumaha, ā, he mea nui kia kōrero ki tō tākuta mēnā kāore he mahere e tutuki ana. I ētahi wā, ahakoa te nui o ngā huringa o tō āhua noho, kāore e tino heke ō taumata cholesterol. Nā te mea ko tō ate te kaihanga o te nuinga o te cholesterol i roto i tō tinana. Nō reira, he maha atu ngā āhuatanga kāore i raro i tō mana whakahaere, ā, kāore he pānga ki tāu e kai ana.
Me mahi i tētahi taahiraa i ia wā, me te mahara ehara te nui o te cholesterol i te hapa whaiaro nāu. He hua tēnei o tētahi raupapa o ngā huringa iti, puku e puta ana i roto i tō tinana. Whakahaerehia ngā mea ka taea e koe te whakahaere, engari kia mōhio kei reira ngā rongoā me ētahi atu wawaotanga hauora hei whakakī i ngā āputa.
He mea huna, he mea huna te cholesterol teitei. Tērā pea he nui ngā ngako i roto i tō toto mō ngā tau maha, kāore koe e mōhio. Ka taea te kite mā te whakamātautau toto noa iho. Ka pāngia te tangata o ngā reanga katoa e te cholesterol teitei, tae atu ki te hunga e whakaaro ana he kaha, he hauora hoki rātou. Ka whakanui ake ētahi āhuatanga hauora i te tūponotanga o te tangata ki te cholesterol teitei me te mate ngakau. Kōrero ki tō tākuta mō ō taumata cholesterol me ō rātou tikanga mōu.
Hei whakamutunga, ko ngā mea tino nui hei maumahara
Āe, mai i ngā mea kua kōrerotia e tātou, me maumahara koe ki ētahi mea:
- He mate huna te cholesterol: ka taea e ia te whakararu i roto i te tinana, engari kāore e whakaatu i ngā tohu nui.
- He mea nui ngā whakamātautau toto: Ko te huarahi anake ki te mōhio ki ō taumata cholesterol ko te whai i tētahi "Panui Lipid".
- Kāore he aha te pakeke:Ka taea te piki ake o te cholesterol i roto i te tangata o ngā tau katoa, ahakoa te tangata e whakakori tinana ana i ngā wā katoa, ā, e whakaaro ana he hauora ia.
- Ka pāngia te hunga whai mate pūmau e ētahi āhuatanga hauora: He nui ake te mōrearea o te hunga whai mate pūmau ki te cholesterol tiketike me te mate ngakau.
- Kia mōhio ki ō tau: Kōrero ki tō tākuta kia mārama ai koe ki te nui o tō cholesterol me tōna pānga ki tō hauora.
- Te āhua noho me te rongoā mēnā e tika ana: Ka taea te whakahaere pai i tēnei āhuatanga mā te whai i tētahi āhua noho hauora me te tango i ngā rongoā e ai ki te whakahau a te tākuta.
He mea tino nui te tiaki i ēnei mea mō te hauora o tō ngākau me tō hauora whānui hoki!
Korekore , te cholesterol teitei, te mate ngakau, te cholesterol LDL, te cholesterol HDL, ngā uaua kua purua, te whakamātautau cholesterol











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