Ina rongo koe i te kupu "cholesterol," he aha te mea ka puta ake ki tō hinengaro? I te nuinga o te wā, he mate tēnei e pāngia ana e te hunga kaumātua me te hunga taumaha rawa, tika? Engari tera pea ka miharo koe ki te mōhio ka pāngia te hunga taitamariki i roto i ō rātou tau 20 e te mate ngakau kino. Inaa, he nui ake te kino o ngā taumata cholesterol teitei i te wā taitamariki i tā tātou e whakaaro nei, ā, he tokomaha te hunga kāore e mōhio ana ki tēnei. I tēnei rā, ka kōrero tātou mō tēnei kaupapa ohorere, engari he mea tino nui.
I pāngia a Brandon Wilson e te mate manawa tuatahi i te 29 o ōna tau. I tētahi rā, ka pāngia ia e te mamae nui o te uma. Nā tōna whaea me tōna hoa pai rawa atu ia i haria tere ki te rūma ohorere o te hōhipera (ETU). Engari i te tīmatanga, kāore i taea e ngā tākuta te whakapono ka pāngia tētahi tangata taitamariki e te mate manawa. I muri mai, i whakaatuhia e ngā whakamātautau he 99% te aukati o tētahi o ngā uaua toto matua e tuku toto ana ki tōna ngākau. He mate tuku iho tōna e kiia nei ko te cholesterol teitei. E whakaatu ana tēnei kōrero ki a tātou ehara te cholesterol i te mea he take tau anake.
He aha te cholesterol? He aha te hiranga mō te hunga rangatahi?
He kupu ngāwari noa iho, he momo ngako te cholesterol e tika ana mō te tipu o ngā pūtau i roto i tō tātou tinana me te whakaputa i ētahi homoni. Engari ka puta ngā raruraru ina nui rawa.
Ina kōrero tātou mō te cholesterol, e rua ngā momo matua e kōrerohia ana e tātou, tika?
- Korekore LDL (Lipoprotein Kiato Iti): Koinei te mea e kiia nei e tātou he korekore "kino". Ina piki ake, ka taea te hanga ki runga i ngā pakitara o ō tātou uaua toto, ka whakawhāiti, ka ārai hoki i a rātou. Koinei te tino take o ngā mate pēnei i te mate manawa me te whiu.
- Korekore HDL (Ripoporoiti Matotoru Teitei): Koinei te mea e kiia nei e tātou he korekore "pai". Nā te mea ka haria e ia te korekore kino nui rawa atu mai i ngā oko toto ki te ate, ka tangohia atu i te tinana. Nō reira, he pai te whai taumata HDL teitei mō te ngākau.
He tokomaha ngā rangatahi e whakaaro ana me āwangawanga rātou mō te cholesterol ina kaumātuatia. Engari he hapa nui tēnā. Ko te raruraru matua, ahakoa he teitei ō taumata cholesterol, kāore pea e kitea he tohu i a koe e tamariki ana. Ko te tikanga, he nui ngā kino ka puta mai i roto, kāore he raruraru.
Te mōrearea o te cholesterol tuku iho - Familial Hypercholesterolemia (FH)
I te nuinga o te wā, ka piki ake te cholesterol nā ngā hapa o te noho pērā i te kai e kainga ana e tātou me te kore whakakori tinana. Heoi, he rerekē te Familial Hypercholesterolemia, arā, te FH .
He mate te FH i puta mai i tētahi hapa ira. Ko te tikanga ka tukuna iho i tētahi whakatipuranga ki tētahi whakatipuranga, mai i ngā mātua ki ngā tamariki. Ko te hunga whai mate pēnei he mate kāore e taea e ō rātou tinana te tango tika i te cholesterol LDL kino mai i ō rātou toto. Nō reira, he tino teitei ō rātou taumata LDL mai i te whānautanga.
E ai ki te whakatau tata ki te kotahi i roto i te 250 tāngata o te ao he mate FH tō rātou. Engari ko te mea pouri, ko te nuinga o ēnei tāngata kāore i te mōhio kei a rātou te mate.
| Āhuatanga | Te taumata cholesterol teitei noa | Te Hiperkolesterolemia Whānau (FH) |
|---|---|---|
| Take | Te nuinga o te momo noho (te kai, te kore whakakori tinana, te momi hikareti, te momona) | He hapa ira e tukuna iho ana i roto i ngā whakatipuranga. |
| Ngā taumata LDL ("kino") | Kei raro iho i te 190 mg/dL te taumata o te pakeke. | Tino teitei mai i te whānautanga (he maha ngā wā ka neke atu i te 190 mg/dL i roto i te pakeke). |
| Te maimoatanga | He maha ngā wā ka taea te whakahaere mā te whakarerekē i te āhua o te noho. Ka hoatu he rongoā mēnā e tika ana. | Kāore e ranea ngā whakarerekētanga āhua noho anake. He mea nui rawa te tango rongoā (hei tauira, ngā statin). |
| Te awe o te whānau | Tērā pea ka pāngia hoki ngā mema o te whānau e te mōrearea, engari kāore i te tuku iho i te taha ira. | E 50% te mōrearea o ngā mema tata o te whānau (ngā mātua, ngā tuākana, ngā teina, ngā tamariki). |
Āhea koe me tirotiro i tō taumata cholesterol?
He pātai tino nui tēnei, nā te mea kāore he tohu, ā, mā te whakamātautau anake ka kitea ai tēnei.
Ko te tikanga ka tūtohu ngā tākuta:
- Mō ngā tamariki: E taunakihia ana kia whakahaerehia te whakamātautau tuatahi i waenga i te 9 me te 11 tau te pakeke. Whai muri i tēnā, ka whakahaerehia ngā tirotiro hauora i ia 5 tau pea. Heoi, mēnā kua pāngia tētahi o te whānau e ngā mate manawa i te wā taitamariki, he nui rānei tōna cholesterol, ka tūtohu pea te tākuta kia tirohia ngā taumata cholesterol o tāu tamaiti i te 2 tau te pakeke .
- Mō ngā taiohi: He mea pai kia tirohia tō cholesterol i te iti rawa i ia 5 tau i muri i te 20 tau. I a koe e pakeke haere ana (i muri i te 55 tau mō ngā wāhine, i muri i te 45 tau mō ngā tāne), me mahi pinepine ake ēnei whakamātautau.
Ko te mea nui ko te kōrero ki tō tākuta mō tēnei mea, me te whakamātautau i a koe anō kia rite ki tāna e taunaki ana. Kaua e whakaaro noa, "Kāore pea he nui te cholesterol i roto i ahau."
Mena he FH tōu, kāore i te rawaka ngā huringa āhua noho anake?
Koinei te rerekētanga nui i waenga i te taumata kolesterol FH me te taumata kolesterol noa. Kei te mahara koe ki te kōrero a Brandon i kōrerotia e mātou ki a koe i mua? I kitea tōna mate FH i te waru o ōna tau. Mai i taua wā, i whāngaihia ia e tōna whaea ki tētahi kai hauora, iti-kolesterol. I takaro ia i ngā hākinakina, i kaha hoki. I "tika" āna mahi katoa. I ōna tau 20, i tukuna ia e te tākuta ki te rongoā whakaheke kolesterol (he statin).
Ahakoa rā, i pāngia ia e te mate manawa i te 29 o ōna tau.
He aha te tikanga o tēnei?
He mea tino nui te kai pai me te whakakori tinana mō te tangata whai FH. Engari kāore e taea e ēnei mea anake te whakahaere i ngā taumata cholesterol. Nā te mea ehara te raruraru i te momo noho, engari i ngā ira. Nō reira, me tango e te tangata whai FH tētahi, neke atu rānei, ngā rongoā whakaheke cholesterol mō te toenga o tōna oranga .
"Kāore mātou e hiahia kia ngaro te tangata i te mate FH nā te mea kei a mātou ngā maimoatanga katoa e hiahiatia ana e mātou i tēnei rā. Ko tā mātou anake he tautuhi wawe i tēnei mate, i te wā taitamariki tonu."
Tērā pea kei a au anō te FH? Me pēhea taku mōhio?
Mena kua pāngia tetahi o tō whānau (ngā mātua, ngā tuākana, ngā kuia rānei) e te mate manawa, te whiu rānei i te wā taitamariki (ngā tāne kei raro iho i te 55 tau te pakeke, ngā wāhine kei raro iho i te 65 tau te pakeke) , he tino take mōrearea tēnā.
Waihoki, ki te whakaatuhia e tō pūrongo whakamātautau cholesterol ngā taumata LDL i runga ake i te 190 mg/dL (i runga ake rānei i te 160 mg/dL i roto i te tamaiti), he tohu kaha pea tēnei nō te FH.
Ki te whakaaro koe kei roto koe i te mōrearea, e whai ake nei ētahi mea ka taea e koe te mahi:
1. Tirohia he tākuta tonu: Kia mārama ki tō tākuta te hītori hauora o tō whānau.
2. Pātai atu ki tō whānau: Pātai atu ki ō whanaunga mō te cholesterol me te mate manawa.
3.Tukuna ki tētahi tohunga: Mēnā e tika ana, ka tukuna koe e tō tākuta ki tētahi tohunga ngakau.
4. Whakamōhiotia tō whānau: Mena kua tāpaetia koe ki te mate FH, e 50% te tūponotanga ka pāngia hoki ō mātua, ō tuākana, tuākana, me ō tamariki. Nō reira, he mea tino nui kia whakamātauria te katoa .
Kei te noho harikoa a Brandon me āna tamariki tokorima. Kua kitea anō hoki te mate o tana tamāhine ki te FH. Engari e kī ana a Brandon, "E mōhio ana ahau kāore he raruraru o taku tamāhine." Nā te mea kua mōhio rātou inaianei he aha te mate me te aha te mahi mōna. Ka taea e te kitenga wawe me te maimoatanga tika te whakaora i te ora.
Karere Tangohia ki te Kāinga
- Ehara i te mea he raruraru mō te hunga kaumātua anake te cholesterol. Kei te mōrearea hoki te hunga rangatahi me ngā tamariki.
- Kimihia mēnā kua pāngia tētahi o tō whānau e te mate manawa i te wā taitamariki. He kōrero tino nui tēnā.
- Ahakoa kāore he tohu, tirohia ō taumata cholesterol me ō tamariki i ia wā, i ia wā, e ai ki ngā tohutohu a tō tākuta.
- Mena he mate FH tuku iho tōu, kāore e ranea te kai pai me te whakakori tinana anake. Me tango rongoā anō hoki koe mō te toenga o tō oranga.
- Ki te kitea wawetia te mate, ā, ki te rongoatia tika, ka taea e koe te karo i ngā raruraru nui e puta mai ana i te cholesterol, ā, ka ora hauora hoki. Ehara te FH i te whakamana mate.











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