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.
Heart disease risk
Check the risk of developing a heart disease within the next 10 years with the Framingham Score
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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