He maha tonu ngā wā ka kōrero tātou mō te cholesterol, ā, ka āwangawanga tātou mōna, kāore? Engari whakaarohia, kua rongo kē koe i tētahi mate tuku iho e tino teitei ana ngā taumata cholesterol mai i te tamarikitanga, tae atu pea ki te tamarikitanga? I tēnei rā ka kōrero tātou mō tētahi mate onge engari he tino nui. Ko te ingoa o tēnei ko te Homozygous Familial Hypercholesterolemia (HoFH). Ahakoa he ahua uaua te ingoa, kia māmā noa te mārama.
He aha te Homozygous Familial Hypercholesterolemia?
He kupu whakarāpopoto tēnei, he mate ira e uaua ai te tango a te tinana i te cholesterol "kino", arā, te cholesterol LDL (Low-Density Lipoprotein), mai i roto i ō tātou toto. E mōhio ana tātou katoa he matū ware pi te cholesterol e hiahiatia ana e ō tātou pūtau. Ko te mahi a te cholesterol LDL he kawe i tēnei cholesterol puta noa i te tinana mā roto i te toto.
Engari ina tino teitei rawa ngā taumata LDL, ka tīmata te hanga o tēnei cholesterol tāpiri ki roto i ngā oko toto e tuku toto ana ki tō tātou ngākau, arā, ngā uaua toto. I roto i te wā, ka ārai pea ēnei putunga i ngā uaua toto, ka tapahia te toto me te hāora ki te ngākau, ā, ka piki ake te tūponotanga o te mate ngākau .
He mate whānau mai tēnei. Ko te tikanga ka taea e koe te pāngia e te cholesterol teitei mai i te tamarikitanga. He mate kino tēnei e kore e taea te whakaora, ā, me whakahaere tonu i te roanga o tō oranga.
Ki te kore e rongoatia, ka pāngia ngā tāne me tēnei mate e te mate manawa i roto i ō rātou tau 40, me ngā wāhine i roto i ō rātou tau 50. Nō reira, he mea tino nui kia mōhio ki tēnei me te rapu maimoatanga tika.
He aha te take mō tēnei?
Ka kiia tēnei he mate ira. Ina hoki, ka pāngia koe e tēnei mate mēnā ka riro i a koe ngā tārua e rua o te ira kāore e mahi tika ana, tētahi mai i tō whaea, tētahi mai i tō pāpā .
I te nuinga o te wā, ka tangohia e tō tātou ate te nui rawa o te cholesterol LDL mai i te toto. He 'kaiwhakawhiwhi LDL' motuhake tō te ate mō tēnei. He rite ēnei ki ngā aukume e hopu ana i te cholesterol ka tango atu i te toto. Engari mō te tangata whai mate nei, nā te ira tuku iho, kāore ēnei kaiwhakawhiwhi e mahi tika. Ko te mutunga iho, ka piki haere ngā taumata cholesterol me te kore e taea te whakahaere.
Kua rongo pea koe i te 'Heterozygous' Familial Hypercholesterolemia. Koinei te wā ka tukuna iho te ira hapa mai i te matua kotahi anake. Kāore tēnei āhuatanga i te tino kino pērā i te 'Homozygous'.
He aha ngā tohu o tēnei mate?
He maha ngā tohu matua ka taea te whakamahi hei tautuhi i tēnei mate. Me titiro tātou ki ēnei i roto i tētahi ripanga.
| Āhuatanga | Whakaahuatanga |
|---|---|
| Te taumata cholesterol tino tiketike | Ka eke pea ngā taumata cholesterol katoa ki te 600 mg/dL, neke atu rānei (he iti iho i te 200 te taumata hauora). |
| Ngā putunga kiri (Xanthomas) | He puku kōwhai, he rite ki te ware pi i raro i te kiri i runga i ngā tuke, ngā turi, me te papa. He putunga cholesterol ēnei. |
| Ngā putunga i runga i ngā kamo (Xanthelasmas) | Ngā putunga ngako kōwhai i runga i ngā kamo. |
| Ngā panonitanga o te kanohi (Arcus cornealis) | He mowhiti hina, mā rānei e karapoti ana i te kanohi pango. |
| Ngā tohu o te ngākau | Ka puta pea ngā tohu pēnei i te mamae o te uma (angina), te poto o te manawa, me te tere o te papā o te ngakau i te wā taitamariki. |
Me pēhea te tautuhi i te mate?
Mena kei a koe ēnei tohu, he mea nui kia kite koe i tō tākuta. Ka tirotirohia e te tākuta tō tinana i te tuatahi, ā, ka pātai atu i ētahi pātai ki a koe.
- Kua kite koe i tētahi mea pēnei i te kōwhai i runga i tō kiri?
- He mamae tō uma?
- Kei te pōturi tō manawa?
- He nui anō hoki te cholesterol o ō mātua?
Kātahi ka whakamātauhia e tō tākuta he toto hei tirotiro i ō taumata cholesterol. Tērā pea ka whakamātauhia hoki e rātou he ira hei tirotiro mēnā kei a koe te ira hapa e puta ai te mate. Tērā pea ka whakamātauhia hoki e tō tākuta ō whanaunga tata.
Ngā tikanga maimoatanga me te whakahaere
Ko te whāinga matua o te maimoatanga he whakaheke i ō taumata cholesterol LDL me te whakaiti i tō mōrearea ki te mate ngakau.He maha ngā wā ka tukuna koe ki tētahi tākuta e tohunga ana ki ngā mate cholesterol pēnei i tēnei (Lipidologist).
Ngā huringa o te āhua noho me te kai
Ko te taahiraa tuatahi ko te whai i tētahi kai hauora mō te ngākau, he iti te ngako kukū, te cholesterol, me te huka. He mea nui anō hoki te whakamutu i te kai hikareti, te whakaiti i te waipiro, me te whakakori tinana i ia rā.
Ngā rongoā
Nā te mea he tino teitei rawa ō taumata cholesterol, ka tīmata pea koe ki te tango i ngā horopeta teitei o ngā statin , e mahi ana mā te aukati i te ate ki te whakaputa cholesterol.
I tua atu i tēnā, ka taea te tāpiri atu i ētahi atu rongoā hei whakaiti i te nui o te cholesterol ka mimitihia mai i te kai (hei tauira, Ezetimibe , ngā aukati PCSK9 , Lomitapide ).
Ngā maimoatanga motuhake
Mena kāore e taea te whakahaere i te cholesterol mā te rongoā anake, me whai whakaaro ki ētahi atu tikanga maimoatanga.
- Apheresis: He tikanga tēnei e rite ana ki te dialysis mō ngā tūroro whatukuhu. Ka honoa koe ki tētahi mīhini i roto i te hōhipera, ka tangohia ō toto i roto i tō tinana, ka tātarihia te cholesterol LDL, ā, ka whakahokia te toto kua horoia ki tō tinana. He maimoatanga tēnei e roa ana mō ngā hāora, ā, me mahi tonu.
- Te Whakatō Ate: Ki te kore tetahi o ngā maimoatanga o runga ake nei e angitu, ko te whakato ate pea te huarahi whakamutunga. Kei te ate hauora hou ngā kaiwhakawhiwhi LDL, ka taea te āwhina ki te whakahaere i te cholesterol. He pokanga tino kino tēnei, ā, ka roa pea te whakaora i roto i te 6 marama ki te tau.
I te wā e whiwhi ana koe i tētahi maimoatanga nui pēnei, he mea tino nui kia rapu tautoko kare ā-roto mai i te whānau me ngā hoa. Kōrerohia tēnei ki tō tākuta.
Karere Tangohia ki te Kāinga
- Ko te Homozygous Familial Hypercholesterolemia he mate ira kino, engari he onge, e hua ai ngā taumata cholesterol tino tiketike.
- Nā te mea e rua ngā ira ngoikore i riro mai i a rātou i tō rātou whaea me tō rātou pāpā.
- Mā te tautuhi me te tīmata i te maimoatanga i te wā taitamariki, ka taea te whakaiti i te mōrearea o te mate ngakau i te wā taitamariki.
- Ka roa te maimoatanga mō te wā katoa, ā, ka uru pea ki te rongoā, te kai, te whakakori tinana, me te maimoatanga motuhake pea (apheresis).
- Mena kua pāngia tētahi o tō whānau e te mate ngakau, te mate cholesterol teitei rānei i te wā taitamariki, he mea whakaaro nui kia tirohia tō cholesterol e ai ki ngā tohutohu a tō tākuta.
- Kāore koe i te mokemoke i tēnei haerenga. Mahi tahi me tō tākuta, tō whānau, me ngā rōpū tautoko kia angitu ai te whakahaere i tēnei mate.
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