Whakaarohia kei te haere koe ki te kite i tō tākuta mō te whakamātautau toto. Whai muri i te pānui i te pūrongo, ka mea te tākuta, "He teitei ake tō taumata cholesterol LDL (kino)." Ko te pātai tuatahi ka puta ake ki tō hinengaro ko, "Āe, me tango e au tēnei rongoā whakaheke cholesterol ināianei?" Kāore te whakautu i te ngāwari pērā i mua. He uaua ake ināianei. Me rapu tātou i te pūtake.
Me pēhea koe e whakatau ai me hoatu he statin?
I ngā wā o mua, he mārama ngā ture mō tēnei. Mena kei runga ake i tētahi taumata te taumata o te cholesterol i roto i tō toto, ka tohutohu tō tākuta kia huri koe i tō momo noho, kia tīmata ai te tango i te rongoā statin.
He mea nui tonu te noho hauora. Arā, me kai i tētahi kai hauora, me whakaiti i te ngako kukū, me te whakakori tinana i ia wā . Engari he rerekē te whakautu ki te pātai mehemea me tango ngā statins ināianei. I rerekē tēnei i muri i te whakahoutanga o ngā aratohu a te American Heart Association (AHA) me te American College of Cardiology (ACC).
I tēnei wā, mēnā he tino teitei tō taumata cholesterol kino (LDL) (190 mg/dL, neke atu rānei) ka tīmata koe ki te rongoā i runga i taua taumata. Ki te kore, ka whakaarohia e tō tākuta ētahi atu āhuatanga. Hei tauira:
- He mate huka tōu?
- E ai ki tētahi tātaitai mōrearea motuhake, kei te 7.5%, neke atu rānei te mōrearea o te mate manawa, te whiu rānei i roto i ngā tau 10 e whai ake nei?
He maha ngā āhuatanga pēnei e whakaarohia ana i te wā e whakatau ana. Engari kotahi te mea hei maumahara, kāore ētahi tākuta e whai tika ana i ēnei aratohu hou. Nō reira, i mua i te hoatutanga o te rongoā ki a koe, ka kōrero tō tākuta ki a koe mō ngā āhuatanga mōrearea katoa e pā ana ki te mate manawa.
Hei whakamutunga, ko te whakatau ki te tango i te statin he whakatau māu me tō tākuta e whakatau tahi, nō reira he mea nui kia mōhio pai koe ki tēnei.
He aha te mea ka tupu me ēnei statin?
He kupu ngāwari noa iho, he momo rongoā whakaheke cholesterol te statin. Mēnā ka tangohia e koe tētahi, ka taea te whakaheke i ō taumata cholesterol kino (LDL) mā te 35% ki te 50%, neke atu rānei, i runga i te momo me te horopeta ka tangohia e koe. Ka taea e tēnei te whakaiti nui i tō tupono ki te pāngia e te mate manawa, te whiu rānei.
Ka mahi ngā statin i roto i tō tātou ate. Ka ārai rātou i tētahi whākōkī i roto i tō tātou tinana e hanga ana i te cholesterol. Hei tāpiri, he mea nui anō tā rātou. Arā, ka whakaū i ngā putunga cholesterol (pēra) e piri ana ki ngā pakitara o ō tātou oko toto, ā, ka whakaiti i te mumura e puta mai ana me aua putunga. He mea tino nui tēnei, nā te mea ki te pakaru ohorere ēnei putunga cholesterol (pēra), ka taea te hanga i tētahi toto totoka ka puta he mate manawa, he whiu rānei.
Kāore he raruraru ki te hoatu i ngā statin ki tētahi kua pāngia e te mate manawa, e te whiu rānei, nā te mea kua tino whakamātauhia te kaha o ēnei rongoā ki te ārai i te mate manawa tuarua, i te whiu rānei.
He pānga taha rānei ō ngā statin?
Pērā i ngā rongoā katoa, ka pāngia pea ngā statin e ngā pānga taha. Heoi, kāore e pāngia te katoa. Me titiro tātou ki ngā pānga taha tino noa, me ngā pānga taha tino onge.
| Pānga taha | Whakamārama |
|---|---|
| Mamae uaua | Koinei te pānga taha tino noa. Ka pā ki te 5% ki te 20% o te hunga e tango ana i te rongoā. Mēnā ka puta tēnei, kōrero ki tō tākuta mō te huri ki tētahi atu statin, te whakaiti i te horopeta, te ngana rānei ki te tango i ia rā, i ia rā, kaua i ia rā. Kaua rawa e mutu te tango i tō rongoā me te kore e kōrero tuatahi ki tō tākuta. |
| Te kino o te ate | He tino onge tēnei. Mēnā e tika ana, ka whakahau tō tākuta i ngā whakamātautau toto hei tirotiro i ō whākōkī ate. Mena kei te tango koe i ētahi atu rongoā (hei tauira, Panadol), me kōrero anō hoki ki tō tākuta. |
| Te mōrearea o te mate huka | Kua whakaatuhia e ētahi rangahau ka taea e te tango statins te whakapiki ake i te taumata huka toto. Heoi, ko te tikanga ka puta tēnei āhuatanga i roto i te hunga kua tino mōrearea ki te whakawhanake i te mate huka (hei tauira, te taumaha rawa, te mate pāwera). |
| Ētahi atu pānga onge | He tino onge ngā pūrongo mō te ngaronga o te mahara, te pōhēhē, me te neuropathy. Ko te nuinga o te wā ka pāngia noa te hunga e tango ana i ngā horopeta teitei. |
He aha atu ngā mea hei whakaaroaro māu i te wā e tango ana koe i te rongoā?
Ahakoa whakatau koe ki te tango i te statin, he mea nui kia huri te āhua noho. Kāore he huarahi hei mawhiti atu i tēnā.
Kia maumahara, 80% - 90% o ngā mate manawa ka puta mai i ngā āhuatanga mōrearea ka taea e tātou te whakarerekē. Ko te tikanga he nui te tūponotanga ka taea e tātou te ārai i ēnei.
Ko tēnei e hangai ana ki tētahi kai totika pai (he iti te huka), he momo noho kaha, te karo i te momi hikareti, me te whakahaere i tō taumaha tinana. I ētahi wā, ki te hanga koe i ngā huringa nui ki tō momo noho, ka taea e koe te whakaiti i te nui o te rongoā me tango e koe. Mā tēnei ka whakaitihia hoki te mōrearea o ngā pānga taha.
Heoi anō, kei reira ētahi mea kāore e taea te whakarerekē, pērā i tō tau me ō ira. Nō reira, ka hiahia pea ētahi tāngata ki te rongoā ahakoa he pai te āhua o ō rātou oranga.
Kōrero ki tō tākuta.
Mena kei te ruarua tonu koe mō tēnei mea, ko te mea pai ko te kōrero māhorahora ki tō tākuta mō tēnei mea. Pātai atu ki a ia mō ētahi atu kōrero mō tēnei mea. Kōrerohia ētahi atu āhuatanga pēnei i te mea he mate manawa tō tetahi o tō whānau (hītori whānau), he aha te taumata o tō pūmua C-reactive (CRP), me te mea kua pāngia koe e te mate huka hapūtanga.
I ētahi wā, i mua i te tohu rongoā, ka whakahaerehia pea e te tākuta he matawai motuhake hei tirotiro mō ngā putunga konupūmā i roto i ngā uaua toto.
Ahakoa he tino whai hua ngā rongoā statin, kāore e pai mō te katoa. Mena kāore e ranea ngā hua mai i ngā statin, ki te kore rānei e taea e koe te tango i aua mea nā ngā pānga taha, kei reira ētahi atu momo rongoā whakaheke cholesterol.
Ko te mea nui ko te kōrero tonu ki tō tākuta mō tēnei mea. Kōrerotia ki a ia ō kare ā-roto katoa, ō pātai, ō wehi. Ka whakarongo ia ki a koe, ā, ka āwhina i a koe ki te whakatau i te mea pai mōu.
Karere Tangohia ki te Kāinga
- He tino whai hua ngā rongoā statin hei whakaheke i te cholesterol. Engari kāore e hiahiatia ana mō te katoa. Ko te whakatau me tango e koe tēnei rongoā, kāore rānei, he mea māu me tō tākuta e whakatau ngātahi.
- Ahakoa kei te tango rongoā koe, kāore rānei, he mea nui te pupuri i tētahi momo noho hauora (kai pai, whakakori tinana, me te kore kai hikareti). Koinei te tūāpapa o te maimoatanga.
- Ko te pānga taha tino kitea o ngā statins ko te mamae o ngā uaua. Mēnā ka pāngia koe e tētahi o ēnei, me kōrero tonu ki tō tākuta. Kaua rawa e mutu te tango i te rongoā, kaua hoki e whakarerekē i te horopeta me te kore he tohutohu hauora.
- Ko te mōrearea o te mate ngakau ehara i te mea ka whakatauhia e ngā taumata cholesterol (LDL) o tō toto anake, engari e ngā āhuatanga maha atu anō hoki, pēnei i tō tau, tō hītori whānau, me ētahi atu āhuatanga hauora.
- Hei whakatau i ngā whakatau pai rawa atu mō tō hauora, me kōrero mahorahora, me kōrero pono hoki ki tō tākuta.
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