Kua tirohia e koe ngā hua o tō whakamātautau toto, ā, kua kite koe he nui rawa tō cholesterol? Kua kī mai rānei tō tākuta, "Kua piki ake tō cholesterol 'kino', ā, me whakahaere e koe"? Ehara i te mea ko koe anake—he wheako noa tēnei mō te tini. I tēnei rā, i Nirogi Lanka , ka kōrerohia e mātou te Hypercholesterolemia . Ki te kī māmā, ko te tikanga o tēnei āhuatanga kua piki ake te taumata o te cholesterol "kino" i roto i tō tinana—e mōhiotia ana ko te Low-Density Lipoprotein (LDL)—ki runga ake i te awhe hauora.
He aha rawa te Hypercholesterolemia? Me whakamārama tātou!
Hei whakamārama ake, ko te Hypercholesterolemia he momo mate lipid e tino teitei ai te nui o te cholesterol LDL i roto i tō toto. Whakaarohia te LDL hei ngako nui e piki haere ana ki ngā pakitara o roto o ō uaua. He rite tonu ki te waikura e kohia ana i roto i tētahi paipa wai tawhito. E mōhiotia ana tēnei tukanga e te rongoā ko te Atherosclerosis .
Whakaarohia ngā paipa wai i roto i tō māra: ki te kohikohi te paru i roto i ngā paipa, ka aukati i te rere o te wai. Ina purua ngā uaua toto i ngā putunga ngako , ka tino aukatia te rere o tō toto.
Ko te Atherosclerosis te take e piki ake ai tō tupono ki ngā mate e morearea ana ki te ora pēnei i ngā whakaeke ngakau me ngā whiu. Inaa, ko te mate ngakau te tino take o te mate puta noa i te ao, ā, ko te Atherosclerosis tetahi o ngā tino take o tēnei.
He aha ngā taumata e kiia ana he Hypercholesterolemia?
Tērā pea koe e whakaaro ana, "Āhea te wā ka huri ai taku taumata cholesterol ki te Hypercholesterolemia?" Ka whakatauhia tēnei e tō tākuta mā te titiro noa ki tō tau LDL, engari mā te paunatia ki ō atu āhuatanga mōrearea mō te mate ngakau.
Ko te tikanga, koinei ngā paepae e kiia ana he tiketike te cholesterol LDL:
- Mena kāore he take mōrearea kē atu āu, me eke te taumata LDL ki te 190 mg/dL, ki runga ake rānei.
- Mena kotahi te take mōrearea nui kei a koe, arā, kei runga ake i te 160 mg/dL te taumata LDL.
- Mena e rua, neke atu rānei ō āhuatanga mōrearea, kei runga ake i te 130 mg/dL te taumata LDL.
I runga i te mōrearea o te mate ngakau, ka tūtohu pea ngā tākuta kia noho tō taumata cholesterol LDL ki te 116 mg/dL, ki raro iho rānei i te 70 mg/dL.
Nā, he aha ēnei āhuatanga mōrearea?
Ka nui ake tō mōrearea ki te mate ngakau mēnā kei a koe ēnei āhuatanga e whai ake nei:
- Tau: Ka piki ake te mōrearea i a koe e pakeke haere ana.
- Toto toto tiketike : He toto toto tiketike tōu .
- Hītori Whānau : Mena he mate manawa tō tētahi o te whānau i puta mai i te Atherosclerosis i te wā e tamariki ana.
- Te Mate Huka : Te Noho me te Mate Huka .
- HDL Iti: He iti ngā taumata o te Lipoprotein Matotoru-Teitei, te cholesterol "pai" rānei.
He rite tonu te Hypercholesterolemia me te Hyperlipidemia?
Kāo, he rerekē paku nei. Ko te Hypercholesterolemia tētahi momo motuhake i raro i te wāhanga whānui o te Hyperlipidemia . Mō te Hypercholesterolemia, e aro nui ana mātou ki ngā taumata tiketike o te cholesterol LDL (kino). Heoi, ko te Hyperlipidemia e kapi ana i ngā taumata teitei o tētahi momo ngako (lipids) i roto i te toto, ehara i te LDL anake.
Ko wai te mea tino mōrearea?
He nui ake te tūponotanga ka nui ake tō cholesterol LDL mēnā:
- Neke atu i te 40 tau te pakeke.
- Nō Āhia ki te Tonga koe, nō Filipino, nō Vietnam rānei.
- He wahine kua mutu te pākia o te tāne.
- He wahine rātou (i ētahi wā).
He pēhea te noa o te Hypercholesterolemia?
He mate tino noa tēnei. E ai ki ngā tatauranga, kotahi i roto i te rua tekau tāngata ka pāngia e tēnei mate. I te Hononga o Amerika, tata ki te kotahi hautoru o ngā pakeke e kī ana he teitei ngā taumata LDL, ā, he maha ngā wā ka kitea anō hoki i Sri Lanka.
He aha tōna pānga ki tō tinana?
E ai ki tā mātou i kōrero ai, ka taea e te Hypercholesterolemia te arahi ki ngā raruraru nui o te pūnaha toto, tae atu ki:
- Whiu
- Te mate o te uaua coronary (e arahi ana ki ngā whakaeke ngakau)
- Te mate o te uaua o te taha (ngā raruraru o ngā oko toto e tuku ana i ō ringaringa me ō waewae)
He aha ngā tohu?
Koinei te wāhanga morearea: Ko te nuinga o te hunga e pāngia ana e te Hypercholesterolemia kāore he tohu. Ahakoa kei te pai koe, tera pea he tino teitei ō taumata cholesterol i roto i tō tinana.
Heoi, i roto i ngā take onge me ngā take kino , ka puta pea he putunga ngako kōwhai i raro i te kiri e tata ana ki ngā kamo (Xanthelasma). Tērā pea ka puta he putunga rite, e kiia nei ko ngā Xanthomas, huri noa i ngā uaua, i ngā hononga rānei. I ētahi wā onge, ka kite pea koe i tētahi mowhiti mā huri noa i te cornea o te kanohi (Corneal arcus). He tino onge ēnei tohu ā-tinana.
He aha ngā take o te Hypercholesterolemia?
He maha ngā āhuatanga e whai wāhi ana:
- Ira: Ka riro i ētahi tāngata tēnei āhuatanga, e mōhiotia ana ko te Familial Hypercholesterolemia .
- Kai: Te kai nui i ngā ngako kukū me ngā ngako whakawhiti (hei tauira, ngā kai parai, ngā kai tukatuka, ētahi mīti, me ngā hua tunu).
- Te kore whakakori tinana: Te noho noa i runga i te āhua noho.
- Te whakamahi tupeka: Te momi hikareti, te whakamahi rānei i ētahi atu hua tupeka.
- Ētahi atu āhuatanga hauora:
- Mate ate ārai
- Mate huka
- Te ngoikore o te tairoi (te ngoikore o te mahi o te tairoi)
- Te mate pāwera o te ngākau
- Te ngoikore o te whatukuhu mau tonu
- Te mate nephrotic
- Ētahi rongoā: Ka taea e ngā rongoā pēnei i a Amiodarone, Rosiglitazone, Cyclosporine, Hydrochlorothiazide rānei te whakapiki ake i ō taumata cholesterol i ētahi wā.
Me pēhea te tautuhi i tōna mate?
I roto i tō whakamātautau tinana ā-tau, ka mahi tō tākuta i ēnei mahi:
- Arotakehia tō hītori hauora me tō hītori hauora whānau.
- Whakahaerehia he whakamātautau tinana.
- Tonoa he whakamātautau toto Lipid Panel , ko te tikanga me nohopuku koe mō ētahi haora.
He aha ngā momo whakamātautau e mahia ana?
Kia whakaūtia e tō tākuta kāore tō hypercholesterolemia i puta mai i ngā āhuatanga taketake, ka tūtohu pea rātou kia whakamātauria he whakamātautau ira. Mena kua tautuhia motuhaketia koe ki te Familial Hypercholesterolemia, ka tūtohu pea tō tākuta kia tirotirohia hoki ō mema whānau ira.
Me pēhea te rongoā?
Ko te whāinga matua o te rongoā i te hypercholesterolemia ko te whakaheke i ō taumata cholesterol LDL hei tiaki i a koe mai i te mōrearea o te mate ngakau.
Ka taea te whakahaere i tēnei i roto i ngā huarahi maha:
- Te whakanui ake i te korikori tinana: Whai kia 30 meneti pea te iti rawa o ngā mahi ā-tinana o ia rā, pērā i te hikoi, te oma, te kaukau rānei.
- Te pupuri i te taumaha hauora: He mea nui kia eke ki te taumaha e tika ana mō tō teitei.
- Te whakaiti i te ngako kukū: Whakaitihia ngā kai he nui te ngako me te hinuhinu i roto i tō kai.
- Te whakahaere i te ahotea: Kimihia ngā huarahi hauora hei whakatau i te ahotea o ia rā.
- Rongoā whakaheke cholesterol: Me tango tonu te rongoā kua tohua e tō tākuta.
- Te karo i ngā hua tupeka:He mea nui te whakamutu i te kai paipa mō te hauora o tō pūnaha manawa.
- Te whakahaere i te toto toto me ngā taumata huka.
- Lipoprotein apheresis: Mō ngā take kino rawa atu, ka whakamahia e tēnei tikanga he mīhini motuhake hei tātari i ngā lipoprotein kino mai i ō toto i mua i te whakahokinga atu ki tō tinana.
He aha ngā mea hei kai, ā, he aha ngā mea hei karo?
Hei whakaiti i tō cholesterol LDL, ka taea e koe te whakauru i ēnei whakarerekētanga kai:
- Whakaitihia te inu waipiro: He mea pai kia kaua e inu waipiro i ngā wā katoa e taea ana.
- Arotahi ki ngā hua hou: Whakanuia te kai huawhenua, rau rau, hua rākau, me ngā witi katoa.
- Āta karohia ngā kai he nui te ngako kukū: Whakawhāitihia ngā hua miraka pēnei i te tīhi me te pata, ētahi mīti (ina koa ko te mīti whero), me ngā mea reka kua tukatukahia pēnei i te keke me te pihikete.
Whakamātauria te whakakī i tō pereti ki ngā huawhenua me ngā hua tae kanapa. Kōwhiria ngā kai kohuatia, ngā kai kōhua, ngā kai tunutunu rānei, kaua ki ngā kai parai. Ahakoa te whakamahi i te hinu kokonati, he mea nui te whakaōrite mō te kai hauora mō te ngākau i Nirogi Lanka.
He aha ngā rongoā e whakamahia ana?
Tērā pea ka tohua e tō tākuta ētahi momo rongoā hei rongoā i te hypercholesterolemia:
- Ngā Statin: Koinei ngā rongoā e tino tohua ana.
- Ngā aukati PCSK9.
- Ezetimibe.
- Ngā mea e pupuri ana i te waikawa ape.
- Niacin.
- Waikawa Bempedoic.
Mō te hunga e pāngia ana e te Familial Hypercholesterolemia, ka tohua pea e ngā tākuta ētahi atu maimoatanga motuhake.
He pānga taha kei te rongoā?
Pērā i ngā rongoā katoa, ka pā mai pea ngā pānga taha ki ngā rongoā whakaheke cholesterol. Heoi, ko ngā painga hauora he nui ake i ēnei mōrearea, ā, he maha ngā wā ka taea te whakahaere i ngā pānga taha.
Ko ētahi o ngā pānga taha noa ko:
- Te korere, te mate pāwera rānei.
- Te mamae o te uaua, o te hononga rānei.
- Te mamae o te puku.
- Ngā mamae o te upoko.
Ko te mea nui, ki te pāngia koe e ētahi pānga taha, me whakamōhio tonu atu ki tō tākuta. Ka taea e rātou te whakarerekē i tō horopeta, te whakawhiti rānei i a koe ki tētahi atu rongoā e pai ake ana ki a koe.
Kia pēhea te roa ka taea e au te tumanako kia puta ngā hua?
I muri i tō tīmatanga i tō maimoatanga, ka tuaruatia pea e tō tākuta tētahi whakamātautau lipid i muri i ngā wiki 8 ki te 12 kia kite ai me pēhea te urupare a ō taumata cholesterol. I runga i ēnei hua, ka whakarerekē pea rātou i tō rongoā, ka huri i tō whakahaunga, ka tāpirihia rānei he maimoatanga whakakotahi hei āwhina i a koe ki te whakatutuki i ō whāinga.
Me pēhea taku whakaiti i taku mōrearea?
Ka taea e koe te whakaiti i tō tupono ki ngā raruraru e pā ana ki te hypercholesterolemia mā te whai i tētahi momo noho hauora:
- Whakakorikori tinana i ia wā, i ia wā.
- Kia mau tonu te taumaha hauora.
- Kōwhiria he kai hauora mō te ngākau.
- Āta karohia ngā hua tupeka.
Mā ēnei tikanga ka āwhina i a koe ki te tiaki i a koe mai i te cholesterol tiketike, tae atu ki ngā mate pūmau maha atu anō hoki.
Ka aha mēnā he hypercholesterolemia tōku?
Ki te kitea he nui tō cholesterol LDL, he tukanga whakahaere mō te wā katoa. Heoi, kaua e ngakaukore. Kia whakauruhia e koe ngā tikanga hauora ki roto i tō mahinga o ia rā, ka noho hei wāhanga tūturu o tō oranga, kaua hei pūtake o te manukanuka tonu.
Tīmata ki ngā mahi iti, pumau hoki. Hei tauira, kai mīti kore i te wiki, hikoi poto rānei i muri i te tina. I te hokohoko kai, me whiriwhiri ngā kai iti te ngako kukū me te ngako whakawhiti. Whakamātauria ngā huawhenua hou, ngā rau matomato rānei kāore anō kia whakamātauria e koe i mua kia pai ai, kia whai kiko ai hoki tō kai.
He aha te tirohanga mō te wā roa?
Ki te kore e rongoatia, ka arahi pea te hypercholesterolemia ki te atherosclerosis (te whaiti o ngā uaua toto), ka nui ake ai te tūponotanga o te mate ngakau, te whiu rānei.
Heoi, mā te whai i tētahi momo noho hauora me te tango i ngā rongoā e tika ana hei whakahaere i tō cholesterol LDL, ka taea e koe te whakaiti i tō mōrearea. He maha ngā rangahau hauora e whakaatu ana ko te hunga e whakahaere pai ana i ō rātou taumata cholesterol ka mau tonu te hauora pai mō te wā roa.
Me pēhea taku tiaki i ahau anō?
Nā te mea he herenga mō te wā roa te whakahaere i te cholesterol, me noho tonu koe ki ngā huringa o tō momo noho, me te piri pū ki ngā rongoā kua whakaritea e koe.
Kia maumahara ki ēnei:
- Whakakorikori tinana i te nuinga o ngā rā o te wiki.
- Āta karohia ngā hua tupeka katoa.
- Āta karohia ngā kai e nui ana te ngako kukū, te ngako whakawhiti rānei.
Āhea ahau me toro atu ki taku tākuta?
Kaua rawa e mahue ō wā tirotiro. Me aroturuki tō tākuta i ēnei:
- Mena kei te whai hua te mahi a tō rongoā whakaheke cholesterol.
- Mena kei te pāngia koe e ētahi pānga taha.
- Tō piripono ki te mahere maimoatanga kua tūtohutia.
Mena ka pāngia koe e ngā pānga taha kino, ka taea e tō tākuta te whakarerekē i tō maimoatanga me te haumaru. He mea nui hoki ngā tirotiro auau kia noho tonu ai ō taumata cholesterol i roto i te awhe haumaru, hauora hoki.
He aha ngā pātai me pātai atu e au ki taku tākuta?
Kaua e mangere ki te pātai atu ki tō tākuta i a koe e toro atu ana ki te tākuta:
- "He aha ngā momo whakakori tinana e pai ana mōku hei whakaheke i taku cholesterol?"
- "Ka taea e koe te tūtohu mai i tētahi kaupapa hei āwhina i ahau ki te whakamutu i te kai paipa?"
- "Ka taea e koe te tuku mai i ahau ki tētahi tohunga kai hei āwhina i ahau ki te whakapai ake i taku mahere kai?"
Ahakoa he nui te cholesterol LDL, ehara i te mea ko koe anake; he mate tino noa iho. Ko tō tākuta tō hoa pai ki te whakatutuki i ō taumata whainga. Ki te kore e ranea ngā huringa āhua noho anake, kia mahara kei te uru atu koe ki te miriona atu e whakahaere angitu ana i ō rātou hauora mā te rongoā. I Nirogi Lanka, kei konei mātou hei tautoko i tō haerenga ki te oranga.
Te karere tango-ā-ringa
Hei whakarāpopototanga, koinei ngā mea tino nui hei maumahara:
- Ka puta te hypercholesterolemia ina tino teitei rawa ō taumata cholesterol kino (LDL) i roto i te toto. Ka nui ake te tūponotanga o ngā mate manawa me te whiu.
- I te nuinga o te wā, kāore he tohu o tēnei mate. Koia te mea nui o te whakarite i ngā whakamātautau toto auau mō tō hauora.
- Ka taea e koe te whakahaere i tēnei āhuatanga mā te whakarerekē i te āhua noho pai — pērā i te kai i ngā kai hauora mō te ngākau, te noho kaha, me te karo i te kai hikareti — me te whakamahi anō i ngā rongoā kua tohua e tō tākuta.
- Kaua e mataku. Mā te mahi tahi me tō tākuta ki te whakahaere i tō hauora, ka taea e koe te ora i tētahi oranga ora, oraora, me te hauora.
Tiakina tō hauora ngākau i tēnei rā. Kia ora tonu koe i Nirogi Lanka!
te nui o te cholesterol toto, te cholesterol, te LDL, te HDL, te mate ngakau, te whiu, te kai, te momo noho
