Kua rongo koe i ngā ngako toto? Tērā pea kua kī atu tētahi tākuta ki a koe "he ahua teitei te triglycerides." I tēnei rā ka kōrero tātou mō te tikanga o ēnei triglycerides, he aha te mea ka puta ina teitei, me te aha me mahi tātou mōna. Kaua e manukanuka, ka whakamāramahia e au tēnei mea kia tino māmā, kia mārama ai koe.
He aha ngā triglycerides? He aha te hiranga o ēnei ki a tātou?
He māmā noa iho, he momo ngako kei roto i ō tātou toto ngā triglycerides. Ka whakaratohia e rātou he pūngao ki ō tātou tinana. Ka whiwhi tātou i ngā triglycerides mai i ngā kai e kainga ana e tātou, inā koa mai i ngā mea pēnei i te pata me te hinu. Ehara i te mea koinā anake, engari ina nui ake ngā kaora e kainga ana e tātou i te mea e hiahiatia ana e ō tātou tinana, ka hurihia e ō tātou tinana aua kaora tāpiri hei triglycerides ka rongoatia. Ā muri ake nei, ina iti te pūngao, ka whakamahia e ō tātou tinana ēnei triglycerides kua rongoatia.
Nō reira, he mea nui ngā triglycerides e homai ana i te pūngao ki a tātou. Heoi, ki te nui rawa te pikinga i roto i te toto, ka piki ake te tūponotanga o te whakawhanake i te mate ngakau. Koia te mea nui kia mōhio tātou ki tēnei āhuatanga e kiia nei ko te hypertriglyceridemia, me te whakahaere i ō tātou taumata triglyceride.
Nā, e hia te nui o ngā triglycerides he pai?
Me iti iho i te 150 mirikaramu ia terita (150 mg/dL) te taumata triglyceride toto pakeke toharite. Inaa, he pai rawa atu kia iti iho i te 100 mg/dL. Ko te mea nui ko te ine i tō taumata triglyceride i a koe e nohopuku ana. Ko te tikanga me whakamātauhia tō toto i muri i tō kore kai, i inu rānei i tetahi mea (haunga te wai) mō te 10-12 hāora.
Ko te hypertriglyceridemia ko te wā e 150 mg/dL, neke atu rānei, ō taumata triglyceride.
Anei tētahi tirohanga poto mō ngā taumata triglyceride nohopuku i roto i ngā pakeke:
- Taumata hauora: iti iho i te 150 mg/dL
- Teitei rawa: 150 – 199 mg/dL
- Teitei o te taumata: 200 – 499 mg/dL
- Tino teitei: 500 mg/dL, neke atu rānei
Ko ngā taumata triglyceride hauora mō ngā tamariki me ngā taiohi (10-19 tau te pakeke) me iti iho i te 90 mg/dL. Mena he teitei ngā taumata triglyceride o tāu tamaiti, he pai ake te kōrero ki te tākuta mō te huarahi hei whakaheke i a rātou.
He aha te Hypertriglyceridemia Nui? He mea morearea?
Ko te hypertriglyceridemia nui ko te wā e 500 mg/dL, neke atu rānei ō taumata triglyceride. Ko te hunga whai mate pēnei ka nui ake te mōrearea ki te whakawhanake i tētahi mate e kiia nei ko te pancreatitis acute . He mumura tēnei o te repe taiaki e hiahia ana kia rongoatia.
He āhuatanga e hiahia ana kia arohia, kia rongoatia hoki te hypertriglyceridemia. Heoi, i te nuinga o te wā, ehara i te mea he āhuatanga ohorere hauora.Ka taea e tō tākuta te āwhina i a koe ki te whakaheke i tēnei taumata. Mā te mahi pera ka āwhina i te ārai i ngā raruraru ka pā ki tō ngākau, ki tō repe rānei.
He rite tonu te hypertriglyceridemia me te cholesterol?
Āe, ehara ēnei e rua i te rite. He rerekē ngā āhuatanga e rua o te hypertriglyceridemia me te cholesterol teitei. Engari e pā ana ēnei ki ngā matū ngako e kiia nei ko ngā lipids i roto i ō toto.
He matū ngako ngā lipid e mahi ana i ngā mahi nui i roto i ō tātou tinana. Ko ngā triglycerides me te cholesterol he momo lipid e rua. Ka haere rāua i roto i te toto i roto i ngā matūriki kawe e kiia nei ko ngā lipoproteins.
Ko te hypertriglyceridemia he pikinga o ngā triglycerides i roto i te toto. Ko te hypercholesterolemia he pikinga o te cholesterol.
He maha ngā wā, he nui hoki ngā taumata cholesterol o te hunga he nui ngā triglycerides. He mea morearea pea te nui o ngā triglycerides, inā koa mēnā he iti tō cholesterol "pai", HDL (High-Density Lipoprotein), ā, he nui tō cholesterol "kino", LDL (Low-Density Lipoprotein).
Kōrero ki tō tākuta mō te tikanga o ēnei taumata i roto i tō toto, me pēhea hoki te whakahoki mai i aua taumata ki ngā taumata hauora.
He pēhea te noa o tēnei āhuatanga?
E ai ki ngā rangahau i whakahaerehia i te Hononga o Amerika, tata ki te kotahi i roto i te rima o ngā pakeke he nui ake ngā taumata triglyceride (neke atu i te 150 mg/dL). Heoi, ka piki ake tēnei mōrearea i te pakeketanga. Kua kitea e ngā rangahau e 42% o te hunga neke atu i te 60 tau te pakeke e pāngia ana e tēnei mate. Tērā pea he mea noa tēnei mate i Sri Lanka, nā ā tātou tikanga kai me te momo noho.
He aha ngā tohu o te hypertriglyceridemia?
He maha ngā tāngata e pāngia ana e te hypertriglyceridemia kāore e whakaatu i ngā tohu. Koia te take ka rite ki te "hoariri puku." I ētahi wā ka pāngia te hunga e te hypertriglyceridemia kino e te mate e kiia nei ko te xanthomas. He puranga ngako iti ēnei e puta ana i raro i te kiri. Ka kitea pinepinetia i te taha o ngā kamo. Engari ka taea hoki te puta i ētahi wā ki ngā wāhi pēnei i ngā turi, ngā tuke, me ngā nikau.
He aha i piki ai ngā taumata triglyceride i roto i te tinana? He aha ngā take?
He maha ngā take o te hypertriglyceridemia. Ko ēnei:
- Ngā āhuatanga o te noho
- Ētahi atu mate pūtake
- Ētahi rongoā
- Ngā mate lipid ira
Kia tirohia tātou ia o ēnei me ētahi atu taipitopito.
Te awe o te āhua noho
He nui te pānga o tō tātou āhua noho ki ō tātou taumata triglyceride. Nā te mea, e ai ki taku kōrero i mua ake nei, ko te nui ake o ngā kaora e kainga ana e tātou, ko te nui ake o te hurihanga o ō tātou tinana hei triglycerides. Nō reira, ki te nui ake te huka, te ngako, te waipiro rānei e kainga ana e koe i te mea e hiahiatia ana e tō tinana, ka piki ake pea ō taumata triglyceride.
Ngā āhuatanga o te noho e whai wāhi ana ki te nui o ngā triglycerides:
- Te inu nui rawa i te waipiro: Kei te mōhio koe, ko ētahi o tātou ka inu nui rawa i ngā pāti. Ka pāngia hoki tātou e tēnā.
- Te kai nui rawa o ngā warowaihā kua parakore me te huka: Ngā kai i hangaia mai i te paraoa paraoa (hei tauira, ngā keke poto, ngā kai tunu taro), ngā inu reka, ngā keke, ngā pihikete, me ētahi atu.
- Te kai nui rawa o te ngako kukū: Ka kitea ēnei i roto i ngā kai ngako nui, te mīti whero, me ngā kai i hangaia ki te hinu kokonati.
- Te kore o te korikori tinana (te āhua noho noa): Te noho ki te wāhi kotahi i te rā katoa, te mahi, me te kore e whakakorikori tinana.
Whakaarohia, ki te kai tātou i tētahi wahi ika i tunua ki te hinu, i tētahi hupa i hangaia ki te wai kokonati, me tētahi inu reka hei tāpiri atu ki te raihi e kainga ana e tātou i te rā, ka taea te penapena i ngā kaora tāpiri mai i ēnā mea katoa i roto i te tinana hei triglycerides.
Nā ētahi mate
Ka piki ake pea ngā taumata triglyceride nā ngā mate maha. Anei ētahi tauira:
- Mate huka
- Te mate pūkahukahu
- Te ātete ki te insulin
- mate whatukuhu
- Mate ate
- Lupus
- Te mate pāwera
- Te mate nephrotic
- Taumaha rawa, momona rānei
- te rumatiki
He ētahi atu āhuatanga mōrearea motuhake kei ngā wāhine:
- Te paheketanga
- Te hapūtanga - inā koa i te toru o ngā marama.
Nā ētahi o ngā rongoā e tangohia ana e mātou
Ka piki ake pea ngā taumata triglyceride ina whakamahia ētahi rongoā.
- Ngā rongoā ārai hinengaro - hei tauira, Clozapine, Olanzapine
- Ko ētahi rongoā e whakamahia ana hei rongoā i te mate HIV (Ngā aukati protease antiretroviral (ART))
- Ko ētahi rongoā toto toto tiketike (ngā Beta-blockers - kāore i te whiriwhiri)
- Ngā corticosteroids
- Cyclophosphamide
- Te estrogen ā-waha
- Tamoxifen
- Thiazides - ngā rongoā e whakanui ake ana i te mimi
Ko te mea nui: Kaua rawa e mutu te tango i tētahi rongoā i tohua e te tākuta me te kore e kōrero ki a ia i te tuatahi. Mena kei te piki ake ō triglycerides i tētahi rongoā, ka taea e tō tākuta te āwhina i a koe. Tērā pea ka whakarerekētia e rātou te horopeta, ka tohua rānei he rongoā rerekē.
Ngā āhuatanga ira kua tukuna iho i roto i ngā whakatipuranga
Tērā pea he rerekē ngā taumata triglyceride me te cholesterol o ētahi tāngata nā ngā āhuatanga ira. Hei tauira:
- Te hyperlipidemia whānau: Te pikinga o ngā triglycerides, te pikinga o te cholesterol LDL, me te hekenga o te cholesterol HDL.
- Hypertriglyceridemia whānau (momo IV familial dyslipidemia): Ko te pikinga o ngā triglyceride anake.
- Familial dysbetalipoproteinemia (momo III hyperlipoproteinemia): Te pikinga o te triglyceride me te cholesterol katoa.
- Te mate chylomicronemia whānau (FCS): He nui ake ngā taumata triglyceride i runga ake i te 1000 mg/dL.
I te nuinga o te wā, ka puta te hypertriglyceridemia i tētahi, i ētahi rānei o ēnei āhuatanga. Hei tauira, tera pea he mate ira tō te tangata, me te āhua noho kino hoki. Mā tō tākuta ēnei āhuatanga e whakatau, ā, māna e tohu te maimoatanga pai rawa atu.
Me pēhea koe e mōhio ai mēnā kei a koe te hypertriglyceridemia?
E rua ngā huarahi matua hei kimi i tēnei: he whakamātautau tinana e te tākuta me te whakamātautau toto.
Whakamātautau Tinana e te Tākuta
Ka tirotirohia tō hauora e te tākuta. Ka pātai atu anō hoki ia ki a koe mō ēnei mea e whai ake nei:
- He mate manawa tō tetahi o te whānau, he nui te cholesterol, he nui rānei ngā triglycerides?
- Tō momo noho (hei tauira, te waipiro, te kai tupeka).
- Ētahi atu mate kei a koe.
- Ngā rongoā e whakamahia ana e koe.
Mā ēnei mōhiotanga, ka taea e tō tākuta te mārama ki te take o ō triglycerides teitei me tō mōrearea ki te whakawhanake i te mate ngakau.
Whakamātautau Toto
Mā te whakamātautau toto māmā e kīia nei ko te lipid panel anake te huarahi hei tātari tika i te hypertriglyceridemia. Ka inehia e tēnei whakamātautau ō taumata triglyceridemia me ō taumata cholesterol.
E ai ki taku kōrero i mua, ka kī atu te tākuta kia nohopuku koe mō te 10-12 hāora i mua i tēnei whakamātautau toto. Ko te tikanga, kaua e kai, kaua hoki e inu i tētahi mea engari ko te wai anake. Hei whiwhi i ngā hua tika, he mea tino nui kia nohopuku koe kia rite ki tā te tākuta e kī atu ai.
He aha ngā maimoatanga pai rawa atu mō tēnei? Me pēhea taku whakaiti?
E toru ngā maimoatanga matua mō te hypertriglyceridemia:
- Ngā huringa āhua noho
- Ngā rongoā (tarukino)
- Te rongoā i ngā tino take o te nui o ngā triglycerides.
Tērā pea ka hiahiatia tētahi, ētahi rānei o ēnei tikanga. Mā tō tākuta e whakatau te mahere maimoatanga pai rawa atu māu.
Ngā huringa āhua noho - koinei ngā mea tuatahi e whai tikanga ana!
He maha ngā wā ka tīmata te maimoatanga mā te whakarerekē i te āhua o te noho. Koinei ngā mea matua:
- Kaua e inu waipiro: whakaitihia te nui e taea ana, kati rawatia rānei.
- Āta karohia ngā warowaihā kua whakamaroketia me te huka: Whakaitihia te kai taro, ngā mea reka, me ngā inu i ngā wā katoa e taea ana. Engari, kai i ngā witi katoa, i ngā huawhenua, me ngā hua rākau.
- Kai atu i ngā kai moana, inā koa ngā ika he nui ngā waikawa ngako omega-3: he kōwhiringa pai ngā ika pēnei i te hāmana, te makarera, te hereni, me te tuna.
- Whakakorikori tinana ake:Me mahi tetahi mea pēnei i te hikoi, te oma, te kaukau mō te 30 meneti pea i te rā. Kia kaha hoki ki te mahi i ō mahi o ia rā.
- Whakahaerehia te kai karori hei whakaiti i te taumaha nui: Ngana kia mau tonu te taumaha hauora mō tō teitei.
- Kōwhiria ngā ngako hauora hei utu mō ngā ngako kukū me ngā ngako whakawhiti: whakawhāitihia ngā mea pēnei i te hinu kokonati, te hinu nikau, te pata, me te pata mākini, engari whakamahia ngā mea pēnei i te hinu oriwa, te hinu canola, me ētahi nati.
"Mā ngā panonitanga iti pēnei i te whakaiti i te whakamahinga o te hinu i te wā e tunu kai ana i te kāinga, te whakaiti i te nui o ngā kai momona e kainga ana e tātou i te toa, me te inu i te tī kāore i te huka hei utu mō te tī huka, ka nui te rerekētanga."
Ngā rongoā
Mena kāore e taea e ngā huringa āhua noho anake te whakahaere i ō taumata triglyceride, ka tohua pea e tō tākuta he rongoā. He mea nui rawa te rongoā mō te hunga e pāngia ana e te hypertriglyceridemia kino. He maha ngā momo rongoā ka tohua pea e tō tākuta:
- Ngā Fibrates - hei tauira, Fenofibrate
- Ngā waikawa ngako omega-3 kua tohua e te rata - hei tauira, Icosapent ethyl (IPE)
- Ngā Statin - Ahakoa he mea whakarite ēnei hei whakaiti i te cholesterol, i ētahi wā ka pā anō hoki ki ngā triglycerides.
Te whakahaere i ētahi atu mate
Mena he mate hauora anō tōu (hei tauira, te mate huka) e whai wāhi ana ki te nui o ō taumata triglyceride, he mea nui anō hoki kia pai te whakahaere i taua mate. Ma tō tākuta koe e hoatu ki a koe ngā tohutohu me te maimoatanga e tika ana.
Ka taea te ārai i te hypertriglyceridemia?
Ko ētahi o ngā take (te koroheketanga, ētahi mate) kei tua atu i tā tātou mana whakahaere. Heoi, he maha ngā mea ka taea e tātou te mahi i roto i ō tātou oranga o ia rā hei ārai i tēnei mate. Anei ētahi o aua mea:
- Kai i ngā kai hauora mō te ngākau: Kai atu i ngā huawhenua, ngā hua rākau, ngā witi katoa, me te pūmua kikokore. Whakaitihia te hinu, te huka, me te tote.
- Kia kaha te tinana: Haunga ngā mahi whakakori tinana kua whakaritea, nekehia tō tinana kia rite ki te taea i roto i tō mahinga o ia rā. Ngā mahi pēnei i te piki i ngā arawhata kaua i te ararewa me te hikoi ki ngā wāhi tata.
- Kia mau tonu te taumaha hauora.
- Te whakawhāiti i te waipiro: Ko te nui rawa ko te kotahi inu paerewa ia rā mō ngā wāhine, me ngā inu e rua ia rā mō ngā tāne.
- Whakaitihia te huka me ngā warowaihā kua parakore.
Pātai atu ki tō tākuta mō ētahi atu tohutohu hei āwhina i a koe ki te whakahaere i ō taumata triglyceride.
He aha te tirohanga mō te tangata whai i tēnei āhuatanga? (Tirohanga)
He maha ngā mea e pā ana ki tēnei. Hei tauira:
- He aha ngā take o tō hypertriglyceridemia?
- He aha te taumata o tō triglyceride?
- He aha atu ngā mate kei a koe?
Nō reira, kōrero ki tō tākuta kia mōhio ai koe he aha tō āhua.
Engari kia maumahara, he mate noa te hypertriglyceridemia, ā, ehara i te mea ko koe anake. He maha ngā tāngata ka taea te whakahaere pai i tēnei mate mā te whai i ngā tohutohu a tā rātou tākuta, te whakarerekē i te āhua noho, me te tango rongoā mēnā e tika ana.
Āhea ahau me kite i te tākuta?
Kia mahara ki te haere ki ō tirotiro hauora ā-tau. Hei tāpiri, haere ki ngā wā katoa e tohutohuhia ana e tō tākuta. Mena he pātai, he āwangawanga rānei āu, tēnā whakapā atu ki tō tākuta i ngā wā katoa.
He aha ngā pātai me pātai atu koe ki te tākuta?
He mea nui kia ako koe i ngā mea katoa e taea ana mō tō mate, ōna take, me ōna maimoatanga. Ka taea e koe te pātai atu ki tō tākuta i ngā pātai pēnei:
- He aha te mea e whakaaturia mai ana e aku taumata triglyceride ki ahau?
- He nui anō hoki tōku cholesterol?
- He aha te take e piki ai ōku triglycerides?
- Me pēhea taku whakaiti i aku taumata triglyceride?
- He aha te mōrearea o te mate ngakau ki ahau?
- He aha ngā momo whakakori tinana e tika ana mōku?
- Me toro atu ahau ki tētahi tohunga kai?
Āhea koe me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?
Mena kei a koe ētahi o ēnei tohu , waea atu ki te 911 (1990 i Sri Lanka) tonu atu, haere rānei ki te rūma whawhati tata:
- Pancreitis whakapeka - (mamae nui o te puku, ruaki, kirika)
- Te whakaeke ngakau - (mamae o te uma, poto te manawa, te werawera)
- Te whiu - (te ngoikore, te ngenge rānei o te mata, te ringa, te waewae rānei, te uaua ki te kōrero, te uaua ki te hikoi)
Ka whakanui ake te hypertriglyceridemia i te mōrearea o te whakawhanake i ēnei raruraru nui. Nō reira, he mea tino nui kia mōhio ki ēnei tohu, ā, me rapu awhina hauora tonu mēnā ka puta.
Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)
He nui te mahi hei whakahaere i te hypertriglyceridemia. Engari he pai te wā. Me huri e koe ētahi mahi o ia rā, ā, he uaua pea aua huringa i ētahi wā. Engari tīmata noa i te iti. Ahakoa ngā huringa iti, ka nui te pānga ki te hauora o tō ngākau. Pātai atu ki tō tākuta mō ngā rauemi me ngā rōpū tautoko hei āwhina i a koe ki te whakatutuki i ō whāinga. Kei roto i ō ringaringa tō hauora!
` hypertriglyceridemia, triglycerides, cholesterol, mate ngakau, kai, whakakori tinana, momo noho











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