Ina whakamātauhia tō toto mō te cholesterol, kua kite pea koe i ngā ingoa pēnei i te LDL, HDL, me ngā triglycerides i roto i te pūrongo ka riro mai i a koe, tika? He maha ā tātou kōrero mō te "cholesterol pai" (HDL) me te "cholesterol kino" (LDL). Engari kotahi te mea kāore i te rārangi e kōrerohia ana e te katoa, he mea huna, engari he nui te pānga ki te hauora o te ngākau. Ko te Lipoprotein (a) tēnā, ko te Lp(a) rānei. He rite ki te mea ngaro a te whānau, ā, i ētahi wā ka taea e tātou te whakaputa raruraru nui i roto i ō tātou tinana, kāore i te mōhiotia.
He aha te Lipoprotein (a)?
Āe, me kī pēnei. Ko te Lipoprotein (a) he momo LDL (Low-Density Lipoprotein), e mōhiotia ana ko te "cholesterol kino." He aha te mea ka tupu ina piki te cholesterol LDL i roto i te tinana? Ka hanga i runga i ngā pakitara o ō tātou uaua toto, ka hanga i ngā papa e rite ana ki ngā pupuhi tere i runga i te rori. I roto i te rongoā, ka kiia tēnei he papa . I te mea ka hanga ēnei pupuhi tere, ka kore e taea e te toto te rere pai. I te mutunga, ka taea e ēnei te aukati katoa i ngā uaua toto, ka aukati i te rere o te toto. He tino take tēnei o ngā whakaeke ngakau me ngā whiu.
Nā, ko te mea motuhake mō te Lp(a) he nui ake tōna kino i te LDL. E rua ngā take mō tēnā:
1. Ka tere ake te pupū o te toto: Ka āwhina ngā matūriki Lp(a) i te pupū o te toto kia tere ake i te tikanga.
2. Ārai i te memeha o ngā toto toto: Ka ārai hoki i te memeha o te toto toto kua puta.
Whakaarohia, kua puta he paparanga cholesterol (pēra) i roto i te oko toto. Mēnā ka pakaru taua paparanga nā te Lp(a), he nui te tūponotanga ka tere te puta o te toto totoka, ā, ka ārai katoa i te oko toto. Koia te take me tino tupato tātou ki te Lp(a).
Nō ngā ira te taumata Lp(a)?
Āe. Ae. Koinei te mea tino nui, ā, he mea pouri pea mō tēnei. Ko tō taumata Lp(a) ka whakatauhia e ngā ira e riro mai ana i a koe i tō whaea me tō pāpā. Ko te tikanga o tēnei, ahakoa te nui o tō whakakori tinana, te pai rānei o tō whakahaere i tō kai, kāore e taea e koe te whakaiti nui i tō taumata Lp(a). Ko te taumata Lp(a) kei a koe i a koe e tamariki ana, tera pea ka noho tonu ki a koe mō te toenga o tō oranga.
Arā, ehara tēnei i te mea nā tō tātou āhua noho i puta ai. He mea tuku iho tēnei ki a tātou. Koia te take, mēnā kua pāngia tētahi o te whānau e te mate manawa i te wā taitamariki, me whakapae anō hoki tātou kei a ia te Lp(a).
Me pēhea taku mōhio ki taku taumata Lp(a)?
Ka taea tēnei te whakatau mā te whakamātautau toto noa iho. Engari he mea iti tēnei. I te nuinga o te wā ka whiwhi koe i tētahi whakamātautau cholesterol, e kiia nei ko te Lipid Profile.Ina hoki, kāore tēnei taumata Lp(a) e inehia. Me mahi motuhake, mā te tono atu. Ka taea e tō tākuta te whakatau mēnā e hiahiatia ana e koe, ā, ka tukuna atu koe ki te tākuta.
He aha te take e taunaki ai te tākuta i tēnei whakamātautau?
Ehara i te mea e hiahiatia ana tēnei whakamātautau e te katoa, engari ki te mea he take kē atu kei a koe hei whakanui ake i tō mōrearea ki te mate ngakau, ka whakatau pea tō tākuta ki te tirotiro i tēnei mea anō hoki.
| Tauwehenga mōrearea | Whakaahuatanga |
|---|---|
| Hītori whānau | Mena kua pāngia tētahi o ō whanaunga tata (whaea, pāpā, tuākana/teina) e te mate manawa, te whiu rānei i te wā taitamariki (kei raro i te 55 tau te pakeke mō ngā tāne, kei raro i te 65 tau te pakeke mō ngā wāhine). |
| Te āhua ira o te cholesterol teitei | Mena kei a koe te Familial Hypercholesterolemia , he mate ira e hua ai te taumata cholesterol teitei. Tata ki te 30% o te hunga whai mate nei he taumata Lp(a) teitei anō hoki. |
| Ngā taumata LDL tino teitei | Mena he tino tiketike tō taumata LDL i te wā e whakamātauhia ana tō cholesterol o ia rā. |
| Te mate manawa e hokihoki mai ana | Mena ka pāngia tonutia koe e ngā whakaeke ngakau, e ngā whiu rānei ahakoa te maimoatanga me ngā huringa o te noho, ko te Lp(a) pea te take. |
| Mena he nui te Lp(a) o tētahi o te whānau | Mena kua whakamātauhia tēnei e tētahi o tō whānau, ā, kua whakaūtia he teitei tōna taumata Lp(a). |
Ngā taumata Lp(a) me ō rātou tikanga
E rua ngā huarahi hei ine i ngā taumata Lp(a). Ko tētahi ko te ine i te papatipu o te Lp(a) i roto i te toto. Ka hoatu ngā uara i roto i ngā mirikaramu ia teririta (mg/dL). Ko tētahi ko te ine i te maha o ngā matūriki Lp(a) i roto i te toto. Ka hoatu ngā uara i roto i ngā nanomoles ia rita (nmol/L). He mea nui kia pātai atu ki tō tākuta he aha ngā waeine kei roto i tō pūrongo.
Ko te tikanga, ka whakarōpūhia e mātou ngā uara mg/dL penei:
- Taumata noa: I raro i te 30 mg/dL.
- Mōrearea tata: I waenga i te 30 mg/dL me te 50 mg/dL.
- Te mōrearea nui: Neke atu i te 50 mg/dL.
I roto i te nmol/L, ko te uara i runga ake i te 100 nmol/L e kiia ana he tino mōrearea.
Ko te tikanga o tō taumata Lp(a) teitei he nui ake tō mōrearea ki te pāngia e te mate manawa me te mate o ngā oko toto, ahakoa he pai ō taumata cholesterol kē atu.
Kua kitea e ngā rangahau he hononga tika te taumata Lp(a) teitei ki ēnei mate:
- Mate ngakau
- Te whakaekenga o te ngakau
- Whiu
- Te whakapūmautanga o te takirere aorta
- Te mate uaua o te taha (PAD)
He tohu kei te nui haere ngā taumata Lp(a)?
Kāo. Koinei te wāhanga whakamataku. He maha ngā tāngata he nui ngā taumata Lp(a) kāore e whakaatu i ngā tohu. Kāore rātou e mōhio kei te mōrearea rātou kia puta rā anō tētahi mea nui pēnei i te mate ngakau. Koia te take, ki te mea he hītori whānau tōu mō te mate ngakau, he mea nui kia kōrero wawe koe ki tō tākuta mō tēnei mea, ā, kia whakamātauria mēnā e tika ana.
Āe, me pēhea tātou e whakaiti ai i tēnei Lp(a)?
He pātai tēnei nā te katoa. Ki te pono, kāore anō kia whakaaetia he rongoā motuhake hei aro atu, hei whakaiti hoki i ngā taumata Lp(a). Kei te whakawhanake, kei te whakamātautau hoki ngā kairangahau i ētahi rongoā hou mō tēnei kaupapa. Nō reira, ko te tumanako ka kitea he otinga pai i roto i ngā rā tata nei.
Tērā pea kei te whakaaro koe, "Nā, kāore he mahi māku ināianei?" Kāore. He tini ngā mea hei mahi!
Ahakoa kāore e taea e tātou te whakaheke tika i ngā taumata Lp(a), ko te mea pai rawa atu ka taea e tātou ko te whakahaere i ngā āhuatanga katoa e whakanui ana i te mōrearea o te mate manawa. Arā, ki te mea ko te Lp(a) anake te pū kei a tātou, he rite ki te whakakore i ngā mea katoa.
Ngā mea ka taea e koe te mahi:
- Kati rawa te whakamahi i ngā hua tupeka. Ko te kai hikareti te tino take o te kino o ngā uaua toto.
- Whakakorikori tinana i ngā wā katoa. Me mahi tetahi mea pēnei i te hikoi, te oma rānei mō te 30 meneti pea, e rima ngā rā o te wiki.
- Kia mau tonu te taumaha hauora.
- Whakamahia he kai hauora mō te ngākau. Kia iti ake te hinu, te tote, me te huka e kainga ana, engari me nui ake ngā huawhenua, ngā hua rākau, ngā otaota, me ngā kai whai kiko i te muka.
- Kia mau tonu te whakahaere i tō toto toto me te mate huka. Whakamahia ngā rongoā kua tohua e tō tākuta mō ēnei mea.
- Whakahaerehia ngā taumata o te cholesterol LDL. Ahakoa kāore e taea te whakaheke i te Lp(a), ka taea e ngā rongoā e whakaheke ana i te cholesterol LDL, pērā i ngā statin , ngā aukati PCSK9 rānei, te whakaiti i te mōrearea whānui.
- Whakahaerehia te ahotea.
I runga i te mōrearea e pā ana ki a koe, ka tohua pea e tō tākuta he rongoā pēnei i te aspirin hei whakaiti i te toto totoka.
Mō te hunga he tino tiketike ngā taumata Lp(a), inā koa te hunga he Familial Hypercholesterolemia, he maimoatanga kei reira e kiia nei ko te Apheresis . He rite tēnei ki te dialysis ina ngoikore ngā whatukuhu. Ka honoa koe ki tētahi mīhini, ā, ka tātarihia ngā matūriki Lp(a) i roto i te toto. Heoi, he maimoatanga tēnei e roa ana mō ngā hāora, me mahi kotahi, e rua rānei i te wiki, ā, ka mahia anake mō ngā tūroro tino motuhake.
Karere Tangohia ki te Kāinga
- Ko te Lipoprotein (a) Lp(a) rānei he momo cholesterol motuhake e riro mai ana i a tātou i ō tātou ira, ā, ka piki ake te mōrearea o te mate manawa.
- Kāore tēnei e inehia mā te whakamātautau cholesterol noa (Lipid Profile). Me whai whakamātautau toto motuhake .
- Kāore e taea te whakaiti nui i ngā taumata Lp(a) mā te kai me te korikori tinana.
- Mena kua pāngia tetahi o tō whānau e te mate ngakau i te wā taitamariki , kōrero ki tō tākuta mō te tirotiro i tō taumata Lp(a).
- Ahakoa he teitei tō taumata Lp(a), kaua e mataku. Mā te whakahaere i ngā āhuatanga mōrearea katoa , pērā i te toto toto tiketike, te mate huka, me te cholesterol LDL, ka taea e koe te whakaiti i tō mōrearea o te mate ngakau me te whiu.
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