Whakaarohia, he tino kikokore koe, he pai te whakakori tinana, ā, he tino tupato ki tāu e kai ana, e inu ana hoki. E 40 tau te pakeke. Ko wai ka whakaaro ka pāngia tētahi tangata pēnei e te mate manawa? He mea whakamiharo, kāore? Engari he mea tūturu tēnei. I tēnei rā kei te kōrero tātou mō tētahi mate hauora e kore e kitea, engari he tino morearea. He mea tēnei kāore i te mōhiotia e te tini o te tangata, engari me mōhio tātou katoa.
He aha tēnei mate cholesterol tuku iho? (Familial Hypercholesterolemia)
He māmā noa iho, he mate ira tēnei. Arā, he mea tuku iho i ō tātou mātua. He tino teitei te taumata o te cholesterol LDL (Low-Density Lipoprotein) o te tangata whai mate nei, e kiia nei e tātou ko te "cholesterol kino", i roto i tōna tinana mai i te whānautanga.
I te nuinga o te wā, ina kōrero tātou mō te cholesterol, e whakaaro ana tātou ka piki ake ēnei i roto i te hunga e kai ana i ngā kai hinuhinu me ngā kai momona, kāore e whakakorikori tinana, ā, he momona hoki. He pono tēnei ki tētahi taumata. Engari i roto i tēnei āhuatanga e kiia nei ko te Familial Hypercholesterolemia (FH) , ahakoa te hiroki o tō tinana, te hauora rānei o tō āhua noho, ka piki ake te taumata o te cholesterol kino i roto i tō tinana. Nā te mea, ehara i te mea ko tō āhua noho te take, engari he hapa kei roto i ō ira.
Nā konei, ahakoa te rangatahi e whakaaro ana he tino hauora ia, ka pāngia pea ia e te mate manawa, e te whiu rānei, kāore he whakatūpato .
I ētahi tau kua pahure ake nei, i kōrero mai tētahi wahine 40-tau te pakeke i tana wheako. He tino kikokore ia, he hauora hoki. I tētahi rā, i a ia i tētahi wharekai, ka pāngia ia e te taumahatanga e kore e taea te tu atu i roto i tōna uma, ā, ka nui te werawera. I tana haerenga tonu atu ki te tākuta, whai muri i te ECG, ka mea te tākuta, "I pāngia koe e te mate manawa." Kāore ia i whakapono.
I muri mai, i kitea i roto i tētahi whakamātautau motuhake i huaina ko te "Heart Catheterization" e 90% te aukati o ngā oko toto matua e whā e tuku toto ana ki tōna ngākau. I roto i ngā wiki e rua, e rima ngā ngongo iti i whakauruhia, i huaina ko te "Stents", kia noho tuwhera tonu ai aua oko toto. I kitea i te mutunga he mate tōna e kiia nei ko te Familial Hypercholesterolemia (FH).
Kei roto hoki ā tātou tamariki i te mōrearea?
Koinei te mea tino nui hei arotahi mā tātou. Nā te mea he mate tuku iho te FH, ki te pāngia tētahi o ngā mātua e te mate, e 50% te tūponotanga ka riro mai i ngā tamariki . Ko te tikanga, ki te tokorua ngā tamariki, he nui te tūponotanga ka pāngia tētahi o rātou e te mate.
Ko te mōrearea o tēnei, nā te mea kāore e kitea ngā tohu, kāore pea tātou e mōhio kei te pāngia te tamaiti e tēnei mate. Engari i roto i te tinana o taua tamaiti, ka tīmata te kohikohi haere o te cholesterol kino ki roto i ngā oko toto. Nā tēnei, kaAhakoa i te wā taitamariki, arā, i ō tau 20 me 30, he tino teitei te mōrearea o te pāngia e te mate manawa, te whiu rānei.
Nō reira, mēnā kua pāngia tētahi o tō whānau e ngā mate manawa i te wā taitamariki, mēnā rānei he hītori whānau mō te cholesterol teitei, he mea tino nui kia whakamātauria āu tamariki mō te cholesterol. E taunaki ana te American Academy of Pediatrics kia whakamātauria te cholesterol o ngā tamariki katoa i waenga i te 9 me te 11 tau te pakeke.
Āhea te wā e whakapaehia ai te tūnga FH
Ehara i te mea ko te cholesterol teitei katoa he FH. Engari tera ētahi tohu me whakaaro he tino whakapae. Ka whakamāramahia ēnei e au i roto i tētahi ripanga.
| Mea whakapae | Whakaahuatanga |
|---|---|
| Ngā taumata cholesterol LDL tino tiketike | Mena he nui ake te LDL o te pakeke i te 190 mg/dL, he nui ake rānei te LDL o te tamaiti i te 160 mg/dL (tērā pea ka rerekē ēnei uara i ia whenua, i ia whenua). |
| Hītori whānau | Mena kua pāngia tētahi mema o te whānau (tāne kei raro iho i te 55 tau te pakeke, wahine kei raro iho i te 65 tau te pakeke) e te mate manawa, te mate rānei. |
| Ngā āhuatanga ā-tinana (kāore i te katoa) | Ngā putunga ngako kōwhai i runga i te kiri huri noa i ngā kanohi (Xanthelasmas), ngā puku ngako i roto i ngā kokonga kikokiko o ngā ringa, o ngā tuke, o ngā turi rānei (Tendon Xanthomas). |
Kāore i te rawaka te whakarerekē noa i tō momo noho?
He pātai tēnei e pātaihia ana e te tini tāngata. "Kāore e taea e au te whakaheke i taku cholesterol mēnā ka kai pai ahau, ka whakakori tinana hoki?" Mēnā he noa ngā taumata cholesterol, ka nui te rerekētanga o ngā huringa āhua noho.
Engari mō te FH, kāore e ranea ngā huringa momo noho anake . Nā te mea ko te raruraru he hapa ira i roto i te pūnaha e hanga ana, e tango ana hoki i te cholesterol i roto i tō tinana. Nō reira, ahakoa he mea nui te kai hauora me te whakakori tinana, he mea tika tonu te maimoatanga hauora hei whakahaere i ngā taumata cholesterol LDL nui rawa atu i roto i te toto.
He maha ngā wā ka tohua e ngā tākuta ngā rongoā whakaheke cholesterol, pērā i ngā statin. Ahakoa ka hoatu ēnei rongoā ki ngā tamariki i roto i ngā horopeta iti, ka taea te whakaiti i te tūponotanga o te mate ngakau a muri ake nei.
Ngā mea hei pātai atu ki tō tākuta
Mena he nui te taumata o te cholesterol i a koe, i tētahi rānei o tō whānau, he mea tino nui kia kite koe i tō tākuta me te pātai i ēnei pātai.
- He aha ngā whakamātautau cholesterol me whai ahau? (hei tauira, Lipid Profile)
- Kia pēhea te auau o ēnei whakamātautau?
- Me pēhea te āwhina a te kai me te whakakori tinana ki te whakahaere i ōku taumata cholesterol?
- He aha te mōrearea o te mate ngakau ki ahau?
- He aha ngā tohu e tika ana kia tino māharahara ahau? (hei tauira, te mamae o te uma, te uaua ki te manawa)
Mā te mōhio ki ēnei mōhiotanga ka āwhina nui i a koe me ō whanaunga mai i ngā mate kino. Kia maumahara, ko te mōhio te parepare pai rawa atu.
Karere Tangohia ki te Kāinga
- He mate ira te Familial Hypercholesterolemia (FH) ka tukuna iho i roto i ngā whakatipuranga. Ka taea e tēnei te whakararu i ngā taumata cholesterol tino teitei ahakoa i roto i te hunga hiroki, hauora hoki.
- Mena kua pāngia tetahi o tō whānau e te mate ngakau i te wā taitamariki (tāne < 55, wāhine < 65), he mea tino nui kia tirohia tō cholesterol māu me āu tamariki.
- Mō te FH, ahakoa he mea nui te noho hauora, he mea tika kia tango i ngā rongoā i whakaritea e te tākuta hei whakahaere i ngā taumata cholesterol.
- Mā te kitenga wawe me te maimoatanga tika ka tino whakaiti i te mōrearea o ngā raruraru nui pēnei i te mate ngakau me te whiu.
- Mena he āwangawanga āu mō ō taumata cholesterol, mō tō hītori whānau rānei, me kōrero ki tō tākuta .
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