Kia ako tātou mō ngā rongoā e whakaiti ana i tō cholesterol 'kino' (LDL Cholesterol)?

Ina kite tātou kei te teitei te taumata o te cholesterol i roto i te toto i roto i te pūrongo, ko te mea tuatahi e whakaarohia ana e tātou ko te whakahaere i tā tātou kai me te whakakorikori tinana, tika? Koinei te mea tuatahi hei mahi. He mea tino nui te whakaiti i te ngako kukū, te whakakore rawa i te ngako whakawhiti, te whakaiti i te huka, me te whakakorikori tinana i ngā wā katoa.

Heoi, i ētahi wā, kāore e ranea ēnei huringa āhua noho anake hei whakaheke i ō taumata cholesterol LDL, he mea kino tēnei ki tō tinana. Koinei te wā ka tīmata pea tō tākuta ki te hoatu rongoā hei āwhina i a koe.

Nā, kia titiro tātou ki ngā momo rongoā e tohua ana e ngā tākuta hei whakaheke i te cholesterol kino (LDL), me pēhea te mahi, me ngā mea hei tūpato mā tātou i te wā e whakamahi ana i ēnei rongoā.

He aha ngā statin e mōhiotia ana e te nuinga?

He whakarāpopototanga noa iho, ko ngā statin te momo rongoā tuatahi e tohua ana e te tākuta hei whakaheke i te cholesterol. Mā te whakahaere i te hanga cholesterol e tō ate ka mahi. Ka whakaitihia e tēnei te taumata o te cholesterol kino (LDL) i roto i tō toto. Ka āwhina hoki rātou ki te whakaiti i tētahi atu momo ngako e kiia nei ko ngā triglycerides, ā, ka piki ake te taumata o te cholesterol "pai" (HDL).

Kua whakaatuhia e ngā rangahau mā te whakamahi i ngā rongoā statin ka tino whakaiti i te mōrearea o te mate ngakau me te whiu.

Ngā rongoā e mahi ana i roto i ngā whekau

Ko te mahi matua o ēnei he mahi i roto i tō pūnaha puku.

Ngā Resin Waikawa Au

Ka mahi ēnei rongoā mā te here ki tētahi matū e kiia nei ko te "bile" e tukuna ana e te ate (he mea hanga hoki i te cholesterol) me te aukati i te mimiti anō ki roto i te toto. Ko te tikanga o tēnei ka āwhina ā-korekore rātou ki te whakaiti i te nui o te cholesterol i roto i te tinana.

• Tauira: Cholestyramine (Prevalite), Colesevelam (WelChol), Colestipol (Colestid)
• Ngā pānga taha: Ko ngā mea tino kitea ko te mate pāwera, te pupuhi, me te mamae o te puku.

Ezetimibe

He momo rongoā rerekē tēnei. Ko te mahi a Ezetimibe (Zetia) mā te aukati tika i te mimiti o te cholesterol mai i tō whekau iti ki roto i tō toto. He maha ngā wā ka hoatu ngātahitia me te rongoā statin. Mā tēnei ka nui ake te whai huatanga o te whakaheke cholesterol.

• Ngā pānga taha: Tērā pea ka pā te mamae o te uaua, te mamae o te tuara, te mamae o te puku, me te korere.

He momo rongoā hou e kiia nei ko ngā aukati PCSK9

He rongoā hou ēnei, he utu nui hoki. He mea whakamahi noa iho ēnei mō te hunga kāore anō kia whakahaeretia ō rātou taumata cholesterol mā te whakarerekētanga o te momo noho me te rongoā statin. He mea whakarite motuhake ēnei mō te hunga he mate ira kei a rātou e hua ai te cholesterol teitei (pēnei i te Heterozygous Familial Hypercholesterolemia - HeFH) kua pāngia rānei e te mate ngakau, ā, kāore e ranea ngā statin anake.

Ehara ēnei i te pire, engari ka tukuna hei werohanga i raro i te kiri i ia rua wiki. Ka mahi rātou mā te aukati i tētahi pūmua e kiia nei ko te PCSK9, ka whakanui ake i te kaha o te tinana ki te tango i te cholesterol LDL mai i te toto.

• Tauira: Alirocumab (Praluent), Evolocumab (Repatha)
• Ngā pānga taha:Nā te mea he mea hou ēnei, he iti noa iho ngā mōhiotanga mō ngā pānga taha mō te wā roa. Ko ngā mea anake kua pūrongohia ko te mākati, te pupuhi, te mamae, me te marō i te wāhi i werohia ai, tae atu ki ngā tohu pēnei i te ihu pupuhi me te kirika.

Kia ako tātou mō ētahi atu momo rongoā.

Haunga ngā momo rongoā matua kua whakahuatia i runga ake nei, he maha atu anō ngā momo rongoā.

Niacin

He momo huaora B tēnei. Mēnā ka hoatu hei rongoā i roto i ngā horopeta nui, ka taea te whakaheke i te cholesterol LDL me te whakapiki i te cholesterol HDL. Heoi, kāore anō kia whakaatuhia e ngā rangahau he whakaiti ake i te mōrearea o te mate ngakau mā te tāpiri niacin ki ngā statin. Ko ngā pānga taha matua ko te whero, te mākūkū, te ngoikore, me te ānini.

Ngā Fibrates

Ko te mahi matua a ēnei rongoā mā te whakaiti i te hanga o tētahi momo ngako e kiia nei ko ngā triglycerides me te whakapiki i ngā taumata cholesterol pai (HDL).

• Tauira: Fenofibrate, Gemfibrozil (Lopid)

Ngā Ārai ATP Citrate Lyase (ACL)

Ko te waikawa bempedoic (Nexletol) he momo rongoā e aukati ana i te hanga cholesterol e te ate.

Ngā Omega-3

He tokomaha te hunga e whakaaro ana mā te tango i ngā tāpiringa hinu ika mai i ngā whare rongoā ka taea te whakaiti i te mōrearea o te mate ngakau. Engari kāore he taunakitanga e whakaatu ana ko te tango i ngā tāpiringa hinu ika, pērā i te huaora noa, ka rite tonu. Heoi, mā te horopeta nui o ngā omega-3 i whakaritea e te tākuta ka taea te whakaiti i ngā taumata triglyceride me te whakaiti i te mōrearea o te mate ngakau i roto i te hunga e mōrearea ana.

Kia maumahara ki ēnei mea i te wā e whakamahi ana koe i te rongoā cholesterol!

Kia tohua he rongoā, he mea nui kia whakamahia kia rite tonu ki te mea i tohua, ki te kore, e kore e kitea te hua katoa.

• Kia mōhio koe ki te take e tango ana koe i tēnei rongoā: Pātai atu ki tō tākuta kia mārama ia he aha i tohua ai tēnei rongoā ki a koe, me tana mahi.
• Tangohia tō rongoā i te wā kotahi i ia rā: Me whakarite kia inu koe i tō rongoā i ia rā. Kōwhiria te wā kotahi o te rā mōna.
• Kaua e mutu te tango i tō rongoā ahakoa kua pai ake koe: Kaua e mutu te tango i tō rongoā, kaua hoki e whakarerekē i te horopeta me te kore e pātai ki tō tākuta. Ahakoa kua pai ake koe, ā, kāore he he o tō āhua, me haere tonu te tango i tō rongoā.
• Whakaritea: Whakamahia he pouaka pire kua tohua ki runga ngā rā o te wiki. Whakakīia i te tīmatanga o te wiki, ā, e kore rawa koe e wareware ki te tango i tāu rongoā.
• Puritia he maramataka rongoā:Tuhia he tohu ki tō maramataka i ia wā ka tangohia e koe tō rongoā. Mēnā ka whakarerekētia tō rongoā e tō tākuta, tuhia ki reira anō hoki.
• Kaua e whakaiti i te horopeta hei penapena moni: Kia whiwhi ai koe i te hua katoa o te rongoā, me tango e koe te horopeta tika. Mena he take te utu, kaua e whakamā ki te kōrero ki tō tākuta. Tērā pea ka taea e ia te tuku atu i tētahi atu otinga ki a koe.
• Kōrerotia ki tō tākuta mō ētahi atu rongoā: Kōrerotia ki tō tākuta ngā huaora, ngā rongoā otaota, ngā rongoā kē atu rānei e tangohia ana e koe, nā te mea ka taea e ētahi te taunekeneke me ngā rongoā cholesterol.
• Ki te wareware koe ki te tango i tētahi horopeta: Tangohia te horopeta ina mahara koe. Heoi, ki te tata te wā mō tō horopeta e whai ake nei, pekehia te horopeta i ngaro, ka tango i te horopeta e whai ake nei i te wā kua whakaritea. Pātai atu ki tō tākuta mō ētahi atu whakamārama mō tēnei.
• I a koe e haere ana: Kia mau ki a koe ō rongoā. Ki te haere koe i tētahi haerenga roa, mauria he rongoā mō te wiki kotahi me tētahi kape o tō whakahaunga rongoā.
• I mua i te pokanga: Kōrerotia ki tō tākuta, ki tō taote niho rānei ngā rongoā e tangohia ana e koe i mua i te whakamoenga, i te tango rānei i te niho.
• Kia tūpato ki te waipiro: Ka taea e te waipiro te whakanui ake i ngā pānga taha o ētahi rongoā, me te whakaiti i tōna whai huatanga. Nō reira, pātai atu ki tō tākuta mō te waipiro, me te rapu tohutohu.