I kī atu anō tō tākuta kia whakamātauria tō toto, kia tirohia hoki tō cholesterol? I te taenga mai o taua pūrongo, i pōhēhē koe i ngā tau kei mua i ia tau? LDL, HDL, triglycerides... Tērā pea kei te whakaaro koe he aha ēnei, he aha te tikanga o ēnei tau. Kaua e mataku, i tēnei rā ka kōrero noa tātou mō tēnei mea, me te mea kei te kōrero tātou ki tētahi hoa. Ko te mārama ki tēnei he āwhina nui māu ki te whakatau i tō hauora.
Tuatahi, kia titiro tātou, he aha tēnei kōtaha lipid?
Ko te whakamātautau toto e mahia ana e koe hei tirotiro i tō cholesterol ko tā mātou e kī nei i roto i te rongoā he 'Lipid Profile'. Ko te tikanga o te lipid ko te ngako. Mā tēnei whakamātautau ka homai he mōhiohio ki a tātou mō ētahi momo ngako i roto i ō toto. He mea tino nui te mōhio ki ēnei uara, nā te mea ka taea e ia te hoatu he whakaaro ki a koe mō tō tupono ki ngā mate pēnei i te mate manawa me te whiu ā muri ake nei.
| Momo Ngako | Hei whakarāpopototanga... |
|---|---|
| Kolesterol Katoa | Ko te tapeke o ngā momo cholesterol katoa i roto i tō toto. |
| LDL (Ngaropūmua Matotoru-Iti) | Ko te cholesterol "kino". Koinei te mea e putunga ana ki roto i ngā oko toto, ka ārai i a rātou. |
| HDL (Ngaropūmua Matotoru-Teitei) | Ko te cholesterol "pai". Koinei te mea e horoi ana i ngā oko toto mā te tango i te cholesterol kino. |
| Ngā Triglycerides | Ko tētahi atu momo ngako e puta mai ana i te kai e kainga ana e tātou, inā koa te huka me ngā kaora tāpiri. |
Ko te mea nui, kāore e taea e koe te whakatau katoa mō tō mōrearea i runga i ngā tau kei roto i tēnei pūrongo anake. Ka whakamāramahia e tō tākuta tō mōrearea mā te whai whakaaro ki ngā āhuatanga maha, pēnei i tō tau, te toto toto tiketike, mēnā kei te momi hikareti koe, me te mea kei te tango rongoā koe mō tō toto toto tiketike, me ēnei tau anō hoki.
Me ako tātou mō te LDL, te cholesterol "kino".
He maha ā tātou rongonga mō tēnei momo cholesterol ‘LDL’. Ina hoki, me whai wāhi te tinana ki tētahi nui o te ‘LDL’ hei hanga pūtau, hei whakaputa homoni me ngā huaora. Ka hangaia tēnei e tō tātou ate.
Ka tīmata te raruraru ina nui rawa te LDL. Kātahi ka tīmata te hanga o tēnei LDL tāpiri ki runga i ngā pakitara o ō uaua toto. Pērā i te paru e hanga ana i roto i te paipa wai. I roto i te wā, ka taea e tēnei hanga (pēra) te whakawhāiti me te aukati i ō uaua toto, ka arahi ki ngā mate kino pēnei i te mate manawa me te whiu. Koia te take i kiia ai te LDL he cholesterol "kino". Nō reira, ko te iti o tō taumata LDL, ko te iti o tō mōrearea.
- Mena he tino teitei tō taumata LDL (neke atu i te 190 mg/dL): He taumata tino teitei tēnei. I tēnei wā, ka tūtohu pinepine tō tākuta kia tīmata koe ki te tango i te rongoā statin me te whakarerekē i te āhua noho (kai, whakakori tinana).
- Ahakoa kei raro iho tō taumata LDL i te 190 mg/dL: Tērā pea ka whakatau tō tākuta ki te whakaheke anō i tō taumata LDL, me te whai whakaaro ki ētahi atu āhuatanga mōrearea (pēnei i te mate huka me te toto toto tiketike).
- Ngā taumata LDL tino iti (neke atu i te 40 mg/dL): He tino onge tēnei. Engari ehara hoki i te mea pai te iti rawa o ngā taumata LDL. Ka arahi pea ki te pouri, te manukanuka, ā, i ētahi wā ka pāngia e te whiu toto.
Te hiranga o te HDL, te cholesterol "pai"
He rite te `HDL` (High-Density Lipoprotein) ki tō tātou hoa. Ki te teitei ake te uara `HDL`, ka iti ake te mōrearea o te mate ngakau. Ko te take, ka hopukina e te `HDL` te `LDL` kino e tata ana ki te tāpae ki roto i ngā oko toto, ka whakahokia ki te ate. He rite ki te tahi i te tiriti me te horoi.
Ka taea e te whakakori tinana me ētahi momo statin te whakanui ake i ngā taumata HDL.
- He aha te taumata HDL pai?: Ko te taumata neke atu i te 40 mg/dL mō ngā tāne, me te neke atu i te 50 mg/dL mō ngā wāhine e kiia ana he taumata hauora.
- Ngā taumata HDL tino teitei (neke atu i te 100 mg/dL): Ahakoa he mea pai te whai taumata HDL teitei, kua kitea e ngā rangahau tata nei i ētahi wā onge, ka hono pea ngā taumata HDL teitei rawa atu ki te pikinga o te mōrearea o te mate ngakau. Nō reira he mea nui kia noho taurite ngā mea katoa.
He aha ngā triglycerides?
Ehara ngā triglycerides i te momo cholesterol, engari he momo ngako anō kei roto i ō tātou toto. Ko ngā kaora tāpiri i roto i ngā kai e kainga ana e tātou, inā koa ko ērā mai i te huka, te paraoa, me te waipiro, ka hurihia hei triglycerides e te tinana, ā, ka rongoatia ki roto i ngā pūtau ngako.
He hononga tika te teitei o ngā taumata triglyceride ki te pikinga ake o te mōrearea o te mate ngakau. He maha ngā wā, ko te hunga he nui ngā triglyceride, he iti te "pai" HDL, he nui hoki te "kino" LDL. He tino morearea tēnei huinga.
Ngā take o te nui o te triglyceride:
- He momo noho mangere, kāore he korikori tinana.
- Te kai i ngā kai he nui te huka, ngā warowaihā kua whakamaroketia (pērā i te taro, te raihi, te nūru), me ngā ngako kukū.
- Te inu nui rawa o te waipiro.
- Te mate huka kāore i te whakahaeretia, te mate tākihi, ngā raruraru tairoi.
- Te momonatanga.
- Ētahi rongoā (hei tauira, ngā rongoā mō te mate pukupuku o te ū, te HIV).
- Tērā pea ka pāngia ētahi tāngata e ngā āhuatanga ira e ahu mai ana i ō rātou whānau.
Mena he nui ake tō taumata triglyceride i te 150 mg/dL, tera pea ka tūtohu tō tākuta i ngā huringa āhua noho, pērā i te whakakori tinana auau, te kai hauora, te whakaiti taumaha, me te whakawhāiti i te inu waipiro. Tērā pea ka tohua he rongoā.
He aha ngā taumata cholesterol hauora?
Mā tēnei ripanga koe e āwhina ki te whakatairite i ngā tau kei runga i tō pūrongo ki ngā taumata hauora noa. I roto i ngā pūrongo o Sri Lanka, ka inehia ēnei uara ki te mg/dL (miramira ia teririta), pērā i te Hononga o Amerika.
| Kāwai | Taumata hauora whainga (mg/dL) |
|---|---|
| Tamariki me ngā taiohi (19 tau te pakeke me raro iho) | |
| Kolesterol Katoa | I raro i te 170 |
| LDL ("kino") | I raro i te 110 |
| HDL ("pai") | Neke atu i te 45 |
| Ngā pakeke (20 tau te pakeke, neke atu rānei) | |
| Kolesterol Katoa | I waenganui i te 125 - 200 |
| LDL ("kino") | I raro iho i te 100 (i raro iho i te 70 mō te hunga whai take mōrearea) |
| HDL ("pai") | Tāne: Neke atu i te 40 tau Ngā Wahine: Neke atu i te 50 tau |
| Ngā Triglycerides | |
| Ki te katoa | I raro i te 150 |
Kia maumahara, he whāinga whānui noa iho ēnei. Mena kei a koe tētahi mate pēnei i te mate manawa, te mate huka rānei, ka taea e tō tākuta te tuku whāinga iti iho. Nō reira, me kōrero tonu ki tō tākuta mō tēnei.
Ngā pātai nui hei pātai atu ki tō tākuta
Ina kitea e koe he teitei ō taumata cholesterol, kaua e wareware ki te pātai atu ki tō tākuta i ēnei pātai.
1. He aha ngā tūponotanga o te cholesterol teitei? Ka taea e ia te whakaputa i ētahi atu mate?
2. He aha te take o te nui o taku cholesterol? He mate tuku iho tēnei?
3. He aha ngā mea ka taea e au te mahi i roto i tōku āhua noho me te kāinga hoki hei whakaiti i te cholesterol?
4. Me tino tango rongoā ahau? Kāore he maimoatanga kē atu?
5. Mēnā me tango rongoā koe, me pēhea te mahi?
6. Kia pēhea te roa o taku tango i tēnei rongoā? He aha ngā pānga taha?
7. Me pēhea taku whakaheke i taku cholesterol mā te whakakori tinana?
8. Me pēhea taku whakarerekē i taku kai? He aha ngā mea pai hei kai, ā, he aha ngā mea kino hei kai?
9. Āhea ahau me tirotiro i taku cholesterol i muri mai?
Karere Tangohia ki te Kāinga
- He mea e hiahiatia ana e te tinana te cholesterol, engari ka kino pea te nui rawa. Koia te mea nui kia tirohia ō taumata cholesterol i ia wā , i ia wā, hei pakeke hauora.
- Kia mārama ki ngā uara LDL ("kino"), HDL ("pai"), me te triglyceride i roto i tō pūrongo Kōtaha Lipid.
- He tohu noa iho ēnei tau mō te mōrearea o te mate manawa me te whiu. Me toro atu ki tō tākuta mō tētahi aromatawai katoa.
- I runga i ngā hua o tō pūrongo, mahi tahi me tō tākuta ki te whakawhanake i te mahere pai rawa atu mō ngā huringa āhua noho, me te rongoā hoki mēnā e tika ana.
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