Kua whakamātauhia tō toto hei tirotiro i tō taumata cholesterol? Mena kua whakamātauhia e koe, kua kite pea koe kei roto i te pūrongo ngā kupu pēnei i te LDL, HDL, me te Triglycerides, me ngā reta VLDL. He maha ngā wā ka rongo tātou mō te LDL me te HDL. Ka kiia hoki rāua ko te "cholesterol pai" me te "cholesterol kino." Engari he aha te VLDL? He kupu tēnei kāore i te mōhiotia e te tini o te tangata. Nō reira, ki te kī tō tākuta he teitei tō taumata VLDL i roto i tō pūrongo, he mea noa te mataku. Engari kaua e manukanuka. I tēnei rā, i roto i tēnei tuhinga, ka kōrerohia e tātou te mea tika o te VLDL, tōna hiranga mō te tinana, me tōna pānga ki tō tātou hauora mena ka piki ake, me pēhea te whakahaere.
He aha te VLDL i te whakarapopototanga?
Ko te tikanga katoa o te VLDL ko "Lipoprotein Tino-Iti-Katoa". Āe, i te rongonga i tēnei ingoa ka nui ake tō pōhēhē, kāore? Me wehewehe kia māmā noa iho, kia mārama ai.
Whakaarohia ō tātou uaua toto he rori. He maha ngā mea e hiahiatia ana e tō tātou tinana e haria ana e ēnei rori, pērā i ngā matūkai me te hāora. I taua wā, me kawe hoki ngā ngako o roto i tō tātou tinana, pērā i te cholesterol me ngā triglycerides, puta noa i te tinana. Engari he raruraru. Kāore e taea e ēnei ngako te mānu i roto i te toto, pērā i te tāpiri hinu ki te wai, ka wehea, kaua e whakaranu.
Nō reira, he pūnaha "waka" motuhake tō tō tātou tinana hei kawe haumaru i ēnei ngako puta noa i te tinana. Ka kiia ēnei waka he '(Lipoprotein)'. Ko te tikanga o te 'Lipo' he ngako, ko te tikanga o te 'pūmua' he pūmua. Ko te tikanga he mea hanga ēnei waka i te ngako me te pūmua.
Kua mārama koe ināianei? He waka motuhake te VLDL. Nā tō tātou ate tēnei waka i hanga, ā, ka tukuna ki roto i te toto. Ko te mahi matua a te VLDL he kawe i ngā triglycerides me te cholesterol mai i te ate ki ngā wāhanga rerekē o te tinana, arā, ki ngā wāhi e hiahiatia ana te pūngao me ngā wāhi e rongoa ana te pūngao.
Nō reira, he mea nui te VLDL kia mahi ai te tinana. Engari, pērā i ngā mea katoa, kāore e pai mō te tinana te nui rawa.
He aha te mea i hangaia ai te matūriki VLDL?
Ki te titiro tātou ki ngā mea kei roto i te VLDL i kōrerohia e tātou i mua ake nei, ko te nuinga he momo ngako e kiia nei ko ngā triglycerides. Pērā i te pahi he maha ngā pāhihi. Koia te take e kīia ai e ngā tākuta ko te VLDL he "triglyceride-rich lipoprotein".
Hei tāpiritanga, kei roto i te matūriki VLDL ētahi atu mea:
- Korekoretere
- Ngā waikawa ngako
- He momo pūmua motuhake e kiia nei ko te apolipoprotein B (Apolipoprotein B, apoB rānei).
Kua kitea e ngā rangahau ko te nui haere o tēnei `(apoB)` i roto i te toto he take anō hoki mō te pikinga ake o te mōrearea o te mate manawa.
He rite tonu te VLDL me te VLDL cholesterol?
Ahakoa he maha ā tātou whakamahinga o ēnei kupu e rua hei whakawhitiwhiti, he iti tonu te rerekētanga engari he mea nui i waenganui i a rāua.
Whakaarohia pēnei.
- Ko te VLDL te pahi. Ko te waka katoa tēnei e hangaia ana e te ate, ā, kei roto hoki te ngako.
- Ko te cholesterol VLDL tētahi o ngā pāhihi o taua pahi. Arā, ko te nui o te cholesterol e haere ana i roto i te waka e kiia nei ko te VLDL.
Waihoki, he momo rerekē te LDL me te HDL. Ka huaina e mātou te cholesterol e haere ana i runga i te LDL he cholesterol LDL. Ka huaina e mātou te cholesterol e haere ana i runga i te HDL he cholesterol HDL. Kua mārama inaianei, tika?
Nō reira, he momo cholesterol "kino" anō hoki te VLDL?
Ae, ki te nui rawa te pikinga o te taumata o te VLDL i roto i te toto, ka taka ki roto i te kāwai "kino". Ahakoa e hiahia ana ō tātou tinana ki tētahi nui o te VLDL hei mahi, ina piki tōna taumata, ka huakina te kuaha ki te mate manawa me te maha atu o ngā raruraru hauora.
Ko te raruraru matua he mate e kiia nei ko te `(Atherosclerosis).` I te whakarapopototanga, koinei te wā e hanga ai te ngako, te cholesterol, me ētahi atu matū ki roto i ngā pakitara o ō tātou uaua toto (ngā uaua toto) ka hanga i tētahi mea e kiia nei ko te ``plaque``. Ka āta whakawhāitihia e ēnei plaque ngā uaua toto, pērā i te paru e hangai ana ki roto i te paipa wai. Ka ārai tēnei i te rere o te toto.
He aha te hononga o te VLDL ki tēnei?
Whakaarohia kua tīmata te hanga e tō tātou ate he VLDL nui atu i tana e hiahia ana. Inaianei he nui rawa ngā kaikawe VLDL i roto i te toto. Ka pakaruhia e tō tātou tinana ēnei VLDL tāpiri, ka whakamahia hei hanga i tētahi atu momo kaikawe e kiia nei ko te LDL (Low-Density Lipoprotein). Ko te LDL te momo kaikawe matua e kiia nei e tātou ko te "cholesterol kino".
Kua kī tonu te toto i ngā matūriki LDL. Ka piri tēnei LDL tāpiri ki ngā pakitara o ngā uaua toto, ka tīmata ai te hanga i ngā papa i whakahuatia i mua ake nei.
E whakaatu ana ngā rangahau he nui ake te mōrearea o te nui o te VLDL me te LDL i roto i te toto i te wā kotahi i te nui o te VLDL me te LDL i roto i a rāua anake.
Ehara i te mea koinā anake, ina pakaru te VLDL i roto i te tinana, ā, ka hangaia te LDL, ka toe mai ētahi "mokowā" mai i taua tukanga. Ka kiia ēnei he "matūriki toenga". He matūriki iti ēnei e kī tonu ana i te cholesterol. Nā te mea he iti te rahi, ka ngāwari te piri ki ngā pakitara o ngā uaua toto, ka tere ake te hanganga o ngā toto totoka.
| Ngā āhuatanga morearea ka puta mai i te atherosclerosis (te whaiti o ngā oko toto) | |
|---|---|
| Āhuatanga hauora | He whakamārama māmā |
| Te mate o te uaua koronari | Te whaiti o ngā uaua toto e tuku toto ana ki te ngākau, ka nui ake te tūponotanga o te mate ngākau. |
| Mate Puku Roro | Ka pā te whiu ki te roro mēnā ka whaiti, ka ārai rānei i ngā oko toto e tuku toto ana ki te roro. |
| Mate o te uaua taha | He maha ngā wā ka whaiti ngā uaua e tuku toto ana ki ngā waewae. Ka mamae pea ngā waewae i te wā e hikoi ana. |
| Te Aneurysm Aorta | Ka ngoikore te aorta, te uaua toto matua o te tinana, ka pupuhi pērā i te poihau. Ka tino morearea tēnei mēnā ka pakū. |
He nui ake te mōrearea o te LDL? VLDL?
He pātai tēnei e pātaihia ana e te tini tāngata. Ina hoki, kāore e taea te kī he "kino ake" tētahi i tētahi. He rite tonu te whai wāhi a ngā mea e rua ki te hanganga o te parakihe i roto i ngā oko toto. Nō reira, he rite tonu te mōrearea o ngā mea e rua. Ko te mea nui ko te whakahaere i ngā taumata o ngā mea e rua, me te pupuri i aua taumata ki te taumata hauora.
Me pēhea te ine i ngā taumata VLDL? He aha ngā uara noa?
Ka inehia tō taumata cholesterol VLDL mā te whakamātautau toto e kiia nei ko te lipid panel . I te nuinga o te wā ka mahia tēnei whakamātautau i muri i tō nohopuku mō ngā haora 10-12. Ka whakaatuhia e tēnei whakamātautau tō taumata cholesterol katoa, te cholesterol HDL (pai), te cholesterol LDL (kino), me ngā taumata triglyceride.
Engari, anei tētahi mea motuhake. I te nuinga o te wā, kāore ngā taiwhanga e ine tika i ngā taumata VLDL. Engari, ka whakamahia e rātou ō taumata triglycerides hei tatau i ō taumata VLDL mā te whakamahi i tētahi tātai pāngarau.
Ki te kī māmā noa, he ōrite te taumata o tō VLDL ki tō taumata triglyceride ina wehea ki te 5. (Hei tauira, mēnā he 150 mg/dL ō triglyceride, ko tō taumata VLDL he tata ki te 30 mg/dL).
Heoi, ki te tino teitei ngā taumata triglyceride o te tangata (hei tauira, neke atu i te 400 mg/dL), kāore pea tēnei tikanga tatau e tino tika. I roto i ēnei āhuatanga, ka whakamahia pea e tō tākuta ētahi atu tikanga hei ine i te VLDL.
Ko te tikanga, ko ngā uara e taunakitia ana mō ngā taumata cholesterol VLDL koia ēnei:
- Taumata hauora: I raro i te 30 mg/dL (miramira ia teririta).
- Taumata mōrearea/teitei: ōrite ki te 30 mg/dL, nui atu rānei .
Me aha tātou mēnā ka piki ake ngā taumata o te VLDL?
Ki te teitei tō taumata VLDL, ko te tikanga he nui ake tō tūponotanga ki te pāngia e te mate manawa. Kaua e manukanuka, he āhuatanga ngāwari tēnei.
Ina rongoatia koe e te tākuta, ka aro nui atu rātou ki te whakaheke i ō taumata cholesterol LDL me te triglyceride, kaua ki te aro tika ki ngā taumata VLDL. Nā te mea ina whakahaeretia aua taumata, ka whakahaeretia aunoatia ngā taumata VLDL.
He maha ngā tāngata he nui ngā taumata VLDL, ā, ka pāngia rātou e tētahi, e ētahi rānei o ēnei āhuatanga:
- Ngā taumata triglyceridemia teitei (Hypertriglyceridemia)
- Ngā taumata cholesterol LDL teitei
- Te taumata cholesterol katoa teitei (Hyperlipidemia)
Anei ētahi mea ka taea e koe te mahi hei whakahaere i ēnei momo ngako katoa. He mea nui kia kōrero koe ki tō tākuta i mua i te tīmatanga o tētahi o ēnei.
1. Te whai i tētahi kai hauora mō te ngākau:
- Whakaitihia te hinu, ngā kai parai, me ngā kai parai hohonu ki te nui e taea ana.
- Kaua e kai i ngā kai me ngā inu he nui te huka (keke, inu reka, tōfi).
- Tāpirihia atu ki tāu kai ngā huawhenua hou, ngā hua rākau, ngā otaota, me ngā witi katoa (te buckwheat, te parei, te ōti).
- Kōwhiria te ika me te heihei hei utu mō te mīti tukatuka.
2. Te whakakorikori tinana i ngā wā katoa:
- Whakakorikori tinana pērā i te hikoi tere, te eke pahikara, te kaukau rānei mō te 30 meneti i te iti rawa i te rā, mō te iti rawa i te 5 ngā rā i te wiki.
- He mea nui: Mena he hou koe ki te whakakorikori tinana, pātai atu ki tō tākuta mō ngā tohutohu mō ngā whakakorikori tinana e tika ana māu.
3. Te pupuri i te taumaha hauora:
- He mea tino nui kia mau tonu tō taumaha hauora mō tō teitei. Mēnā he taumaha rawa koe, mā te whakaiti i tō taumaha ka tino heke te taumata o te cholesterol me te triglyceride.
4. Te tango rongoā i runga i te tohutohu a te taote:
- I ētahi wā, kāore pea e ranea ngā huringa āhua noho anake hei whakahaere i ō taumata cholesterol. I ēnei wā, ka tohua pea e tō tākuta he rongoā pēnei i te "statins ." He mea tino nui kia tangohia ngā rongoā i tohua e tō tākuta i te horopeta tika me te roanga tika.
I ētahi wā, ka piki ake ngā taumata triglyceride me te VLDL nā ētahi atu mate hauora pēnei i te mate huka, ngā raruraru tairoi, me ētahi atu rongoā e tangohia ana e koe. Nō reira, ki te mea he pātai āu mō ngā uara kei roto i tō pūrongo, kōrero ki tō tākuta. Kaua e manukanuka, mā te aratohu me te maimoatanga tika, ka taea te whakahaere pai i tēnei mate.
Karere Tangohia ki te Kāinga
- He waka motuhake te VLDL i hangaia e tō tātou ate, koia te kawe i ngā triglycerides (he momo ngako) puta noa i te tinana.
- He kino ki te hauora o te ngākau te nui o te VLDL i roto i te toto i runga ake i te 30 mg/dL. Ka arahi pea tēnei ki te whakawhāiti i ngā oko toto (atherosclerosis).
- Kāore ngā taumata VLDL e inehia tika i te nuinga o te wā. Ka tatauhia mai i ō taumata triglyceride.
- Ko te huarahi pai ki te whakahaere i te VLDL ko te whakahaere i ngā taumata triglyceride me te LDL (kino) cholesterol.
- Ka taea te whakahaere i ngā taumata VLDL mā te whai i tētahi kai hauora mō te ngākau, te whakakori tinana i ngā wā katoa, te pupuri i te taumaha hauora, me te tango i ngā rongoā e tohua ana e tō tākuta.
- Mena he āwangawanga āu mō tō pūrongo cholesterol, me kōrero ki tō tākuta.
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